WorldWideScience

Sample records for management cleanup challenges

  1. Cleanup at Los Alamos National Laboratory - the challenges - 9493

    Energy Technology Data Exchange (ETDEWEB)

    Stiger, Susan G [Los Alamos National Laboratory; Hargis, Kenneth M [Los Alamos National Laboratory; Graham, Michael J [Los Alamos National Laboratory; Rael, George J [NNSL/LASO

    2008-01-01

    This paper provides an overview of environmental cleanup at the Los Alamos National Laboratory (LANL) and some of the unique aspects and challenges. Cleanup of the 65-year old Department of Energy Laboratory is being conducted under a RCRA Consent Order with the State of New Mexico. This agreement is one of the most recent cleanup agreements signed in the DOE complex and was based on lessons learned at other DOE sites. A number of attributes create unique challenges for LANL cleanup -- the proximity to the community and pueblos, the site's topography and geology, and the nature of LANL's on-going missions. This overview paper will set the stage for other papers in this session, including papers that present: Plans to retrieve buried waste at Material Disposal Area B, across the street from oen of Los Alamos' commercial districts and the local newspaper; Progress to date and joint plans with WIPP for disposal of the remaining inventory of legacy transuranic waste; Reviews of both groundwater and surface water contamination and the factors complicating both characterization and remediation; Optimizing the disposal of low-level radioactive waste from ongoing LANL missions; A stakeholder environmental data transparency project (RACER), with full public access to all available information on contamination at LANL, and A description of the approach to waste processing cost recovery from the programs that generate hazardous and radioactive waste at LANL.

  2. PROGRESS & CHALLENGES IN CLEANUP OF HANFORDS TANK WASTES

    Energy Technology Data Exchange (ETDEWEB)

    HEWITT, W.M.; SCHEPENS, R.

    2006-01-23

    The River Protection Project (RPP), which is managed by the Department of Energy (DOE) Office of River Protection (ORP), is highly complex from technical, regulatory, legal, political, and logistical perspectives and is the largest ongoing environmental cleanup project in the world. Over the past three years, ORP has made significant advances in its planning and execution of the cleanup of the Hartford tank wastes. The 149 single-shell tanks (SSTs), 28 double-shell tanks (DSTs), and 60 miscellaneous underground storage tanks (MUSTs) at Hanford contain approximately 200,000 m{sup 3} (53 million gallons) of mixed radioactive wastes, some of which dates back to the first days of the Manhattan Project. The plan for treating and disposing of the waste stored in large underground tanks is to: (1) retrieve the waste, (2) treat the waste to separate it into high-level (sludge) and low-activity (supernatant) fractions, (3) remove key radionuclides (e.g., Cs-137, Sr-90, actinides) from the low-activity fraction to the maximum extent technically and economically practical, (4) immobilize both the high-level and low-activity waste fractions by vitrification, (5) interim store the high-level waste fraction for ultimate disposal off-site at the federal HLW repository, (6) dispose the low-activity fraction on-site in the Integrated Disposal Facility (IDF), and (7) close the waste management areas consisting of tanks, ancillary equipment, soils, and facilities. Design and construction of the Waste Treatment and Immobilization Plant (WTP), the cornerstone of the RPP, has progressed substantially despite challenges arising from new seismic information for the WTP site. We have looked closely at the waste and aligned our treatment and disposal approaches with the waste characteristics. For example, approximately 11,000 m{sup 3} (2-3 million gallons) of metal sludges in twenty tanks were not created during spent nuclear fuel reprocessing and have low fission product concentrations. We

  3. Sustainable Materials Management in Site Cleanup

    Science.gov (United States)

    In 2006, the management of materials accounted for 42 of the United States’ greenhouse gas (GHG) emissions, based on a systems analysis (U.S. EPA; 2009). The systems view of materials management represents U.S. emissions related to the...

  4. Renewable Natural Gas Clean-up Challenges and Applications

    Science.gov (United States)

    2011-01-13

    removed including CO, CO2,CH4) Illustrative Process Flow Diagram for On-site H2 Supply System & SOFC Power Generation...day 1.5 to SOFC ) 13.2 scfm . 8.0 scfm Flow rate: ~ 2.9 scfm ( PSA: ~ 31.7scfm) Usable Heat Electricity 2 CO: ~0.5% H2: ~73.5 Total Flow...34.6 scfm SOFC : 17 t 18 Example Gas Cl eanup Sys em for WWDG > Configured a gas cleanup system utilizing a membrane module for CO

  5. IED Cleanup: A Cooperative Classroom Robotics Challenge--The Benefits and Execution of a Cooperative Classroom Robotics Challenge

    Science.gov (United States)

    Piotrowski, Mark; Kressly, Rich

    2009-01-01

    This article describes a cooperative classroom robotics challenge named "IED Cleanup". This classroom challenge was created to incorporate a humanitarian project with the use of a robotics design system in order to remove simulated IEDs (Improvised Explosive Devices) to a detonation zone within a specified amount of time. Throughout the activity,…

  6. Hanford Site Cleanup Challenges and Opportunities for Science and Technology--A Strategic Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Wood, Thomas W.; Johnson, Wayne L.; Kreid, Dennis K.; Walton, Terry L.

    2001-02-01

    The sheer expanse of the Hanford Site, the inherent hazards associated with the significant inventory of nuclear materials and wastes, the large number of aging contaminated facilities, the diverse nature and extent of environmental contamination, and the proximity to the Columbia River make Hanford perhaps the world's largest and most complex environmental cleanup project. It is not possible to address the more complex elements of this enormous challenge in a cost-effective manner without strategic investments in science and technology. Success requires vigorous and sustained efforts to enhance the science and technology basis, develop and deploy innovative solutions, and provide firm scientific bases to support site cleanup and closure decisions at Hanford.

  7. Challenges in Request Management

    DEFF Research Database (Denmark)

    Sommer, Anita Friis

    2014-01-01

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

  8. Accelerating cleanup: Paths to closure

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-06-01

    This report describes the status of Environmental Management`s (EM`s) cleanup program and a direction forward to complete achievement of the 2006 vision. Achieving the 2006 vision results in significant benefits related to accomplishing EM program objectives. As DOE sites accelerate cleanup activities, risks to public health, the environment, and worker safety and health are all reduced. Finding more efficient ways to conduct work can result in making compliance with applicable environmental requirements easier to achieve. Finally, as cleanup activities at sites are completed, the EM program can focus attention and resources on the small number of sites with more complex cleanup challenges. Chapter 1 describes the process by which this report has been developed and what it hopes to accomplish, its relationship to the EM decision-making process, and a general background of the EM mission and program. Chapter 2 describes how the site-by-site projections were constructed, and summarizes, for each of DOE`s 11 Operations/Field Offices, the projected costs and schedules for completing the cleanup mission. Chapter 3 presents summaries of the detailed cleanup projections from three of the 11 Operations/Field Offices: Rocky Flats (Colorado), Richland (Washington), and Savannah River (South Carolina). The remaining eight Operations/Field Office summaries are in Appendix E. Chapter 4 reviews the cost drivers, budgetary constraints, and performance enhancements underlying the detailed analysis of the 353 projects that comprise EM`s accelerated cleanup and closure effort. Chapter 5 describes a management system to support the EM program. Chapter 6 provides responses to the general comments received on the February draft of this document.

  9. Data clean-up and management a practical guide for librarians

    CERN Document Server

    Hogarth, Margaret

    2012-01-01

    Data use in the library has specific characteristics and common problems. Data Clean-up and Management addresses these, and provides methods to clean up frequently-occurring data problems using readily-available applications. The authors highlight the importance and methods of data analysis and presentation, and offer guidelines and recommendations for a data quality policy. The book gives step-by-step how-to directions for common dirty data issues.focused towards libraries and practicing librariansdeals with practical, real-life issues and addresses common problems that all libraries faceoffe

  10. Prospects for pyrolysis technologies in managing municipal, industrial, and DOE cleanup wastes

    Energy Technology Data Exchange (ETDEWEB)

    Reaven, S.J. [State Univ. of New York, Stony Brook, NY (United States)

    1994-12-01

    Pyrolysis converts portions of municipal solid wastes, hazardous wastes, and special wastes such as tires, medical wastes, and even old landfills into solid carbon and a liquid or gaseous hydrocarbon stream. Pyrolysis heats a carbonaceous waste stream typically to 290--900 C in the absence of oxygen, and reduces the volume of waste by 90% and its weight by 75%. The solid carbon char has existing markets as an ingredient in many manufactured goods, and as an adsorbent or filter to sequester certain hazardous wastes. Pyrolytic gases may be burned as fuel by utilities, or liquefied for use as chemical feedstocks, or low-pollution motor vehicle fuels and fuel additives. This report analyzes the potential applications of pyrolysis in the Long Island region and evaluates for the four most promising pyrolytic systems their technological and commercial readiness, their applicability to regional waste management needs, and their conformity with DOE requirements for environmental restoration and waste management. This summary characterizes their engineering performance, environmental effects, costs, product applications, and markets. Because it can effectively treat those wastes that are inadequately addressed by current systems, pyrolysis can play an important complementing role in the region`s existing waste management strategy. Its role could be even more significant if the region moves away from existing commitments to incineration and MSW composting. Either way, Long Island could become the center for a pyrolysis-based recovery services industry serving global markets in municipal solid waste treatment and hazardous waste cleanup. 162 refs.

  11. Japanese Management: An American Challenge.

    Science.gov (United States)

    Rehder, Robert R.

    1979-01-01

    In contrast to the American system of management, Japanese management motivates its employees by challenging them with high goals and by providing inhouse training and development opportunities to meet their self-fulfillment needs. (Author/LD)

  12. Soil water and vegetation management for cleanup of selenium contaminated soils

    Energy Technology Data Exchange (ETDEWEB)

    1989-05-01

    Over the past year scientists have initiatived a new effort aimed at developing a soil water and vegetation management plan for Kesterson Reservoir. The plan is intended to result in a gradual depletion of the inventory of soluble selenium at the Reservoir through a combination agriculturally oriented practices that enhance dissipation of selenium from near surface soils. Agriculturally oriented processes that will contribute to depletion include microbial volatilization from the soils, direct volatilization by living plants, decomposition and volatilization of selenium-bearing vegetation, harvest and removal of seleniferous vegetation, and leaching. The benefits of using this integrated approach are that (1) no single mechanism needs to be relied upon to detoxify the soils, (2) a stable plant community can be established during this period so that impacts to wildlife can be more easily evaluated and controlled, (3) cleanup and management of the site can be carried out in a cost-effective manner. The management plan is also intended to facilitate control over wildlife exposure to selenium contaminated biota by creating a well managed environment. The majority of research associated with this new effort is being carried out at a 200 m by 50 m test plot in Pond 7. A two-line irrigation system , providing local groundwater as an irrigation supply, has been installed. Through an intensive program of soil water sampling, soil gas sampling, vegetation sampling, groundwater monitoring, and soil moisture monitoring, the mass balance for selenium under irrigated conditions is being evaluated. These studies, in conjunction with supplementary laboratory experiments will provide the information needed to develop an optimal management plan for the site. 23 refs., 38 figs., 10 tabs.

  13. Nurse managers' challenges in project management.

    Science.gov (United States)

    Suhonen, Marjo; Paasivaara, Leena

    2011-11-01

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

  14. Managing the Fukushima Challenge

    OpenAIRE

    Suzuki, Atsuyuki

    2014-01-01

    The Fukushima Daiichi accident raises a fundamental question: Can science and technology prevent the inevitability of serious accidents, especially those with low probabilities and high consequences? This question reminds us of a longstanding challenge with the trans-sciences, originally addressed by Alvin Weinberg well before the Three Mile Island and Chernobyl accidents. This article, revisiting Weinberg's issue, aims at gaining insights from the accident with a special emphasis on the soci...

  15. The Environmental Management Core Laboratories - A Collaborative Effort to Enhance Cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Birrer, Steve Allen; Griebenow, Bret Lee; Frandsen, Greg Bryan; Kearns, Paul Kenneth

    2002-08-01

    Acknowledging that the magnitude and diversity of the critical issues facing the DOE-EM cannot be addressed by a single institution, the Laboratory Directors established the EM Core Laboratories. This collaborative network ensures that the best available resources are addressing environmental quality issues through the introduction of critical new science and technology. Based upon the Top-to-Bottom Review, the EM program is shifting the focus of its cleanup efforts to accelerate schedules to reduce cost and the most significant risks. To facilitate this acceleration, the Office of Science and Technology has restructured their research and development program towards two new thrusts. These thrusts, Closure Site Support and Alternative Development, are aimed at the high priority needs to support the re-baselined cleanup program. The EM Core Laboratories are well positioned to ensure the successful implementation of this new direction.

  16. The Environmental Management Core Laboratories - A Collaborative Effort to Enhance Cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Birrer, S.A.; Frandsen, G.B.; Kearns, P.K.

    2002-05-16

    Acknowledging that the magnitude and diversity of the critical issues facing the DOE-EM cannot be addressed by a single institution, the Laboratory Directors established the EM Core Laboratories. This collaborative network ensures that the best available resources are addressing environmental quality issues through the introduction of critical new science and technology. Based upon the Top-to-Bottom Review, the EM program is shifting the focus of its cleanup efforts to accelerate schedules to reduce cost and the most significant risks. To facilitate this acceleration, the Office of Science and Technology has restructured their research and development program towards two new thrusts. These thrusts, Closure Site Support and Alternative Development, are aimed at the high priority needs to support the re-baselined cleanup program. The EM Core Laboratories are well positioned to ensure the successful implementation of this new direction.

  17. Challenges to sustainable risk management

    Energy Technology Data Exchange (ETDEWEB)

    Pinto, Ariel C., Aurora, Ashish, Hall, Dennis E.,

    2004-08-09

    This paper summarizes the intermediate lessons learned from the analyses of the risk management problems in three technological endeavors. These problems are: the absence of a structure for rewarding successful project risk management; the need for an ever-more accurate economic measure of risk; and the difficulty of transferring risks to contract-bound independent outsourcing entity. This paper also describes recent advancement towards providing answers to these challenges and future research endeavors in this field.

  18. The challenges of managing migration

    Energy Technology Data Exchange (ETDEWEB)

    Tacoli, Cecilia

    2005-10-15

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

  19. Management Challenges Fiscal Year 2016

    Science.gov (United States)

    2017-01-01

    compromise DoD’s networks . The Commander also stated that cyberattacks against the power grid, communications networks , and vital U.S. services could...maintain, and sustain DoD communications systems and networks in a way that creates and preserves data availability, integrity, and confidentiality, as...Interagency cooperation is fundamental to countering global threats. Office of Inspector General Management Challenges the Challenge—#1 │ 1 Countering

  20. Managing neurocysticercosis: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Fogang YF

    2015-10-01

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

  1. Science to support DOE site cleanup: The Pacific Northwest National Laboratory Environmental Management Science Program awards. Fiscal year 1997 mid-year progress report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-06-01

    The Pacific Northwest National Laboratory was awarded ten Environmental Management Science Program (EMSP) research grants in Fiscal Year 1996. This report gives a summary of how each grant is addressing significant DOE cleanup issues, including those at the Hanford Site. The technical progress made to date in each of these research projects is addressed in more detail in the individual progress reports contained in this document. This research is primarily focused in three areas--Tank Waste Remediation, Soil and Groundwater Cleanup, and Health Effects.

  2. Science to support DOE site cleanup: The Pacific Northwest National Laboratory Environmental Management Science Program awards. Fiscal year 1998 mid-year progress report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-05-01

    Pacific Northwest National Laboratory was awarded ten (10) Environmental Management Science Program (EMSP) research grants in Fiscal Year 1996 and six (6) in Fiscal Year 1997. This section summarizes how each grant addresses significant US Department of Energy (DOE) cleanup issues, including those at the Hanford Site. The technical progress made to date in each of these research projects is addressed in more detail in the individual progress reports contained in this document. This research is focused primarily in four areas: Tank Waste Remediation, Spent Nuclear Fuel and Nuclear Materials, Soil and Groundwater Cleanup, and Health Effects.

  3. Report to Congress on the U.S. Department of Energy`s Environmental Management Science Program: Research funded and its linkages to environmental cleanup problems, and Environmental Management Science Program research award abstracts. Volume 2 of 3 -- Appendix B

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    The Department of Energy`s Environmental Management Science Program (EMSP) serves as a catalyst for the application of scientific discoveries to the development and deployment of technologies that will lead to reduction of the costs and risks associated with cleaning up the nation`s nuclear complex. Appendix B provides details about each of the 202 research awards funded by the EMSP. This information may prove useful to researchers who are attempting to address the Department`s environmental management challenges in their work, program managers who are planning, integrating, and prioritizing Environmental Management projects, and stakeholders and regulators who are interested in the Department`s environmental challenges. The research award information is organized by the state and institution in which the lead principal investigator is located. In many cases, the lead principal investigator is one of several investigators at a number of different institutions. In these cases, the lead investigator (major collaborator) at each of the additional institutions is listed. Each research award abstract is followed by a list of high cost projects that can potentially be impacted by the research results. High cost projects are Environmental Management projects that have total costs greater than $50 million from the year 2007 and beyond, based on the March 1998 Accelerating Cleanup: Paths to Closure Draft data, and have costs or quantities of material associated with an Environmental Management problem area. High cost projects which must remain active in the year 2007 and beyond to manage high risk are also identified. Descriptions of these potentially related high cost Environmental Management projects can be found in Appendix C. Additional projects in the same problem area as a research award can be located using the Index of High Cost Environmental Management Projects by Problem Area, at the end of Appendices B and C.

  4. Managing voluntary turnover through challenging assignments

    NARCIS (Netherlands)

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

    2011-01-01

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

  5. Cockroach Clean-Up Tour . Urban Pest Management. Teaching Environmental Living Skills to Elementary Students.

    Science.gov (United States)

    Cowles, Kathleen Letcher

    Integrated Pest Management (IPM), a decision-making approach to pest control, is designed to help individuals decide if pest suppression treatments are necessary, when they should be initiated, where they should be applied, and what strategy/mix of tatics to use. IPM combines a variety of approaches with which to manage pests, including human…

  6. Tackling the challenge of selective analytical clean-up of complex natural extracts: the curious case of chlorophyll removal.

    Science.gov (United States)

    Bijttebier, Sebastiaan; D'Hondt, Els; Noten, Bart; Hermans, Nina; Apers, Sandra; Voorspoels, Stefan

    2014-11-15

    Alkaline saponification is often used to remove interfering chlorophylls and lipids during carotenoids analysis. However, saponification also hydrolyses esterified carotenoids and is known to induce artifacts. To avoid carotenoid artifact formation during saponification, Larsen and Christensen (2005) developed a gentler and simpler analytical clean-up procedure involving the use of a strong basic resin (Ambersep 900 OH). They hypothesised a saponification mechanism based on their Liquid Chromatography-Photodiode Array (LC-PDA) data. In the present study, we show with LC-PDA-accurate mass-Mass Spectrometry that the main chlorophyll removal mechanism is not based on saponification, apolar adsorption or anion exchange, but most probably an adsorption mechanism caused by H-bonds and dipole-dipole interactions. We showed experimentally that esterified carotenoids and glycerolipids were not removed, indicating a much more selective mechanism than initially hypothesised. This opens new research opportunities towards a much wider scope of applications (e.g. the refinement of oils rich in phytochemical content).

  7. The Green Challenge in Constrution Management

    DEFF Research Database (Denmark)

    Christensen, Knud

    1999-01-01

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

  8. Challenges and Issues in Knowledge Management

    DEFF Research Database (Denmark)

    "Challenges and Issues in Knowledge Management" - the fifth volume in the "Research on Management Consulting" series - presents sixteen chapters that explore these various perspectives, focusing on knowledge management within the context of the management consulting industry, the dynamics...... associated with knowledge sharing and dissemination, methodological approaches to studying knowledge in organizations, and reflections on knowledge management and management consulting. As the chapters underscore, it is important to ensure that KM initiatives are aligned with the needs of the organization...

  9. Knowledge Management Challenges For Global Business

    OpenAIRE

    Veli Denizhan Kalkan

    2011-01-01

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

  10. Science to Support DOE Site Cleanup: The Pacific Northwest National Laboratory Environmental Management Science Program Awards - Fiscal Year 2000 Mid-Year Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    Carlson, Clark D.; Bennett, Sheila Q.

    2000-07-25

    Pacific Northwest National Laboratory was awarded ten Environmental Management Science Program (EMSP) research grants in fiscal year 1996, six in fiscal year 1997, eight in fiscal year 1998 and seven in fiscal year 1999.(a) All of the fiscal year 1996 awards have been completed and the Principal Investigators are writing final reports, so their summaries will not be included in this document. This section summarizes how each of the currently funded grants addresses significant U.S. Department of Energy (DOE) cleanup issues, including those at the Hanford Site. The technical progress made to date in each of these research projects is addressed in more detail in the individual progress reports contained in this document. This research performed at PNNL is focused primarily in four areas: Tank Waste Remediation, Decontamination and Decommissioning, Spent Nuclear Fuel and Nuclear Materials, and Soil and Groundwater Cleanup.

  11. Science to Support DOE Site Cleanup: The Pacific Northwest National Laboratory Environmental Management Science Program Awards - Fiscal Year 2000 Mid-Year Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    CD Carlson; SQ Bennett

    2000-07-25

    Pacific Northwest National Laboratory was awarded ten Environmental Management Science Program (EMSP) research grants in fiscal year 1996, six in fiscal year 1997, eight in fiscal year 1998, and seven in fiscal year 1999. All of the fiscal year 1996 award projects have been completed and will publish final reports, so their annual updates will not be included in this document. This section summarizes how each of the currently funded grants addresses significant US Department of Energy (DOE) cleanup issues, including those at the Hanford Site. The technical progress made to date in each of these research projects is addressed in more detail in the individual progress reports contained in this document. This research performed at PNNL is focused primarily in four areas: Tank Waste Remediation; Decontamination and Decommissioning; Spent Nuclear Fuel and Nuclear Materials; and Soil and Groundwater Cleanup.

  12. Science to Support DOE Site Cleanup: The Pacific Northwest National Laboratory Environmental Management Science Program Awards -- Fiscal Year 2002 Mid-Year Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    Bredt, Paul R.; Ainsworth, Calvin C.; Brockman, Fred J.; Camaioni, Donald M.; Egorov, Oleg B.; Felmy, Andrew R.; Gorby, Yuri A.; Grate, Jay W.; Greenwood, Margaret S.; Hay, Benjamin P.; Hess, Nancy J.; Hubler, Timothy L.; Icenhower, Jonathan P.; Mattigod, Shas V.; McGrail, B. Peter; Meyer, Philip D.; Murray, Christopher J.; Panetta, Paul D.; Pfund, David M.; Rai, Dhanpat; Su, Yali; Sundaram, S. K.; Weber, William J.; Zachara, John M.

    2002-06-11

    Pacific Northwest National Laboratory has been awarded a total of 80 Environmental Management Science Program (EMSP) research grants since the inception of the program in 1996. The Laboratory has collaborated on an additional 14 EMSP awards with funding received through other institution. This report describes how each of the projects awarded in 1999, 2000, and 2001 addresses significant U.S. Department of Energy (DOE) cleanup issues, including those at the Hanford Site. The technical progress made to date in each of these research projects is addressed in the individual project reports included in this document. Projects are under way in three main areas: Tank Waste Remediation, Decontamination and Decommissioning, and Soil and Groundwater Cleanup.

  13. Geoparks Management: Challenges and Realities

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Freire Medeiros

    2015-08-01

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

  14. Challenges of Implementing Network Management Solution

    Directory of Open Access Journals (Sweden)

    Umesh Hodeghatta Rao

    2011-10-01

    Full Text Available A network administrator’s efficiency to manage a network decreases as the network becomes morecomplex and heterogeneous. Managing large, heterogeneous networks created a crisis for manyorganizations. The network management tools and solutions available are not only expensive but alsodifficult to install, configure, administer, and maintain. This paper discusses the tools and solutionsavailable for network management, challenges involved in implementing network management solutionsand also a simple solution for a pro-active network management solution is proposed. This solution wastested by implementing in a large enterprise. With the implementation, the stakeholders were able toachieve higher efficiency and able to do proactive network management.

  15. Innovative technologies for soil cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Yow, J.L. Jr.

    1992-09-01

    These notes provide a broad overview of current developments in innovative technologies for soil cleanup. In this context, soil cleanup technologies include site remediation methods that deal primarily with the vadose zone and with relatively shallow, near-surface contamination of soil or rock materials. This discussion attempts to emphasize approaches that may be able to achieve significant improvements in soil cleanup cost or effectiveness. However, since data for quantitative performance and cost comparisons of new cleanup methods are scarce, preliminary comparisons must be based on the scientific approach used by each method and on the sits-specific technical challenges presented by each sold contamination situation. A large number of technical alternatives that are now in research, development, and testing can be categorized by the scientific phenomena that they employ and by the site contamination situations that they treat. After cataloging a representative selection of these technologies, one of the new technologies, Dynamic Underground Stripping, is discussed in more detail to highlight a promising soil cleanup technology that is now being field tested.

  16. Sustainable Materials Management Challenge Data

    Data.gov (United States)

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

  17. Catastrophic Antiphospholipid Syndrome: Management Challenges ...

    African Journals Online (AJOL)

    It is characterized by clinical evidence of multiple organ involvement developing ... lady diagnosed with Systemic Lupus Erythematosus (SLE) four months prior to ... Arterial and Venous Thrombosis, Clinical Features, Diagnosis, Management ...

  18. Challenges and opportunities in multichannel customer management

    NARCIS (Netherlands)

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

    2006-01-01

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

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

    African Journals Online (AJOL)

    Challenges of solid waste management and environmental sanitation in Ibadan North Local government, Oyo State, ... Open Access DOWNLOAD FULL TEXT ... Data were collected using In-Depth Interviews and Key Informant Interviews.

  20. Challenges and opportunities in multichannel customer management

    NARCIS (Netherlands)

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

    2006-01-01

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

  1. Challenges and opportunities in multichannel customer management

    NARCIS (Netherlands)

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

    2006-01-01

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

  2. Status of Environmental Management Initiatives to Accelerate the Reduction of Environmental Risks and Challenges Posed by the Legacy of the Cold War

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-01-01

    Fifty years of nuclear weapons production and energy research in the United States during the Cold War generated large amounts of radioactive wastes, spent nuclear fuel (SNF), excess plutonium and uranium, thousands of contaminated facilities, and contaminated soil and groundwater. During most of that half century, the Nation did not have the environmental regulatory structure or nuclear waste cleanup technologies that exist today. The result was a legacy of nuclear waste that was stored and disposed of in ways now considered unacceptable. Cleaning up and ultimately disposing of these wastes is the responsibility of the U.S. Department of Energy (DOE). In 1989, DOE established the Office of Environmental Management (EM) to solve the large scale and technically challenging risks posed by the world's largest nuclear cleanup. This required EM to build a new nuclear cleanup infrastructure, assemble and train a technically specialized workforce, and develop the technologies and tools required to safely decontaminate, disassemble, stabilize, disposition, and remediate unique radiation hazards. The sites where nuclear activities produced legacy waste and contamination include the original Manhattan Project sites--Los Alamos, New Mexico; Hanford, Washington; and Oak Ridge, Tennessee--as well as major Cold War sites, such as Savannah River Site, South Carolina; the Idaho National Laboratory, Idaho; Rocky Flats Plant, Colorado; and Fernald, Ohio. Today EM has responsibility for nuclear cleanup activities at 21 sites covering more than two million acres in 13 states, and employs more than 30,000 Federal and contractor employees, including scientists, engineers and hazardous waste technicians. This cleanup poses unique, technically complex problems, which must be solved under the most hazardous of conditions, and which will require billions of dollars a year for several more decades. The EM program focus during its first 10 years was on managing the most urgent risks and

  3. 50 top IT project management challenges

    CERN Document Server

    Doraiswamy, Premanand

    2012-01-01

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

  4. Gas stream cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Bossart, S.J.; Cicero, D.C.; Zeh, C.M.; Bedick, R.C.

    1990-08-01

    This report describes the current status and recent accomplishments of gas stream cleanup (GSCU) projects sponsored by the Morgantown Energy Technology Center (METC) of the US Department of Energy (DOE). The primary goal of the Gas Stream Cleanup Program is to develop contaminant control strategies that meet environmental regulations and protect equipment in advanced coal conversion systems. Contaminant control systems are being developed for integration into seven advanced coal conversion processes: Pressurized fludized-bed combustion (PFBC), Direct coal-fueled turbine (DCFT), Intergrated gasification combined-cycle (IGCC), Gasification/molten carbonate fuel cell (MCFC), Gasification/solid oxide fuel cell (SOFC), Coal-fueled diesel (CFD), and Mild gasification (MG). These advanced coal conversion systems present a significant challenge for development of contaminant control systems because they generate multi-contaminant gas streams at high-pressures and high temperatures. Each of the seven advanced coal conversion systems incorporates distinct contaminant control strategies because each has different contaminant tolerance limits and operating conditions. 59 refs., 17 figs., 5 tabs.

  5. Gas stream cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Bossart, S.J.; Cicero, D.C.; Zeh, C.M.; Bedick, R.C.

    1990-08-01

    This report describes the current status and recent accomplishments of gas stream cleanup (GSCU) projects sponsored by the Morgantown Energy Technology Center (METC) of the US Department of Energy (DOE). The primary goal of the Gas Stream Cleanup Program is to develop contaminant control strategies that meet environmental regulations and protect equipment in advanced coal conversion systems. Contaminant control systems are being developed for integration into seven advanced coal conversion processes: Pressurized fludized-bed combustion (PFBC), Direct coal-fueled turbine (DCFT), Intergrated gasification combined-cycle (IGCC), Gasification/molten carbonate fuel cell (MCFC), Gasification/solid oxide fuel cell (SOFC), Coal-fueled diesel (CFD), and Mild gasification (MG). These advanced coal conversion systems present a significant challenge for development of contaminant control systems because they generate multi-contaminant gas streams at high-pressures and high temperatures. Each of the seven advanced coal conversion systems incorporates distinct contaminant control strategies because each has different contaminant tolerance limits and operating conditions. 59 refs., 17 figs., 5 tabs.

  6. Challenges in Product Definition Management

    Science.gov (United States)

    1988-04-14

    magnetic media, and different peoples resistance to change . lack of Confidence in data formats (raster, IGES, native CAD, plot). We now techniques, and...requirements, and peoples resistance to change complicate the problem. Consider the state CAD users, CAD managers, print room and engimerr’ng of...Resistance to chage equ Ip t be available to reproduce the stored data. In the 1960’s. digital tape density was 556 Peoples resistance to change continues

  7. Classroom Management Challenges in the Dance Class

    Science.gov (United States)

    Clark, Dawn

    2007-01-01

    Teaching dance can be a challenge because of the unique classroom-management situations that arise from the dynamic nature of the class content. Management is a delicate navigation of advance planning; rule setting; the establishment and implementation of daily protocols, routines, and interventions; and the teacher's own presentation. This…

  8. Research challenges for energy data management (panel)

    DEFF Research Database (Denmark)

    Pedersen, Torben Bach; Lehner, Wolfgang

    2013-01-01

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

  9. International human resources management challenges and changes

    CERN Document Server

    2015-01-01

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

  10. Science to Support DOE Site Cleanup: The Pacific Northwest National Laboratory Environmental Management Science Program Awards-Fiscal Year 1999 Mid-Year Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    Peurrung, L.M.

    1999-06-30

    Pacific Northwest National Laboratory was awarded ten Environmental Management Science Program (EMSP) research grants in fiscal year 1996, six in fiscal year 1997, and eight in fiscal year 1998. This section summarizes how each grant addresses significant U.S. Department of Energy (DOE) cleanup issues, including those at the Hanford Site. The technical progress made to date in each of these research projects is addressed in more detail in the individual progress reports contained in this document. This research is focused primarily in five areas: Tank Waste Remediation, Decontamination and Decommissioning, Spent Nuclear Fuel and Nuclear Materials, Soil and Groundwater Clean Up, and Health Effects.

  11. Dune management challenges on developed coasts

    Science.gov (United States)

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

    2015-01-01

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

  12. KNOWLEDGE MANAGEMENT CHALLENGES IN NEW BUSINESS DEVELOPMENT

    DEFF Research Database (Denmark)

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

    2011-01-01

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

  13. Managing complexity challenges for industrial engineering and operations management

    CERN Document Server

    López-Paredes, Adolfo; Pérez-Ríos, José

    2014-01-01

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

  14. Implementing Environmental Management Accounting: Status and Challenges

    DEFF Research Database (Denmark)

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

  15. KNOWLEDGE MANAGEMENT CHALLENGES IN NEW BUSINESS DEVELOPMENT

    DEFF Research Database (Denmark)

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

    2011-01-01

    The empirical study this paper is based upon, aimed to identify and describe knowledge management challenges, throughout the new business development process. This paper reports findings from the study, as well as the framework used for analysing the KM challenges, which can be applied to other...... case studies for comparison. Six interviews and 2 full-day workshops, gathering the perspectives of 76 people from an energy-utilities company forms the empirical background of the study. Six categories of knowledge management challenges were identified and, within each, central issues were extracted...... and changes throughout the new business development process investigated. Significant differences from the early to the late stages of this process were identified, including; shift from personal to codified knowledge transfer and need for supporting integration of knowledge from diverse domains better...

  16. Sustainable Materials Management (SMM) Electronics Challenge Data

    Science.gov (United States)

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

  17. Current Challenges in Social Media Management

    DEFF Research Database (Denmark)

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

    2015-01-01

    Social media management is an emerging field of academic research and organizational practice. It is concerned with the operational issues, managerial challenges, and comparative advantages that ensue from the adoption and use of social media platforms for organizational functions such as marketing...... and sales, customer support, product innovation etc. To investigate current social media managerial practices, we conducted a multiple case study, employing structured in-depth interviews with social media managers at some of the leading multi-national companies headquartered in Denmark (LEGO®, Mærsk......®, PANDORA®, Novo Nordisk®, and Carlsberg®). Empirical findings uncover the prevailing perceptions about social media amongst the managers, typical managerial challenges tied directly to coordinating social media productions, and uncertainty about the return of investment on social media activities....

  18. Current challenges in social media management

    DEFF Research Database (Denmark)

    Tørning, Kristian; Jaffari, Zeshan; Vatrapu, Ravi

    2015-01-01

    Social media management is an emerging field of academic research and organizational practice. It is concerned with the operational issues, managerial challenges, and comparative advantages that ensue from the adoption and use of social media platforms for organizational functions such as marketing...... and sales, customer support, product innovation etc. To investigate current social media managerial practices, we conducted a multiple case study, employing structured in-depth interviews with social media managers at some of the leading multi-national companies headquartered in Denmark (LEGO®, Mærsk......®, PANDORA®, Novo Nordisk®, and Carlsberg®). Empirical findings uncover the prevailing perceptions about social media amongst the managers, typical managerial challenges tied directly to coordinating social media productions, and uncertainty about the return of investment on social media activities....

  19. Current challenges in social media management

    DEFF Research Database (Denmark)

    Tørning, Kristian; Jaffari, Zeshan; Vatrapu, Ravi

    2015-01-01

    Social media management is an emerging field of academic research and organizational practice. It is concerned with the operational issues, managerial challenges, and comparative advantages that ensue from the adoption and use of social media platforms for organizational functions such as marketing...... and sales, customer support, product innovation etc. To investigate current social media managerial practices, we conducted a multiple case study, employing structured in-depth interviews with social media managers at some of the leading multi-national companies headquartered in Denmark (LEGO®, Mærsk......®, PANDORA®, Novo Nordisk®, and Carlsberg®). Empirical findings uncover the prevailing perceptions about social media amongst the managers, typical managerial challenges tied directly to coordinating social media productions, and uncertainty about the return of investment on social media activities....

  20. Architecture Knowledge Management: Challenges, Approaches, and Tools

    Energy Technology Data Exchange (ETDEWEB)

    Babar, Muhammad A.; Gorton, Ian

    2007-08-01

    Capturing the technical knowledge, contextual information, and rationale surrounding the design decisions underpinning system architectures can greatly improve the software development process. If not managed, this critical knowledge is implicitly embedded in the architecture, becoming tacit knowledge which erodes as personnel on the project change. Moreover, the unavailability of architecture knowledge precludes organizations from growing their architectural capabilities. In this tutorial, we highlight the benefits and challenges in managing software architecture knowledge. We discuss various approaches to characterize architecture knowledge based on the requirements of a particular domain. We describe various concepts and approaches to manage the architecture knowledge from both management and technical perspectives. We also demonstrate the utility of captured knowledge to support software architecture activities with a case study covering the use of architecture knowledge management techniques and tools in an industrial project.

  1. Human resource management and technological challenges

    CERN Document Server

    Davim, J

    2014-01-01

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

  2. Challenges in pulmonary hypertension: managing the unexpected

    OpenAIRE

    Olsson, Karen M; Massimiliano Palazzini

    2015-01-01

    The diverse challenges associated with diagnosis and management of patients with pulmonary hypertension are illustrated in this case-based review. Case 1 describes a patient diagnosed with pulmonary arterial hypertension (PAH) with right heart failure and active systemic lupus erythematosus who was effectively treated with an up-front triple combination of PAH therapies and immunosuppressive therapy. In case 2, a diagnosis of pulmonary veno-occlusive disease was reached after a combined appro...

  3. Clinical challenges in the management of osteoporosis

    Directory of Open Access Journals (Sweden)

    Sheryl F Vondracek

    2008-06-01

    Full Text Available Sheryl F Vondracek1, Paul Minne2, Michael T McDermott31Department of Clinical Pharmacy, University of Colorado at Denver and Health Sciences Center, Denver, CO, USA; 2Amgen Medical Affairs, Denver, CO, USA; 3Director of the Endocrine and Diabetes Practice, Department of Medicine, University of Colorado at Denver and Health Sciences Center, Denver, CO, USAAbstract: While knowledge regarding the diagnosis and treatment of osteoporosis has expanded dramatically over the last few years, gaps in knowledge still exist with guidance lacking on the appropriate management of several common clinical scenarios. This article uses fictional clinical scenarios to help answer three challenging questions commonly encountered in clinical practice. The first clinical challenge is when to initiate drug therapy in a patient with low bone density. It is estimated that 34 million Americans have low bone density and are at a higher risk for low trauma fractures. Limitations of using bone mineral density alone for drug therapy decisions, absolute risk assessment and evidence for the cost-effectiveness of therapy in this population are presented. The second clinical challenge is the prevention and treatment of vitamin D deficiency. Appropriate definitions for vitamin D insufficiency and deficiency, the populations at risk for low vitamin, potential consequences of low vitamin D, and how to manage a patient with low vitamin D are reviewed. The third clinical challenge is how to manage a patient receiving drug therapy for osteoporosis who has been deemed a potential treatment failure. How to define treatment failure, common causes of treatment failure, and the approach to the management of a patient who is not responding to appropriate osteoporosis therapy are discussed.Keywords: osteoporosis, osteopenia, bisphosphonate, vitamin D, dual-energy X-ray absorptiometry

  4. Digital devices: big challenge in color management

    Science.gov (United States)

    Vauderwange, Oliver; Curticapean, Dan; Dreβler, Paul; Wozniak, Peter

    2014-09-01

    The paper will present how the students learn to find technical solutions in color management by using adequate digital devices and recognize the specific upcoming tasks in this area. Several issues, problems and their solutions will be discussed. The scientific background offer specific didactical solutions in this area of optics. Color management is the major item of this paper. Color management is a crucial responsibility for media engineers and designers. Print, screen and mobile applications must independently display the same colors. Predictability and consistency in the color representation are the aims of a color management system. This is only possible in a standardized and audited production workflow. Nowadays digital media have a fast-paced development process. An increasing number of different digital devices with different display sizes and display technologies are a great challenge for every color management system. The authors will present their experience in the field of color management. The design and development of a suitable learning environment with the required infrastructure is in the focus. The combination of theoretical and practical lectures creates a deeper understanding in the area of the digital color representation.

  5. Principal Challenges Facing Electronic Records Management in Federal Agencies Today.

    Science.gov (United States)

    Patterson, Giovanna; Sprehe, J. Timothy

    2002-01-01

    Discusses electronic records management in the federal government. Highlights include managing electronic mail; information technology planning, systems design, and architecture; updating conventional records management; integrating electronic records management with other information technology systems; challenges of end-user training; business…

  6. Cleanups in My Community

    Data.gov (United States)

    U.S. Environmental Protection Agency — Cleanups in My Community (CIMC) is a public web application that enables integrated access through maps, lists and search filtering to site-specific information EPA...

  7. Global change and the groundwater management challenge

    Science.gov (United States)

    Gorelick, Steven M.; Zheng, Chunmiao

    2015-05-01

    With rivers in critical regions already exploited to capacity throughout the world and groundwater overdraft as well as large-scale contamination occurring in many areas, we have entered an era in which multiple simultaneous stresses will drive water management. Increasingly, groundwater resources are taking a more prominent role in providing freshwater supplies. We discuss the competing fresh groundwater needs for human consumption, food production, energy, and the environment, as well as physical hazards, and conflicts due to transboundary overexploitation. During the past 50 years, groundwater management modeling has focused on combining simulation with optimization methods to inspect important problems ranging from contaminant remediation to agricultural irrigation management. The compound challenges now faced by water planners require a new generation of aquifer management models that address the broad impacts of global change on aquifer storage and depletion trajectory management, land subsidence, groundwater-dependent ecosystems, seawater intrusion, anthropogenic and geogenic contamination, supply vulnerability, and long-term sustainability. The scope of research efforts is only beginning to address complex interactions using multiagent system models that are not readily formulated as optimization problems and that consider a suite of human behavioral responses.

  8. CHALLENGES OF MUNICIPAL WASTE MANAGEMENT IN HUNGARY

    Directory of Open Access Journals (Sweden)

    ZOLTÁN OROSZ

    2008-06-01

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

  9. Implementing Environmental Management Accounting: Status and Challenges

    DEFF Research Database (Denmark)

    Table of contents Preface. 1. Environmental Management Accounting: Innovation or Managerial Fad?; Pall Rikhardsson, Martin Bennett, Jan Jaap Bouma and Stefan Schaltegger. Section 1 Progress. 2. Challenges for Environmental Management Accounting; Roger L. Burritt 3. Current Trends in Environmental...... Cost Accounting - and its Interaction with Eco-Efficiency Performance Measurement and Indicators; Stefan Schaltegger and Marcus Wagner. 4. Environmental Accounting Dimensions: Pros and Cons of Trajectory Convergence and Increased Efficiency; Pontus Cerin and Staffan Laestadius. 5. Process and Content...... Services; Tuula Pohjola 10. Process-based Environmental Cost Accounting for Small and Medium-sized Companies; Natalie Wendisch and Thomas Heupel. 11. Environmental Account Systems in Small and Medium-sized Enterprises. How to adapt existing Accounting Systems to EMA Requirements; Alessia Venturelli...

