WorldWideScience

Sample records for major management challenges

  1. Major Management Challenges and Program Risks: Small Business Administration

    Science.gov (United States)

    2001-01-01

    2001 Major Management Challenges and Program Risks Small Business AdministrationGAO-01-260 Form SF298 Citation Data Report Date ("DD MON YYYY...34) 00JAN2001 Report Type N/A Dates Covered (from... to) ("DD MON YYYY") Title and Subtitle Major Management Challenges and Program Risks Small Business ...Administration (SBA) as it seeks to aid, counsel, assist, and protect the interests of the nations small businesses and help businesses and families

  2. Major Management Challenges and Program Risks. Department of Labor

    National Research Council Canada - National Science Library

    2001-01-01

    This report addresses the major performance and accountability challenges facing the Department of Labor as it seeks to promote the welfare and economic security of the nations work force and ensure...

  3. Major ecosystems in China: dynamics and challenges for sustainable management.

    Science.gov (United States)

    Lü, Yihe; Fu, Bojie; Wei, Wei; Yu, Xiubo; Sun, Ranhao

    2011-07-01

    Ecosystems, though impacted by global environmental change, can also contribute to the adaptation and mitigation of such large scale changes. Therefore, sustainable ecosystem management is crucial in reaching a sustainable future for the biosphere. Based on the published literature and publicly accessible data, this paper discussed the status and trends of forest, grassland, and wetland ecosystems in China that play important roles in the ecological integrity and human welfare of the nation. Ecological degradation has been observed in these ecosystems at various levels and geographic locations. Biophysical (e.g., climate change) and socioeconomic factors (e.g., intensive human use) are the main reasons for ecosystem degradation with the latter factors serving as the dominant driving forces. The three broad categories of ecosystems in China have partially recovered from degradation thanks to large scale ecological restoration projects implemented in the last few decades. China, as the largest and most populated developing nation, still faces huge challenges regarding ecosystem management in a changing and globalizing world. To further improve ecosystem management in China, four recommendations were proposed, including: (1) advance ecosystem management towards an application-oriented, multidisciplinary science; (2) establish a well-functioning national ecological monitoring and data sharing mechanism; (3) develop impact and effectiveness assessment approaches for policies, plans, and ecological restoration projects; and (4) promote legal and institutional innovations to balance the intrinsic needs of ecological and socioeconomic systems. Any change in China's ecosystem management approach towards a more sustainable one will benefit the whole world. Therefore, international collaborations on ecological and environmental issues need to be expanded.

  4. Investigating Challenges Facing Self-Management Empowerment Education in Adolescents and Youths with Major Thalassemia

    Directory of Open Access Journals (Sweden)

    Razzazan

    2014-10-01

    Full Text Available Background Thalassemia is considered an important public health problem worldwide, especially in developing and poor countries. Although several advanced techniques have been developed for prevention of thalassemia in the recent years, many adolescents and youths are still living with this disease. Independence from parents, decisions about high-risk behaviors, uncovering the identity, and adapting to mental and physical effects of the disease occur together in adolescents. Objectives This study was conducted to explore challenges of self-management empowerment in adolescents and youths with major thalassemia. Materials and Methods This was a descriptive-exploratory study. The study population consisted of adolescents and youths with major thalassemia who had medical records in the Bushehr Thalassemia Center, affiliated with Bushehr University of Medical Sciences. The study samples were purposively selected. Demographic information questionnaire and empowerment questionnaire were used to collect data from the semistructured interview. We analyzed qualitative data by content analysis method and quantitative data by descriptive (mean, standard deviation and analytical (Student's t-test, ANOVA and Pearson’s correlation coefficient statistical methods, using the statistical software SPSS 18. Results In qualitative part of the study, data from semistructured in-depth interviews with 15 participants were coded and summarized in five themes including: 1 awareness of personal changes; 2 need for adaptation; 3 maintaining independence and self-management; 4 uncovering the identity and role playing; and 5 sense of control and satisfaction. Results of the quantitative part showed that the overall score of participants on empowerment was 92.46 of 149 scores, which showed a moderate situation in the empowerment of these individuals. In addition, the empowerment score showed no statistically significant correlation with demographic characteristics

  5. Development of the German network for transporting electricity: A major challenge for managers

    International Nuclear Information System (INIS)

    Feix, Olivier

    2013-01-01

    The catastrophe at the Japanese nuclear power plant in Fukushima has deeply altered Germany's energy policy. The news from Japan forced the federal government to step up its efforts so as to expand more quickly the share of renewable sources in the German energy mix and, on short notice, put an end to nuclear power. This Energiewende, as the Germans call it, is a major policy priority for the government and an outstanding project that mobilizes all of German society. This turning point in energy policy has entailed rewriting several laws so as to provide a legal framework for the transition. Most stakeholders expect that important amendments will be made to the texts directly related to production facilities. What is noticeable and even surprising is the scope of the changes in laws about electricity grids, in particular about managing and developing the network for transporting electricity

  6. Challenges in Request Management

    DEFF Research Database (Denmark)

    Sommer, Anita Friis

    2014-01-01

    and its customers. The study provides an insight into a new area of supply chain management, including the process activity flow and challenges involved across the process. Furthermore, the method is dyadic including the customer in the case study, which is rare in related research....... profitability. This research study seeks to investigate the challenges of RQM in practice. Existing demand chain management literature is used as a basis for developing a RQM framework. RQM is investigated through an explorative research design in a dyadic B2B case study including a global industrial company......Request management (RQM) is a new term used for managing customer requests for new products. It is the counterpart to typical product development processes, which has no direct customer involvement. It is essential to manage customer requests in a structured and efficient way to obtain...

  7. Managing the Fukushima Challenge

    Science.gov (United States)

    Suzuki, Atsuyuki

    2014-01-01

    The Fukushima Daiichi accident raises a fundamental question: Can science and technology prevent the inevitability of serious accidents, especially those with low probabilities and high consequences? This question reminds us of a longstanding challenge with the trans-sciences, originally addressed by Alvin Weinberg well before the Three Mile Island and Chernobyl accidents. This article, revisiting Weinberg's issue, aims at gaining insights from the accident with a special emphasis on the sociotechnical or human behavioral aspects lying behind the accident's causes. In particular, an innovative method for managing the challenge is explored referring to behavioral science approaches to a decision-making process on risk management; such as managing human behavioral risks with information asymmetry, seeking a rational consensus with communicative action, and pursuing procedural rationality through interactions with the outer environment. In short, this article describes the emerging need for Japan to transform its national safety management institutions so that these might be based on interactive communication with parties inside and outside Japan. PMID:24954604

  8. Challenges and opportunities in multichannel customer management

    NARCIS (Netherlands)

    Neslin, Scott A.; Grewal, Dhruv; Leghorn, Robert; Shankar, Venkatesh; Teerling, Marije L.; Thomas, Jacquelyn S.; Verhoef, Peter C.

    2006-01-01

    Multichannel customer management is the design, deployment, coordination, and evaluation of channels through which firms and customers interact, with the goal of enhancing customer value through effective customer acquisition, retention, and development. The authors identify five major challenges

  9. Challenges and opportunities in multichannel customer management

    NARCIS (Netherlands)

    Neslin, Scott A.; Grewal, Dhruv; Leghorn, Robert; Shankar, Venkatesh; Teerling, Marije L.; Thomas, Jacquelyn S.; Verhoef, Peter C.

    Multichannel customer management is the design, deployment, coordination, and evaluation of channels through which firms and customers interact, with the goal of enhancing customer value through effective customer acquisition, retention, and development. The authors identify five major challenges

  10. Managing neurocysticercosis: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Fogang YF

    2015-10-01

    Full Text Available Yannick Fogoum Fogang, Abdoul Aziz Savadogo, Massaman Camara, Dènahin Hinnoutondji Toffa, Anna Basse, Adjaratou Djeynabou Sow, Mouhamadou Mansour Ndiaye Neurology Department, Fann Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal Abstract: Taenia solium neurocysticercosis (NCC is a major cause of neurological morbidity in the world. Variability in the neuropathology and clinical presentation of NCC often make it difficult to diagnose and manage. Diagnosis of NCC can be challenging especially in endemic and resource-limited countries where laboratory and imaging techniques are often lacking. NCC management can also be challenging as current treatment options are limited and involve symptomatic agents, antiparasitic agents, or surgery. Although antiparasitic treatment probably reduces the number of active lesions and long-term seizure frequency, its efficacy is limited and strategies to improve treatment regimens are warranted. Treatment decisions should be individualized in relation to the type of NCC. Initial measures should focus on symptomatic management, with antiparasitic therapy only to be considered later on, when appropriate. Symptomatic treatment remains the cornerstone in NCC management which should not only focuses on epilepsy, but also on other manifestations that cause considerable burden (recurrent headaches, cognitive decline. Accurate patients' categorization, better antiparasitic regimens, and definition of new clinical outcomes for trials on NCC could improve management quality and prognosis of NCC. Prevention strategies targeting tapeworm carriers and infected pigs are yielding good results in local models. If local elimination of transmission is confirmed and replicated, this will open the door to cysticercosis eradication efforts worldwide. Keywords: neurocysticercosis, Taenia solium, epilepsy, headache, albendazole, praziquantel

  11. Hypertension in Developing Countries: A Major Challenge for the Future.

    Science.gov (United States)

    Mohsen Ibrahim, M

    2018-05-01

    Outline recent epidemiologic data regarding hypertension in developing countries, distinguish differences from developed countries, and identify challenges in management and future perspectives. Increased sugar intake, air and noise pollution, and low birth weight are emerging hypertension risk factors. The major challenges in management are difficulties in accurate diagnosis of hypertension and adequate blood pressure control. In contrast to developed countries, hypertension prevalence rates are on the rise in developing countries with no improvement in awareness or control rates. The increasing burden of hypertension is largely attributable to behavioral factors, urbanization, unhealthy diet, obesity, social stress, and inactivity. Health authorities, medical societies, and drug industry can collaborate to improve hypertension control through education programs, public awareness campaigns, legislation to limit salt intake, encourage generic drugs, development and dissemination of national guidelines, and involving nurses and pharmacists in hypertension management. More epidemiologic data are needed in the future to identify reasons behind increased prevalence and poor blood pressure control and examine trends in prevalence, awareness, treatment, and control. National programs for better hypertension control based on local culture, economic characteristics, and available resources in the population are needed. The role of new tools for hypertension management should be tested in developing world.

  12. Nurse managers' challenges in project management.

    Science.gov (United States)

    Suhonen, Marjo; Paasivaara, Leena

    2011-11-01

    To analyse the challenges that nurse managers meet in project management. Project management done by nurse managers has a significant role in the success of projects conducted in work units. The data were collected by open interviews (n = 14). The participants were nurse managers, nurses and public health nurses. Data analysis was carried out using qualitative content analysis. The three main challenges nurse managers faced in project management in health-care work units were: (1) apathetic organization and management, (2) paralysed work community and (3) cooperation between individuals being discouraged. Nurse managers' challenges in project management can be viewed from the perspective of the following paradoxes: (1) keeping up projects-ensuring patient care, (2) enthusiastic management-effective management of daily work and (3) supporting the work of a multiprofessional team-leadership of individual employees. It is important for nurse managers to learn to relate these paradoxes to one another in a positive way. Further research is needed, focusing on nurse managers' ability to promote workplace spirituality, nurse managers' emotional intelligence and their enthusiasm in small projects. © 2011 Blackwell Publishing Ltd.

  13. Affordances and Alignments: Continuing Challenges in Advising Undergraduate Psychology Majors

    Science.gov (United States)

    Landrum, R. Eric

    2018-01-01

    Challenges abound in providing accurate and useful information to prospective and declared psychology majors about their career options and how to make decisions that will lead to satisfying and rewarding postgraduate lives. One component of this challenge is that by majoring in psychology, career affordances (i.e., the opportunities and…

  14. Managing complexity challenges for industrial engineering and operations management

    CERN Document Server

    López-Paredes, Adolfo; Pérez-Ríos, José

    2014-01-01

    This book presents papers by experts in the field of Industrial Engineering, covering topics in business strategy; modelling and simulation in operations research; logistics and production; service systems; innovation and knowledge; and project management. The focus of operations and production management has evolved from product and manufacturing to the capabilities of firms and collaborative management. Nowadays, Industrial Engineering is concerned with the study of how to design, modify, control and improve the performance of complex systems. It has extended its scope to any physical landscape populated by social agents. This raises a major challenge to Industrial Engineering:  managing complexity. This volume shows how experts are dealing with this challenge.

  15. NATO Advanced Research Workshop on Emergency Management after a Major Terror Attack : the New Challenges for First Responders and Civil Protection

    CERN Document Server

    Steinhäusler, Friedrich

    2007-01-01

    International terrorism remains a significant threat to the peace of the world. Weapons using various materials and delivery systems have been directed against cities and infrastructure, and other materials are postulated to be usable within the near future. Some of these materials are unusual or exotic, while some are modifications of materials used daily for other purposes: biological, chemical, radiological, nuclear and explosive. These materials pose a safety challenge for first responders, slowing the response and potentially killing scarce trained personnel. This book provides information about how leading agencies across the NATO membership are preparing to confront and respond to terrorists deploying Weapons of Mass Destruction (WMD), Weapons of Mass Killing (WMK) and Weapons of Mass Disruption (WMDi). Based on contributions by experts from NATO member states, Israel and the Russian Federation, this book offers information on fourth generation warfare as a new challenge to first responders. It also pr...

  16. Management between Passion and Challenges

    Directory of Open Access Journals (Sweden)

    Gheorghe Popovici

    2015-12-01

    Full Text Available The paper presents the results of the survey on the management between passion and challenges practised by new managers in the Mountainous Banat. In this post-crisis period, managers have become more cautions and more reluctant, on the one hand, and they have had to become more creative in using the resources at their disposal, on the other hand. The paper proposes a new “profile” of manager for the near future. The two categories of managers, focused on survival and driven by unconventional evolution, exist in parallel and that is why this study presents the results and recommendations for another type of management, which the present and future managers may or not take into account.

  17. Managing nuclear liabilities: 'hospital pass' or major opportunity?

    International Nuclear Information System (INIS)

    May, D.

    1995-01-01

    This paper sets out to start changing the perception that liabilities management is an unattractive part of the UK Nuclear Industry. The paper describes BNFL's successes and long term challenges in this area and concludes that liabilities management presents a major opportunity to:-Remove an Achilles heel of the industry; Create value for the companies concerned by successfully driving down costs; Sustain and exploit internationally a major UK competitive edge. (Author)

  18. The challenges of managing migration

    Energy Technology Data Exchange (ETDEWEB)

    Tacoli, Cecilia

    2005-10-15

    Migration and urbanisation are driven by economic growth and social change, but also by deepening inequalities. Managing migration should not be equated with curbing it, as this inevitably reduces migrants' rights. But managing population movement whilst respecting the rights of migrants and nonmigrants, supporting the contribution of migration to poverty reduction and economic growth in sending and receiving areas and reducing the human and material costs of movement means that fundamental challenges need to be addressed.

  19. Management Challenges Fiscal Year 2016

    Science.gov (United States)

    2017-01-01

    address supply chain vulnerabilities and its strategic competitors. Office of Inspector General Management Challenges 48 │ FY 2016 Installations...has allowed U.S. firms to harness the creativity of the global market. However, these supply chains create vulnerabilities and are subject to...manipulation by strategic competitors. One of the vulnerabilities within the global supply chain is the widespread existence of counterfeit parts

  20. Moral challenges in managed care

    Directory of Open Access Journals (Sweden)

    Leandri Hattingh

    2015-11-01

    Full Text Available Managed health care in South Africa is faced with complex moral challenges, where different stakeholders appeal to different ethics principles to guide decision making. The traditional bio-medical ethics principles of beneficence, non-maleficence and respect for autonomy are typically emphasised in clinical practice, while third party funders appeal to the principle of justice to guide the allocation of limited, pooled resources. Health care professionals working in managed care are particularly exposed to these conflicts, vis-à-vis incongruence between the ethics guidelines from their professional bodies and the legislation pertaining to managed care. Common understanding of the claims and responsibilities of each of the stakeholders may promote a more coherent, sustainable health care system. 

  1. Asset management trends and challenges

    Energy Technology Data Exchange (ETDEWEB)

    Rijks, E. [Continuon, Arnhem (Netherlands); Ford, G.L. [PowerNex Associates Inc., Toronto, ON (Canada); Sanchis, G. [Reseau de Transport d' Electricite, Paris (France)

    2007-07-01

    Recent business and regulatory changes in the electric power industry have affected the operation of electric utilities. Most have accepted competition and commercialization. Various strategies have emerged as companies strive to improve performance and retain profitability in an environment where competition or regulatory pressure is reducing revenues at a time when customer expectation is increasing. As focus shifts away from engineering excellence towards commercial performance, the new business ideology for electric utilities is to optimize asset management. This paper identified asset management technology trends, opportunities and challenges. Although many utilities are currently comfortable with their existing asset management processes, regulators are increasingly scrutinizing utilities as they seek approval for rates and investments in aging infrastructure. Much more rigorous financial analysis methods are needed to justify the large investments that are needed. In addition, the credibility of the processes and methods used by utilities will be increasingly questioned. In recognition of the growing importance of asset management, several initiatives have been launched to provide forums for sharing information and to provide a unifying force to asset management methods. The International Council on Large Electric Systems (CIGRE) was one of the first to recognize the importance of asset management. This paper summarized recent CIGRE activities as well as the developments of publicly available specification (PAS) 55 in the United Kingdom. It was concluded that utilities that adopt standardized approaches will be more credible in the eyes of regulatory authorities. 3 refs., 4 figs.

  2. Challenges for current University management

    Directory of Open Access Journals (Sweden)

    Pedro Rodríguez Vargas

    2016-03-01

    Full Text Available The Ecuadorian university through a change of era, this complex pathway mediated by globalization imposes imminently. The aim of this paper is to present a review of literature on the main aspects of management that are generated for the interaction University - context. This scan was performed on secondary sources, and grounded in scienti?c data abstraction. College education is an information and training process that allows the scientific, technological, economic, political, social and cultural development of a region or country; however, some phenomena such as globalization, technological revolution or multiculturalism are key to this, same that can be considered as a problem or a challenge.

  3. Sustainable Digital Environments: What Major Challenges Is Humankind Facing?

    Directory of Open Access Journals (Sweden)

    Roland W. Scholz

    2016-07-01

    Full Text Available This paper identifies and discusses the benefits, threats, and vulnerabilities related to the digital revolution. It aims to motivate research and its funding regarding digital threats and vulnerabilities related, in particular, to anticipating unintended, undesirable rebound effects, tipping points, critically fast evolutionary change rates, trade-offs, etc. A brief analysis of the history of the mind and technology reveals slow technological development over tens of thousands of years (including the invention of a place-value digital number system. Then, a small series of groundbreaking ideas (e.g., binary logic, Shannon’s symbolic analysis of relay and switching circuits, architectures of computing enabled the industry-driven invention of programmable computing machines. Ultimately, the mastery of electron and semiconductor physics allowed for economical and seemingly unlimited storage capacity that made digital tools available to all domains of society. Based on the historical analysis, a coupled human-environment systems perspective (that includes a hierarchy assumption ranging from the human cell to the human species enables the identification of several potential challenges to society and science. First, digital nano-engineering promotes genetic modifications (i.e., directed evolution, and synthetic biology enables a new level of the appropriation of nature. The understanding of cell-based biocomputers may call for new forms of logic. These and other challenges require thorough sustainability research in order to anticipate major changes on all levels of human systems. Second, the human individual is exposed to new forms of vulnerability. In particular, the potential epigenetic effects resulting from the excessive use of digital information of historically unknown speed, density, and contents and the loss of (the Western common-law right to privacy resulting from big data (whose ownership is often unknown should become subjects of

  4. Orbital Cellulitis: Clinical Course and Management Challenges. The ...

    African Journals Online (AJOL)

    Orbital Cellulitis: Clinical Course and Management Challenges. The Lagos State University Teaching Hospital Experience. ... The major management challenges were poor financial status of patients precluding necessary diagnostic laboratory and imaging studies. Early recognition, diagnosis and treatment are crucial to ...

  5. Knowledge Management: Trends and Challenges

    Directory of Open Access Journals (Sweden)

    Ljubo Đula

    2010-07-01

    Full Text Available The main theme of this paper is based on the principle goal of the European Union, which is “to become the most competitive and dynamic knowledge-based economy in the world, capable of sustainable economic growth with more and better jobs and greater social cohesion”. The competitive advantage of the “new economy” has been transferred from material and financial resources to non-material and non-financial goods. The crucial challenge for the 21st century company is defining, evaluating, improving, appraisal and management of knowledge. Intellectual capital is the fundamental lever, the basic resource, the underlying potential, the underlying factor of all the elements, i.e. of the business system vertically. Special attention is paid to the intellectual capital as the synergy element of the business system, which can bring about vertical integration. Every company has at its disposal knowledge, abilities, values and recognisability that can be turned into value. If managing with that resource can contribute to a competitive advantage, productivity increase and market value increase, then it is no longer a choice, but a necessity. Because of that, the question is not whether it is necessary to manage intellectual capital, but how to do it.

  6. Multiple Challenges of Flexible Workforce Management: the contract managers experience

    Directory of Open Access Journals (Sweden)

    Yana Torres de Magalhães

    2010-07-01

    Full Text Available This article presents the results of a survey that had the purpose to evaluate the human resources (HR practices adopted by a Brazilian industrial corporation from the viewpoint of contracting out managers to deal with four flexible workforce management challenges: qualification; quality; commitment; standardization of outsourcing services. These HR practices are still little discussed by scholars. So, this is the main contribution of this article. It is also virtually nonexistent in the literature studies that encompass analysis about HR practices to deal with major challenges of outsourcing throughout the viewpoint of contracting out managers. We performed 15 semi-structured interviews with contracting out managers. It was also performed a documental analysis about the rules of outsourcing practices of the corporation. We found management practices to deal with each of the four challenges presented. The management of contracts and the provision of training programs were the most prominent of the related practices. The results show that Brazillian labor laws contribute to the segregation of temporary workers, because the companies avoid a more direct relationship fearing legal constraints. Although several efforts were put to improve the work conditions of the flexible workforce, these workers are still stigmatized, seen and treated as less important than direct employers; this causes negative impacts on commitment. The decision to use flexible workforce by companies is still mainly due to cost savings. Therefore, there is still a long way to improve HR practices related to temporary workers in order to avoid losses for all the social actors envolved.

  7. Economic challenges of radioactive waste management

    International Nuclear Information System (INIS)

    Soderberg, O.

    1996-01-01

    The management of long lived waste, and the decommissioning of nuclear power plants represent major economic challenges. Power production is an activity that produces benefits now, but considerable costs will appear up to one or two generations later. Who should pay for such inevitable costs? How do you guarantee a lifetime ahead that money will be available when needed? The issues of inter-generational equity and management of the uncertainties involved in estimating future costs decommissioning and waste management, the development of the concept of trust funds and the overseeing of long-term financial liabilities in this field are discussed. The paper contains an overview of how such challenges are met in different countries. Information for the general public about economics in connection with nuclear waste management needs to combine the conflicting demands of accuracy and simplification. Systems for financing future costs are discussed, together with proposed guarantees and suggestions for the efficient organisation of such funding. The present Swedish system is explained. This basically requires license holders to pay a yearly fee to cover the costs of the safe handling and final disposal of nuclear fuel used in the reactor, the safe decommissioning and dismantling of the reactor, and the R and D activities required to achieve this. With recent suggestions for improving the reliability of the 1981 Swedish nuclear waste management funding system as a basis, five information messages rom the Government and responsible authorities are discussed. (author)

  8. Homeland Security. Management Challenges Facing Federal Leadership

    Science.gov (United States)

    2002-12-01

    Security Management Challenges Facing Federal Leadership 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT...including attention to management practices and key success factors. HOMELAND SECURITY Management Challenges Facing Federal Leadership www.gao.gov/cgi...significant management and coordination challenges if it is to provide this leadership and be successful in preventing and responding to any future

  9. Conservation biology in Asia: the major policy challenges.

    Science.gov (United States)

    McNeely, Jeffrey A; Kapoor-Vijay, Promila; Zhi, Lu; Olsvig-Whittaker, Linda; Sheikh, Kashif M; Smith, Andrew T

    2009-08-01

    With about half the world's human population and booming economies, Asia faces numerous challenges to its biodiversity. The Asia Section of the Society for Conservation Biology has identified some key policy issues in which significant progress can be made. These include developing new sources of funding for forest conservation; identifying potential impacts of energy alternatives on the conservation of biodiversity; curbing the trade in endangered species of plants and animals; a special focus on the conservation of mountain biodiversity; enhancing relevant research; ensuring that conservation biology contributes to major international conventions and funding mechanisms; using conservation biology to build a better understanding of zoonotic diseases; more effectively addressing human-animal conflicts; enhancing community-based conservation; and using conservation biology to help address the pervasive water-deficit problems in much of Asia. These challenges can be met through improved regional cooperation among the relevant stakeholders.

  10. Managing voluntary turnover through challenging assignments

    NARCIS (Netherlands)

    Preenen, P.T.Y.; de Pater, I.E.; van Vianen, A.E.M.; Keijzer, L.

    2011-01-01

    This study examines employees’ challenging assignments as manageable means to reduce turnover intentions, job search behaviors, and voluntary turnover. Results indicate that challenging assignments are negatively related to turnover intentions and job search behaviors and that these relationships

  11. Managing voluntary turnover through challenging assignments

    NARCIS (Netherlands)

    Preenen, P.T.Y.; Pater, I.E. de; Vianen, A.E.M. van; Keijzer, L.

    2011-01-01

    This study examines employees' challenging assignments as manageable means to reduce turnover intentions, job search behaviors, and voluntary turnover. Results indicate that challenging assignments are negatively related to turnover intentions and job search behaviors and that these relationships

  12. CHALLENGES OF SUPPLY CHAIN MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Natalia GALANTON

    2017-11-01

    Full Text Available The present article highlights the basic characteristics of the supply chain, specific to changes in the business environment of companies at the beginning of the 21st century. Supply chain activities turn natural resources, raw materials and components into a finished product, which is then delivered to the final customer. The supply chain incorporates the production process alongside the raw material acquisition and distribution of finished products, encompassing all the existing process responsible for transforming the materials taken from the supplier to the finished products delivered to customers. Today, competitiveness and performance of an organization are dependent on belonging to an efficient and effective supply-delivery chain where synergies exist due to the establishment and implementation of common goals and strategies by partners. Competition does not take place between independent organizations or between small groups of organizations, but between supply and delivery chains, made up of interconnected networks of producers, distributors and logistics providers. Under these circumstances, supply chain managers must seek solutions to respond promptly to the most important challenges in the field.

  13. Challenge Problem Development and Evaluation Management

    National Research Council Canada - National Science Library

    Schrag, Robert

    2001-01-01

    This final report describes work performed by Information Extraction & Transport (IET), Inc. on Challenge Problem Development and Evaluation Management for the Defense Advanced Research Projects Agency's...

  14. The Green Challenge in Constrution Management

    DEFF Research Database (Denmark)

    Christensen, Knud

    1999-01-01

    In the years to come,the building and constuction industry,will be met with an increasing amaount of environmental management demands.Contractors can prepare themselves to meet these challenges by devoloping environmental management systems.......In the years to come,the building and constuction industry,will be met with an increasing amaount of environmental management demands.Contractors can prepare themselves to meet these challenges by devoloping environmental management systems....

  15. Teaching methods in the healthcare management major.

    Science.gov (United States)

    Petrova, Gergana G; Popov, Teodor N

    2009-01-01

    Organisation and management are factors of paramount importance in higher education for achieving higher quality of training, better professional adaptation, and more effective career pursuance of the students. The present study analyses the use of various teaching methods for the students in the major of Healthcare Management as they are employed in two medical universities. We conducted a detailed questionnaire survey which included the students in the Healthcare Management major in the Faculty of Public Health (FPH) at Sofia Medical University (SMU) and the Medical Faculty of Plovdiv Medical University (PMU). The students were surveyed for two consecutive academic years (2004/2005 and 2005/2006). The logical units of study were 198 students completing their baccalaureate programs in Healthcare Management: 145 (73.23+/-3.15%) in the FPH, SMU and 53 (26.77+/-3.15%) in the PMU (the greater number of students from the SMU was due to the greater number of students admitted into the Sofia Medical University). The technical units of study were the Faculty of Public Health in the Medical University in Sofia and the Medical faculty in the Medical University in Plovdiv. The survey was carried out using our own questionnaire form comprising 51 questions (open and closed), some of them allowing more than one answer. The collected sociological data were analysed using SPSS v. 13.0, and the diagrams were made using Microsoft Excel' 97. We used the alternative, non-parametric and graphic analyses to illustrate the processes and events at a level of significance P PMU and 26.32+/-1.91% for SMU). This format of teaching is also considered to be the easiest with regard to learning the study material by 22.75+/-3.25% of the PMU graduates and 27.56+/-2.38% of the SMU graduates. The PMU students regard seminars, individual work and discussions as the format that afford the easiest way to acquire knowledge (22.16+/-3.21%, 21.56+/-3.18%, (18.56+/-3.01%, respectively). The most

  16. [Improving treatment adherence in kidney transplantation: a major challenge].

    Science.gov (United States)

    Kessler, Michèle

    2014-06-01

    The kidney transplant recipient is faced not only with the perspective of taking immunosuppressive drugs lifelong, but also the possibility of other long-term treatments prescribed for preexisting conditions, complications, or side effects. Proper management, and most importantly patient adherence, can become a complex challenge. Here we recall current definitions and describe methods for measuring treatment adherence, followed by a discussion on the prevalence of non-adherence in kidney transplant recipients, its effect on graft survival, and factors predictive of non-adherence. Ways of improving adherence are examined, leading to the conviction that helping patients take their medications regularly would probably have a greater impact on graft survival than marketing a new immunosuppressive agent. Copyright © 2014 Association Société de néphrologie. Published by Elsevier SAS. All rights reserved.

  17. Clinical Parameters and Challenges of Managing Cervicofacial ...

    African Journals Online (AJOL)

    Introduction: Necrotizing fasciitis is a severe soft tissue infection. In our environment, patients presenting with this infection are usually financially incapacitated and, therefore, their management can be challenging. This paper aimed to document the pattern and challenges encountered in the management of cervicofacial ...

  18. Professionally responsible intrapartum management of patients with major mental disorders.

    Science.gov (United States)

    Babbitt, Kriste E; Bailey, Kala J; Coverdale, John H; Chervenak, Frank A; McCullough, Laurence B

    2014-01-01

    Pregnant women with major mental disorders present obstetricians with a range of clinical challenges, which are magnified when a psychotic or agitated patient presents in labor and there is limited time for decision making. This article provides the obstetrician with an algorithm to guide professionally responsible decision making with these patients. We searched for articles related to the intrapartum management of pregnant patients with major mental disorders, using 3 main search components: pregnancy, chronic mental illness, and ethics. No articles were found that addressed the clinical ethical challenges of decision making during the intrapartum period with these patients. We therefore developed an ethical framework with 4 components: the concept of the fetus as a patient; the presumption of decision-making capacity; the concept of assent; and beneficence-based clinical judgment. On the basis of this framework we propose an algorithm to guide professionally responsible decision making that asks 5 questions: (1) Does the patient have the capacity to consent to treatment?; (2) Is there time to attempt restoration of capacity?; (3) Is there an opportunity for substituted judgment?; (4) Is the patient accepting treatment?; (5) Is there an opportunity for active assent?; and (6) coerced clinical management as the least worst alternative. The algorithm is designed to support a deliberative, clinically comprehensive, preventive-ethics approach to guide obstetricians in decision making with this challenging population of patients. Copyright © 2014 Mosby, Inc. All rights reserved.

  19. Knowledge Management Challenges For Global Business

    OpenAIRE

    Veli Denizhan Kalkan

    2011-01-01

    Managing organizational knowledge effectively is a prerequisite for securing competitive advantages in the global marketplace. The field of knowledge management brings out important challenges for global business practices. Based on a comprehensive academic and popular literature review, this paper identifies six main knowledge management challenges faced by global business today. These are developing a working definition of knowledge, dealing with tacit knowledge and utilization of informati...

  20. Geoparks Management: Challenges and Realities

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Freire Medeiros

    2015-08-01

    Full Text Available The geoparks represent part of a holistic concept of protection, education and sustainable development. These spaces are valued local tourist attractions with emphasis on geological features, maximizing Geotourism. This activity brings local economic benefits and educate people about the evolution of your site and landscape. By not being tied to any law, the geoparks is allowed different forms of management. To understand the management of these spaces aim of this study is to present a detailed analysis of national and international geoparks management plans in order to understand the management of these territories. The methodology used apesenta a qualitative focus exploratory, since it noted the need to seize on geoparks management. Thus, it adopted a bibliographical and documentary research, in which the data collection instrument were adopted plans for national and international geoparks management. The analysis of these documents- plans gestões- made it possible to identify that there is a kind of standard management of these sites and that management of these areas occurs as the reality of each location. However there are points in common in the efforts made in the Arouca Geopark is the one with the most comprehensive managerial context to use more of the administration tools. Thus, the management of geoparks adapts to their different socio-economic contexts, incorporating them in the planning sphere.

  1. Preventing and managing challenging behaviour.

    Science.gov (United States)

    Hallett, Nutmeg

    2018-02-21

    Patients exhibiting challenging behaviour, which includes any non-verbal, verbal or physical behaviour, is a significant issue in healthcare settings. Preventing such behaviour and the harm it can cause is important for healthcare organisations and individuals, and involves following a public health model comprised of three tiers: primary, secondary and tertiary prevention. Primary prevention aims to reduce the risk of challenging behaviour occurring in the first instance; secondary prevention involves reducing the risk associated with imminent challenging behaviour and its potential escalation; and tertiary prevention focuses on minimising the physical and emotional harm caused by challenging behaviours, during and after an event. De-escalation should be the first-line response to challenging behaviour, and healthcare staff should use a range of techniques - maintaining safety, self-regulation, effective communication, and assessment and actions - to reduce the incidence of challenging behaviour. In some situations, physical interventions may be required to protect the safety of the individual, healthcare staff and other individuals involved, and healthcare staff should be aware of local policies and procedures for this. Following a serious incident, where there was potential or actual harm to patients and healthcare staff, healthcare organisations should use post-incident reviews to learn from the situation, while healthcare staff should be offered the opportunity for debriefing. Positive responses to challenging behaviour at an organisational and individual level can lead to improved work environments for healthcare staff and optimal patient care and outcomes. ©2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

  2. Sustainable Materials Management Challenge Data

    Data.gov (United States)

    U.S. Environmental Protection Agency — Sustainable Materials Management (SMM) is a systemic approach to using and reusing materials more productively over their entire lifecycles. It represents a change...

  3. Status and challenges for radioactive waste management

    International Nuclear Information System (INIS)

    Riotte, H.

    2011-01-01

    In its 2008 Nuclear Energy Outlook the NEA reviewed the status of radioactive waste management world-wide and noted that the technology for disposal of short-lived low- and intermediate-level radioactive waste is well developed. The review concluded that all OECD countries with major nuclear programmes either operate corresponding waste disposal facilities or are in an advanced stage of developing them. By contrast, the developmental progress of HLW/SNF management programmes varies widely between countries; not to mention that there is currently no repository operating that could take spent nuclear fuel or high-level waste from reprocessing. In its collective opinion 'Moving forward with geological disposal' the NEA noted that deep underground disposal in geological formations is seen worldwide as the only sustainable endpoint for the management of these types of waste, as it affords unparalleled protection without reliance on active safety monitoring and controls. While waste management programmes in some countries are well matured and countries like Finland, France and Sweden aim to operate geologic repositories in the next decade, others need to develop their national strategies, plans and corresponding actions for managing radioactive waste further. Periodically reviewed national waste management plans, as legally required for EU member countries by a recent Directive, can provide a co-operation framework for all national institutional players and a means to measure progress. In implementing sustainable solutions for the long-term management of HLW/SNF, specific challenges lay in establishing an efficient policy and regulatory framework that (a) defines a desired level of safety over the various time scales to be considered and (b) allows for sustainable decision making procedures by involving public and stakeholder in a flexible, step-wise implementation process. Technical confidence in the safety of a repository needs to be demonstrated in a modern

  4. Challenges for nurse managers in China.

    Science.gov (United States)

    Wong, Frances Kam Yuet

    2010-07-01

    To critically review the challenges facing nurse leaders in China during healthcare reform. China is now undergoing a major reform aimed at enhancing the accessibility and quality of its healthcare at a level that is affordable to the people. Nurses have a key role to play in this reform. Key documents produced by the government of China were critically reviewed using the strengths, weaknesses, opportunities and threats (SWOT) framework. A number of factors, including the insufficient number of nurses and the medical orientation of the health system, have hindered the development of nursing. However, healthcare reform has created new opportunities for nurses and nursing. This paper reviews the strengths, weaknesses, opportunities and threats faced by nurse managers in China. It identifies barriers but also possibilities for nurse leaders to advance nursing and make nurses visible in this era of transforming healthcare. Many of the issues identified in this review, such as the enhancement of quality and accessibility of care, are important to nurse leaders around the world. However, this article reveals the particular challenges faced by nurse leaders in China, with its unique social and historical background.

  5. Challenges of solid waste management and environmental ...

    African Journals Online (AJOL)

    Challenges of solid waste management and environmental sanitation in Ibadan North ... African Journal for the Psychological Study of Social Issues ... inadequate manpower and welfare, poor provision of health services, negative attitudes, ...

  6. The Management of Managers: Challenges in a Small Economy

    Science.gov (United States)

    Gilbert, John; Boxall, Peter

    2009-01-01

    Purpose: The purpose of this paper is to discuss the findings of a study of the management of senior managers. The aim is to describe the ways in which firms in a small economy, such as New Zealand, manage their managers and analyse how they deal with the strategic challenges that are involved. Design/methodology/approach: The study applies the…

  7. 50 top IT project management challenges

    CERN Document Server

    Doraiswamy, Premanand

    2012-01-01

    This book offers a focused and concise summary of 50 challenges facing today's IT project manager. The authors draw on years of practical experience (rather than classroom theory) to outline these challenges and offer useful tips and advice on how to deal with them.

  8. Demand side management. Benefits and challenges

    International Nuclear Information System (INIS)

    Strbac, Goran

    2008-01-01

    In this paper, the major benefits and challenges of electricity demand side management (DSM) are discussed in the context of the UK electricity system. The relatively low utilisation of generation and networks (of about 50%) means that there is significant scope for DSM to contribute to increasing the efficiency of the system investment. The importance of the diversity of electricity load is discussed and the negative effects of DSM on load diversity illustrated. Ageing assets, the growth in renewable and other low-carbon generation technologies and advances in information and communication technologies are identified as major additional drivers that could lead to wider applications of DSM in the medium term. Potential benefits of DSM are discussed in the context of generation and of transmission and distribution networks. The provision of back-up capacity by generation may not be efficient as it will be needed relatively infrequently, and DSM may be better placed to support security. We also present an analysis of the value of DSM in balancing generation and demand in a future UK electricity system with significant variable renewable generation. We give a number of reasons for the relatively slow uptake of DSM, particularly in the residential, commercial and small business sectors. They include a lack of metering, information and communication infrastructure, lack of understanding of the benefits of DSM, problems with the competitiveness of DSM when compared with traditional approaches, an increase in the complexity of system operation and inappropriate market incentives. (author)

  9. Management challenges in an information communication ...

    African Journals Online (AJOL)

    Information Communication Technologies (ICTs) play an important role in reforming education. This study concentrated on the key managerial challenges to leaders when faced with introducing, accepting and managing new technology in their schools. The purpose of the study was to describe the management approach ...

  10. Research challenges for energy data management (panel)

    DEFF Research Database (Denmark)

    Pedersen, Torben Bach; Lehner, Wolfgang

    2013-01-01

    This panel paper aims at initiating discussion at the Second International Workshop on Energy Data Management (EnDM 2013) about the important research challenges within Energy Data Management. The authors are the panel organizers, extra panelists will be recruited before the workshop...

  11. The Internet of Things: New Interoperability, Management and Security Challenges

    OpenAIRE

    Elkhodr, Mahmoud; Shahrestani, Seyed; Cheung, Hon

    2016-01-01

    The Internet of Things (IoT) brings connectivity to about every objects found in the physical space. It extends connectivity to everyday objects. From connected fridges, cars and cities, the IoT creates opportunities in numerous domains. However, this increase in connectivity creates many prominent challenges. This paper provides a survey of some of the major issues challenging the widespread adoption of the IoT. Particularly, it focuses on the interoperability, management, securi...

  12. International human resources management challenges and changes

    CERN Document Server

    2015-01-01

    This book covers the issues related to human resource management (HRM) in an international context. It gives perspectives and future direction in International HRM research. The chapters explore the models, tools and processes used by international organizations in order to assist international managers to better face the challenges and changes in HRM. It is suitable to HR managers, engineers, entrepreneurs, practitioners, academics and researchers in the field.

  13. Choosing Sport Management as a College Major

    Science.gov (United States)

    Schwab, Keri A.; Dustin, Daniel; Legg, Eric; Timmerman, Danielle; Wells, Mary Sara; Arthur-Banning, Skye G.

    2013-01-01

    The purpose of this study was to better understand sport management students within departments of parks, recreation, and tourism, and to address the often uneasy fit faculty experience when trying to educate sport and recreation students in the same classes. Researchers sent a 16-item online questionnaire to 1,337 undergraduate sport management…

  14. The challenge of water management

    Science.gov (United States)

    Leopold, Luna Bergere

    1960-01-01

    . We wanted, over a long period of time, to grow a stand of conifers which would yield both pleasure to the eye and logs to the saw. We could see the possibilities of having quail, pheasants, grouse, and deer, and of extending the stay of some of the migrant species.So we set to work with shovel and axe, wire and nails, and a will to succeed. Trees were lopped so that they formed brush piles. Wild grapes were brought in and planted on the brush piles. Grass was removed with a shovel where it was competing with desirable wild flowers. Little patches of corn and beans were planted to provide proper combinations of food and cover.Within few years we had pheasants, grouse, and woodcock to shoot, wild flowers to delight the eye and the nose, and the annual increments on the stem of every pine were future increments of dollars in the bank.The problem of appraisal, development, and management are similar, whatever the nature of the resource. Resources may be renewable or nonrenewable. With renewable resources our problem is to increase, insofar as possible, the take from each increment. With nonrenewable resources the problem is to develop in an orderly manner without waste.

  15. KNOWLEDGE MANAGEMENT CHALLENGES IN NEW BUSINESS DEVELOPMENT

    DEFF Research Database (Denmark)

    Jensen, Ole Kjeldal; Ahmed-Kristensen, Saeema; Jensen, Nevena

    2011-01-01

    The empirical study this paper is based upon, aimed to identify and describe knowledge management challenges, throughout the new business development process. This paper reports findings from the study, as well as the framework used for analysing the KM challenges, which can be applied to other...... in the early phases. Furthermore, two new roles of the early phase, besides instigating projects, were found. This study contributes to the development of support tools for knowledge management in industry and to research with a deeper understanding of the new business development process....... case studies for comparison. Six interviews and 2 full-day workshops, gathering the perspectives of 76 people from an energy-utilities company forms the empirical background of the study. Six categories of knowledge management challenges were identified and, within each, central issues were extracted...

  16. Dune management challenges on developed coasts

    Science.gov (United States)

    Elko, Nicole A.; Brodie, Kate; Stockdon, Hilary F.; Nordstrom, Karl F.; Houser, Chris; McKenna, Kim; Moore, Laura; Rosati, Julie D.; Ruggiero, Peter; Thuman, Roberta; Walker, Ian J.

    2015-01-01

    From October 26-28, 2015, nearly 100 members of the coastal management and research communities met in Kitty Hawk, NC, USA to bridge the apparent gap between the coastal dune research of scientists and engineers and the needs of coastal management practitioners. The workshop aimed to identify the challenges involved in building and managing dunes on developed coasts, assess the extent to which scientific knowledge can be applied to the management community, and identify approaches to provide means to bridge the gap between needs and potential solutions.

  17. Challenges and Issues in Knowledge Management

    DEFF Research Database (Denmark)

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

  18. Implementing Environmental Management Accounting: Status and Challenges

    DEFF Research Database (Denmark)

    Cost Accounting - and its Interaction with Eco-Efficiency Performance Measurement and Indicators; Stefan Schaltegger and Marcus Wagner. 4. Environmental Accounting Dimensions: Pros and Cons of Trajectory Convergence and Increased Efficiency; Pontus Cerin and Staffan Laestadius. 5. Process and Content......Table of contents Preface. 1. Environmental Management Accounting: Innovation or Managerial Fad?; Pall Rikhardsson, Martin Bennett, Jan Jaap Bouma and Stefan Schaltegger. Section 1 Progress. 2. Challenges for Environmental Management Accounting; Roger L. Burritt 3. Current Trends in Environmental......: Visualizing the Policy Challenges of Environmental Management Accounting; Dick Osborn. Section 2 Exploring EMA implementation issues. 6. Environmental Performance and the Quality of Corporate Environmental Reports: The Role of Environmental Management Accounting; Marcus Wagner. 7. Environmental Risk...

  19. Modern slavery challenges to supply chain management

    OpenAIRE

    Gold, Stefan; Trautrims, Alexander; Trodd, Zoe

    2015-01-01

    Purpose\\ud – This paper aims to draw attention to the challenges modern slavery poses to supply chain management. Although many international supply chains are (most often unknowingly) connected to slave labour activities, supply chain managers and researchers have so far neglected the issue. This will most likely change as soon as civil society lobbying and new legislation impose increasing litigation and reputational risks on companies operating international supply chains. \\ud \\ud Design/m...

  20. Knowledge management challenges in new business development

    NARCIS (Netherlands)

    Berends, J.J.; Vanhaverbeke, W.P.M.; Kirschbaum, R.

    2007-01-01

    This paper's focus is on the knowledge management challenges that come along with technology-based new business development (NBD). NBD thrives upon the exploration of knowledge, under radical uncertainty. Furthermore, existing knowledge may both enable and constrain the radical innovation process.

  1. Sustainable Materials Management (SMM) Electronics Challenge Data

    Science.gov (United States)

    On September 22, 2012, EPA launched the SMM Electronics Challenge. The Challenge encourages electronics manufacturers, brand owners and retailers to strive to send 100 percent of the used electronics they collect from the public, businesses and within their own organizations to third-party certified electronics refurbishers and recyclers. The Challenge??s goals are to: 1). Ensure responsible recycling through the use of third-party certified recyclers, 2). Increase transparency and accountability through public posting of electronics collection and recycling data, and 3). Encourage outstanding performance through awards and recognition. By striving to send 100 percent of used electronics collected to certified recyclers and refurbishers, Challenge participants are ensuring that the used electronics they collect will be responsibly managed by recyclers that maximize reuse and recycling, minimize exposure to human health and the environment, ensure the safe management of materials by downstream handlers, and require destruction of all data on used electronics. Electronics Challenge participants are publicly recognized on EPA's website as a registrant, new participant, or active participant. Awards are offered in two categories - tier and champion. Tier awards are given in recognition of achieving all the requirements under a gold, silver or bronze tier. Champion awards are given in two categories - product and non-product. For champion awards, a product is an it

  2. Self trust, a major challenge for nuclear regulators

    Energy Technology Data Exchange (ETDEWEB)

    Eibenschutz, J. [National Nuclear Safety and Safeguards Commission (CNSN), Mexico City (Mexico)

    2014-07-01

    Self trust. The nuclear community and particularly nuclear regulators overreact to accidents, this has been the case with the three NPP major accidents. Lowering admissible radiation levels, for example, conveys the wrong message to politicians and the general public, and contributes to enhance mistrust towards nuclear. Industry as well as regulators should mature and act with self respect, since the scientific bases of regulation are very solid and should be trusted. Lessons learned should be seriously pursued in spite of the 'uneven playing field'. Obviously safety continues as the main priority, but paranoid reactions from the nuclear professionals could destroy the future of nuclear power. (author)

  3. Self trust, a major challenge for nuclear regulators

    International Nuclear Information System (INIS)

    Eibenschutz, J.

    2014-01-01

    Self trust. The nuclear community and particularly nuclear regulators overreact to accidents, this has been the case with the three NPP major accidents. Lowering admissible radiation levels, for example, conveys the wrong message to politicians and the general public, and contributes to enhance mistrust towards nuclear. Industry as well as regulators should mature and act with self respect, since the scientific bases of regulation are very solid and should be trusted. Lessons learned should be seriously pursued in spite of the 'uneven playing field'. Obviously safety continues as the main priority, but paranoid reactions from the nuclear professionals could destroy the future of nuclear power. (author)

  4. The nuclear knowledge management: challenges and perspectives

    International Nuclear Information System (INIS)

    Gonzalez Garcia, Alejandro; Fernandez Rondon, Manuel

    2007-01-01

    The knowledge management has a one of its goals to keep and to drive the key organizational competence's to the development of products and services with high scientific and technological value, as proactive reply to a dynamic and complex environment. The International Atomic Energy Agency and nuclear institutions of Member Countries recognize that the pacific use of nuclear technology is supported on the nuclear knowledge collection and that its effective management is oriented to guarantee the continuos availability of scientific and technological information and high qualified people. Recently some nuclear Cuban institutions have started some projects to implement nuclear and organizational knowledge management process. In this paper some challenges and perspectives are presented for the nuclear knowledge management in Cuba and in the world context

  5. Food Security In South Asia: Major Challenges And Solutions

    Directory of Open Access Journals (Sweden)

    N. V. Galistcheva

    2018-01-01

    seasonally, as well as food consumption within the context of dietary energy consumption and dietary protein and fat consumption. The author examines all the seven South Asian countries’ national policies for food security aiming at struggle against undernourishment. The author draws the attention to the fact that despite the slight differences in tools they have common aims and tasks. The key directions of national policies for food security include measures to promote big agro-based industries financed by both private and public sector; increase agricultural productivity; enhance agricultural R&D; managing food security risks and vulnerabilities. The author also notes the steps to aiming the collective food security within the framework of the regional integration group – the SAARC. The article presents statistical data characterizing hunger and undernourishment trends in South Asia.

  6. Vasoplegic syndrome: A challenge to anaesthetic management

    Directory of Open Access Journals (Sweden)

    Amarjyoti Hazarika

    2015-01-01

    Full Text Available Perioperative hypotension is a well-recognized and relatively common problem during surgery. Vasoplegic syndrome is one such condition which is characterized by severe persistent hypotension with normal to high cardiac output and low systemic resistance. It is commonly seen in patients undergoing cardiac surgery on cardiopulmonary bypass. However, this syndrome has also been reported in off pump surgeries. Management of intraoperative hypotension may be challenging for an anaesthesiologist, if it does not respond or poorly respond to conventional therapy. We report the management of a hypertensive patient posted for spine surgery in prone position, who developed severe hypotension under anaesthesia refractory to treatment.

  7. Human resource management and technological challenges

    CERN Document Server

    Davim, J

    2014-01-01

    This book focuses on the challenges and changes that new technologies bring to human resources (HR) of modern organizations. It examines the technological implications of the last changes taking place and how they affect the management and motivation of human resources belonging to these organizations. It looks for ways to understand and perceive how organizational HR, individually and as a team, conceptualize, invent, adapt, define and use organizational technology, as well as how they are constrained by features of it. The book provides discussion and the exchange of information on principles, strategies, models, techniques, methodologies and applications of human resources management and technological challenges and changes in the field of industry, commerce and services.

  8. The challenge of the radioactive waste management

    International Nuclear Information System (INIS)

    Dupuis, M. C.

    2008-01-01

    The problem of waste management has gained relevance with the development of electronuclear production and the increased social awareness on the need to protect the environment. While most developed countries have found solutions for the disposal of waste of low intensity and duration, the storage of used fuel and other kind of waste of higher intensity and duration is one of the main challenges for the next decade. Scientific research focuses on long term safety, while questions on the need for new governance are raised at the socio political level. Organizations such as the AEN have strengthened international cooperation to overcome the scientific, technical and socio-political challenges related to the nuclear waste management. (Author) 15 refs

  9. Argos at NRPA - added value and major challenges

    International Nuclear Information System (INIS)

    Thorshaug, S.; Holo, E.N.

    2003-01-01

    Full text: The national emergency response organization with the Crisis Committee for Nuclear Accidents, their advisors and their information group will gather at NRPA in case of a nuclear or radiological accident. Prognoses and actual measurements presented through a decision support system are regarded being of major importance as a basis for the decision making. ARGOS presents predictions of several quantities that are likely to be of interest to decision makers during and alter an accident, such as air concentration, deposition, effective dose and foodstuff activity. It is expected that ARGOS will be an important tool for the decision makers in case of an accident at a foreign nuclear power plant, at one of the two research reactors in Norway or in case of a nuclear accident in a nuclear powered vessel. Information from meteorological forecasts and atmospheric dispersion models will be of key importance in case of such an accident. Therefore, the main emphasis in the implementation process so far has been on the integration between ARGOS and the long-range dispersion model, SNAP, used at the Norwegian Meteorological Institute. A new technical solution represents an improvement of the existing arrangement within the Norwegian emergency preparedness organization, and facilitates presentation of dose calculations based on numerical weather prediction data in a clear and intuitive manner. ARGOS also represents an improved and more centralized approach to data handling and data processing within the Norwegian nuclear emergency response organization. This is due mainly to its quality as a central repository for different types of measurement data. The data of interest are produced for example by mobile ground- or air-based measuring teams (civilian or military), by measuring stations within the automatic monitoring network or by laboratory analysis of air samples or environmental- and food samples. The ability to graphically present such measuring data together with

  10. Challenges in diabetes mellitus type 2 management in Nepal

    DEFF Research Database (Denmark)

    Gyawali, Bishal; Ferrario, Alessandra; van Teijlingen, Edwin

    2016-01-01

    references. Results Diabetes mellitus type 2 is emerging as a major health care problem in Nepal, with rising prevalence and its complications especially in urban populations. Several challenges in diabetes management were identified, including high cost of treatment, limited health care facilities, and lack...... on the prevalence, cost and treatment of diabetes mellitus type 2 and its complications in Nepal and to critically assess the challenges to be addressed to contain the epidemic and its negative economic impact. Design A comprehensive review of available evidence and data sources on prevalence, risk factors, cost...

