WorldWideScience

Sample records for management assist missions

  1. Planning and execution of knowledge management assist missions for nuclear organizations

    2008-05-01

    problems. The IAEA is implementing a special subprogram on Nuclear Knowledge Management with a focus on the development of guidance for KM, on networking nuclear education and training and on the preservation of nuclear knowledge. Knowledge management consists of three fundamental components: people, processes and technology. Knowledge management focuses on people and organizational culture to stimulate and nurture the sharing and use of knowledge; on processes or methods to find, create, capture and share knowledge; and on technology to store and make knowledge accessible which will allow people to work together without being located together. People are the most important component. Managing knowledge depends upon people's willingness to share and reuse knowledge. In 2005, the IAEA introduced the concept of KM missions. The missions were established to: Facilitate the transfer of pragmatic KM methodologies and tools; Assist Member States considering implementation of nuclear power programmes to integrate KM in their management system from the very beginning; Provide specific consultancy services to address emergent problems and long term issues related to KM and associated issues; Assist organizations formulate detailed requirements and action plans related to KM; Help organizations identify, by self-assessment, their own KM maturity levels against a set of pre-defined criteria. This document is written to provide a common framework for KM missions and to provide general guidance for all mission participants. This document has been prepared to provide a basic structure and common reference for KM missions. As such, it is addressed, principally, to the team members of KM missions and also to the Counterpart requesting a mission. Although not mandatory, the guidelines provided in this document should be used as the basis for all future KM missions

  2. A prototype case-based reasoning human assistant for space crew assessment and mission management

    Owen, Robert B.; Holland, Albert W.; Wood, Joanna

    1993-01-01

    We present a prototype human assistant system for space crew assessment and mission management. Our system is based on case episodes from American and Russian space missions and analog environments such as polar stations and undersea habitats. The general domain of small groups in isolated and confined environments represents a near ideal application area for case-based reasoning (CBR) - there are few reliable rules to follow, and most domain knowledge is in the form of cases. We define the problem domain and outline a unique knowledge representation system driven by conflict and communication triggers. The prototype system is able to represent, index, and retrieve case studies of human performance. We index by social, behavioral, and environmental factors. We present the problem domain, our current implementation, our research approach for an operational system, and prototype performance and results.

  3. Planning and Execution of Knowledge Management Assist Missions for Nuclear Organizations (Russian Edition)

    2012-06-01

    As a result of the widening knowledge gap in the nuclear industry and related organizations, the IAEA is developing a series of guidance documents on knowledge management. This publication represents one such activity and provides general guidance as to the nature of the knowledge management mission and the means by which its goals are to be achieved and executed.

  4. The Mission Operations Planning Assistant

    Schuetzle, James G.

    1987-01-01

    The Mission Operations Planning Assistant (MOPA) is a knowledge-based system developed to support the planning and scheduling of instrument activities on the Upper Atmospheric Research Satellite (UARS). The MOPA system represents and maintains instrument plans at two levels of abstraction in order to keep plans comprehensible to both UARS Principal Investigators and Command Management personnel. The hierarchical representation of plans also allows MOPA to automatically create detailed instrument activity plans from which spacecraft command loads may be generated. The MOPA system was developed on a Symbolics 3640 computer using the ZetaLisp and ART languages. MOPA's features include a textual and graphical interface for plan inspection and modification, recognition of instrument operational constraint violations during the planning process, and consistency maintenance between the different planning levels. This paper describes the current MOPA system.

  5. Mission operations management

    Rocco, David A.

    1994-01-01

    Redefining the approach and philosophy that operations management uses to define, develop, and implement space missions will be a central element in achieving high efficiency mission operations for the future. The goal of a cost effective space operations program cannot be realized if the attitudes and methodologies we currently employ to plan, develop, and manage space missions do not change. A management philosophy that is in synch with the environment in terms of budget, technology, and science objectives must be developed. Changing our basic perception of mission operations will require a shift in the way we view the mission. This requires a transition from current practices of viewing the mission as a unique end product, to a 'mission development concept' built on the visualization of the end-to-end mission. To achieve this change we must define realistic mission success criteria and develop pragmatic approaches to achieve our goals. Custom mission development for all but the largest and most unique programs is not practical in the current budget environment, and we simply do not have the resources to implement all of our planned science programs. We need to shift our management focus to allow us the opportunity make use of methodologies and approaches which are based on common building blocks that can be utilized in the space, ground, and mission unique segments of all missions.

  6. The Center for Excellence in Disaster Management and Humanitarian Assistance (CFE-DMHA): An Assessment of Roles and Missions

    2016-01-01

    components include facilities and services (e.g., classroom conditions and food and beverage ), instructor quality (e.g., presenters set a positive...Stephanie Pezard, David E. Thaler, Beth Grill, Ariel Klein, Sean Robson The Center for Excellence in Disaster Management and Humanitarian...has to play in humanitarian assis- tance and disaster relief, congressional legislation established the Center for Excellence in Disaster Management

  7. A review of Spacelab mission management approach

    Craft, H. G., Jr.

    1979-01-01

    The Spacelab development program is a joint undertaking of the NASA and ESA. The paper addresses the initial concept of Spacelab payload mission management, the lessons learned, and modifications made as a result of the actual implementation of Spacelab Mission 1. The discussion covers mission management responsibilities, program control, science management, payload definition and interfaces, integrated payload mission planning, integration requirements, payload specialist training, payload and launch site integration, payload flight/mission operations, and postmission activities. After 3.5 years the outlined overall mission manager approach has proven to be most successful. The approach does allow the mission manager to maintain the lowest overall mission cost.

  8. Launch Opportunities for Jupiter Missions Using the Gravity Assist

    Young-Joo Song

    2004-06-01

    Full Text Available Interplanetary trajectories using the gravity assists are studied for future Korean interplanetary missions. Verifications of the developed softwares and results were performed by comparing data from ESA's Mars Express mission and previous results. Among the Jupiter exploration mission scenarios, multi-planet gravity assist mission to Jupiter (Earth-Mars-Earth-Jupiter Gravity Assist, EMEJGA trajectory requires minimum launch energy (C3 of 29.231 km2/s2 with 4.6 years flight times. Others, such as direct mission and single-planet(Mars gravity assist mission, requires launch energy (C3 of 75.656 km^2/s^2 with 2.98 years flight times and 63.590 km2/s2 with 2.33 years flight times, respectively. These results show that the planetary gravity assists can reduce launch energy, while EMEJGA trajectory requires the longer flight time than the other missions.

  9. Radioactive waste management. Ukraine. WAMAP mission to Ukraine

    Bergman, C.; Samiei, M.; Takats, F.

    1993-01-01

    In February 1992, the Ukrainian State Committee on Nuclear and Radiation Safety IAEA assisted in management of radwaste and spent fuel. A three member IAEA mission was sent to Ukraine for fact-finding. The present report discusses the outcome of this mission. It gives present legislation, regulations and organizational situation in Ukraine and generation and waste management of radioactive wastes. It discusses possible area of technical co-operation, conclusions and recommendations of the mission

  10. Waste management advisory missions to developing countries

    Thomas, K.T.

    1990-01-01

    The IAEA's Waste Management Advisory Programme (WAMAP) was initiated in 1987 as an interregional technical co-operation project to complement other activities in radioactive waste management. Its creation gave greater recognition to the importance of the safe management of radioactive wastes and promotion of long-term waste management technical assistance strategies for developing countries. Over the past 4 years, international experts have reviewed the radioactive waste management programmes of 29 developing countries. Missions have been conducted within the framework of the IAEA's Waste Management Advisory Programme (WAMAP). Ten of these countries have nuclear power plants in operation or under construction or have nuclear fuel cycle facilities. Altogether, 23 have research reactors or centres, eight have uranium or thorium processing programmes or wastes, and nine essentially have only isotope applications involving the use of radiation sources

  11. Managing Employee Assistance Programmes.

    Schmidenberg, Olive C.; Cordery, John L.

    1990-01-01

    Interviews with 20 branch managers and 20 accountants in an Australian bank determined factors influencing the success of an employee assistance program (EAP). It was found that policies requiring supervisors to act against normal managerial practice doom EAPs to failure. Organizational analysis to integrate the EAP within existing organizational…

  12. Flexible UAV Mission Management Using Emerging Technologies

    Desimone, Roberto; Lee, Richard

    2002-01-01

    This paper discusses recent results and proposed work in the application of emerging artificial intelligence technologies for flexible mission management, especially for unmanned (combat) airborne vehicles...

  13. The EU Border Assistance Mission in Libya

    Højstrup Christensen, Gitte

    2017-01-01

    ’s assessment of the EU Common Security and Defence Policy (CSDP) mission, EUBAM Libya, and its contribution to the country’s overall security situation12. It takes departure in the complete deliverables of the Work Package 3, with The Libyan Review as the main source of reference. The aim of this chapter...... is to outline the mission’s most significant strategic shortcomings and lessons identified, which are important in improving the effectiveness of the capabilities in EU conflict prevention....

  14. Approach to Spacelab Payload mission management

    Craft, H. G.; Lester, R. C.

    1978-01-01

    The nucleus of the approach to Spacelab Payload mission management is the establishment of a single point of authority for the entire payload on a given mission. This single point mission manager will serve as a 'broker' between the individual experiments and the STS, negotiating agreements by two-part interaction. The payload mission manager, along with a small support team, will represent the users in negotiating use of STS accommodations. He will provide the support needed by each individual experimenter to meet the scientific, technological, and applications objectives of the mission with minimum cost and maximum efficiency. The investigator will assume complete responsibility for his experiment hardware definition and development and will take an active role in the integration and operation of his experiment.

  15. The mission execution crew assistant : Improving human-machine team resilience for long duration missions

    Neerincx, M.A.; Lindenberg, J.; Smets, N.J.J.M.; Bos, A.; Breebaart, L.; Grant, T.; Olmedo-Soler, A.; Brauer, U.; Wolff, M.

    2008-01-01

    Manned long-duration missions to the Moon and Mars set high operational, human factors and technical demands for a distributed support system, which enhances human-machine teams' capabilities to cope autonomously with unexpected, complex and potentially hazardous situations. Based on a situated Cognitive Engineering (sCE) method, we specified a theoretical and empirical founded Requirements Baseline (RB) for such a system (called Mission Execution Crew Assistant; MECA), and its rational consi...

  16. Software Schedules Missions, Aids Project Management

    2008-01-01

    NASA missions require advanced planning, scheduling, and management, and the Space Agency has worked extensively to develop the programs and software suites necessary to facilitate these complex missions. These enormously intricate undertakings have hundreds of active components that need constant management and monitoring. It is no surprise, then, that the software developed for these tasks is often applicable in other high-stress, complex environments, like in government or industrial settings. NASA work over the past few years has resulted in a handful of new scheduling, knowledge-management, and research tools developed under contract with one of NASA s partners. These tools have the unique responsibility of supporting NASA missions, but they are also finding uses outside of the Space Program.

  17. Safety and Mission Assurance Knowledge Management Retention

    Johnson, Teresa A.

    2006-01-01

    This viewgraph presentation reviews the issues surrounding the management of knowledge in regards to safety and mission assurance. The JSC workers who were hired in the 1960's are slated to retire in the next two to three years. The experiences and knowledge of these NASA workers must be identified, and disseminated. This paper reviews some of the strategies that the S&MA is developing to capture that valuable institutional knowledge.

  18. CEO Sites Mission Management System (SMMS)

    Trenchard, Mike

    2014-01-01

    Late in fiscal year 2011, the Crew Earth Observations (CEO) team was tasked to upgrade its science site database management tool, which at the time was integrated with the Automated Mission Planning System (AMPS) originally developed for Earth Observations mission planning in the 1980s. Although AMPS had been adapted and was reliably used by CEO for International Space Station (ISS) payload operations support, the database structure was dated, and the compiler required for modifications would not be supported in the Windows 7 64-bit operating system scheduled for implementation the following year. The Sites Mission Management System (SMMS) is now the tool used by CEO to manage a heritage Structured Query Language (SQL) database of more than 2,000 records for Earth science sites. SMMS is a carefully designed and crafted in-house software package with complete and detailed help files available for the user and meticulous internal documentation for future modifications. It was delivered in February 2012 for test and evaluation. Following acceptance, it was implemented for CEO mission operations support in April 2012. The database spans the period from the earliest systematic requests for astronaut photography during the shuttle era to current ISS mission support of the CEO science payload. Besides logging basic image information (site names, locations, broad application categories, and mission requests), the upgraded database management tool now tracks dates of creation, modification, and activation; imagery acquired in response to requests; the status and location of ancillary site information; and affiliations with studies, their sponsors, and collaborators. SMMS was designed to facilitate overall mission planning in terms of site selection and activation and provide the necessary site parameters for the Satellite Tool Kit (STK) Integrated Message Production List Editor (SIMPLE), which is used by CEO operations to perform daily ISS mission planning. The CEO team

  19. Technical assistance contractor Management Plan

    1993-09-01

    The Technical Assistance Contractor (TAC) for the Uranium Mill Tailings Remedial Action (UMTRA) Project comprises Jacobs Engineering Group Inc. (JEG) and its major teaming partners [Roy F. Weston, Inc. (RFW), Sergent, Hauskins ampersand Beckwith Agra, Inc. (SHB Agra), and Geraghty ampersand Miller, Inc. (G ampersand M)]. The first three companies have worked together effectively on the UMTRA Project for more than 10 years. With the initiation of the UMTRA Groundwater Project in April 1991, a need arose to increase the TAC's groundwater technical breadth and depth, so G ampersand M was brought in to augment the team's capabilities. The TAC contract's scope is to provide technical, analytical, environmental, engineering, design, inspection, and management support services to the US Department of Energy (DOE) for both surface and groundwater projects. The TAC team continues to support the DOE in completing surface remedial actions and initiating groundwater remediation work for start-up, characterization, design, construction oversight, and remedial operations. A key feature of the TAC's management approach is the extensive set of communication systems implemented for the UMTRA Project. These systems assist all functional disciplines in performing UMTRA Project tasks associated with management, technical support, administrative support, and financial/project controls

  20. Technical assistance contractor management plan: Surface and ground water

    1994-09-01

    This report presents the general management structure of the Technical Assistance Contractor (TAC) for the Uranium Mill Tailings Remedial Action (UMTRA) Project. This team is a partnership of four major private subcontractors, which teamed together, are striving to be the leader in environmental restoration of uranium mining and milling operations. It will provide a pool of experts in various aspects of the technologies necessary to accomplish this goal, available to DOE to deal with mission concerns. The report expands on goals from TAC's mission statement, which include management concerns, environment, safety, and health, quality, technical support, communications, and personnel

  1. Technical assistance contractor management plan: Surface and ground water

    1994-09-01

    This report presents the general management structure of the Technical Assistance Contractor (TAC) for the Uranium Mill Tailings Remedial Action (UMTRA) Project. This team is a partnership of four major private subcontractors, which teamed together, are striving to be the leader in environmental restoration of uranium mining and milling operations. It will provide a pool of experts in various aspects of the technologies necessary to accomplish this goal, available to DOE to deal with mission concerns. The report expands on goals from TAC`s mission statement, which include management concerns, environment, safety, and health, quality, technical support, communications, and personnel.

  2. Mission Risk Reduction Regulatory Change Management

    Scroggins, Sharon

    2007-01-01

    NASA Headquarters Environmental Management Division supports NASA's mission to pioneer the future in space exploration, scientific discovery, and aeronautics research by integrating environmental considerations into programs and projects early-on, thereby proactively reducing NASA's exposure to institutional, programmatic and operational risk. As part of this effort, NASA established the Principal Center for Regulatory Risk Analysis and Communication (RRAC PC) as a resource for detecting, analyzing, and communicating environmental regulatory risks to the NASA stakeholder community. The RRAC PC focuses on detecting emerging environmental regulations and other operational change drivers that may pose risks to NASA programs and facilities, and effectively communicating the potential risks. For example, regulatory change may restrict how and where certain activities or operations may be conducted. Regulatory change can also directly affect the ability to use certain materials by mandating a production phase-out or restricting usage applications of certain materials. Regulatory change can result in significant adverse impacts to NASA programs and facilities due to NASA's stringent performance requirements for materials and components related to human-rated space vehicles. Even if a regulation does not directly affect NASA operations, U.S. and international regulations can pose program risks indirectly through requirements levied on manufacturers and vendors of components and materials. For example, manufacturers can change their formulations to comply with new regulatory requirements. Such changes can require time-consuming and costly requalification certification for use in human spaceflight programs. The RRAC PC has implemented a system for proactively managing regulatory change to minimize potential adverse impacts to NASA programs and facilities. This presentation highlights the process utilized by the RRACPC to communicate regulatory change and the associated

  3. Fault Management Assistant (FMA), Phase I

    National Aeronautics and Space Administration — S&K Aerospace (SKA) proposes to develop the Fault Management Assistant (FMA) to aid project managers and fault management engineers in developing better and more...

  4. Safety and Mission Assurance Knowledge Management Retention: Managing Knowledge for Successful Mission Operations

    Johnson, Teresa A.

    2006-01-01

    Knowledge Management is a proactive pursuit for the future success of any large organization faced with the imminent possibility that their senior managers/engineers with gained experiences and lessons learned plan to retire in the near term. Safety and Mission Assurance (S&MA) is proactively pursuing unique mechanism to ensure knowledge learned is retained and lessons learned captured and documented. Knowledge Capture Event/Activities/Management helps to provide a gateway between future retirees and our next generation of managers/engineers. S&MA hosted two Knowledge Capture Events during 2005 featuring three of its retiring fellows (Axel Larsen, Dave Whittle and Gary Johnson). The first Knowledge Capture Event February 24, 2005 focused on two Safety and Mission Assurance Safety Panels (Space Shuttle System Safety Review Panel (SSRP); Payload Safety Review Panel (PSRP) and the latter event December 15, 2005 featured lessons learned during Apollo, Skylab, and Space Shuttle which could be applicable in the newly created Crew Exploration Vehicle (CEV)/Constellation development program. Gemini, Apollo, Skylab and the Space Shuttle promised and delivered exciting human advances in space and benefits of space in people s everyday lives on earth. Johnson Space Center's Safety & Mission Assurance team work over the last 20 years has been mostly focused on operations we are now beginning the Exploration development program. S&MA will promote an atmosphere of knowledge sharing in its formal and informal cultures and work processes, and reward the open dissemination and sharing of information; we are asking "Why embrace relearning the "lessons learned" in the past?" On the Exploration program the focus will be on Design, Development, Test, & Evaluation (DDT&E); therefore, it is critical to understand the lessons from these past programs during the DDT&E phase.

  5. Tapping into the Forest Management Assistance Programs

    John L. Greene; Terry K. Haines

    1998-01-01

    Use of federal and state forest management assistance programs can enable nonindustial private forest owners to reduce their management expenses and practice better stewardship. This paper summarizes six federal and twelve state assistance programs available to owners in the North Central states. It also describes how to calculate the amount of a government...

  6. Management of information for mission operations using automated keyword referencing

    Davidson, Roger A.; Curran, Patrick S.

    1993-01-01

    Although millions of dollars have helped to improve the operability and technology of ground data systems for mission operations, almost all mission documentation remains bound in printed volumes. This form of documentation is difficult and timeconsuming to use, may be out-of-date, and is usually not cross-referenced with other related volumes of mission documentation. A more effective, automated method of mission information access is needed. A new method of information management for mission operations using automated keyword referencing is proposed. We expound on the justification for and the objectives of this concept. The results of a prototype tool for mission information access that uses a hypertextlike user interface and existing mission documentation are shared. Finally, the future directions and benefits of our proposed work are described.

  7. The supply of pharmaceuticals in humanitarian assistance missions: implications for military operations.

    Mahmood, Maysaa; Riley, Kevin; Bennett, David; Anderson, Warner

    2011-08-01

    In this article, we provide an overview of key international guidelines governing the supply of pharmaceuticals during disasters and complex emergencies. We review the World Health Organization's guidelines on pharmaceutical supply chain management and highlight their relevance for military humanitarian assistance missions. Given the important role of pharmaceuticals in addressing population health needs during humanitarian emergencies, a good understanding of how pharmaceuticals are supplied at the local level in different countries can help military health personnel identify the most appropriate supply options. Familiarity with international guidelines involved in cross-border movement of pharmaceuticals can improve the ability of military personnel to communicate more effectively with other actors involved in humanitarian and development spheres. Enhancing the knowledge base available to military personnel in terms of existing supply models and funding procedures can improve the effectiveness of humanitarian military operations and invite policy changes necessary to establish more flexible acquisition and funding regulations.

  8. Results from the NASA Spacecraft Fault Management Workshop: Cost Drivers for Deep Space Missions

    Newhouse, Marilyn E.; McDougal, John; Barley, Bryan; Stephens Karen; Fesq, Lorraine M.

    2010-01-01

    Fault Management, the detection of and response to in-flight anomalies, is a critical aspect of deep-space missions. Fault management capabilities are commonly distributed across flight and ground subsystems, impacting hardware, software, and mission operations designs. The National Aeronautics and Space Administration (NASA) Discovery & New Frontiers (D&NF) Program Office at Marshall Space Flight Center (MSFC) recently studied cost overruns and schedule delays for five missions. The goal was to identify the underlying causes for the overruns and delays, and to develop practical mitigations to assist the D&NF projects in identifying potential risks and controlling the associated impacts to proposed mission costs and schedules. The study found that four out of the five missions studied had significant overruns due to underestimating the complexity and support requirements for fault management. As a result of this and other recent experiences, the NASA Science Mission Directorate (SMD) Planetary Science Division (PSD) commissioned a workshop to bring together invited participants across government, industry, and academia to assess the state of the art in fault management practice and research, identify current and potential issues, and make recommendations for addressing these issues. The workshop was held in New Orleans in April of 2008. The workshop concluded that fault management is not being limited by technology, but rather by a lack of emphasis and discipline in both the engineering and programmatic dimensions. Some of the areas cited in the findings include different, conflicting, and changing institutional goals and risk postures; unclear ownership of end-to-end fault management engineering; inadequate understanding of the impact of mission-level requirements on fault management complexity; and practices, processes, and tools that have not kept pace with the increasing complexity of mission requirements and spacecraft systems. This paper summarizes the

  9. Operationalizing Mobile Applications for Humanitarian Assistance/Disaster Relief Missions

    2014-03-01

    the Samsung Galaxy SII (i9100) if it is the Unlocked GSM International Version that runs Gingerbread 2.3.4 OS; the 8 Samsung Nexus S if it is the...runs Gingerbread 2.3.4 OS (Naval Postgraduate School, 2013). Likewise he software can also be run on tablets, including the Samsung Galaxy Tab 7...Concept of FIST The FIST application was created to function in numerous diverse environments to support various possible missions, such as

  10. In-flight Integrated Mission Management System (I-LIMMS)

    Emmitt, George D; Greco, Steven; Wood, Sidney

    2006-01-01

    The goal of this Phase I SBIR effort was to determine the feasibility and preliminary design of I-LIMMS, an In-flight Lidar Integrated Mission Management System for the processing and visualization...

  11. The mission execution crew assistant : Improving human-machine team resilience for long duration missions

    Neerincx, M.A.; Lindenberg, J.; Smets, N.J.J.M.; Bos, A.; Breebaart, L.; Grant, T.; Olmedo-Soler, A.; Brauer, U.; Wolff, M.

    2008-01-01

    Manned long-duration missions to the Moon and Mars set high operational, human factors and technical demands for a distributed support system, which enhances human-machine teams' capabilities to cope autonomously with unexpected, complex and potentially hazardous situations. Based on a situated

  12. Data management in the mission data system

    Wagner, David A.

    2005-01-01

    As spacecraft evolve from simple embedded devices to become more sophisticated computing platforms with complex behaviors it is increasingly necessary to model and manage the flow of data, and to provide uniform models for managing data that promote adaptability, yet pay heed to the physical limitations of the embedded and space environments.

  13. Crisis assistance to nuclear operators: the manufacturer missions and methods

    Touati, J.

    1995-01-01

    Since 1985, the Framatome Company has provided to Electricite de France (EDF) a technical assistance in the case of major accident on a nuclear power plant. During the accident crisis, Framatome establishes a diagnosis and a forecast about the installation state and proposes the safest solutions to the operator for a limitation of accident consequences. Different tools have been developed by Framatome to identify the consequences of electric power outages or to control the state of coolant circuits using expert systems and a data base about reactor component characteristics. A thermo-hydraulic analysis of the accident is performed by the system, using data transmitted to the crisis center, and hypotheses about the origin of the accident are proposed by the expert. After validation, a classification of risks is established and the best strategy to follow is determined by the system, in particular when non-conventional means are required. (J.S.). 1 fig

  14. VACUUM ASSISTED CLOSURE IN DIABETIC FOOT MANAGEMENT

    Moganakannan; `Prema; Arun Sundara Rajan

    2014-01-01

    Comparision of vacuum assisted closure vs conventional dressing in management of diabetic foot patients. 30 patients were taken in that 15 underwent vacuum therapy and remaining 15 underwent conventional dressing.They were analysed by the development of granulation tissue and wound healing.The study showed Vac therapy is the best modality for management of diabetic foot patients.

  15. Management of Operational Support Requirements for Manned Flight Missions

    1991-01-01

    This Instruction establishes responsibilities for managing the system whereby operational support requirements are levied for support of manned flight missions including associated payloads. This management system will ensure that support requirements are properly requested and responses are properly obtained to meet operational objectives.

  16. Near Earth Asteroid redirect missions based on gravity assist maneuver

    Ledkov, Anton; Shustov, Boris M.; Eismont, Natan; Boyarsky, Michael; Nazirov, Ravil; Fedyaev, Konstantin

    During last years several events attracted world community attention to the hazards of hitting the Earth by sky objects. One of these objects is Apophis asteroid what was expected with nonzero probability to hit the Earth in 2036. Luckily after more precise measurements this event is considered as practically improbable. But the other object has really reached the Earth, entered the atmosphere in the Chelyabinsk area and caused vast damages. After this the hazardous near Earth objects problem received practical confirmation of the necessity to find the methods of its resolution. The methods to prevent collision of the dangerous sky object with the Earth proposed up to now look not practical enough if one mentions such as gravitational tractor or changing the reflectivity of the asteroid surface. Even the method supposing the targeting of the spacecraft to the hazardous object in order to deflect it from initial trajectory by impact does not work because its low mass as compared with the mass of asteroid to be deflected. For example the mass of the Apophis is estimated to be about 40 million tons but the spacecraft which can be launched to intercept the asteroid using contemporary launchers has the mass not more than 5 tons. So the question arises where to find the heavier projectile which is possible to direct to the dangerous object? The answer proposed in our paper is very simple: to search it among small near Earth asteroids. As small ones we suppose those which have the cross section size not more than 12-15 meters and mass not exceeding 1500 -1700 tons. According to contemporary estimates the number of such asteroids is not less than 100000. The other question is how to redirect such asteroid to the dangerous one. In the paper the possibilities are studied to use for that purpose gravity assist maneuvers near Earth. It is shown that even among asteroids included in contemporary catalogue there are the ones which could be directed to the trajectory of the

  17. Human Assisted Robotic Vehicle Studies - A conceptual end-to-end mission architecture

    Lehner, B. A. E.; Mazzotta, D. G.; Teeney, L.; Spina, F.; Filosa, A.; Pou, A. Canals; Schlechten, J.; Campbell, S.; Soriano, P. López

    2017-11-01

    With current space exploration roadmaps indicating the Moon as a proving ground on the way to human exploration of Mars, it is clear that human-robotic partnerships will play a key role for successful future human space missions. This paper details a conceptual end-to-end architecture for an exploration mission in cis-lunar space with a focus on human-robot interactions, called Human Assisted Robotic Vehicle Studies (HARVeSt). HARVeSt will build on knowledge of plant growth in space gained from experiments on-board the ISS and test the first growth of plants on the Moon. A planned deep space habitat will be utilised as the base of operations for human-robotic elements of the mission. The mission will serve as a technology demonstrator not only for autonomous tele-operations in cis-lunar space but also for key enabling technologies for future human surface missions. The successful approach of the ISS will be built on in this mission with international cooperation. Mission assets such as a modular rover will allow for an extendable mission and to scout and prepare the area for the start of an international Moon Village.

  18. Improving Life-Cycle Cost Management of Spacecraft Missions

    Clardy, Dennon

    2010-01-01

    This presentation will explore the results of a recent NASA Life-Cycle Cost study and how project managers can use the findings and recommendations to improve planning and coordination early in the formulation cycle and avoid common pitfalls resulting in cost overruns. The typical NASA space science mission will exceed both the initial estimated and the confirmed life-cycle costs by the end of the mission. In a fixed-budget environment, these overruns translate to delays in starting or launching future missions, or in the worst case can lead to cancelled missions. Some of these overruns are due to issues outside the control of the project; others are due to the unpredictable problems (unknown unknowns) that can affect any development project. However, a recent study of life-cycle cost growth by the Discovery and New Frontiers Program Office identified a number of areas that are within the scope of project management to address. The study also found that the majority of the underlying causes for cost overruns are embedded in the project approach during the formulation and early design phases, but the actual impacts typically are not experienced until late in the project life cycle. Thus, project management focus in key areas such as integrated schedule development, management structure and contractor communications processes, heritage and technology assumptions, and operations planning, can be used to validate initial cost assumptions and set in place management processes to avoid the common pitfalls resulting in cost overruns.

  19. The mission of the well-managed community hospital.

    Griffith, J R

    1988-07-01

    The well-managed community hospital as an organization is in dynamic equilibrium with its geographic community and with other communities providing finance, physicians, nurses, other professionals and resources necessary to meet local health care needs. The hospital is "well-managed" when it develops an equilibrium that permits all of its various constituencies to be satisfied. Growth in market share results from good management. The hospital's ability to attract and satisfy the needs of health care professionals while simultaneously meeting the needs of patients and their families at competitive prices allows it to flourish. Its financial success allows it to reward its medical staff and employees in ways that attract the best of each work group. A central problem in achieving good management is communication. Hospitals must communicate their goals convincingly to a large number of doctors and employees. "The Well-Managed Community Hospital," winner of the James A. Hamilton Hospital Administration Book Award, argues that a well-structured mission statement is the essential first step in the communications process. According to the book, final responsibility for the mission statement lies with the governing board and is one of five non-delegable functions of the board. The nature of the mission setting function as described in the book follows.

  20. Management and Systems Engineering of the Kepler Mission

    Fanson, James; Livesay, Leslie; Frerking, Margaret; Cooke, Brian

    2010-01-01

    Kepler is the National Aeronautics and Space Administration's (NASA's) first mission capable of detecting Earth-size planets orbiting in the habitable zones around stars other than the sun. Selected for implementation in 2001 and launched in 2009, Kepler seeks to determine whether Earth-like planets are common or rare in the galaxy. The investigation requires a large, space-based photometer capable of simultaneously measuring the brightnesses of 100,000 stars at part-per-million level of precision. This paper traces the development of the mission from the perspective of project management and systems engineering and describes various methodologies and tools that were found to be effective. The experience of the Kepler development is used to illuminate lessons that can be applied to future missions.

  1. Computer-assisted power plant management

    Boettcher, D.

    1990-01-01

    Operating a power plant and keeping it operational is ensured by a multiplicity of technical management subtasks which are cross referenced and based on an extensive inventory of descriptive and operational plant data. These data stocks are still registered in an isolated mode and managed and updated manually. This is a labor intensive, error prone procedure. In this situation, the introduction of a computer-assisted plant management system, whose core is a data-base of assured quality common to all activities, and which contains standardized processing aids fully planned for the subtasks occurring in the plant, is likely to achieve a considerable improvement in the quality of plant management and to relieve the staff of administrative activities. (orig.) [de

  2. Integrated dynamic modeling and management system mission analysis

    Lee, A.K.

    1994-12-28

    This document summarizes the mission analysis performed on the Integrated Dynamic Modeling and Management System (IDMMS). The IDMMS will be developed to provide the modeling and analysis capability required to understand the TWRS system behavior in terms of the identified TWRS performance measures. The IDMMS will be used to demonstrate in a verified and validated manner the satisfactory performance of the TWRS system configuration and assurance that the requirements have been satisfied.

  3. Integrated dynamic modeling and management system mission analysis

    Lee, A.K.

    1994-01-01

    This document summarizes the mission analysis performed on the Integrated Dynamic Modeling and Management System (IDMMS). The IDMMS will be developed to provide the modeling and analysis capability required to understand the TWRS system behavior in terms of the identified TWRS performance measures. The IDMMS will be used to demonstrate in a verified and validated manner the satisfactory performance of the TWRS system configuration and assurance that the requirements have been satisfied

  4. Mission Management Computer and Sequencing Hardware for RLV-TD HEX-01 Mission

    Gupta, Sukrat; Raj, Remya; Mathew, Asha Mary; Koshy, Anna Priya; Paramasivam, R.; Mookiah, T.

    2017-12-01

    Reusable Launch Vehicle-Technology Demonstrator Hypersonic Experiment (RLV-TD HEX-01) mission posed some unique challenges in the design and development of avionics hardware. This work presents the details of mission critical avionics hardware mainly Mission Management Computer (MMC) and sequencing hardware. The Navigation, Guidance and Control (NGC) chain for RLV-TD is dual redundant with cross-strapped Remote Terminals (RTs) interfaced through MIL-STD-1553B bus. MMC is Bus Controller on the 1553 bus, which does the function of GPS aided navigation, guidance, digital autopilot and sequencing for the RLV-TD launch vehicle in different periodicities (10, 20, 500 ms). Digital autopilot execution in MMC with a periodicity of 10 ms (in ascent phase) is introduced for the first time and successfully demonstrated in the flight. MMC is built around Intel i960 processor and has inbuilt fault tolerance features like ECC for memories. Fault Detection and Isolation schemes are implemented to isolate the failed MMC. The sequencing hardware comprises Stage Processing System (SPS) and Command Execution Module (CEM). SPS is `RT' on the 1553 bus which receives the sequencing and control related commands from MMCs and posts to downstream modules after proper error handling for final execution. SPS is designed as a high reliability system by incorporating various fault tolerance and fault detection features. CEM is a relay based module for sequence command execution.

  5. Automatic mental heath assistant : monitoring and measuring nonverbal behavior of the crew during long-term missions

    Voynarovskaya, N.; Gorbunov, R.D.; Barakova, E.I.; Rauterberg, G.W.M.; Barakova, E.I.; Ruyter, B.; Spink, A.

    2010-01-01

    This paper presents a method for monitoring the mental state of small isolated crews during long-term missions (such as space mission, polar expeditions, submarine crews, meteorological stations, and etc.) The research is done as a part of Automatic Mental Health Assistant (AMHA) project which aims

  6. Technical assistance contractor Management Plan. Final [report

    1993-09-01

    The Technical Assistance Contractor (TAC) for the Uranium Mill Tailings Remedial Action (UMTRA) Project comprises Jacobs Engineering Group Inc. (JEG) and its major teaming partners [Roy F. Weston, Inc. (RFW), Sergent, Hauskins & Beckwith Agra, Inc. (SHB Agra), and Geraghty & Miller, Inc. (G&M)]. The first three companies have worked together effectively on the UMTRA Project for more than 10 years. With the initiation of the UMTRA Groundwater Project in April 1991, a need arose to increase the TAC`s groundwater technical breadth and depth, so G&M was brought in to augment the team`s capabilities. The TAC contract`s scope is to provide technical, analytical, environmental, engineering, design, inspection, and management support services to the US Department of Energy (DOE) for both surface and groundwater projects. The TAC team continues to support the DOE in completing surface remedial actions and initiating groundwater remediation work for start-up, characterization, design, construction oversight, and remedial operations. A key feature of the TAC`s management approach is the extensive set of communication systems implemented for the UMTRA Project. These systems assist all functional disciplines in performing UMTRA Project tasks associated with management, technical support, administrative support, and financial/project controls.

  7. Virtual reality based surgical assistance and training system for long duration space missions.

    Montgomery, K; Thonier, G; Stephanides, M; Schendel, S

    2001-01-01

    Access to medical care during long duration space missions is extremely important. Numerous unanticipated medical problems will need to be addressed promptly and efficiently. Although telemedicine provides a convenient tool for remote diagnosis and treatment, it is impractical due to the long delay between data transmission and reception to Earth. While a well-trained surgeon-internist-astronaut would be an essential addition to the crew, the vast number of potential medical problems necessitate instant access to computerized, skill-enhancing and diagnostic tools. A functional prototype of a virtual reality based surgical training and assistance tool was created at our center, using low-power, small, lightweight components that would be easy to transport on a space mission. The system consists of a tracked, head-mounted display, a computer system, and a number of tracked surgical instruments. The software provides a real-time surgical simulation system with integrated monitoring and information retrieval and a voice input/output subsystem. Initial medical content for the system has been created, comprising craniofacial, hand, inner ear, and general anatomy, as well as information on a number of surgical procedures and techniques. One surgical specialty in particular, microsurgery, was provided as a full simulation due to its long training requirements, significant impact on result due to experience, and likelihood for need. However, the system is easily adapted to realistically simulate a large number of other surgical procedures. By providing a general system for surgical simulation and assistance, the astronaut-surgeon can maintain their skills, acquire new specialty skills, and use tools for computer-based surgical planning and assistance to minimize overall crew and mission risk.

  8. Cryogenic Fluid Management Technology for Moon and Mars Missions

    Doherty, Michael P.; Gaby, Joseph D.; Salerno, Louis J.; Sutherlin, Steven G.

    2010-01-01

    In support of the U.S. Space Exploration Policy, focused cryogenic fluid management technology efforts are underway within the National Aeronautics and Space Administration. Under the auspices of the Exploration Technology Development Program, cryogenic fluid management technology efforts are being conducted by the Cryogenic Fluid Management Project. Cryogenic Fluid Management Project objectives are to develop storage, transfer, and handling technologies for cryogens to support high performance demands of lunar, and ultimately, Mars missions in the application areas of propulsion, surface systems, and Earth-based ground operations. The targeted use of cryogens and cryogenic technologies for these application areas is anticipated to significantly reduce propellant launch mass and required on-orbit margins, to reduce and even eliminate storage tank boil-off losses for long term missions, to economize ground pad storage and transfer operations, and to expand operational and architectural operations at destination. This paper organizes Cryogenic Fluid Management Project technology efforts according to Exploration Architecture target areas, and discusses the scope of trade studies, analytical modeling, and test efforts presently underway, as well as future plans, to address those target areas. The target areas are: liquid methane/liquid oxygen for propelling the Altair Lander Ascent Stage, liquid hydrogen/liquid oxygen for propelling the Altair Lander Descent Stage and Ares V Earth Departure Stage, liquefaction, zero boil-off, and propellant scavenging for Lunar Surface Systems, cold helium and zero boil-off technologies for Earth-Based Ground Operations, and architecture definition studies for long term storage and on-orbit transfer and pressurization of LH2, cryogenic Mars landing and ascent vehicles, and cryogenic production via in situ resource utilization on Mars.

  9. Data Management Coordinators Monitor STS-78 Mission at the Huntsville Operations Support Center

    1996-01-01

    Launched on June 20, 1996, the STS-78 mission's primary payload was the Life and Microgravity Spacelab (LMS), which was managed by the Marshall Space Flight Center (MSFC). During the 17 day space flight, the crew conducted a diverse slate of experiments divided into a mix of life science and microgravity investigations. In a manner very similar to future International Space Station operations, LMS researchers from the United States and their European counterparts shared resources such as crew time and equipment. Five space agencies (NASA/USA, European Space Agency/Europe (ESA), French Space Agency/France, Canadian Space Agency /Canada, and Italian Space Agency/Italy) along with research scientists from 10 countries worked together on the design, development and construction of the LMS. This photo represents Data Management Coordinators monitoring the progress of the mission at the Huntsville Operations Support Center (HOSC) Spacelab Payload Operations Control Center (SL POCC) at MSFC. Pictured are assistant mission scientist Dr. Dalle Kornfeld, Rick McConnel, and Ann Bathew.

  10. A Management Model for International Participation in Space Exploration Missions

    George, Patrick J.; Pease, Gary M.; Tyburski, Timothy E.

    2005-01-01

    This paper proposes an engineering management model for NASA's future space exploration missions based on past experiences working with the International Partners of the International Space Station. The authors have over 25 years of combined experience working with the European Space Agency, Japan Aerospace Exploration Agency, Canadian Space Agency, Italian Space Agency, Russian Space Agency, and their respective contractors in the design, manufacturing, verification, and integration of their elements electric power system into the United States on-orbit segment. The perspective presented is one from a specific sub-system integration role and is offered so that the lessons learned from solving issues of technical and cultural nature may be taken into account during the formulation of international partnerships. Descriptions of the types of unique problems encountered relative to interactions between international partnerships are reviewed. Solutions to the problems are offered, taking into consideration the technical implications. Through the process of investigating each solution, the important and significant issues associated with working with international engineers and managers are outlined. Potential solutions are then characterized by proposing a set of specific methodologies to jointly develop spacecraft configurations that benefits all international participants, maximizes mission success and vehicle interoperability while minimizing cost.

  11. Mission in the strategic territory management (on the example of the Solovetsky Archipelago

    Alexander Y. Tsvetkov

    2016-06-01

    Full Text Available The article is devoted to the main aspects of the territory mission development in the context of strategic management of the territory. The paper shows the role and importance of the mission in the management of the territory and reflects the main issues and the principles of its formation. Using the example of the Solovetsky Archipelago the author analyzes the mission, gives recommendations for its improvement and provides the model of the Solovetsky archipelago mission development.

  12. Technical Assistance Contractor management plan. Revision 1

    1995-08-01

    The Technical Assistance Contractor (TAC) for the Uranium Mill Tailings Remedial Action (UMTRA) Project comprises Jacobs Engineering Group Inc. (JEG) as the prime contractor and three teaming partner subcontractors: Roy F. Weston, Inc. (RFW), AGRA Earth and Environmental, Inc. (AGRA), and Geraghty and Miller, Inc. (G and M). The TAC contract's scope is to provide technical, analytical, environmental, engineering, design, inspection, and management support services to the US Department of Energy (DOE) for both Surface and Ground Water Projects. The TAC team supports the DOE in completing surface remedial action and initiating ground water remediation work for start-up, characterization, compliance planning, design, construction oversight, and remedial operations. The TAC provides the DOE UMTRA Project Team with a dedicated management, scientific, and technical resource base in Albuquerque, New Mexico, which is supplemented by corporate resources. A carefully developed and maintained staff of technical experts is available to assess, analyze, develop, and execute cost-effective solutions to the demanding technical and institutional problems presented by the UMTRA Project

  13. Technical Assistance Contractor management plan. Revision 1

    NONE

    1995-08-01

    The Technical Assistance Contractor (TAC) for the Uranium Mill Tailings Remedial Action (UMTRA) Project comprises Jacobs Engineering Group Inc. (JEG) as the prime contractor and three teaming partner subcontractors: Roy F. Weston, Inc. (RFW), AGRA Earth and Environmental, Inc. (AGRA), and Geraghty and Miller, Inc. (G and M). The TAC contract`s scope is to provide technical, analytical, environmental, engineering, design, inspection, and management support services to the US Department of Energy (DOE) for both Surface and Ground Water Projects. The TAC team supports the DOE in completing surface remedial action and initiating ground water remediation work for start-up, characterization, compliance planning, design, construction oversight, and remedial operations. The TAC provides the DOE UMTRA Project Team with a dedicated management, scientific, and technical resource base in Albuquerque, New Mexico, which is supplemented by corporate resources. A carefully developed and maintained staff of technical experts is available to assess, analyze, develop, and execute cost-effective solutions to the demanding technical and institutional problems presented by the UMTRA Project.

  14. Establishing Sustainable Nuclear Education: Education Capability Assessment and Planning (ECAP) Assist Mission

    Ugbor, U.; Peddicord, K.; Dies, J.; Philip, B.; Artisyuk, V.

    2016-01-01

    Full text: The development of nuclear education, science and technology programmes is affected by the national context including national needs and capacities. The role and expectations for nuclear education and training might be different in technically matured countries, from countries where the technology is emerging. In this regard, particularly in developing countries, there is a need to balance nuclear education and training between immediate critical issues of radiation safety or human health and longer-term priorities in agriculture or industry. These priorities may or may not include the nuclear energy option. This paper shows how the Education Capability Assessment and Planning (ECAP) Assist Mission can contribute towards establishing sustainable nuclear education, including highlighting the various activities of each phase of the ECAP Process. (author

  15. The expert assistant in accident management

    Goddard, A.J.H.; Cannell, R.J.

    1990-01-01

    In the event of a nuclear accident in proximity to an urban area, the consequences resulting from the complex processes of environmental transport of radioactivity would require complex countermeasures. Emphasis has been placed on either modelling the potential effects of such an event on the population, or on attempting to predict the geographical evolution of the release. Less emphasis has been placed on the development of accident management aids with a in-built data acquisition capability. Given the problems of predicting the evolution of an accidental release of activity, more emphasis should be placed on the development of small regional systems specifically engineered to acquire and display environmental data in the most efficaceous form possible. A wealth of information can be obtained from appropriately-sited outstations which can aid those responsible for countermeasures in their decision making processes. The substantial volume of data which would arrive within the duration and during the aftermath of an accident requires skilled interpretation under conditions of considerable stress. It is necessary that a management aid notonly presents these data in a rapidly assimilable form, but is capable of making intelligent decisions of its own, on such matters as information display priority and the polling frequency of outstations. The requirement is for an expert assistant. The XERSES accident management aid has been designed with the foregoing features in mind. Intended for covering regions up to approximately 100 kms square, it links with between 1 and 64 outstations supplying a variety of environmental data. Under quiescent conditions the system will operate unattended, raising alarms remotely only when detecting abnormal conditions. Under emergency conditions, the system automatically adjusts such operating parameters as data acquisition rate

  16. Solid Waste Management Requirements Definition for Advanced Life Support Missions: Results

    Alazraki, Michael P.; Hogan, John; Levri, Julie; Fisher, John; Drysdale, Alan

    2002-01-01

    Prior to determining what Solid Waste Management (SWM) technologies should be researched and developed by the Advanced Life Support (ALS) Project for future missions, there is a need to define SWM requirements. Because future waste streams will be highly mission-dependent, missions need to be defined prior to developing SWM requirements. The SWM Working Group has used the mission architecture outlined in the System Integration, Modeling and Analysis (SIMA) Element Reference Missions Document (RMD) as a starting point in the requirement development process. The missions examined include the International Space Station (ISS), a Mars Dual Lander mission, and a Mars Base. The SWM Element has also identified common SWM functionalities needed for future missions. These functionalities include: acceptance, transport, processing, storage, monitoring and control, and disposal. Requirements in each of these six areas are currently being developed for the selected missions. This paper reviews the results of this ongoing effort and identifies mission-dependent resource recovery requirements.

  17. Mission: Possible. Center of Excellence for Hazardous Materials Management

    Bartlett, W.T.; Prather-Stroud, W.

    2006-01-01

    The Center of Excellence for Hazardous Materials Management (CEHMM) was established in May 2004 as a nonprofit research organization. Its purpose is to develop a sustainable technical/scientific community located in Carlsbad, New Mexico, that interacts worldwide to find solutions to hazardous materials management issues. An important part of the mission is to achieve improved protection of worker safety, human health, and the environment. Carlsbad has a large technical community due to the presence of the Waste Isolation Pilot Plant (WIPP) and its many contractors and support organizations. These groups include the Carlsbad Environmental Monitoring and Research Center, Washington Group International, Los Alamos National Laboratory, and Sandia National Laboratories. These organizations form the basis of a unique knowledge community with strengths in many areas, such as geosciences, actinide chemistry, environmental monitoring, and waste transportation. CEHMM works cooperatively with these organizations and others to develop projects that will maintain this knowledge community beyond the projected closure date of WIPP. At present, there is an emphasis in bio-monitoring, air monitoring, hazardous materials educational programs, and endangered species remediation. CEHMM is also currently working with a group from the American Nuclear Society to help facilitate their conference scheduled for April 2006 in Carlsbad. CEHMM is growing rapidly and is looking forward to a diverse array of new projects. (authors)

  18. Manned Mars mission communication and data management systems

    White, Ronald E.

    1986-01-01

    A manned Mars mission will involve a small crew and many complex tasks. The productivity of the crew and the entire mission will depend significantly on effective automation of these tasks and the ease with which the crew can interface with them. The technology to support a manned Mars mission is available today; however, evolving software and electronic technology are enabling many interesting possibilities for increasing productivity and safety while reducing life cycle cost. Some of these advanced technologies are identified.

  19. Constraint and Flight Rule Management for Space Mission Operations

    Barreiro, J.; Chachere, J.; Frank, J.; Bertels, C.; Crocker, A.

    2010-01-01

    The exploration of space is one of the most fascinating domains to study from a human factors perspective. Like other complex work domains such as aviation (Pritchett and Kim, 2008), air traffic management (Durso and Manning, 2008), health care (Morrow, North, and Wickens, 2006), homeland security (Cooke and Winner, 2008), and vehicle control (Lee, 2006), space exploration is a large-scale sociotechnical work domain characterized by complexity, dynamism, uncertainty, and risk in real-time operational contexts (Perrow, 1999; Woods et al, 1994). Nearly the entire gamut of human factors issues - for example, human-automation interaction (Sheridan and Parasuraman, 2006), telerobotics, display and control design (Smith, Bennett, and Stone, 2006), usability, anthropometry (Chaffin, 2008), biomechanics (Marras and Radwin, 2006), safety engineering, emergency operations, maintenance human factors, situation awareness (Tenney and Pew, 2006), crew resource management (Salas et al., 2006), methods for cognitive work analysis (Bisantz and Roth, 2008) and the like -- are applicable to astronauts, mission control, operational medicine, Space Shuttle manufacturing and assembly operations, and space suit designers as they are in other work domains (e.g., Bloomberg, 2003; Bos et al, 2006; Brooks and Ince, 1992; Casler and Cook, 1999; Jones, 1994; McCurdy et al, 2006; Neerincx et aI., 2006; Olofinboba and Dorneich, 2005; Patterson, Watts-Perotti and Woods, 1999; Patterson and Woods, 2001; Seagull et ai, 2007; Sierhuis, Clancey and Sims, 2002). The human exploration of space also has unique challenges of particular interest to human factors research and practice. This chapter provides an overview of those issues and reports on some of the latest research results as well as the latest challenges still facing the field.

  20. Management of the science ground segment for the Euclid mission

    Zacchei, Andrea; Hoar, John; Pasian, Fabio; Buenadicha, Guillermo; Dabin, Christophe; Gregorio, Anna; Mansutti, Oriana; Sauvage, Marc; Vuerli, Claudio

    2016-07-01

    Euclid is an ESA mission aimed at understanding the nature of dark energy and dark matter by using simultaneously two probes (weak lensing and baryon acoustic oscillations). The mission will observe galaxies and clusters of galaxies out to z 2, in a wide extra-galactic survey covering 15000 deg2, plus a deep survey covering an area of 40 deg². The payload is composed of two instruments, an imager in the visible domain (VIS) and an imager-spectrometer (NISP) covering the near-infrared. The launch is planned in Q4 of 2020. The elements of the Euclid Science Ground Segment (SGS) are the Science Operations Centre (SOC) operated by ESA and nine Science Data Centres (SDCs) in charge of data processing, provided by the Euclid Consortium (EC), formed by over 110 institutes spread in 15 countries. SOC and the EC started several years ago a tight collaboration in order to design and develop a single, cost-efficient and truly integrated SGS. The distributed nature, the size of the data set, and the needed accuracy of the results are the main challenges expected in the design and implementation of the SGS. In particular, the huge volume of data (not only Euclid data but also ground based data) to be processed in the SDCs will require distributed storage to avoid data migration across SDCs. This paper describes the management challenges that the Euclid SGS is facing while dealing with such complexity. The main aspect is related to the organisation of a geographically distributed software development team. In principle algorithms and code is developed in a large number of institutes, while data is actually processed at fewer centers (the national SDCs) where the operational computational infrastructures are maintained. The software produced for data handling, processing and analysis is built within a common development environment defined by the SGS System Team, common to SOC and ECSGS, which has already been active for several years. The code is built incrementally through

  1. Information Management and Employee Assistance Program Imperatives.

    Bickerton, Richard

    1987-01-01

    The ALMACA Clearinghouse for Employee Assistance Program (EAP) Information collects and disseminates EAP-specific data to provide subscribers with information to maintain their own competence and to improve upon the understanding and use of EAP practices and procedures. (JOW)

  2. Managing the Perception of Advanced Technology Risks in Mission Proposals

    Bellisario, Sebastian Nickolai

    2012-01-01

    Through my work in the project proposal office I became interested in how technology advancement efforts affect competitive mission proposals. Technology development allows for new instruments and functionality. However, including technology advancement in a mission proposal often increases perceived risk. Risk mitigation has a major impact on the overall evaluation of the proposal and whether the mission is selected. In order to evaluate the different approaches proposals took I compared the proposals claims of heritage and technology advancement to the sponsor feedback provided in the NASA debriefs. I examined a set of Discovery 2010 Mission proposals to draw patterns in how they were evaluated and come up with a set of recommendations for future mission proposals in how they should approach technology advancement to reduce the perceived risk.

  3. Overview Of Impacts Of Technology Deployment On The Mission Of The Department Of Energy Office Of Environmental Management

    McCabe, D.; Chamberlain, G.; Looney, B.; Gladden, J.

    2010-01-01

    The Environmental Management (EM) mission is to complete the safe cleanup of the environmental legacy brought about from five decades of nuclear weapons development and government-sponsored nuclear energy research. The EM program has embraced a mission completion philosophy based on reducing risk and environmental liability over a 40-50 year lifecycle. The Department has made great progress toward safely disposing of its legacy nuclear waste. EM Research and Development (R and D) program management strategies have driven numerous technology and engineering innovations to reduce risk, minimize cleanup costs, and reduce schedules. Engineering and technology investments have provided the engineering foundation, technical assistance, approaches, and technologies that have contributed to moving the cleanup effort forward. These successes include start-up and operation of several waste treatment facilities and processes at the sites.

  4. Autonomous, In-Flight Crew Health Risk Management for Exploration-Class Missions: Leveraging the Integrated Medical Model for the Exploration Medical System Demonstration Project

    Butler, D. J.; Kerstman, E.; Saile, L.; Myers, J.; Walton, M.; Lopez, V.; McGrath, T.

    2011-01-01

    The Integrated Medical Model (IMM) captures organizational knowledge across the space medicine, training, operations, engineering, and research domains. IMM uses this knowledge in the context of a mission and crew profile to forecast risks to crew health and mission success. The IMM establishes a quantified, statistical relationship among medical conditions, risk factors, available medical resources, and crew health and mission outcomes. These relationships may provide an appropriate foundation for developing an in-flight medical decision support tool that helps optimize the use of medical resources and assists in overall crew health management by an autonomous crew with extremely limited interactions with ground support personnel and no chance of resupply.

  5. RESOURCESAT-2: a mission for Earth resources management

    Venkata Rao, M.; Gupta, J. P.; Rattan, Ram; Thyagarajan, K.

    2006-12-01

    The Indian Space Research Organisation (ISRO) has established an operational Remote sensing satellite system by launching its first satellite, IRS-1A in 1988, followed by a series of IRS spacecraft. The IRS-1C/1D satellites with their unique combination of Payloads have taken a lead position in the Global remote sensing scenario. Realising the growing User demands for the "Multi" level approach in terms of Spatial, Spectral, Temporal and Radiometric resolutions, ISRO identified the Resourcesat as a continuity as well as improved RS Satellite. The Resourcesat-1 (IRS-P6) was launched in October 2003 using PSLV launch vehicle and it is in operational service. Resourcesat-2 is its follow-on Mission scheduled for launch in 2008. Each Resourcesat satellite carries three Electro-optical cameras as its payload - LISS-3, LISS-4 and AWIFS. All the three are multi-spectral push-broom scanners with linear array CCDs as Detectors. LISS-3 and AWIFS operate in four identical spectral bands in the VIS-NIR-SWIR range while LISS-4 is a high resolution camera with three spectral bands in VIS-NIR range. In order to meet the stringent requirements of band-to-band registration and platform stability, several improvements have been incorporated in the mainframe Bus configuration like wide field Star trackers, precision Gyroscopes, on-board GPS receiver etc,. The Resourcesat data finds its application in several areas like agricultural crop discrimination and monitoring, crop acreage/yield estimation, precision farming, water resources, forest mapping, Rural infrastructure development, disaster management etc,. to name a few. A brief description of the Payload cameras, spacecraft bus elements and operational modes and few applications are presented.

  6. Manager's assistant systems for space system planning

    Bewley, William L.; Burnard, Robert; Edwards, Gary E.; Shoop, James

    1992-01-01

    This paper describes a class of knowledge-based 'assistant' systems for space system planning. Derived from technology produced for the DARPA/USAF Pilot's Associate program, these assistant systems help the human planner by doing the bookkeeping to maintain plan data and executing the procedures and heuristics currently used by the human planner to define, assess, diagnose, and revise plans. Intelligent systems for Space Station Freedom assembly sequence planning and Advanced Launch System modeling will be presented as examples. Ongoing NASA-funded work on a framework supporting the development of such tools will also be described.

  7. The Assistant Manager - a Key Factor of the Managerial Team

    Lecturer Ph. D. Niculina Vargolici

    2009-05-01

    Full Text Available The new economic context, marked by the crisis and by radical transformations of the labor market, generates the need for more and more sophisticated skills for the assistant manager. That is because the efficiency of the secretarial activity implies both strategic skills and complex abilities, starting from knowledge about the specific activity of the company/institution where the person works as assistant manager, to connected areas such as: management, marketing, human resources, brand communication, company’s culture etc. Whether the manager changes his job together with the “boss”, or the boss is changed and he is bond to adapt to new conditions, a strong team spirit between the manager and his assistant is one of the most important elements that contribute to the productivity and efficiency of the both. The loyalty to the boss and to the company where he works, his adaptation capacity, his competence and his professionalism make the today’s assistant manager a key factor of the managerial team. The essence of the assistant manager job consists in making more efficient the managerial activities, namely, to make it respond to the expectations expressed or not of the manager, or even to anticipate them.

  8. Orbital Express mission operations planning and resource management using ASPEN

    Chouinard, Caroline; Knight, Russell; Jones, Grailing; Tran, Daniel

    2008-04-01

    As satellite equipment and mission operations become more costly, the drive to keep working equipment running with less labor-power rises. Demonstrating the feasibility of autonomous satellite servicing was the main goal behind the Orbital Express (OE) mission. Like a tow-truck delivering gas to a car on the road, the "servicing" satellite of OE had to find the "client" from several kilometers away, connect directly to the client, and transfer fluid (or a battery) autonomously, while on earth-orbit. The mission met 100% of its success criteria, and proved that autonomous satellite servicing is now a reality for space operations. Planning the satellite mission operations for OE required the ability to create a plan which could be executed autonomously over variable conditions. As the constraints for execution could change weekly, daily, and even hourly, the tools used create the mission execution plans needed to be flexible and adaptable to many different kinds of changes. At the same time, the hard constraints of the plans needed to be maintained and satisfied. The Automated Scheduling and Planning Environment (ASPEN) tool, developed at the Jet Propulsion Laboratory, was used to create the schedule of events in each daily plan for the two satellites of the OE mission. This paper presents an introduction to the ASPEN tool, an overview of the constraints of the OE domain, the variable conditions that were presented within the mission, and the solution to operations that ASPEN provided. ASPEN has been used in several other domains, including research rovers, Deep Space Network scheduling research, and in flight operations for the NASA's Earth Observing One mission's EO1 satellite. Related work is discussed, as are the future of ASPEN and the future of autonomous satellite servicing.