  10. [Environmental management: critical analysis, scenarios and challenges].

    Science.gov (United States)

    Porto, Marcelo Firpo de Souza; Schütz, Gabriel Eduardo

    2012-06-01

    This article discusses the limits, alternatives and challenges of environmental management in contemporary globalized capitalist societies. It is based on a critical analysis supported by authors from social sciences, political ecology and public health. To this end, we systematize the meaning of hegemonic environmental management in terms of eco-efficiency and its limits to tackle environmental risks and construct democratic processes and societies. We developed four ideal scenarios involving possible combinations of environmental management and democracy. This model served as a base, together with academic studies and the theoretical and militant experience of the authors, for a reflection on the current characteristics and future trends of environmental management and democracy, with emphasis on the reality of Latin America, specifically Brazil. Lastly, we discuss possibilities for social transformation taking into consideration the contradictions and emancipatory alternatives resulting from confrontations between hegemonic tendencies of the market and counter-hegemonic utopias and social movements. The latter assume principles of environmental justice, economic solidarity, agro-ecology and sustainability as well as the construction of new epistemologies.

  11. Urban waste management and the mobile challenge.

    Science.gov (United States)

    Mavropoulos, Antonis; Tsakona, Maria; Anthouli, Aida

    2015-04-01

    Digital evolution and mobile developments are carving a new era that affects human behaviour and global governance. Interconnectivity and flow of information through various types of modern means create new opportunities for cooperation and ways to work. Waste management could not stay unaffected by these changes. New potentials are arising for the sector, offering a novel field for innovation, changing the way waste practices are applied. In this framework, mobile products and apps can become valuable tools for authorities, companies, civilians and other stakeholders, integrating these technologies in the battle for environmental protection, recycling, etc. This article examines the unexplored challenges of mobile apps to deliver sustainable waste management with emphasis on recycling and waste prevention performance, especially for emerging developing countries. It presents the opportunities that are involved in using mobile apps to improve both the systemic performance of a specific waste management system and the individual behaviour of the users. Furthermore, the article reviews the most important relevant literature and summarises the key findings of the recent research on mobile apps and human behaviour. Useful conclusions are drawn for both the content and the format of the mobile apps required for recycling and waste prevention. Finally, the article presents the most characteristic mobile apps that are already in place in the waste management sector. © The Author(s) 2015.

  12. The Face Management Challenges of Sport Celebrity

    Directory of Open Access Journals (Sweden)

    Diana-Luiza DUMITRIU

    2015-03-01

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

  13. Aquagenic urticaria: diagnostic and management challenges

    Directory of Open Access Journals (Sweden)

    Rothbaum R

    2016-11-01

    Full Text Available Robert Rothbaum, Jean S McGee Department of Dermatology, Boston University School of Medicine, Boston, MA, USA Abstract: Aquagenic urticaria (AU is a rare inducible form of physical urticaria, which occurs in response to cutaneous exposure to water, including sweat and tears. Patients present with characteristic 1–3 mm folliculocentric wheals with surrounding 1–3 cm erythematous flares within 20–30 minutes following skin contact with water. In rare cases, there are concomitant systemic symptoms, such as wheezing or shortness of breath. The pathogenesis of AU is poorly understood at this time, and it appears to be mediated in both a histamine-dependent and independent manner. Diagnosis is based on eliciting a thorough clinical history combined with a water challenge test. Some patients may need to undergo further testing to exclude other physical urticarias. Rarely, multiple physical urticarias can be present in one patient, which can complicate diagnosis and treatment. Currently, the first-line therapy for AU is an oral administration of nonsedating, second-generation H1 antihistamines, but many patients may require further interventions to have adequate symptomatic control. In this review, we discuss the diagnostic and management challenges of AU. We review the key diagnostic features that differentiate AU from other physical urticarias. We additionally describe a therapeutic ladder for the treatment of AU and the rationale supporting these treatments. Keywords: aquagenic urticaria, physical urticaria, inducible urticaria, diagnosis, management

  14. Challenges in pulmonary hypertension: managing the unexpected

    Directory of Open Access Journals (Sweden)

    Karen M. Olsson

    2015-12-01

    Full Text Available The diverse challenges associated with diagnosis and management of patients with pulmonary hypertension are illustrated in this case-based review. Case 1 describes a patient diagnosed with pulmonary arterial hypertension (PAH with right heart failure and active systemic lupus erythematosus who was effectively treated with an up-front triple combination of PAH therapies and immunosuppressive therapy. In case 2, a diagnosis of pulmonary veno-occlusive disease was reached after a combined approach of clinical suspicion, physical examination, and invasive and noninvasive tests. Cautious PAH therapy and high-dose diuretics provided clinical benefit in this patient and served as a bridge to lung transplantation. These cases highlight the need for ongoing follow-up of patients with PAH, comprising frequent assessment of treatment success and continued diagnostic evaluation.

  15. Challenges in pulmonary hypertension: managing the unexpected.

    Science.gov (United States)

    Olsson, Karen M; Palazzini, Massimiliano

    2015-12-01

    The diverse challenges associated with diagnosis and management of patients with pulmonary hypertension are illustrated in this case-based review. Case 1 describes a patient diagnosed with pulmonary arterial hypertension (PAH) with right heart failure and active systemic lupus erythematosus who was effectively treated with an up-front triple combination of PAH therapies and immunosuppressive therapy. In case 2, a diagnosis of pulmonary veno-occlusive disease was reached after a combined approach of clinical suspicion, physical examination, and invasive and noninvasive tests. Cautious PAH therapy and high-dose diuretics provided clinical benefit in this patient and served as a bridge to lung transplantation. These cases highlight the need for ongoing follow-up of patients with PAH, comprising frequent assessment of treatment success and continued diagnostic evaluation.

  16. Locally advanced rectal cancer: management challenges

    Directory of Open Access Journals (Sweden)

    Kokelaar RF

    2016-10-01

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

  17. Ongoing challenges in the management of malaria.

    Science.gov (United States)

    Kokwaro, Gilbert

    2009-10-12

    This article gives an overview of some of the ongoing challenges that are faced in the prevention, diagnosis and treatment of malaria. Malaria causes approximately 881,000 deaths every year, with nine out of ten deaths occurring in sub-Saharan Africa. In addition to the human burden of malaria, the economic burden is vast. It is thought to cost African countries more than US$12 billion every year in direct losses. However, great progress in malaria control has been made in some highly endemic countries. Vector control is assuming a new importance with the significant reductions in malaria burden achieved using combined malaria control interventions in countries such as Zanzibar, Zambia and Rwanda. The proportion of patients treated for malaria who have a confirmed diagnosis is low in Africa compared with other regions of the world, with the result that anti-malarials could be used to treat patients without malaria, especially in areas where progress has been made in reducing the malaria burden and malaria epidemiology is changing. Inappropriate administration of anti-malarials could contribute to the spread of resistance and incurs unnecessary costs. Parasite resistance to almost all commonly used anti-malarials has been observed in the most lethal parasite species, Plasmodium falciparum. This has presented a major barrier to successful disease management in malaria-endemic areas. ACT (artemisinin-based combination therapy) has made a significant contribution to malaria control and to reducing disease transmission through reducing gametocyte carriage. Administering ACT to infants and small children can be difficult and time consuming. Specially formulating anti-malarials for this vulnerable population is vital to ease administration and help ensure that an accurate dose is received. Education of healthworkers and communities about malaria prevention, diagnosis and treatment is a vital component of effective case management, especially as diagnostic policies change

  18. Aquagenic urticaria: diagnostic and management challenges

    Science.gov (United States)

    Rothbaum, Robert; McGee, Jean S

    2016-01-01

    Aquagenic urticaria (AU) is a rare inducible form of physical urticaria, which occurs in response to cutaneous exposure to water, including sweat and tears. Patients present with characteristic 1–3 mm folliculocentric wheals with surrounding 1–3 cm erythematous flares within 20–30 minutes following skin contact with water. In rare cases, there are concomitant systemic symptoms, such as wheezing or shortness of breath. The pathogenesis of AU is poorly understood at this time, and it appears to be mediated in both a histamine-dependent and independent manner. Diagnosis is based on eliciting a thorough clinical history combined with a water challenge test. Some patients may need to undergo further testing to exclude other physical urticarias. Rarely, multiple physical urticarias can be present in one patient, which can complicate diagnosis and treatment. Currently, the first-line therapy for AU is an oral administration of nonsedating, second-generation H1 antihistamines, but many patients may require further interventions to have adequate symptomatic control. In this review, we discuss the diagnostic and management challenges of AU. We review the key diagnostic features that differentiate AU from other physical urticarias. We additionally describe a therapeutic ladder for the treatment of AU and the rationale supporting these treatments. PMID:27942227

  19. Management of orbital fractures: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Boyette JR

    2015-11-01

    Full Text Available Jennings R Boyette,1 John D Pemberton,2 Juliana Bonilla-Velez1 1Department of Otolaryngology-Head and Neck Surgery, 2Department of Ophthalmology, University of Arkansas for Medical Sciences, Little Rock, AR, USA Abstract: Many specialists encounter and treat orbital fractures. The management of these fractures is often challenging due to the impact that they can have on vision. Acute treatment involves a thorough clinical examination and management of concomitant ocular injuries. The clinical and radiographic findings for each individual patient must then be analyzed for the need for surgical intervention. Deformity and vision impairment can occur from these injuries, and while surgery is intended to prevent these problems, it can also create them. Therefore, surgical approach and implant selection should be carefully considered. Accurate anatomic reconstruction requires complete assessment of fracture margins and proper implant contouring and positioning. The implementation of new technologies for implant shaping and intraoperative assessment of reconstruction will hopefully lead to improved patient outcomes. Keywords: orbital fracture, orbital blowout, orbital floor

  20. Environmental compliance and cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Black, D.G.

    1995-06-01

    This section of the 1994 Hanford Site Environmental Report summarizes the roles of the principal agencies, organizations, and public in environmental compliance and cleanup of the Hanford Site. Regulatory oversight, the Federal Facility Agreement and Consent Order, the role of Indian tribes, public participation, and CERCLA Natural Resource Damage Assessment Trustee Activities are all discussed.

  1. Continuing Clean-up at Oak Ridge, Portsmouth and Paducah-Successes and Near-Term Plans

    Energy Technology Data Exchange (ETDEWEB)

    Fritz, L. L.; Houser, S. M.; Starling, D. A.

    2002-02-26

    This paper describes the complexities and challenges associated with the Oak Ridge Environmental Management (EM) cleanup program and the steps that DOE and Bechtel Jacobs Company LLC (the Oak Ridge EM team) have collaboratively taken to make significant physical progress and get the job done. Maintaining significant environmental cleanup progress is a daunting challenge for the Oak Ridge EM Team. The scale and span of the Oak Ridge Operations (ORO) cleanup is immense-five major half-century-old installations in three states (three installations are complete gaseous diffusion plants), with concurrent cleanup at the fully operational Oak Ridge National Laboratory and Y-12 National Security Complex, and with regulatory oversight from three states and two United States (US) Environmental Protection Agency (EPA) Regions. Potential distractions arising from funding fluctuations and color-of-money constraints, regulatory negotiations, stakeholder issues, or any one of a number of other potential delay phenomena can not reduce the focus on safely achieving project objectives to maintain cleanup momentum.

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

    Data.gov (United States)

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

  3. Disaster Risk Management - The Kenyan Challenge

    Science.gov (United States)

    Nabutola, W.; Scheer, S.

    2009-04-01

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

  4. Disaster Risk Management - The Kenyan Challenges

    Science.gov (United States)

    Nabutola, W.

    2009-04-01

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

  5. A summary of the report on prospects for pyrolysis technologies in managing municipal, industrial, and Department of Energy cleanup wastes

    Energy Technology Data Exchange (ETDEWEB)

    Reaven, S.J.

    1994-08-01

    Pyrolysis converts portions of municipal solid wastes, hazardous wastes and special wastes such as tires, medical wastes and even old landfills into solid carbon and a liquid or gaseous hydrocarbon stream. In the past twenty years, advances in the engineering of pyrolysis systems and in sorting and feeding technologies for solid waste industries have ensured consistent feedstocks and system performance. Some vendors now offer complete pyrolysis systems with performance warranties. This report analyzes the potential applications of pyrolysis in the Long Island region and evaluates the four most promising pyrolytic systems for their readiness, applicability to regional waste management needs and conformity with DOE environmental restoration and waste management requirements. This summary characterizes the engineering performance, environmental effects, costs, product applications and markets for these pyrolysis systems.

  6. A summary of the report on prospects for pyrolysis technologies in managing municipal, industrial, and Department of Energy cleanup wastes

    Energy Technology Data Exchange (ETDEWEB)

    Reaven, S.J.

    1994-08-01

    Pyrolysis converts portions of municipal solid wastes, hazardous wastes and special wastes such as tires, medical wastes and even old landfills into solid carbon and a liquid or gaseous hydrocarbon stream. In the past twenty years, advances in the engineering of pyrolysis systems and in sorting and feeding technologies for solid waste industries have ensured consistent feedstocks and system performance. Some vendors now offer complete pyrolysis systems with performance warranties. This report analyzes the potential applications of pyrolysis in the Long Island region and evaluates the four most promising pyrolytic systems for their readiness, applicability to regional waste management needs and conformity with DOE environmental restoration and waste management requirements. This summary characterizes the engineering performance, environmental effects, costs, product applications and markets for these pyrolysis systems.

  7. World Record Earned Value Management System Certification for Cleanup of the East Tennessee Technology Park, Oak Ridge, Tennessee, USA - 13181

    Energy Technology Data Exchange (ETDEWEB)

    Haynes, Ray; Hirschy, Anita [URS - CH2M Oak Ridge, LLC (UCOR), East Tennessee Technology Park D and D and Environmental Remediation Project, Oak Ridge, Tennessee 37830 (United States)

    2013-07-01

    On projects that require Earned Value Management (EVMS) Certification, it is critical to quickly prepare for and then successfully obtain certification. This is especially true for government contracts. Projects that do poorly during the review are subject to financial penalties to their company and they lose creditability with their customer creating problems with the project at the outset. At East Tennessee Technology Park (ETTP), we began preparing for Department of Energy (DOE) certification early during proposal development. Once the contract was awarded, while still in transition phase from the previous contractor to our new company, we immediately began reviewing the project controls systems that were in place on the project and determined if any replacements needed to be made immediately. The ETTP contract required the scheduling software to be upgraded to Primavera P6 and we determined that no other software changes would be done prior to certification. Next, preparation of the Project Controls System Description (PCSD) and associated procedures began using corporate standards as related to the project controls systems. During the transition phase, development was started on the Performance Measurement Baseline which is the resource loaded schedule used to measure our performance on the project and which is critical to good Earned Value Management of the project. Early on, and throughout the baseline review, there was positive feedback from the Department of Energy that the quality of the new baseline was good. Having this superior baseline also contributed to our success in EVMS certification. The combined companies of URS and CH2M Hill had recent experience with certifications at other Department of Energy sites and we were able to capitalize on that knowledge and experience. Generic PCSD and procedures consistent with our co-operations approach to Earned Value Management were available to us and were easily tailorable to the specifics of our contract

  8. Sustainable Materials Management (SMM) Electronics Challenge Data

    Data.gov (United States)

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

  9. Managing human resources in sport: Issues, challenges and ...

    African Journals Online (AJOL)

    Managing human resources in sport: Issues, challenges and possible remedies. ... the best possible experience in sport to the management, players, sponsors and spectators. ... The important function that volunteers perform is highlighted and ...

  10. Special Report Management Challenges at the Department of Energy

    Energy Technology Data Exchange (ETDEWEB)

    None

    2008-12-01

    With an annual appropriation of approximately $24 billion, the Department of Energy (Department) is a multi-faceted agency that encompasses a broad range of national security, scientific, and environmental activities. Since the passage of the Department of Energy Organization Act in 1977, the Department has shifted its emphasis and priorities over time as the energy and security needs of the Nation have changed. In recent years, the Department has refocused its efforts in areas such as energy efficiency and conservation, environmental cleanup, nuclear nonproliferation, and weapons stewardship. In order to accomplish its mission, the Department employs approximately 110,000 Federal and contractor personnel and manages assets valued at more than $134 billion, including a complex of national laboratories.

  11. Louisiana's statewide beach cleanup

    Science.gov (United States)

    Lindstedt, Dianne M.; Holmes, Joseph C.

    1989-01-01

    Litter along Lousiana's beaches has become a well-recognized problem. In September 1987, Louisiana's first statewide beach cleanup attracted about 3300 volunteers who filled 16,000 bags with trash collected along 15 beaches. An estimated 800,173 items were gathered. Forty percent of the items were made of plastic and 11% were of polystyrene. Of all the litter collected, 37% was beverage-related. Litter from the oil and gas, commercial fishing, and maritime shipping industries was found, as well as that left by recreational users. Although beach cleanups temporarily rid Louisiana beaches of litter, the real value of the effort is in public participation and education. Civic groups, school children, and individuals have benefited by increasing their awareness of the problems of trash disposal.

  12. HARVESTING EMSP RESEARCH RESULTS FOR WASTE CLEANUP

    Energy Technology Data Exchange (ETDEWEB)

    Guillen, Donna Post; Nielson, R. Bruce; Phillips, Ann Marie; Lebow, Scott

    2003-02-27

    The extent of environmental contamination created by the nuclear weapons legacy combined with expensive, ineffective waste cleanup strategies at many U.S. Department of Energy (DOE) sites prompted Congress to pass the FY96 Energy and Water Development Appropriations Act, which directed the DOE to: ''provide sufficient attention and resources to longer-term basic science research, which needs to be done to ultimately reduce cleanup costs'', ''develop a program that takes advantage of laboratory and university expertise, and'' ''seek new and innovative cleanup methods to replace current conventional approaches which are often costly and ineffective.'' In response, the DOE initiated the Environmental Management Science Program (EMSP)-a targeted, long-term research program intended to produce solutions to DOE's most pressing environmental problems. EMSP funds basic research to lower cleanup cost and reduce risk to workers, the public, and the environment; direct the nation's scientific infrastructure towards cleanup of contaminated waste sites; and bridge the gap between fundamental research and technology development activities. EMSP research projects are competitively awarded based on the project's scientific, merit coupled with relevance to addressing DOE site needs. This paper describes selected EMSP research projects with long, mid, and short-term deployment potential and discusses the impacts, focus, and results of the research. Results of EMSP research are intended to accelerate cleanup schedules, reduce cost or risk for current baselines, provide alternatives for contingency planning, or provide solutions to problems where no solutions exist.

  13. HANFORD SITE RIVER CORRIDOR CLEANUP

    Energy Technology Data Exchange (ETDEWEB)

    BAZZELL, K.D.

    2006-02-01

    In 2005, the US Department of Energy (DOE) launched the third generation of closure contracts, including the River Corridor Closure (RCC) Contract at Hanford. Over the past decade, significant progress has been made on cleaning up the river shore that bordes Hanford. However, the most important cleanup challenges lie ahead. In March 2005, DOE awarded the Hanford River Corridor Closure Contract to Washington Closure Hanford (WCH), a limited liability company owned by Washington Group International, Bechtel National and CH2M HILL. It is a single-purpose company whose goal is to safely and efficiently accelerate cleanup in the 544 km{sup 2} Hanford river corridor and reduce or eliminate future obligations to DOE for maintaining long-term stewardship over the site. The RCC Contract is a cost-plus-incentive-fee closure contract, which incentivizes the contractor to reduce cost and accelerate the schedule. At $1.9 billion and seven years, WCH has accelerated cleaning up Hanford's river corridor significantly compared to the $3.2 billion and 10 years originally estimated by the US Army Corps of Engineers. Predictable funding is one of the key features of the new contract, with funding set by contract at $183 million in fiscal year (FY) 2006 and peaking at $387 million in FY2012. Another feature of the contract allows for Washington Closure to perform up to 40% of the value of the contract and subcontract the balance. One of the major challenges in the next few years will be to identify and qualify sufficient subcontractors to meet the goal.

  14. Rationale Management Challenges in Requirements Engineering

    NARCIS (Netherlands)

    Liang, Peng; Avgeriou, Paris; He, Keqing

    2010-01-01

    Rationale and rationale management have been playing an increasingly prominent role in software system development mainly due to the knowledge demand during system evaluation, maintenance, and evolution, especially for large and complex systems. The rationale management for requirements engineering,

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

    African Journals Online (AJOL)

    management of CNF to prevent serious morbidity or mortality.[1,2]. Its management involves ..... advanced age, obesity, hypothyroidism, poor nutritional status ... The proximity to the airway and major blood vessels are factors to consider when ...

  16. Rationale Management Challenges in Requirements Engineering

    NARCIS (Netherlands)

    Liang, Peng; Avgeriou, Paris; He, Keqing

    2010-01-01

    Rationale and rationale management have been playing an increasingly prominent role in software system development mainly due to the knowledge demand during system evaluation, maintenance, and evolution, especially for large and complex systems. The rationale management for requirements engineering,

  17. Training staff to manage challenging behaviour

    NARCIS (Netherlands)

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

    2010-01-01

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

  18. Training Staff to Manage Challenging Behaviour

    Science.gov (United States)

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

    2010-01-01

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

  19. Tritium research laboratory cleanup and transition project final report

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, A.J.

    1997-02-01

    This Tritium Research Laboratory Cleanup and Transition Project Final Report provides a high-level summary of this project`s multidimensional accomplishments. Throughout this report references are provided for in-depth information concerning the various topical areas. Project related records also offer solutions to many of the technical and or administrative challenges that such a cleanup effort requires. These documents and the experience obtained during this effort are valuable resources to the DOE, which has more than 1200 other process contaminated facilities awaiting cleanup and reapplication or demolition.

  20. Report to Congress on the U.S. Department of Energy`s Environmental Management Science Program: Research funded and its linkages to environmental cleanup problems, and high out-year cost environmental management project descriptions. Volume 3 of 3 -- Appendix C

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    The Department of Energy`s Environmental Management Science Program (EMSP) serves as a catalyst for the application of scientific discoveries to the development and deployment of technologies that will lead to reduction of the costs and risks associated with cleaning up the nation`s nuclear complex. Appendix C provides details about each of the Department`s 82 high cost projects and lists the EMSP research awards with potential to impact each of these projects. The high cost projects listed are those having costs greater than $50 million in constant 1998 dollars from the year 2007 and beyond, based on the March 1998 Accelerating Cleanup: Paths to Closure Draft data, and having costs of quantities of material associated with an environmental management problem area. The high cost project information is grouped by operations office and organized by site and project code. Each operations office section begins with a list of research needs associated with that operations office. Potentially related research awards are listed by problem area in the Index of Research Awards by Environmental Management Problem Area, which can be found at the end of appendices B and C. For projects that address high risks to the public, workers, or the environment, refer also the Health/Ecology/Risk problem area awards. Research needs are programmatic or technical challenges that may benefit from knowledge gained through basic research.

  1. Sustainable Materials Management (SMM) Electronics Challenge

    Science.gov (United States)

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

  2. Wildfire Risk Management: Challenges and Opportunities

    Science.gov (United States)

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

    2014-12-01

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

  3. Sustainable Pest Management : Achievements and Challenges

    OpenAIRE

    World Bank

    2005-01-01

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

  4. The Small Business Challenge to Management Education.

    Science.gov (United States)

    Gibb, Allan A.

    1983-01-01

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

  5. Global challenges in integrated coastal zone management

    DEFF Research Database (Denmark)

    place in Arendal, Norway between 3-7 July 2011. The main objective of the Symposium was to present current knowledge and to address issues on advice and management related to the coastal zone. The major themes of papers included in this book are: Coastal habitats and ecosystem services Adaptation...... integration of data and information in policy and management, combining expertise from nature and social science, to reach a balanced and sustainable development of the coastal zone. This important book comprises the proceedings of The International Symposium on Integrated Coastal Zone Management, which took....../mitigation to change in coastal systems Coastal governance Linking science and management Comprising a huge wealth of information, this timely and well-edited volume is essential reading for all those involved in coastal zone management around the globe. All libraries in research establishments and universities where...

  6. Report to Congress on the U.S. Department of Energy`s Environmental Management Science Program: Research funded and its linkages to environmental cleanup problems. Volume 1 of 3 -- Report and Appendix A

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    This report is submitted in response to a Congressional request and is intended to communicate the nature, content, goals, and accomplishments of the Environmental Management Science Program (EMSP) to interested and affected parties in the Department and its contractors, at Federal agencies, in the scientific community, and in the general public. The EMSP was started in response to a request to mount an effort in longer term basic science research to seek new and innovative cleanup methods to replace current conventional approaches which are often costly and ineffective. Section 1, ``Background of the Program,`` provides information on the evolution of the EMSP and how it is managed, and summarizes recent accomplishments. Section 2, ``Research Award Selection Process,`` provides an overview of the ongoing needs identification process, solicitation development, and application review for scientific merit and programmatic relevance. Section 3, ``Linkages to Environmental Cleanup Problems,`` provides an overview of the major interrelationships (linkages) among EMSP basic research awards, Environmental Management problem areas, and high cost projects. Section 4, ``Capitalizing on Science Investments,`` discusses the steps the EMSP plans to use to facilitate the application of research results in Environmental Management strategies through effective communication and collaboration. Appendix A contains four program notices published by the EMSP inviting applications for grants.

  7. The Digital Age: Challenges for Records Management.

    Science.gov (United States)

    Plocher, David

    1999-01-01

    Discusses advances in information technology that are being embraced by federal agencies and considers the implications for records management. Highlights include federal Web sites; the National Archives and Records Administration (NARA); and the impact of changing technology. (Author/LRW)

  8. Communication in diabetes management: overcoming the challenges

    African Journals Online (AJOL)

    2011-08-24

    Aug 24, 2011 ... the importance of recognising good communication as being pivotal to ... verbal cues, and engaging with patients as equal members in the ... management on the one hand, with the development .... communication skills.

  9. Challenges of measuring quality in emergency management

    DEFF Research Database (Denmark)

    Lynette, Jennifer Elyse

    2016-01-01

    This paper describes the challenges and importance of measuring quality within the field of emergency response. Using quality as a standard of measurement to evaluate response efforts of trained personnel in emergency situations is necessary to increase effectiveness in the response phase...

  10. Challenges in Subtrochanteric Femur Fracture Management.

    Science.gov (United States)

    Hak, David J; Wu, Haotian; Dou, Chenhao; Mauffrey, Cyril; Stahel, Philip F

    2015-08-01

    Subtrochanteric femur fractures present significant treatment challenges. The deforming muscle forces make fracture reduction difficult. Treatment options include cephalomedullary nailing and various types of plate fixation. There is a high rate of treatment complications, including malunion, delayed union, nonunion, and implant failure.

  11. Managing Challenging Behaviors in Preschool Settings

    Science.gov (United States)

    Mitchell, Bridgitt Lenore

    2014-01-01

    Despite state mandated early childhood education (ECE) teacher competencies, many children are removed from preschool settings for behaviors related to socioemotional problems. This study's rationale was the propensity of expulsions among children exhibiting challenging behaviors in preschool programs. Guided by Bronfenbrenner's ecological model…

  12. Radioactive Waste and Clean-up: Introduction

    Energy Technology Data Exchange (ETDEWEB)

    Collard, G

    2000-07-01

    SCK-CEN's Radioactive Waste and Clean-up Division performs studies and develops strategies, techniques and technologies in the area of radioactive waste management, the decontamination and decommissioning of nuclear installations and the remediation of radioactive-contaminated sites. These activities are performed in the context of our responsibility towards the safety of present and future generations and contribute to achieve intrageneration equity.

  13. Anaesthetic Challenges in the Surgical Management of Diabetic ...

    African Journals Online (AJOL)

    Anaesthetic Challenges in the Surgical Management of Diabetic Foot Disease at ... frompre-operative notes, the anaesthetic charts and the post-operative records. ... Anaemia, septicaemia, fever and uncontrolled blood sugar levels were ...

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

    Data.gov (United States)

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

  15. Classification and management challenges of otitis media in a ...

    African Journals Online (AJOL)

    2010-04-14

    Apr 14, 2010 ... Classification and management challenges of otitis media in a resource-poor ... Otitis media (OM) is a global middle ear disease with health-economic ...... media: Prevalence and practices among rural south Indian children.

  16. Challenging paradigms in estuarine ecology and management

    Science.gov (United States)

    Elliott, M.; Whitfield, A. K.

    2011-10-01

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

  17. Anterior cutaneous nerve entrapment syndrome: management challenges

    Directory of Open Access Journals (Sweden)

    Chrona E

    2017-01-01

    Full Text Available Eleni Chrona,1,2 Georgia Kostopanagiotou,1 Dimitrios Damigos,3 Chrysanthi Batistaki1 1Second Department of Anesthesiology, School of Medicine, National and Kapodistrian University of Athens, “Attikon” Hospital, Athens, 2Department of Anesthesiology, General Hospital of “Ag. Panteleimon,” Piraeus, 3Department of Medical Psychology, Medical School of Ioannina, University of Ioannina, Ioannina, Greece Abstract: Anterior cutaneous nerve entrapment syndrome (ACNES is a commonly underdiagnosed and undertreated chronic state of pain. This syndrome is characterized by the entrapment of the cutaneous branches of the lower thoracoabdominal intercostal nerves at the lateral border of the rectus abdominis muscle, which causes severe, often refractory, chronic pain. This narrative review aims to identify the possible therapeutic strategies for the management of the syndrome. Seventeen studies about ACNES therapy were reviewed; of them, 15 were case–control studies, case series, or case reports, and two were randomized controlled trials. The presently available management strategies for ACNES include trigger point injections (diagnostic and therapeutic, ultrasound-guided blocks, chemical neurolysis, and surgical ­neurectomy, in combination with systemic medication, as well as some emerging techniques, such as radiofrequency ablation and neuromodulation. An increased awareness of the syndrome and the use of specific diagnostic criteria for its recognition are required to facilitate an early and successful management. This review compiles the proposed ­management strategies for ACNES. Keywords: anterior cutaneous nerve entrapment syndrome, intercostal, neuralgia, management

  18. The challenges of urban management in Uganda

    Directory of Open Access Journals (Sweden)

    Buyinza Mukadasi

    2013-07-01

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

  19. Public Speaking: Managing Challenging People and Situations.

    Science.gov (United States)

    Baum, Neil; Boughton, Leonarda

    2016-01-01

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

  20. A taxonomy of management challenges for developing shared services arrangements

    NARCIS (Netherlands)

    Knol, A.J.; Janssen, M.F.W.H.A.; Sol, H.G.

    Shared service centres (SSCs) are an organisational arrangement to deliver services. During SSC development organisations encounter a variety of challenges affecting its success or failure. Yet in this embryonic research field a systematic insight into management challenges is absent. Drawing on

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

    Science.gov (United States)

    Haley, Rand

    2011-12-01

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

  2. Leadership Skills and Challenges in Hospitality Management Education

    Science.gov (United States)

    Kalargyrou, Valentini

    2009-01-01

    Leaders in hospitality management education face diverse challenges in today's competitive and changing environment. Evolving demands from superiors, financial challenges, and faculty and students increasing demands, create a turbulent environment in which administrators must thrive. One of the keys in being effective leaders is the application of…

  3. A taxonomy of management challenges for developing shared services arrangements

    NARCIS (Netherlands)

    Knol, A.J.; Janssen, M.F.W.H.A.; Sol, H.G.

    2014-01-01

    Shared service centres (SSCs) are an organisational arrangement to deliver services. During SSC development organisations encounter a variety of challenges affecting its success or failure. Yet in this embryonic research field a systematic insight into management challenges is absent. Drawing on lit

  4. Challenging (Strategic) Human Resource management Theory

    NARCIS (Netherlands)

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

    2002-01-01

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

  5. Anterior cutaneous nerve entrapment syndrome: management challenges

    Science.gov (United States)

    Chrona, Eleni; Kostopanagiotou, Georgia; Damigos, Dimitrios; Batistaki, Chrysanthi

    2017-01-01

    Anterior cutaneous nerve entrapment syndrome (ACNES) is a commonly underdiagnosed and undertreated chronic state of pain. This syndrome is characterized by the entrapment of the cutaneous branches of the lower thoracoabdominal intercostal nerves at the lateral border of the rectus abdominis muscle, which causes severe, often refractory, chronic pain. This narrative review aims to identify the possible therapeutic strategies for the management of the syndrome. Seventeen studies about ACNES therapy were reviewed; of them, 15 were case–control studies, case series, or case reports, and two were randomized controlled trials. The presently available management strategies for ACNES include trigger point injections (diagnostic and therapeutic), ultrasound-guided blocks, chemical neurolysis, and surgical neurectomy, in combination with systemic medication, as well as some emerging techniques, such as radiofrequency ablation and neuromodulation. An increased awareness of the syndrome and the use of specific diagnostic criteria for its recognition are required to facilitate an early and successful management. This review compiles the proposed management strategies for ACNES. PMID:28144159

  6. New Challenges for Data Managment in Genebanks

    Science.gov (United States)

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

  7. Challenging (Strategic) Human Resource management Theory

    NARCIS (Netherlands)

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

    2002-01-01

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

  8. Cooperative Agreement for conservation and management of fish and wildlife resources at Rocky Mountain Arsenal

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — In response to the challenge of managing a large-scale environmental cleanup while maintaining sensitivity towards natural resources, the Department of the Army, the...

  9. Challenges of Data-driven Healthcare Management

    DEFF Research Database (Denmark)

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

    activity and financing and relies of extensive data entry, reporting and calculations. This has required the development of new skills, work and work roles. The second case concerns a New Governance project aimed at developing new performance indicators for healthcare delivery as an alternative to DRG....... Here, a core challenge is select indicators and actually being able to acquire data upon them. The two cases point out that data-driven healthcare requires more and new kinds of work for which new skills, functions and work roles have to be developed....

  10. Management of exfoliative glaucoma: challenges and solutions.

    Science.gov (United States)

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

    2015-01-01

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

  11. Canine autoimmune hemolytic anemia: management challenges

    Directory of Open Access Journals (Sweden)

    Swann JW

    2016-07-01

    Full Text Available James W Swann,1 Barbara J Skelly2 1Queen Mother Hospital for Animals, The Royal Veterinary College, Hatfield, Hertfordshire, 2Department of Veterinary Medicine, University of Cambridge, Cambridge, UK Abstract: Immune-mediated hemolytic anemia is one of the most common manifestations of canine immune-mediated disease, yet treatment regimens remain nonstandardized and, in some cases, controversial. The main reason for this, as for most diseases in veterinary medicine, is the lack of large-scale placebo-controlled trials so that the efficacy of one treatment over another can be established. Most of the evidence used for treatment comes from retrospective studies and from personal preference and experience, and because of this, treatment regimens tend to vary among institutions and individual clinicians. Management of immune-mediated hemolytic anemia includes immunosuppression, thromboprophylaxis, and supportive care measures to help prevent and treat concurrent conditions. Keywords: IMHA, canine immune-mediated disease, management regimens

  12. E-Waste Management and Challenges

    Science.gov (United States)

    Narayanan, S.; Kumar, K. Ram

    2010-11-01

    E-Waste is one of the silent degraders of the environment in the fast-growing world. This paper explores briefly the ultra-modern problem of E-Waste. After enumerating the causes and effects of the E-Waste, it focuses on management of the E-waste using modern techniques. The paper also deals with the responsibilities of the governments, industries and citizens in reducing E-waste.

  13. Hypertension in the elderly: unique challenges and management.

    Science.gov (United States)

    Turgut, Faruk; Yesil, Yusuf; Balogun, Rasheed A; Abdel-Rahman, Emaad M

    2013-08-01

    Elderly individuals, worldwide, are on the rise, posing new challenges to care providers. Hypertension is highly prevalent in elderly individuals, and multiple challenges face care providers while managing it. In addition to treating hypertension, the physician must treat other modifiable cardiovascular risk factors in patients with or without diabetes mellitus or chronic kidney disease to reduce cardiovascular events and mortality. This review discusses some of the unique characteristics of high blood pressure in the elderly and provides an overview of the challenges facing care providers, as well as the current recommendations for management of hypertension in the elderly.

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

    NARCIS (Netherlands)

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

    2011-01-01

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

  15. Challenges and Opportunities in Management of Obesity

    Science.gov (United States)

    Acosta, Andres; Abu Dayyeh, Barham K.; Port, John D.; Camilleri, Michael

    2014-01-01

    Despite advances in understanding the roles of adiposity, food intake, gastrointestinal and adipocyte-related hormones, inflammatory mediators, the gut-brain axis, and the hypothalamic nervous system in the pathophysiology of obesity, the effects of different therapeutic interventions on those pathophysiological mechanisms are controversial. There are still no low cost, safe, effective treatments for obesity and its complications. Currently, bariatric surgical approaches targeting the gastrointestinal tract are more effective than non-surgical approaches in inducing weight reduction and resolving obesity-related comorbidities. However, current guidelines emphasize non-surgical approaches through life-style modification and medications to achieve slow weight loss, which is not usually sustained and may be associated with medication-related side effects. This review analyzes current central, peripheral, or hormonal targets to treat obesity, and addresses challenges and opportunities to develop novel approaches for obesity. PMID:24402654

  16. Immunosuppression and Chagas disease: a management challenge.

    Directory of Open Access Journals (Sweden)

    María-Jesús Pinazo

    Full Text Available Immunosuppression, which has become an increasingly relevant clinical condition in the last 50 years, modifies the natural history of Trypanosoma cruzi infection in most patients with Chagas disease. The main goal in this setting is to prevent the consequences of reactivation of T. cruzi infection by close monitoring. We analyze the relationship between Chagas disease and three immunosuppressant conditions, including a description of clinical cases seen at our center, a brief review of the literature, and recommendations for the management of these patients based on our experience and on the data in the literature. T. cruzi infection is considered an opportunistic parasitic infection indicative of AIDS, and clinical manifestations of reactivation are more severe than in acute Chagas disease. Parasitemia is the most important defining feature of reactivation. Treatment with benznidazole and/or nifurtimox is strongly recommended in such cases. It seems reasonable to administer trypanocidal treatment only to asymptomatic immunosuppressed patients with detectable parasitemia, and/or patients with clinically defined reactivation. Specific treatment for Chagas disease does not appear to be related to a higher incidence of neoplasms, and a direct role of T. cruzi in the etiology of neoplastic disease has not been confirmed. Systemic immunosuppressive diseases or immunosuppressants can modify the natural course of T. cruzi infection. Immunosuppressive doses of corticosteroids have not been associated with higher rates of reactivation of Chagas disease. Despite a lack of evidence-based data, treatment with benznidazole or nifurtimox should be initiated before immunosuppression where possible to reduce the risk of reactivation. Timely antiparasitic treatment with benznidazole and nifurtimox (or with posaconazole in cases of therapeutic failure has proven to be highly effective in preventing Chagas disease reactivation, even if such treatment has not been

  17. CONCERT MANAGEMENT IN CROATIA: OBSTACLES AND CHALLENGES

    Directory of Open Access Journals (Sweden)

    Irina Basara

    2016-12-01

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

  18. Management challenges of context-aware learning

    Science.gov (United States)

    Pankowska, Malgorzata

    2015-02-01

    The work covers different definitions of context and the explanation of the context value for university learning organization and management. The thesis of the paper is as follows: students' focus on sources of context has impact on their knowledge acquisition and determines students' profiles and learning process, within which the teachers support de-contextualization, i.e., generalization of experience and knowledge. The work emphasizes the meaning of mobile devices in university learning process. The paper presents the value of BYOD (bring-your-own-device) strategy at universities and opportunities for m-education. The student survey results are presented to emphasize the value of that strategy. Beyond that, the students' preferences towards open source software and open learning materials are also discussed and evaluated by student survey. Finally, the process of contextualization and de-contextualization is developed for support the learning at university level.

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

    Directory of Open Access Journals (Sweden)

    Palte HD

    2015-08-01

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

  20. Delivering quality pain management: the challenge for nurses.

    Science.gov (United States)

    Hayes, Kim; Gordon, Debra B

    2015-03-01

    The delivery of high-quality pain management in the perioperative environment can be challenging and difficult to quantify. Commonly used tools in delivering care, such as pain intensity ratings, individual pain experience reporting, assessments of individual patients' expectations, and patient satisfaction scores, have limitations and are not always useful when addressing quality improvement measures. Despite clinical advances in pain management, patients continue to experience inadequate pain control and inconsistent pain management practices. In this article, we discuss the challenges in providing consistent quality pain management, the need for a coordinated plan of care with a goal of meeting desired pain outcomes, and the essential role that perianesthesia and perioperative nurses play throughout the transitions in perioperative care to promote optimal pain management interventions based on the patient's individual needs.

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

    Directory of Open Access Journals (Sweden)

    Tanida S

    2015-04-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

  3. Variability management challenges in small and medium sized enterprises (SMEs

    Directory of Open Access Journals (Sweden)

    Tuomas Ihme

    2015-09-01

    Full Text Available Variability has become important means to provide customer specific products fast to the market. This paper presents findings from a literature study and questionnaire designed to find out the current variability management practices, challenges and needs in small and medium sized companies (SMEs. The literature study was carried out first, and based on its findings questionnaire study was designed and carried out. Transparency of variability and design decisions between R and D and business and customer interfaces and transparency of variability and design decisions within R and D were the most important and challenging variability areas in the studied organisations. The most frequently used architecture design issue was the use of known architectural styles and patterns to handle variability. The findings of the most challenging and important variability management topics, as well as the important improvement goals can be used to direct future research, and efforts to support companies in variability management.

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

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

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

  5. THE INTERNET OF THINGS: NEW INTEROPERABILITY, MANAGEMENT AND SECURITY CHALLENGES

    Directory of Open Access Journals (Sweden)

    Mahmoud Elkhodr

    2016-03-01

    Full Text Available The Internet of Things (IoT brings connectivity to about every objects found in the physical space. It extends connectivity to everyday objects. From connected fridges, cars and cities, the IoT creates opportunities in numerous domains. However, this increase in connectivity creates many prominent challenges. This paper provides a survey of some of the major issues challenging the widespread adoption of the IoT. Particularly, it focuses on the interoperability, management, security and privacy issues in the IoT. It is concluded that there is a need to develop a multifaceted technology approach to IoT security, management, and privacy.