  11. Wildfire Risk Management: Challenges and Opportunities

    Science.gov (United States)

    Thompson, M.; Calkin, D. E.; Hand, M. S.; Kreitler, J.

    2014-12-01

    In this presentation we address federal wildfire risk management largely through the lens of economics, targeting questions related to costs, effectiveness, efficiency, and tradeoffs. Beyond risks to resources and assets such as wildlife habitat, watersheds, and homes, wildfires present financial risk and budgetary instability for federal wildfire management agencies due to highly variable annual suppression costs. Despite its variability, the costs of wildfire management have continued to escalate and account for an ever-growing share of overall agency budgets, compromising abilities to attain other objectives related to forest health, recreation, timber management, etc. Trends associated with a changing climate and human expansion into fire-prone areas could lead to additional suppression costs in the future, only further highlighting the need for an ability to evaluate economic tradeoffs in investments across the wildfire management spectrum. Critically, these economic analyses need to accurately capture the complex spatial and stochastic aspects of wildfire, the inherent uncertainty associated with monetizing environmental impacts of wildfire, the costs and effectiveness of alternative management policies, and linkages between pre-fire investments and active incident management. Investing in hazardous fuels reduction and forest restoration in particular is a major policy lever for pre-fire risk mitigation, and will be a primary focus of our presentation. Evaluating alternative fuel management and suppression policies could provide opportunities for significant efficiency improvements in the development of risk-informed management fire management strategies. Better understanding tradeoffs of fire impacts and costs can help inform policy questions such as how much of the landscape to treat and how to balance investments in treating new areas versus maintaining previous investments. We will summarize current data needs, knowledge gaps, and other factors

  12. Challenges Facing Managers in Managing Conflict in Schools in the South and South Central Regions of Botswana

    Science.gov (United States)

    Morake, Nnior Machomi; Monobe, Ratau John; Dingwe, Stephonia

    2011-01-01

    The purpose of this study was to examine the challenges facing managers in managing conflict in schools of South and South Central Regions of Botswana. In this study, the schedule of interview was used to collect empirical data. A random sample of 50 school managers and deputy school managers was selected for interviews. Major findings of the…

  13. Nuclear material management: challenges and prospects

    International Nuclear Information System (INIS)

    Rieu, J.; Besnainou, J.; Leboucher, I.; Chiguer, M.; Capus, G.; Greneche, D.; Durret, L.F.; Carbonnier, J.L.; Delpech, M.; Loaec, Ch.; Devezeaux de Lavergne, J.G.; Granger, S.; Devid, S.; Bidaud, A.; Jalouneix, J.; Toubon, H.; Pochon, E.; Bariteau, J.P.; Bernard, P.; Krellmann, J.; Sicard, B.

    2008-01-01

    The articles in this dossier were derived from the papers of the yearly S.F.E.N. convention, which took place in Paris, 12-13 March 2008. They deal with the new challenges and prospects in the field of nuclear material management, throughout the nuclear whole fuel cycle, namely: the institutional frame of nuclear materials management, the recycling, the uranium market, the enrichment market, the different scenarios for the management of civil nuclear materials, the technical possibilities of spent fuels utilization, the option of thorium, the convention on the physical protection of nuclear materials and installations, the characterisation of nuclear materials by nondestructive nuclear measurements, the proliferation from civil installations, the use of plutonium ( from military origin) and the international agreements. (N.C.)

  14. Scientific data management challenges, technology and deployment

    CERN Document Server

    Rotem, Doron

    2010-01-01

    Dealing with the volume, complexity, and diversity of data currently being generated by scientific experiments and simulations often causes scientists to waste productive time. Scientific Data Management: Challenges, Technology, and Deployment describes cutting-edge technologies and solutions for managing and analyzing vast amounts of data, helping scientists focus on their scientific goals. The book begins with coverage of efficient storage systems, discussing how to write and read large volumes of data without slowing the simulation, analysis, or visualization processes. It then focuses on the efficient data movement and management of storage spaces and explores emerging database systems for scientific data. The book also addresses how to best organize data for analysis purposes, how to effectively conduct searches over large datasets, how to successfully automate multistep scientific process workflows, and how to automatically collect metadata and lineage information. This book provides a comprehensive u...

  15. CHALLENGES OF MUNICIPAL WASTE MANAGEMENT IN HUNGARY

    Directory of Open Access Journals (Sweden)

    ZOLTÁN OROSZ

    2008-06-01

    Full Text Available Aims, tasks and priorities of medium term development plans of national waste management were defined in the National Waste Management Plan, which was made for the period of 2003–2008 in Hungary. Supporting of the European Union is indispensable for carrying out of plan. The most important areas are related to the developing projects of municipal solid waste treatment (increasingthe capacity of landfills, accomplishment of the infrastructure of selective waste collection, building of new composting plants. The national environmental policy does not focus sufficiently on the prevention of waste production. Due to the high expenses of investment and operation the energetic recovery and the incineration of municipal solid waste do not compete with the deposition. We inclined to think that the waste management of Hungary will be deposition-orientated until 2015. The main problems to the next years will be the lack of reprocessing industry of plastic and glass packaging waste. The high number of to-be-recultivated landfills and the attainability of necessary financial sources are also serious problems. There are many questions. What is the future in national waste management? How can we reduce the quantity of dumped waste? What are challenges of national waste management on the short and long term?

  16. Challenges facing water management in China

    International Nuclear Information System (INIS)

    Varis, O.; Vakkilainen, P.

    2000-01-01

    The amount of water per person in northern China is less than half of that in Egypt, a country with very scarce water resources. Clearly, then, China is one of the regions on our planet that is going to have to face severe problems of water supply in the future. Rapid urbanisation and industrialisation growing agricultural output, environmental degradation, climatic instability, a large population density and worsening regional disparities are all factors that will challenge the management and utilisation of China's water resources in the years to come. (orig.)

  17. Challenges in global ballast water management

    International Nuclear Information System (INIS)

    Endresen, Oyvind; Lee Behrens, Hanna; Brynestad, Sigrid; Bjoern Andersen, Aage; Skjong, Rolf

    2004-01-01

    Ballast water management is a complex issue raising the challenge of merging international regulations, ship's specific configurations along with ecological conservation. This complexity is illustrated in this paper by considering ballast water volume, discharge frequency, ship safety and operational issues aligned with regional characteristics to address ecological risk for selected routes. A re-estimation of ballast water volumes gives a global annual level of 3500 Mton. Global ballast water volume discharged into open sea originating from ballast water exchange operations is estimated to approximately 2800 Mton. Risk based decision support systems coupled to databases for different ports and invasive species characteristics and distributions can allow for differentiated treatment levels while maintaining low risk levels. On certain routes, the risk is estimated to be unacceptable and some kind of ballast water treatment or management should be applied

  18. Challenges in diabetes mellitus type 2 management in Nepal

    DEFF Research Database (Denmark)

    Gyawali, Bishal; Ferrario, Alessandra; van Teijlingen, Edwin

    2016-01-01

    on the prevalence, cost and treatment of diabetes mellitus type 2 and its complications in Nepal and to critically assess the challenges to be addressed to contain the epidemic and its negative economic impact. DESIGN: A comprehensive review of available evidence and data sources on prevalence, risk factors, cost......, complications, treatment, and management of diabetes mellitus type 2 in Nepal was conducted through an online database search for articles published in English between January 2000 and November 2015. Additionally, we performed a manual search of articles and reference lists of published articles for additional...... references. RESULTS: Diabetes mellitus type 2 is emerging as a major health care problem in Nepal, with rising prevalence and its complications especially in urban populations. Several challenges in diabetes management were identified, including high cost of treatment, limited health care facilities...

  19. Challenges to a successful waste management programme

    International Nuclear Information System (INIS)

    Le Bars, Y.

    2005-01-01

    I have chosen to testify about my personal experience as a practitioner in the development and implementation of sensitive public policies and about some of the lessons I have learnt in various related fields. Those fields do not only include Andra, but also the exchanges from which I benefit within EDRAM, the club (that I currently chair) of agency directors responsible for those programmes, as well as within the Forum for Stakeholder Confidence (FSC) of the DECD/NEA. Last but not least, I would also introduce some lessons from my previous activities in the city planning, and in the management of water projects. In order to succeed, a sound policy relating to a sustainable radioactive-waste management must be able to take up a certain number of challenges. Three of those challenges seem essential to me: combining the technical and social aspects of the issue; organizing a suitable context in which the definition and the implementation of the policy will take place; and achieving a solid implementation locally. (author)

  20. The Face Management Challenges of Sport Celebrity

    Directory of Open Access Journals (Sweden)

    Diana-Luiza DUMITRIU

    2015-03-01

    Full Text Available While gaining centrality within the sport field, media accelerated its commodification process and facilitated sport actors becoming competitive on the celebrity market. The aim of this paper is to discuss the reconfiguration that the celebrity logic brought in terms of the mere condition of the sport actor and the face management challenges and remedial strategies that he has to cope with. I will thus focus on two main dimensions that I find to be constitutive for the celebrity status: one related to the augmented media exposure that sport stars are subject to and to the corollary symbolic reconfiguration of the boundaries between his public and his private life, and the second one related to the vulnerability that comes along with the new visibility of the complex repertoire of identities and social roles performed by the sport actors. Within this last dimension of the sport-related celebrity cycle of promotion, I will lay stress not only on the face threatening aspects for the sport stars, but also on the vulnerability transfer within the affinal branding network and the challenges it could bring for the brands that chose to associate their image with a sport celebrity. Thus, I argue that the kaleidoscopic public figures of sport celebrities requires high impression management involvement on their part, as well as more caution on the marketeers part.

  1. Managed Realignment in Europe: Achievements and Challenges

    Science.gov (United States)

    Esteves, L. S.

    2017-12-01

    Environmental and financial sustainability associated with climate change adaptation needs are the key drivers leading to the development of national and regional strategies which promote managed realignment. Managed realignment aims to maximise environmental and socioeconomic benefits by creating space for coastal habitats to evolve more naturally. Therefore, the natural adaptive capacity of coastal habitats and the range of ecosystem services they provide are paramount to the success of these strategies. In Europe, most projects involve the creation of intertidal areas by artificially restoring tidal flow into embanked land. Projects generally involve at least one of the following: removal, breach, or realignment of existing coastal protection, controlled tidal restoration and managed retreat (i.e. relocation from risk areas). Since early 1980s, over 140 managed realignment projects have been implemented (or are under construction) in Europe, mainly in the UK, France, Germany, Netherlands, Belgium and Spain, resulting in approximately 15,800 ha of habitat creation. This paper will present an overview of managed realignment initiatives in Europe, summarise achievements so far and discuss ways to overcome commonly faced challenges, focusing on high-level strategy; delivery of objectives at the project level; and public perception. Projects vary greatly as planning must take into account local social and environmental characteristics and constraints. Evidence of benefits gained in each project and their contribution to high level targets need to be quantified and widely disseminated to help attract public support. However, the lack of information and/or undisputable evidence about the realisation of tangible socioeconomic benefits is still hindering public acceptance. The knowledge about how the many social, economic, and technical aspects interact is evolving fast as new policies are formulated, more projects are implemented, and monitoring data are made available.

  2. Primary sclerosing cholangitis: diagnostic and management challenges

    Directory of Open Access Journals (Sweden)

    Sirpal S

    2017-11-01

    Full Text Available Sanjeev Sirpal,1 Natasha Chandok2 1Department of Medicine, Centre Hospitalier de l’Université de Montréal (CHUM, University of Montreal, Montreal, QC, 2Department of Medicine, University of Western Ontario, London, ON, Canada Abstract: Primary sclerosing cholangitis (PSC is a chronic immune-mediated disease affecting intra- and extrahepatic bile ducts, primarily the large biliary ducts. Clinical manifestations are broad, and the spectrum encompasses asymptomatic cholestasis, icteric cholangitis with pruritis, cirrhosis, and cholangiocarcinoma. Though rare, PSC has a propensity to affect young to middle-aged males and is strongly associated with inflammatory bowel disease. There is an unmet need for effective medical treatments for PSC, and to date, the only curative therapy is liver transplantation reserved for those with end-stage liver disease. This article addresses the diagnostic and management challenges of PSC, with a succinct analysis of existing therapies, their limitations, and a glimpse into the future of the management of this multifaceted pathologic entity. Keywords: primary sclerosing cholangitis, management, PSC

  3. Solid waste management challenges for cities in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Abarca Guerrero, Lilliana, E-mail: l.abarca.guerrero@tue.nl [Built Environment Department, Eindhoven University of Technology, Den Dolech, 25612 AZ Eindhoven (Netherlands); Maas, Ger, E-mail: g.j.maas@tue.nl [Built Environment Department, Eindhoven University of Technology, Den Dolech, 25612 AZ Eindhoven (Netherlands); Hogland, William, E-mail: william.hogland@lnu.se [School of Natural Sciences, Linnaeus University, SE-391 82 Kalmar (Sweden)

    2013-01-15

    Highlights: Black-Right-Pointing-Pointer Stakeholders. Black-Right-Pointing-Pointer Factors affecting performance waste management systems. Black-Right-Pointing-Pointer Questionnaire as Annex for waste management baseline assessment. - Abstract: Solid waste management is a challenge for the cities' authorities in developing countries mainly due to the increasing generation of waste, the burden posed on the municipal budget as a result of the high costs associated to its management, the lack of understanding over a diversity of factors that affect the different stages of waste management and linkages necessary to enable the entire handling system functioning. An analysis of literature on the work done and reported mainly in publications from 2005 to 2011, related to waste management in developing countries, showed that few articles give quantitative information. The analysis was conducted in two of the major scientific journals, Waste Management Journal and Waste Management and Research. The objective of this research was to determine the stakeholders' action/behavior that have a role in the waste management process and to analyze influential factors on the system, in more than thirty urban areas in 22 developing countries in 4 continents. A combination of methods was used in this study in order to assess the stakeholders and the factors influencing the performance of waste management in the cities. Data was collected from scientific literature, existing data bases, observations made during visits to urban areas, structured interviews with relevant professionals, exercises provided to participants in workshops and a questionnaire applied to stakeholders. Descriptive and inferential statistic methods were used to draw conclusions. The outcomes of the research are a comprehensive list of stakeholders that are relevant in the waste management systems and a set of factors that reveal the most important causes for the systems' failure. The information

  4. Solid waste management challenges for cities in developing countries

    International Nuclear Information System (INIS)

    Abarca Guerrero, Lilliana; Maas, Ger; Hogland, William

    2013-01-01

    Highlights: ► Stakeholders. ► Factors affecting performance waste management systems. ► Questionnaire as Annex for waste management baseline assessment. - Abstract: Solid waste management is a challenge for the cities’ authorities in developing countries mainly due to the increasing generation of waste, the burden posed on the municipal budget as a result of the high costs associated to its management, the lack of understanding over a diversity of factors that affect the different stages of waste management and linkages necessary to enable the entire handling system functioning. An analysis of literature on the work done and reported mainly in publications from 2005 to 2011, related to waste management in developing countries, showed that few articles give quantitative information. The analysis was conducted in two of the major scientific journals, Waste Management Journal and Waste Management and Research. The objective of this research was to determine the stakeholders’ action/behavior that have a role in the waste management process and to analyze influential factors on the system, in more than thirty urban areas in 22 developing countries in 4 continents. A combination of methods was used in this study in order to assess the stakeholders and the factors influencing the performance of waste management in the cities. Data was collected from scientific literature, existing data bases, observations made during visits to urban areas, structured interviews with relevant professionals, exercises provided to participants in workshops and a questionnaire applied to stakeholders. Descriptive and inferential statistic methods were used to draw conclusions. The outcomes of the research are a comprehensive list of stakeholders that are relevant in the waste management systems and a set of factors that reveal the most important causes for the systems’ failure. The information provided is very useful when planning, changing or implementing waste management systems

  5. Locally advanced rectal cancer: management challenges

    Directory of Open Access Journals (Sweden)

    Kokelaar RF

    2016-10-01

    Full Text Available RF Kokelaar, MD Evans, M Davies, DA Harris, J Beynon Department of Colorectal Surgery, Singleton Hospital, Swansea, UK Abstract: Between 5% and 10% of patients with rectal cancer present with locally advanced rectal cancer (LARC, and 10% of rectal cancers recur after surgery, of which half are limited to locoregional disease only (locally recurrent rectal cancer. Exenterative surgery offers the best long-term outcomes for patients with LARC and locally recurrent rectal cancer so long as a complete (R0 resection is achieved. Accurate preoperative multimodal staging is crucial in assessing the potential operability of advanced rectal tumors, and resectability may be enhanced with neoadjuvant therapies. Unfortunately, surgical options are limited when the tumor involves the lateral pelvic sidewall or high sacrum due to the technical challenges of achieving histological clearance, and must be balanced against the high morbidity associated with resection of the bony pelvis and significant lymphovascular structures. This group of patients is usually treated palliatively and subsequently survival is poor, which has led surgeons to seek innovative new solutions, as well as revisit previously discarded radical approaches. A small number of centers are pioneering new techniques for resection of beyond-total mesorectal excision tumors, including en bloc resections of the sciatic notch and composite resections of the first two sacral vertebrae. Despite limited experience, these new techniques offer the potential for radical treatment of previously inoperable tumors. This narrative review sets out the challenges facing the management of LARCs and discusses evolving management options. Keywords: rectal cancer, exenteration, pelvic sidewall, sacrectomy

  6. Challenges and opportunities associated with waste management in India

    Science.gov (United States)

    Kumar, Sunil; Smith, Stephen R.; Fowler, Geoff; Velis, Costas; Kumar, S. Jyoti; Arya, Shashi; Rena; Kumar, Rakesh

    2017-01-01

    India faces major environmental challenges associated with waste generation and inadequate waste collection, transport, treatment and disposal. Current systems in India cannot cope with the volumes of waste generated by an increasing urban population, and this impacts on the environment and public health. The challenges and barriers are significant, but so are the opportunities. This paper reports on an international seminar on ‘Sustainable solid waste management for cities: opportunities in South Asian Association for Regional Cooperation (SAARC) countries’ organized by the Council of Scientific and Industrial Research-National Environmental Engineering Research Institute and the Royal Society. A priority is to move from reliance on waste dumps that offer no environmental protection, to waste management systems that retain useful resources within the economy. Waste segregation at source and use of specialized waste processing facilities to separate recyclable materials has a key role. Disposal of residual waste after extraction of material resources needs engineered landfill sites and/or investment in waste-to-energy facilities. The potential for energy generation from landfill via methane extraction or thermal treatment is a major opportunity, but a key barrier is the shortage of qualified engineers and environmental professionals with the experience to deliver improved waste management systems in India. PMID:28405362

  7. Challenges and opportunities associated with waste management in India.

    Science.gov (United States)

    Kumar, Sunil; Smith, Stephen R; Fowler, Geoff; Velis, Costas; Kumar, S Jyoti; Arya, Shashi; Rena; Kumar, Rakesh; Cheeseman, Christopher

    2017-03-01

    India faces major environmental challenges associated with waste generation and inadequate waste collection, transport, treatment and disposal. Current systems in India cannot cope with the volumes of waste generated by an increasing urban population, and this impacts on the environment and public health. The challenges and barriers are significant, but so are the opportunities. This paper reports on an international seminar on 'Sustainable solid waste management for cities: opportunities in South Asian Association for Regional Cooperation (SAARC) countries' organized by the Council of Scientific and Industrial Research-National Environmental Engineering Research Institute and the Royal Society. A priority is to move from reliance on waste dumps that offer no environmental protection, to waste management systems that retain useful resources within the economy. Waste segregation at source and use of specialized waste processing facilities to separate recyclable materials has a key role. Disposal of residual waste after extraction of material resources needs engineered landfill sites and/or investment in waste-to-energy facilities. The potential for energy generation from landfill via methane extraction or thermal treatment is a major opportunity, but a key barrier is the shortage of qualified engineers and environmental professionals with the experience to deliver improved waste management systems in India.

  8. Major diseases of ornamental plants and their management

    International Nuclear Information System (INIS)

    Akhtar, M.A.; Zakria, M.; Sohail, F.

    2003-01-01

    Major diseases of ornamental plants are caused by infections agents (biotic) or non-infectious (abiotic) agents. Infectious agents are bacteria, fungi, nematodes and virus. Non infectious agents are nutritional imbalances, environmental stresses and chemical toxicities. Grouping of the diseases has been done on symptomatology basis. Disease management in ornamental plants has been described through cultural practices, chemical and other control strategies. (author)

  9. Major Management Challenges and Program Risks Department of Defense

    National Research Council Canada - National Science Library

    1999-01-01

    .... The report also addresses corrective actions that DOD has taken or initiated on these issues- including DOD'S blueprint for a strategy-based, balanced, and affordable defense program as outlined...

  10. Managing major chemical accidents in China: Towards effective risk information

    International Nuclear Information System (INIS)

    He Guizhen; Zhang Lei; Lu Yonglong; Mol, Arthur P.J.

    2011-01-01

    Chemical industries, from their very inception, have been controversial due to the high risks they impose on safety of human beings and the environment. Recent decades have witnessed increasing impacts of the accelerating expansion of chemical industries and chemical accidents have become a major contributor to environmental and health risks in China. This calls for the establishment of an effective chemical risk management system, which requires reliable, accurate and comprehensive data in the first place. However, the current chemical accident-related data system is highly fragmented and incomplete, as different responsible authorities adopt different data collection standards and procedures for different purposes. In building a more comprehensive, integrated and effective information system, this article: (i) reviews and assesses the existing data sources and data management, (ii) analyzes data on 976 recorded major hazardous chemical accidents in China over the last 40 years, and (iii) identifies the improvements required for developing integrated risk management in China.

  11. Capability challenges of facility management (FM) personnel toward sustainability agenda

    Science.gov (United States)

    Halim, Ahmad Ilyas Ahmad; Sarpin, Norliana; Kasim, Narimah Binti; Zainal, Rozlin Binti

    2017-10-01

    The industries business play a significant role to contribute toward economic growth in develop and developing country. However, they always face serious problems such as time overrun, waste generation, and cost overrun during their operation and maintenance. Traditional practice is found unable to control that situation. These challenges accent the need for practitioners to rethink and improve their process management. This show that industries business has major potential when applying sustainable development by focusing on three pillars (economic, environment, and social). By adopting sustainability, it can reduce energy consumption and waste, while increasing productivity, financial return and corporate standing in community. FM personnel are most suitable position to lead organizations toward sustainability implementation. However, lack of skill and capability among FM personnel to achieve sustainable goal had become barrier that need to overcome. This paper focus to identify capability challenges of FM personnel toward sustainability. A multiple researches were conducted and data were gathered through literature review from previous studies.

  12. Smart garments in chronic disease management: progress and challenges

    Science.gov (United States)

    Khosla, Ajit

    2012-10-01

    This paper presents the progress made developments in the area of Smart Garments for chronic disease management over last 10 years. A large number of health monitoring smart garments and wearable sensors have been manufactured to monitor patient's physiological parameters such as electrocardiogram, blood pressure, body temperature, heart rate, oxygen saturation, while patient is not in hospital. In last few years with the advancement in smartphones and cloud computing it is now possible to send the measure physiological data to any desired location. However there are many challenges in the development of smart garment systems. The two major challenges are development of new lightweight power sources and there is a need for global standardization and a road map for development of smart garments. In this paper we will discuss current state-of-theart smart garments and wearable sensor systems. Also discussed will be the new emerging trends in smart garment research and development.

  13. Pregnancy and pituitary disorders: Challenges in diagnosis and management

    Directory of Open Access Journals (Sweden)

    Bashir A Laway

    2013-01-01

    Full Text Available Pregnancy is associated with normal physiological changes in endocrine system that assists fetal survival as well as preparation of labor. The pituitary gland is one of the most affected organs in which major changes in anatomy and physiology take place. Due to overlapping clinical and biochemical features of pregnancy, sometimes the diagnosis of pituitary disorders may be challenging. It is important to know what normal parameters of changes occur in endocrine system in order to diagnose and manage complex endocrine problems in pregnancy. In our present review, we will focus on pituitary disorders that occur exclusively during pregnancy like Sheehan′s syndrome and lymphocytic hypophysitis and pre-existing pituitary disorders (like prolactinoma, Cushing′s disease and acromegaly, which poses significant challenge to endocrinologists.

  14. Contemporary careers management: critical challenges for human resource management

    Directory of Open Access Journals (Sweden)

    Carlos Fernando Torres Oviedo

    2015-01-01

    Full Text Available This review article lays out some conceptual guidelines regarding careers in organizations. Special emphasis has been made on the transformation that this practice has experienced since the late twentieth century, given the new working conditions created by the technological, economic, and cultural changes that have taken place. The literature shows a more dynamic and complex stage for people and organizations in the current historical moment. It was found that, under the current conditions, people guide their own careers, aiming at achieving higher levels within and/or outside the organization. This poses new challenges and ways of thinking about managing people, leading to the development of alternative practices. Finally, as a suggestion, some questions to be addressed by those responsible of human management are presented, aimed at building reciprocal relationships that contribute to mutual development.

  15. Disaster Risk Management - The Kenyan Challenges

    Science.gov (United States)

    Nabutola, W.

    2009-04-01

    Keywords: natural disasters; man-made disasters; terrorist attacks; land slides; disaster policies and legislations; fire; earthquakes; hurricanes; soil erosion; disaster research policy; Preamble: "Risk does not begin and end on the floor of the New York Stock Exchange. The vastness of the subject matter is daunting. Risk touches on the most profound aspects of psychology, mathematics, statistics and history. The literature is monumental; each day's headlines bring many new items of interest. But I know we are not unique, everywhere in the world risks abound." "AGAINST THE GODS the remarkable story of risk" by Peter L. Bernstein, 1998 The real challenge is what can we, as a nation do to avert, prevent them, or in the unfortunate event that they occur, how can we mitigate their impact on the economy? Introductory remarks: Disaster in Kenya, as indeed anywhere else, is not one of those happenings we can wish away. It can strike anywhere any time. Some of it is man-made but most of it is natural. The natural are sometimes induced by man in one way or another. For example, when we harvest trees without replacing them, this diminishes the forest cover and can lead to soil erosion, whose advanced form is land slides. Either way disasters in their different forms and sizes present challenges to the way we live our lives or not, perhaps, even how we die. Disasters in our country have reached crisis stage. ‘In Chinese language, crisis means danger, but it also means opportunity' Les Brown, motivational speaker in "the power of a larger vision" Why I am interested Whereas Kenya experiences man made and natural disasters, there are more sinister challenges of the man-made variety. These loom on the horizon and, from time to time raise their ugly heads, taking many Kenyan lives in their wake, and property destroyed. These are post election violence and terrorist attacks, both related to politics, internal and external. In January 2008, soon after presidential and national

  16. Disaster Risk Management - The Kenyan Challenge

    Science.gov (United States)

    Nabutola, W.; Scheer, S.

    2009-04-01

    Keywords: natural disasters; man-made disasters; terrorist attacks; land slides; disaster policies and legislations; fire; earthquakes; hurricanes; soil erosion; disaster research policy; Preamble: "Risk does not begin and end on the floor of the New York Stock Exchange. The vastness of the subject matter is daunting. Risk touches on the most profound aspects of psychology, mathematics, statistics and history. The literature is monumental; each day's headlines bring many new items of interest. But I know we are not unique, everywhere in the world risks abound." "AGAINST THE GODS the remarkable story of risk" by Peter L. Bernstein, 1998 The real challenge is what can we, as a nation do to avert, prevent them, or in the unfortunate event that they occur, how can we mitigate their impact on the economy? Introductory remarks: Disaster in Kenya, as indeed anywhere else, is not one of those happenings we can wish away. It can strike anywhere any time. Some of it is man-made but most of it is natural. The natural are sometimes induced by man in one way or another. For example, when we harvest trees without replacing them, this diminishes the forest cover and can lead to soil erosion, whose advanced form is land slides. Either way disasters in their different forms and sizes present challenges to the way we live our lives or not, perhaps, even how we die. Disasters in our country have reached crisis stage. ‘In Chinese language, crisis means danger, but it also means opportunity' Les Brown, motivational speaker in "the power of a larger vision" Why I am interested Whereas Kenya experiences man made and natural disasters, there are more sinister challenges of the man-made variety. These loom on the horizon and, from time to time raise their ugly heads, taking many Kenyan lives in their wake, and property destroyed. These are post election violence and terrorist attacks, both related to politics, internal and external. In January 2008, soon after presidential and national

  17. Sustainable Materials Management (SMM) Federal Green Challenge (FGC) Data

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Federal Green Challenge (FGC) is a national effort under EPA's Sustainable Materials Management (SMM) Program, challenging EPA and other federal agencies...

  18. Managing Challenges in a Multi Contractor Project

    Science.gov (United States)

    King, Ron

    2011-01-01

    The presentation provides a project description, describes the integrated product team, and review project challenges. The challenges include programmatic, technical, basic drop tests, heavy drop tests, C-17 envelope expansion, and Ares I-X.

  19. Sustainable Materials Management (SMM) Electronics Challenge Data

    Data.gov (United States)

    U.S. Environmental Protection Agency — On September 22, 2012, EPA launched the SMM Electronics Challenge. The Challenge encourages electronics manufacturers, brand owners and retailers to strive to send...

  20. Implementation Of Strategic Management: The Challenges And ...

    African Journals Online (AJOL)

    . Only the discerning organizations can manage the changes and vagaries through the implementation of effective strategic management. This article examines the concept of strategic management and its implication for organizational ...

  1. Past and future challenges in managing European seas

    Directory of Open Access Journals (Sweden)

    Thorsten Blenckner

    2015-03-01

    Full Text Available Marine environments have undergone large-scale changes in recent decades as a result of multiple anthropogenic pressures, such as overfishing, eutrophication, habitat fragmentation, etc., causing often nonlinear ecosystem responses. At the same time, management institutions lack the appropriate measures to address these abrupt transformations. We focus on existing examples from social-ecological systems of European seas that can be used to inform and advise future management. Examples from the Black Sea and the Baltic Sea on long-term ecosystem changes caused by eutrophication and fisheries, as well as changes in management institutions, illustrate nonlinear dynamics in social-ecological systems. Furthermore, we present two major future challenges, i.e., climate change and energy intensification, that could further increase the potential for nonlinear changes in the near future. Practical tools to address these challenges are presented, such as ensuring learning, flexibility, and networking in decision-making processes across sectors and scales. A combination of risk analysis with a scenario-planning approach might help to identify the risks of ecosystem changes early on and may frame societal changes to inform decision-making structures to proactively prevent drastic surprises in European seas.

  2. Aging management of major light water reactor components

    International Nuclear Information System (INIS)

    Shah, V.N.; Sinha, U.P.; Ware, A.G.

    1992-01-01

    Review of technical literature and field experience has identified stress corrosion cracking as one of the major degradation mechanisms for the major light water reactor components. Three of the stress corrosion cracking mechanisms of current concern are (a) primary water stress corrosion cracking (PWSCC) in pressurized water reactors, and (b) intergranular stress corrosion cracking (IGSCC) and (c) irradiation-assisted stress corrosion cracking (IASCC) in boiling water reactors. Effective aging management of stress corrosion cracking mechanisms includes evaluation of interactions between design, materials, stressors, and environment; identification and ranking of susceptible sites; reliable inspection of any damage; assessment of damage rate; mitigation of damage; and repair and replacement using corrosion-resistant materials. Management of PWSCC includes use of lower operating temperatures, reduction in residual tensile stresses, development of reliable inspection techniques, and use of Alloy 690 as replacement material. Management of IGSCC of nozzle and attachment welds includes use of Alloy 82 as weld material, and potential use of hydrogen water chemistry. Management of IASCC also includes potential use of hydrogen water chemistry

  3. NNC - managing major projects and the lessons learned

    International Nuclear Information System (INIS)

    Clements, J.M.

    1989-01-01

    The formation and development of NNC Ltd (formerly National Nuclear Corporation Ltd) is explained. Its role in the building of 16 nuclear power stations in the UK is outlined. For the last two of these, Heysham-B and Torness, NNC's role as station designer and manager of the nuclear island construction and at Torness as whole site overseers is described. The NNC negotiated and placed all the major contracts for the two stations and developed a budgetary control program through which the Central and South of Scotland Electricity Generating Boards were able to participate in the allotment of budget cover for each contract and for any anticipated variations and claims. Each project had a manager and about 20 responsible engineers plus contract engineers. The government decisions to change to PWR type reactors and to privatise the electricity industry have resulted in changes and structural management in NNC Ltd. (UK)

  4. Challenges for municipal solid waste management practices in Vietnam

    Directory of Open Access Journals (Sweden)

    Nguyen Duc Luong

    2013-11-01

    Full Text Available Municipal solid waste (MSW management is currently one of the major environmental problems facing by Vietnam. Improper management of MSW has caused adverse impacts on the environment, community health, and social-economic development. This study attempts to provide a review of the generation and characterization, disposal and treatment technologies of MSW to evaluate the current status and identify the problems of MSW management practices in Vietnam. Finally, this study is concluded with fruitful recommendations which may be useful in encouraging the responsible agencies to work towards the further improvement of the existing MSW management system.Doi: http://dx.doi.org/10.12777/wastech.1.1.17-21Citation:  Luong, N.D., Giang, H.M., Thanh, B.X. and Hung, N.T.  2013. Challenges for municipal solid waste management practices in Vietnam. Waste Technology 1(1:6-9.Doi: http://dx.doi.org/10.12777/wastech.1.1.17-21

  5. Water Management in Africa and the Middle East: Challenges and ...

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

    Book cover Water Management in Africa and the Middle East: Challenges and ... key issues and trends, and map out strategies for further research and action. ... and adaptive water management: Innovative solutions from the Global South”.

  6. Investigating the challenges of biodiversity management of Sefidkuh ...

    African Journals Online (AJOL)

    Investigating the challenges of biodiversity management of Sefidkuh Khoramabad protected area ... Journal of Fundamental and Applied Sciences ... The basis of managing protected areas in Iran is based on protection, research, training and ...

  7. Letter to Congressional Leaders on Top Defense Management Challenges

    National Research Council Canada - National Science Library

    2000-01-01

    ... Budget Committee and you on Department of Defense (DoD) management challenges. The joint letter requested that we update our previous assessments of the most significant management problems facing the DoD...

  8. Nonoperative management for major blunt hepatic trauma. A case report.

    Science.gov (United States)

    Mingoli, Andrea; Saracino, Andrea; Brachini, Gioia; Mariotta, Giovanni; Migliori, Emanuele; Silvestri, Vania

    2015-03-16

    Over the past 20 years the management of blunt liver trauma has evolved from a primary operative approach to a nonoperative one, for both low and high grade injuries, only on the basis of hemodynamic stability. However, in spite of a high success rate of non operative management, it is frequently observed, also in our country, an old fashioned way to approach these patients, based on habit more than observation and evidence based medicine. We present a case of successful nonoperative treatment of a grade IV blunt liver trauma (lacero-contusive injury of V, VI and VII segments) in a 34-year-old woman. Nowadays more than 85% of liver injuries are managed without operative intervention, irrespective of the injury grade. Success rate of the conservative approach ranges from 82% to 100% and almost all complications (14% in high grade injuries) can be managed with interventional radiology procedures, still avoiding major surgery. Today, in the absence of other abdominal injuries requiring surgical exploration, hemodynamic instability from ongoing hemorrhage after primary evaluation and resuscitative treatment, is the only indication to an operative management of traumatic liver injuries.

  9. The quest for nuclear technology and the challenges of knowledge management in Nigeria

    International Nuclear Information System (INIS)

    Mundu, A.; Umar, A.M.

    2004-01-01

    The major milestones in the quest for nuclear technology were highlighted, followed by a review of nuclear application in research and development, health, water resource management and agriculture.the past activities of the national INIS centre particularly with respect to submission of input, promotion and knowledge management were examined. And a repositioned INIS centre to meet the challenges of nuclear information management and the emerging trend in knowledge management was presented with specific target in the short and the long term. (author)

  10. Ophthalmic regional blocks: management, challenges, and solutions

    Directory of Open Access Journals (Sweden)

    Palte HD

    2015-08-01

    Full Text Available Howard D Palte Department of Anesthesiology, Perioperative Medicine and Pain Management, Miller School of Medicine, University of Miami, Miami, FL, USA Abstract: In the past decade ophthalmic anesthesia has witnessed a major transformation. The sun has set on the landscape of ophthalmic procedures performed under general anesthesia at in-hospital settings. In its place a new dawn has ushered in the panorama of eye surgeries conducted under regional and topical anesthesia at specialty eye care centers. The impact of the burgeoning geriatric population is that an increasing number of elderly patients will present for eye surgery. In order to accommodate increased patient volumes and simultaneously satisfy administrative initiatives directed at economic frugality, administrators will seek assistance from anesthesia providers in adopting measures that enhance operating room efficiency. The performance of eye blocks in a holding suite meets many of these objectives. Unfortunately, most practicing anesthesiologists resist performing ophthalmic regional blocks because they lack formal training. In future, anesthesiologists will need to block eyes and manage common medical conditions because economic pressures will eliminate routine preoperative testing. This review addresses a variety of topical issues in ophthalmic anesthesia with special emphasis on cannula and needle-based blocks and the new-generation antithrombotic agents. In a constantly evolving arena, the sub-Tenon’s block has gained popularity while the deep angulated intraconal (retrobulbar block has been largely superseded by the shallower extraconal (peribulbar approach. Improvements in surgical technique have also impacted anesthetic practice. For example, phacoemulsification techniques facilitate the conduct of cataract surgery under topical anesthesia, and suture-free vitrectomy ports may cause venous air embolism during air/fluid exchange. Hyaluronidase is a useful adjuvant because it

  11. Training Staff to Manage Challenging Behaviour

    NARCIS (Netherlands)

    Oorsouw, W.M.W.J. van; Embregts, P.J.C.M.; Bosman, A.M.T.; Jahoda, A.

    2010-01-01

    Background - A training package for staff working with clients presenting challenging behaviour was developed to (1) increase their knowledge regarding challenging behaviour, and (2) to improve the quality of physical intervention techniques. The latter aim was intended to reduce staff anxiety about

  12. Training Staff to Manage Challenging Behaviour

    Science.gov (United States)

    van Oorsouw, Wietske M. W. J.; Embregts, Petri J. C. M.; Bosman, Anna M. T.; Jahoda, Andrew

    2010-01-01

    Background: A training package for staff working with clients presenting challenging behaviour was developed to (1) increase their knowledge regarding challenging behaviour, and (2) to improve the quality of physical intervention techniques. The latter aim was intended to reduce staff anxiety about dealing with incidents and limit physical risk of…

  13. Challenges for the comprehensive management of Cloud Services in a PaaS framework

    NARCIS (Netherlands)

    Garcia-Gomez, S.; Jimenez-Ganan, M.; Taher, Y.; Momm, C.; Junker, F.; Biro, J.; Menychtas, A.; Andrikopoulos, V.; Strauch, S.

    2012-01-01

    The 4CaaSt project aims at developing a PaaS framework that enables flexible definition, marketing, deployment and management of Cloud-based services and applications. This paper describes the major challenges tackled by 4CaaSt for the comprehensive management of applications and services in a PaaS.

  14. Management challenges in children with both epilepsy and intellectual disability.

    Science.gov (United States)

    Buelow, Janice M; Shore, Cheryl P

    2010-01-01

    People who have both epilepsy and intellectual disability have significant problems requiring skilled health care management. Clinical nurse specialists have the unique opportunity to work with these people and their families to help them develop self-management and family management skills. In this article, we describe some factors associated with intellectual disability and epilepsy. In addition, we address the management challenges associated with this dual diagnoses in 3 areas: (1) problems associated with the management of seizure and prescription management, (2) problems associated with the seizure management other than prescriptions, and (3) life management issues. Finally, we suggest ways that clinical nurse specialists can foster development of management skills.

  15. Financial Management Challenges In Small And Medium-Sized Enterprises: A Strategic Management Approach

    Directory of Open Access Journals (Sweden)

    Hande Karadag

    2015-02-01

    Full Text Available Abstract :Due to their significant role in creation of new jobs, rise in GDP, entrepreneurship and innovation, small and medium-sized enterprises (SMEs are recognized as the the drivers of socio-economic growth, both in developed and developing economies. In Turkey, 99.9 % of all enterprises fall into SME category. Therefore, the significance of SMEs for Turkish economy and society is much higher in Turkey, compared to other emerging and developed countries. Small and medium-sized companies are faced with a number of challenges whereas the problems arising from “poor financial management” are reported as the major causes of business failures in SMEs. Strategic financial management (SFM which is a research area that has attracted the interest of researchers after 2010, is one of the key managerial areas of SMEs, due to its vital role on the survival, growth and performance of SMEs. The purpose of this paper is to analyze the central role of financial management and identify the financial management challenges and practices that influence the organizational performance in Turkish SMEs, from a strategic management perspective. Within the course of this paper, the importance and challenges of SMEs in Turkey are presented in the first section, while the literature on strategic and financial management in SMEs are reviewed in the second part. In the third section, the recent strategic financial management concept, the implications of strategic financial management practices for SMEs in Turkey and the relationships between strategic financial management practices and SME performance, are discussed. Small and medium sized enterprise finance in Turkey is a developing research area, therefore this paper aims to make a significant contribution to the existing literature by analyzing the major challenges at the conduct of financial management in Turkish SMEs and the influence of strategic financial management practices on the performances of small and

  16. Urban solid waste management in Chongqing: Challenges and opportunities

    International Nuclear Information System (INIS)

    Yuan Hui; Wang Li'ao; Su Fenwei; Hu Gang

    2006-01-01

    The dual influences of the resource supply and protection in ecological environments will pose a significant challenge to China's sustainable development. Solid waste management offers opportunities to improve profits by conserving resources and improving environmental performance. This paper examines municipal solid waste (MSW) management in urban Chongqing, the nation's fourth largest municipality after Beijing, Shanghai and Tianjin. In this paper, we will provide information on the quantity and composition of MSW, as well as give an overview of different methods for collection, transport, treatment and disposal of MSW. At present the daily amount of MSW generated per person is about 1.08 kg; food waste accounts for about 59% of total MSW. MSW in Chongqing has a higher moisture content (64.1%) and a lower LHV (3728 kJ/kg) than other cities in Asia, which is an obstruction for incineration. Landfills are the main method of disposal in Chongqing, but pollution caused by simple landfills and lack of backup MSW disposal capacity are becoming major problems in the main districts of Chongqing. In this paper, the challenges being faced and opportunities to MSW in Chongqing are analyzed and some suggestions are given for improving the MSW system in the future

  17. Radioactive waste management - an educational challenge

    International Nuclear Information System (INIS)

    Tulenko, J.S.

    1991-01-01

    University Radioactive Waste Management educational programs are being actively advanced by the educational support activities of the Offices of Civilian Radioactive Waste Management (OCRWM) and Environmental Restoration and Waste Management (ERWM) of the DOE. The DOE fellowship program formats of funding students and requiring a practical research experience (practicum) at a DOE site has helped to combine the academic process with a practical work experience. Support for faculty in these programs is augmenting the benefits of the fellowship programs. The many job opportunities and funding sources for students which currently exists in the radioactive waste management area are fueling an increase in academic programs seeking recognition of their radioactive waste management curriculums

  18. Nigerian Election Management Bodies and their Associated Election Challenges

    Directory of Open Access Journals (Sweden)

    Moses Etila Shaibu

    2018-01-01

    Full Text Available The paper examined the challenges that confront Election Management Bodies (EMBs in conducting free and fair elections in Nigeria. It aligns with the position of extant literature on the subject that elections in Nigeria have been anything but free and fair, and argues that all the EMBs that have so far conducted elections in Nigeria are complicit in perpetrating electoral malpractices. In other words, though there are external factors that undermine the conduct of free, fair and credible elections in Nigeria, EMBs in Nigeria also present themselves as willing tools in the hands of politicians to compromise the integrity of the electoral process. The number of litigations and level of both international and local denunciations that attend every election in Nigeria underscores the magnitude of electoral malfeasance inherent in the elections conducted by successive EMBs in Nigeria. The paper analysed the major challenges that inhibit the conduct of free and fair elections in Nigeria and proffered solutions to them. Relying heavily on the documentary methods of data collection, the paper concludes that until all these challenges confronting EMBs in Nigeria in the conduct of free and fair elections are comprehensively addressed, credible elections will continue to be a mirage in the country.

  19. The challenge of managing laboratory information in a managed care environment.

    Science.gov (United States)

    Friedman, B A

    1996-04-01

    This article considers some of the major changes that are occurring in pathology and pathology informatics in response to the shift to managed care in the United States. To better understand the relationship between information management in clinical laboratories and managed care, a typology of integrated delivery systems is presented. Following this is a discussion of the evolutionary trajectory for the computer networks that serve these large consolidated healthcare delivery organizations. The most complex of these computer networks is a community health information network. Participation in the planning and deployment of community health information networks will be important for pathologists because information management within pathology will be inexorably integrated into the larger effort by integrated delivery systems to share clinical, financial, and administrative data on a regional basis. Finally, four laboratory information management challenges under managed care are discussed, accompanied by possible approaches to each of them. The challenges presented are (1) organizational integration of departmental information systems such as the laboratory information system; (2) weakening of the best-of-breed approach to laboratory information system selection; (3) the shift away from the centralized laboratory paradigm; and (4) the development of rule-based systems to monitor and control laboratory utilization.

  20. Sustainable Materials Management (SMM) Electronics Challenge

    Science.gov (United States)

    Learn how the SMM Electronics Challenge encourage electronic manufacturers to strive to send 100 percent of the used electronics they collect from the public and retailers to certified electronics refurbishers and recyclers.

  1. Aging management of major LWR components with nondestructive evaluation

    International Nuclear Information System (INIS)

    Shah, V.N.; MacDonald, P.E.; Akers, D.W.; Sellers, C.; Murty, K.L.; Miraglia, P.Q.; Mathew, M.D.; Haggag, F.M.

    1997-01-01

    Nondestructive evaluation of material damage can contribute to continued safe, reliable, and economical operation of nuclear power plants through their current and renewed license period. The aging mechanisms active in the major light water reactor components are radiation embrittlement, thermal aging, stress corrosion cracking, flow-accelerated corrosion, and fatigue, which reduce fracture toughness, structural strength, or fatigue resistance of the components and challenge structural integrity of the pressure boundary. This paper reviews four nondestructive evaluation methods with the potential for in situ assessment of damage caused by these mechanisms: stress-strain microprobe for determining mechanical properties of reactor pressure vessel and cast stainless materials, magnetic methods for estimating thermal aging damage in cast stainless steel, positron annihilation measurements for estimating early fatigue damage in reactor coolant system piping, and ultrasonic guided wave technique for detecting cracks and wall thinning in tubes and pipes and corrosion damage to embedded portion of metal containments

  2. Sustainable Pest Management : Achievements and Challenges

    OpenAIRE

    World Bank

    2005-01-01

    The objective of this paper is to: (a) review World Bank's pest management activities during 1999-2004; (b) assess those in view of the changes in the external and internal contexts; (c) identify appropriate opportunities of engagement on pest and pesticide issues; and (d) suggest means to further promote sound pest management in the World Bank operations. The importance of sound pest management for sustainable agricultural production is being recognized by many developing countries. Many cou...

  3. 21st century challenges and opportunities for nuclear waste management

    International Nuclear Information System (INIS)

    McKinley, I.G.

    2009-01-01

    The technical arguments for massive expansion of nuclear power generation are convincing, but such a renaissance requires public acceptance. For diehard nuclear opponents, criticism now focuses on its Achilles heel - the unsolved (and often claimed to be insoluble) problem of disposal of the resultant long-lived waste. In fact, the geological disposal of nuclear waste can be managed safely with existing technology and should really be touted as one of the advantages of this option. Clearly, there is a major challenge in communicating disposal safety to key stakeholders in order to realise this benefit. Nevertheless, the growth of environmental concern about global warming and the present economic climate may present opportunities to initiate dialogue with relevant communities, allowing the attractions of hosting future disposal facilities to be seen. Rather than being the archetypal focus for NIMBY reactions, maybe within a few years we can look forward to growing competition to host geological repositories for radioactive waste.(Author)

  4. Global challenges in integrated coastal zone management

    DEFF Research Database (Denmark)

    integration of data and information in policy and management, combining expertise from nature and social science, to reach a balanced and sustainable development of the coastal zone. This important book comprises the proceedings of The International Symposium on Integrated Coastal Zone Management, which took....../mitigation to change in coastal systems Coastal governance Linking science and management Comprising a huge wealth of information, this timely and well-edited volume is essential reading for all those involved in coastal zone management around the globe. All libraries in research establishments and universities where...

  5. Turning Weaknesses into Strengths: Nordic Tourism, Potentials for Growth and Major Challenges

    Directory of Open Access Journals (Sweden)

    Ruhet Genc

    2010-03-01

    Full Text Available Nordic region is a geographical area which is characterized by a combination of nature, culture, history and technology and regarded as a common entity in political, economical and historical sense. Although rich in its resources, Nordic tourism has not actualized its potential in full. The present paper aims to identify weaknesses of the region, to outline a new set of directions for improving Nordic tourism and to delineate major challenges. Its geographical and natural beauties, cultural characteristics, technological advancement and policy development are identified as assets for tourism advancement in the region. Winter tourism, adventure tourism, nature-based tourism and cultural tourism are demonstrated as potential routes of growth. Marketing strategies and changing trends are discussed as major challenges, with suggestions for implementation.

  6. The Small Business Challenge to Management Education.

    Science.gov (United States)

    Gibb, Allan A.

    1983-01-01

    Reviews the needs of the owner/manager for training and development and indicates how they might best be met. Discusses the nature of management in small business and explores implications for training methods. Also discusses program possibilities and marketing strategies. (JOW)

  7. The importance of fungi and mycology for addressing major global challenges*

    OpenAIRE

    Lange, Lene

    2014-01-01

    In the new bioeconomy, fungi play a very important role in addressing major global challenges, being instrumental for improved resource efficiency, making renewable substitutes for products from fossil resources, upgrading waste streams to valuable food and feed ingredients, counteracting life-style diseases and antibiotic resistance through strengthening the gut biota, making crop plants more robust to survive climate change conditions, and functioning as host organisms for production of new...

  8. Initiatives and Challenges in Consequence Management after a WMD Attack

    Science.gov (United States)

    2004-08-01

    Challenges in Consequence Management people to seek shelter or other protection when possible, to avoid exposure to weapons of mass destruction effects . The...Potential Effects .........................................9 V. Methods for Managing the Consequences of WMD Use.................14 VI. Toward a...mass destruction (WMD). Consequence management1 is a process to mitigate the effects of the use of weapons of mass destruction, including

  9. Neuroanaesthetic and perioperative challenges in the management of giant encephaloceles

    Directory of Open Access Journals (Sweden)

    V Bhatnagar

    2013-01-01

    Full Text Available There are complex issues involved in the surgical management of giant occipital encephaloceles, especially in neonates and young infants. Airway management can cause technical difficulties due to location of lesion, associated abnormalities and the position to be maintained during surgery. We present perioperative challenges we faced in the management of one such case.

  10. Urban management: Addressing the housing and utility challenge

    Directory of Open Access Journals (Sweden)

    Nikitina Oksana

    2016-01-01

    Full Text Available The authors have studied the three aspects of urban management: apartment buildings, major repair management, requirements for facility management companies to be licensed and waste management. The paper presents all the mentioned above aspects and possible negative circumstances and proposes solutions to the problems.

  11. The costs, challenges, and rewards of management.

    Science.gov (United States)

    Hartfield, J E

    1988-01-01

    Until recent years, the designation of physicians as managers in medical complexes generally followed three criteria, professionally known as "SAG Factors"--Seniority, Accountability, and Gullibility. Within the scope of these salient features, little room for creative career design or targeting was possible. Given the unprogrammed and largely unprepared conscription of many physicians into early management roles, it is worth noting with pride the frequency with which these early, however "sagging," pioneers rose to the occasion. There is also competent support for the idea that good managers are born, not made, as the plethora of maximally degreed and minimally talented MBAs running loose in corporate ranks today attests.

  12. Functional Thinking for Managing Challenging Behavior

    Science.gov (United States)

    Allday, R. Allan

    2018-01-01

    Challenging student behavior remains one of the biggest trials for classroom teachers. Understanding why a student performs a specific behavior is important in determining how to develop an intervention that targets the function of the behavior. This column focuses on how thinking functionally about behavior can help teachers understand why…

  13. Homeland Security. Management Challenges Facing Federal Leadership

    National Research Council Canada - National Science Library

    2002-01-01

    Our work is based on the review of documents and interviews conducted at more than two dozen federal departments and agencies, including central management agencies such as OMB, the general Services Administration (GSA...

  14. Homeland Security. Management Challenges Facing Federal Leadership

    National Research Council Canada - National Science Library

    2002-01-01

    ...) and the Office of Personnel Management (OPM). Additionally, due to the dynamic and evolving nature of the government's homeland security activities, some of our work described in this report has already appeared in congressional testimony...

  15. Challenges of Best Agile Management Practices

    OpenAIRE

    Kulesovs, Ivans; Korkkinen, Max

    2013-01-01

    Agile software development and Agile leadership are widespread topics nowadays. Management 3.0 framework is a new framework for Agile leadership implementation within the software development organization. We have performed research that should answer such question as, what are the difficulties related to and the best practices of Agile leadership implementation in software development organizations through the prism of Management 3.0 framework views. In order to do this we have performed the...