  9. An Examination of Assistant Professors' Project Management Practices

    Alpert, Shannon Atkinson; Hartshorne, Richard

    2013-01-01

    Purpose: The purpose of this research was to identify factors that influence the use of project management in higher education research projects by investigating the project management practices of assistant professors. Design/methodology/approach: Using a grounded theory approach that included in-depth, semi-structured interviews with 22…

  10. Third Mission Activities: University Managers' Perceptions on Existing Barriers

    Koryakina, Tatyana; Sarrico, Cláudia S.; Teixeira, Pedro N.

    2015-01-01

    In the context of increased international competition and financial austerity, an economic development mission has become an important strategic and policy issue for European higher education. This paper aims to contribute to knowledge regarding universities' engagement with the external environment and its impact on internal governance and…

  11. Using Natural Language to Enable Mission Managers to Control Multiple Heterogeneous UAVs

    Trujillo, Anna C.; Puig-Navarro, Javier; Mehdi, S. Bilal; Mcquarry, A. Kyle

    2016-01-01

    The availability of highly capable, yet relatively cheap, unmanned aerial vehicles (UAVs) is opening up new areas of use for hobbyists and for commercial activities. This research is developing methods beyond classical control-stick pilot inputs, to allow operators to manage complex missions without in-depth vehicle expertise. These missions may entail several heterogeneous UAVs flying coordinated patterns or flying multiple trajectories deconflicted in time or space to predefined locations. This paper describes the functionality and preliminary usability measures of an interface that allows an operator to define a mission using speech inputs. With a defined and simple vocabulary, operators can input the vast majority of mission parameters using simple, intuitive voice commands. Although the operator interface is simple, it is based upon autonomous algorithms that allow the mission to proceed with minimal input from the operator. This paper also describes these underlying algorithms that allow an operator to manage several UAVs.

  12. 44 CFR 204.25 - FEMA-State agreement for fire management assistance grant program.

    2010-10-01

    ... GRANT PROGRAM Declaration Process § 204.25 FEMA-State agreement for fire management assistance grant... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false FEMA-State agreement for fire management assistance grant program. 204.25 Section 204.25 Emergency Management and Assistance FEDERAL...

  13. 44 CFR 204.23 - Processing a request for a fire management assistance declaration.

    2010-10-01

    ... management assistance declaration. The Principal Advisor may consult with State agencies, usually emergency... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Processing a request for a fire management assistance declaration. 204.23 Section 204.23 Emergency Management and Assistance...

  14. Management councils and regulation: public assistance in times of transition

    Carla Cecília Rodrigues Almeida

    2009-10-01

    Full Text Available This article analyzes the role of municipal public assistance councils in the regulation of civil society organizations classified as social welfare organizations. We draw attention to the importance that these councils have for the operationalization of the more general principles governing the country’s social welfare/public assistance policies. Focusing on the regulatory role that management councils’ take on, we seek to understand, on the one hand, the wider institutional environment to which they belong and, on the other, their power to remodel a particular type of associativism which until very recently was identified and identified itself as philanthropical. Keywords: municipal councils, social welfare, Sistema Único de Assistência Social, regulation, public assistance entities.

  15. Behavioral and biological effects of autonomous versus scheduled mission management in simulated space-dwelling groups

    Roma, Peter G.; Hursh, Steven R.; Hienz, Robert D.; Emurian, Henry H.; Gasior, Eric D.; Brinson, Zabecca S.; Brady, Joseph V.

    2011-05-01

    Logistical constraints during long-duration space expeditions will limit the ability of Earth-based mission control personnel to manage their astronaut crews and will thus increase the prevalence of autonomous operations. Despite this inevitability, little research exists regarding crew performance and psychosocial adaptation under such autonomous conditions. To this end, a newly-initiated study on crew management systems was conducted to assess crew performance effectiveness under rigid schedule-based management of crew activities by Mission Control versus more flexible, autonomous management of activities by the crews themselves. Nine volunteers formed three long-term crews and were extensively trained in a simulated planetary geological exploration task over the course of several months. Each crew then embarked on two separate 3-4 h missions in a counterbalanced sequence: Scheduled, in which the crews were directed by Mission Control according to a strict topographic and temporal region-searching sequence, and Autonomous, in which the well-trained crews received equivalent baseline support from Mission Control but were free to explore the planetary surface as they saw fit. Under the autonomous missions, performance in all three crews improved (more high-valued geologic samples were retrieved), subjective self-reports of negative emotional states decreased, unstructured debriefing logs contained fewer references to negative emotions and greater use of socially-referent language, and salivary cortisol output across the missions was attenuated. The present study provides evidence that crew autonomy may improve performance and help sustain if not enhance psychosocial adaptation and biobehavioral health. These controlled experimental data contribute to an emerging empirical database on crew autonomy which the international astronautics community may build upon for future research and ultimately draw upon when designing and managing missions.

  16. Executive Assistant – Risk Management and Internal Audit / Office of ...

    Under the supervision of the Director, Risk Management and Internal Audit, the ... filing system which includes ensuring all information related to RMIA's activities is ... Maintains reliable accounting/budgeting records of fees and expenditures ... The Executive Assistant's responsibilites have a direct impact on Director's and ...

  17. Leading or Managing? Assistant Regional Directors, School Performance, in Queensland

    Bloxham, Ray; Ehrich, Lisa C.; Iyer, Radha

    2015-01-01

    Purpose: Education reform aimed at achieving improved student learning is a demanding challenge for leaders and managers at all levels of education across the globe. In 2010, the position of Assistant Regional Directors, School Performance (ARD-SP), was established to positively impact upon student learning across public schools in Queensland,…

  18. Employee Assistance Programmes: The Emperor's New Clothes of Stress Management?

    Arthur, Andrew R.

    2000-01-01

    Discusses the employee assistance program (EAP), a benefit increasingly provided by United Kingdom employers that claims to reduce the effects of stress on individuals and organizations, provide a management tool to improve workplace performance and productivity, and respond to critical incidents. Describes EAPs, their history, development and…

  19. Orbital Express Mission Operations Planning and Resource Management using ASPEN

    Chouinard, Caroline; Knight, Russell; Jones, Grailing; Tran, Danny

    2008-01-01

    The Orbital Express satellite servicing demonstrator program is a DARPA program aimed at developing "a safe and cost-effective approach to autonomously service satellites in orbit". The system consists of: a) the Autonomous Space Transport Robotic Operations (ASTRO) vehicle, under development by Boeing Integrated Defense Systems, and b) a prototype modular next-generation serviceable satellite, NEXTSat, being developed by Ball Aerospace. Flexibility of ASPEN: a) Accommodate changes to procedures; b) Accommodate changes to daily losses and gains; c) Responsive re-planning; and d) Critical to success of mission planning Auto-Generation of activity models: a) Created plans quickly; b) Repetition/Re-use of models each day; and c) Guarantees the AML syntax. One SRP per day vs. Tactical team

  20. Advanced Fuel Cell System Thermal Management for NASA Exploration Missions

    Burke, Kenneth A.

    2009-01-01

    The NASA Glenn Research Center is developing advanced passive thermal management technology to reduce the mass and improve the reliability of space fuel cell systems for the NASA exploration program. An analysis of a state-of-the-art fuel cell cooling systems was done to benchmark the portion of a fuel cell system s mass that is dedicated to thermal management. Additional analysis was done to determine the key performance targets of the advanced passive thermal management technology that would substantially reduce fuel cell system mass.

  1. Active-duty physicians' perceptions and satisfaction with humanitarian assistance and disaster relief missions: implications for the field.

    Geoffrey J Oravec

    Full Text Available BACKGROUND: The United States Department of Defense participates in more than 500 missions every year, including humanitarian assistance and disaster relief, as part of medical stability operations. This study assessed perceptions of active-duty physicians regarding these activities and related these findings to the retention and overall satisfaction of healthcare professionals. METHODS AND FINDINGS: An Internet-based survey was developed and validated. Of the 667 physicians who responded to the survey, 47% had participated in at least one mission. On a 7-point, Likert-type response scale, physicians reported favorable overall satisfaction with their participation in these missions (mean = 5.74. Perceived benefit was greatest for the United States (mean = 5.56 and self (mean = 5.39 compared to the target population (mean = 4.82. These perceptions were related to participants' intentions to extend their military medical service (total model R (2 = .37, with the strongest predictors being perceived benefit to self (β = .21, p<.01, the U.S. (β = .19, p<.01, and satisfaction (β = .18, p<.05. In addition, Air Force physicians reported higher levels of satisfaction (mean = 6.10 than either Army (mean = 5.27, Cohen's d = 0.75, p<.001 or Navy (mean = 5.60, Cohen's d = 0.46, p<.01 physicians. CONCLUSIONS: Military physicians are largely satisfied with humanitarian missions, reporting the greatest benefit of such activities for themselves and the United States. Elucidation of factors that may increase the perceived benefit to the target populations is warranted. Satisfaction and perceived benefits of humanitarian missions were positively correlated with intentions to extend time in service. These findings could inform the larger humanitarian community as well as military medical practices for both recruiting and retaining medical professionals.

  2. Why Training for Service Contract Management is Mission Essential

    Friar, Allen

    2005-01-01

    ... Programs provide vital services and act as force multipliers for forward deployment units. Consequently, a transformation in contracting and acquisition leadership along with proper planning is necessary to manage contracts...

  3. Lagrangian coherent structure assisted path planning for transoceanic autonomous underwater vehicle missions.

    Ramos, A G; García-Garrido, V J; Mancho, A M; Wiggins, S; Coca, J; Glenn, S; Schofield, O; Kohut, J; Aragon, D; Kerfoot, J; Haskins, T; Miles, T; Haldeman, C; Strandskov, N; Allsup, B; Jones, C; Shapiro, J

    2018-03-15

    Transoceanic Gliders are Autonomous Underwater Vehicles (AUVs) for which there is a developing and expanding range of applications in open-seas research, technology and underwater clean transport. Mature glider autonomy, operating depth (0-1000 meters) and low energy consumption without a CO 2 footprint enable evolutionary access across ocean basins. Pursuant to the first successful transatlantic glider crossing in December 2009, the Challenger Mission has opened the door to long-term, long-distance routine transoceanic AUV missions. These vehicles, which glide through the water column between 0 and 1000 meters depth, are highly sensitive to the ocean current field. Consequently, it is essential to exploit the complex space-time structure of the ocean current field in order to plan a path that optimizes scientific payoff and navigation efficiency. This letter demonstrates the capability of dynamical system theory for achieving this goal by realizing the real-time navigation strategy for the transoceanic AUV named Silbo, which is a Slocum deep-glider (0-1000 m), that crossed the North Atlantic from April 2016 to March 2017. Path planning in real time based on this approach has facilitated an impressive speed up of the AUV to unprecedented velocities resulting in major battery savings on the mission, offering the potential for routine transoceanic long duration missions.

  4. Applied Knowledge Management to Mitigate Cognitive Load in Network-Enabled Mission Command

    2017-11-22

    ARL-TN-0859 ● NOV 2017 US Army Research Laboratory Applied Knowledge Management to Mitigate Cognitive Load in Network-Enabled...Applied Knowledge Management to Mitigate Cognitive Load in Network-Enabled Mission Command by John K Hawley Human Research and Engineering...REPORT TYPE Technical Note 3. DATES COVERED (From - To) 1 May 2016–20 April 2017 4. TITLE AND SUBTITLE Applied Knowledge Management to Mitigate

  5. Class D management implementation approach of the first orbital mission of the Earth Venture series

    Wells, James E.; Scherrer, John; Law, Richard; Bonniksen, Chris

    2013-09-01

    A key element of the National Research Council's Earth Science and Applications Decadal Survey called for the creation of the Venture Class line of low-cost research and application missions within NASA (National Aeronautics and Space Administration). One key component of the architecture chosen by NASA within the Earth Venture line is a series of self-contained stand-alone spaceflight science missions called "EV-Mission". The first mission chosen for this competitively selected, cost and schedule capped, Principal Investigator-led opportunity is the CYclone Global Navigation Satellite System (CYGNSS). As specified in the defining Announcement of Opportunity, the Principal Investigator is held responsible for successfully achieving the science objectives of the selected mission and the management approach that he/she chooses to obtain those results has a significant amount of freedom as long as it meets the intent of key NASA guidance like NPR 7120.5 and 7123. CYGNSS is classified under NPR 7120.5E guidance as a Category 3 (low priority, low cost) mission and carries a Class D risk classification (low priority, high risk) per NPR 8705.4. As defined in the NPR guidance, Class D risk classification allows for a relatively broad range of implementation strategies. The management approach that will be utilized on CYGNSS is a streamlined implementation that starts with a higher risk tolerance posture at NASA and that philosophy flows all the way down to the individual part level.

  6. Class D Management Implementation Approach of the First Orbital Mission of the Earth Venture Series

    Wells, James E.; Scherrer, John; Law, Richard; Bonniksen, Chris

    2013-01-01

    A key element of the National Research Council's Earth Science and Applications Decadal Survey called for the creation of the Venture Class line of low-cost research and application missions within NASA (National Aeronautics and Space Administration). One key component of the architecture chosen by NASA within the Earth Venture line is a series of self-contained stand-alone spaceflight science missions called "EV-Mission". The first mission chosen for this competitively selected, cost and schedule capped, Principal Investigator-led opportunity is the CYclone Global Navigation Satellite System (CYGNSS). As specified in the defining Announcement of Opportunity, the Principal Investigator is held responsible for successfully achieving the science objectives of the selected mission and the management approach that he/she chooses to obtain those results has a significant amount of freedom as long as it meets the intent of key NASA guidance like NPR 7120.5 and 7123. CYGNSS is classified under NPR 7120.5E guidance as a Category 3 (low priority, low cost) mission and carries a Class D risk classification (low priority, high risk) per NPR 8705.4. As defined in the NPR guidance, Class D risk classification allows for a relatively broad range of implementation strategies. The management approach that will be utilized on CYGNSS is a streamlined implementation that starts with a higher risk tolerance posture at NASA and that philosophy flows all the way down to the individual part level.

  7. Year 2000 Compliance of Selected Mission Critical Command, Control, and Communications Systems Managed by The Defense Information Systems Agency

    1999-01-01

    ...) has adequately planned for and managed year 2000 conversion risks to avoid undue disruption to selected mission critical command, control, and communications systems used in support of Unified...

  8. Spacelab life sciences 2 post mission report

    Buckey, Jay C.

    1994-01-01

    Jay C. Buckey, M.D., Assistant Professor of Medicine at The University of Texas Southwestern Medical Center at Dallas served as an alternate payload specialist astronaut for the Spacelab Life Sciences 2 Space Shuttle Mission from January 1992 through December 1993. This report summarizes his opinions on the mission and offers suggestions in the areas of selection, training, simulations, baseline data collection and mission operations. The report recognizes the contributions of the commander, payload commander and mission management team to the success of the mission. Dr. Buckey's main accomplishments during the mission are listed.

  9. Implications of Wind-Assisted Aerial Navigation for Titan Mission Planning and Science Exploration

    Elfes, A.; Reh, K.; Beauchamp, P.; Fathpour, N.; Blackmore, L.; Newman, C.; Kuwata, Y.; Wolf, M.; Assad, C.

    2010-01-01

    The recent Titan Saturn System Mission (TSSM) proposal incorporates a montgolfiere (hot air balloon) as part of its architecture. Standard montgolfiere balloons generate lift through heating of the atmospheric gases inside the envelope, and use a vent valve for altitude control. A Titan aerobot (robotic aerial vehicle) would have to use radioisotope thermoelectric generators (RTGs) for electric power, and the excess heat generated can be used to provide thermal lift for a montgolfiere. A hybrid montgolfiere design could have propellers mounted on the gondola to generate horizontal thrust; in spite of the unfavorable aerodynamic drag caused by the shape of the balloon, a limited amount of lateral controllability could be achieved. In planning an aerial mission at Titan, it is extremely important to assess how the moon-wide wind field can be used to extend the navigation capabilities of an aerobot and thereby enhance the scientific return of the mission. In this paper we explore what guidance, navigation and control capabilities can be achieved by a vehicle that uses the Titan wind field. The control planning approach is based on passive wind field riding. The aerobot would use vertical control to select wind layers that would lead it towards a predefined science target, adding horizontal propulsion if available. The work presented in this paper is based on aerodynamic models that characterize balloon performance at Titan, and on TitanWRF (Weather Research and Forecasting), a model that incorporates heat convection, circulation, radiation, Titan haze properties, Saturn's tidal forcing, and other planetary phenomena. Our results show that a simple unpropelled montgolfiere without horizontal actuation will be able to reach a broad array of science targets within the constraints of the wind field. The study also indicates that even a small amount of horizontal thrust allows the balloon to reach any area of interest on Titan, and to do so in a fraction of the time needed

  10. 75 FR 54591 - Notice of Agricultural Management Assistance Organic Certification Cost-Share Program

    2010-09-08

    ...] Notice of Agricultural Management Assistance Organic Certification Cost-Share Program AGENCY... Agricultural Management Assistance Organic Certification Cost-Share Program. SUMMARY: This Notice invites the... Agreement with the Agricultural Marketing Service (AMS) for the Allocation of Organic Certification Cost...

  11. A Quality Improvement System to Manage Feeding Assistance Care in Assisted-Living.

    Simmons, Sandra F; Coelho, Chris S; Sandler, Andrew; Schnelle, John F

    2018-03-01

    To describe a feasible quality improvement system to manage feeding assistance care processes in an assisted living facility (ALF) that provides dementia care and the use of these data to maintain the quality of daily care provision and prevent unintentional weight loss. Supervisory ALF staff used a standardized observational protocol to assess feeding assistance care quality during and between meals for 12 consecutive months for 53 residents receiving dementia care. Direct care staff received feedback about the quality of assistance and consistency of between-meal snack delivery for residents with low meal intake and/or weight loss. On average, 78.4% of the ALF residents consumed more than one-half of each served meal and/or received staff assistance during meals to promote consumption over the 12 months. An average of 79.7% of the residents were offered snacks between meals twice per day. The prevalence of unintentional weight loss averaged 1.3% across 12 months. A quality improvement system resulted in sustained levels of mealtime feeding assistance and between-meal snack delivery and a low prevalence of weight loss among ALF residents receiving dementia care. Given that many ALF residents receiving dementia care are likely to be at risk for low oral intake and unintentional weight loss, ALFs should implement a quality improvement system similar to that described in this project, despite the absence of regulations to do so. Copyright © 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  12. Thrombectomy assisted by carotid stenting in acute ischemic stroke management

    Steglich-Arnholm, Henrik; Holtmannspötter, Markus; Kondziella, Daniel

    2015-01-01

    .0). Early clinical improvement was detected in 22 (46%) patients. Favorable outcome at 3 months occurred in 32 (68%) patients. Expedited patient management was associated with favorable clinical outcome. Two (4%) patients experienced symptomatic hemorrhage. Eight (17%) patients experienced stent thrombosis....... Four (9%) patients died. Thrombectomy assisted by carotid stenting seems beneficial and reasonably safe with a promising rate of favorable outcome. Nevertheless, adverse events and complications call for additional clinical investigations prior to recommendation as clinical standard. Expeditious...... patient management is central to achieve good clinical outcome....

  13. Payload operations management of a planned European SL-Mission employing establishments of ESA and national agencies

    Joensson, Rolf; Mueller, Karl L.

    1994-01-01

    Spacelab (SL)-missions with Payload Operations (P/L OPS) from Europe involve numerous space agencies, various ground infrastructure systems and national user organizations. An effective management structure must bring together different entities, facilities and people, but at the same time keep interfaces, costs and schedule under strict control. This paper outlines the management concept for P/L OPS of a planned European SL-mission. The proposal draws on the relevant experience in Europe, which was acquired via the ESA/NASA mission SL-1, by the execution of two German SL-missions and by the involvement in, or the support of, several NASA-missions.

  14. Thermal Performance of a Cryogenic Fluid Management Cubesat Mission

    Berg, J. J.; Oliveira, J. M.; Congiardo, J. F.; Walls, L. K.; Putman, P. T.; Haberbusch, M. S.

    2013-01-01

    Development for an in-space demonstration of a CubeS at as a Cryogenic Fluid Management (CFM) test bed is currently underway. The favorable economics of CubeSats make them appealing for technology development activity. While their size limits testing to smaller scales, many of the regimes relevant to CFM can still be achieved. The first demo flight of this concept, CryoCube®-1, will focus on oxygen liquefaction and low-gravity level sensing using Reduced Gravity CryoTracker®. An extensive thermal modeling effort has been underway to both demonstrate concept feasibility and drive the prototype design. The satellite will utilize both a sun- and earth-shield to passively cool its experimental tank below 115 K. An on-board gas generator will create high pressure gaseous oxygen, which will be throttled into a bottle in the experimental node and condensed. The resulting liquid will be used to perform various experiments related to level sensing. Modeling efforts have focused on the spacecraft thermal performance and its effects on condensation in the experimental node. Parametric analyses for both optimal and suboptimal conditions have been considered and are presented herein.

  15. Seismic safety review mission to assist in the evaluation of the design of seismic upgrading for Kozloduy NPP. Sofia, Bulgaria, 19-23 October 1992

    Ma, D.; Prato, C.; Godoy, A.

    1992-10-01

    A seismic Safety Review Mission to assist in the evaluation of the design of seismic upgrading for Kozloduy NPP was performed in Sofia from 19-23 October 1992. The objectives of the mission were to assist the Bulgarian authorities in: the evaluation of the floor response spectra of the main buildings of units 1-4 at Kozloduy NPP, calculated for the new defined seismic parameters at site (Review Level Earthquake - RLE); the evaluation of the remedial and strengthening measures proposed for the seismic upgrading of the pump house and diesel generator buildings to the new defined RLE. This mission completed the scope of previous IAEA mission - BUL/9/012-18b - (see Report 3262) performed from 3-7 August 1992, with regard to tasks which were not evaluated at that time because they had not been finished. 2 tabs

  16. IAEA Mission Says France Committed to Safe, Responsible Management of Radioactive Waste

    2018-01-01

    An International Atomic Energy Agency (IAEA) team of experts said France demonstrated a comprehensive commitment to safety with a responsible approach to the management of radioactive waste and spent nuclear fuel. The team also made suggestions aimed at further enhancements and noted several good practices. The Integrated Review Service for Radioactive Waste and Spent Fuel Management, Decommissioning and Remediation (ARTEMIS) team concluded an 11-day mission to France on 24 January. The mission, requested by the Government of France, was hosted by the Directorate General of Energy and Climate (DGEC), with the participation of officials from several relevant organizations including the French National Radioactive Waste Agency (ANDRA) and the Nuclear Safety Authority (ASN), which is responsible for nuclear and radiation safety regulation in the country. ARTEMIS missions provide independent expert advice from an international team of specialists convened by the IAEA. Reviews are based on the IAEA safety standards as well as international good practices. The mission to France aimed to help the country meet European Union obligations that require an independent peer review of national programmes for the safe and responsible management of spent fuel and radioactive waste. Nuclear power currently generates more than 70 percent of France’s electricity. The country has 58 operating nuclear power reactors, which will require the continuing safe management of radioactive waste and spent fuel. France operates facilities for the disposal of very low-level and low-level wastes, and is developing a deep geological repository for the disposal of high-level waste.

  17. 32 CFR 700.323 - The Assistant Secretary of the Navy (Financial Management).

    2010-07-01

    ... Assistants § 700.323 The Assistant Secretary of the Navy (Financial Management). The Assistant Secretary of the Navy (Financial Management) is the Comptroller of the Navy, and is responsible for all matters related to the financial management of the Department of the Navy, including: (a) Budgeting; (b...

  18. Generic procedure for designing and implementing plan management systems for space science missions operations

    Chaizy, P. A.; Dimbylow, T. G.; Allan, P. M.; Hapgood, M. A.

    2011-09-01

    This paper is one of the components of a larger framework of activities whose purpose is to improve the performance and productivity of space mission systems, i.e. to increase both what can be achieved and the cost effectiveness of this achievement. Some of these activities introduced the concept of Functional Architecture Module (FAM); FAMs are basic blocks used to build the functional architecture of Plan Management Systems (PMS). They also highlighted the need to involve Science Operations Planning Expertise (SOPE) during the Mission Design Phase (MDP) in order to design and implement efficiently operation planning systems. We define SOPE as the expertise held by people who have both theoretical and practical experience in operations planning, in general, and in space science operations planning in particular. Using ESA's methodology for studying and selecting science missions we also define the MDP as the combination of the Mission Assessment and Mission Definition Phases. However, there is no generic procedure on how to use FAMs efficiently and systematically, for each new mission, in order to analyse the cost and feasibility of new missions as well as to optimise the functional design of new PMS; the purpose of such a procedure is to build more rapidly and cheaply such PMS as well as to make the latter more reliable and cheaper to run. This is why the purpose of this paper is to provide an embryo of such a generic procedure and to show that the latter needs to be applied by people with SOPE during the MDP. The procedure described here proposes some initial guidelines to identify both the various possible high level functional scenarii, for a given set of possible requirements, and the information that needs to be associated with each scenario. It also introduces the concept of catalogue of generic functional scenarii of PMS for space science missions. The information associated with each catalogued scenarii will have been identified by the above procedure and

  19. Strategy-oriented display concept to assist severe accident management

    Jeong, Kwangsub; Ha, Jaejoo

    2000-01-01

    The Critical Function Monitoring System (CFMS) is a typical Safety Parameter Display System (SPDS) to assist the operation of Korean Standard Nuclear Power Plants during normal and emergency operation, and SPDS for severe accident is being developed in Korea. When the existing CFMS is used under a severe accident situation, some problems are expected from: (1) different design basis, i.e. prevention of core melt vs. protection of radiation release to environment, (2) different parameters for decision-making, and (3) different domain and depth of information to restore the plant. To resolve the above problems, a concept, 'Strategy-Oriented Information Display' concept, for displaying information for severe accident management is developed in this paper. Whereas the existing SPDS structure is based on the critical safety function, the developed concept is based on the severe accident management strategy. The display for each strategy includes the plant parameters to check the status of plant and component with the logical or graphical views necessary for executing the strategy. As the application of the proposed concept, KAERI is developing a display system, the prototype severe accident SPDS, Severe Accident Management Display System (SAMDIS), to assist plant personnel for executing Korean Severe Accident Management Guidelines. CFMS is developed for a general display suitable to all situations with various displays. On the contrary, SAMDIS provides all the relevant information on one screen based on the proposed concept. The SAMDIS screen shows more extensive area than CFMS and thus plant personnel can recognize the overall plant status at a glance. This concept is quite effective when used with severe accident management guidelines because of the relatively macroscopic characteristics of a severe accident management strategy. (author)

  20. Momentum Management for the NASA Near Earth Asteroid Scout Solar Sail Mission

    Heaton, Andrew; Diedrich, Benjamin L.; Orphee, Juan; Stiltner, Brandon; Becker, Christopher

    2017-01-01

    The Momentum Management (MM) system is described for the NASA Near Earth Asteroid Scout (NEA Scout) cubesat solar sail mission. Unlike many solar sail mission proposals that used solar torque as the primary or only attitude control system, NEA Scout uses small reaction wheels (RW) and a reaction control system (RCS) with cold gas thrusters, as described in the abstract "Solar Sail Attitude Control System for Near Earth Asteroid Scout Cubesat Mission." The reaction wheels allow fine pointing and higher rates with low mass actuators to meet the science, communication, and trajectory guidance requirements. The MM system keeps the speed of the wheels within their operating margins using a combination of solar torque and the RCS.

  1. The Faster, Better, Cheaper Approach to Space Missions: An Engineering Management Assessment

    Hamaker, Joe

    2000-01-01

    This paper describes, in viewgraph form, the faster, better, cheaper approach to space missions. The topics include: 1) What drives "Faster, Better, Cheaper"? 2) Why Space Programs are Costly; 3) Background; 4) Aerospace Project Management (Old Culture); 5) Aerospace Project Management (New Culture); 6) Scope of Analysis Limited to Engineering Management Culture; 7) Qualitative Analysis; 8) Some Basic Principles of the New Culture; 9) Cause and Effect; 10) "New Ways of Doing Business" Survey Results; 11) Quantitative Analysis; 12) Recent Space System Cost Trends; 13) Spacecraft Dry Weight Trend; 14) Complexity Factor Trends; 15) Cost Normalization; 16) Cost Normalization Algorithm; 17) Unnormalized Cost vs. Normalized Cost; and 18) Concluding Observations.

  2. Managing Environmentally-Assisted Fatigue in U. S. Plants

    Gilman, T. D.

    2014-01-01

    Nuclear plants in the United States were originally licensed by the Nuclear Regulatory Commission (NRC) for 40 years of operation, but most of these plans have or are planning on renewing their license to 60 years. Plants are required by federal law to manage the aging effects of systems, structures and components in the scope of license renewal. One of the aging effects is environmentally-assisted fatigue of the primary system vessels and piping. This article discusses the strategies that U. S. utilities have utilized in order to safety NRC concerns with respect to fatigue damage in nuclear plants. (Author)

  3. Reusing Information Management Services for Recommended Decadal Study Missions to Facilitate Aerosol and Cloud Studies

    Kempler, Steve; Alcott, Gary; Lynnes, Chris; Leptoukh, Greg; Vollmer, Bruce; Berrick, Steve

    2008-01-01

    NASA Earth Sciences Division (ESD) has made great investments in the development and maintenance of data management systems and information technologies, to maximize the use of NASA generated Earth science data. With information management system infrastructure in place, mature and operational, very small delta costs are required to fully support data archival, processing, and data support services required by the recommended Decadal Study missions. This presentation describes the services and capabilities of the Goddard Space Flight Center (GSFC) Earth Sciences Data and Information Services Center (GES DISC) and the reusability for these future missions. The GES DISC has developed a series of modular, reusable data management components currently in use. They include data archive and distribution (Simple, Scalable, Script-based, Science [S4] Product Archive aka S4PA), data processing (S4 Processor for Measurements aka S4PM), data search (Mirador), data browse, visualization, and analysis (Giovanni), and data mining services. Information management system components are based on atmospheric scientist inputs. Large development and maintenance cost savings can be realized through their reuse in future missions.

  4. Robotic-assisted laparoscopic management of a caliceal diverticular calculus

    Torricelli, Fabio Cesar Miranda; Batista, Lucas T; Colombo, Jose Roberto; Coelho, Rafael Ferreira

    2014-01-01

    Purpose To report the first case of robotic-assisted laparoscopic management of a symptomatic caliceal diverticular calculus and review the literature on laparoscopic treatment for this condition. Case report A 33-year-old obese woman with a 2×1 cm calculus within an anterior caliceal diverticulum located in the middle pole of the left kidney was referred to our service. She had already undergone two flexible ureterorenoscopies without success. We considered that a percutaneous approach would be very challenging due to stone location, thus we elected to perform a robotic-assisted laparoscopic procedure for stone removal and diverticulum fulguration. The procedure was uneventfully performed with no intraoperative or postoperative complications. The patient was discharged from the hospital on the second postoperative day and after 1.5 years of follow-up she is asymptomatic with no recurrence. Conclusions The robotic-assisted laparoscopic approach to caliceal diverticular calculi is feasible and safe, providing one more option for treatment of stones in challenging locations. PMID:25188925

  5. Defense Headquarters: Geographic Combatant Commands Rely on Subordinate Commands for Mission Management and Execution

    2016-06-30

    Committee announced his priorities which included a review of DOD’s organization and lines of authority established as a result of the Goldwater...See enclosure). This report formally transmits an updated briefing and communicates the final results of our work. To describe DOD’s allocation of...its mission to manage the detention facility at Guantanamo Bay, Cuba to Joint Task Force Guantanamo (JTF-GTMO). However, the extent to which each

  6. Using MARS to assist in managing a severe accident

    Raines, J.C.; Hammersley, R.J.; Henry, R.E.

    2004-01-01

    During an accident, information about the current and possible future states of the plant provides guidance for accident managers in evaluating which actions should be taken. However, depending upon the nature of the accident and the stress levels imposed on the plant staff responding to the accident the current and future plant assessments may be very difficult or nearly impossible to perform without supplemental training and/or appropriate tools. The MAAP Accident Response System (MARS) has been developed as a calculational aid to assist the responsible accident management individuals. Specifically MARS provides additional insights on the current and possible future states of the plant during an accident including the influence of operator actions. In addition to serving as a calculational aid, the MARS software can be an effective means for providing supplemental training. The MARS software uses engineering calculations to perform an integral assessment of the plant status including a consistency assessment of the available instrumentation. In addition, it uses the Modular Accident Analysis Program (MAAP) to provide near term predictions of the plant response if corrective actions are taken. This paper will discuss the types of information that are beneficial to the accident manager and how MARS addresses each. The MARS calculational functions include: instrumentation, validation and simulation, projected operator response based on the EOPs, as well as estimated timing and magnitude of in-plant and off-site radiation dose releases. Each of these items is influential in the management of a severe accident. (author)

  7. Security and emergency management technical assistance for the top 50 transit agencies

    2007-04-01

    Between May 2002 and July 2006, the Federal Transit Administration (FTA) provided technical assistance to the top 50 transit agencies through the Security and Emergency Management Technical Assistance Program (SEMTAP). The scope and purpose of the pr...

  8. deNIS IIplus - computer-assisted crisis management system

    Corr, B.

    2007-01-01

    The management of catastrophes, as natural disasters or manmade disasters, will only be effective and successful if all relevant information is available in time for decision-makers. During previous large-scale disasters it became evident that information needed for the disaster management was only partially available and that there were fundamental deficits in regard to the flow of information between federal states (''Laender'') as well as communication problems between disaster response teams in the effected regions. On this account in summer 2001 the Federal Ministry of the Interior has decided to develop the ''German Emergency Preparedness Information System (deNIS)''. The aim of the enhanced version deNIS II plus is to built up a network for the civil and disaster response and to assist as an information and communication system for decision-makers of the Federal Government and the Laender Governments to better co-ordination relief and rescue teams in the event of a natural disaster or technical accident. Correspondingly the primary task of deNIS is to support the decision-making of disaster management authorities. (orig.)

  9. Waste Management Options for Long-Duration Space Missions: When to Reject, Reuse, or Recycle

    Linne, Diane L.; Palaszewski, Bryan A.; Gokoglu, Suleyman; Gallo, Christopher A.; Balasubramaniam, Ramaswamy; Hegde, Uday G.

    2014-01-01

    The amount of waste generated on long-duration space missions away from Earth orbit creates the daunting challenge of how to manage the waste through reuse, rejection, or recycle. The option to merely dispose of the solid waste through an airlock to space was studied for both Earth-moon libration point missions and crewed Mars missions. Although the unique dynamic characteristics of an orbit around L2 might allow some discarded waste to intersect the lunar surface before re-impacting the spacecraft, the large amount of waste needed to be managed and potential hazards associated with volatiles recondensing on the spacecraft surfaces make this option problematic. A second option evaluated is to process the waste into useful gases to be either vented to space or used in various propulsion systems. These propellants could then be used to provide the yearly station-keeping needs at an L2 orbit, or if processed into oxygen and methane propellants, could be used to augment science exploration by enabling lunar mini landers to the far side of the moon.

  10. 78 FR 65440 - Notice of Funds Availability (NOFA) Inviting Applications for the Native American CDFI Assistance...

    2013-10-31

    ... post- ), self-employment technical assistance, entrepreneurship training, and financial management... organization's strategic direction, mission, or business operation and, thereby, its status as a Certified CDFI...

  11. Mission Analysis for Using Preventive Radiological/Nuclear Detection Equipment for Consequence Management

    Buddemeier, Brooke R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wood-Zika, Annmarie R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Haynes, Daniel [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Klemic, Gladys A. [US Dept. of Homeland Security National Urban Security Technology Lab., Manhattan, NY (United States); Musolino, Stephen V. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2017-09-01

    The overall objective of this project is to research, evaluate, and test first responder preventive radiological/nuclear detection (PRND) equipment to provide state and local agencies with scientific guidance on how to effectively use this equipment for response after a radiological/nuclear release or detonation. While the equipment being tested in this effort has been specifically designed by technology manufacturers and purchased by responders for preventive detection and source interdiction operations, the fleet of PRND equipment can help fill critical needs for radiological instrumentation should a consequence management (CM) response take place, as it is currently the most widely available and fielded radiological instrumentation by state and local agencies. This effort will provide scientific guidance on the most effective way to utilize this class of equipment for consequence management missions. Gaining a better understanding of how PRND equipment can operate and perform for these missions will allow for recommendations on the tactical approach responders can use for consequence management operations. PRND equipment has been placed into service by federal, state, and local agencies throughout the nation. If the equipment capability and limitations are taken into account, this large inventory can be leveraged to support the emergency response in the aftermath of a radiological or nuclear event. With several hundred makes and models of PRND equipment, often with significantly different detection capabilities that do not align with their nominal PRND equipment type, development of a streamlined categorization scheme with respect to consequence management missions was the first step to identifying safe and effective uses of PRND equipment for radiological/nuclear incident response.

  12. A critical review of the life sciences project management at Ames Research Center for the Spacelab Mission development test 3

    Helmreich, R. L.; Wilhelm, J. M.; Tanner, T. A.; Sieber, J. E.; Burgenbauch, S. F.

    1979-01-01

    A management study was initiated by ARC (Ames Research Center) to specify Spacelab Mission Development Test 3 activities and problems. This report documents the problems encountered and provides conclusions and recommendations to project management for current and future ARC life sciences projects. An executive summary of the conclusions and recommendations is provided. The report also addresses broader issues relevant to the conduct of future scientific missions under the constraints imposed by the space environment.

  13. Management experience of an international venture in space The Ulysses mission

    Yoshida, Ronald Y.; Meeks, Willis G.

    1986-01-01

    The management of the Ulysses project, a probe which will fly a solar polar orbit, is described. The 5-yr mission will feature a flyby of Jupiter to deflect the spacecraft into a high-inclination orbit. Data on the solar corona, solar wind, the sun-wind interface, the heliospheric magnetic field, solar and nonsolar cosmic rays, etc., will be gathered as a function of the solar latitude. NASA will track and control the probe with the Deep Space Network. JPL provides project management for NASA while the Directorate of Scientific Programs performs ESA management functions. The DOE will provide a radioisotope thermoelectric generator while NASA and ESA each supply half the scientific payload. A NASA-ESA Joint Working Group meets about twice per year to monitor the project and discuss the technical and scientific requirements. Safety issues and measures which are being addressed due to the presence of the Pu-238 heat source for the RTG are discussed.

  14. 3-D diagnosis-assisted management of anomalous mandibular molar

    Neelam Mittal

    2012-01-01

    Full Text Available This case report describes the successful non-surgical endodontic management of carious exposed three-rooted mandibular molar with four root canals detected on the pre-operative radiograph taken with 20 degrees mesial angulation and confirmed with a 64-slice helical computed tomography scan-assisted 3-D-reconstructed images. Access cavity shape was modified to locate the extra canal with respect to the distolingual root in the left mandibular first molar. Copious irrigation was accomplished with 5.25% sodium hypochlorite and 17% EDTA. Biomechanical preparation was done using protapers. Calcium hydroxide dressing was done for 1 week. The tooth was obturated using gutta percha and AH 26 root canal sealer, and it was permanently restored with composite. Clinical examination on follow-up visits revealed no sensitivity to percussion and palpation in the left mandibular first molar. Thorough knowledge of root canal variations and use of advanced diagnostic modalities lead to successful non-surgical management of the complex cases.

  15. Development of radioactive waste management licensing review assistant

    Wei-Whua Loa; Suan Chen; Wei-Chu Yu

    1992-01-01

    Regulations on radioactive waste disposal are now in urgent need due to our increasing consumption of electric power from nuclear origin. It is set forth that actually applying the regulations to evaluate the license application of new repositories for interim storage and final disposal of High-Level Waste and Low-Level Waste before the year of 2000. In the mean time, it is expected to establish the basis for the decision on issuing the license. The license review procedure can be very complicated, because too many factors must be taken into consideration. For the time being, licensing review is as much an art as it is a science. The authority usually faces three major problems; (1) the availability of domain expert, (2) maintaining of high quality and consistent reviews, and (3) the documentation of the review process. However, to maintain a more efficient, accurate, and systematic review procedure, and at the same time to reduce costs, the Artificial Intelligence (AI) techniques may be used. An expert system is designed as a radioactive waste management licensing review aid for the staff those are in charge of the license application. Tasks such as completeness checking, functional areas of review distribution, participation confirmation, knowledge acquisition, review comment collection, weighting calculation, and degree of satisfaction are considered. In this paper we will discuss the development of the radioactive waste management licensing review assistant

  16. Development of radioactive waste management licensing review assistant

    Loa, W.W.; Chen, S.; Yu, W.C.; Peng, C.M.; Huang, C.L.; Lin, C.

    1992-01-01

    Regulations on radioactive waste disposal are now in urgent need due to our increasing consumption of electric power from nuclear origin. It is set forth that actually applying the regulations to evaluate the license application of new repositories for interim storage and final disposal fo High-Level Waste and Low-Level Waste before the year of 2000. In the mean time, it is expected to establish the basis for the decision on issuing the license. The license review procedure can be very complicated because too many factors must be taken into consideration. However, to maintain a more efficient, accurate, and systematic review procedure, and at the same time to reduce costs, the Artificial Intelligence (AI) techniques may be used. An expert system is designed as a radioactive waste management licensing review aid for the staff those are in charge of the license application. Tasks such as completeness checking, functional areas of review distribution, participation confirmation, knowledge acquisition, review comment collection, weighting calculation, and degree of satisfaction are considered. In this paper the authors will discuss the development of the radioactive waste management licensing review assistant

  17. Mission management, planning, and cost: PULSE Attitude And Control Systems (AACS)

    1990-01-01

    The Pluto unmanned long-range scientific explorer (PULSE) is a probe that will do a flyby of Pluto. It is a low weight, relatively low costing vehicle which utilizes mostly off-the-shelf hardware, but not materials or techniques that will be available after 1999. A design, fabrication, and cost analysis is presented. PULSE will be launched within the first decade of the twenty-first century. The topics include: (1) scientific instrumentation; (2) mission management, planning, and costing; (3) power and propulsion systems; (4) structural subsystem; (5) command, control, and communication; and (6) attitude and articulation control.

  18. Modeling Constellation Virtual Missions Using the Vdot(Trademark) Process Management Tool

    Hardy, Roger; ONeil, Daniel; Sturken, Ian; Nix, Michael; Yanez, Damian

    2011-01-01

    The authors have identified a software tool suite that will support NASA's Virtual Mission (VM) effort. This is accomplished by transforming a spreadsheet database of mission events, task inputs and outputs, timelines, and organizations into process visualization tools and a Vdot process management model that includes embedded analysis software as well as requirements and information related to data manipulation and transfer. This paper describes the progress to date, and the application of the Virtual Mission to not only Constellation but to other architectures, and the pertinence to other aerospace applications. Vdot s intuitive visual interface brings VMs to life by turning static, paper-based processes into active, electronic processes that can be deployed, executed, managed, verified, and continuously improved. A VM can be executed using a computer-based, human-in-the-loop, real-time format, under the direction and control of the NASA VM Manager. Engineers in the various disciplines will not have to be Vdot-proficient but rather can fill out on-line, Excel-type databases with the mission information discussed above. The author s tool suite converts this database into several process visualization tools for review and into Microsoft Project, which can be imported directly into Vdot. Many tools can be embedded directly into Vdot, and when the necessary data/information is received from a preceding task, the analysis can be initiated automatically. Other NASA analysis tools are too complex for this process but Vdot automatically notifies the tool user that the data has been received and analysis can begin. The VM can be simulated from end-to-end using the author s tool suite. The planned approach for the Vdot-based process simulation is to generate the process model from a database; other advantages of this semi-automated approach are the participants can be geographically remote and after refining the process models via the human-in-the-loop simulation, the

  19. Developing a Fault Management Guidebook for Nasa's Deep Space Robotic Missions

    Fesq, Lorraine M.; Jacome, Raquel Weitl

    2015-01-01

    NASA designs and builds systems that achieve incredibly ambitious goals, as evidenced by the Curiosity rover traversing on Mars, the highly complex International Space Station orbiting our Earth, and the compelling plans for capturing, retrieving and redirecting an asteroid into a lunar orbit to create a nearby a target to be investigated by astronauts. In order to accomplish these feats, the missions must be imbued with sufficient knowledge and capability not only to realize the goals, but also to identify and respond to off-nominal conditions. Fault Management (FM) is the discipline of establishing how a system will respond to preserve its ability to function even in the presence of faults. In 2012, NASA released a draft FM Handbook in an attempt to coalesce the field by establishing a unified terminology and a common process for designing FM mechanisms. However, FM approaches are very diverse across NASA, especially between the different mission types such as Earth orbiters, launch vehicles, deep space robotic vehicles and human spaceflight missions, and the authors were challenged to capture and represent all of these views. The authors recognized that a necessary precursor step is for each sub-community to codify its FM policies, practices and approaches in individual, focused guidebooks. Then, the sub-communities can look across NASA to better understand the different ways off-nominal conditions are addressed, and to seek commonality or at least an understanding of the multitude of FM approaches. This paper describes the development of the "Deep Space Robotic Fault Management Guidebook," which is intended to be the first of NASA's FM guidebooks. Its purpose is to be a field-guide for FM practitioners working on deep space robotic missions, as well as a planning tool for project managers. Publication of this Deep Space Robotic FM Guidebook is expected in early 2015. The guidebook will be posted on NASA's Engineering Network on the FM Community of Practice

  20. The PDS-based Data Processing, Archiving and Management Procedures in Chang'e Mission

    Zhang, Z. B.; Li, C.; Zhang, H.; Zhang, P.; Chen, W.

    2017-12-01

    PDS is adopted as standard format of scientific data and foundation of all data-related procedures in Chang'e mission. Unlike the geographically distributed nature of the planetary data system, all procedures of data processing, archiving, management and distribution are proceeded in the headquarter of Ground Research and Application System of Chang'e mission in a centralized manner. The RAW data acquired by the ground stations is transmitted to and processed by data preprocessing subsystem (DPS) for the production of PDS-compliant Level 0 Level 2 data products using established algorithms, with each product file being well described using an attached label, then all products with the same orbit number are put together into a scheduled task for archiving along with a XML archive list file recoding all product files' properties such as file name, file size etc. After receiving the archive request from DPS, data management subsystem (DMS) is provoked to parse the XML list file to validate all the claimed files and their compliance to PDS using a prebuilt data dictionary, then to exact metadata of each data product file from its PDS label and the fields of its normalized filename. Various requirements of data management, retrieving, distribution and application can be well met using the flexible combination of the rich metadata empowered by the PDS. In the forthcoming CE-5 mission, all the design of data structure and procedures will be updated from PDS version 3 used in previous CE-1, CE-2 and CE-3 missions to the new version 4, the main changes would be: 1) a dedicated detached XML label will be used to describe the corresponding scientific data acquired by the 4 instruments carried, the XML parsing framework used in archive list validation will be reused for the label after some necessary adjustments; 2) all the image data acquired by the panorama camera, landing camera and lunar mineralogical spectrometer should use an Array_2D_Image/Array_3D_Image object to store

  1. Clinical Manifestations and Management of Left Ventricular Assist Device–Associated Infections

    Nienaber, Juhsien Jodi C.; Kusne, Shimon; Riaz, Talha; Walker, Randall C.; Baddour, Larry M.; Wright, Alan J.; Park, Soon J.; Vikram, Holenarasipur R.; Keating, Michael R.; Arabia, Francisco A.; Lahr, Brian D.; Sohail, M. Rizwan

    2013-01-01

    We report the clinical manifestations and management of continuous-flow left ventricular assist device (LVAD) infections from a large multicenter cohort. On the basis of these observations, a management algorithm is derived to assist clinical decision making for LVAD infection.

  2. 78 FR 5164 - Notice of Agricultural Management Assistance Organic Certification Cost-Share Program

    2013-01-24

    ...] Notice of Agricultural Management Assistance Organic Certification Cost-Share Program AGENCY... Departments of Agriculture for the Agricultural Management Assistance Organic Certification Cost-Share Program... organic certification cost-share funds. The AMS has allocated $1.425 million for this organic...

  3. 76 FR 55000 - Notice of Agricultural Management Assistance Organic Certification Cost-Share Program

    2011-09-06

    ...] Notice of Agricultural Management Assistance Organic Certification Cost-Share Program AGENCY... Departments of Agriculture for the Agricultural Management Assistance Organic Certification Cost-Share Program... organic certification cost-share funds. The AMS has allocated $1.5 million for this organic certification...

  4. Model-based system engineering approach for the Euclid mission to manage scientific and technical complexity

    Lorenzo Alvarez, Jose; Metselaar, Harold; Amiaux, Jerome; Saavedra Criado, Gonzalo; Gaspar Venancio, Luis M.; Salvignol, Jean-Christophe; Laureijs, René J.; Vavrek, Roland

    2016-08-01

    In the last years, the system engineering field is coming to terms with a paradigm change in the approach for complexity management. Different strategies have been proposed to cope with highly interrelated systems, system of systems and collaborative system engineering have been proposed and a significant effort is being invested into standardization and ontology definition. In particular, Model Based System Engineering (MBSE) intends to introduce methodologies for a systematic system definition, development, validation, deployment, operation and decommission, based on logical and visual relationship mapping, rather than traditional 'document based' information management. The practical implementation in real large-scale projects is not uniform across fields. In space science missions, the usage has been limited to subsystems or sample projects with modeling being performed 'a-posteriori' in many instances. The main hurdle for the introduction of MBSE practices in new projects is still the difficulty to demonstrate their added value to a project and whether their benefit is commensurate with the level of effort required to put them in place. In this paper we present the implemented Euclid system modeling activities, and an analysis of the benefits and limitations identified to support in particular requirement break-down and allocation, and verification planning at mission level.

  5. Mission possible? The performance of prosocially motivated employees depends on manager trustworthiness.

    Grant, Adam M; Sumanth, John J

    2009-07-01

    The authors propose that in mission-driven organizations, prosocially motivated employees are more likely to perform effectively when trust cues enhance their perceptions of task significance. The authors develop and test a model linking prosocial motivation, trust cues, task significance, and performance across 3 studies of fundraisers using 3 different objective performance measures. In Study 1, perceiving managers as trustworthy strengthened the relationship between employees' prosocial motivation and performance, measured in terms of calls made. This moderated relationship was mediated by employees' perceptions of task significance. Study 2 replicated the interaction of manager trustworthiness and prosocial motivation in predicting a new measure of performance: dollars raised. It also revealed 3-way interactions between prosocial motivation, manager trustworthiness, and dispositional trust propensity, such that high trust propensity compensated for low manager trustworthiness to strengthen the association between employees' prosocial motivation and performance. Study 3 replicated all of the previous mediation and moderation findings in predicting initiative taken by professional fundraisers. Implications for work motivation, work design, and trust in organizations are discussed.

  6. 13 CFR 124.701 - What is the purpose of the 7(j) management and technical assistance program?

    2010-01-01

    ...) Business Development Management and Technical Assistance Program § 124.701 What is the purpose of the 7(j... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What is the purpose of the 7(j) management and technical assistance program? 124.701 Section 124.701 Business Credit and Assistance SMALL...

  7. Processing and Managing the Kepler Mission's Treasure Trove of Stellar and Exoplanet Data

    Jenkins, Jon M.

    2016-01-01

    The Kepler telescope launched into orbit in March 2009, initiating NASAs first mission to discover Earth-size planets orbiting Sun-like stars. Kepler simultaneously collected data for 160,000 target stars at a time over its four-year mission, identifying over 4700 planet candidates, 2300 confirmed or validated planets, and over 2100 eclipsing binaries. While Kepler was designed to discover exoplanets, the long term, ultra- high photometric precision measurements it achieved made it a premier observational facility for stellar astrophysics, especially in the field of asteroseismology, and for variable stars, such as RR Lyraes. The Kepler Science Operations Center (SOC) was developed at NASA Ames Research Center to process the data acquired by Kepler from pixel-level calibrations all the way to identifying transiting planet signatures and subjecting them to a suite of diagnostic tests to establish or break confidence in their planetary nature. Detecting small, rocky planets transiting Sun-like stars presents a variety of daunting challenges, from achieving an unprecedented photometric precision of 20 parts per million (ppm) on 6.5-hour timescales, supporting the science operations, management, processing, and repeated reprocessing of the accumulating data stream. This paper describes how the design of the SOC meets these varied challenges, discusses the architecture of the SOC and how the SOC pipeline is operated and is run on the NAS Pleiades supercomputer, and summarizes the most important pipeline features addressing the multiple computational, image and signal processing challenges posed by Kepler.

  8. Simulation and Control Lab Development for Power and Energy Management for NASA Manned Deep Space Missions

    McNelis, Anne M.; Beach, Raymond F.; Soeder, James F.; McNelis, Nancy B.; May, Ryan; Dever, Timothy P.; Trase, Larry

    2014-01-01

    The development of distributed hierarchical and agent-based control systems will allow for reliable autonomous energy management and power distribution for on-orbit missions. Power is one of the most critical systems on board a space vehicle, requiring quick response time when a fault or emergency is identified. As NASAs missions with human presence extend beyond low earth orbit autonomous control of vehicle power systems will be necessary and will need to reliably function for long periods of time. In the design of autonomous electrical power control systems there is a need to dynamically simulate and verify the EPS controller functionality prior to use on-orbit. This paper presents the work at NASA Glenn Research Center in Cleveland, Ohio where the development of a controls laboratory is being completed that will be utilized to demonstrate advanced prototype EPS controllers for space, aeronautical and terrestrial applications. The control laboratory hardware, software and application of an autonomous controller for demonstration with the ISS electrical power system is the subject of this paper.

  9. Minimal support technology and in situ resource utilization for risk management of planetary spaceflight missions

    Murphy, K. L.; Rygalov, V. Ye.; Johnson, S. B.

    2009-04-01

    All artificial systems and components in space degrade at higher rates than on Earth, depending in part on environmental conditions, design approach, assembly technologies, and the materials used. This degradation involves not only the hardware and software systems but the humans that interact with those systems. All technological functions and systems can be expressed through functional dependence: [Function]˜[ERU]∗[RUIS]∗[ISR]/[DR];where [ERU]efficiency (rate) of environmental resource utilization[RUIS]resource utilization infrastructure[ISR]in situ resources[DR]degradation rateThe limited resources of spaceflight and open space for autonomous missions require a high reliability (maximum possible, approaching 100%) for system functioning and operation, and must minimize the rate of any system degradation. To date, only a continuous human presence with a system in the spaceflight environment can absolutely mitigate those degradations. This mitigation is based on environmental amelioration for both the technology systems, as repair of data and spare parts, and the humans, as exercise and psychological support. Such maintenance now requires huge infrastructures, including research and development complexes and management agencies, which currently cannot move beyond the Earth. When considering what is required to move manned spaceflight from near Earth stations to remote locations such as Mars, what are the minimal technologies and infrastructures necessary for autonomous restoration of a degrading system in space? In all of the known system factors of a mission to Mars that reduce the mass load, increase the reliability, and reduce the mission’s overall risk, the current common denominator is the use of undeveloped or untested technologies. None of the technologies required to significantly reduce the risk for critical systems are currently available at acceptable readiness levels. Long term interplanetary missions require that space programs produce a craft

  10. Joint Data Management on ICDP Projects and IODP Mission Specific Platform Expeditions

    Frank Krysiak

    2007-03-01

    Full Text Available Data management in the Integrated Ocean Drilling Program (IODP and the International Continental Scientific Drilling Program (ICDP supports two functions: firstly, the capture of drilling and scientific data and secondly, the longterm storage and dissemination of these data. The data capture in both ICDP projects and IODP-Mission Specific Platform (MSP expeditions takes place in two phases. During the drilling phase, drilling, curation, logging, andbasic scientific data are captured at the drill site. In the postdrilling phase the detailed measurements, descriptions, images and log data for the split cores are captured within a laboratory setting and the data subsequently transferred to the long-term data storage system. Here we show how a flexible and modular designed information system has been developed over the course of continental and ocean drilling projects.

  11. 13 CFR 124.704 - What additional management and technical assistance is reserved exclusively for concerns eligible...

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What additional management and.../SMALL DISADVANTAGED BUSINESS STATUS DETERMINATIONS 8(a) Business Development Management and Technical Assistance Program § 124.704 What additional management and technical assistance is reserved exclusively for...

  12. Critical review of Ames Life Science participation in Spacelab Mission Development Test 3: The SMD 3 management study

    Helmreich, R.; Wilhelm, J.; Tanner, T. A.; Sieber, J. E.; Burgenbauch, S.

    1978-01-01

    A management study was conducted to specify activities and problems encountered during the development of procedures for documentation and crew training on experiments, as well as during the design, integration, and delivery of a life sciences experiment payload to Johnson Space Center for a 7 day simulation of a Spacelab mission. Conclusions and recommendations to project management for current and future Ames' life sciences projects are included. Broader issues relevant to the conduct of future scientific missions under the constraints imposed by the environment of space are also addressed.

  13. 75 FR 50713 - Procedural Changes to the Fire Management Assistance Declaration Process

    2010-08-17

    ... DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency 44 CFR Part 204 [Docket ID FEMA-2010-0036] RIN-1660-AA72 Procedural Changes to the Fire Management Assistance Declaration Process AGENCY: Federal Emergency Management Agency, DHS. ACTION: Final rule. SUMMARY: By this final rule, the...

  14. Report: EPA Needs an Agency-Wide Plan to Provide Tribal Solid Waste Management Capacity Assistance

    Report #11-P-0171, March 21, 2011. EPA cannot determine whether its efforts are assisting tribal governments in developing the capacity to manage solid waste or reduce the risks of open dumps in Indian country.

  15. Humanitarian Assistance: Adapting the Process to Meet the Military’s Evolving Role in Non-Traditional Missions

    1993-12-01

    action to support humanitarian relief and democratic movements " (Towell, 1992, p. 3761). The U.S. 2 led coalition, from December 1992 through May...similar to planning and executing the movement phase of wartime contingencies. Therefore, these activities in humanitarian relief missions also serve...DISASTZR _ CATUGORIZS ORIGINS ZXARPLUS NATURAL METEOROLOGICAL STORMS, DROUGHTS TOPOLOGICAL FLOODS, LANDSLIDES TELLURIC /TECTONIC EARTHQUAKES BIOLOGICAL

  16. [Development and application of information management system for advanced schistosomiasis chemotherapy and assistance in Jiangxi Province].

    Mao, Yuan-Hua; Li, Dong; Ning, An; Qiu, Ling; Xiong, Ji-Jie

    2011-04-01

    To develop the information management system for advanced schistosomiasis chemotherapy and assistance in Jiangxi Province. Based on Access 2003, the system was programmed by Visual Basic 6.0 and packaged by Setup Factory 8.0. In the system, advanced schistosomiasis data were able to be input, printed, indexed, and statistically analyzed. The system could be operated and maintained easily and timely. The information management system for advanced schistosomiasis chemotherapy and assistance in Jiangxi Province is successfully developed.