  6. Policy challenges for wildlife management in a changing climate

    Science.gov (United States)

    Mark L. Shaffer

    2014-01-01

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

  7. The Office of Science Data-Management Challenge

    Energy Technology Data Exchange (ETDEWEB)

    Mount, Richard P.; /SLAC

    2005-10-10

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

  8. Revised Cooperative Agreement for conservation and management of fish and wildlife resources at Rocky Mountain Arsenal (fourth revision of the original, hereinafter "agreement")

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — In response to the challenge of managing a large-scale environmental cleanup while maintaining sensitivity towards natural resources, the Department of the Army, the...

  9. The role of peer review in responsive decisions - a case study of clean-up and safe long-term management of historic waste at Port Hope and Clarington

    Energy Technology Data Exchange (ETDEWEB)

    Hardy, D. [Hardy Stevenson and Associates Inc., Toronto, Ontario (Canada)

    2006-07-01

    'Full text:' The Municipalities of Port Hope and Clarington ('Municipalities') are committed to leading the clean- up and safe long-term management of historic low- level radioactive and hazardous wastes deposited in Port Granby (in the Municipality of Clarington) and several locations in the Municipality of Port Hope. They are supported by the Government of Canada through Atomic Energy of Canada Limited's (AECL) Low- Level Radioactive Waste Management Office (LLRWMO). The wastes are the result of radium and uranium processing in Port Hope by Eldorado since the 1930s. To establish the parameters of the clean- up, including the ability to veto the project, the local municipalities negotiated and signed a Legal Agreement with the Government of Canada in 2001. As a Responsible Authority, Natural Resources Canada has defined and approved the scope of the two projects. The LLRWMO is designated as the proponent. Accordingly, the LLRWMO is conducting the Environmental Assessment (EA) Studies and seeking approval of a preferred method of conducting the clean up for each municipality. The municipalities recognized that these large and complex environmental assessment studies would challenge the resources of citizens, municipal professional staff and politicians. Thus, the Legal Agreement specified that both municipalities would have funded staff to work together to coordinate and expedite the project. A Peer Review Team (PRT) would be retained by the municipalities and funded by the Government of Canada. The PRT is made up of experienced professionals led by Hardy Stevenson and Associates Limited in disciplines appropriate to the peer review tasks on hand. The PRT has brought a unique approach to the peer review. The PRT is headed by planners and social scientists trained to be sensitive to the 'people aspects' of the EA process as a major priority. They are supported by engineers and technical specialists. The team includes a physician

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

    Science.gov (United States)

    Mmereki, Daniel; Li, Baizhan; Meng, Liu

    2014-12-01

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

  11. School-Based Management Developments: Challenges and Impacts

    Science.gov (United States)

    Bandur, Agustinus

    2012-01-01

    Purpose: The purpose of this paper is to examine the current school-based management (SBM) policy reform in Indonesia, with an emphasis on the impacts of shifting authority and responsibility to school level, as well as challenges confronted by the school council members, followed by remedial measures to minimize the problems.…

  12. Challenges in the management of hypertension and heart failure

    NARCIS (Netherlands)

    Beeftink, MMA

    2017-01-01

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

  13. Major Management Challenges and Program Risks. Performance and Accountability Series.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    In its 2001 performance and accountability report on the Department of Education, the General Accounting Office (GAO) identified challenges with student financial-aid programs, financial management, and other areas facing education. The information presented in this report is intended to help sustain congressional attention and a departmental…

  14. Soil management challenges in response to climatic change

    Science.gov (United States)

    Agriculture has tremendous potential to help solve global food, feed, fiber, and bioenergy challenges and respond to changing climatic conditions provided we do not compromise our soil, water and air resources. This presentation will examine soil management, defined by the Soil Science Society of Am...

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

    Science.gov (United States)

    Hall, Richard; Agarwal, Renu; Green, Roy

    2013-01-01

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

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

    CSIR Research Space (South Africa)

    Van Wilgen, BW

    2004-01-01

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

  17. Sickle cell disease: management options and challenges in developing countries.

    Science.gov (United States)

    Ansong, Daniel; Akoto, Alex Osei; Ocloo, Delaena; Ohene-Frempong, Kwaku

    2013-01-01

    Sickle Cell Disease (SCD) is the most common genetic disorder of haemoglobin in sub-Saharan Africa. This commentary focuses on the management options available and the challenges that health care professionals in developing countries face in caring for patients with SCD. In a developing countries like Ghana, new-born screening is now about to be implemented on a national scale. Common and important morbidities associated with SCD are vaso-occlusive episodes, infections, Acute Chest Syndrome (ACS), Stroke and hip necrosis. Approaches to the management of these morbidities are far advanced in the developed countries. The differences in setting and resource limitations in developing countries bring challenges that have a major influence in management options in developing countries. Obviously clinicians in developing countries face challenges in managing SCD patients. However understanding the disease, its progression, and instituting the appropriate preventive methods are paramount in its management. Emphasis should be placed on early counselling, new-born screening, anti-microbial prophylaxis, vaccination against infections, and training of healthcare workers, patients and caregivers. These interventions are affordable in developing countries.

  18. Sickle Cell Disease: Management options and challenges in developing countries

    Directory of Open Access Journals (Sweden)

    Daniel Ansong

    2013-11-01

    Full Text Available Sickle Cell Disease (SCD is the most common genetic disorder of haemoglobin in sub-Saharan Africa. This commentary focuses on the management options available and the challenges that health care professionals in developing countries face in caring for patients with SCD. In developing countries like Ghana, newborn screening is now being implemented on a national scale.  Common and important morbidities associated with SCD are vaso-occlusive episodes, infections, Acute Chest Syndrome (ACS, Stroke and hip necrosis. Approaches to the management of these morbidities are far advanced in the developed countries. The differences in setting and resource limitations in developing countries bring challenges that have a major influence in management options in developing countries. Obviously clinicians in developing countries face challenges in managing SCD patients. However understanding the disease, its progression, and instituting the appropriate preventive methods are paramount in its management. Emphasis should be placed on newborn screening, anti-microbial prophylaxis, vaccination against infections, and training of healthcare workers, patients and caregivers. These interventions are affordable in developing countries.

  19. Challenges for Managed Care from 340B Contract Pharmacies.

    Science.gov (United States)

    Fein, Adam J

    2016-03-01

    The federal 340B Drug Pricing Program has expanded rapidly, with important yet still unmeasured impact on both managed care practice and policies. Notably, providers increasingly rely on external, contract pharmacies to extend 340B pricing to a broad set of patients. In 2014, 1 in 4 U.S. retail, mail, and specialty pharmacy locations acted as contract pharmacies for 340B-covered entities. This commentary discusses crucial ways in which 340B growth is affecting managed care pharmacy through formulary rebates, profits from managed care paid prescriptions, disruption of retail pharmacy networks, and reduced generic dispensing rates. Managed care should become more engaged in the discussion on how the 340B program should evolve and offer policy proposals to mitigate the challenges being encountered. There is also an urgent need for objective, transparent research on the 340B program's costs, benefits, and implications for managed care pharmacy and practice.

  20. SUPERFUND CLEANUPS AND INFANT HEALTH

    Science.gov (United States)

    Currie, Janet; Greenstone, Michael; Moretti, Enrico

    2013-01-01

    We are the first to examine the effect of Superfund cleanups on infant health rather than focusing on proximity to a site. We study singleton births to mothers residing within 5km of a Superfund site between 1989–2003 in five large states. Our “difference in differences” approach compares birth outcomes before and after a site clean-up for mothers who live within 2,000 meters of the site and those who live between 2,000– 5,000 meters of a site. We find that proximity to a Superfund site before cleanup is associated with a 20 to 25% increase in the risk of congenital anomalies. PMID:25152535

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

    DEFF Research Database (Denmark)

    Andersen, Mads Schaarup; Christensen, Henrik Bærbak

    2010-01-01

    Integrating a COTS product in a company’s product portfolio is appealing from a business perspective but highly challenging from the perspective of the software architecture. In this paper we outline research challenges regarding authorization in the identity management part of the Danish......, usability, as well as maintainability. We outline a three-year research project and discuss our research method that will include elements of action research as well as experiments using architectural prototyping. The project is carried out in cooperation with KMD, one of the largest Danish IT companies...

  2. Risk Management Challenges in Large-scale Energy PSS

    DEFF Research Database (Denmark)

    Tegeltija, Miroslava; Oehmen, Josef; Kozin, Igor

    2017-01-01

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

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

    Science.gov (United States)

    Mcdonald, Kenneth R.; Blake, Deborah J.

    1991-01-01

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

  4. Contemporary management practices and challenges: The Scandinavian perspective

    DEFF Research Database (Denmark)

    Ulhøi, John Parm; Madsen, Henning

    2001-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Camila Dubow

    2013-09-01

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

  6. Forest management in Northeast China: history, problems, and challenges.

    Science.gov (United States)

    Yu, Dapao; Zhou, Li; Zhou, Wangming; Ding, Hong; Wang, Qingwei; Wang, Yue; Wu, Xiaoqing; Dai, Limin

    2011-12-01

    Studies of the history and current status of forest resources in Northeast China have become important in discussions of sustainable forest management in the region. Prior to 1998, excessive logging and neglected cultivation led to a series of problems that left exploitable forest reserves in the region almost exhausted. A substantial decrease in the area of natural forests was accompanied by severe disruption of stand structure and serious degradation of overall forest quality and function. In 1998, China shifted the primary focus of forest management in the country from wood production to ecological sustainability, adopting ecological restoration and protection as key foci of management. In the process, China launched the Natural Forest Conversion Program and implemented a new system of Classification-based Forest Management. Since then, timber harvesting levels in Northeast China have decreased, and forest area and stocking levels have slowly increased. At present, the large area of low quality secondary forest lands, along with high levels of timber production, present researchers and government agencies in China with major challenges in deciding on management models and strategies that will best protect, restore and manage so large an area of secondary forest lands. This paper synthesizes information from a number of sources on forest area, stand characteristics and stocking levels, and forest policy changes in Northeastern China. Following a brief historical overview of forest harvesting and ecological research in Northeast China, the paper discusses the current state of forest resources and related problems in forest management in the region, concluding with key challenges in need of attention in order to meet the demands for multi-purpose forest sustainability and management in the future.

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

    Directory of Open Access Journals (Sweden)

    Ge Sun

    2016-03-01

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

  8. Shoreline clean-up methods : biological treatments

    Energy Technology Data Exchange (ETDEWEB)

    Massoura, S.T. [Oil Spill Response Limited, Southampton (United Kingdom)

    2009-07-01

    The cleanup of oil spills in shoreline environments is a challenging issue worldwide. Oil spills receive public and media attention, particularly in the event of a coastal impact. It is important to evaluate the efficiency and effectiveness of cleanup methods when defining the level of effort and consequences that are appropriate to remove or treat different types of oil on different shoreline substrates. Of the many studies that have compared different mechanical, chemical and biological treatments for their effectiveness on various types of oil, biological techniques have received the most attention. For that reason, this paper evaluated the effectiveness and effects of shoreline cleanup methods using biological techniques. It summarized data from field experiments and oil spill incidents, including the Exxon Valdez, Sea Empress, Prestige, Grand Eagle, Nakhodka, Guanabara Bay and various Gulf war oil spills. Five major shoreline types were examined, notably rocky intertidal, cobble/pebble/gravel, sand/mud, saltmarsh, and mangrove/sea-grass. The biological techniques that were addressed were nutrient enrichment, hydrocarbon-utilizing bacteria, vegetable oil biosolvents, plants, surf washing, oil-particle interactions and natural attenuation. The study considered the oil type, volume and fate of stranded oil, location of coastal materials, extent of pollution and the impact of biological techniques. The main factors that affect biodegradation of hydrocarbons are the volume, chemical composition and weathering state of the petroleum product as well as the temperature, oxygen availability of nutrients, water salinity, pH level, water content, and microorganisms in the shoreline environment. The interaction of these factors also affect the biodegradation of oil. It was concluded that understanding the fate of stranded oil can help in the development of techniques that improve the weathering and degradation of oil on complex shoreline substrates. 39 refs.

  9. Challenges in diabetes mellitus type 2 management in Nepal

    DEFF Research Database (Denmark)

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

    2016-01-01

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

  10. Challenges in diabetes mellitus type 2 management in Nepal

    DEFF Research Database (Denmark)

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

    2016-01-01

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

  11. Recycling Facilities - Land Recycling Cleanup Locations

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Land Recycling Cleanup Location Land Recycling Cleanup Locations (LRCL) are divided into one or more sub-facilities categorized as media: Air, Contained Release or...

  12. Recycling Facilities - Land Recycling Cleanup Locations

    Data.gov (United States)

    NSGIC Education | GIS Inventory — Land Recycling Cleanup Location Land Recycling Cleanup Locations (LRCL) are divided into one or more sub-facilities categorized as media: Air, Contained Release or...

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

    Science.gov (United States)

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

    2017-09-01

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

  14. Managing Innovation Contests: Challenges of Attraction and Facilitation

    OpenAIRE

    Adamczyk, Sabrina

    2012-01-01

    The goal of this dissertation is to better understand how to manage IT-based innovation contests by taking into account challenges associated with the attraction and facilitation of participants. Attraction aims for drawing on people to the innovation contest so that they join the competition and later on hand in capable solutions. Facilitation strives for supporting participants during the course of the innovation contest so that they feel comfortable with the contest and come up with qualit...

  15. The challenges of managing coexistent disorders with phenylketonuria

    DEFF Research Database (Denmark)

    MacDonald, A; Ahring, K; Almeida, M F

    2015-01-01

    INTRODUCTION: The few published case reports of co-existent disease with phenylketonuria (PKU) are mainly genetic and familial conditions from consanguineous marriages. The clinical and demographic features of 30 subjects with PKU and co-existent conditions were described in this multi-centre, re...... investigation for co-existent disorders when the clinical history is not completely consistent with PKU is essential. Integrating care of a second condition with PKU management is challenging....

  16. Epidemiology and Challenges to the Management of Advanced CKD.

    Science.gov (United States)

    Hazzan, Azzour D; Halinski, Candice; Agoritsas, Sofia; Fishbane, Steven; DeVita, Maria V

    2016-07-01

    Advanced CKD is a period of CKD that differs greatly from earlier stages of CKD in terms of treatment goals. Treatment during this period presents particular challenges as further loss of kidney function heralds the need for renal replacement therapy. Successful management during this period increases the likelihood of improved transitions to ESRD. However, there are substantial barriers to optimal advanced CKD care. In this review, we will discuss advanced CKD definitions and epidemiology and outcomes.

  17. Management Challenges for DevOps Adoption within UK SMEs

    OpenAIRE

    Jones, Stephen; Noppen, Joost; Lettice, Fiona

    2016-01-01

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

  18. Challenges of Integrated Water Resources Management in Indonesia

    OpenAIRE

    Mohamad Ali Fulazzaky

    2014-01-01

    The increased demands for water and land in Indonesia as a consequence of the population growth and economic development has reportedly have been accelerated from the year to year. The spatial and temporal variability of human induced hydrological changes in a river basin could affect quality and quantity of water. The challenge is that integrated water resources management (IWRM) should cope with complex issues of water in order to maximize the resultant economic and social welfare in an eq...

  19. Controversies and challenges in the management of chronic urticaria.

    Science.gov (United States)

    Staubach, P; Zuberbier, T; Vestergaard, C; Siebenhaar, F; Toubi, E; Sussman, G

    2016-07-01

    This supplement reports proceedings of the second international Global Urticaria Forum, which was held in Berlin, Germany in November 2015. Despite the clear international guideline, there remain a number of controversies and challenges in the management of patients with chronic urticaria (CU). As a result of major advancements in urticaria over the past 4 years, the current EAACI/GA(2) LEN/EDF/WAO urticaria guideline treatment algorithm requires updating. Case studies from patients with chronic spontaneous urticaria (CSU) [also called chronic idiopathic urticaria (CIU)], chronic inducible urticaria (CIndU) or diseases and syndromes related to CU are useful in describing and exploring challenges in disease management. Case studies of specific CSU patient populations such as children with CU or patients with angio-edema but no hives also require consideration as potentially challenging groups with unmet needs. The current EAACI/GA(2) LEN/EDF/WAO urticaria guideline provides a general framework for the management of patients with CU but, as these cases highlight, a personalized approach based on the expert knowledge of the physician may be required. © 2016 European Academy of Dermatology and Venereology.

  20. Challenges of Integrated Water Resources Management in Indonesia

    Directory of Open Access Journals (Sweden)

    Mohamad Ali Fulazzaky

    2014-07-01

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

  1. Solid waste management challenges for cities in developing countries.

    Science.gov (United States)

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

    2013-01-01

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

  2. Development of teleoperated cleanup system

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ki Ho; Park, J. J.; Yang, M. S.; Kwon, H. J

    2005-01-01

    This report describes the development of a teleoperated cleanup system for use in a highly radioactive environment of DFDF(DUPIC Fuel Demonstration Facility) at KAERI where direct human access to the in-cell is strictly limited. The teleoperated cleanup system was designed to remotely remove contaminants placed or fixed on the floor surface of the hot-cell by mopping them with wet cloth. This cleanup system consists of a mopping slave, a mopping master and a control console. The mopping slave located at the in-cell comprises a mopping tool with a mopping cloth and a mobile platform, which were constructed in modules to facilitate maintenance. The mopping master that is an input device to control the mopping slave has kinematic dissimilarity with the mopping slave. The control console provides a means of bilateral control flows and communications between the mopping master and the mopping slave. In operation, the human operator from the out-of-cell performs a series of decontamination tasks remotely by manipulating the mopping slave located in-cell via a mopping master, having a sense of real mopping. The environmental and mechanical design considerations, and control systems of the developed teleoperated cleanup system are also described.

  3. Issues and challenges in flood risk management: Editorial for the special issue on flood risk management

    NARCIS (Netherlands)

    Jonkman, S.N.; Dawson, R.J.

    2012-01-01

    Recent flood-related disasters (Japan, Thailand, US, Australia) emphasize the need for an effective management of flood risks. As an introduction to this special issue, this editorial summarizes some of the key challenges in the field. Flood risk management needs to recognize the interconnections be

  4. Issues and challenges in flood risk management: Editorial for the special issue on flood risk management

    NARCIS (Netherlands)

    Jonkman, S.N.; Dawson, R.J.

    2012-01-01

    Recent flood-related disasters (Japan, Thailand, US, Australia) emphasize the need for an effective management of flood risks. As an introduction to this special issue, this editorial summarizes some of the key challenges in the field. Flood risk management needs to recognize the interconnections be

  5. space technology and nigerian national challenges in disaster management

    Science.gov (United States)

    O. Akinyede, J., , Dr.; Abdullahi, R.

    One of the sustainable development challenges of any nation is the nation s capacity and capabilities to manage its environment and disaster According to Abiodun 2002 the fundamental life support systems are air clean water and food or agricultural resources It also includes wholesome environment shelter and access to energy health and education All of these constitute the basic necessities of life whose provision and preservation should be a pre-occupation of the visionary leaders executive legislative and judiciary of any nation and its people in order to completely eradicate ignorance unemployment poverty and disease and also increase life expectancy Accordingly many societies around the globe including Nigeria are embarking on initiatives and developing agenda that could address redress the threats to the life supporting systems Disaster prevention management and reduction therefore present major challenges that require prompt attention locally nationally regionally and globally Responses to disasters vary from the application of space-derived data for disaster management to the disbursement of relief to the victims and the emplacement of recovery measures The role of space technology in particular in all the phases of disaster management planning against disaster disaster early warning risk reduction preparedness crises and damage assessment response and relief disbursement and recovery and reconstruction cannot be overemphasized Akinyede 2005 Therefore this paper seeks to focus on space

  6. Challenges in humanitarian information management and exchange: evidence from Haiti.

    Science.gov (United States)

    Altay, Nezih; Labonte, Melissa

    2014-04-01

    There is a growing recognition of the critical role information management can play in shaping effective humanitarian response, coordination and decision-making. Quality information, reaching more humanitarian actors, will result in better coordination and better decision-making, thus improving the response to beneficiaries as well as accountability to donors. The humanitarian response to the 2010 Haiti earthquake marked a watershed moment for humanitarian information management. Yet the fragmented nature of the response and the use of hierarchical models of information management, along with other factors, have led some observers to label the Haiti response a failure. Using an analytical framework often found in humanitarian emergencies, this study analyses challenges to information flow in the Haiti case and the implications for effective humanitarian response. It concludes by offering possible paths for overcoming such challenges, and for restoring the value and utility of humanitarian information management and exchange in humanitarian relief settings. © 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

  7. Challenges in the management of acute peptic ulcer bleeding.

    Science.gov (United States)

    Lau, James Y W; Barkun, Alan; Fan, Dai-ming; Kuipers, Ernst J; Yang, Yun-sheng; Chan, Francis K L

    2013-06-08

    Acute upper gastrointestinal bleeding is a common medical emergency worldwide, a major cause of which are bleeding peptic ulcers. Endoscopic treatment and acid suppression with proton-pump inhibitors are cornerstones in the management of the disease, and both treatments have been shown to reduce mortality. The role of emergency surgery continues to diminish. In specialised centres, radiological intervention is increasingly used in patients with severe and recurrent bleeding who do not respond to endoscopic treatment. Despite these advances, mortality from the disorder has remained at around 10%. The disease often occurs in elderly patients with frequent comorbidities who use antiplatelet agents, non-steroidal anti-inflammatory drugs, and anticoagulants. The management of such patients, especially those at high cardiothrombotic risk who are on anticoagulants, is a challenge for clinicians. We summarise the published scientific literature about the management of patients with bleeding peptic ulcers, identify directions for future clinical research, and suggest how mortality can be reduced.

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

    Science.gov (United States)

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

    2016-01-01

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

  9. Past and future challenges in managing European seas

    Directory of Open Access Journals (Sweden)

    Thorsten Blenckner

    2015-03-01

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

  10. Challenges in the management of the blood supply.

    Science.gov (United States)

    Williamson, Lorna M; Devine, Dana V

    2013-05-25

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

  11. Challenges and opportunities associated with waste management in India

    Science.gov (United States)

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

    2017-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Laurentiu Mihai Treapat

    2014-02-01

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

  13. Waste management in Greenland: current situation and challenges

    DEFF Research Database (Denmark)

    Eisted, Rasmus; Christensen, Thomas Højlund

    2011-01-01

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

  14. Challenges for municipal solid waste management practices in Vietnam

    Directory of Open Access Journals (Sweden)

    Nguyen Duc Luong

    2013-11-01

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

  15. Accelerated cleanup Initiatives Putting the Acceleration Plans into Action

    Energy Technology Data Exchange (ETDEWEB)

    TYREE, G.T.

    2003-01-01

    This paper describes project successes during the last year and presents strategies for accomplishing work required to accelerate waste retrieval, treatment and closure of 177 large underground waste tanks at the Hanford Site. The tanks contain approximately 53 million gallons of liquid, sludge, and solid waste resulting from decades of national defense production. The Hanford Site is a 560 square-mile area in southeastern Washington State. One of the nation's largest rivers, the Columbia River, flows through the site and within seven miles of the waste tanks. The US. Department of Energy (DOE) Office of River Protection and CH2M HILL Hanford Group, Inc. (CH2M HILL) drew upon the recommendations in the DOE's Top-To-Bottom Review and the ideas that emerged from the Cleanup Challenges and Constraints Team (C3T) when creating new initiatives last fall in accelerated tank cleanup. The initiatives reflect discussions and planning during the last year by the DOE, regulatory,agencies, Hanford stakeholders, and CH2M HILL on how to accelerate tank cleanup and closure. The initiatives focus on near-term risk reduction, deployment of proven cleanup technologies, and completing the feed delivery and waste storage systems needed to support Hanford's Waste Treatment Plant. Working with the Office of River Protection, CH2M HILL is changing the way it does business to align with the new focus on accelerated tank cleanup initiatives. A key concept of this new approach is to deploy simple, proven technologies whenever possible to accomplish program goals. Finding existing technologies and evaluating whether they can be applied to or adapted to Hanford tank cleanup provide the best chance for success in achieving treatment of all of Hanford's tank waste by 2028.

  16. Challenges of Solid Waste Disposal and Management in the City of ...

    African Journals Online (AJOL)

    Challenges of Solid Waste Disposal and Management in the City of Masvingo, Zimbabwe. ... Journal of Social Development in Africa ... Western countries and donors if the challenges associated with solid waste management in Masvingo and ...

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

    NARCIS (Netherlands)

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

    2009-01-01

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

  18. Drinking-water safety: challenges for community-managed systems.

    Science.gov (United States)

    Rizak, S; Hrudey, Steve E

    2008-01-01

    A targeted review of documented waterborne disease outbreaks over the past decades reveals some recurring themes that should be understood by drinking-water suppliers. Evidence indicates the outbreaks are often linked to some significant change in conditions that provides a sudden challenge to a water system. Severe weather events, such as heavy rainfall or runoff from snow melt, as well as treatment process and system changes, are common risk factors for drinking-water outbreaks. Failure to recognise warning signs and complacency are important contributors to drinking water becoming unsafe. Drinking-water suppliers must focus on competence and vigilance in maintaining effective multiple barriers appropriate to the challenges facing the drinking-water system. Understanding the risk factors and failure modes of waterborne disease outbreaks is an essential component for effective management of community drinking-water supplies and ensuring the delivery of safe drinking-water to consumers.

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

    DEFF Research Database (Denmark)

    Eide, Dorthe; Fuglsang, Lars; Sundbo, Jon

    2017-01-01

    that there is a need to focus on challenges that tourism management faces over time when it wishes to maintain innovations in an experience concept. Maintaining such innovations needs to be investigated from an organisational perspective. There are many reasons why it can be challenging to maintain innovative......This article suggests a new research agenda within the debates about tourism, the experience economy, and innovation. Knowledge about innovation and value co-creation within experience-based sectors has increased, but most studies focus on the initial steps of the innovation process. We argue...... experience-based tourism. The case vignettes illuminate how “maintenance” is an important construct within experience innovation research....

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

    Science.gov (United States)

    Khosla, Ajit

    2012-10-01

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

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

    Directory of Open Access Journals (Sweden)

    Bashir A Laway

    2013-01-01

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

  2. Surgical management of acromegaly in a resource-challenged environment

    Directory of Open Access Journals (Sweden)

    Idowu Olufemi Emmanuel

    2015-01-01

    Full Text Available The management of acromegaly caused by an uncommon growth hormone-secreting pituitary adenoma can be challenging in low-resource African subregion. We conducted a study over a 2-year period to describe the results and challenges following surgical treatment of this rare condition in our centre. The clinical outcome was defined as successful based on the surgeon′s intraoperative observation, postoperative neuroimaging findings and neuroendocrinological results. A total of three patients (two males and one female aged 19-32 years were included. Visual impairment was the main presenting symptom in all the three patients. The postoperative period was uneventful. Acromegaly is an uncommon disorder in our region. Surgery is the treatment of choice in low-resource practice.

  3. Emerging challenges and materials for thermal management of electronics

    Directory of Open Access Journals (Sweden)

    Arden L. Moore

    2014-05-01

    Full Text Available The rapid development of faster, cheaper, and more powerful computing has led to some of the most important technological and societal advances in modern history. However, the physical means associated with enhancing computing capabilities at the device and die levels have also created a very challenging set of circumstances for keeping electronic devices cool, a critical factor in determining their speed, efficiency, and reliability. With advances in nanoelectronics and the emergence of new application areas such as three-dimensional chip stack architectures and flexible electronics, now more than ever there are both needs and opportunities for novel materials to help address some of these pressing thermal management challenges. In this paper a number of cubic crystals, two-dimensional layered materials, nanostructure networks and composites, molecular layers and surface functionalization, and aligned polymer structures are examined for potential applications as heat spreading layers and substrates, thermal interface materials, and underfill materials in future-generation electronics.

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

    Science.gov (United States)

    Laway, Bashir A.; Mir, Shahnaz A.

    2013-01-01

    Pregnancy is associated with normal physiological changes in endocrine system that assists fetal survival as well as preparation of labor. The pituitary gland is one of the most affected organs in which major changes in anatomy and physiology take place. Due to overlapping clinical and biochemical features of pregnancy, sometimes the diagnosis of pituitary disorders may be challenging. It is important to know what normal parameters of changes occur in endocrine system in order to diagnose and manage complex endocrine problems in pregnancy. In our present review, we will focus on pituitary disorders that occur exclusively during pregnancy like Sheehan's syndrome and lymphocytic hypophysitis and pre-existing pituitary disorders (like prolactinoma, Cushing's disease and acromegaly), which poses significant challenge to endocrinologists. PMID:24381874

  5. Diversity management teaching at bachelor level: Psychological challenge

    DEFF Research Database (Denmark)

    Singla, Rashmi; Birk Jensen, Inger

    This interactive paper presents a model for teaching diversity management to bachelor students. The increasing diversity and inequality in European societies affects work places at all levels, especially the organizational. Recognition and celebration of workforce diversity is combined with the phenomenon......EFPA35 Cultural and Ethnic Diversity - How European Psychologists Can Meet the Challenges Chair: Ulrike de Ponte, University of Applied Sciences Regensburg, Regensburg, Germany Discussant: Bruna Zani, University of Bologna, Bologna, Italy 11:15 - 12:45EFPA35.1 How European Psychologists Can Meet...... the Challenges of Ethnic and Religious Diversity: Ethical Guidelines, Sensitive Competences and Practices with MGF Carla Moleiro, Instituto Universitǭrio de Lisboa 11:15 - 12:45EFPA35.2 Semiotic analysis of work-motivation theories: Might there be identified an ideological bias? Luděk Kolman, Czech University...

  6. MANAGEMENT OF CONGENITAL NEUROLOGICAL DEFECTS: ANAESTHESIOLOGIST’S CHALLENGE

    Directory of Open Access Journals (Sweden)

    Harpreet

    2016-03-01

    Full Text Available Lumbosacral meningomyelocele and hydrocephalus are two major congenital neurological defects in paediatric patients. METHODS We have discussed management of two cases, one of large meningomyelocele and second of massive hydrocephalus. Both cases were done successfully under general anaesthesia taking care of proper positioning. Child with meningomyelocele was positioned supine on two sand bags, creating a doughnut shaped depression to accommodate the meningomyelocele. Patient with hydrocephalus was placed on 25cms high pillow with head on a high head ring and an assistant’s hand supporting the head while intubation. RESULTS Major challenges for anaesthesiologist in these patients include airway management with proper positioning, replacement of blood and fluid losses and maintenance of body temperature.

  7. E-LEARNING CHANGE MANAGEMENT: Challenges and opportunities

    Directory of Open Access Journals (Sweden)

    Alaattin PARLAKKILIC

    2013-10-01

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

  8. Army Environmental Cleanup Strategic Plan

    Science.gov (United States)

    2009-05-01

    New success indicators are all definable, measurable, and achievable MAY 200918 of 29 Emerging Issues  Emerging contaminants  MMRP progress  NCP...programmatic expectations  NDNODS  Operational range program  Vapor Intrusion MAY 200919 of 29 Emerging Contaminants – Hexavalent Chromium...regulatory standards  Several emerging contaminants have been assessed and judged to have a significant potential impact to Army cleanup programs

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

    Science.gov (United States)

    Knight, Caroline L; Nelson-Piercy, Catherine

    2017-01-01

    Systemic lupus erythematosus (SLE) is a chronic, multisystem autoimmune disease predominantly affecting women, particularly those of childbearing age. SLE provides challenges in the prepregnancy, antenatal, intrapartum, and postpartum periods for these women, and for the medical, obstetric, and midwifery teams who provide their care. As with many medical conditions in pregnancy, the best maternal and fetal-neonatal outcomes are obtained with a planned pregnancy and a cohesive multidisciplinary approach. Effective prepregnancy risk assessment and counseling includes exploration of factors for poor pregnancy outcome, discussion of risks, and appropriate planning for pregnancy, with consideration of discussion of relative contraindications to pregnancy. In pregnancy, early referral for hospital-coordinated care, involvement of obstetricians and rheumatologists (and other specialists as required), an individual management plan, regular reviews, and early recognition of flares and complications are all important. Women are at risk of lupus flares, worsening renal impairment, onset of or worsening hypertension, preeclampsia, and/or venous thromboembolism, and miscarriage, intrauterine growth restriction, preterm delivery, and/or neonatal lupus syndrome (congenital heart block or neonatal lupus erythematosus). A cesarean section may be required in certain obstetric contexts (such as urgent preterm delivery for maternal and/or fetal well-being), but vaginal birth should be the aim for the majority of women. Postnatally, an ongoing individual management plan remains important, with neonatal management where necessary and rheumatology followup. This article explores the challenges at each stage of pregnancy, discusses the effect of SLE on pregnancy and vice versa, and reviews antirheumatic medications with the latest guidance about their use and safety in pregnancy. Such information is required to effectively and safely manage each stage of pregnancy in women with SLE.

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

    Science.gov (United States)

    Dougill, Andrew; Stringer, Lindsay

    2017-04-01

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

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

    Science.gov (United States)

    Knight, Caroline L; Nelson-Piercy, Catherine

    2017-01-01

    Systemic lupus erythematosus (SLE) is a chronic, multisystem autoimmune disease predominantly affecting women, particularly those of childbearing age. SLE provides challenges in the prepregnancy, antenatal, intrapartum, and postpartum periods for these women, and for the medical, obstetric, and midwifery teams who provide their care. As with many medical conditions in pregnancy, the best maternal and fetal–neonatal outcomes are obtained with a planned pregnancy and a cohesive multidisciplinary approach. Effective prepregnancy risk assessment and counseling includes exploration of factors for poor pregnancy outcome, discussion of risks, and appropriate planning for pregnancy, with consideration of discussion of relative contraindications to pregnancy. In pregnancy, early referral for hospital-coordinated care, involvement of obstetricians and rheumatologists (and other specialists as required), an individual management plan, regular reviews, and early recognition of flares and complications are all important. Women are at risk of lupus flares, worsening renal impairment, onset of or worsening hypertension, preeclampsia, and/or venous thromboembolism, and miscarriage, intrauterine growth restriction, preterm delivery, and/or neonatal lupus syndrome (congenital heart block or neonatal lupus erythematosus). A cesarean section may be required in certain obstetric contexts (such as urgent preterm delivery for maternal and/or fetal well-being), but vaginal birth should be the aim for the majority of women. Postnatally, an ongoing individual management plan remains important, with neonatal management where necessary and rheumatology followup. This article explores the challenges at each stage of pregnancy, discusses the effect of SLE on pregnancy and vice versa, and reviews antirheumatic medications with the latest guidance about their use and safety in pregnancy. Such information is required to effectively and safely manage each stage of pregnancy in women with SLE

  12. Leadership, governance and management in dental education - new societal challenges.

    Science.gov (United States)

    Townsend, G; Thomas, R; Skinner, V; Bissell, V; Cohen, L; Cowpe, J; Giuliani, M; Gomez-Roman, G; Hovland, E; Imtiaz, A; Kalkwarf, K; Kim, K-K; Lamster, I; Marley, J; Mattsson, L; Paganelli, C; Quintao, C; Swift, J; Thirawat, J; Williams, J; Soekanto, S; Jones, M

    2008-02-01

    Dental schools around the world face new challenges that raise issues with regard to how they are governed, led and managed. With rapid societal changes, including globalization and consumerism, the roles of universities and their funding have become intensely debated topics. When financial burdens on universities increase, so does the pressure on dental schools. This is exacerbated by the relative expense of running dental schools and also by the limited understanding of both university managers and the public of the nature and scope of dentistry as a profession. In these circumstances, it is essential for dental schools to have good systems of leadership and management in place so that they can not only survive in difficult times, but flourish in the longer term. This paper discusses the concept of governance and how it relates to leadership, management and administration in dental schools and hospitals. Various approaches to governance and management in dental schools on different continents and regions are summarized and contrasted. A number of general governance and leadership issues are addressed. For example, a basic principle supported by the Working Group is that an effective governance structure must link authority and responsibility to performance and review, i.e. accountability, and that the mechanism for achieving this should be transparent. The paper also addresses issues specific to governing, leading and managing dental schools. Being a dean of a modern dental school is a very demanding role and some issues relating to this role are raised, including: dilemmas facing deans, preparing to be dean and succession planning. The importance of establishing a shared vision and mission, and creating the right culture and climate within a dental school, are emphasized. The Working Group advocates establishing a culture of scholarship in dental schools for both teaching and research. The paper addresses the need for effective staff management, motivation and

  13. Clinical challenges in the management of vaginal prolapse

    Directory of Open Access Journals (Sweden)

    Siddiqui NY

    2014-01-01

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

  14. Challenges in the diagnosis and management of neonatal sepsis.

    Science.gov (United States)

    Zea-Vera, Alonso; Ochoa, Theresa J

    2015-02-01

    Neonatal sepsis is the third leading cause of neonatal mortality and a major public health problem, especially in developing countries. Although recent medical advances have improved neonatal care, many challenges remain in the diagnosis and management of neonatal infections. The diagnosis of neonatal sepsis is complicated by the frequent presence of noninfectious conditions that resemble sepsis, especially in preterm infants, and by the absence of optimal diagnostic tests. Since neonatal sepsis is a high-risk disease, especially in preterm infants, clinicians are compelled to empirically administer antibiotics to infants with risk factors and/or signs of suspected sepsis. Unfortunately, both broad-spectrum antibiotics and prolonged treatment with empirical antibiotics are associated with adverse outcomes and increase antimicrobial resistance rates. Given the high incidence and mortality of sepsis in preterm infants and its long-term consequences on growth and development, efforts to reduce the rates of infection in this vulnerable population are one of the most important interventions in neonatal care. In this review, we discuss the most common questions and challenges in the diagnosis and management of neonatal sepsis, with a focus on developing countries. © The Author [2015]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  15. Challenges in managing hepatitis C virus infection in cancer patients.

    Science.gov (United States)

    Borchardt, Roy A; Torres, Harrys A

    2014-03-21

    Cancer patients have unique problems associated with hepatitis C virus (HCV) infection and treatment not seen in the general population. HCV infection poses additional challenges and considerations for the management of cancer, and vice versa. HCV infection also can lead to the development of cancer, particularly hepatocellular carcinoma and non-Hodgkin lymphoma. In severely immunocompromised cancer patients, diagnosis of HCV infection requires increased reliance on RNA detection techniques. HCV infection can affect chemotherapy, and delay of HCV infection treatment until completion of chemotherapy and achievement of cancer remission may be required to decrease the potential for drug-drug interactions between antineoplastic agents and HCV therapeutics and potentiation of side effects of these agents. In addition, hematopoietic stem cell transplant (HSCT) recipients have an increased risk of early development of cirrhosis and fibrosis. Whether this increased risk applies to all patients regardless of cancer treatment is unknown. Furthermore, patients with cancer may have poorer sustained virological responses to HCV infection treatment than do those without cancer. Unfortunately, not all cancer patients are candidates for HCV infection therapy. In this article, we review the challenges in managing HCV infection in cancer patients and HSCT recipients.

  16. Early decision framework for integrating sustainable risk management for complex remediation sites: Drivers, barriers, and performance metrics.

    Science.gov (United States)

    Harclerode, Melissa A; Macbeth, Tamzen W; Miller, Michael E; Gurr, Christopher J; Myers, Teri S

    2016-12-15

    As the environmental remediation industry matures, remaining sites often have significant underlying technical challenges and financial constraints. More often than not, significant remediation efforts at these "complex" sites have not achieved stringent, promulgated cleanup goals. Decisions then have to be made about whether and how to commit additional resources towards achieving those goals, which are often not achievable nor required to protect receptors. Guidance on cleanup approaches focused on evaluating and managing site-specific conditions and risks, rather than uniformly meeting contaminant cleanup criteria in all media, is available to aid in this decision. Although these risk-based cleanup approaches, such as alternative endpoints and adaptive management strategies, have been developed, they are under-utilized due to environmental, socio-economic, and risk perception barriers. Also, these approaches are usually implemented late in the project life cycle after unsuccessful remedial attempts to achieve stringent cleanup criteria. In this article, we address these barriers by developing an early decision framework to identify if site characteristics support sustainable risk management, and develop performance metrics and tools to evaluate and implement successful risk-based cleanup approaches. In addition, we address uncertainty and risk perception challenges by aligning risk-based cleanup approaches with the concepts of risk management and sustainable remediation. This approach was developed in the context of lessons learned from implementing remediation at complex sites, but as a framework can, and should, be applied to all sites undergoing remediation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Development of a risk-based approach to Hanford Site cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Hesser, W.A.; Daling, P.M. [Pacific Northwest Lab., Richland, WA (United States); Baynes, P.A. [Westinghouse Hanford Co., Richland, WA (United States)] [and others

    1995-06-01

    In response to a request from Mr. Thomas Grumbly, Assistant Secretary of Energy for Environmental Management, the Hanford Site contractors developed a conceptual set of risk-based cleanup strategies that (1) protect the public, workers, and environment from unacceptable risks; (2) are executable technically; and (3) fit within an expected annual funding profile of 1.05 billion dollars. These strategies were developed because (1) the US Department of Energy and Hanford Site budgets are being reduced, (2) stakeholders are dissatisfied with the perceived rate of cleanup, (3) the US Congress and the US Department of Energy are increasingly focusing on risk and riskreduction activities, (4) the present strategy is not integrated across the Site and is inconsistent in its treatment of similar hazards, (5) the present cleanup strategy is not cost-effective from a risk-reduction or future land use perspective, and (6) the milestones and activities in the Tri-Party Agreement cannot be achieved with an anticipated funding of 1.05 billion dollars annually. The risk-based strategies described herein were developed through a systems analysis approach that (1) analyzed the cleanup mission; (2) identified cleanup objectives, including risk reduction, land use, and mortgage reduction; (3) analyzed the existing baseline cleanup strategy from a cost and risk perspective; (4) developed alternatives for accomplishing the cleanup mission; (5) compared those alternatives against cleanup objectives; and (6) produced conclusions and recommendations regarding the current strategy and potential risk-based strategies.