  16. Managing obstructive gastric volvulus: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Rodriguez-Garcia HA

    2017-03-01

    Full Text Available Hector Alejandro Rodriguez-Garcia,1 Andrew S Wright,2–4 Robert B Yates1–3 1Department of Surgery, Center for Esophageal and Gastric Surgery, 2Center for Videoendoscopic Surgery, 3Hernia Center, 4Institute for Simulation and Interprofessional Studies, UWMC, University of Washington, Seattle, USA Abstract: Gastric volvulus is the abnormal torsion of the stomach along its short or long axis. Most patients who experience gastric volvulus present with mild or intermittent gastric obstructive symptoms. However, severe acute gastric volvulus can result in complete gastric outlet obstruction and ischemia. Consequently, acute gastric volvulus warrants immediate evaluation and management. The goals of management are to relieve the obstruction and prevent recurrent volvulus. Techniques to manage gastric volvulus depend on patient characteristics and the presence of gastric ischemia. In the absence of gastric ischemia, gastric volvulus can be managed with anterior abdominal wall gastropexy or paraesophageal hernia repair. If gastric ischemia is present, operative resection of the affected portion of the stomach is indicated. When operative management is indicated, many patients with gastric volvulus can be managed with minimally invasive (laparoscopic, endoscopic, or laparoendoscopic techniques. Keywords: gastric volvulus, paraesophageal hernia, hiatal hernia

  17. An operational centre for managing major chemical industrial accidents.

    Science.gov (United States)

    Kiranoudis, C T; Kourniotis, S P; Christolis, M; Markatos, N C; Zografos, K G; Giannouli, I M; Androutsopoulos, K N; Ziomas, I; Kosmidis, E; Simeonidis, P; Poupkou, N

    2002-01-28

    The most important characteristic of major chemical accidents, from a societal perspective, is their tendency to produce off-site effects. The extent and severity of the accident may significantly affect the population and the environment of the adjacent areas. Following an accident event, effort should be made to limit such effects. Management decisions should be based on rational and quantitative information based on the site specific circumstances and the possible consequences. To produce such information we have developed an operational centre for managing large-scale industrial accidents. Its architecture involves an integrated framework of geographical information system (GIS) and RDBMS technology systems equipped with interactive communication capabilities. The operational centre was developed for Windows 98 platforms, for the region of Thriasion Pedion of West Attica, where the concentration of industrial activity and storage of toxic chemical is immense within areas of high population density. An appropriate case study is given in order to illuminate the use and necessity of the operational centre.

  18. The challenges of urban management in Uganda

    Directory of Open Access Journals (Sweden)

    Buyinza Mukadasi

    2013-07-01

    The challenges that the urban areas face include the problem of two populations (the night and day time; high generation of garbage; poor revenue base; a growing informal sector; growing squatter settlements; deterioratingwater quality; and the limited institutional capacity to provide the required urban services. Financial resource mobilisation has been inadequate due to high costs oft= administration, low institutional capacity for enforcement, and a general public apathy to tax payment.

  19. Challenging paradigms in estuarine ecology and management

    Science.gov (United States)

    Elliott, M.; Whitfield, A. K.

    2011-10-01

    For many years, estuarine science has been the 'poor relation' in aquatic research - freshwater scientists ignored estuaries as they tended to get confused by salt and tides, and marine scientists were more preoccupied by large open systems. Estuaries were merely regarded by each group as either river mouths or sea inlets respectively. For the past four decades, however, estuaries (and other transitional waters) have been regarded as being ecosystems in their own right. Although often not termed as such, this has led to paradigms being generated to summarise estuarine structure and functioning and which relate to both the natural science and management of these systems. This paper defines, details and affirms these paradigms that can be grouped into those covering firstly the science (definitions, scales, linkages, productivity, tolerances and variability) and secondly the management (pressures, valuation, health and services) of estuaries. The more 'science' orientated paradigms incorporate the development and types of ecotones, the nature of stressed and variable systems (with specific reference to resilience and redundancy), the relationship between generalists and specialists produced by environmental tolerance, the relevance of scale in relation to functioning and connectivity, the sources of production and degree of productivity, the biodiversity-ecosystem functioning and the stress-subsidy debates. The more 'management' targeted paradigms include the development and effects of exogenic unmanaged pressures and endogenic managed pressures, the perception of health and the ability to manage estuaries (related to internal and external influences), and the influence of all of these on the production of ecosystem services and societal benefits.

  20. Collective work: a challenge for health management.

    Science.gov (United States)

    Scherer, Magda Duarte Dos Anjos; Pires, Denise; Schwartz, Yves

    2009-08-01

    Based on ergology and work process theorization, the study aims to contribute to reflections on health collective work, emphasizing its specificity and difficulties in building and managing groups of workers. It deals with work as a human activity that dialectically comprises the application of a prescribed protocol and a unique and historical perspective. Health work involves a relationship among individuals who act in the drama of using themselves and manage their own work; it is influenced by the history of health professions and macro-political determinations. In conclusion, this health work complexity needs to be considered in the process of management of professional teams/groups of workers, in a way that actions can interact and enable the implementation of a new health care project in the perspective of comprehensiveness.

  1. Advances and challenges for nutrient management in china in the 21st century.

    Science.gov (United States)

    Sims, J T; Ma, L; Oenema, O; Dou, Z; Zhang, F S

    2013-07-01

    Managing agricultural nutrients to provide a safe and secure food supply while protecting the environment remains one of the great challenges for the 21st century. The fourth International Nutrient Management Symposium (INMS), held in 2011 at the University of Delaware, addressed these issues via presentations, panel sessions, and field tours focused on latest technologies and policies available to increase nutrient use efficiency. Participants from the United States, Europe, Canada, and China discussed global trends and challenges, balancing food security and the environment in countries with struggling and emerging economics, nutrient management and transport at the catchment scale, new technologies for managing fertilizer and manure nutrients, and adaptive nutrient management practices for farm to watershed scales. A particular area of interest at the fourth INMS was nutrient management progress and challenges in China over the past 40 years. China's food security challenges and rapidly growing economy have led to major advances in agricultural production systems but also created severe nutrient pollution problems. This special collection of papers from the fourth INMS gives an overview of the remarkable progress China has made in nutrient management and highlights major challenges and changes in agri-environmental policies and practices needed today. Lessons learned in China are of value to both developing and developed countries facing the common task of providing adequate food for an expanding world population, while protecting air and water quality and restoring damaged ecosystems. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

  2. Hand hygiene management among nurses: collective health challenges

    Directory of Open Access Journals (Sweden)

    João Manuel Graveto

    Full Text Available ABSTRACT Objective: To describe the determining factors in hand hygiene management among nurses and identify associated collective health challenges. Method: Cross-sectional descriptive study. Data were collected using a questionnaire that was applied in four internal medicine units of a hospital of reference in Portugal. Results: The sample was composed of 50 nurses aged 26 to 55 years (mean age of 34.88 years; 80% were women, 58% had a Bachelor’s degree, and had 5-30 years of nursing practice (X̄ =11.94;±5.92. The vast majority of nurses (90% reported complying with the existing recommendations on hand hygiene in pre-established moments. However, none of the nurses were able to identify all the moments for hand hygiene using water and soap or alcohol-based handrub. Conclusion: This study shows that continuous training, adequate materials/structures in the units, and redesigned administration/supervision practices are determining factors to achieve higher levels of adherence to hand hygiene among nurses, as well as increased quality and safety in care delivery, which is a current collective health challenge.

  3. Public Speaking: Managing Challenging People and Situations.

    Science.gov (United States)

    Baum, Neil; Boughton, Leonarda

    2016-01-01

    Every public speaker has encountered, or most likely will encounter, a difficult member of the audience who disrupts their presentation. This is a source of anxiety and discomfort, not only for the presenter, but for the audience as well. Learning how to manage the disruptive audience member is an art form, just like being a good public speaker. A professional speaker knows how to handle this disruption without making the audience uncomfortable and without embarrassing the disruptor. This article discusses ways to manage the disruptive audience member and will help those of you who do public speaking to tactfully and professionally disengage someone who is ruining your program.

  4. Challenges in the Management of Bronchial Asthma Among Adults ...

    African Journals Online (AJOL)

    Challenges in the Management of Bronchial Asthma Among Adults in Nigeria: A Systematic ... Annals of Medical and Health Sciences Research ... Nigerian Thoracic Society, pharmaceutical industries, and the health‑care workers in general.

  5. Big data : opportunities and challenges in asset management : final report.

    Science.gov (United States)

    2016-08-01

    State Departments of Transportation and other transportation agencies collect vast quantities of data but managing, accessing and sharing data has been problematic and well documented. This project reviewed the similar challenges faced by other indus...

  6. Renal cell carcinoma in pregnancy: Still a management challenge

    African Journals Online (AJOL)

    I.C. Akpayak

    Received 14 June 2014; received in revised form 6 January 2015; accepted 3 February ... the dilemma faced by the patient and the challenge of deciding the appropriate management option. .... Cancer principles and practice of oncology.

  7. challenges in management of warfarin anti-coagulation in advanced

    African Journals Online (AJOL)

    2013-07-01

    Jul 1, 2013 ... ADVANCED HIV/AIDS PATIENTS WITH VENOUS THROMBOTIC EVENTS – A. CASE SERIES ... Objective: To describe clinical presentations and challenges in the management of. VTE in ..... Performance outcomes of a ...

  8. Challenges and outcomes of management of anterior abdominal ...

    African Journals Online (AJOL)

    Challenges and outcomes of management of anterior abdominal wall defects in a Nigerian tertiary hospital. ... African Journal of Paediatric Surgery ... Postoperative complication rate was 32.1% and overall mortality was 30.4%, with the ...

  9. Notification: FY 2018 CSB Management Challenges and Internal Control Weaknesses

    Science.gov (United States)

    December 26, 2017. The OIG is beginning work to update for fiscal year 2018 its list of proposed key management challenges and internal control weaknesses confronting the U.S. Chemical Safety and Hazard Investigation Board (CSB).

  10. Dependent leaders : Role-specific challenges for middle managers

    NARCIS (Netherlands)

    Voorn, Bart

    2018-01-01

    Mocked and ridiculed by many, praised by few, middle managers have challenging roles in organizations. It is typified by unique dependencies on different aspects of their work circumstances, including their superiors’ leadership, assigned goals, and tenure. Empirical research exploring specific

  11. Challenges in managing and sustaining urban slum health ...

    African Journals Online (AJOL)

    Challenges in managing and sustaining urban slum health programmes in Kenya. ... These were hardly implemented in the projects, according to the data gathered. ... Conclusion: Land and income were big issues according to the responses.

  12. Sustainable Materials Management (SMM) Food Recovery Challenge (FRC) Data

    Data.gov (United States)

    U.S. Environmental Protection Agency — As part of EPA's Food Recovery Challenge (FRC), organizations pledge to improve their sustainable food management practices and report their results. The FRC is part...

  13. A qualitative exploration of the major challenges facing pharmacovigilance in Saudi Arabia.

    Science.gov (United States)

    Aljadhey, Hisham; Mahmoud, Mansour A; Alshammari, Thamir M; Al-Dhaeefi, Mohammed; Le Louet, Herve; Perez-Gutthann, Susana; Pitts, Peter J

    2015-09-01

    To explore the challenges facing pharmacovigilance in Saudi Arabia and formulate recommendations to improve it from the perspective of healthcare professionals in Saudi Arabia. This was a qualitative study of 4 focus group discussions with pharmacists, physicians, and academicians held under the auspices of the King Saud University School of Pharmacy and the Center for Medicine in the Public Interest, Riyadh, Saudi Arabia. A total of 29 eligible healthcare professionals were invited to participate in the discussion. The predefined themes of the study were the current practice and major challenges facing pharmacovigilance in regulatory bodies, hospitals, the community, and academia, as well as recommendations to improve pharmacovigilance practice.  Of the 29 participants invited, 27 attended the discussion. Challenges facing regulatory bodies included complicated adverse drug reactions (ADR) reporting forms, lack of feedback on ADRs submitted to the Saudi Food and Drug Authority, lack of decisions from the local authority to withdraw medications, and lack of data on pharmacovigilance. The challenges to pharmacovigilance in hospitals included the lack of knowledge of the significance of ADR reporting, workload, blaming culture, and lack of collaboration between regulatory bodies and hospitals. However, challenges facing pharmaceutical industries included the lack of drug manufacturers in Saudi Arabia and lack of interest in pharmacovigilance. Recommendations to improve pharmacovigilance included the need for communication, stronger regulatory requirements, the need for research, the need for unified ADRs reporting, and continuous education and training.  The study has identified the challenges facing pharmacovigilance in Saudi Arabia and made certain recommendations to overcome them. These recommendations might be helpful for regulatory bodies to enhance spontaneous reporting and promote pharmacovigilance.

  14. Management of systemic lupus erythematosus during pregnancy: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Knight CL

    2017-03-01

    Full Text Available Caroline L Knight, Catherine Nelson-Piercy Division of Women’s Health, Women’s Health Academic Centre, King’s College London and King’s Health Partners, St Thomas’ Hospital, London, UK Abstract: Systemic lupus erythematosus (SLE is a chronic, multisystem autoimmune disease predominantly affecting women, particularly those of childbearing age. SLE provides challenges in the prepregnancy, antenatal, intrapartum, and postpartum periods for these women, and for the medical, obstetric, and midwifery teams who provide their care. As with many medical conditions in pregnancy, the best maternal and fetal–neonatal outcomes are obtained with a planned pregnancy and a cohesive multidisciplinary approach. Effective prepregnancy risk assessment and counseling includes exploration of factors for poor pregnancy outcome, discussion of risks, and appropriate planning for pregnancy, with consideration of discussion of relative contraindications to pregnancy. In pregnancy, early referral for hospital-coordinated care, involvement of obstetricians and rheumatologists (and other specialists as required, an individual management plan, regular reviews, and early recognition of flares and complications are all important. Women are at risk of lupus flares, worsening renal impairment, onset of or worsening hypertension, preeclampsia, and/or venous thromboembolism, and miscarriage, intrauterine growth restriction, preterm delivery, and/or neonatal lupus syndrome (congenital heart block or neonatal lupus erythematosus. A cesarean section may be required in certain obstetric contexts (such as urgent preterm delivery for maternal and/or fetal well-being, but vaginal birth should be the aim for the majority of women. Postnatally, an ongoing individual management plan remains important, with neonatal management where necessary and rheumatology follow-up. This article explores the challenges at each stage of pregnancy, discusses the effect of SLE on pregnancy and

  15. Health infrastructural challenges to health management information ...

    African Journals Online (AJOL)

    Aim: This study aims to assess health management information systems at the ... workers' ability to practice and use the health data generated at their Primary Health ... Only 2 (5.7%) of the health centres surveyed were capable of operating the ... The government at all levels should ensure collective effort and political will to ...

  16. New Challenges for Data Managment in Genebanks

    Science.gov (United States)

    The use of genetic resources for crop improvement has undergone a fundamental shift. Continued progress will be dependent upon the natural variation contained within the world’s gene banks. Gene banks must manage their collections in ways that promote their utilization by increasing access to not ...

  17. The challenges and benefits of idea management

    NARCIS (Netherlands)

    D. Deichmann (Dirk)

    2012-01-01

    textabstractFor organisations to sustain success in their markets, and in order to survive, they need to utilise their workforce as effectively as possible. By stimulating and implementing employees’ ideas for improvement and innovation, idea management encourages people to participate in the

  18. Lake Victoria water resources management challenges and ...

    African Journals Online (AJOL)

    ... governing management measures capable of meeting the needs of riparian states and ensuring sustainability within the basin is highlighted. Keywords: biodiversity loss; East Africa; eutrophication; heavy metal pollution; international treaties; Nile Basin; shared water resources. African Journal of Aquatic Science 2008, ...

  19. Communication in diabetes management: overcoming the challenges

    African Journals Online (AJOL)

    Medicine is both a science and an art; a delicate balancing act of scientific diagnostic reasoning and management on the one hand, and the development and nurturing of a relationship with another person, on the other. Patients seek a healthcare provider who can provide them with a service. They want someone who will ...

  20. Management Challenges of Cultural Property in Nigeria

    Directory of Open Access Journals (Sweden)

    JT Gbadegesin

    2014-01-01

    Full Text Available The thrust of this article is to fill the lacuna in extant literature on the need to appraise the management of traditional/cultural properties in Ile-Ife (historical source of Yoruba race in Nigeria and the need to ensure sustainability in order to register the values of the cultural identity for global appreciation. To accomplish the aim, questionnaires were administered on the stakeholders: traditional royal stools, museum staff and families of ancient priests (owners of sacred sites to elicit information. The data obtained were analyzed using simple descriptive and inferential statistics. The study confirmed that the special properties' (sacred heritages owners and royal stool (traditional rulers are the most participating stakeholders in the management of cultural properties in Yorubaland. Also, there are three most influencing factors; lack of effective management plans/strategies, lack of continuity in the cultural heritage sustainability and lack of full participation of all the stakeholders in the sustainability of cultural heritages. It implies that the posterity, sustainability of cultural heritages is anchored on effective management strategy and the gradual neglect of special properties such as cultural heritages is tantamount to the loss of value and economic returns which could really create wider opportunities in the emerging economies.

  1. Women principals' reflections of curriculum management challenges ...

    African Journals Online (AJOL)

    This study reports the reflections of grade 6 rural primary principals in Mpumalanga province. A qualitative method of inquiry was used in this article, where data were collected using individual interviews with three principals and focus group discussions with the school management teams (SMTs) of three primary schools.

  2. Challenging (Strategic) Human Resource management Theory

    NARCIS (Netherlands)

    J. Paauwe (Jaap); J.P.P.E.F. Boselie (Paul)

    2002-01-01

    textabstractTo fully understand the relationship between human resource management and performance in different contexts, we are in need of a synthesis between resource-based theory and new institutionalism. We argue that differences in institutional settings (between for example countries or

  3. Current Challenges in Social Media Management

    DEFF Research Database (Denmark)

    Tørning, Kristian; Jaffari, Zeshan Ali; Vatrapu, Ravi

    2015-01-01

    and sales, customer support, product innovation etc. To investigate current social media managerial practices, we conducted a multiple case study, employing structured in-depth interviews with social media managers at some of the leading multi-national companies headquartered in Denmark (LEGO®, Mærsk...

  4. Challenges of measuring quality in emergency management

    DEFF Research Database (Denmark)

    Lynette, Jennifer Elyse

    2016-01-01

    This paper describes the challenges and importance of measuring quality within the field of emergency response. Using quality as a standard of measurement to evaluate response efforts of trained personnel in emergency situations is necessary to increase effectiveness in the response phase...... of an emergency event. The intended outcome of utilizing quality as a tool of measurement is to save additional lives, property, and resources. The adoption of a system to measure quality can be utilized by multiple professions under the broader field of emergency response services. Quality is discussed in terms...

  5. Challenges in the management of cervicofacial necrotizing fasciitis ...

    African Journals Online (AJOL)

    Background: Necrotizing fascitis is uncommon but a life threatening cervico-facial infection, which is characterized by aggressive spread of inflammation and necrosis of the tissues. In our environment clinical presentation is often late and patient's management at this stage is very challenging. We present the challenges in ...

  6. Changes in Business Structures: Challenges for Management of Libyan Industry

    NARCIS (Netherlands)

    Abouazoum, Alafi; de Bruijn, E.J.; Steenhuis, H.J.; Kaynak, E.; Harcar, T.D.

    2008-01-01

    Libya has become a transition economy due to global industrial and political changes in the past decades. Being for long time under government control has created a number of challenges for the management of the SOEs. The most challenging aspect is firm performance improvement. Based on a pilot

  7. Identity Management Mismatch Challenges in the Danish Municipality Administration System

    DEFF Research Database (Denmark)

    Andersen, Mads Schaarup; Christensen, Henrik Bærbak

    2010-01-01

    Integrating a COTS product in a company’s product portfolio is appealing from a business perspective but highly challenging from the perspective of the software architecture. In this paper we outline research challenges regarding authorization in the identity management part of the Danish...

  8. Managing an outpatient parenteral antibiotic therapy team: challenges and solutions.

    Science.gov (United States)

    Halilovic, Jenana; Christensen, Cinda L; Nguyen, Hien H

    2014-01-01

    Outpatient parenteral antimicrobial therapy (OPAT) programs should strive to deliver safe, cost effective, and high quality care. One of the keys to developing and sustaining a high quality OPAT program is to understand the common challenges or barriers to OPAT delivery. We review the most common challenges to starting and managing an OPAT program and give practical advice on addressing these issues.

  9. Institutional Management of Core Facilities during Challenging Financial Times

    OpenAIRE

    Haley, Rand

    2011-01-01

    The economic downturn is likely to have lasting effects on institutions of higher education, prioritizing proactive institutional leadership and planning. Although by design, core research facilities are more efficient and effective than supporting individual pieces of research equipment, cores can have significant underlying financial requirements and challenges. This paper explores several possible institutional approaches to managing core facilities during challenging financial times.

  10. Institutional management of core facilities during challenging financial times.

    Science.gov (United States)

    Haley, Rand

    2011-12-01

    The economic downturn is likely to have lasting effects on institutions of higher education, prioritizing proactive institutional leadership and planning. Although by design, core research facilities are more efficient and effective than supporting individual pieces of research equipment, cores can have significant underlying financial requirements and challenges. This paper explores several possible institutional approaches to managing core facilities during challenging financial times.

  11. ARL and Association 3.0: Ten Management Challenges

    Science.gov (United States)

    Funk, Carla J.

    2009-01-01

    Association management in today's "association 3.0" environment presents some new challenges and new perspectives on old ones. This paper summarizes 10 such challenges including collaboration, diversity, innovation, transparency, financial stability, member benefits, knowledge-based decision-making, a demand-driven association model, pro-activity…

  12. Sedimentary Geology Context and Challenges for Cyberinfrastructure Data Management

    Science.gov (United States)

    Chan, M. A.; Budd, D. A.

    2014-12-01

    A cyberinfrastructure data management system for sedimentary geology is crucial to multiple facets of interdisciplinary Earth science research, as sedimentary systems form the deep-time framework for many geoscience communities. The breadth and depth of the sedimentary field spans research on the processes that form, shape and affect the Earth's sedimentary crust and distribute resources such as hydrocarbons, coal, and water. The sedimentary record is used by Earth scientists to explore questions such as the continental crust evolution, dynamics of Earth's past climates and oceans, evolution of the biosphere, and the human interface with Earth surface processes. Major challenges to a data management system for sedimentary geology are the volume and diversity of field, analytical, and experimental data, along with many types of physical objects. Objects include rock samples, biological specimens, cores, and photographs. Field data runs the gamut from discrete location and spatial orientation to vertical records of bed thickness, textures, color, sedimentary structures, and grain types. Ex situ information can include geochemistry, mineralogy, petrophysics, chronologic, and paleobiologic data. All data types cover multiple order-of-magnitude scales, often requiring correlation of the multiple scales with varying degrees of resolution. The stratigraphic framework needs dimensional context with locality, time, space, and depth relationships. A significant challenge is that physical objects represent discrete values at specific points, but measured stratigraphic sections are continuous. In many cases, field data is not easily quantified, and determining uncertainty can be difficult. Despite many possible hurdles, the sedimentary community is anxious to embrace geoinformatic resources that can provide better tools to integrate the many data types, create better search capabilities, and equip our communities to conduct high-impact science at unprecedented levels.

  13. Crossed fused renal ectopia: Challenges in diagnosis and management

    Directory of Open Access Journals (Sweden)

    Shailesh Solanki

    2013-01-01

    Full Text Available Aim: Crossed fused renal ectopia is a rare congenital malformation, which is reported to be usually asymptomatic but may have varied presentations. This survey was conducted to study the clinical profile and the challenges posed in the management of this entity. Materials and Methods: Retrospective analysis of 6 patients diagnosed to have crossed fused renal ectopia during 1997-2010. The diagnosis was confirmed during surgical exploration in one patient. In one patient it was detected on antenatal ultrasonography and in the other 4 patients it was detected during investigations for abdominal pain, abdominal mass, anorectal malformation and urinary tract infection. Results: The left moiety was crossed and fused with the right moiety in 4 cases. Ultrasonography was found to be a good screening investigation with useful diagnostic contributions from CT scans, radionuclide scintigraphy and magnetic resonance urography. Micturating cystourethrography revealed presence of VUR in 4 cases, 3 of whom have undergone ureteric reimplantation. Two patients required pyeloplasty for pelviureteric junction obstruction; in one of these patients the upper ureter was entrapped in the isthmus. In one patient, a non-functioning moiety resulted in nephrectomy. All children were asymptomatic at last follow-up with stable renal functions. Conclusions: Crossed fused renal ectopia was detected in most patients during investigation for other problems. It was found more commonly in boys. The left moiety was crossed to the right in the majority of cases. Associated urological problems were found in most cases and required the appropriate surgical management.

  14. New LHCb Management readies for run 2 challenges

    CERN Multimedia

    Antonella Del Rosso

    2014-01-01

    As of 1 July, LHCb, one of the four biggest experiments at the LHC, will have a new Management. Ahead are the huge challenges of run 2 and the following long technical shutdown during which LHCb will undergo a major upgrade. In the meantime, the discovery of new physics could be a dream within reach…   New LHCb Spokesperson, Guy Wilkinson.   “We have to make sure that the detector wakes up after its long hibernation and goes back to data taking in the most efficient way and that we are able to process all these data to produce high-quality physics results,” says Guy Wilkinson, new Spokesperson of the LHCb collaboration. Although this already sounds like a considerable “to-do” list for the coming months, it’s just the beginning of a much longer and ambitious plan. “The previous management has done an excellent job in analysing the data we took during run 1. They also put on a very sound footing the LHCb upgrade, whi...

  15. Management of exfoliative glaucoma: challenges and solutions.

    Science.gov (United States)

    Holló, Gábor; Katsanos, Andreas; Konstas, Anastasios Gp

    2015-01-01

    Exfoliative glaucoma is the most common type of secondary open-angle glaucoma worldwide. It is characterized by high intraocular pressure (IOP) and worse 24-hour IOP characteristics. In order to minimize progression, treatment of exfoliative glaucoma has to provide a low long-term mean IOP and good 24-hour IOP control. To achieve these goals, fixed-dose combination eye drops, argon and selective laser trabeculoplasty, and various forms of surgery (trabeculectomy, deep sclerectomy, viscocanalostomy, ab interno trabeculotomy, trabecular aspiration, and cataract surgery) all need to be considered during the long-term management of the disease. Since exfoliative glaucoma is a disease of the elderly, and is frequently associated with systemic vascular disease, interdisciplinary consultations are of great clinical importance. These management aspects and the current medical, laser, and surgical results are covered in this review, with a special focus on the needs of the general ophthalmologist.

  16. In-core fuel management: New challenges

    International Nuclear Information System (INIS)

    Kolmayer, A.; Vallee, A.; Mondot, J.

    1992-01-01

    Experience accumulated by pressurized water reactor (PWR) utilities allows them to improve their strategies in the use of eventual margins to core design limits. They are used for nuclear steam supply system (NSSS) power upgrading, to improve operating margins, or to adapt fuel management to specific objectives. As a result, in-core fuel management strategies have become very diverse: UO 2 or mixed-oxide loading, out-in or in-out fuel loading patterns, extended or annual cycle lengths with margins on design limits such as moderator temperature coefficients, boron concentrations, or peaking factors. Perspectives also appear concerning use of existing plutonium stocks or actinide incineration. Burnable poisons are most often needed to satisfactorily achieve these goals. Among them, gadolinia are now largely used, owing to their excellent performance. More than 24 Framatome first cores and reloads, representing more than 3000 gadolinia-bearing rods, have been irradiated since 1983

  17. Nuclear waste management: a challenge to Federalism

    International Nuclear Information System (INIS)

    Lucas, P.

    1979-01-01

    The controversy over state/Federal authority over waste disposal has already had a significant effect regardless of the choice Congress ultimately makes between an informal deference to state will and a statutory authorization of state control over Federal repositories. The highly emotional issue of local disposal of nuclear waste and the assertions of state control over waste disposal have made the nation and the Federal bureaucracy more aware of the status of the waste management program. State resistance to Federal siting efforts and the passage of state waste disposal legislation has compelled the Federal government to provide the states with a larger role in waste management. State power to exclude Federal repositories would give states additional political leverage. Ideally, public attention and effective state veto power will contribute to a more successful program, without impeding progress toward the immediate goal of siting and developing permanent repositories

  18. Dune Management Challenges on Developed Coasts

    Science.gov (United States)

    2016-10-01

    agencies use websites or other social media outlets to offer publications that provide for best management practices (e.g. Mas- sachusetts Office of...provide essential ecosys- tem services, including habitat for en- dangered species such as piping plovers, sites of high tourism value, groundwater...and engaging to stakeholders and (2) systems-based, considering the combined aspects of social , ecological, and morpho- dynamic processes. This

  19. Idiopathic constipation: A challenging but manageable problem.

    Science.gov (United States)

    Bischoff, Andrea; Brisighelli, Giulia; Dickie, Belinda; Frischer, Jason; Levitt, Marc A; Peña, Alberto

    2017-10-10

    A protocol to treat idiopathic constipation is presented. A contrast enema is performed in every patient and, when indicated, patients are initially submitted to a "clean out" protocol. All patients are started on a Senna-based laxative. The initial dosage is empirically determined and adjusted daily, during a one week period, based on history and abdominal radiographs, until the amount of Senna that empties the colon is reached. The management is considered successful when patients empty their colon daily and stop soiling. If the laxatives dose provokes abdominal cramping, distension, and vomiting, without producing bowel movements, patients are considered nonmanageable. From 2005 to 2012, 215 patients were treated. 121 (56%) were males. The average age was 8.2years (range: 1-20). 160 patients (74%) presented encopresis. 67 patients (32%) needed a clean out. After one week, 181 patients (84%) achieved successful management, with an average Senna dose of 67mg (range: 5-175mg). In 34 patients (16%) the treatment was unsuccessful: 19 were nonmanageable, 3 noncompliant, and 12 continued soiling. At a later follow-up (median: 329days) the success rate for 174 patients was 81%. We designed a successful protocol to manage idiopathic constipation. The key points are clean out before starting laxatives, individual adjustments of laxative, and radiological monitoring of colonic emptying. Level IV. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Morbidly obese patient with obstructive sleep apnoea for major spine surgery: An anaesthetic challenge

    Directory of Open Access Journals (Sweden)

    Shruti Redhu

    2016-01-01

    Full Text Available Morbidly obese patients with clinical features of obstructive sleep apnoea can present a myriad of challenges to the anaesthesiologists which must be addressed to minimise the perioperative risks. Initiation of continuous positive airway pressure (CPAP therapy early in the pre- and post-operative period along with appropriate anaesthetic planning is of paramount importance in such patients. This case report emphasises the usefulness of CPAP therapy, even for a short duration, to minimise morbidity, improve recovery and hasten early discharge from the hospital after major surgery.

  1. Challenges of Data-driven Healthcare Management

    DEFF Research Database (Denmark)

    Bossen, Claus; Danholt, Peter; Ubbesen, Morten Bonde

    This paper describes the new kind of data-work involved in developing data-driven healthcare based on two cases from Denmark: The first case concerns a governance infrastructure based on Diagnose-Related Groups (DRG), which was introduced in Denmark in the 1990s. The DRG-system links healthcare...... activity and financing and relies of extensive data entry, reporting and calculations. This has required the development of new skills, work and work roles. The second case concerns a New Governance project aimed at developing new performance indicators for healthcare delivery as an alternative to DRG....... Here, a core challenge is select indicators and actually being able to acquire data upon them. The two cases point out that data-driven healthcare requires more and new kinds of work for which new skills, functions and work roles have to be developed....

  2. Dissociative amnesia: a case with management challenges

    Directory of Open Access Journals (Sweden)

    Priti Singh

    2015-07-01

    Full Text Available A case of dissociative amnesia with regressed behaviour was diagnosed applying the existing criteria for dissociative disorder in the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10. Though there are number of cases of such condition, but when coupled with regressed behaviour it adds to new dimension in the management. An applied strategy in lines with both pharmacological and non pharmacological was used, and we found that it helped our patient to gradually improve her behaviour. This is one of the few cases reported and we hope more such cases should be reported in understanding the psychopathology.

  3. 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.

  4. Solid waste management challenges for cities in developing countries

    NARCIS (Netherlands)

    Abarca Guerrero, L.; Maas, G.J.; Hogland, W

    2013-01-01

    Solid waste management is a challenge for the cities’ authorities in developing countries mainly due to the increasing generation of waste, the burden posed on the municipal budget as a result of the high costs associated to its management, the lack of understanding over a diversity of factors that

  5. Challenges in the Management of a Patient with Myxoedema Coma ...

    African Journals Online (AJOL)

    Myxoedema coma is a rare life-threatening disease, and it is essential that it is managed appropriately to reduce the associated high mortality. However, in the setting where efficient healthcare delivery is hampered by inadequacies, the management of such cases may pose a significant challenge. We present the case of a ...

  6. Plant genetic resources management in Ghana: Some challenges in ...

    African Journals Online (AJOL)

    Plant genetic resources management in Ghana: Some challenges in legumes. ... Ghana Journal of Agricultural Science ... The Plant Genetic Resources Research Institute, serving as the national gene bank of Ghana, together with other stakeholders, had made strenuous efforts in managing the legume genetic resources in ...

  7. Effectiveness of infrastructure asset management: challenges for public agencies

    NARCIS (Netherlands)

    Schraven, Daan; Hartmann, Andreas; Dewulf, Geert P.M.R.

    2011-01-01

    Purpose: The aim of this research is to better understand the decisions in infrastructure asset management at public agencies and the challenges of these agencies to improve the effectiveness of their decision making. Design/methodology/approach: Based on a literature review on asset management at

  8. The pattern and challenges of infertility management in Lagos, Nigeria

    African Journals Online (AJOL)

    Background: Infertility remains a threat to successful reproduction by couples desirous of pregnancy. Objective: To determine the pattern of infertility cases amongst infertile couples seeking care in Lagos University Teaching Hospital as well as challenges in their management. Methods: A review of the management of ...

  9. CONCERT MANAGEMENT IN CROATIA: OBSTACLES AND CHALLENGES

    Directory of Open Access Journals (Sweden)

    Irina Basara

    2016-12-01

    Full Text Available The concept of concert management in the Republic of Croatia encounters numerous obstacles in any attempt to institutionalize it. Unlike other countries in the European Union, there is no register of the concert stages, venues as well as facilities for the provision of hearing / consumption of music in the form of performances. Process management organization is incomplete, and institutions that are closely associated with such events do not carry out the classification, categorization and analysis of events that are within the concerts' domain. Commercial music, economically far most cost-effective, is completely ignored and within the framework of cultural events not even the slightest attention is given to it. On the contrary, it is considered the music of poor quality and completely irrelevant. This paper tries to frame the mentioned genre, which includes various musical directions that economically bring significant benefits and help the survival of these related activities indirectly, and ultimately have a positive impact on the economy. Comparing global trends it speaks about the position of the Croatian music industry and lists the main obstacles for setting up a solid foundation for the construction of an adequate system of indexation of concert businesses that, as part of the creative industries records a meteoric economic growth.

  10. The match between institutional elderly care management research and management challenges - a systematic literature review.

    Science.gov (United States)

    Kokkonen, Kaija; Rissanen, Sari; Hujala, Anneli

    2012-11-08

    Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers' and policymakers' scientific literacy needs to be enhanced.

  11. Challenge of Odour Management in Malaysia

    International Nuclear Information System (INIS)

    Mohd Nahar Othman

    2016-01-01

    Full text: The odour nuisance complaints from the haze that occur every year in Malaysia is very acute. The trend shows that odour problems have become more and more serious every year. The sources of odour complaints come from various types of activities such as uncontrolled burning of materials and the emission of odour discharged from industries such as animal raring industries, chemical industries, rubber processing industries, municipal solid wastes (MSW), sewage treatment plants, palm oil industries, petroleum industries and etc. There are many odour control technologies to solve the odour problems at the moment for small scale industries but the big problem is that some of the sources of odour created are big scale and not far away from the people. At the same time, in Malaysia, there is no regulation concerning the specific odour parameter stated in the Environment Quality Acts 1974.The Department of Environment had drafted a regulation in order to monitor this problem, relating to the nuisance coming from these industries but until now the regulation still remain pending upon the approval from the Parliament. The aim of this paper is to present the big challenge in introducing the odour regulation in the country. (author)

  12. Babesia major: protection of intact calves against homologous challenge by the injection of irradiated piroplasms

    International Nuclear Information System (INIS)

    Purnell, R.E.; Lewis, D.; Brocklesby, D.W.

    1979-01-01

    Blood from a splenectomized calf infected with Babesia major was divided into 20 ml aliquots which were γ-irradiated at doses of 0, 23.3, 27.3, 31.4, 35.4 and 39.5 krad and then inoculated into groups of three intact calves. Animals receiving non-irradiated blood had typical mild B. major reactions, but those receiving blood irradiated at 23.3, 27.3 and 31.4 krad and 2 of 3 receiving blood irradiated at 35.4 krad had minimal reactions. The remaining 4 animals had no detectable parasitaemic reactions. When the calves were challenged with a similar number (6.0 x 10 9 ) of homologous parasites, they were all immune with the exception of the 4 animals which had not reacted initially. The immune status of individual cattle was reflected accurately in the results of the micro-ELISA test, which detected a significant rise in serum antibody titre of the 4 susceptible animals 7 days after challenge. (author)

  13. Babesia major: protection of intact calves against homologous challenge by the injection of irradiated piroplasms

    Energy Technology Data Exchange (ETDEWEB)

    Purnell, R E; Lewis, D; Brocklesby, D W [Agricultural Research Council, Compton (UK). Inst. for Research on Animal Diseases

    1979-02-01

    Blood from a splenectomized calf infected with Babesia major was divided into 20 ml aliquots which were ..gamma..-irradiated at doses of 0, 23.3, 27.3, 31.4, 35.4 and 39.5 krad and then inoculated into groups of three intact calves. Animals receiving non-irradiated blood had typical mild B. major reactions, but those receiving blood irradiated at 23.3, 27.3 and 31.4 krad and 2 of 3 receiving blood irradiated at 35.4 krad had minimal reactions. The remaining 4 animals had no detectable parasitaemic reactions. When the calves were challenged with a similar number (6.0 x 10/sup 9/) of homologous parasites, they were all immune with the exception of the 4 animals which had not reacted initially. The immune status of individual cattle was reflected accurately in the results of the micro-ELISA test, which detected a significant rise in serum antibody titre of the 4 susceptible animals 7 days after challenge.

  14. The Future Regulatory Challenges of Liquidity Risk Management

    OpenAIRE

    Petr Teply

    2011-01-01

    Liquidity risk management ranks to key concepts applied in finance. Liquidity is defined as a capacity to obtain funding when needed, while liquidity risk means as a threat to this capacity to generate cash at fair costs. In the paper we present challenges of liquidity risk management resulting from the 2007- 2009 global financial upheaval. We see five main regulatory liquidity risk management issues requiring revision in coming years: liquidity measurement, intra-day and...

  15. The match between institutional elderly care management research and management challenges - a systematic literature review

    Science.gov (United States)

    2012-01-01

    Background Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. Methods This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. Results The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Conclusions Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers’ and policymakers’ scientific literacy needs to be enhanced. PMID:23137416

  16. The match between institutional elderly care management research and management challenges - a systematic literature review

    Directory of Open Access Journals (Sweden)

    Kokkonen Kaija

    2012-11-01

    Full Text Available Abstract Background Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. Methods This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. Results The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Conclusions Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers’ and policymakers’ scientific literacy needs to be enhanced.

  17. Self Managing the Consequences of Major Limb Trauma

    National Research Council Canada - National Science Library

    MacKenzie, Ellen J

    2008-01-01

    .... The intervention will build on widely accepted self-management programs developed for persons with arthritis as well as components of a face-to-face self-management program for civilians with long-standing limb loss...

  18. Managing refractory Crohn's disease: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Tanida S

    2015-04-01

    Full Text Available Satoshi Tanida, Keiji Ozeki, Tsutomu Mizoshita, Hironobu Tsukamoto, Takahito Katano, Hiromi Kataoka, Takeshi Kamiya, Takashi Joh Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Aichi Prefecture, Japan Abstract: The goals of treatment for active Crohn's disease (CD are to achieve clinical remission and improve quality of life. Conventional therapeutics for moderate-to-severe CD include 5-aminosalicylic acid, corticosteroids, purine analogs, azathioprine, and 6-mercaptopurine. Patients who fail to respond to conventional therapy are treated with tumor necrosis factor (TNF-α inhibitors such as infliximab and adalimumab, but their efficacy is limited due to primary nonresponse or loss of response. It is suggested that this requires switch to another TNF-α inhibitor, a combination therapy with TNF-α blockade plus azathioprine, or granulocyte and monocyte adsorptive apheresis, and that other therapeutic options having different mechanisms of action, such as blockade of inflammatory cytokines or adhesion molecules, are needed. Natalizumab and vedolizumab are neutralizing antibodies directed against integrin a4 and a4ß7, respectively. Ustekinumab is a neutralizing antibody directed against the receptors for interleukin-12 and interleukin-23. Here, we provide an overview of therapeutic treatments that are effective and currently available for CD patients, as well as some that likely will be available in the near future. We also discuss the advantages of managing patients with refractory CD using a combination of TNF-α inhibitors plus azathioprine or intensive monocyte adsorptive apheresis. Keywords: adalimumab, granulocyte and monocyte adsorptive apheresis, combination therapy, complete remission

  19. Optimizing transuranic waste management-challenges and opportunities

    International Nuclear Information System (INIS)

    Triay, I.R.; Wu, C.F.; Moody, D.C.; Jennings, S.G.

    2002-01-01

    The opening of the Waste Isolation Pilot Plant (WIPP) for disposal of transuranic (TRU) waste in March of 1999, the granting of the Hazardous Waste Facility Permit in November 1999, and over two years of operational experience have demonstrated the Department of Energy's (DOE'S) capability in closing the nuclear energy cycle. While these achievements resolved several scientific, engineering, regulatory and political issues, the DOE has identified a new set of challenges that represent opportunities for improving programmatic efficiency, cost-effectiveness, and operational safety in managing the nation's TRU waste. The DOE has recognized that the complex administrative and regulatory requirements for characterization, transportation and disposal of TRU waste are costly (1). A review by the National Academy of Sciences (NAS) states that these requirements lead to inefficient waste characterization, handling and transportation operations that in turn can lead to unnecessary radiation exposure to workers without a commensurate decrease in risk to the public and the environment (2). This paper provides an overview of the status of the WJPP repository, explains the principles of the proposed commercial business approach, and describes some of the proposed major enhancements of the TRU waste transportation systems. The DOE is developing a remote-handled (RH) waste program to enable emplacement of RH waste at WPP. This program includes appropriate facility modifications and regulatory changes (3).

  20. New challenges for grizzly bear management in Yellowstone National Park

    Science.gov (United States)

    van Manen, Frank T.; Gunther, Kerry A.

    2016-01-01

    A key factor contributing to the success of grizzly bear Ursus arctos conservation in the Greater Yellowstone Ecosystem has been the existence of a large protected area, Yellowstone National Park. We provide an overview of recovery efforts, how demographic parameters changed as the population increased, and how the bear management program in Yellowstone National Park has evolved to address new management challenges over time. Finally, using the management experiences in Yellowstone National Park, we present comparisons and perspectives regarding brown bear management in Shiretoko National Park.

  1. Management challenges in creating value from business analytics

    OpenAIRE

    Vidgen, Richard; Shaw, S.; Grant, D.G.

    2017-01-01

    The popularity of big data and business analytics has increased tremendously in the last decade and a key challenge for organizations is in understanding how to leverage them to create business value. However, while the literature acknowledges the importance of these topics little work has addressed them from the organization’s point of view. This paper investigates the challenges faced by organizational managers seeking to become more data and information-driven in order to create value. Emp...

  2. Management challenges with the maintenance of tourism experience concept innovations

    DEFF Research Database (Denmark)

    Eide, Dorthe; Fuglsang, Lars; Sundbo, Jon

    2017-01-01

    that there is a need to focus on challenges that tourism management faces over time when it wishes to maintain innovations in an experience concept. Maintaining such innovations needs to be investigated from an organisational perspective. There are many reasons why it can be challenging to maintain innovative...... experience-based tourism. The case vignettes illuminate how “maintenance” is an important construct within experience innovation research....

  3. Progress and challenges to the global waste management system.

    Science.gov (United States)

    Singh, Jagdeep; Laurenti, Rafael; Sinha, Rajib; Frostell, Björn

    2014-09-01

    Rapid economic growth, urbanization and increasing population have caused (materially intensive) resource consumption to increase, and consequently the release of large amounts of waste to the environment. From a global perspective, current waste and resource management lacks a holistic approach covering the whole chain of product design, raw material extraction, production, consumption, recycling and waste management. In this article, progress and different sustainability challenges facing the global waste management system are presented and discussed. The study leads to the conclusion that the current, rather isolated efforts, in different systems for waste management, waste reduction and resource management are indeed not sufficient in a long term sustainability perspective. In the future, to manage resources and wastes sustainably, waste management requires a more systems-oriented approach that addresses the root causes for the problems. A specific issue to address is the development of improved feedback information (statistics) on how waste generation is linked to consumption. © The Author(s) 2014.

  4. Sustainable Nutrient Management in Chinese Agriculture:Challenges and Perspective

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    China has to raise agricultural productivity in its limited and shrinking farmland to guarantee food security for its huge and ever-growing population. Sustainable soil nutrient management is of paramount importance to the world's most populous country. Critical challenges the country is facing in sustaining soil fertility and in alleviating the hazardous impact of intensive fertilizer use are discussed in this paper. It is emphatically pointed out that national strategies as well as area-specific action plans with respect to scientific nutrient management are urgently needed to balance productivity and sustainability in the future. Relevant proposals for addressing those challenges are also presented.

  5. Goals, challenges, and successes of managing fusion activated materials

    International Nuclear Information System (INIS)

    El-Guebaly, L.; Massaut, V.; Zucchetti, M.; Tobita, K.; Cadwallader, L.

    2007-01-01

    After decades of designing magnetic and inertial fusion power plants, it is timely to develop a new framework for managing the activated materials generated during plant operation and after decommissioning - a framework that takes into account the lessons learned from numerous international fusion and fission studies and the environmental, political, and present reality in the U.S., EU, and Japan. Since the inception of the fusion projects in the early 1970s, the majority of power plant designs have focused on the disposal of active materials in geological repositories as the main option for handling the replaceable and life-of-plant components, adopting the preferred fission waste management approach. It is becoming evident that future regulations for geological burial will be upgraded to assure tighter environmental controls. Along with the political difficulty of constructing new repositories worldwide, the current reality suggests reshaping all aspects of handling the continual stream of fusion active materials. There is a growing international effort in support of this new trend. Beginning in the mid 1990s and continuing to the present, fusion designs developed in Europe, U.S., and Japan have examined replacing the disposal option with more environmentally attractive approaches, redirecting their attention to recycling and clearance while continuing the development of materials with low activation potential. These options became more technically feasible in recent years with the development of radiation-hardened remote handling (RH) tools and the introduction of the clearance category for slightly radioactive materials by national and international nuclear agencies. We applied all scenarios to selected fusion studies. While recycling and clearance appeared technically attractive and judged, in some cases, a must requirement to control the radwaste stream, the disposal scheme emerged as the preferred option for specific components for several reasons, including

  6. 76 FR 7526 - Major System Acquisition; Earned Value Management

    Science.gov (United States)

    2011-02-10

    ... that they may compare planned spending with actual spending, isolate the source of performance problems..., since the cost incurred by the government is fixed the requirement for ANSI compliance for performance... Earned Value Management (EVM) is a performance-based tool that gives agency managers an early warning of...

  7. Plasmodium falciparum Resistance to Artemisinin Derivatives and Piperaquine: A Major Challenge for Malaria Elimination in Cambodia

    Science.gov (United States)

    Duru, Valentine; Witkowski, Benoit; Ménard, Didier

    2016-01-01

    Artemisinin-based combination therapies (ACTs) are the cornerstone of current strategies for fighting malaria. Over the last decade, ACTs have played a major role in decreasing malaria burden. However, this progress is being jeopardized by the emergence of artemisinin-resistant Plasmodium falciparum parasites. Artemisinin resistance was first detected in western Cambodia in 2008 and has since been observed in neighboring countries in southeast Asia. The problem of antimalarial drug resistance has recently worsened in Cambodia, with reports of parasites resistant to piperaquine, the latest generation of partner drug used in combination with dihydroartemisinin, leading to worrying rates of clinical treatment failure. The monitoring and the comprehension of both types of resistance are crucial to prevent the spread of multidrug-resistant parasites outside southeast Asia, and particularly to Africa, where the public health consequences would be catastrophic. To this end, new tools are required for studying the biological and molecular mechanisms underlying resistance to antimalarial drugs and for monitoring the geographic distribution of the resistant parasites. In this review, we detail the major advances in our understanding of resistance to artemisinin and piperaquine and define the challenges that the malaria community will have to face in the coming years. PMID:27928074

  8. Major health service transformation and the public voice: conflict, challenge or complicity?

    Science.gov (United States)

    Martin, Graham P; Carter, Pam; Dent, Mike

    2018-01-01

    Objectives Calls for major reconfigurations of health services have been accompanied by recommendations that wide ranging stakeholders be involved. In particular, patients and the wider public are seen as critical contributors as both funders and beneficiaries of public health care. But public involvement is fraught with challenges, and little research has focused on involvement in the health service transformation initiatives. This paper examines the design and function of public involvement in reconfiguration of health services within the English NHS. Methods Qualitative data including interviews, observation and documents were collected in two health service 'transformation' programmes; interviews include involved public and professional participants. Data were analysed using parallel deductive and inductive approaches. Results Public involvement in the programmes was extensive but its terms of reference, and the individuals involved, were restricted by policy pressures and programme objectives. The degree to which participants descriptively or substantively represented the wider public was limited; participants sought to 'speak for' this public but their views on what was 'acceptable' and likely to influence decision-making led them to constrain their contributions. Conclusions Public involvement in two major service reconfiguration programmes in England was seen as important and functional, and could not be characterized as tokenistic. Yet involvement in these programmes fell short of normative ideals, and could inadvertently reduce, rather than enlarge, public influence on health service reconfiguration decisions.

  9. Management of International Institutions and NGOs. Frameworks, practices and challenges

    OpenAIRE

    E. Missoni; D. Alesani

    2014-01-01

    International Institutions (IIs), International NGOs (INGOs) and Transnational Hybrid Organizations (THOs) play a hugely important role in the modern world economy. Despite having been studied by scholars from a range of disciplines, these organizations have never before been approached from a management perspective. This ambitious book analyzes the management challenges associated with interna- tional cooperation and sheds light on how these organizations have evolved as the political, econo...

  10. Radioactive waste management practices in India: achievements and challenges

    International Nuclear Information System (INIS)

    Wattal, P.K.; Basu, S.

    2013-01-01

    Safe and effective management of radioactive waste has been given utmost importance from the very inception of nuclear industry in India. This article gives an account of the basic principles, practices being followed in our country to achieve this objective. A brief description of the existing methods for management of diverse kinds of radioactive wastes including high level radioactive waste and also the research and development activities to address the future challenges is presented in the article. (author)

  11. Blockchains for Business Process Management - Challenges and Opportunities

    OpenAIRE

    Mendling, Jan; Weber, Ingo; van der Aalst, Wil; Brocke, Jan vom; Cabanillas, Cristina; Daniel, Florian; Debois, Soren; Di Ciccio, Claudio; Dumas, Marlon; Dustdar, Schahram; Gal, Avigdor; Garcia-Banuelos, Luciano; Governatori, Guido; Hull, Richard; La Rosa, Marcello

    2017-01-01

    Blockchain technology offers a sizable promise to rethink the way inter-organizational business processes are managed because of its potential to realize execution without a central party serving as a single point of trust (and failure). To stimulate research on this promise and the limits thereof, in this paper we outline the challenges and opportunities of blockchain for Business Process Management (BPM). We first reflect how blockchains could be used in the context of the established BPM l...

  12. Policy challenges for wildlife management in a changing climate

    Science.gov (United States)

    Mark L. Shaffer

    2014-01-01

    Try as it might, wildlife management cannot make wild living things adapt to climate change. Management can, however, make adaptation more or less likely. Given that policy is a rule set for action, policy will play a critical role in society’s efforts to help wildlife cope with the challenge of climate change. To be effective, policy must provide clear goals and be...

  13. The Office of Science Data-Management Challenge

    Energy Technology Data Exchange (ETDEWEB)

    Mount, Richard P.; /SLAC

    2005-10-10

    Science--like business, national security, and even everyday life--is becoming more and more data intensive. In some sciences the data-management challenge already exceeds the compute-power challenge in its needed resources. Leadership in applying computing to science will necessarily require both world-class computing and world-class data management. The Office of Science program needs a leadership-class capability in scientific data management. Currently two-thirds of Office of Science research and development in data management is left to the individual scientific programs. About $18M/year is spent by the programs on data-management research and development targeted at their most urgent needs. This is to be compared with the $9M/year spent on data management by DOE computer science. This highly mission-directed approach has been effective, but only in meeting just the highest-priority needs of individual programs. A coherent, leadership-class, program of data management is clearly warranted by the scale and nature of the Office of Science programs. More directly, much of the Office of Science portfolio is in desperate need of such a program; without it, data management could easily become the primary bottleneck to scientific progress within the next five years. When grouped into simulation-intensive science, experiment/observation-intensive science, and information-intensive science, the Office of Science programs show striking commonalities in their data-management needs. Not just research and development but also packaging and hardening as well as maintenance and support are required. Meeting these needs is a medium- to long-term effort requiring a well-planned program of evolving investment. We propose an Office of Science Data-Management Program at an initial scale of $32M/year of new funding. The program should be managed by a Director charged with creating and maintaining a forward-looking approach to multiscience data-management challenges. The program

  14. Hazardous and toxic waste management in Botswana: practices and challenges.

    Science.gov (United States)

    Mmereki, Daniel; Li, Baizhan; Meng, Liu

    2014-12-01

    Hazardous and toxic waste is a complex waste category because of its inherent chemical and physical characteristics. It demands for environmentally sound technologies and know-how as well as clean technologies that simultaneously manage and dispose it in an environmentally friendly way. Nevertheless, Botswana lacks a system covering all the critical steps from importation to final disposal or processing of hazardous and toxic waste owing to limited follow-up of the sources and types of hazardous and toxic waste, lack of modern and specialised treatment/disposal facilities, technical know-how, technically skilled manpower, funds and capabilities of local institutions to take lead in waste management. Therefore, because of a lack of an integrated system, there are challenges such as lack of cooperation among all the stakeholders about the safe management of hazardous and toxic waste. Furthermore, Botswana does not have a systematic regulatory framework regarding monitoring and hazardous and toxic waste management. In addition to the absence of a systematic regulatory framework, inadequate public awareness and dissemination of information about hazardous and toxic waste management, slower progress to phase-out persistent and bio-accumulative waste, and lack of reliable and accurate information on hazardous and toxic waste generation, sources and composition have caused critical challenges to effective hazardous and toxic waste management. It is, therefore, important to examine the status of hazardous and toxic waste as a waste stream in Botswana. By default; this mini-review article presents an overview of the current status of hazardous and toxic waste management and introduces the main challenges in hazardous and toxic waste management. Moreover, the article proposes the best applicable strategies to achieve effective hazardous and toxic waste management in the future. © The Author(s) 2014.