  17. HomeNL: Homecare Assistance in Natural Language. An Intelligent Conversational Agent for Hypertensive Patients Management.

    Rojas Barahona , Lina Maria; Quaglini , Silvana; Stefanelli , Mario

    2009-01-01

    International audience; The prospective home-care management will probably of- fer intelligent conversational assistants for supporting patients at home through natural language interfaces. Homecare assistance in natural lan- guage, HomeNL, is a proof-of-concept dialogue system for the manage- ment of patients with hypertension. It follows up a conversation with a patient in which the patient is able to take the initiative. HomeNL pro- cesses natural language, makes an internal representation...

  18. Acquisition Program Transition Workshops: An Element of the DSMC Program Manager Mission Assistance Capability

    2011-10-01

    specific modules as needed. The term “startup” is inclusive of any point in a DoD acquisition program. As noted above, methodology for conducting...Acquisition Sustainment =Decision Point =Milestone Review =Decision Point if PDR is not conducted before Milestone B ProgramA B Initiation) C IOC FOC...start a new program 2.2 Background Conclusions flowing from these observations led the Office of the Secretary of Defense, the De - fense Acquisition

  19. Crafting a Wider Strategy for Conflict Management in the Neighbourhood? A Comparative Perspective on the European Union’s Civilian Missions in Georgia and Kosovo

    Monica Oproiu

    2015-06-01

    Full Text Available The European Union’s wider neighbourhood hosts some of the world’s main unresolved conflicts. As the EU developed its foreign and security policy, a blend of internal security and external stability concerns, as well as the reference to international legal and humanitarian norms, required it to try tackling (some of these conflicts. Through both the European Neighbourhood Policy and the Stabilisation and Association Process the EU establishes contractual relations with its neighbours and tries to incentivise them for the adoption of economic and political reforms and legislative approximation to EU standards. Also, in some cases, the EU is providing support for conflict management through political dialogue, financial assistance or deployment of missions under the Common Security and Defence Policy. At its core, this paper is concerned with comparatively analysing the degree of integration between CSDP and the ENP and SAP frameworks respectively. The comparative case-study will therefore analyse CSDP missions undertaken in the Georgia/ Abkhazia and South Ossetia and Kosovo/Serbia cases, in order to identify common challenges across the two EU policy frameworks for its neighbourhood and to explore the perspectives for the emergence of an EU strategy of conflict management based on CSDP operations and various forms of engaging third countries.

  20. The DISAM Journal of International Security Assistance Management. Volume 30, Number 4, December 2008

    2008-12-01

    elections. Due to the electoral cycle, Japan may face a few years of legislative uncertainty, which will certainly affect the speed of government...Albania must accelerate judicial reforms and stay on track with its electoral reforms. The fight against corruption must be total in order to show that no...Recreacion Derecho de la Poblacion during the humanitarian/ civic assistance mission Continuing Promise (CP) 2008. Kearsarge is the primary platform

  1. EmmA, An Evolution Memory Management Assistant

    McCullough, Daryl

    2000-01-01

    .... EMMA differs from current project management tools in that it manages not only the system requirements that developers must satisfy, but also the context in which the developers develop the system...

  2. Final priority; Technical Assistance on State Data Collection--IDEA Data Management Center. Final priority.

    2014-08-05

    The Assistant Secretary for the Office of Special Education and Rehabilitative Services (OSERS) announces a priority under the Technical Assistance on State Data Collection program. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years. We take this action to fund a cooperative agreement to establish and operate an IDEA Data Management Center (Center) that will provide technical assistance (TA) to improve the capacity of States to meet the data collection requirements of the Individuals with Disabilities Education Act (IDEA).

  3. Guidelines for the review of accident management programmes in nuclear power plants. Reference document for the IAEA safety service missions on review of accident management programmes in nuclear power plants

    2003-01-01

    Similarly as for other IAEA safety services, the objectives of accident management safety service are to assist the Member States in ensuring and enhancing the safety of NPPs. In particular, the objective is to assist at the utility and NPP (i.e. licensee) level in effective plant specific AMP preparation, development and implementation. However, assistance can also be provided to the regulatory body in its reviewing of AMPs. Objectives of the safety service can be summarized as follows: To explain to licensee personnel principles and possible approaches in effective implementation of AMP based on experience world-wide; To give opportunities to experts from the host plant to broaden their experience and knowledge in the field; To perform an objective assessment of the status in various phases of AMP implementation, compared with international experience and practices; To provide the licensee with suggestions and assistance for improvements in various stages of AMP implementation. The objective of the IAEA safety services is to offer two options to respond to individual requirements. These options include missions to review accident analysis needed for accident management and missions to review the whole AMP. Review of accident analysis for accident management (RAAAM): this review is intended to check completeness and quality of accident analysis covering BDBA and severe accidents. The review should be typically performed prior to use of accident analysis for development of AMP. It is considered that 2 experts and 1 IAEA team leader in one-week mission can perform the review. Detailed guidelines for review of analysis are provided in Section 2. Reference is also made to another IAEA Safety Report (Safety Standards Series No. NS-R-1) which is devoted to guidance for accident analysis of nuclear power plants (NPPs). Review of AMP (RAMP): this review of AMP, which is in particular appropriate prior to its implementation, is intended to check its quality, consistency

  4. Putting Integrated Systems Health Management Capabilities to Work: Development of an Advanced Caution and Warning System for Next-Generation Crewed Spacecraft Missions

    Mccann, Robert S.; Spirkovska, Lilly; Smith, Irene

    2013-01-01

    Integrated System Health Management (ISHM) technologies have advanced to the point where they can provide significant automated assistance with real-time fault detection, diagnosis, guided troubleshooting, and failure consequence assessment. To exploit these capabilities in actual operational environments, however, ISHM information must be integrated into operational concepts and associated information displays in ways that enable human operators to process and understand the ISHM system information rapidly and effectively. In this paper, we explore these design issues in the context of an advanced caution and warning system (ACAWS) for next-generation crewed spacecraft missions. User interface concepts for depicting failure diagnoses, failure effects, redundancy loss, "what-if" failure analysis scenarios, and resolution of ambiguity groups are discussed and illustrated.

  5. Anesthetic management of robot-assisted thoracoscopic thymectomy

    Anil Karlekar

    2016-01-01

    Full Text Available Myasthenia gravis (MG is a rare disorder involving neuromuscular junction. In conjunction with medical therapy, thymectomy is a known modality of treatment of MG and has shown to increase the probability of remission and overall symptomatic improvement. For minimally invasive thymectomy, video-.assisted thoracoscopic surgery has been the preferred surgical approach till recently. The robotic surgical procedure must necessarily bring new challenges to the anesthesiologists to effectively meet the specific requirements of the technique. At present, there is a paucity of literature regarding the anesthetic concerns of robotic assisted thymectomy, patient in question specifically posed a challenge since different maneuvers and techniques had to be tried to obtain optimum surgical conditions with stable ventilatory and hemodynamic parameters. Concerns of patient positioning and hemodynamic monitoring have also been discussed.

  6. 78 FR 52131 - Notice of Funds Availability: Agricultural Management Assistance Organic Certification Cost-Share...

    2013-08-22

    ...] Notice of Funds Availability: Agricultural Management Assistance Organic Certification Cost-Share Program... . SUPPLEMENTARY INFORMATION: This Organic Certification Cost-Share Program is part of the Agricultural Management... Wyoming. The AMS has allocated $1,352,850 for this organic certification cost- share program in Fiscal...

  7. Marker assisted selection and crop management for salt tolerance: A ...

    use

    2011-10-26

    Oct 26, 2011 ... Accepted 4 July, 2011. Salinity is one of the major abiotic constraints for crop management in irrigated as well as rainfed areas ... INTRODUCTION. Salt tolerance is ... arid and arid climates (Asch et al.,1997) in general, and.

  8. Using employee assistance programmes to achieve total quality management

    2012-01-01

    M.Comm. As global competition among organisations intensifies, it has become increasingly important for an organisation to identify and develop a competitive advantage over its rivals. Increasingly, as service quality and customer delight has caught the attention of managers, awareness is dawning on management that they depend on employees to communicate and deliver value to customers. Therefore, although organisations declare that customer is king, reality has dictated that often the cust...

  9. Developing a trust model for assisting management during change

    Nico Martins

    2000-06-01

    Full Text Available This study investigates the relation of the "Big Five" personality dimensions and managerial practices to the dimension of trust relationships between managers and employees. The "Big Five" dimensions are conscientiousness, agreeableness, emotional stability, resourcefulness and extraversion. Managerial practices are credibility, team management, information sharing and work support. Results indicate that managerial practices have an influence on the trust relationships between managers and employees. For the "Big Five" personality dimensions, a weaker relationship with the dimension of trust was obtained. Although there appears to be a weaker relationship between the "Big Five" and the dimension of trust relationships, the relatively good fit of the model indicates that an overall implication of the model is that both managerial practices and the "Big Five" personality aspects of the manager might influence his/her subordinates indirectly. These findings have numerous implications for the relationships between managers and employees, especially in the selection, recruitment and appointment of managers and the role of managers during transformation. Opsomming Die studie ondersoek die verhouding tussen die Groot Vyf ("Big Five" persoonlikheidsdimensies en bestuurspraktyke en die dimensie van vertroue tussen bestuur en werknemers. Die Groot Vyf dimensies is konsensieusheid, eenstemmigheid, emosionele stabiliteit, vernuftigheid en ekstroversie. Die bestuurspraktyke is kredietwaardigheid, spanbestuur, die deel van inligting en werksondersteuning. Die resultate dui aan dat die bestuurspraktyke 'n invloed het op die verhouding tussen bestuur en werknemers. Wat die Groot Vyf dimensies aanbetref, is n swakker verhouding met die dimensie van vertroue bevind. Alhoewel dit skyn as of daar n swakker verhouding tussen die Groot Vyf en die dimensie van vertroue is, toon die relatiewe goeie passing van die model dat beide die bestuurspraktyke en die Groot Vyf

  10. Real-Time Risk and Fault Management in the Mission Evaluation Room for the International Space Station

    Nelson, W.R.; Novack, S.D.

    2003-05-30

    Effective anomaly resolution in the Mission Evaluation Room (MER) of the International Space Station (ISS) requires consideration of risk in the process of identifying faults and developing corrective actions. Risk models such as fault trees from the ISS Probabilistic Risk Assessment (PRA) can be used to support anomaly resolution, but the functionality required goes significantly beyond what the PRA could provide. Methods and tools are needed that can systematically guide the identification of root causes for on-orbit anomalies, and to develop effective corrective actions that address the event and its consequences without undue risk to the crew or the mission. In addition, an overall information management framework is needed so that risk can be systematically incorporated in the process, and effectively communicated across all the disciplines and levels of management within the space station program. The commercial nuclear power industry developed such a decision making framework, known as the critical safety function approach, to guide emergency response following the accident at Three Mile Island in 1979. This report identifies new methods, tools, and decision processes that can be used to enhance anomaly resolution in the ISS Mission Evaluation Room. Current anomaly resolution processes were reviewed to identify requirements for effective real-time risk and fault management. Experience gained in other domains, especially the commercial nuclear power industry, was reviewed to identify applicable methods and tools. Recommendations were developed for next-generation tools to support MER anomaly resolution, and a plan for implementing the recommendations was formulated. The foundation of the proposed tool set will be a ''Mission Success Framework'' designed to integrate and guide the anomaly resolution process, and to facilitate consistent communication across disciplines while focusing on the overriding importance of mission success.

  11. Real-Time Risk and Fault Management in the Mission Evaluation Room of the International Space Station

    William R. Nelson; Steven D. Novack

    2003-05-01

    Effective anomaly resolution in the Mission Evaluation Room (MER) of the International Space Station (ISS) requires consideration of risk in the process of identifying faults and developing corrective actions. Risk models such as fault trees from the ISS Probablistic Risk Assessment (PRA) can be used to support anomaly resolution, but the functionality required goes significantly beyond what the PRA could provide. Methods and tools are needed that can systematically guide the identification of root causes for on-orbit anomalies, and to develop effective corrective actions that address the event and its consequences without undue risk to the crew or the mission. In addition, an overall information management framework is needed so that risk can be systematically incorporated in the process, and effectively communicated across all the disciplines and levels of management within the space station program. The commercial nuclear power industry developed such a decision making framework, known as the critical safety function approach, to guide emergency response following the accident at Three Mile Island in 1979. This report identifies new methods, tools, and decision processes that can be used to enhance anomaly resolution in the ISS Mission Evaluation Room. Current anomaly resolution processes were reviewed to identify requirements for effective real-time risk and fault management. Experience gained in other domains, especially the commercial nuclear power industry, was reviewed to identify applicable methods and tools. Recommendations were developed for next-generation tools to support MER anomaly resolution, and a plan for implementing the recommendations was formulated. The foundation of the proposed toolset will be a "Mission Success Framework" designed to integrate and guide the anomaly resolution process, and to facilitate consistent communication across disciplines while focusing on the overriding importance of mission success.

  12. Financial Management Regulation. Volume 15. Security Assistance Policy and Procedures

    1993-03-01

    as follows: (3). (5). (6). (7). (I). Qty, (4). SC/MOS/ Ofr Del Itm (2). Unit of Costs TA or Rel Trm Nbr Item Descriction issue (a) Unit (b) Total...the period rubber stamp or computer printing to: ended followed by an alphabetic management code assigned by SAAC. The management code 1. Notify the...EDIT DTC (1) 22 --- Validated it TBC is invalid. See TBC va’idation TYPE-ASST(1) 23 --- NO EDIT DOC- NBR -LST-8(8) 󈧜-27 --- NO EDIT DT-RQSN(4) DOC-SERIAL

  13. Teaching Laboratory Management Principles and Practices Through Mentorship and Graduated Responsibility: The Assistant Medical Directorship.

    Hanley, Timothy; Sowder, Aleksandra M; Palmer, Cheryl Ann; Weiss, Ronald L

    2016-01-01

    With the changing landscape of medicine in general, and pathology in particular, a greater emphasis is being placed on laboratory management as a means of controlling spiraling medical costs and improving health-care efficiency. To meet this challenge, pathology residency programs have begun to incorporate formal laboratory management training into their curricula, using institutional curricula and/or online laboratory management courses offered by professional organizations. At the University of Utah, and its affiliated national reference laboratory, ARUP Laboratories, Inc, interested residents are able to supplement the departmental lecture-based and online laboratory management curriculum by participating in assistant medical directorship programs in one of several pathology subspecialty disciplines. The goals of many of the assistant medical directorship positions include the development of laboratory management skills and competencies. A survey of current and recent assistant medical directorship participants revealed that the assistant medical directorship program serves as an excellent means of improving laboratory management skills, as well as improving performance as a fellow and practicing pathologist.

  14. Software Environment for Mission Design, Simulation, and Engineering Data Management, Phase I

    National Aeronautics and Space Administration — As NASA designs and develops the next generation of scientific and space exploration vehicles and missions, there is a growing need for a robust, flexible, and...

  15. Mission Command and JC41: Managing Chaos in a Dynamic World

    2018-04-20

    doubly so, but perhaps not solely for the reasons expected. History has seen the progression of technology enable commanders and staffs to extend their...highlights the degree to which each Service embraces and codifies the mission command concept. Chapter 3 covers the history of the technologies ...Abstract Executing effective mission command has always been a challenge and in today’s technologically saturated joint operating environment is

  16. Capacity development for community health nurses in Pakistan: the assistant manager role.

    Gulzar, S A; Mistry, R; Upvall, M J

    2011-09-01

    Community health nurses (CHNs), as leaders in developing countries, can promote successful outcomes in meeting the targets of the Millennium Development Goals. A community-based organization in Pakistan is striving to achieve the goals of maternal and child health through the development of the assistant manager role for community health nursing. The purpose of this study was to assess the perception of the role of the CHN assistant manager, with the goal of strengthening that role. This interpretive, qualitative study included 13 participants already familiar with CHNs in Pakistan. Interviewing was utilized to explore perceptions of the assistant manager role and to uncover challenges currently existing within this new role. Content analysis revealed the following themes: 'role perceptions', 'expectations of the role' and 'collaboration with other community healthcare providers'. Changes to the role are necessary including increased education of the assistant manager CHNs and preparing administration to work with the assistant mangers for effective leadership. © 2011 The Authors. International Nursing Review © 2011 International Council of Nurses.

  17. Use of film digitizers to assist radiology image management

    Honeyman-Buck, Janice C.; Frost, Meryll M.; Staab, Edward V.

    1996-05-01

    The purpose of this development effort was to evaluate the possibility of using digital technologies to solve image management problems in the Department of Radiology at the University of Florida. The three problem areas investigated were local interpretation of images produced in remote locations, distribution of images to areas outside of radiology, and film handling. In all cases the use of a laser film digitizer interfaced to an existing Picture Archiving and Communication System (PACS) was investigated as a solution to the problem. In each case the volume of studies involved were evaluated to estimate the impact of the solution on the network, archive, and workstations. Communications were stressed in the analysis of the needs for all image transmission. The operational aspects of the solution were examined to determine the needs for training, service, and maintenance. The remote sites requiring local interpretation included were a rural hospital needing coverage for after hours studies, the University of Florida student infirmary, and the emergency room. Distribution of images to the intensive care units was studied to improve image access and patient care. Handling of films originating from remote sites and those requiring urgent reporting were evaluated to improve management functions. The results of our analysis and the decisions that were made based on the analysis are described below. In the cases where systems were installed, a description of the system and its integration into the PACS system is included. For all three problem areas, although we could move images via a digitizer to the archive and a workstation, there was no way to inform the radiologist that a study needed attention. In the case of outside films, the patient did not always have a medical record number that matched one in our Radiology Information Systems (RIS). In order to incorporate all studies for a patient, we needed common locations for orders, reports, and images. RIS orders

  18. Left ventricular assist device management in patients chronically supported for advanced heart failure.

    Cowger, Jennifer; Romano, Matthew A; Stulak, John; Pagani, Francis D; Aaronson, Keith D

    2011-03-01

    This review summarizes management strategies to reduce morbidity and mortality in heart failure patients supported chronically with implantable left ventricular assist devices (LVADs). As the population of patients supported with long-term LVADs has grown, patient selection, operative technique, and patient management strategies have been refined, leading to improved outcomes. This review summarizes recent findings on LVAD candidate selection, and discusses outpatient strategies to optimize device performance and heart failure management. It also reviews important device complications that warrant close outpatient monitoring. Managing patients on chronic LVAD support requires regular patient follow-up, multidisciplinary care teams, and frequent laboratory and echocardiographic surveillance to ensure optimal outcomes.

  19. Photon management assisted by surface waves on photonic crystals

    Angelini, Angelo

    2017-01-01

    This book illustrates original pathways to manipulate light at the nanoscale by means of surface electromagnetic waves (here, Bloch surface waves, BSWs) on planar dielectric multilayers, also known as one-dimensional photonic crystals. This approach is particularly valuable as it represents an effective alternative to the widely exploited surface plasmon paradigm. After a brief overview on the fundamentals of BSWs, several significant applications of BSW-sustaining structures are described. Particular consideration is given to the propagation, guiding, and diffraction of BSW-coupled radiation. Further, the interaction of organic emitters with BSWs on planar and corrugated multilayers is investigated, including fluorescence beaming in free space. To provide greater insight into sensing applications, an illustrative example of fluorescent microarray-based detection is presented. The book is intended for scientists and researchers working on photon management opportunities in fields such as biosensing, optical c...

  20. The impact on the workload of the Ward Manager with the introduction of administrative assistants.

    Locke, Rachel; Leach, Camilla; Kitsell, Fleur; Griffith, Jacki

    2011-03-01

    To evaluate the impact on the workload of the Ward Manager (WM) with the introduction of administrative assistants into eight trusts in the South of England in a year-long pilot. Ward Managers are nurse leaders who are responsible for ward management and delivering expert clinical care to patients. They have traditionally been expected to achieve this role without administrative assistance. Meeting the workload demands of multiple roles and overload has meant the leadership and clinical role has suffered, presenting issues of low morale among existing WMs and issues of recruiting the next generation of WMs. Sixty qualitative interviews were carried out with 16 WMs, 12 Ward Manager Assistants (WMAs), and six senior nurse executives about the impact of the introduction of the WMA post. Quantitative data to measure change in WM workload and ward activity was supplied by 24 wards. Ward Managers reported spending reduced time on administrative tasks and having increased time available to spend on the ward with patients and leading staff. With the introduction of WMAs, there was also improvement in key performance measures (the maintenance of quality under service pressures) and increased staff motivation. There was overwhelming support for the introduction of administrative assistants from participating WMs. The WMAs enabled WMs to spend more time with patients and, more widely, to provide greater support to ward teams. The success of the pilot is reflected in wards working hard to be able to extend contracts of WMAs. The extent of the success is reflected in wards that were not participants in the pilot, observing the benefits of the post, having worked to secure funding to recruit their own WMAs. The widespread introduction of administrative assistance could increase ward productivity and provide support for clinical leaders. Continuing professional development for WMs needs to incorporate training about management responsibilities and how to best use administrative

  1. The Impact of NATO/Multinational Military Missions on Health Care Management (l'Impact des missions OTAN/militaires internationales sur la gestion des soins de sante)

    2001-01-01

    ... (peacekeeping, humanitarian, disaster relief, etc.). Most of these missions are performed by multinational forces, which requires the cooperation of all military services including the medical support systems...

  2. Medical Assistant-based care management for high risk patients in small primary care practices

    Freund, Tobias; Peters-Klimm, Frank; Boyd, Cynthia M.

    2016-01-01

    Background: Patients with multiple chronic conditions are at high risk of potentially avoidable hospital admissions, which may be reduced by care coordination and self-management support. Medical assistants are an increasingly available resource for patient care in primary care practices. Objective......: To determine whether protocol-based care management delivered by medical assistants improves patient care in patients at high risk of future hospitalization in primary care. Design: Two-year cluster randomized clinical trial. Setting: 115 primary care practices in Germany. Patients: 2,076 patients with type 2......, and monitoring delivered by medical assistants with usual care. Measurements: All-cause hospitalizations at 12 months (primary outcome) and quality of life scores (Short Form 12 Health Questionnaire [SF-12] and the Euroqol instrument [EQ-5D]). Results: Included patients had, on average, four co-occurring chronic...

  3. Traffic Steering Framework for Mobile-Assisted Resource Management in Heterogeneous Networks

    Dogadaev, Anton Konstantinovich; Checko, Aleksandra; Popovska Avramova, Andrijana

    2013-01-01

    With the expected growth of mobile data traffic it is essential to manage the network resources efficiently. In order to undertake this challenge, we propose a framework for network-centric, mobile-assisted resource management, which facilitates traffic offloading from mobile network to Wi-Fi...... to the network backbone. What is more, we give an overview of existing standardization activities on offloading the mobile traffic through Wi-Fi....

  4. The DISAM Journal of International Security Assistance Management. Volume 23, Number 1, Fall 2000

    2000-01-01

    Security Assistance Command Figure 1 The USASAC, including OPM-SANG, is staffed by 621 men and women , of whom 104 are military. These professionals are...by program managers. These program managers are like “front-line entreprenuers ” delivering products and services to their customers. They have been...NATO history was to be commanded by a Polish general in June 1988. The brigade of some 3000 men and women was composed of five national battalions

  5. Energy Management of the Multi-Mission Space Exploration Vehicle Using a Goal-Oriented Control System

    Braman, Julia M. B.; Wagner, David A.

    2010-01-01

    Safe human exploration in space missions requires careful management of limited resources such as breathable air and stored electrical energy. Daily activities for astronauts must be carefully planned with respect to such resources, and usage must be monitored as activities proceed to ensure that they can be completed while maintaining safe resource margins. Such planning and monitoring can be complex because they depend on models of resource usage, the activities being planned, and uncertainties. This paper describes a system - and the technology behind it - for energy management of the NASA-Johnson Space Center's Multi-Mission Space Exploration Vehicles (SEV), that provides, in an onboard advisory mode, situational awareness to astronauts and real-time guidance to mission operators. This new capability was evaluated during this year's Desert RATS (Research and Technology Studies) planetary exploration analog test in Arizona. This software aided ground operators and crew members in modifying the day s activities based on the real-time execution of the plan and on energy data received from the rovers.

  6. Beating Obesity: Factors Associated with Interest in Workplace Weight Management Assistance in the Mining Industry

    Tamara D. Street

    2017-03-01

    Conclusion: Weight management programs should provide information, motivation. and trouble-shooting assistance to meet the needs of at-risk mining employees, including those who are attempting to change and maintain behaviors to achieve a healthy weight and be suitably fit for work.

  7. VEHIL: a test facility for validation of fault management systems for advanced driver assistance systems

    Gietelink, O.J.; Ploeg, J.; Schutter, de B.; Verhaegen, M.H.

    2004-01-01

    We present a methodological approach for the validation of fault management systems for Advanced Driver Assistance Systems (ADAS). For the validation process the unique VEHIL facility, developed by TNO Automotive and currently situated in Helmond, The Netherlands, is applied. The VEHIL facility

  8. State forestry agency perspectives on carbon management and carbon market assistance to family forest owners

    Kristell A. Miller; Stephanie A. Snyder; Michael A. Kilgore

    2015-01-01

    Family forest owners within the United States could potentially make significant contributions to sequestration efforts. However, we expect that landowners will need assistance if they are to successfully implement carbon management techniques and/or navigate through complex carbon market requirements. State forestry agencies were surveyed to gather their perspectives...

  9. Retention Rates, Graduates, and LAM-Series Completers for the Legal Assistant Management Program.

    Hamilton, John

    In February 1996, Gainesville College, in Georgia, conducted a study of students in its Legal Assistant Management (LAM) Program to determine retention rates, numbers of graduates, and course pass rates. Retention and graduation rates were calculated for 175 students who enrolled in at least one LAM course from spring 1991 to fall 1995. In…

  10. Assisting community management of groundwater: Irrigator attitudes in two watersheds in Rajasthan and Gujarat, India

    Varua, M. E.; Ward, J.; Maheshwari, B.; Oza, S.; Purohit, R.; Hakimuddin; Chinnasamy, P.

    2016-06-01

    The absence of either state regulations or markets to coordinate the operation of individual wells has focussed attention on community level institutions as the primary loci for sustainable groundwater management in Rajasthan and Gujarat, India. The reported research relied on theoretical propositions that livelihood strategies, groundwater management and the propensity to cooperate are associated with the attitudinal orientations of well owners in the Meghraj and Dharta watersheds, located in Gujarat and Rajasthan respectively. The research tested the hypothesis that attitudes to groundwater management and farming practices, household income and trust levels of assisting agencies were not consistent across the watersheds, implying that a targeted approach, in contrast to default uniform programs, would assist communities craft rules to manage groundwater across multiple hydro-geological settings. Hierarchical cluster analysis of attitudes held by survey respondents revealed four statistically significant discrete clusters, supporting acceptance of the hypothesis. Further analyses revealed significant differences in farming practices, household wealth and willingness to adapt across the four groundwater management clusters. In conclusion, the need to account for attitudinal diversity is highlighted and a framework to guide the specific design of processes to assist communities craft coordinating instruments to sustainably manage local aquifers described.

  11. Management of the assisted instruction environment in economic higher education

    Adriana REVEIU

    2006-01-01

    Full Text Available The world has entered the Knowledge Age. Information Technology is gradually turning the world into an Information Highway Network. The development of technology has greatly accelerated the international flow of information, capital and commodities and speeded the growth of economic integration. At the same time, the cycle of technological development and commercialization is becoming shorter and shorter [Zhouying, 1999]. Information technology is bringing rapid and profound changes to higher education, as it has to virtually every process in our society. Productivity often suffers because is difficult and timeconsuming to conduct a team effort. A portal solution base on SharePoint Portal Server can greatly facilitate the process of bringing knowledge teachers together as a team to achieve educational goals by providing a single point to access: automated essential day-to-day email communication, management of contacts, calendars, and instant messages, shared facilities to allow small teams of teachers to contribute to team and project-focused Web site, track tasks and events, shortened web-publishing cycles by linking collaboration and publishing processes.

  12. How can laparoscopic management assist radiation treatment in cervix carcinoma?

    Gerbaulet, A.; Lartigau, E.; Haie-Meder, C.; Castaigne, D.; Morice, P.; Breton, C.; Pautier, P.; Duvillard, P.

    1999-01-01

    Purpose: To determine the role of laparoscopic lymphadenectomy (pelvis ± para-aortic nodes) and laparoscopic hysterectomy in cervical cancer compared to 'classic radical surgery' in patients undergoing surgery in comparison with modern imaging in patients treated with radiotherapy alone.Materials and methods: The limitations of modern imaging are presented as well as how complication rates can be increased when classic laparotomy is followed by radiation therapy.Laparoscopic procedures are described with particular emphasis on how to provide information on lymph node metastases with the risk of overlooking microscopic involvement. A number of clinical experiences are cited to illustrate this problem and show how treatment approaches can be adapted.Results: The role of laparoscopy is evaluated according to different clinical situations and treatment protocols emphasizing the possibilities offered by this method to the radiotherapist. Conclusion: When developing laparoscopic techniques for the management of cervical carcinoma, caution must be exercised to ensure that these techniques are not detrimental to the prognosis. (Copyright (c) 1999 Elsevier Science B.V., Amsterdam. All rights reserved.)

  13. Animal-assisted therapy at an outpatient pain management clinic.

    Marcus, Dawn A; Bernstein, Cheryl D; Constantin, Janet M; Kunkel, Frank A; Breuer, Paula; Hanlon, Raymond B

    2012-01-01

    The objective of this study was to evaluate the effects of brief therapy dog visits to an outpatient pain management facility compared with time spent in a waiting room. The design of this study is open-label. Setting.  This study was conducted in a university tertiary care adult chronic pain outpatient clinic. The subjects of this study include outpatients, adults accompanying outpatients to their appointments, and clinic staff. Intervention.  Participants were able to spend clinic waiting time with a certified therapy dog instead of waiting in the outpatient waiting area. When the therapy dog was not available, individuals remained in the waiting area. Self-reported pain, fatigue, and emotional distress were recorded using 11-point numeric rating scales before and after the therapy dog visit or waiting room time. Two hundred ninety-five therapy dog visits (235 with patients, 34 family/friends, and 26 staff) and 96 waiting room surveys (83 from patients, 6 family/friends, and 7 staff) were completed over a 2-month study period. Significant improvements were reported for pain, mood, and other measures of distress among patients after the therapy dog visit but not the waiting room control, with clinically meaningful pain relief (decrease ≥2 points) in 23% after the therapy dog visit and 4% in the waiting room control. Significant improvements were likewise seen after therapy dog visits for family/friends and staff. Therapy dog visits in an outpatient setting can provide significant reduction in pain and emotional distress for chronic pain patients. Therapy dog visits can also significantly improve emotional distress and feelings of well-being in family and friends accompanying patients to appointments and clinic staff. Wiley Periodicals, Inc.

  14. Fault-tolerance of Cluster Management in (MANETs) by assistant and mobile agents

    Hamad, H.

    2007-01-01

    Most researches today trend to clustering in ad hoc networks as a solution to the management problem in flat ad hoc networks. Clustering aims to choose suitable nodes to lead the network i.e., the cluster heads. When a cluster head fails, reclustering is needed. However, this will be costly due to the characteristics of the ad hoc networks such as mobility and exhaustion. In this research we developed a fault tolerance mechanism to avoid re-clustering and other drawbacks that result from loosing the Cluster Head (CH). A Mobile Agent (MA) will be responsible of carrying out the jobs of the CH i.e., the CH will host the MA which will be the real manager of the cluster. Furthermore, the closest node to the CH will be chosen as an assistant and the MA will update the assistant. Each of the CH and the assistant will have Remote Objects (RO) to communicate with each other. The main jobs of the assistant are to temporarily replace the CH when fails; then it will choose the next CH based on clustering algorithm. Simulation results show an enhancement of the performance of using an assistant, MA and RO. (author)

  15. 78 FR 63974 - Student Assistance General Provisions-Subpart K-Cash Management; Extension of Public Comment...

    2013-10-25

    ... DEPARTMENT OF EDUCATION Student Assistance General Provisions--Subpart K--Cash Management... an information collection entitled, ``Student Assistance General Provisions--Subpart K--Cash Management''. ED is extending the comment period to November 18, 2013 due to the public's inability to access...

  16. Total Isolation Status Monitoring and Management System by CAD Assisted Technology

    Nakamura, Masaaki

    1995-01-01

    Isolation tasks in a nuclear power station require high confidence and quick response particularly during the annual inspection when the equipment must be checked in a safe and planned manner. To realize these advanced isolation works, JAPC has developed TOtal Isolation Status Monitoring and Management System using CAD Assisted Technology. This system, TOMM-CAT, developed under the concept of 'User friendly advanced man-machine interface', allows planning and management to be performed on a CRT display. TOMM-CAT allows isolation tasks to be performed accurately and efficiently in conjunction with equipment information from the existing Job Order Management System, which runs on the station host computer. (author)

  17. M2IRAGE: Management of measurements during radiological interventions geographically assisted in the environment

    Gerphagnon, O.; Roche, H.; Lelache, H.; Guelin, M.; Fauquant, J.M.; Kacenelen, Y.; Armand, Y.

    2010-01-01

    This report presents the M 2 IRAGE software, a data processing tool designed to share radioactivity measurements and to give a schematised view of a radiological situation and of its evolution, while respecting different legal frameworks, notably the obligation to produce a radiological measurement programme. After a simplified recall of the crisis management organisation, the authors describe the M 2 IRAGE software and hardware architecture, the functions of its main modules (presentation of radioprotection information during field intervention, field mission management, data browsing, and data transmission to field teams). While giving some display examples, the authors describe how an event is managed and processed by this tool: event creation, measurement acquisition, aid to decision, team management. They report and discuss the results of a national exercise which took place in September 2009 in Saclay with a prototype version of M 2 IRAGE

  18. Beating Obesity: Factors Associated with Interest in Workplace Weight Management Assistance in the Mining Industry.

    Street, Tamara D; Thomas, Drew L

    2017-03-01

    Rates of overweight and obese Australians are high and continue to rise, putting a large proportion of the population at risk of chronic illness. Examining characteristics associated with preference for a work-based weight-loss program will enable employers to better target programs to increase enrolment and benefit employees' health and fitness for work. A cross-sectional survey was undertaken at two Australian mining sites. The survey collected information on employee demographics, health characteristics, work characteristics, stages of behavior change, and preference for workplace assistance with reaching a healthy weight. A total of 897 employees participated; 73.7% were male, and 68% had a body mass index in the overweight or obese range. Employees at risk of developing obesity-related chronic illnesses (based on high body mass index) were more likely to report preference for weight management assistance than lower risk employees. This indicates that, even in the absence of workplace promotion for weight management, some at risk employees want workplace assistance. Employees who were not aware of a need to change their current nutrition or physical activity behaviors were less likely to seek assistance. This indicates that practitioners need to communicate the negative effects of excess weight and promote the benefits of a healthy lifestyle to increase the likelihood of weight management. Weight management programs should provide information, motivation. and trouble-shooting assistance to meet the needs of at-risk mining employees, including those who are attempting to change and maintain behaviors to achieve a healthy weight and be suitably fit for work.

  19. Department of Energy mission plan for the civilian radioactive waste management program

    Shaw, G.H.

    1988-01-01

    Volume I is the Mission Plan itself, Volume II is a 700+-page collection of public comments on the Draft Mission Plan, and Volume III contains DOE responses to the public comments. Taken as a whole, the document illustrates the development of an agency approach to solving a problem, and the extent to which public input may or may not influence that approach. The Mission Plan itself is DOE's clear statement of how it proposes to go about selecting a permanent site for the disposal of high-level nuclear waste: spent fuel from civilian nuclear power plants and high-level waste produced in reprocessing both civilian and military nuclear materials. Since this program is focused upon site selection based to a large extent upon geologic factors important in inhibiting the release of radionuclides for a long interval of time, it is of considerable interest to see how DOE has organized the necessary geologic investigations, and to what extent it proposes to concentrate on the geologic aspects. A key element in the high-level waste disposal program is public confidence in the process. If the public perceives that DOE is continuing investigations at one or more sites when substantial evidence shows that the site(s) are not geologically favorable, then public confidence in the program will disappear. It remains to be seen whether this Mission Plan will be considered the planning document for a successful, carefully organized program of geological input to public policy or merely an element in a record of bureaucratic failure

  20. Averse to Initiative: Risk Management’s Effect on Mission Command

    2017-05-25

    Master’s Thesis 3. DATES COVERED (From - To) JUN 2016 – MAY 2017 4. TITLE AND SUBTITLE Averse to Initiative: Risk Management’s Effect on Mission...decision weights and potential implications of educating leaders with Prospect Theory . Prospect Theory sheds light on how to look at loss and opportunity...the gain–causing risk aversion. Leaders educated in how to analyze a problem using Prospect Theory can rationally approach gains and losses. For the

  1. Planning and Management of Real-Time Geospatialuas Missions Within a Virtual Globe Environment

    Nebiker, S.; Eugster, H.; Flückiger, K.; Christen, M.

    2011-09-01

    This paper presents the design and development of a hardware and software framework supporting all phases of typical monitoring and mapping missions with mini and micro UAVs (unmanned aerial vehicles). The developed solution combines state-of-the art collaborative virtual globe technologies with advanced geospatial imaging techniques and wireless data link technologies supporting the combined and highly reliable transmission of digital video, high-resolution still imagery and mission control data over extended operational ranges. The framework enables the planning, simulation, control and real-time monitoring of UAS missions in application areas such as monitoring of forest fires, agronomical research, border patrol or pipeline inspection. The geospatial components of the project are based on the Virtual Globe Technology i3D OpenWebGlobe of the Institute of Geomatics Engineering at the University of Applied Sciences Northwestern Switzerland (FHNW). i3D OpenWebGlobe is a high-performance 3D geovisualisation engine supporting the web-based streaming of very large amounts of terrain and POI data.

  2. Power Management Strategy by Enhancing the Mission Profile Configuration of Solar-Powered Aircraft

    Parvathy Rajendran

    2016-01-01

    Full Text Available Solar energy offers solar-powered unmanned aerial vehicle (UAV the possibility of unlimited endurance. Some researchers have developed techniques to achieve perpetual flight by maximizing the power from the sun and by flying in accordance with its azimuth angles. However, flying in a path that follows the sun consumes more energy to sustain level flight. This study optimizes the overall power ratio by adopting the mission profile configuration of optimal solar energy exploitation. Extensive simulation is conducted to optimize and restructure the mission profile phases of UAV and to determine the optimal phase definition of the start, ascent, and descent periods, thereby maximizing the energy from the sun. In addition, a vertical cylindrical flight trajectory instead of maximizing the solar inclination angle has been adopted. This approach improves the net power ratio by 30.84% compared with other techniques. As a result, the battery weight may be massively reduced by 75.23%. In conclusion, the proposed mission profile configuration with the optimal power ratio of the trajectory of the path planning effectively prolongs UAV operation.

  3. Laparoscopy-Assisted Cystectomy: Management of a Large Ovarian Cyst with Torsion

    Emin Üstunyurt

    2013-04-01

    Full Text Available Ovarian cysts are the most common cause of pelvic masses in women. Although laparoscopic surgery is considered the gold standard treatment for ovarian cysts, most of the large ovarian cysts continue to be treated by laparotomy due to technical difficulties. Laparoscopic-assisted cystectomy is an alternative operation type for managing such cases. A case of large ovarian cyst with adnexal torsion in a 21-year-old virgin patient is presented in this report. In this case laparoscopic-assisted cystectomy was performed without intraoperatif complication. Postoperative course was uneventful. Pathology revealed a benign serous cystadenoma. At 6 months follow up, she continued to be asymptomatic, and sonography showed no recurrence of her disease. Laparoscopic-assisted cystectomy is a safe and effective procedure for large adnexal cysts.

  4. Exploration Mission Benefits From Logistics Reduction Technologies

    Broyan, James Lee, Jr.; Schlesinger, Thilini; Ewert, Michael K.

    2016-01-01

    Technologies that reduce logistical mass, volume, and the crew time dedicated to logistics management become more important as exploration missions extend further from the Earth. Even modest reductions in logical mass can have a significant impact because it also reduces the packing burden. NASA's Advanced Exploration Systems' Logistics Reduction Project is developing technologies that can directly reduce the mass and volume of crew clothing and metabolic waste collection. Also, cargo bags have been developed that can be reconfigured for crew outfitting and trash processing technologies to increase habitable volume and improve protection against solar storm events are under development. Additionally, Mars class missions are sufficiently distant that even logistics management without resupply can be problematic due to the communication time delay with Earth. Although exploration vehicles are launched with all consumables and logistics in a defined configuration, the configuration continually changes as the mission progresses. Traditionally significant ground and crew time has been required to understand the evolving configuration and locate misplaced items. For key mission events and unplanned contingencies, the crew will not be able to rely on the ground for logistics localization assistance. NASA has been developing a radio frequency identification autonomous logistics management system to reduce crew time for general inventory and enable greater crew self-response to unplanned events when a wide range of items may need to be located in a very short time period. This paper provides a status of the technologies being developed and there mission benefits for exploration missions.

  5. Diamond knife-assisted deep anterior lamellar keratoplasty to manage keratoconus.

    Vajpayee, Rasik B; Maharana, Prafulla K; Sharma, Namrata; Agarwal, Tushar; Jhanji, Vishal

    2014-02-01

    To evaluate the outcomes of a new surgical technique, diamond knife-assisted deep anterior lamellar keratoplasty (DALK), and compare its visual and refractive results with big-bubble DALK in cases of keratoconus. Tertiary eyecare hospital. Comparative case series. The visual and surgical outcomes of diamond knife-assisted DALK were compared with those of successful big-bubble DALK. Diamond knife-assisted DALK was performed in 19 eyes and big-bubble DALK, in 11 eyes. All surgeries were completed successfully. No intraoperative or postoperative complications occurred with diamond knife-assisted DALK. Six months after diamond knife-assisted DALK, the mean corrected distance visual acuity (CDVA) improved significantly from 1.87 logMAR ± 0.22 (SD) to 0.23 ± 0.06 logMAR, the mean keratometry improved from 65.99 ± 8.86 diopters (D) to 45.13 ± 1.16 D, and the mean keratometric cylinder improved from 7.99 ± 3.81 D to 2.87 ± 0.59 D (all P=.005). Postoperatively, the mean refractive astigmatism was 2.55 ± 0.49 D and the mean spherical equivalent was -1.97 ± 0.56 D. The mean logMAR CDVA (P = .06), postoperative keratometry (P=.64), refractive cylinder (P=.63), and endothelial cell loss (P=.11) were comparable between diamond knife-assisted DALK and big-bubble DALK. Diamond knife-assisted DALK was effective and predictable as a surgical technique for management of keratoconus cases. This technique has the potential to offer visual and refractive outcomes comparable to those of big-bubble DALK. No author has a financial or proprietary interest in any material or method mentioned. Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

  6. Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction.

    Rohrich, Rod J; Ha, Richard Y; Kenkel, Jeffrey M; Adams, William P

    2003-02-01

    Gynecomastia, or excessive male breast development, has an incidence of 32 to 65 percent in the male population. This condition has important physical and psychological impacts. Advances in elucidating the pathophysiology of gynecomastia have been made, though understanding remains limited. Recommendations for evaluation and workup have varied and are often arbitrary. A diagnostic algorithm is suggested, with emphasis on a comprehensive history, physical examination, and minimizing unnecessary diagnostic testing. Medical management has had limited success; surgical therapy, primarily through excisional techniques, has been the accepted standard. Although effective, excisional techniques subject patients to large, visible scars. Ultrasound-assisted liposuction has recently emerged as a safe and effective method for the treatment of gynecomastia. It is particularly efficient in the removal of the dense, fibrous male breast tissue while offering advantages in minimal external scarring. A new system of classification and graduated treatment is proposed, based on glandular versus fibrous hypertrophy and degree of breast ptosis (skin excess). The authors' series of 61 patients with gynecomastia from 1987 to 2000 at the University of Texas Southwestern Department of Plastic Surgery demonstrated an overall success rate of 86.9 percent using suction-assisted lipectomy (1987 to 1997) and ultrasound-assisted liposuction (1997 to 2000). The authors have found ultrasound-assisted liposuction to be effective in treating most grades of gynecomastia. Excisional techniques are reserved for severe gynecomastia with significant skin excess after attempted ultrasound-assisted liposuction.

  7. A Crisis Management Approach To Mission Survivability In Computational Multi-Agent Systems

    Aleksander Byrski

    2010-01-01

    Full Text Available In this paper we present a biologically-inspired approach for mission survivability (consideredas the capability of fulfilling a task such as computation that allows the system to be aware ofthe possible threats or crises that may arise. This approach uses the notion of resources usedby living organisms to control their populations.We present the concept of energetic selectionin agent-based evolutionary systems as well as the means to manipulate the configuration ofthe computation according to the crises or user’s specific demands.

  8. Formulation of consumables management models: Mission planning processor payload interface definition

    Torian, J. G.

    1977-01-01

    Consumables models required for the mission planning and scheduling function are formulated. The relation of the models to prelaunch, onboard, ground support, and postmission functions for the space transportation systems is established. Analytical models consisting of an orbiter planning processor with consumables data base is developed. A method of recognizing potential constraint violations in both the planning and flight operations functions, and a flight data file storage/retrieval of information over an extended period which interfaces with a flight operations processor for monitoring of the actual flights is presented.

  9. Operational Risk Management: Increasing Mission Effectiveness Through Improved Planning and Execution of Joint Operations

    Beckvonpeccoz, Stephen

    1997-01-01

    .... This deficiency should be remedied with the adoption of Operational Risk Management (ORM), an existing process which would provide operational commanders a tool for making smarter risk decisions...

  10. Fiberoptic endoscopic-assisted diverticulotomy: a novel technique for the management of Zenker's diverticulum.

    Altman, Jason I; Genden, Eric M; Moche, Jason

    2005-05-01

    Endoscopic diverticulotomy is rapidly becoming the procedure of choice for treatment of Zenker's diverticulum. The endoscopic approach has resulted in significant decreases in patient morbidity, time to resumption of oral intake, and overall cost as compared with open treatment. However, a small but significant patient population is unable to accommodate the rigid laryngoscope and therefore requires open treatment. We present a novel technique, flexible fiberoptic endoscopic-assisted diverticulotomy, for the management of patients who are unable to undergo rigid endoscopy.

  11. The DISAM Journal of International Security Assistance Management. Volume 23, Number 3, Spring 2001

    2001-01-01

    there are rights and freedoms to which every human is entitled, no matter where he or she lives. In this issue we offer the introduction to the report...Assistance Management INTRODUCTION The last DISAM Journal, Winter 2000/2001 Edition, provided an extensive description and analysis of the numerous...FY2001 Country/Program by ESF Budget ESF Geographical Region Funding Request Funding Partnerships to Eliminate Sweatshops 4.000 5.000 3.986 Environmental

  12. Diode laser and periodontal regeneration-assisted management of implant complications in anterior maxilla

    Sanjeev Kumar Salaria

    2018-01-01

    Full Text Available Dental implant is being considered successful if the patient is pleased with both of its functional and esthetic outcome. As implant complications (such as peri-implantitis, inappropriate implant position, wrong angulation, and implant location too close to anatomical structures have been frequently encountered in dental practice, therefore, thorough knowledge to manage such complications is the key prerequisite to prevent the failure of implant. The present case report discussed the etiology, diagnosis of early peri-implantitis, and periodontal abscess with their successful management through periodontal regeneration and diode laser-assisted therapy.

  13. Diode Laser and Periodontal Regeneration-Assisted Management of Implant Complications in Anterior Maxilla.

    Salaria, Sanjeev Kumar; Sharma, Isha; Brar, Navjot Kaur; Kaur, Satwant

    2018-01-01

    Dental implant is being considered successful if the patient is pleased with both of its functional and esthetic outcome. As implant complications (such as peri-implantitis, inappropriate implant position, wrong angulation, and implant location too close to anatomical structures) have been frequently encountered in dental practice, therefore, thorough knowledge to manage such complications is the key prerequisite to prevent the failure of implant. The present case report discussed the etiology, diagnosis of early peri-implantitis, and periodontal abscess with their successful management through periodontal regeneration and diode laser-assisted therapy.

  14. Safety and Mission Assurance (SMA) Automated Task Order Management System (ATOMS) Operation Manual

    Wallace, Shawn; Fikes, Lou A.

    2016-01-01

    This document describes operational aspects of the ATOMS system. The information provided is limited to the functionality provided by ATOMS and does not include information provided in the contractor's proprietary financial and task management system.

  15. An expert system for fault management assistance on a space sleep experiment

    Atamer, A.; Delaney, M.; Young, L. R.

    2002-01-01

    The expert system, Principal Investigator-in-a-box, or [PI], was designed to assist astronauts or other operators in performing experiments outside their expertise. Currently, the software helps astronauts calibrate instruments for a Sleep and Respiration Experiment without contact with the investigator on the ground. It flew on the Space Shuttle missions STS-90 and STS-95. [PI] displays electrophysiological signals in real time, alerts astronauts via the indicator lights when a poor signal quality is detected, and advises astronauts how to restore good signal quality. Thirty subjects received training on the sleep instrumentation and the [PI] interface. A beneficial effects of [PI] and training reduced troubleshooting time. [PI] benefited subjects on the most difficult scenarios, even though its lights were not 100% accurate. Further, questionnaires showed that most subjects preferred monitoring waveforms with [PI] assistance rather than monitoring waveforms alone. This study addresses problems of complex troubleshooting and the extended time between training and execution that is common to many human operator situations on earth such as in power plant operation, and marine exploration.

  16. The application of total quality management principles to spacecraft mission operations

    Sweetin, Maury

    1993-03-01

    By now, the philosophies of Total Quality Management have had an impact on every aspect of American industrial life. The trail-blazing work of Deming, Juran, and Crosby, first implemented in Japan, has 're-migrated' across the Pacific and now plays a growing role in America's management culture. While initially considered suited only for a manufacturing environment, TQM has moved rapidly into the 'service' areas of offices, sales forces, and even fast-food restaurants. The next logical step has also been taken - TQM has found its way into virtually all departments of the Federal Government, including NASA. Because of this widespread success, it seems fair to ask whether this new discipline is directly applicable to the profession of spacecraft operations. The results of quality emphasis on OAO Corporation's contract at JPL provide strong support for Total Quality Management as a useful tool in spacecraft operations.

  17. The application of total quality management principles to spacecraft mission operations

    Sweetin, Maury

    1993-01-01

    By now, the philosophies of Total Quality Management have had an impact on every aspect of American industrial life. The trail-blazing work of Deming, Juran, and Crosby, first implemented in Japan, has 're-migrated' across the Pacific and now plays a growing role in America's management culture. While initially considered suited only for a manufacturing environment, TQM has moved rapidly into the 'service' areas of offices, sales forces, and even fast-food restaurants. The next logical step has also been taken - TQM has found its way into virtually all departments of the Federal Government, including NASA. Because of this widespread success, it seems fair to ask whether this new discipline is directly applicable to the profession of spacecraft operations. The results of quality emphasis on OAO Corporation's contract at JPL provide strong support for Total Quality Management as a useful tool in spacecraft operations.

  18. Definitional-mission report: Demand-side management program for the Tenaga Nasional Berhad in Malaysia. Export trade information

    1992-03-01

    A definitional mission evaluated the prospects of the US Trade and Development Program (TDP) funding a market demonstration of a Demand Side Management (DSM) program being developed by the Tenaga Nasional Berhad (TNB) in Malaysia. TNB is the national electric utility of Malaysia with the responsibility to promote economically efficient supply of electricity needed for the economic development of Peninsular Malaysia. DSM is a utility-financed program to affect energy savings at the enduse level thereby reducing peak and base loads. Historically, TNB has taken the peak load and the load duration curves as given in planning and implementing the least-cost generation expansion strategy. It has refrained from influencing the pattern of energy use by the customer through any means other than tariff structures and levels. The experience of many utilities with DSM in the U.S. offers TNB an opportunity to develop a suitable DSM program for Malaysia.

  19. Gender, British Administration and Mission Management of Education in Zambia 1900-1939

    Allen, Julia

    2010-01-01

    This article discusses the impact of including gender in the analytical framework in a study of the management and provision of education in Zambia from 1900 to 1939. It shows that a focus on gender allows females to enter the historical narrative and the leadership of women such as Mabel Shaw, Hannah Frances Davidson and Julia Smith can be given…

  20. Applying Strategic Management in the Office of the Assistant Secretary of the Army for Financial Management and Comptroller (ASA(FM&C))

    Sturek, Frank

    2000-01-01

    The Assistant Secretary of the Army for Financial Management and Comptroller (ASA(FM&C)), the Honorable Mrs. Helen T. McCoy, started an organizational performance improvement initiative in September 1999...

  1. The Faster, Better, Cheaper Approach to Space Missions: An Engineering Management Assessment

    Hamaker, Joseph W.

    1999-01-01

    NASA was chartered as an independent civilian space agency in 1958 following the Soviet Union's dramatic launch of the Sputnik 1 (1957). In his state of the union address in May of 1961, President Kennedy issued to the fledging organization his famous challenge for a manned lunar mission by the end of the decade. The Mercury, Gemini and Apollo programs that followed put the utmost value on high quality, low risk (as low as possible within the context of space flight), quick results, all with little regard for cost. These circumstances essentially melded NASAs culture as an organization capable of great technological achievement but at extremely high cost. The Space Shuttle project, the next major agency endeavor, was put under severe annual budget constraints in the 1970's. NASAs response was to hold to the high quality standards, low risk and annual cost and let schedule suffer. The result was a significant delay in the introduction of the Shuttle as well as overall total cost growth. By the early 1990's, because NASA's budget was declining, the number of projects was also declining. Holding the same cost and schedule productivity levels as before was essentially causing NASA to price itself out of business. In 1992, the helm of NASA was turned over to a new Administrator. Dan Goldin's mantra was "faster, better, cheaper" and his enthusiasm and determination to change the NASA culture was not to be ignored. This research paper documents the various implementations of "faster, better, cheaper" that have been attempted, analyzes their impact and compares the cost performance of these new projects to previous NASA benchmarks. Fundamentally, many elements of "faster, better, cheaper" are found to be working well, especially on smaller projects. Some of the initiatives are found to apply only to smaller or experimental projects however, so that extrapolation to "flagship" projects may be problematic.

  2. Vehicle Dynamics Monitoring and Tracking System (VDMTS): Monitoring Mission Impacts in Support of Installation Land Management

    2012-06-01

    mine vehicle velocity and turning radius 8 Using vehicle impact mod- els for prediction of im- pacts 7 Analyzing impact data for site-specific...Allocation of Land for Training and Non-Training Uses ( OPAL ). The objective of the OPAL work package is to predict impacts for cumulative military land-use...Management and Budget OPAL Optimal Allocation of Land for Training and Non-Training Uses OTD Office of the Technical Director PI Principal Investigator

  3. Preparation and Launch of the JEM ISS Elements - A NASA Mission Manager's Perspective

    Higginbotham, Scott A.

    2016-01-01

    The pre-flight launch site preparations and launch of the Japanese Experiment Module (JEM) elements of the International Space Station required an intense multi-year, international collaborative effort between US and Japanese personnel at the Kennedy Space Center (KSC). This presentation will provide a brief overview of KSC, a brief overview of the ISS, and a summary of authors experience managing the NASA team responsible that supported and conducted the JEM element operations.

  4. Report on the Stanford/KACST/AMES UVLED small satellite mission to demonstrate charge management of an electrically isolated proof mass for drag-free operation

    Saraf, Shailendhar

    A spacecraft demonstration of ultra-violet (UV) LEDs and UV LED charge management based on research done at Stanford University is being developed jointly by the King Abdulaziz City for Science and Technology (KACST) Saudi Arabia and NASA Ames Research Center, with an expected launch date of June 2014. This paper will report on the payload design and testing, mission preparation, satellite launch and payload bring -up in space. Mission lifetime is expected to be at least one month, during which time the ability for the UV LEDs to mitigate actual space-based charging and the effects of radiation on the UV LED device performance will be studied. Precise control over the potential of an electrically isolated proof mass is necessary for the operation of devices such as a Gravitational Reference Sensor (GRS) and satellite missions such as LISA. The mission will demonstrate that AlGaN UV LEDs operating at 255 nm are an effective low-cost, low-power and compact substitute for Mercury vapor lamps used in previous missions. The goal of the mission is to increase the UV LED device to TRL-9 and the charge management system to TRL-7.

  5. CRITICAL INCIDENTS AND CRITICAL INCIDENT STRESS MANAGEMENT (CISM – AN EMPLOYEE ASSISTANCE PROGRAMME (EAP PERSPECTIVE

    Terblanche, Lourie

    2014-04-01

    Full Text Available Employees are increasingly becoming victims of critical incidents. From a systems theory point of view, it is necessary to acknowledge the impact of critical incidents not only on the personal life of the employee, but on the workplace itself. Employees respond differently to critical incidents, which makes it even more complicated when this reaches the point of requiring therapeutic intervention. The most common response to critical incidents may be the risk of developing post-traumatic stress disorder (PTSD and/or depression. This reality requires management – through the Employee Assistance Programme (EAP – to be able to effectively deal with such critical incidents.

  6. Vacuum-assisted wound closure for the management of a foot ulcer due to Buerger's disease.

    Canter, Halil Ibrahim; Isci, Evren; Erk, Yucel

    2009-02-01

    Thromboangiitis obliterans is a segmental inflammatory disease of the small- and medium-sized vessels mainly affecting the extremities. Although there are numerous reports concerning the treatment of these debilitating, chronic ulcers, such as skin grafting, local flaps, and free flaps, this report is the first published case of a patient with Buerger's disease, successfully managed with vacuum-assisted closure (VAC) application. This therapy decreases the period of hospital stay and increases patient comfort between dressings. Further clinical studies are needed to demonstrate the effectiveness and safety of VAC therapy in treatment of ulcers due to different kinds of vasculitis.