  18. Managing and Integrating Open Environmental Data - Technological Requirements and Challenges

    Science.gov (United States)

    Devaraju, Anusuriya; Kunkel, Ralf; Jirka, Simon

    2014-05-01

    Understanding environment conditions and trends requires information. This information is usually generated from sensor observations. Today, several infrastructures (e.g., GEOSS, EarthScope, NEON, NETLAKE, OOI, TERENO, WASCAL, and PEER-EurAqua) have been deployed to promote full and open exchange of environmental data. Standards for interfaces as well as data models/formats (OGC, CUAHSI, INSPIRE, SEE Grid, ISO) and open source tools have been developed to support seamless data exchange between various domains and organizations. In spite of this growing interest, it remains a challenge to manage and integrate open environmental data on the fly due to the distributed and heterogeneous nature of the data. Intuitive tools and standardized interfaces are vital to hide the technical complexity of underlying data management infrastructures. Meaningful descriptions of raw sensor data are necessary to achieve interoperability among different sources. As raw sensor data sets usually goes through several layers of summarization and aggregation, metadata and quality measures associated with these should be captured. Further processing of sensor data sets requires that they should be made compatible with existing environmental models. We need data policies and management plans on how to handle and publish open sensor data coming from different institutions. Clearly, a better management and usability of open environmental data is crucial, not only to gather large amounts of data, but also to cater various aspects such as data integration, privacy and trust, uncertainty, quality control, visualization, and data management policies. The proposed talk presents several key findings in terms of requirements, ongoing developments and technical challenges concerning these aspects from our recent work. This includes two workshops on open observation data and supporting tools, as well as the long-term environmental monitoring initiatives such as TERENO and TERENO-MED. Workshops Details

  19. Accelerated cleanup risk reduction

    Energy Technology Data Exchange (ETDEWEB)

    Knapp, R.B.; Aines, R.M.; Blake, R.G.; Copeland, A.B.; Newmark, R.L.; Tompson, A.F.B.

    1998-02-01

    There is no proven technology for remediating contaminant plume source regions in a heterogeneous subsurface. This project is an interdisciplinary effort to develop the requisite new technologies so that will be rapidly accepted by the remediation community. Our technology focus is hydrous pyrolysis/oxidation (HPO) which is a novel in situ thermal technique. We have expanded this core technology to leverage the action of steam injection and place an in situ microbial filter downstream to intercept and destroy the accelerated movement of contaminated groundwater. Most contaminant plume source regions, including the chlorinated solvent plume at LLNL, are in subsurface media characterized by a wide range in hydraulic conductivity. At LLNL, the main conduits for contaminant transport are buried stream channels composed of gravels and sands; these have a hydraulic conductivity in the range of 10{sup -1} to 10{sup -2} cm/s. Clay and silt units with a hydraulic conductivity of 10{sup -1} to 10{sup -6} cm/s bound these buried channels; these are barriers to groundwater movement and contain the highest contaminant concentrations in the source region. New remediation technologies are required because the current ones preferentially access the high conductivity units. HPO is an innovative process for the in situ destruction of contaminants in the entire subsurface. It operates by the injection of steam. We have demonstrated in laboratory experiments that many contaminants rapidly oxidize to harmless compounds at temperatures easily achieved by injecting steam, provided sufficient dissolved oxygen is present. One important challenge in a heterogeneous source region is getting heat, contaminants, and an oxidizing agent in the same place at the same time. We have used the NUFT computer program to simulate the cyclic injection of steam into a contaminated aquifer for design of a field demonstration. We used an 8 hour, steam/oxygen injection cycle followed by a 56 hour relaxation

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

    Science.gov (United States)

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

    2015-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Knight CL

    2017-03-01

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

  2. BOOK REVIEW: HUMAN RESOURCES MANAGEMENT CHALLENGES: LEARNING & DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Valerij DERMOL

    2015-10-01

    Full Text Available The book titled Human Resources Management Challenges: Learning & Development focus on a variety of issues related to diversity of workforce and diversity management. As many researchers claim, the diversity relates to the factors that differentiate employees, such as age, gender, marital status, social status, level of disability, sexual orientation, religion, personality, physical and mental capabilities, moral values, culture, religion, even outlook. Nevertheless, the concept of diversity is not based only on differentiation related to workers’ attributes, but also on other issues, such as relationships between the organisation and workers, interests of organisations’ stakeholders etc. Diversity management is, on the other hand, perceived as an opportunity to increase the competitiveness of enterprises. Organizations might gain competitive advantage through the use of diverse workforce potential and by implementing proper structures and processes with the goal of maximising the ability of the employees to contribute to organizational objectives and to achieve the full potential unhindered by the group identities such as gender, race, nationality, age and departmental affiliation.

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

    Science.gov (United States)

    Wanjagi, James K.

    2013-01-01

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

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

    Science.gov (United States)

    Wanjagi, James K.

    2013-01-01

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

  5. Academic Mobility Projects Management: Challenges for Ukrainian Professional Education

    Directory of Open Access Journals (Sweden)

    Zabolotna Oksana

    2015-12-01

    Full Text Available The article is devoted to the academic mobility projects management on the example of Pavlo Tychyna Uman State Pedagogical University in the Erasmus Mundus Projects, namely, EMINENCE and EMINENCE II. It has been pointed out that modern university is a constantly developing system possessing a hidden potential for innovations. Thus, the significance of international projects has been justified as they are the way for using the opportunities. And they have also been considered the means of funding research through collaboration and academic mobility. The description of EMINENCE and EMINENCE II has been given. The author stresses that the EMINENCE idea is that only through multiplication and spreading of gained abroad benefits the mobility of project participants will have wider impact on the capacity of sending partners. The responsibilities of PTUSPU performing the function of Joint-Coordinator within the projects have been enumerated and commented on. It has been mentioned by the author that twenty four representatives of PTUSPU have participated in the academic mobility hosted by European Universities. The statistical information illustrating the above given information has also been presented. The levels presupposed by the system of preparing for managing international projects have been listed, namely cultural, organizational, management and economic level. The characterization of each of these levels has been given. Different project phases such as pre-selection, selection, mobility and post-mobility periods have been described. In terms of description of the selection stage, the panels of EMINENCE Selection Committee along with their responsibilities have been listed. The number of challenges associated with international projects management, faced by Ukrainian professional education has been mentioned and emphasized.

  6. Medical management of epileptic seizures: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Sarma AK

    2016-02-01

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

  7. Challenges in tuberculosis management in Peru and England.

    Science.gov (United States)

    Ivany, Elena; Boulton, Jacqueline

    Tuberculosis (TB) is a serious but preventable and largely treatable disease caused by the bacterium Mycobacterium tuberculosis. Although there is evidence that the UK incidence remains stable, rates of the disease, particularly in some London boroughs, remain high, earning it the unenviable title of the 'tuberculosis capital of Europe'. In March 2014 Public Health England published a consultation document on a collaborative strategy for tackling tuberculosis in England. This highlights a growing concern surrounding the issue. In the 1990s, Peru's tuberculosis epidemic saw the country listed among the Pan-American Health Organisation's top 23 countries of heaviest burden. Since then overall rates, although remaining significantly higher than those of the UK, have fallen dramatically. This article uses the observations of a BSc Nursing student undertaking an international elective in Peru to highlight some of the challenges faced by nurses in managing TB and draws parallels with those faced in the UK.

  8. Pisa syndrome in Parkinson's disease: diagnostic and management challenges

    Directory of Open Access Journals (Sweden)

    Miletić V

    2016-04-01

    Full Text Available Vladimir Miletić Department of Neurology, Movement Disorders Centre, University Hospital Centre Zagreb, Zagreb, Croatia Abstract: Pisa syndrome is a rare clinical entity characterized by marked lateral flexion of the trunk, which is typically mobile and resolves at supine position. When observed in clinical practice, it denotes an incapacitating symptom of underlying neurodegenerative disease such as Parkinson's disease, multiple system atrophy, and Alzheimer's disease. The underlying pathophysiological mechanisms responsible for the development of Pisa syndrome are poorly understood, and its management remains a challenge. In this review, we will focus our attention on Pisa syndrome in patients with Parkinson's disease, and provide an update on prevalence, pathophysiology, clinical manifestation, and treatment options. Keywords: Pisa syndrome, lateral trunk flexion, Parkinson's disease

  9. Carcinoid tumors: Challenges and considerations during anesthetic management

    Directory of Open Access Journals (Sweden)

    Sukhminder Jit Singh Bajwa

    2015-01-01

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

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

    Science.gov (United States)

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

    2017-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

    2010-09-15

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

  12. Managing drug-resistant epilepsy: challenges and solutions

    Science.gov (United States)

    Dalic, Linda; Cook, Mark J

    2016-01-01

    Despite the development of new antiepileptic drugs (AEDs), ~20%–30% of people with epilepsy remain refractory to treatment and are said to have drug-resistant epilepsy (DRE). This multifaceted condition comprises intractable seizures, neurobiochemical changes, cognitive decline, and psychosocial dysfunction. An ongoing challenge to both researchers and clinicians alike, DRE management is complicated by the heterogeneity among this patient group. The underlying mechanism of DRE is not completely understood. Many hypotheses exist, and relate to both the intrinsic characteristics of the particular epilepsy (associated syndrome/lesion, initial response to AED, and the number and type of seizures prior to diagnosis) and other pharmacological mechanisms of resistance. The four current hypotheses behind pharmacological resistance are the “transporter”, “target”, “network”, and “intrinsic severity” hypotheses, and these are reviewed in this paper. Of equal challenge is managing patients with DRE, and this requires a multidisciplinary approach, involving physicians, surgeons, psychiatrists, neuropsychologists, pharmacists, dietitians, and specialist nurses. Attention to comorbid psychiatric and other diseases is paramount, given the higher prevalence in this cohort and associated poorer health outcomes. Treatment options need to consider the economic burden to the patient and the likelihood of AED compliance and tolerability. Most importantly, higher mortality rates, due to comorbidities, suicide, and sudden death, emphasize the importance of seizure control in reducing this risk. Overall, resective surgery offers the best rates of seizure control. It is not an option for all patients, and there is often a significant delay in referring to epilepsy surgery centers. Optimization of AEDs, identification and treatment of comorbidities, patient education to promote adherence to treatment, and avoidance of triggers should be periodically performed until further

  13. Challenges of managing people with multimorbidity in today's healthcare systems.

    Science.gov (United States)

    Moffat, Keith; Mercer, Stewart W

    2015-10-14

    Multimorbidity is a growing issue and poses a major challenge to health care systems around the world. Multimorbidity is related to ageing but many studies have now shown that it is also socially patterned, being more common and occurring at an earlier age in areas of high socioeconomic deprivation. There is lack of research on patients with multimorbidity, and thus guidelines are based on single-conditions. Polypharmacy is common in multimorbidity, increasing drug-disease and drug-drug interactions. Multimorbid patients need holistic care, but secondary care services are highly specialised and thus are often duplicative and fragmented and thus increase treatment burden in multimorbid patients. The cost of care is high in multimorbidity, due to high rates of primary and secondary care consultations and unplanned hospital admissions. The combination of mental and physical conditions increases complexity of care, and costs. Mental-physical multimorbidity is especially common in deprived areas.General practitioners and primary care teams have a key role in managing patients with multimorbidity, using a patient-centred generalist approach. Consultation length and continuity of care may need to be substantially enhanced in order to enable such patients. This will require a radical change in how health care systems are organised and funded in order to effectively meet the challenges of multimorbidity.

  14. Congenital central hypoventilation syndrome: diagnostic and management challenges

    Directory of Open Access Journals (Sweden)

    Kasi AS

    2016-08-01

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

  15. Challenges and Successes Managing Airborne Science Data for CARVE

    Science.gov (United States)

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

    2014-12-01

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

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

    Science.gov (United States)

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

    2016-11-01

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

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

    Directory of Open Access Journals (Sweden)

    Hande Karadag

    2015-02-01

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

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

    Science.gov (United States)

    Hanjalic, Alan; Sebe, Nicu; Chang, Edward

    2006-01-01

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

  19. Managing the environmental challenges of oil sand development

    Energy Technology Data Exchange (ETDEWEB)

    Weagle, K. [Cumulative Environmental Management Association, Fort McMurray, AB (Canada)

    2003-07-01

    A brief overview of the development of the oil sand industry in Alberta was provided with reference to proposed projects, government revenue, and jobs in the industry between 1995 and 2002. The major environmental concerns facing the industry are: corporations and environmental risk; the process required by both the federal government and the government of Alberta to address cumulative effects; and, an increased interest in resource development. Self-regulation in the sector was discussed, examining who pays the bills, and the triad of self-regulation. The author described the Cumulative Environmental Management Association (CEMA) as being a multi-shareholder group working to implement sustainable development strategies by promoting management and understanding of cumulative impacts. The 14 themes of CEMA were examined, its goals reviewed, and the corporate structure described. Other challenges facing the oil sands industry originate from the Kyoto Protocol negotiations and construction costs. The Alberta government fosters a climate that encourages continued development in Alberta's oil sands areas. figs.

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

    Directory of Open Access Journals (Sweden)

    Kucukgoncu S

    2015-03-01

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

  1. Challenges in managing HIV in people who use drugs.

    Science.gov (United States)

    Kamarulzaman, Adeeba; Altice, Frederick L

    2015-02-01

    HIV management in people who use drugs (PWUD) is typically complex and challenging due to the presence of multiple medical and psychiatric comorbidities as well as social, physical, economic and legal factors that often disrupt the HIV continuum of care. In this review, we describe the individual, health systems and societal barriers to HIV treatment access and care retention for PWUD. In addition, the clinical management of HIV-infected PWUD is often complicated by the presence of multiple infectious and noninfectious comorbidities. Improved HIV treatment outcomes can be enhanced through improved testing and linkage strategies along with better treatment retention and antiretroviral (ART) adherence. Improved ART adherence can be achieved through the provision of opioid substitution therapy (OST), directly administered ART (DAART) and integration of ART with OST services. Recent advances with direct-acting antivirals (DAAs) for hepatitis C virus (HCV) have shown superior outcomes than interferon-based regimes in HIV-HCV coinfected patients. Newer diagnostic technologies for tuberculosis (TB) hold promise for earlier diagnosis for PWUD coinfected with TB, and TB treatment outcomes are improved through combination with OST. HIV-infected PWUDs are a key population who frequently experience suboptimal outcomes along the HIV continuum of care. A comprehensive strategy that encompasses evidence-based prevention and treatment interventions that target the individual, family, healthcare system, legal and societal structure is required to ensure greater participation and success in HIV treatment and care.

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

    Directory of Open Access Journals (Sweden)

    Shailesh Solanki

    2013-01-01

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

  3. New LHCb Management readies for run 2 challenges

    CERN Document Server

    Antonella Del Rosso

    2014-01-01

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

  4. Symptom management challenges in heart failure: pharmacotherapy considerations.

    Science.gov (United States)

    Stewart, Diana; McPherson, Mary Lynn

    2017-06-24

    Heart failure is a chronic, progressive illness that is increasing in prevalence in the USA. Patients with advanced heart failure experience a high symptom burden that is comparable to patients with advanced cancer. Palliative care, however, is underutilized in patients with heart failure, and symptoms may go untreated as the disease progresses. A combination of pharmacologic and non-pharmacologic interventions should be used to address symptoms and maintain quality of life. While there have been significant advances in evidence-based heart failure treatments in recent years, selection of appropriate palliative medications as symptoms progress is challenging due to limited clinical studies in this patient population. Medications that are commonly used for symptom management in other life-limiting illnesses may have little to no evidence in heart failure, or have undesirable cardiac effects that preclude use. Clinicians must extrapolate available clinical evidence and prescribing considerations relevant to heart failure to palliate symptoms as well as possible. The objectives of this paper are to review the most common and distressing symptoms in heart failure, analyze evidence, or lack thereof, for pharmacologic management of symptoms, and provide prescribing considerations based on side effect profiles and comorbid conditions.

  5. Challenges facing air management for fuel cell systems

    Energy Technology Data Exchange (ETDEWEB)

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

    2000-07-01

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

  6. Managing drug-resistant epilepsy: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Dalic L

    2016-10-01

    Full Text Available Linda Dalic,1 Mark J Cook2,3 1Department of Neurology, Austin Health, 2St Vincent’s Hospital, Centre for Clinical Neurosciences and Neurological Research, 3Department of Medicine, The University of Melbourne, Melbourne, Australia Abstract: Despite the development of new antiepileptic drugs (AEDs, ~20%–30% of people with epilepsy remain refractory to treatment and are said to have drug-resistant epilepsy (DRE. This multifaceted condition comprises intractable seizures, neurobiochemical changes, cognitive decline, and psychosocial dysfunction. An ongoing challenge to both researchers and clinicians alike, DRE management is complicated by the heterogeneity among this patient group. The underlying mechanism of DRE is not completely understood. Many hypotheses exist, and relate to both the intrinsic characteristics of the particular epilepsy (associated syndrome/lesion, initial response to AED, and the number and type of seizures prior to diagnosis and other pharmacological mechanisms of resistance. The four current hypotheses behind pharmacological resistance are the “transporter”, “target”, “network”, and “intrinsic severity” hypotheses, and these are reviewed in this paper. Of equal challenge is managing patients with DRE, and this requires a multidisciplinary approach, involving physicians, surgeons, psychiatrists, neuropsychologists, pharmacists, dietitians, and specialist nurses. Attention to comorbid psychiatric and other diseases is paramount, given the higher prevalence in this cohort and associated poorer health outcomes. Treatment options need to consider the economic burden to the patient and the likelihood of AED compliance and tolerability. Most importantly, higher mortality rates, due to comorbidities, suicide, and sudden death, emphasize the importance of seizure control in reducing this risk. Overall, resective surgery offers the best rates of seizure control. It is not an option for all patients, and there is

  7. Crisis Management: Challenge or Opportunity for Public and Private Managers Face Economic Disaster

    Directory of Open Access Journals (Sweden)

    Lucean MIHALCEA

    2012-11-01

    Full Text Available Successful managers find ways to overcome situations of uncertainty. The strategies adopted are based on a series of simplistic reasoning such as analogy, taking into account the ideas of experts, rigorous debate and experimentation. Napoleon Bonaparte said that "there is nothing more important and more valuable than being able to make decisions." Business leaders today must deal with an avalanche of ambiguity, it must decide on the future of the company. I intend to expose some successful methods by which top managers were able to transform into opportunities, challenges of economic crisis.

  8. Observation management challenges of the Square Kilometre Array

    Science.gov (United States)

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

    2016-07-01

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

  9. Global challenges for e-waste management: the societal implications.

    Science.gov (United States)

    Magalini, Federico

    2016-03-01

    Over the last decades the electronics industry and ICT Industry in particular has revolutionized the world: electrical and electronic products have become ubiquitous in today's life around the planet. After use, those products are discarded, sometimes after re-use cycles in countries different from those where they were initially sold; becoming what is commonly called e-waste. Compared to other traditional waste streams, e-waste handling poses unique and complex challenges. e-Waste is usually regarded as a waste problem, which can cause environmental damage and severe human health consequences if not safely managed. e-Waste contains significant amounts of toxic and environmentally sensitive materials and is, thus, extremely hazardous to humans and the environment if not properly disposed of or recycled. On the other hand, e-waste is often seen as a potential source of income for individuals and entrepreneurs who aim to recover the valuable materials (metals in particular) contained in discarded equipment. Recently, for a growing number of people, in developing countries in particular, recycling and separation of e-waste has become their main source of income. In most cases, this is done informally, with no or hardly any health and safety standards, exposing workers and the surrounding neighborhoods to extensive health dangers as well as leading to substantial environmental pollution. Treatment processes of e-waste aim to remove the hazardous components and recover as much reusable material (e.g. metals, glass and plastics) as possible; achieving both objectives is most desired. The paper discuss societal implications of proper e-waste management and key elements to be considered in the policy design at country level.

  10. Challenges in the management of oral ulceration in elderly patients

    Directory of Open Access Journals (Sweden)

    Nanan Nur'aeny

    2015-12-01

    Full Text Available Background: Oral ulceration can be experienced by anyone, including those who are elderly. Various trigger factors can occur in elderly patient, but the main thing to consider is the degenerative factors that affect the occurrence of some medical problems. Handling oral ulceration in elderly patients should be done carefully and holistically otherwise the improvement is only temporary and can reappear or even be worse. Purpose: In this paper we will discuss two different case reports of elderly female patients and both having some oral ulceration. Cases: First case of recurrent oral ulceration experienced by 58 years old patient, and second case is concerning a 77 years old patient with chronic oral ulceration and also having some medical problems. Aphthous like ulcers (ALU is a diagnosis for recurrent oral ulceration associated with systemic condition, and usually started after adolescent age. Elderly or geriatric condition itself is a special condition that contribute to the degree of a disease. Cases management: Both patients given non pharmacology and pharmacology therapies. The non pharmacology therapy includes communication, information, and education, also oral hygiene instruction. Steroid as anti-inflammatory drugs had an important role in healing process, beside other medication. Conclusion: Oral ulceration in elderly patients with or without a medical problems becomes a challenging thing to handle due to the complexity of their condition. As a dentist we have more careful to arrange the treatment plans for elderly patients when combine with some therapy related systemic disease.

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

    Science.gov (United States)

    Ruotsalainen, Pekka; Pharow, Peter; Petersen, Francoise

    2015-01-01

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

  12. Cervical necrotizing fasciitis: management challenges in poor resource environment.

    Science.gov (United States)

    Adekanye, Abiola Grace; Umana, A N; Offiong, M E; Mgbe, R B; Owughalu, B C; Inyama, M; Omang, H M

    2016-09-01

    Necrotizing fasciitis of the head and neck is a rare and potentially fatal disease. It is a bacterial infection characterized by spreading along fascia planes and subcutaneous tissue resulting in tissue necrosis and likely death. It is commonly of dental or pharyngeal origin. Factors affecting the success of the treatment are early diagnosis, appropriate antibiotics and surgical debridement. Our study showed eight patients, five males and three females with mean age of 49.25 years (range 20-71 years). Clinical presentations were a rapidly progressing painful neck swelling, fever, dysphagia and trismus. The aetiology varied from idiopathic, pharyngeal/tonsillar infection, trauma and nasal malignancy. There were associated variable comorbidities (diabetes mellitus, HIV infection, hypertension and congestive cardiac failure). All the patients received early and aggressive medical treatment. The earliest time of surgery was 12 h after admission because of the poor financial status of patients. Three cases came in with complications of the disease and were not fit for extensive debridement under general anaesthesia. For them limited and reasonable bed side debridement was done. Mortality was 50 % from multiple organ failure, HIV encephalopathy, aspiration pneumonitis and septicemia. The duration of hospital stay for the patients that died ranged from 1 to 16 days and 4 to 34 days for the survivor. Our study heightens awareness and outlines the management challenges of necrotizing fasciitis of the head and neck in a poor resource setting.

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

    Directory of Open Access Journals (Sweden)

    Skogar O

    2016-09-01

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

  14. The grand challenge of managing the petascale facility.

    Energy Technology Data Exchange (ETDEWEB)

    Aiken, R. J.; Mathematics and Computer Science

    2007-02-28

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

  15. Challenges of Environmental Management Accounting - Current Accounting Practices

    National Research Council Canada - National Science Library

    Prof. Ph.D. Gheorghe Popescu; Prof. Ph.D. Adriana Popescu; Univ. Junior Assistant, PhD Attendant Cristina Raluca Popescu

    2008-01-01

    ...).Environmental Management Accounting is a relatively new tool in environmental management definedas the identification, collection, estimation, analysis, internal reporting, and use of materials...

  16. Managing Water Resource Challenges in the Congo River Basin

    Science.gov (United States)

    Aloysius, N. R.

    2015-12-01

    Water resources in the tropical regions are under pressure from human appropriation and climate change. Current understanding of interactions between hydrology and climate in the tropical regions is inadequate. This is particularly true for the Congo River Basin (CRB), which also lacks hydroclimate data. Global climate models (GCM) show limited skills in simulating CRB's climate, and their future projections vary widely. Yet, GCMs provide the most credible scenarios of future climate, based upon which changes in water resources can be predicted with coupled hydrological models. The objectives of my work are to i) elucidate the spatial and temporal variability of water resources by developing a spatially explicit hydrological model suitable for describing key processes and fluxes, ii) evaluate the performance of GCMs in simulating precipitation and temperature and iii) develop a set of climate change scenarios for the basin. In addition, I also quantify the risks and reliabilities in smallholder rain-fed agriculture and demonstrates how available water resources can be utilized to increase crop yields. Key processes and fluxes of CRB's hydrological cycle are amply characterized by the hydrology model. Climate change projections are evaluated using a multi-model ensemble approach under different greenhouse gas emission scenarios. The near-term projections of climate and hydrological fluxes are not affected by emission scenarios. However, towards the mid-21st century, projections are emission scenario dependent. Available freshwater resources are projected to increase in the CRB, except in the semiarid southeast. These increases present new opportunities and challenges for augmenting human appropriation of water resources. By evaluating agricultural water requirements, and timing and availability of precipitation, I challenge the conventional wisdom that low agriculture productivities in the CRB are primarily attributable to nutrient limitation. Results show that

  17. Urban management: Addressing the housing and utility challenge

    Directory of Open Access Journals (Sweden)

    Nikitina Oksana

    2016-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

  19. Musical hallucinations - a challenge for psychiatric therapeutical management. Case report.

    Science.gov (United States)

    Focseneanu, B E; Marian, G

    2015-01-01

    Background. Musical hallucinations occur in individuals with and without mental illness, and many patients tend to have intact reality testing. Although literature on musical hallucinations is limited, they have been associated with hearing abnormalities, adverse effects of pharmacological agents, female gender, advances in age and psychiatric illness. Aim. To present the psychiatric management of a case of an old female patient, who suddenly developed verbal and musical hallucinations with a pervasive impact on her daily activities. Method. Female, 71 years old, developed verbal and musical hallucinations 6 months before that have intensified later. She was known with bilateral hypoacusia starting with the age of 45, and magnetic resonance imaging performed 1 year before proved multiple lacunar infarcts. Because of the persistence, most of the time of these auditory hallucinations, the patient experienced pervasive difficulties with her major areas of activities. She was referred to a psychiatric department for evaluation and treatment. Results. The psychiatric consult revealed neither a depressive relapse, nor a mild cognitive impairment, and obsessive-compulsive disorder was suspected with intrusive obsessions. Patient received, as antiobsessional augmentation escitalopram 10mg/ day, an atypical antipsychotic, risperidone, which at 3 mg/ day induced extrapyramidal symptoms and cognitive impairment. Therefore, the dose of risperidone was reduced, extrapyramidal symptoms disappeared, and 300mg/ day of acidum valproicum was initiated. Discussion. Our patient presented with diminished sensory input to the auditory cortex, and it was hard to make a differential diagnosis between an organic and a mental etiology. Conclusion. The integration of musical hallucinations into a psychiatric disorder may be a difficult task, and, their treatment represents a challenge.

  20. Challenges and Opportunities of Air Quality Management in Mexico City

    Science.gov (United States)

    Paramo, V.

    2013-05-01

    The Mexico City Metropolitan Area (MCMA) is located in the central plateau of Mexico and is the capital of the country. Its natural characteristics present favorable conditions for air pollution formation and accumulation: mountains surrounding the city, frequent thermal inversions, high isolation all around the year and weak winds. To these natural conditions, a population of more than 20 million inhabitants, a fleet of 4.5 million vehicles and more than 4 thousands industries, make air quality management a real challenge for governments of the region. Intensive air quality improvement actions and programs began at the end of the 1980's and continued nowadays. Since then criteria air pollutants concentrations have decreased in such a way that currently most of pollutants meet the Mexican air quality standards, except for ozone and particulate matter. Applied measures comprised of fuel quality improvements, fuel replacements, regulations for combustion processes, closing of high polluting refineries and industries, regulations of emissions for new and on road vehicles, mandatory I/M programs for vehicles, circulation restrictions for vehicles (Day without car program), alert program for elevated air pollution episodes, improvement of public transportation, among others. Recent researches (MILAGRO 2006 campaign) found that currently it is necessary to implement emissions reduction actions for Volatile Organic Compounds, particulate matter with a diameter of less than 2.5 micrometers PM2.5 and Nitrogen Oxides, in order to reduce concentrations of ozone and fine particulate matter. Among the new measures to be implemented are: regulations for VOCs emissions in the industry and commercial sectors; regulation of the diesel fleet that includes fleets renewal, filters and particulate traps for in use vehicles and regulation of the cargo fleet; new schemes for reducing the number of vehicles circulating in the city; implementation of non-motorized mobility programs; among

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

    Science.gov (United States)

    Dozzo, Massimo; Carobolante, Francesca; Donisi, Pietro Maria; Scattolin, Annamaria; Maino, Elena; Sancetta, Rosaria; Viero, Piera; Bassan, Renato

    2017-01-01

    About one-half of all Burkitt lymphoma (BL) patients are younger than 40 years, and one-third belong to the adolescent and young adult (AYA) subset, defined by an age between 15 and 25–40 years, based on selection criteria used in different reports. BL is an aggressive B-cell neoplasm displaying highly characteristic clinico-diagnostic features, the biologic hallmark of which is a translocation involving immunoglobulin and c-MYC genes. It presents as sporadic, endemic, or epidemic disease. Endemicity is pathogenetically linked to an imbalance of the immune system which occurs in African children infected by malaria parasites and Epstein–Barr virus, while the epidemic form strictly follows the pattern of infection by HIV. BL shows propensity to extranodal involvement of abdominal organs, bone marrow, and central nervous system, and can cause severe metabolic and renal impairment. Nevertheless, BL is highly responsive to specifically designed short-intensive, rotational multiagent chemotherapy programs, empowered by the anti-CD20 monoclonal antibody rituximab. When carefully applied with appropriate supportive measures, these modern programs achieve a cure rate of approximately 90% in the average AYA patient, irrespective of clinical stage, which is the best result achievable in any aggressive lymphoid malignancy to date. The challenges ahead concern the following: optimization of management in underdeveloped countries, with reduction of diagnostic and referral-for-care intervals, and the applicability of currently curative regimens; the development of lower intensity but equally effective treatments for frail or immunocompromised patients at risk of death by complications; the identification of very high-risk patients through positron-emission tomography and minimal residual disease assays; and the assessment in these and the few refractory/relapsed ones of new monoclonals (ofatumumab, blinatumomab, inotuzumab ozogamicin) and new molecules targeting c-MYC and

  2. Summary of Model Toxics Control Act (MTCA) Potential Impacts Related to Hanford Cleanup and the Tri-Party Agreement (TPA)

    Energy Technology Data Exchange (ETDEWEB)

    IWATATE, D.F.

    2000-07-14

    This white paper provides an initial assessment of the potential impacts of the Model Toxics Control Act (MTCA) regulations (and proposed revisions) on the Hanford site cleanup and addresses concerns that MTCA might impose inappropriate or unachievable clean-up levels and drive clean-up costs higher. The white paper and supporting documentation (Appendices A and B) provide DOE with a concise and up-to-date review of potential MTCA impacts to cost and schedule for the Hanford site activities. MTCA, Chapter 70.105D RCW, is the State of Washington's risk based law governing clean-up of contaminated sites and is implemented by The Washington Department of Ecology (Ecology) under the MTCA Clean-up Regulations, Chapter 173-340 WAC. Hanford cleanup is subject to the MTCA requirements as Applicable, Relevant and Appropriate Requirements (ARARs) for those areas of Hanford being managed under the authority of the Federal Resource Conservation and Recovery Act (RCRA), Comprehensive Environmental Response, Compensation and Liability Act (CERCLA), and the state Dangerous Waste Regulations. MTCA provides Ecology with authority to implement site clean-up actions under both the federal RCRA and CERCLA regulations as well as the state regulations. Most of the Hanford clean-up actions are being implemented under the CERCLA program, however, there is a trend is toward increased use of MTCA procedures and standards. The application of MTCA to the Hanford clean-up has been an evolving process with some of the Hanford clean-up actions considering MTCA standards as an ARAR and using MTCA procedures for remedy selection. The increased use and application of MTCA standards and procedures could potentially impact both cost and schedule for the Hanford cleanup.

  3. Perspective: The challenge of ecologically sustainable water management

    CSIR Research Space (South Africa)

    Bernhardt, E

    2006-10-01

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

  4. Challenges and Pitfalls in the Management of Phenylketonuria

    NARCIS (Netherlands)

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

    2010-01-01

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

  5. Assessment, Cleanup and Redevelopment Exchange System (ACRES)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Assessment, Cleanup and Redevelopment Exchange System (ACRES) is an online database for Brownfields Grantees to electronically submit data directly to EPA.

  6. Increased leukemia risk in Chernobyl cleanup workers

    Science.gov (United States)

    A new study found a significantly elevated risk for chronic lymphocytic leukemia among workers who were engaged in recovery and clean-up activities following the Chernobyl power plant accident in 1986.

  7. Nuclear radiation cleanup and uranium prospecting

    Energy Technology Data Exchange (ETDEWEB)

    Mariella, Jr., Raymond P.; Dardenne, Yves M.

    2017-01-03

    Apparatus, systems, and methods for nuclear radiation cleanup and uranium prospecting include the steps of identifying an area; collecting samples; sample preparation; identification, assay, and analysis; and relating the samples to the area.

  8. Streamlining Site Cleanup in New York City

    Science.gov (United States)

    This joint effort, supported by the New York State Department of Environmental Conservation (NYS DEC), advances the environmental cleanup goals of PlaNYC 2030, the city's comprehensive sustainability plan.

  9. A Citizen's Guide to Drycleaner Cleanup

    Science.gov (United States)

    The State Coalition for Remediation of Drycleaners (SCRD) has prepared an easy-to-read guide explaining the drycleaner cleanup process and describing the technologies that are most commonly used to clean up contaminated drycleaner sites.

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

    NARCIS (Netherlands)

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

    2013-01-01

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

  11. Bioavailability: implications for science/cleanup policy

    Energy Technology Data Exchange (ETDEWEB)

    Denit, Jeffery; Planicka, J. Gregory

    1998-12-01

    This paper examines the role of bioavailability in risk assessment and cleanup decisions. Bioavailability refers to how chemicals ''behave'' and their ''availability'' to interact with living organisms. Bioavailability has significant implications for exposure risks, cleanup goals, and site costs. Risk to human health and the environment is directly tied to the bioavailability of the chemicals of concern.

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

    Directory of Open Access Journals (Sweden)

    Dozzo M

    2016-12-01

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

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

    Directory of Open Access Journals (Sweden)

    Haddad PM

    2014-06-01

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

  14. Risk Management of Procurement Challenges: The Implication To Construction Firms In Ghana

    OpenAIRE

    Timothy Adu Gyamfi; PatrickZievie; Victor Boateng

    2016-01-01

    It is clear that procurement challenges have been enormous task delving the major stakeholders in construction industry. The construction industry all over the world is fraught with challenges and the case of Ghana is no different. The study set out to examine Risk management of procurement challenges: The implication to construction firms in Ghana. This study which was conducted within the Ashanti Region of Ghana, primarily sought to identify procurement challenges facing firms in Ashanti re...

  15. Challenges identified in the management of patients with inherited ...

    African Journals Online (AJOL)

    Bushra Afroze

    2016-04-28

    Apr 28, 2016 ... care hospital in Pakistan and present the case for screening of parents, parents' siblings and ante- ... Pakistan faces major health challenges with ..... applied in Pakistan for the prevention of beta-thalassemia [18].

  16. Challenges of Environmental Management Accounting ?- Current Accounting Practices

    OpenAIRE

    Prof. Ph. D. Gheorghe Popescu; Prof. Ph.D . Adriana Popescu; Univ.Junior Assistant, PhD Attendant Cristina Raluca Popescu

    2008-01-01

    The goal of our paper is to reduce some of the international confusion generated on such an important topic by providing a general framework and set of definitions for Environmental Management Accounting (EMA). Environmental Management Accounting is a relatively new tool in environmental management defined as the identification, collection, estimation, analysis, internal reporting, and use of materials and energy flow information, environmental cost information, and other cost information for...

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

    DEFF Research Database (Denmark)

    Ipsen, Christine; Gish, Liv; Poulsen, Signe

    2014-01-01

    WRS program (Prevention of Work-Related Stress) over a six month period. Interviews were conducted with employees, in-house process facilitators, project managers and first line managers. The results show that distance managers are even more challenged in interventions especially regarding coordination...

  18. What about self-management post-stroke? Challenges for stroke survivors, spouses and professionals

    NARCIS (Netherlands)

    Satink, A.J.H.

    2016-01-01

    Self-management post-stroke is challenging for many persons after a stroke. In this thesis is explored how stroke survivors, spouses and professionals perceived self-management post-stroke and how the process of self-management post-stroke evolved over time. The following studies are conducted: a

  19. On Methodological and Technological Challenges for Proactive Health Management in Smart Homes.

    Science.gov (United States)

    Wolf, Klaus-Hendrik; Dehling, Tobias; Haux, Reinhold; Sick, Bernhard; Sunyaev, Ali; Tomforde, Sven

    2017-01-01

    Health management in smart homes has advanced during the last years. With proactive health management in such environments further progress for health prevention and care is to be expected. Challenges for proactive health management in three areas are summarized and briefly discussed: pattern recognition and machine learning, information privacy and user-oriented design, and sensor-enhanced health information systems architectures.

  20. Grand challenges in the management and conservation of North American inland fishes and fisheries

    Science.gov (United States)

    Lynch, Abigail; Cooke, Steven J.; Beard, Douglas; Kao, Yu-Chun; Lorenzen, Kai; Song, Andrew M.; Allen, Micheal S.; Basher, Zeenatul; Bunnell, David; Camp, Edward V.; Cowx, Ian G.; Freedman, Jonathan A.; Nguyen, Vivian M.; Nohner, Joel K.; Rogers, Mark W.; Siders, Zachary A.; Taylor, William W.; Youn, So-Jung

    2017-01-01

    Even with long-standing management and extensive science support, North American inland fish and fisheries still face many conservation and management challenges. We used a grand challenges approach to identify critical roadblocks that if removed would help solve important problems in the management and long-term conservation of North American inland fish and fisheries. We identified seven grand challenges within three themes (valuation, governance, and externalities) and 34 research needs and management actions. The major themes identified are to (1) raise awareness of diverse values associated with inland fish and fisheries, (2) govern inland fish and fisheries to satisfy multiple use and conservation objectives, and (3) ensure productive inland fisheries given nonfishing sector externalities. Addressing these grand challenges will help the broader community understand the diverse values of inland fish and fisheries, promote open forums for engagement of diverse stakeholders in fisheries management, and better integrate the inland fish sector into the greater water and land use policy process.

  1. Total Quality Management: A Unique Challenge For Behavioral Science Researchers,

    Science.gov (United States)

    collect data to create and support the implementation of Total Quality Management (TQM) programs in industry and government. The essence of TQM involves...participation. Total Quality Management (TQM) is a Department of Defense (DoD) initiative for improving performance at all organizational levels. In

  2. Managing protected areas under climate change: challenges and priorities.

    Science.gov (United States)

    Rannow, Sven; Macgregor, Nicholas A; Albrecht, Juliane; Crick, Humphrey Q P; Förster, Michael; Heiland, Stefan; Janauer, Georg; Morecroft, Mike D; Neubert, Marco; Sarbu, Anca; Sienkiewicz, Jadwiga

    2014-10-01

    The implementation of adaptation actions in local conservation management is a new and complex task with multiple facets, influenced by factors differing from site to site. A transdisciplinary perspective is therefore required to identify and implement effective solutions. To address this, the International Conference on Managing Protected Areas under Climate Change brought together international scientists, conservation managers, and decision-makers to discuss current experiences with local adaptation of conservation management. This paper summarizes the main issues for implementing adaptation that emerged from the conference. These include a series of conclusions and recommendations on monitoring, sensitivity assessment, current and future management practices, and legal and policy aspects. A range of spatial and temporal scales must be considered in the implementation of climate-adapted management. The adaptation process must be area-specific and consider the ecosystem and the social and economic conditions within and beyond protected area boundaries. However, a strategic overview is also needed: management at each site should be informed by conservation priorities and likely impacts of climate change at regional or even wider scales. Acting across these levels will be a long and continuous process, requiring coordination with actors outside the "traditional" conservation sector. To achieve this, a range of research, communication, and policy/legal actions is required. We identify a series of important actions that need to be taken at different scales to enable managers of protected sites to adapt successfully to a changing climate.

  3. Managing change--the challenge of the '90s.

    Science.gov (United States)

    Huebner, E; Nelson, P B

    1994-10-01

    Everyone knows that changes of all types are occurring in health care. Whatever those changes are, and whatever necessitates them, does not diminish the resistance that individuals may have to them. What can managers or administrators do to diminish the resistance and manage the changes they are making?

  4. Municipal solid waste management in Malaysia: practices and challenges.

    Science.gov (United States)

    Manaf, Latifah Abd; Samah, Mohd Armi Abu; Zukki, Nur Ilyana Mohd

    2009-11-01

    Rapid economic development and population growth, inadequate infrastructure and expertise, and land scarcity make the management of municipal solid waste become one of Malaysia's most critical environmental issues. The study is aimed at evaluating the generation, characteristics, and management of solid waste in Malaysia based on published information. In general, the per capita generation rate is about 0.5-0.8 kg/person/day in which domestic waste is the primary source. Currently, solid waste is managed by the Ministry of Housing and Local Government, with the participation of the private sector. A new institutional and legislation framework has been structured with the objectives to establish a holistic, integrated, and cost-effective solid waste management system, with an emphasis on environmental protection and public health. Therefore, the hierarchy of solid waste management has given the highest priority to source reduction through 3R, intermediate treatment and final disposal.

  5. TRENDS AND CHALLENGES IN THE MODERN HRM – TALENT MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Elena G. ZAMCU

    2014-06-01

    Full Text Available Identifying and developing talents is, in the context of the current economy, a necessity which implemented in the strategy of the company , may confer a competitive advantage. Common for multinational companies, the talent management could represent an advantage for SMEs, too. The purpose of talent management is to create an adaptable and flexible company to motivate its own human resources, all of these in order to develop the overall business. Starting from the definition of talent management that includes the idea that attracting, developing and retaining employees with a high qualification represents the very essence of talent management, we consider that it is applied by the Romanian SMEs but yet, it is not specified in their strategies. This paper tries to demonstrate the importance of continuous training for attracting, developing and retaining highly qualified employees, as a good start in implementing talent management.