  15. New perspectives in small-scale fisheries management: challenges ...

    African Journals Online (AJOL)

    This is in response to the recognition that conventional fisheries management is not equipped to deal with the complexities, uncertainties and challenges prevalent in small-scale fishery systems. Consequently, a new fisheries paradigm is emerging based on the principles and ideas underpinning systems thinking, ...

  16. Multi-Institution Research Centers: Planning and Management Challenges

    Science.gov (United States)

    Spooner, Catherine; Lavey, Lisa; Mukuka, Chilandu; Eames-Brown, Rosslyn

    2016-01-01

    Funding multi-institution centers of research excellence (CREs) has become a common means of supporting collaborative partnerships to address specific research topics. However, there is little guidance for those planning or managing a multi-institution CRE, which faces specific challenges not faced by single-institution research centers. We…

  17. Dar es Salaam City and Challenges in Solid Waste Management ...

    African Journals Online (AJOL)

    The focus of this paper is on challenges facing solid waste management in. Manzese and Sinza wards, in Dar es Salaam city. In this paper different ways of generating, disposing waste and the associated problems are surveyed. About 102 people were interviewed. Different methods were employed in data collection which ...

  18. Knowledge management challenges in new business development : Case study observations

    NARCIS (Netherlands)

    Berends, Hans; Vanhaverbeke, Wim; Kirschbaum, Robert

    2007-01-01

    This paper's focus is on the knowledge management challenges that come along with technology-based new business development (NBD). NBD thrives upon the exploration of knowledge, under radical uncertainty. Furthermore, existing knowledge may both enable and constrain the radical innovation process.

  19. The Future of Management Education in Australia: Challenges and Innovations

    Science.gov (United States)

    Hall, Richard; Agarwal, Renu; Green, Roy

    2013-01-01

    Purpose -- The purpose of this paper is to undertake a survey of the external and internal forces changing the nature of business schools and business education. It aims to investigate how management education responds to increasing productivity, innovation and capability challenges, examine how MBA programs currently meet these demands, and how…

  20. Challenges of stroke management in resource-limited settings: A ...

    African Journals Online (AJOL)

    A 19-year-old man presented with a 1-year history of headache, generalised body weakness, ... difficulty with mastication, speech impairment, apathy, and urinary incontinence. ... the patient was treated with aspirin, prednisolone, and physiotherapy. ... Based on this case, we discuss the challenges of stroke management in ...

  1. Challenges of Managing and Planning Peace Education and Peace ...

    African Journals Online (AJOL)

    This paper examined the challenges of managing and planning peace education and peace culture in Nigeria's educational system. Its presents contemporary definitions of peace education and peace culture as well as highlighted the importance of peace education and peace culture in achieving the national goals and ...

  2. Water Management in Africa and the Middle East: Challenges and ...

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

    Book cover Water Management in Africa and the Middle East: Challenges and Opportunities. Directeur(s) : Eglal Rached, Eva Rathgeber, and David B. ... HarassMap et Uber Égypte nouent un partenariat pour sensibiliser la population à la question du harcèlement sexuel. L'organisation HarassMap, soutenue par le CRDI, ...

  3. Challenges in the management of hypertension and heart failure

    NARCIS (Netherlands)

    Beeftink, MMA

    2017-01-01

    The research described in this thesis addresses several challenges in the management of hypertension and heart failure with preserved ejection fraction (HFpEF). It mainly focusses on the influence of antihypertensive medication on the diagnostic work-up strategy of hypertension, the shortcomings of

  4. Scientific challenges in the field of invasive alien plant management

    CSIR Research Space (South Africa)

    Van Wilgen, BW

    2004-01-01

    Full Text Available This article examines scientific challenges in the field of invasion alien plant management in South Africa. Overview of the Working for Water program, Issues of research funding, and Biological control research. It also includes some of the papers...

  5. The pattern and challenges of infertility management in Lagos, Nigeria

    African Journals Online (AJOL)

    EB

    Abstract. Background: Infertility remains a threat to successful reproduction by couples desirous of pregnancy. Objective: To determine the pattern of infertility cases amongst infertile couples seeking care in Lagos University Teaching. Hospital as well as challenges in their management. Methods: A review of the ...

  6. Resource-use conflicts and management challenges for Pugu and ...

    African Journals Online (AJOL)

    Resource-use conflicts and management challenges for Pugu and Kazimzumbwi forest reserves in Kisarawe and Ilala districts, Tanzania. IOE Malugu. Abstract. No Abstract. Discovery and Innovation Vol. 19 (1&2) 2007: pp. 149-174. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD ...

  7. The challenge of fracture management in osteoporotic bones

    African Journals Online (AJOL)

    Conclusion: Osteoporotic fractures are a challenge to orthopaedic and trauma ... operative management careful planning as team work and use of newer .... function and quality of life in these elderly patients. .... on the balance of the above risks and benefits for each ... cement meant to reinforce bone seems optimal solution.

  8. First Nations people's challenge in managing coronary artery disease risk.

    Science.gov (United States)

    King, Kathryn M; Sanguins, Julianne; McGregor, Lisa; LeBlanc, Pamela

    2007-10-01

    First Nations peoples bring a particular history and cultural perspective to healing and well-being that significantly influences their health behaviors. The authors used grounded theory methods to describe and explain how ethnocultural affiliation and gender influence the process that 22 First Nations people underwent when making lifestyle changes related to their coronary artery disease (CAD) risk. The transcribed interviews revealed a core variable, meeting the challenge. Meeting the challenge of CAD risk management was influenced by intrapersonal, interpersonal (relationships with others), extrapersonal (i.e., the community and government), sociodemographic, and gendered factors. Salient elements for the participants included their beliefs about origins of illness, the role of family, challenges to accessing information, financial and resource management, and the gendered element of body image. Health care providers need to understand the historical, social, and culturally embedded factors that influence First Nations people's appraisal of their CAD.

  9. The CRC 20 years: An overview of some of the major achievements and remaining challenges.

    Science.gov (United States)

    Doek, Jaap E

    2009-11-01

    On 20 November 1989, the General Assembly of the United Nations adopted the Convention on the Rights of the Child (CRC). It entered into force on 2 September 1990 and has by now been ratified by 193 States, making the most universally ratified human rights treaty. This overview will present and discuss the impact of this treaty both at the international and the national level, an overview which necessarily has to be limited to some of the developments as a result of the implementation of the CRC. The first part of this paper will be devoted to the impact the CRC had and still has on the setting and development of the international agenda for the promotion and protection of the rights and welfare of children. Special attention will given to developments, achievements, and remaining challenges at the international level with regard to protection of children in armed conflict; prevention and the protection of children from sexual exploitation; and from all forms of violence. This will include some information on the impact of these international developments and actions at the national level, for example, in the area of legislation. The second part will focus on the impact at the national level. Given the wide scope of the CRC this part will be limited to some of the General Measures of Implementation (law reform, national programmes, and independent monitoring) and the General Principles (non-discrimination, best interest, right to be heard) of the CRC. This will be based on reports of States on the implementation of the CRC submitted to the CRC Committee and the Concluding Observations of this Committee and on a number of studies. The conclusion will provide remarks on poverty as one of the major remaining challenges for the implementation of children's rights.

  10. Interoperability in healthcare: major challenges in the creation of the enterprise environment

    Science.gov (United States)

    Lindsköld, L.; Wintell, M.; Lundberg, N.

    2009-02-01

    There is today a lack of interoperability in healthcare although the need for it is obvious. A new healthcare enterprise environment has been deployed for secure healthcare interoperability in the Western Region in Sweden (WRS). This paper is an empirical overview of the new enterprise environment supporting regional shared and transparent radiology domain information in the WRS. The enterprise environment compromises 17 radiology departments, 1,5 million inhabitants, using different RIS and PACS in a joint work-oriented network and additional cardiology, dentistry and clinical physiology departments. More than 160 terabytes of information are stored in the enterprise repository. Interoperability is developed according to the IHE mission, i.e. applying standards such as Digital Imaging and Communication in Medicine (DICOM) and Health Level 7 (HL7) to address specific clinical communication needs and support optimal patient care. The entire enterprise environment is implemented and used daily in WRS. The central prerequisites in the development of the enterprise environment in western region of Sweden were: 1) information harmonization, 2) reuse of standardized messages e.g. HL7 v2.x and v3.x, 3) development of a holistic information domain including both text and images, and 4) to create a continuous and dynamic update functionality. The central challenges in this project were: 1) the many different vendors acting in the region and the negotiations with them to apply communication roles/profiles such as HL7 (CDA, CCR), DICOM, and XML, 2) the question of whom owns the data, and 3) incomplete technical standards. This study concludes that to create a workflow that runs within an enterprise environment there are a number of central prerequisites and challenges that needs to be in place. This calls for negotiations on an international, national and regional level with standardization organizations, vendors, health management and health personnel.

  11. Meeting global health challenges through operational research and management science.

    Science.gov (United States)

    Royston, Geoff

    2011-09-01

    This paper considers how operational research and management science can improve the design of health systems and the delivery of health care, particularly in low-resource settings. It identifies some gaps in the way operational research is typically used in global health and proposes steps to bridge them. It then outlines some analytical tools of operational research and management science and illustrates how their use can inform some typical design and delivery challenges in global health. The paper concludes by considering factors that will increase and improve the contribution of operational research and management science to global health.

  12. The Major Causes for the Failure of Knowledge Management

    International Nuclear Information System (INIS)

    Prusak, L.

    2016-01-01

    Full text: It is a well-known but disheartening fact that many knowledge management projects either fail outright or do not live up to the expected promises of working with knowledge. Some of the causes of these failed attempts are easy to understand: Macroeconomic changes that can constrain an organization’s new project funding; change of ownership or senior management with new ideas and disdain of older projects, and several other forces out of the control of KM managers. However in my experience there are other sources for these failed attempts that are not too difficult to avoid and can make a huge difference in the sustainability and value of knowledge and learning projects. This talk will focus on these—fully aware that there are other disarming factors at work. (author

  13. Managing a major security system installation: Practical lessons learned

    International Nuclear Information System (INIS)

    Roehrig, S.C.

    1986-01-01

    Sandia National Laboratories has been heavily involved for over a decade in aiding a number of DOE facilities in defining and implementing upgraded security safeguards systems. Because security system definition, design, and installation is still a relatively new field to the commercial world, effective project management must pay special attention to first understanding and then interpreting the unique aspects of a security system for all concerned parties. Experiences from an actual security system installation are used to illustrate some project management approaches which have been found to be effective

  14. Expectant management of PPROM and major complications before planned delivery

    DEFF Research Database (Denmark)

    Bendix, J M; Hegaard, H K; Bergholt, T

    2015-01-01

    Women with pre-term pre-labour rupture of membranes (PPROM) 22-33 weeks' gestation were included in a retrospective cohort study with a structured audit to identify risk factors of major complications following PPROM and to assess whether these complications are predictable. Of the 234 women...

  15. Managing major chemical accidents in China: Towards effective risk information

    NARCIS (Netherlands)

    He, G.; Zhang, L.; Lu, Y.; Mol, A.P.J.

    2011-01-01

    Chemical industries, from their very inception, have been controversial due to the high risks they impose on safety of human beings and the environment. Recent decades have witnessed increasing impacts of the accelerating expansion of chemical industries and chemical accidents have become a major

  16. Improving Project Management of Complex or Major Systems

    Science.gov (United States)

    2016-05-05

    Major Automated Information Systems (MAIS) 3 1 Joint Program; Army-Led 2 Joint Program; USMC Led 3 Over 90% expended; non-reporting 4 Limited...funding available through vehicle Mod-lines --- shared across various motor transport programs PB-17 $M (including OCO) Program ACAT FYDP (FY17

  17. Majoring in Money: How American College Students Manage Their Finances

    Science.gov (United States)

    Sallie Mae Bank, 2016

    2016-01-01

    Sallie Mae, the nation's saving, planning, and paying for college company, along with Ipsos, one of the world's largest, independent market research companies, surveyed 800 college students to learn more about how they are managing their finances and using credit. The online survey, completed in December 2015, comprised a cross-section of key…

  18. Data and Workflow Management Challenges in Global Adjoint Tomography

    Science.gov (United States)

    Lei, W.; Ruan, Y.; Smith, J. A.; Modrak, R. T.; Orsvuran, R.; Krischer, L.; Chen, Y.; Balasubramanian, V.; Hill, J.; Turilli, M.; Bozdag, E.; Lefebvre, M. P.; Jha, S.; Tromp, J.

    2017-12-01

    It is crucial to take the complete physics of wave propagation into account in seismic tomography to further improve the resolution of tomographic images. The adjoint method is an efficient way of incorporating 3D wave simulations in seismic tomography. However, global adjoint tomography is computationally expensive, requiring thousands of wavefield simulations and massive data processing. Through our collaboration with the Oak Ridge National Laboratory (ORNL) computing group and an allocation on Titan, ORNL's GPU-accelerated supercomputer, we are now performing our global inversions by assimilating waveform data from over 1,000 earthquakes. The first challenge we encountered is dealing with the sheer amount of seismic data. Data processing based on conventional data formats and processing tools (such as SAC), which are not designed for parallel systems, becomes our major bottleneck. To facilitate the data processing procedures, we designed the Adaptive Seismic Data Format (ASDF) and developed a set of Python-based processing tools to replace legacy FORTRAN-based software. These tools greatly enhance reproducibility and accountability while taking full advantage of highly parallel system and showing superior scaling on modern computational platforms. The second challenge is that the data processing workflow contains more than 10 sub-procedures, making it delicate to handle and prone to human mistakes. To reduce human intervention as much as possible, we are developing a framework specifically designed for seismic inversion based on the state-of-the art workflow management research, specifically the Ensemble Toolkit (EnTK), in collaboration with the RADICAL team from Rutgers University. Using the initial developments of the EnTK, we are able to utilize the full computing power of the data processing cluster RHEA at ORNL while keeping human interaction to a minimum and greatly reducing the data processing time. Thanks to all the improvements, we are now able to

  19. Major accident prevention through applying safety knowledge management approach.

    Science.gov (United States)

    Kalatpour, Omid

    2016-01-01

    Many scattered resources of knowledge are available to use for chemical accident prevention purposes. The common approach to management process safety, including using databases and referring to the available knowledge has some drawbacks. The main goal of this article was to devise a new emerged knowledge base (KB) for the chemical accident prevention domain. The scattered sources of safety knowledge were identified and scanned. Then, the collected knowledge was formalized through a computerized program. The Protégé software was used to formalize and represent the stored safety knowledge. The domain knowledge retrieved as well as data and information. This optimized approach improved safety and health knowledge management (KM) process and resolved some typical problems in the KM process. Upgrading the traditional resources of safety databases into the KBs can improve the interaction between the users and knowledge repository.

  20. The NIOSH Radiation Dose Reconstruction Project: managing technical challenges.

    Science.gov (United States)

    Moeller, Matthew P; Townsend, Ronald D; Dooley, David A

    2008-07-01

    Approximately two years after promulgation of the Energy Employees Occupational Illness Compensation Program Act, the National Institute for Occupational Safety and Health Office of Compensation and Analysis Support selected a contractor team to perform many aspects of the radiation dose reconstruction process. The project scope and schedule necessitated the development of an organization involving a comparatively large number of health physicists. From the initial stages, there were many technical and managerial challenges that required continuous planning, integration, and conflict resolution. This paper identifies those challenges and describes the resolutions and lessons learned. These insights are hopefully useful to managers of similar scientific projects, especially those requiring significant data, technical methods, and calculations. The most complex challenge has been to complete defensible, individualized dose reconstructions that support timely compensation decisions at an acceptable production level. Adherence to applying claimant-favorable and transparent science consistent with the requirements of the Act has been the key to establishing credibility, which is essential to this large and complex project involving tens of thousands of individual stakeholders. The initial challenges included garnering sufficient and capable scientific staff, developing an effective infrastructure, establishing necessary methods and procedures, and integrating activities to ensure consistent, quality products. The continuing challenges include maintaining the project focus on recommending a compensation determination (rather than generating an accurate dose reconstruction), managing the associated very large data and information management challenges, and ensuring quality control and assurance in the presence of an evolving infrastructure. The lessons learned concern project credibility, claimant favorability, project priorities, quality and consistency, and critical

  1. Regional consensus opinion for the management of Beta thalassemia major in the Arabian Gulf area

    Science.gov (United States)

    2013-01-01

    Thalassemia syndrome has diverse clinical presentations and a global spread that has far exceeded the classical Mediterranean basin where the mutations arose. The mutations that give rise to either alpha or beta thalassemia are numerous, resulting in a wide spectrum of clinical severity ranging from carrier state to life-threatening, inherited hemolytic anemia that requires regular blood transfusion. Beta thalassemia major constitutes a remarkable challenge to health care providers. The complications arising due to the anemia, transfusional iron overload, as well as other therapy-related complications add to the complexity of this condition. To produce this consensus opinion manuscript, a PubMed search was performed to gather evidence-based original articles, review articles, as well as published work reflecting the experience of physicians and scientists in the Arabian Gulf region in an effort to standardize the management protocol. PMID:24044606

  2. Risk management: Role of societal factors in major industrial accidents

    International Nuclear Information System (INIS)

    Hovden, J.; Rausand, M.; Sergeev, G.

    1995-01-01

    The paper discusses factors influencing the occurrence of major accidents in complex technological systems. Societal factors are identified as most significant in this context. Important types of societal factors are pin-pointed and discussed. The safety situation in the former Soviet Union and in today's Russian is described. The calamities at Chernobyl, Three Mile Island, and partly also Bhopal are discussed, and the role of societal factors identified. A main point of view is that it is not surprising that these catastrophes happened in the then existing conditions. What is surprising is that they did not happen earlier exclamation point

  3. Management of Severe Perineal Injuries in Major Pelvic Fractures

    Directory of Open Access Journals (Sweden)

    A Jangjoo

    2009-01-01

    Full Text Available Introduction: Significant perineal injuries and major pelvic fractures resulting from blunt trauma manifest a high-energy injury. Open pelvic fractures (with perineal injury are associated with higher mortality rates of 40 to 60 %. Methods: This study was a review of patients with multiple traumas comprising of major pelvic fracture and severe perineal injuries (Shahid Kamyab hospital in Mashhad from 2002- 2005. A total of 11 patients, with pelvic fracture and perineal injuries (injury to urethra and anal canal were entered in the study. The data was gathered by a checklist and analyzed with SPSS software. Results: The population under study included 11 patients (9 male, 2 female with a mean age of 35years. Cause of trauma in all patients was motor vehicle accidents. All of the patients in the first 6 hours of admission received at least 4 liters of serum ringer lactate and 3 units of packed cells. The mean of packed cell received was 8 units and one patient needed 21 units of packed cells. All of patients were taken to the operating room for diverting colostomy, distal rectal washout, cystostomy and radical debridment and irrigation of devitalized tissue. Good results were achieved in 9 patients and there was one case of mortality and one morbidity (ARF. Conclusion: Open pelvic fractures and perineal injuries are associated with higher mortality rates. Prompt diagnosis and proper treatment (reanimation, colostomy, cystostomy, debridment and irrigation is the key to success.

  4. Contemporary management practices and challenges: The Scandinavian perspective

    DEFF Research Database (Denmark)

    Ulhøi, John Parm; Madsen, Henning

    2001-01-01

    Managers are facing the challenge of an ever-changing environment, ranging from increasing globalization, through the technologization of physical processes, to virtual ways of communicating. The response to this has been a gradual shift from rule-based to value-based management styles...... and practices. In order to obtain an insight into how far this development has proceeded, a structured survey of about 1500 top, middle and line managers from the private and public sectors was carried out. Among other interesting results, the study suggests that 'softer' as well as externally oriented roles...... in general are gaining increasing importance at the expense of rules and control. Moreover, managers from the private sector seem to be more steeped in traditional 'hard' managerial roles related to the operational level than their public-sector counterparts. Put another way, evidence supports the conclusion...

  5. Waste management in Greenland: current situation and challenges

    DEFF Research Database (Denmark)

    Eisted, Rasmus; Christensen, Thomas Højlund

    2011-01-01

    Waste management in Greenland (56 000 inhabitants) is characterized by landfilling, incineration and export to Denmark of small quantities of metals and hazardous waste. The annual amount of waste is estimated to about 50 000 tons but actual data are scarce. Data on the waste composition is basic...... are small and equipped with only moderate flue gas cleaning technology. This report summarizes the current waste management situation in Greenland and identifies important challenges in improving the waste management....... is basically lacking. The scattered small towns and settlements, the climate and the long transport distances between towns and also to recycling industries abroad constitute a complex situation with respect to waste management. The landfills have no collection of gas and leachate and the incinerators...

  6. Information management challenges of the EOS Data and Information System

    Science.gov (United States)

    Mcdonald, Kenneth R.; Blake, Deborah J.

    1991-01-01

    An overview of the current information management concepts that are embodied in the plans for the Earth Observing System Data and Information System (EOSDIS) is presented, and some of the technology development and application areas that are envisioned to be particularly challenging are introduced. The Information Management System (IMS) is the EOSDIS element that provides the primary interface between the science users and the data products and services of EOSDIS. The goals of IMS are to define a clear and complete set of functional requirements and to apply innovative methods and technologies to satisfy them. The information management functions are described in detail, and some applicable technolgies are discussed. Some of the general issues affecting the successful development and operation of the information management element are addressed.

  7. NETWORKS OF HEALTH CARE: A CHALLENGE TO SUS MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Camila Dubow

    2013-09-01

    Full Text Available The article proposes a critical reflection, based on national law, scholarly, scientific, on the current development of Networks of Health Care, as a strategy for strengthening the Single Health System (SUS. Are weighted inefficiency of traditional ways of organizing care and management, the challenge of Network Health Care for comprehensive care and management mechanisms used in this process. The work provides subsidies for the care practices and health management are reflected, pointing strategies that result in disruptions of paradigms through a refocusing of attention in existing models. For networks of health care can be consolidated, is fundamental to political sensitivity of health managers with a commitment to build a new model of care, through the struggle to consolidate the SUS and the realization of the principles of universality, comprehensiveness and equity.

  8. Risk Management Challenges in Large-scale Energy PSS

    DEFF Research Database (Denmark)

    Tegeltija, Miroslava; Oehmen, Josef; Kozin, Igor

    2017-01-01

    Probabilistic risk management approaches have a long tradition in engineering. A large variety of tools and techniques based on the probabilistic view of risk is available and applied in PSS practice. However, uncertainties that arise due to lack of knowledge and information are still missing...... adequate representations. We focus on a large-scale energy company in Denmark as one case of current product/servicesystems risk management best practices. We analyze their risk management process and investigate the tools they use in order to support decision making processes within the company. First, we...... identify the following challenges in the current risk management practices that are in line with literature: (1) current methods are not appropriate for the situations dominated by weak knowledge and information; (2) quality of traditional models in such situations is open to debate; (3) quality of input...

  9. New challenges for Life Sciences flight project management

    Science.gov (United States)

    Huntoon, C. L.

    1999-01-01

    Scientists have conducted studies involving human spaceflight crews for over three decades. These studies have progressed from simple observations before and after each flight to sophisticated experiments during flights of several weeks up to several months. The findings from these experiments are available in the scientific literature. Management of these flight experiments has grown into a system fashioned from the Apollo Program style, focusing on budgeting, scheduling and allocation of human and material resources. While these areas remain important to the future, the International Space Station (ISS) requires that the Life Sciences spaceflight experiments expand the existing project management methodology. The use of telescience with state-the-art information technology and the multi-national crews and investigators challenges the former management processes. Actually conducting experiments on board the ISS will be an enormous undertaking and International Agreements and Working Groups will be essential in giving guidance to the flight project management Teams forged in this matrix environment must be competent to make decisions and qualified to work with the array of engineers, scientists, and the spaceflight crews. In order to undertake this complex task, data systems not previously used for these purposes must be adapted so that the investigators and the project management personnel can all share in important information as soon as it is available. The utilization of telescience and distributed experiment operations will allow the investigator to remain involved in their experiment as well as to understand the numerous issues faced by other elements of the program The complexity in formation and management of project teams will be a new kind of challenge for international science programs. Meeting that challenge is essential to assure success of the International Space Station as a laboratory in space.

  10. The importance of fungi and mycology for addressing major global challenges*.

    Science.gov (United States)

    Lange, Lene

    2014-12-01

    In the new bioeconomy, fungi play a very important role in addressing major global challenges, being instrumental for improved resource efficiency, making renewable substitutes for products from fossil resources, upgrading waste streams to valuable food and feed ingredients, counteracting life-style diseases and antibiotic resistance through strengthening the gut biota, making crop plants more robust to survive climate change conditions, and functioning as host organisms for production of new biological drugs. This range of new uses of fungi all stand on the shoulders of the efforts of mycologists over generations: the scientific discipline mycology has built comprehensive understanding within fungal biodiversity, classification, evolution, genetics, physiology, ecology, pathogenesis, and nutrition. Applied mycology could not make progress without this platform. To unfold the full potentials of what fungi can do for both environment and man we need to strengthen the field of mycology on a global scale. The current mission statement gives an overview of where we are, what needs to be done, what obstacles to overcome, and which potentials are within reach. It further provides a vision for how mycology can be strengthened: The time is right to make the world aware of the immense importance of fungi and mycology for sustainable global development, where land, water and biological materials are used in a more efficient and more sustainable manner. This is an opportunity for profiling mycology by narrating the role played by fungi in the bioeconomy. Greater awareness and appreciation of the role of fungi can be used to build support for mycology around the world. Support will attract more talent to our field of study, empower mycologists around the world to generate more funds for necessary basic research, and strengthen the global mycology network. The use of fungi for unlocking the full potentials of the bioeconomy relies on such progress. The fungal kingdom can be an

  11. Challenges in Downscaling Surge and Flooding Predictions Associated with Major Coastal Storm Events

    Science.gov (United States)

    Bowman, M. J.

    2015-12-01

    Coastal zone managers, elected officials and emergency planning personnel are continually seeking more reliable estimates of storm surge and inundation for better land use planning, the design, construction and operation of coastal defense systems, resilience evaluation and evacuation planning. Customers of modern regional weather and storm surge prediction models demand high resolution, speed, accuracy, with informative, interactive graphics and easy evaluation of potentially dangerous threats to life and property. These challenges continue to get more difficult as the demand for street-scale and even building-scale predictions increase. Fluctuations in sub-grid-scale wind and water velocities can lead to unsuspected, unanticipated and dangerous flooding in local communities. But how reliable and believable are these models given the inherent natural uncertainty and chaotic behavior in the underlying dynamics, which can lead to rapid and unexpected perturbations in the wind and pressure fields and hence coastal flooding? Traditionally this uncertainty has been quantified by the use of the ensemble method, where a suite of model runs are made with varying physics and initial conditions, presenting the mean and variance of the ensemble as the best metrics possible. But this assumes that each component is equally possible and is statistically independent of the others. But this is rarely true, although the "safety in numbers" approach is comforting to those faced with life and death decisions. An example of the ensemble method is presented for the trajectory of superstorm Sandy's storm center as it approached coastal New Jersey. If one were to ask the question "was Sandy a worst case scenario", the answer would be "no: small variations in the timing (vis-à-vis tide phase) and location of landfall could easily have led to an additional surge of +50 cm at The Battery NY with even more catastrophic consequences to those experienced".

  12. Forest Management Challenges for Sustaining Water Resources in the Anthropocene

    Directory of Open Access Journals (Sweden)

    Ge Sun

    2016-03-01

    Full Text Available The Earth has entered the Anthropocene epoch that is dominated by humans who demand unprecedented quantities of goods and services from forests. The science of forest hydrology and watershed management generated during the past century provides a basic understanding of relationships among forests and water and offers management principles that maximize the benefits of forests for people while sustaining watershed ecosystems. However, the rapid pace of changes in climate, disturbance regimes, invasive species, human population growth, and land use expected in the 21st century is likely to create substantial challenges for watershed management that may require new approaches, models, and best management practices. These challenges are likely to be complex and large scale, involving a combination of direct and indirect biophysical watershed responses, as well as socioeconomic impacts and feedbacks. We discuss the complex relationships between forests and water in a rapidly changing environment, examine the trade-offs and conflicts between water and other resources, and propose new management approaches for sustaining water resources in the Anthropocene.

  13. Shaping a sustainable energy future for India: Management challenges

    International Nuclear Information System (INIS)

    Bhattacharyya, Subhes C.

    2010-01-01

    Most of the studies on the Indian energy sector focus on the possible future scenarios of Indian energy system development without considering the management dimension to the problem-how to ensure a smooth transition to reach the desired future state. The purpose of this paper is to highlight some sector management concerns to a sustainable energy future in the country. The paper follows a deductive approach and reviews the present status and possible future energy outlooks from the existing literature. This is followed by a strategy outline to achieve long-term energy sustainability. Management challenges on the way to such a sustainable future are finally presented. The paper finds that the aspiration of becoming an economic powerhouse and the need to eradicate poverty will necessarily mean an increase in energy consumption unless a decoupling of energy and GDP growth is achieved. Consequently, the energy future of the country is eminently unsustainable. A strategy focussing on demand reduction, enhanced access, use of local resources and better management practices is proposed here. However, a sustainable path faces a number of challenges from the management and policy perspectives.

  14. Challenges in the management of intraocular parasitic infections

    Directory of Open Access Journals (Sweden)

    Ashish Mitra

    2015-01-01

    Full Text Available Parasitic worms in eye is something which is not very uncommon these days. People who eat undercooked food and have pets at home are at more risk to have parasitic infections. Chemoparalysis has been reported in literature using either viscoelastics or preservative free lidocaine (intracamerally to paralyze the worms that help in retrieval, but still one can face tricky situations while managing such conditions. Importance lies in the management of such cases as it can be really challenging at times and no report exists in the literature which mentions the importance of topical lidocaine along with viscoelastics or preservative free lidocaine for retrieval of the worm.

  15. Blockchains for Business Process Management - Challenges and Opportunities

    DEFF Research Database (Denmark)

    Mendling, Jan; Weber, Ingo; Van Der Aalst, Wil

    2018-01-01

    Blockchain technology offers a sizable promise to rethink the way inter-organizational business processes are managed because of its potential to realize execution without a central party serving as a single point of trust (and failure). To stimulate research on this promise and the limits thereof......, in this paper we outline the challenges and opportunities of blockchain for Business Process Management (BPM). We first reflect how blockchains could be used in the context of the established BPM lifecycle and second how they might become relevant beyond. We conclude our discourse with a summary of seven...... research directions for investigating the application of blockchain technology in the context of BPM...

  16. Managing an outpatient parenteral antibiotic therapy team: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Halilovic J

    2014-06-01

    Full Text Available Jenana Halilovic,1 Cinda L Christensen,2 Hien H Nguyen31University of the Pacific Thomas J Long School of Pharmacy, Stockton, CA, USA; 2Department of Pharmaceutical Services, University of California, Davis Health System, Sacramento, CA, USA; 3Division of Infectious Diseases, Section of Hospital Medicine, University of California, Davis Health System, Sacramento, CA, USAAbstract: Outpatient parenteral antimicrobial therapy (OPAT programs should strive to deliver safe, cost effective, and high quality care. One of the keys to developing and sustaining a high quality OPAT program is to understand the common challenges or barriers to OPAT delivery. We review the most common challenges to starting and managing an OPAT program and give practical advice on addressing these issues.Keywords: OPAT, quality, safety, program management

  17. Connectivity, interoperability and manageability challenges in internet of things

    Science.gov (United States)

    Haseeb, Shariq; Hashim, Aisha Hassan A.; Khalifa, Othman O.; Ismail, Ahmad Faris

    2017-09-01

    The vision of Internet of Things (IoT) is about interconnectivity between sensors, actuators, people and processes. IoT exploits connectivity between physical objects like fridges, cars, utilities, buildings and cities for enhancing the lives of people through automation and data analytics. However, this sudden increase in connected heterogeneous IoT devices takes a huge toll on the existing Internet infrastructure and introduces new challenges for researchers to embark upon. This paper highlights the effects of heterogeneity challenges on connectivity, interoperability, management in greater details. It also surveys some of the existing solutions adopted in the core network to solve the challenges of massive IoT deployment. The paper finally concludes that IoT architecture and network infrastructure needs to be reengineered ground-up, so that IoT solutions can be safely and efficiently deployed.

  18. Managing a major R et D program: isotope separation

    International Nuclear Information System (INIS)

    Ferrari, A.

    1988-01-01

    After the choice (in 1969) of the pressurized water type reactors which use enriched uranium, it became imperative for France to have facilities to enrich the uranium. The choice of the industrial process, the correlative decisions related to research and development and the search for alliances with partners abroad in a disturbed and changing energy context are retraced in this article. The choice of the Eurodif plant was the gaseous diffusion process. It still remains necessary to maintain research efforts concerning competitive technologies, i.e. ultracentrifuging and chemical process. The oil crisis augured well for massive recourse to nuclear energy. Then there was a cut-back in nuclear programs and enrichment capacities became lastingly higher than needs. So it became necessary to optimally pilot a selection of research paths, with long term orientation. The techniques, based on the use of the laser, provide an advance glimpse of major, even spectacular prospects of lowering the costs of isotope separation [fr

  19. Pregnancy and pituitary disorders: Challenges in diagnosis and management

    OpenAIRE

    Bashir A Laway; Shahnaz A Mir

    2013-01-01

    Pregnancy is associated with normal physiological changes in endocrine system that assists fetal survival as well as preparation of labor. The pituitary gland is one of the most affected organs in which major changes in anatomy and physiology take place. Due to overlapping clinical and biochemical features of pregnancy, sometimes the diagnosis of pituitary disorders may be challenging. It is important to know what normal parameters of changes occur in endocrine system in order to diagnose and...

  20. Management Challenges for DevOps Adoption within UK SMEs

    OpenAIRE

    Jones, Stephen; Noppen, Joost; Lettice, Fiona

    2016-01-01

    The DevOps phenomenon is gathering pace as more UK organisations seek to leverage the benefits it can potentially bring to software engineering functions. However substantial organisational change is inherent to adopting DevOps, especially where there are prior and established methods. As part of a wider piece of doctoral research investigating the management challenges of DevOps adoption, we present early findings of a six month qualitative diary study following the adoption of DevOps within...

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

    OpenAIRE

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

    2012-01-01

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

  2. Modeling and Management of Big Data: Challenges and opportunities

    OpenAIRE

    Gil, David; Song, Il-Yeol

    2016-01-01

    The term Big Data denotes huge-volume, complex, rapid growing datasets with numerous, autonomous and independent sources. In these new circumstances Big Data bring many attractive opportunities; however, good opportunities are always followed by challenges, such as modelling, new paradigms, novel architectures that require original approaches to address data complexities. The purpose of this special issue on Modeling and Management of Big Data is to discuss research and experience in modellin...

  3. Nordic hydrogen energy foresight - challenges of managing the interactive process

    DEFF Research Database (Denmark)

    Eerola, A.; Loikkanen, T.; Koljonen, T.

    2005-01-01

    The paper discusses the managerial challenges of the Nordic Hydrogen Energy Foresight, a joint effort of the five Nordic countries (Denmark, Finland, Iceland, Norway, Sweden). Interaction between research, industry and government, and combination ofjudgmental and formal procedures, were essential...... of the project in the light of a dynamic model ofshared knowledge creation. In particular, the ways in which the design and the methodological tools facilitated the process and its management are discussed. Some suggestions for forthcoming foresight exercises are also presented....

  4. HUMAN CAPITAL: Major Human Capital Challenges at SEC and Key Trade Agencies

    National Research Council Canada - National Science Library

    Hillman, Richard

    2002-01-01

    .... The leadership provided by this subcommittee and the Senate Committee on Governmental Affairs has been especially important in focusing attention on the federal government s human capital challenges.

  5. Challenges faced in rural hospitals: the experiences of nurse managers in Uganda.

    Science.gov (United States)

    Kakyo, T A; Xiao, L D

    2018-04-19

    The aim of this study was to understand nurse ward managers perceived challenges in the rural healthcare setting in Uganda. The health workforce, essential medicines and equipment and political unrest are the main factors affecting the international community in addressing the hefty disease burden in World Health Organization African regions. Nurse ward managers have an important role to play to mitigate these factors in health facilities in these regions through leadership, supervision and support for staff. This study utilized interpretive phenomenology based on Gadamer's hermeneutical principles. Eleven nurse managers from two rural public hospitals in Uganda were interviewed. Those with more than a 2-year experience in their management role were invited to participate in the study. Nurse managers pointed out four major challenges with staffing, while they worked in the rural healthcare settings. These are summarized into themes: 'Numbers do matter'; 'I cannot access them when I need them at work'; 'Challenges in dealing with negative attitudes'; and 'Questioning own ability to manage health services'. Health facilities in rural areas face extremely low staff-to-patient ratio, a high level of workload, lack of essential medicines and equipment, low salaries and delayed payment for staff. Nurse managers demonstrated situation-based performance to minimize the impact of these challenges on the quality and safety of patient care, but they had less influence on policy and resource development. It is imperative to mobilize education for nurse ward managers to enable them to improve leadership, management skills and to have a greater impact on policy and resource development. © 2018 International Council of Nurses.

  6. Challenges of Integrated Water Resources Management in Indonesia

    Directory of Open Access Journals (Sweden)

    Mohamad Ali Fulazzaky

    2014-07-01

    Full Text Available The increased demands for water and land in Indonesia as a consequence of the population growth and economic development has reportedly have been accelerated from the year to year. The spatial and temporal variability of human induced hydrological changes in a river basin could affect quality and quantity of water. The challenge is that integrated water resources management (IWRM should cope with complex issues of water in order to maximize the resultant economic and social welfare in an equitable manner, without compromising the sustainability of vital ecosystems. Even though the government of Indonesia has adopted new paradigm for water resources management by the enactment of Law No. 7/2004 on water resources, the implementation of IWRM may face the technical and managerial challenges. This paper briefly reviews the implementation of IWRM and related principles and provides an overview of potential water-related issues and progress towards implementation of IWRM in Indonesia. The availability of water and a broader range of water-related issues are identified. The recommended actions for improving the future IWRM are suggested. Challenges to improve the capacity buildings of IWRM related to enabling environment, institutional frameworks and management instruments are verified to contribute to the future directions for efficient problem-solving ability.

  7. Quality of care in the management of major obstetric haemorrhage.

    LENUS (Irish Health Repository)

    Johnson, S N

    2012-02-01

    Substandard care is reported to occur in a large number of cases of major obstetric haemorrhage (MOH). A prospective audit was carried out by a multidisciplinary team at our hospital over a one year period to assess the quality of care (QOC) delivered to women experiencing MOH. MOH was defined according to criteria outlined in the Scottish Audit of Maternal Morbidity (SAMM). 31 cases were identified yielding an incidence of 3.5\\/1000 deliveries. The predominant causes were uterine atony 11 (35.4%), retained products of conception 6 (19.3%) and placenta praevia\\/accreta 6 (19.3%). Excellent initial resuscitation and monitoring was noted with a high level of senior staff input. Indicators of QOC compared favourably with the SAMM. Areas for improvement were identified. This pilot study demonstrates the feasibility of detailed prospective data collection in MOH in a busy Dublin obstetric unit with a view to developing a national audit. Standardization of definitions allows for international comparisons.

  8. Project management of life-science research projects: project characteristics, challenges and training needs.

    Science.gov (United States)

    Beukers, Margot W

    2011-02-01

    Thirty-four project managers of life-science research projects were interviewed to investigate the characteristics of their projects, the challenges they faced and their training requirements. A set of ten discriminating parameters were identified based on four project categories: contract research, development, discovery and call-based projects--projects set up to address research questions defined in a call for proposals. The major challenges these project managers are faced with relate to project members, leadership without authority and a lack of commitment from the respective organization. Two-thirds of the project managers indicated that they would be interested in receiving additional training, mostly on people-oriented, soft skills. The training programs that are currently on offer, however, do not meet their needs. Copyright © 2010 Elsevier Ltd. All rights reserved.

  9. Experiences addressing health-related financial challenges with disease management among African American women with asthma.

    Science.gov (United States)

    Patel, Minal R; Caldwell, Cleopatra H; Id-Deen, Effat; Clark, Noreen M

    2014-06-01

    Despite economic hardship, compliance with self-management regimens is still evident among individuals and families managing chronic disease. The purpose of this study was to describe how women with asthma address cost-related challenges to management of their condition. In 2012 and 2013, four focus groups were conducted in Southeast Michigan with 26 African American women with asthma, recruited based on maximum variation sampling procedures. A semi-structured interview protocol was employed by trained facilitators. Coded transcripts were analyzed for themes regarding means to reduce the impact of the cost of asthma management. Major themes identified were acceptance of the status quo; stockpiling and sharing medicines; utilizing community assistance programs; reaching out to healthcare providers and social networks for help; foregoing self-management; and utilizing urgent care. Awareness of strategies that are helpful to patients in reducing out-of-pocket costs may better equip service providers and others to develop interventions to make useful strategies more widely available.

  10. Financial management challenges for general hospital psychiatry 2001.

    Science.gov (United States)

    Goldberg, R J

    2001-01-01

    Psychiatry programs are facing significant business and financial challenges. This paper provides an overview of these management challenges in five areas: departmental, hospital, payment system, general finance, and policy. Psychiatric leaders will require skills in a variety of business management areas to ensure their program success. Many programs will need to develop new compensation models with more of an emphasis on revenue collection and overhead management. Programs which cannot master these areas are likely to go out of business. For academic programs, incentive systems must address not only clinical productivity, but academic and teaching output as well. General hospital programs will need to develop increased sophistication in differential cost accounting in order to be able to advocate for their patients and program in the current management climate. Clinical leaders will need the skills (ranging from actuarial to negotiations) to be at the table with contract development, since those decisions are inseparable from clinical care issues. Strategic planning needs to consider the value of improving integration with primary care, along with the ability to understand the advantages and disadvantages of risk-sharing models. Psychiatry leaders need to define and develop useful reports shared with clinical division leadership to track progress and identify problems and opportunities. Leaders should be responsible for a strategy for developing appropriate information system architecture and infrastructure. Finally, it is hoped that some leaders will emerge who can further our needs to address inequities in mental health fee schedules and parity issues which affect our program viability.

  11. Scintiscanning and Roentgenographic Procedures in Managing Major Pulmonary Disorders

    Energy Technology Data Exchange (ETDEWEB)

    Taplin, G. V.; Poe, N. D. [UCLA School of Medicine, Los Angeles (United States); Dore, E. K. [Memorial Hospital, Long Beach (United States); Swanson, L. A.; Isawa, T. [Los Angeles County Harbor General Hospital, Torrance (United States); Greenberg, A. [Olive View Hospital, Olive View, CA (United States)

    1969-05-15

    The need for practical methods which measure regional as well as integrated pulmonary functions is largely fulfilled by two types of scintiscanning procedure. Chest scanning after the intravenous injection of radioalbumin macroaggregates is a safe and widely applicable procedure for measuring relative arterial perfusion to all parts of the lung. The lung scan image is a photograhic pattern of pulmonary arterial blood flow. Its unique capacity to reveal localized ischemia makes scanning a valuable test of regional lung function, because oligemic lung can not conduct gas exchange normally. The scan has no diagnostic significance by itself but when interpreted in conjunction with chest films and pertinent clinical and laboratory data, scanning becomes a useful diagnostic adjunct and supplements the results of pulmonary function tests and roentgenographic procedures. Chest scanning after radioaerosol inhalation delineates the volume of aerated lung and gives a measure of regional alveolar ventilation in normal subjects and patients without obstructive airways disease. In patients with bronchogenic carcinoma, chronic bronchitis, bronchiectasis and emphysema, the inhalation scan reveals the site(s) of partial or total obstruction but does not give a true measure of alveolar ventilation. In such patients, repeated scans performed 6-18 hours later, when excessive aerosol deposits in the airways are removed by the ciliary escalator mechanism, provide more reliable information on regional disturbances of alveolar ventilation. Both types of lung scintiscanning may be performed during the same visit by using radioactive test agents of widely different energy spectra, such as {sup 99m}Tc albumin aerosol followed by {sup 131}I albumin macroaggregates. This report reviews our five years clinical experience with chest scintiscanning and roentgenography in studying nearly 5000 patients with pulmonary disease. The major categories included: suspected pulmonary embolism, proven

  12. Risk Management Challenges in Large-scale Energy PSS

    DEFF Research Database (Denmark)

    Tegeltija, Miroslava; Oehmen, Josef; Kozin, Igor

    2017-01-01

    data and representation of the results to the decision makers play an important role. Second, we introduce a selection of alternative, so-called “post-probabilistic”, risk management methods developed across different scientific fields to cope with uncertainty due to lack of knowledge. Possibilities......Probabilistic risk management approaches have a long tradition in engineering. A large variety of tools and techniques based on the probabilistic view of risk is available and applied in PSS practice. However, uncertainties that arise due to lack of knowledge and information are still missing...... for overcoming industrial PSS risk management challenges are suggested through application of post-probabilistic methods. We conclude with the discussion on the importance for the field to consider their application....

  13. Legacy management: An old challenge with a new focus

    International Nuclear Information System (INIS)

    Gillogly, Mari; ); Sneve, Malgorzata; Smith, Graham

    2017-01-01

    The NEA Expert Group on Legacy Management (EGLM) aims to promote a practical and optimised approach for the regulatory supervision of nuclear legacy sites and installations. NEA member countries share their experiences and approaches on legacy management and have submitted case studies to the EGLM that illustrate the common challenges and approaches of many countries. The first report of the expert group will be based on these case studies and will be released in late 2017. A new, broader focus on decommissioning and legacy management issues within the NEA is expected to take shape in early 2018, carrying forward the mission to develop and promote a practical and optimised approach for the regulatory supervision of nuclear legacy sites and installations

  14. Dealing with completeness, structural hierarchy, and seismic coupling issues: three major challenges for #Fault2SHA

    Science.gov (United States)

    Valensise, Gianluca; Barba, Salvatore; Basili, Roberto; Bonini, Lorenzo; Burrato, Pierfrancesco; Carafa, Michele; Kastelic, Vanja; Fracassi, Umberto; Maesano, Francesco Emanuele; Tarabusi, Gabriele; Tiberti, Mara Monica; Vannoli, Paola

    2016-04-01

    The vast majority of active faulting studies are performed at the scale of individual, presumably seismogenic faults or fault strands. Most SHA approaches and models, however, require homogeneus information on potential earthquake sources over the entire tectonic domain encompassing the site(s) of interest. Although it is out of question that accurate SHA must rely on robust investigations of individual potential earthquake sources, it is only by gathering this information in regionally extensive databases that one can address some of the most outstanding issues in the use of #Fault2SHA. We will briefly recall three issues that are particularly relevant in the investigation of seismogenic faulting in southern Europe. A fundamental challenge is the completeness of the geologic record of active faulting. In most tectonic environments many potential seismogenic faults are blind or hidden, or deform the lower crust without leaving a discernible signal at the surface, or occur offshore, or slip so slowly that nontectonic erosional-depositional processes easily outpace their surface effects. Investigating only well-expressed faults is scientifically rewarding but also potentially misleading as it draws attention on the least insidious faults, leading to a potential underestimation of the regional earthquake potential. A further issue concerns the hierarchy of fault systems. Most active faults do not comprise seismogenic sources per se but are part of larger systems, and slip only in conjunction with the master fault of each system. In the most insidious cases, only secondary faults are expressed at the surface while the master fault lies hidden beneath them. This may result in an overestimation of the true number of seismogenic sources that occur in each region and in a biased identification of the characteristics of the main player in each system. Recent investigations of geologic and geodetic vs earthquake release budgets have shown that the "seismic coupling", which

  15. Setting priorities for the proactive management of longterm challenges and opportunities in Asset Life Cycle Management

    NARCIS (Netherlands)

    Ruitenburg, Richard Jacob; Braaksma, Anne Johannes Jan; van Diepen, T.

    2016-01-01

    Asset Life Cycle Management concerns the effective management of physical assets over their complete lifetimes, typically lasting decades. Therefore, a large number and a wide variety of challenges and opportunities may need to be dealt with proactively, using limited resources. Therefore, we

  16. Efficiency of management of sustainable development – challenges, problems, barriers

    Directory of Open Access Journals (Sweden)

    Zięba K.

    2016-06-01

    Full Text Available This paper discusses such issues as the importance of efficiency management of sustainable development. In the authors’ opinion, this matter is currently topical subject due to, among others, on the still high costs of irrational management in the field. Dynamically changing environment forces to search for new solutions for efficiency management of sustainable development, and unfortunately, in many countries it is still a significant problem. For some countries, the efficiency management of sustainable development is difficult. It should be noted that the problem with the inaction of relevant activities of the countries in the field of development of efficiency management of sustainability development will grow, because globalization makes it necessary to generate new solutions emerging to date problems. Facing each country there are so many challenges in the field. However, some countries are aware of the seriousness of the problem and therefore take a number of measures in this regard, often regardless of the amount of costs. This has an impact on their competitiveness. Apparent is also increasing incorporation of new original solutions in the field of sustainable development management.

  17. Integrated groundwater management: An overview of concepts and challenges

    Science.gov (United States)

    Jakeman, Anthony J.; Barreteau, Olivier; Hunt, Randall J.; Rinaudo, Jean-Daniel; Ross, Andrew; Jakeman, Anthony J.; Barreteau, Olivier; Hunt, Randall J.; Rinaudo, Jean-Daniel; Ross, Andrew

    2016-01-01

    Managing water is a grand challenge problem and has become one of humanity’s foremost priorities. Surface water resources are typically societally managed and relatively well understood; groundwater resources, however, are often hidden and more difficult to conceptualize. Replenishment rates of groundwater cannot match past and current rates of depletion in many parts of the world. In addition, declining quality of the remaining groundwater commonly cannot support all agricultural, industrial and urban demands and ecosystem functioning, especially in the developed world. In the developing world, it can fail to even meet essential human needs. The issue is: how do we manage this crucial resource in an acceptable way, one that considers the sustainability of the resource for future generations and the socioeconomic and environmental impacts? In many cases this means restoring aquifers of concern to some sustainable equilibrium over a negotiated period of time, and seeking opportunities for better managing groundwater conjunctively with surface water and other resource uses. However, there are many, often-interrelated, dimensions to managing groundwater effectively. Effective groundwater management is underpinned by sound science (biophysical and social) that actively engages the wider community and relevant stakeholders in the decision making process. Generally, an integrated approach will mean “thinking beyond the aquifer”, a view which considers the wider context of surface water links, catchment management and cross-sectoral issues with economics, energy, climate, agriculture and the environment. The aim of the book is to document for the first time the dimensions and requirements of sound integrated groundwater management (IGM). The primary focus is on groundwater management within its system, but integrates linkages beyond the aquifer. The book provides an encompassing synthesis for researchers, practitioners and water resource managers on the concepts and

  18. HUMAN CAPITAL: Major Human Capital Challenges at SEC and Key Trade Agencies

    National Research Council Canada - National Science Library

    Hillman, Richard

    2002-01-01

    We appreciate the opportunity to appear here today to discuss the human capital challenges facing the agencies that play key roles in monitoring publicly traded companies and enforcing our nation's trade laws...

  19. Major Challenges for the Modern Chemistry in Particular and Science in General.

    Science.gov (United States)

    Uskokovíc, Vuk

    2010-11-01

    In the past few hundred years, science has exerted an enormous influence on the way the world appears to human observers. Despite phenomenal accomplishments of science, science nowadays faces numerous challenges that threaten its continued success. As scientific inventions become embedded within human societies, the challenges are further multiplied. In this critical review, some of the critical challenges for the field of modern chemistry are discussed, including: (a) interlinking theoretical knowledge and experimental approaches; (b) implementing the principles of sustainability at the roots of the chemical design; (c) defining science from a philosophical perspective that acknowledges both pragmatic and realistic aspects thereof; (d) instigating interdisciplinary research; (e) learning to recognize and appreciate the aesthetic aspects of scientific knowledge and methodology, and promote truly inspiring education in chemistry. In the conclusion, I recapitulate that the evolution of human knowledge inherently depends upon our ability to adopt creative problem-solving attitudes, and that challenges will always be present within the scope of scientific interests.

  20. Challenges in Regulating Radiation Sources and Associated Waste Management

    International Nuclear Information System (INIS)

    Shehzad, A.

    2016-01-01

    Radiation sources are widely used in the fields of medical, industry, agriculture, research, etc. Owing to the inherent risk of exposure to ionizing radiations while using the radiation sources and management of associated waste, safety measures are of utmost importance including robust regulatory control. Pakistan Nuclear Regulatory Authority (PNRA) is responsible for supervising all matters pertaining to nuclear safety and radiation protection in the country. Since its inception, PNRA has made rigorous efforts to regulate the radiation facilities for which regulatory framework was further strengthened by taking into account international norms/practices and implemented afterwards. However, due to vibrant use of these facilities, there are numerous challenges being faced while implementing the regulatory framework. These challenges pertains to shielding design of some facilities, control over service provider for QC/repair maintenance of radiation equipment, assessment of patient doses, and establishment of national diagnostic reference levels for radiological procedures. Further, the regulatory framework also delineate requirements to minimize the generation of associated radioactive waste as low as practicable. The requirements also necessitates that certain sealed radioactive sources (SRS) are returned to the supplier upon completion of their useful life, while other radioactive sources are required to be transported for storage at designated radioactive waste storage facilities in the country, which requires commitment from the licensee. This paper will briefly describe the challenges in regulating the radiation sources and issues related to the waste management associated with these facilities. (author)

  1. Knowledge management at the IAEA - Challenges and opportunities

    International Nuclear Information System (INIS)

    Yanev, Y.L.; Cherif, S.