  7. Developing a Knowledge Management Framework to Assist With Current USMC Information Management Practices

    2010-09-01

    OF CONTENTS I. INTRODUCTION ........................................................................................................1 II. LITERATURE...LEFT BLANK 1 I. INTRODUCTION Marine Corps Information Management is performed in accordance with Marine Corps Warfighting Publication (MCWP) 3...November 13). Air Force Center of Excellence for Knowledge Mangement Briefing. Washington, D.C. Alavi, M., & Leidner, D. E. (2001). Review: Knowledge

  8. Core Competencies in Disaster Management and Humanitarian Assistance: A Systematic Review.

    Ripoll Gallardo, Alba; Djalali, Ahmadreza; Foletti, Marco; Ragazzoni, Luca; Della Corte, Francesco; Lupescu, Olivera; Arculeo, Chris; von Arnim, Gotz; Friedl, Tom; Ashkenazi, Michael; Fisher, Philipp; Hreckovski, Boris; Khorram-Manesh, Amir; Komadina, Radko; Lechner, Konstanze; Stal, Marc; Patru, Cristina; Burkle, Frederick M; Ingrassia, Pier Luigi

    2015-08-01

    Disaster response demands a large workforce covering diverse professional sectors. Throughout this article, we illustrate the results of a systematic review of peer-reviewed studies to identify existing competency sets for disaster management and humanitarian assistance that would serve as guidance for the development of a common disaster curriculum. A systematic review of English-language articles was performed on PubMed, Google Scholar, Scopus, ERIC, and Cochrane Library. Studies were included if reporting competency domains, abilities, knowledge, skills, or attitudes for professionals involved disaster relief or humanitarian assistance. Exclusion criteria included abstracts, citations, case studies, and studies not dealing with disasters or humanitarian assistance. Thirty-eight papers were analyzed. Target audience was defined in all articles. Five references (13%) reported cross-sectorial competencies. Most of the articles (81.6%) were specific to health care. Eighteen (47%) papers included competencies for at least 2 different disciplines and 18 (47%) for different professional groups. Nursing was the most widely represented cadre. Eighteen papers (47%) defined competency domains and 36 (94%) reported list of competencies. Nineteen articles (50%) adopted consensus-building to define competencies, and 12 (31%) included competencies adapted to different professional responsibility levels. This systematic review revealed that the largest number of papers were mainly focused on the health care sector and presented a lack of agreement on the terminology used for competency-based definition.

  9. Research into Behaviour Patterns Typical for Consumers of Construction Material as the Mission of Ecological Management

    Ivanova Zinaida

    2016-01-01

    Full Text Available The objective of the co-authors is to study the motivation of purchasers of construction/finishing materials and the criteria that govern their selection. No systemic studies of consumer behavioral models and stereotypes in respect of residential housing have been performed so far. However, the environmentally determined management techniques, applicable to the production of building materials and construction of residential housing, are highly relevant both worldwide and in the Russian Federation. The co-authors have developed an original research methodology, drafted a questionnaire, and conducted a pilot survey. Its findings have proven that the price and quality of construction materials are the main factors that influence the decision making process in favor of particular items. Mere 14% of the respondents chose environmental friendliness as the decision making criterion. The findings of the focus group projects have also proven the trustworthiness of the stereotypes and behavioral models identified by the co-authors. The co-authors make a conclusion that further sociological surveys are needed to implement the patterns of environmentally determined management and to influence the value paradigms of the population.

  10. Assistive technologies for self-managed pressure ulcer prevention in spinal cord injury: a scoping review.

    Tung, James Y; Stead, Brent; Mann, William; Ba'Pham; Popovic, Milos R

    2015-01-01

    Pressure ulcers (PUs) in individuals with spinal cord injury (SCI) present a persistent and costly problem. Continuing effort in developing new technologies that support self-managed care is an important prevention strategy. Specifically, the aims of this scoping review are to review the key concepts and factors related to self-managed prevention of PUs in individuals with SCI and appraise the technologies available to assist patients in self-management of PU prevention practices. There is broad consensus that sustaining long-term adherence to prevention regimens is a major concern. Recent literature highlights the interactions between behavioral and physiological risk factors. We identify four technology categories that support self-management: computer-based educational technologies demonstrated improved short-term gains in knowledge (2 studies), interface pressure mapping technologies demonstrated improved adherence to pressure-relief schedules up to 3 mo (5 studies), electrical stimulation confirmed improvements in tissue tolerance after 8 wk of training (3 studies), and telemedicine programs demonstrated improvements in independence and reduced hospital visits over 6 mo (2 studies). Overall, self-management technologies demonstrated low-to-moderate effectiveness in addressing a subset of risk factors. However, the effectiveness of technologies in preventing PUs is limited due to a lack of incidence reporting. In light of the key findings, we recommend developing integrated technologies that address multiple risk factors.

  11. Parts Quality Management: Direct Part Marking via Data Matrix Symbols for Mission Assurance

    Moss, Chantrice

    2013-01-01

    A United States Government Accountability Office (GAO) review of twelve NASA programs found widespread parts quality problems contributing to significant cost overruns, schedule delays, and reduced system reliability. Direct part-marking with Data Matrix symbols could significantly improve the quality of inventory control and parts lifecycle management. This paper examines the feasibility of using 15 marking technologies for use in future NASA programs. A structural analysis is based on marked material type, operational environment (e.g., ground, suborbital, orbital), durability of marks, ease of operation, reliability, and affordability. A cost-benefits analysis considers marking technology (data plates, label printing, direct part marking) and marking types (two-dimensional machine-readable, human-readable). Previous NASA parts marking efforts and historical cost data are accounted for, including in-house vs. outsourced marking. Some marking methods are still under development. While this paper focuses on NASA programs, results may be applicable to a variety of industrial environments.

  12. Parts Quality Management: Direct Part Marking of Data Matrix Symbol for Mission Assurance

    Moss, Chantrice; Chakrabarti, Suman; Scott, David W.

    2013-01-01

    A United States Government Accountability Office (GAO) review of twelve NASA programs found widespread parts quality problems contributing to significant cost overruns, schedule delays, and reduced system reliability. Direct part marking with Data Matrix symbols could significantly improve the quality of inventory control and parts lifecycle management. This paper examines the feasibility of using direct part marking technologies for use in future NASA programs. A structural analysis is based on marked material type, operational environment (e.g., ground, suborbital, Low Earth Orbit), durability of marks, ease of operation, reliability, and affordability. A cost-benefits analysis considers marking technology (label printing, data plates, and direct part marking) and marking types (two-dimensional machine-readable, human-readable). Previous NASA parts marking efforts and historical cost data are accounted for, including inhouse vs. outsourced marking. Some marking methods are still under development. While this paper focuses on NASA programs, results may be applicable to a variety of industrial environments.

  13. Mission impossible? Urological management of patients with spinal cord injury during pregnancy: a systematic review.

    Pannek, J; Bertschy, S

    2011-10-01

    A systematic literature review. To systematically assess the existing knowledge about treatment of neurogenic lower urinary tract dysfunction (NLUTD) in pregnant women with traumatic spinal cord injury (SCI), as urologic management of these patients is mandatory, but no guidelines are available. Paraplegic center in Switzerland. Studies were identified by electronic search of PubMed and MedLine. Data were pooled and analyzed quantitatively. The evidence level of all 14 reports (163 patients, 226 pregnancies) included was low. In 13 studies, information was gathered by a retrospective review of the medical records or by questionnaires. In all studies, reported data were incomplete. SCI was cervical in 34.7%, thoracic in 61.2% and lumbar in 4.1% of the pregnant women. In all 34.7% of the women used indwelling catheters, 25% performed intermittent catheterization, 11.5% used the Credé maneuver and 28.8% voided spontaneously. A total of 64% of the patients had at least one symptomatic urinary tract infection (UTI) during pregnancy. UTIs were more common in women with indwelling catheters (100%) than in those performing intermittent catheterization (38.5%), using the Credé technique (17%) or voiding spontaneously (53.3%). One study demonstrated a significant reduction in UTI during pregnancy without complications in mothers or infants. No evidence-based recommendations can be drawn from the existing literature to guide urologists in the management of NLUTD in pregnant women with SCI. The number of studies is small, and data acquisition and presentation are often inadequate. Thus, further research is urgently needed.

  14. Vacuum-assisted closure (VAC) therapy in the management of wound infection following renal transplantation.

    Shrestha, B M; Nathan, V C; Delbridge, M C; Parker, K; Throssell, D; McKane, W S; Karim, M S; Raftery, A T

    2007-01-01

    Wound infection in the setting of immunosuppressed state such as renal transplantation (RT) causes significant morbidity from sepsis, prolongs hospital stay and is expensive. Vacuum-assisted closure (VAC) therapy is a new technique of management of wound based on the principle of application of controlled negative pressure. The aim of this study was to assess the efficacy of VAC therapy in the management of wound infection following RT. This is a prospective study of a cohort of 180 consecutive RTs performed over a period of 4 years, where the data were retrieved from a prospectively maintained computerised database and case-notes. 9 of 180 (5%) patients developed wound infection following RT which led to cavitations and dehiscence with copious discharge, and refused to heal with conventional treatment. All 9 cases were treated with VAC therapy. The VAC system was removed after a median of 9 (range 3-30) days when discharge from the wound ceased. Four patients were discharged home with portable VAC device and managed on an outpatient basis, where the system was removed after a median 5.5 (range 3-7) days. The median hospital stay after initiation of VAC therapy was significantly shorter (5, range 2-12 days) than on conventional treatment prior to VAC therapy (11, range, 5-20 days) (p=0.003). Complete healing was achieved in all cases. The use of VAC therapy is an effective and safe adjunct to conventional and established treatment modalities for the management of wound infection and dehiscence following RT. Key words: Renal transplantation, wound infection, vacuum-assisted closure therapy.

  15. Mission Critical Occupation (MCO) Charts

    Office of Personnel Management — Agencies report resource data and targets for government-wide mission critical occupations and agency specific mission critical and/or high risk occupations. These...

  16. Perioperative management of calves undergoing implantation of a left ventricular assist device.

    Wilson, D V; Kantrowitz, A; Pacholewicz, J; Salat, O; Paules, B R; Zhou, Y; Dawe, E J

    2000-01-01

    To describe perioperative management of calves that underwent left lateral thoracotomy, aortic cross-clamping, partial left heart bypass and implantation of a left ventricular assist device. A total of 43 healthy castrated male calves, weighing 121 +/- 24 kg. Diazepam (mean +/- SD, 0.26 +/- 0.07 mg/kg), ketamine (5.9 +/- 2.17 mg/kg) and isoflurane were used in the anesthetic management of calves undergoing implantation of a left ventricular assist device in the descending thoracic aorta. Other adjunctive agents administered were fentanyl (11 +/- 5.4 microg/kg), lidocaine (4.9 +/- 3.19 mg/kg), bupivacaine (0.75%) and butorphanol (0.49 +/- 0.13 mg/kg). None of the calves regurgitated at induction or during intubation. A tube was used to drain the rumen and prevent bloat during the procedure. Partial left heart bypass was used to perfuse the caudal half of the body during the period of aortic cross clamp and device implantation. Initial mean systemic blood pressure was 96 +/- 25 mm Hg, and pressures measured in the auricular artery increased during aortic cross-clamping and bypass. Vasoconstrictor therapy was required to treat caudal arterial hypotension during the procedure in 9 calves. Mean systemic arterial pressures returned to baseline values by the end of the anesthetic period. Initial mean pulmonary arterial pressures (PAP) were 22 +/- 3 mm Hg. A significant but transient increase in pulmonary arterial pressure occurred after both heparin and protamine administration. The described anesthetic protocol was effective for thoracotomy and implantation of an intra-aortic left ventricular assist device in normal calves. Partial left ventricular bypass was a useful adjunct during the period of aortic cross clamp. The doses of heparin and protamine administered were effective. Responsibility to monitor oxygenation of the cranial half of the animal continues during the bypass period as hypoxemia due to pulmonary dysfunction will not be detected by the perfusionist.

  17. Power Management and Distribution Trades Studies for a Deep-Space Mission Scientific Spacecraft

    Kimnach, Greg L.; Soltis, James V.

    2004-01-01

    As part of NASA's Project Prometheus, the Nuclear Systems Program, NASA GRC performed trade studies on the various Power Management and Distribution (PMAD) options for a deep-space scientific spacecraft which would have a nominal electrical power requirement of 100 kWe. These options included AC (1000Hz and 1500Hz and DC primary distribution at various voltages. The distribution system efficiency, reliability, mass, thermal, corona, space radiation levels and technology readiness of devices and components were considered. The final proposed system consisted of two independent power distribution channels, sourced by two 3-phase, 110 kVA alternators nominally operating at half-rated power. Each alternator nominally supplies 50kWe to one half of the ion thrusters and science modules but is capable of supplying the total power re3quirements in the event of loss of one alternator. This paper is an introduction to the methodology for the trades done to arrive at the proposed PMAD architecture. Any opinions expressed are those of the author(s) and do not necessarily reflect the views of Project Prometheus.

  18. Video-assisted thoracoscopic surgery in the management of penetrating and blunt thoracic trauma

    Milanchi S

    2009-01-01

    Full Text Available Background: The role of video-assisted Thoracoscopic Surgery (VATS is still being defined in the management of thoracic trauma. We report our trauma cases managed by VATS and review the role of VATS in the management of thoracic trauma. Materials and Methods: All the trauma patients who underwent VATS from 2000 to 2007 at Cedars-Sinai Medical Center were retrospectively studied. Results: Twenty-three trauma patients underwent 25 cases of VATS. The most common indication for VATS was retained haemothorax. Thoracotomy was avoided in 21 patients. VATS failed in two cases. On an average VATS was performed on trauma day seven (range 1-26 and the length of hospital stay was 20 days (range 3-58. There was no mortality. VATS was performed in an emergency (day 1-2, or in the early (day 2-7 or late (after day 7 phases of trauma. Conclusion: VATS can be performed safely for the management of thoracic traumas. VATS can be performed before or after thoracotomy and at any stage of trauma. The use of VATS in trauma has a trimodal distribution (emergent, early, late, each with different indications.

  19. Video-assisted thoracoscopic surgery in the management of penetrating and blunt thoracic trauma.

    Milanchi, S; Makey, I; McKenna, R; Margulies, D R

    2009-01-01

    The role of video-assisted Thoracoscopic Surgery (VATS) is still being defined in the management of thoracic trauma. We report our trauma cases managed by VATS and review the role of VATS in the management of thoracic trauma. All the trauma patients who underwent VATS from 2000 to 2007 at Cedars-Sinai Medical Center were retrospectively studied. Twenty-three trauma patients underwent 25 cases of VATS. The most common indication for VATS was retained haemothorax. Thoracotomy was avoided in 21 patients. VATS failed in two cases. On an average VATS was performed on trauma day seven (range 1-26) and the length of hospital stay was 20 days (range 3-58). There was no mortality. VATS was performed in an emergency (day 1-2), or in the early (day 2-7) or late (after day 7) phases of trauma. VATS can be performed safely for the management of thoracic traumas. VATS can be performed before or after thoracotomy and at any stage of trauma. The use of VATS in trauma has a trimodal distribution (emergent, early, late), each with different indications.

  20. Exploring nursing assistants' roles in the process of pain management for cognitively impaired nursing home residents: a qualitative study.

    Liu, Justina Y W

    2014-05-01

    To explore nursing assistants' roles during the actual process of pain management (assessment, reporting, implementation of pain-relieving interventions and re-assessment) for cognitively impaired home residents with pain. Nursing assistants provide most of the direct care to residents and represent the major taskforce in nursing homes. They may develop specialized knowledge of residents' pain experience that enables them to play both a pivotal role in pain assessment and possibly a supporting role in pain treatment. Currently, there is a lack of research into nursing assistants' functions in pain management. This is a descriptive, exploratory qualitative study. Forty-nine nursing assistants were recruited from 12 nursing homes, 12 of them participating in semi-structured individual interviews and 37 in 8 semi-structured focus groups. All interviews were carried out from May to September 2010. Data collected via both data collection methods were transcribed verbatim and analysed by content analysis. Nursing assistants were found to play four roles in the pain management process: (1) pain assessor; (2) reporter; (3) subordinate implementing prescribed medications; and (4) instigator implementing non-pharmacological interventions. This study highlights the importance of nursing assistants in successful pain assessment and identifies their possible supporting roles in other aspects of pain management. However, nursing assistants' scope of practice resulted in their functions in pain management being continually undervalued by other healthcare professionals. Continuous in-service training, the use of a standardized pain management protocol and strategies for building coherent work teams in nursing homes are suggested to improve this situation. © 2013 John Wiley & Sons Ltd.

  1. Atmospheric Radiation Measurement's Data Management Facility captures metadata and uses visualization tools to assist in routine data management.

    Keck, N. N.; Macduff, M.; Martin, T.

    2017-12-01

    The Atmospheric Radiation Measurement's (ARM) Data Management Facility (DMF) plays a critical support role in processing and curating data generated by the Department of Energy's ARM Program. Data are collected near real time from hundreds of observational instruments spread out all over the globe. Data are then ingested hourly to provide time series data in NetCDF (network Common Data Format) and includes standardized metadata. Based on automated processes and a variety of user reviews the data may need to be reprocessed. Final data sets are then stored and accessed by users through the ARM Archive. Over the course of 20 years, a suite of data visualization tools have been developed to facilitate the operational processes to manage and maintain the more than 18,000 real time events, that move 1.3 TB of data each day through the various stages of the DMF's data system. This poster will present the resources and methodology used to capture metadata and the tools that assist in routine data management and discoverability.

  2. Gas mission; Mission gaz

    NONE

    2001-07-01

    This preliminary report analyses the desirable evolutions of gas transport tariffing and examines some questions relative to the opening of competition on the French gas market. The report is made of two documents: a synthesis of the previous report with some recommendations about the tariffing of gas transport, about the modalities of network access to third parties, and about the dissociation between transport and trade book-keeping activities. The second document is the progress report about the opening of the French gas market. The first part presents the European problem of competition in the gas supply and its consequences on the opening and operation of the French gas market. The second part presents some partial syntheses about each topic of the mission letter of the Ministry of Economics, Finances and Industry: future evolution of network access tariffs, critical analysis of contractual documents for gas transport and delivery, examination of auxiliary services linked with the access to the network (modulation, balancing, conversion), consideration about the processing of network congestions and denied accesses, analysis of the metering dissociation between the integrated activities of gas operators. Some documents are attached in appendixes: the mission letter from July 9, 2001, the detailed analysis of the new temporary tariffs of GdF and CFM, the offer of methane terminals access to third parties, the compatibility of a nodal tariffing with the presence of three transport operators (GdF, CFM and GSO), the contract-type for GdF supply, and the contract-type for GdF connection. (J.S.)

  3. A Vehicle Management End-to-End Testing and Analysis Platform for Validation of Mission and Fault Management Algorithms to Reduce Risk for NASA's Space Launch System

    Trevino, Luis; Johnson, Stephen B.; Patterson, Jonathan; Teare, David

    2015-01-01

    The development of the Space Launch System (SLS) launch vehicle requires cross discipline teams with extensive knowledge of launch vehicle subsystems, information theory, and autonomous algorithms dealing with all operations from pre-launch through on orbit operations. The characteristics of these systems must be matched with the autonomous algorithm monitoring and mitigation capabilities for accurate control and response to abnormal conditions throughout all vehicle mission flight phases, including precipitating safing actions and crew aborts. This presents a large complex systems engineering challenge being addressed in part by focusing on the specific subsystems handling of off-nominal mission and fault tolerance. Using traditional model based system and software engineering design principles from the Unified Modeling Language (UML), the Mission and Fault Management (M&FM) algorithms are crafted and vetted in specialized Integrated Development Teams composed of multiple development disciplines. NASA also has formed an M&FM team for addressing fault management early in the development lifecycle. This team has developed a dedicated Vehicle Management End-to-End Testbed (VMET) that integrates specific M&FM algorithms, specialized nominal and off-nominal test cases, and vendor-supplied physics-based launch vehicle subsystem models. The flexibility of VMET enables thorough testing of the M&FM algorithms by providing configurable suites of both nominal and off-nominal test cases to validate the algorithms utilizing actual subsystem models. The intent is to validate the algorithms and substantiate them with performance baselines for each of the vehicle subsystems in an independent platform exterior to flight software test processes. In any software development process there is inherent risk in the interpretation and implementation of concepts into software through requirements and test processes. Risk reduction is addressed by working with other organizations such as S

  4. Country programming mission. Namibia

    1991-01-01

    In response to a request from the Government of Namibia conveyed in a letter dated 29 November 1990 IAEA provided a multi-disciplinary Programming Mission which visited Namibia from 15 - 19 July 1991. The terms of reference of the Mission were: 1. To assess the possibilities and benefits of nuclear energy applications in Namibia's development; 2. To advise on the infrastructure required for nuclear energy projects; 3. To assist in the formulation of project proposals which could be submitted for Agency assistance. This report is based on the findings of the Mission and falls into 3 sections with 8 appendices. The first section is a country profile providing background information, the second section deals with sectorial needs and institutional review of the sectors of agriculture including animal production, life sciences (nuclear medicine and radiotherapy) and radiation protection. The third section includes possible future technical co-operation activities

  5. Analysis on incidence and management of complications after femtosecond laser-assisted small incision lenticule extraction

    Cai-Hong Li

    2018-04-01

    Full Text Available AIM: To evaluate the safety and postoperative complications of femtosecond laser-assisted small incision lenticule extraction(SMILE. METHODS: Retrospective case series. A total of 1127 patients(2 236 eyeswho were treated with SMILE for myopia or myopia astigmatism between June 2016 and May 2017 were enrolled in this study. Eyes that developed postoperative complications were noted and identified. The incidence, risk factors, management and prognosis were analyzed. The follow-up was 6mo.RESULTS: The rate of postoperative complications was 8.05%, included diffuse lamellar keratitis(3.31%, delayed visual acuity(2.59%, minor interface residue(0.63%, and ghost images(1.52%. These complications had an impact on best corrected visual acuity(BCVAat 3mo in only 1 eye with decentered ablation and was re-treated with topography-guided laser-assisted subepithelial keratomileusis(LASEK. Good visual outcomes were achieved in all eyes finally. CONCLUSION: Although few eyes suffered postoperative complications, SMILE is an acceptable safe surgery. Careful surgical skill, appropriate surgical parameter, and rational postoperative medication can decrease the risk of complication.

  6. The FachRef-Assistant: Personalised, subject specific, and transparent stock management

    Eike T. Spielberg

    2017-07-01

    Full Text Available We present in this paper a personalized web application for the weeding of printed resources: the FachRef-Assistant. It offers an extensive range of tools for evidence based stock management, based on the thorough analysis of usage statistics. Special attention is paid to the criteria individualization, transparency of the parameters used, and generic functions. Currently, it is designed to work with the Aleph-System from ExLibris, but efforts were spent to keep the application as generic as possible. For example, all procedures specific to the local library system have been collected in one Java package. The inclusion of library specific properties such as collections and systematics has been designed to be highly generic as well by mapping the individual entries onto an in-memory database. Hence simple adaption of the package and the mappings would render the FachRef-Assistant compatible to other library systems. The personalization of the application allows for the inclusion of subject specific usage properties as well as of variations between different collections within one subject area. The parameter sets used to analyse the stock and to prepare weeding and purchase proposal lists are included in the output XML-files to facilitate a high degree of transparency, objectivity and reproducibility.

  7. Building automation: Photovoltaic assisted thermal comfort management system for energy saving

    Reyasudin Basir Khan, M.; Jidin, Razali; Pasupuleti, Jagadeesh; Azwa Shaaya, Sharifah

    2013-06-01

    Building automation plays an important key role in the means to reduce building energy consumption and to provide comfort for building occupants. It is often that air conditioning system operating features ignored in building automation which can result in thermal discomfort among building occupants. Most automation system for building is expensive and incurs high maintenance cost. Such system also does not support electricity demand side management system such as load shifting. This paper discusses on centralized monitoring system for room temperature and photovoltaic (PV) output for feasibility study of PV assisted air conditioning system in small office buildings. The architecture of the system consists of PV modules and sensor nodes located at each room. Wireless sensor network technology (WSN) been used for data transmission. The data from temperature sensors and PV modules transmitted to the host personal computer (PC) wirelessly using Zigbee modules. Microcontroller based USB data acquisition device used to receive data from sensor nodes and displays the data on PC.

  8. Building automation: Photovoltaic assisted thermal comfort management system for energy saving

    Khan, M Reyasudin Basir; Jidin, Razali; Shaaya, Sharifah Azwa; Pasupuleti, Jagadeesh

    2013-01-01

    Building automation plays an important key role in the means to reduce building energy consumption and to provide comfort for building occupants. It is often that air conditioning system operating features ignored in building automation which can result in thermal discomfort among building occupants. Most automation system for building is expensive and incurs high maintenance cost. Such system also does not support electricity demand side management system such as load shifting. This paper discusses on centralized monitoring system for room temperature and photovoltaic (PV) output for feasibility study of PV assisted air conditioning system in small office buildings. The architecture of the system consists of PV modules and sensor nodes located at each room. Wireless sensor network technology (WSN) been used for data transmission. The data from temperature sensors and PV modules transmitted to the host personal computer (PC) wirelessly using Zigbee modules. Microcontroller based USB data acquisition device used to receive data from sensor nodes and displays the data on PC.

  9. Clinical manifestations and management of left ventricular assist device-associated infections.

    Nienaber, Juhsien Jodi C; Kusne, Shimon; Riaz, Talha; Walker, Randall C; Baddour, Larry M; Wright, Alan J; Park, Soon J; Vikram, Holenarasipur R; Keating, Michael R; Arabia, Francisco A; Lahr, Brian D; Sohail, M Rizwan

    2013-11-01

    Infection is a serious complication of left ventricular assist device (LVAD) therapy. Published data regarding LVAD-associated infections (LVADIs) are limited by single-center experiences and use of nonstandardized definitions. We retrospectively reviewed 247 patients who underwent continuous-flow LVAD implantation from January 2005 to December 2011 at Mayo Clinic campuses in Minnesota, Arizona, and Florida. LVADIs were defined using the International Society for Heart and Lung Transplantation criteria. We identified 101 episodes of LVADI in 78 patients (32%) from this cohort. Mean age (± standard deviation [SD]) was 57±15 years. The majority (94%) underwent Heartmate II implantation, with 62% LVADs placed as destination therapy. The most common type of LVADIs were driveline infections (47%), followed by bloodstream infections (24% VAD related, and 22% non-VAD related). The most common causative pathogens included gram-positive cocci (45%), predominantly staphylococci, and nosocomial gram-negative bacilli (27%). Almost half (42%) of the patients were managed by chronic suppressive antimicrobial therapy. While 14% of the patients had intraoperative debridement, only 3 underwent complete LVAD removal. The average duration (±SD) of LVAD support was 1.5±1.0 years. At year 2 of follow-up, the cumulative incidence of all-cause mortality was estimated to be 43%. Clinical manifestations of LVADI vary on the basis of the type of infection and the causative pathogen. Mortality remained high despite combined medical and surgical intervention and chronic suppressive antimicrobial therapy. Based on clinical experiences, a management algorithm for LVADI is proposed to assist in the decision-making process.

  10. The intersection of software and strengths: Using internet technology and case management software to assist Strength-Based Practice.

    Clark, Michael D; Brien, Dale W

    2016-01-01

    The focus of this investigation is the helping professionals working within American Indian and Alaska Native (AI/AN) communities. This article looks at how innovative technology-in the form of automated case management software and Internet connectivity-can assist effective implementation of Strength-based Practice and agency services within tribal courts and the many other helping agencies that serve AI/AN populations. We seek to expand practice knowledge by reviewing the benefits that this software and Internet connectivity can offer to agency operations and exploring how they can assist case management services.

  11. Management issues during HeartWare left ventricular assist device implantation and the role of transesophageal echocardiography

    Sanjay Orathi Patangi

    2013-01-01

    Full Text Available Left ventricular assist devices (LVAD are increasingly used for mechanical circulatory support of patients with severe heart failure, primarily as a bridge to heart transplantation. Transesophageal echocardiography (TEE plays a major role in the clinical decision making during insertion of the devices and in the post-operative management of these patients. The detection of structural and device-related mechanical abnormalities is critical for optimal functioning of assist device. In this review article, we describe the usefulness of TEE for optimal perioperative management of patients presenting for HeartWare LVAD insertion.

  12. A Vehicle Management End-to-End Testing and Analysis Platform for Validation of Mission and Fault Management Algorithms to Reduce Risk for NASAs Space Launch System

    Trevino, Luis; Johnson, Stephen B.; Patterson, Jonathan; Teare, David

    2015-01-01

    The engineering development of the National Aeronautics and Space Administration's (NASA) new Space Launch System (SLS) requires cross discipline teams with extensive knowledge of launch vehicle subsystems, information theory, and autonomous algorithms dealing with all operations from pre-launch through on orbit operations. The nominal and off-nominal characteristics of SLS's elements and subsystems must be understood and matched with the autonomous algorithm monitoring and mitigation capabilities for accurate control and response to abnormal conditions throughout all vehicle mission flight phases, including precipitating safing actions and crew aborts. This presents a large and complex systems engineering challenge, which is being addressed in part by focusing on the specific subsystems involved in the handling of off-nominal mission and fault tolerance with response management. Using traditional model-based system and software engineering design principles from the Unified Modeling Language (UML) and Systems Modeling Language (SysML), the Mission and Fault Management (M&FM) algorithms for the vehicle are crafted and vetted in Integrated Development Teams (IDTs) composed of multiple development disciplines such as Systems Engineering (SE), Flight Software (FSW), Safety and Mission Assurance (S&MA) and the major subsystems and vehicle elements such as Main Propulsion Systems (MPS), boosters, avionics, Guidance, Navigation, and Control (GNC), Thrust Vector Control (TVC), and liquid engines. These model-based algorithms and their development lifecycle from inception through FSW certification are an important focus of SLS's development effort to further ensure reliable detection and response to off-nominal vehicle states during all phases of vehicle operation from pre-launch through end of flight. To test and validate these M&FM algorithms a dedicated test-bed was developed for full Vehicle Management End-to-End Testing (VMET). For addressing fault management (FM

  13. Education and Public Outreach for the PICASSO-CENA Satellite-Based Research Mission: K-12 Students Use Sun Photometers to Assist Scientists in Validating Atmospheric Data

    Robinson, D. Q.

    2001-05-01

    Hampton University, a historically black university, is leading the Education and Public Outreach (EPO) portion of the PICASSO-CENA satellite-based research mission. Currently scheduled for launch in 2004, PICASSO-CENA will use LIDAR (LIght Detection and Ranging), to study earth's atmosphere. The PICASSO-CENA Outreach program works with scientists, teachers, and students to better understand the effects of clouds and aerosols on earth's atmosphere. This program actively involves students nationwide in NASA research by having them obtain sun photometer measurements from their schools and homes for comparison with data collected by the PICASSO-CENA mission. Students collect data from their classroom ground observations and report the data via the Internet. Scientists will use the data from the PICASSO-CENA research and the student ground-truthing observations to improve predications about climatic change. The two-band passive remote sensing sun photometer is designed for student use as a stand alone instrument to study atmospheric turbidity or in conjunction with satellite data to provide ground-truthing. The instrument will collect measurements of column optical depth from the ground level. These measurements will not only give the students an appreciation for atmospheric turbidity, but will also provide quantitative correlative information to the PICASSO-CENA mission on ground-level optical depth. Student data obtained in this manner will be sufficiently accurate for scientists to use as ground truthing. Thus, students will have the opportunity to be involved with a NASA satellite-based research mission.

  14. [The mission].

    Ruiz Moreno, J; Blanch Mon, A

    2000-01-01

    After having made a historical review of the concept of mission statement, of evaluating its importance (See Part I), of describing the bases to create a mission statement from a strategic perspective and of analyzing the advantages of this concept, probably more important as a business policy (See Parts I and II), the authors proceed to analyze the mission statement in health organizations. Due to the fact that a mission statement is lacking in the majority of health organizations, the strategy of health organizations are not exactly favored; as a consequence, neither are its competitive advantage nor the development of its essential competencies. After presenting a series of mission statements corresponding to Anglo-Saxon health organizations, the authors highlight two mission statements corresponding to our social context. The article finishes by suggesting an adequate sequence for developing a mission statement in those health organizations having a strategic sense.

  15. A Vehicle Management End-to-End Testing and Analysis Platform for Validation of Mission and Fault Management Algorithms to Reduce Risk for NASA's Space Launch System

    Trevino, Luis; Patterson, Jonathan; Teare, David; Johnson, Stephen

    2015-01-01

    The engineering development of the new Space Launch System (SLS) launch vehicle requires cross discipline teams with extensive knowledge of launch vehicle subsystems, information theory, and autonomous algorithms dealing with all operations from pre-launch through on orbit operations. The characteristics of these spacecraft systems must be matched with the autonomous algorithm monitoring and mitigation capabilities for accurate control and response to abnormal conditions throughout all vehicle mission flight phases, including precipitating safing actions and crew aborts. This presents a large and complex system engineering challenge, which is being addressed in part by focusing on the specific subsystems involved in the handling of off-nominal mission and fault tolerance with response management. Using traditional model based system and software engineering design principles from the Unified Modeling Language (UML) and Systems Modeling Language (SysML), the Mission and Fault Management (M&FM) algorithms for the vehicle are crafted and vetted in specialized Integrated Development Teams (IDTs) composed of multiple development disciplines such as Systems Engineering (SE), Flight Software (FSW), Safety and Mission Assurance (S&MA) and the major subsystems and vehicle elements such as Main Propulsion Systems (MPS), boosters, avionics, Guidance, Navigation, and Control (GNC), Thrust Vector Control (TVC), and liquid engines. These model based algorithms and their development lifecycle from inception through Flight Software certification are an important focus of this development effort to further insure reliable detection and response to off-nominal vehicle states during all phases of vehicle operation from pre-launch through end of flight. NASA formed a dedicated M&FM team for addressing fault management early in the development lifecycle for the SLS initiative. As part of the development of the M&FM capabilities, this team has developed a dedicated testbed that

  16. Daily Public Assistance Grants Award Activity

    Department of Homeland Security — Daily activity of Public Assistance Grant Awards, including FEMA Region, State, Disaster Declaration Number, Event description, Mission Assigned agency, Assistance...

  17. Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient

    Amanda Carneiro da Cunha

    Full Text Available ABSTRACT Introduction: Etiology of dental crowding may be related to arch constriction in diverse dimensions, and an appropriate manipulation of arch perimeter by intervening in basal bone discrepancies cases, may be a key for crowding relief, especially when incisors movement is limited due to underlying pathology, periodontal issues or restrictions related to soft tissue profile. Objectives: This case report illustrates a 24-year old woman, with maxillary transverse deficiency, upper and lower arches crowding, Class II, division 1, subdivision right relationship, previous upper incisors traumatic episode and straight profile. A non-surgical and non-extraction treatment approach was feasible due to the miniscrew-assisted rapid palatal expansion technique (MARPE. Methods: The MARPE appliance consisted of a conventional Hyrax expander supported by four orthodontic miniscrews. A slow expansion protocol was adopted, with an overall of 40 days of activation and a 3-month retention period. Intrusive traction miniscrew-anchored mechanics were used for correcting the Class II subdivision relationship, managing lower arch perimeter and midline deviation before including the upper central incisors. Results: Post-treatment records show an intermolar width increase of 5 mm, bilateral Class I molar and canine relationships, upper and lower crowding resolution, coincident dental midlines and proper intercuspation. Conclusions: The MARPE is an effective treatment approach for managing arch-perimeter deficiencies related to maxillary transverse discrepancies in adult patients.

  18. New Jersey's EMS response to Superstorm Sandy: a case study of the emergency management assistance compact.

    Clancy, Terry; Christensen, Kenneth; Cortacans, Henry P

    2014-06-01

    In the United States, understanding the Emergency Management Assistance Compact (EMAC) is critical to responding to a natural disaster or manmade event. Recently, the State of New Jersey responded to Superstorm Sandy and implemented the EMAC system by requesting ambulances to aid in the Emergency Medical Services response. New Jersey's response to Superstorm Sandy was unprecedented in that this storm affected the entire state and EMS community. New Jersey's EMS community and infrastructure were impacted greatly, despite years of planning and preparation for such an event. Once received, out-of-state EMS resources were integrated into New Jersey's emergency management and EMS systems. In this report, each phase of the EMAC in New Jersey is explored, from how the response was coordinated to how it ultimately was executed. The state coordinated its response on multiple levels and, as such, tested the practical applicability of the EMAC process and employed best practices and solutions to issues that arose. These best practices and solutions may prove invaluable for any state or territory that may activate the EMAC system for emergency medical service resources.

  19. Enhancing Saarc Disaster Management: A Comparative Study With Asean Coordinating Centre For Humanitarian Assistance On Disaster Management

    2016-03-01

    North Atlantic Treaty Organization NDMA National Disaster Management Authority NDMO National Disaster Management Organization NIDM National...disaster management authorities. National Disaster Management Authority ( NDMA ) has envisaged the role of the army in relief, recovery, management of

  20. The Netted Humanitarian: Improving the Information and Communications Technology Assessment Process for Humanitarian Assistance/Disaster Relief (HA/DR) Missions

    2013-03-01

    mode or with multiple hops. Wi-Fi clouds can create temporary Internet “ cafes ” in hospitals or field clinics, boat or helicopter landing zones, and key... preferred route to developing trust in an HA/DR mission, due to the need to quickly establish trusting inter- personal relationships in a very short...describes the situation in real-time. Therefore, the first responders must attempt the tedious and time- consuming task of compiling a COP from a

  1. Management of Benign Tracheal Stenosis by Small-diameter Tube-assisted Bronchoscopic Balloon Dilatation

    Yi-Lin Liang

    2015-01-01

    Full Text Available Background: A limitation of bronchoscopic balloon dilatation (BBD is that airflow must be completely blocked for as long as possible during the operation. However, the patient often cannot hold his or her breath for a long period affecting the efficacy of the procedure. In this study, we used an extra-small-diameter tube to provide assisted ventilation to patients undergoing BBD and assessed the efficacy and safety of this technique. Methods: Bronchoscopic balloon dilatation was performed in 26 patients with benign tracheal stenosis using an extra-small-diameter tube. The tracheal diameter, dyspnea index, blood gas analysis results, and complications were evaluated before and after BBD. Statistical analyses were performed by SPSS version 16.0 for Windows (SPSS, Inc., Chicago, IL, USA. Results: Sixty-three BBD procedures were performed in 26 patients. Dyspnea immediately improved in all patients after BBD. The tracheal diameter significantly increased from 5.5 ± 1.5 mm to 13.0 ± 1.3 mm (P < 0.001, and the dyspnea index significantly decreased from 3.4 ± 0.8 to 0.5 ± 0.6 (P < 0.001. There was no significant change in the partial pressure of oxygen during the operation (before, 102.5 ± 27.5 mmHg; during, 96.9 ± 30.4 mmHg; and after, 97.2 ± 21.5 mmHg; P = 0.364, but there was slight temporary retention of carbon dioxide during the operation (before, 43.5 ± 4.2 mmHg; during, 49.4 ± 6.8 mmHg; and after, 40.1 ± 3.9 mmHg; P < 0.001. Conclusion: Small-diameter tube-assisted BBD is an effective and safe method for the management of benign tracheal stenosis.

  2. Vacuum-assisted closure device: a useful tool in the management of severe intrathoracic infections.

    Saadi, Alend; Perentes, Jean Yannis; Gonzalez, Michel; Tempia, Adrien Caliera; Wang, Yabo; Demartines, Nicolas; Ris, Hans-Beat; Krueger, Thorsten

    2011-05-01

    This study is an evaluation of the vacuum-assisted closure (VAC) therapy for the treatment of severe intrathoracic infections complicating lung resection, esophageal surgery, viscera perforation, or necrotizing pleuropulmonary infections. We reviewed the medical records of all patients treated by intrathoracic VAC therapy between January 2005 and December 2008. All patients underwent surgical debridement-decortication and control of the underlying cause of infection such as treatment of bronchus stump insufficiency, resection of necrotic lung, or closure of esophageal or intestinal leaks. Surgery was followed by intrathoracic VAC therapy until the infection was controlled. The VAC dressings were changed under general anesthesia and the chest wall was temporarily closed after each dressing change. All patients received systemic antibiotic therapy. Twenty-seven patients (15 male, median age 64 years) underwent intrathoracic VAC dressings for the management of postresectional empyema (n=8) with and without bronchopleural fistula, necrotizing infections (n=7), and intrathoracic gastrointestinal leaks (n=12). The median length of VAC therapy was 22 days (range 5 to 66) and the median number of VAC changes per patient was 6 (range 2 to 16). In-hospital mortality was 19% (n=5) and was not related to VAC therapy or intrathoracic infection. Control of intrathoracic infection and closure of the chest cavity was achieved in all surviving patients. Vacuum-assisted closure therapy is an efficient and safe adjunct to treat severe intrathoracic infections and may be a good alternative to the open window thoracostomy in selected patients. Long time intervals in between VAC changes and short course of therapy result in good patient acceptance. Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  3. Persuasive robotic assistant for health self-management of older adults: Design and evaluation of social behaviors

    Looije, R.; Neerincx, M.A.; Cnossen, F.

    2010-01-01

    Daily health self-management, such as the harmonization of food, exercise and medication, is a major problem for a large group of older adults with obesity or diabetics. Computer-based personal assistance can help to behave healthy by persuading and guiding older adults. For effective persuasion,

  4. Persuasive robotic assistant for health self-management of older adults : Design and evaluation of social behaviors

    Looije, Rosemarijn; Neerincx, Mark A.; Cnossen, Fokie

    Daily health self-management, such as the harmonization of food, exercise and medication, is a major problem for a large group of older adults with obesity or diabetics Computer-based personal assistance can help to behave healthy by persuading and guiding older adults For effective persuasion, the

  5. STS-61 mission director's post-mission report

    Newman, Ronald L.

    1995-01-01

    To ensure the success of the complex Hubble Space Telescope servicing mission, STS-61, NASA established a number of independent review groups to assess management, design, planning, and preparation for the mission. One of the resulting recommendations for mission success was that an overall Mission Director be appointed to coordinate management activities of the Space Shuttle and Hubble programs and to consolidate results of the team reviews and expedite responses to recommendations. This report presents pre-mission events important to the experience base of mission management, with related Mission Director's recommendations following the event(s) to which they apply. All Mission Director's recommendations are presented collectively in an appendix. Other appendixes contain recommendations from the various review groups, including Payload Officers, the JSC Extravehicular Activity (EVA) Section, JSC EVA Management Office, JSC Crew and Thermal Systems Division, and the STS-61 crew itself. This report also lists mission events in chronological order and includes as an appendix a post-mission summary by the lead Payload Deployment and Retrieval System Officer. Recommendations range from those pertaining to specific component use or operating techniques to those for improved management, review, planning, and safety procedures.

  6. [Myanmar mission].

    Alfandari, B; Persichetti, P; Pelissier, P; Martin, D; Baudet, J

    2004-06-01

    The authors report the accomplishment of humanitarian missions in plastic surgery performed by a small team in town practice in Yangon, about their 3 years experience in Myanmar with 300 consultations and 120 surgery cases. They underline the interest of this type of mission and provide us their reflexion about team training, the type of relation with the country where the mission is conducted and the type of right team.

  7. Development and design of a computer-assisted information management system for radiation safety management at the University of Washington

    Riches, C.G.; Riordan, F.J.; Robb, D.; Grieb, C.; Pence, G.; O'Brien, M.J.

    1984-01-01

    The Radiation Safety Office (RSO) at the University of Washington (UW) found that it needed a computerized information system to help manage the campus radiation safety program and to help provide the records necessary to show compliance with regulations and license requirements. The John L. Locke Computer Center at the UW had just developed the GLAMOR system to aid information entry and query for their computer when the RSO turned to them for assistance. The module that was developed provided a mechanism for controlling and monitoring radioactive materials on campus. This became one part of a multi-faceted system that registers users, employees, sealed sources and radiation-producing machines. The system is designed to be interactive, for immediate information recall, and powerful enough to provide routine and special reports on compliance status. The RSO information system is designed to be flexible and can easily incorporate additional features. Some future features include an interactive SNM control program, an interface to the information system currently being developed for the occupational safety and health program and an interface to the database provided by the commercial film badge service used by the University. Development of this program lead the RSO to appreciate the usefulness of having health physics professionals on the staff who were also knowledgeable about computers and who could develop programs and reports necessary to their activities

  8. Internationally coordinated multi-mission planning is now critical to sustain the space-based rainfall observations needed for managing floods globally

    Reed, Patrick M; Herman, Jonathan D; Chaney, Nathaniel W; Wood, Eric F; Ferringer, Matthew P

    2015-01-01

    At present 4 of 10 dedicated rainfall observing satellite systems have exceeded their design life, some by more than a decade. Here, we show operational implications for flood management of a ‘collapse’ of space-based rainfall observing infrastructure as well as the high-value opportunities for a globally coordinated portfolio of satellite missions and data services. Results show that the current portfolio of rainfall missions fails to meet operational data needs for flood management, even when assuming a perfectly coordinated data product from all current rainfall-focused missions (i.e., the full portfolio). In the full portfolio, satellite-based rainfall data deficits vary across the globe and may preclude climate adaptation in locations vulnerable to increasing flood risks. Moreover, removing satellites that are currently beyond their design life (i.e., the reduced portfolio) dramatically increases data deficits globally and could cause entire high intensity flood events to be unobserved. Recovery from the reduced portfolio is possible with internationally coordinated replenishment of as few as 2 of the 4 satellite systems beyond their design life, yielding rainfall data coverages that outperform the current full portfolio (i.e., an optimized portfolio of eight satellites can outperform ten satellites). This work demonstrates the potential for internationally coordinated satellite replenishment and data services to substantially enhance the cost-effectiveness, sustainability and operational value of space-based rainfall observations in managing evolving flood risks. (letter)

  9. 1,000 consecutive cases of laser-assisted liposuction and suction-assisted lipectomy managed with local anesthesia.

    Chia, Christopher T; Theodorou, Spero J

    2012-08-01

    Advances in suction-assisted lipectomy (SAL) include improved instrumentation, better understanding of fluid dynamics, and an improved concept of appropriate indications. The tumescent technique uses subcutaneous injection of isotonic fluid containing vasoconstrictive and analgesic agents and is proved to be safe, with low morbidity and mortality rates. Laser-assisted liposuction (LAL) using local infiltration of an anesthetic and no general anesthesia or sedation has been developed, with claims of fat destruction and skin tightening. This study aimed to review 1,000 consecutive cases of LAL and SAL performed with the patient under local anesthesia and to determine whether this represents a safe technique with few complications. During a period of 22 months, 581 consecutive patients (486 females and 95 males) underwent 1,000 LAL/SAL operations, 545 of whom had multiple procedures performed. None of the patients had a body mass index (BMI) higher than 30 kg/m2. The patients ranged in age from 18 to 62 years. The fat aspirate ranged from 50 to 1,400 ml. Patients were given an oral sedative, an antibiotic, and an analgesic. Ringer's lactate solution containing lidocaine and epinephrine was injected into the subcutaneous space. The 1,064-nm and/or 1,320-nm neodymium:yttrium-aluminum-garnet (Nd:YAG) laser was used for laser lipolysis followed by SAL using standard and/or power-assisted liposuction (PAL) cannulas. The treated areas included the neck, triceps, male breast, midback, flanks, axilla, abdomen, mons pubis, thighs, presacrum, and knees. No patient was administered intravenous sedation or general anesthesia. The average number of areas treated was 1.8, and no major complications or mortalities were observed. There were three burns, two infections, one hematoma, and one seroma. A total of 73 secondary procedures were performed (7.3%). No tertiary procedures were required. For appropriately selected patients, comparable results can be obtained with an excellent

  10. A novel prescription pedometer-assisted walking intervention and weight management for Chinese occupational population.

    Yingxiang Yu

    Full Text Available Information technology has been previously used for the research and practice of health promotion. Appropriate and effective health promotion methods used by professional groups remain to be investigated. This study aimed to assess the feasibility and effectiveness of a weight management program among the Chinese occupational population using and a novel information technology exercise prescription.A 3-month open, self-monitored intervention trial, involving individualized pedometer-assisted exercise prescription and a one-time targeted dietary guidance prior to exercise was conducted on the Chinese occupational population aged 18-65 years in China from 2015 to 2016. Data were collected from March 2015 to May 2016 and analyzed from June 2016 to August 2016. Participants were also asked to synchronize exercise data of the pedometer to the Internet-based Health System Center daily (at least weekly, by connecting to the personal computer (PC using a USB cable or via Bluetooth.Eligible participants included 802 Chinese occupational persons, and 718 of them followed exercise interventions with 89.5% (718/802 adherence to the exercise programs. Of them, 688 participants completed the program with 85.8% (688/802 adherence to the exercise program and their data were analyzed. Weight decreased by 2.2% among all overweight/obese participants, with 1.8% reduction in waist circumference and 3.3% reduction in body fat percentage (p< 0.001. Weight and body fat percentage in normal-weight individuals decreased by 0.7% and 2.5%, respectively (p < 0.01. A weight gain of 1.0% was observed in all underweight participants (p< 0.05, and 68.2% (208/305 of overweight/obese participants experienced weight loss, with an average reduction of 3.5%, with 20.2% (42/208 of them achieving weight loss ≥5%. Blood pressure and fasting serum glucose decreased significantly in both the overweight/obese and the normal-weight individuals (p < 0.05. The incidence of hypertension

  11. Managing nursing assistants with a web-based system: an empirical investigation of the mixed-staff strategy.

    Lin, I-Chun; Hou, Ying-Hui; Huang, Hui-Ling; Chu, Tsui-Ping; Chang, Ray-E

    2010-06-01

    Under the global shortage of Registered Nurses (RNs), some hospitals have integrated nursing assistants (NAs) into their teams to help to provide maximum quality care for acute patients, while keeping the hospital's staff-related costs down. However, the RNs may have to shoulder an increased burden of assigning and overseeing NAs. A web-based Nursing Assistants Management System (NAMS) was developed and evaluated for a case hospital in Taiwan to compare the processes of assigning and managing NAs before and after the NAMS intervention. The results showed that NAMS saved 80% of the time needed for manual operation and there were no more complains about NAs being slow in dealing with patients after the system intervention. The satisfaction levels of all NA managers and RNs were acceptable. Based on the research findings, the implication and limitations of this study were discussed.

  12. Role of robot-assisted radical prostatectomy in the management of high-risk prostate cancer

    Akshay Sood

    2014-01-01

    Full Text Available We aimed to evaluate the role of robot-assisted radical prostatectomy (RARP in the management of high-risk prostate cancer (PCa, with a focus on oncological, functional and perioperative outcomes. Further, we also aimed to briefly describe our novel modification to conventional RARP that allows immediate organ retrieval and examination for intra-operative surgical margin assessment. A literature search of PubMed was performed for articles on the management of high-risk PCa. Papers written in English and concerning clinical outcomes following RARP for locally advanced and high-risk PCa were selected. Outcomes data from our own center were also included. A total of 10 contemporary series were evaluated. Biopsy Gleason score ≥ 8 was the most common cause for classification of patients into the high-risk PCa group. Biochemical failure rate, in the few series that looked at long-term follow-up, varied from 9% to 26% at 1 year. The positive surgical margin rate varied from 12% to 53.3%. Urinary continence rates varied from 78% to 92% at 1 year. The overall complication rates varied from 2.4% to 30%, with anastomotic leak and lymphocele being the most common complications. Long-term data on oncological control following RARP in high-risk patients is lacking. Short-term oncological outcomes and functional outcomes are equivalent to open radical prostatectomy (RP. Safety outcomes are better in patients undergoing RARP when compared with open RP. Improved tools for predicting the presence of organ-confined disease (OCD are available. High-risk patients with OCD would be ideal candidates for RARP and would benefit most from surgery alone.

  13. Interdisciplinary semantic model for managing the design of a steam-assisted gravity drainage tooling system

    Michael Leitch

    2018-01-01

    Full Text Available Complex engineering systems often require extensive coordination between different expert areas in order to avoid costly design iterations and rework. Cyber-physics system (CPS engineering methods could provide valuable insights to help model these interactions and optimize the design of such systems. In this work, steam assisted gravity drainage (SAGD, a complex oil extraction process that requires deep understanding of several physical-chemical phenomena, is examined whereby the complexities and interdependencies of the system are explored. Based on an established unified feature modeling scheme, a software modeling framework is proposed to manage the design process of the production tools used for SAGD oil extraction. Applying CPS methods to unify complex phenomenon and engineering models, the proposed CPS model combines effective simulation with embedded knowledge of completion tooling design in order to optimize reservoir performance. The system design is expressed using graphical diagrams of the unified modelling language (UML convention. To demonstrate the capability of this system, a distributed research group is described, and their activities coordinated using the described CPS model.

  14. Integrated employee assistance program/managed behavioral health plan utilization by persons with substance use disorders.

    Merrick, Elizabeth S Levy; Hodgkin, Dominic; Hiatt, Deirdre; Horgan, Constance M; Greenfield, Shelly F; McCann, Bernard

    2011-04-01

    New federal parity and health reform legislation, promising increased behavioral health care access and a focus on prevention, has heightened interest in employee assistance programs (EAPs). This study investigated service utilization by persons with a primary substance use disorder (SUD) diagnosis in a managed behavioral health care (MBHC) organization's integrated EAP/MBHC product (N = 1,158). In 2004, 25.0% of clients used the EAP first for new treatment episodes. After initial EAP utilization, 44.4% received no additional formal services through the plan, and 40.4% received regular outpatient services. Overall, outpatient care, intensive outpatient/day treatment, and inpatient/residential detoxification were most common. About half of the clients had co-occurring psychiatric diagnoses. Mental health service utilization was extensive. Findings suggest that for service users with primary SUD diagnoses in an integrated EAP/MBHC product, the EAP benefit plays a key role at the front end of treatment and is often only one component of treatment episodes. Copyright © 2011 Elsevier Inc. All rights reserved.

  15. Rwanda Mission System PRPMS

    US Agency for International Development — The purpose of the MEMS Project is to assist the USG Rwanda Team to develop and implement a comprehensive performance management, monitoring, and reporting program....

  16. Agent-Supported Mission Operations Teamwork

    Malin, Jane T.

    2003-01-01

    This slide presentation reviews the development of software agents to support of mission operations teamwork. The goals of the work was to make automation by agents easy to use, supervise and direct, manage information and communication to decrease distraction, interruptions, workload and errors, reduce mission impact of off-nominal situations and increase morale and decrease turnover. The accomplishments or the project are: 1. Collaborative agents - mixed initiative and creation of instructions for mediating agent 2. Methods for prototyping, evaluating and evolving socio-technical systems 3. Technology infusion: teamwork tools in mISSIons 4. Demonstrations in simulation testbed An example of the use of agent is given, the use of an agent to monitor a N2 tank leak. An incomplete instruction to the agent is handled with mediating assistants, or Intelligent Briefing and Response Assistant (IBRA). The IBRA Engine also watches data stream for triggers and executes Act-Whenever actions. There is also a Briefing and Response Instruction (BRI) which is easy for a discipline specialist to create through a BRI editor.

  17. What's NEW at the GES DISC: Evolution of Data Management and Services for Aura Mission and Beyond

    Wei, Jennifer

    2016-01-01

    GES DISC world. Aura data usage and trend. Aura data users requests. GES DISC update (before/after); New Access method (ftp to http) with Earthdata Login System, New Website (DISC/Mirador to New Interface), New Giovanni (Giovanni to Now Federated). GES DISC support beyond Aura Mission; Multi-sensor coincident data subsets, Level 2 support (Sub-setter, Visualization), Data List.

  18. BREAKING STOVEPIPES: BRIDGING GAPS IN AIR FORCE INDUSTRIAL CONTROL SYSTEMS MANAGEMENT TO ENABLE MULTI-DOMAIN MISSION ASSURANCE

    2016-02-16

    sputter, and lights flicker and fail. An in-bound F-35, returning from its first strike mission for a quick-turn, has to divert as the runway is not ready...and mitigating risk of known vulnerabilities.” United States Scientific Advisory Board, Report on Defending and Operating in a Contested Cyber

  19. Quality Computer Assisted Mobile Learning (CAML and Distance Education Leadership in Managing Technology Enhanced Learning Management System (TELMS in the Malaysian Public Tertiary Education

    Lee Tan Luck

    2009-07-01

    Full Text Available Abstract - The success in the implementation of a quality computer assisted mobile learning and distance education in a Technology Enhanced Learning Management System is highly rely on the academic leadership in managing and application of Information and Communication Technology (ICT in the tertiary level. The effectiveness of its leadership, knowledge, application and management of ICT and learning management system is of utmost important. Successful application and management includes quality and cost effectiveness of universities administration, CAML and distance education leadership development, organizational culture, academic staffs and students’ attitude and their commitment towards teaching and learning process, support towards the usage of state of the art techno-educational facilities, availability of ICT resources, maintenance and funding of a Learning Management System. This paper will discuss the above factors, which present a comprehensive framework for the implementation of a quality CAML and distance education environment in ICT application and management in the Malaysian public universities. Selected Fifty-two respondents from two Malaysian public universities which offer e Learning and distance education with Learning Management System were acquired. A survey questionnaire is used to determine the effectiveness of ICT and mobile learning application management. Data from the questionnaires were analyzed by using non-parametric and parametric statistics testing. Results of this study show there is significant different in the CAML and distance education leadership in TELMS and the application of ICT and its management in the Malaysian public universities. The study will also address the implementation elements necessary for transforming the public universities and its CAML and distance education teaching and learning process into an effective and result oriented computer assisted mobile learning management model in public

  20. An integrated model to measure service management and physical constraints' effect on food consumption in assisted-living facilities.

    Huang, Hui-Chun; Shanklin, Carol W

    2008-05-01

    The United States is experiencing remarkable growth in the elderly population, which provides both opportunities and challenges for assisted-living facilities. The objective of this study was to explore how service management influences residents' actual food consumption in assisted-living facilities. Physical factors influencing residents' service evaluation and food consumption also were investigated. A total of 394 questionnaires were distributed to assisted-living residents in seven randomly selected facilities. The questionnaire was developed based on an in-depth literature review and pilot study. Residents' perceived quality evaluations, satisfaction, and physical constraints were measured. Residents' actual food consumption was measured using a plate waste technique. A total of 118 residents in five facilities completed both questionnaires and food consumption assessments. Descriptive, multivariate analyses and structural equation modeling techniques were employed. Service management, including food and service quality and customer satisfaction, was found to significantly influence residents' food consumption. Physical constraints associated with aging, including a decline in health status, chewing problems, sensory loss, and functional disability, also significantly influenced residents' food consumption. A significant relationship was found between physical constraints and customer satisfaction. Foodservice that provides good food and service quality increases customer satisfaction and affects residents' actual food consumption. Physical constraints also influence residents' food consumption directly, or indirectly through satisfaction. The findings suggest that food and nutrition professionals in assisted-living should consider the physical profiles of their residents to enhance residents' satisfaction and nutrient intake. Recommendations for exploring residents' perspectives are discussed.

  1. Store-Assistance Management for a Supply Chain with Consumer Return under Consignment Contract

    Zhihui Wu

    2017-01-01

    Full Text Available In this paper, the strategy problems of pricing and store-assistance service investment are investigated for a supply chain with consumer return, where the considered supply chain under consignment contract consists of a single manufacturer and a single retailer. Firstly, we use differential equation to model the evolution of store-assistance service level and depict the effect of store-assistance service level on the return rate. By applying two-stage game, both optimal pricing and store-assistance service strategies are obtained based on the presented optimal control model. Subsequently, the committed dynamic consignment price contract is designed to coordinate and improve the performance of supply chain. Finally, a numerical example is provided to illustrate the impacts of the effectiveness of store-assistance service level and decay rate on the feasible region of corresponding contract.

  2. [PREDICTORS OF WEIGHT LOSS AND FAT IN THE DIETARY MANAGEMENT: SEX, AGE, BMI AND CONSULTING ASSISTANCE].