  6. TRENDS AND CHALLENGES IN THE MODERN HRM – TALENT MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Elena G. ZAMCU

    2014-06-01

    Full Text Available Identifying and developing talents is, in the context of the current economy, a necessity which implemented in the strategy of the company , may confer a competitive advantage. Common for multinational companies, the talent management could represent an advantage for SMEs, too. The purpose of talent management is to create an adaptable and flexible company to motivate its own human resources, all of these in order to develop the overall business. Starting from the definition of talent management that includes the idea that attracting, developing and retaining employees with a high qualification represents the very essence of talent management, we consider that it is applied by the Romanian SMEs but yet, it is not specified in their strategies. This paper tries to demonstrate the importance of continuous training for attracting, developing and retaining highly qualified employees, as a good start in implementing talent management.

  7. From Cleanup to Stewardship. A companion report to Accelerating Cleanup: Paths to Closure and background information to support the scoping process required for the 1998 PEIS Settlement Study

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    1999-10-01

    Long-term stewardship is expected to be needed at more than 100 DOE sites after DOE's Environmental Management program completes disposal, stabilization, and restoration operations to address waste and contamination resulting from nuclear research and nuclear weapons production conducted over the past 50 years. From Cleanup to stewardship provides background information on the Department of Energy (DOE) long-term stewardship obligations and activities. This document begins to examine the transition from cleanup to long-term stewardship, and it fulfills the Secretary's commitment to the President in the 1999 Performance Agreement to provide a companion report to the Department's Accelerating Cleanup: Paths to Closure report. It also provides background information to support the scoping process required for a study on long-term stewardship required by a 1998 Settlement Agreement.

  8. Sociosynergistic Management of the Companies. Economic, Energetic and Ecologic Challenge

    Directory of Open Access Journals (Sweden)

    Dušan Turan

    2008-06-01

    Full Text Available Sociosynergistic management is inevitable condition of nanotechnology tendency of value-creating process of the companies in incoming third level of social division of labor. This management is being a product of transdisciplinary nanocognition and nano-projection of the systems there through creates for the management the operation base for system solution of economic effectiveness, energetic friendliness and ecologic safety of material-technological processes of the companies. He uncovers the sociosynergetics as a system entirety in the limits of abstract thinking, notion-categorical communication and knowingly-practical acting of the subject.

  9. The Challenges of Providing Effective Pain Management for Children in the Pediatric Intensive Care Unit.

    Science.gov (United States)

    Ismail, Ahmad

    2016-12-01

    Providing effective pain management is necessary for all patients in the intensive care unit (ICU). Because of developmental considerations, caring for children may provide additional challenges. The purpose of this literature review is to describe key challenges in providing effective pain management in pediatric intensive care units (PICUs), with the aim of bringing about a better understanding by health care providers caring for children. Challenges of providing effective pain management in the PICU can be categorized into four levels. These levels are informed by the Nursing Pain Management Model and include challenges (1) to be considered before pain assessment, (2) related to pain assessment, (3) related to pain treatment, and (4) related to post-treatment. This review mainly discusses the challenges of the first three levels because the fourth (post-treatment) relates to reassessment of pain, which shares the same challenges of level two, pain assessment. Key challenges of level one are related to health care provider's characteristics, patients and their families' factors, and PICU setting. The main challenges of the assessment and reassessment levels are the child's age and developmental level, ability to self-report, relying on behavioral and physiological indicators of pain, selecting the appropriate pain assessment scale, assessing pain while the patient is being treated with sedative and paralytic agents, mechanical ventilation, and changes in patients' level of consciousness. In the treatment level (level three), nonpharmacological interventions factors; alterations in the pharmacokinetics and pharmacodynamics of medications to be used for pain management in critically ill children; and the complexity of the administration of sedatives, analgesics, and paralytic agents in critically ill children are the main challenges. Health care providers can bear in mind such important challenges in order to provide effective pain management. Health care providers

  10. Fiscal Management in the Academic Library: Challenge and Opportunity.

    Science.gov (United States)

    Simmons, Beatrice

    1979-01-01

    Suggests that academic library management, working cooperatively with operational staff, re-think service pedagogies and staffing configurations, involve librarians in the instructional process, develop relationships with faculty and students, and improve collection development in periods of fiscal retrenchment. (FM)

  11. Key challenges facing water resource management in South Africa

    CSIR Research Space (South Africa)

    Ashton, P

    2008-11-01

    Full Text Available Resource Managers The Dichotomy of Water Source of destruction, dispute and poverty • Drought and desertification • Flooding and erosion • Salinization • Malnutrition and starvation • Contamination • Epidemics and diseases • Dispute...

  12. Challenges of Environmental Management Accounting –- Current Accounting Practices

    Directory of Open Access Journals (Sweden)

    Prof. Ph.D. Gheorghe Popescu

    2008-12-01

    Full Text Available The goal of our paper is to reduce some of the international confusion generated on such animportant topic by providing a general framework and set of definitions for Environmental ManagementAccounting (EMA.Environmental Management Accounting is a relatively new tool in environmental management definedas the identification, collection, estimation, analysis, internal reporting, and use of materials and energyflow information, environmental cost information, and other cost information for both conventionaland environmental decision-making within an organization.Due to their special role, accountants, since they are the ones with access to the important monetarydata and information systems needed for management accounting activities, must to improve both theirability to verify the quality of such information and the skills to use that information for decision making.

  13. Utility Management in the 21st Century: Challenges and Opportunities.

    Science.gov (United States)

    Schubbe, Thomas L.

    1999-01-01

    Provides an overview of the factors that must be examined and the issues to be addressed when assessing an institution's utility systems. Describes the management, planning, financing, and political dynamics surrounding the ownership of an institution's energy facilities. (GR)

  14. Academic managers in contemporary university: Challenges and learnings

    Directory of Open Access Journals (Sweden)

    Marita Sánchez-Moreno

    2016-04-01

    Full Text Available Purpose: The article presents and discusses some findings derived from a research project about University academic management, and it is focused on the identification of principal clues –even related to subjects and methodology– for the design of training programmes on this task. Design/methodology/approach: The research design adopted a qualitative approach and contemplated the development of in-depth interviews to 71 academic managers at the university who were valued as good in that task, in three Spanish Universities –Universidad de Las Palmas de Gran Canaria (ULP, Universidad de Lleida (UdL y Universidad de Sevilla (US. Data were analyzed using MAXQDA.11 and their interpretations were contrasted with the opinions obtained in a second round of interviews with 15 of those managers. Findings: Results allows to identify some kind of “vital cycle” in academic managers, inform about their reasons to continue in their managing charges, about their worries related to interpersonal relationships and conflict management, as well as about the recognized need of receiving a specific training for academic management, based on an active an participative methodology which can promote a practical learning. Research limitations/implications: The most important limitations of the study have to do with two unrelated issues. First of them, from a methodological point of view, is related to the limited number of participants. Second of them derives of the changing environment in which management and government model of Spanish is changing. This could probably affect the value and the interest showed by a academics on University management. Practical implications: According to one of the original mains of the study, a training program for academics in university management was already designed and developed. Social implications: The development of training Programs on University management as the one derived from the commented study would represent a

  15. Cold-induced urticaria: challenges in diagnosis and management

    Science.gov (United States)

    Hochstadter, Elana Fay; Ben-Shoshan, Moshe

    2013-01-01

    Cold-induced urticaria (CU) is a chronic physical urticaria that can be hard to diagnose and manage. Symptoms of CU can vary from mild localised urticaria, angio-oedema to anaphylaxis. CU may be induced by a wide range of cold triggers from aquatic activities to ingestions of cold substances. This exemplifies the importance of accurate diagnosis and management of patients with CU. We present three cases of CU that demonstrate the variability in triggers and clinical presentation. PMID:23839613

  16. CHANGE MANAGEMENT: CHALLENGE TO TRANSFORM IT IN PUBLIC SECTOR ORGANIZATION

    OpenAIRE

    Prof. Dr. K. Ravichandran; R. Raja Piramuthu

    2012-01-01

    ERP implementation, commonly involve a complete change in business process and operation. Hence, responsiveness to internal customers is critical for an organization to avoid the difficulties associated with this change. To overcome complex organizational problem of workers resistance to ERP implementation, change management methods suggested an integrated, process-oriented knowledge formulation, strategy implementation, to manage the change introduced by IT is to identify and evaluate the at...

  17. E-waste management as a global challenge (introductory chapter)

    OpenAIRE

    Mihai, Florin-Constatin; Gnoni, Maria-Grazia

    2016-01-01

    International audience; Waste Electrical and Electronic Equipment management (E-waste or WEEE) is a crucial issue in the solid waste management sector with global interconnections between well-developed, transitional and developing countries. Consumption society and addiction to technology dictate the daily life in high and middle-income countries where population consumes large amounts of EEE products (electrical and electronic equipment) which sooner become e-waste. This fraction is a fast-...

  18. Managing Information in Law Firms: Changes and Challenges

    Science.gov (United States)

    Evans, Nina; Price, James

    2017-01-01

    Introduction. Data, information and knowledge together constitute a vital business asset for every organization that enables every business activity, every business process and every business decision. The global legal industry is facing unprecedented change, which inevitably creates challenges for individual law firms. These global changes affect…

  19. Challenges in the management of a case of tuberous sclerosis

    Directory of Open Access Journals (Sweden)

    Anubhav Rathi

    2012-01-01

    Full Text Available Tuberous sclerosis complex is a multi-system disorder with autosomal dominant inheritance, which can affect the brain, heart, skin, kidneys, lungs, and retina. We hereby report therapeutic challenges faced in a case of an adolescent male suffering from tuberous sclerosis.

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

    Directory of Open Access Journals (Sweden)

    Nina Friedrich

    2012-12-01

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

  1. Multiple challenges of risk management in EU credit institutions

    Directory of Open Access Journals (Sweden)

    Constantinescu, A.

    2011-01-01

    Full Text Available This paper is intended to be a significant insight into risk management issues by describing the main types of such risks and by providing management and evaluation procedures of significant risks into some active banking companies in Romania. In times of crisis, risk management in the banking system has a greater importance than in the normal economic times. The 2011 was a year in which Romania has been hit by the repercussions of the international economic crisis. Using strategies against risks, implementing procedures to monitor and control risks, risk assessment and quantification can substantially reduce the financial losses of a company or those of a financial institution. Risk management is an integral part of all decision making and business processes from credit institutions, its purpose being to protect their sustainable development. The innovations on the financial market, the internationalization of the specific operations, and the pressure of the competition are just a few arguments that impose a permanent supervision of the general and specific risks. This is the main reason why is compulsory to find new methods of managing risks, to keep in consideration the identification, evaluation of the management and the control of the banking system and of each bank.

  2. Classroom Management: A Persistent Challenge for Pre-Service Foreign Language Teachers

    OpenAIRE

    Diego Fernando Macías; Jesús Ariel Sánchez

    2015-01-01

    This qualitative descriptive study aimed to ascertain the extent to which classroom management constituted a problem among pre-service foreign language teachers in a teacher education program at a public university in Colombia. The study also sought to identify classroom management challenges, the approaches to confronting them, and the alternatives for improving pre-service teachers’ classroom management skills. The results revealed that classroom management is a serious problem with challen...

  3. Administration to innovation: the evolving management challenge in primary care.

    Science.gov (United States)

    Laing, A; Marnoch, G; McKee, L; Joshi, R; Reid, J

    1997-01-01

    The concept of the primary health-care team involving an increasingly diverse range of health care professionals is widely recognized as central to the pursuit of a primary care-led health service in the UK. Although GPs are formally recognized as the team leaders, there is little by way of policy prescription as to how team roles and relationships should be developed, or evidence as to how their roles have in fact evolved. Thus the notion of the primary health-care team while commonly employed, is in reality lacking definition with the current contribution of practice managers to the operation of this team being poorly understood. Focusing on the career backgrounds of practice managers, their range of responsibilities, and their involvement in innovation in general practice, presents a preliminary account of a chief scientist office-funded project examining the role being played by practice managers in primary health-care innovation. More specifically, utilizing data gained from the ongoing study, contextualizes the role played by practice managers in the primary health-care team. By exploring the business environment surrounding the NHS general practice, the research seeks to understand the evolving world of the practice manager. Drawing on questionnaire data, reinforced by qualitative data from the current interview phase, describes the role played by practice managers in differing practice contexts. This facilitates a discussion of a set of ideal type general practice organizational and managerial structures. Discusses the relationships and skills required by practice managers in each of these organizational types with reference to data gathered to date in the research.

  4. Challenges and Needs for Support in Managing Occupational Health and Safety from Managers’ Viewpoints

    Directory of Open Access Journals (Sweden)

    Sari Tappura

    2014-09-01

    Full Text Available Proper working conditions and successful occupational health and safety (OHS management help organizations achieve their targets and support the quality of working life and performance. Work-related stress, conflicts, work ability issues, ill health, and other challenging OHS situations in the workplace may impede the well-being and productivity of employees. According to OHS legislation, employers are responsible for managing risks and solving problems in the work community. Challenging situations can be viewed from the perspective of efficiency, since their economic effects may be remarkable. The objective of this study is to describe the challenging OHS situations managers encounter and the support they require in these situations. The results are based on thematic interviews and inquiries with top, middle, and front-line managers in three Finnish public sector service organizations. The most challenging OHS management situations are related to the administration of work under high economic pressure and constant changes in the work community, managing employee workload and time pressures, providing feedback, facilitating collaboration, and managing conflict. The managers’ own understandings, competences, and resources, as well as organizational supports, have an effect on successful resolutions of challenging OHS management situations.

  5. Organisational innovation and how it challenges management theory

    DEFF Research Database (Denmark)

    Gjerding, Allan Næs; Rasmussen, Jørgen Gulddahl

    2007-01-01

    The present paper is a contribution to the part of the MEADOW project that deals with dynamics at the level of organisations. The paper suggests that dynamics at the level of organisations can be analysed in terms of organisational innovation as something more than mere organisational change....... Developing a concept of organisational innovation, the paper suggests that organisational innovation can be analysed in terms of how individual and organisational learning combine with the reorientation of management perceptions, and it suggests that organisational innovation is about redirecting, speeding...... up and slowing down new forms of organisational activities. Subsequently, the paper provides an overview of management theory, proposing that the present state of management theory is one where the traditional dichotomy between a rational and a natural approach to organisations has been bridged...

  6. Wildfire Prediction to Inform Fire Management: Statistical Science Challenges

    CERN Document Server

    Taylor, S W; Dean, C B; Martell, David L

    2013-01-01

    Wildfire is an important system process of the earth that occurs across a wide range of spatial and temporal scales. A variety of methods have been used to predict wildfire phenomena during the past century to better our understanding of fire processes and to inform fire and land management decision-making. Statistical methods have an important role in wildfire prediction due to the inherent stochastic nature of fire phenomena at all scales. Predictive models have exploited several sources of data describing fire phenomena. Experimental data are scarce; observational data are dominated by statistics compiled by government fire management agencies, primarily for administrative purposes and increasingly from remote sensing observations. Fires are rare events at many scales. The data describing fire phenomena can be zero-heavy and nonstationary over both space and time. Users of fire modeling methodologies are mainly fire management agencies often working under great time constraints, thus, complex models have t...

  7. New forms of knowledge challenge NPM-based management technologies

    DEFF Research Database (Denmark)

    Neisig, Margit

    2014-01-01

    is emerging and indicate that a new paradigm seems to be driven forward by the need for a new type of knowledge allowing us to address the complex issues associated with the future’s welfare generation. The article provides empirical support for theories claiming that we have not yet gone »beyond NPM«, nor......-, second- or third-order management. The empirical results demonstrate that, historically, the models have shifted from a primary focus on first-order process intervention towards a stronger emphasis on second- and third-order intervention – yet without abandoning first-order intervention. In other words...... level. Furthermore, the article discusses new trends in the management models Applied in the municipal sectors since 2007. The empirical analysis demonstrates that New Public Management (NPM) remains very much alive in Denmark. However, results also suggest that a new agenda for public administration...

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

    Science.gov (United States)

    2001-01-01

    of child labor laws . WHD does not know the true extent of violations involving children Page 24 GAO-01-251 Labor Challenges Major Performance and...that workplace violations occur, WHD does not know the number of children involved in other types of labor law violations, such as housing and...working in agriculture without employers having proof of age and the number of minimum wage and other labor law violations involving individuals

  9. Management of rheumatoid arthritis during pregnancy: challenges and solutions

    OpenAIRE

    Krause ML; Makol A

    2016-01-01

    Megan L Krause, Ashima Makol Division of Rheumatology, Department of Internal Medicine, Mayo Clinic, MN, USA Abstract: Rheumatoid arthritis, a chronic inflammatory autoimmune disease with significant physical disability, affects women three times more frequently than men, often in their childbearing years. Parenthood decisions can be challenging, often affected by perceptions of their disease state, health care needs, and complex pharmacological treatments. Many women struggle to find adequa...

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

    OpenAIRE

    Knight,Caroline; Nelson-Piercy, Catherine

    2017-01-01

    Caroline L Knight, Catherine Nelson-Piercy Division of Women’s Health, Women’s Health Academic Centre, King’s College London and King’s Health Partners, St Thomas’ Hospital, London, UK Abstract: Systemic lupus erythematosus (SLE) is a chronic, multisystem autoimmune disease predominantly affecting women, particularly those of childbearing age. SLE provides challenges in the prepregnancy, antenatal, intrapartum, and postpartum periods ...

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

    OpenAIRE

    Knight CL; Nelson-Piercy C

    2017-01-01

    Caroline L Knight, Catherine Nelson-Piercy Division of Women’s Health, Women’s Health Academic Centre, King’s College London and King’s Health Partners, St Thomas’ Hospital, London, UK Abstract: Systemic lupus erythematosus (SLE) is a chronic, multisystem autoimmune disease predominantly affecting women, particularly those of childbearing age. SLE provides challenges in the prepregnancy, antenatal, intrapartum, and postpartum periods for these women, and for...

  12. Clinical parameters and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital

    OpenAIRE

    Olusanya, Adeola A; Gbolahan, Olalere O; Aladelusi, Timothy O; Akinmoladun, Victor I; Arotiba, Juwon T

    2015-01-01

    Introduction: Necrotizing fasciitis is a severe soft tissue infection. In our environment, patients presenting with this infection are usually financially incapacitated and, therefore, their management can be challenging. This paper aimed to document the pattern and challenges encountered in the management of cervicofacial necrotizing fasciitis (CNF) in the University College Hospital, Ibadan. Materials and Methods: Information such as biodata, site of infection, systemic conditions, widest s...

  13. Management of rheumatoid arthritis during pregnancy: challenges and solutions.

    Science.gov (United States)

    Krause, Megan L; Makol, Ashima

    2016-01-01

    Rheumatoid arthritis, a chronic inflammatory autoimmune disease with significant physical disability, affects women three times more frequently than men, often in their childbearing years. Parenthood decisions can be challenging, often affected by perceptions of their disease state, health care needs, and complex pharmacological treatments. Many women struggle to find adequate information to guide them on pregnancy planning, lactation, and early parenting in relation to their chronic condition. The expanded availability and choice of pharmacotherapies have supported optimal disease control prior to conception and enhanced physical capabilities for women to successfully overcome the challenges of raising children but require a detailed understanding of their risks and safety in the setting of pregnancy and breastfeeding. This review outlines the various situational challenges faced by rheumatologists in providing care to men and women in the reproductive age group interested in starting a family. Up to date evidence-based solutions particularly focusing on the safe use of disease-modifying antirheumatic drugs and biologic response modifiers to assist rheumatologists in the care of pregnant and lactating women with RA are reviewed.

  14. Management of rheumatoid arthritis during pregnancy: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Krause ML

    2016-03-01

    Full Text Available Megan L Krause, Ashima Makol Division of Rheumatology, Department of Internal Medicine, Mayo Clinic, MN, USA Abstract: Rheumatoid arthritis, a chronic inflammatory autoimmune disease with significant physical disability, affects women three times more frequently than men, often in their childbearing years. Parenthood decisions can be challenging, often affected by perceptions of their disease state, health care needs, and complex pharmacological treatments. Many women struggle to find adequate information to guide them on pregnancy planning, lactation, and early parenting in relation to their chronic condition. The expanded availability and choice of pharmacotherapies have supported optimal disease control prior to conception and enhanced physical capabilities for women to successfully overcome the challenges of raising children but require a detailed understanding of their risks and safety in the setting of pregnancy and breastfeeding. This review outlines the various situational challenges faced by rheumatologists in providing care to men and women in the reproductive age group interested in starting a family. Up to date evidence-based solutions particularly focusing on the safe use of disease-modifying antirheumatic drugs and biologic response modifiers to assist rheumatologists in the care of pregnant and lactating women with RA are reviewed. Keywords: rheumatoid arthritis, pregnancy, biologics, DMARDs

  15. Leadership conversations challenging high potential managers to become great leaders

    CERN Document Server

    Berson, Alan S

    2012-01-01

    Conversation techniques and tools that can help strong managers become great leaders Often the very same skills and traits that enable rising stars to achieve success ""tenacity, aggressiveness, self-confidence"" become liabilities when promoted into a leadership track. While managers'' conversations are generally transactional and centered on the task at hand, leaders must focus on people, asking great questions and aligning them with the vision for the future. Leadership mindsets and skills can be developed, and Leadership Conversations provides practical guidance for connecting with others

  16. Risk Management in the Age of Turbulence - Failures and Challenges

    Directory of Open Access Journals (Sweden)

    Alexandru CAPATINA

    2012-08-01

    Full Text Available Today’s business, being affected by the continuous changes in economic environment, must reinvent the “prudent risk taking” concept to strike an appropriate balance between risk, return and growth, in order to create lasting value. This paper is focused on describing the nature of risk and the objectives of risk management. In the context of more attractive risk conceptual simplifications which often lead to significant errors, the paper explains the failures in risk management, the way of their occurrence and the methods of reducing their occurrence.

  17. Managing the financial challenges of public-private collaboration.

    Science.gov (United States)

    Kirk, R

    1995-01-01

    With the growing emphasis on Medicaid managed care waivers as a method for states to constrain healthcare cost overruns (see also State Policy Review on page 63), new and creative pricing techniques for carve-out and carve-in programs will be a key to their success. The author builds on his experience in developing a Medicaid behavioral healthcare carve-out in Massachusetts to illustrate some basic principles in the pricing and management of such public-private collaborations. These collaborative systems should be based on specific actuarial models, plans for enhanced access to services and the need to change incrementally in the context of the political process.

  18. Challenges of Personal Finance Management under Instable Economic

    Directory of Open Access Journals (Sweden)

    Kamilė Taujanskaitė

    2011-03-01

    Full Text Available This article deals with personal finance and personal finance management problems as well as with the necessity of systematic attitude during the economic downturn. Taking into account the downfall of the financial markets, the motivation of individuals’ financial behavior is investigated. The retrospective analysis of the most popular investing instruments and comparison of results is presented in the paper, followed by the suggestion of an alternative investment option, covering the profitability and safety ratio that is independent to the economic cycle. Research findings regarding theoretical and practical personal finance management are followed by conclusions. Article in Lithuanian

  19. Management challenges in a case of gender identity disorder

    Directory of Open Access Journals (Sweden)

    Anubhav Rathi

    2014-01-01

    Full Text Available Gender identity disorder (GID is a complex disorder and can be defined as a group of disorders whose common feature is a strong and persistent preference for living as a person of the other sex. It is associated with significant impairment in social, occupational, interpersonal, and other areas of functioning. We describe the case of an adolescent, biologically male who was brought to our outpatient department primarily with symptoms of adjustment disorder with GID and the management provided. The role of a psychiatrist in the management, ethical and legal issues involved is also discussed.

  20. Networking of integrated pest management: A powerful approach to address common challenges in agriculture

    DEFF Research Database (Denmark)

    Lamichhane, Jay Ram; Aubertot, J-N; Begg, Graham;

    2016-01-01

    of designing effective pest management strategies, which rely less heavily on the use of conventional pesticides, is another external challenge. Internal challenges include organizational aspects such as decreasing trend in budget allocated to IPM research, increasing scarcity of human expertise, lack...... networking experiences in Europe emphasizing how IPM research, implementation and adoption in Europe may benefit from a broader level networking....

  1. Challenges Social Work Students Encounter in International Field Placements and Recommendations for Responsible Management

    Science.gov (United States)

    Matthew, Lenore E.; Lough, Benjamin J.

    2017-01-01

    Social work students often face personal and institutional challenges prior to, during, and after international field placements. If not managed, these challenges may compromise students' professional development and hinder their meaningful contribution to placements abroad, which is of particular concern when students from the Global North are…

  2. Sustainable Approaches for Materials Management in Remote, Economically Challenged Areas of the Pacific

    Science.gov (United States)

    Remote, economically challenged areas in the Commonwealth of the Northern Marianas Islands (CNMI) and American Samoa in the US Pacific island territories face unique challenges with respect to solid waste management. These islands are remote and isolated, with some islands suppo...

  3. Diversifying Academic and Professional Identities in Higher Education: Some Management Challenges

    Science.gov (United States)

    Whitchurch, Celia; Gordon, George

    2010-01-01

    This paper draws on an international study of the management challenges arising from diversifying academic and professional identities in higher education. These challenges include, for instance, the introduction of practice-based disciplines with different traditions such as health and social care, the changing aspirations and expectations of…

  4. Analysis of Challenges for Management Education in India Using Total Interpretive Structural Modelling

    Science.gov (United States)

    Mahajan, Ritika; Agrawal, Rajat; Sharma, Vinay; Nangia, Vinay

    2016-01-01

    Purpose: The purpose of this paper is to identify challenges for management education in India and explain their nature, significance and interrelations using total interpretive structural modelling (TISM), an innovative version of Warfield's interpretive structural modelling (ISM). Design/methodology/approach: The challenges have been drawn from…

  5. Challenges and needs in fire management: A landscape simulation modeling perspective [chapter 4

    Science.gov (United States)

    Robert E. Keane; Geoffrey J. Cary; Mike D. Flannigan

    2011-01-01

    Fire management will face many challenges in the future from global climate change to protecting people, communities, and values at risk. Simulation modeling will be a vital tool for addressing these challenges but the next generation of simulation models must be spatially explicit to address critical landscape ecology relationships and they must use mechanistic...

  6. Electronic Courts and the Challenges in Managing Evidence. A View From Inside The International Criminal Court

    Directory of Open Access Journals (Sweden)

    Mark Patrick Dillon

    2014-06-01

    Full Text Available Many courts face challenges dealing with large volumes of electronic evidence. Innovative solutions are in place, but challenges remain for those who manage our courts. Some of the international tribunals have embraced new technologies. High staff turnover leads to a knowledge drain and mobile devices which generate a significant amount of meta-data are issues that need to be addressed.

  7. Municipal waste management in Sicily: practices and challenges.

    Science.gov (United States)

    Messineo, Antonio; Panno, Domenico

    2008-01-01

    There are numerous problems yet to be solved in waste management and although efforts towards waste recovery and recycling have been made, landfills are still the most common method used in the EU and many other industrialised countries. Thermal disposal, particularly incineration, is a tested and viable alternative. In 2004, only 11% of the annual waste production of Italy was incinerated. Sicily, with over five million inhabitants, is the second largest region in Italy where waste management is now a critical problem. The use of landfills can no longer be considered a satisfactory environmental solution; therefore, new methods have to be chosen and waste-to-energy plants could provide an answer. This paper gives details of municipal solid waste management in Sicily following a new Waste Management Plan. Four waste-to-energy plants will generate electricity through a steam cycle; the feedstock will become the residue after material recovery, which is calculated as 20-40% weight of the collected municipal solid waste.

  8. Employability and Talent Management: Challenges for HRD Practices

    Science.gov (United States)

    Nilsson, Staffan; Ellstrom, Per-Erik

    2012-01-01

    Purpose: The purpose of this conceptual paper is to illuminate the problems that are associated with defining and identifying talent and to discuss the development of talent as a contributor to employability. Design/methodology/approach: The world of work is characterised by new and rapidly changing demands. Talent management has recently been the…

  9. Academic Mobility Projects Management: Challenges for Ukrainian Professional Education

    Science.gov (United States)

    Zabolotna, Oksana

    2015-01-01

    The article is devoted to the academic mobility projects management on the example of Pavlo Tychyna Uman State Pedagogical University in the Erasmus Mundus Projects, namely, EMINENCE and EMINENCE II. It has been pointed out that modern university is a constantly developing system possessing a hidden potential for innovations. Thus, the…

  10. Media Management Education: Key Themes, Pedagogies, and Challenges

    Science.gov (United States)

    Förster, Kati; Rohn, Ulrike

    2015-01-01

    The media sphere has changed significantly as a result of globalization, technology, and new habits of media use. Scholars in journalism and mass communication thus call on a transformation and reinvention of higher education in the field. The purpose of this article is to investigate how media management is taught across different institutions,…

  11. Management of chronic pain in osteoporosis: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Paolucci T

    2016-04-01

    Full Text Available Teresa Paolucci,* Vincenzo Maria Saraceni, Giulia Piccinini* Physical Medicine and Rehabilitation Unit, Azienda Policlinico Umberto I, Rome, Italy *These authors contributed equally to this work Abstract: Osteoporosis (OP is a pathological condition that manifests clinically as pain, fractures, and physical disability, resulting in the loss of independence and the need for long-term care. Chronic pain is a multidimensional experience with sensory, affective, and cognitive aspects. Age can affect each of these dimensions and the pain that is experienced. In OP, chronic pain appears to have sensory characteristics and properties of nociceptive and neuropathic pain. Its evaluation and treatment thus require a holistic approach that focuses on the specific characteristics of this population. Pain management must therefore include pharmacological approaches, physiotherapy interventions, educational measures, and, in rare cases, surgical treatment. Most rehabilitative treatments in the management of patients with OP do not evaluate pain or physical function, and there is no consensus on the effects of rehabilitation therapy on back pain or quality of life in women with OP. Pharmacological treatment of pain in patients with OP is usually insufficient. The management of chronic pain in patients with OP is complicated with regard to its diagnosis, the search for reversible secondary causes, the efficacy and duration of oral bisphosphonates, and the function of calcium and vitamin D. The aim of this review is to discuss the most appropriate solutions in the management of chronic pain in OP. Keywords: physical therapy, exercise, pharmacological treatment, posture and balance

  12. Meeting the Challenges of Enterprise Risk Management in Higher Education

    Science.gov (United States)

    Mattie, John

    2007-01-01

    In the summer of 2007, the Association of Governing Boards of Universities and Colleges (AGB) and the National Association of College and University Business Officers (NACUBO) held a summit on enterprise risk management (ERM) in Washington DC with senior officers and trustees from several leading colleges and universities. Approximately 40…

  13. Challenges and pitfalls in the management of phenylketonuria.

    Science.gov (United States)

    Feillet, François; van Spronsen, Francjan J; MacDonald, Anita; Trefz, Friedrich K; Demirkol, Mübeccel; Giovannini, Marcello; Bélanger-Quintana, Amaya; Blau, Nenad

    2010-08-01

    Despite recent advances in the management of phenylketonuria and hyperphenylalaninemia, important questions on the management of this disorder remain unanswered. Consensus exists on the need for neonatal screening and early treatment, yet disagreement persists over threshold levels of blood phenylalanine for starting treatment, target blood phenylalanine levels, and the management of older patient groups. The mainstay of treatment is a phenylalanine-restricted diet, but its application varies between and within countries. Beyond diet treatment, there is a lack of consensus on the use of newer treatments such as tetrahydrobiopterin. Although neonatal screening and early treatment has meant that most well-treated children grow up with near-normal IQ scores, the effect of relaxing metabolic control on cognitive and executive function later in life is still not fully understood. Although it is clear from the available literature that the active control of blood phenylalanine levels is of vital importance, there are other treatment-related factors that affect outcome. A uniform and firmly evidence-based approach to the management of phenylketonuria is required.

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

    African Journals Online (AJOL)

    to be relevant for inclusion in the review was retrieved. .... education of patients by the health‑care providers to enable the ..... Policy 2011;99:250‑4. 12. ... Practice of asthma management among doctors in south‑east ... hospital in Malaysia.

  15. Flood Risk Management In Europe: an exploration of governance challenges

    NARCIS (Netherlands)

    Hegger, D.; Dieperink, C.; Green, C.; Driessen, Peter; Bakker, M.H.; Rijswick, H.F.M.W. van; Crabbé, A.; Ek, K.

    2013-01-01

    In order to make European regions more resilient to flood risks a broadening of Flood Risk Management strategies (FRMSs) might be necessary. The development and implementation of FRMSs like risk prevention, flood defence, mitigation, preparation and recovery is a matter of governance, a process of

  16. AGE-ility challenges, and management agendas for the organisation

    NARCIS (Netherlands)

    Millar, C.C.J.M.; Culpin, Vicki

    2014-01-01

    Purpose - The purpose of this paper is to provide an update of the Special Issue's field of research, give the structure of the Special Issue and introduce the papers in the collection, including management issues. Design/methodology/approach - A review of the Call for Papers and further research

  17. The Challenge of Library Management: Leading with Emotional Engagement

    Science.gov (United States)

    vanDuinkerken, Wyoma; Mosley, Pixey Anne

    2011-01-01

    Change is inevitable and essential to any functioning institution. But change can be stressful, especially when it upsets established routines and patterns. Library managers need to be able to lead staff through episodes of change while remaining empathetic, and this book shows them how to: (1) Engage library staff in the process and encourage…

  18. Evidence-Based Library Management: The Leadership Challenge

    Science.gov (United States)

    Lakos, Amos

    2007-01-01

    This paper is an extension of the author's earlier work on developing management information services and creating a culture of assessment in libraries. The author will focus observations on the use of data in decision-making in libraries, specifically on the role of leadership in making evidence-based decision a reality, and will review new…

  19. Climate Change and Risk Management Challenges in the Arctic

    DEFF Research Database (Denmark)

    Jakobsen, Uffe

    Climate change or global warming results in melting ice in the Arctic, both inland and sea ice. This opens up opportunities of natural ressource extraction and possibilities of new shipping routes, that opens up opportunities for increased maritime activities. However, with these opportunies come...... possibilies of transborder risk management and partnership building....

  20. Current Challenges in Higher Education Administration and Management

    Science.gov (United States)

    Baldwin, Jon F.

    2009-01-01

    UK higher education has a proud tradition stretching back centuries, with St. Andrews almost 600 years old, and teaching having existed at Oxford for more than 900 years. There is no reason why universities established more recently should not demonstrate similar longevity. The management of stakeholders has always been central to the successful…

  1. Current Challenges in Higher Education Administration and Management

    Science.gov (United States)

    Baldwin, Jon F.

    2009-01-01

    UK higher education has a proud tradition stretching back centuries, with St. Andrews almost 600 years old, and teaching having existed at Oxford for more than 900 years. There is no reason why universities established more recently should not demonstrate similar longevity. The management of stakeholders has always been central to the successful…

  2. Public enterprises: Contemporary strategic management and marketing challenges

    Directory of Open Access Journals (Sweden)

    Vesić Dobrica

    2005-01-01

    Full Text Available Modern public companies, organizations and services management is a process that influences certain group, resulting in change of reality or function of it reaching certain, previously set objective. A new philosophy and approach to adaptive creativity, emphasize importance and capabilities of creativity improvement for employees, teams and all organizations.

  3. AGE-ility challenges, and management agendas for the organisation

    NARCIS (Netherlands)

    Millar-Schijf, Carla C.J.M.; Culpin, Vicki

    2014-01-01

    Purpose - The purpose of this paper is to provide an update of the Special Issue's field of research, give the structure of the Special Issue and introduce the papers in the collection, including management issues. Design/methodology/approach - A review of the Call for Papers and further research

  4. Academic Mobility Projects Management: Challenges for Ukrainian Professional Education

    Science.gov (United States)

    Zabolotna, Oksana

    2015-01-01

    The article is devoted to the academic mobility projects management on the example of Pavlo Tychyna Uman State Pedagogical University in the Erasmus Mundus Projects, namely, EMINENCE and EMINENCE II. It has been pointed out that modern university is a constantly developing system possessing a hidden potential for innovations. Thus, the…

  5. Governance Challenges of the Implementation of Fisheries Co-Management : Experiences from Malawi

    Directory of Open Access Journals (Sweden)

    Friday Njaya

    2007-10-01

    Full Text Available This paper reviews some major challenges experienced in the implementation of fisheries co-management initiatives in response to governance reforms being advocated in various countries. Lessons are drawn from Malawi's experiences on the implementation of co-management arrangements. Appropriate policy and legal frameworks that govern management of the fisheries resources in decentralised structures should be formulated as attributes to community empowerment. Defining clear objectives and incentives for fisheries co-management becomes a challenge where appropriation of the commons is for survival especially in areas where poverty is persistent. There are limited resilient co-management institutions due to unclear definition of roles for various stakeholders and limited participation of civil society groups in the management of the commons as part of the governance system. Traditional institutions play a role either in support of or against sustainable resource management is response to inducements of various forms especially from migrants which challenges exclusion of non-members from appropriating the commons. The principles of good governance that include participation and accountability of the representative committees are limited in some areas. The initiation process as to whether the co-management was introduced by government or by the user community affects resilience of the co-management institutions. However, adoption of broad-based co-management regimes with various empowered stakeholders including the civil society, non-governmental organisations and government agencies are a positive step towards achievement of a sustainable fish resource management.

  6. Challenges for Managing Fisheries on Diverse Coral Reefs

    Directory of Open Access Journals (Sweden)

    Douglas Fenner

    2012-03-01

    Full Text Available Widespread coral reef decline has included the decline of reef fish populations, and the subsistence and artisanal fisheries that depend on them. Overfishing and destructive fishing have been identified as the greatest local threats to coral reefs, but the greatest future threats are acidification and increases in mass coral bleaching caused by global warming. Some reefs have shifted from dominance by corals to macroalgae, in what are called “phase shifts”. Depletion of herbivores including fishes has been identified as a contributor to such phase shifts, though nutrients are also involved in complex interactions with herbivory and competition. The depletion of herbivorous fishes implies a reduction of the resilience of coral reefs to the looming threat of mass coral mortality from bleaching, since mass coral deaths are likely to be followed by mass macroalgal blooms on the newly exposed dead substrates. Conventional stock assessment of each fish species would be the preferred option for understanding the status of the reef fishes, but this is far too expensive to be practical because of the high diversity of the fishery and poverty where most reefs are located. In addition, stock assessment models and fisheries in general assume density dependent populations, but a key prediction that stocks recover from fishing is not always confirmed. Catch Per Unit Effort (CPUE has far too many weaknesses to be a useful method. The ratio of catch to stock and the proportion of catch that is mature depend on fish catch data, and are heavily biased toward stocks that are in good condition and incapable of finding species that are in the worst condition. Near-pristine reefs give us a reality check about just how much we have lost. Common fisheries management tools that control effort or catch are often prohibitively difficult to enforce for most coral reefs except in developed countries. Ecosystem-based management requires management of impacts of fishing

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

    Science.gov (United States)

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

    2016-12-01

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

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

    Science.gov (United States)

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

    2013-07-01

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

  9. Wind Energy: Forecasting Challenges for its Operational Management

    DEFF Research Database (Denmark)

    Pinson, Pierre

    2013-01-01

    with the generation of forecasts tailored to the various operational decision problems involved. Indeed, while wind energy may be seen as an environmentally friendly source of energy, full benefits from its usage can only be obtained if one is able to accommodate its variability and limited predictability. Based....... There exist a number of technological, environmental and political challenges linked to supplementing existing electricity generation capacities with wind energy. Here, mathematicians and statisticians could make a substantial contribution at the interface of meteorology and decision-making, in connection...... related to generating improved and new types of forecasts, as well as their verification and value to forecast users, are finally discussed. ½...

  10. Welfare reform- Major challenge for the social management in Romania

    Directory of Open Access Journals (Sweden)

    Ioana Irina Dumitrescu

    2013-05-01

    Full Text Available The article analyses the main amendments brought by Law of the social work no. 292/2011 from the perspective of the social management and efficiency of social work system reform in Romania. Given the necessity of restructuration of the system of social benefits and services, the reform project outlines the responsibilities of the social actors in providing welfare and proposes a block of measures aimed to contribute at reducing social sector spending according to the austerity measures imposed by the economic crisis. The new management vision focused on reducing costs does not seem to provide suitable solutions for institutions functioning as it enables the harmonization of the economic efficiency with the social one. Received with scepticism by the public opinion and profoundly contested by the academic world, the reform project only partially succeeds in reaching proposed objectives of modernizing the social assistance system and supporting the people in need.

  11. Research challenges in municipal solid waste logistics management.

    Science.gov (United States)

    Bing, Xiaoyun; Bloemhof, Jacqueline M; Ramos, Tania Rodrigues Pereira; Barbosa-Povoa, Ana Paula; Wong, Chee Yew; van der Vorst, Jack G A J

    2016-02-01

    During the last two decades, EU legislation has put increasing pressure on member countries to achieve specified recycling targets for municipal household waste. These targets can be obtained in various ways choosing collection methods, separation methods, decentral or central logistic systems, etc. This paper compares municipal solid waste (MSW) management practices in various EU countries to identify the characteristics and key issues from a waste management and reverse logistics point of view. Further, we investigate literature on modelling municipal solid waste logistics in general. Comparing issues addressed in literature with the identified issues in practice result in a research agenda for modelling municipal solid waste logistics in Europe. We conclude that waste recycling is a multi-disciplinary problem that needs to be considered at different decision levels simultaneously. A holistic view and taking into account the characteristics of different waste types are necessary when modelling a reverse supply chain for MSW recycling.

  12. New forms of knowledge challenge NPM-based management technologies

    DEFF Research Database (Denmark)

    Neisig, Margit

    2014-01-01

    This article compares the management models of four Danish municipal sectors based on documentation and evaluation. The article sees the models as instances of interventional communication and sectors are compared with a view to determining at which level the interventions take place, i.e. first......-, second- or third-order management. The empirical results demonstrate that, historically, the models have shifted from a primary focus on first-order process intervention towards a stronger emphasis on second- and third-order intervention – yet without abandoning first-order intervention. In other words......, a symbiosis has evolved between the various types of intervention. To put the analysis into perspective, the discussion adopts a cybernetic point of view and explores to which extent differences between the various sector models are associated with different systemic consequences to flexibility at the local...

  13. External Ear infections in diabetics- Challenges in management

    Directory of Open Access Journals (Sweden)

    Vadisha Srinivas Bhat

    2015-12-01

    Full Text Available Infections tend to occur more commonly and with more severity in people with diabetes than in non diabetics. Local and systemic immunological defects are likely to be responsible for high infection rates in diabetics. Hyperglycaemia in poorly controlled diabetes provides a good environment for vast number of microorganisms including bacteria, virus and fungi. Moreover, active infection in diabetes poses difficulty in controlling diabetes, hence causing a vicious cycle of infection and hyperglycaemia. An infection, which is easily manageable in non diabetics may turn out be of a severity out of proportion than expected in diabetics. Incidence of certain ear infections like malignant otitis externa is disproportionately higher in diabetics and so is the difficulty encountered in managing these conditions. Also, as some infections in diabetics present in a subtle and atypical manner, prompt recognition of infection followed by appropriate medical or surgical intervention is necessary.