    2004-01-01

    Full text: 'Knowledge Management caters to the critical issues of organizational adaptation, survival and competence in face of increasingly discontinuous change of environment. Essentially, it embodies organizational processes that seek synergistic combination of data and information processing capacity of information technologies, and the creative and innovative capacity of human beings' (Malhotra 1997). International organizations are coming to view knowledge as their most valuable and strategic resource, and bringing that knowledge to bear on problems and opportunities as their most important capability. It is being realised that to remain geared to the evolving needs of their Member States it is a must to explicitly manage all intellectual resources and capabilities of the organization. To this end, many international organizations have initiated a range of knowledge management projects and programs. The primary focus of these efforts has been on developing new applications of information technology to support the digital capture, storage, retrieval and distribution of an organization's documented knowledge but also capturing valuable tacit knowledge existing within peoples' heads, augmented or shared via interpersonal interaction and social relationships. Numerous technical and organizational initiatives have been aligned and integrated, providing a comprehensive infrastructure to support knowledge management processes. But while the appropriate infrastructure can enhance an organization's ability to create and exploit knowledge, it does not insure that the organization is making the best investment of its resources or that it is managing the right knowledge in the right way. Against the background of these trends and the opportunities and challenges they present, the Agency has been active in establishing knowledge management as a crosscutting activity that includes both assisting Member States in managing their own nuclear knowledge assets but also in

  2. Assessing Outcomes of a Realistic Major Preview in an Introductory Sport Management Course

    Science.gov (United States)

    Pierce, David; Wanless, Elizabeth; Johnson, James

    2014-01-01

    This paper assessed the outcomes of a field experience assignment (FEA) in an introductory sport management course designed as a realistic major preview. Student learning outcomes assessed were commitment to the major, intent to pursue the major, expectation of a career in sports, and perceived preparation for a career in sports. A…

  3. Challenges in the management of glaucoma in developing countries.

    Science.gov (United States)

    Butt, Nadeem Hafeez; Ayub, Muhammad Hammad; Ali, Muhammad Hassaan

    2016-01-01

    Glaucoma is the most common optic neuropathy characterized by normal to raised intraocular pressure (IOP), visual field defects, loss of retinal nerve fiber layer, thinning of the neuroretinal rim, and cupping of the optic disc. IOP reduction by medical, laser, or surgical therapies remains the only clinically proven treatment of glaucoma. The challenges in glaucoma management are diverse. They include early detection and diagnosis, setting of appropriate target IOP, choice of treatment, monitoring of quality of life and sight, and compliance with the treatment. Early diagnosis can be made by assessing optic nerve structure using imaging devices and optic nerve function through perimetry. Reducing IOP and controlling its fluctuations are considered to be the most important factors in limiting progression of glaucoma. Selection of the best suitable therapy out of medical, surgical, or laser treatment options is yet another management challenge. Patients suffering from glaucoma experience poor quality of life owing to the diagnosis itself, functional visual loss, inconvenience and cost of treatment, and side effects of treatment. All these factors lead to poor compliance, adherence, and persistence to treatment, and further progression of the disease. It is, therefore, important that ophthalmologists keep all the aforementioned factors in mind when managing patients with glaucoma.

  4. Internet of Things, Challenges for Demand Side Management

    Directory of Open Access Journals (Sweden)

    Simona-Vasilica OPREA

    2017-01-01

    Full Text Available The adoption of any new product means also the apparition of new issues and challenges, and this is especially true when we talk about a mass adoption. The advent of Internet of Things (IoT devices will be, in the authors of this paper opinion, the largest and the fastest product adoption yet to be seen, as several early sources were predicting a volume of 50 billion IoT devices to be active by 2020 [1][2]. While later forecasts reduced the predicted amount to about 20-30 billion devices [3], even for such “reduced” number, demand side management issues are foreseeable, for the potential economic impact of IoT applications in 2025 will be between 3.9 and $11.1 trillion USD [4]. Not only that new patterns will emerge in energy consumption and Internet traffic, but we predict that the sheer amount of data produced by this quantity of IoT devices will give birth to a new sort of demand side management, the demand side management of IoT data. How will this work is yet to be seen but, at the current moment, one can at least identify the bits and pieces that will constitute it. This paper is intended to serve as short guide regarding the possible challenges raised by the adoption of IoT devices. The data types and structures, lifecycle and patterns will be briefly discussed throughout the following article.

  5. Water management: Current and future challenges and research directions

    Science.gov (United States)

    Cosgrove, William J.; Loucks, Daniel P.

    2015-06-01

    Water distinguishes our planet compared to all the others we know about. While the global supply of available freshwater is more than adequate to meet all current and foreseeable water demands, its spatial and temporal distributions are not. There are many regions where our freshwater resources are inadequate to meet domestic, economic development and environmental needs. In such regions, the lack of adequate clean water to meet human drinking water and sanitation needs is indeed a constraint on human health and productivity and hence on economic development as well as on the maintenance of a clean environment and healthy ecosystems. All of us involved in research must find ways to remove these constraints. We face multiple challenges in doing that, especially given a changing and uncertain future climate, and a rapidly growing population that is driving increased social and economic development, globalization, and urbanization. How best to meet these challenges requires research in all aspects of water management. Since 1965, the journal Water Resources Research has played an important role in reporting and disseminating current research related to managing the quantity and quality and cost of this resource. This paper identifies the issues facing water managers today and future research needed to better inform those who strive to create a more sustainable and desirable future.

  6. Challenges in the management of the blood supply.

    Science.gov (United States)

    Williamson, Lorna M; Devine, Dana V

    2013-05-25

    Although blood suppliers are seeing short-term reductions in blood demand as a result of initiatives in patient blood management, modelling suggests that during the next 5-10 years, blood availability in developed countries will need to increase again to meet the demands of ageing populations. Increasing of the blood supply raises many challenges; new approaches to recruitment and retainment of future generations of blood donors will be needed, and care will be necessary to avoid taking too much blood from these donors. Integrated approaches in blood stock management between transfusion services and hospitals will be important to minimise wastage--eg, by use of supply chain solutions from industry. Cross-disciplinary systems for patient blood management need to be developed to lessen the need for transfusion--eg, by early identification and reversal of anaemia with haematinics or by reversal of the underlying cause. Personalised medicine could be applied to match donors to patients, not only with extended blood typing, but also by using genetically determined storage characteristics of blood components. Growing of red cells or platelets in large quantities from stem cells is a possibility in the future, but challenges of cost, scaling up, and reproducibility remain to be solved. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Colorectal cancer: complexities and challenges in managed care.

    Science.gov (United States)

    Minkoff, Neil B

    2007-08-01

    Managed care weighs advances and associated costs to determine whether the combination of longer life at sometimes significantly increased cost represents value. The price of treatment is only 1 factor. To review treatment decision processes for oncologic agents in managed care environments. Price can be exceptionally high for individuals. But if the population size is low, the per-member-per-month (PMPM) impact can be almost negligible, unlike treatments that have moderate costs but are used ubiquitously. Cancer therapies have, for the most part, escaped managed care's notice. For 2007, the national Cancer Institute projects that antineoplastic agents will consume almost a quarter of the overall drug spend. The Medicare population is a unique concern with regard to cancer. Traditionally, Medicare reimbursement of chemotherapeutic agents was based on average wholesale price (AWP) discounting, not the oncologist's purchasing cost. This allowed oncologists to use reimbursement for infusions to support their medical practices. The proposed plan of the Center for Medicare & Medicaid Services (CMS) to use average sales price (ASP) plus 6% to reimburse for drugs used in the office setting leads to significant problems. Pharmacy and therapeutics committees will also face challenges: fewer data are available for some agents because they have become available through the U.S. Food and drug administration's Fast Track, Priority review, or accelerated approval processes. Oncology disease management programs must reach out to patients and not necessarily deal with oncology issues directly, but address tangential issues that impact care, especially depression and pain management.

  8. Some Challenges the Management Confronts with, in the Financial Institutions

    Directory of Open Access Journals (Sweden)

    Laurentiu Mihai Treapat

    2014-02-01

    Full Text Available In this paper, we analyze some features and components of the management in general, and of the management in the financial area in particular. Special attention is given to how they cope with some risk which could affect their activity. Trying to find from practice what kind of difficulties the management faces in their work, for sure, we get to interesting conclusions and furthermore, to optimum solutions. We already have some data, result of some earlier preoccupations of the specialists (Dănilă and Berea, 2000 pp.39-48 while others can be foreseen as specific elements for the beginning of the 3rd millennium, that started with what the rating agencies seem to admit as the most important economic decline and prolonged recession risk within the post World War II history. We consider an evaluation of the challenges the management confronts with, lately - while subject to pressures and to the need for radical changes that come with an astonishing speed and that are enhanced by the shareholders’ desperate need to protect their capital. Findings reveal that, in any business enterprise the shareholders’ strategy and the management’s objectives are earning new clients, enlarging the market share, creating added value and on these bases, maximizing the gained profits. We consider that the volatile and fluctuant nature of the raw material the banks operate with - namely the money – turn the management in this area into a particular one, depicted by some specific features, which we analyze in the following pages.

  9. Identification of hazelnut major allergens in sensitive patients with positive double-blind, placebo-controlled food challenge results

    DEFF Research Database (Denmark)

    Pastorello, Elide A; Vieths, Stefan; Pravettoni, Valerio

    2002-01-01

    The hazelnut major allergens identified to date are an 18-kd protein homologous to Bet v 1 and a 14-kd allergen homologous to Bet v 2. No studies have reported hazelnut allergens recognized in patients with positive double-blind, placebo-controlled food challenge (DBPCFC) results or in patients...

  10. Sustainability Management in Agribusiness: Challenges, Concepts, Responsibilities and Performance

    Directory of Open Access Journals (Sweden)

    Nina Friedrich

    2012-12-01

    Full Text Available The idea of sustainable management has recently gained growing attention in the agribusiness sector. This is mainly due to a widespread discontent with the industrialization of agricultural production and food processing and growing public pressure on agribusiness firms to implement more sustainable management practices. In this paper we present the results of an explorative empirical study of sustainability management in German agribusiness firms. The study shows that agribusiness firms have developed a broad understanding of sustainability management and perceive a multi-facetted spectrum of societal demands they have to meet. The most important arguments for implementing more sustainable management practices are that companies have to make sure that they are trusted by society in the long run and that the perception of a company by external stakeholders has become more and more important. The companies surveyed know quite a number of sustainability programmes and standards, but the number of companies that actually participate in these initiatives is much smaller. Nonetheless, the majority of the respondents feels that their company is more successful with regard to sustainability management than industry average.

  11. Climate Change and Risk Management Challenges in the Arctic

    DEFF Research Database (Denmark)

    Jakobsen, Uffe

    Climate change or global warming results in melting ice in the Arctic, both inland and sea ice. This opens up opportunities of natural ressource extraction and possibilities of new shipping routes, that opens up opportunities for increased maritime activities. However, with these opportunies come...... also the challenges of increased maritime activities that result in several risks in the Arctic such as the risk of pollution and the risks of accidents, which produce a need for preparedness towards oil spill and towards search and rescue (SAR) and institutions for SAR. Since the Arctic is such a huge...... possibilies of transborder risk management and partnership building....

  12. Handbook of Research on E-Transformation and Human Resources Management Technologies: Organizational Outcomes and Challenges

    NARCIS (Netherlands)

    Bondarouk, Tatiana; Ruel, Hubertus Johannes Maria; Guiderdoni-Jourdain, Karine; Oiry, Ewan

    2009-01-01

    Digital advancements and discoveries are now challenging traditional human resource management services within businesses. The Handbook of Research on E-Transformation and Human Resources Management Technologies: Organizational Outcomes and Challenges provides practical, situated, and unique

  13. Pneumonia: challenges in the definition, diagnosis, and management of disease.

    Science.gov (United States)

    Ottosen, Julie; Evans, Heather

    2014-12-01

    Defining health care-associated pneumonia, which includes both hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), is problematic and controversial. Aspiration pneumonia is often included as a subtype of HAP but may be related to community-acquired aspiration events. Scoring systems exist and new surveillance guidelines have been implemented to make early recognition of pneumonia more precise and objective. Management and prevention should follow recommendations, including early empirical therapy, targeted therapy, and limited duration of treatment. Patients with trauma present a challenge to the diagnosis and management of pneumonia, because of increased risk for aspiration and underlying chest and pulmonary injury. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. E-LEARNING CHANGE MANAGEMENT: Challenges and opportunities

    Directory of Open Access Journals (Sweden)

    Alaattin PARLAKKILIC

    2013-10-01

    Full Text Available The role of e-learning technologies entirely depends on the acceptance and execution of required-change in the thinking and behaviour of the users of institutions. The research are constantly reporting that many e-learning projects are falling short of their objectives due to many reasons but on the top is the user resistance to change according to the digital requirements of new era. It is argued that the suitable way for change management in e-learning environment is the training and persuading of users with a view to enhance their digital literacy and thus gradually changing the users’ attitude in positive direction. This paper discusses change management in transition to e-learning system considering pedagogical, cost and technical implications. It also discusses challenges and opportunities for integrating these technologies in higher learning institutions with examples from Turkey GATA (Gülhane Askeri Tıp Akademisi-Gülhane Military Medical Academy.

  15. Acanthosis nigricans in obese adolescents: prevalence, impact, and management challenges

    Directory of Open Access Journals (Sweden)

    Ng HY

    2016-12-01

    Full Text Available Hak Yung Ng Department of Paediatrics and Adolescent Medicine, Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong, China Abstract: Obesity in adolescence is a public health priority because it usually tracks into adulthood, resulting in enormous medical and social costs. This underscores the importance of early identification and intervention. Acanthosis nigricans (AN was once considered a rare paraneoplastic dermatosis, but is now frequently observed in obese adolescents. Current understanding suggests that it is associated with insulin resistance and has a unique role in secondary prevention. The purpose of this narrative review is to provide a comprehensive overview of AN in obese adolescents, covering its history, current knowledge on the condition, its clinical significance, management challenges, and the direction of future research. Keywords: Differential diagnosis, screening, insulin resistance, type 2 diabetes mellitus, metabolically healthy obesity, behavioral weight management, pharmacotherapy, bariatric surgery

  16. Managing the cigeo design: a challenge and an opportunity

    International Nuclear Information System (INIS)

    Muscetti, R.

    2015-01-01

    INGEROP is working since years on the French Deep Geological Repository's design for Andra, carrying out since 2012 the preliminary design, the global project management and the technical integration for the engineering of the Cigeo project (in a 50-50 consortium with the French company TECHNIP). The article presents some particular organizational aspects that turned out to be more challenging than foreseen in the course of our activities. Starting from the presentation of real examples, some lessons learned are derived as well as practices of interest in solving analogue issues in similar projects, with focus on its application to the management of engineering phase of geological repositories and other 'megaprojects' in different countries. (author)

  17. Ensuring energy security in ASEAN countries: Current trends and major challenges

    Science.gov (United States)

    Senderov, Sergey; Vorobev, Sergey

    2018-01-01

    The paper discusses the issues of formation of future challenges to energy security of the ASEAN countries in the period up to 2035. The article gives examples of strategic threats to the energy security of Russia. The opportunities to meet future demand for primary energy for individual countries of ASEAN and the whole region are discussed.

  18. Challenges for Sustainable Land Management through Climate-Smart Agriculture

    Science.gov (United States)

    Dougill, Andrew; Stringer, Lindsay

    2017-04-01

    There are increasing pushes for agricultural land management to be both sustainable and climate-smart (in terms of increasing productivity, building resilience to climate change and enhancing carbon storage). Climate-smart agriculture initiatives include conservation agriculture, based on minimum soil disturbance, permanent soil cover and crop rotation, and agroforestry. Such efforts address key international goals of the United Nations Convention to Combat Desertification (UNCCD) and United Nations Framework Convention on Climate Change (UNFCCC), but as yet have not seen widespread uptake. Based on analyses of different project interventions from across a range of southern African countries, we outline the inter-related challenges that are preventing adoption of climate-smart agriculture initiatives. We then identify routes to building multi-stakeholder partnerships and empowering communities through participatory monitoring with the aim of increasing uptake of such sustainable land management practices. Good practice examples remain largely restricted to local-level project interventions with significant donor (or private-sector) support, aligned to short-term community priorities relating to access to inputs or reduced labour requirements. Scaling-up to district- and national-level initiatives is yet to be widely successful due to problems of: limited policy coherence; a lack of communication between stakeholders at different levels; and limited understanding of long-term benefits associated with changes in agricultural practices. We outline opportunities associated with improved communication of climate information, empowerment of district-level adaptation planning and diversification of agricultural livelihood strategies as key routes to guide farmers towards more sustainable, and climate-smart, land management practices. Recent experiences in Malawi, which has experienced significant floods and an El Niño drought year in the last two years, are used to

  19. Survey of business process management: challenges and solutions

    Science.gov (United States)

    Alotaibi, Youseef; Liu, Fei

    2017-09-01

    The current literature shows that creating a good framework on business process model (PM) is not an easy task. A successful business PM should have the ability to ensure accurate alignment between business processes (BPs) and information technology (IT) designs, provide security protection, manage the rapidly changing business environment and BPs, manage customer power, be flexible for reengineering and ensure that IT goals can be easily derived from business goals and hence an information system (IS) can be easily implemented. This article presents an overview of research in the business PM domain. We have presented a review of the challenges facing business PMs, such as misalignment between business and IT, difficulty of deriving IT goals from business goals, creating secured business PM, reengineering BPs, managing the rapidly changing BP and business environment and managing customer power. Also, it presents the limitations of existing business PM frameworks. Finally, we outline several guidelines to create good business PM and the possible further research directions in the business PM domain.

  20. Management challenges faced by managers of New Zealand long-term care facilities.

    Science.gov (United States)

    Madas, E; North, N

    2000-01-01

    This article reports on a postal survey of 78 long-term care managers in one region of New Zealand, of whom 45 (58%) responded. Most long-term care managers (73.2%) were middle-aged females holding nursing but not management qualifications. Most long-term care facilities (69%) tended to be stand-alone facilities providing a single type of care (rest home or continuing care hospital). The most prominent issues facing managers were considered to be inadequate funding to match the growing costs of providing long-term care and occupancy levels. Managers believed that political/regulatory, economic and social factors influenced these issues. Despite a turbulent health care environment and the challenges facing managers, long-term care managers reported they were coping well and valued networking.

  1. V&V of Fault Management: Challenges and Successes

    Science.gov (United States)

    Fesq, Lorraine M.; Costello, Ken; Ohi, Don; Lu, Tiffany; Newhouse, Marilyn

    2013-01-01

    This paper describes the results of a special breakout session of the NASA Independent Verification and Validation (IV&V) Workshop held in the fall of 2012 entitled "V&V of Fault Management: Challenges and Successes." The NASA IV&V Program is in a unique position to interact with projects across all of the NASA development domains. Using this unique opportunity, the IV&V program convened a breakout session to enable IV&V teams to share their challenges and successes with respect to the V&V of Fault Management (FM) architectures and software. The presentations and discussions provided practical examples of pitfalls encountered while performing V&V of FM including the lack of consistent designs for implementing faults monitors and the fact that FM information is not centralized but scattered among many diverse project artifacts. The discussions also solidified the need for an early commitment to developing FM in parallel with the spacecraft systems as well as clearly defining FM terminology within a project.

  2. Baltic Sea hazardous substances management: results and challenges.

    Science.gov (United States)

    Selin, Henrik; VanDeveer, Stacy D

    2004-05-01

    The introduction into the Baltic Sea of hazardous substances that are persistent, bioaccumulate, and are toxic is an important environmental and human health problem. Multilateral efforts to address this problem have primarily been taken under the Helsinki Commission (HELCOM). This article examines past HELCOM efforts on hazardous substances, and discusses future challenges regarding their management. The article finds that past actions on hazardous substances have had a positive effect on improving Baltic environmental quality and reducing human health risks, although there are remaining issues and difficulties that need to be addressed. In particular, four related future challenges for HELCOM management of hazardous substances are identified and discussed: i) the need to engender further implementation and building public and private sector capacities; ii) the need to improve data availability, quality and comparability across the region and international fora; iii) the need to strengthen existing regulations and incorporate new issues; and iv) the need to effectively coordinate HELCOM activities with efforts on hazardous substances in other international fora.

  3. Clinical challenges in the management of vaginal prolapse

    Directory of Open Access Journals (Sweden)

    Siddiqui NY

    2014-01-01

    Full Text Available Nazema Y Siddiqui, Autumn L EdenfieldDivision of Urogynecology and Reconstructive Surgery, Duke University Medical Center, Durham, NC, USAAbstract: Pelvic organ prolapse is highly prevalent, and negatively affects a woman’s quality of life. Women with bothersome prolapse may be offered pessary management or may choose to undergo corrective surgery. In choosing the most appropriate surgical procedure, there are many factors to consider. These may include the location(s of anatomic defects, the severity of prolapse symptoms, the activity level of the woman, and concerns regarding the durability of the repair. In many instances, women and their surgeons are challenged to weigh the risks and benefits of native tissue versus mesh-augmented repairs. Though mesh-augmented repairs may offer better durability, they are also associated with unique complications, such as mesh erosion. Furthermore, newer surgical techniques of mesh placement via abdominal or vaginal routes may result in different outcomes compared to traditional techniques. Biologic grafts may also be considered to improve durability of a surgical repair, while avoiding potential complications of synthetic mesh. In this article, we review many of the clinical challenges that gynecologic surgeons face in the surgical management of vaginal prolapse. Furthermore, we review data that can help guide decision making when treating women with pelvic organ prolapse.Keywords: pelvic organ prolapse, vaginal prolapse, surgery, sacrocolpopexy, sacrospinous ligament fixation, transvaginal mesh, uterosacral ligament suspension

  4. Clinical challenges in the management of vaginal prolapse

    Science.gov (United States)

    Siddiqui, Nazema Y; Edenfield, Autumn L

    2014-01-01

    Pelvic organ prolapse is highly prevalent, and negatively affects a woman’s quality of life. Women with bothersome prolapse may be offered pessary management or may choose to undergo corrective surgery. In choosing the most appropriate surgical procedure, there are many factors to consider. These may include the location(s) of anatomic defects, the severity of prolapse symptoms, the activity level of the woman, and concerns regarding the durability of the repair. In many instances, women and their surgeons are challenged to weigh the risks and benefits of native tissue versus mesh-augmented repairs. Though mesh-augmented repairs may offer better durability, they are also associated with unique complications, such as mesh erosion. Furthermore, newer surgical techniques of mesh placement via abdominal or vaginal routes may result in different outcomes compared to traditional techniques. Biologic grafts may also be considered to improve durability of a surgical repair, while avoiding potential complications of synthetic mesh. In this article, we review many of the clinical challenges that gynecologic surgeons face in the surgical management of vaginal prolapse. Furthermore, we review data that can help guide decision making when treating women with pelvic organ prolapse. PMID:24474848

  5. What Are the Lived Challenges Experienced by Black Females in a STEM Doctoral Program at a Majority White Institution?

    Science.gov (United States)

    Cleare, Sharlane S.

    The purpose of this study is to explore the challenges experienced by Black female STEM doctoral students at a Majority White Institution. This study examined how, and to what extent did the Majority White Institution's STEM environment influenced such challenges. The qualitative phenomenological approach to this investigation utilized the lenses of Black Feminist Thought and Critical Race Feminism Theoretical Frameworks as interconnected lenses by which to conceptualize this phenomenon. This study answered the following question: What are the lived challenges experienced by Black female in a STEM doctoral program at a Majority White Institution? Purposeful and snowball sampling were employed to recruit participants for this investigation. Both sampling methods were selected because of their wide use in qualitative investigations, as well as their proven ability to precisely source quality participants (Biernacki, & Waldorf,1981; Palinkas, Horwitz, Green, Wisdom, Duan, & Hoagwood, (2015). Observations, in-depth semi-structured interviews, and focus groups were conducted with eleven (11) Black females STEM doctoral students currently studying at a large Majority White Institution in the Midwest. The findings from this study suggest that this is a phenomenon worthy of considerable attention. Research in the area of Black females in STEM doctoral programs at Majority White Institutions can be further expanded and updated. Therefore, this study will contribute and supplement existing literature on Black females in STEM doctoral programs at Majority White Institutions. Most importantly, the results obtained from this study can assist Majority White Institutions in the development and enhancement of programs and policies specifically geared towards addressing the needs of this underrepresented minority population segment.

  6. A remotely piloted aircraft system in major incident management: concept and pilot, feasibility study.

    Science.gov (United States)

    Abrahamsen, Håkon B

    2015-06-10

    Major incidents are complex, dynamic and bewildering task environments characterised by simultaneous, rapidly changing events, uncertainty and ill-structured problems. Efficient management, communication, decision-making and allocation of scarce medical resources at the chaotic scene of a major incident is challenging and often relies on sparse information and data. Communication and information sharing is primarily voice-to-voice through phone or radio on specified radio frequencies. Visual cues are abundant and difficult to communicate between teams and team members that are not co-located. The aim was to assess the concept and feasibility of using a remotely piloted aircraft (RPA) system to support remote sensing in simulated major incident exercises. We carried out an experimental, pilot feasibility study. A custom-made, remotely controlled, multirotor unmanned aerial vehicle with vertical take-off and landing was equipped with digital colour- and thermal imaging cameras, a laser beam, a mechanical gripper arm and an avalanche transceiver. We collected data in five simulated exercises: 1) mass casualty traffic accident, 2) mountain rescue, 3) avalanche with buried victims, 4) fisherman through thin ice and 5) search for casualties in the dark. The unmanned aerial vehicle was remotely controlled, with high precision, in close proximity to air space obstacles at very low levels without compromising work on the ground. Payload capacity and tolerance to wind and turbulence were limited. Aerial video, shot from different altitudes, and remote aerial avalanche beacon search were streamed wirelessly in real time to a monitor at a ground base. Electromagnetic interference disturbed signal reception in the ground monitor. A small remotely piloted aircraft can be used as an effective tool carrier, although limited by its payload capacity, wind speed and flight endurance. Remote sensing using already existing remotely piloted aircraft technology in pre

  7. Challenges in Managing Trustworthy Large-scale Digital Science

    Science.gov (United States)

    Evans, B. J. K.

    2017-12-01

    The increased use of large-scale international digital science has opened a number of challenges for managing, handling, using and preserving scientific information. The large volumes of information are driven by three main categories - model outputs including coupled models and ensembles, data products that have been processing to a level of usability, and increasingly heuristically driven data analysis. These data products are increasingly the ones that are usable by the broad communities, and far in excess of the raw instruments data outputs. The data, software and workflows are then shared and replicated to allow broad use at an international scale, which places further demands of infrastructure to support how the information is managed reliably across distributed resources. Users necessarily rely on these underlying "black boxes" so that they are productive to produce new scientific outcomes. The software for these systems depend on computational infrastructure, software interconnected systems, and information capture systems. This ranges from the fundamentals of the reliability of the compute hardware, system software stacks and libraries, and the model software. Due to these complexities and capacity of the infrastructure, there is an increased emphasis of transparency of the approach and robustness of the methods over the full reproducibility. Furthermore, with large volume data management, it is increasingly difficult to store the historical versions of all model and derived data. Instead, the emphasis is on the ability to access the updated products and the reliability by which both previous outcomes are still relevant and can be updated for the new information. We will discuss these challenges and some of the approaches underway that are being used to address these issues.

  8. Fault Management Architectures and the Challenges of Providing Software Assurance

    Science.gov (United States)

    Savarino, Shirley; Fitz, Rhonda; Fesq, Lorraine; Whitman, Gerek

    2015-01-01

    The satellite systems Fault Management (FM) is focused on safety, the preservation of assets, and maintaining the desired functionality of the system. How FM is implemented varies among missions. Common to most is system complexity due to a need to establish a multi-dimensional structure across hardware, software and operations. This structure is necessary to identify and respond to system faults, mitigate technical risks and ensure operational continuity. These architecture, implementation and software assurance efforts increase with mission complexity. Because FM is a systems engineering discipline with a distributed implementation, providing efficient and effective verification and validation (VV) is challenging. A breakout session at the 2012 NASA Independent Verification Validation (IVV) Annual Workshop titled VV of Fault Management: Challenges and Successes exposed these issues in terms of VV for a representative set of architectures. NASA's IVV is funded by NASA's Software Assurance Research Program (SARP) in partnership with NASA's Jet Propulsion Laboratory (JPL) to extend the work performed at the Workshop session. NASA IVV will extract FM architectures across the IVV portfolio and evaluate the data set for robustness, assess visibility for validation and test, and define software assurance methods that could be applied to the various architectures and designs. This work focuses efforts on FM architectures from critical and complex projects within NASA. The identification of particular FM architectures, visibility, and associated VVIVV techniques provides a data set that can enable higher assurance that a satellite system will adequately detect and respond to adverse conditions. Ultimately, results from this activity will be incorporated into the NASA Fault Management Handbook providing dissemination across NASA, other agencies and the satellite community. This paper discusses the approach taken to perform the evaluations and preliminary findings from the

  9. CHALLENGES IN THE MANAGEMENT OF GLAUCOMA IN A DEVELOPING COUNTRY; A QUALITATIVE STUDY OF PROVIDERS' PERSPECTIVES.

    Science.gov (United States)

    Adekoya, B J; Adepoju, F G; Moshood, K F; Balarabe, A H

    2015-01-01

    Glaucoma management is challenging to patients as well as to the eye care providers. The study is aimed at describing the challenges faced by providers using qualitative methods. In-depth interviews were conducted with selected Ophthalmologists and resident doctors in ophthalmology at centres offering medical and surgical glaucoma services in Lagos state, Nigeria, according to established qualitative methods. This was done using semi-structured, open ended questions to explore the providers' perspective on glaucoma burden, challenges in the management, surgery for glaucoma, acceptance of glaucoma surgery by patients, and recommendations for improving glaucoma services. The discussions were recorded with the aid of a micro-cassette recorder. Familiarisation was done to identify key ideas in the data, then, the main themes and sub-themes were identified. Quotes that reflect the themes and sub-themes were then identified in the data. In-depth interviews were conducted with a total of 11 ophthalmologists and resident doctors in training. Majority were of the opinion that glaucoma is a significant burden constituting about 35% of outpatient visits. Identified patient related challenges include; late presentation, lack of glaucoma awareness, delay in referral from optometrists, and poor compliance with medications. Shortages in needed equipment were also identified. Availability, affordability and counterfeiting of drugs were the major challenges related to medical treatment. Majority of the participants agreed that surgery should be offered to the patients as soon as the diagnosis of glaucoma is made. However, continuous monitoring of the patient on medical treatment is another line of option for them in early cases; if they are convinced the patients will be compliant. Some respondents considered the current number of glaucoma surgeries as adequate, while some think otherwise. Reasons put forward for reluctance to offer glaucoma surgery include; late presentation, lack

  10. The Challenges of Managing Transnational Education Partnerships: The Views of "Home-Based" Managers vs "In-Country" Managers

    Science.gov (United States)

    Healey, Nigel Martin

    2018-01-01

    Purpose: The purpose of this paper is to investigate the challenges of managing transnational education (TNE) partnerships from the perspective of the home university managers. Design/methodology/approach: The study adopts a qualitative, "insider researcher" methodology. It uses a sample set of eight mangers who operate from the home…

  11. Courage under Fire: Duval County's School Board Chair Faces a Major Leadership Challenge

    Science.gov (United States)

    Fossey, Richard; Jenkins, Lynn

    2011-01-01

    This case set in Jacksonville, Florida, covers the years 1998 to 2001. A new nontraditional superintendent, Major General John C. Fryer, focuses on student achievement, but financial needs and Florida law require him to bid contracts for student transportation, upsetting a 50-year pattern of contracting without competitive bidding with more than…

  12. The international gas markets. Of major changes and challenges for Europe

    International Nuclear Information System (INIS)

    Westphal, Kirsten

    2014-01-01

    Already in the 2010 edition of its World Energy Outlook the World Energy Agency noted an unprecedented degree of uncertainty surrounding the international energy markets. The rate of change in these markets is indeed stupendous, posing formidable tasks to business companies as well as the political leadership. The European gas markets face new challenges in protecting their security of supply which stem from the combined effects of the shift of LNG trade flows into the Pacific region, decreasing rates of home production and the ongoing transformation process within the EU.

  13. Decentralization Challenges for Management of Cultural Patrimony in Ecuador

    Directory of Open Access Journals (Sweden)

    Dr.C. Carlos Leonel Escudero-Sánchez

    2015-10-01

    Full Text Available In Latin America  the new  decentralization policies in  the forms of government  challenging  institutional  processes  and management  practices.  In the context of  Ecuador  responds to  a constitutional  mandate expressed in  the reformulation of  the powers of the  municipal  autonomous governments. Consequently, the main  purpose of the article  is to present  the main  principles  expressed  in the  protection, evaluation and dissemination of cultural heritage.  Therefore  the  exercise of autonomy  and decentralization  is governed  by the principles  of solidarity, subsidiarity,  territorial equity, integration and participation.  Hence,  the main results  are  part of  the systematization of  such  socio-economic, institutional, governance  and participation, legal and financial  management of cultural heritage contexts.Keywords: decentralization, cultural heritage, cultural management, citizen participation.

  14. Municipal solid waste management in China: status, problems and challenges.

    Science.gov (United States)

    Zhang, Dong Qing; Tan, Soon Keat; Gersberg, Richard M

    2010-08-01

    This paper presents an examination of MSW generation and composition in China, providing an overview of the current state of MSW management, an analysis of existing problems in MSW collection, separation, recycling and disposal, and some suggestions for improving MSW systems in the future. In China, along with urbanization, population growth and industrialization, the quantity of municipal solid waste (MSW) generation has been increasing rapidly. The total MSW amount increased from 31.3 million tonnes in 1980 to 212 million tonnes in 2006, and the waste generation rate increased from 0.50 kg/capita/day in 1980 to 0.98 kg/capita/year in 2006. Currently, waste composition in China is dominated by a high organic and moisture content, since the concentration of kitchen waste in urban solid waste makes up the highest proportion (at approximately 60%) of the waste stream. The total amount of MSW collected and transported was 148 million tonnes in 2006, of which 91.4% was landfilled, 6.4% was incinerated and 2.2% was composted. The overall MSW treatment rate in China was approximately 62% in 2007. In 2007, there were 460 facilities, including 366 landfill sites, 17 composing plants, and 66 incineration plants. This paper also considers the challenges faced and opportunities for MSW management in China, and a number of recommendations are made aimed at improving the MSW management system. Copyright 2010 Elsevier Ltd. All rights reserved.

  15. Challenges of diabetes management in immigrant Korean Americans.

    Science.gov (United States)

    Nam, Soohyun; Song, Hee-Jung; Park, So-Youn; Song, Youngshin

    2013-01-01

    To examine challenges in diabetes self-management among Korean Americans to guide clinicians in providing culturally appropriate and population-targeted diabetes care. Five focus groups with 23 Korean Americans with type 2 diabetes, 30 to 75 years of age, were conducted. Open-ended questions were presented focusing on previous experiences in living with diabetes; digital recordings were transcribed verbatim; transcripts were coded and themes were identified. Most participants were reluctant to disclose diabetes because of social stigma and said that they did not know much about diabetes and its complications. Diabetes self-management is not always a top priority for Korean Americans over other family obligations or financial stability in their busy immigration lives. Many Korean Americans experience conflicts with family members in managing diabetes or would not request support from family members for their diabetes care. Traditional women's roles and demanding immigration life seem to leave women particularly vulnerable to a lack of self-care. Lack of English proficiency limits access to mainstream health care. Providing diabetes education at the community level is important to raise public awareness of diabetes and to eliminate social stigma. To facilitate family support for individuals with type 2 diabetes, it is appropriate to include the entire family in diabetes educational programs and to promote individual family members' health in the context of maintaining their role within the family. Future efforts should be made with full implementation of language services in various clinical encounters and diabetes education.

  16. Scientific and technical challenges of radioactive waste management

    International Nuclear Information System (INIS)

    Vira, J.

    1996-01-01

    In spite of considerable spending on research and technical development, the management of nuclear wastes continues to be a difficult issue in public decision making. The nuclear industry says that it has safe solutions for the ultimate disposal of nuclear wastes, but the message has not really got through to the public at large. Although communications problems reflect the general stigmatization of nuclear power, there are obvious issues in safety and performance assessment of nuclear waste disposal which evade scientific resolution. Any scientist is concerned for his personal credibility must respect the rules and limits of scientific practice, but the intriguing question is whether he would not do better to address the layman's worries about radioactive substances? The discussion in this paper points out the intricacies of the distinction between scientific proof and judgement, with emphasis on safety assessment for nuclear waste disposal. Who are the final arbitrators? In a democratic society it is probably those who vote.Building confidence in expert judgements is a challenge for waste managers and scientists. The media may create their own 'experts', whose only necessary credential is the trust of their audience, but scientific judgements must stand the test of time.'Confidence building' is currently a key word on the whole nuclear waste management scene, and confidence in science and scientists is certainly needed for any progress towards practical implementation of plans. The means for building confidence in the decision-making process are probably different from those applied for science and scientists. (author)

  17. Challenges of torrential flood risk management in Serbia

    Directory of Open Access Journals (Sweden)

    Petrović Ana M.

    2015-01-01

    Full Text Available Torrential floods are the natural hydrological hazards manifesting as a consequence of extreme rainfall episodes which have a quick response from the watersheds of small areas, steep slopes and intensive soil erosion. Taking in consideration the nature of torrential flood (sudden and destructive occurrence and the fact they are the most frequent natural hazards in Serbia, torrential flood risk management is a real challenge. Instead of partial solutions for flood protection, integrated torrential flood risk management is more meaningful and effective. The key steps should be an improvement of the legal framework on national level and an expansion of technical and biological torrent control works in river basins. Consequences for society can be significantly reduced if there is an efficient forecast and timely warning, rescue and evacuation and if affected population is educated about flood risks and measures which can be undertaken in case of emergency situation. In this paper, all aspects of torrential flood risk management are analyzed. [Projekat Ministarstva nauke Republike Srbije, br. 47007 III

  18. Challenges in Doctoral Research Project Management: A Comparative Study

    Directory of Open Access Journals (Sweden)

    Reuven Katz

    2016-03-01

    Full Text Available This paper presents quantitative results of a comparative study evaluating the management skills of doctoral candidates working toward a PhD and additional information related to their lifestyles. We conducted a survey among enrolled doctoral candidates at five universities in Israel and three technological universities in Western Europe. 1013 Israeli candidates and 457 Western European candidates replied to our survey. In our analysis, we compared the answers of Israeli Science and Engineering candidates to those of Social Sciences and Humanities candidates; in addition, we compared the answers of Israeli Science and Engineering students to their Western European peers. Our analysis focused on finding significant patterns by comparing these groups of students. In order to identify such patterns, we analyzed each question using the Pearson chi-square test. The current study’s main finding is that the majority of candidates, regardless of their chosen academic field or the region where they study, have no training or expertise in managing a doctoral research project. Based on these findings, we suggest that all doctoral candidates be taught basic research-project management. We believe that such training will provide them with a powerful tool for better managing their research as they advance towards successful completion of their doctorate.

  19. Certification of CCHEN's products and services under ISO 9001/2000. A major and opportune challenge

    International Nuclear Information System (INIS)

    Silva Gundelach, Carmen

    2003-01-01

    The quality revolution and the ISO 9000 standards were among the most important management tools created during the second half of the 20th century. ISO 9000 is a management standard that allows an organization to demonstrate its quality level. It is a marketing instrument used for the difficult task of maintaining and winning new markets. More importantly, it is a proven and accepted worldwide model for an organizational system to attain a world quality level and to focus on 'continuous improvement'. For this reason, CCHEN cannot remain out of this new way of working. CCHEN must generate a record of its processes within the concept of Continuous Improvement, in order to be present and considered in today's marketplace. 'Continuous improving' is defined as a permanent activity and attitude aimed at increasing the ability to respond to a client's requirements. Taking into account the impact and importance of its products and services, CCHEN decided to request certification under ISO 9001/2000 of: Personal Dosimetry Service, Irradiation in the Multipurpose Sterilization Plant for the Pharmaceutical and Cosmetics Industry, Technetium-99m and MDP Production,and Production of MTR type Fuel Elements. This certification will demonstrate the quality level and the efficacy of each one of CCHEN's processes. Working under ISO 9001/2000 will allow CCHEN to organize and systematize information related to continuous improvement and focusing on client satisfaction clients, by defining their needs and expectations with the use of a management tool and most importantly by using information, facts and optimizing resources (Au)

  20. EMERGING CHALLENGES IN THE MANAGEMENT OF CONTEMPORARY PUBLIC SPACES IN URBAN NEIGHBOURHOODS

    Directory of Open Access Journals (Sweden)

    Rajjan Man Chitrakar

    2017-03-01

    Full Text Available The lack of management has led to the degrading quality of public space in modern cities around the globe. Contemporary public spaces are facing challenges in terms of maintaining them as a “social space” so that they are accessible and functional for the users. Using Kathmandu as a case study, this paper explores the challenges the contemporary public spaces within urban neighbourhoods are facing in their management. The study reveals that the regulation of use is a major concern of public space management in the new neighbourhoods of Kathmandu as evident in the limited accessibility and utility of public space, due to control and commercialisation. The use of public space has also been affected by the lack of regular maintenance. The root cause of these problems lies in weak urban governance at the neighbourhood level, which has led the local community-based organisations to take a role in neighbourhood management. These findings confirm that the management of public space is a critical issue of urban development with commonalities existing across geographical regions that demand adequate consideration from the stakeholders.

  1. Managing the Challenges of Leadership in ERP Implementations: An Exploratory Study of the Leadership Challenges Encountered by Project Managers Involved in ERP Implementation Projects

    Science.gov (United States)

    Wanjagi, James K.

    2013-01-01

    Increasingly, organizations are conducting more Enterprise Resource Planning (ERP) projects in order to promote organizational efficiencies. Meanwhile, minimal research has been conducted on the leadership challenges faced by project managers during the ERP project implementations and how these challenges are managed. The existing project…

  2. Bacterial disease management: challenges, experience, innovation and future prospects: Challenges in Bacterial Molecular Plant Pathology.

    Science.gov (United States)

    Sundin, George W; Castiblanco, Luisa F; Yuan, Xiaochen; Zeng, Quan; Yang, Ching-Hong

    2016-12-01

    Plant diseases caused by bacterial pathogens place major constraints on crop production and cause significant annual losses on a global scale. The attainment of consistent effective management of these diseases can be extremely difficult, and management potential is often affected by grower reliance on highly disease-susceptible cultivars because of consumer preferences, and by environmental conditions favouring pathogen development. New and emerging bacterial disease problems (e.g. zebra chip of potato) and established problems in new geographical regions (e.g. bacterial canker of kiwifruit in New Zealand) grab the headlines, but the list of bacterial disease problems with few effective management options is long. The ever-increasing global human population requires the continued stable production of a safe food supply with greater yields because of the shrinking areas of arable land. One major facet in the maintenance of the sustainability of crop production systems with predictable yields involves the identification and deployment of sustainable disease management solutions for bacterial diseases. In addition, the identification of novel management tactics has also come to the fore because of the increasing evolution of resistance to existing bactericides. A number of central research foci, involving basic research to identify critical pathogen targets for control, novel methodologies and methods of delivery, are emerging that will provide a strong basis for bacterial disease management into the future. Near-term solutions are desperately needed. Are there replacement materials for existing bactericides that can provide effective disease management under field conditions? Experience should inform the future. With prior knowledge of bactericide resistance issues evolving in pathogens, how will this affect the deployment of newer compounds and biological controls? Knowledge is critical. A comprehensive understanding of bacterial pathosystems is required to not

  3. Salient Beliefs in Majoring in Management Information Systems: An Elicitation Study

    Science.gov (United States)

    Chipidza, Wallace; Green, Gina; Riemenschneider, Cindy

    2016-01-01

    Research utilizing the Theory of Planned Behavior to understand behavior should first elicit beliefs about the phenomenon from the target population. In order to understand the reasons why students choose to major or not major in Management Information Systems (MIS), we elicited beliefs from 136 students attending university in the United States…

  4. The Challenges of Leading an International Branch Campus: The "Lived Experience" of In-Country Senior Managers

    Science.gov (United States)

    Healey, Nigel M.

    2016-01-01

    In recent years, an increasing number of major universities have set up international branch campuses (IBCs). There are now more than 200 IBCs, with more under development. Little is known about the unique challenges that face IBC managers, who are normally seconded from the home university to set up and operate the satellite campus in a new and…

  5. Chondrichthyan Diversity, Conservation Status, and Management Challenges in Costa Rica

    Directory of Open Access Journals (Sweden)

    Mario Espinoza

    2018-03-01

    Full Text Available Understanding key aspects of the biology and ecology of chondrichthyan fishes (sharks, rays, and chimeras, as well as the range of threats affecting their populations is crucial given the rapid rate at which some species are declining. In the Eastern Tropical Pacific (ETP, the lack of knowledge, unreliable (or non-existent landing statistics, and limited enforcement of existing fisheries regulations has hindered management and conservation efforts for chondrichthyan species. This review evaluated our current understanding of Costa Rican chondrichthyans and their conservation status. Specifically, we (1 provide an updated checklist on the species richness, habitat use, and distribution patterns, (2 summarize the most relevant chondrichthyan studies (scientific publications, theses, and official technical reports, (3 identify knowledge gaps, (4 discuss fisheries-related threats, and (5 highlight the management challenges and research needs to effectively protect their populations. A total of 99 chondrichthyan species are formally recorded in Costa Rican waters, from which 15% are threatened with extinction and 41% are “Data Deficient” based on the IUCN (International Union for Conservation of Nature Red List. A total of 121 studies were published between 1891 and 2017; 82% in the Pacific (24% from Isla del Coco and only 18% from the Caribbean Sea. These results highlight the need to redirect research efforts on specific taxonomic groups and geographic regions (i.e., Caribbean. Based on our review, improving the quality and quantity of fisheries landing statistics, as well as determining the degree of overlap between chondrichthyans and Costa Rican fisheries remains a priority. We proposed an adaptive management framework for chondrichthyan fisheries in data-poor countries where management goals/targets are clearly defined. This framework could strengthen the conservation of chondrichthyan populations in Costa Rica and the region.

  6. The challenges of managing coexistent disorders with phenylketonuria: 30 cases.

    Science.gov (United States)

    MacDonald, A; Ahring, K; Almeida, M F; Belanger-Quintana, A; Blau, N; Burlina, A; Cleary, M; Coskum, T; Dokoupil, K; Evans, S; Feillet, F; Giżewska, M; Gokmen Ozel, H; Lotz-Havla, A S; Kamieńska, E; Maillot, F; Lammardo, A M; Muntau, A C; Puchwein-Schwepcke, A; Robert, M; Rocha, J C; Santra, S; Skeath, R; Strączek, K; Trefz, F K; van Dam, E; van Rijn, M; van Spronsen, F; Vijay, S

    2015-12-01

    The few published case reports of co-existent disease with phenylketonuria (PKU) are mainly genetic and familial conditions from consanguineous marriages. The clinical and demographic features of 30 subjects with PKU and co-existent conditions were described in this multi-centre, retrospective cohort study. Diagnostic age of PKU and co-existent condition, treatment regimen, and impact of co-existent condition on blood phenylalanine (Phe) control and PKU management were reported. 30 patients (11 males and 19 females), with PKU and a co-existent condition, current median age of 14 years (range 0.4 to 40 years) from 13 treatment centres from Europe and Turkey were described. There were 21 co-existent conditions with PKU; 9 were autoimmune; 6 gastrointestinal, 3 chromosomal abnormalities, and 3 inherited conditions. There were only 5 cases of parental consanguinity. Some patients required conflicting diet therapy (n=5), nutritional support (n=7) and 5 children had feeding problems. There was delayed diagnosis of co-existent conditions (n=3); delayed treatment of PKU (n=1) and amenorrhea associated with Grave's disease that masked a PKU pregnancy for 12 weeks. Co-existent conditions adversely affected blood Phe control in 47% (n=14) of patients. Some co-existent conditions increased the complexity of disease management and increased management burden for patients and caregivers. Occurrence of co-existent disease is not uncommon in patients with PKU and so investigation for co-existent disorders when the clinical history is not completely consistent with PKU is essential. Integrating care of a second condition with PKU management is challenging. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Water Utility Management Strategies in Turkey: The current situation and the challenges

    Science.gov (United States)

    Alp, E.; Aksoy, M. N.; Koçer, B.

    2013-12-01

    As the effects of climate change becomes more prominent, current challenges related to water and wastewater management is becoming more serious. Providing water that satisfies environmental and safety standards in terms of quantity and quality is needed to maintain human life without compromising the need of future generations. Besides providing safe and affordable water, necessary treatment should be achieved according to several important factors such as receiving body standards, discharge standards, water reuse options. Therefore, management of water becomes more crucial than ever that states have to provide accessibility of safe water with affordable cost to its citizens with the means of effective utility management, including water treatment facilities, wastewater treatment facilities, water supply facilities and water distribution systems. Water utilities encounter with several challenges related to cost, infrastructure, population, legislation, workforce and resource. This study aims to determine the current situation and the necessary strategies to improve utility management in Turkish municipalities in a sustainable manner. US Environment Protection Agency (EPA) has formed a tool on effective utility management that assists utilities to provide a solution for both current and future challenges. In this study, we used EPA's guidelines and developed a survey consists of 60 questions under 10 sub-topics (Product Quality, Employee & Leadership Development, Stakeholder Understanding & Support, Operational Optimization, Infrastructure Stability, Financial Viability, Community Sustainability, Customer Satisfaction, Operational Resiliency, and Water Resource Adequacy). This survey was sent to the managers of 25 metropolitan municipalities in Turkey to assess the current condition of municipalities. After the evaluation of the survey results for each topic, including the importance given by managers, facilities were rated according to their level of achievement

  8. Medical management of epileptic seizures: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Sarma AK

    2016-02-01

    Full Text Available Anand K Sarma,1 Nabil Khandker,1 Lisa Kurczewski,2 Gretchen M Brophy2 1Department of Neurology, 2Departments of Pharmacotherapy & Outcomes Science and Neurosurgery, Virginia Commonwealth University, Richmond, VA, USA Abstract: Epilepsy is one of the most common neurologic illnesses. This condition afflicts 2.9 million adults and children in the US, leading to an economic impact amounting to $15.5 billion. Despite the significant burden epilepsy places on the population, it is not very well understood. As this understanding continues to evolve, it is important for clinicians to stay up to date with the latest advances to provide the best care for patients. In the last 20 years, the US Food and Drug Administration has approved 15 new antiepileptic drugs (AEDs, with many more currently in development. Other advances have been achieved in terms of diagnostic modalities like electroencephalography technology, treatment devices like vagal nerve and deep-brain stimulators, novel alternate routes of drug administration, and improvement in surgical techniques. Specific patient populations, such as the pregnant, elderly, those with HIV/AIDS, and those with psychiatric illness, present their own unique challenges, with AED side effects, drug interactions, and medical–psychiatric comorbidities adding to the conundrum. The purpose of this article is to review the latest literature guiding the management of acute epileptic seizures, focusing on the current challenges across different practice settings, and it discusses studies in various patient populations, including the pregnant, geriatric, those with HIV/AIDS, comatose, psychiatric, and “pseudoseizure” patients, and offers possible evidence-based solutions or the expert opinion of the authors. Also included is information on newer AEDs, routes of administration, and significant AED-related drug-interaction tables. This review has tried to address only some of these issues that any practitioner who

  9. Carcinoid tumors: Challenges and considerations during anesthetic management

    Directory of Open Access Journals (Sweden)

    Sukhminder Jit Singh Bajwa

    2015-01-01

    Full Text Available Carcinoid tumors are rare, slow-growing neoplasms of neuroendocrine tissues from enterochromaffin or kulchitsky cells, which have the potential to metastasize. The mediators released from these tumors when bypass the hepatic metabolism, can lead to the possible development of carcinoid syndrome. This is a life-threatening complication, which can lead to profound hemodynamic instability, especially in a peri-operative period, when the patient is exposed to various types of noxious stimuli. Off late, use of octreotide, a synthetic analog of somatostatin, has significantly reduced the peri-operative morbidity and mortality. The current review discusses the various anesthetic challenges and considerations during peri-operative management of carcinoid tumors.

  10. Occupational asthma: a challenge in patient management and community care

    International Nuclear Information System (INIS)

    Reed, C.E.

    1981-01-01

    Occupational exposure to irritants accounts for 2% to 15% of all cases of asthma. Most of the offending agents evoke an IgE allergic reaction, but some seem to act through pharmacologic rather than immunologic pathways. Usually, symptoms are worse during working hours and improve in the evening and over the weekend, but in some cases onset is delayed. Symptoms may persist for weeks after exposure ceases. Skin tests or serologic tests for IgE antibody are helpful in diagnosis. Bronchial challenge with the suspected agent is valuable research procedure that occasionally is clinically useful in diagnosis. Management requires the cooperation of the medical and industrial communities. It consists of identifying asthmatic workers, removing them from exposure to the affecting environment, and treating their symptoms; preventing exposure of susceptible people through preemployment screening; and setting and adhering to reasonable occupational safety standards

  11. Challenges of Fracture Management for Adults With Osteogenesis Imperfecta.

    Science.gov (United States)

    Gil, Joseph A; DeFroda, Steven F; Sindhu, Kunal; Cruz, Aristides I; Daniels, Alan H

    2017-01-01

    Osteogenesis imperfecta is caused by qualitative or quantitative defects in type I collagen. Although often considered a disease with primarily pediatric manifestations, more than 25% of lifetime fractures are reported to occur in adulthood. General care of adults with osteogenesis imperfecta involves measures to preserve bone density, regular monitoring of hearing and dentition, and maintenance of muscle strength through physical therapy. Surgical stabilization of fractures in these patients can be challenging because of low bone mineral density, preexisting skeletal deformities, or obstruction by instrumentation from previous surgeries. Additionally, unique perioperative considerations exist when operatively managing fractures in patients with osteogenesis imperfecta. To date, there is little high-quality literature to help guide the optimal treatment of fractures in adult patients with osteogenesis imperfecta. [Orthopedics. 2017; 40(1):e17-e22.]. Copyright 2016, SLACK Incorporated.