    Reig García-Galbis, Manuel; Rizo Baeza, Mercedes; Cortés Castell, Ernesto

    2015-09-01

    WL%: percentage of weight loss; % FL: percentage fat loss; PNLWF: patients who lose weight or fat; PLWF: patients who lose weight and fat. assess whether the% WL and FL% in the dietary treatment was affected by gender, age, BMI and assistance to the query. 4,700 consultations, 670 patients (BMI ≥25), in the south-east of Spain (2006-12). Balanced and hypo-caloric diet was used. Two types of patients: PNLWF and PLWF (91.9%). in PLWF, men and those attending a greater number of occasions to the consultation have shown a greater loss against women (%FL: 23.0 vs 14.3%, p = 0.000; %WL: 7.7 vs 6.6%, p = 0.020), and those who attend less frequently (%FL: 19.1 vs 7.3%, p = 0.000; %WL: 7.8 vs 2.9%, p = 0.000). Multinomial regression analysis (PNLWF / PLWF) indicates that only attend more than one and a half to the consultation is a factor in the loss, OR 8.3 (IC 95% 4.5-15.1; p = 0.000). the body fat measurement provides additional information lost weight; Most patients attend more than six weeks, obtained a high %FL; attendance is a predictor of loss; the %FL indicates that the dietary management plays a major role in the resolution of this pathology; It is recommended to design practical schemes of action process nutritionists according to the IMCI and variable. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  3. Delayed flap reconstruction with vacuum-assisted closure management of the open IIIB tibial fracture.

    Hou, Zhiyong; Irgit, Kaan; Strohecker, Kent A; Matzko, Michelle E; Wingert, Nathaniel C; DeSantis, Joseph G; Smith, Wade R

    2011-12-01

    Vacuum-assisted closure (VAC) therapy has been shown to be effective at reducing bacterial counts in wounds until definitive bony coverage. However, there is continued debate over timing and type of definitive wound coverage even with VAC therapy application. From 2004 to 2009, 32 patients with Gustilo type IIIB open tibia fractures were initially treated with VAC therapy were included. The number of debridements, length of treatment with VAC dressing, definitive wound coverage management, and length of hospital stay, flap-related complications, and time to radiographic fracture healing were recorded. The mean Injury Severity Score was 17.3 ± 2.0. All wounds closed after being treated with the primary VAC closure. The mean interval between the initial injury and definitive intervention was 10.9 days ± 0.3 days. Twenty of 27 patients (74%) underwent rotational muscle flaps; four received free muscle flaps and three only with split-thickness skin grafts for definitive wound coverage. Nine of 32 patients (28%) underwent below knee amputation, five without flap coverage after several VAC sessions and four after definitive flap coverage. The average time to union was 10.0 months ± 2.0 months. Eight patients developed nonunion and 11 patients developed infections. The average follow-up time is 2.4 years ± 0.2 years. Patients were divided into two groups for analysis according to the interval time. The rate of infection was significantly increased in patients who had an interval of more than 7 days from the time of injury to flap coverage. The VAC therapy may help to reduce the flap size and need for a flap transfer for type IIIB open tibial fractures. However, prolonged periods of VAC usage, greater than 7 days, should be avoided to reduce higher infection and amputation risks.

  4. Minimally invasive vacuum-assisted closure therapy in the management of complex pleural empyema.

    Sziklavari, Zsolt; Grosser, Christian; Neu, Reiner; Schemm, Rudolf; Szöke, Tamas; Ried, Michael; Hofmann, Hans-Stefan

    2013-07-01

    The pool of potential candidates for pleural empyema is expanding. In a previous technical report, we tested the feasibility of the minimally invasive insertion of a vacuum-assisted closure (Mini-VAC) system without the insertion of an open-window thoracostomy (OWT). In this study, we describe a consecutive case series of complex pleural empyemas that were managed by this Mini-VAC therapy. In this retrospective study, we investigated 6 patients with multimorbidity (Karnofsky index ≤ 50%) who were consecutively treated with Mini-VAC for a primary, postoperative or recurrent pleural empyema between January 2011 and February 2012. Local control of the infection and control of sepsis were satisfactory in all 6 of the patients treated by Mini-VAC therapy. The suction used did not create any air leaks or bleeding from the lung or mediastinal structures. Mini-VAC therapy allowed a reduction of the empyema cavity and improved the re-expansion of the residual lung. Mini-VAC therapy resulted in a rapid eradication of the empyema. The chest wall was closed in all patients during the first hospital stay. All patients left the hospital in good health (Karnofsky index >70%) and with a non-infected pleural cavity at a mean of 22 ± 11 days after Mini-VAC installation. Pleural empyema was not detected in any of the 6 patients at the 3-month follow-up appointment. The Mini-VAC procedure with the abdication of an OWT offers a rapid treatment for complex pleural empyema with minimal surgical effort and the opportunity for a primary closure of the empyema cavity.

  5. How career counseling, management coaching, and mentoring can assist in reducing today’s lack of ethics in business

    Ronald Jean Degen

    2013-01-01

    This paper discusses how career counseling, management coaching, and mentoring can assist in reducing today’s lack of ethics in business by orienting future corporate leaders not only to identifying their skills, making better career choices, and becoming more productive and satisfied in their work, but also by explaining how to behave and decide properly when confronted with the myriad ethical dilemmas of the corporate world. Thus it is essential that they understand today’s lack of business...

  6. Disease management apps and technical assistance systems for bipolar disorder: Investigating the patients´ point of view.

    Daus, Henning; Kislicyn, Natalia; Heuer, Stephan; Backenstrass, Matthias

    2018-03-15

    Smartphone-based disease management has become increasingly interesting for research in the field of bipolar disorders. This article investigates the attitudes of persons affected by this disorder towards the appropriation of mobile apps or assistance systems for the management of their disease. We conducted two separate studies. Study 1 was an online survey with 88 participants. In study 2 we consulted 15 participants during a semi-structured interview. All the participants had formerly been diagnosed with bipolar disorder. More than half of the participants of study 1 and most participants of study 2 agreed with the use of an app or assistance system for self-ratings, third party ratings and an objective symptom monitoring. Potential interventions that were popular in both groups included a regular feedback, the visualization of monitored data and advice in crises. With study 1 we were not able to ensure correct diagnoses or to interact in a flexible way. In Study 2 those issues were resolved, but the small number of participants raises the question of a possible generalisability of the results. Furthermore, for both studies a selection bias could not be excluded. Our results indicate positive attitudes of bipolar patients towards disease management apps and assistance systems. Even new and innovative features such as partner apps or the analysis of facial expressions in video data were appreciated and daily interactions were favoured. However, the variety of answers calls for flexible systems which allow activating or deactivating certain features. Copyright © 2018 Elsevier B.V. All rights reserved.

  7. OCRWM [Office of Civilian Radioactive Waste Management] mission plan amendment with comments on the draft amendment and responses to the comments

    1987-06-01

    The US Department of Energy (DOE) published in June 1985 the Mission Plan for the Civilian Radioactive Waste Management Program. That document was to provide an informational basis sufficient to permit informed decisions to be made in carrying out the program. DOE recognized that the Mission Plan would be revised. The first such revision is this amendment, which has been prepared to apprise the Congress of significant recent achievements in the waste-management program, the revised schedule for the first repository, and the intent to postpone site-specific work for the second repository and plans for continuing the technology-development program for the second repository. Included are the DOE's submittal to the Congress of a proposal for the construction of a facility for monitored retrievable storage (MRS) as an integral part of the waste-management system and aspects of the consultation-and-cooperation interactions between the DOE and affected states and Indian tribes. The amendment presents the DOE's considered and informed judgments, based on its actual experience in administering these programs, of the preferred courses and schedules for the national program. 104 refs., 7 tabs

  8. 13 CFR 108.120 - Economic development primary mission.

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Economic development primary mission. 108.120 Section 108.120 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION NEW MARKETS... Economic development primary mission. The primary mission of a NMVC Company must be economic development of...

  9. Trade study for water and waste management concepts. Task 7: Support special analysis. [cost analysis of life support systems for waste utilization during space missions

    1975-01-01

    Cost analyses and tradeoff studies are given for waste management in the Space Station, Lunar Surface Bases, and interplanetary space missions. Crew drinking water requirements are discussed and various systems to recycle water are examined. The systems were evaluated for efficiency and weight savings. The systems considered effective for urine water recovery were vapor compression, flash evaporation, and air evaporation with electrolytic pretreatment. For wash water recovery, the system of multifiltration was selected. A wet oxidation system, which can process many kinds of wastes, is also considered.

  10. About the Principal Deputy Assistant Administrator of EPA’s Office of Administration and Resources Management

    Donna Vizian manages essential support functions, including human resources management, diversity and inclusion, acquisition (contracts), grants management, and the protection of EPA’s facilities and other critical assets nationwide.

  11. Desert Research and Technology Studies (DRATS) 2010 Science Operations: Operational Approaches and Lessons Learned for Managing Science during Human Planetary Surface Missions

    Eppler, Dean; Adams, Byron; Archer, Doug; Baiden, Greg; Brown, Adrian; Carey, William; Cohen, Barbara; Condit, Chris; Evans, Cindy; Fortezzo, Corey; hide

    2012-01-01

    Desert Research and Technology Studies (Desert RATS) is a multi-year series of hardware and operations tests carried out annually in the high desert of Arizona on the San Francisco Volcanic Field. These activities are designed to exercise planetary surface hardware and operations in conditions where long-distance, multi-day roving is achievable, and they allow NASA to evaluate different mission concepts and approaches in an environment less costly and more forgiving than space.The results from the RATS tests allows election of potential operational approaches to planetary surface exploration prior to making commitments to specific flight and mission hardware development. In previous RATS operations, the Science Support Room has operated largely in an advisory role, an approach that was driven by the need to provide a loose science mission framework that would underpin the engineering tests. However, the extensive nature of the traverse operations for 2010 expanded the role of the science operations and tested specific operational approaches. Science mission operations approaches from the Apollo and Mars-Phoenix missions were merged to become the baseline for this test. Six days of traverse operations were conducted during each week of the 2-week test, with three traverse days each week conducted with voice and data communications continuously available, and three traverse days conducted with only two 1-hour communications periods per day. Within this framework, the team evaluated integrated science operations management using real-time, tactical science operations to oversee daily crew activities, and strategic level evaluations of science data and daily traverse results during a post-traverse planning shift. During continuous communications, both tactical and strategic teams were employed. On days when communications were reduced to only two communications periods per day, only a strategic team was employed. The Science Operations Team found that, if

  12. Pediatric Trainees Managing a Difficult Airway: Comparison of Laryngeal Mask Airway, Direct, and Video-Assisted Laryngoscopy

    Art Ambrosio MD

    2017-05-01

    Full Text Available Objective Difficult airway management is a key skill required by all pediatric physicians, yet training on multiple modalities is lacking. The objective of this study was to compare the rate of, and time to, successful advanced infant airway placement with direct laryngoscopy, video-assisted laryngoscopy, and laryngeal mask airway (LMA in a difficult airway simulator. This study is the first to compare the success with 3 methods for difficult airway management among pediatric trainees. Study Design Randomized crossover pilot study. Setting Tertiary academic medical center. Methods Twenty-two pediatric residents, interns, and medical students were tested. Participants were provided 1 training session by faculty using a normal infant manikin. Subjects then performed all 3 of the aforementioned advanced airway modalities in a randomized order on a difficult airway model of a Robin sequence. Success was defined as confirmed endotracheal intubation or correct LMA placement by the testing instructor in ≤120 seconds. Results Direct laryngoscopy demonstrated a significantly higher placement success rate (77.3% than video-assisted laryngoscopy (36.4%, P = .0117 and LMA (31.8%, P = .0039. Video-assisted laryngoscopy required a significantly longer amount of time during successful intubations (84.8 seconds; 95% CI, 59.4-110.1 versus direct laryngoscopy (44.9 seconds; 95% CI, 33.8-55.9 and LMA placement (36.6 seconds; 95% CI, 24.7-48.4. Conclusions Pediatric trainees demonstrated significantly higher success using direct laryngoscopy in a difficult airway simulator model. However, given the potential lifesaving implications of advanced airway adjuncts, including video-assisted laryngoscopy and LMA placement, more extensive training on adjunctive airway management techniques may be useful for trainees.

  13. Employing the nominal group technique to explore the views of pharmacists, pharmacy assistants and women on community pharmacy weight management services and educational resources.

    Fakih, Souhiela; Marriott, Jennifer L; Hussainy, Safeera Y

    2016-04-01

    The objectives of this study were to investigate how pharmacists, pharmacy assistants and women feel about community pharmacy involvement in weight management, and to identify what pharmacists, pharmacy assistants and women want in weight management educational resources. Three homogenous and one heterogeneous nominal group (NG) sessions of up to 120-min duration were conducted with nine women, ten pharmacists and eight pharmacy assistants. The NG technique was used to conduct each session to determine the most important issues that should be considered surrounding community pharmacy weight management services and development of any educational resources. The heterogeneous NG session was used to finalise what women, pharmacists and pharmacy assistants want in educational resources. Overall, pharmacists, pharmacy assistants and women believe that pharmacy staff have an important role in the management of overweight and obesity because of their accessibility, trust and the availability of products in pharmacy. Regarding the most suitable healthcare professional(s) to treat overweight and obesity, the majority of participants believed that no one member of the healthcare team was most suitable and that overweight and obesity needs to be treated by a multidisciplinary team. The importance of having weight management educational resources for pharmacy staff and women that come from trustworthy resources without financial gain or commercialisation was also emphasised. Pharmacists, pharmacy assistants and women feel that community pharmacies have a definite role to play in weight management. Pharmacy-specific weight management educational resources that are readily available to pharmacy staff and women are highly desirable. © 2015 Royal Pharmaceutical Society.

  14. Operating the EOSDIS at the land processes DAAC managing expectations, requirements, and performance across agencies, missions, instruments, systems, and user communities

    Kalvelage, T.A.; ,

    2002-01-01

    NASA developed the Earth Observing System (EOS) during the 1990'S. At the Land Processes Distributed Active Archive Center (LP DAAC), located at the USGS EROS Data Center, the EOS Data and Information System (EOSDIS) is required to support heritage missions as well as Landsat 7, Terra, and Aqua. The original system concept of the early 1990'S changed as each community had its say - first the managers, then engineers, scientists, developers, operators, and then finally the general public. The systems at the LP DAAC - particularly the largest single system, the EOSDIS Core System (ECS) - are changing as experience accumulates, technology changes, and each user group gains influence. The LP DAAC has adapted as contingencies were planned for, requirements and therefore plans were modified, and expectations changed faster than requirements could hope to be satisfied. Although not responsible for Quality Assurance of the science data, the LP DAAC works to ensure the data are accessible and useable by influencing systems, capabilities, and data formats where possible, and providing tools and user support as necessary. While supporting multiple missions and instruments, the LP DAAC also works with and learns from multiple management and oversight groups as they review mission requirements, system capabilities, and the overall operation of the LP DAAC. Stakeholders, including the Land Science community, are consulted regularly to ensure that the LP DAAC remains cognizant and responsive to the evolving needs of the user community. Today, the systems do not look or function as originally planned, but they do work, and they allow customers to search and order of an impressive amount of diverse data.

  15. ANALYSIS OF TREATMENT OF WOUNDS IN PATIENTS WITH GRADE IIIB COMPOUND FRACTURE WITH VACUUM-ASSISTED WOUND MANAGEMENT

    Ashish R. Agarwal

    2017-08-01

    Full Text Available BACKGROUND Delayed wound healing is a significant health problem, particularly in patients with compound fractures. It still remains a challenging task in orthopaedic surgery, which in addition to the pain and suffering, failure of the wound to heal, also imposes social and financial burdens. The aim of the study is to evaluate the results of vacuum-assisted wound therapy in patients with open musculoskeletal injuries. MATERIALS AND METHODS 30 patients of open musculoskeletal injuries underwent randomised trial of vacuum-assisted closure therapy versus standard wound therapy around the upper limb and lower limb. Mean patient age was 39 ± 18 years necrotic tissues were debrided before applying VAC therapy. Dressings were changed every 3 or 4 days. For standard wound therapy, debridement followed by daily dressings was done. Data Management and Statistical Analysis- The results obtained were subjected to statistical analysis. RESULTS Granulation tissue status and skin healing is better in patients undergoing VAC therapy. Hospital stay of patients undergoing VAC therapy was also less. CONCLUSION Vacuum-assisted wound therapy was better method of wound management.

  16. Using computer-assisted learning to engage diverse learning styles in understanding business management principles.

    Frost, Mary E; Derby, Dustin C; Haan, Andrea G

    2013-01-01

    Objective : Changes in small business and insurance present challenges for newly graduated chiropractors. Technology that reaches identified, diverse learning styles may assist the chiropractic student in business classes to meet course outcomes better. Thus, the purpose of our study is to determine if the use of technology-based instructional aids enhance students' mastery of course learning outcomes. Methods : Using convenience sampling, 86 students completed a survey assessing course learning outcomes, learning style, and the helpfulness of lecture and computer-assisted learning related to content mastery. Quantitative analyses occurred. Results : Although respondents reported not finding the computer-assisted learning as helpful as the lecture, significant relationships were found between pre- and post-assisted learning measures of the learning outcomes 1 and 2 for the visual and kinesthetic groups. Surprisingly, however, all learning style groups exhibited significant pre- and post-assisted learning appraisal relationships with learning outcomes 3 and 4. Conclusion : While evidence exists within the current study of a relationship between students' learning of the course content corollary to the use of technologic instructional aids, the exact nature of the relationship remains unclear.

  17. Acceptability of an e-learning program to help nursing assistants manage relationship conflict in nursing homes.

    Marziali, Elsa; Mackenzie, Corey Scott; Tchernikov, Illia

    2015-02-01

    Management of nursing assistants' (NAs) emotional stress from relationship conflicts with residents, families, and coworkers is rarely the focus of educational programs. Our objective was to gather feedback from NAs and their nursing supervisors (NSs) about the utility of our e-learning program for managing relationship stress. A total of 147 NAs and their NSs from 17 long-term care homes viewed the educational modules (DVD slides with voice-over), either individually or in small groups, and provided feedback using conference call focus groups. Qualitative analysis of NA feedback showed that workplace relationship conflict stress was associated with workload and the absence of a forum for discussing relationship conflicts that was not acknowledged by NSs. This accessible e-learning program provides NAs with strategies for managing stressful emotions arising from workplace relationship conflict situations and underscores the importance of supervisory support and team collaboration in coping with emotionally evoked workplace stress. © The Author(s) 2014.

  18. Improving Risk Management and Resiliency: A Plan for a Proactive National Policy on Insurance Practices in FEMA’s Public Assistance Program

    2013-12-01

    and reduce insurance costs. 178 Department of Finance and Deregulation , “Managing the Cost of Damage to Road Infrastructure Caused by Natural...MANAGEMENT AND RESILIENCY: A PLAN FOR A PROACTIVE NATIONAL POLICY ON INSURANCE PRACTICES IN FEMA’S PUBLIC ASSISTANCE PROGRAM by Gregory W. Eaton...AND RESILIENCY: A PLAN FOR A PROACTIVE NATIONAL POLICY ON INSURANCE PRACTICES IN FEMA’S PUBLIC ASSISTANCE PROGRAM 5. FUNDING NUMBERS 6. AUTHOR(S

  19. We're on a Mission Here: Institution Building, Education Reform, and the Rise of a Charter Management Organization

    Zuckerman, Andrew Michael

    2012-01-01

    This study examined the institution-building efforts of a leading charter school management organization, Achievement First. The study used a conceptual framework derived from institutional theory in sociology that offers two competing policy contexts in which charter schools and charter management organizations operate--a bureaucratic versus…

  20. The Enhancement of Regional Disaster Management Agencies (BPBD of Sumbawa Regency’s Capability in Flash Flood Management Through Aid Assistance of Japan International Cooperation Agency (JICA

    Nudia Vebina Ayumahani

    2018-03-01

    Full Text Available The need for enhancing capability has a very important significance in effective disaster management activities. Regional Disaster Management Agencies (BPBD of Sumbawa Regency established cooperation with the Japan International Cooperation Agency (JICA in enhancing the capability of flash flood management. The purpose of this research was to review and evaluate the JICA’s aid assistance programs toward BPBD of Sumbawa Regency, hereafter analyze the impact of the programs. Evaluation and analysis of this research were measured by three indicators of capability which is resources, leadership and policy implementation. This research used a qualitative descriptive method and proceed through the source and method triangulation. The researcher used purposive sampling technique in choosing seven informants from BPBD of Sumbawa Regency’s staff. The results showed that JICA’s aid assistance programs towards BPBD of Sumbawa Regency had been achieved by the targets and goals that have been determined. This program has impacted on enhancing the capability of resources that leads to the ability in Mapping, Technical Guidelines (JUKNIS and Disaster Management Plan (RPB. Increasing the capability of Human Resources (HR gives the effect of increasing capability in other fields such as financial resource capability, technical resource capability, leadership capability and policy implementation capability. The main factors in the success of the capability enhancement are the discipline factor of BPBD staff, high willingness to improve capability by BPBD staff, capability- enhancing programs, and clear direction from JICA.

  1. Robot-Assisted Laparoscopic Management of Caliceal Diverticular Calculi

    Anneleen Verbrugghe

    2017-07-01

    Full Text Available Standard treatment modalities of caliceal diverticular calculi range from extracorporal shockwave lithotripsy (SWL over retrograde intrarenal surgery (RIRS, percutaneous nephrolithotomy (PNL and laparoscopic stone removal. A 55-year-old woman presented with a history of pyelonephritis based on a caliceal diverticular calculus. Due to the narrow infundibulum and anterior location, a robot-assisted laparoscopic calicotomy with extraction of the calculi and fulguration of the diverticulum was performed, with no specific perioperative problems and good stone-free results. This article shows technical feasibility with minimal morbidity of robot-assisted laparoscopic stone removal and obliteration of a caliceal diverticulum.

  2. The EPA-Wide Plan to Provide Solid Waste Management Capacity Assistance to Tribes

    This Plan is a strategy for building tribal capacity to manage solid waste. The Plan promotes the development and implementation of integrated waste management plans and describes how EPA will prioritize its resources to maximize environmental benefits.

  3. The DISAM Journal of International Security Assistance Management. Volume 25, Number 3, Spring 2003

    2003-01-01

    OES Initiatives 4.000 2.000 1.500 Partnerships to Eliminate Sweatshops 4.000 4.000 2.000 Policy Initiatives 0.000 20.250 0.000 Subtotal – Global... disadvantaged youth. Limitation on Assistance to Security Forces (Section 556) • None of the funding made available by this Act may be provided to any

  4. Provision of assistive technology services method (ATSM) according to evidence-based information and knowledge management.

    Elsaesser, Linda-Jeanne; Bauer, Stephen M

    2011-01-01

    PURPOSE. This article develops a standardised method for assistive technology service (ATS) provision and a logical basis for research to improve health care quality. The method is 'interoperable' across disabilities, disciplines, assistive technology devices and ATSs. BACKGROUND. Absence of a standardised and interoperable method for ATS provision results in ineffective communication between providers, manufacturers, researchers, policy-makers and individuals with disabilities (IWD), a fragmented service delivery system, inefficient resource allocation and sub-optimal outcomes. OBJECTIVES. Synthesise a standardised, interoperable AT service method (ATSM) fully consistent with key guidelines, systems, models and Federal legislation. Express the ATSM using common and unambiguous language. RESULTS. Guidelines, systems, models and Federal legislation relevant to ATS provision are reviewed. These include the RESNA Guidelines for Knowledge and Skills for Provision of Assistive Technology Products and Services (RESNA Guidelines), IMPACT2 model, international classification of functioning, disability and health (ICF) and AT device classification (ATDC). Federal legislation includes the Assistive Technology Act of 2004, Americans with Disabilities Act of 2008 and Social Security Act. Based on these findings, the ATSM is synthesised and translated into common and accessible language. CONCLUSION. ATSM usage will improve communication between stakeholders, service delivery coherence, resource allocation and intervention outcomes.

  5. Baseline Assessment of the Department of the Army Cost Estimating and Analysis (CE/A) and Cost Management (CM) Capabilities

    Doyle, Michael C

    2005-01-01

    .../A) and cost management (CM) capabilities. In particular, it supports the Deputy Assistant Secretary of the Army- Cost AND Economics' mission to provide DA with cost, performance and economic analysis in the form of expertise, models, data...

  6. [Emergency response management near the tracks of the public railway network: special aspects of missions connected with the German national railway system].

    Krämer, P; Aul, A; Vock, B; Frank, C

    2010-11-01

    Emergency response management and rescue operations concerning the railway network in Germany need special attention and implementation in several ways. The emergency response concerning the German national railway network managed by Deutsche Bahn AG is subject to various rules and regulations which have to be followed precisely. Only by following these rules and procedures is the safety of all emergency staff at the scene ensured. The German national railway network (Deutsche Bahn AG) provides its own emergency response control center, which specializes in managing its response to emergencies and dispatches an emergency response manager to the scene. This person serves as the primary Deutsche Bahn AG representative at the scene and is the only person who is allowed to earth the railway electrical power lines. This article will discuss different emergency situations concerning railway accidents and the emergency medical response to them based on a near collision with a high speed train during a rescue mission close to the railway track. Injury to personnel could only be avoided by chance and luck. The dangers and risks for rescue staff are specified. Furthermore, the article details practical guidelines for rescue operations around the German national railway track system.

  7. [ASSET missions at the Russian NPPs

    Garnyk, N [Ministry of the Russian Federation on Atomic Energy, Moscow (Russian Federation). Div. of International Organizations and Non-Proliferation

    1997-12-31

    The activities connected with the ASSET missions and seminars which were held at the Russian nuclear power plants with the assistance of the IAEA and which facilitated the enhancement of nuclear safety culture are described.

  8. [ASSET missions at the Russian NPPs

    Garnyk, N.

    1996-01-01

    The activities connected with the ASSET missions and seminars which were held at the Russian nuclear power plants with the assistance of the IAEA and which facilitated the enhancement of nuclear safety culture are described

  9. Enterprise Information Architecture for Mission Development

    Dutra, Jayne

    2007-01-01

    This slide presentation reviews the concept of an information architecture to assist in mission development. The integrate information architecture will create a unified view of the information using metadata and the values (i.e., taxonomy).

  10. Towards A Shared Mission

    Staunstrup, Jørgen; Orth Gaarn-Larsen, Carsten

    A mission shared by stakeholders, management and employees is a prerequisite for an engaging dialog about the many and substantial changes and challenges currently facing universities. Too often this essen-tial dialog reveals mistrust and misunderstandings about the role and outcome of the univer......A mission shared by stakeholders, management and employees is a prerequisite for an engaging dialog about the many and substantial changes and challenges currently facing universities. Too often this essen-tial dialog reveals mistrust and misunderstandings about the role and outcome...... on a shared mission aiming at value creation (in the broadest interpretation). One important aspect of choosing value as the cornerstone of the mission of universities is to stress that the outcome is measured by external stakeholders and by their standards. Most of the paper is devoted to discussing value...... it possible to lead through processes that engage and excite while creating transparency and accountability. The paper will be illustrated with examples from Denmark and the Helios initiative taken by the Danish Academy of Technical Sciences (ATV) under the headline “The value creating university – courage...

  11. The DISAM Journal of International Security Assistance Management. Volume 23, Number 2, Winter 2001

    2001-01-01

    The DISAM Journal, Winter 2001 90 Protection Project to continue its study of international trafficking, prostitution, slavery , debt bondage and other...amounting to debt bondage , involuntary servitude, or slavery . This includes about 50,000 women and children trafficked annually into the U.S. [Section 102...Vietnamese to receive modern demining equipment and other mine- related assistance through the U.S. humanitarian demining program. The Vietnamese will

  12. Social work role in developing and managing employee assistance programs in health care settings.

    Foster, Z; Hirsch, S; Zaske, K

    1991-01-01

    The hospital setting presents special needs for an Employee Assistance Program and special complications for sponsorship, development, and maintenance. What has been learned, how certain problems can be solved or avoided, how responsibility and accountability can be negotiated are presented by a team that has successfully established such a program at a large metropolitan medical center. In addition to successes, some unsolved problems are identified for further study.

  13. Vacuum-assisted closure therapy in the management of lung abscess.

    Sziklavari, Zsolt; Ried, Michael; Hofmann, Hans-Stefan

    2014-09-06

    Despite significant advances in the treatment of thoracic infections, complex lung abscess remains a problem in modern thoracic surgery. We describe the novel application of vacuum-assisted closure for the treatment of a lung abscess. The technical details and preliminary results are reported. After the initial failed conservative treatment of an abscess, minimally invasive surgical intervention was performed with vacuum-assisted closure. The vacuum sponges were inserted in the abscess cavity at the most proximal point to the pleural surface. The intercostal space of the chest wall above the entering place was secured by a soft tissue retractor. The level of suction was initially set to 100 mm Hg, with a maximum suction of 125 mm Hg. The sponge was changed once on the 3rd postoperative day. The abscess cavity was rapidly cleaned and decreased in size. The mini-thoracotomy could be closed on the 9th postoperative day. Closure of the cavity was simple, without any short- or long-term treatment failure. This technique reduced the trauma associated with the procedure. The patient was discharged on the 11th postoperative day. Vacuum-assisted closure systems should be considered for widespread use as an alternative option for the treatment of complicated pulmonary abscess in elderly, debilitated, immunocompromised patients after failed conservative treatment.

  14. Demonstration of generic handbooks for assisting in the management of contaminated food production systems and inhabited areas in Europe

    Nisbet, A.F.; Andersson, Kasper Grann; Duranova, T.

    2010-01-01

    Two handbooks have been developed in conjunction with a wide range of stakeholders that provide assistance in the management of contaminated food production systems and inhabited areas following a radiological incident. Emergency centres in Member States not involved in the development...... of these handbooks were invited to take part in demonstration activities to establish whether the handbooks would be useful for the purposes of contingency planning and accident management. Some eight centres took part. Emergency exercises or similar events based on scenarios involving contamination of the foodchain...... and inhabited areas were used. Feedback from all of the demonstrations was positive with constructive criticism given on how to improve the navigation, structure and format of the handbooks. All of the key improvements highlighted during the demonstrations were taken into account and included in version 2...

  15. An Evaluation of the Federal Energy Management Program Technical Assistance Workshops: Results of a 1998 Customer Survey

    G. B. Gordon; N. Hall

    1999-04-01

    This report presents the results of a customer telephone survey of the participants of six workshops provided by the U. S. Department of Energy Federal Energy Management Program (FEMP) during calendar years 1995 and 1996. The primary purpose for the survey was to provide the Team Leader for FEMP Technical Assistance and members of the team with detailed customer feedback pertaining to how well selected FEMP workshops are doing and to identify areas for improvement. The information presented enables managers to see both the strengths of their workshops, as well as workshop components that can be improved. In addition, the report identifies the questions included in the survey that were the most productive for obtaining customers experiences, opinions and recommendations. The experiences gained during this survey provide a platform from which to launch an annual FEMP customer survey.

  16. An online lifestyle diary with a persuasive computer assistant providing feedback on self-management

    Blanson Henkemans, O.A.; Boog, P.J.M. van der; Lindenberg, J.; Mast, C.A.P.G. van der; Neerincx, M.A.; Zwetsloot-Schonk, B.J.H.M.

    2009-01-01

    In accordance with the global trend, in The Netherlands approximately 45% of the population is overweight. Existing studies show that patient self-management can reduce these figures, but medical non-adherence is a persistent problem. eHealth can potentially increase adherence to self-management.

  17. Experimental investigation on the thermal performance of heat pipe-assisted phase change material based battery thermal management system

    Wu, Weixiong; Yang, Xiaoqing; Zhang, Guoqing; Chen, Kai; Wang, Shuangfeng

    2017-01-01

    Highlights: • A heat pipe assisted phase change material based battery thermal management system is proposed. • The proposed system is compact and efficient from a view of practical application. • Cycling conditions are experimentally simulated for practical working environment. • The proposed system presents better thermal performance in comparison to other systems. • Combining forced air convection with heat pipe further enhances the cooling effect. - Abstract: In this paper, a heat pipe-assisted phase change material (PCM) based battery thermal management (BTM) system is designed to fulfill the comprehensive energy utilization for electric vehicles and hybrid electric vehicles. Combining the large heat storage capacity of the PCM with the excellent cooling effect of heat pipe, the as-constructed heat pipe-assisted PCM based BTM is feasible and effective with a relatively longer operation time and more suitable temperature. The experimental results show that the temperature maldistribution of battery module can be influenced by heat pipes when they are activated under high discharge rates of the batteries. Moreover, with forced air convection, the highest temperature could be controlled below 50 °C even under the highest discharge rate of 5C and a more stable and lower temperature fluctuation is obtained under cycling conditions. Meanwhile, the effectiveness of further increasing air velocity (i.e., more fan power consumption) is limited when the highest temperature continues to reduce at a lower rate due to the phase transition process of PCM. These results are expected to provide insights into the design and optimization of BTM systems.

  18. Technology-assisted self-testing and management of oral anticoagulation therapy: a qualitative patient-focused study.

    Kuljis, Jasna; Money, Arthur G; Perry, Mark; Barnett, Julie; Young, Terry

    2017-09-01

    Oral anticoagulation therapy requires regular blood testing to ensure therapeutic levels are maintained and excessive bleeding/clotting is avoided. Technology-assisted self-testing and management is seen as one of the key areas in which quality of care can be improved whilst reducing costs. Nevertheless, levels of patient engagement in self-testing and management remain low. To date, little research emphasis has been placed on understanding the patients' perspectives for low engagement. The typical approach adopted by healthcare providers is to provide patient education programmes, with the expectation that individual patients will change their behaviour and adopt new self-care strategies. However, if levels of patient engagement are to be increased, healthcare providers must also develop a better understanding of how their clinical service provision is perceived by patients and make adaptations. To explore patient views, needs and expectations of an anticoagulation service and the self-testing and management services provided. Interviews were conducted with 17 patients who currently engage in international normalised ratio (INR) self-testing and management. Thematic coding and analysis were carried out on the interview transcripts. Four high-level themes emerged from interviews: (i) role of clinic, (ii) motivations for self-testing, (iii) managing INR and (iv) trust. The clinic was seen as adding value in terms of specifying testing frequency, dosage profiles and calibrating equipment. Prompt communication from clinic to patient was also valued, although more personalised/real-time communication would help avoid feelings of isolation. Patients felt more in control as self-tester/managers and often took decisions about treatment adjustments themselves. However, some also manipulated their own test results to avoid 'unnecessary' interventions. More personalised/real-time communication, pragmatic and collaborative patient-clinician partnerships and recognition of

  19. Assisted living: a place to manage uncertainty. The ambiguity of assisted living is unavoidable because residents' needs are always changing. The Wheat Valley example is used to examine this concept.

    Ekerdt, David J

    2005-01-01

    The assisted living environment lacks the satisfying clarity of the consumer model (a stay at the Holiday Inn) or the medical model (the hospital or nursing home). Yet the ambiguity of assisted living is unavoidable because it shelters individuals whose needs are changing, the model of care requires extensive negotiation with residents, and staff members must continually compromise as they implement the principles. Assisted living is a place where uncertainty is managed, not resolved. This indicates a need for the further pursuit of qualitative research, such as reported by these articles and others (e.g., Carder, 2002), to explore how participants construct, make sense of, and interpret their daily experience in assisted living.

  20. IAEA Coordinates International Mission on Remediation of Areas Off-site Fukushima Daiichi NPP

    2011-01-01

    Full text: The International Atomic Energy Agency (IAEA) will dispatch an international expert mission to Japan to assist the country in its planning to remediate the areas off-site from the Fukushima Daiichi Nuclear Power Plant. Following a request by the Government of Japan, the mission, comprising 12 international and IAEA experts from several countries, will visit Japan between 7 and 15 October 2011 under the leadership of Mr. Juan Carlos Lentijo, General Director for Radiation Protection at Spain's nuclear regulatory authority. The team will go to several locations in the Fukushima Prefecture and conduct meetings in Tokyo with Japanese officials to: Provide assistance to Japan in its plans to manage remediation efforts; Review the country's remediation strategies, plans and work; and Share its findings with the international community. The IAEA mission will provide an opportunity for the international experts to exchange views with the Japanese authorities involved in the decontamination effort and other interested parties. It will also provide an opportunity for the IAEA to take stock of lessons learned from this important decontamination initiative. At the end of the mission a preliminary summary report will be provided to the Government of Japan and be made publically available. The team is also planning to hold a press briefing at the end of the mission. The final report of the mission will be presented to the Government in the month following the conclusion of the mission. Background The accident at Fukushima Daiichi Nuclear Power Plant has led to the radiological contamination of large areas. The Government of Japan has been formulating a strategy and plans to implement countermeasures to remediate these areas. The IAEA organized an International Fact Finding Expert Mission Of The Fukushima Daiichi Nuclear Power Plant Accident Following The Great East Japan Earthquake And Tsunami, which was held between 24 May and 2 June 2011. The current mission is a

  1. [The mission of Princeton Plasma Physics Laboratory

    1993-01-01

    This report discusses the following about Princeton Plasma Physics Laboratory: its mission; requirements and guidance documents for the QA program; architecture; assessment organization; and specific management issues

  2. Rapid Automated Mission Planning System, Phase II

    National Aeronautics and Space Administration — The proposed innovation is an automated UAS mission planning system that will rapidly identify emergency (contingency) landing sites, manage contingency routing, and...

  3. Native American Technical Assistance and Training for Renewable Energy Resource Development and Electrical Generation Facilities Management

    A. David Lester

    2008-10-17

    The Council of Energy Resource Tribes (CERT) will facilitate technical expertise and training of Native Americans in renewable energy resource development for electrical generation facilities, and distributed generation options contributing to feasibility studies, strategic planning and visioning. CERT will also provide information to Tribes on energy efficiency and energy management techniques.This project will provide facilitation and coordination of expertise from government agencies and private industries to interact with Native Americans in ways that will result in renewable energy resource development, energy efficiency program development, and electrical generation facilities management by Tribal entities. The intent of this cooperative agreement is to help build capacity within the Tribes to manage these important resources.

  4. Development of software for management of radioactive waste in biological research and clinical assistance

    Maciel, Bianca; Mattos, Maria Fernanda S.S.; Medeiros, Regina B.; Franca Junior, Jose Antonio de

    2011-01-01

    This paper describes the development of software which facilitates the automation of this process by mean of the Safety Analysis Report generating a data base allowing the statistic analysis and elaboration of radioactive wastes inventory. The software was developed in PHP language and the information is stored in a data base generated in Oracle and organized in different tables which allows to calculate the storage time of waste and to register the specificities of radioisotopes, cadastral data of the professionals which handle that radioisotope and also the characteristics of handling laboratories. That tool collaborates for a effective control on the use of radioisotopes in research laboratories and assistance areas as well

  5. Mission Iraq

    1994-01-01

    This video summarizes the activities of the IAEA inspection teams, assisted by the UN Special Commission on Iraq, to uncover, neutralize and prevent the restart of Iraq's military nuclear programme. It documents the destruction or rendering harmless of various sites and equipment used for nuclear weapon development, sometimes under very difficult conditions, and points out the necessity of establishing a comprehensive and sustainable monitoring system for the future

  6. GIS tailored questionnaires for assisting health care management in distributing resources

    Herselman, M

    2010-09-01

    Full Text Available A tailored questionnaire focuses on dynamic generation of items and questions according to the location where the questionnaire is used. The approach is connected to the management of resources and the support of decision making processes which...

  7. A methodological model to assist in the optimization and risk management of mining investment decisions

    Botin, Jose A; Guzman, Ronald R; Smith, Martin L

    2011-01-01

    Identifying, quantifying, and minimizing technical risks associated with investment decisions is a key challenge for mineral industry decision makers and investors. However, risk analysis in most bankable mine feasibility studies are based on the stochastic modeling of project N et Present Value (NPV)which, in most cases, fails to provide decision makers with a truly comprehensive analysis of risks associated with technical and management uncertainty and, as a result, are of little use for risk management and project optimization. This paper presents a value-chain risk management approach where project risk is evaluated for each step of the project life cycle, from exploration to mine closure, and risk management is performed as a part of a stepwise value-added optimization process.

  8. Risk-Based Decision-Making and the Use of Operational Risk Management in Developing a Course of Action (COA) for the Joint Task Force (JTF)

    Faherty, Denis

    2003-01-01

    .... Operational Risk Management (ORM) is the process that assists the military commander in reducing or offsetting risk and helps him think through his options when faced with force employment and the requirement for risk control for mission success...

  9. Relationship outcomes as measurement criteria to assist communication strategists to manage organisational relationships

    E. Botha

    2011-06-01

    Full Text Available Nonfinancial assets like relationships are increasingly important to managers. Communication managers in particular are focusing on measuring and managing organisational relationships as a means to quantify the return on investment (ROI of public relations and communication strategies. Measuring relationships offers communication managers a way to evaluate its contribution to the organisation. A commonly agreed upon definition of these relationships, however, does not exist. If we consider communication management is a managerial function, it must first refine its instruments of measurement. This study looks at the three-stage model of organisational relationships (relationship antecedents, maintenance strategies and relationship outcomes proposed by Grunig & Huang (2000 to firstly review the development of the model. Secondly, the study takes an in-depth look at each relationship outcomes of trust, commitment, satisfaction and control mutuality. Lastly, we assess the reliability and validity of the use of current relationship outcome measures through a survey of 154 organisational relationships. Previous studies that have utilized these outcomes in the measurement of organisational relationships do not discuss the possible interaction (or relationship among these outcomes. This study contributes to current literature by both providing an improved framework for the measurement of relationship outcomes and hypothesizing about how these outcomes interact with one another. It also discusses the managerial implications of managing relationships through the constant measurement of trust, commitment, satisfaction and control mutuality

  10. [Change management: An analysis of actors; perceptions about technical assistance in the Democratic Republic of Congo].

    Ribesse, Nathalie; Iyeti, Alain; Macq, Jean

    2015-01-01

    Technical assistance (TA) is a common component of health system strengthening interventions. This type of intervention is too often designed and evaluated according to a logic that fails to take into account social complexity. Actors' perceptions are one element of this complexity. This article presents a study conducted in the Democratic Republic of Congo designed to identify perceptions concerning two types of technical support providers for health system strengthening: long-term technical assistants (agents of development agencies) and provincial technical advisors (agents of the Ministry of Health). Interviews were conducted with an innovative tool inspired by the principles of systems thinking. Interviewees were actors involved in a TA intervention in the province of Bandundu. Their expectations regarding TA providers were identified in terms of personal characteristics (knowledge, know-how and interpersonal skills), roles, and styles of interaction for capacity building ("interventionist/ prescriptive axes"). Interviewees emphasized the importance of mutual learning and the quality of interactions, which depends on TA provider's interpersonal skills and mutual willingness. Perceptions of TA provider's characteristics tend to be similar, but several differences were observed concerning the expectations about the roles of TAs, and the style that should be adopted for capacity building. Ignoring these differences in expectations may be a threat to the effectiveness of TA.

  11. Forced Shortsightedness: Security Force Assistance Missions

    2014-06-01

    accomplished something no other al-Qaeda franchise has ever been able to pull off: conquering and governing a broad swath of a sovereign country, then...marginalized and disadvantaged .”58 Boko Haram has capitalized on the increasing north-south divide and subsequently has increased the frequency and...groups.”70 VENs, such as AQIM and Boko Haram, are internal threats competing for victory over the people and taking advantage of the lack of

  12. Integrated employee assistance program/managed behavioral health care benefits: relationship with access and client characteristics.

    Levy Merrick, Elizabeth S; Hodgkin, Dominic; Horgan, Constance M; Hiatt, Deirdre; McCann, Bernard; Azzone, Vanessa; Zolotusky, Galina; Ritter, Grant; Reif, Sharon; McGuire, Thomas G

    2009-11-01

    This study examined service user characteristics and determinants of access for enrollees in integrated EAP/behavioral health versus standard managed behavioral health care plans. A national managed behavioral health care organization's claims data from 2004 were used. Integrated plan service users were more likely to be employees rather than dependents, and to be diagnosed with adjustment disorder. Logistic regression analyses found greater likelihood in integrated plans of accessing behavioral health services (OR 1.20, CI 1.17-1.24), and substance abuse services specifically (OR 1.23, CI 1.06-1.43). Results are consistent with the concept that EAP benefits may increase access and address problems earlier.

  13. Technical Evaluation Report 30: Vendor-Assisted Evaluation of a Learning Management System

    Adrienne De Schutter

    2004-04-01

    Full Text Available A product evaluation was conducted of Desire2Learn, an online learning management system gaining popularity in educational institutions. Since an online trial version of the software was not available for evaluation, an inspection meeting with the vendor was arranged. This provided the evaluation team with an opportunity to examine the precautions necessary for ensuring the objectivity of a product evaluation based on vendor-supplied information. The report outlines the team’s use of evaluator-driven enquiry and a triangulated approach to information checking. The Desire2Learn product is assessed as a flexible and useful addition to the range of learning management system options.

  14. Wound management with vacuum assisted closure in surgical site infection after ankle surgery.

    Zhou, Zhen-Yu; Liu, Ya-Ke; Chen, Hong-Lin; Liu, Fan

    2015-05-01

    The aim of this study was to compare the efficacy of vacuum assisted closure (VAC) with standard moist wound care (SMWC) in surgical site infection after ankle surgery. A prospective cohort was performed among patients with surgical site infection after ankle surgery between 2012 and 2013. The follow-up period was three month, and the efficacy end point was complete wound closure rate. Ninety-four patients were analyzed, with 61 patients in the VAC group and 33 in the SMWC group. The complete wound closure rate in the VAC group was higher than that in the SMWC group at 3 month follow up (90.2% Vs. 72.7%, p = 0.028). The median time to complete wound closure was 31 days (95% CI 20.2-41.8) for VAC, and 63 days (95% CI 46.9-79.1) for SMWC (χ(2) = 4.023, p = 0.045). In the superficial infection subgroup, the median times to complete wound closure were 20 days (95% CI 14.2-35.1) in the VAC group and 42 days (95% CI 35.4-69.4) in SMWC group (χ(2) = 4.331, p = 0.041). In the deep subgroup, the median times to complete wound closure were 46 days (95% CI 28.2-65.9) in the VAC group and 75 days (95% CI 43.2-79.6) in SMWC group (χ(2) = 6.475, p = 0.026). Our result showed that vacuum assisted closure was more effective than standard moist wound care in surgical site infection after ankle surgery. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

  15. Provision of assistive technology devices among people with ALS in Germany: a platform-case management approach.

    Funke, Andreas; Spittel, Susanne; Grehl, Torsten; Grosskreutz, Julian; Kettemann, Dagmar; Petri, Susanne; Weyen, Ute; Weydt, Patrick; Dorst, Johannes; Ludolph, Albert C; Baum, Petra; Oberstadt, Moritz; Jordan, Berit; Hermann, Andreas; Wolf, Joachim; Boentert, Matthias; Walter, Bertram; Gajewski, Nadine; Maier, André; Münch, Christoph; Meyer, Thomas

    2018-01-30

    The procurement of assistive technology devices (ATD) is an essential component of managed care in ALS. The objective was to analyze the standards of care for ATD and to identify challenges in the provision process. A cohort study design was used. We investigated the provision of 11,364 ATD in 1494 patients with ALS at 12 ALS centers in Germany over four years. Participants were patients that entered a case management program for ATD including systematic assessment of ATD on a digital management platform. Wheelchairs (requested in 65% of patients), orthoses (52%), bathroom adaptations (49%), and communication devices (46%) were the most needed ATD. There was a wide range in the number of indicated ATD per patient: 1 to 4 ATD per patient in 45% of patients, 5 to 20 ATD in 48%, and >20 ATD in 7% of patients. Seventy percent of all requested ATD were effectively delivered. However, an alarming failure rate during procurement was found in ATD that are crucial for ALS patients such as powered wheelchairs (52%), communication devices (39%), or orthoses (21%). Leading causes for not providing ATD were the refusal by health insurances, the decision by patients, and the death of the patient before delivery of the device. The need for ATD was highly prevalent among ALS patients. Failed or protracted provision posed substantial barriers to ATD procurement. Targeted national strategies and the incorporation of ATD indication criteria in international ALS treatment guidelines are urgently needed to overcome these barriers.

  16. Public Financial Accountability: A pre-requisite to the management of Development Assistance in Mozambique beyond 2015

    Clive Makina

    2016-12-01

    Full Text Available In Sub-Saharan Africa, Mozambique remains as one of the poorest countries in the region receiving large volumes of Development Assistance (DA from the international donor community yet the majority of its population still continue to suffer from poverty. This article places much emphasis on efficient and effective Public Financial Management (PFM as a key ingredient for the achievement of both the national and international development goals in Mozambique. Through a literature based study, the article acknowledges progress that has been recorded in the Millennium Development Goals. However, the paper considers the strengthening of PFM systems through enhanced accountability and transparency as essential elements in face of the recent global development commitment to the Sustainable Development Goals. A reviewof challenges experienced in the era of MDGs in the country points to a need for greater transparency and accountability in the management of DA if the country is to achieve the SDGs. Thus, arguing on the basis of the Agency theory, the article proposes the adoption of a stringent governance mechanism for Public Financial Management measures to shape government and donor financial accountability frameworks with the view of creating an enabling environment aimed at ensuring the achievement of Agenda 2025 and the 2030 Sustainable Development Goal (SDG targets.

  17. The productivity of physician assistants and nurse practitioners and health work force policy in the era of managed health care.

    Scheffler, R M; Waitzman, N J; Hillman, J M

    1996-01-01

    Managed care is spreading rapidly in the United States and creating incentives for physician practices to find the most efficient combination of health professionals to deliver care to an enrolled population. Given these trends, it is appropriate to reexamine the roles of physician assistants (PAs) and nurse practitioners (NPs) in the health care workforce. This paper briefly reviews the literature on PA and NP productivity, managed care plans' use of PAs and NPs, and the potential impact of PAs and NPs on the size and composition of the future physician workforce. In general, the literature supports the idea that PAs and NPs could have a major impact on the future health care workforce. Studies show significant opportunities for increased physician substitution and even conservative assumptions about physician task delegation imply a large increase in the number of PAs and NPs that can be effectively deployed. However, the current literature has certain limitations that make it difficult to quantify the future impact of PAs and NPs. Among these limitations is the fact that virtually all formal productivity studies were conducted in fee-for-service settings during the 1970s, rather than managed care settings. In addition, the vast majority of PA and NP productivity studies have viewed PAs and NPs as physician substitutes rather than as members of interdisciplinary health care teams, which may become the dominant health care delivery model over the next 10-20 years.

  18. Feasibility Study on UAV-assisted Construction Surplus Soil Tracking Control and Management Technique

    Jieh Haur, Chen; Kuo, Lin Sheng; Fu, Chen Ping; Li Hsu, Yeh; Da Heng, Chen

    2018-01-01

    Construction surplus soil tracking management has been the key management issue in Taiwan since 1991. This is mainly due to the construction surplus soils were often regarded as disposable waste and were disposed openly without any supervision, leading to environmental pollution. Even though the surplus soils were gradually being viewed as reusable resources, some unscrupulous enterprises still dump them freely for their own convenience. In order to dispose these surplus soils, site offices are required to confirm with the soil treatment plant regarding the approximate soil volume for hauling vehicle dispatch. However, the excavated soil volume will transform from bank volume to loose volume upon excavation, which may differ by a certain speculative coefficient (1.3), depending on the excavation site and geological condition. For managing and tracking the construction surplus soils, local government authorities frequently performed on-site spot check, but the lack of rapid assessment tools for soil volume estimation increased the evaluation difficulty for on-site inspectors. This study adopted unmanned aerial vehicle (UAV) in construction surplus soil tracking and rapidly acquired site photography and point cloud data, the excavated soil volume can be determined promptly after post-processing and interpretation, providing references to future surplus soil tracking management.

  19. Bladder neck contracture-incidence and management following contemporary robot assisted radical prostatectomy technique

    Jaspreet Singh Parihar

    2014-03-01

    Conclusions: BNC was identified in 1.6% of patients in our series following RARP. Intraoperative blood loss was a significant risk factor for BNC. In 20% of BNC patients a migrated foreign body was noted at vesicourethral anastomosis. Primary management of patients with BNC following RARP should be bladder neck incision and self CIC regimen.

  20. Farm level optimal water management : assistant for irrigation under deficit (FLOW-AID)

    Balendonck, J.; Stanghellini, C.; Hemming, J.; Kempkes, F.L.K.; Tuijl, van B.A.J.

    2008-01-01

    FLOW-AID is an on-going 6th Framework European project (2006-2009) with the objective to contribute to sustainable irrigated agriculture by developing an irrigation management system that can be used for crop production in cases with limited water supply and marginal water quality. The project

  1. Farm level optimal water management: Assistant for irrigation under Defecit (FLOW-AID)

    Balendonck, J.; Stanghellini, C.; Hemming, J.; Kempkes, F.L.K.; Tuijl, van B.A.J.

    2009-01-01

    Flow-aid is an on-going 6th Framework European project (2006-2009) with the objective to contribute to sustainable irrigated agriculture by developing an irrigation management system that can be used for crop production in cases with limited water supply and marginal water quality. The project

  2. Optimal waste-to-energy strategy assisted by GIS For sustainable solid waste management

    Tan, S T; Hashim, H; Lee, C T; Lim, J S; Kanniah, K D

    2014-01-01

    Municipal solid waste (MSW) management has become more complex and costly with the rapid socio-economic development and increased volume of waste. Planning a sustainable regional waste management strategy is a critical step for the decision maker. There is a great potential for MSW to be used for the generation of renewable energy through waste incineration or landfilling with gas capture system. However, due to high processing cost and cost of resource transportation and distribution throughout the waste collection station and power plant, MSW is mostly disposed in the landfill. This paper presents an optimization model incorporated with GIS data inputs for MSW management. The model can design the multi-period waste-to-energy (WTE) strategy to illustrate the economic potential and tradeoffs for MSW management under different scenarios. The model is capable of predicting the optimal generation, capacity, type of WTE conversion technology and location for the operation and construction of new WTE power plants to satisfy the increased energy demand by 2025 in the most profitable way. Iskandar Malaysia region was chosen as the model city for this study

  3. Epidemiological models to assist the management of highly pathogenic avian influenza

    Stegeman, J.A.; Bouma, A.; Jong, de M.C.M.

    2011-01-01

    In recent decades, epidemiological models have been used more and more frequently as a tool for the design of programmes for the management of infectious diseases such as highly pathogenic avian influenza. Predictive models are used to simulate the effects of various control measures on the spread

  4. Power Management Based Current Control Technique for Photovoltaic-Battery Assisted Wind-Hydro Hybrid System

    Ram Prabhakar, J.; Ragavan, K.

    2013-07-01

    This article proposes new power management based current control strategy for integrated wind-solar-hydro system equipped with battery storage mechanism. In this control technique, an indirect estimation of load current is done, through energy balance model, DC-link voltage control and droop control. This system features simpler energy management strategy and necessitates few power electronic converters, thereby minimizing the cost of the system. The generation-demand (G-D) management diagram is formulated based on the stochastic weather conditions and demand, which would likely moderate the gap between both. The features of management strategy deploying energy balance model include (1) regulating DC-link voltage within specified tolerances, (2) isolated operation without relying on external electric power transmission network, (3) indirect current control of hydro turbine driven induction generator and (4) seamless transition between grid-connected and off-grid operation modes. Furthermore, structuring of the hybrid system with appropriate selection of control variables enables power sharing among each energy conversion systems and battery storage mechanism. By addressing these intricacies, it is viable to regulate the frequency and voltage of the remote network at load end. The performance of the proposed composite scheme is demonstrated through time-domain simulation in MATLAB/Simulink environment.

  5. Optimal waste-to-energy strategy assisted by GIS For sustainable solid waste management

    Tan, S. T.; Hashim, H.

    2014-02-01

    Municipal solid waste (MSW) management has become more complex and costly with the rapid socio-economic development and increased volume of waste. Planning a sustainable regional waste management strategy is a critical step for the decision maker. There is a great potential for MSW to be used for the generation of renewable energy through waste incineration or landfilling with gas capture system. However, due to high processing cost and cost of resource transportation and distribution throughout the waste collection station and power plant, MSW is mostly disposed in the landfill. This paper presents an optimization model incorporated with GIS data inputs for MSW management. The model can design the multi-period waste-to-energy (WTE) strategy to illustrate the economic potential and tradeoffs for MSW management under different scenarios. The model is capable of predicting the optimal generation, capacity, type of WTE conversion technology and location for the operation and construction of new WTE power plants to satisfy the increased energy demand by 2025 in the most profitable way. Iskandar Malaysia region was chosen as the model city for this study.

  6. 44 CFR Appendix A to Part 62 - Federal Emergency Management Agency, Federal Insurance Administration, Financial Assistance...

    2010-10-01

    ... provided in Article V, Section C.2. E. In the event that the Company is unable or otherwise fails to carry... another WYO Company as provided by Article V, Section C.2. F. In the event the Act is amended, or repealed... domiciliary State. Article VII—Cash Management and Accounting A. FEMA shall make available to the Company...

  7. Using Behavioral Interventions to Assist Children with Type 1 Diabetes Manage Blood Glucose Levels

    Lasecki, Kim; Olympia, Daniel; Clark, Elaine; Jenson, William; Heathfield, Lora Tuesday

    2008-01-01

    Treatment and management of chronic disease processes on children occurs across multiple settings, placing demands for consultation and expertise on school personnel, including school psychologists. One such chronic condition in children is type I diabetes. Children with type I insulin dependent diabetes mellitus exhibit high rates of…

  8. Assisting School Management Teams to Construct Their School Improvement Plans: An Action Learning Approach

    Van Der Voort, Geoffrey; Wood, Lesley

    2014-01-01

    This article reports on a first cycle of a larger action research study conducted to determine how Circuit Teams could support School Management Teams of underperforming high schools towards whole-school development. Although it is a mandated requirement by the Department of Education, none of the four schools involved in the study had developed a…

  9. Postinfarct VSD management using 3D computer printing assisted percutaneous closure

    Mohamad Lazkani

    2015-11-01

    Full Text Available Postinfarct VSD (PIVSD carries a grim prognosis. The mainstay of management has been surgical repair. The advent of septal occluder devices has offered an attractive alternative to surgical repair. Most PIVSD have serpiginous tracts with necrotic tissue, which makes assessing the defect challenging. 3D computer printing has become useful in preprocedure planning of complex surgical procedures in multiple subspecialties.

  10. Harnessing Resistance: Using the Theory of Constraints To Assist Change Management.

    Mabin, Victoria J.; Forgeson, Steve; Green, Lawrence

    2001-01-01

    Applies the Theory of Constraints, which views resistance to change as a necessary, positive force, to a case study of a bank merger. For each resistance factor, the theory provides tools for using it and managing change successfully. (Contains 46 references.) (SK)

  11. Robotic health assistant (Feverkit) for the rational management of fevers among nomads in Nigeria.

    Akogun, Oladele

    2011-06-01

    The innovation described in this paper was motivated by concern that in Africa, parasite resistance to antimalarial drugs is associated with irrational drug use where health facilities are inaccessible. However, advancement in digital technology, simple diagnostic devices and smart drug packaging inspire innovative strategies. The combination of communication technology, rapid diagnostic tools, and antibiotic and antimalarial medicines can increase access to evidence-based malaria management, reduce mortality and slow the development of resistance to drugs. The author initiated development of a solar-powered device (Feverkit) programmed with user-interactive capabilities and equipped with a detachable laboratory and dispensary for community management of fevers. The operational performance of 10 units of the device was evaluated among 20 nomadic Fulani communities in northeastern Nigeria. A brief introduction to its parts and functions was sufficient for community-selected nomadic caregivers to use it competently for managing 207 fever cases in eight weeks, with a 97% (p=.000) recovery rate. The Feverkit guided the nomads to distinguish between malaria and non-malaria-induced fevers, and thus selectively treat them. Camp communities accepted the device and were willing to pay between US$33 and $334 (mean, $113; mode, $67) to keep it. Public-private sector collaboration is essential for sustaining and scaling up production of the Feverkit as a commercial health device for the management of fevers among nomads.