  14. Welfare reform- Major challenge for the social management in Romania

    OpenAIRE

    Ioana Irina Dumitrescu

    2013-01-01

    The article analyses the main amendments brought by Law of the social work no. 292/2011 from the perspective of the social management and efficiency of social work system reform in Romania. Given the necessity of restructuration of the system of social benefits and services, the reform project outlines the responsibilities of the social actors in providing welfare and proposes a block of measures aimed to contribute at reducing social sector spending according to the austerity measures impose...

  15. Blockchains for Business Process Management - Challenges and Opportunities

    DEFF Research Database (Denmark)

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

    2017-01-01

    Blockchain technology promises a sizable potential for executinginter-organizational business processes without requiring a central partyserving as a single point of trust (and failure). This paper analyzes itsimpact on business process management (BPM). We structure the discussion usingtwo BPM...... frameworks, namely the six BPM core capabilities and the BPM lifecycle.This paper provides research directions for investigating the application ofblockchain technology to BPM....

  16. Wildfire Prediction to Inform Fire Management: Statistical Science Challenges

    OpenAIRE

    Taylor, S. W.; Douglas G. Woolford; Dean, C. B.; Martell, David L.

    2013-01-01

    Wildfire is an important system process of the earth that occurs across a wide range of spatial and temporal scales. A variety of methods have been used to predict wildfire phenomena during the past century to better our understanding of fire processes and to inform fire and land management decision-making. Statistical methods have an important role in wildfire prediction due to the inherent stochastic nature of fire phenomena at all scales. ¶ Predictive models have exploited several so...

  17. Overcoming Organisational Challenges related to Agile Project Management Adoption

    OpenAIRE

    Hansenne, Rami; Hibner, Allan

    2011-01-01

    For the past few years, Agile methodologies have been hailed as the silver bullet which will successfully address the high project failure rate. Many organisations have been using a traditional project management methodology for years and are now either considering or in the progress of introducing a more agile approach as a substitute for the more rigid, inflexible and control oriented traditional methodologies. Potential benefits include, but are not limited to, faster return on investment,...

  18. Rural waste management:challenges and issues in Romania

    OpenAIRE

    Apostol, Liviu; Mihai, Florin-Constantin

    2012-01-01

      Rural areas of the new EU Member States face serious problems in compliance of EU regulation on waste management. Firstly, the share of rural population is higher and it has lower living standards and secondly, the waste collection services are poorly-developed covering some rural regions. In this context, open dumping is used as an appropriate waste disposal solution generating complex pollution. This paper analyzes the disparities between Romanian counties regarding the rural pop...

  19. Informing agricultural management - The challenge of modelling grassland phenology

    Science.gov (United States)

    Calanca, Pierluigi

    2017-04-01

    Grasslands represent roughly 70% of the agricultural land worldwide, are the backbone of animal husbandry and contribute substantially to agricultural income. At the farm scale a proper management of meadows and pastures is necessary to attain a balance between forage production and consumption. A good hold on grassland phenology is of paramount importance in this context, because forage quantity and quality critically depend on the developmental stage of the sward. Traditionally, empirical rules have been used to advise farmers in this respect. Yet the provision of supporting information for decision making would clearly benefit from dedicated tools that integrate reliable models of grassland phenology. As with annual crops, in process-based models grassland phenology is usually described as a linear function of so-called growing degree days, whereby data from field trials and monitoring networks are used to calibrate the relevant parameters. It is shown in this contribution that while the approach can provide reasonable estimates of key developmental stages in an average sense, it fails to account for the variability observed in managed grasslands across sites and years, in particular concerning the start of the growing season. The analysis rests on recent data from western Switzerland, which serve as a benchmark for simulations carried out with grassland models of increasing complexity. Reasons for an unsatisfactory model performance and possibilities to improve current models are discussed, including the necessity to better account for species composition, late season management decisions, as well as plant physiological processes taking place during the winter season. The need to compile existing, and collect new data doe managed grasslands is also stressed.

  20. Land, Waste, and Cleanup Topics

    Science.gov (United States)

    After reducing waste as much as possible through recycling and sustainability, managing waste protects land quality. EPA is also involved in cleaning up and restoring contaminated land, through brownfield and superfund programs.

  1. EARLY SCHOOL LEADERSHIP CHALLENGES IN KAZAKHSTANI EDUCATIONAL MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Anar Mukhtarova

    2013-06-01

    Full Text Available The importance of the school leadership has increased significantly in the last decades. Leadership, especially effectiveness of the principal may play a key role in the success and sustainability of a school. The aim of this study was to identify the first year principalship challenges in the comprehensive schools of Kazakhstan. The small-scale study conducted in 2011 utilized a blend of qualitative and quantitative methodology approach with mixed-method techniques: the questionnaire and the semi-structured interview. The total number of the participants was 49 (43 questionnaire respondents and 6 interviewees; representatives of rural, suburban and urban schools. While some key findings of the study replicated previous research results, some other findings were indicated as unique to the Kazakhstani context. Specifically, the need for prior and after appointment trainings, especially in budget and finance areas, allocation of teaching hours among the staff and changing parental attitude towards the schooling were the most challenging issues of the principals in their first year of headship. The perceived gap between the government’s desires to integrate into the global educational arena and the schooling status quo demands rethinking and reviewing the current school leadership development. Although the findings are based on a limited sample, there is persuasive evidence for the necessity of a new systematic and strategic approach to the school leaders’ preparation and training which will take into account values of the post-soviet Kazakhstan people and needs of a modernized world.

  2. Challenges in Managing Information Security From an Organization’s Perspective

    Directory of Open Access Journals (Sweden)

    Patrick Kanyolo Ngumbi

    2010-07-01

    Full Text Available This study used purposefully selected employees to fill self-administered unstructured questionnaires to provide information on aspects concerning information security at organizational level. The responses were subjected to non-probability analysis from which understanding of challenges encountered and subsequent impact were obtained. Six evaluation questions were used to gain insight into information security components. The study documented four categories of challenges encountered, possible outcomes of challenges and consequential impact. These results are beneficial to business end-users, information security managers, top and senior management in organizations.

  3. Polarity management: the key challenge for integrated health systems.

    Science.gov (United States)

    Burns, L R

    1999-01-01

    Integrated health systems are confronted with numerous dilemmas that must be managed. Many of these dilemmas are an inherent part of the system's structure, given that multiple competing hospitals, medical groups, and (sometimes) health plans are often under one organizational roof. This article presents an analysis of these dilemmas--referred to in the management literature as polarities--as they are found in six integrated health systems in Illinois. The nine polarities that must be managed include (1) hospital systems that want to be organizations of physicians; (2) system expansion by growing the physician component; (3) system centralization and physician decentralization; (4) centripetal and centrifugal forces involving physicians; (5) system objectives and physician interests; (6) system centralization and hospital decentralization; (7) primary care physicians and specialists; (8) physician autonomy via collectivization; and (9) vertical and virtual integration. The article identifies some of the solutions to the polarities that have been enacted by systems. In general, executives and physicians in integrated health systems must attend to the processes of integration as much as or more than the structures of integration.

  4. Global warming presents new challenges for maize pest management

    Science.gov (United States)

    Diffenbaugh, Noah S.; Krupke, Christian H.; White, Michael A.; Alexander, Corinne E.

    2008-10-01

    It has been conjectured that global warming will increase the prevalence of insect pests in many agro-ecosystems. In this paper, we quantitatively assess four of the key pests of maize, one of the most important systems in North American grain production. Using empirically generated estimates of pest overwintering thresholds and degree-day requirements, along with climate change projections from a high-resolution climate model, we project potential future ranges for each of these pests in the United States. Our analysis suggests the possibility of increased winter survival and greater degree-day accumulations for each of the pests surveyed. We find that relaxed cold limitation could expand the range of all four pest taxa, including a substantial range expansion in the case of corn earworm (H. zea), a migratory, cold-intolerant pest. Because the corn earworm is a cosmopolitan pest that has shown resistance to insecticides, our results suggest that this expansion could also threaten other crops, including those in high-value areas of the western United States. Because managing significant additional pressure from this suite of established pests would require additional pest management inputs, the projected decreases in cold limitation and increases in heat accumulation have the potential to significantly alter the pest management landscape for North American maize production. Further, these range expansions could have substantial economic impacts through increased seed and insecticide costs, decreased yields, and the downstream effects of changes in crop yield variability.

  5. The Use of the Hanford Onsite Packaging and Transportation Safety Program to Meet Cleanup Milestones Under the Hanford Site Cleanup 2015 Vision and the American Recovery and Reinvestment Act of 2009 - 12403

    Energy Technology Data Exchange (ETDEWEB)

    Lavender, John C. [CH2M HILL Plateau Remediation Company, Richland, WA 99354 (United States); Edwards, W. Scott [Areva Federal Services, Richland, WA 99354 (United States); Macbeth, Paul J.; Self, Richard J. [U.S. Department of Energy Richland Operations Office, Richland, WA 99352 (United States); West, Lori D. [Materials and Energy Corporation, Richland, WA 99354 (United States)

    2012-07-01

    The Hanford Site presents unique challenges in meeting the U.S. Department of Energy Richland Operations Office (DOE-RL) 2015 Cleanup Vision. CH2M Hill Plateau Remediation Company (CHPRC), its subcontractors, and DOE-RL were challenged to retrieve, transport and remediate a wide range of waste materials. Through a collaborative effort by all Hanford Onsite Central Plateau Cleanup Team Members, disposition pathways for diverse and seemingly impossible to ship wastes were developed under a DOE Order 460.1C-compliant Hanford Onsite Transportation Safety Program. The team determined an effective method for transporting oversized compliant waste payloads to processing and disposition facilities. The use of the onsite TSD packaging authorizations proved to be vital to safely transporting these materials for processing and eventual final disposition. The American Recovery and Reinvestment Act of 2009 (ARRA) provided additional resources to expedite planning and execution of these important cleanup milestones. Through the innovative and creative use of the TSD, the Hanford Onsite Central Plateau Cleanup Team Members have developed and are executing an integrated project plan that enables the safe and compliant transport of a wide variety of difficult-to-transport waste items, accelerating previous cleanup schedules to meet cleanup milestones. (authors)

  6. Challenges and Opportunities of Information Technology in the 90s. Track VIII: Managing Distributed Computing Services.

    Science.gov (United States)

    CAUSE, Boulder, CO.

    Six papers from the 1990 CAUSE Conference Track VIII: Managing Distributed Computing are presented. Authors discuss the challenges and opportunities involved in providing user managers with direct access to institutional databases to support their decision making and planning activities. Papers and their authors are as follows: "Rendering an…

  7. Advances and Challenges for Nutrient Management in China in the 21st Century

    NARCIS (Netherlands)

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

    2013-01-01

    Managing agricultural nutrients to provide a safe and secure food supply while protecting the environment remains one of the great challenges for the 21st century. The fourth International Nutrient Management Symposium (INMS), held in 2011 at the University of Delaware, addressed these issues via pr

  8. ManAGEment: the challenges of global age diversity for corporations and governments

    NARCIS (Netherlands)

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

    2014-01-01

    Purpose – The purpose of this paper is to investigate the challenges, worldwide of managing an aging workforce. The paper offers suggestions for public policy and for individual organizational approaches to developing, managing and motivating an aging workforce. Design/methodology/approach – The

  9. Challenges of Material Resource Management among Social Studies Lecturers in Nigerian Universities

    Science.gov (United States)

    Dania, P. O.; Obro, S.; Owhorhu, J. S.

    2016-01-01

    The study is focused on the challenges of material resource management among social studies lecturers in Nigerian Universities. The study population is one thousand eight hundred and fifty five (1855). The sample size comprises one hundred staff, one hundred and twenty students, and forty internal material resource managers were randomly selected…

  10. New Challenges for Asset Managers in the Danish Social Housing Sector

    DEFF Research Database (Denmark)

    Haugbølle, Kim; Engberg, Lars A.

    2004-01-01

    During the 1990s, the social housing sector in Denmark has undergone a number of changes. New trends are forcing asset managers to rethink their roles and strategies. In this changing context, asset managers have been confronted with strategic challenges on three topics: 1. New modes of tenants...

  11. Classroom Management: A Persistent Challenge for Pre-Service Foreign Language Teachers

    Directory of Open Access Journals (Sweden)

    Diego Fernando Macías

    2015-07-01

    Full Text Available This qualitative descriptive study aimed to ascertain the extent to which classroom management constituted a problem among pre-service foreign language teachers in a teacher education program at a public university in Colombia. The study also sought to identify classroom management challenges, the approaches to confronting them, and the alternatives for improving pre-service teachers’ classroom management skills. The results revealed that classroom management is a serious problem with challenges ranging from inadequate classroom conditions to explicit acts of misbehavior. Establishing rules and reinforcing consequences for misbehavior were the main approaches to classroom management, although more contact with actual classrooms and learning from experienced others were alternatives for improving classroom management skills.

  12. Challenges of drug resistance in the management of pancreatic cancer.

    LENUS (Irish Health Repository)

    Sheikh, Rizwan

    2012-02-01

    The current treatment of choice for metastatic pancreatic cancer involves single-agent gemcitabine or a combination of gemcitabine with capecitabine or erlotinib (a tyrosine kinase inhibitor). Only 25–30% of patients respond to this treatment and patients who do respond initially ultimately exhibit disease progression. Median survival for pancreatic cancer patients has reached a plateau due to inherent and acquired resistance to these agents. Key molecular factors implicated in this resistance include: deficiencies in drug uptake, alteration of drug targets, activation of DNA repair pathways, resistance to apoptosis and the contribution of the tumor microenvironment. Moreover, for newer agents including tyrosine kinase inhibitors, overexpression of signaling proteins, mutations in kinase domains, activation of alternative pathways, mutations of genes downstream of the target and\\/or amplification of the target represent key challenges for treatment efficacy. Here we will review the contribution of known mechanisms and markers of resistance to key pancreatic cancer drug treatments.

  13. Mirror Meningioma at Foramen Magnum: A Management Challenge.

    Science.gov (United States)

    Konar, Subhas; Bir, Shyamal C; Maiti, Tanmoy Kumar; Kalakoti, Piyush; Nanda, Anil

    2016-01-01

    Meningiomas of the foramen magnum are among the most challenging of all skull base lesions. Controversies continue regarding the most appropriate approach to this critical anatomic region. The authors report a first case in English literature about twin meningiomas arising from both sides of the ventrolateral dura at the foramen magnum. Preoperative imaging showed a solitary mass engulfing the lower medulla. However, intraoperatively a twin mass was discovered. It encased the right side vertebral artery (VA) and abutted the left side. The unilateral far lateral transcondylar approach is not enough to resect both tumors at the same time. However, the far lateral transcondylar approach in both sides may compromise the stability and increase the risk of injury to either side of the neurovascular structures. We suggest that resection can be safely achieved via the unilateral far lateral transcondylar approach followed by Gamma Knife radiosurgery (GKRS) or a staged bilateral approach. Published by Elsevier Inc.

  14. Leg ulcers in sickle cell patients: management challenges

    Directory of Open Access Journals (Sweden)

    El Khatib AM

    2016-11-01

    Full Text Available Arij M El Khatib,1 Shady N Hayek2 1Division of Plastic and Reconstructive Surgery, Department of Surgery, American University of Beirut Medical Center (AUBMC, 2Private Practice, Cosmetic Surgery Center, Beirut, Lebanon Abstract: Sickle cell disease is an autosomal recessive hemoglobinopathy caused by an amino acid substitution from glutamic acid to valine in the beta hemoglobin chain. One of the common symptoms occurring in sickle cell patients are leg ulcers, which are notoriously painful, difficult to treat, and frequently recurrent. These ulcers pose a therapeutic challenge with multiple modalities proposed for treatment, but with scarce evidence of efficacy of any single modality. Ulcer prevention, rigorous wound care, pain control, and surgery are the current mainstays of sickle cell leg ulcer treatment. Keywords: sickle cell leg ulcer, leg wound, sickle cell disease 

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

    Science.gov (United States)

    Wang, Shuxiao; Hao, Jiming

    2012-01-01

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

  16. Air quality management in China: Issues, challenges, and options

    Institute of Scientific and Technical Information of China (English)

    Shuxiao Wang; Jiming Hao

    2012-01-01

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

  17. Digital Natives Coming of Age: Challenges for Managers

    Directory of Open Access Journals (Sweden)

    Andreea MITAN

    2014-10-01

    Full Text Available Youth unemployment is currently a stringent problem in many European countries. Most of the time, both the public opinion and the national and European institutions blame the economic crisis, the social conditioning of these youngsters, and point to the failure of the educational systems to provide them with the necessary qualifications needed on the market. There are a few initiatives, such as the Youth Guarantee launched in 2013, led by European public authorities in order to reduce this phenomenon, but these initiatives address solely the professional proficiency of the youngsters. And most authorities perceive them as citizens who need to be trained to fit with the existing working environments. The situation is, in fact, more complex, as todays youngsters are different from the previous generations in terms of the values they share and the basic way they process information. When speaking of the youth, the high unemployment rate due to system imbalance between people training and work fields’ requirements are just one side of the coin. The other side speaks about the impact digital technology has upon young people, favouring the emergence of the so called digital natives, and about the fact that the working environment in itself has to incorporate changes in order to accommodate these youngsters and fully benefit from their capabilities.     As Romanian digital natives come of age, minimizing the mind gap between elder managers and younger employees and candidates becomes an important issue that companies increasingly have to deal with. This article explores the digital natives’ expectations from their managers and from the companies they aim to work for, based upon a survey conducted in four universities in Bucharest. We propose a series of recommendations for managers who work closely with digital natives, in order to improve the work environment and create the premises for better job performance in their teams, possibly reducing

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2008-02-15

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

  19. Challenges to natural process restoration: common dam removal management concerns

    Science.gov (United States)

    Collins, M. J.; Tullos, D. D.; Bellmore, J. R.; Bountry, J.; Connolly, P. J.; Shafroth, P. B.; Wilcox, A. C.

    2015-12-01

    Practitioners must make dam removal decisions in spite of uncertainty about physical and ecological responses. This can result in implementing structural controls or other interventions at a site to avoid anticipated negative effects, sometimes even if a given concern is not warranted. We used a newly available dam removal science database and other information sources to explore seven frequently raised issues we call "Common Management Concerns" (CMCs), investigating their occurrence and the contributing biophysical controls. We describe these controls to enable managers to better assess if further analyses are warranted at their sites before interventions are planned and implemented. The CMCs addressed are: rate and degree of reservoir sediment erosion; drawdown impacts on local water infrastructure; excessive channel incision; downstream sediment aggradation; elevated turbidity; colonization of reservoir sediments by non-native plants; and expansion of invasive fish. The relative dearth of case studies available for many CMCs limited the generalizable conclusions we could draw about prevalence, but the available data and established understanding of relevant processes revealed important biophysical phenomena controlling the likelihood of CMC occurrence. To assess CMC risk, we recommend managers concurrently evaluate if site conditions suggest the ecosystem, infrastructure, or other human uses will be negatively affected if the biophysical phenomenon producing the CMC occurs. We show how many CMCs have one or more controls in common, facilitating the identification of multiple risks at a site, and demonstrate why CMC risks should be considered in the context of other important factors like watershed disturbance history, natural variability, and dam removal tradeoffs. Better understanding CMCs and how to evaluate them will enable practitioners to avoid unnecessary interventions and thus maximize opportunities for working with natural processes to restore river

  20. Management of maxillofacial trauma in emergency: An update of challenges and controversies

    Directory of Open Access Journals (Sweden)

    Anson Jose

    2016-01-01

    Full Text Available Trauma management has evolved significantly in the past few decades thereby reducing mortality in the golden hour. However, challenges remain, and one such area is maxillofacial injuries in a polytrauma patient. Severe injuries to the maxillofacial region can complicate the early management of a trauma patient owing to the regions proximity to the brain, cervical spine, and airway. The usual techniques of airway breathing and circulation (ABC management are often modified or supplemented with other methods in case of maxillofacial injuries. Such modifications have their own challenges and pitfalls in an already difficult situation.

  1. Management of maxillofacial trauma in emergency: An update of challenges and controversies

    Science.gov (United States)

    Jose, Anson; Nagori, Shakil Ahmed; Agarwal, Bhaskar; Bhutia, Ongkila; Roychoudhury, Ajoy

    2016-01-01

    Trauma management has evolved significantly in the past few decades thereby reducing mortality in the golden hour. However, challenges remain, and one such area is maxillofacial injuries in a polytrauma patient. Severe injuries to the maxillofacial region can complicate the early management of a trauma patient owing to the regions proximity to the brain, cervical spine, and airway. The usual techniques of airway breathing and circulation (ABC) management are often modified or supplemented with other methods in case of maxillofacial injuries. Such modifications have their own challenges and pitfalls in an already difficult situation. PMID:27162439

  2. The challenges of knowledge management portals application and implementation:An Iranian organizations case study

    Directory of Open Access Journals (Sweden)

    Sara Sharifi-Yazdi

    2010-07-01

    Full Text Available This article aims to review, identify and prioritize challenge factors of the implementation of knowledge management portals for Iranian organizations. The study determines several important weakness factors affecting the implications of the knowledge management such as the weakness in organizational strategy, information overcrowd, content management, portals project management, and etc. The study also indicates that the factors have different priorities where managerial factors are in the highest priority and financial factors are in the lowest priority. We also perform factor analysis to summarize seventeen factors into six issues: Financial and information security, Technology and management, Senior management support and strategy, Acceptance, User's motivation and culture, Project management, Change management and training. Knowledge management portal is a brand new concept for Iranian organizations and it is hard to gather information from limited number of organizations or companies for applied knowledge management portals. The results of this study could be useful for knowledge management planners and managers in organizations and clear the prospects to deal with the challenges.

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

    DEFF Research Database (Denmark)

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

    2005-01-01

    features of the project. The foresight process included a series of interactive workshops, supported by systems analysis and assessment of technical developments. The project partners and others interestedin the topic were linked by an informative project website. The aim of the project was to provide...... of the project in the light of a dynamic model ofshared knowledge creation. In particular, the ways in which the design and the methodological tools facilitated the process and its management are discussed. Some suggestions for forthcoming foresight exercises are also presented....

  4. Quality management: the challenges of regional governance in West Africa

    Directory of Open Access Journals (Sweden)

    Osseni Loukoumanou

    2015-01-01

    Full Text Available With a total area of 3 509 600 km2 and a population of over 80 340 000 people, the eight WAEMU countries (the West Africa Economic and Monetary Union have many products to offer the international market. These products can be classified into three categories: fishery products, agricultural products, and agro-industrial products resulting from the processing in the first two categories. Despite the real independence of these categories, they share a common thread: efficient quality management. The crux of the matter is efficient quality management which denotes both effective and efficient management of the products. While all the theories of efficiency acknowledge a border between effectiveness and efficiency and highlight the complementarity of the two concepts, it is nonetheless interesting to note that the Russian language combines the two concepts into a single word: “effectivnost”. The efficiency of a quality infrastructure is determined by both its effectiveness and its efficiency since a quality product is one that meets the standards in place, has a number of inherent characteristics that fulfil stated requirements, and can be sold within budget limits set by the consumer. In other words, quality must be managed at a restricted cost so that it is not a source of increased production costs. The formal ratification of the SOAMET (West African Secretariat of Metrology, the NORMCERQ (Regional Body of Standardization, Certification and Quality Promotion and the SOAC (Regional Body of Accreditation by the eight WAEMU countries through the signing of Regulation No. 01/2005/CM/UEMOA (Scheme for the Harmonization of the Activities of Accreditation, Certification, Standardization and Metrology in the WAEMU is a very positive step. Nevertheless, both the successful implementation of this regulation and the quality of work that will derive from these organizations depend on the quality of the human factor, i.e. the competence of the

  5. Insecticide Resistance: Challenge to Pest Management and Basic Research

    Science.gov (United States)

    Brattsten, L. B.; Holyoke, C. W.; Leeper, J. R.; Raffa, K. F.

    1986-03-01

    The agricultural use of synthetic insecticides usually protects crops but imposes strong selection pressures that can result in the development of resistance. The most important resistance mechanisms are enhancement of the capacity to metabolically detoxify insecticides and alterations in target sites that prevent insecticides from binding to them. Insect control methods must incorporate strategies to minimize resistance development and preserve the utility of the insecticides. The most promising approach, integrated pest management, includes the use of chemical insecticides in combination with improved cultural and biologically based techniques.

  6. Management of Membranous Glomerulonephritis in Pregnancy: A Multidisciplinary Challenge

    Directory of Open Access Journals (Sweden)

    Sherifat Ope-Adenuga

    2015-01-01

    Full Text Available We present a case of 28-year-old female, who had a past obstetrical history complicated by uncontrolled blood pressure, early onset preeclampsia, and a fetal demise at 29 weeks. Her blood pressure normalized after each pregnancy, and no diagnosis of renal disease was ever established. In her most recent pregnancy, she remained normotensive and initially presented with normal blood urea nitrogen and creatinine levels. However, after the early first trimester, she developed nephrotic range proteinuria, hypoalbuminemia, and peripheral edema. After delivery of the baby, all clinical symptoms rapidly resolved and laboratory values normalized. We review the clinical course, diagnosis, and management of new onset nephrotic syndrome in pregnancy.

  7. IT Project Portfolio Management; Challenges faced by Danish municipalities

    DEFF Research Database (Denmark)

    Hansen, Lars; Pedersen, Keld

    2010-01-01

    benefits from IT investments. This article reports from an action research project aiming at understanding and improving IT PPM practices in Danish municipalities, thereby contributing to the general body of knowledge concerning PPM of IT projects. Our findings suggest that the participating organizations......Abstract. Increasing the organizational benefits from IT projects is a key concern in most organizations. The use of Project Portfolio Management (PPM) is generally recommended by consultants (e.g. Kaplan 2005) and researchers (e.g. De Reyck et al 2005) as one way of increasing the organizational...

  8. Fernald restoration: ecologists and engineers integrate restoration and cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Woods, Eric; Homer, John

    2002-07-15

    As cleanup workers excavate pits and tear down buildings at the Fernald site in southwest Ohio, site ecologists are working side-by-side to create thriving wetlands and develop the early stages of forest, prairie, and savanna ecosystems to restore natural resources that were impacted by years of site operations. In 1998, the U.S. Department of Energy-Fernald Office (DOE-FN) and its cleanup contractor, Fluor Fernald, Inc., initiated several ecological restoration projects in perimeter areas of the site (e.g., areas not used for or impacted by uranium processing or waste management). The projects are part of Fernald's final land use plan to restore natural resources over 904 acres of the 1,050-acre site. Pete Yerace, the DOE-FN Natural Resource Trustee representative is working with the Fernald Natural Resource Trustees in an oversight role to resolve the state of Ohio's 1986 claim against DOE for injuries to natural resources. Fluor Fernald, Inc., and DOE-FN developed the ''Natural Resource Restoration Plan'', which outlines 15 major restoration projects for the site and will restore injured natural resources at the site. In general, Fernald's plan includes grading to maximize the formation of wetlands or expanded floodplain, amending soil where topsoil has been removed during excavation, and establishing native vegetation throughout the site. Today, with cleanup over 35 percent complete and site closure targeted for 2006, Fernald is entering a new phase of restoration that involves heavily remediated areas. By working closely with engineers and cleanup crews, site ecologists can take advantage of remediation fieldwork (e.g., convert an excavated depression into a wetland) and avoid unnecessary costs and duplication. This collaboration has also created opportunities for relatively simple and inexpensive restoration of areas that were discovered during ongoing remediation. To ensure the survival of the plant material in heavily

  9. Adaptive Embedded Systems – Challenges of Run-Time Resource Management

    DEFF Research Database (Denmark)

    Understanding and efficiently controlling the dynamic behavior of adaptive embedded systems is a challenging endavor. The challenges come from the often very complicated interplay between the application, the application mapping, and the underlying hardware architecture. With MPSoC, we have...... the technology to design and fabricate dynamically reconfigurable hardware platforms. However, such platforms will pose new challenges to tools and methods to efficiently explore these platforms at run-time. This talk will address some of the challenges of run-time resource management in adaptive embedded...... systems....

  10. The challenges of managing dysphagia in brain-injured patients.

    Science.gov (United States)

    Mayer, Victoria

    2004-02-01

    Dysphagia, or the inability to swallow normally, is a feature of a number of neurological conditions. It is found in both paediatric and adult populations, but the scope of this article is limited to the adult neurogenic population. The normal swallow is a complex and highly coordinated activity, any part of which may be disturbed by neurological illness or injury. Assessment of dysphagia is normally undertaken by speech and language therapists in conjunction with the multidisciplinary team. A bedside screening assessment may be augmented by instrumental assessment, such as videofluoroscopy, in cases where silent aspiration of food or liquid into the lungs is suspected. Dysphagia is treated using a variety of strategies, depending on the presenting symptoms. Individuals with dysphagia following traumatic brain injury present with particular difficulties, relating to impairments of cognition, communication and behavioural control. A description of the normal swallow is presented below with a review of dysphagic disorders, assessment methods and management. This is followed by a case account of a young man with dysphagia subsequent to traumatic brain injury to highlight some of the difficulties which can be encountered in the management of dysphagia.

  11. Management of patient with necrotizing fasciitis: a challenge for anaesthesiologist

    Directory of Open Access Journals (Sweden)

    Reena Mahajan

    2015-06-01

    Full Text Available Necrotising fasciitis, a highly lethal infection of deep seated subcutaneous tissue and fascia, is associated with high mortality and long term morbidity. A five year old child of necrotizing fasciitis with poor general condition, deranged investigations and unstable vitals was posted for debridement. After initial resuscitation, TIVA was given, intraoperative period was uneventful and post operatively patient was shifted to recovery room as fully conscious with O2 by face mask. After 1 and frac12; hours, patient became drowsy, hypotensive with bradycardia and urine output was nil. Immediate resuscitation started and vasopressors added. Despite all aggressive interventions, the patient died due to sepsis induced multiorgan failure. Blood samples and wound aspirate culture showed group A beta hemolytic Streptococcous. In this case report we discuss the best possible management of such patients and tried to minimize several barriers like lack of early recognition of severe sepsis and septic shock, treatment delay, lack of several investigations and drugs, shortage of health care providers, absence of locally written protocol, remote area and tried to give the massage that adherence to published guidelines for the management of severe sepsis patients lowers mortality. [Int J Res Med Sci 2015; 3(3.000: 763-766

  12. Current challenges in the diagnosis and management of fever.

    Science.gov (United States)

    Sherman, Joshua M; Sood, Sunil K

    2012-06-01

    We review recommendations from recent publications on the management of fever with antipyretics, the classification and diagnosis of fevers of unknown origin (FUO), and the evaluation of fever in infants under 90 days of age. Anxiety about fever persists in the population, while the toxicity of antipyretics is an increasing concern. The numerous opportunities for overdosing with antipyretics have been emphasized by the American Academy of Pediatrics (AAP). The practice of alternating acetaminophen and ibuprofen has limited value. Nonclassic FUO and pseudo-FUO are as important to consider as true FUO, and clinicians should become familiar with the variety of periodic fever syndromes. The clinical utility of low-risk criteria to identify febrile infants at low risk for serious bacterial infection (SBI) was demonstrated in a systematic review of studies. Pediatricians should spend more time educating parents about fever and antipyretic use. Not all persistent fever is FUO, and testing should be targeted to the child's clinical condition. Existing low-risk criteria should be used to identify febrile infants who can be managed without extensive work-up and antibiotics. Adherence to evidence-based recommendations will lessen the morbidity and mortality associated with febrile illnesses in children.

  13. Acral Lentiginous Melanoma in Situ: A Diagnostic and Management Challenge

    Directory of Open Access Journals (Sweden)

    Hyun Sun Park

    2010-04-01

    Full Text Available Early stage recognition of acral lentiginous melanoma (ALM is important for a better prognosis, but in-depth understanding and proper management of ALM in situ is complicated, because there are only a few reports, probably due to its rarity and diagnostic difficulty. We have reviewed our experience with seven patients who were diagnosed as having ALM in situ and discuss how to accurately diagnose and properly manage these rare lesions. Clinically the lesions showed black to brown discoloration of the nail with Hutchinson’s sign and hyperpigmented macules on the heel with color variegation. All the lesions showed a diffuse lentiginous pattern of melanocytic proliferation with variable level of atypism along the dermoepidermal junction. Dermoscopic findings were available in three and revealed parallel ridge patterns. Confrontation of clinical and histopathologic findings was observed in three, and the lesions were not recognized or diagnosed as ALM in situ in the first place. Excision of the primary lesion with variable operative margin was done as an initial treatment. Recurrence was observed in three patients and one developed invasive ALM and lymph node metastasis. Integration of all available information concerning the clinical presentation, histopathology, and dermoscopic findings is very important and can lead to the best classification for correct diagnosis. Lack of knowledge upon clinical course and optimal margin to control ALM in situ provokes the need for further studies with longer follow up and larger number of cases.

  14. Lipodystrophy in HIV patients: its challenges and management approaches

    Directory of Open Access Journals (Sweden)

    Singhania R

    2011-12-01

    Full Text Available Rohit Singhania, Donald P KotlerDepartment of Medicine, St Luke's-Roosevelt Hospital Center, New York, NY, USAAbstract: HIV-associated lipodystrophy is a term used to describe a constellation of body composition (lipoatrophy and lipohypertrophy and metabolic (dyslipidemia and insulin resistance alterations that accompany highly active antiretroviral therapy. These changes, which resemble metabolic syndrome, have been associated with a variety of adverse outcomes including accelerated cardiovascular disease. The body composition and metabolic changes appear to cluster in HIV infection, although they are distinct alterations and do not necessarily coexist. Epidemiological studies have demonstrated multiple pathogenic influences associated with host, disease, and treatment-related factors. The adverse treatment effects were more prominent in early regimens; continued drug development has led to the application of metabolically safer regimens with equal or greater potency than the regimens being replaced. Disease-related factors include HIV infection as well as inflammation, immune activation, and immune depletion. The body composition changes promote anxiety and depression in patients and may affect treatment adherence. Treatment of dyslipidemia and alterations in glucose metabolism is the same as in non-HIV-infected individuals. Lipoatrophy is managed by strategic choice of antivirals or by antiviral switching, and in some cases by plastic/reconstructive surgery. Lipohypertrophy has been managed mainly by lifestyle modification, ie, a hypocaloric diet and increased exercise. A growth hormone releasing factor, which reduces central fat, has recently become available for clinical use.Keywords: lipoatrophy, lipohypertrophy, body composition, dyslipidemia, insulin resistance

  15. Flood Cleanup to Protect Indoor Air Quality

    Science.gov (United States)

    During a flood cleanup, the indoor air quality in your home or office may appear to be the least of your problems. However, failure to remove contaminated materials and to reduce moisture and humidity can present serious long-term health risks.

  16. Assessment of synfuel spill cleanup options

    Energy Technology Data Exchange (ETDEWEB)

    Petty, S.E.; Wakamiya, W.; English, C.J.; Strand, J.A.; Mahlum, D.D.

    1982-04-01

    Existing petroleum-spill cleanup technologies are reviewed and their limitations, should they be used to mitigate the effects of synfuels spills, are discussed. The six subsections of this report address the following program goals: synfuels production estimates to the year 2000; possible sources of synfuel spills and volumes of spilled fuel to the year 2000; hazards of synfuels spills; assessment of existing spill cleanup technologies for oil spills; assessment of cleanup technologies for synfuel spills; and disposal of residue from synfuel spill cleanup operations. The first goal of the program was to obtain the most current estimates on synfuel production. These estimates were then used to determine the amount of synfuels and synfuel products likely to be spilled, by location and by method of transportation. A review of existing toxicological studies and existing spill mitigation technologies was then completed to determine the potential impacts of synthetic fuel spills on the environment. Data are presented in the four appendixes on the following subjects: synfuel production estimates; acute toxicity of synfuel; acute toxicity of alcohols.

  17. Cleanups In My Community (CIMC) - Recovery Act Funded Cleanups, National Layer

    Data.gov (United States)

    U.S. Environmental Protection Agency — This data layer provides access to Recovery Act Funded Cleanup sites as part of the CIMC web service. The American Recovery and Reinvestment Act was signed into law...

  18. Mechanism involved in trichloroethylene-induced liver cancer: Importance to environmental cleanup. 1997 annual progress report

    Energy Technology Data Exchange (ETDEWEB)

    Bull, R.J.

    1997-06-01

    'The Pacific Northwest National Lab. was awarded ten (10) Environmental Management Science Program (EMSP) research grants in Fiscal Year 1996. This section gives a summary of how each grant is addressing significant DOE cleanup issues, including those at the Hanford Site. The technical progress made to date in each of these research projects is addressed in more detail in the individual progress reports contained in this document. This research is primarily focused in three areas-Tank Waste Remediation, Soil and Groundwater Cleanup, and Health Effects.'

  19. Fast-Track Cleanup at Closing DoD Installations

    Science.gov (United States)

    The Fast-Track Cleanup program strives to make parcels available for reuse as quickly as possible by the transfer of uncontaminated or remediated parcels, the lease of contaminated parcels where cleanup is underway, or the 'early transfer' of contaminated property undergoing cleanup.

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

    Directory of Open Access Journals (Sweden)

    Mokgadi C. Matlakala

    2014-02-01

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

  1. Evaluation of containment failure and cleanup time for Pu shots on the Z machine.

    Energy Technology Data Exchange (ETDEWEB)

    Darby, John L.

    2010-02-01

    Between November 30 and December 11, 2009 an evaluation was performed of the probability of containment failure and the time for cleanup of contamination of the Z machine given failure, for plutonium (Pu) experiments on the Z machine at Sandia National Laboratories (SNL). Due to the unique nature of the problem, there is little quantitative information available for the likelihood of failure of containment components or for the time to cleanup. Information for the evaluation was obtained from Subject Matter Experts (SMEs) at the Z machine facility. The SMEs provided the State of Knowledge (SOK) for the evaluation. There is significant epistemic- or state of knowledge- uncertainty associated with the events that comprise both failure of containment and cleanup. To capture epistemic uncertainty and to allow the SMEs to reason at the fidelity of the SOK, we used the belief/plausibility measure of uncertainty for this evaluation. We quantified two variables: the probability that the Pu containment system fails given a shot on the Z machine, and the time to cleanup Pu contamination in the Z machine given failure of containment. We identified dominant contributors for both the time to cleanup and the probability of containment failure. These results will be used by SNL management to decide the course of action for conducting the Pu experiments on the Z machine.

  2. Management of intermediate-risk pulmonary embolism: uncertainties and challenges.

    Science.gov (United States)

    Klok, Frederikus Albertus; Meyer, Guy; Konstantinides, Stavros

    2015-12-01

    Current guidelines on the treatment of acute pulmonary embolism (PE) recommend stratification of hemodynamically stable patients in 'low risk' and 'intermediate risk'. Validated risk scores, cardiac biomarkers, and imaging of the right ventricle all help in distinguishing both patient categories. The relevance of this risk stratification lies in the determination of the most optimal treatment for the individual patient. In this clinical review, we will discuss how patients with 'intermediate-risk' PE can be identified as well as recent advances in their therapeutic management. Based on a clinical case, we will highlight the indications for reperfusion therapy and the current experience with non-vitamin K-dependent oral anticoagulant (NOACs) in this specific patient's category.

  3. Master Data Management Model in Company: Challenges and Opportunity

    Directory of Open Access Journals (Sweden)

    Indrajani

    2015-12-01

    Full Text Available The purpose of this research is to analyze, design, and implement Master Data Management (MDM model for company, which include database processing that will be used in the quality of data customer and produce single view of customer. The research method used is literature study from a variety of journals, books, e-books, and articles on the internet. Also, fact finding techniques are done, such as by analyze, collect, and examine the documents, interviews, and observations. Then, other research methods used to analyze and design MDM model are using cleansing and matching technique. The result obtained from this research is an implementation MDM model for the company, where if implemented, will improve the quality of data significantly. The conclusion which can be obtained from this research is that MDM is one of the factors that can improve the quality of customer data.

  4. Challenges in the management of Neisseria gonorrhoeae keratitis.

    Science.gov (United States)

    McElnea, Elizabeth; Stapleton, Patrick; Khan, Sheryar; Stokes, John; Higgins, Gareth

    2015-02-01

    We describe the presentation and subsequent management of a case of keratitis caused by Neisseria gonorrhoeae. A thirty-nine year old gentleman presented with a purulent ocular discharge. Corneal melt with corneal perforation occurred. Neisseria gonorrhoeae was cultured. Systemic and topical antibiotics were given. Deep lamellar keratoplasty was performed for corneal perforation. At three months post treatment no recurrence of infection was noted. The possibility of Neisseria gonorrhoeaea keratitis should always be considered in patients with a purulent ocular discharge even if the case history is not immediately suggestive of the same. Severe gonococcal keratitis may be unilateral. Deep lamellar keratoplasty can be considered as a therapeutic option in patients with severe gonococcal keratitis.

  5. PHARMACEUTICAL WASTE MANAGEMENT: A CHALLENGE TO MAKE ENVIRONMENT ECOFRIENDLY

    Directory of Open Access Journals (Sweden)

    Sharma Natasha

    2010-12-01

    Full Text Available The pharmaceutical industry has made progress over the past several years to minimizing use of reagents that are hazardous to the environment and by designing alternate synthesis pathways. It is anticipated that they will extend these principles to product design, through such measures as increasing therapeutic efficacy by enhancing delivery to the target site, thus minimizing dosage required. The industry should be encouraged to investigate expiration dates to establish a maximum shelf life for a drug product, to minimize wastage.Pharmaceutical pollution, all sectors involved in health care pharmaceutical developers and manufacturers, hospitals, individual physicians and all those involved in the health care system, law enforcement agencies, pharmacies, waste management agencies, consumers, environmental protection organizations, and governmental agency to participate in preventing pharmaceutical pollution. This powerful approach provides a comprehensive solution to an issue that has the potential to affect much of life on earth to make the environment eco friendly.