  12. Solid waste management in Kolkata, India: Practices and challenges

    International Nuclear Information System (INIS)

    Hazra, Tumpa; Goel, Sudha

    2009-01-01

    This paper presents an overview of current solid waste management (SWM) practices in Kolkata, India and suggests solutions to some of the major problems. More than 2920 ton/d of solid waste are generated in the Kolkata Municipal Corporation (KMC) area and the budget allocation for 2007-2008 was Rs. 1590 million (US$40 million), which amounts to Rs. 265/cap-y (US$6.7/cap-d) on SWM. This expenditure is insufficient to provide adequate SWM services. Major deficiencies were found in all elements of SWM. Despite 70% of the SWM budget being allocated for collection, collection efficiency is around 60-70% for the registered residents and less than 20% for unregistered residents (slum dwellers). The collection process is deficient in terms of manpower and vehicle availability. Bin capacity provided is adequate but locations were found to be inappropriate, thus contributing to the inefficiency of the system. At this time, no treatment is provided to the waste and waste is dumped on open land at Dhapa after collection. Lack of suitable facilities (equipment and infrastructure) and underestimates of waste generation rates, inadequate management and technical skills, improper bin collection, and route planning are responsible for poor collection and transportation of municipal solid wastes

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

    Science.gov (United States)

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

    2016-11-01

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

  14. Congenital central hypoventilation syndrome: diagnostic and management challenges

    Directory of Open Access Journals (Sweden)

    Kasi AS

    2016-08-01

    Full Text Available Ajay S Kasi,1 Iris A Perez,1,2 Sheila S Kun,1 Thomas G Keens1,2 1Division of Pediatric Pulmonology and Sleep Medicine, Children’s Hospital Los Angeles, 2Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA Abstract: Congenital central hypoventilation syndrome (CCHS is a rare genetic disorder with failure of central control of breathing and of the autonomic nervous system function due to a mutation in the paired-like homeobox 2B (PHOX2B gene. Affected patients have absent or negligible ventilatory sensitivity to hypercapnia and hypoxemia, and they do not exhibit signs of respiratory distress when challenged with hypercarbia or hypoxia. The diagnosis of CCHS must be confirmed with PHOX2B gene mutation. Generally, the PHOX2B mutation genotype can aid in anticipating the severity of the phenotype. They require ventilatory support for life. Home assisted ventilation options include positive pressure ventilation via tracheostomy, noninvasive positive pressure ventilation, and diaphragm pacing via phrenic nerve stimulation, but each strategy has its associated limitations and challenges. Since all the clinical manifestations of CCHS may not manifest at birth, periodic monitoring and early intervention are necessary to prevent complications and improve outcome. Life-threatening arrhythmias can manifest at different ages and a normal cardiac monitoring study does not exclude future occurrences leading to the dilemma of timing and frequency of cardiac rhythm monitoring and treatment. Given the rare incidence of CCHS, most health care professionals are not experienced with managing CCHS patients, particularly those with diaphragm pacers. With early diagnosis and advances in home mechanical ventilation and monitoring strategies, many CCHS children are surviving into adulthood presenting new challenges in their care. Keywords: congenital central hypoventilation syndrome, PHOX2B, home mechanical ventilation, diaphragm

  15. Challenges and Successes Managing Airborne Science Data for CARVE

    Science.gov (United States)

    Hardman, S. H.; Dinardo, S. J.; Lee, E. C.

    2014-12-01

    The Carbon in Arctic Reservoirs Vulnerability Experiment (CARVE) mission collects detailed measurements of important greenhouse gases on local to regional scales in the Alaskan Arctic and demonstrates new remote sensing and improved modeling capabilities to quantify Arctic carbon fluxes and carbon cycle-climate processes. Airborne missions offer a number of challenges when it comes to collecting and processing the science data and CARVE is no different. The biggest challenge relates to the flexibility of the instrument payload. Within the life of the mission, instruments may be removed from or added to the payload, or even reconfigured on a yearly, monthly or daily basis. Although modification of the instrument payload provides a distinct advantage for airborne missions compared to spaceborne missions, it does tend to wreak havoc on the underlying data system when introducing changes to existing data inputs or new data inputs that require modifications to the pipeline for processing the data. In addition to payload flexibility, it is not uncommon to find unsupported files in the field data submission. In the case of CARVE, these include video files, photographs taken during the flight and screen shots from terminal displays. These need to captured, saved and somehow integrated into the data system. The CARVE data system was built on a multi-mission data system infrastructure for airborne instruments called the Airborne Cloud Computing Environment (ACCE). ACCE encompasses the end-to-end lifecycle covering planning, provisioning of data system capabilities, and support for scientific analysis in order to improve the quality, cost effectiveness, and capabilities to enable new scientific discovery and research in earth observation. This well-tested and proven infrastructure allows the CARVE data system to be easily adapted in order to handle the challenges posed by the CARVE mission and to successfully process, manage and distribute the mission's science data. This

  16. Progress and challenges of disaster health management in China: a scoping review.

    Science.gov (United States)

    Zhong, Shuang; Clark, Michele; Hou, Xiang-Yu; Zang, Yuli; FitzGerald, Gerard

    2014-01-01

    Despite the importance of an effective health system response to various disasters, relevant research is still in its infancy, especially in middle- and low-income countries. This paper provides an overview of the status of disaster health management in China, with its aim to promote the effectiveness of the health response for reducing disaster-related mortality and morbidity. A scoping review method was used to address the recent progress of and challenges to disaster health management in China. Major health electronic databases were searched to identify English and Chinese literature that were relevant to the research aims. The review found that since 2003 considerable progress has been achieved in the health disaster response system in China. However, there remain challenges that hinder effective health disaster responses, including low standards of disaster-resistant infrastructure safety, the lack of specific disaster plans, poor emergency coordination between hospitals, lack of portable diagnostic equipment and underdeveloped triage skills, surge capacity, and psychological interventions. Additional challenges include the fragmentation of the emergency health service system, a lack of specific legislation for emergencies, disparities in the distribution of funding, and inadequate cost-effective considerations for disaster rescue. One solution identified to address these challenges appears to be through corresponding policy strategies at multiple levels (e.g. community, hospital, and healthcare system level).

  17. Innovation in health service management: Adoption of project management offices to support major health care transformation.

    Science.gov (United States)

    Lavoie-Tremblay, Mélanie; Aubry, Monique; Cyr, Guylaine; Richer, Marie-Claire; Fortin-Verreault, Jean-François; Fortin, Claude; Marchionni, Caroline

    2017-11-01

    To explore the characteristics that influence project management offices acceptance and adoption in healthcare sector. The creation of project management offices has been suggested as a promising avenue to promote successful organisational change and facilitate evidence-based practice. However, little is known about the characteristics that promote their initial adoption and acceptance in health care sector. This knowledge is important in the context where many organisations are considering implementing project management offices with nurse managers as leaders. A descriptive multiple case study design was used. The unit of analysis was the project management offices. The study was conducted in three university-affiliated teaching hospitals in 2013-14 (Canada). Individual interviews (n = 34) were conducted with senior managers. Results reveal that project management offices dedicated to project and change management constitute an innovation and an added value that addresses tangible needs in the field. Project management offices are an innovation highly compatible with health care managers and their approach has parallels to the process of clinical problem solving and reasoning well-known to adopters. This knowledge is important in a context where many nurses hold various roles in project management offices, such as Director, project manager, clinical expert and knowledge broker. © 2017 John Wiley & Sons Ltd.

  18. Managing Radioactive Waste. Problems and Challenges in a Globalizing World

    Energy Technology Data Exchange (ETDEWEB)

    2010-09-15

    Many countries are at a crossroads in terms of maintaining their energy supply. The existing resources of fossil fuels are dwindling, and global warming makes their use increasingly problematic. Nuclear power is now often regarded inevitable for future sustainability, energy security, and economic prosperity. There are, however, still unsolved problems regarding nuclear power. The fact that no country has established a final waste repository for spent nuclear fuel throws fundamental doubt on nuclear energy expansion. Also, the processes of globalization have transformed the nuclear industry towards increased privatization, concentration, and internationalization. This leads to uncertainties regarding the responsibility for nuclear waste management. In these circumstances is it of greatest importance that scholars from different disciplines, as well as policy makers and practitioners within the field, meet to share experiences. This conference had the general objective of producing knowledge about the challenges caused by global developmental trends, and what the management of nuclear waste implies for contemporary and future social development. Over 100 persons attended the conferences. Papers available at the conference site have been separately indexed. Several contributions were also made as PP-presentation, which are available at the site, among others the Keynote Speeches: Waiting for the Nuclear Renaissance: Exploring the Nexus of Expansion and Disposal in Europe (Jane Dawson); Applying the Risk Governance Framework: Institutional Requirements for Dealing with Nuclear Waste (Ortwin Renn); Learning to Listen: The Long Road to Legitimating Radioactive Waste Management Policies (Frans Berkhout); The Nuclear Waste Debate is Irrational but We Need Not Panic (Frank von Hippel). The conference was divided into the following sessions: Session A: Political characteristics matters; Session B: Radioactivity, geology, society. On a problem definition of HLW-management

  19. Managing Radioactive Waste. Problems and Challenges in a Globalizing World

    International Nuclear Information System (INIS)

    2010-09-01

    Many countries are at a crossroads in terms of maintaining their energy supply. The existing resources of fossil fuels are dwindling, and global warming makes their use increasingly problematic. Nuclear power is now often regarded inevitable for future sustainability, energy security, and economic prosperity. There are, however, still unsolved problems regarding nuclear power. The fact that no country has established a final waste repository for spent nuclear fuel throws fundamental doubt on nuclear energy expansion. Also, the processes of globalization have transformed the nuclear industry towards increased privatization, concentration, and internationalization. This leads to uncertainties regarding the responsibility for nuclear waste management. In these circumstances is it of greatest importance that scholars from different disciplines, as well as policy makers and practitioners within the field, meet to share experiences. This conference had the general objective of producing knowledge about the challenges caused by global developmental trends, and what the management of nuclear waste implies for contemporary and future social development. Over 100 persons attended the conferences. Papers available at the conference site have been separately indexed. Several contributions were also made as PP-presentation, which are available at the site, among others the Keynote Speeches: Waiting for the Nuclear Renaissance: Exploring the Nexus of Expansion and Disposal in Europe (Jane Dawson); Applying the Risk Governance Framework: Institutional Requirements for Dealing with Nuclear Waste (Ortwin Renn); Learning to Listen: The Long Road to Legitimating Radioactive Waste Management Policies (Frans Berkhout); The Nuclear Waste Debate is Irrational but We Need Not Panic (Frank von Hippel). The conference was divided into the following sessions: Session A: Political characteristics matters; Session B: Radioactivity, geology, society. On a problem definition of HLW-management

  20. Collaborative Management of Complex Major Construction Projects: AnyLogic-Based Simulation Modelling

    Directory of Open Access Journals (Sweden)

    Na Zhao

    2016-01-01

    Full Text Available Complex supply chain system collaborative management of major construction projects effectively integrates the different participants in the construction project. This paper establishes a simulation model based on AnyLogic to reveal the collaborative elements in the complex supply chain management system and the modes of action as well as the transmission problems of the intent information. Thus it is promoting the participants to become an organism with coordinated development and coevolution. This study can help improve the efficiency and management of the complex system of major construction projects.

  1. Medical mycology and fungal immunology: new research perspectives addressing a major world health challenge.

    Science.gov (United States)

    Gow, Neil A R; Netea, Mihai G

    2016-12-05

    Fungi cause more than a billion skin infections, more than 100 million mucosal infections, 10 million serious allergies and more than a million deaths each year. Global mortality owing to fungal infections is greater than for malaria and breast cancer and is equivalent to that owing to tuberculosis (TB) and HIV. These statistics evidence fungal infections as a major threat to human health and a major burden to healthcare budgets worldwide. Those patients who are at greatest risk of life-threatening fungal infections include those who have weakened immunity or have suffered trauma or other predisposing infections such as HIV. To address these global threats to human health, more research is urgently needed to understand the immunopathology of fungal disease and human disease susceptibility in order to augment the advances being made in fungal diagnostics and drug development. Here, we highlight some recent advances in basic research in medical mycology and fungal immunology that are beginning to inform clinical decisions and options for personalized medicine, vaccine development and adjunct immunotherapies.This article is part of the themed issue 'Tackling emerging fungal threats to animal health, food security and ecosystem resilience'. © 2016 The Authors.

  2. Knowledge of Childhood Autism and Challenges of Management among Medical Doctors in Kaduna State, Northwest Nigeria

    Directory of Open Access Journals (Sweden)

    E. E. Eseigbe

    2015-01-01

    Full Text Available Autism is a neurodevelopmental disorder with serious implications in childhood. There is a significant gap in the identification and provision of health and social services for autism in Africa. The knowledge of autism among health care providers and identifying challenges associated with its management could facilitate bridging the gap and ensuring better outcomes. A self-administered tool, the Knowledge about Childhood Autism among Health Workers (KCAHW questionnaire, was used in assessing knowledge of autism among 175 medical doctors (participants attending an annual scientific meeting in northwest Nigeria. Other parameters assessed were sociodemographic and professional characteristics of the participants and challenges encountered in the management of autism. Out of 175 questionnaires distributed, 167 (95.4% were returned. Good knowledge (KCAHW score ≥15 was significantly associated with being a paediatrician or psychiatrist and practicing in a tertiary health facility (P<0.05, while poor knowledge (KCAHW score <15 was significant among general practitioners (P<0.05. The highest knowledge gap was associated with onset of autism and its comorbidities (KCAHW Domain 4 while the least was concerning communication impairments (KCAHW Domain 2. Major challenges encountered in autism management were dearth of specialist services, cost of evaluation, and poor caregiver perspectives of autism.

  3. Succession planning and staff retention challenges: An industrial outlook and major risks

    Directory of Open Access Journals (Sweden)

    Sindisiwe Bonisile Maphisa

    2017-07-01

    Full Text Available The sugar manufacturing industry in the emerging economy is potentially at high risk of not achieving its goals of increasing production output. This is due to higher than average age of growers, nonexistence of effective succession planning to expedite the transition to a new generation of growers, related increasing departure of farmers from the industry and difficulty in attracting new talent to the industry due to the high cost of entry. This research sought to explore managements’ perceptions of succession planning and the impact it has on retention at a Sugar Manufacturing Company. In order to achieve the research aim and objectives, a qualitative approach was utilised in the form of an exploratory case study. A single case study was also chosen because this is a critical, unique and revelatory case and the researchers had access to the case previously inaccessible to empirical research. Purposive sampling was used and total of 15 managers participated in this study. The study found that the company is not doing enough to implement succession planning programmes even though there are potential candidates who can be trained and developed into management positions.

  4. The challenges of disaster management in south Asian countries

    International Nuclear Information System (INIS)

    Qamar-ul-Islam; Anjum, G.A.; Shahzad, M.

    2005-01-01

    The type of this research work reflects an overview of disasters in South Asian countries. This outlines geographical aspects and institutional structures briefly in each country, and identifies gaps in disaster management regimes. Identified of these gaps is expected to give insights to the media to develop more informal disaster communications in South Asian Countries. Natural disasters have become a severe global problem. Deaths, displacements and damages resulting from natural disasters are colossal. During the 1990s global economic losses from major natural catastrophes averaged more than US $ 40 billion a year. The current Tsunami disaster has broken all previous records particularly in Indonesia, Sri Lanka and India. This paper focuses particularly on sub continental countries in the South Asian countries, how they are managed and mismanaged, and aims to provide condensed resource material on the subject. In such countries issues related to natural disasters are covered under the legal frameworks for environment, land use, water resources and human settlements. The shift from emergency management to disaster preparedness requires coordination between various government building departments and ministries and with other international organization and various community organizations. (author)

  5. Vaccine prevention of meningococcal disease in Africa: Major advances, remaining challenges.

    Science.gov (United States)

    Mustapha, Mustapha M; Harrison, Lee H

    2017-12-06

    Africa historically has had the highest incidence of meningococcal disease with high endemic rates and periodic epidemics. The meningitis belt, a region of sub-Saharan Africa extending from Senegal to Ethiopia, has experienced large, devastating epidemics. However, dramatic shifts in the epidemiology of meningococcal disease have occurred recently. For instance, meningococcal capsular group A (NmA) epidemics in the meningitis belt have essentially been eliminated by use of conjugate vaccine. However, NmW epidemics have emerged and spread across the continent since 2000; NmX epidemics have occurred sporadically, and NmC recently emerged in Nigeria and Niger. Outside the meningitis belt, NmB predominates in North Africa, while NmW followed by NmB predominate in South Africa. Improved surveillance is necessary to address the challenges of this changing epidemiologic picture. A low-cost, multivalent conjugate vaccine covering NmA and the emergent and prevalent meningococcal capsular groups C, W, and X in the meningitis belt is a pressing need.

  6. Challenges facing air management for fuel cell systems

    Energy Technology Data Exchange (ETDEWEB)

    Davis, P.B. [Department of Energy (United States); Sutton, R. [Argonne National Lab. (United States); Wagner, F.W. [Energetics Incorporated (United States)

    2000-07-01

    The U.S. Department of Energy (DOE) and the U.S. automotive industry are working cooperatively under the auspices of the Partnership for a New Generation of Vehicles (PNGV) to develop a six-passenger automobile that can achieve up to 80 mpg. while meeting customer needs and all safety and emission requirements. These partners are continuing to invest heavily in the research and development of polymer electrolyte membrane (PEM) fuel cells as a clean and efficient energy conversion system for the PNGV. A critical challenge facing fuel cell systems for the PNGV is the development of efficient, compact, cost-effective air management systems. The U.S. Department of Energy has been exploring several compressor/expander options for pressurized fuel cell systems, including scroll, toroidal intersecting vane, turbine, twin screw, and piston technologies. Each of these technologies has strengths and weaknesses regarding efficiency, pressure ratio over turndown, size and weight, and cost. This paper will present data from the U.S. Department of Energy's research and development efforts on air management systems and will discusses recent program developments resulting from an independent peer review evaluation. (author)

  7. The challenge of sleep management in military operations.

    Science.gov (United States)

    Wesensten, Nancy J; Balkin, Thomas J

    2013-01-01

    It has long been known that short-term (days) insufficient sleep causes decrements in mental effectiveness that put individuals at increased risk of committing errors and causing accidents. More recently, it has been discovered that chronic poor sleep (over years) is associated with a variety of negative health outcomes (metabolic syndrome, obesity, degraded behavioral health). Implementing an effective sleep health program is, therefore, in the best interests of active duty personnel and their families both in the short- and long-term. Like managing physical activity or nutrition, effectively managing sleep health comes with its unique set of challenges arising from the fact that individuals who routinely do not obtain sufficient sleep are generally desensitized to feeling sleepy and are poor at judging their own performance capabilities--and individuals cannot be compelled to sleep. For these reasons, an optimally effective sleep health program requires 3 components: (1) a rigorous, evidence-based sleep education component to impart actionable knowledge about optimal sleep amounts, healthy sleep behaviors, the known benefits of sleep, the short- and long-term consequences of insufficient sleep, and to dispel myths about sleep; (2) a nonintrusive device that objectively and accurately measures sleep to empower the individual to track his/her own sleep/wake habits; and (3) a meaningful, actionable metric reflecting sleep/wake impact on daily effectiveness so that the individual sees the consequences of his/her sleep behavior and, therefore, can make informed sleep health choices.

  8. Multimedia content analysis, management and retrieval: trends and challenges

    Science.gov (United States)

    Hanjalic, Alan; Sebe, Nicu; Chang, Edward

    2006-01-01

    Recent advances in computing, communications and storage technology have made multimedia data become prevalent. Multimedia has gained enormous potential in improving the processes in a wide range of fields, such as advertising and marketing, education and training, entertainment, medicine, surveillance, wearable computing, biometrics, and remote sensing. Rich content of multimedia data, built through the synergies of the information contained in different modalities, calls for new and innovative methods for modeling, processing, mining, organizing, and indexing of this data for effective and efficient searching, retrieval, delivery, management and sharing of multimedia content, as required by the applications in the abovementioned fields. The objective of this paper is to present our views on the trends that should be followed when developing such methods, to elaborate on the related research challenges, and to introduce the new conference, Multimedia Content Analysis, Management and Retrieval, as a premium venue for presenting and discussing these methods with the scientific community. Starting from 2006, the conference will be held annually as a part of the IS&T/SPIE Electronic Imaging event.

  9. Optimal management of night eating syndrome: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Kucukgoncu S

    2015-03-01

    Full Text Available Suat Kucukgoncu, Margaretta Midura, Cenk Tek Department of Psychiatry, Yale University, New Haven, CT, USA Abstract: Night Eating Syndrome (NES is a unique disorder characterized by a delayed pattern of food intake in which recurrent episodes of nocturnal eating and/or excessive food consumption occur after the evening meal. NES is a clinically important disorder due to its relationship to obesity, its association with other psychiatric disorders, and problems concerning sleep. However, NES often goes unrecognized by both health professionals and patients. The lack of knowledge regarding NES in clinical settings may lead to inadequate diagnoses and inappropriate treatment approaches. Therefore, the proper diagnosis of NES is the most important issue when identifying NES and providing treatment for this disorder. Clinical assessment tools such as the Night Eating Questionnaire may help health professionals working with populations vulnerable to NES. Although NES treatment studies are still in their infancy, antidepressant treatments and psychological therapies can be used for optimal management of patients with NES. Other treatment options such as melatonergic medications, light therapy, and the anticonvulsant topiramate also hold promise as future treatment options. The purpose of this review is to provide a summary of NES, including its diagnosis, comorbidities, and treatment approaches. Possible challenges addressing patients with NES and management options are also discussed. Keywords: night eating, obesity, psychiatric disorders, weight, depression

  10. Knowledge management at Kozloduy NPP - challenges and solutions

    International Nuclear Information System (INIS)

    Tzotchev, S.; Pironkov, L.

    2004-01-01

    Like any highly technical endeavor, the use of nuclear technology relies heavily on a vast accumulation of knowledge - volume upon volume of scientific research, engineering analysis, design documentation, operational data, maintenance records, regulatory reviews and countless other pieces of technical information, combined with complex reservoir of scientists, engineers, technicians and managers with relevant background and expertise. The effective management of nuclear knowledge includes systematic and organized application of accumulated specific knowledge as well as ensuring the sustainable availability of qualified personnel. This means that: 1) The know-how should be properly identified, captured and classified; 2) Adequate tools for support, access and transfer of data should be available; 3) Renewing of workforce without loss of institutional memory should be guaranteed. During the centuries this process has been applied spontaneously and there are a lot of examples that the world use to be workable earlier too. However nowadays this type of spontaneous knowledge management is ineffective. Information volume and the communication efficiency have increased so much that new tools have to be created to handle the knowledge being communicated trough numerous sources. Besides information space is strongly polluted. The information channels provide unnecessary redundant information. Target oriented searching and delivering of useful information is difficult and requires significant resources. What value this know-how represent, how can it be maintained for and passed to the next generation, what are the problems of aging and renewing of workforce, what measures have been taken by Kozloduy NPP and what are the challenges to be faced yet - these are the issues to be addressed in this paper. (authors)

  11. Ethical challenges within Veterans Administration healthcare facilities: perspectives of managers, clinicians, patients, and ethics committee chairpersons.

    Science.gov (United States)

    Foglia, Mary Beth; Pearlman, Robert A; Bottrell, Melissa; Altemose, Jane K; Fox, Ellen

    2009-04-01

    To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and ethics committee chairpersons (n = 21). Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly distributing resources across programs and services, whereas clinicians identified the effect of resource constraints on patient care. Ethics committee chairpersons identified end-of-life care as the greatest ethical challenge, whereas patients identified obtaining fair, respectful, and caring treatment. Perspectives on ethical challenges varied depending on the respondent's role. Understanding these differences can help managers take practical steps to address these challenges. Further, ethics committees seemingly, are not addressing the range of ethical challenges within their institutions.

  12. A major challenge. Entrepreneurship characterizes the work of the Soviet Family Health Association.

    Science.gov (United States)

    Manuilova, I A

    1991-09-01

    The work of the Soviet Family Health Association (SFHA) is described. Created in January, 1989, the organization boasts 25 state-paid workers, and as of June 1991, membership of 15,000 corporate and individual members. Individual annual membership fee is 5 rubles, and entitles members to counseling and family planning (FP) services. The SFHA works in cooperation with the Commission on Family Planning Problems of the USSR's Academy of Sciences, and has been a member of the International Planned Parenthood Federation (IPPF) since 1990. Association activities include lectures for students, newly-weds, adolescents, and working women on modern contraceptive methods; research on attitude regarding sex, sex behaviors, and the perceived need for effective contraception; clinical trials of contraceptive suitability for women; and the training of doctors in FP and contraceptives. Problems central to the SFHA's operations include insufficient service and examination equipment, a shortage of hard currency, and the small number of FP specialists in the country. Solutions to these obstacles are sought through collaboration with the government, non-governmental organizations in the Soviet Union, and international groups. The SFHA has a series of activities planned for 1991 designed to foster wider acceptance of FP. Increased FP services at industrial enterprises, establishing more FP centers throughout the Soviet Union, and studying FP programs in other countries are among Association targets for the year. Research on and promotion of contraceptives has been virtually stagnant since abortion was declared illegal in 1936. Catching up on these lost decades and remaining self-reliant are challenges to the SPHA.

  13. Student Outcomes Assessment of a Logistics and Supply Chair Management Major

    Science.gov (United States)

    Walter, Clyde Kenneth

    2012-01-01

    Assessment of specialized programs, such as logistics and supply chain management program described here, may pose challenges because previous experience are less widely shared than in the more mainline subjects. This case study provides one model that may guide other faculties facing a similar assignment. The report detailed the steps followed to…

  14. Old Disease and New Challenges: Major Obstacles of Current Strategies in the Prevention of Pertussis

    Science.gov (United States)

    Sedighi, Iraj; Karimi, Abdollah; Amanati, Ali

    2016-01-01

    Context Universal immunization against Bordetella pertussis has partially controlled the burden of the disease and its transmission. However, according to recent data, the epidemiology of this vaccine-preventable disease has changed. Now, younger infants, adolescents, and adults are at greater risk of infection. This article has studied the interaction between the various factors involved in the changing epidemiology of pertussis and the major obstacles faced by the current strategies in its prevention. Evidence Acquisition In this narrative review, the most recently published sources of information on pertussis control measures, consisting of textbooks and articles, have been reviewed. We focused on the more recent data about the changing epidemiology or pertussis in Scopus through the use of the MeSH-term words [pertussis] or [whooping cough] and [epidemiology] or [outbreak] or [resurgence], but our search was not restricted to this particular strategy; we also tried to find all of the most recent available data in the general field through other means. Results Primary and booster doses of the pertussis vaccine seem to partially control transmission of the disease, but despite the different preventive strategies available, pertussis continues to cause mortality and morbidity among high-risk groups. Conclusions Adding booster doses of acellular pertussis vaccine to the current national immunization practices with whole-cell vaccines for young adults and pregnant women seems to be a good option for controlling mortality and morbidity among high-risk groups such as very young infants. PMID:27729960

  15. Organizational flexibility as a challenge of contemporary management. Determinants and methods of measurement

    Directory of Open Access Journals (Sweden)

    Piotr Buła

    2011-12-01

    Full Text Available Purpose: This paper has been aimed at defining contemporary management flexibility determinants and the methods of its measurement. Problem investigated: This paper presents an analysis of organizational flexibility determinants related to the contemporary concepts and challenges within the area of management. The discussion includes two types of measurement of organizational flexibility based on declarative tests and quantitative criteria. The described methods are subject to evaluation. The paper also presents authors' own proposal for determinants classification, organizational flexibility assessment and an exemplary application. Methodology: The paper has been based on the results of research on organizational flexibility conducted by the Department of Business Studies Aalborg University (Denmark and Wrocław University of Economics (Poland. Conclusion: Organizational flexibility constitutes one of the major challenges of contemporary management. This issue has already been extensively discussed, however, despite numerous publications and relevant research projects many issues still need to be resolved. One of them is organizational flexibility measurement. In the first place, it needs a description of flexibility determinants relevant to a certain organization. There are no objective methods that would allow a description of the set of determinants since they are dependent on organization's special features and individually set objectives. In addition, it should be noted that those factors are subject to change, in line with the development of theory and concepts of management. The very flexibility measurement requires simultaneous application of various methods of factor analysis and polling stakeholder opinions.

  16. Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation.

    Science.gov (United States)

    Chauvet-Gelinier, Jean-Christophe; Bonin, Bernard

    2017-01-01

    Cardiovascular events and emotional disorders share a common epidemiology, thus suggesting fundamental pathways linking these different diseases. Growing evidence in the literature highlights the influence of psychological determinants in somatic diseases. A patient's socio-economic aspects, personality traits, health behavior and even biological pathways may contribute to the course of cardiovascular disease. Cardiac events often occur suddenly and the episode can be traumatic for people not prepared for such an event. In this review of the literature, the authors tackle the question of psychobiological mechanisms of stress, in a pathophysiological approach to fundamental pathways linking the brain to the heart. Various psychological, biological and genetic arguments are presented in support of the hypothesis that various etiological mechanisms may be involved. The authors finally deal with biological and psychological strategies in a context of cardiovascular disease. Indeed, in this context, cardiac rehabilitation, with its global approach, seems to be a good time to diagnose emotional disorders like anxiety and depression, and to help people to cope with stressful events. In this field, cardiac rehabilitation seems to be a crucial step in order to improve patients' outcomes, by helping them to understand the influence of psychobiological risk factors, and to build strategies in order to manage daily stress. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  17. Inequalities in non-communicable diseases between the major population groups in Israel: achievements and challenges.

    Science.gov (United States)

    Muhsen, Khitam; Green, Manfred S; Soskolne, Varda; Neumark, Yehuda

    2017-06-24

    Israel is a high-income country with an advanced health system and universal health-care insurance. Overall, the health status has improved steadily over recent decades. We examined differences in morbidity, mortality, and risk factors for selected non-communicable diseases (NCDs) between subpopulation groups. Between 1975 and 2014, life expectancy in Israel steadily increased and is currently above the average life expectancy for the Organisation for Economic Co-operation and Development countries. Nevertheless, life expectancy has remained lower among Israeli Arabs than Israeli Jews, and this gap has recently widened. Age-adjusted mortality as a result of heart disease, stroke, or diabetes remains higher in Arabs, whereas age-adjusted incidence and mortality of cancer were higher among Jews. The prevalence of obesity and low physical activity in Israel is considerably higher among Arabs than Jews. Smoking prevalence is highest for Arab men and lowest for Arab women. Health inequalities are also evident by the indicators of socioeconomic position and in subpopulations, such as immigrants from the former Soviet Union, ultra-Orthodox Jews, and Bedouin Arabs. Despite universal health coverage and substantial improvements in the overall health of the Israeli population, substantial inequalities in NCDs persist. These differences might be explained, at least in part, by gaps in social determinants of health. The Ministry of Health has developed comprehensive programmes to reduce these inequalities between the major population groups. Sustained coordinated multisectoral efforts are needed to achieve a greater impact and to address other social inequalities. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Migrating from user fees to social health insurance: exploring the prospects and challenges for hospital management

    Directory of Open Access Journals (Sweden)

    Atinga Roger A

    2012-06-01

    Full Text Available Abstract Background In 2003 Ghana introduced a social health insurance scheme which resulted in the separation of purchasing of health services by the health insurance authority on the one hand and the provision of health services by hospitals at the other side of the spectrum. This separation has a lot of implications for managing accredited hospitals. This paper examines whether decoupling purchasing and service provision translate into opportunities or challenges in the management of accredited hospitals. Methods A qualitative exploratory study of 15 accredited district hospitals were selected from five of Ghana’s ten administrative regions for the study. A semi-structured interview guide was designed to solicit information from key informants, Health Service Administrators, Pharmacists, Accountants and Scheme Managers of the hospitals studied. Data was analysed thematically. Results The results showed that under the health insurance scheme, hospitals are better-off in terms of cash flow and adequate stock levels of drugs. Adequate stock of non-drugs under the scheme was reportedly intermittent. The major challenges confronting the hospitals were identified as weak purchasing power due to low tariffs, non computerisation of claims processing, unpredictable payment pattern, poor gate-keeping systems, lack of logistics and other new and emerging challenges relating to moral hazards and the use of false identity cards under pretence for medical care. Conclusion Study’s findings have a lot of policy implications for proper management of hospitals. The findings suggest rationalisation of the current tariff structure, the application of contract based payment system to inject efficiency into hospitals management and piloting facility based vetting systems to offset vetting loads of the insurance authority. Proper gate-keeping mechanisms are also needed to curtail the phenomenon of moral hazard and false documentation.

  19. Migrating from user fees to social health insurance: exploring the prospects and challenges for hospital management.

    Science.gov (United States)

    Atinga, Roger A; Mensah, Sylvester A; Asenso-Boadi, Francis; Adjei, Francis-Xavier Andoh

    2012-06-22

    In 2003 Ghana introduced a social health insurance scheme which resulted in the separation of purchasing of health services by the health insurance authority on the one hand and the provision of health services by hospitals at the other side of the spectrum. This separation has a lot of implications for managing accredited hospitals. This paper examines whether decoupling purchasing and service provision translate into opportunities or challenges in the management of accredited hospitals. A qualitative exploratory study of 15 accredited district hospitals were selected from five of Ghana's ten administrative regions for the study. A semi-structured interview guide was designed to solicit information from key informants, Health Service Administrators, Pharmacists, Accountants and Scheme Managers of the hospitals studied. Data was analysed thematically. The results showed that under the health insurance scheme, hospitals are better-off in terms of cash flow and adequate stock levels of drugs. Adequate stock of non-drugs under the scheme was reportedly intermittent. The major challenges confronting the hospitals were identified as weak purchasing power due to low tariffs, non computerisation of claims processing, unpredictable payment pattern, poor gate-keeping systems, lack of logistics and other new and emerging challenges relating to moral hazards and the use of false identity cards under pretence for medical care. Study's findings have a lot of policy implications for proper management of hospitals. The findings suggest rationalisation of the current tariff structure, the application of contract based payment system to inject efficiency into hospitals management and piloting facility based vetting systems to offset vetting loads of the insurance authority. Proper gate-keeping mechanisms are also needed to curtail the phenomenon of moral hazard and false documentation.

  20. Migrating from user fees to social health insurance: exploring the prospects and challenges for hospital management

    Science.gov (United States)

    2012-01-01

    Background In 2003 Ghana introduced a social health insurance scheme which resulted in the separation of purchasing of health services by the health insurance authority on the one hand and the provision of health services by hospitals at the other side of the spectrum. This separation has a lot of implications for managing accredited hospitals. This paper examines whether decoupling purchasing and service provision translate into opportunities or challenges in the management of accredited hospitals. Methods A qualitative exploratory study of 15 accredited district hospitals were selected from five of Ghana’s ten administrative regions for the study. A semi-structured interview guide was designed to solicit information from key informants, Health Service Administrators, Pharmacists, Accountants and Scheme Managers of the hospitals studied. Data was analysed thematically. Results The results showed that under the health insurance scheme, hospitals are better-off in terms of cash flow and adequate stock levels of drugs. Adequate stock of non-drugs under the scheme was reportedly intermittent. The major challenges confronting the hospitals were identified as weak purchasing power due to low tariffs, non computerisation of claims processing, unpredictable payment pattern, poor gate-keeping systems, lack of logistics and other new and emerging challenges relating to moral hazards and the use of false identity cards under pretence for medical care. Conclusion Study’s findings have a lot of policy implications for proper management of hospitals. The findings suggest rationalisation of the current tariff structure, the application of contract based payment system to inject efficiency into hospitals management and piloting facility based vetting systems to offset vetting loads of the insurance authority. Proper gate-keeping mechanisms are also needed to curtail the phenomenon of moral hazard and false documentation. PMID:22726666

  1. The revision of the European blood directives: A major challenge for transfusion medicine.

    Science.gov (United States)

    Folléa, G; Aranko, K

    2015-08-01

    Using both patient-focused and donor-focused perspectives, to review the current EU blood directives, in order to derive proposals, in principle, for what should evolve during the revision process of these directives. Review of the EU blood directives in the light of scientific literature, related reports from the Directorate General Health and Consumers (DG SANTÉ), and from the Council of Europe (CoE). The analyses led us to present the main following proposals: developing voluntary unpaid donations: the directives should consider taking into consideration ethically acceptable forms of compensation consistent with altruistic donation (including plasma donations for fractionation); current expertise: more extensive utilization of the expertise of blood establishments and their consultants should be considered; donor selection: an evidence-based approach for basing donor deferral criteria on sound scientific evidence should be promoted; donor reactions: measures to prevent donor reactions and to make donations safer for the donors should also be included; quality control: The quality control requirements should relate to the Council of Europe Blood Guide specifications: these should become minimum standards (as is the case with monographs of the European Pharmacopeia), facilitating regular update of blood component lists and related specifications and compliance with the specifications; haemovigilance: because of reporting difficulties (e.g. lack of number of blood products transfused), the effectiveness of haemovigilance has so far been limited. This should lead appropriate bodies to investigate alternative or complementary ways to help improve patient safety, taking into consideration, in principle, patient blood management and the appropriate use of blood products. Furthermore, donor vigilance, which is still absent from the current directive should be included in a revised directive. These proposals for revising the current EU blood directives (if taken into

  2. Rural Solid Waste Management in China: Status, Problems and Challenges

    Directory of Open Access Journals (Sweden)

    Aiqin Wang

    2017-03-01

    Full Text Available This paper seeks to describe the overall state of Rural Solid Waste Management (RSWM in China in three main areas: waste collection services, waste transportation services and waste disposal services. Given China’s urbanization, industrialization, and the subsequent improvement of household living standards, the amount of solid waste generated in rural China has increased rapidly. Based on primary data collected in 2016 from 100 villages across five provinces in China, we find that the proportion of villages with waste collection, waste transportation, and waste disposal services in 2015 is 80%, 55% and 22%, respectively. The differences in shares of villages with these services across provinces are statistically significant. Using descriptive and econometric analyses, the authors show that richer villages are more likely to provide rural solid waste (RSW collection and transportation services. Villages with new (newly elected or appointed village leaders are more likely to supply RSW disposal services. While the majority of villages report that they offer waste collection services (installing waste collection facilities and employing waste collection workers, the vast majority of villages do not transport their waste to treatment plants. Even fewer villages report using centralized disposal methods to dispose of waste, as required by law or regulation. This study represents the first effort to describe the state and determinants of waste management services in rural China in the wake of increased investment in and new policies regarding RSWM released in 2015. Additionally, we provide evidence-based suggestions that might be useful for policy makers interested in improving RSWM in China. These suggestions include increasing investments in waste collection facilities and worker services; encouraging local residents to classify and recycle waste; designing optimal waste transportation networks and routes; and improving on-site waste disposal

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

    Science.gov (United States)

    Wang, Shuxiao; Hao, Jiming

    2012-01-01

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

  4. New lidar challenges for gas hazard management in industrial environments

    Science.gov (United States)

    Cézard, Nicolas; Liméry, Anasthase; Bertrand, Johan; Le Méhauté, Simon; Benoit, Philippe; Fleury, Didier; Goular, Didier; Planchat, Christophe; Valla, Matthieu; Augère, Béatrice; Dolfi-Bouteyre, Agnès.

    2017-10-01

    The capability of Lidars to perform range-resolved gas profiles makes them an appealing choice for many applications. In order to address new remote sensing challenges, arising from industrial contexts, Onera currently develops two lidar systems, one Raman and one DIAL. On the Raman side, a high spatial-resolution multi-channel Raman Lidar is developed in partnership with the French National Radioactive Waste Management Agency (Andra). This development aims at enabling future monitoring of hydrogen gas and water vapor profiles inside disposal cells containing radioactive wastes. We report on the development and first tests of a three-channel Raman Lidar (H2, H2O, N2) designed to address this issue. Simultaneous hydrogen and water vapor profiles have been successfully performed along a 5m-long gas cell with 1m resolution at a distance of 85 m. On the DIAL side, a new instrumental concept is being explored and developed in partnership with Total E and P. The objective is to perform methane plume monitoring and flux assessment in the vicinity of industrials plants or platforms. For flux assessment, both gas concentration and air speed must be profiled by lidar. Therefore, we started developing a bi-function, all-fiber, coherent DIAL/Doppler Lidar. The first challenge was to design and build an appropriate fiber laser source. The achieved demonstrator delivers 200 W peak power, polarized, spectrally narrow (<15 MHz), 110 ns pulses of light out of a monomode fiber at 1645 nm. It fulfills the requirements for a future implementation in a bi-function Dial/Doppler lidar with km-range expectation. We report on the laser and lidar architecture, and on first lidar tests at 1645 nm.

  5. Observation management challenges of the Square Kilometre Array

    Science.gov (United States)

    Bridger, Alan; Williams, Stewart J.; Nicol, Mark; Klaassen, Pamela; Thompson, Roger S.; Knapic, Cristina; Jerse, Giovanna; Orlati, Andrea; Messina, Marco; Valame, Snehal

    2016-07-01

    The Square Kilometre Array (SKA) will be the world's most advanced radio telescope, designed to explore some of the biggest questions in astronomy today, such as the epoch of re-ionization, the nature of gravity and the origins of cosmic magnetism. SKA1, the first phase of SKA construction, is currently being designed by a large team of experts world-wide. SKA1 comprises two telescopes: a 200-element dish interferometer in South Africa and a 130000-element dipole antenna aperture array in Australia. To enable the ground-breaking science of the SKA an advanced Observation Management system is required to support both the needs of the astronomical community users and the SKA Observatory staff. This system will ensure that the SKA realises its scientiffc aims and achieves optimal scientific throughput. This paper provides an overview of the design of the system that will accept proposals from SKA users, and result in the execution of the scripts that will obtain science data, taking in the stages of detailed preparation, planning and scheduling of the observations and onwards tracking. It describes the unique challenges of the differing requirements of two telescopes, one of which is very much a software telescope, including the need to schedule the data processing as well as the acquisition, and to react to both internally and externally discovered transient events. The scheduling of multiple parallel sub-array use is covered, along with the need to handle commensal observing - using the same data stream to satisfy the science goals of more than one project simultaneously. An international team from academia and industry, drawing on expertise and experience from previous telescope projects, the virtual observatory and comparable problems in industry, has been assembled to design the solution to this challenging but exciting problem.

  6. JPL's Approach for Helping Flight Project Managers Meet Today's Management Challenges

    Science.gov (United States)

    Leising, Charles J.

    2004-01-01

    All across NASA project managers are facing tough new challenges. NASA has imposed increased oversight and the number of projects at Centers such as JPL has exploded from a handful of large projects to a much greater number of smaller ones. Experienced personnel are retiring at increasing rates and younger, less experienced managers are being rapidly promoted up the ladder. Budgets are capped, competition among NASA Centers and Federally Funded Research and Development Centers (FFRDCs) has increased significantly and there is no longer any tolerance to cost overruns. On top of all this, implementation schedules have been reduced by 25 to 50% to reduce run-out costs, making it even more difficult to define requirements, validate heritage assumptions and make accurate cost estimates during the early phases of the life-cycle.JPL's executive management, under the leadership of the Associate Director for Flight Projects and Mission Success, have attempted to meet these challenges by improving operations in five areas: (1) increased standardization, where it is judged to have significant benefit; (2) better balance and more effective partnering between projects and the line management; (3) increased infrastructure support; (4) improved management training; and (5) more effective review and oversight.

  7. Challenges in packaging waste management in the fast food industry

    Energy Technology Data Exchange (ETDEWEB)

    Aarnio, Teija [Digita Oy, P.O. Box 135, FI-00521 Helsinki (Finland); Haemaelaeinen, Anne [Department of Energy and Environmental Technology, Lappeenranta University of Technology, P.O. Box 20, FI-53851 Lappeenranta (Finland)

    2008-02-15

    The recovery of solid waste is required by waste legislation, and also by the public. In some industries, however, waste is mostly disposed of in landfills despite of its high recoverability. Practical experiences show that the fast food industry is one example of these industries. A majority of the solid waste generated in the fast food industry is packaging waste, which is highly recoverable. The main research problem of this study was to find out the means of promoting the recovery of packaging waste generated in the fast food industry. Additionally, the goal of this article was to widen academic understanding on packaging waste management in the fast food industry, as the subject has not gained large academic interest previously. The study showed that the theoretical recovery rate of packaging waste in the fast food industry is high, 93% of the total annual amount, while the actual recovery rate is only 29% of the total annual amount. The total recovery potential of packaging waste is 64% of the total annual amount. The achievable recovery potential, 33% of the total annual amount, could be recovered, but is not mainly because of non-working waste management practices. The theoretical recovery potential of 31% of the total annual amount of packaging waste cannot be recovered by the existing solid waste infrastructure because of the obscure status of commercial waste, the improper operation of producer organisations, and the municipal autonomy. The research indicated that it is possible to reach the achievable recovery potential in the existing solid waste infrastructure through new waste management practices, which are designed and operated according to waste producers' needs and demands. The theoretical recovery potential can be reached by increasing the consistency of the solid waste infrastructure through governmental action. (author)

  8. Challenges of nurses' empowerment in the management of patient aggression: A qualitative study

    Directory of Open Access Journals (Sweden)

    Tahereh Ramezani

    2017-01-01

    Full Text Available Background: Patients' aggression in the mental care setting is a global health problem with major psychological, physical, and economic consequences; nurse empowerment to manage this aggressive behavior is an important step in psychiatric nursing. The aim of this study was to explore psychiatric nurses' experiences of the challenges of empowerment in the management of patients' aggression. Materials and Methods: This qualitative study was performed among 20 nurses working in a major referral psychiatric center in Iran during 2014–2016. The purposive sampling method was used for selecting the participants. Data were collected through semi-structured interviews, observations, and filed notes. Inductive content analysis was used for data analysis. Results: Three categories and ten subcategories were identified: inefficient organizational policy (limited human resources, mandatory shifts, shortage of protective equipment, lack of motivational sparks; insufficient job growth (failure to implement training programs, insufficient effort for job competence, lack of clinical guidelines; and deficiencies in the organizational culture (inadequate autonomy and authority, lack of the culture of prevention, culture of fault and blame after an incident. Conclusions: Psychiatric nurses were not satisfied with organizational empowering conditions for the management of patients' aggression and reported low levels of access to learning opportunity, receiving support and essential resources that led to unnecessary use of containment measures. Managers must make every effort to create organizational context that make it possible to empower nurses for optimal practice.

  9. Management and schedule challenges for fossil projects in the 1990's. Working Group Three: Challenges and action items

    International Nuclear Information System (INIS)

    Anon.

    1991-01-01

    The discussions of the working group resulted in identification of the following management challenges: New generation capacity - before 1995, after 1995; Shortages of critical resources - engineers and crafts, manufacturing capacity; Competitive restrictions; Management philosophy - not the owners' problem; delay commitment; custom plants; proven technology; build and own myself. The paper also lists action items under 3 categories: actions to increase resources and decrease needs; fostering competitive incentives; and changing management philosophy

  10. Calibration standards for major greenhouse gases and carbon monoxide: status and challenges.

    Science.gov (United States)

    Zellweger, Christoph; Mohn, Joachim; Wyss, Simon A.; Brewer, Paul; Mace, Tatiana; Nieuwenkamp, Gerard; Pearce-Hill, Ruth; Tarhan, Tanil; Walden, Jari; Emmenegger, Lukas

    2017-04-01

    used by the GAW community. We will show results of the comparison of the HIGHGAS and the WMO reference standards, and put this into the context of the WMO/GAW quality management framework. [1] IPCC, 2013: Climate Change 2013: The Physical Science Basis. Contribution of Working Group I to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change [Stocker, T.F., D. Qin, G.-K. Plattner, M. Tignor, S.K. Allen, J. Boschung, A. Nauels, Y. Xia, V. Bex and P.M. Midgley (eds.)]. Cambridge University Press, Cambridge, United Kingdom and New York, NY, USA, 1535 pp. [2] WMO: 18th WMO/IAEA Meeting on Carbon Dioxide, Other Greenhouse Gases and Related Tracers Measurement Techniques (GGMT-2015), La Jolla, CA, USA, 13-17 September 2015, GAW Report No. 229, World Meteorological Organization, Geneva, Switzerland, 2016. [3] Zellweger, C., Emmenegger, L., Firdaus, M., Hatakka, J., Heimann, M., Kozlova, E., Spain, T. G., Steinbacher, M., van der Schoot, M. V., and Buchmann, B.: Assessment of recent advances in measurement techniques for atmospheric carbon dioxide and methane observations, Atmos. Meas. Tech., 9, 4737-4757, 2016. [4] Flores, E., Viallon, J., Choteau, T., Moussay, P., Wielgosz, R., Kang, N., Kim, B. M., Zalewska, E., van der Veen, A., Konopelko, L., Wu, H., Han, Q., Rhoderick, G., Guenther, F. R., Watanabe, T., Shimosaka, T., Kato, K., Hall, B., and Brewer, P.: International comparison CCQM-K82: methane in air at ambient level (1800 to 2200) nmol/mol, Metrologia, 52, 08001, 2015.

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

    Science.gov (United States)

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

    2018-05-07

    resource systems, both must confront the analytical challenges of systems modeling—in terms of complexity, dynamics, and uncertainty.Given this affinity, the integration of ecosystem services analysis and adaptive management poses few conceptual hurdles. In this report, we synthesize discussions from two workshops that considered ways in which adaptive management approaches and ecosystem service concepts may be complementary, such that integrating them into a common framework may lead to improved natural resource management outcomes. Although the literature on adaptive management and ecosystem services is vast and growing, the report focuses specifically on the integration of these two concepts rather than aiming to provide new definitions or an indepth review or primer of the concepts individually.Key issues considered include the bidirectional links between adaptive decision making and ecosystem services, as well as the potential benefits and inevitable challenges arising in the development and use of an integrated framework. Specifically, the workshops addressed the following questions:How can application of ecosystem service analysis within an adaptive decision process improve the outcomes of management and advance understanding of ecosystem service identification, production, and valuation?How can these concepts be integrated in concept and practice?What are the constraints and challenges to integrating adaptive management and ecosystem services?And, should the integration of these concepts be moved forward to wider application—and if so, how?

  12. Major Incident Hospital: Development of a Permanent Facility for Management of Incident Casualties.

    Science.gov (United States)

    Marres, Geertruid; Bemelman, Michael; van der Eijk, John; Leenen, Luke

    2009-06-01

    Preparation is essential to cope with the challenge of providing optimal care when there is a sudden, unexpected surge of casualties due to a disaster or major incident. By definition, the requirements of such cases exceed the standard care facilities of hospitals in qualitative or quantitative respects and interfere with the care of regular patients. To meet the growing demands to be prepared for disasters, a permanent facility to provide structured, prepared relief in such situations was developed. A permanent but reserved Major Incident Hospital (MIH) has been developed through cooperation between a large academic medical institution, a trauma center, a military hospital, and the National Poison Information Centre (NVIC). The infrastructure, organization, support systems, training and systematic working methods of the MIH are designed to create order in a chaotic, unexpected situation and to optimize care and logistics in any possible scenario. Focus points are: patient flow and triage, registration, communication, evaluation and training. Research and the literature are used to identify characteristic pitfalls due to the chaos associated with and the unexpected nature of disasters, and to adapt our organization. At the MIH, the exceptional has become the core business, and preparation for disaster and large-scale emergency care is a daily occupation. An Emergency Response Protocol enables admittance to the normally dormant hospital of up to 100 (in exceptional cases even 300) patients after a start-up time of only 15 min. The Patient Barcode Registration System (PBR) with EAN codes guarantees quick and adequate registration of patient data in order to facilitate good medical coordination and follow-up during a major incident. The fact that the hospital is strictly reserved for this type of care guarantees availability and minimizes impact on normal care. When it is not being used during a major incident, there is time to address training and research

  13. Solid waste management in Macao: Practices and challenges

    International Nuclear Information System (INIS)

    Jin Jianjun; Wang Zhishi; Ran Shenghong

    2006-01-01

    The rapid economic development and population growth in Macao have resulted in a large increase in refuse generated over the past decade. In 2003, the quantity of solid waste generated reached 249,255 tons, corresponding to 1.52 kg/day per capita. This figure has been gradually increasing. Domestic solid waste is the primary source of solid waste generation. The data showed that a considerable amount of the solid waste generated can be recycled and reutilized. Due to Macao's small geographic area and high cost of land, landfilling has the lowest priority for waste disposal. Solid waste incineration has been given a top priority over other waste disposal methods although it is much more expensive. In the last decade, more than 80% of the total waste in Macao was incinerated. However, the incineration capacity of the Macao Incineration Plant is going to reach its saturation earlier than expected. Waste minimization, the establishment of an effective waste collection and disposal fee system, and alternate ways dealing with the limited capacity of waste treatment facilities are regarded to be major challenges in the future

  14. Managing change in Higher Educational Institutions in South Africa: Some challenges

    Directory of Open Access Journals (Sweden)

    L. Froneman

    2003-12-01

    Full Text Available Higher Education has a vital role in developing an internationally competitive economy, a more affluent society and a sturdy democracy. The newly released National Plan for Higher Education in South Africa should recognise the current social and economic status in the country to realign its mission, and to reconsider the location and target audience of the various institutions in the country, to optimally serve the educational needs of the communities. The proposals in the National Plan, however, attempts to attain in a few years what other stabilised countries took years. That poses major challenges to education management. The aim of this paper is to evaluate some aspects of the managerial skills in the national education authorities. By analysing the National Plan, and testing the views of a number of teaching staff, the conclusion is that there are serious doubts regarding the management acumen in the educational leadership and that various important aspects are left out in the Plan.

  15. Privacy Management and Networked PPD Systems - Challenges Solutions.

    Science.gov (United States)

    Ruotsalainen, Pekka; Pharow, Peter; Petersen, Francoise

    2015-01-01

    Modern personal portable health devices (PPDs) become increasingly part of a larger, inhomogeneous information system. Information collected by sensors are stored and processed in global clouds. Services are often free of charge, but at the same time service providers' business model is based on the disclosure of users' intimate health information. Health data processed in PPD networks is not regulated by health care specific legislation. In PPD networks, there is no guarantee that stakeholders share same ethical principles with the user. Often service providers have own security and privacy policies and they rarely offer to the user possibilities to define own, or adapt existing privacy policies. This all raises huge ethical and privacy concerns. In this paper, the authors have analyzed privacy challenges in PPD networks from users' viewpoint using system modeling method and propose the principle "Personal Health Data under Personal Control" must generally be accepted at global level. Among possible implementation of this principle, the authors propose encryption, computer understandable privacy policies, and privacy labels or trust based privacy management methods. The latter can be realized using infrastructural trust calculation and monitoring service. A first step is to require the protection of personal health information and the principle proposed being internationally mandatory. This requires both regulatory and standardization activities, and the availability of open and certified software application which all service providers can implement. One of those applications should be the independent Trust verifier.