  12. An information assistant system for the prevention of tunnel vision in crisis management

    Cao, Y.

    2008-01-01

    In the crisis management environment, tunnel vision is a set of bias in decision makers’ cognitive process which often leads to incorrect understanding of the real crisis situation, biased perception of information, and improper decisions. The tunnel vision phenomenon is a consequence of both the

  13. Femtosecond-assisted keratopigmentation double tunnel technique in the management of a case of Urrets-Zavalia syndrome.

    Alio, Jorge L; Rodriguez, Alejandra E; Toffaha, Bader T; El Aswad, A

    2012-09-01

    To describe the successful use of a double intrastromal tunnel femtosecond-assisted keratopigmentation technique to manage a case of unilateral Urrets-Zavalia syndrome. A 33-year-old man was referred with a history of trauma in his right eye due to a labor-related accident. Because of myopic anisometropia, he had been previously implanted with an angle-supported phakic intraocular lens. The patient presented iris atrophy and a fixed dilated pupil. He complained of severe and incapacitating photophobia, glare, and decreased vision. To obtain a complete iris replica, the surgery involved creation of double keratopigmented intrastromal tunnels using femtosecond laser and micronized mineral pigments. The deepest layer was stained black first and then the superficial layer was stained with a contoured greenish blue-gray color, which matched the contralateral eye. In the immediate postoperative period, the patient reported a complete elimination of photophobia associated with the corrected distance visual acuity improvement. A very adequate cosmetic outcome was also achieved. Stability was observed during the 12-month follow-up. A femtosecond-assisted keratopigmentation technique using 2 pigmented intrastromal tunnels to achieve an intracorneal pigmented replica of the iris was effective in improving the patient's severe visual function disability and cosmetic appearance. To the best of our knowledge, this is the first report of severe visual function disability caused by atrophic iris and a fixed dilated pupil treated with double intrastromal layers of keratopigmentation by means of femtosecond-created tunnels.

  14. Assisting the U.S. Forest Service in monitoring and managing the Pacific pine marten

    Force, A.; Hadley, N.; Howell, B. L.; Holsinger, K.

    2017-12-01

    Innovative partnerships that bridge institutional sectors may be key in seizing many opportunities for highly effective projects. Adventure Scientists is a nonprofit organization that works in partnership with governments, universities, businesses and other nonprofits to support their need for actionable, research-grade data. In every partnership, it is critical that responsible decision-makers are involved and in place to use the data collected, such as to inform new resource management strategies or regulatory policies. In this presentation, we will highlight our experience working on one such partnership. In 2013, the U.S. Forest Service and Adventure Scientists collaborated on a two-year project to better understand Pacific pine marten (Martes caurina), a small native carnivore, in the Olympic National Forest. In response to the species' recent disappearance, Forest managers needed to gather more accurate data on martens' presence and abundance to support species management. Adventure Scientists was in a unique position to provide the agency this needed data-collection capacity. Volunteers collected data about the marten populations by positioning and monitoring camera traps throughout the area. Utilizing our volunteer-collected data, the U.S. Forest Service was able to inform the management and protection of these threatened species in U.S Forest Service Region 6. This project was also successful in establishing the foundation for an expanded, long-term relationship with the agency, where both parties continue to explore partnership opportunities for Adventure Scientists to collect data system-wide in support of U.S. Forest Service improved land management and policy decisions.

  15. Integration of a framework with a learning management system for detection, assessment and assistance of university students with reading difficulties

    Carolina Mejía Corredor

    2015-12-01

    Full Text Available Rev.esc.adm.neg Dyslexia is a common learning disability in Spanish-speaking university students, and requires special attention from higher educational institutions in order to support affected individuals during their learning process. In previous studies, a framework to detect, assess and assist university students with reading difficulties related to dyslexia was developed. In this paper, the integration of this framework with a Learning Management System (LMS is presented. Two case studies were performed to test the functionality and the usability of this integration. The first case study was carried out with 20 students, while the second one with four teachers. The results show that both students and teachers were satisfied with the integration performed in Moodle.ce, among others.

  16. State policies and requirements for management of uranium mining and milling in New Mexico. Volume V. State policy needs for community impact assistance

    Vandevender, S.G.

    1980-04-01

    The report contained in this volume describes a program for management of the community impacts resulting from the growth of uranium mining and milling in New Mexico. The report, submitted to Sandia Laboratories by the New Mexico Department of Energy and Minerals, is reproduced without modification. The state recommends that federal funding and assistance be provided to implement a growth management program comprised of these seven components: (1) an early warning system, (2) a community planning and technical assistance capability, (3) flexible financing, (4) a growth monitoring system, (5) manpower training, (6) economic diversification planning, and (7) new technology testing

  17. The Double Star mission

    Liu

    2005-11-01

    Full Text Available The Double Star Programme (DSP was first proposed by China in March, 1997 at the Fragrant Hill Workshop on Space Science, Beijing, organized by the Chinese Academy of Science. It is the first mission in collaboration between China and ESA. The mission is made of two spacecraft to investigate the magnetospheric global processes and their response to the interplanetary disturbances in conjunction with the Cluster mission. The first spacecraft, TC-1 (Tan Ce means "Explorer", was launched on 29 December 2003, and the second one, TC-2, on 25 July 2004 on board two Chinese Long March 2C rockets. TC-1 was injected in an equatorial orbit of 570x79000 km altitude with a 28° inclination and TC-2 in a polar orbit of 560x38000 km altitude. The orbits have been designed to complement the Cluster mission by maximizing the time when both Cluster and Double Star are in the same scientific regions. The two missions allow simultaneous observations of the Earth magnetosphere from six points in space. To facilitate the comparison of data, half of the Double Star payload is made of spare or duplicates of the Cluster instruments; the other half is made of Chinese instruments. The science operations are coordinated by the Chinese DSP Scientific Operations Centre (DSOC in Beijing and the European Payload Operations Service (EPOS at RAL, UK. The spacecraft and ground segment operations are performed by the DSP Operations and Management Centre (DOMC and DSOC in China, using three ground station, in Beijing, Shanghai and Villafranca.

  18. Assisting Sustainable Forest Management and Forest Policy Planning with the Sim4Tree Decision Support System

    Floris Dalemans

    2015-03-01

    Full Text Available As European forest policy increasingly focuses on multiple ecosystem services and participatory decision making, forest managers and policy planners have a need for integrated, user-friendly, broad spectrum decision support systems (DSS that address risks and uncertainties, such as climate change, in a robust way and that provide credible advice in a transparent manner, enabling effective stakeholder involvement. The Sim4Tree DSS has been accordingly developed as a user-oriented, modular and multipurpose toolbox. Sim4Tree supports strategic and tactical forestry planning by providing simulations of forest development, ecosystem services potential and economic performance through time, from a regional to a stand scale, under various management and climate regimes. Sim4Tree allows comparing the performance of different scenarios with regard to diverse criteria so as to optimize management choices. This paper explains the concept, characteristics, functionalities, components and use of the current Sim4Tree DSS v2.5, which was parameterized for the region of Flanders, Belgium, but can be flexibly adapted to allow a broader use. When considering the current challenges for forestry DSS, an effort has been made towards the participatory component and towards integration, while the lack of robustness remains Sim4Tree’s weakest point. However, its structural flexibility allows many possibilities for future improvement and extension.

  19. Non-intubated video-assisted thoracic surgery management of secondary spontaneous pneumothorax.

    Galvez, Carlos; Bolufer, Sergio; Navarro-Martinez, Jose; Lirio, Francisco; Corcoles, Juan Manuel; Rodriguez-Paniagua, Jose Manuel

    2015-05-01

    Secondary spontaneous pneumothorax (SSP) is serious entity, usually due to underlying disease, mainly chronic obstructive pulmonary disease (COPD). Its morbidity and mortality is high due to the pulmonary compromised status of these patients, and the recurrence rate is almost 50%, increasing mortality with each episode. For persistent or recurrent SSP, surgery under general anesthesia (GA) and mechanical ventilation (MV) with lung isolation is the gold standard, but ventilator-induced damages and dependency, and postoperative pulmonary complications are frequent. In the last two decades, several groups have reported successful results with non-intubated video-assisted thoracic surgery (NI-VATS) with thoracic epidural anesthesia (TEA) and/or local anesthesia under spontaneous breathing. Main benefits reported are operative time, operation room time and hospital stay reduction, and postoperative respiratory complications decrease when comparing to GA, thus encouraging for further research in these moderate to high risk patients many times rejected for the standard regimen. There are also reports of special situations with satisfactory results, as in contralateral pneumonectomy and lung transplantation. The aim of this review is to collect, analyze and discuss all the available evidence, and seek for future lines of investigation.

  20. Application of assisted reproduction for population management in felids: the potential and reality for conservation of small cats.

    Swanson, William F

    2006-07-01

    Assisted reproductive technology (ART), using the primary applied tools of AI, ET, and sperm and embryo cryopreservation, has been promoted over the past decades for its potential to conserve endangered wildlife, including felids. However, if the goal is efficient, consistent production of viable offspring for population management, then the 'potential' of ART has yet to become 'reality' for any non-domestic cat species. For the five small-sized felids (i.e., Brazilian ocelot, fishing cat, Pallas' cat, Arabian sand cat, black-footed cat) managed by Species Survival Plans (SSPs) in North American zoos, achieving this potential may be an absolute necessity if genetically viable captive populations are to be maintained into the next century. Modeling programs suggest that current SSP populations are not sustainable without periodic introduction of new founders and improved demographic parameters, including longer generation intervals and larger population sizes. ART provides the means to address each of these management challenges. In each small cat SSP species, fecal hormone metabolite assays and seminal analysis have proven useful for characterizing basal reproductive parameters, a necessary prerequisite to developing ART. Of the five SSP species, ART has been used to produce living offspring only in the ocelot, including after AI with frozen-thawed spermatozoa and following transfer of frozen-thawed IVF embryos. The true efficacy of these techniques, however, is still unknown. To improve the applicability of ART for population management, priorities for immediate research include further investigation of ovarian stimulation protocols, sperm and embryo cryopreservation methods, embryo culture systems, and fetal and neonatal viability following ART.

  1. Modeling in the State Flow Environment to Support Launch Vehicle Verification Testing for Mission and Fault Management Algorithms in the NASA Space Launch System

    Trevino, Luis; Berg, Peter; England, Dwight; Johnson, Stephen B.

    2016-01-01

    Analysis methods and testing processes are essential activities in the engineering development and verification of the National Aeronautics and Space Administration's (NASA) new Space Launch System (SLS). Central to mission success is reliable verification of the Mission and Fault Management (M&FM) algorithms for the SLS launch vehicle (LV) flight software. This is particularly difficult because M&FM algorithms integrate and operate LV subsystems, which consist of diverse forms of hardware and software themselves, with equally diverse integration from the engineering disciplines of LV subsystems. M&FM operation of SLS requires a changing mix of LV automation. During pre-launch the LV is primarily operated by the Kennedy Space Center (KSC) Ground Systems Development and Operations (GSDO) organization with some LV automation of time-critical functions, and much more autonomous LV operations during ascent that have crucial interactions with the Orion crew capsule, its astronauts, and with mission controllers at the Johnson Space Center. M&FM algorithms must perform all nominal mission commanding via the flight computer to control LV states from pre-launch through disposal and also address failure conditions by initiating autonomous or commanded aborts (crew capsule escape from the failing LV), redundancy management of failing subsystems and components, and safing actions to reduce or prevent threats to ground systems and crew. To address the criticality of the verification testing of these algorithms, the NASA M&FM team has utilized the State Flow environment6 (SFE) with its existing Vehicle Management End-to-End Testbed (VMET) platform which also hosts vendor-supplied physics-based LV subsystem models. The human-derived M&FM algorithms are designed and vetted in Integrated Development Teams composed of design and development disciplines such as Systems Engineering, Flight Software (FSW), Safety and Mission Assurance (S&MA) and major subsystems and vehicle elements

  2. Interactive statistical packages to assist in radiotherapy management of prostate cancer. 148

    Altschuler, M.D.; Whittington, R.

    1987-01-01

    Selecting the treatment most likely to produce a satisfactory outcome is one of the major challenges in managing disease. Treatment decisions are influenced by institutional policy, personal experience, and patient characteristics. Expert systems based on a priori if-then rules are not suitable for the management of prostate cancer because of (1) a lack of general agreement among experts, (2) the large number of patient parameter possibilities that must be covered by rules, and (3) the difficulty for a clinician to state (even fuzzy) rules for each patient variable or variable combination. In this paper we describe an interactive statistical package that (1) learns an expert's decisions on cases generated by a random case simulator, (2) analyzes and explains new cases in the manner of the teaching expert, (3) can be individualized for each physician, (4) can be setup, modified, or verified quickly, and (5) can be networked with the individualized systems of other experts. An expert can use the system as a memory aid or to compare his decisions with those of his colleagues. A non-expert physician can inform his patient of the expert's likely approach. An institution can determine the domains of patient parameter space about which experts disagree and focus research resources there. Based on sampling statistics, the system weighs the relative preference for each decision path in a tree of questions specified by the expert and then integrates this information. Only statistically significant patient parametes are used for each question. The final result is a probability of each treatment option being selected by the expert. The use of the ISP will be shown for the management of prostate carcinoma. 5 refs.; 1 figure

  3. Crisis model to assist the patient to establish self-management in accepting stoma

    村田, 節子

    1995-01-01

    Patients with stoma are susceptible to psychological damage due to changes in both body image and bowel habituation Therefore, it is important to help those patients to be able to manage stoma care by themselves as well as to take care of postoperative recovery process. In gynecologic oncology field, almost all stoma ta are made for the patients who had metastatic tumor in the pelvis, or massive bleeding from rectum or fistula after radiation therapy. For the reason, there is a great risk of ...

  4. Intraoperative utilization of dexamethasone/bupivacaine/gentamicin solution in laparoscopic assisted vaginal hysterectomy and pain management.

    Fulcher, Paul H; Granese, Marsha; Chun, Yoon; Welch, Christine A; Seybold, Dara J; Randall, Gary; DePond, R Todd

    2014-01-01

    Adequately controlling pain is a key component of postoperative care after a hysterectomy. The purpose of this study was to evaluate the effects of two intraperitoneal (IP) administered solutions during Laparoscopic Assisted Vaginal Hysterectomy (LAVH), on the amount of postoperative self-administered morphine. In this prospective, randomized, double blinded study, twenty women undergoing LAVH randomly distributed to two treatment groups: (1) 100 ml dexamethasone/ bupivacaine/ gentamicin (DMG) solution: 60 cc injected vaginally at cuff and 40 cc placed topically via laparoscopy over intra-peritoneal postoperative surfaces (IP) and 5 ml bupivacaine or 5 ml saline injected at the laparoscopic incision sites, (2) 100 ml saline solution: 60 cc injected vaginally at cuff and 40 cc placed topically via laparoscopy over intra-peritoneal postoperative surfaces (IP) and 5 ml bupivacaine or 5 ml saline injected at the laparoscopic incision sites. The amount of morphine utilized by the patients was documented from their patient controlled anesthesia (PCA) pump. Patient parameters recorded included perceived pain score, height, weight, age, race, reason for surgery, pre-surgery medications, American Society of Anesthesiologist (ASA) classification, length of the surgery and estimated blood loss (EBL). Age, EBL, length of surgery, and ASA classification were not significantly different between the groups. The postoperative amount of morphine utilized was higher at 4 (p=.02) and 16 hours (p = .04) and tended to be higher at 8, 12 hours (p=.06), and 24 hours (p=.09) in the saline IP group. Overall the saline IP group (n=10) used (median; range) 21.5; 8-82 mg of morphine while the DMG IP group (n=10) used 10.5; 1-23 mg. No participants reported a postoperative infection. This study demonstrates that intraoperative utilization of DMG solution during LAVH enables patients clinically to have less perceived pain and subsequently tend to utilize about half the amount of morphine

  5. Vacuum-assisted closure device for the management of infected postpneumonectomy chest cavities.

    Perentes, Jean Yannis; Abdelnour-Berchtold, Etienne; Blatter, Jeannine; Lovis, Alban; Ris, Hans-Beat; Krueger, Thorsten; Gonzalez, Michel

    2015-03-01

    Infected postpneumonectomy chest cavities may be related to chronic postpneumonectomy empyema or arise in rare situations of necrotizing pneumonia with complete lung destruction where pneumonectomy and pleural debridement are required. We evaluated the safety and efficacy of an intrathoracic vacuum-assisted closure device (VAC) for the treatment of infected postpneumonectomy chest cavities. A retrospective single institution review of all patients with infected postpneumonectomy chest cavities treated by VAC between 2005 and 2013. Patients underwent surgical debridement of the thoracic cavity, muscle flap closure of the bronchial stump when a fistula was present, and repeated intrathoracic VAC dressings until granulation tissue covered the entire chest cavity. After this, the cavity was obliterated by a Clagett procedure and closed. Twenty-one patients (14 men and 7 women) underwent VAC treatment of their infected postpneumonectomy chest cavity. Twelve patients presented with a chronic postpneumonectomy empyema (10 of them with a bronchopleural fistula) and 9 patients with an empyema occurring in the context of necrotizing pneumonia treated by pneumonectomy. In-hospital mortality was 23%. The median duration of VAC therapy was 23 days (range, 4-61 days) and the median number of VAC changes per patient was 6 (range, 2-14 days). Infection control and successful chest cavity closure was achieved in all surviving patients. One adverse VAC treatment-related event was identified (5%). The intrathoracic VAC application is a safe and efficient treatment of infected postpneumonectomy chest cavities and allows the preservation of chest wall integrity. Copyright © 2015 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  6. Lbs Augmented Reality Assistive System for Utilities Infrastructure Management Through Galileo and Egnos

    Stylianidis, E.; Valaria, E.; Smagas, K.; Pagani, A.; Henriques, J.; Garca, A.; Jimeno, E.; Carrillo, I.; Patias, P.; Georgiadis, C.; Kounoudes, A.; Michail, K.

    2016-06-01

    There is a continuous and increasing demand for solutions, both software and hardware-based, that are able to productively handle underground utilities geospatial data. Innovative approaches that are based on the use of the European GNSS, Galileo and EGNOS, sensor technologies and LBS, are able to monitor, document and manage utility infrastructures' data with an intuitive 3D augmented visualisation and navigation/positioning technology. A software and hardware-based system called LARA, currently under develop- ment through a H2020 co-funded project, aims at meeting that demand. The concept of LARA is to integrate the different innovative components of existing technologies in order to design and develop an integrated navigation/positioning and information system which coordinates GNSS, AR, 3D GIS and geodatabases on a mobile platform for monitoring, documenting and managing utility infrastruc- tures on-site. The LARA system will guide utility field workers to locate the working area by helping them see beneath the ground, rendering the complexity of the 3D models of the underground grid such as water, gas and electricity. The capacity and benefits of LARA are scheduled to be tested in two case studies located in Greece and the United Kingdom with various underground utilities. The paper aspires to present the first results from this initiative. The project leading to this application has received funding from the European GNSS Agency under the European Union's Horizon 2020 research and innovation programme under grant agreement No 641460.

  7. LBS AUGMENTED REALITY ASSISTIVE SYSTEM FOR UTILITIES INFRASTRUCTURE MANAGEMENT THROUGH GALILEO AND EGNOS

    E. Stylianidis

    2016-06-01

    Full Text Available There is a continuous and increasing demand for solutions, both software and hardware-based, that are able to productively handle underground utilities geospatial data. Innovative approaches that are based on the use of the European GNSS, Galileo and EGNOS, sensor technologies and LBS, are able to monitor, document and manage utility infrastructures’ data with an intuitive 3D augmented visualisation and navigation/positioning technology. A software and hardware-based system called LARA, currently under develop- ment through a H2020 co-funded project, aims at meeting that demand. The concept of LARA is to integrate the different innovative components of existing technologies in order to design and develop an integrated navigation/positioning and information system which coordinates GNSS, AR, 3D GIS and geodatabases on a mobile platform for monitoring, documenting and managing utility infrastruc- tures on-site. The LARA system will guide utility field workers to locate the working area by helping them see beneath the ground, rendering the complexity of the 3D models of the underground grid such as water, gas and electricity. The capacity and benefits of LARA are scheduled to be tested in two case studies located in Greece and the United Kingdom with various underground utilities. The paper aspires to present the first results from this initiative. The project leading to this application has received funding from the European GNSS Agency under the European Union’s Horizon 2020 research and innovation programme under grant agreement No 641460.

  8. A strategy to assist management in workforce engagement and employee retention in the high tech engineering environment.

    Kennedy, Elizabeth; Daim, Tugrul U

    2010-11-01

    Many companies use survey methods in an attempt to gauge employees' attitudes and opinions toward the company. These attitudes and opinions are directly related to an employee's engagement within the company. In many instances, employees wait in vain for the survey response and the subsequent employer actions, but the truth is sometimes management does not know what to do with the results. For this reason, we theorize that this type of survey, typically utilizing the Likert-scale, is not adequately assisting management in addressing employee engagement and retention issues. For instance, in many occasions, once the survey results are tabulated, companies are doing little or nothing to address the issues. In fact, far too many companies make the mistake of conducting employee engagement surveys, and then ignore the answers. Thus, we propose that a company should take advantage of the survey results, and utilize them to provide data to bridge employees' needs and goals with stakeholders' responsibilities and goals by refining and incorporating them into a hierarchical decision model (HDM). Thus, this would essentially be utilizing the quantitative data to determine what to measure qualitatively. We use a case from the high tech industry, specifically focusing on the engineering environment. Engineering environments are known to be more creative and such approaches would be more beneficial. Copyright (c) 2009 Elsevier Ltd. All rights reserved.

  9. Development and Application of a Stakeholder Assisted Dynamic Model to Facilitate Socio Hydrological Groundwater Management on Watershed Scale

    Baig, A. I.; Adamowski, J. F.; Malard, J. J.; Peng, G.

    2017-12-01

    Groundwater resource, especially in canal downstream areas are under direct threat due to over extraction by farming community. The resource is easily exploitable and no regulatory policies are enforced effectively in the region. Therefore, there is an urgent need to manage the resource judiciously through policy implementation and stakeholder engagement. In developing countries such as Pakistan, effective management solutions need consideration of some addition factors such as small land holdings, the poor economic status of farmers, and limited modeling and mathematical skills. This presentation will discuss development and application of a comprehensive but simple stakeholder assisted dynamic model to address such challenges. Two major components of the dynamic model were: (i) a system dynamics model that describes socio-economic factors such as market values; and ii) a physically based model that simulates the salt balance in the root zone with conjunctive use of canal and tube well irrigation water. Stakeholder proposed policy scenarios such as canal lining, government-sponsored tubewell installation schemes were tested and optimized through economic and environmental tradeoff criteria. After 20 years of simulation, government subsidies on tubewells appear as a short term policy that resulted 37% increase in water availability with 12% increase in farmer income. However, it showed detrimental effects on groundwater sustainability in long terms, with 10% drop in groundwater levels.

  10. Vacuum-Assisted Closure Combined with a Myocutaneous Flap in the Management of Osteomyelitis in a Dog

    Jeremy L. Shomper

    2013-01-01

    Full Text Available Case Description. A 2.5-year-old female spayed mixed breed dog presented to the Teaching Hospital for draining tracts on the left medial aspect of the tibia. Two years prior to presentation, the patient sustained a left tibial fracture, which was repaired with an intramedullary (IM pin and two cerclage wires. Multiple antimicrobials were utilized during this time. Clinical Findings. Radiographs were consistent with left tibial osteomyelitis. The implant was removed and the wound was debrided. Treatment and Outcome. A bone window on the medial aspect of the tibia was created in order to facilitate implant removal. The wound and associated bone window were treated with vacuum assisted closure (VAC in preparation for reconstructive surgery. Adjunctive VAC therapy was utilized following the caudal sartorius myocutaneous flap. Complications following this surgery included distal flap necrosis and donor site dehiscence. Clinical Relevance. This presents a difficult case of canine osteomyelitis with subsequent wound care in which VAC and a myocutaneous flap were useful adjunctive treatments for osteomyelitis. This is the first report of VAC in the management of canine osteomyelitis and management with a myocutaneous flap.

  11. Trends in the Management of Patients With Left Ventricular Assist Devices Presenting for Noncardiac Surgery: A 10-Year Institutional Experience.

    Stone, Marc; Hinchey, Joseph; Sattler, Christopher; Evans, Adam

    2016-09-01

    In our institution, the vast majority of patients presenting for noncardiac surgery (NCS) while supported by a left ventricular assist device (LVAD) are now cared for by noncardiac-trained anesthesiologists as the result of a decade of educational intervention to effect this transition. This represents a significant departure from the published experiences of other institutions. With institutional review board approval, we queried the database of our anesthesia record keeping system (CompuRecord) to determine various aspects of the perioperative management of these patients from July 1, 2003, through June 30, 2013, during which time 271 NCS procedures were performed on adult patients supported by LVADs. Over the entire study period (2003-2013), anesthetic care was provided by a cardiac anesthesiologist 47% of the time and by a noncardiac anesthesiologist 53% of the time. However, by the time period 2012-2013, 88% of the NCS procedures were staffed by a noncardiac anesthesiologist. Despite the prevalence of continuous flow devices in this series, the use of invasive blood pressure monitoring decreased dramatically by the later years of the study. Vasoactive and inotropic medications were rarely required intraoperatively. No intraoperative cardiac arrests, thromboembolic complications, or device malfunctions occurred. Our conclusion is that NCS procedures on LVAD-supported patients can be safely managed by educated noncardiac anesthesiologists. © The Author(s) 2015.

  12. Infrared Red Intubation System (IRRIS) guided flexile videoscope assisted difficult airway management

    Kristensen, M S; Fried, E; Biro, P

    2018-01-01

    BACKGROUND: Tracheal intubation with a flexible scope is a cornerstone technique in patients with severely difficult airways, but may fail. We report on a technique, Infrared Red Intubation System (IRRIS), that seems to facilitate the identification of the glottis. METHODS: The IRRIS is placed over...... the patient's cricothyroid membrane and emits blinking infrared light through the patient's skin into the subglottic space. When a flexible videoscope (one that does not filter infrared light) is introduced into the airway, it will display this as a blinking white light emerging from the glottis, retrograde...... transillumination, showing the pathway to the trachea. We have introduced this as an adjunct when managing our patients with difficult airways. We describe the technique and retrospectively report on the first ten patients where it was used. RESULTS: All ten patients had significant pathology in the airway...

  13. Technologies for Distributed Energy Resources. Federal Energy Management Program (FEMP) Technical Assistance Fact Sheet

    Pitchford, P.; Brown, T.

    2001-01-01

    This four-page fact sheet describes distributed energy resources for Federal facilities, which are being supported by the U.S. Department of Energy's (DOE's) Federal Energy Management Program (FEMP). Distributed energy resources include both existing and emerging energy technologies: advanced industrial turbines and microturbines; combined heat and power (CHP) systems; fuel cells; geothermal systems; natural gas reciprocating engines; photovoltaics and other solar systems; wind turbines; small, modular biopower; energy storage systems; and hybrid systems. DOE FEMP is investigating ways to use these alternative energy systems in government facilities to meet greater demand, to increase the reliability of the power-generation system, and to reduce the greenhouse gases associated with burning fossil fuels

  14. Role of ultrasonography in infertility management : ovulation monitoring and assisted conception

    Haq, I.U.; Manzur, S.; Rehman, A.U.; Farooq, A.

    2010-01-01

    Infertility causes great stress to many couples. Most of those presenting with childlessness have reduced fertility, rather than absolute sterility, and many are likely to conceive spontaneously. In this 'ultrasonographic monitoring of growing follicles, in ovaries to determine the day of ovulation and its coordination with time of intercourse' has a well established role in the management of 'unexplained infertility'. This study was conducted to find out its efficacy in our setup. 86 female.s patients of unexplained infertility, with different post-marital time period, underwent ultrasonographic ovulation monitoring each with follow up for minimum of four menstrual cycles. Average follicular growth rate was 2 mm a day, which increased to 3 mm a day, two days prior to ovulation. Follicular diameter at the time of ovulation ranged from 22 mm to 27 mm with a mean of 24 mm. We observed ovulation in 79.2% of our patients. In 8.1% patient.s dominant follicle ceased to grow beyond 18 mm size and gradually become atretic. Leutinized un ruptured follicle was documented in 12.7% of our patients in whom follicular size reached to periovulatory range but did not rupture. Uterine endometrial thickness at the time of ovulation varied from 7 mm to 13 mm and multilayered appearance (triple line sign) was observed in 57.3% of patients. Overall conception rate was 16.3% whereas it was much more encouraging to see in 23.5% of patients who were in less than 5 years of their marriage. Keeping in view of easy to workup as out patient basis in large numbers of patient, less time consuming, promising results, cost effectiveness and non invasive nature of technique; ultrasonographic monitoring of ovulation is recommended as a part of management in all patients of unexplained infertility. (author)

  15. Mission to Planet Earth

    Tilford, Shelby G.; Asrar, Ghassem; Backlund, Peter W.

    1994-01-01

    Mission to Planet Earth (MTPE) is NASA's concept for an international science program to produce the understanding needed to predict changes in the Earth's environment. NASA and its interagency and international partners will place satellites carrying advanced sensors in strategic Earth orbits to gather multidisciplinary data. A sophisticated data system will process and archive an unprecedented amount of information about the Earth and how it works as a system. Increased understanding of the Earth system is a basic human responsibility, a prerequisite to informed management of the planet's resources and to the preservation of the global environment.

  16. Mission to Planet Earth

    Wilson, G.S.; Backlund, P.W.

    1992-01-01

    Mission to Planet Earth (MTPE) is NASA's concept for an international science program to produce the understanding needed to predict changes in the earth's environment. NASA and its interagency and international partners will place satellites carrying advanced sensors in strategic earth orbits to gather multidisciplinary data. A sophisticated data system will process and archive an unprecedented amount of information about the earth and how it works as a system. Increased understanding of the earth system is a basic human responsibility, a prerequisite to informed management of the planet's resources and to the preservation of the global environment. 8 refs

  17. Modeling diffuse phosphorus emissions to assist in best management practice designing

    Kovacs, Adam; Zessner, Matthias; Honti, Mark; Clement, Adrienne

    2010-05-01

    A diffuse emission modeling tool has been developed, which is appropriate to support decision-making in watershed management. The PhosFate (Phosphorus Fate) tool allows planning best management practices (BMPs) in catchments and simulating their possible impacts on the phosphorus (P) loads. PhosFate is a simple fate model to calculate diffuse P emissions and their transport within a catchment. The model is a semi-empirical, catchment scale, distributed parameter and long-term (annual) average model. It has two main parts: (a) the emission and (b) the transport model. The main input data of the model are digital maps (elevation, soil types and landuse categories), statistical data (crop yields, animal numbers, fertilizer amounts and precipitation distribution) and point information (precipitation, meteorology, soil humus content, point source emissions and reservoir data). The emission model calculates the diffuse P emissions at their source. It computes the basic elements of the hydrology as well as the soil loss. The model determines the accumulated P surplus of the topsoil and distinguishes the dissolved and the particulate P forms. Emissions are calculated according to the different pathways (surface runoff, erosion and leaching). The main outputs are the spatial distribution (cell values) of the runoff components, the soil loss and the P emissions within the catchment. The transport model joins the independent cells based on the flow tree and it follows the further fate of emitted P from each cell to the catchment outlets. Surface runoff and P fluxes are accumulated along the tree and the field and in-stream retention of the particulate forms are computed. In case of base flow and subsurface P loads only the channel transport is taken into account due to the less known hydrogeological conditions. During the channel transport, point sources and reservoirs are also considered. Main results of the transport algorithm are the discharge, dissolved and sediment

  18. Management of single-ventricle patients with Berlin Heart EXCOR Ventricular Assist Device: single-center experience.

    Mackling, Tracey; Shah, Tejas; Dimas, Vivian; Guleserian, Kristine; Sharma, Mahesh; Forbess, Joseph; Ardura, Monica; Gross-Toalson, Jami; Lee, Ying; Journeycake, Janna; Barnes, Aliessa

    2012-06-01

    There are minimal data regarding chronic management of single-ventricle ventricular assist device (VAD) patients. This study aims to describe our center's multidisciplinary team management of single-ventricle patients supported long term with the Berlin Heart EXCOR Pediatric VAD. Patient #1 was a 4-year-old with double-outlet right ventricle with aortic atresia, L-looped ventricles, and heart block who developed heart failure 1 year after Fontan. She initially required extracorporeal membrane oxygenation support and was transitioned to Berlin Heart systemic VAD. She was supported for 363 days (cardiac intensive care unit [CICU] 335 days, floor 28 days). The postoperative course was complicated by intermittent infection including methicillin-resistant Staphylococcus aureus, intermittent hepatic and renal insufficiencies, and transient antithrombin, protein C, and protein S deficiencies resulting in multiple thrombi. She had a total of five pump changes over 10 months. Long-term medical management included anticoagulation with enoxaparin, platelet inhibition with aspirin and dipyridamole, and antibiotic prophylaxis using trimethoprim/sulfamethoxazole. She developed sepsis of unknown etiology and subsequently died from multiorgan failure. Patient #2 was a 4-year-old with hypoplastic left heart syndrome who developed heart failure 2 years after bidirectional Glenn shunt. At systemic VAD implantation, he was intubated with renal insufficiency. Post-VAD implantation, his renal insufficiency resolved, and he was successfully extubated to daytime nasal cannula and biphasic positive airway pressure at night. He was supported for 270 days (CICU 143 days, floor 127 days). The pump was upsized to a 50-mL pump in May 2011 for increased central venous pressures (29 mm Hg). Long-term medical management included anticoagulation with warfarin and single-agent platelet inhibition using dipyridamole due to aspirin resistance. He developed increased work of breathing requiring

  19. Assisting emergency operating procedures execution with AMAS, an Accident Management Advisor System

    Guarro, S.; Milici, T.; Wu, J.S.; Apostolakis, G.

    2004-01-01

    In an accident situation, because any decisions that the operators make will depend on how instrumentation readings are ultimately interpreted, the issue of instrument uncertainty is of paramount importance. This uncertainty exists because instrument readings may not be available in the desired form - i.e., only indirect readings for a parameter of interest may exist, with uncertainty on which physical models may be used to deduce its value from these indirect indications -, or because readings may be coming from instruments whose accuracy and reliability in the face of the severe conditions produced by the accident are far from what may be expected under normal operating conditions. In following the EOPs, the operators must rely on instrumentation whose readings may not reflect the real situation. The Accident Management Advisor System (AMAS) is a decision aid intended to supplement plant Emergency Operating Procedures (EOPs) by accounting for instrumentation uncertainty, and by alerting the operators if they are on the wrong procedures, or otherwise performing an action that is not optimal in terms of preventing core damage. In AMAS, the availability and reliability of certain important instrument readings is treated in probabilistic, rather than deterministic terms. This issue is discussed in greater detail later in the paper, since it relates to one of the key characteristics of the AMAS decision aid. (author)

  20. Modified silicone sling assisted temporalis muscle transfer in the management of lagophthalmos

    Ramesh C Gupta

    2014-01-01

    Full Text Available Aim : To evaluate the efficacy of modified temporalis muscle transfer (TMT by silicone sling for the management of paralytic lagophthalmos. Settings and Design: Prospective interventional study. Materials and Methods : Ten patients of lagophthalmos due to facial palsy underwent modified TMT using silicone sling. The patients were followed-up for a period of 3 months. Palpebral aperture in primary gaze and during eye closure were assessed both pre- and postoperatively along with problems associated with lagophthalmos like exposure keratopathy and lacrimation. Statistical Analysis : Paired t-test was applied to measure the statistical outcome. Results : Eight patients achieved full correction of lagophthalmos with no lid gap on closing the eye. The mean (standard deviation (SD lid gap on eye closure was 7.7 (0.86 mm preoperatively, 0.5 (0.47 mm at 1 st postoperative day, and 0.7 (0.75 mm at 3 rd month. There was a reduction in mean lid gap on eye closure of 7 mm at 3 months (P < 0.0001 which is highly significant. The mean (SD vertical interpalpebral distance during primary gaze was 12.05 (1.12 mm preoperatively, 10 (0.94 mm at 1 st postoperative day, and 10.35 (1.08 mm at 3 rd month. There was a reduction in mean vertical inter palpebral distance of 1.7 mm at 3 months (P = 0.001 which is significant. Exposure keratitis decreased in five out of six patients at 3 months. Conclusion : Modified TMT by silicone sling is a useful procedure with lesser morbidity and good outcomes for the treatment of paralytic lagophthalmos due to long standing facial palsy.

  1. Wound management with vacuum-assisted closure in postoperative infections after surgery for spinal stenosis

    Karaaslan F

    2014-12-01

    Full Text Available Fatih Karaaslan,1 Şevki Erdem,2 Musa Ugur Mermerkaya11Department of Orthopaedics and Traumatology, Bozok University Medical School, Yozgat, Turkey; 2Department of Orthopaedics and Traumatology, Haydarpasa Numune Training Hospital, Istanbul, TurkeyObjective: To evaluate the results of negative-pressure wound therapy (NPWT in the treatment of surgical spinal site infections.Materials and methods: The use of NPWT in postoperative infections after dorsal spinal surgery (transforaminal lumbar interbody fusion plus posterior instrumentation was studied retrospectively. From February 2011 to January 2012, six patients (females out of 317 (209 females; 108 males were readmitted to our clinic with surgical site infections on postoperative day 14 (range 9–19 and were treated with debridement, NPWT, and antibiotics. We evaluated the clinical and laboratory data, including the ability to retain the spinal hardware and recurrent infections.Results: The incidence of deep postoperative surgical site infection was six (1.89% patients (females out of 317 patients (209 females; 108 males at 1 year. All patients completed their wound NPWT regimen successfully. An average of 5.1 (range 3–8 irrigation and debridement sessions was performed before definitive wound closure. The mean follow-up period was 13 (range 12–16 months. No patient had a persistent infection requiring partial or total hardware removal. The hospital stay infection parameters normalized within an average of 4.6 weeks.Conclusion: The study illustrates the usefulness of NPWT as an effective adjuvant treatment option for managing complicated deep spinal surgical wound infections.Keywords: surgical infection, NPWT, VAC, TLIF

  2. Immobilizer-assisted management of metal-contaminated agricultural soils for safer food production.

    Kim, Kwon-Rae; Kim, Jeong-Gyu; Park, Jeong-Sik; Kim, Min-Suk; Owens, Gary; Youn, Gyu-Hoon; Lee, Jin-Su

    2012-07-15

    Production of food crops on metal contaminated agricultural soils is of concern because consumers are potentially exposed to hazardous metals via dietary intake of such crops or crop derived products. Therefore, the current study was conducted to develop management protocols for crop cultivation to allow safer food production. Metal uptake, as influenced by pH change-induced immobilizing agents (dolomite, steel slag, and agricultural lime) and sorption agents (zeolite and compost), was monitored in three common plants representative of leafy (Chinese cabbage), root (spring onion) and fruit (red pepper) vegetables, in a field experiment. The efficiency of the immobilizing agents was assessed by their ability to decrease the phytoavailability of metals (Cd, Pb, and Zn). The fruit vegetable (red pepper) showed the least accumulation of Cd (0.16-0.29 mgkg(-1) DW) and Pb (0.2-0.9 mgkg(-1) DW) in edible parts regardless of treatment, indicating selection of low metal accumulating crops was a reasonable strategy for safer food production. However, safer food production was more likely to be achievable by combining crop selection with immobilizing agent amendment of soils. Among the immobilizing agents, pH change-induced immobilizers were more effective than sorption agents, showing decreases in Cd and Pb concentrations in each plant well below standard limits. The efficiency of pH change-induced immobilizers was also comparable to reductions obtained by 'clean soil cover' where the total metal concentrations of the plow layer was reduced via capping the surface with uncontaminated soil, implying that pH change-induced immobilizers can be practically applied to metal contaminated agricultural soils for safer food production. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Numerical modeling and remote sensing of global water management systems: Applications for land surface modeling, satellite missions, and sustainable water resources

    Solander, Kurt C.

    The ability to accurately quantify water storages and fluxes in water management systems through observations or models is of increasing importance due to the expected impacts from climate change and population growth worldwide. Here, I describe three innovative techniques developed to better understand this problem. First, a model was created to represent reservoir storage and outflow with the objective of integration into a Land Surface Model (LSM) to simulate the impacts of reservoir management on the climate system. Given this goal, storage capacity represented the lone model input required that is not already available to an LSM user. Model parameterization was linked to air temperature to allow future simulations to adapt to a changing climate, making it the first such model to mimic the potential response of a reservoir operator to climate change. Second, spatial and temporal error properties of future NASA Surface Water and Ocean Topography (SWOT) satellite reservoir operations were quantified. This work invoked the use of the SWOTsim instrument simulator, which was run over a number of synthetic and actual reservoirs so the resulting error properties could be extrapolated to the global scale. The results provide eventual users of SWOT data with a blueprint of expected reservoir error properties so such characteristics can be determined a priori for a reservoir given knowledge about its topology and anticipated repeat orbit pass over its location. Finally, data from the Gravity Recovery and Climate Experiment (GRACE) satellite mission was used in conjunction with in-situ water use records to evaluate sustainable water use at the two-digit HUC basin scale over the contiguous United States. Results indicate that the least sustainable water management region is centered in the southwest, where consumptive water use exceeded water availability by over 100% on average for some of these basins. This work represents the first attempt at evaluating sustainable

  4. Anesthetic management of adenoidectomy and tonsillectomy assisted by low-temperature plasma technology in children

    Meng-meng LI

    2014-10-01

    Full Text Available Objective To explore the anesthetic management strategy in children undergoing adenoidectomy and tonsillectomy using low-temperature plasma technology. Methods Sixty ASA status I children scheduled for adenoidectomy and tonsillectomy with plasma technology in the First Affiliated Hospital of General Hospital of PLA from September to December of 2013 were enrolled in this study. After induction with propofol, sufentanil and cisatracurium, the children were randomly divided into combined inhalation and intravenous anesthesia group (CIIA group, n=30 and total intravenous anesthesia group (TIVA group, n=30. In CIIA group, anesthesia was maintained with continuous infusion of propofol and remifentanil combined with sevoflurane inhalation during the surgery. In TIVA group, anesthesia was maintained only with continuous infusion of propofol and remifentanil. The hemodynamic changes and time for extubation and leaving operating room were recorded, and the emergence agitation was assessed using Pediatric Anesthesia Emergence Delirium (PAED scale. Results There was no significant difference in hemodynamic changes between the two groups (P>0.05. The total dosages of propofol and remifentanil in TIVA group [10.5±3.4 mg/(kg.h and 16.1±5.3μg/(kg.h, respectively] were significantly higher than those of CIIA group [6.6±2.8 mg/(kg.h, 10.4±4.2 μg/(kg.h, P<0.05]. The times for extubation and leaving operating room were significantly shorter in TIVA group (8.8±3.7min, 6.2±2.9min than in CIIA group (19.8±4.3 min, 13.7±5.2 min, P<0.05, and the rate of emergence agitation during the recovery period in TIVA group (1/30 was significantly less than that in CIIA group (9/30, P<0.05. Conclusion  Total intravenous anesthesia with tracheal intubation could shorten the recovery time and lessen the emergence agitation during the recovery period, and it may be used as a safe, feasible and convenient anesthetic strategy for adenoidectomy and tonsillectomy with

  5. The Jamaican CARICOMP Site: using a temporal data set to assist in managing coastal resources

    Peter Gayle

    2010-10-01

    Full Text Available Discovery Bay is one of nine sites around Jamaica’s coastline, soon to gain the legislative protection of Fish Sanctuary (and Scientific Reserve status. Cumulative natural and anthropogenic impacts drove the 1980’s coral to algae phase shift. Discovery Bay CARICOMP data (1994 to 2007 showed an increase in coral cover from less than 5% reported in the mid 1980’s to 11.7±0.31% (mean±SE despite chronically high algal cover (61.4±2.2% at 9m. Coral cover has been sustained despite low urchin densities (0.99±0.91 urchins m-2, low juvenile coral abundance (2.15±0.19 corals m-2 and coral mortality from repeated bleaching events. Community metrics from the CARICOMP site were compared to an adjacent reef habitat which was found to have higher coral cover (16.36±3.1%, as well as higher urchin (13.7±0.84m-2 and juvenile coral (9.7±1.7m-2 densities. Large branching coral species were absent along the CARICOMP transects and sparse at the nearby shallow reef. Both sites continue to be heavily overfished. Local history records the use of spatially and temporally isolated management strategies which have attempt to rehabilitate various aspects of this area. This unique temporal data set (based on the CARICOMP Methods Manual 2000 provides a baseline for evaluating Government (inaction and is used to justify proposals for ecosystem management which could facilitate phase shift reversal in a coral dominated system. An ecosystem approach that implements several concurrent strategies within and adjacent to the Reserve could accelerate the recovery process. The long term viability and benefit of both old and new marine protected or reserve areas could be enhanced through coral gardening on artificial reef structures with a view to restoring the reefs’ three-dimensional complexity. Such actions could heoretically accelerate phase reversal to coral dominated reefs common in the area prior to the devastating impacts of the 1980s. Rev. Biol. Trop. 58

  6. GSFC Safety and Mission Assurance Organization

    Kelly, Michael P.

    2010-01-01

    This viewgraph presentation reviews NASA Goddard Space Flight Center's approach to safety and mission assurance. The contents include: 1) NASA GSFC Background; 2) Safety and Mission Assurance Directorate; 3) The Role of SMA-D and the Technical Authority; 4) GSFC Mission assurance Requirements; 5) GSFC Systems Review Office (SRO); 6) GSFC Supply Chain Management Program; and 7) GSFC ISO9001/AS9100 Status Brief.

  7. Improved wound management by regulated negative pressure-assisted wound therapy and regulated, oxygen- enriched negative pressure-assisted wound therapy through basic science research and clinical assessment

    Moris Topaz

    2012-01-01

    Full Text Available Regulated negative pressure-assisted wound therapy (RNPT should be regarded as a state-of-the-art technology in wound treatment and the most important physical, nonpharmaceutical, platform technology developed and applied for wound healing in the last two decades. RNPT systems maintain the treated wound′s environment as a semi-closed, semi-isolated system applying external physical stimulations to the wound, leading to biological and biochemical effects, with the potential to substantially influence wound-host interactions, and when properly applied may enhance wound healing. RNPT is a simple, safe, and affordable tool that can be utilized in a wide range of acute and chronic conditions, with reduced need for complicated surgical procedures, and antibiotic treatment. This technology has been shown to be effective and safe, saving limbs and lives on a global scale. Regulated, oxygen-enriched negative pressure-assisted wound therapy (RO-NPT is an innovative technology, whereby supplemental oxygen is concurrently administered with RNPT for their synergistic effect on treatment and prophylaxis of anaerobic wound infection and promotion of wound healing. Understanding the basic science, modes of operation and the associated risks of these technologies through their fundamental clinical mechanisms is the main objective of this review.

  8. The Asteroid Redirect Mission (ARM)

    Abell, Paul; Gates, Michele; Johnson, Lindley; Chodas, Paul; Mazanek, Dan; Reeves, David; Ticker, Ronald

    2016-07-01

    be made approximately a year before launch, but there is a strong recommendation from the scientific and resource utilization communities that the ARM target be volatile and organic rich. Three of the proposed candidates are carbonaceous NEAs. Specifically, the ARRM reference target, 2008 EV5 is a carbonaceous (C-type) asteroid that has been remotely characterized (via visual, infrared, and radar wavelengths), is believed to be hydrated, and provides significant return mass (boulders on the surface greater than 20 metric tons). It also has an advantage in that the orbital dynamics of the NEA fall within the current baseline mission timeline of five years between the return of the robotic vehicle to cis-lunar space and the launch of the ARCM. Therefore, NEA 2008 EV5 provides a valid target that can be used to help with formulation and development efforts. Input to ARM and Future Activities: In the fall of 2015, NASA chartered the Formulation Assessment and Support Team (FAST) to provide timely inputs for mission requirement formulation in support of the ARRM Requirements Closure Technical Interchange Meeting (TIM) in mid-December of 2015, to assist in developing an initial list of potential mission investigations, and to provide input on potential hosted payloads and partnerships. Expertise from the science, engineering, and technology communities was represented in exploring lines of inquiry related to key characteristics of the ARRM reference target asteroid (2008 EV5) for engineering design purposes. As of December 2015, the FAST has been formally retired and the FAST final report was publically released in February of 2016. However, plans have been made to stand up an ARM Investigation Team (IT), which is expected be formed in 2016. The multidisciplinary IT will assist with the definition and support of mission investigations, support ARM program-level and project-level functions, and support NASA Head-quarters interactions with the science and technology

  9. [Benefits of nursing care service in the assisted reproduction clinic to self-cycle-management and self-efficiency of infertility patients].

    Li, Xiao-Qin; Sun, Chao-Feng; Guo, Mei

    2017-06-01

    To investigate the benefits of nursing care service in the assisted reproduction clinic to self-cycle-management and self-efficiency of the outpatients with infertility. We randomly divided 600 females preliminarily diagnosed with infertility into a control and an experimental group, 288 in the former and 285 in the latter group excluding those whose husbands had azoospermia. For the women patients of the experimental group, we conducted nursing care intervention concerning related knowledge, skills, diet, excise, medication, and psychology, by one-to-one consultation, individualized or group communication, establishing files, telephone follow-up, and wechat guidance. After 3 months of intervention, we compared the compliance of medical visits, effectiveness of cycle management, sense of self-efficiency, satisfaction, and anxiety score between the two groups of patients. In comparison with the controls, the patients of the experimental group showed significantly better knowledge about assisted reproduction and higher effectiveness of self-cycle-management, self-efficiency, and satisfaction (P <0.05), but a markedly lower degree of anxiety (P <0.05). Nursing care service in the assisted reproduction clinic can improve the compliance of medical visits, effectiveness of self-cycle-management, self-efficiency, and satisfaction and reduce the anxiety of the patients.

  10. Draft Mission Plan Amendment

    NONE

    1991-09-01

    The Department of Energy`s Office Civilian Radioactive Waste Management has prepared this document to report plans for the Civilian Radioactive Waste Management Program, whose mission is to manage and dispose of the nation`s spent fuel and high-level radioactive waste in a manner that protects the health and safety of the public and of workers and the quality of the environment. The Congress established this program through the Nuclear Waste Policy Act of 1982. Specifically, the Congress directed us to isolate these wastes in geologic repositories constructed in suitable rock formations deep beneath the surface of the earth. In the Nuclear Waste Policy Amendments Act of 1987, the Congress mandated that only one repository was to be developed at present and that only the Yucca Mountain candidate site in Nevada was to be characterized at this time. The Amendments Act also authorized the construction of a facility for monitored retrievable storage (MRS) and established the Office of the Nuclear Waste Negotiator and the Nuclear Waste Technical Review Board. After a reassessment in 1989, the Secretary of Energy restructured the program, focusing the repository effort scientific evaluations of the Yucca Mountain candidate site, deciding to proceed with the development of an MRS facility, and strengthening the management of the program. 48 refs., 32 figs.

  11. Draft Mission Plan Amendment

    1991-09-01

    The Department of Energy's Office Civilian Radioactive Waste Management has prepared this document to report plans for the Civilian Radioactive Waste Management Program, whose mission is to manage and dispose of the nation's spent fuel and high-level radioactive waste in a manner that protects the health and safety of the public and of workers and the quality of the environment. The Congress established this program through the Nuclear Waste Policy Act of 1982. Specifically, the Congress directed us to isolate these wastes in geologic repositories constructed in suitable rock formations deep beneath the surface of the earth. In the Nuclear Waste Policy Amendments Act of 1987, the Congress mandated that only one repository was to be developed at present and that only the Yucca Mountain candidate site in Nevada was to be characterized at this time. The Amendments Act also authorized the construction of a facility for monitored retrievable storage (MRS) and established the Office of the Nuclear Waste Negotiator and the Nuclear Waste Technical Review Board. After a reassessment in 1989, the Secretary of Energy restructured the program, focusing the repository effort scientific evaluations of the Yucca Mountain candidate site, deciding to proceed with the development of an MRS facility, and strengthening the management of the program. 48 refs., 32 figs

  12. Risk assessment and comparative effectiveness of left ventricular assist device and medical management in ambulatory heart failure patients: design and rationale of the ROADMAP clinical trial.

    Rogers, Joseph G; Boyle, Andrew J; O'Connell, John B; Horstmanshof, Douglas A; Haas, Donald C; Slaughter, Mark S; Park, Soon J; Farrar, David J; Starling, Randall C

    2015-02-01

    Mechanical circulatory support is now a proven therapy for the treatment of patients with advanced heart failure and cardiogenic shock. The role for this therapy in patients with less severe heart failure is unknown. The objective of this study is to examine the impact of mechanically assisted circulation using the HeartMate II left ventricular assist device in patients who meet current US Food and Drug Administration-defined criteria for treatment but are not yet receiving intravenous inotropic therapy. This is a prospective, nonrandomized clinical trial of 200 patients treated with either optimal medical management or a mechanical circulatory support device. This trial will be the first prospective clinical evaluation comparing outcomes of patients with advanced ambulatory heart failure treated with either ongoing medical therapy or a left ventricular assist device. It is anticipated to provide novel insights regarding relative outcomes with each treatment and an understanding of patient and provider acceptance of the ventricular assist device therapy. This trial will also provide information regarding the risk of events in "stable" patients with advanced heart failure and guidance for the optimal timing of left ventricular assist device therapy. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. ENTREPRENEURIAL UNIVERSITY: DEVELOPING AND INTEGRATING THE THIRD MISSION IN HIGHER EDUCATION INSTITUTIONS

    Mihaela, DIACONU

    2014-11-01

    Full Text Available The modern unversity which activates in a highly competitive market and is mostly assisted and not financially supported by the state must find tools with which to be competitive and prestigious. It is necessary to identify the managerial and scientific opportunities with which to build the best resources in order to fulfill its mission. This study presents the role of the university in the economic and social environment supported by the mission undertaken by three components: teaching, scientific research and the social function and to what extent the third mission of the modern university is seen as a necessity in the context of current economic and social context by the universities of Romania. The method used was the content analysis of the mission of universities in Romania presented in the University Charter and its correlation with the analysis models on entrepreneurship and academic entrepreneurial management offered by the specialized literature. The conclusion is that more than 60% of universities in Romania formulated their mission by considering the three components and that understanding and building entrepreneurial culture is a condition of the successful fulfillment of the mission of the modern university.

  14. Management of severe ischemic cardiomyopathy: left ventricular assist device as destination therapy versus conventional bypass and mitral valve surgery.

    Maltais, Simon; Tchantchaleishvili, Vahtang; Schaff, Hartzell V; Daly, Richard C; Suri, Rakesh M; Dearani, Joseph A; Topilsky, Yan; Stulak, John M; Joyce, Lyle D; Park, Soon J

    2014-04-01

    Patients with severe ischemic cardiomyopathy (left ventricular ejection fraction assist device as destination therapy is reserved for patients who are too high risk for conventional surgery. We evaluated our outcomes with conventional surgery within this population and the comparative effectiveness of these 2 therapies. We identified patients who underwent conventional surgery or left ventricular assist device as destination therapy for severe ischemic cardiomyopathy (left ventricular ejection fraction assist device as destination therapy. We compared baseline patient characteristics and outcomes in terms of end-organ function and survival. A total of 88 patients were identified; 55 patients underwent conventional surgery (63%), and 33 patients (37%) received a left ventricular assist device as destination therapy. Patients who received left ventricular assist device as destination therapy had the increased prevalence of renal failure, inotrope dependency, and intra-aortic balloon support. Patients undergoing conventional surgery required longer ventilatory support, and patients receiving a left ventricular assist device required more reoperation for bleeding. Mortality rates were similar between the 2 groups at 30 days (7% in the conventional surgery group vs 3% in the left ventricular assist device as destination therapy group, P = .65) and at 1 year (22% in the conventional surgery group vs 15% in the left ventricular assist device as destination therapy group, P = .58). There was a trend toward improved survival in patients receiving a left ventricular assist device compared with the propensity-matched groups at 1 year (94% vs 71%, P = .171). The operative mortality and early survival after conventional surgery seem to be acceptable. For inoperable or prohibitive-risk patients, left ventricular assist device as destination therapy can be offered with similar outcomes. Copyright © 2014 The American Association for Thoracic Surgery. Published by Mosby

  15. Decision Making Training in the Mission Operations Directorate

    O'Keefe, William S.

    2013-01-01

    At JSC, we train our new flight controllers on a set of team skills that we call Space Flight Resource Management (SFRM). SFRM is akin to Crew Resource Management for the airlines and trains flight controllers to work as an effective team to reduce errors and improve safety. We have developed this training over the years with the assistance of Ames Research Center, Wyle Labs and University of Central Florida. One of the skills we teach is decision making/ problem solving (DM/PS). We teach DM/PS first in several classroom sessions, reinforce it in several part task training environments, and finally practice it in full-mission, full-team simulations. What I am proposing to talk about is this training flow: its content and how we teach it.

  16. Hanford Mission Plan risk-based prioritization methodologies

    Hesser, W.A.; Madden, M.S.; Pyron, N.M.; Butcher, J.L.

    1994-08-01

    Sites across the US Department (DOE) complex recognize the critical need for a systematic method for prioritizing among their work scope activities. Here at the Hanford Site, Pacific Northwest Laboratory and Westinghouse Hanford Company (WHC) conducted preliminary research into techniques to meet this need and assist managers in making financial resource allocation decisions. This research is a subtask of the risk management task of the Hanford Mission Plan as described in the WHC Integrated Planning Work Breakdown Structure 1.8.2 Fiscal Year 1994 Work Plan. The research team investigated prioritization techniques used at other DOE sites and compared them with the Priority Planning Grid (PPG), a tool used at Hanford. The authors concluded that the PPG could be used for prioritization of resource allocation, but it needed to be revised to better reflect the Site's priorities and objectives. The revised PPG was tested with three Hanford programs, the PPG was modified, and updated procedures were prepared

  17. Mission IRRS to Spain. First mission of this type realised in the world

    Lentijo, J. C.; Mellado, I.