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

    DEFF Research Database (Denmark)

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

    2005-01-01

    of the project in the light of a dynamic model ofshared knowledge creation. In particular, the ways in which the design and the methodological tools facilitated the process and its management are discussed. Some suggestions for forthcoming foresight exercises are also presented....... decision support for companies and research institutes in defining their R&D priorities and to assist governmental decisionmakers in making effectiveframework policies for successful introduction of hydrogen energy. Development of Nordic networks to gain the required critical mass in wider international...... contexts was considered equally important. The overall intention was to contribute to the strategicintelligence of the Nordic knowledge region in issues related to wellbeing and sustainable developments. The paper examines the rationale behind the project design and the contribution of the various steps...

  7. IT Project Portfolio Management; Challenges faced by Danish municipalities

    DEFF Research Database (Denmark)

    Hansen, Lars; Pedersen, Keld

    2010-01-01

    Abstract. Increasing the organizational benefits from IT projects is a key concern in most organizations. The use of Project Portfolio Management (PPM) is generally recommended by consultants (e.g. Kaplan 2005) and researchers (e.g. De Reyck et al 2005) as one way of increasing the organizational...... benefits from IT investments. This article reports from an action research project aiming at understanding and improving IT PPM practices in Danish municipalities, thereby contributing to the general body of knowledge concerning PPM of IT projects. Our findings suggest that the participating organizations...... might benefit from a structured approach as suggested by the literature (e.g. Kaplan 2005), but also that the prescriptive PPM literature in some areas is too simplistic when compared to the reality faced by the participating practitioners. Especially, our research suggests that different PPM elements...

  8. Managing Opioid Abuse in Older Adults: Clinical Considerations and Challenges.

    Science.gov (United States)

    Loreck, David; Brandt, Nicole J; DiPaula, Bethany

    2016-04-01

    Opioid use disorder is a public health epidemic. There is increasing attention being given to opioid abuse and overdose in the United States. The overall use of illicit substances by older adults is on the rise and in part can be attributed to the aging of Baby Boomers. Furthermore, much attention is being given to prescription opioid drug overdose, but it is important to note that heroin-related deaths have also increased sharply. Heroin use is part of a larger substance abuse problem, with more than nine in 10 individuals who use heroin also using at least one other drug (e.g., cocaine, prescription opioid medication). The current article highlights treatment approaches, namely buprenorphine, buprenorphine/naloxone, and naltrexone; insurance considerations; and resources to aid in understanding and managing this public health crisis.

  9. Chronic Q fever: An ongoing challenge in diagnosis and management

    Directory of Open Access Journals (Sweden)

    Ira Das

    2014-01-01

    Full Text Available Chronic Q fever is a potentially fatal disease. The current difficulty in the diagnosis of this condition is discussed in the present article. A 51-year-old woman with a history of aortic valve replacement presented with complaints of feeling generally unwell, pyrexia and occasional unproductive cough over a period of several weeks. Phase 1 immunoglobulin G titre to Coxiella burnetii was initially detected at a low level (1:320, detected using immunofluorescence and was not considered to be significant according to the modified Duke criteria. Later in the course of her illness, the patient’s antibody titre rose to a high level (1:1280. The issues regarding current laboratory diagnosis and management of Q fever are discussed. Chronic Q fever can be associated with an inadequate serological response. Close follow-up of cases is essential. The recommended serological criteria for the diagnosis of Q fever endocarditis needs to be revisited.

  10. Xanthogranulomatous cholecystitis: challenges in management & feasibility of laparoscopic surgery

    Directory of Open Access Journals (Sweden)

    Vikram Singh Chauhan

    2013-04-01

    Full Text Available Objective: Xanthogranulomatous cholecystitis (XGC is a rare, unusual and destructive form of chronic cholecystitis. It is clinically indistinguishable from other forms of cholecystitis and hence difficult to diagnose. Due to its propensity to form dense adhesions with stuctures surrounding the gall bladder and mimic malignancy of gall bladder intra-operatively, it’s difficult to manage. This retrospective study was conducted with the aim to review the clinico-pathologic presentation of XGC and the possibility of its laparoscopic management. Patient and methods: All cases of histo-pathologically diagnosed XGC from January 2008 to December 2012 at Sharda Hospital, School of Medical Sciences & Research, Greater Noida were analyzed retrospectively. Results: Sixty two cases of biopsy proved XGC were studied.The mean age at presentation was 56.4 ± 14.3 years (range 30 – 72 years, with a male: female ratio of 1.6:1. Gall bladder wall thickening on ultrasonography was seen in 91.9% cases and all (100% had cholelithiasis. Laparoscopic cholecystectomy was possible in 18 (29% cases, with a high conversion rate of 71% to open surgery. Two cases of carcinoma gall bladder accompanying XGC were documented. Both the mean operative time and hospital stay for laparoscopic surgery were longer for cases with XGC (105 minutes & 4.2 days respectively. No mortality occurred during the study period. Conclusion: XGC is difficult to diagnose preoperatively due to lack of distinguishing clinical features and imaging study results. Due to dense peri-cholecystic adhesions laparoscopic surgery though feasible in some cases is difficult to perform with a high conversion rate. Overall morbidity is also increased due to same reasons.

  11. Developing Youth Football Academies in Greece: Managing Issues and Challenges

    Directory of Open Access Journals (Sweden)

    Chris Trikalis

    2014-06-01

    Full Text Available Present study firstly investigated the goals and objectives of youth football academies in Greece, according to the different sector that they operate (public, private, voluntary and secondly created proposals for future youth football academies development. Research was conducted in Greece, at the period of 2010-2011. Fourteen youth football academies participated in this study and divided into three categories (five academies in commercial sector, four academies in public sector, and five academies in voluntary sector. Goals and objectives in each youth football academy were recorded in three different theoretical areas: a administrative, b coaching, and c supportive services. Data were collected through interviews via open and closed question formats from fourteen administrative and fourteen coaching staff of the corresponding teams. Qualitative analysis was applied. The results of the study indicated significant differences in operation of youth football academies according to the different sector they operated: a the commercial sector academies attempted to improve rapidly the technical skills of child footballers, using their good facilities / services, b the public sector academies aimed primarily to improve the number of children, and c the voluntary sector academies aimed mainly to identify footballers talent and excellent skills. The above results, conducted the following proposals for the overall development of youth football academies in Greece: a a new management philosophy should require to adopted by football stakeholders, b scientific methods of training and cooperation with scientific institutions should be applied, and c any action should be taken in mind the recent economic crisis in Greece. In conclusion, youth football academies in the region of Thessaly _ in which this study was conducted_ could be under development if new management strategies be adopted by football shareholders.

  12. Assessing and Managing Natural Resource Damages: Continuing Challenges and Opportunities

    Science.gov (United States)

    Barnthouse, Lawrence W.; Stahl, Ralph G.

    2017-05-01

    In a 2002 paper, we discussed the technical challenges associated with quantifying natural resource injuries, service losses and damages, and suggested some actions that might help to overcome them. An important suggestion was to consider using some of the approaches in ecological risk assessment to help evaluate potential natural resource injuries, and ultimately in some cases to help translate those injuries into natural resource service loss. This was based on the observation that ecological risk assessment and natural resource damage assessments use much of the same types of data, but at that time the experience base with ecological risk assessment was greater than for natural resource damage assessments. We also discussed some of the issues in applying the then current Department of Interior natural resource damage assessments regulations. Since our 2002 publication the scientific literature, relevant regulations, the global context and more have changed. In the current paper we focus on the technical and regulatory changes in natural resource damage assessments practice since 2002, and use recent reports and publications to illustrate those changes and identify new directions in natural resource damage assessments.

  13. Challenges in diabetes management in Indonesia: a literature review.

    Science.gov (United States)

    Soewondo, Pradana; Ferrario, Alessandra; Tahapary, Dicky Levenus

    2013-12-03

    The expanding diabetes epidemic worldwide could have potentially devastating effects on the development of healthcare systems and economies in emerging countries, both in terms of direct health care costs and loss of working time and disability. This study aims to review evidence on the burden, expenditure, complications, treatment, and outcomes of diabetes in Indonesia and its implications on the current health system developments. We conducted a comprehensive literature review together with a review of unpublished data from the Ministry of Health and a public health insurer (Askes). Studies presenting evidence on prevalence, incidence, mortality, costs, complications and cost of complications, treatment, and outcomes were included in the analysis. A limited number of international, national and local studies on the burden and cost of diabetes in Indonesia were identified. National survey data suggests that in 2007 the prevalence of diabetes was 5.7%, of which more than 70% of cases were undiagnosed. This estimate hides large intracountry variation. There was very limited data available on direct costs and no data on indirect costs. The most commonly-identified complication was diabetic neuropathy. There were a number of limitations in the data retrieved including the paucity of data representative at the national level, lack of a clear reference date, lack of data from primary care, and lack of data from certain regions of the country. If left unaddressed, the growing prevalence of diabetes in the country will pose a tremendous challenge to the Indonesian healthcare system, particularly in view of the Government's 2010 mandate to achieve universal health coverage by 2014. Essential steps to address this issue would include: placing diabetes and non-communicable diseases high on the Government agenda and creating a national plan; identifying disparities and priority areas for Indonesia; developing a framework for coordinated actions between all relevant

  14. The Century-Long Challenge of Global Carbon Management

    Science.gov (United States)

    Socolow, R.

    2002-05-01

    The time scale of the global carbon management is a century, not a decade and not a millennium. A century is the ratio of 1000 billion metric tons of carbon [Gt(C)] to 10 Gt(C)/yr. 1000 Gt(C) is the future emissions that will lead to approximately a doubling of the pre-industrial atmospheric CO2 concentration, 280 ppm, assuming the total net ocean plus terrestrial sink remains at half the strength of this source - since 2.1 Gt (C) = 1 ppm, and the concentration today is already 370 ppm. Doubling is the most widely used boundary between acceptable and unacceptable Greenhouse-related environmental disruption, or, in the language of the Framework Convention on Climate Change, the onset of "dangerous anthropogenic interference with the climate system." And 10 Gt(C)/yr is a conservative estimate of the average annual fossil-fuel carbon source over the century; it is now between 6 and 7 Gt(C). Conventional oil and gas are not sufficiently abundant to generate a serious Greenhouse problem on their own. Well before their cumulative carbon emissions reach 1000 Gt(C), both are expected to become non-competitive as a result of growing costs of access (costs related to resources being very deep underground, or below very deep water, or very remote, or very small.) But several times 1000 Gt(C) of coal resources will probably be competitive with non-fossil fuel alternatives, as will "unconventional" oil and gas resources, such as tar sands. The world will not be saved from a serious Greenhouse problem by fossil fuel depletion. There are four mitigation strategies for avoiding dangerous interference with the climate system. Fossil fuels can cease to dominate the global energy system well before the end of the century, yielding large market share to some combination of renewable energy and nuclear (fission and fusion) energy sources. Fossil fuels can continue to dominate, but most of the carbon in the century's fossil fuels can be prevented from reaching the atmosphere (fossil

  15. Municipal solid waste management in Beijing: characteristics and challenges.

    Science.gov (United States)

    Wang, Hao; Wang, Chunmei

    2013-01-01

    An overview of the municipal solid waste (MSW) management in Beijing, a city with a resident population of about 19.61 million in 2010, is presented in the article. Economic development and population growth have resulted in a MSW generation increase from 2.96 million tons in 2000 to 6.20 million tons in 2007, fluctuating to 6.35 million tons in 2010. The components of MSW over the past decade are characterized by increasing food and paper contents, and a decreasing ash content. The percentage of food waste, the main putrescible component, increased steadily from 45.77% in 2002 to 66.98% in 2010. Combustible materials, such as plastic, paper, textile, wood and food waste, accounted for 94.66% of MSW in 2008. There are 15 landfill sites, 2 incinerators and 2 composting plants in Beijing, with a total designed capacity of 15,380 tons/day in 2010. The main waste disposal technology used in Beijing is landfill, which accounts for 92.27% of the total designed capacity in 2008 and 78.54% in 2009. The designed capacity of the existing disposal plants cannot cope with the actual quantity of waste generation, resulting in overloading and premature closure of landfill sites. Solid waste incineration has been given priority in technology development and financial support over other disposal methods.

  16. Managing nut-induced anaphylaxis: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Lomas JM

    2015-10-01

    Full Text Available Jeanne M Lomas, Kirsi M Järvinen Division of Pediatric Allergy and Immunology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA Abstract: The prevalence of peanut and tree nut allergy in the USA has increased, especially in the pediatric population. Nut allergy remains the leading cause of fatal anaphylactic reactions. Management of anaphylaxis includes not only treatment of symptoms during a reaction, but strict dietary avoidance and education on potential situations, which may place the patient at high risk for accidental exposure. Cross-reactivity between various nuts along with various cross-contamination sources should be discussed with all nut-allergic individuals. Exciting research continues to emerge on other potential treatments for patients allergic to nuts, including allergen immunotherapy. Results of such interventions have been encouraging, though further studies are needed regarding safety and long-term outcomes before these can be applied to clinical practice. Keywords: peanut, tree nut, anaphylaxis, cross-reactivity, avoidance, immunotherapy

  17. Postcesarean wound infection: prevalence, impact, prevention, and management challenges

    Directory of Open Access Journals (Sweden)

    Zuarez-Easton S

    2017-02-01

    Full Text Available Sivan Zuarez-Easton,1 Noah Zafran,1,2 Gali Garmi,1,2 Raed Salim1,2 1Department of Obstetrics and Gynecology, Emek Medical Center, Afula, 2Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel Abstract: Surgical site infection (SSI is one of the most common complications following cesarean section, and has an incidence of 3%–15%. It places physical and emotional burdens on the mother herself and a significant financial burden on the health care system. Moreover, SSI is associated with a maternal mortality rate of up to 3%. With the global increase in cesarean section rate, it is expected that the occurrence of SSI will increase in parallel, hence its clinical significance. Given its substantial implications, recognizing the consequences and developing strategies to diagnose, prevent, and treat SSI are essential for reducing postcesarean morbidity and mortality. Optimization of maternal comorbidities, appropriate antibiotic prophylaxis, and evidence-based surgical techniques are some of the practices proven to be effective in reducing the incidence of SSI. In this review, we describe the biological mechanism of SSI and risk factors for its occurrence and summarize recent key clinical trials investigating preoperative, intraoperative, and postoperative practices to reduce SSI incidence. It is prudent that the surgical team who perform cesarean sections be familiar with these practices and apply them as needed to minimize maternal morbidity and mortality related to SSI. Keywords: cesarean section, management, surgical site infection

  18. Environmental Cleanup Technology Transfer Initiatives

    Science.gov (United States)

    1994-08-01

    application of the "lasagna process" at the DOE Paducah Gaseous Diffusion Plant , 3) Joliet Army Arsenal, and 4) the Massachusetts Military...hazardous materials management; aquatic plant control; and zebra mussel control. They conduct projects relating to the environmental impact of dredging...Several demonstration sites were selected as of January 1994: AFCEE/Brooks AFB, TX; Black Hills Ordnance Depot, SD; Rocky Flats Plant , CO; Los Alamos

  19. Value-creation and networking in coopetition and public value management-The two challenging complementing frameworks of management studies

    Directory of Open Access Journals (Sweden)

    Teacher/lecturer Rauno Rusko

    2010-12-01

    Full Text Available Managerialism, emphasising on competition, is a leading penetrable practice or method in public and business management. However, managerialism is not a unique principle to manage public and private organisations. In this study we introduce, in addition to managerialism and its backgrounds, the challenging contemporary practices or paradigms of public and business management, such as cooperation, or simultaneous cooperation and competition, that is coopetition, and public value management (PVM, and show their practical and theoretical significance in the management discussions. Regardless of the possibility to dispute the existence of both coopetition paradigm because of the contemporary dominating competition and cooperation paradigms, and PVM because of the different versions of post NPM viewpoints, we introduce the complementary roles of coopetition and PVM frameworks for the management studies and practices

  20. International Safety Management – Safety Management Systems and the Challenges of Changing a Culture

    Directory of Open Access Journals (Sweden)

    Gregory Hanchrow

    2017-03-01

    Full Text Available Over the past generation, the ISM code has brought forth tremendous opportunities to investigate and enhance the human factor in shipping through the implementation of Safety Management Systems. One of the critical factors to this implementation has been mandatory compliance and a requirement for obtaining a Document of Compliance (DOC for vessels operating globally or at least internationally. A primary objective of these systems is to maintain them as “living” or “dynamic” systems that are always evolving. As the ISM code has evolved, there have been instances where large organizations have opted to maintain a voluntary DOC from their respective class society. This has been accomplished with a large human factor element as typically an organizational culture does not always accept change readily especially if there is not a legal requirement to do so. In other words, when considering maritime training is it possible that organizations may represent cultural challenges? The intent of this paper will be to research large maritime operations that have opted for a document of compliance voluntarily and compare them to similar organizations that have been mandated by international law to do the same. The result should be to gain insight into the human factors that must contribute to a culture change in the organization for the purposes of a legal requirement versus the human factors that contribute to a voluntary establishment of a safety management system. This analysis will include both the executive decision making that designs a system implementation and the operational sector that must execute its implementation. All success and failures of education and training can be determined by the outcome. Did the training achieve its goal? Or has the education prepared the students to embrace a new idea in conjunction with a company goal or a new regulatory scheme? In qualifying the goal of a successful ISM integration by examining both

  1. Managing the twenty-first century reference department challenges and prospects

    CERN Document Server

    Katz, Linda S

    2014-01-01

    Learn the skills needed to update and manage a reference department that efficiently meets the needs of clients today?and tomorrow! Managing the Twenty-First Century Reference Department: Challenges and Prospects provides librarians with the knowledge and skills they need to manage an effective reference service. Full of useful and practical ideas, this book presents successful methods for recruiting and retaining capable reference department staff and management, training new employees and adapting current services to an evolving field. Expert practitioners address the changing role of the r

  2. Electronic Customer Relationship Management (eCRM): Opportunities and Challenges in a Digital World

    OpenAIRE

    Kennedy, Aileen

    2006-01-01

    Electronic customer relationship management (eCRM) is seen to arise from the consolidation of traditional CRM with the e-business applications marketplace and has created a flurry of activity among companies. ECRM is the proverbial double-edge sword, presenting both opportunities and challenges for companies considering its adoption and implementation. This challenges companies considering its adoption and implementation. This paper explores the marketing opportunities eCRM creates for compan...

  3. CO2 exsolution - challenges and opportunities in subsurface flow management

    Science.gov (United States)

    Zuo, Lin; Benson, Sally

    2014-05-01

    for storage security. Falta et al. [2013] show that if carbonated brine migrates upwards and exsolution occurs, brine migration would be greatly reduced and limited by the presence of exsolved CO2 and the consequent low relatively permeability to brine. Similarly, if an exsolved CO2 phase were to evolve in seals, for example, after CO2 injection stops, the effect would be to reduce the permeability to brine and the CO2 would have very low mobility. This flow blocking effect is also studied with water/oil/CO2 [Zuo et al., 2013]. Experiments show that exsolved CO2 performs as a secondary residual phase in porous media that effectively blocks established water flow paths and deviates water to residual oil zones, thereby increasing recovery. Overall, our studies suggest that CO2 exsolution provides an opportunity for mobility control in subsurface processes. However, the lack of simulation capability that accounts for differences between gas injection and gas exsolution creates challenges for modeling and hence, designing studies to exploit the mobility reduction capabilities of CO2 exsolution. Using traditional drainage multiphase flow parameterization in simulations involving exsolution will lead to large errors in transport rates. Development of process dependent parameterizations of multiphase flow properties will be a key next step and will help to unlock the benefits from gas exsolution. ACKNOWLEDGEMENT This work is funded by the Global Climate and Energy Project (GCEP) at Stanford University. This work was also supported by U.S. EPA, Science To Achieve Results (STAR) Program, Grant #: 834383, 2010-2012. REFERENCES Falta, R., L. Zuo and S.M. Benson (2013). Migration of exsolved CO2 following depressurization of saturated brines. Journal of Greenhouse Gas Science and Technology, 3(6), 503-515. Zuo, L., S.C.M. Krevor, R.W. Falta, and S.M. Benson (2012). An experimental study of CO2 exsolution and relative permeability measurements during CO2 saturated water

  4. Addressing challenges for future strategic-level emergency management: reframing, networking, and capacity-building.

    Science.gov (United States)

    Bosomworth, Karyn; Owen, Christine; Curnin, Steven

    2017-04-01

    The mounting frequency and intensity of natural hazards, alongside growing interdependencies between social-technical and ecological systems, are placing increased pressure on emergency management. This is particularly true at the strategic level of emergency management, which involves planning for and managing non-routine, high-consequence events. Drawing on the literature, a survey, and interviews and workshops with Australia's senior emergency managers, this paper presents an analysis of five core challenges that these pressures are creating for strategic-level emergency management. It argues that emphasising 'emergency management' as a primary adaptation strategy is a retrograde step that ignores the importance of addressing socio-political drivers of vulnerabilities. Three key suggestions are presented that could assist the country's strategic-level emergency management in tackling these challenges: (i) reframe emergency management as a component of disaster risk reduction rather than them being one and the same; (ii) adopt a network governance approach; and (iii) further develop the capacities of strategic-level emergency managers. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

  5. The Emergence of Enterprise Systems Management - A Challenge to the IS Curriculum

    DEFF Research Database (Denmark)

    Møller, Charles; Kræmmergaard, Pernille; Rikhardsson, Pall M.

    2005-01-01

    in the emergence of Enterprise Systems Management (ESM). Enterprise Systems Management calls for new competences and consequently represents new challenges to the IS curriculum. The paper outlines potential teaching issues and discusses the impact on the IS curriculum. Finally the paper suggests ways......This paper proposes four cornerstones of a future Information Systems curriculum. It analyzes the challenges of the IS curriculum based on the development of enterprise systems, and further argues that the practice and the research into enterprise systems have progressed to a new stage resulting...

  6. The Emergence of Enterprise Systems Management - A Challenge to the IS Curriculum

    DEFF Research Database (Denmark)

    Møller, Charles; Kræmmergaard, Pernille; Rikhardsson, Pall M.

    This paper proposes four cornerstones of a future Information Systems curriculum. It analyzes the challenges of the IS curriculum based on the development of enterprise systems, and further argues that the practice and the research into enterprise systems have progressed to a new stage resulting...... in the emergence of Enterprise Systems Management (ESM). Enterprise Systems Management calls for new competences and consequently represents new challenges to the IS curriculum. The paper outlines potential teaching issues and discusses the impact on the IS curriculum. Finally the paper suggests ways...

  7. Summary: Addressing the Interactional Challenges of Moving Collaborative Adaptive Management From Theory to Practice

    Directory of Open Access Journals (Sweden)

    Kathi K. Beratan

    2014-03-01

    Full Text Available Translating the attractive concept of collaborative adaptive management (CAM into practice has proven very difficult. The papers included in this Special Feature explore why this is true and suggest how the challenges might be addressed. This summary highlights common themes, major challenges, and implications for research and practice. Many of the included papers emphasize the central importance of collaboration and stakeholder engagement as a response to complexity and uncertainty. Collectively, the papers make the case that a lack of knowledge about how to manage the human dynamics of comanagement poses a major challenge to implementing CAM. Human activities are the primary drivers of system change in most natural resource management systems, so attention to human dynamics is essential for developing useful change hypotheses and leading indicators that can provide useful and timely feedback for adaptive management. Institutions need to evolve to support adaptive and collaborative management processes. This will require thoughtful design of CAM processes, along with commitment of sufficient time and resources. Implementation challenges should be considered as a major focus for research rather than as simply barriers to progress. More effective ways of capturing practitioners' experiential knowledge are required to improve the practice of CAM. This Special Feature suggests that the concept of a CAM practitioners' journal has promise, but realization of that promise will require careful attention to the needs of and constraints on practitioners.

  8. INTEGRATION CHALLENGES OF UNIVERSITY AND INFORMATION MANAGEMENT SYSTEM (UIMS TO MOODLE

    Directory of Open Access Journals (Sweden)

    Jyldyzbek J. Jakshylykov

    2016-06-01

    Full Text Available Introduction: in 2006 an International Ataturk Ala-Too University (IAAU began to adopt internationally recognised Bologna system, which was initiated by the Ministry of Science and Education of Kyrgyz Republic because of problems of managerial and educational problems at universities in Kyrgyzstan. Consequently, IAAU had to improve its information and grading system and created University Information and Manage¬ment System (UIMS, which was developed by the university professional team including the author. At the same time, the university began to apply a Moodle software, which delivers open source management system programs, in order to appropriately manage teaching proc esses and manage courses online. Materials and Methods: the methodological basis of the research are descriptive method, analysis, and comparison. Results: however, the IAAU faced some challenged issues in the application of the two innovation, which was the integration challenges of those Moodle and UIMS. Hence, the main purpose of this study is to demonstrate benefits of Moodle and UIMS linking challenges. at first, this paper informs Moodle functions, features, advantages and disadvantages in a shortly manner and UIMS management features and primary functions, which included six fundamentally crucial processes with some graphical representations. In addition, the analysis and methodologies of two systems through identifying advantages and disadvantages for the possible integ ration. Discussion and Conclusions: at the end, some challenged issues were identified from analysis results, also Moodle and UIMS benefits were demonstrated in the International Ataturk Ala-Too University.

  9. Offshore produced water management: A review of current practice and challenges in harsh/Arctic environments.

    Science.gov (United States)

    Zheng, Jisi; Chen, Bing; Thanyamanta, Worakanok; Hawboldt, Kelly; Zhang, Baiyu; Liu, Bo

    2016-03-15

    Increasing offshore oil and gas exploration and development in harsh/Arctic environments require more effective offshore produced water management, as these environments are much more sensitive to changes in water quality than more temperate climates. However, the number and scope of studies of offshore produced water management in harsh/Arctic environments are limited. This paper reviews the current state of offshore produced water management, impacts, and policies, as well as the vulnerability, implications and operational challenges in harsh/Arctic environments. The findings show that the primary contaminant(s) of concern are contained in both the dissolved oil and the dispersed oil. The application of emerging technologies that can tackle this issue is significantly limited by the challenges of offshore operations in harsh/Arctic environments. Therefore, there is a need to develop more efficient and suitable management systems since more stringent policies are being implemented due to the increased vulnerability of harsh/Arctic environments.

  10. Managing medical groups: 21st century challenges and the impact of physician leadership styles.

    Science.gov (United States)

    Martin, William E; Keogh, Timothy J

    2004-01-01

    Physician group managers and administrators charged with leading medical groups in the 21st century face a set of old and new challenges and opportunities. Leadership is assumed to make the difference between a successful and not-so-successful medical group. Yet, there is little research about how physician manager leadership styles contribute to the success of medical group practices. This article is a study of physician leadership styles using the DiSC, based upon a sample of 232 physician managers. Dominance (D) and conscientiousness (C) were the two dominant styles found in this study. Moreover, the two dominant combination leadership styles fall under the categories of the "creative" and the 'perfectionist." The article formulates practical recommendations for both physician managers and administrators for leading medical groups to respond more effectively to the challenges and opportunities facing medical groups in the 21st century.

  11. MOVE! multidisciplinary programs: Challenges and resources for weight management treatment in VHA.

    Science.gov (United States)

    Rosenberger, Patricia H; Ruser, Christopher; Kashaf, Susan

    2011-12-01

    The MOVE! program has been a successful weight management and physical activity initiative from the Veteran's Health Administration. While it embraces a multicomponent approach to weight management, local facilities have primarily focused on the implementation of delivery of MOVE! educational materials to groups or individuals. We discuss additional MOVE!-related weight management efforts within VHA that reflect treatment strategies beyond delivery of these educational materials. First, we present a case study that highlights the special challenges associated with the Veteran overweight/obese population. Second, we describe the implementation of our local, multidisciplinary, individualized weight management clinic as an example of on-the-ground provision of a higher treatment intensity program as part of MOVE!'s multicomponent model. Third, we present program outcomes and consider challenges to program sustainability.

  12. Implementing Human Resource Management Successfully: A First-Line Management Challenge

    NARCIS (Netherlands)

    Bos-Nehles, Anna Christina; van Riemsdijk, Maarten; Looise, Jan C.

    2006-01-01

    In this paper we will address the success of Human Resource Management (HRM) implementation, concentrating not on the HR function but on first-line managers. First-line managers find implementing HR practices at the operational level difficult and show reluctance with their HR responsibilities.

  13. Challenges of using model predictive control for active demand side management

    OpenAIRE

    Zong, Yi; You, Shi; Hu, Junjie; Han, Xue; Jiang, Chongxi; Zhang, Yi; Böning, Georg Martin

    2015-01-01

    When there is a high penetration of renewables in the power system, it requires coordinated management of large numbers of distributed and demand response resources, intermittent resources to maintain the grid reliability and improve operational economics. This paper presents a hierarchical architecture design for Model Predictive Controller (MPC), and discusses the challenges encountered during the implementation of MPC for active demand side management. The two different pilot case studies ...

  14. Global medication waste management practices: challenges and opportunities in developing countries

    OpenAIRE

    Bataduwaarachchi, Vipula R.; Chamari L. Weeraratne

    2016-01-01

    Medication waste is synonymous with pharmaceutical waste, unused or expired medicines. Improper disposal of medication waste leads to serious personal and environmental health hazards. There were no established medication waste management programmes in most of the developing countries including Asia. Presence of unique socioeconomic problems in these counties makes the establishment of successful medication waste management programme a challenge. We reviewed the literature pertaining to the d...

  15. Challeng es for context manag ement s ystems imposed by context inference

    OpenAIRE

    Korbinian Frank; Nikos Kalatzis; Ioanna Roussaki; Nicolas Liampotis

    2009-01-01

    This work gives an overview over the challenges for context management systems in Ubiquitous Computing frameworks or Personal Smart Spaces. Focused on the integration of context inference in today’s context management systems (CMSs) we address important design decisions for future frameworks. The inference system we have in mind is probabilistic and relies on the concept of Bayeslets, special inference rules extending Bayesian networks. We show that for inference rule creation, storage, infer...

  16. MANAGING HUMAN TALENT. WORKFORCE DIVERSITY VS. INDIVIDUAL DIFFERENCES. CHALLENGES OF THE WORKFORCE MOTIVATION AND RETENTION

    OpenAIRE

    Monica Boldea; Ionuţ Drăgoi

    2011-01-01

    Each day presents a new set of challenges and risks to companies operating in this age ofboth a global economy and of multiculturalism, i.e. a fast-changing marketplace. Globalcompetition and escalating economic pressures make the business environment bothdynamic and difficult, especially given the workforce diversity which has to be managed soas to achieve the highest levels of task performance and job satisfaction; managers must beprepared to respect alternative cultures and value diversity...

  17. A Grand Challenge: Immortal Information and Through-Life Knowledge Management (KIM

    Directory of Open Access Journals (Sweden)

    Alexander Ball

    2006-11-01

    Full Text Available ‘Immortal information and through-life knowledge management: strategies and tools for the emerging product-service business paradigm’, is a Grand Challenge project involving eleven different UK universities and incorporating substantial industry collaboration. It is investigating a range of issues associated with the move towards a product-service paradigm in the engineering sector, in particular the long-term curation of digital data, learning from production and use, and appropriate governance and management techniques.

  18. Overcoming the four toughest management challenges. Increase your effectiveness by using situational leadership.

    Science.gov (United States)

    Ketchum, S M

    1991-01-01

    The high-pressure work environment of the clinical laboratory presents significant challenges for managers. Often thrust into supervisory roles without formal management training, laboratory managers must find ways to delegate tasks, mediate conflict, minimize office politics, and build effective teams out of employees who may be quite diverse in their experience levels, motivation levels, and cultural backgrounds. This article explores the concept of situational leadership, which was developed by Ken Blanchard and Paul Hersey, and its applicability within the clinical laboratory. This practical paradigm involves matching one of four distinct management styles to the four development levels of employees. Each leadership style is explained, along with guidelines for giving performance feedback to employees, so that managers can evaluate their own supervisory styles. Finally, step-by-step recommendations for coping with the four management roles of delegator, referee, influencer, and team builder are presented.

  19. SGN's experience in the field of decommissioning and site cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Fouques, F. [SGN, Montigny-le-Bretonneux, 78182 Saint Quentin-en-Yvelines Cedex (France); Destrait, L. [SGN, 30204 Bagnols sur Ceze Cedex (France)

    2003-07-01

    As early as the 1980's, SGN participated in dismantling projects at CEA and COGEMA plants in France. The experience gained has since been applied to many projects in France and abroad. In close collaboration with the customer, SGN is prime contractor on a cleanup and dismantling project, from preliminary studies and tool and process development to release of the site. SGN's areas of expertise include waste retrieval, decontamination processes, intervention robotics, cutting tools and waste management and treatment. SGN's proposal is based on proven methods and feedback from earlier projects. SGN is currently participating in many cleanup and dismantling projects, including the three (LRTP project at Chernobyl, Marcoule Plant UP1 and Hanford in the U.S.A) presented below. The contents is as follows: 1. Introduction; 2. LRTP Project at Chernobyl; 2.1. Description of interim waste storage; 2.2. Organization; 2.3. Plant characteristics; 2.4. Process Implemented (waste retrieval from the storage tanks; waste sampling and pretreatment; Volume reduction; Cementing); 2.5. Schedule; 3. Marcoule plant UP1; 3.1 Description of plant UP1; 3.2 Organization; 3.3. Cleanup/Dismantling program; 3.3.1. Purpose of the decommissioning and cleanup operations; 3.3.2. D and D techniques Implemented (Cleanup techniques used; Examples of remote handling equipment): 3.3.3. Purpose of the waste retrieval and packaging operations; 3.3.4. Purpose of the dismantling operations; 4. Hanford in the U.S.A.; 4.1. Decontamination and cleanup of hot cells; 4.2. Liquid and sludge retrieval; 4.3. Retrieval and packaging of spent nuclear fuel.

  20. Clinical parameters and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital

    Directory of Open Access Journals (Sweden)

    Adeola A Olusanya

    2015-01-01

    Full Text Available Introduction: Necrotizing fasciitis is a severe soft tissue infection. In our environment, patients presenting with this infection are usually financially incapacitated and, therefore, their management can be challenging. This paper aimed to document the pattern and challenges encountered in the management of cervicofacial necrotizing fasciitis (CNF in the University College Hospital, Ibadan. Materials and Methods: Information such as biodata, site of infection, systemic conditions, widest span of defect, management provided, hospital stay, and outcome of management was prospectively collected on all patients with CNF who presented at the Department of Oral and Maxillofacial Surgery between January 2007 and December 2013. The patients were managed according to a devised protocol of antibiotic therapy, serial debridement and honey dressings. Results: Twenty-four cases of CNF were seen. There were 9 males and 15 females while 70.9% of the patients belonged to the low socioeconomic class. The mean span of wound defect was 12.2 (±8.844 cm. The mean hospital stay was 27.8 (±23.1 days, and scar formation was the most common complication encountered. Conclusion: Our study represents the largest series of CNF from a Nigerian health facility presently. The management of necrotizing fascitis in the maxillofacial region poses a significant challenge to both the surgeon and the patient. However, the mortality rate of CNF in our center appears comparatively low.

  1. Risk Management of Procurement Challenges: The Implication To Construction Firms In Ghana

    Directory of Open Access Journals (Sweden)

    Timothy Adu Gyamfi

    2016-08-01

    Full Text Available It is clear that procurement challenges have been enormous task delving the major stakeholders in construction industry. The construction industry all over the world is fraught with challenges and the case of Ghana is no different. The study set out to examine Risk management of procurement challenges: The implication to construction firms in Ghana. This study which was conducted within the Ashanti Region of Ghana, primarily sought to identify procurement challenges facing firms in Ashanti region and the effective methods used to deal with those challenges. This study adopted a quantitative research approach; the study used convenient (purposive sampling to select 20 first class construction companies within the Ashanti Region. Four management staff from each firm was used, and thus, the study population for the 20 firms will be 80. Sample for the study consisted of 40 respondents from ten (10 first class construction firms in the Ashanti region. These constitute 50% of the targeted population. Questionnaires were used to solicit data and statistical tools used to analyse the data collected are descriptive tools such as frequency, and percentages and also Chisquare. The study has found that risk assessment approaches used by the firms to identify procurement challenges were based on the past experiences of the firms, quantification of possible losses, and predictions drawn from secondary data. Also the challenges to procurement were the unavailability of indices for bids and costs, unavailability of construction materials, improper inventory management, and risks with working at height. The study has established that the methods for dealing with the challenges included direct imports of construction materials, the use of other substitutes, monitoring inventory and training workers on working at height.

  2. Towards interprofessional networking in medication management of the aged: current challenges and potential solutions in Finland.

    Science.gov (United States)

    Kallio, Sonja; Kumpusalo-Vauhkonen, Anne; Järvensivu, Timo; Mäntylä, Antti; Pohjanoksa-Mäntylä, Marika; Airaksinen, Marja

    2016-12-01

    The Finnish Medicines Agency (Fimea) initiated a programme in 2012 for enhancing interprofessional networking in the medication management of the aged. The goal is to develop national guidelines for interprofessional collaboration with respect to medication management. This study aims to explore the challenges and potential solutions experienced by existing health care teams in managing medication of the aged: (1) at the individual and team level (micro level), (2) organisational level (meso level) and (3) structural level (macro level). Group discussions (n = 10), pair (n = 3) and individual interviews (n = 2). Abductive content analysis combining data and theory was applied. Networking was used as a theoretical framework. Meetings (n = 15) organised by Fimea in the formation phase of the interprofessional network in 2012. Health care professionals (n = 55). Challenges and solutions in the medication management of the aged at the micro, meso and macro levels. Challenges in interprofessional collaboration, problems with patient record systems, and the organisation of work and lack of resources were present at all the levels contributing to patients' medication problems. Participants suggested multiple potential solutions to improve interprofessional collaboration, sharing of tasks and responsibilities, better exploitation of pharmaceutical knowledge and developing tools as being the most commonly mentioned. Optimising medication use of the aged requires new systemic solutions within and between different system levels. The main challenges can be solved by clarifying responsibilities, enhancing communication and applying operational models that involve pharmacists and the use of information technology in medication management. KEY POINTS An interprofessional team approach has been suggested as a solution to promote rational medicine use among the aged. Fragmented health care system and lack of coordinated patient care are reasons for medication

  3. Challenges in the Development of Environmental Management Systems on the Modern University Campus

    Science.gov (United States)

    Bero, Bridget N.; Doerry, Eckehard; Middleton, Ryan; Meinhardt, Christian

    2012-01-01

    Purpose: The purpose of this paper is to describe challenges and lessons learned in the design and development of a comprehensive, flexible environmental management system (EMS) in a real university setting; also to inform development of similar systems elsewhere and provide a modular, extensible software architecture for such efforts.…

  4. Recurrent Governance Challenges in the Implementation and Alignment of Flood Risk Management Strategies: a Review

    NARCIS (Netherlands)

    Dieperink, C.; Hegger, D.L.T.; Bakker, M.H.N.; Kundzewicz, Zbigniew W.; Green, Colin; Driessen, P.P.J.

    2016-01-01

    In Europe increasing flood risks challenge societies to diversify their Flood Risk Management Strategies (FRMSs). Such a diversification implies that actors not only focus on flood defence, but also and simultaneously on flood risk prevention, mitigation, preparation and recovery. There is much lite

  5. Activity-Based Management System Implementation in Higher Education Institution: Benefits and Challenges

    Science.gov (United States)

    Ismail, Noor Azizi

    2010-01-01

    Purpose: The purpose of this paper is to discuss how activity-based costing (ABC) technique can be applied in the context of higher education institutions. It also discusses the obstacles and challenges to the successful implementation of activity-based management (ABM) in the higher education environment. Design/methodology/approach: This paper…

  6. Classroom Management Strategies for Young Children with Challenging Behavior within Early Childhood Settings

    Science.gov (United States)

    Jolivette, Kristine; Steed, Elizabeth A.

    2010-01-01

    Many preschool, Head Start, and kindergarten educators of young children express concern about the number of children who exhibit frequent challenging behaviors and report that managing these behaviors is difficult within these classrooms. This article describes research-based strategies with practical applications that can be used as part of…

  7. Herding the Academic Cats: The Challenges of "Managing" Academic Research in the Contemporary UK University

    Science.gov (United States)

    Deem, Rosemary

    2010-01-01

    This article explores some aspects of and challenges faced by those academics and administrators who undertake the leadership and management of research activity in contemporary UK universities. This analysis is set in the context of almost three decades of reforms to the UK's higher education systems in general and to research funding and audit…

  8. Activity-Based Management System Implementation in Higher Education Institution: Benefits and Challenges

    Science.gov (United States)

    Ismail, Noor Azizi

    2010-01-01

    Purpose: The purpose of this paper is to discuss how activity-based costing (ABC) technique can be applied in the context of higher education institutions. It also discusses the obstacles and challenges to the successful implementation of activity-based management (ABM) in the higher education environment. Design/methodology/approach: This paper…

  9. Implementing asset management inside infrastructure agencies: the challenge of conflicting logics

    NARCIS (Netherlands)

    Schraven, Daan Franciscus Josephus

    2015-01-01

    Asset Management (AM) implementation appears a difficult and lengthy exercise for many public infrastructure agencies, and hard to understand because of the many contexts in which these agencies are situated. The main objective of this research project is to understand the challenges in AM implement

  10. Using the Staff Sharing Scheme to Support School Staff in Managing Challenging Behaviour More Effectively

    Science.gov (United States)

    Jones, Daniel; Monsen, Jeremy; Franey, John

    2013-01-01

    This paper explores how educational psychologists working in a training/consultative way can enable teachers to manage challenging pupil behaviour more effectively. It sets out a rationale which encourages schools to embrace a group based teacher peer-support system as part of regular school development. It then explores the usefulness of the…

  11. Challenges and opportunities of health care supply chain management in the United States.

    Science.gov (United States)

    Elmuti, Dean; Khoury, Grace; Omran, Omar; Abou-Zaid, Ahmed S

    2013-01-01

    This article explores current supply chain management challenges and initiatives and identifies problems that affect supply chain management success in the U.S. health-care industry. In addition, it investigates the impact of health care supply chain management (SCM) initiatives on the overall organizational effectiveness. The attitudinal results, as well as the performance results presented in this study support the claim of health care proponents that the SCM allows organizations to reduce cost, improve quality, and reduce cycle time, and leads to high performance.