  16. Progress and Challenges in Assessing NOAA Data Management

    Science.gov (United States)

    de la Beaujardiere, J.

    2016-12-01

    The US National Oceanic and Atmospheric Administration (NOAA) produces large volumes of environmental data from a great variety of observing systems including satellites, radars, aircraft, ships, buoys, and other platforms. These data are irreplaceable assets that must be properly managed to ensure they are discoverable, accessible, usable, and preserved. A policy framework has been established which informs data producers of their responsibilities and which supports White House-level mandates such as the Executive Order on Open Data and the OSTP Memorandum on Increasing Access to the Results of Federally Funded Scientific Research. However, assessing the current state and progress toward completion for the many NOAA datasets is a challenge. This presentation will discuss work toward establishing assessment methodologies and dashboard-style displays. Ideally, metrics would be gathered though software and be automatically updated whenever an individual improvement was made. In practice, however, some level of manual information collection is required. Differing approaches to dataset granularity in different branches of NOAA yield additional complexity.

  17. Design and practice of a comprehensively functional integrated management information system for major construction

    Science.gov (United States)

    Liu, Yuling; Wang, Xiaoping; Zhu, Yuhui; Fei, Lanlan

    2017-08-01

    This paper introduces a Comprehensively Functional Integrated Management Information System designed for the Optical Engineering Major by the College of Optical Science and Engineering, Zhejiang University, which combines the functions of teaching, students learning, educational assessment and management. The system consists of 5 modules, major overview, online curriculum, experiment teaching management, graduation project management and teaching quality feedback. The major overview module introduces the development history, training program, curriculums and experiment syllabus and teaching achievements of optical engineering major in Zhejiang University. The Management Information System is convenient for students to learn in a mobile and personalized way. The online curriculum module makes it very easy for teachers to setup a website for new curriculums. On the website, teachers can help students on their problems about the curriculums in time and collect their homework online. The experiment teaching management module and the graduation project management module enables the students to fulfill their experiment process and graduation thesis under the help of their supervisors. Before students take an experiment in the lab, they must pass the pre-experiment quiz on the corresponding module. After the experiment, students need to submit the experiment report to the web server. Moreover, the module contains experiment process video recordings, which are very helpful to improve the effect of the experiment education. The management of the entire process of a student's graduation program, including the project selection, mid-term inspection, progress report of every two weeks, final thesis, et al, is completed by the graduation project management module. The teaching quality feedback module is not only helpful for teachers to know whether the education effect of curriculum is good or not, but also helpful for the administrators of the college to know whether the

  18. The grand challenge of managing the petascale facility.

    Energy Technology Data Exchange (ETDEWEB)

    Aiken, R. J.; Mathematics and Computer Science

    2007-02-28

    This report is the result of a study of networks and how they may need to evolve to support petascale leadership computing and science. As Dr. Ray Orbach, director of the Department of Energy's Office of Science, says in the spring 2006 issue of SciDAC Review, 'One remarkable example of growth in unexpected directions has been in high-end computation'. In the same article Dr. Michael Strayer states, 'Moore's law suggests that before the end of the next cycle of SciDAC, we shall see petaflop computers'. Given the Office of Science's strong leadership and support for petascale computing and facilities, we should expect to see petaflop computers in operation in support of science before the end of the decade, and DOE/SC Advanced Scientific Computing Research programs are focused on making this a reality. This study took its lead from this strong focus on petascale computing and the networks required to support such facilities, but it grew to include almost all aspects of the DOE/SC petascale computational and experimental science facilities, all of which will face daunting challenges in managing and analyzing the voluminous amounts of data expected. In addition, trends indicate the increased coupling of unique experimental facilities with computational facilities, along with the integration of multidisciplinary datasets and high-end computing with data-intensive computing; and we can expect these trends to continue at the petascale level and beyond. Coupled with recent technology trends, they clearly indicate the need for including capability petascale storage, networks, and experiments, as well as collaboration tools and programming environments, as integral components of the Office of Science's petascale capability metafacility. The objective of this report is to recommend a new cross-cutting program to support the management of petascale science and infrastructure. The appendices of the report document current and projected

  19. Pain management in patients with Parkinson's disease: challenges and solutions.

    Science.gov (United States)

    Skogar, Orjan; Lokk, Johan

    2016-01-01

    This review focuses on the diagnosis and management of Parkinson-related pain which is one of the more frequently reported nonmotor symptoms in Parkinson's disease (PD), which is the second most common neurodegenerative disease after Alzheimer's disease. Pain is ranked high by patients as a troublesome symptom in all stages of the disease. In early-stage PD, pain is rated as the most bothersome symptom. Knowledge of the correct diagnosis of pain origin and possible methods of treatments for pain relief in PD is of great importance. The symptoms have a great negative impact on health-related quality of life. Separating PD-related pain from pain of other origins is an important challenge and can be characterized as "many syndromes under the same umbrella". Among the different forms of PD-related pain, musculoskeletal pain is the most common form, accounting for 40%-90% of reported pain in PD patients. Augmentation by pathophysiological pathways other than those secondary to rigidity, tremor, or any of the other motor manifestations of the disease seems most probable. In PD, the basal ganglia process somatosensory information differently, and increased subjective pain sensitivity with lower electrical and heat-pain thresholds has been reported in PD patients. The mechanism is assumed to be diminished activity of the descending inhibitory control system of the basal ganglia. PD pain, like many of the nonmotor symptoms, remains underdiagnosed and, thus, poorly managed. A systematic collection of patient descriptions of type, quality, and duration of pain is, therefore, of utmost importance. Recent studies have validated new and more specific and dedicated pain scales for PD-related symptoms. Symptomatic treatments based on clinical pain classification include not only pharmacological but also nonpharmacological methods and, to some degree, invasive approaches. In the clinic, pharmacological and nonpharmacological interventions can be effective to varying degrees - as

  20. Pain management in patients with Parkinson's disease: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Skogar O

    2016-09-01

    Full Text Available Orjan Skogar,1,2 Johan Lokk2 1Academy for Health and Care (FUTURUM, Region Jönköping County, Jönköping, 2Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Stockholm, Sweden Abstract: This review focuses on the diagnosis and management of Parkinson-related pain which is one of the more frequently reported nonmotor symptoms in Parkinson’s disease (PD, which is the second most common neurodegenerative disease after Alzheimer’s disease. Pain is ranked high by patients as a troublesome symptom in all stages of the disease. In early-stage PD, pain is rated as the most bothersome symptom. Knowledge of the correct diagnosis of pain origin and possible methods of treatments for pain relief in PD is of great importance. The symptoms have a great negative impact on health-related quality of life. Separating PD-related pain from pain of other origins is an important challenge and can be characterized as “many syndromes under the same umbrella”. Among the different forms of PD-related pain, musculoskeletal pain is the most common form, accounting for 40%–90% of reported pain in PD patients. Augmentation by pathophysiological pathways other than those secondary to rigidity, tremor, or any of the other motor manifestations of the disease seems most probable. In PD, the basal ganglia process somatosensory information differently, and increased subjective pain sensitivity with lower electrical and heat-pain thresholds has been reported in PD patients. The mechanism is assumed to be diminished activity of the descending inhibitory control system of the basal ganglia. PD pain, like many of the nonmotor symptoms, remains underdiagnosed and, thus, poorly managed. A systematic collection of patient descriptions of type, quality, and duration of pain is, therefore, of utmost importance. Recent studies have validated new and more specific and dedicated pain scales for PD-related symptoms. Symptomatic treatments based

  1. Challenging Futures Studies To Enhance Participatory River Basin Management

    Science.gov (United States)

    van der Helm, R.

    Can the field of futures research help advance participatory management of river basins? This question is supposed to be answered by the present study of which this paper will mainly address the theoretical and conceptual point of view. The 2000 EU Framework directive on water emphasises at least two aspects that will mark the future management of river basins: the need for long-term planning, and a demand for participation. Neither the former nor the latter are new concepts as such, but its combination is in some sense revolutionary. Can long-term plans be made (and implemented) in a participative way, what tools could be useful in this respect, and does this lead to a satisfactory situation in terms of both reaching physical targets and enhancing social-institutional manageability? A possibly rich way to enter the discussion is to challenge futures research as a concept and a practice for enabling multiple stakeholders to design appropriate policies. Futures research is the overall field in which several methods and techniques (like scenario analysis) are mobilised to systematically think through and/or design the future. As such they have proven to be rich exercises to trigger ideas, stimulate debate and design desirable futures (and how to get there). More importantly these exercises have the capability to reconstitute actor relations, and by nature go beyond the institutional boundaries. Arguably the relation between futures research and the planning process is rather distant. Understandably commitments on the direct implementation of the results are hardly ever made, but its impact on changes in the capabilities of the network of actors involved may be large. As a hypothesis we consider that the distant link between an image of the future and the implementation in policy creates sufficient distance for actors to participate (in terms of responsibilities, legal constraints, etc.) and generate potentials, and enough degrees of freedom needed for a successful

  2. The Glen Canyon Dam adaptive management program: progress and immediate challenges

    Science.gov (United States)

    Hamill, John F.; Melis, Theodore S.; Boon, Philip J.; Raven, Paul J.

    2012-01-01

    Adaptive management emerged as an important resource management strategy for major river systems in the United States (US) in the early 1990s. The Glen Canyon Dam Adaptive Management Program (‘the Program’) was formally established in 1997 to fulfill a statutory requirement in the 1992 Grand Canyon Protection Act (GCPA). The GCPA aimed to improve natural resource conditions in the Colorado River corridor in the Glen Canyon National Recreation Area and Grand Canyon National Park, Arizona that were affected by the Glen Canyon dam. The Program achieves this by using science and a variety of stakeholder perspectives to inform decisions about dam operations. Since the Program started the ecosystem is now much better understood and several biological and physical improvements have been achieved. These improvements include: (i) an estimated 50% increase in the adult population of endangered humpback chub (Gila cypha) between 2001 and 2008, following previous decline; (ii) a 90% decrease in non-native rainbow trout (Oncorhynchus mykiss), which are known to compete with and prey on native fish, as a result of removal experiments; and (iii) the widespread reappearance of sandbars in response to an experimental high-flow release of dam water in March 2008.Although substantial progress has been made, the Program faces several immediate challenges. These include: (i) defining specific, measurable objectives and desired future conditions for important natural, cultural and recreational attributes to inform science and management decisions; (ii) implementing structural and operational changes to improve collaboration among stakeholders; (iii) establishing a long-term experimental programme and management plan; and (iv) securing long-term funding for monitoring programmes to assess ecosystem and other responses to management actions. Addressing these challenges and building on recent progress will require strong and consistent leadership from the US Department of the Interior

  3. One of a kind complex offers unique energy management challenges

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, K. (West Edmonton Mall, Engineering and Maintenance, AB (Canada))

    1993-10-01

    The West Edmonton Mall in Alberta covers ca 5.2 million ft[sup 2] and has over 800 stores and services, 110 eating places, 5 major amusement facilities, a hotel, and 19 movie theaters. The mall was built in three phases, the first of which had a rather standard electrical and mechanical system. The later phases incorporated more complex electric and mechanical equipment. The electrical billing structure for the mall is based on peak demand, and reduction of peak demand is more important than reducing consumption. As may be expected at such a complex facility, opportunities for energy management are numerous. The lighting system was the first to receive attention. The old practice of leaving lights on at all times was replaced by establishing a time clock system on all mall corridor lighting and time controls to all skylight perimeter lighting. Several thousand watts of excess lighting was removed, time clocks were installed on yard and parkade lighting, and energy efficient lamps were installed. These measures not only reduced energy consumption but lowered air conditioning requirements and achieved savings on purchases of lamps and ballasts. In heating systems, it is felt that 2 MW of power can be saved by converting electrical heating units to gas-fired units. A night setback system was installed on the ice plant, and unnecessary loads were eliminated from the parkade ramp heating system. Winter peaks were shaved by installing 4,700 KVAR of power factor correction; this measure paid for itself in 13 months. Further energy management options include converting fans to variable speed drives, installing a cogeneration unit, and installing a more efficient wave generator in the water park. 3 figs.

  4. Experiences addressing health-related financial challenges with disease management among African American women with asthma

    Science.gov (United States)

    Patel, Minal R.; Caldwell, Cleopatra H.; Id-Deen, Effat; Clark, Noreen M.

    2018-01-01

    Objective Despite economic hardship, compliance with self-management regimens is still evident among individuals and families managing chronic disease. The purpose of this study was to describe how women with asthma address cost-related challenges to management of their condition. Methods In 2012 and 2013, four focus groups were conducted in Southeast Michigan with 26 African American women with asthma, recruited based on maximum variation sampling procedures. A semi-structured interview protocol was employed by trained facilitators. Coded transcripts were analyzed for themes regarding means to reduce the impact of the cost of asthma management. Results Major themes identified were acceptance of the status quo; stockpiling and sharing medicines; utilizing community assistance programs; reaching out to healthcare providers and social networks for help; foregoing self-management; and utilizing urgent care. Conclusions Awareness of strategies that are helpful to patients in reducing out-of-pocket costs may better equip service providers and others to develop interventions to make useful strategies more widely available. PMID:24471517

  5. Differential responsiveness of Holstein and Angus dermal fibroblasts to LPS challenge occurs without major differences in the methylome.

    Science.gov (United States)

    Benjamin, Aimee L; Green, Benjamin B; Crooker, Brian A; McKay, Stephanie D; Kerr, David E

    2016-03-24

    We have previously found substantial animal-to-animal and age-dependent variation in the response of Holstein fibroblast cultures challenged with LPS. To expand on this finding, fibroblast cultures were established from dairy (Holstein) and beef (Angus) cattle and challenged with LPS to examine breed-dependent differences in the innate immune response. Global gene expression was measured by RNA-Seq, while an epigenetic basis for expression differences was examined by methylated CpG island recovery assay sequencing (MIRA-Seq) analysis. The Holstein breed displayed a more robust response to LPS than the Angus breed based on RNA-Seq analysis of cultures challenged with LPS for 0, 2, and 8 h. Several immune-associated genes were expressed at greater levels (FDR Angus fibroblasts, and two of these regions fell within the promoter region (-2500 to +500 bp of the transcription start site) of the genes NTRK2 and ADAMTS5. Fibroblasts isolated from Holstein cattle display a more robust response to LPS in comparison to cultures from Angus cattle. Different selection strategies and management practices exist between these two breeds that likely give rise to genetic and epigenetic factors contributing to the different immune response phenotypes.

  6. Tests of Racial Discrimination in a Simple Financial Market: Managers in Major League Baseball

    Directory of Open Access Journals (Sweden)

    Rodney Paul

    2018-03-01

    Full Text Available This study tests for racial discrimination against minority managers in Major League Baseball using financial-market imbalances as it relates to the wagering marketplace for the sport. Using detailed betting data on the percentage bet on the favorite from Sports Insights, we test for prejudice against minority mangers using an ordinary least squares multiple regression model. The results reveal that bettors have a clear preference for the favored team as the percentage bet on the favorite increases with the odds on the favorite. In addition, they prefer road favorites by an even greater margin. In terms of minority managers, there is no evidence of discrimination against minorities. In fact, bettors prefer to wager on minority managers by a statistically significant margin when they are favorites. This finding suggests that either the participants in this financial marketplace are not prejudiced against minority managers or the financial incentives inherent in the market drive out discrimination against the minority managers.

  7. Perceptions of human resource professionals of challenges to and strategies for retaining managers

    Directory of Open Access Journals (Sweden)

    Danielle Uitzinger

    2018-01-01

    Contribution or value add: This study adds to the insights of HR professionals, line managers and leaders in organisations regarding retention challenges and effective retention strategies for top- and middle-level managers.

  8. 76 FR 71465 - Defense Federal Acquisition Regulation Supplement: Management of Manufacturing Risk in Major...

    Science.gov (United States)

    2011-11-18

    ... Government procurement. Mary Overstreet, Editor, Defense Acquisition Regulations System. Interim Rule Adopted... Federal Acquisition Regulation Supplement: Management of Manufacturing Risk in Major Defense Acquisition...). ACTION: Final rule. SUMMARY: DoD is adopting as final, without change, an interim rule amending the...

  9. Proven Techniques: The Use and Impact of Major Management Concepts in Community Colleges.

    Science.gov (United States)

    Deegan, William L.

    1992-01-01

    Describes a survey of community college presidents' use of and perception of the effectiveness of major management concepts related to planning, organization, budgeting/finance, staffing, and evaluation. Also summarizes presidents' perceptions of the problems facing them and their perspectives on the future. (DMM)

  10. Distance management – a challenge in participatory interventions in virtual organizations

    DEFF Research Database (Denmark)

    Ipsen, Christine; Gish, Liv; Poulsen, Signe

    2014-01-01

    Virtual organizations challenge the first line managers as they have to be able to manage from afar as distance managers. Investigating distance management in participatory multi-level interventions this paper presents a case study of four SMEs which have applied the multi-level participatory Po......WRS program (Prevention of Work-Related Stress) over a six month period. Interviews were conducted with employees, in-house process facilitators, project managers and first line managers. The results show that distance managers are even more challenged in interventions especially regarding coordination...

  11. Meeting the challenges of case management with remote patient monitoring technology.

    Science.gov (United States)

    Cherry, J C; Colliflower, S J; Tsiperfal, A

    2000-01-01

    The article presents an overview of some of the current trends in health care and the challenges faced by nurse case managers who are providing disease management services. It discusses some of the emerging technologies available today for innovative case management. In particular, this article describes a program run by a healthcare system in Sacramento, California that uses an Internet-based technology to enhance their nurse case management model. The article demonstrates how the Health Hero platform enables interactive communication between nurse case managers and their patients, thereby meeting some of the challenges the nurse case managers are faced with in the modern disease-management world.

  12. Adult-onset acne: prevalence, impact, and management challenges

    Directory of Open Access Journals (Sweden)

    Rocha MA

    2018-02-01

    Full Text Available Marco A Rocha, Ediléia Bagatin Paulista Medical School, Universidade Federal de São Paulo (Federal University of São Paulo, São Paulo, SP, Brazil Abstract: Acne is a multifactorial and inflammatory disease of pilosebaceous follicles, which affects most adolescents. Recent epidemiological data revealed a difference in adults affected by this disease. Women have a high prevalence and incidence when compared with men, especially after 25 years of age. In contrast to what was initially thought, most of these patients do not present endocrinopathy capable of leading to the development of the lesions. When present, polycystic ovarian syndrome is the main cause. However, in these cases, acne is rarely the only dermatological manifestation; hirsutism and acanthosis nigricans are often present. The majority of the normoandrogenic acne patients present a history since adolescence, but in many cases the lesion distribution and intensity change with time. There is often a typical localization of the lesions in the lower third of the face and lateral region of the neck. Another interesting feature is related to the impact on quality of life (QoL, which is always intense. Often there are signs of depression, even when the lesions are mild. As most adult patients are women, in addition to the conventional options, there is also hormone treatment. Combined oral contraceptives and spironolactone are good options. Knowing more about the particularities in etiopathogenesis, impact on QoL, and specific treatment options is important to all dermatologists who face the challenge of treating acne in adults. Keywords: adult, acne, hormonal, female

  13. Transforming management of tropical coastal seas to cope with challenges of the 21st century.

    Science.gov (United States)

    Sale, Peter F; Agardy, Tundi; Ainsworth, Cameron H; Feist, Blake E; Bell, Johann D; Christie, Patrick; Hoegh-Guldberg, Ove; Mumby, Peter J; Feary, David A; Saunders, Megan I; Daw, Tim M; Foale, Simon J; Levin, Phillip S; Lindeman, Kenyon C; Lorenzen, Kai; Pomeroy, Robert S; Allison, Edward H; Bradbury, R H; Corrin, Jennifer; Edwards, Alasdair J; Obura, David O; Sadovy de Mitcheson, Yvonne J; Samoilys, Melita A; Sheppard, Charles R C

    2014-08-15

    Over 1.3 billion people live on tropical coasts, primarily in developing countries. Many depend on adjacent coastal seas for food, and livelihoods. We show how trends in demography and in several local and global anthropogenic stressors are progressively degrading capacity of coastal waters to sustain these people. Far more effective approaches to environmental management are needed if the loss in provision of ecosystem goods and services is to be stemmed. We propose expanded use of marine spatial planning as a framework for more effective, pragmatic management based on ocean zones to accommodate conflicting uses. This would force the holistic, regional-scale reconciliation of food security, livelihoods, and conservation that is needed. Transforming how countries manage coastal resources will require major change in policy and politics, implemented with sufficient flexibility to accommodate societal variations. Achieving this change is a major challenge - one that affects the lives of one fifth of humanity. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  14. Nonadherence with antipsychotic medication in schizophrenia: challenges and management strategies.

    Science.gov (United States)

    Haddad, Peter M; Brain, Cecilia; Scott, Jan

    2014-01-01

    Nonadherence with medication occurs in all chronic medical disorders. It is a particular challenge in schizophrenia due to the illness's association with social isolation, stigma, and comorbid substance misuse, plus the effect of symptom domains on adherence, including positive and negative symptoms, lack of insight, depression, and cognitive impairment. Nonadherence lies on a spectrum, is often covert, and is underestimated by clinicians, but affects more than one third of patients with schizophrenia per annum. It increases the risk of relapse, rehospitalization, and self-harm, increases inpatient costs, and lowers quality of life. It results from multiple patient, clinician, illness, medication, and service factors, but a useful distinction is between intentional and unintentional nonadherence. There is no gold standard approach to the measurement of adherence as all methods have pros and cons. Interventions to improve adherence include psychoeducation and other psychosocial interventions, antipsychotic long-acting injections, electronic reminders, service-based interventions, and financial incentives. These overlap, all have some evidence of effectiveness, and the intervention adopted should be tailored to the individual. Psychosocial interventions that utilize combined approaches seem more effective than unidimensional approaches. There is increasing interest in electronic reminders and monitoring systems to enhance adherence, eg, Short Message Service text messaging and real-time medication monitoring linked to smart pill containers or an electronic ingestible event marker. Financial incentives to enhance antipsychotic adherence raise ethical issues, and their place in practice remains unclear. Simple pragmatic strategies to improve medication adherence include shared decision-making, regular assessment of adherence, simplification of the medication regimen, ensuring that treatment is effective and that side effects are managed, and promoting a positive

  15. Managing differences: the central challenge of global strategy.

    Science.gov (United States)

    Ghemawat, Pankaj

    2007-03-01

    The main goal of any international strategy should be to manage the large differences that arise at the borders of markets. Yet executives often fail to exploit market and production discrepancies, focusing instead on the tensions between standardization and localization. In this article, Pankaj Ghemawat presents a new framework that encompasses all three effective responses to the challenges of globalization. He calls it the AAA Triangle. The A's stand for the three distinct types of international strategy. Through adaptation, companies seek to boost revenues and market share by maximizing their local relevance. Through aggregation, they attempt to deliver economies of scale by creating regional, or sometimes global, operations. And through arbitrage, they exploit disparities between national or regional markets, often by locating different parts of the supply chain in different places--for instance, call centers in India, factories in China, and retail shops in Western Europe. Ghemawat draws on several examples that illustrate how organizations use and balance these strategies and describes the trade-offs they make as they do so. Because most enterprises should draw from all three A's to some extent, the framework can be used to develop a summary scorecard indicating how well the company is globalizing. However, given the tensions among the strategies, it's not enough simply to tick off the corresponding boxes. Strategic choice requires some degree of prioritization--and the framework can help with that as well. While it is possible to make progress on all three strategies, companies usually must focus on one or two when trying to build competitive advantage.

  16. Challenges of Refugee Health Care: Perspectives of Medical Interpreters, Case Managers, and Pharmacists

    Directory of Open Access Journals (Sweden)

    Fabiana Kotovicz

    2018-01-01

    Full Text Available Purpose: Our objective was to identify perceived challenges in the provision of health care for refugees from the perspective of medical interpreters, case managers, and pharmacists working with refugee patients in Milwaukee, Wisconsin. Methods: Two 60-minute focus groups were performed exploring challenges in refugee health care using a literature-based semi-structured protocol. Focus groups were transcribed and de-identified prior to independent analysis by two of the investigators. Using a memoing-process qualitative approach, major concepts, cross-cutting themes, and subthemes were established and ultimately developed a narrative. The project protocol was approved as not human subject research by the local institutional review board. Results: Four overarching themes regarding health care for refugee patients were identified: 1 difficulty balancing the dynamic of autonomy versus support for refugees; 2 educational needs of refugee families outpacing available resources; 3 challenges for refugees developing trust; and 4 diversity of cultures, education levels, and experiences among refugee families. Language barriers in accessing health care services and insufficient time to meet educational needs of refugees were major challenges outside of the clinic visit setting. Poor health literacy and difficulties communicating health needs and building trust within the interactive triad of refugee, physician, and interpreter impacted clinic visits. Conclusions: Refugee patients and other participants in refugee care work to navigate a complicated path to equitable health care for a vulnerable population. Continued pursuit of strategies that increase time allocation, education, and support for all parties are needed as we seek to improve health outcomes for newly arrived refugee families.

  17. Accommodating the Challenges of Climate Change Adaptation and Governance in Conventional Risk Management: Adaptive Collaborative Risk Management (ACRM)

    OpenAIRE

    Bradley May; Ryan Plummer

    2011-01-01

    Risk management is a well established tool for climate change adaptation. It is facing new challenges with the end of climate stationarity and the need to meaningfully engage people in governance issues. The ways in which conventional approaches to risk management can respond to these challenges are explored. Conventional approaches to risk management are summarized, the manner in which they are being advanced as a tool for climate change adaptation is described, and emerging themes in risk m...

  18. Radioactive waste management in Canada: progress and challenges 15 years after the policy framework

    International Nuclear Information System (INIS)

    McCauley, D.

    2011-01-01

    'Full text:' Introduction: Canada's Policy Framework for Radioactive Waste Management came into being in 1996, establishing the federal Government's overarching policy on radioactive waste management. Most importantly, the Policy Framework clearly establishes the role of the federal government and the role of the waste producers for radioactive waste management. Since the elaboration of the Policy Framework, there have been major developments on a variety of waste management fronts. The paper will examine those developments and identify the remaining challenges ahead in establishing a Canadian approach to radioactive waste management that is comprehensive. Canada's Policy Framework for Radioactive Waste Management established the Government's overarching policy for radioactive waste management. It was developed and established at a time when there was a fair degree of uncertainty regarding the role of the federal government, the provinces, and the waste producers in the area of radioactive waste management generally, and the management of nuclear fuel waste in particular. The Policy Framework clarified the roles and responsibilities of both the federal government and the operators and, in so doing, contributed to advancing radioactive waste management initiatives across Canada. The Government is responsible for developing policy, regulating, and overseeing that the owners of waste comply with legal requirements and meet their operational responsibilities in accordance with their waste management plans. The owners of the waste are responsible for funding and managing their own radioactive wastes. Over the course of the last 15 years, since the elaboration of the Policy Framework, there have been significant strides in developing long-term management solutions for Canada's radioactive wastes. Key developments in radioactive waste management include legislation in the area of nuclear fuel waste and the associated milestones emanating

  19. Managing a scarce resource: addressing critical health workforce challenges.

    NARCIS (Netherlands)

    Giepmans. P.; Dussault, G.; Batenburg, R.; Frich, J.; Olivers, R.; Sermeus, W.

    2013-01-01

    With health care services significantly changing, the challenge is to initiate innovative, situational and integrated workforce forecasting and planning. Many health systems require a shift in mindset to move to the planning of skill mixes for health care professionals. This implies great challenges

  20. Models meet data: Challenges and opportunities in implementing land management in Earth system models.

    Science.gov (United States)

    Pongratz, Julia; Dolman, Han; Don, Axel; Erb, Karl-Heinz; Fuchs, Richard; Herold, Martin; Jones, Chris; Kuemmerle, Tobias; Luyssaert, Sebastiaan; Meyfroidt, Patrick; Naudts, Kim

    2018-04-01

    As the applications of Earth system models (ESMs) move from general climate projections toward questions of mitigation and adaptation, the inclusion of land management practices in these models becomes crucial. We carried out a survey among modeling groups to show an evolution from models able only to deal with land-cover change to more sophisticated approaches that allow also for the partial integration of land management changes. For the longer term a comprehensive land management representation can be anticipated for all major models. To guide the prioritization of implementation, we evaluate ten land management practices-forestry harvest, tree species selection, grazing and mowing harvest, crop harvest, crop species selection, irrigation, wetland drainage, fertilization, tillage, and fire-for (1) their importance on the Earth system, (2) the possibility of implementing them in state-of-the-art ESMs, and (3) availability of required input data. Matching these criteria, we identify "low-hanging fruits" for the inclusion in ESMs, such as basic implementations of crop and forestry harvest and fertilization. We also identify research requirements for specific communities to address the remaining land management practices. Data availability severely hampers modeling the most extensive land management practice, grazing and mowing harvest, and is a limiting factor for a comprehensive implementation of most other practices. Inadequate process understanding hampers even a basic assessment of crop species selection and tillage effects. The need for multiple advanced model structures will be the challenge for a comprehensive implementation of most practices but considerable synergy can be gained using the same structures for different practices. A continuous and closer collaboration of the modeling, Earth observation, and land system science communities is thus required to achieve the inclusion of land management in ESMs. © 2017 John Wiley & Sons Ltd.

  1. Future challenges for the management of power supply companies; Zukuenftige Herausforderungen fuer das Management von EVU

    Energy Technology Data Exchange (ETDEWEB)

    Bausch, A. [Jena Univ. (Germany). Professur fuer Allgemeine Betriebswirtschaftslehre/Internationales Management; Jacobs Univ., Bremen (Germany). Professur fuer Strategisches Management und Controlling; Werthschulte, S.; Schumacher, T. [Accenture GmbH (Germany); Holst, A. [Jena Univ. (Germany). Professur fuer Allgemeine Betriebswirtschaftslehre/Internationales Management; Fritz, T. [Jacobs Univ., Bremen (Germany). Professur fuer Strategisches Management und Controlling

    2007-06-15

    Among the challenges on power supply companies seeking profitable growth are strategic corporate development in terms of product and process innovation and the management's and employees' capacity for change. This was the outcome of a survey conducted as part of the ''Value Creator III'' study performed among 130 executives of German, Austrian and Swiss companies operating in the energy sector. Based on a review of companies' past successes and expectations for the future the study presents business models for tomorrow's energy market and classifies companies within a past-and-future portfolio according to their market prospects.

  2. Infectious disease in cervids of North America: data, models, and management challenges.

    Science.gov (United States)

    Conner, Mary Margaret; Ebinger, Michael Ryan; Blanchong, Julie Anne; Cross, Paul Chafee

    2008-01-01

    Over the past two decades there has been a steady increase in the study and management of wildlife diseases. This trend has been driven by the perception of an increase in emerging zoonotic diseases and the recognition that wildlife can be a critical factor for controlling infectious diseases in domestic animals. Cervids are of recent concern because, as a group, they present a number of unique challenges. Their close ecological and phylogenetic relationship to livestock species places them at risk for receiving infections from, and reinfecting livestock. In addition, cervids are an important resource; revenue from hunting and viewing contribute substantially to agency budgets and local economies. A comprehensive coverage of infectious diseases in cervids is well beyond the scope of this chapter. In North America alone there are a number of infectious diseases that can potentially impact cervid populations, but for most of these, management is not feasible or the diseases are only a potential or future concern. We focus this chapter on three diseases that are of major management concern and the center of most disease research for cervids in North America: bovine tuberculosis, chronic wasting disease, and brucellosis. We discuss the available data and recent advances in modeling and management of these diseases.

  3. Challenges and Pitfalls in the Management of Phenylketonuria

    NARCIS (Netherlands)

    Feillet, Francois; van Spronsen, Francjan J.; MacDonald, Anita; Trefz, Friedrich K.; Demirkol, Muebeccel; Giovannini, Marcello; Belanger-Quintana, Amaya; Blau, Nenad

    Despite recent advances in the management of phenylketonuria and hyperphenylalaninemia, important questions on the management of this disorder remain unanswered. Consensus exists on the need for neonatal screening and early treatment, yet disagreement persists over threshold levels of blood

  4. Program Management Challenges in a Joint Service Environment

    National Research Council Canada - National Science Library

    Taneyhill, Dorothy E

    2007-01-01

    ... or modifications of the same design. The Interim Defense Acquisition Guidebook defines a Joint Program Management Office as any defense acquisition system, subsystem, component, or technology program that involves formal management...

  5. Perspective: The challenge of ecologically sustainable water management

    CSIR Research Space (South Africa)

    Bernhardt, E

    2006-10-01

    Full Text Available Sustainable water resource management is constrained by three pervasive myths; that societal and environmental water demands always compete with one another; that technological solutions can solve all water resource management problems...

  6. Challenges of the management of mass casualty: lessons learned from the Jos crisis of 2001.

    Science.gov (United States)

    Ozoilo, Kenneth N; Pam, Ishaya C; Yiltok, Simon J; Ramyil, Alice V; Nwadiaro, Hyacinth C

    2013-10-28

    Jos has witnessed a series of civil crises which have generated mass casualties that the Jos University Teaching Hospital has had to respond to from time to time. We review the challenges that we encountered in the management of the victims of the 2001 crisis. We reviewed the findings of our debriefing sessions following the sectarian crisis of September 2001 and identified the challenges and obstacles experienced during these periods. Communication was a major challenge, both within and outside the hospital. In the field, there was poor field triage and no prehospital care. Transportation and evacuation was hazardous, for both injured patients and medical personnel. This was worsened by the imposition of a curfew on the city and its environs. In the hospital, supplies such as fluids, emergency drugs, sterile dressings and instruments, splints, and other consumables, blood and food were soon exhausted. Record keeping was erratic. Staff began to show signs of physical and mental exhaustion as well as features of anxiety and stress. Tensions rose between different religious groups in the hospital and an attempt was made by rioters to attack the hospital. Patients suffered poor subsequent care following resuscitation and/or surgery and there was neglect of patients on admission prior to the crisis as well as non trauma medical emergencies. Mass casualties from disasters that disrupt organized societal mechanisms for days can pose significant challenges to the best of institutional disaster response plans. In the situation that we experienced, our disaster plan was impractical initially because it failed to factor in such a prolongation of both crisis and response. We recommend that institutional disaster response plans should incorporate provisions for the challenges we have enumerated and factor in peculiarities that would emanate from the need for a prolonged response.

  7. Rocky milieu: Challenges of effective integration of clinical risk management into hospitals in Iran

    Science.gov (United States)

    Farokhzadian, Jamileh; Nayeri, Nahid Dehghan; Borhani, Fariba

    2015-01-01

    Healthcare risks and clinical risks have been recognized as a major challenge in healthcare. Clinical risks can never be eliminated and can have serious adverse effects on patient safety. Thus, a clinical risk management (CRM) system has been introduced in the healthcare system to improve quality services. The aim of this study was to explore nurses’ experiences related to the challenges of implementing CRM in the organizational context. This qualitative study was based on the conventional content analysis of the Lundman and Graneheim approach, and it consisted of 22 interview sessions with 20 nurses. The purposive sampling method was used to choose the participants from three hospitals affiliated with the Kerman University of Medical Sciences. We used semi-structured interviews and review of relevant documents to collect data. The analysis of the data led to the emergence of “rocky milieu” as the main theme, and it consisted of three categories that, along with their subcategories, explain the challenges of implementing CRM. The three categories and their subcategories were (1) organizational culture and leadership challenges (decision and performance of leadership and cultural resistance to change), (2) limitation of resources (financial, human, and physical and equipment resources), and (3) variations and complexities in working conditions (the emotional, psychological, and social atmosphere and the heaviness of workload). Attempts have been made to establish CRM through clinical governance and accreditation, but organizational challenges have created a rocky milieu for implementing CRM. However, from an organizational context concerning the suitability of healthcare in Iran, there are obvious needs to move toward quality improvement and safe practices through the effective implementation of CRM. PMID:25968444

  8. Rocky milieu: Challenges of effective integration of clinical risk management into hospitals in Iran

    Directory of Open Access Journals (Sweden)

    Jamileh Farokhzadian

    2015-05-01

    Full Text Available Healthcare risks and clinical risks have been recognized as a major challenge in healthcare. Clinical risks can never be eliminated and can have serious adverse effects on patient safety. Thus, a clinical risk management (CRM system has been introduced in the healthcare system to improve quality services. The aim of this study was to explore nurses’ experiences related to the challenges of implementing CRM in the organizational context. This qualitative study was based on the conventional content analysis of the Lundman and Graneheim approach, and it consisted of 22 interview sessions with 20 nurses. The purposive sampling method was used to choose the participants from three hospitals affiliated with the Kerman University of Medical Sciences. We used semi-structured interviews and review of relevant documents to collect data. The analysis of the data led to the emergence of “rocky milieu” as the main theme, and it consisted of three categories that, along with their subcategories, explain the challenges of implementing CRM. The three categories and their subcategories were (1 organizational culture and leadership challenges (decision and performance of leadership and cultural resistance to change, (2 limitation of resources (financial, human, and physical and equipment resources, and (3 variations and complexities in working conditions (the emotional, psychological, and social atmosphere and the heaviness of workload. Attempts have been made to establish CRM through clinical governance and accreditation, but organizational challenges have created a rocky milieu for implementing CRM. However, from an organizational context concerning the suitability of healthcare in Iran, there are obvious needs to move toward quality improvement and safe practices through the effective implementation of CRM.

  9. Burkitt lymphoma in adolescents and young adults: management challenges

    Directory of Open Access Journals (Sweden)

    Dozzo M

    2016-12-01

    Full Text Available Massimo Dozzo,1 Francesca Carobolante,1 Pietro Maria Donisi,2 Annamaria Scattolin,1 Elena Maino,1 Rosaria Sancetta,1 Piera Viero,1 Renato Bassan1 1Complex Operative Unit of Hematology, Ospedale dell’Angelo, 2Simple Departmental Operative Unit of Anatomic Pathology, Ospedale Ss. Giovanni e Paolo, Venice, Italy Abstract: About one-half of all Burkitt lymphoma (BL patients are younger than 40 years, and one-third belong to the adolescent and young adult (AYA subset, defined by an age between 15 and 25–40 years, based on selection criteria used in different reports. BL is an aggressive B-cell neoplasm displaying highly characteristic clinico-diagnostic features, the biologic hallmark of which is a translocation involving immunoglobulin and c-MYC genes. It presents as sporadic, endemic, or epidemic disease. Endemicity is pathogenetically linked to an imbalance of the immune system which occurs in African children infected by malaria parasites and Epstein–Barr virus, while the epidemic form strictly follows the pattern of infection by HIV. BL shows propensity to extranodal involvement of abdominal organs, bone marrow, and central nervous system, and can cause severe metabolic and renal impairment. Nevertheless, BL is highly responsive to specifically designed short-intensive, rotational multiagent chemotherapy programs, empowered by the anti-CD20 monoclonal antibody rituximab. When carefully applied with appropriate supportive measures, these modern programs achieve a cure rate of approximately 90% in the average AYA patient, irrespective of clinical stage, which is the best result achievable in any aggressive lymphoid malignancy to date. The challenges ahead concern the following: optimization of management in underdeveloped countries, with reduction of diagnostic and referral-for-care intervals, and the applicability of currently curative regimens; the development of lower intensity but equally effective treatments for frail or

  10. Nonadherence with antipsychotic medication in schizophrenia: challenges and management strategies

    Directory of Open Access Journals (Sweden)

    Haddad PM

    2014-06-01

    Full Text Available Peter M Haddad,1,2 Cecilia Brain,3,4 Jan Scott5,6 1Neuroscience and Psychiatry Unit, University of Manchester, Manchester, 2Greater Manchester West Mental Health NHS Foundation Trust, Salford, UK; 3Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, 4Nå Ut-teamet, Psychosis Clinic, Sahlgrenska University Hospital, Gothenburg, Sweden; 5Academic Psychiatry, Institute of Neuroscience, Newcastle University, 6Centre for Affective Disorders, Institute of Psychiatry, London, UK Abstract: Nonadherence with medication occurs in all chronic medical disorders. It is a particular challenge in schizophrenia due to the illness's association with social isolation, stigma, and comorbid substance misuse, plus the effect of symptom domains on adherence, including positive and negative symptoms, lack of insight, depression, and cognitive impairment. Nonadherence lies on a spectrum, is often covert, and is underestimated by clinicians, but affects more than one third of patients with schizophrenia per annum. It increases the risk of relapse, rehospitalization, and self-harm, increases inpatient costs, and lowers quality of life. It results from multiple patient, clinician, illness, medication, and service factors, but a useful distinction is between intentional and unintentional nonadherence. There is no gold standard approach to the measurement of adherence as all methods have pros and cons. Interventions to improve adherence include psychoeducation and other psychosocial interventions, antipsychotic long-acting injections, electronic reminders, service-based interventions, and financial incentives. These overlap, all have some evidence of effectiveness, and the intervention adopted should be tailored to the individual. Psychosocial interventions that utilize combined approaches seem more effective than unidimensional approaches. There is increasing interest in electronic reminders

  11. Project management - challenges in dealing with academic and non-academic partners

    Science.gov (United States)

    Henkel, Daniela; Eisenhauer, Anton; Drossou-Berendes, Alexandra

    2016-04-01

    Modern research projects on national, European and international level are challenged by an increasing requirement of inter and trans-disciplinarily, societal relevance and educational outreach as well as market oriented applications. In particular, to be successful in European research in the frame of HORIZON 2020, the EU Framework Programme for Research and Innovation, it is crucial that relatively large international research consortia involve academic and non-academic partners, NGOs, private and non-private institutions as well as industrial companies. For the management and organisation of such consortia coordinators have to deal with significant differences between multi-national and multi-sectorial administrations and research environments, in order to secure a successful implementation of the project. This often costs research and non-academic partners tremendous efforts, not to say excessive demands. Based on the experiences made in the frame of an Innovative Training Network (ITN) project within the HORIZON 2020 Marie Skłodowska-Curie Actions, this presentation identifies organisational pitfalls and major challenges of the project management for European funded research involving multi-national academic and non-academic research partners. Possible strategies are discussed to circumvent and avoid conflicts already at the beginning of the project.

  12. Steam generator life cycle management challenges - on-going and new build

    International Nuclear Information System (INIS)

    Spekkens, P.

    2009-01-01

    Ontario Power Generation (OPG) is committed to the safe, reliable, and cost-effective operation of its fleet of CANDU plants. Steam Generators (SGs) are a major component of the heat transport system in these plants and maintaining their health is an essential element to achieving plant safety, reliability and economic performance. OPG has been actively engaged in formal life cycle management of its SGs for about 15 years. Over this time, we have developed stable, mature, detailed life cycle plans for each of our plants on a unit by unit, and in some cases, SG by SG, basis. These plans have been externally reviewed over the years by our regulator and by other third-party experts, and they've been acknowledged as being among the best life cycle plans anywhere. Although we are pleased that our life cycle plans are as detailed and mature as they are, we certainly aren't fully satisfied because they're not perfect. Even if they were perfect at any point in time, they wouldn't be for very long because the environment is constantly changing, both the technical environment and the business environment. This paper presents some of these challenges and offers some possible solutions or suggestions based on OPG's experience. The paper describes the background on SG life cycle management in OPG, i.e. what it is and how we do it. Then it presents challenges in the following areas: despite having some very detailed and technically strong life cycle plans, we still face some technical issues; in addition, we face challenges in integrating these plans into the overall business processes within the company; up until now, our life cycle planning has been aimed at early-and mid-life in our units. But our units are aging and we are now within sight, at least in a life cycle management sense, of a point at which decisions need to be made on refurbishment, life extension or retirement of the units. We need to adjust our life cycle management approach as we approach those major

  13. Implementation of the Integrated Management of Childhood Illnesses strategy: challenges and recommendations in Botswana.

    Science.gov (United States)

    Mupara, Lucia U; Lubbe, Johanna C

    2016-01-01

    Under-five mortality has been a major public health challenge from time immemorial. In response to this challenge, the World Health Organization and the United Nations Children's Fund developed the Integrated Management of Childhood Illnesses (IMCI) strategy and presented it to the whole world as a key approach to reduce child morbidity and mortality. Botswana started to implement the IMCI strategy in 1998. Reductions in the under-five mortality rate (U5MR) have been documented, although the reduction is not on par with the expected Millennium Development Goal 4 predictions. A quantitative study was done to identify the problems IMCI implementers face when tending children under 5 years in the Gaborone Health District of Botswana. The study population was made up of all the IMCI-trained and registered nurses, and systematic sampling was used to randomly select study participants. Questionnaires were used to collect data. The study findings indicated challenges related to low training coverage, health systems, and the unique features of the IMCI strategy. The comprehensive implementation of the IMCI strategy has the potential to significantly influence the U5MR in Botswana.

  14. Implementation of the Integrated Management of Childhood Illnesses strategy: challenges and recommendations in Botswana

    Directory of Open Access Journals (Sweden)

    Lucia U. Mupara

    2016-02-01

    Full Text Available Background: Under-five mortality has been a major public health challenge from time immemorial. In response to this challenge, the World Health Organization and the United Nations Children's Fund developed the Integrated Management of Childhood Illnesses (IMCI strategy and presented it to the whole world as a key approach to reduce child morbidity and mortality. Botswana started to implement the IMCI strategy in 1998. Reductions in the under-five mortality rate (U5MR have been documented, although the reduction is not on par with the expected Millennium Development Goal 4 predictions. Design: A quantitative study was done to identify the problems IMCI implementers face when tending children under 5 years in the Gaborone Health District of Botswana. The study population was made up of all the IMCI-trained and registered nurses, and systematic sampling was used to randomly select study participants. Questionnaires were used to collect data. Results: The study findings indicated challenges related to low training coverage, health systems, and the unique features of the IMCI strategy. Conclusions: The comprehensive implementation of the IMCI strategy has the potential to significantly influence the U5MR in Botswana.

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

    Science.gov (United States)

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

    2017-12-01

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

  16. Case Report Challenges of stroke management in resource-limited ...

    African Journals Online (AJOL)

    and long-term action. QECH, which is ... generalised body weakness, progressive memory loss and ..... for discrete signs (for example, speech disturbances, sensory deficits ... challenges in the short term.17 The actions implemented will aim ...

  17. Challenges in radon management at uranium mining operations

    International Nuclear Information System (INIS)

    Paulka, Sharon

    2011-01-01

    Full text: Radon and its radioactive decay products are present some unique challenges to radiation protection professionals working at the uranium mining operations. This paper will detail some examples of these challenges and methods that can be employed to ensure doses to workers and members of the public are kept As Low As Reasonably Achievable (ALARA). Examples will be presented for conventional open pit and underground mining and In Situ recovery operations. One of the challenges facing new operations seeking approval is the demonstration that radon and its radioactive decay products sourced from the operations will not adversely impact local populations, Methodologies recently employed in the most recent environmental impact statements from uranium mining companies seeking approval are reviewed. The International Commission of Radiological Protection are currently reviewing the dose conversion factors used radon and its decay products. The challenges this change will present to uranium mining operators are presented.

  18. Understanding and Managing Diversity the Personnel Challenge for Leaders

    National Research Council Canada - National Science Library

    Phelps, Michael

    1997-01-01

    .... Although this project is narrow in scope and breadth it serves as a point of departure for those attempting to improve their understanding and awareness of the leadership challenges of diversity...

  19. Elucidating the Role of Neurotensin in the Pathophysiology and Management of Major Mental Disorders

    Directory of Open Access Journals (Sweden)

    Mona M Boules

    2014-06-01

    Full Text Available Neurotensin (NT is a neuropeptide that is closely associated with, and is thought to modulate, dopaminergic and other neurotransmitter systems involved in the pathophysiology of various mental disorders. This review outlines data implicating NT in the pathophysiology and management of major mental disorders such as schizophrenia, drug addiction, and autism. The data suggest that NT receptor analogs have the potential to be used as novel therapeutic agents acting through modulation of neurotransmitter systems dys-regulated in these disorders.

  20. Major Change in the Quality Management of the Qualitative Market Research

    OpenAIRE

    Balan, Carmen

    2009-01-01

    The goal of the present article is to explore a major change in the quality management of a distinct category of services, respectively the qualitative research. The essence of the change consists in the creation of an international standard aiming to increase the quality and professionalism of the market, opinion and social research, also including the qualitative research. The approach is entirely focused on the services provided by companies specialized in this field to all the organizatio...

  1. Regulatory instrument review: Management of aging of LWR [light water reactor] major safety-related components

    International Nuclear Information System (INIS)

    Werry, E.V.

    1990-10-01

    This report comprises Volume 1 of a review of US nuclear plant regulatory instruments to determine the amount and kind of information they contain on managing the aging of safety-related components in US nuclear power plants. The review was conducted for the US Nuclear Regulatory Commission (NRC) by the Pacific Northwest Laboratory (PNL) under the NRC Nuclear Plant Aging Research (NPAR) Program. Eight selected regulatory instruments, e.g., NRC Regulatory Guides and the Code of Federal Regulations, were reviewed for safety-related information on five selected components: reactor pressure vessels, steam generators, primary piping, pressurizers, and emergency diesel generators. Volume 2 will be concluded in FY 1991 and will also cover selected major safety-related components, e.g., pumps, valves and cables. The focus of the review was on 26 NPAR-defined safety-related aging issues, including examination, inspection, and maintenance and repair; excessive/harsh testing; and irradiation embrittlement. The major conclusion of the review is that safety-related regulatory instruments do provide implicit guidance for aging management, but include little explicit guidance. The major recommendation is that the instruments be revised or augmented to explicitly address the management of aging

  2. Pediatric pleural empyema: one of the management challenges in children of Democratic Republic of Congo.

    Science.gov (United States)

    Simbi, Kibwe Alphonse; Kazadi, Valentin; Aissi, Louis-Marie; Katsuva, François Mbahewaka; Luboya, Numbi Oscar; Tshilolo, Léon; Zanardo, Vincenzo

    2017-06-23

    Empyema is a serious complication characterized by purulent exudate and bacteria in the pleural space, which may progress to necrosis, cavitations or fistulas in the thoracic cavity. It remains a major challenge throughout low-income countries. Objectives were to emphasize the role of basic medical and radiologic approach and to resolve a severe lung complication when facilities are inadequate. A five-year-old female was referred with distress respiratory to the Emergency Unit of Monkole, a large public-private missionary hospital in Kinshasa, Congo. Chest X-ray showed a massive empyema that was resolved by immediate drainage and antibiotiocs. Results were rapid improvement and discharge after 3 weeks. A classic medical and imaging approach is a winning return in low-income countries. According to the British Thoracic Society guidelines, pleural effusion with compromising respiratory function can be managed by drainage and antibiotics.

  3. A challenge for computing in the 21. century: Radwaste knowledge management

    International Nuclear Information System (INIS)

    Umeki, H.

    2007-01-01

    Integrated nuclear waste management, including waste disposal, is a technical area characterised by a breadth of required multidisciplinary knowledge that is wider than almost any other industry - covering geology to radiation physics, materials science to microbiology, archaeology to engineering, public communication to advanced IT. It also has an unparalleled depth in time, in terms of project implementation (around 100 years - matched maybe by some medieval cathedrals) and the associated safety case (millions of years - longer than the existence of modern man). If anything, this is even more critical in Japan; which depends on a major nuclear power industry, has complex (and dynamic) geology and a policy of repository siting based on solicitation of volunteer municipalities. The technical challenge of Knowledge Management in such an area, which is suffering more than most from the information explosion caused by the exponentially increasing capacities of modern technology, are truly daunting. In order to take control of the situation, the main R and D organisation in this area (Japan Atomic Energy Agency; JAEA) is planning to develop a Knowledge Management System (KMS) that will ride the wave of cutting edge technology in: Database development and management; Search engines; Expert systems; Management support systems; Security and archiving. This initiative will be complemented by a major reassessment of the modelling approach to performance assessment of repositories and the technology for communication of such complex issues with a wide range of different audiences. The requirements as specified go beyond anything doable with existing technology, so an initial goal will be to build up a team capable of anticipating the areas of active technology development that will provide the required tools - and then tailoring them to provide the infrastructure needed for these very ambitious projects. Although this particular application is of limited scope, the general

  4. Major threats of pollution and climate change to global coastal ecosystems and enhanced management for sustainability.

    Science.gov (United States)

    Lu, Yonglong; Yuan, Jingjing; Lu, Xiaotian; Su, Chao; Zhang, Yueqing; Wang, Chenchen; Cao, Xianghui; Li, Qifeng; Su, Jilan; Ittekkot, Venugopalan; Garbutt, Richard Angus; Bush, Simon; Fletcher, Stephen; Wagey, Tonny; Kachur, Anatolii; Sweijd, Neville

    2018-08-01

    Coastal zone is of great importance in the provision of various valuable ecosystem services. However, it is also sensitive and vulnerable to environmental changes due to high human populations and interactions between the land and ocean. Major threats of pollution from over enrichment of nutrients, increasing metals and persistent organic pollutants (POPs), and climate change have led to severe ecological degradation in the coastal zone, while few studies have focused on the combined impacts of pollution and climate change on the coastal ecosystems at the global level. A global overview of nutrients, metals, POPs, and major environmental changes due to climate change and their impacts on coastal ecosystems was carried out in this study. Coasts of the Eastern Atlantic and Western Pacific were hotspots of concentrations of several pollutants, and mostly affected by warming climate. These hotspots shared the same features of large populations, heavy industry and (semi-) closed sea. Estimation of coastal ocean capital, integrated management of land-ocean interaction in the coastal zone, enhancement of integrated global observation system, and coastal ecosystem-based management can play effective roles in promoting sustainable management of coastal marine ecosystems. Enhanced management from the perspective of mitigating pollution and climate change was proposed. Copyright © 2018 Elsevier Ltd. All rights reserved.