    2008-01-01

    The IRRS (Integrated Regulatory Review Service) mission to the Spanish Nuclear Safety Council (CSN), which took place from January 28 until February 8, has been the first integrated review of a regulatory body that includes all the aspects on nuclear safety radiation protection and security of all the facilities and activities under CSN responsibility. The review team was composed of eighteen experts from fifteen member sates, two observers, three IAEA officers and an administrative assistant, which have performed an exhaustive analysis of the Spanish regulatory system, including the legal and governmental infrastructure, the functions, responsibilities an organization of the CSN, the regulations and standards, and the assessment and inspection activities. The team members have interviewed different stake holders (public administrations, technical support organizations and licensees) and have observed several CSN inspections to different facilities as well. From the CSN point of view, the results of the IRRS mission are very positive. The relevant efforts devoted to prepare it, mainly the self-assessment process and the action plan established for implementing the improvement opportunities, have benefited the whole regulatory system and practices, being not the least the updating of the regulations and standards and the development of a CSN management system according to the IAEA requirement GS-R-3. (Author)

  18. Urachal-sigmoid fistula managed by laparoscopic assisted high anterior resection, primary anastomosis and en bloc resection of the urachal cyst and involved bladder.

    Sakata, Shinichiro; Grundy, Joshua; Naidu, Sanjeev; Gillespie, Christopher

    2016-08-01

    Sigmoid-urachal fistula is exceedingly rare in adults and only a few cases have been reported in the world literature. We present the case of a 54-year-old man with symptomatic sigmoid-urachal fistula managed successfully with a laparoscopic assisted high anterior resection, primary anastomosis and an en bloc resection of the urachal cyst and the involved cuff of bladder. © 2016 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.

  19. Payload/orbiter contamination control requirement study: Preliminary contamination mission support plan. [a management analysis of project planning of spacecraft sterilization

    Bareiss, L. E.; Hooper, V. W.; Ress, E. B.

    1976-01-01

    Progress is reported on the mission support plan and those support activities envisioned to be applicable and necessary during premission and postmission phases of the Spacelab program. The purpose, role, and requirements of the contamination control operations for the first two missions of the Spacelab equipped Space Transportation System are discussed. The organization of the contamination control operation and its relationship to and interfaces with other mission support functions is also discussed. Some specific areas of contamination to be investigated are treated. They are: (1) windows and viewports, (2) experiment equipment, (3) thermal control surfaces, (4) the contaminant induced atmosphere (as differentiated from the normal ambient atmosphere at the orbit altitude), and (5) optical navigation instruments.

  20. Integrated management model. Methodology and software-enabled tood designed to assist a utility in developing a station-wide optimization

    Llovet, R.; Ibanez, R.; Woodcock, J.

    2005-01-01

    A key concern for utilities today is optimizing station aging and realibility management activities in a manner that maximizes the value of those activities withing an affordable budget. The Westinghouse Proactive Asset Management Model is a methodology and software-enabled tood designed to assist a utility in developing a station-wide optimization of those activities. The process and tool support the development of an optimized, station-wide plan for inspection, testing, maintenance, repaor and replacement of aging components. The optimization identifies the benefit and optimal timing of those activities based on minimizing unplanned outage costs (avoided costs) and maximizing station Net Present Value. (Author)

  1. Exploring healthcare assistants' role and experience in pain assessment and management for people with advanced dementia towards the end of life: a qualitative study.

    Jansen, Bannin De Witt

    2017-01-19

    Pain assessment and management are key aspects in the care of people with dementia approaching the end of life but become challenging when patient self-report is impaired or unavailable. Best practice recommends the use of observational pain assessments for these patients; however, difficulties have been documented with health professionals\\' use of these tools in the absence of additional collateral patient knowledge. No studies have explored the role, perspectives and experiences of healthcare assistants in pain assessment and management in dementia; this study provides insight into this important area.

  2. The Waste Negotiator's mission

    Bataille, Christian

    1993-01-01

    The mission of the Waste Negotiator is to seek out sites for deep underground laboratories to study their potential for disposal of high level radioactive waste. Although appointed by the government, he acts independently. In 1990, faced by severe public criticism at the way that the waste disposal was being handled, and under increasing pressure to find an acceptable solution, the government stopped the work being carried out by ANDRA (Agence nationale pour la gestion des dechets radioactifs) and initiated a full review of the issues involved. At the same time, parliament also started its own extensive investigation to find a way forward. These efforts finally led to the provision of a detailed framework for the management of long lived radioactive waste, including the construction of two laboratories to investigate possible repository sites. The Waste Negotiator was appointed to carry out a full consultative process in the communities which are considering accepting an underground laboratory. (Author)

  3. Resumes of the Bird mission

    Lorenz, E.; Borwald, W.; Briess, K.; Kayal, H.; Schneller, M.; Wuensten, Herbert

    2004-11-01

    The DLR micro satellite BIRD (Bi-spectral Infra Red Detection) was piggy- back launched with the Indian Polar Satellite Launch Vehicle PSLV-C3 into a 570 km circular sun-synchronous orbit on 22 October 2001. The BIRD mission, fully funded by the DLR, answers topical technological and scientific questions related to the operation of a compact infra- red push-broom sensor system on board of a micro satellite and demonstrates new spacecraft bus technologies. BIRD mission control is conducted by DLR / GSOC in Oberpfaffenhofen. Commanding, data reception and data processing is performed via ground stations in Weilheim and Neustrelitz (Germany). The BIRD mission is a demonstrator for small satellite projects dedicated to the hazard detection and monitoring. In the year 2003 BIRD has been used in the ESA project FUEGOSAT to demonstrate the utilisation of innovative space technologies for fire risk management.

  4. IAEA Mission Concludes Peer Review of UK's Nuclear Regulatory Framework

    2013-01-01

    Full text: Senior international nuclear safety and radiation protection experts today concluded a ten-day International Atomic Energy Agency (IAEA) mission to review the regulatory framework for nuclear and radiation safety in the United Kingdom (UK). The Integrated Regulatory Review Service (IRRS) mission team said in its preliminary findings that the UK had made considerable progress since reviews in 2006 and 2009. It also identified good practices in the country's nuclear regulatory system. In addition to following up previous missions, a key objective was to review the effectiveness of the role of the Office of Nuclear Regulation (ONR), the UK's nuclear regulator, in ensuring the safety of radioactive waste management and decommissioning, occupational radiation protection, and public and environmental exposures, including emergency planning and response. The mission also considered the response of the UK's regulatory regime to the implications of the Fukushima Daichi accident had been timely and effective. Recommendations and suggestions were made to the ONR and the Government aimed at strengthening the effectiveness of the country's regulatory framework and functions in line with IAEA Safety Standards, the control of radioactive discharges and environmental monitoring. 'The staff of ONR is clearly dedicated to their mission to secure the protection of people and society from the hazards of the nuclear industry. I am confident that ONR will use the results of this mission to further enhance their regulatory programs', said Bill Borchardt, mission leader and former Executive Director of the United States Nuclear Regulatory Commission (NRC). 'The staff were open and cooperative in their discussions; they provided the fullest practicable assistance, and accepted advice from the Team for continuous improvement in their regulatory work'. ONR's Chief Executive, John Jenkins, said that the full report of the IRRS mission will enhance regulatory effectiveness in the UK

  5. An agent-oriented approach to automated mission operations

    Truszkowski, Walt; Odubiyi, Jide

    1994-01-01

    As we plan for the next generation of Mission Operations Control Center (MOCC) systems, there are many opportunities for the increased utilization of innovative knowledge-based technologies. The innovative technology discussed is an advanced use of agent-oriented approaches to the automation of mission operations. The paper presents an overview of this technology and discusses applied operational scenarios currently being investigated and prototyped. A major focus of the current work is the development of a simple user mechanism that would empower operations staff members to create, in real time, software agents to assist them in common, labor intensive operations tasks. These operational tasks would include: handling routine data and information management functions; amplifying the capabilities of a spacecraft analyst/operator to rapidly identify, analyze, and correct spacecraft anomalies by correlating complex data/information sets and filtering error messages; improving routine monitoring and trend analysis by detecting common failure signatures; and serving as a sentinel for spacecraft changes during critical maneuvers enhancing the system's capabilities to support nonroutine operational conditions with minimum additional staff. An agent-based testbed is under development. This testbed will allow us to: (1) more clearly understand the intricacies of applying agent-based technology in support of the advanced automation of mission operations and (2) access the full set of benefits that can be realized by the proper application of agent-oriented technology in a mission operations environment. The testbed under development addresses some of the data management and report generation functions for the Explorer Platform (EP)/Extreme UltraViolet Explorer (EUVE) Flight Operations Team (FOT). We present an overview of agent-oriented technology and a detailed report on the operation's concept for the testbed.

  6. Spacelab Mission Implementation Cost Assessment (SMICA)

    Guynes, B. V.

    1984-01-01

    A total savings of approximately 20 percent is attainable if: (1) mission management and ground processing schedules are compressed; (2) the equipping, staffing, and operating of the Payload Operations Control Center is revised, and (3) methods of working with experiment developers are changed. The development of a new mission implementation technique, which includes mission definition, experiment development, and mission integration/operations, is examined. The Payload Operations Control Center is to relocate and utilize new computer equipment to produce cost savings. Methods of reducing costs by minimizing the Spacelab and payload processing time during pre- and post-mission operation at KSC are analyzed. The changes required to reduce costs in the analytical integration process are studied. The influence of time, requirements accountability, and risk on costs is discussed. Recommendation for cost reductions developed by the Spacelab Mission Implementation Cost Assessment study are listed.

  7. M{sup 2}IRAGE: Management of measurements during radiological interventions geographically assisted in the environment; M{sup 2}IRAGE management des mesures dans le cadre d'interventions radiologiques assistees geographiquement dans l'environnement

    Gerphagnon, O. [SDIS, Service NRBC, 91 - Evry (France); Roche, H.; Lelache, H.; Guelin, M.; Fauquant, J.M. [CEA Saclay, Service de Protection contre les Rayonnements - SPR, 91 - Gif-sur-Yvette (France); Kacenelen, Y. [SDIS, Service C and IG, 91 (France); Armand, Y. [SDIS, SPV Expert Risques Technologiques, 91 (France)

    2010-07-01

    This report presents the M{sup 2}IRAGE software, a data processing tool designed to share radioactivity measurements and to give a schematised view of a radiological situation and of its evolution, while respecting different legal frameworks, notably the obligation to produce a radiological measurement programme. After a simplified recall of the crisis management organisation, the authors describe the M{sup 2}IRAGE software and hardware architecture, the functions of its main modules (presentation of radioprotection information during field intervention, field mission management, data browsing, and data transmission to field teams). While giving some display examples, the authors describe how an event is managed and processed by this tool: event creation, measurement acquisition, aid to decision, team management. They report and discuss the results of a national exercise which took place in September 2009 in Saclay with a prototype version of M{sup 2}IRAGE

  8. Sandia National Laboratories: Sandia National Laboratories: Missions:

    Responsibility History Diversity Social Media Careers View All Jobs Students & Postdocs Benefits & Perks Technology Deployment Centers New Mexico Small Business Assistance Program Sandia's Economic Impact Sandia interest Menu Search Icon Locations Contact Us Employee Locator Search Menu About Leadership Mission Social

  9. Report of the Secretary of Defense Task Force on DoD Nuclear Weapons Management. Phase II: Review of the DoD Nuclear Mission

    Schlesinger, James R; Carns, Michael P; Crouch, II, J. D; Gansler, Jacques S; Giambastiani, Jr., Edmund P; Hamre, John J; Miller, Franklin C; Williams, Christopher A; Blackwell, Jr, James A

    2008-01-01

    ...). This report covers Phase II findings and recommendations. In Phase II, the Task Force found that the lack of interest in and attention to the nuclear mission and nuclear deterrence, as discussed in our Phase I report, go well beyond the Air...

  10. Context-Sensitive Augmented Reality for Mission Operations, Phase II

    National Aeronautics and Space Administration — Current NASA missions to the International Space Station (ISS) are heavily dependent upon ground controllers to assist crew members in performing routine operations...

  11. Context-sensitive Augmented Reality for Mission Operations, Phase I

    National Aeronautics and Space Administration — Current NASA missions to the International Space Station are heavily dependent upon ground controllers to assist crew members in performing routine operations and...

  12. Automation, robotics, and inflight training for manned Mars missions

    Holt, Alan C.

    1986-01-01

    The automation, robotics, and inflight training requirements of manned Mars missions will be supported by similar capabilities developed for the space station program. Evolutionary space station onboard training facilities will allow the crewmembers to minimize the amount of training received on the ground by providing extensive onboard access to system and experiment malfunction procedures, maintenance procedures, repair procedures, and associated video sequences. Considerable on-the-job training will also be conducted for space station management, mobile remote manipulator operations, proximity operations with the Orbital Maneuvering Vehicle (and later the Orbit Transfer Vehicle), and telerobotics and mobile robots. A similar approach could be used for manned Mars mission training with significant additions such as high fidelity image generation and simulation systems such as holographic projection systems for Mars landing, ascent, and rendezvous training. In addition, a substantial increase in the use of automation and robotics for hazardous and tedious tasks would be expected for Mars mission. Mobile robots may be used to assist in the assembly, test and checkout of the Mars spacecraft, in the handling of nuclear components and hazardous chemical propellent transfer operations, in major spacecraft repair tasks which might be needed (repair of a micrometeroid penetration, for example), in the construction of a Mars base, and for routine maintenance of the base when unmanned.

  13. Intelligent Mission Controller Node

    Perme, David

    2002-01-01

    The goal of the Intelligent Mission Controller Node (IMCN) project was to improve the process of translating mission taskings between real-world Command, Control, Communications, Computers, and Intelligence (C41...

  14. Critical Robotic Lunar Missions

    Plescia, J. B.

    2018-04-01

    Perhaps the most critical missions to understanding lunar history are in situ dating and network missions. These would constrain the volcanic and thermal history and interior structure. These data would better constrain lunar evolution models.

  15. Dukovany ASSET mission preparation

    Kouklik, I [NPP Dukovany (Czech Republic)

    1997-12-31

    We are in the final stages of the Dukovany ASSET mission 1996 preparation. I would like to present some of our recent experiences. Maybe they would be helpful to other plants, that host ASSET missions in future.

  16. Dukovany ASSET mission preparation

    Kouklik, I.

    1996-01-01

    We are in the final stages of the Dukovany ASSET mission 1996 preparation. I would like to present some of our recent experiences. Maybe they would be helpful to other plants, that host ASSET missions in future

  17. Computer-Assisted versus Oral-and-Written History Taking for the Prevention and Management of Cardiovascular Disease: a Systematic Review of the Literature.

    Pappas, Yannis; Všetečková, Jitka; Poduval, Shoba; Tseng, Pei Ching; Car, Josip

    CVD is an important global healthcare issue; it is the leading cause of global mortality, with an increasing incidence identified in both developed and developing countries. It is also an extremely costly disease for healthcare systems unless managed effectively. In this review we aimed to: - Assess the effect of computer-assisted versus oral-and-written history taking on the quality of collected information for the prevention and management of CVD. - Assess the effect of computer-assisted versus oral-and-written history taking on the prevention and management of CVD. A systematic review of randomised controlled trials that included participants of 16 years or older at the beginning of the study, who were at risk of CVD (prevention) or were either previously diagnosed with CVD (management). We searched all major databases. We assessed risk of bias using the Cochrane Collaboration tool. Two studies met the inclusion criteria. One comparing the two methods of history-taking for the prevention of cardiovascular disease n = 75. The study shows that generally the patients in the experimental group underwent more laboratory procedures, had more biomarker readings recorded and/or were given (or had reviewed), more dietary changes than the control group. The other study compares the two methods of history-taking for the management of cardiovascular disease (n = 479). The study showed that the computerized decision aid appears to increase the proportion of patients who responded to invitations to discuss CVD prevention with their doctor. The Computer- Assisted History Taking Systems (CAHTS) increased the proportion of patients who discussed CHD risk reduction with their doctor from 24% to 40% and increased the proportion who had a specific plan to reduce their risk from 24% to 37%. With only one study meeting the inclusion criteria, for prevention of CVD and one study for management of CVD we did not gather sufficient evidence to address all of the objectives of the review

  18. The Mission of the Registrar: A Ten-Year Retrospective

    Lanier, David C.

    2006-01-01

    Records management, database management, and business process management--what do they have to do with the mission of the registrar? This article takes a look at how well the 1995 article, "The Mission of the Registrar Today," did in predicting the direction of the registrar's profession and makes some new predictions about future responsibilities…

  19. Game Changing Augmented Reality Training and Assistance for Maintenance Repair

    National Aeronautics and Space Administration — NASA's vision to support human spaceflight missions beyond Low Earth Orbit will require game changing operational toolsets for training and assistance for...

  20. Waste management in space: a NASA symposium. Special issue

    Wydeven, T. (Principal Investigator)

    1991-01-01

    This special issue contains papers from the NASA Symposium on Waste Processing for Advanced Life Support, which was held at NASA Ames Research Center on September 11-13, 1990. Specialists in waste management from academia, government, and industry convened to exchange ideas and advise NASA in developing effective methods for waste management in a Controlled Ecological Life Support System (CELSS). Innovative and well-established methods were presented to assist in developing and managing wastes in closed systems for future long-duration space missions, especially missions to Mars.

  1. Effectiveness of technology-assisted case management in low income adults with type 2 diabetes (TACM-DM: study protocol for a randomized controlled trial

    Strom Joni L

    2011-10-01

    Full Text Available Abstract Background An estimated 1 in 3 American adults will have diabetes by the year 2050. Nationally, South Carolina ranks 10th in cases of diagnosed diabetes compared to other states. In adults, type 2 diabetes (T2DM accounts for approximately 90-95% of all diagnosed cases of diabetes. Clinically, provider and health system factors account for Methods We describe a four-year prospective, randomized clinical trial, which will test the effectiveness of technology-assisted case management in low income rural adults with T2DM. Two-hundred (200 male and female participants, 18 years of age or older and with an HbA1c ≥ 8%, will be randomized into one of two groups: (1 an intervention arm employing the innovative FORA system coupled with nurse case management or (2 a usual care group. Participants will be followed for 6-months to ascertain the effect of the interventions on glycemic control. Our primary hypothesis is that among indigent, rural adult patients with T2DM treated in FQHC's, participants randomized to the technology-assisted case management intervention will have significantly greater reduction in HbA1c at 6 months of follow-up compared to usual care. Discussion Results from this study will provide important insight into the effectiveness of technology-assisted case management intervention (TACM for optimizing diabetes care in indigent, rural adult patients with T2DM treated in FQHC's. Trial Registration National Institutes of Health Clinical Trials Registry (http://ClinicalTrials.gov identifier# NCT01373489

  2. Computer graphics aid mission operations. [NASA missions

    Jeletic, James F.

    1990-01-01

    The application of computer graphics techniques in NASA space missions is reviewed. Telemetric monitoring of the Space Shuttle and its components is discussed, noting the use of computer graphics for real-time visualization problems in the retrieval and repair of the Solar Maximum Mission. The use of the world map display for determining a spacecraft's location above the earth and the problem of verifying the relative position and orientation of spacecraft to celestial bodies are examined. The Flight Dynamics/STS Three-dimensional Monitoring System and the Trajectroy Computations and Orbital Products System world map display are described, emphasizing Space Shuttle applications. Also, consideration is given to the development of monitoring systems such as the Shuttle Payloads Mission Monitoring System and the Attitude Heads-Up Display and the use of the NASA-Goddard Two-dimensional Graphics Monitoring System during Shuttle missions and to support the Hubble Space Telescope.

  3. FBI's Employee Assistance Program: an advanced law enforcement model.

    McNally, V J

    1999-01-01

    As we approach the 21st century the FBI has enhanced its Employee Assistance Program (EAP) to include EAP services, Peer Support and Critical Incident Stress Management/Debriefing (CISM/D) and Chaplains' Program. This EAP is now anticipating the future to include a Compassion Fatigue Program for its counselors and coordinators, as well as developing CISD protocols for incidents involving weapons of mass destruction. As the FBI has accepted new challenges in the investigative arena throughout the world, so the FBI's Employee Assistance and related programs have set out to support their employees and family members with a continuum of integrated confidential services. The FBI recognizes that its most important asset is its personnel, and EAP is the vehicle to assist the FBI family in remaining healthy and strong for the continuous quest to fulfill its mission.

  4. Mission statements: selling corporate values to employees.

    Klemm, M; Sanderson, S; Luffman, G

    1991-06-01

    This article investigates the reasons for the increasing use of the Company Mission Statement. Using information from a survey of U.K. companies in 1989 it looks at the types of statements issued by companies, their content, usage, and value to managers. Of particular interest is whether the mission is primarily used for the motivation of staff, or for external image building. Related issues are the value of the mission drafting process in bringing managers together to agree common objectives and the use of a hierarchy of statements to reconcile internal and external stakeholders' interests. The conclusion is that the Mission, which includes a statement of company values, is an important tool for managers to assert their leadership within the organization.

  5. Solar Probe Plus: Mission design challenges and trades

    Guo, Yanping

    2010-11-01

    NASA plans to launch the first mission to the Sun, named Solar Probe Plus, as early as 2015, after a comprehensive feasibility study that significantly changed the original Solar Probe mission concept. The original Solar Probe mission concept, based on a Jupiter gravity assist trajectory, was no longer feasible under the new guidelines given to the mission. A complete redesign of the mission was required, which called for developing alternative trajectories that excluded a flyby of Jupiter. Without the very powerful gravity assist from Jupiter it was extremely difficult to get to the Sun, so designing a trajectory to reach the Sun that is technically feasible under the new mission guidelines became a key enabler to this highly challenging mission. Mission design requirements and challenges unique to this mission are reviewed and discussed, including various mission scenarios and six different trajectory designs utilizing various planetary gravity assists that were considered. The V 5GA trajectory design using five Venus gravity assists achieves a perihelion of 11.8 solar radii ( RS) in 3.3 years without any deep space maneuver (DSM). The V 7GA trajectory design reaches a perihelion of 9.5 RS using seven Venus gravity assists in 6.39 years without any DSM. With nine Venus gravity assists, the V 9GA trajectory design shows a solar orbit at inclination as high as 37.9° from the ecliptic plane can be achieved with the time of flight of 5.8 years. Using combined Earth and Venus gravity assists, as close as 9 RS from the Sun can be achieved in less than 10 years of flight time at moderate launch C3. Ultimately the V 7GA trajectory was chosen as the new baseline mission trajectory. Its design allowing for science investigation right after launch and continuing for nearly 7 years is unprecedented for interplanetary missions. The redesigned Solar Probe Plus mission is not only feasible under the new guidelines but also significantly outperforms the original mission concept

  6. MIOSAT Mission Scenario and Design

    Agostara, C.; Dionisio, C.; Sgroi, G.; di Salvo, A.

    2008-08-01

    MIOSAT ("Mssione Ottica su microSATellite") is a low-cost technological / scientific microsatellite mission for Earth Observation, funded by Italian Space Agency (ASI) and managed by a Group Agreement between Rheinmetall Italia - B.U. Spazio - Contraves as leader and Carlo Gavazzi Space as satellite manufacturer. Several others Italians Companies, SME and Universities are involved in the development team with crucial roles. MIOSAT is a microsatellite weighting around 120 kg and placed in a 525 km altitude sun-synchronuos circular LEO orbit. The microsatellite embarks three innovative optical payloads: Sagnac multi spectral radiometer (IFAC-CNR), Mach Zehender spectrometer (IMM-CNR), high resolution pancromatic camera (Selex Galileo). In addition three technological experiments will be tested in-flight. The first one is an heat pipe based on Marangoni effect with high efficiency. The second is a high accuracy Sun Sensor using COTS components and the last is a GNSS SW receiver that utilizes a Leon2 processor. Finally a new generation of 28% efficiency solar cells will be adopted for the power generation. The platform is highly agile and can tilt along and cross flight direction. The pointing accuracy is in the order of 0,1° for each axe. The pointing determination during images acquisition is <0,02° for the axis normal to the boresight and 0,04° for the boresight. This paper deals with MIOSAT mission scenario and definition, highlighting trade-offs for mission implementation. MIOSAT mission design has been constrained from challenging requirements in terms of satellite mass, mission lifetime, instrument performance, that have implied the utilization of satellite agility capability to improve instruments performance in terms of S/N and resolution. The instruments provide complementary measurements that can be combined in effective ways to exploit new applications in the fields of atmosphere composition analysis, Earth emissions, antropic phenomena, etc. The Mission

  7. Stakeholder Orientation in Cruise Lines’ Mission Statements

    Lara Penco

    2017-11-01

    Full Text Available Consistent with the extant management literature, mission statements are crucial for the sustainability and growth of any firms and have been considered to be a tool for the strategic management process. Despite the considerable attention awarded to this theme, the role of the mission statement in the strategic management of tourism firms has not been sufficiently highlighted. The present paper tries to bridge this literature gap and aims to (i analyze the content of mission statements; and (ii investigate the stakeholder orientation of cruise line mission statements. We apply a content analysis method to analyze the mission statements of 44 cruise lines, employing three different perspectives: (1 the inclusion of stakeholder groups; (2 mentions of specific “mission” components; (3 reference to four goals usually assigned to mission statements. The analysis was performed using the software package QDA-Miner. The results suggest that it is possible to identify four clusters of firms that present similar content in their mission statements, and that cruise companies tend to reserve a major attention to customers. This contribution presents some valuable research implications mainly useful for researchers and academics, but also maybe of benefit to professionals and investors.

  8. The deep space 1 extended mission

    Rayman, Marc D.; Varghese, Philip

    2001-03-01

    The primary mission of Deep Space 1 (DS1), the first flight of the New Millennium program, completed successfully in September 1999, having exceeded its objectives of testing new, high-risk technologies important for future space and Earth science missions. DS1 is now in its extended mission, with plans to take advantage of the advanced technologies, including solar electric propulsion, to conduct an encounter with comet 19P/Borrelly in September 2001. During the extended mission, the spacecraft's commercial star tracker failed; this critical loss prevented the spacecraft from achieving three-axis attitude control or knowledge. A two-phase approach to recovering the mission was undertaken. The first involved devising a new method of pointing the high-gain antenna to Earth using the radio signal received at the Deep Space Network as an indicator of spacecraft attitude. The second was the development of new flight software that allowed the spacecraft to return to three-axis operation without substantial ground assistance. The principal new feature of this software is the use of the science camera as an attitude sensor. The differences between the science camera and the star tracker have important implications not only for the design of the new software but also for the methods of operating the spacecraft and conducting the mission. The ambitious rescue was fully successful, and the extended mission is back on track.

  9. Simulation of Mission Phases

    Carlstrom, Nicholas Mercury

    2016-01-01

    This position with the Simulation and Graphics Branch (ER7) at Johnson Space Center (JSC) provided an introduction to vehicle hardware, mission planning, and simulation design. ER7 supports engineering analysis and flight crew training by providing high-fidelity, real-time graphical simulations in the Systems Engineering Simulator (SES) lab. The primary project assigned by NASA mentor and SES lab manager, Meghan Daley, was to develop a graphical simulation of the rendezvous, proximity operations, and docking (RPOD) phases of flight. The simulation is to include a generic crew/cargo transportation vehicle and a target object in low-Earth orbit (LEO). Various capsule, winged, and lifting body vehicles as well as historical RPOD methods were evaluated during the project analysis phase. JSC core mission to support the International Space Station (ISS), Commercial Crew Program (CCP), and Human Space Flight (HSF) influenced the project specifications. The simulation is characterized as a 30 meter +V Bar and/or -R Bar approach to the target object's docking station. The ISS was selected as the target object and the international Low Impact Docking System (iLIDS) was selected as the docking mechanism. The location of the target object's docking station corresponds with the RPOD methods identified. The simulation design focuses on Guidance, Navigation, and Control (GNC) system architecture models with station keeping and telemetry data processing capabilities. The optical and inertial sensors, reaction control system thrusters, and the docking mechanism selected were based on CCP vehicle manufacturer's current and proposed technologies. A significant amount of independent study and tutorial completion was required for this project. Multiple primary source materials were accessed using the NASA Technical Report Server (NTRS) and reference textbooks were borrowed from the JSC Main Library and International Space Station Library. The Trick Simulation Environment and User

  10. Draft 1988 mission plan amendment

    1988-06-01

    This draft 1988 amendment to the Mission Plan for the Civilian Radioactive Waste Management Program has been prepared by the US Department of Energy (DOE). The purpose is to inform the Congress of the DOE's plans for implementing the provisions of the Nuclear Waste Policy Amendments Act of 1987 (P.L. 100-203) for the Civilian Radioactive Waste Management Program. This document is being submitted in draft form to Federal agencies, states, previously affected Indian Tribes, affected units of local government, and the public. After the consideration of comments, this amendment will be revised as appropriate and submitted to the Congress. 39 refs., 7 figs., 4 tabs

  11. INIR: Integrated Nuclear Infrastructure Review Missions. Guidance on Preparing and Conducting INIR Missions (Rev. 1)

    2011-04-01

    The IAEA's Integrated Nuclear Infrastructure Review (INIR) missions are designed to assist Member States, at their request, in evaluating the status of their national infrastructure for the introduction of a nuclear power programme. Each INIR mission is coordinated and led by the IAEA and conducted by a team of international experts drawn from Member States who have experience in different aspects of developing and deploying nuclear infrastructure. The IAEA publication Milestones in the Development of a National Infrastructure for Nuclear Power (IAEA Nuclear Energy Series No. NG-G-3.1) contains a description of 19 infrastructure issues to be considered during the different stages of development of a nuclear power programme. The starting point for an INIR mission is a self-evaluation performed by the Member State against these infrastructure issues. Following the self-evaluation, the INIR mission reviews the status of the national nuclear infrastructure, identifies existing gaps in specific infrastructure-related areas and proposes recommendations to fill these gaps. The INIR mission provides Member State representatives with an opportunity to have in depth discussions with international experts about experiences and best practices in different countries. In developing its recommendations, the INIR team takes into account the comments made by the relevant national organizations. Implementation of any of the team's recommendations is at the discretion of the Member State requesting the mission. The results of the INIR mission are expected to help the Member State to develop an action plan to fill any gaps, which in turn will help the development of the national nuclear infrastructure. The IAEA stands ready to assist, as requested and appropriate, in the different steps of this action plan. This guidance publication is directed to assist in preparing and conducting the INIR missions. It was developed under the coordination of the IAEA Integrated Nuclear Infrastructure

  12. 13 CFR 300.1 - Introduction and mission.

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Introduction and mission. 300.1 Section 300.1 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION, DEPARTMENT OF COMMERCE... innovation and competitiveness, preparing American regions for growth and success in the worldwide economy...

  13. IAEA Expert Remediation Mission to Japan Issues Preliminary Report

    2013-01-01

    consisted of international experts and IAEA staff working in a range of disciplines, including radiation protection, remediation technologies, waste management and stakeholder involvement. The Mission's Preliminary Summary Report can be viewed here. The final report will be presented to the Japanese government in December. Background The Mission, which is the follow-up to the IAEA International Mission on Remediation of Large Contaminated Areas Off-site the Fukushima Daiichi NPS in October 2011, had the following three objectives: To provide assistance to Japan in assessing the progress made with the remediation of the Special Decontamination Area (not included in the previous mission of 2011) and the Intensive Contamination Survey Areas; To review remediation strategies, plans and works, in view of the advice provided by the previous mission on remediation of large contaminated off-site areas; and To share its findings with the international community as lessons learned. The Mission Team assessed comprehensive information provided by the Japanese authorities and held discussions with the relevant institutions, including national, prefectural and local institutions. It also visited the affected areas, including several sites where remediation activities were conducted and some temporary storage sites for radioactive waste and soil, as well as a survey area for an interim storage facility, and a demonstration facility for incineration of sewage sludge. The Mission was in line with the IAEA Action Plan on Nuclear Safety, which was unanimously endorsed by the IAEA's Member States in September 2011 and defines a programme of work to strengthen the global nuclear safety framework. (IAEA)

  14. The STEREO Mission

    2008-01-01

    The STEREO mission uses twin heliospheric orbiters to track solar disturbances from their initiation to 1 AU. This book documents the mission, its objectives, the spacecraft that execute it and the instruments that provide the measurements, both remote sensing and in situ. This mission promises to unlock many of the mysteries of how the Sun produces what has become to be known as space weather.

  15. VEGA Space Mission

    Moroz, V.; Murdin, P.

    2000-11-01

    VEGA (mission) is a combined spacecraft mission to VENUS and COMET HALLEY. It was launched in the USSR at the end of 1984. The mission consisted of two identical spacecraft VEGA 1 and VEGA 2. VEGA is an acronym built from the words `Venus' and `Halley' (`Galley' in Russian spelling). The basic design of the spacecraft was the same as has been used many times to deliver Soviet landers and orbiter...

  16. ASSIST - a package of Fortran routines for handling input under specified syntax rules and for management of data structures

    Sinclair, J.E.

    1991-02-01

    The ASSIST package (A Structured Storage and Input Syntax Tool) provides for Fortran programs a means for handling data structures more general than those provided by the Fortran language, and for obtaining input to the program from a file or terminal according to specified syntax rules. The syntax-controlled input can be interactive, with automatic generation of prompts, and dialogue to correct any input errors. The range of syntax rules possible is sufficient to handle lists of numbers and character strings, keywords, commands with optional clauses, and many kinds of variable-format constructions, such as algebraic expressions. ASSIST was developed for use in two large programs for the analysis of safety of radioactive waste disposal facilities, but it should prove useful for a wide variety of applications. (author)

  17. Diabetes Medication Assistance Service: the pharmacist's role in supporting patient self-management of type 2 diabetes (T2DM) in Australia.

    Mitchell, Bernadette; Armour, Carol; Lee, Mary; Song, Yun Ju; Stewart, Kay; Peterson, Greg; Hughes, Jeff; Smith, Lorraine; Krass, Ines

    2011-06-01

    To evaluate the capacity and effectiveness of trained community pharmacists in delivering the Diabetes Medication Assistance Service (DMAS) via (1) number and types of self-management support interventions (SMSIs); (2) number of goals set and attained by patients and (3) patient outcomes (glycaemic control, medication adherence and satisfaction). Pharmacists (n=109) from 90 community pharmacies in Australia were trained and credentialed to deliver the DMAS. The training focused on developing pharmacists' knowledge and skills in supporting patients' diabetes self-management. A total of 387 patients completed the trial. The mean number of SMSIs per patient was 35 (SD ±31) and the majority (87%) had at least one documented goal that was fully or partially attained. There were significant health benefits for patients including improved glycaemic control and a reduced risk of non-adherence to medications. Over 90% of DMAS patients reported improvements in their knowledge about diabetes self-management. The DMAS provides self management support in the community pharmacy for people with T2DM which may result in improved clinical outcomes. Given appropriate training in diabetes care and behavior change strategies, community pharmacists can offer programs which provide self-management support to their patients with T2DM and improve their health outcomes. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  18. Vacuum-assisted closure versus conventional dressings in the management of diabetic foot ulcers: a prospective case–control study

    Lone, Ali M.; Zaroo, Mohd I.; Laway, Bashir A.; Pala, Nazir A.; Bashir, Sheikh A.; Rasool, Altaf

    2014-01-01

    Objective: To compare the effectiveness of vacuum-assisted closure (VAC) versus conventional dressings in the healing of diabetic foot ulcerations (DFUs) in terms of healing rate (time to prepare the wound for closure either spontaneously or by surgery), safety, and patient satisfaction.Methods: Randomized case–control study enrolling 56 patients, divided into two groups. Group A (patients treated with VAC) and Group B (patients treated with conventional dressings), with an equal number of pa...

  19. 44 CFR 300.3 - Financial assistance.

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Financial assistance. 300.3 Section 300.3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... responsibilities for IFG, crisis counseling, mass care or other functional responsibilities; (7) Training for State...

  20. ACADEMIC MISSION - FROM AUTOCRACY TO BUREAUCRACY

    LIVIU NEAMŢU

    2015-12-01

    Full Text Available The mission is generic expression of reason for the existence of an organization. Organizational mission ensure continuity of existence beyond the objectives and targets of activities. It is the expression of an organization's responsibilities towards the environment in which it belongs. As the organization grows and its activities or environmental conditions change, managers adapt their strategies, but stated mission will remain valid for a period of time or unchanged throughout the life of the organization. All managerial elements of the organization are aligned with stated mission, starting from the organization structure, management behavior or specific business processes. The focus of the mission of an higher education institution on a need or several integrated needs, on customers who manifest this need and on how they can be met, that really means defining of its strategic domanin, as a sphere of influence of the organization in their environment. In this sphere of influence, three components integrate on three levels of the mission: to establish needs; identify the customer type to which an organization adress and key competencies that differentiate it from the rest competitors. To that context identifies four specific forms of academic institutions starting from their mission and strategic area: autocratic academic institutions, meritocrate academic institutions, democratic academic institutions, bureaucrats academic institutions.

  1. New orthopaedic implant management tool for computer-assisted planning, navigation, and simulation: from implant CAD files to a standardized XML-based implant database.

    Sagbo, S; Blochaou, F; Langlotz, F; Vangenot, C; Nolte, L-P; Zheng, G

    2005-01-01

    Computer-Assisted Orthopaedic Surgery (CAOS) has made much progress over the last 10 years. Navigation systems have been recognized as important tools that help surgeons, and various such systems have been developed. A disadvantage of these systems is that they use non-standard formalisms and techniques. As a result, there are no standard concepts for implant and tool management or data formats to store information for use in 3D planning and navigation. We addressed these limitations and developed a practical and generic solution that offers benefits for surgeons, implant manufacturers, and CAS application developers. We developed a virtual implant database containing geometrical as well as calibration information for orthopedic implants and instruments, with a focus on trauma. This database has been successfully tested for various applications in the client/server mode. The implant information is not static, however, because manufacturers periodically revise their implants, resulting in the deletion of some implants and the introduction of new ones. Tracking these continuous changes and keeping CAS systems up to date is a tedious task if done manually. This leads to additional costs for system development, and some errors are inevitably generated due to the huge amount of information that has to be processed. To ease management with respect to implant life cycle, we developed a tool to assist end-users (surgeons, hospitals, CAS system providers, and implant manufacturers) in managing their implants. Our system can be used for pre-operative planning and intra-operative navigation, and also for any surgical simulation involving orthopedic implants. Currently, this tool allows addition of new implants, modification of existing ones, deletion of obsolete implants, export of a given implant, and also creation of backups. Our implant management system has been successfully tested in the laboratory with very promising results. It makes it possible to fill the current gap

  2. The Use of Assistive Technology to Improve Time Management Skills of a Young Adult with an Intellectual Disability

    Green, Julie M.; Hughes, Elizabeth M.; Ryan, Joseph B.

    2011-01-01

    A growing literature base suggests the need for positive interventions to help individuals with intellectual disabilities improve their time management skills. Time management is a crucial area that must be addressed in the effort to equip adults with the skills necessary to achieve independence, success in employment, and improved quality of…

  3. Asset life cycle plans: twelve steps to assist strategic decision-making in asset life cycle management

    Ruitenburg, Richard Jacob; Braaksma, Anne Johannes Jan; van Dongen, Leonardus Adriana Maria; Carnero, Maria Carmen; Gonzalez-Prida, Vicente

    2017-01-01

    Effective management of physical assets should deliver maximum business value. Therefore, Asset Management standards such as PAS 55 and ISO 55000 ask for a life cycle approach. However, most existing methods focus only on the short term of the asset's life or the estimation of its remaining life.

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

    Spiliopoulos Sotirios

    2012-11-01

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

  5. Client Perceptions of Occupational Health and Safety Management System Assistance Provided by OSHA On-Site Consultation: Results of a Survey of Colorado Small Business Consultation Clients.

    Autenrieth, Daniel A; Brazile, William J; Gilkey, David P; Reynolds, Stephen J; June, Cathy; Sandfort, Del

    2015-01-01

    The Occupational Safety and Health Administration (OSHA) On-Site Consultation Service provides assistance establishing occupational health and safety management systems (OHSMS) to small businesses. The Safety and Health Program Assessment Worksheet (Revised OSHA Form 33) is the instrument used by consultants to assess an organization's OHSMS and provide feedback on how to improve a system. A survey was developed to determine the usefulness of the Revised OSHA Form 33 from the perspective of Colorado OSHA consultation clients. One hundred and seven clients who had received consultation services within a six-year period responded to the survey. The vast majority of respondents indicated that the Revised OSHA Form 33 accurately reflected their OHSMS and that information provided on the Revised OSHA Form 33 was helpful for improving their systems. Specific outcomes reported by the respondents included increased safety awareness, reduced injuries, and improved morale. The results indicate that the OHSMS assistance provided by OSHA consultation is beneficial for clients and that the Revised OSHA Form 33 can be an effective tool for assessing and communicating OHSMS results to business management. Detailed comments and suggestions provided on the Revised OSHA Form 33 are helpful for clients to improve their OHSMS.

  6. Radioactive waste management: International peer reviews

    Warnecke, E.; Bonne, A.

    1995-01-01

    The Agency's peer review service for radioactive waste management - known as the Waste Management Assessment and Technical Review Programme (WATRP) - started in 1989, building upon earlier types of advisory programmes. WATRP's international experts today provide advice and guidance on proposed or ongoing radioactive waste management programmes; planning, operation, or decommissioning of waste facilities; or on legislative, organizational, and regulatory matters. Specific topics often cover waste conditioning, storage, and disposal concepts or facilities; or technical and other aspects of ongoing or planned research and development programmes. The missions can thus contributed to improving waste management systems and plans, and in raising levels of public confidence in them, as part of IAEA efforts to assist countries in the safe management of radioactive wastes. This article presents a brief overview of recent WATRP missions in Norway, Slovak Republic, Czech Republic and Finland

  7. Mission of Mercy.

    Humenik, Mark

    2014-01-01

    Some dentists prefer solo charity work, but there is much to be said for collaboration within the profession in reaching out to those who are dentally underserved. Mission of Mercy (MOM) programs are regularly organized across the country for this purpose. This article describes the structure, reach, and personal satisfaction to be gained from such missions.

  8. Advances in Autonomous Systems for Missions of Space Exploration

    Gross, A. R.; Smith, B. D.; Briggs, G. A.; Hieronymus, J.; Clancy, D. J.

    applications. One notable example of such missions are those to explore for the existence of water on planets such as Mars and the moons of Jupiter. It is clear that water does not exist on the surfaces of such bodies, but may well be located at some considerable depth below the surface, thus requiring a subsurface drilling capability. Subsurface drilling on planetary surfaces will require a robust autonomous control and analysis system, currently a major challenge, but within conceivable reach of planned technology developments. This paper will focus on new and innovative software for remote, autonomous, space systems flight operations, including flight test results, lessons learned, and implications for the future. An additional focus will be on technologies for planetary exploration using autonomous systems and astronaut-assistance systems that employ new spoken language technology. Topics to be presented will include a description of key autonomous control concepts, illustrated by the Remote Agent program that commanded the Deep Space 1 spacecraft to new levels of system autonomy, recent advances in distributed autonomous system capabilities, and concepts for autonomous vehicle health management systems. A brief description of teaming spacecraft and rovers for complex exploration missions will also be provided. New software for autonomous science data acquisition for planetary exploration will also be described, as well as advanced systems for safe planetary landings. Current results of autonomous planetary drilling system research will be presented. A key thrust within NASA is to develop technologies that will leverage the capabilities of human astronauts during planetary surface explorations. One such technology is spoken dialogue interfaces, which would allow collaboration with semi-autonomous agents that are engaged in activities that are normally accomplished using language, e.g., astronauts in space suits interacting with groups of semi-autonomous rovers and other

  9. Direct Assistance: USAID Has Taken Positive Action to Assess Afghan Ministries’ Ability to Manage Donor Funds, but Concerns Remain

    2014-01-01

    the material weaknesses identified in their reports “must be addressed as pre-award disbursement conditions.” Ernst & Young and KPMG identified 696...Ernst & Young and KPMG in late 2010 and early 2011 to assess 16 Afghan ministries’ abilities to manage U.S. funds. In addition, to help ensure the...Young and KPMG completed public financial management assessments of 16 Afghan ministries. Both contractors, who met almost all contract requirements

  10. Hipparcos: mission accomplished

    1993-08-01

    satellite. These catalogues will be of enormous value in astronomers' attempts to understand and describe the properties and evolution of stars, and the dynamical motion of these stars within our Galaxy. In the process, HIPPARCOS has discovered many thousands of new binary star systems, measured the precise light variations of many hundreds of thousands of stars over its operational lifetime, and has provided an accurate and independent validation of the predictions of General Relativity. Scientists working with ESA on the HIPPARCOS programme, were at ESOC on 13-14 July to review the progress of the data processing, and to examine whether any further efforts might allow the satellite to continue operating. "All of us are sorry to see the end of this remarkable satellite" said Dr. Michael Perryman, ESA scientist responsible for HIPPARCOS, "On the other end, we are delighted that it has delivered substantially more than it had been originally designed for. When our final results are published, some very interesting new insights into the nature of our Galaxy, its structure and its evolution, will emerge" he added. A large team of scientists from the various ESA member states are responsible for the analysis and interpretation of the vast amount of data that has been generated by the HIPPARCOS satellite, in what is considered to be the largest single data processing challenge ever undertaken in astronomy. Working with ESA since the time of the mission acceptance in 1980, their immediate work will only end with the publication of the HIPPARCOS and Tycho Star Catalogues later this decade. Only then will an astrophysical exploitation of the results commence. Proposals have already been submitted to ESA to follow up its successful breakthrough into space astrometry with new missions proposed for launch early in the next millennium. Note for Editors : The Hipparcos mission was accepted within the ESA mandatory scientific programme in 1980. With overall management by ESA, the system

  11. Digital communication constraints in prior space missions

    Yassine, Nathan K.

    2004-01-01

    Digital communication is crucial for space endeavors. Jt transmits scientific and command data between earth stations and the spacecraft crew. It facilitates communications between astronauts, and provides live coverage during all phases of the mission. Digital communications provide ground stations and spacecraft crew precise data on the spacecraft position throughout the entire mission. Lessons learned from prior space missions are valuable for our new lunar and Mars missions set by our president s speech. These data will save our agency time and money, and set course our current developing technologies. Limitations on digital communications equipment pertaining mass, volume, data rate, frequency, antenna type and size, modulation, format, and power in the passed space missions are of particular interest. This activity is in support of ongoing communication architectural studies pertaining to robotic and human lunar exploration. The design capabilities and functionalities will depend on the space and power allocated for digital communication equipment. My contribution will be gathering these data, write a report, and present it to Communications Technology Division Staff. Antenna design is very carefully studied for each mission scenario. Currently, Phased array antennas are being developed for the lunar mission. Phased array antennas use little power, and electronically steer a beam instead of DC motors. There are 615 patches in the phased array antenna. These patches have to be modified to have high yield. 50 patches were created for testing. My part is to assist in the characterization of these patch antennas, and determine whether or not certain modifications to quartz micro-strip patch radiators result in a significant yield to warrant proceeding with repairs to the prototype 19 GHz ferroelectric reflect-array antenna. This work requires learning how to calibrate an automatic network, and mounting and testing antennas in coaxial fixtures. The purpose of this

  12. Management of an ingested fish bone in the lung using video-assist thoracic surgery: a case report.

    Tan, Sichuang; Tan, Sipin; Peng, Muyun; Yu, Fenglei

    2015-06-01

    We report a case of lung abscess caused by an ingested fish bone that was successfully treated by minimally invasive surgery. Although cases of ingested foreign body abscess are well reported, lung abscess caused by ingested fish bone is extremely rare. To date, less than 10 similar cases have been reported in the literature. To the best of our knowledge, the case presented in this case report is the first report of this kind that was successfully treated by video-assist thoracic surgery (VATS). A 47-year-old man was admitted to department of thoracic surgery with the complaint of continues dry cough and fever. The patient accidentally swallowed a long sharp-blade-shaped fish bone 20 days before, which perforated the upper thoracic esophagus on the right and embedded in the right upper lobe.The diagnosis was verified by computed tomography scan and a video-assist thoracic surgery procedure was successfully performed to treat the patient. The patient survived the esophageal perforation fortunately without involvement of great vessel injury and probable mediastinitis. This report may provide additional experience on lung abscess caused by ingested fish bones. However, it is also important to educate the public of the risks of trying to force an ingested object down into the stomach.

  13. Laparoscopic and ultrasound assisted management of gallstone ileus after biliointestinal bypass Case report and a review of literature.

    Zago, Mauro; Bozzo, Samantha; Centurelli, Andrea; Giovanelli, Alessandro; Vasino, Michele Ciocca

    2016-05-24

    To report about an additional case of biliary ileus after bariatric surgery is reported and extensively reviewing the literature on this topic. We reviewed the literature and found three cases of gallstone ileus (GI) that occurred after bariatric surgery. A 41 year old patient presented a GI eight years after a biliointestinal bypass (BIB) for morbid obesity. The patient complained of abdominal pain for two weeks. Computed tomography (CT) and abdominal ultrasound (US) allowed a preoperative diagnosis of GI and planning of surgical strategy. Surgical treatment was carried out through laparoscopic-assisted enterolithotomy alone procedure. This choice is supported discussing the related issues: morbidity, potential recurrence, eventual developing of gallbladder carcinoma. It is the first reported case of GI after BIB preoperatively diagnosed through CT scan and US, and treated with a laparoscopic assisted approach. Additional considerations concerning preoperative diagnosis, surgical strategy, technical details and follow-up can be usefully applied even in non post-bariatric biliary ileus. Biliointestinal bypass, Gallstone ileus, Laparoscopy, Ultrasonography.

  14. OSART mission highlights 2001-2003. Operational safety practices in nuclear power plants

    2005-05-01

    The IAEA Operational Safety Review Team (OSART) programme provides advice and assistance to Member States in enhancing the operational safety of nuclear power plants (NPPs). Careful design and high quality of construction are prerequisites for a safe nuclear power plant. However, a plant's safety depends ultimately on the ability and conscientiousness of the operating personnel and on the plant programmes, processes and working methods. An OSART mission compares a facility's operational performance with IAEA Safety Standards and proven good international practices. The OSART reviews are available to all countries with nuclear power plants in operation, but also approaching operation, commissioning or in earlier stages of construction (Pre-OSART). Most countries have participated in the programme by hosting one or more OSART missions or by making experts available to participate in missions. Operational safety missions can also be part of the design review missions of nuclear power plants and are known as Safety Review Missions (SRMs). Teams that review only a few specific areas or a specific issue are called Expert missions. Follow-up visits are a standard part of the OSART programme and are conducted between 12 to 18 months following the OSART mission. This report continues the practice of summarizing mission results so that all the aspects of OSART missions, Pre-OSART missions and OSART good practices are to be found in one document. It also includes the results of follow-up visits. Attempts have been made in this report to highlight the most significant findings while retaining as much of the vital background information as possible. This report is in three parts: Part I summarizes the most significant observations made during the missions and follow-up visits between 2001 and 2003; Part II, in chronological order, reviews the major strengths and opportunities for improvement identified during each OSART mission and summarizes the follow-up visits performed

  15. Assistive Technology

    ... Page Resize Text Printer Friendly Online Chat Assistive Technology Assistive technology (AT) is any service or tool that helps ... be difficult or impossible. For older adults, such technology may be a walker to improve mobility or ...

  16. NASA UAV Airborne Science Capabilities in Support of Water Resource Management

    Fladeland, Matthew

    2015-01-01

    This workshop presentation focuses on potential uses of unmanned aircraft observations in support of water resource management and agriculture. The presentation will provide an overview of NASA Airborne Science capabilities with an emphasis on past UAV missions to provide context on accomplishments as well as technical challenges. I will also focus on recent NASA Ames efforts to assist in irrigation management and invasive species management using airborne and satellite datasets.

  17. Assisted Living

    ... it, too. Back to top What is the Cost for Assisted Living? Although assisted living costs less than nursing home ... Primarily, older persons or their families pay the cost of assisted living. Some health and long-term care insurance policies ...

  18. The Cassini-Huygens mission

    The joint NASA-ESA Cassini-Huygens mission promises to return four (and possibly more) years of unparalleled scientific data from the solar system’s most exotic planet, the ringed, gas giant, Saturn. Larger than Galileo with a much greater communication bandwidth, Cassini can accomplish in a single flyby what Galileo returned in a series of passes. Cassini explores the Saturn environment in three dimensions, using gravity assists to climb out of the equatorial plane to look down on the rings from above, to image the aurora and to study polar magnetospheric processes such as field-aligned currents. Since the radiation belt particle fluxes are much more benign than those at Jupiter, Cassini can more safely explore the inner regions of the magnetosphere. The spacecraft approaches the planet closer than Galileo could, and explores the inner moons and the rings much more thoroughly than was possible at Jupiter. This book is the second volume, in a three volume set, that describes the Cassini/Huygens mission. Thi...

  19. CE-SAM: a conversational interface for ISR mission support

    Pizzocaro, Diego; Parizas, Christos; Preece, Alun; Braines, Dave; Mott, David; Bakdash, Jonathan Z.

    2013-05-01

    There is considerable interest in natural language conversational interfaces. These allow for complex user interactions with systems, such as fulfilling information requirements in dynamic environments, without requiring extensive training or a technical background (e.g. in formal query languages or schemas). To leverage the advantages of conversational interactions we propose CE-SAM (Controlled English Sensor Assignment to Missions), a system that guides users through refining and satisfying their information needs in the context of Intelligence, Surveillance, and Reconnaissance (ISR) operations. The rapidly-increasing availability of sensing assets and other information sources poses substantial challenges to effective ISR resource management. In a coalition context, the problem is even more complex, because assets may be "owned" by different partners. We show how CE-SAM allows a user to refine and relate their ISR information needs to pre-existing concepts in an ISR knowledge base, via conversational interaction implemented on a tablet device. The knowledge base is represented using Controlled English (CE) - a form of controlled natural language that is both human-readable and machine processable (i.e. can be used to implement automated reasoning). Users interact with the CE-SAM conversational interface using natural language, which the system converts to CE for feeding-back to the user for confirmation (e.g. to reduce misunderstanding). We show that this process not only allows users to access the assets that can support their mission needs, but also assists them in extending the CE knowledge base with new concepts.

  20. Cultural and ethical challenges of assisted reproductive technologies in the management of infertility among the Yoruba of southwestern Nigeria.

    Jegede, Ayodele S; Fayemiwo, Adetona S

    2010-06-01

    This paper discusses the cultural and ethical issues arising from the use of Assisted Reproductive Health Technologies. Twenty-five In-depth interviews were conducted with 5 couples of reproductive age who have never conceived or brought pregnancy to term after one year of unprotected intercourse, 4 adult males, 4 adult females, a gyneacologist, a nurse, a herbalist and 2 religious leaders in Ibadan, Nigeria. Content analysis was used for data analysis. Legitimacy of children born through ART, religious obligation, patriarchy, polygamy and value of children are cultural issues surrounding ARTs while decision making about it, discrimination against children born through ART, psychological problems and loss of self esteem, side effects of the technologies and the cost of accessing them are the ethical challenges. The findings have methodological implications for conducting infertility research in non-western societies.

  1. EUCLID mission design

    Wallner, Oswald; Ergenzinger, Klaus; Tuttle, Sean; Vaillon, L.; Johann, Ulrich

    2017-11-01

    EUCLID, a medium-class mission candidate of ESA's Cosmic Vision 2015-2025 Program, currently in Definition Phase (Phase A/B1), shall map the geometry of the Dark Universe by investigating dark matter distributions, the distance-redshift relationship, and the evolution of cosmic structures. EUCLID consists of a 1.2 m telescope and two scientific instruments for ellipticity and redshift measurements in the visible and nearinfrared wavelength regime. We present a design concept of the EUCLID mission which is fully compliant with the mission requirements. Preliminary concepts of the spacecraft and of the payload including the scientific instruments are discussed.

  2. EURANOS. Generic handbook for assisting in the management of contaminated inhabited areas in Europe following a radiological emergency

    Nisbet, A.F.; Andersson, Kasper Grann; Brown, J.

    industry and others who may be affected. The handbook is a living document that requires updating from time to time to remain state-of-the-art and customisation of the generic handbook is an essential part of its use within individual countries. The handbook includes management options for application...... and plants; trees and shrubs. The handbook is divided into several independent sections comprising: supporting scientific and technical information; an analysis of the factors influencing recovery; compendia of comprehensive, state-of-the-art datasheets for more than 50 management options; guidance....... The handbook for inhabited areas complements the two other handbooks for food production systems and drinking water supplies....

  3. Integrated Project Management System description

    1987-03-01

    The Uranium Mill Tailings Remedial Action (UMTRA) Project is a Department of Energy (DOE) designated Major System Acquisition (MSA). To execute and manage the Project mission successfully and to comply with the MSA requirements, the UMTRA Project Office (''Project Office'') has implemented and operates an Integrated Project Management System (IPMS). The Project Office is assisted by the Technical Assistance Contractor's (TAC) Project Integration and Control (PIC) Group in system operation. Each participant, in turn, provides critical input to system operation and reporting requirements. The IPMS provides a uniform structured approach for integrating the work of Project participants. It serves as a tool for planning and control, workload management, performance measurement, and specialized reporting within a standardized format. This system description presents the guidance for its operation. Appendices 1 and 2 contain definitions of commonly used terms and abbreviations and acronyms, respectively. 17 figs., 5 tabs

  4. QUALITY MANAGEMENT SYSTEM IN CLINICAL LABORATORIES ACCORDING TO THE ISO 15189:2007 STANDARD - EVALUATION OF THE BENEFITS OF IMPLEMENTATION IN AN ASSISTED REPRODUCTION LABORATORY

    A.D. Sialakouma

    2011-03-01

    Full Text Available Biomedical science is a sensitive discipline and presents unique challenges due to its social character, continuous development and competitiveness. The issue of quality management systems and accreditation is gaining increasing interest in this sector. All over Europe, Health Services Units have started to introduce quality management systems and harmonization of criteria for accreditation is of increasing importance. Moreover, clinical laboratories, like the Assisted Reproduction laboratories and biochemical laboratories are required to apply a Quality Management System in order to ensure their correct, scientific and effective operation. Ultimately, it is a moral obligation for every health care organisation to supply the best possible care for the patient. The specific features and the diversity of clinical laboratories led to the introduction (2003 and, recently to the revision (2007 of the international standard ISO 15189, which is the first international standard developed specifically to address the requirements for accreditation of this type of laboratory. The basic principles for the quality assurance in the clinical laboratories are: x Complete and unambiguous standardized operating procedures. x Complete and unambiguous directives of operation. x Obligatory detailed written documentation, i.e., how each action is done, who will do it, where will this action take place and when. x Suitable scheduling of calibration/control/preventive maintenance of laboratory equipment and recording of each activity. x Distribution of responsibilities among the staff and continuous education and briefing according to current scientific data. x Complete and informed record file keeping. x Continuous improvement which is monitored with the adoption of quantified indicators. x Internal and external audit of all activities. x Troubleshooting. All these principles should be supported by the Management in order that the necessary adaptations should be made

  5. Safety and effect of femtosecond laser-assisted cataract surgery combined with Cionni capsular tension ring implantation in the management of traumatic lens subluxation

    Jia-Hui Chen

    2017-07-01

    Full Text Available AIM:To investigate the safety and effect of femtosecond laser-assisted cataract surgery with Cionni modified capsular tension ring(MCTRimplantation in the management of traumatic lens subluxation.METHODS: Totally 11 patients(11 eyeswith traumatic lens subluxation were divided into three groups according to the severity of lens dislocation, ranging from 90° to 120°(4 eyes, 120° to 180°(5 eyesand 180° to 270°(2 eyes. The contact LenSx femtosecond laser cataract surgery platform was applied to create the capsulotomy, prepare nuclear fragmentation and make corneal wound creation. Anterior vitrectomy was performed in some patients during the surgery. After capsular retractors insertion and phacoemulsification, the MCTR was inserted to the capsular bag and fixed to the sclera. Finally, the IOL was implanted into the capsular bag. Postoperative visual acuity, intra- and post-operative complications, anterior capsular opening, IOL and MCTR position and intraocular pressure(IOPwere assessed.RESULTS:The duration of follow-up was 2mo. All the operations were completed successfully. Five eyes underwent cataract surgery combined with anterior vitrectomy. Four eyes had been inserted with 2-eyelet MCTR and seven eyes with 1-eyelet MCTR. The best corrected visual acuity(BCVAafter operation was better than 0.5 in 4 eyes, between 0.3 and 0.5 in 3 eyes, between 0.1 and 0.3 in 3 eyes, and less than 0.1 in 1 eye. Compared with preoperative BCVA, the difference was statistically significant(PCONCLUSION:Femtosecond laser-assisted cataract surgery can improve the success rate of capsulorhexis, and reduce the difficulty of nuclear fragmentation. Femtosecond laser-assisted cataract surgery combined with MCTR implantation is an ideal surgical method for traumatic lens subluxation.