  12. 1st International Conference on Business Management - “New Challenges in Business Research”

    OpenAIRE

    Calafat Marzal, Maria Consuelo; Martí Selva, María Luisa

    2015-01-01

    We are glad to announce the 1st International Conference on Business Management “New Challenges in Business Research” that will be held in the Faculty of Business Management and Administration of the Universitat Politècnica de València (Valencia, Spain) on 2nd – 3rd of July, 2015. The aim of the conference is to give researchers the opportunity to get together and present unpublished and relevant research studies about different topics on business management and economics. We belie...

  13. Pharmacological versus non-pharmacological approaches to managing challenging behaviours for people with dementia.

    Science.gov (United States)

    Jones, Tony; Hungerford, Catherine; Cleary, Michelle

    2014-02-01

    When people with dementia demonstrate challenging behavioural and psychological symptoms of dementia, the levels of stress experienced by their carers increases. Furthermore, there is an increased likelihood that the person will be prematurely admitted to a residential care facility. The adverse side-effects that have been associated with the use of antipsychotic medications in older people with dementia have given rise to a renewed emphasis on the use of non-pharmacological approaches to manage challenging behaviours. This article describes the approaches taken by the multi-disciplinary team of a Dementia Behaviour Management Advisory Service in Australia to support people with dementia who have challenging behaviours by using non-pharmacological interventions.

  14. Data management and other logistical challenges for the GEMS: the data coordinating center perspective.

    Science.gov (United States)

    Biswas, Kousick; Carty, Christina; Horney, Rebecca; Nasrin, Dilruba; Farag, Tamer H; Kotloff, Karen L; Levine, Myron M

    2012-12-01

    The Cooperative Studies Program Coordinating Center provided the data management, administrative, and statistical support to the Global Enteric Multicenter Study (GEMS). The GEMS study, the largest epidemiological study in the diarrheal disease area among children <5 years of age, was carried out in 4 African countries and 3 Asian countries. Given the geographical and geopolitical differences among the countries, the administration of a centralized data management operation was a major challenge. The sheer volume of the data that were collected, regular transfer of the data to a centralized database, and the cleaning of the same also posed some challenges. This paper outlines the details of the support that the data coordinating center provided and the challenges faced during the course of the study.

  15. Data Management and Other Logistical Challenges for the GEMS: The Data Coordinating Center Perspective

    Science.gov (United States)

    Biswas, Kousick; Carty, Christina; Horney, Rebecca; Nasrin, Dilruba; Farag, Tamer H.; Kotloff, Karen L.; Levine, Myron M.

    2012-01-01

    The Cooperative Studies Program Coordinating Center provided the data management, administrative, and statistical support to the Global Enteric Multicenter Study (GEMS). The GEMS study, the largest epidemiological study in the diarrheal disease area among children <5 years of age, was carried out in 4 African countries and 3 Asian countries. Given the geographical and geopolitical differences among the countries, the administration of a centralized data management operation was a major challenge. The sheer volume of the data that were collected, regular transfer of the data to a centralized database, and the cleaning of the same also posed some challenges. This paper outlines the details of the support that the data coordinating center provided and the challenges faced during the course of the study. PMID:23169938

  16. Applications of operant learning theory to the management of challenging behavior after traumatic brain injury.

    Science.gov (United States)

    Wood, Rodger Ll; Alderman, Nick

    2011-01-01

    For more than 3 decades, interventions derived from learning theory have been delivered within a neurobehavioral framework to manage challenging behavior after traumatic brain injury with the aim of promoting engagement in the rehabilitation process and ameliorating social handicap. Learning theory provides a conceptual structure that facilitates our ability to understand the relationship between challenging behavior and environmental contingencies, while accommodating the constraints upon learning imposed by impaired cognition. Interventions derived from operant learning theory have most frequently been described in the literature because this method of associational learning provides good evidence for the effectiveness of differential reinforcement methods. This article therefore examines the efficacy of applying operant learning theory to manage challenging behavior after TBI as well as some of the limitations of this approach. Future developments in the application of learning theory are also considered.

  17. Investing in International Information Exchange Activities to Improve the Safety, Cost Effectiveness and Schedule of Cleanup - 13281

    Energy Technology Data Exchange (ETDEWEB)

    Seed, Ian; James, Paula [Cogentus Consulting (United States); Mathieson, John [NDA United Kingdom (United Kingdom); Judd, Laurie [NuVision Engineering, Inc. (United States); Elmetti-Ramirez, Rosa; Han, Ana [US DOE (United States)

    2013-07-01

    With decreasing budgets and increasing pressure on completing cleanup missions as quickly, safely and cost-effectively as possible, there is significant benefit to be gained from collaboration and joint efforts between organizations facing similar issues. With this in mind, the US Department of Energy (DOE) and the UK Nuclear Decommissioning Authority (NDA) have formally agreed to share information on lessons learned on the development and application of new technologies and approaches to improve the safety, cost effectiveness and schedule of the cleanup legacy wastes. To facilitate information exchange a range of tools and methodologies were established. These included tacit knowledge exchange through facilitated meetings, conference calls and Site visits as well as explicit knowledge exchange through document sharing and newsletters. A DOE web-based portal has been established to capture these exchanges and add to them via discussion boards. The information exchange is operating at the Government-to-Government strategic level as well as at the Site Contractor level to address both technical and managerial topic areas. This effort has resulted in opening a dialogue and building working relationships. In some areas joint programs of work have been initiated thus saving resource and enabling the parties to leverage off one another activities. The potential benefits of high quality information exchange are significant, ranging from cost avoidance through identification of an approach to a problem that has been proven elsewhere to cost sharing and joint development of a new technology to address a common problem. The benefits in outcomes significantly outweigh the costs of the process. The applicability of the tools and methods along with the lessons learned regarding some key issues is of use to any organization that wants to improve value for money. In the waste management marketplace, there are a multitude of challenges being addressed by multiple organizations and

  18. RIVER CORRIDOR BUILDINGS 324 & 327 CLEANUP

    Energy Technology Data Exchange (ETDEWEB)

    BAZZELL, K.D.; SMITH, B.A.

    2006-02-09

    A major challenge in the recently awarded River Corridor Closure (RCC) Contract at the U.S. Department of Energy's (DOE) Hanford Site is decontaminating and demolishing (D&D) facilities in the 300 Area. Located along the banks of the Columbia River about one mile north of Richland, Washington, the 2.5 km{sup 2} (1 mi{sup 2})300 Area comprises only a small part of the 1517 km{sup 2} (586 mi{sup 2}) Hanford Site. However, with more than 300 facilities ranging from clean to highly contaminated, D&D of those facilities represents a major challenge for Washington Closure Hanford (WCH), which manages the new RCC Project for DOE's Richland Operations Office (RL). A complicating factor for this work is the continued use of nearly a dozen facilities by the DOE's Pacific Northwest National Laboratory (PNNL). Most of the buildings will not be released to WCH until at least 2009--four years into the seven-year, $1.9 billion RCC Contract. The challenge will be to deactivate, decommission, decontaminate and demolish (D4) highly contaminated buildings, such as 324 and 327, without interrupting PNNL's operations in adjacent facilities. This paper focuses on the challenges associated with the D4 of the 324 Building and the 327 Building.

  19. Safety risk management of underground engineering in China: Progress, challenges and strategies

    Directory of Open Access Journals (Sweden)

    Qihu Qian

    2016-08-01

    Full Text Available Underground construction in China is featured by large scale, high speed, long construction period, complex operation and frustrating situations regarding project safety. Various accidents have been reported from time to time, resulting in serious social impact and huge economic loss. This paper presents the main progress in the safety risk management of underground engineering in China over the last decade, i.e. (1 establishment of laws and regulations for safety risk management of underground engineering, (2 implementation of the safety risk management plan, (3 establishment of decision support system for risk management and early-warning based on information technology, and (4 strengthening the study on safety risk management, prediction and prevention. Based on the analysis of the typical accidents in China in the last decade, the new challenges in the safety risk management for underground engineering are identified as follows: (1 control of unsafe human behaviors; (2 technological innovation in safety risk management; and (3 design of safety risk management regulations. Finally, the strategies for safety risk management of underground engineering in China are proposed in six aspects, i.e. the safety risk management system and policy, law, administration, economy, education and technology.

  20. Challenges faced in managing dementia in Alzheimer’s disease in patients with Down syndrome

    Directory of Open Access Journals (Sweden)

    Prasher VP

    2016-09-01

    Full Text Available Vee P Prasher, Hassan Mahmood, Madhumanti Mitra Birmingham Learning Disability Service, Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK Abstract: Dementia in Alzheimer’s disease (DAD is more common in adults with Down syndrome (DS, with characteristically an earlier onset. The treatment of DAD is not too dissimilar in the general population and in people with intellectual disabilities. However, the underlying intellectual disability can make the management of DAD more challenging in older adults with DS. This literature review aimed to look at the management of DAD in people with DS. The management of dementia is holistic. This includes treating reversible factors, aiming to slow the cognitive decline, psychological therapies, ensuring that the environment is appropriate, and use of psychotropic medication when necessary to manage behavioral problems, psychotic symptoms, depressive symptoms, and sleep difficulty. Antidementia medications have a role to play but remain limited. The management of DAD in the DS population can be at times challenging, but good clinical practice should involve accurate diagnosis of dementia, treating any reversible additional factors, consideration of psychological and behavioral management, use of antidementia medication, and a multidisciplinary team approach. Keywords: Down syndrome, Alzheimer’s disease, dementia, management

  1. Challenges in Anaesthetic management of a child for thoracoscopic assisted oesophageal replacement

    Directory of Open Access Journals (Sweden)

    K R Chandrakala

    2016-01-01

    Full Text Available The loss of oesophageal length or obliteration of oesophageal lumen due to stricture acquired by accidental caustic ingestion is more common in children that may require major operative reconstruction. A number of procedures have been developed for anatomic replacement of oesophagus of which thoracoscopic assisted gastric transposition has shown the best outcome in children. This demands an extensive pre-operative evaluation, preparation and anaesthetic management since this is challenging and prolonged procedure done under one lung ventilation (OLV. Though it is a minimally invasive procedure, providing OLV and management of complications associated with it are the anaesthetic challenges among these children. We report anaesthetic management of an 8-year-old boy with oesophageal stricture following corrosive injury posted for thoracoscopic assisted gastric transposition.

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

    Science.gov (United States)

    Beukers, Margot W

    2011-02-01

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

  3. E-Waste Supply Chain in Mexico: Challenges and Opportunities for Sustainable Management

    Directory of Open Access Journals (Sweden)

    Samantha E. Cruz-Sotelo

    2017-03-01

    Full Text Available Electronic waste is a widespread environmental problem. From all waste streams, e-waste is registering one of the largest growing rates (between 3% and 5%. In Mexico, the e-waste recovery system comprises a mix of formal and informal sectors not well known to date. The goal of this article was to analyze electronic waste in Mexico through the active actors in the recovery chain. This article presents the evolution of studies on electronic waste in Mexico. The legal regulations and public policies were analyzed, as were the existing practices of electronic waste handling, and some challenges facing this country for waste flow management. A management model is proposed which highlights components that must be considered in the model and the opportunities and challenges to transition from an unbundled handling, which still has practices that lack environmental and technical support, to sustainable management.

  4. A call to insect scientists: Challenges and opportunities of managing insect communities under climate change

    Science.gov (United States)

    Hellmann, Jessica J.; Grundel, Ralph; Hoving, Chris; Schuurman, Gregor W.

    2016-01-01

    As climate change moves insect systems into uncharted territory, more knowledge about insect dynamics and the factors that drive them could enable us to better manage and conserve insect communities. Climate change may also require us revisit insect management goals and strategies and lead to a new kind of scientific engagement in management decision-making. Here we make five key points about the role of insect science in aiding and crafting management decisions, and we illustrate those points with the monarch butterfly and the Karner blue butterfly, two species undergoing considerable change and facing new management dilemmas. Insect biology has a strong history of engagement in applied problems, and as the impacts of climate change increase, a reimagined ethic of entomology in service of broader society may emerge. We hope to motivate insect biologists to contribute time and effort toward solving the challenges of climate change.

  5. A call to insect scientists: challenges and opportunities of managing insect communities under climate change.

    Science.gov (United States)

    Hellmann, Jessica J; Grundel, Ralph; Hoving, Chris; Schuurman, Gregor W

    2016-10-01

    As climate change moves insect systems into uncharted territory, more knowledge about insect dynamics and the factors that drive them could enable us to better manage and conserve insect communities. Climate change may also require us to revisit insect management goals and strategies and lead to a new kind of scientific engagement in management decision-making. Here we make five key points about the role of insect science in aiding and crafting management decisions, and we illustrate those points with the monarch butterfly and the Karner blue butterfly, two species undergoing considerable change and facing new management dilemmas. Insect biology has a strong history of engagement in applied problems, and as the impacts of climate change increase, a reimagined ethic of entomology in service of broader society may emerge. We hope to motivate insect biologists to contribute time and effort toward solving the challenges of climate change. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Safety risk management of underground engineering in China:Progress, challenges and strategies

    Institute of Scientific and Technical Information of China (English)

    Qihu Qian; Peng Lin

    2016-01-01

    Underground construction in China is featured by large scale, high speed, long construction period, complex operation and frustrating situations regarding project safety. Various accidents have been re-ported from time to time, resulting in serious social impact and huge economic loss. This paper presents the main progress in the safety risk management of underground engineering in China over the last decade, i.e. (1) establishment of laws and regulations for safety risk management of underground en-gineering, (2) implementation of the safety risk management plan, (3) establishment of decision support system for risk management and early-warning based on information technology, and (4) strengthening the study on safety risk management, prediction and prevention. Based on the analysis of the typical accidents in China in the last decade, the new challenges in the safety risk management for underground engineering are identified as follows:(1) control of unsafe human behaviors;(2) technological innovation in safety risk management;and (3) design of safety risk management regulations. Finally, the strategies for safety risk management of underground engineering in China are proposed in six aspects, i.e. the

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

    Science.gov (United States)

    Alp, E.; Aksoy, M. N.; Koçer, B.

    2013-12-01

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

  8. [Barriers and challenges of the functional healthcare risk management units in hospitals of Madrid health service].

    Science.gov (United States)

    Pardo-Hernández, A; Navarro-Royo, C; Arguedas-Sanz, R; Albeniz-Lizarraga, C; Morón-Merchante, J

    2014-01-01

    To identify the barriers and challenges for the effective development of risk management units in hospitals of the Madrid Health Service. Descriptive cross-sectional study aimed at the management teams and members of the functional units of 31 hospitals in the Madrid Health Service. A self-administered questionnaire requesting answers in free text was used, identifying up to five barriers and challenges, and their prioritization by awarding from 1-5 points according to their importance. A discourse analysis was then conducted, grouping common themes and sorting them according to their score. The overall response rate was 94%. The most frequently identified barriers were lack of time (21%), inadequate safety culture (13%), lack of publication of their activities (10%), and lack of training (10%). The most important challenge was developing the training (18%), followed by improving the culture (17%), communication of safety activities (11%), and achieve leadership from the managers of the services (11%). According to the study conditions, the main identified barrier identified was the lack of available time, and the principal challenge found was promoting a proactive learning culture. Copyright © 2013 SECA. Published by Elsevier Espana. All rights reserved.

  9. Challenges in the Management of Pediatric Central Venous Access Devices in the Community.

    LENUS (Irish Health Repository)

    Wallace, Elaine

    2012-05-25

    Central venous access devices (CVADs) play an essential role in the care of critically ill children. Significant challenges exist for teams in managing CVADs particularly in a community setting. The authors aimed to assess the experience of general practitioners (GPs) caring for children with CVADs. From 200 CVADs inserted in a pediatric hospital in 2009, 50 patients were randomly selected and 44 GPs were forwarded a questionnaire. Twenty (46%) GPs responded. The main reasons (n = 22) for using CVADs were medication administration (n = 11), nutrition (n = 6), and blood sampling (n = 5). Thirteen (65%) GPs had no education in CVAD management and 14 (70%) were unaware of existing guidelines. Those identified by GPs as having primary responsibility for care of CVADs in the community included hospital\\/pediatric teams (n = 9), parents (n = 3), GPs (n = 2), public health nurses (n = 1), and palliative care ("home care") teams (n = 1). The main challenges (n = 15) identified by GPs were lack of education (n = 4), line management difficulties (n = 3), infection risk (n = 3), infrequent exposure to CVADs (n = 3), and poor communication (n = 1). GPs felt that these challenges could be addressed through: education (n = 8), increased manpower and community support (n = 1), and improved communication (n = 1). This study highlights the inconsistency and challenges for GPs surrounding CVAD use in children. Further education and support is necessary to assist GPs in their use particularly when providing end-of-life care for children in the community.

  10. Challenges of Managing Animals in Disasters in the U.S.

    Science.gov (United States)

    Heath, Sebastian E.; Linnabary, Robert D.

    2015-01-01

    Simple Summary This article describes common challenges to managing animals in disasters in the US, summarizes how some of these challenges are being met and makes recommendations on how to overcome others. Many predictable adverse situations affecting animals and their owners can be prevented when communities develop a comprehensive emergency management strategy that integrates animal care into planning, preparedness, mitigation, and recovery activities, as well as response. Abstract Common to many of the repeated issues surrounding animals in disasters in the U.S. is a pre-existing weak animal health infrastructure that is under constant pressure resulting from pet overpopulation. Unless this root cause is addressed, communities remain vulnerable to similar issues with animals they and others have faced in past disasters. In the US the plight of animals in disasters is frequently viewed primarily as a response issue and frequently handled by groups that are not integrated with the affected community’s emergency management. In contrast, animals, their owners, and communities would greatly benefit from integrating animal issues into an overall emergency management strategy for the community. There is no other factor contributing as much to human evacuation failure in disasters that is under the control of emergency management when a threat is imminent as pet ownership. Emergency managers can take advantage of the bond people have with their animals to instill appropriate behavior amongst pet owners in disasters. PMID:26479228

  11. Using virtual machine monitors to overcome the challenges of monitoring and managing virtualized cloud infrastructures

    Science.gov (United States)

    Bamiah, Mervat Adib; Brohi, Sarfraz Nawaz; Chuprat, Suriayati

    2012-01-01

    Virtualization is one of the hottest research topics nowadays. Several academic researchers and developers from IT industry are designing approaches for solving security and manageability issues of Virtual Machines (VMs) residing on virtualized cloud infrastructures. Moving the application from a physical to a virtual platform increases the efficiency, flexibility and reduces management cost as well as effort. Cloud computing is adopting the paradigm of virtualization, using this technique, memory, CPU and computational power is provided to clients' VMs by utilizing the underlying physical hardware. Beside these advantages there are few challenges faced by adopting virtualization such as management of VMs and network traffic, unexpected additional cost and resource allocation. Virtual Machine Monitor (VMM) or hypervisor is the tool used by cloud providers to manage the VMs on cloud. There are several heterogeneous hypervisors provided by various vendors that include VMware, Hyper-V, Xen and Kernel Virtual Machine (KVM). Considering the challenge of VM management, this paper describes several techniques to monitor and manage virtualized cloud infrastructures.

  12. The health-care manager's guide to managing change in challenging times.

    Science.gov (United States)

    Lombardi, D N

    1996-01-01

    Fifteen years ago, Bill Gates was a college dropout working for a four-member, fledgling company in New Mexico. Today, he is the richest man in America and the head of perhaps the most powerful company in recent corporate history. Ten years ago, managed health care was merely a concept discussed in academic and industry observer circles. Now it is a norm in almost every health-care organization nationally. Five years ago, health-care professionals in every discipline believed the maxim that, ¿as long as people get sick, health-care professionals will have jobs.¿ In 1995, health-care executives have alternately referred to the widescale process of laying off employees as reengineering, rightsizing, downsizing, or RIF (reduction in force). With this massive amount of change, both societally and professionally, health-care managers have been contending with the change management process. Although a breadth of concepts borrowed from other industries and a plethora of conceptual practicums have entered the health-care educational realm, a straightforward, immediately useful approach to managing change is probably more beneficial, as the need to manage change quickly and effectively becomes the paramount criterion for health-care management success in the second half of this decade of change. In this article we will explore the four areas where mistakes are made most frequently by leaders in the change process, and we will provide specific strategies to not only avoid these mistakes but moreover reduce resistance to change, activate positive action, and ultimately improve performance through optimum staff contribution. The four critical areas we will explore are the reasons for resistance to change, the management of the proactive phase of change, creating staff interdependence, and key leadership roles for change management.

  13. The Design and Management of Medical Device Clinical Trials Strategies and Challenges

    CERN Document Server

    Abdel-aleem, Salah M

    2011-01-01

    Clinical trials tasks and activities are widely diverse and require certain skill sets to both plan and execute. This book provides professionals in the field of clinical research with valuable information on the challenging issues of the design, execution, and management of clinical trials, and how to resolve these issues effectively. It discusses key obstacles such as challenges to patient recruitment, investigator and study site selection, and dealing with compliance issues. Through practical examples, professionals working with medical device clinical trials will discover the appropriate s

  14. Demography management and challenges of alternating shift work; Demographiemanagement und Herausforderungen der Wechselschicht

    Energy Technology Data Exchange (ETDEWEB)

    Franzkowiak, Matthias [Arbeitsmedizin Rheinisches Revier, RWE Power AG, Bergheim (Germany); Schmitz, Michael [Personalcontrolling/-strategie, RWE Power AG, Essen (Germany); Feldhaus, Christian [Arbeitsmedizin/Betriebliches Gesundheitsmanagement, RWE Power AG, Essen (Germany)

    2009-07-01

    RWE Power has launched a comprehensive process to develop strategies for future demography management. A special focus is on the challenges which result from the age structure of the workforce in connection with alternating shift work. A comprehensive catalogue of measures was developed which is currently being implemented. Among other things, it includes programmes for the employees on issues like health and ergonomics or optimisation of existing shift systems. Several follow-up projects are also included. The measures presented in this paper are meant to help in responding proactively to future demographic trends and the resulting challenges. (orig.)

  15. Anesthesia information management systems in the ambulatory setting: benefits and challenges.

    Science.gov (United States)

    Gottlieb, Ori

    2014-06-01

    Adopting an anesthesia information management system (AIMS) is a challenge for anesthesia departments. The transition requires a physician champion and the support of members in every section. This change can be facilitated by visiting similar institutions that are already using AIMS, shadow charting for a sufficient period of time, and understanding that optimization continues after the go-live date. Once implemented, the benefits outweigh the challenges, but understanding where the potential obstacles lie is critical to removing them efficiently and effectively. As different AIMS continue to spread throughout the medical world, so will their benefits. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. The emergence of enterprise systems management: a challenge to the IS curriculum

    DEFF Research Database (Denmark)

    Møller, Charles; Kræmmergaard, Pernille; Rikhardsson, Pall M.

    2006-01-01

    This paper proposes four cornerstones of a future Information Systems (IS) curriculum. It analyses the challenges of the IS curriculum based on the development of enterprise systems, and further argues that the practice and the research into enterprise systems have progressed to a new stage...... resulting in the emergence of Enterprise Systems Management (ESM). ESM calls for new competences and consequently represents new challenges to the IS curriculum. The paper outlines potential teaching issues and discusses the impact on the IS curriculum. Finally the paper suggests ways of approaching...

  17. Oil spill cleanup method and apparatus

    Energy Technology Data Exchange (ETDEWEB)

    Mayes, F.M.

    1980-06-24

    A method for removing oil from the surface of water where an oil spill has occurred, particularly in obstructed or shallow areas, which comprises partially surrounding a hovercraft with a floating oil-collecting barrier, there being no barrier at the front of the hovercraft, moving the oil-barrier-surrounded-hovercraft into oil contaminated water, and collecting oil gathered within the barrier behind the hovercraft through a suction line which carries the oil to a storage tank aboard the hovercraft. The invention also embodies the hovercraft adapted to effect an oil spill cleanup.

  18. Presidential Helicopter Acquisition: Program Established Knowledge-Based Business Case and Entered System Development with Plans for Managing Challenges

    Science.gov (United States)

    2015-04-14

    Presidential Helicopter Acquisition: Program Established Knowledge-Based Business Case and Entered System Development with Plans for Managing Challenges ...Acquisition Reform Act of 2009 (WSARA), This report discusses the cost, schedule, and performance status of the program, challenges it will face in...Presidential Helicopter Acquisition: Program Established Knowledge-Based Business Case and Entered System Development with Plans for Managing

  19. Ethical challenges for medical professionals in middle manager positions: a debate article.

    Science.gov (United States)

    Schnoor, Joerg; Heyde, Christoph-Eckhard; Ghanem, Mohamed

    2015-01-01

    Demographic changes increase the financing needs of all social services. This change also generates new and complex demands on the medical staff. Accordingly, medical professionals in middle management positions hold a characteristic sandwich position between top management and the operational core. This sandwich position often constitutes new challenges. In the industrial field, the growing importance of the middle management for the company's success has already been recognized. Accordingly, the growing demand on economy urges an analysis for the medical field. While there are nearly no differences in the nature of the tasks of medical middle manager in the areas of strategy, role function, performance pressure and qualifications compared to those tasks of the industrial sector, there are basic differences as well. Especially the character of "independence" of the medical profession and its ethical values justifies these differences. Consequently, qualification of medical professionals may not be solely based on medical academic career. It is also based on the personal ability or potential to lead and to manage. Above all, the character of "independence" of the medical profession and its ethical values justifies medical action that is based on the patient's well-being and not exclusively on economic outcomes. In the future, medical middle managers are supposed to achieve an optimized balance between a patient-centered medicine and economic measures. It will be a basic requirement that middle managers accept their position and the resultant tasks putting themselves in a more active position. Because of that, middle managers can become "value-added bridge-builders".

  20. Architect Critical Challenges as a Project Manager in Construction Projects: A Case Study

    Directory of Open Access Journals (Sweden)

    Mohammadreza Yadollahi

    2014-01-01

    Full Text Available All construction professionals such as civil, mechanical, and electrical engineers, quantity surveyors, and architects have important roles in the construction process. Among these, architects are frequently appointed as a project manager (PM. The role of a PM will drive the success of the projects implementation. Therefore, the capability of an architect as a PM (ArPM is critical in reducing challenges encountered. Accordingly, the identification of these challenges is an important task in selecting an appropriate ArPM. The aim of this study is to identify the most critical challenges faced by an ArPM for construction projects. The data were collected through questionnaires and interviews with architects and professionals in the Malaysian construction industry. Because of the fuzziness and uncertainty of subjective responses, Fuzzy Set Ttheory is applied to identify critical challenges. A total of 65 questionnaires were distributed and 36 questionnaires were returned. The results revealed that the critical challenges faced by an ArPM are “poor planning,” “unfamiliar technology,” “unfamiliarity with green buildings and materials,” “inappropriate scheduling,” and “poor workmanship.” All critical challenges were then categorized into six main groups including technical, managerial, personal skills, contractual, psychological, and financial.

  1. The challenges of pain management in primary care: a pan-European survey

    Directory of Open Access Journals (Sweden)

    Johnson M

    2013-05-01

    Full Text Available Martin Johnson,1 Beverly Collett,2 José M Castro-Lopes3On behalf of OPENMinds Primary Care1Community Pain Medicine, Cardiff University, Cardiff, UK; 2Pain Management Service, University Hospitals of Leicester NHS Trust, Leicester, UK; 3Department of Experimental Biology, Faculty of Medicine of the University of Porto, Porto, PortugalBackground: The OPENMinds Primary Care group is a group of European primary care physicians (PCPs with an interest in pain management, formed to improve the understanding and management of chronic pain in primary care.Objective: A survey was conducted to assess the challenges of chronic nonmalignant pain (CNMP management in primary care in Europe, focusing particularly on pain assessment, opioid therapy, and educational needs.Methods: A questionnaire was developed for online use by PCPs in 13 European countries (Belgium, Denmark, France, Germany, Ireland, Italy, the Netherlands, Norway, Poland, Portugal, Spain, Sweden, and the UK.Results: A total of 1309 PCPs completed the questionnaire, approximately 100 from each country. Most PCPs (84% perceived CNMP to be one of the most challenging conditions to treat, yet a low priority within healthcare systems. Only 48% of PCPs used pain assessment tools, and 81% considered chronic pain and its impact on quality of life to be underassessed in primary care. PCPs were less confident about prescribing strong opioids for CNMP than for use in cancer pain. Most PCPs (84% considered their initial training on CNMP was not comprehensive, with 89% recognizing a need for more education on the topic.Conclusion: These findings reveal that PCPs in Europe find CNMP a challenge to treat. Areas to address with training include underuse of pain assessment tools and lack of confidence in use of opioid therapy. Guidelines on CNMP management in primary care would be welcomed. The insights gained should provide the basis for future initiatives to support primary care management of chronic pain

  2. Diversity and challenges in the management of maternity care for migrant women.

    Science.gov (United States)

    Lyberg, Anne; Viken, Berit; Haruna, Megumi; Severinsson, Elisabeth

    2012-03-01

    To illuminate midwives' and public health nurses' perceptions of managing and supporting prenatal and postnatal migrant women in Norway. Migrant women are affected by social inequalities and likely to have had experiences during and after the migration process that could influence their physical, mental and social well-being. Multistage focus group interviews were conducted and data were analysed in accordance to conventional interpretative qualitative content analysis. The overarching theme 'Managing and supporting educational, relational and cultural diversity in maternity care' was characterized by two themes 'Health challenges' and 'Cultural challenges'. Each theme contained several subthemes. The interviews revealed that Norwegian maternity care is not adjusted to migrant women's needs. The management is the same for everybody who avails of the service. The Norwegian model for managing cultural diversity in maternity care needs to be developed. Capacity building and a closer cooperation between maternity care services is necessary. IMPLICATIONS FOR MIDWIVES AND NURSING MANAGEMENT: Maternity care requires reflection at several levels to reduce disparities in individual health. In order to ensure continuity and a trusting relationship, it is necessary to organize leadership and adopt flexible models that support migrant women's health. © 2011 Blackwell Publishing Ltd.

  3. Challenges of using model predictive control for active demand side management

    DEFF Research Database (Denmark)

    Zong, Yi; You, Shi; Hu, Junjie

    2015-01-01

    architecture design for Model Predictive Controller (MPC), and discusses the challenges encountered during the implementation of MPC for active demand side management. The two different pilot case studies show that energy savings and load shifting can be achieved by applying MPC with weather forecast......When there is a high penetration of renewables in the power system, it requires coordinated management of large numbers of distributed and demand response resources, intermittent resources to maintain the grid reliability and improve operational economics. This paper presents a hierarchical...

  4. A CASE OF CONGENITAL LOBAR EMPHYSEMA: CHALLENGES IN DIAGNOSIS AND IN ANAESTHETIC MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Swati Bisht

    2015-01-01

    Full Text Available Congenital lobar emphysema (CLE is a rare clinical entity presenting as acute respiratory distress in infants. Its diagnosis is difficult as clinically and radio logically it mimics pneumonia or pneumothorax. Its early recognition and management with thoracotomy is lifesa ving. Inhalation induction is preferred and spontaneous ventilation should be maintained until either the chest is opened or one lung ventilation of the contralateral lung is achieved. In this case report, we describe the challenges faced in the anaestheti c management of this condition

  5. The challenging aspects and successful anaesthetic management in a case of situs inversus totalis

    Directory of Open Access Journals (Sweden)

    Sukhminder Jit Singh Bajwa

    2012-01-01

    Full Text Available Situs inversus totalis is a rare condition with a predicted incidence of one in 10,000 among the general population, the aetiologic factors for which are still not completely understood. In a patient with situs inversus totalis, not just the diagnosis of any acute abdomen pathology is difficult due to distorted anatomy and transposition of thoraco abdominal viscera but equally challenging is the anaesthetic management during the respective surgical procedure. We are reporting a patient who had situs inversus totalis and was operated for open cholecystectomy. The present case report lays an emphasis on the potential difficulties during anaesthetic management and its various implications.

  6. Overview of the critical disaster management challenges faced during Van 2011 earthquakes.

    Science.gov (United States)

    Tolon, Mert; Yazgan, Ufuk; Ural, Derin N; Goss, Kay C

    2014-01-01

    On October 23, 2011, a M7.2 earthquake caused damage in a widespread area in the Van province located in eastern Turkey. This strong earthquake was followed by a M5.7 earthquake on November 9, 2011. This sequence of damaging earthquakes led to 644 fatalities. The management during and after these earthquake disaster imposed many critical challenges. In this article, an overview of these challenges is presented based on the observations by the authors in the aftermath of this disaster. This article presents the characteristics of 2011 Van earthquakes. Afterward, the key information related to the four main phases (ie, preparedness, mitigation, response, and recovery) of the disaster in Van is presented. The potential strategies that can be taken to improve the disaster management practice are identified, and a set of recommendations are proposed to improve the existing situation.

  7. Mapping the Challenges of Creativity Management in IS and ISD Organizations

    DEFF Research Database (Denmark)

    Ulrich, Frank

    2013-01-01

    . In this paper, I address these organizational challenges in creativity and IS. Grounded in a literature review conducted previously and a rigorous selection process, I have identified and presented a model of seven important factors for the creative context in IS organizations. From these factors, 21 common...... challenges was identified that IS organizations experience when embarking on creative endeavors and was further studied through an interpretive study of the integration in 27 IS and ISD organizations. The study provides insights for managers who seek to enhance their businesses creative output by providing......Managing for creativity has proven to be one of the most important drivers in IS and IS development, providing competitive advantages for strong companies as Google, SAS Institute and LEGO. The continuous changing market environment drives companies to focus on creativity as an increasing necessity...

  8. Challenges for catchment management agencies: lessons from bureaucracies, business and resource management

    CSIR Research Space (South Africa)

    Rogers, K

    2000-10-04

    Full Text Available Catchment management agencies (CMA's) have no tested precedent in South Africa and will have to evolve in complex and changing business, social and natural environments as they strive to ensure that equity and social justice are achieved within...

  9. A tritium vessel cleanup experiment in TFTR

    Energy Technology Data Exchange (ETDEWEB)

    Caorlin, M.; Kamperschroer, J.; Owens, D.K.; Voorhees, D.; Mueller, D.; Ramsey, A.T.; La Marche, P.H. [Princeton Univ., NJ (United States). Plasma Physics Lab.; Barnes, C.W. [Los Alamos National Lab., NM (United States); Loughlin, M.J. [JET Joint Undertaking, Abingdon (United Kingdom)

    1995-03-01

    A simple tritium cleanup experiment was carried out in TFTR following the initial high power deuterium-tritium discharges in December 1993. A series of 34 ohmic and deuterium neutral beam fueled shots was used to study the removal of tritium implanted into the wall and limiters. A very large plasma was created in each discharge to ``scrub`` an area as large as possible. Beam-fueled shots at 2.5 to 7.5 MW of injected power were used to monitor tritium concentration levels in the plasma by detection of DT-neutrons. The neutron signal decreased by a factor of 4 during the experiment, remaining well above the expected T-burnup level. The amount of tritium recovered at the end of the cleanup was about 8% of the amount previously injected with high power DT discharges. The experience gained suggests that measurements of tritium inventory in the torus are very difficult to execute and require dedicated systems with overall accuracy of 1%.

  10. Workforce development and challenging behaviour: training staff to treat, to manage or to cope?

    Science.gov (United States)

    Campbell, Martin

    2010-09-01

    Staff working directly with adults' challenging behaviours in learning disability services need to be very good at what they do. They also need to want to do the job. A theory-practice gap exists, however, between what is known about effective, evidence-based approaches and whether and how these are used in person-centred community services. Many frontline staff working with people with the most serious challenging behaviours do not have the skills to implement programmes to change behaviour. This discussion article reviews workforce development in the context of clinical and service guidelines and asks whether the legitimate purview of frontline staff is treating challenging behaviour, managing it or simply coping with it on a daily basis, whilst maintaining the best quality of life possible for service users.

  11. Education Management Information Systems (EMIS) in Latin America and the Caribbean: Lessons and Challenges

    OpenAIRE

    Thomas Cassidy

    2006-01-01

    This paper provides a review of the status of Education Management Information Systems (EMIS) in Latin American and the Caribbean. It includes a history of EMIS development efforts in the region; an outline of practical lessons learned from earlier EMIS development efforts; the identification of current and emerging challenges for developing EMIS; and the identification of promising examples of the use of better data and information to inform education policy and planning. The study was prepa...

  12. The challenge of applying governance and sustainable development to wildland fire management in Southern Europe

    OpenAIRE

    Aguilar Fernández, Susana; Montiel, Cristina

    2011-01-01

    This paper discusses participatory processes in wildland fire management (WFM). Participation is an essential element of both the European Sustainable Development (SD) Strategy and the White Paper on Governance. Governance and SD have thus become an interconnected challenge to be applied to WFM (as a sub-area in forest policy), amongst other policies. An overspread weakness in WFM is lack of real participation of stakeholders. Absence of (or deficient) participation can seriously impair contr...

  13. Constraints on Private Conservation: Some Challenges in Managing Australia's Tropical Rainforests

    OpenAIRE

    Byron, Neil Holland; Holland, Paula; Schuele, Michael

    2001-01-01

    On 14 November 2001 this paper, 'Constraints on Private Conservation: Some Challenges in Managing Australia's Tropical Rainforests', by Neil Byron, Paula Holland and Michael Schuele, was presented to the Annual Conference of the Rainforest Cooperative Research Centre in Cairns. The paper discusses the role of the private sector in biodiversity conservation and considers the constraints that restrict the private sector's contribution to biodiversity conservation. The views expressed in this pa...

  14. Challenges in the management of cervicofacial necrotizing fasciitis in Sokoto, Northwest Nigeria

    OpenAIRE

    Adebayo Aremu Ibikunle; Abdurrazaq Olanrewaju Taiwo; Olalekan Micah Gbotolorun; Ramat Oyebunmi Braimah

    2016-01-01

    Introduction: Necrotizing fasciitis (NF) is a rapidly progressive, potentially fatal tissue infection with primary involvement of the subcutaneous fascia and resultant necrosis of the skin and subcutaneous tissues with relative sparing of the underlying muscles and bones. It pursues a fulminant, unrelenting course if treatment is not instituted early and aggressively. The aim of this paper was to document the clinical features and challenges encountered in the management of cervicofacial NF (...

  15. Prospects for the Development of Administration and Challenges for the Management of Organizations

    Directory of Open Access Journals (Sweden)

    Guido Angello Castro Ríos

    2011-06-01

    Full Text Available Administration, as incipient science, presents a series of challenges to the organization’sdirector and for academy itself. The adaptation, the strategy, the communication skills andeven the ability to radiate in the organization in the organization a sense of accomplishment,are approaches that will shape the development of the organization and management as aset of knowledge that should facilitate the sustainability of the organization as a complexsystem.

  16. Cultural and Family Challenges to Managing Type 2 Diabetes in Immigrant Chinese Americans

    OpenAIRE

    2009-01-01

    OBJECTIVE Although Asians demonstrate elevated levels of type 2 diabetes, little attention has been directed to their unique cultural beliefs and practices regarding diabetes. We describe cultural and family challenges to illness management in foreign-born Chinese American patients with type 2 diabetes and their spouses. RESEARCH DESIGN AND METHODS This was an interpretive comparative interview study with 20 foreign-born Chinese American couples (n = 40) living with type 2 diabetes. Multiple ...

  17. Cultural synergies and challenges in the context of Supplier Relationship Management: Finnish-Chinese interaction

    OpenAIRE

    Penkova, Aleksandra

    2012-01-01

    Objective of the study: The objective of the study was to identify the cultural synergies and cultural challenges in the context of a case study on supplier relationship management. The two main case organizations of the study were a Finnish subsidiary of a Western MNC, called with the fictional name Power Oy and its Chinese supplier of welded structures, called with the fictional name Frames CN. The Finnish case company manufactures products for the power generation industry. The study e...

  18. Education Management Information Systems (EMIS) in Latin America and the Caribbean: Lessons and Challenges

    OpenAIRE

    Thomas Cassidy

    2006-01-01

    This paper provides a review of the status of Education Management Information Systems (EMIS) in Latin American and the Caribbean. It includes a history of EMIS development efforts in the region; an outline of practical lessons learned from earlier EMIS development efforts; the identification of current and emerging challenges for developing EMIS; and the identification of promising examples of the use of better data and information to inform education policy and planning. The study was prepa...

  19. Untying the Mediterranean Gordian Knot: A Twenty First Century Challenge for Fisheries Management

    Directory of Open Access Journals (Sweden)

    Ilaria Vielmini

    2017-06-01

    Full Text Available Management of fisheries in the Mediterranean basin has often been described as a unique and complex challenge, due to their multi-specificity, the diversity of gear-types, and the number of nations involved. This perspective has gone hand-in-hand for decades with a lack of strong political will from decision-makers, who have been unwilling to put Mediterranean fisheries management high on their agendas. Over time, exploitation rates of demersal stocks have increased and in 2016, 97% of shared stocks assessed in the Mediterranean were reported to be overfished. An alarm bell about the chronic overfishing of Mediterranean fish stocks was rung by European policy makers in 2015, exactly 20 years after the Code of Conduct for Responsible Fisheries adopted by the Food and Agriculture Organization mandated that states should ensure the sustainable use of fishery resources. In this perspective, we: (i review the context of fisheries management in the Mediterranean; (ii identify the potential factors that may have hindered management and; (iii discuss how the reformed European Union Common Fisheries Policy and the binding commitments laid down in its text may lead to knock-on effects for fisheries management in the international Mediterranean context, if properly implemented. In this line, we also present the example of demersal fisheries management in the Strait of Sicily, which may represent a starting point for science-based management in the Mediterranean.

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

    Science.gov (United States)

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

    2014-01-01

    Background Despite the importance of an effective health system response to various disasters, relevant research is still in its infancy, especially in middle- and low-income countries. Objective This paper provides an overview of the status of disaster health management in China, with its aim to promote the effectiveness of the health response for reducing disaster-related mortality and morbidity. Design A scoping review method was used to address the recent progress of and challenges to disaster health management in China. Major health electronic databases were searched to identify English and Chinese literature that were relevant to the research aims. Results The review found that since 2003 considerable progress has been achieved in the health disaster response system in China. However, there remain challenges that hinder effective health disaster responses, including low standards of disaster-resistant infrastructure safety, the lack of specific disaster plans, poor emergency coordination between hospitals, lack of portable diagnostic equipment and underdeveloped triage skills, surge capacity, and psychological interventions. Additional challenges include the fragmentation of the emergency health service system, a lack of specific legislation for emergencies, disparities in the distribution of funding, and inadequate cost-effective considerations for disaster rescue. Conclusions One solution identified to address these challenges appears to be through corresponding policy strategies at multiple levels (e.g. community, hospital, and healthcare system level). PMID:25215910