  5. Intranet-based safety documentation in management of major hazards and occupational health and safety.

    Science.gov (United States)

    Leino, Antti

    2002-01-01

    In the European Union, Council Directive 96/82/EC requires operators producing, using, or handling significant amounts of dangerous substances to improve their safety management systems in order to better manage the major accident potentials deriving from human error. A new safety management system for the Viikinmäki wastewater treatment plant in Helsinki, Finland, was implemented in this study. The system was designed to comply with both the new safety liabilities and the requirements of OHSAS 18001 (British Standards Institute, 1999). During the implementation phase experiences were gathered from the development processes in this small organisation. The complete documentation was placed in the intranet of the plant. Hyperlinks between documents were created to ensure convenience of use. Documentation was made accessible for all workers from every workstation.

  6. Native Cultures and Language: Challenges for Land Managers in Alaska

    Science.gov (United States)

    Thomas J. Gallagher

    1992-01-01

    Many of the Aleuts, Inuits, and Indians of Alaska continue to live a traditional lifestyle. Eighty-eight percent of the land they use for subsistence activities, however, is managed by federal or state agencies. Clear communication across cultures is essential if Native people are to be represented in agency land management decisions. Problems in communication relate...

  7. Challenges of Integrated Pest Management in Sub-Saharan Africa

    NARCIS (Netherlands)

    Huis, van A.

    2009-01-01

    a response to the negative side effects of chemical control in the developed world, Integrated Pest Management (IPM) developed with an emphasis on reducing the role of pesticides. Later the role of natural enemies was recognized as being the cornerstone for sustainable pest management strategies.

  8. Challenges and Prospects for Sustainable Forest Management in ...

    African Journals Online (AJOL)

    The forests of these organizations are, however, disappearing at a fast rate which indicates existence of problems in the management approaches of the Organizations. The general objective of this study was to understand existing forest management approaches of the four organizations and indicate some directions ...

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

    African Journals Online (AJOL)

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

  10. Perception of scale in forest management planning: Challenges and implications

    Science.gov (United States)

    Swee May Tang; Eric J. Gustafson

    1997-01-01

    Forest management practices imposed at one spatial scale may affect the patterns and processes of ecosystems at other scales. These impacts and feedbacks on the functioning of ecosystems across spatial scales are not well understood. We examined the effects of silvicultural manipulations simulated at two spatial scales of management planning on landscape pattern and...

  11. The Challenges of Urban Management in Kenya | Akatch ...

    African Journals Online (AJOL)

    In Kenya the issue of regional and municipal management has been a thorny issue since independence. Soon after independence in 1963, the KANU Government bowing to pressures from KADU introduced Majimbo constitution that emphasised region-led administrative management as opposed to the unitary system of ...

  12. Challenges in the implementation of integrated pest management ...

    African Journals Online (AJOL)

    Enabling policies on pest management strategies are consistently proving to be vital prerequisites in promoting the use of IPM. The willingness of governments to support alternative pest management is considered crucial. Social and psychological factors predispose new technologies and practices to resistance by farmers ...

  13. Municipal solid waste management in Malaysia: Practices and challenges

    International Nuclear Information System (INIS)

    Manaf, Latifah Abd; Samah, Mohd Armi Abu; Zukki, Nur Ilyana Mohd

    2009-01-01

    Rapid economic development and population growth, inadequate infrastructure and expertise, and land scarcity make the management of municipal solid waste become one of Malaysia's most critical environmental issues. The study is aimed at evaluating the generation, characteristics, and management of solid waste in Malaysia based on published information. In general, the per capita generation rate is about 0.5-0.8 kg/person/day in which domestic waste is the primary source. Currently, solid waste is managed by the Ministry of Housing and Local Government, with the participation of the private sector. A new institutional and legislation framework has been structured with the objectives to establish a holistic, integrated, and cost-effective solid waste management system, with an emphasis on environmental protection and public health. Therefore, the hierarchy of solid waste management has given the highest priority to source reduction through 3R, intermediate treatment and final disposal.

  14. TRENDS AND CHALLENGES IN THE MODERN HRM – TALENT MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Elena G. ZAMCU

    2014-06-01

    Full Text Available Identifying and developing talents is, in the context of the current economy, a necessity which implemented in the strategy of the company , may confer a competitive advantage. Common for multinational companies, the talent management could represent an advantage for SMEs, too. The purpose of talent management is to create an adaptable and flexible company to motivate its own human resources, all of these in order to develop the overall business. Starting from the definition of talent management that includes the idea that attracting, developing and retaining employees with a high qualification represents the very essence of talent management, we consider that it is applied by the Romanian SMEs but yet, it is not specified in their strategies. This paper tries to demonstrate the importance of continuous training for attracting, developing and retaining highly qualified employees, as a good start in implementing talent management.

  15. [Marketing mix in a radiology department: challenges for future radiologists in management].

    Science.gov (United States)

    Claikens, B

    1998-08-01

    Radiology has gained an enviable position among medial specialities. Developments in new technology expand its horizons and the volume of radiologic imaging techniques and procedures increase far more than the overall growth in health care services. In this position radiology has become a prime target for restrictions, cutbacks, controlled financing in an area of managed care and new national health care policy based on partially fixed budgets. Future health care takers have to choose the best available diagnostic and therapeutic techniques. Evidence based medicine, cost-utility analysis, diagnostic performance analysis, patient outcome analysis, technology assessment and guidelines for practice are means to guide us through our obligatory choice. Our major objective is to use the most performant available imaging technique or intervention to achieve the best possible outcome for our patient at lower possible costs. A strategic response from radiologists is required to meet the imperatives of this new management situation. They must do far more than interpret imaging procedures. They must work as efficient managers of imaging resources, organise their practices and define their marketing-strategies using the different, so-called, marketing-mix elements. The challenges will be great but the rewards are worth our best efforts. In this article we highlight the marketing responsibilities of future radiologists and their clinical practice in this new socio-economic environment and we present different useful marketing tools.

  16. Prevention and management of work disability in Asia Pacific: challenges and opportunities.

    Science.gov (United States)

    Feuerstein, Michael

    2011-03-01

    The economic growth in Asia Pacific brings with it challenges and opportunities in many areas of work and health. As economies grow and work demands increase so do accidents, injures and work disability. Burns, chemical exposures, and construction related injuries are often catastrophic in severity and lead to work disability, major acute medical and subsequent rehabilitation efforts. In addition to these acute injuries, musculoskeletal and chronic illnesses are also sources of work disability. Industrial injuries and health problems are often explained and managed based on the classic unidimensional hazard prevention model. In contrast, work disability is a multi-factorial problem and requires more complex conceptualizations than an exposure outcome model. The economic impact of disability, limitations of the widely used impairment based disability determination method, lack of adherence to wide scale implementation of evidence based clinical approaches, the need for meaningful stakeholder involvement and the potential of a multivariable view of work disability, in all aspects of work disability prevention, management and policy are discussed in the context of Asia Pacific economic growth. With ideal alignment of diverse goals and incentives along with consideration of past efforts in disability prevention and management, new models, processes and policies can be created as commerce in these countries continues to grow.

  17. Data Management challenges in Astronomy and Astroparticle Physics

    Science.gov (United States)

    Lamanna, Giovanni

    2015-12-01

    Astronomy and Astroparticle Physics domains are experiencing a deluge of data with the next generation of facilities prioritised in the European Strategy Forum on Research Infrastructures (ESFRI), such as SKA, CTA, KM3Net and with other world-class projects, namely LSST, EUCLID, EGO, etc. The new ASTERICS-H2020 project brings together the concerned scientific communities in Europe to work together to find common solutions to their Big Data challenges, their interoperability, and their data access. The presentation will highlight these new challenges and the work being undertaken also in cooperation with e-infrastructures in Europe.

  18. What about self-management post-stroke? Challenges for stroke survivors, spouses and professionals

    NARCIS (Netherlands)

    Satink, A.J.H.

    2016-01-01

    Self-management post-stroke is challenging for many persons after a stroke. In this thesis is explored how stroke survivors, spouses and professionals perceived self-management post-stroke and how the process of self-management post-stroke evolved over time. The following studies are conducted: a

  19. Organisational innovation and how it challenges management theory

    DEFF Research Database (Denmark)

    Gjerding, Allan Næs; Rasmussen, Jørgen Gulddahl

    2007-01-01

    . Developing a concept of organisational innovation, the paper suggests that organisational innovation can be analysed in terms of how individual and organisational learning combine with the reorientation of management perceptions, and it suggests that organisational innovation is about redirecting, speeding...... up and slowing down new forms of organisational activities. Subsequently, the paper provides an overview of management theory, proposing that the present state of management theory is one where the traditional dichotomy between a rational and a natural approach to organisations has been bridged...

  20. Use of computers for meeting future challenges in traffic management

    International Nuclear Information System (INIS)

    Ford, C.L. Jr.

    1983-01-01

    Since overall distribution costs, including transportation, is approaching 10% of the material expense dollar, new strategies are emerging in distribution management. Innovative technology utilizing computer hardware and software is an aid to solving inventory control and distribution problems. This paper discusses the information needs of the shipper traffic manager and the role of computers in meeting this need. DOE, in association with Union Carbide's Nuclear Division, has utilized data base technology to collect and report transportation statistics for a variety of management information needs

  1. Sociosynergistic Management of the Companies. Economic, Energetic and Ecologic Challenge

    Directory of Open Access Journals (Sweden)

    Dušan Turan

    2008-06-01

    Full Text Available Sociosynergistic management is inevitable condition of nanotechnology tendency of value-creating process of the companies in incoming third level of social division of labor. This management is being a product of transdisciplinary nanocognition and nano-projection of the systems there through creates for the management the operation base for system solution of economic effectiveness, energetic friendliness and ecologic safety of material-technological processes of the companies. He uncovers the sociosynergetics as a system entirety in the limits of abstract thinking, notion-categorical communication and knowingly-practical acting of the subject.

  2. Challenges in the Management of Bronchial Asthma Among Adults ...

    African Journals Online (AJOL)

    World‑wide, it is estimated that 300 million people are affected with bronchial asthma. .... years of study, design, the focus of the challenge (diagnosis, treatment .... nebulizer for delivering large bronchodilator doses in patients with severe acute ..... Limitations UK Findings, poster presented at the British. Thoracic Society.

  3. Managing Information in Law Firms: Changes and Challenges

    Science.gov (United States)

    Evans, Nina; Price, James

    2017-01-01

    Introduction. Data, information and knowledge together constitute a vital business asset for every organization that enables every business activity, every business process and every business decision. The global legal industry is facing unprecedented change, which inevitably creates challenges for individual law firms. These global changes affect…

  4. Top DoD Management Challenges, Fiscal Year 2018

    Science.gov (United States)

    2018-01-01

    Providing Effective, Comprehensive, and Cost Effective Health Care 10. Identifying and Implementing Efficiencies in the DoD INSPECTOR GENERAL...8: Ensuring Ethical Conduct ................ 64 Challenge 9: Providing Effective, Comprehensive, and Cost Effective Health  Care...eroding ISIS physical caliphate in Iraq. INFLUENCE OF RUSSIA AND IRAN IN SYRIA In March 2017, General Votel testified that Iran poses the greatest

  5. Challenges in the management of early versus late presenting ...

    African Journals Online (AJOL)

    ... presenting CDH poses more diagnostic challenges; but once identified and appropriate treatment instituted, it has an excellent prognosis. We recommend that physicians should include CDH in the differential diagnosis of patients with birth asphyxia and in patients with chronic respiratory symptoms with failure to thrive.

  6. High School Leadership: The Challenge of Managing Resources and Competencies

    Science.gov (United States)

    Alsaaty, Falih M.; Morris, Archie, III

    2015-01-01

    High schools play a vital role in achieving and reflecting American ideals and culture. They provide the foundation for the country's economic, social, and political systems as well as the impetus for its scientific progress and technological superiority. The purpose of this study was to explore the challenges facing high schools' leadership in…

  7. Challenges in the management of a case of tuberous sclerosis

    Directory of Open Access Journals (Sweden)

    Anubhav Rathi

    2012-01-01

    Full Text Available Tuberous sclerosis complex is a multi-system disorder with autosomal dominant inheritance, which can affect the brain, heart, skin, kidneys, lungs, and retina. We hereby report therapeutic challenges faced in a case of an adolescent male suffering from tuberous sclerosis.

  8. The Grand Challenge of Basin-Scale Groundwater Quality Management Modelling

    Science.gov (United States)

    Fogg, G. E.

    2017-12-01

    The last 50+ years of agricultural, urban and industrial land and water use practices have accelerated the degradation of groundwater quality in the upper portions of many major aquifer systems upon which much of the world relies for water supply. In the deepest and most extensive systems (e.g., sedimentary basins) that typically have the largest groundwater production rates and hold fresh groundwaters on decadal to millennial time scales, most of the groundwater is not yet contaminated. Predicting the long-term future groundwater quality in such basins is a grand scientific challenge. Moreover, determining what changes in land and water use practices would avert future, irreversible degradation of these massive freshwater stores is a grand challenge both scientifically and societally. It is naïve to think that the problem can be solved by eliminating or reducing enough of the contaminant sources, for human exploitation of land and water resources will likely always result in some contamination. The key lies in both reducing the contaminant sources and more proactively managing recharge in terms of both quantity and quality, such that the net influx of contaminants is sufficiently moderate and appropriately distributed in space and time to reverse ongoing groundwater quality degradation. Just as sustainable groundwater quantity management is greatly facilitated with groundwater flow management models, sustainable groundwater quality management will require the use of groundwater quality management models. This is a new genre of hydrologic models do not yet exist, partly because of the lack of modeling tools and the supporting research to model non-reactive as well as reactive transport on large space and time scales. It is essential that the contaminant hydrogeology community, which has heretofore focused almost entirely on point-source plume-scale problems, direct it's efforts toward the development of process-based transport modeling tools and analyses capable

  9. MANAGEMENT CHALLENGES IN THE CONTEXT OF RISK CULTURE

    Directory of Open Access Journals (Sweden)

    Iwona Gorzeń-Mitka

    2015-12-01

    Full Text Available In recent years (especially in the context of the financial sector we can find many debates (public and academic which emphasise the need to change mindsets in management (Gorzeń-Mitka, 2012. This discussion is a result of the dynamically changing external and internal conditions of the functioning of organizations. At the same time, we observe great progress over the past decade in developing effective tools and techniques for managing (also risk and complexity within organizations. But management is carried out by people. Their awareness of threats and opportunities determines the effectiveness of the whole management process within the organization. One of the themes of this discussion is to indicate the need for changes in the area of organizational culture by creating the so-called risk culture.

  10. Challenges of Environmental Management Accounting –- Current Accounting Practices

    Directory of Open Access Journals (Sweden)

    Prof. Ph.D. Gheorghe Popescu

    2008-12-01

    Full Text Available The goal of our paper is to reduce some of the international confusion generated on such animportant topic by providing a general framework and set of definitions for Environmental ManagementAccounting (EMA.Environmental Management Accounting is a relatively new tool in environmental management definedas the identification, collection, estimation, analysis, internal reporting, and use of materials and energyflow information, environmental cost information, and other cost information for both conventionaland environmental decision-making within an organization.Due to their special role, accountants, since they are the ones with access to the important monetarydata and information systems needed for management accounting activities, must to improve both theirability to verify the quality of such information and the skills to use that information for decision making.

  11. PERFORMANCE MANAGEMENT - A CHALLENGE FOR ANY LEADER IN EDUCATION

    Directory of Open Access Journals (Sweden)

    MUNGIU-PUPĂZAN MARIANA CLAUDIA

    2017-11-01

    Full Text Available Starting from Peter Druker's assessment that "the only correct test applied to an employee is related to how they work and not to what school they have learned and how long they have worked!", This Communication refers to the measurement of managerial performance as a primary component of human resource management. Performance measurement is a specific activity, important in the field of human resource management, materializing in the estimation of individual and group performance. An efficient performance evaluation system must be a well-articulated process with a clear definition of roles and time objectives for managers as well as for non-managerial positions within the organization. At the beginning of the implementation of the performance management system, it is important to discuss with employees about their perception of the concept of performance, which means the performance expectations expected by the company and which are expected to be the results of the stages of this system.

  12. Key challenges facing water resource management in South Africa

    CSIR Research Space (South Africa)

    Ashton, P

    2008-11-01

    Full Text Available Resource Managers The Dichotomy of Water Source of destruction, dispute and poverty • Drought and desertification • Flooding and erosion • Salinization • Malnutrition and starvation • Contamination • Epidemics and diseases • Dispute...

  13. RISK MANAGEMENT AS CHALLENGE TO TODAY’S ENTERPRISES

    Directory of Open Access Journals (Sweden)

    Iwona Gorzeń-Mitka

    2013-07-01

    Full Text Available Risk and its management are becoming increasingly important issues in modern theory and practice of managing organizations. It is propounded that organizations, regardless of the type or size of activity they carry out, take into account the impact of risk in their decisions and processes. Managerial approach to risk is aimed at reducing the extent to which risk impacts the functioning of an organization, allowing it to take optimal decisions. At the same time, changes occurring in the environment increase manifold the risk that organizations are forced to take. Inadequacy of the existing, traditional approaches to risk management, which often do not correspond to the dynamics of the changes in the environment in which today’s organizations function, makes it necessary to look for new, innovative managerial solutions. This has led to the emergence of the paradigm of enterprise risk management (ERM.

  14. Water Management: Communities rise to the challenge of providing ...

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

    2011-02-02

    Feb 2, 2011 ... Most of Abu Minqar's farmers irrigate by simply flooding their fields with water from ... practices, and customary rights over water management and uses. .... to rural populations as well as to the more affluent and urban groups.

  15. Academic managers in contemporary university: Challenges and learnings

    Directory of Open Access Journals (Sweden)

    Marita Sánchez-Moreno

    2016-04-01

    Full Text Available Purpose: The article presents and discusses some findings derived from a research project about University academic management, and it is focused on the identification of principal clues –even related to subjects and methodology– for the design of training programmes on this task. Design/methodology/approach: The research design adopted a qualitative approach and contemplated the development of in-depth interviews to 71 academic managers at the university who were valued as good in that task, in three Spanish Universities –Universidad de Las Palmas de Gran Canaria (ULP, Universidad de Lleida (UdL y Universidad de Sevilla (US. Data were analyzed using MAXQDA.11 and their interpretations were contrasted with the opinions obtained in a second round of interviews with 15 of those managers. Findings: Results allows to identify some kind of “vital cycle” in academic managers, inform about their reasons to continue in their managing charges, about their worries related to interpersonal relationships and conflict management, as well as about the recognized need of receiving a specific training for academic management, based on an active an participative methodology which can promote a practical learning. Research limitations/implications: The most important limitations of the study have to do with two unrelated issues. First of them, from a methodological point of view, is related to the limited number of participants. Second of them derives of the changing environment in which management and government model of Spanish is changing. This could probably affect the value and the interest showed by a academics on University management. Practical implications: According to one of the original mains of the study, a training program for academics in university management was already designed and developed. Social implications: The development of training Programs on University management as the one derived from the commented study would represent a

  16. Forest management challenges for sustaining water resources in the Anthropocene

    Science.gov (United States)

    Ge Sun; James M. Vose

    2016-01-01

    The Earth has entered the Anthropocene epoch that is dominated by humans who demand unprecedented quantities of goods and services from forests. The science of forest hydrology and watershed management generated during the past century provides a basic understanding of relationships among forests and water and offers management principles that maximize the benefits of...

  17. Multiple challenges of risk management in EU credit institutions

    Directory of Open Access Journals (Sweden)

    Constantinescu, A.

    2011-01-01

    Full Text Available This paper is intended to be a significant insight into risk management issues by describing the main types of such risks and by providing management and evaluation procedures of significant risks into some active banking companies in Romania. In times of crisis, risk management in the banking system has a greater importance than in the normal economic times. The 2011 was a year in which Romania has been hit by the repercussions of the international economic crisis. Using strategies against risks, implementing procedures to monitor and control risks, risk assessment and quantification can substantially reduce the financial losses of a company or those of a financial institution. Risk management is an integral part of all decision making and business processes from credit institutions, its purpose being to protect their sustainable development. The innovations on the financial market, the internationalization of the specific operations, and the pressure of the competition are just a few arguments that impose a permanent supervision of the general and specific risks. This is the main reason why is compulsory to find new methods of managing risks, to keep in consideration the identification, evaluation of the management and the control of the banking system and of each bank.

  18. DEPARTMENT OF JUSTICE: Status of Achieving Key Outcomes and Addressing Major Management Challenges

    National Research Council Canada - National Science Library

    2001-01-01

    This report responds to your request that we review the Department of Justice's (Justice) fiscal year 2000 performance report and fiscal year 2002 performance plan required by the Government Performance and Results Act of 1993...

  19. An analysis of the major challenges and obstacles for international technical cooperation in health, Brazil-Mozambique.

    Science.gov (United States)

    Pereira, Eduardo Mazzaroppi Barao

    2017-07-01

    Health has become a priority issue on the agenda in relation to Brazilian international technical cooperation in the last decade. This applies to Mozambique which is a strategic partner of Brazil's when one takes into consideration the volume of projects that have been undertaken between the two countries and the available resources on offer. There has been a shift in the foreign policy paradigm which has resulted in a new Brazilian foreign policy posture that promotes bilateral agreements and international cooperation. On conducting a retrospective and current analysis it is clear that there are, however, major obstacles and challenges for bilateral agreements and technical international cooperation that require in-depth study and which need to be dealt with in the area of health. This paper seeks to identify and analyze these obstacles with a view to providing proposals for ways forward. It takes the approach of using the methodology of reviewing specialized journals on this topic as well as using qualitative research from the main actors and institutions involved in bilateral cooperation.

  20. Perseverative thought: a robust predictor of response to emotional challenge in generalized anxiety disorder and major depressive disorder.

    Science.gov (United States)

    Ruscio, Ayelet Meron; Seitchik, Allison E; Gentes, Emily L; Jones, Jason D; Hallion, Lauren S

    2011-12-01

    Generalized anxiety disorder (GAD) and major depressive disorder (MDD) frequently co-occur, yet the reasons for their comorbidity remain poorly understood. In the present experiment, we tested whether a tendency to engage in negative, repetitive thinking constitutes a common risk process for the two disorders. A mixed sample of adults with comorbid GAD-MDD (n=50), GAD only (n=35), MDD only (n=34), or no lifetime psychopathology (n=35) was administered noncontingent failure and success feedback on consecutive performance tasks. Perseverative thought (PT), measured by negative thought intrusions during a baseline period of focused breathing, emerged as a powerful prospective predictor of responses to this experimental challenge. Participants reporting more frequent negative thought intrusions at baseline, irrespective of thought content or diagnostic status, exhibited a stronger negative response to failure that persisted even after subsequent success. Higher PT over the course of the experiment was associated with later behavioral avoidance, with negative affect and other traits closely linked to anxiety and depression, and with the presence and severity of GAD and MDD. These findings provide evidence for a broadly-defined PT trait that is shared by GAD and MDD and contributes to adverse outcomes in these disorders. Copyright © 2011 Elsevier Ltd. All rights reserved.

  1. Scientific and social challenges for the management of fire-prone wildland-urban interfaces

    Science.gov (United States)

    Gill, A. Malcolm; Stephens, Scott L.

    2009-09-01

    At their worst, fires at the rural-urban or wildland-urban interface cause tragic loss of human lives and homes, but mitigating these fire effects through management elicits many social and scientific challenges. This paper addresses four interconnected management challenges posed by socially disastrous landscape fires. The issues concern various assets (particularly houses, human life and biodiversity), fuel treatments, and fire and human behaviours. The topics considered are: 'asset protection zones'; 'defensible space' and urban fire spread in relation to house ignition and loss; 'stay-or-go' policy and the prediction of time available for safe egress and the possible conflict between the creation of defensible space and wildland management objectives. The first scientific challenge is to model the effective width of an asset protection zone of an urban area. The second is to consider the effect of vegetation around a house, potentially defensible space, on fire arrival at the structure. The third scientific challenge is to present stakeholders with accurate information on rates of spread, and where the fire front is located, so as to allow them to plan safe egress or preparation time in their particular circumstances. The fourth scientific challenge is to be able to predict the effects of fires on wildland species composition. Associated with each scientific challenge is a social challenge: for the first two scientific challenges the social challenge is to co-ordinate fuel management within and between the urban and rural or wildland sides of the interface. For the third scientific challenge, the social challenge is to be aware of, and appropriately use, fire danger information so that the potential for safe egress from a home can be estimated most accurately. Finally, the fourth social challenge is to for local residents of wildland-urban interfaces with an interest in biodiversity conservation to understand the effects of fire regimes on biodiversity, thereby

  2. Scientific and social challenges for the management of fire-prone wildland-urban interfaces

    International Nuclear Information System (INIS)

    Gill, A Malcolm; Stephens, Scott L

    2009-01-01

    At their worst, fires at the rural-urban or wildland-urban interface cause tragic loss of human lives and homes, but mitigating these fire effects through management elicits many social and scientific challenges. This paper addresses four interconnected management challenges posed by socially disastrous landscape fires. The issues concern various assets (particularly houses, human life and biodiversity), fuel treatments, and fire and human behaviours. The topics considered are: 'asset protection zones'; 'defensible space' and urban fire spread in relation to house ignition and loss; 'stay-or-go' policy and the prediction of time available for safe egress and the possible conflict between the creation of defensible space and wildland management objectives. The first scientific challenge is to model the effective width of an asset protection zone of an urban area. The second is to consider the effect of vegetation around a house, potentially defensible space, on fire arrival at the structure. The third scientific challenge is to present stakeholders with accurate information on rates of spread, and where the fire front is located, so as to allow them to plan safe egress or preparation time in their particular circumstances. The fourth scientific challenge is to be able to predict the effects of fires on wildland species composition. Associated with each scientific challenge is a social challenge: for the first two scientific challenges the social challenge is to co-ordinate fuel management within and between the urban and rural or wildland sides of the interface. For the third scientific challenge, the social challenge is to be aware of, and appropriately use, fire danger information so that the potential for safe egress from a home can be estimated most accurately. Finally, the fourth social challenge is to for local residents of wildland-urban interfaces with an interest in biodiversity conservation to understand the effects of fire regimes on biodiversity, thereby

  3. Benefits, Challenges and Tools of Big Data Management

    Directory of Open Access Journals (Sweden)

    Fernando L. F. Almeida

    2017-10-01

    Full Text Available Big Data is one of the most predominant field of knowledge and research that has generated high repercussion in the process of digital transformation of organizations in recent years. The Big Data's main goal is to improve work processes through analysis and interpretation of large amounts of data. Knowing how Big Data works, its benefits, challenges and tools, are essential elements for business success. Our study performs a systematic review on Big Data field adopting a mind map approach, which allows us to easily and visually identify its main elements and dependencies. The findings identified and mapped a total of 12 main branches of benefits, challenges and tools, and also a total of 52 sub branches in each of the main areas of the model.

  4. Management challenges at film-induced tourism heritage attractions

    OpenAIRE

    Bakiewicz, Justyna.; Leask, Anna.; Barron, Paul.; Rakic, Tijana.

    2017-01-01

    In response to an increasingly competitive environment, a number of heritage visitor attractions (HVAs) have encouraged filming, as well as subsequent film-induced tourism, in order to raise their profile, generate revenue and differentiate themselves from other attractions. However, while film-induced tourism may bring benefits, it can also be problematic, especially at HVAs which have conservation at their core. This paper identifies a variety of challenges that film-induced tourism has cre...

  5. Management Challenges of Launching Multiple Payloads for Multiple Customers

    OpenAIRE

    Callen, Dave

    1999-01-01

    Orbital has provided launch services for multiple satellites as a means to provide greater economy for access to space. These include satellites from NASA, 000, commercial companies, universities, and foreign governments. While satellite customers view shared launches as a means to achieve reduced launch costs, this approach adds many complexities that a traditional launch service provider does not have to address for a dedicated launch. This paper will discuss some of the challenges associat...

  6. The portfolio method as management support for patients with major depression.

    Science.gov (United States)

    Nunstedt, Håkan; Nilsson, Kerstin; Skärsäter, Ingela

    2014-06-01

    To describe how patients with major depression in psychiatric outpatient care use the portfolio method and whether the method helps the patients to understand their depression. Major depressive disorder is an increasing problem in society. Learning about one's depression has been demonstrated to be important for recovery. If the goal is better understanding and management of depression, learning must proceed on the patient's own terms, based on the patient's previous understanding of their depression. Learning must be aligned with patient needs if it is to result in meaningful and useful understanding. Each patient's portfolio consisted of a binder. Inside the binder, there was a register with predetermined flaps and questions. The patients were asked to work with the questions in the sections that built the content in the portfolio. Individual interviews with patients (n = 5) suffering from major depression according to Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) (American Psychiatric Association 1994) were repeatedly conducted between April 2008 and August 2009 in two psychiatric outpatient clinics in western Sweden. Data were analysed using latent content analysis. The results showed that the portfolio was used by patients as a management strategy for processing and analysis of their situation and that a portfolio's structure affects its usability. The patients use the portfolio for reflection on and confirmation of their progress, to create structure in their situation, as a management strategy for remembering situations and providing reminders of upcoming activities. Using a clearly structured care portfolio can enable participation and patient learning and help patients understand their depression. The portfolio method could provide a tool in psychiatric nursing that may facilitate patient understanding and increase self-efficacy. © 2013 John Wiley & Sons Ltd.

  7. Assessment and management of ageing of major nuclear power plant components important to safety: Steam generators

    International Nuclear Information System (INIS)

    1997-11-01

    This TECDOC is one in a series of reports on the assessment and management of ageing of the major NPP components important to safety. The reports are based on experience and practices of NPP operators, regulators, designers, manufacturers, and technical support organizations and a widely accepted Methodology for the Management of Ageing of NPP Components Important to Safety which was issued by the IAEA in 1992. They have been compiled using contributions from technical experts in typically 10 to 12 countries for each report, a feedback from a September 1994 Technical Committee Meeting attended by 53 technical experts from 21 Member States (who reviewed first drafts in specialized working groups), and review comments from invited specialists

  8. Risk Management in the Age of Turbulence - Failures and Challenges

    Directory of Open Access Journals (Sweden)

    Alexandru CAPATINA

    2012-08-01

    Full Text Available Today’s business, being affected by the continuous changes in economic environment, must reinvent the “prudent risk taking” concept to strike an appropriate balance between risk, return and growth, in order to create lasting value. This paper is focused on describing the nature of risk and the objectives of risk management. In the context of more attractive risk conceptual simplifications which often lead to significant errors, the paper explains the failures in risk management, the way of their occurrence and the methods of reducing their occurrence.

  9. Leadership conversations challenging high potential managers to become great leaders

    CERN Document Server

    Berson, Alan S

    2012-01-01

    Conversation techniques and tools that can help strong managers become great leaders Often the very same skills and traits that enable rising stars to achieve success ""tenacity, aggressiveness, self-confidence"" become liabilities when promoted into a leadership track. While managers'' conversations are generally transactional and centered on the task at hand, leaders must focus on people, asking great questions and aligning them with the vision for the future. Leadership mindsets and skills can be developed, and Leadership Conversations provides practical guidance for connecting with others

  10. Management challenges in a case of gender identity disorder

    Directory of Open Access Journals (Sweden)

    Anubhav Rathi

    2014-01-01

    Full Text Available Gender identity disorder (GID is a complex disorder and can be defined as a group of disorders whose common feature is a strong and persistent preference for living as a person of the other sex. It is associated with significant impairment in social, occupational, interpersonal, and other areas of functioning. We describe the case of an adolescent, biologically male who was brought to our outpatient department primarily with symptoms of adjustment disorder with GID and the management provided. The role of a psychiatrist in the management, ethical and legal issues involved is also discussed.

  11. Prospects and future of conservative management of beta thalassemia major in a developing country

    International Nuclear Information System (INIS)

    Rahman, M.; Lodhi, Y.

    2004-01-01

    Objective: To assess the efficacy, prospects and future of conservative management of beta thalassemia major patients in a developing country. Design: Patients registered at IHBTS were studied over a period of three years. They consented to being managed on moderate transfusion regimen, aiming to maintain a pre-transfusion haemoglobin(Hgb) level of 9.0 plus minus 1.0 g per dL. We studied their transfusion requirements, status for transfusion transmitted infections (TTls), serum ferritin levels and complications developing as a result of iron overload. Subjects: Initially all registered patients were included in this study. Sporadic patients as well as dropouts occurring due to any reason, (patients concurrently seeking treatment at other centres as well, or complying poorly to advised chelation therapy) were excluded from the study. The data presented here conforms to a cohort of 60 regular patients who adhered best to our selection criteria. Main Outcome Measures: 1) The study highlights the deficiencies and problems of conservative management for beta thalassemia major. 2) The major impact of our study is the message that conservative management in a poor country, like ours, is a no-win situation. 3) There is an urgent need to immediately start a prevention programme. Results: In the younger patients, blood consumption even on the moderate transfusion regimen is 120ml/kg/year, however with ascending age the consumption increases to 240ml/kg/year. A substantive number of the patients are either Hep C (35%) or Hep B (1.7%) positive. There are no HIV positive patients. Serum ferritin levels vary widely and could not be controlled due to poor compliance to chelation. 50% of the patients developed one or other complications of iron overload. The cost of treatment depending on the quality of care, is tremendous and beyond the reach of the common man. Conclusions: Conservative management may be the best alternative and at times the only hope for patients in our country

  12. Challenges and Needs for Support in Managing Occupational Health and Safety from Managers’ Viewpoints

    Directory of Open Access Journals (Sweden)

    Sari Tappura

    2014-09-01

    Full Text Available Proper working conditions and successful occupational health and safety (OHS management help organizations achieve their targets and support the quality of working life and performance. Work-related stress, conflicts, work ability issues, ill health, and other challenging OHS situations in the workplace may impede the well-being and productivity of employees. According to OHS legislation, employers are responsible for managing risks and solving problems in the work community. Challenging situations can be viewed from the perspective of efficiency, since their economic effects may be remarkable. The objective of this study is to describe the challenging OHS situations managers encounter and the support they require in these situations. The results are based on thematic interviews and inquiries with top, middle, and front-line managers in three Finnish public sector service organizations. The most challenging OHS management situations are related to the administration of work under high economic pressure and constant changes in the work community, managing employee workload and time pressures, providing feedback, facilitating collaboration, and managing conflict. The managers’ own understandings, competences, and resources, as well as organizational supports, have an effect on successful resolutions of challenging OHS management situations.

  13. The Challenge of Library Management: Leading with Emotional Engagement

    Science.gov (United States)

    vanDuinkerken, Wyoma; Mosley, Pixey Anne

    2011-01-01

    Change is inevitable and essential to any functioning institution. But change can be stressful, especially when it upsets established routines and patterns. Library managers need to be able to lead staff through episodes of change while remaining empathetic, and this book shows them how to: (1) Engage library staff in the process and encourage…

  14. sustainable management of nigeria's oil wealth: legal challenges ...

    African Journals Online (AJOL)

    RAYAN_

    link that may exist between oil resource and economic development, there is the .... examine the impact of revenue allocation on the sustainable management of ... Nigeria, the biggest oil exporter with the largest natural gas reserves in. Africa24 and ..... Issues' (PhD dissertation, the Law of the Sea and Maritime Law Institute,.

  15. Challenges of communicating integrated water resource management in Zimbabwe

    NARCIS (Netherlands)

    Marimbe, S.; Manzungu, E.

    2003-01-01

    With the promulgation of the 1998 Water Act the Government of Zimbabwe took a decisive step to reform the country's water sector, to bring it in line with contemporary socio-political realities obtaining in the country, and in tune with the philosophy of integrated water resources management.

  16. New forms of knowledge challenge NPM-based management technologies

    DEFF Research Database (Denmark)

    Neisig, Margit

    2014-01-01

    -, second- or third-order management. The empirical results demonstrate that, historically, the models have shifted from a primary focus on first-order process intervention towards a stronger emphasis on second- and third-order intervention – yet without abandoning first-order intervention. In other words...

  17. Management of chronic pain in osteoporosis: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Paolucci T

    2016-04-01

    Full Text Available Teresa Paolucci,* Vincenzo Maria Saraceni, Giulia Piccinini* Physical Medicine and Rehabilitation Unit, Azienda Policlinico Umberto I, Rome, Italy *These authors contributed equally to this work Abstract: Osteoporosis (OP is a pathological condition that manifests clinically as pain, fractures, and physical disability, resulting in the loss of independence and the need for long-term care. Chronic pain is a multidimensional experience with sensory, affective, and cognitive aspects. Age can affect each of these dimensions and the pain that is experienced. In OP, chronic pain appears to have sensory characteristics and properties of nociceptive and neuropathic pain. Its evaluation and treatment thus require a holistic approach that focuses on the specific characteristics of this population. Pain management must therefore include pharmacological approaches, physiotherapy interventions, educational measures, and, in rare cases, surgical treatment. Most rehabilitative treatments in the management of patients with OP do not evaluate pain or physical function, and there is no consensus on the effects of rehabilitation therapy on back pain or quality of life in women with OP. Pharmacological treatment of pain in patients with OP is usually insufficient. The management of chronic pain in patients with OP is complicated with regard to its diagnosis, the search for reversible secondary causes, the efficacy and duration of oral bisphosphonates, and the function of calcium and vitamin D. The aim of this review is to discuss the most appropriate solutions in the management of chronic pain in OP. Keywords: physical therapy, exercise, pharmacological treatment, posture and balance

  18. Academic Mobility Projects Management: Challenges for Ukrainian Professional Education

    Science.gov (United States)

    Zabolotna, Oksana

    2015-01-01

    The article is devoted to the academic mobility projects management on the example of Pavlo Tychyna Uman State Pedagogical University in the Erasmus Mundus Projects, namely, EMINENCE and EMINENCE II. It has been pointed out that modern university is a constantly developing system possessing a hidden potential for innovations. Thus, the…

  19. Public enterprises: Contemporary strategic management and marketing challenges

    Directory of Open Access Journals (Sweden)

    Vesić Dobrica

    2005-01-01

    Full Text Available Modern public companies, organizations and services management is a process that influences certain group, resulting in change of reality or function of it reaching certain, previously set objective. A new philosophy and approach to adaptive creativity, emphasize importance and capabilities of creativity improvement for employees, teams and all organizations.

  20. Blockchains for business process management - Challenges and opportunities

    NARCIS (Netherlands)

    Mendling, Jan; Weber, Ingo; Van Der Aalst, Wil; Brocke, Jan Vom; Cabanillas, Cristina; Daniel, Florian; Debois, Søren; Di Ciccio, Claudio; Dumas, Marlon; Dustdar, Schahram; Gal, Avigdor; García-Bañuelos, Luciano; Governatori, Guido; Hull, Richard; La Rosa, Marcello; Leopold, Henrik; Leymann, Frank; Recker, Jan; Reichert, Manfred; Reijers, Hajo A.; Rinderlema, Stefanie; Solti, Andreas; Rosemann, Michael; Schulte, Stefan; Singh, Munindar P.; Slaats, Tijs; Staples, Mark; Weber, Barbara; Weidlich, Matthias; Weske, Mathias; Xu, Xiwei; Zhu, Liming

    Blockchain technology ofers a sizable promise to rethink the way interorganizational business processes are managed because of its potential to realize execution without a central party serving as a single point of trust (and failure). To stimulate research on this promise and the limits thereof, in

  1. Blockchains for business process management - Challenges and opportunities

    NARCIS (Netherlands)

    Mendling, J.; Weber, I.; van der Aalst, W.M.P.; vom Brocke, J.; Cabanillas, C.; Daniel, F.; Debois, S.; Di Ciccio, C.; Dumas, M.; Dustdar, S.; Gal, A.; García-Bañuelos, L.; Governatori, G.; Hull, R.; La Rosa, Marcello; Leopold, Henrik; Leymann, Frank; Recker, Jan; Reichert, Manfred; Reijers, H.A.; Rinderlema, Stefanie; Solti, Andreas; Rosemann, Michael; Schulte, Stefan; Singh, Munindar P.; Slaats, T.; Staples, Mark; Weber, Barbara; Weidlich, Matthias; Weske, Mathias; Xu, Xiwei; Zhu, Liming

    2018-01-01

    Blockchain technology ofers a sizable promise to rethink the way interorganizational business processes are managed because of its potential to realize execution without a central party serving as a single point of trust (and failure). To stimulate research on this promise and the limits thereof, in

  2. Management of Electronic Mail: A Challenge for Archivists and ...

    African Journals Online (AJOL)

    , there seem to be no proper systems and procedures in place for the systematic capture and management of this format of records. A study I carried out in Botswana, Namibia and. South Africa, which forms part of my PhD thesis, found that ...

  3. Challenges of Buffer Zone Management in Cross River National ...

    African Journals Online (AJOL)

    These developments might be adduced to the low level of awareness of Park laws and buffer zone management policies by these communities. It is therefore recommended that public enlightenment campaigns should be stepped up to educate the populace on the need to abide by the laws and policies governing the Park ...

  4. Flood Risk Management In Europe: an exploration of governance challenges

    NARCIS (Netherlands)

    Hegger, D.; Dieperink, C.; Green, C.; Driessen, Peter; Bakker, M.H.; Rijswick, H.F.M.W. van; Crabbé, A.; Ek, K.

    2013-01-01

    In order to make European regions more resilient to flood risks a broadening of Flood Risk Management strategies (FRMSs) might be necessary. The development and implementation of FRMSs like risk prevention, flood defence, mitigation, preparation and recovery is a matter of governance, a process of

  5. Integrating Social Science and Ecosystem Management: A National Challenge

    Science.gov (United States)

    Cordell; H. Ken; Linda Caldwell

    1995-01-01

    These proceedings contain the contributed papers and panel presentations, as well as a paper presented at the National Workshop, of the Conference on Integrating Social Sciences and Ecosystem Management, which was held at Unicoi Lodge and Conference Center, Helen, GA, December 12-14, 1995. The overall purpose of this Conference was to improve understanding, integration...

  6. Media Management Education: Key Themes, Pedagogies, and Challenges

    Science.gov (United States)

    Förster, Kati; Rohn, Ulrike

    2015-01-01

    The media sphere has changed significantly as a result of globalization, technology, and new habits of media use. Scholars in journalism and mass communication thus call on a transformation and reinvention of higher education in the field. The purpose of this article is to investigate how media management is taught across different institutions,…

  7. Nuclear Knowledge Management in Vietnam: Challenges and Approaches

    International Nuclear Information System (INIS)

    Nguyen, T. T.

    2016-01-01

    Full text: In Vietnam, nuclear knowledge in general, and in particular in relation to nuclear power remains weak, since training and human resource development in this area have not received adequate attention. In August 18, 2010 the Prime Minister issued the decision 1558 approving the scheme for “Training and development of human resources in the field of atomic energy”. Then, on 10/15/2015 The Prime Minister issued the decision 1756 approving a Plan for the training and retraining of state management personnel, research and development, and technical support to serve nuclear power development till 2020. To implement the training and development of human resources, the organization in the field of atomic energy has planned to conduct recruitment, training and development of human resources. Thus Vietnam has a policy and plan for the development of nuclear knowledge. However, knowledge management has yet to be thoroughly implemented. At Government level there are no specific policy decisions on knowledge management. Level implementation units have not implemented the scientific step, the switch serving the knowledge management. This is one of the main reasons why the development of human resources in the field of atomic energy has been slow. (author

  8. AGE-ility challenges, and management agendas for the organisation

    NARCIS (Netherlands)

    Millar-Schijf, Carla C.J.M.; Culpin, Vicki

    2014-01-01

    Purpose - The purpose of this paper is to provide an update of the Special Issue's field of research, give the structure of the Special Issue and introduce the papers in the collection, including management issues. Design/methodology/approach - A review of the Call for Papers and further research

  9. Managing key capabilities: A challenge for nuclear plant building companies

    International Nuclear Information System (INIS)

    Pascal Corbel

    2003-01-01

    The nuclear plant building industry faces a paradoxical situation. The use of nuclear reactors to produce energy for civil purposes is both a promising technology, with potentially huge outlets, and a technology facing declining demand. One of the key problems is then: how to maintain the capabilities necessary to benefit from the potential recovery? The resource-based view of strategic management has shown the importance of different types of resources and capabilities in gaining a sustainable competitive advantage. Successful incumbents in the market of nuclear station building have built those kinds of distinctive capabilities that give them a competitive advantage over potential new entrants. But we show that, without a permanent activity in plant building, preserving those capabilities necessitates specific strategic action. We firstly develop the argument that the nuclear plant building industry is in a paradoxical situation in terms of demand and technical performance trends. Secondly, we try to identify the key capabilities of the incumbents. We show that companies in that field use mainly three types of distinctive capabilities: pure technical and scientific knowledge in direct relation to the use of nuclear as an energy generator, competences in risk management and competences in large project management, including financing. Thirdly, we show that although some of those capabilities are used through other nuclear-related activities such as plant maintenance or fuel supply, some of them necessitate taking strategic actions in order to be preserved. We argue that this should be a priority of nuclear equipment company managers in the next few years. (author)

  10. Occurrence, aetiology and challenges in the management of ...

    African Journals Online (AJOL)

    Introduction: The aim of the study was to investigate the occurrence, the aetiology and the management of congestive heart failure in the cardiac centre of the St. Elizabeth catholic general hospital Shisong in Cameroon. Methods: Between November 2002 and November 2008, a population of 8121 patients was consulted in ...

  11. Primary health care management challenges for childhood atopic ...

    African Journals Online (AJOL)

    Kaarina Frieda Meintjes

    primary health care (PHC) management of their children's atopic eczema in a Gauteng district. A qualitative, explorative, descriptive, contextual embedded single case study design ... direct observation until saturation occurred; analysed according to Tesch's ..... needed, it was provided by the researcher as part of the pro-.

  12. Employability and Talent Management: Challenges for HRD Practices

    Science.gov (United States)

    Nilsson, Staffan; Ellstrom, Per-Erik

    2012-01-01

    Purpose: The purpose of this conceptual paper is to illuminate the problems that are associated with defining and identifying talent and to discuss the development of talent as a contributor to employability. Design/methodology/approach: The world of work is characterised by new and rapidly changing demands. Talent management has recently been the…

  13. Challenges for Managing Fisheries on Diverse Coral Reefs

    Directory of Open Access Journals (Sweden)

    Douglas Fenner

    2012-03-01

    Full Text Available Widespread coral reef decline has included the decline of reef fish populations, and the subsistence and artisanal fisheries that depend on them. Overfishing and destructive fishing have been identified as the greatest local threats to coral reefs, but the greatest future threats are acidification and increases in mass coral bleaching caused by global warming. Some reefs have shifted from dominance by corals to macroalgae, in what are called “phase shifts”. Depletion of herbivores including fishes has been identified as a contributor to such phase shifts, though nutrients are also involved in complex interactions with herbivory and competition. The depletion of herbivorous fishes implies a reduction of the resilience of coral reefs to the looming threat of mass coral mortality from bleaching, since mass coral deaths are likely to be followed by mass macroalgal blooms on the newly exposed dead substrates. Conventional stock assessment of each fish species would be the preferred option for understanding the status of the reef fishes, but this is far too expensive to be practical because of the high diversity of the fishery and poverty where most reefs are located. In addition, stock assessment models and fisheries in general assume density dependent populations, but a key prediction that stocks recover from fishing is not always confirmed. Catch Per Unit Effort (CPUE has far too many weaknesses to be a useful method. The ratio of catch to stock and the proportion of catch that is mature depend on fish catch data, and are heavily biased toward stocks that are in good condition and incapable of finding species that are in the worst condition. Near-pristine reefs give us a reality check about just how much we have lost. Common fisheries management tools that control effort or catch are often prohibitively difficult to enforce for most coral reefs except in developed countries. Ecosystem-based management requires management of impacts of fishing

  14. Challenges of Managing Animals in Disasters in the U.S.

    OpenAIRE

    Heath, Sebastian; Linnabary, Robert

    2015-01-01

    Simple Summary This article describes common challenges to managing animals in disasters in the US, summarizes how some of these challenges are being met and makes recommendations on how to overcome others. Many predictable adverse situations affecting animals and their owners can be prevented when communities develop a comprehensive emergency management strategy that integrates animal care into planning, preparedness, mitigation, and recovery activities, as well as response. Abstract Common ...

  15. Managing conflict-generating invasive species in South Africa: Challenges and trade-offs

    Directory of Open Access Journals (Sweden)

    Tsungai Zengeya

    2017-03-01

    Full Text Available Background: This paper reviewed the benefits and negative impacts of alien species that are currently listed in the Alien and Invasive Species Regulations of the National Environmental Management: Biodiversity Act (Act no 10 of 2004 and certain alien species that are not yet listed in the regulations for which conflicts of interest complicate management. Objectives: Specifically, it identified conflict-generating species, evaluated the causes and driving forces of these conflicts and assessed how the conflicts have affected management. Method: A simple scoring system was used to classify the alien species according to their relative degree of benefits and negative impacts. Conflict-generating species were then identified and further evaluated using an integrated cognitive hierarchy theory and risk perception framework to identify the value systems (intrinsic and economic and risk perceptions associated with each conflict. Results: A total of 552 alien species were assessed. Most of the species were classified as inconsequential (55% or destructive (29%. Beneficial (10% and conflict-generating (6% species made a minor contribution. The majority (46% of the conflict cases were associated with more than one value system or both values and risk perception. The other conflicts cases were based on intrinsic (40% and utilitarian (14% value systems. Conclusions: Conflicts based on value and risk perceptions are inherently difficult to resolve because authorities need to balance the needs of different stakeholders while meeting the mandate of conserving the environment, ecosystem services and human well-being. This paper uses the identified conflict-generating species to highlight the challenges and trade-offs of managing invasive species in South Africa.

  16. Strategic self-management: the new youth challenge

    DEFF Research Database (Denmark)

    Mørch, Sven; Pultz, Sabina; Strøbæk, Pernille Solveig

    2017-01-01

    perspective. Based on our data analysis, this study contributes theoretically by furtherdeveloping the concept of ‘strategic self-management’ in an educational context. We conclude that this concept is suitable for encapsulating how young people make sense of, and deal with, their educational biographies...... in the Danish Gymnasium we investigate how young people make sense of, and deal with, these challenges by focusing on how they handle and reflect on their educational biographies. We employ The General Activity Theory to sensitize our contextual understanding of individualization in relation to the youth...

  17. Sustainable Approaches for Materials Management in Remote, Economically Challenged Areas of the Pacific

    Science.gov (United States)

    Remote, economically challenged areas in the Commonwealth of the Northern Marianas Islands (CNMI) and American Samoa in the US Pacific island territories face unique challenges with respect to solid waste management. These islands are remote and isolated, with some islands suppo...

  18. Analysis of Challenges for Management Education in India Using Total Interpretive Structural Modelling

    Science.gov (United States)

    Mahajan, Ritika; Agrawal, Rajat; Sharma, Vinay; Nangia, Vinay

    2016-01-01

    Purpose: The purpose of this paper is to identify challenges for management education in India and explain their nature, significance and interrelations using total interpretive structural modelling (TISM), an innovative version of Warfield's interpretive structural modelling (ISM). Design/methodology/approach: The challenges have been drawn from…

  19. Challenges and outcomes of management of anterior abdominal wall defects in a Nigerian tertiary hospital

    Directory of Open Access Journals (Sweden)

    Lukman O Abdur-Rahman

    2011-01-01

    Full Text Available Background : Abdominal wall defect presents a great challenge when it is large, ruptured, or associated with other anomalies. Objective : To review the challenges and outcome of management of anterior abdominal wall defects (AAWD. Materials and Methods : A retrospective review of omphalocele and gastroschisis managed over 8 years at our institution. Results : Omphalocele (n=49 and gastroschisis (n=7 constituted 2.4% of total admission. The median age was 23.5 hours, with male-female ratio of 1:1.1. Term infants were 91.7% and more than 75% weighed above 2.5 kg. The mean maternal age was 28.5±5.87 years and mean parity was 3.1±2.0, with P values of 0.318 and 0.768, respectively. More than 92.9% of infants were out-born, 46 pregnancies (82.1% were booked, and 51 (91.1% had at least one ultrasound scan, but only 1 (1.8% was diagnosed with gastroschisis. Ruptured omphalocele were 11 (6 major, 5 minor in number, 3 of which presented with enterocutaneous fistula, and 3 (6.1% were syndromic omphalocele. Positive blood culture confirmed septicaemia in 21 cases (37.5%. Surgical repair was done in 35 cases (62.5%, 44.6% as emergency, and 17.9% as elective. Non-operative management was done in 21 patients (37.5% and 5 (8.9% were discharged against medical advice. Median length of hospital stay was 10 days (mean, 15.98±14.38. Postoperative complication rate was 32.1% and overall mortality was 30.4%, with the highest case fatality among gastroschisis (57.1% and omphalocele major (32.1%. Conclusions: There were large numbers of out-born infants due to poor prenatal diagnosis in spite of high instances of antenatal ultrasound scan. Many patients presented with complications that resulted in poor outcome.

  20. Procedures and Practices - Challenges for Decommissioning Management and Teamwork

    Energy Technology Data Exchange (ETDEWEB)

    Rindahl, G., E-mail: grete.rindahl@hrp.no [Institute for Energy Technology, Halden (Norway)

    2013-08-15

    The mental and practical approach to a decommissioning project is often not the same at all levels of an organization. Studies indicate that the early establishment of a decommissioning mindset throughout an organization is an important and frequently overlooked process. It is not enough to establish procedures, if practices and mental approaches are overlooked; and for decommissioning projects that are more often than not dominated by one of a kind problem solving, procedure design is challenging, and new requirements are put on communication. Our research considers stakeholder involvement in these processes in the wider sense of the term; however the main stakeholders in focus are regulators and the work force that will perform or lead the tasks related to decommissioning. Issues here treated include: Decommissioning mindset and the manifestation of mindset issues in decommissioning projects, including challenges and prospective solutions; trust building and trust breaking factors in communication and collaboration relevant to transition and decommissioning; new technologies for collaboration and communication and how these may impair or empower participants - experiences from several domains. This paper is based on work done in collaboration with the OECD NEA Halden Reactor Project. (author)