  6. Are satisfaction with and self-management of personal assistance services associated with the life satisfaction of persons with physical disabilities?

    Fleming-Castaldy, Rita P

    2011-01-01

    To examine the relationships between satisfaction with and self-management of personal assistance services (PAS) and the quality of life (QoL) of persons with disabilities. To test the postulate that consumer-directed PAS can fulfil the human need for control and contribute to a satisfactory life. A survey compared the perspectives of persons using consumer-directed PAS versus those using agency-directed. A Personal Data Form obtained demographics and PAS characteristics. The Quality of Life Inventory measured life satisfaction. A PAS questionnaire measured perceptions about the management of, desire for control of, and satisfaction with PAS. Data were analysed using SPSS®- 14. Significant relationships were found between QoL and satisfaction with PAS (p perceived control of PAS and satisfaction with PAS (p satisfaction with their PAS (p satisfaction, and QoL support the value of consumer-directed programmes. Rehabilitation professionals can use this knowledge to develop, implement and research practises that enable self-management.

  7. Public Progress, Data Management and the Land Grant Mission: A Survey of Agriculture Researchers' Practices and Attitudes at Two Land-Grant Institutions

    Fernandez, Peter; Eaker, Christopher; Swauger, Shea; Davis, Miriam L. E. Steiner

    2016-01-01

    This article reports results from a survey about data management practices and attitudes sent to agriculture researchers and extension personnel at the University of Tennessee Institute of Agriculture (UTIA) and the College of Agricultural Sciences and Warner College of Natural Resources at Colorado State University. Results confirm agriculture…

  8. Developing Teaching Assistants' Skills in Positive Behaviour Management: An Application of Video Interaction Guidance in a Secondary School

    Hayes, Ben; Richardson, Sally; Hindle, Sarah; Grayson, Katy

    2011-01-01

    This paper reports an action research project in a school in the UK designed to investigate the impact of a brief Video Interaction Guidance (VIG) intervention in promoting skills of non-teaching staff in positive behaviour management. A summary of the literature in relation to VIG is provided before describing the project and data collected. Ten…

  9. A brief history of Sandia's National security missions.

    Drewien, Celeste A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); O' Canna, Myra Lynn [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Stikar, John Anthony. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2014-09-01

    To help members of the workforce understand what factors contribute to Sandia National Laboratories national security mission, the authors describe the evolution of Sandias core mission and its other mission components. The mission of Sandia first as a division of Los Alamos and later as Sandia Corporation underlies our core nuclear weapon mission of today. Sandias mission changed in 1963 and twice more in the 1970s. This report should help staff and management appreciate the need for mission evolution. A clear definition and communication of a consistent corporate mission statement is still needed.

  10. Mission Plan for the Civilian Radioactive Waste Management Program. Volume I. Part I. Overview and current program plans; Part II. Information required by the Nuclear Waste Policy Act of 1982

    1985-06-01

    The Misson Plan is divided into two parts. Part I describes the overall goals, objectives, and strategy for the disposal of spent nuclear fuel and high-level waste. It explains that, to meet the directives of the Nuclear Waste Policy Act, the DOE intends to site, design, construct, and start operating a mined geologic repository by January 31, 1998. The Act specifies that the costs of these activities will be borne by the owners and generators of the waste received at the repository. Part I further describes the other components of the waste-management program - monitored retrievable storage, Federal interim storage, and transportation - as well as systems integration activities. Also discussed are institutional plans and activities as well as the program-management system being implemented by the Office of Civilian Radioactive Waste Management. Part II of the Mission Plan presents the detailed information required by Section 301(a) of the Act - key issues and information needs; plans for obtaining the necessary information; potential financial, institutional, and legal issues; plans for the test and evaluation facility; the principal results obtained to date from site investigations; information on the site-characterization programs; information on the waste package; schedules; costs; and socioeconomic impacts. In accordance with Section 301(a) of the Act, Part II is concerned primarily with the repository program

  11. PLA Missions Beyond Taiwan

    Miller, Marc

    2008-01-01

    KEY INSIGHTS: *The PLA is being assigned and training for an increasing variety of missions, including nontraditional battlefields such as outer space and cyber space, as well as nontraditional functions...

  12. Systems Engineering Using Heritage Spacecraft Technology: Lessons Learned from Discovery and New Frontiers Deep Space Missions

    Barley, Bryan; Newhouse, Marilyn; Clardy, Dennon

    2011-01-01

    In the design and development of complex spacecraft missions, project teams frequently assume the use of advanced technology or heritage systems to enable a mission or reduce the overall mission risk and cost. As projects proceed through the development life cycle, increasingly detailed knowledge of the advanced or heritage systems and the system environment identifies unanticipated issues that result in cost overruns or schedule impacts. The Discovery & New Frontiers (D&NF) Program Office recently studied cost overruns and schedule delays resulting from advanced technology or heritage assumptions for 6 D&NF missions. The goal was to identify the underlying causes for the overruns and delays, and to develop practical mitigations to assist the D&NF projects in identifying potential risks and controlling the associated impacts to proposed mission costs and schedules. The study found that the cost and schedule growth did not result from technical hurdles requiring significant technology development. Instead, systems engineering processes did not identify critical issues early enough in the design cycle to ensure project schedules and estimated costs address the inherent risks. In general, the overruns were traceable to: inadequate understanding of the heritage system s behavior within the proposed spacecraft design and mission environment; an insufficient level of experience with the heritage system; or an inadequate scoping of the system-wide impacts necessary to implement the heritage or advanced technology. This presentation summarizes the study s findings and offers suggestions for improving the project s ability to identify and manage the risks inherent in the technology and heritage design solution.

  13. Human exploration mission studies

    Cataldo, Robert L.

    1989-01-01

    The Office of Exploration has established a process whereby all NASA field centers and other NASA Headquarters offices participate in the formulation and analysis of a wide range of mission strategies. These strategies were manifested into specific scenarios or candidate case studies. The case studies provided a systematic approach into analyzing each mission element. First, each case study must address several major themes and rationale including: national pride and international prestige, advancement of scientific knowledge, a catalyst for technology, economic benefits, space enterprise, international cooperation, and education and excellence. Second, the set of candidate case studies are formulated to encompass the technology requirement limits in the life sciences, launch capabilities, space transfer, automation, and robotics in space operations, power, and propulsion. The first set of reference case studies identify three major strategies: human expeditions, science outposts, and evolutionary expansion. During the past year, four case studies were examined to explore these strategies. The expeditionary missions include the Human Expedition to Phobos and Human Expedition to Mars case studies. The Lunar Observatory and Lunar Outpost to Early Mars Evolution case studies examined the later two strategies. This set of case studies established the framework to perform detailed mission analysis and system engineering to define a host of concepts and requirements for various space systems and advanced technologies. The details of each mission are described and, specifically, the results affecting the advanced technologies required to accomplish each mission scenario are presented.

  14. Missions to Venus

    Titov, D. V.; Baines, K. H.; Basilevsky, A. T.; Chassefiere, E.; Chin, G.; Crisp, D.; Esposito, L. W.; Lebreton, J.-P.; Lellouch, E.; Moroz, V. I.; Nagy, A. F.; Owen, T. C.; Oyama, K.-I.; Russell, C. T.; Taylor, F. W.; Young, R. E.

    2002-10-01

    Venus has always been a fascinating objective for planetary studies. At the beginning of the space era Venus became one of the first targets for spacecraft missions. Our neighbour in the solar system and, in size, the twin sister of Earth, Venus was expected to be very similar to our planet. However, the first phase of Venus spacecraft exploration in 1962-1992 by the family of Soviet Venera and Vega spacecraft and US Mariner, Pioneer Venus, and Magellan missions discovered an entirely different, exotic world hidden behind a curtain of dense clouds. These studies gave us a basic knowledge of the conditions on the planet, but generated many more questions concerning the atmospheric composition, chemistry, structure, dynamics, surface-atmosphere interactions, atmospheric and geological evolution, and the plasma environment. Despite all of this exploration by more than 20 spacecraft, the "morning star" still remains a mysterious world. But for more than a decade Venus has been a "forgotten" planet with no new missions featuring in the plans of the world space agencies. Now we are witnessing the revival of interest in this planet: the Venus Orbiter mission is approved in Japan, Venus Express - a European orbiter mission - has successfully passed the selection procedure in ESA, and several Venus Discovery proposals are knocking at the doors of NASA. The paper presents an exciting story of Venus spacecraft exploration, summarizes open scientific problems, and builds a bridge to the future missions.

  15. Impact and Effectiveness of Dual Aspiration Technique in Stent-Assisted Mechanical Thrombectomy: Recent Improvements in Acute Stroke Management

    Hopf-Jensen, S., E-mail: hopfsi@diako.de; Preiß, M.; Marques, L.; Lehrke, S. [Diakonissenhospital Flensburg, Department of Diagnostic and Interventional Radiology and Neuroradiology (Germany); Schattschneider, J.; Stolze, H. [Diakonissenhospital Flensburg, Department of Neurology (Germany); Müller-Hülsbeck, S. [Diakonissenhospital Flensburg, Department of Diagnostic and Interventional Radiology and Neuroradiology (Germany)

    2016-11-15

    Background and PurposeTo evaluate feasibility and impact of dual aspiration technique (DAT) within stent-assisted mechanical thrombectomy on procedural parameters and clinical outcome.Materials and MethodsWithin 16 months, 76 consecutive patients (mean age 70.7 year; range 33–89) underwent stent-assisted mechanical thrombectomy. Of 52 enrolled patients (68.4 %) with occlusion of the anterior circulation, 22 patients (42.3 %) underwent DAT; 30 patients (57.7 %) were treated in conventional monoaspiration technique (MAT). Epidemiological data, clinical and imaging characteristics (mRS, NIHSS, ASPECTS) as well as procedural details were analyzed (TICI, number of retrieval, procedure time). Clinical outcome was determined with mRS at discharge and after 90 days.ResultsIn the context of DAT additional carotid artery stenting was required in 45.5 % (10/22) in underlying tandem lesion (vs. 0/30 MAT). No differences were found in NIHSS at admission (MAT: 20.5, range 15–29; DAT: 18.6; range 11–25), mRS at admission (MAT: 4.6 vs. DAT: 4.57) or ASPECT score (MAT: 8.3, ±1.5; DAT: 8.4, ±1.5; P > 0.05). TICI ≥ 2b/3 was conducted in 90 % (MAT) and 100 % (DAT), respectively. The procedure time was longer in the MAT group (65 min, ±25.9, range 18–126) compared to the DAT group (49.7 min, ±15, range 32–101; P = 0.016). The clinical outcome increased from admission to discharge and in follow-up after 90 days (mRS ≥ 2: MAT: 53.3 %, DAT: 54.5 %; P > 0.05).ConclusionsThe dual aspiration technique with an additional intermediate guide catheter placed closed to the stent retriever leads to decreased procedure time in the anterior circulation. Even in cases with higher thrombus load and treated in DAT, clinical outcome improved.

  16. A national plan for assisting states, federal agencies, and tribes in managing white-nose syndrome in bats

    ,; ,; ,; ,; ,; ,; ,; ,; ,; ,; ,; ,; ,; ,

    2011-01-01

    White-nose syndrome (WNS) is a disease responsible for unprecedented mortality in hibernating bats in the northeastern U.S. This previously unrecognized disease has spread very rapidly since its discovery in January 2007, and poses a considerable threat to hibernating bats throughout North America. As WNS spreads, the challenges for understanding and managing the disease continue to increase. Given the escalating complexity of these challenges, a highly coordinated effort is required for State, Federal, and Tribal wildlife agencies, and private partners to respond effectively to WNS and conserve species of bats. The plan proposed herein details the elements that are critical to the investigation and management of WNS, identifies key action items to address stated goals, and outlines the role(s) of agencies and entities involved in this continental effort.

  17. A Framework to Assist Health Professionals in Recommending High-Quality Apps for Supporting Chronic Disease Self-Management: Illustrative Assessment of Type 2 Diabetes Apps.

    Hale, Kelli; Capra, Sandra; Bauer, Judith

    2015-09-14

    This paper presents an approach to assist health professionals in recommending high quality apps for supporting chronic disease self-management. Most app reviews focus on popularity, aesthetics, functionality, usability, and information quality. There is no doubt these factors are important in selecting trustworthy apps which are appealing to users, but behavioral theory may be also be useful in matching the apps to user needs. The framework developed aims to be methodologically sound, capable of selecting popular apps which include content covered by evidence-based programs, consistent with behavioral theory, as well as a patient-centered approach for matching apps to patients' individual needs. A single disease-type 2 diabetes-was selected to illustrate how the framework can be applied as this was deemed to represent the types of strategies used in many chronic diseases. A systematic approach based on behavioral theory and recommendations from best practice guidelines was developed for matching apps to patients' needs. In March 2014, a series of search strategies was used to identify top-rated iPhone and Android health apps, representing 29 topics from five categories of type 2 diabetes self-management strategies. The topics were chosen from published international guidelines for the management of diabetes. The senior author (KH) assessed the most popular apps found that addressed these topics using the Behavioral Theory Content Survey (BTS), which is based on traditional behavioral theory. A tool to assist decision making when using apps was developed and trialed with health professionals for ease of use and understanding. A total of 14 apps were assessed representing all five topic categories of self-management. Total theoretical scores (BTS scores) were less than 50 on a 100-point scale for all apps. Each app scored less than 50% of the total possible BTS score for all four behavioral theories and for most of the 20 behavioral strategies; however, apps scored

  18. Communicating uncertainty in hydrological forecasts: mission impossible?

    Ramos, Maria-Helena; Mathevet, Thibault; Thielen, Jutta; Pappenberger, Florian

    2010-05-01

    Cascading uncertainty in meteo-hydrological modelling chains for forecasting and integrated flood risk assessment is an essential step to improve the quality of hydrological forecasts. Although the best methodology to quantify the total predictive uncertainty in hydrology is still debated, there is a common agreement that one must avoid uncertainty misrepresentation and miscommunication, as well as misinterpretation of information by users. Several recent studies point out that uncertainty, when properly explained and defined, is no longer unwelcome among emergence response organizations, users of flood risk information and the general public. However, efficient communication of uncertain hydro-meteorological forecasts is far from being a resolved issue. This study focuses on the interpretation and communication of uncertain hydrological forecasts based on (uncertain) meteorological forecasts and (uncertain) rainfall-runoff modelling approaches to decision-makers such as operational hydrologists and water managers in charge of flood warning and scenario-based reservoir operation. An overview of the typical flow of uncertainties and risk-based decisions in hydrological forecasting systems is presented. The challenges related to the extraction of meaningful information from probabilistic forecasts and the test of its usefulness in assisting operational flood forecasting are illustrated with the help of two case-studies: 1) a study on the use and communication of probabilistic flood forecasting within the European Flood Alert System; 2) a case-study on the use of probabilistic forecasts by operational forecasters from the hydroelectricity company EDF in France. These examples show that attention must be paid to initiatives that promote or reinforce the active participation of expert forecasters in the forecasting chain. The practice of face-to-face forecast briefings, focusing on sharing how forecasters interpret, describe and perceive the model output forecasted

  19. SET: Session Layer-Assisted Efficient TCP Management Architecture for 6LoWPAN with Multiple Gateways

    Akbar AliHammad

    2010-01-01

    Full Text Available 6LoWPAN (IPv6 based Low-Power Personal Area Network is a protocol specification that facilitates communication of IPv6 packets on top of IEEE 802.15.4 so that Internet and wireless sensor networks can be inter-connected. This interconnection is especially required in commercial and enterprise applications of sensor networks where reliable and timely data transfers such as multiple code updates are needed from Internet nodes to sensor nodes. For this type of inbound traffic which is mostly bulk, TCP as transport layer protocol is essential, resulting in end-to-end TCP session through a default gateway. In this scenario, a single gateway tends to become the bottleneck because of non-uniform connectivity to all the sensor nodes besides being vulnerable to buffer overflow. We propose SET; a management architecture for multiple split-TCP sessions across a number of serving gateways. SET implements striping and multiple TCP session management through a shim at session layer. Through analytical modeling and ns2 simulations, we show that our proposed architecture optimizes communication for ingress bulk data transfer while providing associated load balancing services. We conclude that multiple split-TCP sessions managed in parallel across a number of gateways result in reduced latency for bulk data transfer and provide robustness against gateway failures.

  20. 44 CFR 206.141 - Disaster unemployment assistance.

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Disaster unemployment assistance. 206.141 Section 206.141 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... § 206.141 Disaster unemployment assistance. The authority to implement the disaster unemployment...

  1. Surgical management of cross-bites in orthognathic surgery: Surgically assisted rapid maxillary expansion (SARME) versus two-piece maxilla.

    Seeberger, Robin; Gander, Evelyn; Hoffmann, Jürgen; Engel, Michael

    2015-09-01

    The surgical treatment of cross-bites includes surgically-assisted maxillary expansion (SARME) or maxillary-bipartition during bimaxillary surgery. This study evaluates and compares the changes in the teeth and lower nasal passage, as well as the stability of the expansion. The measurements were performed on the cone-beam computed tomography (CBCT) scans of 32 patients with transverse (width) deficiencies of the maxilla. To expand the maxilla, 12 patients underwent the two-piece maxilla method, while 20 patients received SARME. The mean distraction width for SARME was 6.8 mm (SD 3.7), while that for the two-piece maxilla was 4.1 mm (SD 1.6). The expansion with SARME was over the entire length of the maxilla, from anterior to posterior, whereas the expansion of the two-piece patient group was only in the posterior part of the maxilla. The segments of the maxilla opened nearly parallel in SARME, while they were reverse V-shaped in the two-piece maxilla, from anterior to posterior. A key point in the planning of combined orthodontic-orthognathic therapy with surgical correction of a cross-bite is the precise determination of the area where the width needs to be increased, and the amount of correction needed to treat the patient using minimal surgical procedures. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  2. Vacuum-assisted closure versus conventional dressings in the management of diabetic foot ulcers: a prospective case-control study.

    Lone, Ali M; Zaroo, Mohd I; Laway, Bashir A; Pala, Nazir A; Bashir, Sheikh A; Rasool, Altaf

    2014-01-01

    To compare the effectiveness of vacuum-assisted closure (VAC) versus conventional dressings in the healing of diabetic foot ulcerations (DFUs) in terms of healing rate (time to prepare the wound for closure either spontaneously or by surgery), safety, and patient satisfaction. Randomized case-control study enrolling 56 patients, divided into two groups. Group A (patients treated with VAC) and Group B (patients treated with conventional dressings), with an equal number of patients in each group. DFUs were treated until wound closure, either spontaneously, surgically, or until completion of the 8-week period. Granulation tissue appeared in 26 (92.85%) patients by the end of Week 2 in Group A, while it appeared in 15 (53.57%) patients by that time in Group B. 100% granulation was achieved in 21 (77.78%) patients by the end of Week 5 in Group A as compared to only 10 (40%) patients by that time in Group B. Patients in Group A had fewer number of positive blood cultures, secondary amputations and were satisfied with treatment as compared to Group B. VAC appears to be more effective, safe, and patient satisfactory compared to conventional dressings for the treatment of DFUs.

  3. Vacuum-assisted closure versus conventional dressings in the management of diabetic foot ulcers: a prospective case–control study

    Lone, Ali M.; Zaroo, Mohd I.; Laway, Bashir A.; Pala, Nazir A.; Bashir, Sheikh A.; Rasool, Altaf

    2014-01-01

    Objective To compare the effectiveness of vacuum-assisted closure (VAC) versus conventional dressings in the healing of diabetic foot ulcerations (DFUs) in terms of healing rate (time to prepare the wound for closure either spontaneously or by surgery), safety, and patient satisfaction. Methods Randomized case–control study enrolling 56 patients, divided into two groups. Group A (patients treated with VAC) and Group B (patients treated with conventional dressings), with an equal number of patients in each group. DFUs were treated until wound closure, either spontaneously, surgically, or until completion of the 8-week period. Results Granulation tissue appeared in 26 (92.85%) patients by the end of Week 2 in Group A, while it appeared in 15 (53.57%) patients by that time in Group B. 100% granulation was achieved in 21 (77.78%) patients by the end of Week 5 in Group A as compared to only 10 (40%) patients by that time in Group B. Patients in Group A had fewer number of positive blood cultures, secondary amputations and were satisfied with treatment as compared to Group B. Conclusion VAC appears to be more effective, safe, and patient satisfactory compared to conventional dressings for the treatment of DFUs. PMID:24765245

  4. Mobile-cloud assisted video summarization framework for efficient management of remote sensing data generated by wireless capsule sensors.

    Mehmood, Irfan; Sajjad, Muhammad; Baik, Sung Wook

    2014-09-15

    Wireless capsule endoscopy (WCE) has great advantages over traditional endoscopy because it is portable and easy to use, especially in remote monitoring health-services. However, during the WCE process, the large amount of captured video data demands a significant deal of computation to analyze and retrieve informative video frames. In order to facilitate efficient WCE data collection and browsing task, we present a resource- and bandwidth-aware WCE video summarization framework that extracts the representative keyframes of the WCE video contents by removing redundant and non-informative frames. For redundancy elimination, we use Jeffrey-divergence between color histograms and inter-frame Boolean series-based correlation of color channels. To remove non-informative frames, multi-fractal texture features are extracted to assist the classification using an ensemble-based classifier. Owing to the limited WCE resources, it is impossible for the WCE system to perform computationally intensive video summarization tasks. To resolve computational challenges, mobile-cloud architecture is incorporated, which provides resizable computing capacities by adaptively offloading video summarization tasks between the client and the cloud server. The qualitative and quantitative results are encouraging and show that the proposed framework saves information transmission cost and bandwidth, as well as the valuable time of data analysts in browsing remote sensing data.

  5. Mobile-Cloud Assisted Video Summarization Framework for Efficient Management of Remote Sensing Data Generated by Wireless Capsule Sensors

    Irfan Mehmood

    2014-09-01

    Full Text Available Wireless capsule endoscopy (WCE has great advantages over traditional endoscopy because it is portable and easy to use, especially in remote monitoring health-services. However, during the WCE process, the large amount of captured video data demands a significant deal of computation to analyze and retrieve informative video frames. In order to facilitate efficient WCE data collection and browsing task, we present a resource- and bandwidth-aware WCE video summarization framework that extracts the representative keyframes of the WCE video contents by removing redundant and non-informative frames. For redundancy elimination, we use Jeffrey-divergence between color histograms and inter-frame Boolean series-based correlation of color channels. To remove non-informative frames, multi-fractal texture features are extracted to assist the classification using an ensemble-based classifier. Owing to the limited WCE resources, it is impossible for the WCE system to perform computationally intensive video summarization tasks. To resolve computational challenges, mobile-cloud architecture is incorporated, which provides resizable computing capacities by adaptively offloading video summarization tasks between the client and the cloud server. The qualitative and quantitative results are encouraging and show that the proposed framework saves information transmission cost and bandwidth, as well as the valuable time of data analysts in browsing remote sensing data.

  6. A personal digital assistant application (MobilDent) for dental fieldwork data collection, information management and database handling.

    Forsell, M; Häggström, M; Johansson, O; Sjögren, P

    2008-11-08

    To develop a personal digital assistant (PDA) application for oral health assessment fieldwork, including back-office and database systems (MobilDent). System design, construction and implementation of PDA, back-office and database systems. System requirements for MobilDent were collected, analysed and translated into system functions. User interfaces were implemented and system architecture was outlined. MobilDent was based on a platform with. NET (Microsoft) components, using an SQL Server 2005 (Microsoft) for data storage with Windows Mobile (Microsoft) operating system. The PDA devices were Dell Axim. System functions and user interfaces were specified for MobilDent. User interfaces for PDA, back-office and database systems were based on. NET programming. The PDA user interface was based on Windows suitable to a PDA display, whereas the back-office interface was designed for a normal-sized computer screen. A synchronisation module (MS Active Sync, Microsoft) was used to enable download of field data from PDA to the database. MobilDent is a feasible application for oral health assessment fieldwork, and the oral health assessment database may prove a valuable source for care planning, educational and research purposes. Further development of the MobilDent system will include wireless connectivity with download-on-demand technology.

  7. Vacuum-assisted closure versus conventional dressings in the management of diabetic foot ulcers: a prospective case–control study

    Ali M. Lone

    2014-04-01

    Full Text Available Objective: To compare the effectiveness of vacuum-assisted closure (VAC versus conventional dressings in the healing of diabetic foot ulcerations (DFUs in terms of healing rate (time to prepare the wound for closure either spontaneously or by surgery, safety, and patient satisfaction. Methods: Randomized case–control study enrolling 56 patients, divided into two groups. Group A (patients treated with VAC and Group B (patients treated with conventional dressings, with an equal number of patients in each group. DFUs were treated until wound closure, either spontaneously, surgically, or until completion of the 8-week period. Results: Granulation tissue appeared in 26 (92.85% patients by the end of Week 2 in Group A, while it appeared in 15 (53.57% patients by that time in Group B. 100% granulation was achieved in 21 (77.78% patients by the end of Week 5 in Group A as compared to only 10 (40% patients by that time in Group B. Patients in Group A had fewer number of positive blood cultures, secondary amputations and were satisfied with treatment as compared to Group B. Conclusion: VAC appears to be more effective, safe, and patient satisfactory compared to conventional dressings for the treatment of DFUs.

  8. Mobile-Cloud Assisted Video Summarization Framework for Efficient Management of Remote Sensing Data Generated by Wireless Capsule Sensors

    Mehmood, Irfan; Sajjad, Muhammad; Baik, Sung Wook

    2014-01-01

    Wireless capsule endoscopy (WCE) has great advantages over traditional endoscopy because it is portable and easy to use, especially in remote monitoring health-services. However, during the WCE process, the large amount of captured video data demands a significant deal of computation to analyze and retrieve informative video frames. In order to facilitate efficient WCE data collection and browsing task, we present a resource- and bandwidth-aware WCE video summarization framework that extracts the representative keyframes of the WCE video contents by removing redundant and non-informative frames. For redundancy elimination, we use Jeffrey-divergence between color histograms and inter-frame Boolean series-based correlation of color channels. To remove non-informative frames, multi-fractal texture features are extracted to assist the classification using an ensemble-based classifier. Owing to the limited WCE resources, it is impossible for the WCE system to perform computationally intensive video summarization tasks. To resolve computational challenges, mobile-cloud architecture is incorporated, which provides resizable computing capacities by adaptively offloading video summarization tasks between the client and the cloud server. The qualitative and quantitative results are encouraging and show that the proposed framework saves information transmission cost and bandwidth, as well as the valuable time of data analysts in browsing remote sensing data. PMID:25225874

  9. Emergency management

    1996-01-01

    In 1995, major efforts of the Nuclear Regulatory Authority of the Slovak Republic (NRA SR) were focused on tasks associated with completion and incorporation of the Emergency Response Centre (ERC) of NRA SR in emergency planning and crisis management. Construction of the ERC had begun based on NRA SR's knowledge, as well as recommendations of Regulatory Assistance Management Group (RAMG) International Mission in 1993 and follow-up missions in 1994. Early in 1994, re-construction of selected rooms had been done and early in 1995, supported by the UK and U.S.A. Government's funding, technical equipment was purchased. The equipment was necessary for ERC operation as tools to improve NRA SR readiness for the management of emergency situations at nuclear installations. NRA SR commenced operation of the Centre in April 1995. The Centre has been on-line connected to a teledosimetric system of Radiation Monitoring Laboratory in Trnava. The basic software for assessment of radiation consequences of a NPP accident was supplied were also focused on cooperation with state administration authorities and organizations which were involved in an emergency planning structure. In September 1995, staffing of the ERC was completed and parallel, the first document concerning the ERC prime task, i.e. activities and procedures of of NRA SR Crisis crew in case of an accident at a nuclear installation on the territory of the Slovak Republic, was approved by the NRA SR's Management. In the period that is being assessed, NRA SR made significant progress in events classification and emergency planning terminology in order to unify the above between both the Slovak NPPs

  10. Village doctor-assisted case management of rural patients with schizophrenia: protocol for a cluster randomized control trial.

    Gong, Wenjie; Xu, Dong; Zhou, Liang; Brown, Henry Shelton; Smith, Kirk L; Xiao, Shuiyuan

    2014-01-16

    Strict compliance with prescribed medication is the key to reducing relapses in schizophrenia. As villagers in China lack regular access to psychiatrists to supervise compliance, we propose to train village 'doctors' (i.e., villagers with basic medical training and currently operating in villages across China delivering basic clinical and preventive care) to manage rural patients with schizophrenia with respect to compliance and monitoring symptoms. We hypothesize that with the necessary training and proper oversight, village doctors can significantly improve drug compliance of villagers with schizophrenia. We will conduct a cluster randomized controlled trial in 40 villages in Liuyang, Hunan Province, China, home to approximately 400 patients with schizophrenia. Half of the villages will be randomized into the treatment group (village doctor, or VD model) wherein village doctors who have received training in a schizophrenia case management protocol will manage case records, supervise drug taking, educate patients and families on schizophrenia and its treatment, and monitor patients for signs of relapse in order to arrange prompt referral. The other 20 villages will be assigned to the control group (case as usual, or CAU model) wherein patients will be visited by psychiatrists every two months and receive free antipsychotic medications under an on-going government program, Project 686. These control patients will receive no other management or follow up from health workers. A baseline survey will be conducted before the intervention to gather data on patient's socio-economic status, drug compliance history, and clinical and health outcome measures. Data will be re-collected 6 and 12 months into the intervention. A difference-in-difference regression model will be used to detect the program effect on drug compliance and other outcome measures. A cost-effectiveness analysis will also be conducted to compare the value of the VD model to that of the CAU group. Lack of

  11. The relationship of chronic and momentary work stress to cardiac reactivity in female managers: feasibility of a smart phone-assisted assessment system.

    Lumley, Mark A; Shi, Weisong; Wiholm, Clairy; Slatcher, Richard B; Sandmark, Helene; Wang, Shinan; Hytter, Anders; Arnetz, Bengt B

    2014-09-01

    To evaluate a wireless smart phone-assisted (SPA) system that assesses ongoing heart rate (HR) and HR-triggered participant reports of momentary stress when HR is elevated during daily life. This SPA system was used to determine the independent and interactive roles of chronic and momentary work stress on HR reactivity among female managers. A sample of 40 female managers reported their chronic work stress and wore the SPA system during a regular workday. They provided multiple reports of their momentary stress, both when triggered by increased HR and at random times. Relationships among chronic stress, momentary stress, and HR were analyzed with hierarchical linear modeling. Both chronic work stress (b = 0.08, standard error [SE] = 0.03, p = .003) and momentary work stress (b = 1.25, SE = 0.62, p = .052) independently predicted greater HR reactivity, adjusting for baseline HR, age, smoking, caffeine, alcohol use, and momentary physical activity levels. More importantly, chronic and momentary stress significantly interacted (b = 1.00, SE = 0.04, p = .036); high momentary stress predicted elevated HR only in the context of high chronic stress. Female managers who experience chronic work stress displayed elevated cardiac reactivity during momentary stress at work. The joint assessment of chronic stress and momentary stress and their relationship to physiological functioning during work clarifies the potential health risks associated with work stress. Moreover, this wireless SPA system captures the immediate subjective context of individuals when physiological arousal occurs, which may lead to tailored stress management programs in the workplace.

  12. NASA Spacecraft Fault Management Workshop Results

    Newhouse, Marilyn; McDougal, John; Barley, Bryan; Fesq, Lorraine; Stephens, Karen

    2010-01-01

    Fault Management is a critical aspect of deep-space missions. For the purposes of this paper, fault management is defined as the ability of a system to detect, isolate, and mitigate events that impact, or have the potential to impact, nominal mission operations. The fault management capabilities are commonly distributed across flight and ground subsystems, impacting hardware, software, and mission operations designs. The National Aeronautics and Space Administration (NASA) Discovery & New Frontiers (D&NF) Program Office at Marshall Space Flight Center (MSFC) recently studied cost overruns and schedule delays for 5 missions. The goal was to identify the underlying causes for the overruns and delays, and to develop practical mitigations to assist the D&NF projects in identifying potential risks and controlling the associated impacts to proposed mission costs and schedules. The study found that 4 out of the 5 missions studied had significant overruns due to underestimating the complexity and support requirements for fault management. As a result of this and other recent experiences, the NASA Science Mission Directorate (SMD) Planetary Science Division (PSD) commissioned a workshop to bring together invited participants across government, industry, academia to assess the state of the art in fault management practice and research, identify current and potential issues, and make recommendations for addressing these issues. The workshop was held in New Orleans in April of 2008. The workshop concluded that fault management is not being limited by technology, but rather by a lack of emphasis and discipline in both the engineering and programmatic dimensions. Some of the areas cited in the findings include different, conflicting, and changing institutional goals and risk postures; unclear ownership of end-to-end fault management engineering; inadequate understanding of the impact of mission-level requirements on fault management complexity; and practices, processes, and

  13. Radio resource management scheme and outage analysis for network-assisted multi-hop D2D communications

    Leila Melki; Sameh Najeh; Hichem Besbes

    2016-01-01

    In a cellular network it's very difficult to make spectrum resource more efficiently. Device-to-Device (D2D) technology enables new service opportunities, and provides high throughput and reliable communication while reducing the base station load. For better total performance, short-range D2D links and cellular links share the same radio resource and the management of interference becomes a crucial task. Here we argue that single-hop D2D technology can be used to further improve cellular net...

  14. Ulysses, the end of an extraordinary mission

    2008-06-01

    Ulysses, a pioneering ESA/NASA mission, was launched in October 1990 to explore uncharted territories - the regions above and below the Sun’s poles - and study our star’s sphere of influence, or heliosphere, in the four dimensions of space and time. Originally designed for a lifetime of five years, the mission has surpassed all expectations. The reams of data Ulysses has returned have forever changed the way scientists view the Sun and its effect on the space surrounding it. Media representatives interested in attending the press conference are invited to register using the attached form. Those not able to attend will have the opportunity to follow the press conference using the following phone number: +33 1 56785733 (listening-mode only). The programme of the event is as follows: The Ulysses Legacy Press Conference 12 June 2008, 15:30, Room 137, ESA Headquarters, 8-10 rue Mario-Nikis, Paris Event programme 15:30 Welcome, by David Southwood, ESA Director of Science and Robotic Exploration (with a joint ESA/NASA statement) 15:40 Ulysses: a modern-day Odyssey, by Richard Marsden, ESA Ulysses Project Scientist and Mission Manager 15:50 The Ulysses scientific legacy: Inside the heliosphere, by Richard Marsden,ESA Ulysses Project Scientist and Mission Manager 16:00 The Ulysses scientific legacy: Outside the heliosphere, by Ed Smith, NASA Ulysses Project Scientist 16:10 Ulysses, the over-achiever: challenges and successes of a 17-year-old mission, by Nigel Angold, ESA Ulysses Mission Operations Manager 16:20 Questions and Answers, Panelists: David Southwood, Richard Marsden, Ed Smith, Nigel Angold and Ed Massey (NASA Ulysses Project Manager) 16:40 Interview opportunities 17:30 End of event

  15. De-MA: a web Database for electron Microprobe Analyses to assist EMP lab manager and users

    Allaz, J. M.

    2012-12-01

    Lab managers and users of electron microprobe (EMP) facilities require comprehensive, yet flexible documentation structures, as well as an efficient scheduling mechanism. A single on-line database system for managing reservations, and providing information on standards, quantitative and qualitative setups (element mapping, etc.), and X-ray data has been developed for this purpose. This system is particularly useful in multi-user facilities where experience ranges from beginners to the highly experienced. New users and occasional facility users will find these tools extremely useful in developing and maintaining high quality, reproducible, and efficient analyses. This user-friendly database is available through the web, and uses MySQL as a database and PHP/HTML as script language (dynamic website). The database includes several tables for standards information, X-ray lines, X-ray element mapping, PHA, element setups, and agenda. It is configurable for up to five different EMPs in a single lab, each of them having up to five spectrometers and as many diffraction crystals as required. The installation should be done on a web server supporting PHP/MySQL, although installation on a personal computer is possible using third-party freeware to create a local Apache server, and to enable PHP/MySQL. Since it is web-based, any user outside the EMP lab can access this database anytime through any web browser and on any operating system. The access can be secured using a general password protection (e.g. htaccess). The web interface consists of 6 main menus. (1) "Standards" lists standards defined in the database, and displays detailed information on each (e.g. material type, name, reference, comments, and analyses). Images such as EDS spectra or BSE can be associated with a standard. (2) "Analyses" lists typical setups to use for quantitative analyses, allows calculation of mineral composition based on a mineral formula, or calculation of mineral formula based on a fixed

  16. Mission operations technology

    Varsi, Giulio

    In the last decade, the operation of a spacecraft after launch has emerged as a major component of the total cost of the mission. This trend is sustained by the increasing complexity, flexibility, and data gathering capability of the space assets and by their greater reliability and consequent longevity. The trend can, however, be moderated by the progressive transfer of selected functions from the ground to the spacecraft and by application, on the ground, of new technology. Advances in ground operations derive from the introduction in the mission operations environment of advanced microprocessor-based workstations in the class of a few million instructions per second and from the selective application of artificial intelligence technology. In the last few years a number of these applications have been developed, tested in operational settings and successfully demonstrated to users. Some are now being integrated in mission operations facilities. An analysis of mission operations indicates that the key areas are: concurrent control of multiple missions; automated/interactive production of command sequences of high integrity at low cost; automated monitoring of spacecraft health and automated aides for fault diagnosis; automated allocation of resources; automated processing of science data; and high-fidelity, high-speed spacecraft simulation. Examples of major advances in selected areas are described.

  17. Use of Vacuum-assisted closure in management of open abdominal wound with multiple enterocutaneous fistulae during chemotherapy: A case report

    Fujino, Shiki; Miyoshi, Norikatsu; Ohue, Masayuki; Noura, Shingo; Fukata, Tadafumi; Yagi, Toshiya; Fujiwara, Yoshiyuki; Yano, Masahiko

    2015-01-01

    Introduction Vacuum-assisted closure (VAC) is useful for treating complex wounds because it promotes granulation. In the present report, a successful case of VAC used for an open abdominal wound with enterocutaneous fistulae after multiple intestinal perforations during chemotherapy is described. Presentation of case A 73-year-old man was admitted to our hospital with severe abdominal pain. He underwent surgical resection for ascending colon cancer 4 years ago and was administered chemotherapy with bevacizumab for recurrence. Physical examination and computed tomography revealed perforation of the intestine, and an emergency operation was performed. Following this procedure, other intestinal perforations occurred, resulting in an open abdominal wound at postoperative day (POD) 10. To isolate enteric contents and promote granulation, VAC was applied to the abdominal wound with enterocutaneous fistulae. Oral intake started at POD 21 and the wound size became smaller. Further, an ostomy bag was directly attached to the most oral perforation site. The patient recovered from life-threatening events without severe infection and was transferred to another hospital close to his home at POD 180. Discussion Gastrointestinal perforation is known to be one of the fatal adverse events of bevacizumab. In this case four gastrointestinal perforations were observed. Isolation of enteric contents is important to heal the wound and VAC is an effective therapy for the management of open abdominal wounds even with enterocutaneous fistulae. Conclusion Innovative VAC use for the management of open abdominal wounds can improve the nutritional status and overall wound healing of the patient. PMID:26599504

  18. A gestão do Sistema Único de Assistência Social (SUAS: uma discussão sobre os eixos estruturantes (The management of the Unified Social Assistance System (SUAS: a discussion of the structural axes - Doi: 10.5212/Emancipacao.v.14i2.0010

    Angela Maria Moura Costa Prates

    2016-03-01

    Full Text Available Resumo: O presente artigo tem como objetivo discutir a gestão do Sistema Único de Assistência Social (SUAS, considerando os seus eixos estruturantes e os desafios para a sua implementação na gestão pública. Trata-se de uma pesquisa bibliográfica tendo por base a Política Nacional de Assistência Social (PNAS e autores que discutem os princípios democráticos da gestão pública. Percebemos que o atual sistema, no marco da legalidade, rompe com os aspectos tuteladores historicamente presentes na política e inova uma perspectiva de direito de cidadania. A gestão do SUAS em acordo com as normativas legais pode produzir o efeito de romper com os estigmas conservadores, históricos na Política de Assistência Social, e construir uma política de fato pública, direito do cidadão e dever do Estado. Palavras-chave: Assistência Social – Sistema Único – Eixos Estruturantes. Abstract: This article aims to reflect on the structuring bases of the Unified System Social Assistance (SUAS and the challenges to its implementation in daily practice of public management. It is grounded in a literature references that discuss the system, and documentary research is about the same. We realize that the current system within the framework of legality, disrupts aspects guardianship historically present in the Politics of Social Welfare and innovative perspective of citizenship rights and this challenges the public administration in order to understand the social assistance as a state policy and not government. But we must beware of the tendency focus that imposes neoliberal public management and influencing on Social Assistance Policy. Keywords: Social Assistance – Unified System - Structuring Bases

  19. Historic Rust College: Fulfilling a Mission.

    Hoffman, Carl

    1989-01-01

    Describes Rust College, a Mississippi college dedicated to educating Blacks from economically and educationally impoverished backgrounds. Discusses the college's financial management, recent fund-raising efforts, building program, and academic programs. Examines the role of the predominantly Black college and Rust's mission to help students…

  20. Computer assisted radiology

    Lemke, H.U.; Jaffe, C.C.; Felix, R.

    1993-01-01

    The proceedings of the CAR'93 symposium present the 126 oral papers and the 58 posters contributed to the four Technical Sessions entitled: (1) Image Management, (2) Medical Workstations, (3) Digital Image Generation - DIG, and (4) Application Systems - AS. Topics discussed in Session (1) are: picture archiving and communication systems, teleradiology, hospital information systems and radiological information systems, technology assessment and implications, standards, and data bases. Session (2) deals with computer vision, computer graphics, design and application, man computer interaction. Session (3) goes into the details of the diagnostic examination methods such as digital radiography, MRI, CT, nuclear medicine, ultrasound, digital angiography, and multimodality imaging. Session (4) is devoted to computer-assisted techniques, as there are: computer assisted radiological diagnosis, knowledge based systems, computer assisted radiation therapy and computer assisted surgical planning. (UWA). 266 figs [de

  1. EURANOS. Generic handbook for assisting in the management of contaminated food production systems in Europe following a radiological emergency

    Nisbet, A.F.; Howard, B.J.; Jones, A.

    production sectors and others who may be affected. The handbook is a living document that requires updating from time to time to remain state-of-the-art and customisation of the generic handbook is an essential part of its use within individual countries. The handbook includes management options......The handbook for food production systems has been developed as a result of a series of UK and European initiatives involving a wide range of stakeholders. It is aimed at national and local authorities, central government departments and agencies, radiation protection experts, agriculture and food...... for application in the pre-release, emergency and longer term phases of an incident. Sources of contamination considered in the handbook are nuclear accidents, radiological dispersion devices and satellite accidents. Agricultural and domestic food production systems are considered, including the gathering of free...

  2. Mission to the comets

    Hughes, D.

    1980-01-01

    The plans of space agencies in the United States and Europe for an exploratory comet mission including a one year rendezvous with comet Temple-2 and a fast fly-by of comet Halley are discussed. The mission provides an opportunity to make comparative measurements on the two different types of comets and also satisfies the three major scientific objectives of cometary missions namely: (1) To determine the chemical nature and the physical structure of cometary nuclei, and the changes that occur with time and orbital position. (2) To study the chemical and physical nature of the atmospheres and ionospheres of comets, the processes that occur in them, and their development with time and orbital position. (3) To determine the nature of the tails of comets and the processes by which they are formed, and to characterise the interaction of comets with solar wind. (UK)

  3. Radio resource management scheme and outage analysis for network-assisted multi-hop D2D communications

    Leila Melki

    2016-11-01

    Full Text Available In a cellular network it's very difficult to make spectrum resource more efficiently. Device-to-Device (D2D technology enables new service opportunities, and provides high throughput and reliable communication while reducing the base station load. For better total performance, short-range D2D links and cellular links share the same radio resource and the management of interference becomes a crucial task. Here we argue that single-hop D2D technology can be used to further improve cellular networks performance if the key D2D radio resource management algorithms are suitably extended to support multi-hop D2D communications. Aiming to establish a new paradigm for the analysis and design of multi-hop D2D communications, We propose a radio resource allocation for multi-hop D2D routes based on interference avoidance approach in LTE-A networks. On top of that, we investigate the outage probability of D2D communication. We first introduce a new definition of outage probability by considering the maximum distance to be allowable for single-hop transmission. Then we study and analyze the outage performance of a multi-hop D2D route. We derive the general closed form expression of outage probability of the multi-hop D2D routes. The results demonstrate that the D2D radio, sharing the same resources as the cellular network, provide higher capacity compared to pure cellular communication where all the data is transmitted through the base station. They also demonstrate that the new method of calculation of D2D multi hop outage probability has better performance than classical method defined in the literature.

  4. How can knowledge exchange portals assist in knowledge management for evidence-informed decision making in public health?

    Quinn, Emma; Huckel-Schneider, Carmen; Campbell, Danielle; Seale, Holly; Milat, Andrew J

    2014-05-12

    Knowledge exchange portals are emerging as web tools that can help facilitate knowledge management in public health. We conducted a review to better understand the nature of these portals and their contribution to knowledge management in public health, with the aim of informing future development of portals in this field. A systematic literature search was conducted of the peer-reviewed and grey literature to identify articles that described the design, development or evaluation of Knowledge Exchange Portals KEPs in the public health field. The content of the articles was analysed, interpreted and synthesised in light of the objectives of the review. The systematic search yielded 2223 articles, of which fifteen were deemed eligible for review, including eight case studies, six evaluation studies and one commentary article. Knowledge exchange portals mainly included design features to support knowledge access and creation, but formative evaluation studies examining user needs suggested collaborative features supporting knowledge exchange would also be useful. Overall web usage statistics revealed increasing use of some of these portals over time; however difficulties remain in retaining users. There is some evidence to suggest that the use of a knowledge exchange portal in combination with tailored and targeted messaging can increase the use of evidence in policy and program decision making at the organisational level. Knowledge exchange portals can be a platform for providing integrated access to relevant content and resources in one location, for sharing and distributing information and for bringing people together for knowledge exchange. However more performance evaluation studies are needed to determine how they can best support evidence-informed decision making in public health.

  5. Logistics Reduction Technologies for Exploration Missions

    Broyan, James L., Jr.; Ewert, Michael K.; Fink, Patrick W.

    2014-01-01

    Human exploration missions under study are limited by the launch mass capacity of existing and planned launch vehicles. The logistical mass of crew items is typically considered separate from the vehicle structure, habitat outfitting, and life support systems. Although mass is typically the focus of exploration missions, due to its strong impact on launch vehicle and habitable volume for the crew, logistics volume also needs to be considered. NASA's Advanced Exploration Systems (AES) Logistics Reduction and Repurposing (LRR) Project is developing six logistics technologies guided by a systems engineering cradle-to-grave approach to enable after-use crew items to augment vehicle systems. Specifically, AES LRR is investigating the direct reduction of clothing mass, the repurposing of logistical packaging, the use of autonomous logistics management technologies, the processing of spent crew items to benefit radiation shielding and water recovery, and the conversion of trash to propulsion gases. Reduction of mass has a corresponding and significant impact to logistical volume. The reduction of logistical volume can reduce the overall pressurized vehicle mass directly, or indirectly benefit the mission by allowing for an increase in habitable volume during the mission. The systematic implementation of these types of technologies will increase launch mass efficiency by enabling items to be used for secondary purposes and improve the habitability of the vehicle as mission durations increase. Early studies have shown that the use of advanced logistics technologies can save approximately 20 m(sup 3) of volume during transit alone for a six-person Mars conjunction class mission.

  6. Vascular plug-assisted retrograde transvenous obliteration for the management of gastric varices: Comparative effectiveness between gelatin sponge embolization and permanent sclerosant

    Lee, Ji Hyun; Jo, Jeong Hyun; Park, Jae Hyung; Park, Byeong Ho; Jung, Gyoo Sik

    2016-01-01

    To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p > 0.05). PARTO appears to be equivalent to BRTO for short-term management of gastric varices

  7. Vascular plug-assisted retrograde transvenous obliteration for the management of gastric varices: Comparative effectiveness between gelatin sponge embolization and permanent sclerosant

    Lee, Ji Hyun; Jo, Jeong Hyun; Park, Jae Hyung; Park, Byeong Ho [Dept. of Radiology, Dong A University Hospital, Dong A University College of Medicine, Busan (Korea, Republic of); Jung, Gyoo Sik [Dept. of Radiology, Gospel Hospital, Kosin University College of Medicine, Busan (Korea, Republic of)

    2016-08-15

    To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p > 0.05). PARTO appears to be equivalent to BRTO for short-term management of gastric varices.

  8. MIV Project: Mission scenario

    Ravazzotti, Mariolina T.; Jørgensen, John Leif; Thuesen, Gøsta

    1997-01-01

    Under the ESA contract #11453/95/NL/JG(SC), aiming at assessing the feasibility of Rendez-vous and docking of unmanned spacecrafts, a msiision scenario was defined. This report describes the secquence of manouvres and task allocations for such missions.......Under the ESA contract #11453/95/NL/JG(SC), aiming at assessing the feasibility of Rendez-vous and docking of unmanned spacecrafts, a msiision scenario was defined. This report describes the secquence of manouvres and task allocations for such missions....

  9. Mars Stratigraphy Mission

    Budney, C. J.; Miller, S. L.; Cutts, J. A.

    2000-01-01

    The Mars Stratigraphy Mission lands a rover on the surface of Mars which descends down a cliff in Valles Marineris to study the stratigraphy. The rover carries a unique complement of instruments to analyze and age-date materials encountered during descent past 2 km of strata. The science objective for the Mars Stratigraphy Mission is to identify the geologic history of the layered deposits in the Valles Marineris region of Mars. This includes constraining the time interval for formation of these deposits by measuring the ages of various layers and determining the origin of the deposits (volcanic or sedimentary) by measuring their composition and imaging their morphology.

  10. The OICETS mission

    Jono, Takashi; Arai, Katsuyoshi

    2017-11-01

    The Optical Inter-orbit Communications Engineering Test Satellite (OICETS) was successfully launched on 23th August 2005 and thrown into a circular orbit at the altitude of 610 km. The main mission is to demonstrate the free-space inter satellite laser communications with the cooperation of the Advanced Relay and Technology Mission (ARTEMIS) geostationary satellite developed by the European Space Agency. This paper presents the overview of the OICETS and laser terminal, a history of international cooperation between Japan Aerospace Exploration Agency (JAXA) and ESA and typical results of the inter-orbit laser communication experiment carried out with ARTEMIS.

  11. Power system technologies for the manned Mars mission

    Bents, D.; Patterson, M.J.; Berkopec, F.; Myers, I.; Presler, A.

    1986-01-01

    The high impulse of electric propulsion makes it an attractive option for manned interplanetary missions such as a manned mission to Mars. This option is, however, dependent on the availability of high energy sources for propulsive power in addition to that required for the manned interplanetary transit vehicle. Two power system technologies are presented: nuclear and solar. The ion thruster technology for the interplanetary transit vehicle is described for a typical mission. The power management and distribution system components required for such a mission must be further developed beyond today's technology status. High voltage-high current technology advancements must be achieved. These advancements are described. In addition, large amounts of waste heat must be rejected to the space environment by the thermal management system. Advanced concepts such as the liquid droplet radiator are discussed as possible candidates for the manned Mars mission. These thermal management technologies have great potential for significant weight reductions over the more conventional systems

  12. STS-87 Mission Specialist Winston E. Scott suits up

    1997-01-01

    STS-87 Mission Specialist Winston Scott dons his launch and entry suit with the assistance of a suit technician in the Operations and Checkout Building. This is Scotts second space flight. He and the five other crew members will depart shortly for Launch Pad 39B, where the Space Shuttle Columbia awaits liftoff on a 16-day mission to perform microgravity and solar research. Scott is scheduled to perform an extravehicular activity spacewalk with Mission Specialist Takao Doi, Ph.D., of the National Space Development Agency of Japan, during STS-87. He also performed a spacewalk on STS-72.

  13. A Comparative Study of Aerocapture Missions with a Mars Destination

    Vaughan, Diane; Miller, Heather C.; Griffin, Brand; James, Bonnie F.; Munk, Michelle M.

    2005-01-01

    Conventional interplanetary spacecraft use propulsive systems to decelerate into orbit. Aerocapture is an alternative approach for orbit capture, in which the spacecraft makes a single pass through a target destination's atmosphere. Although this technique has never been performed, studies show there are substantial benefits of using aerocapture for reduction of propellant mass, spacecraft size, and mission cost. The In-Space Propulsion (ISP) Program, part of NASA's Science Mission Directorate, has invested in aerocapture technology development since 2002. Aerocapture investments within ISP are largely driven by mission systems analysis studies, The purpose of this NASA-funded report is to identify and document the fundamental parameters of aerocapture within previous human and robotic Mars mission studies which will assist the community in identifying technology research gaps in human and robotic missions, and provide insight for future technology investments. Upon examination of the final data set, some key attributes within the aerocapture disciplines are identified.

  14. The Ionospheric Connection Explorer Mission: Mission Goals and Design

    Immel, T. J.; England, S. L.; Mende, S. B.; Heelis, R. A.; Englert, C. R.; Edelstein, J.; Frey, H. U.; Korpela, E. J.; Taylor, E. R.; Craig, W. W.; Harris, S. E.; Bester, M.; Bust, G. S.; Crowley, G.; Forbes, J. M.; Gérard, J.-C.; Harlander, J. M.; Huba, J. D.; Hubert, B.; Kamalabadi, F.; Makela, J. J.; Maute, A. I.; Meier, R. R.; Raftery, C.; Rochus, P.; Siegmund, O. H. W.; Stephan, A. W.; Swenson, G. R.; Frey, S.; Hysell, D. L.; Saito, A.; Rider, K. A.; Sirk, M. M.

    2018-02-01

    The Ionospheric Connection Explorer, or ICON, is a new NASA Explorer mission that will explore the boundary between Earth and space to understand the physical connection between our world and our space environment. This connection is made in the ionosphere, which has long been known to exhibit variability associated with the sun and solar wind. However, it has been recognized in the 21st century that equally significant changes in ionospheric conditions are apparently associated with energy and momentum propagating upward from our own atmosphere. ICON's goal is to weigh the competing impacts of these two drivers as they influence our space environment. Here we describe the specific science objectives that address this goal, as well as the means by which they will be achieved. The instruments selected, the overall performance requirements of the science payload and the operational requirements are also described. ICON's development began in 2013 and the mission is on track for launch in 2018. ICON is developed and managed by the Space Sciences Laboratory at the University of California, Berkeley, with key contributions from several partner institutions.

  15. Solutions Network Formulation Report. Landsat Data Continuity Mission Simulated Data Products for Bureau of Land Management and Environmental Protection Agency Abandoned Mine Lands Decision Support

    Estep, Leland

    2007-01-01

    Presently, the BLM (Bureau of Land Management) has identified a multitude of abandoned mine sites in primarily Western states for cleanup. These sites are prioritized and appropriate cleanup has been called in to reclaim the sites. The task is great in needing considerable amounts of agency resources. For instance, in Colorado alone there exists an estimated 23,000 abandoned mines. The problem is not limited to Colorado or to the United States. Cooperation for reclamation is sought at local, state, and federal agency level to aid in identification, inventory, and cleanup efforts. Dangers posed by abandoned mines are recognized widely and will tend to increase with time because some of these areas are increasingly used for recreation and, in some cases, have been or are in the process of development. In some cases, mines are often vandalized once they are closed. The perpetrators leave them open, so others can then access the mines without realizing the danger posed. Abandoned mine workings often fill with water or oxygen-deficient air and dangerous gases following mining. If the workings are accidentally entered into, water or bad air can prove fatal to those underground. Moreover, mine residue drainage negatively impacts the local watershed ecology. Some of the major hazards that might be monitored by higher-resolution satellites include acid mine drainage, clogged streams, impoundments, slides, piles, embankments, hazardous equipment or facilities, surface burning, smoke from underground fires, and mine openings.

  16. Environmental Management System

    Goals Recycling Green Purchasing Pollution Prevention Reusing Water Resources Environmental Management Stewardship » Environmental Protection » Environmental Management System Environmental Management System An Environmental Management System is a systematic method for assessing mission activities, determining the

  17. Robust UAV Mission Planning

    Evers, L.; Dollevoet, T.; Barros, A.I.; Monsuur, H.

    2014-01-01

    Unmanned Aerial Vehicles (UAVs) can provide significant contributions to information gathering in military missions. UAVs can be used to capture both full motion video and still imagery of specific target locations within the area of interest. In order to improve the effectiveness of a

  18. Robust UAV mission planning

    Evers, L.; Dollevoet, T.; Barros, A.I.; Monsuur, H.

    2011-01-01

    Unmanned Areal Vehicles (UAVs) can provide significant contributions to information gathering in military missions. UAVs can be used to capture both full motion video and still imagery of specific target locations within the area of interest. In order to improve the effectiveness of a reconnaissance

  19. Robust UAV Mission Planning

    Evers, L.; Dollevoet, T; Barros, A.I.; Monsuur, H.

    2011-01-01

    Unmanned Aerial Vehicles (UAVs) can provide significant contributions to information gathering in military missions. UAVs can be used to capture both full motion video and still imagery of specific target locations within the area of interest. In order to improve the effectiveness of a

  20. Robust UAV Mission Planning

    L. Evers (Lanah); T.A.B. Dollevoet (Twan); A.I. Barros (Ana); H. Monsuur (Herman)

    2011-01-01

    textabstractUnmanned Areal Vehicles (UAVs) can provide significant contributions to information gathering in military missions. UAVs can be used to capture both full motion video and still imagery of specific target locations within the area of interest. In order to improve the effectiveness of a