Complexity of care and strategies of self-management in patients with colorectal cancer

Directory of Open Access Journals (Sweden)

Ose D

2017-04-01

Full Text Available Dominik Ose,1,2 Eva C Winkler,3 Sarah Berger,1 Ines Baudendistel,1 Martina Kamradt,1 Felicitas Eckrich,1 Joachim Szecsenyi1 1Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany; 2Department of Population Health, Health System Innovation and Research, University of Utah, Salt Lake City, UT, USA; 3Program for Ethics and Patient-oriented Care in Oncology, National Centre for Tumour Diseases, University Hospital Heidelberg, Heidelberg, Germany Purpose: Given the inherent complexity of cancer care, in which personal, social, and clinical aspects accumulate and interact over time, self-management support need to become more comprehensive. This study has the following two aims: 1 to analyze and describe the complexity of individual patient situations and 2 to analyze and describe already established self-management strategies of patients to handle this complexity.Methods: A qualitative study was conducted. Ten focus groups were performed collecting perspectives of the following three user groups: patients with colorectal cancer (n=12 and representatives from support groups (n=2, physicians (n=17, and other health care professionals (HCPs; n=16. Data were analyzed using qualitative content analysis.Results: The results showed that cancer patients are struggling with the complexity of their individual situations characterized by the 1 “complexity of disease”, 2 “complexity of care”, and 3 “complexity of treatment-related data”. To deal with these multifaceted situations, patients have established several individual strategies. These strategies are “proactive demanding” (eg, to get support and guidance or a meaningful dialog with the doctor, “proactive behavior” (eg, preparation of visits, and “proactive data management” (eg, in terms of merging treatment-related data and to disseminate these to their health care providers.Conclusion: Patients with colorectal cancer

Complex orthopaedic management of patients with skeletal dysplasias

Directory of Open Access Journals (Sweden)

A. G. Baindurashvili

2014-01-01

Full Text Available Skeletal dysplasias are challenging for diagnostics and treatment. We present a series of fifteen patients with different forms of skeletal dysplasias with age ranged from 6 to 17 years with variable clinical presentations managed as a part of the project of scientific cooperation between Turner Paediatric Orthopaedic Institute and Orthopaedic Hospital Vienna-Speising. The spectrum of diagnoses included multiple epiphyseal dysplasia, spondyloepiphyseal dysplasia congenita, diastrophic dysplasia, metaphyseal dysplasia, spondylometaphyseal dysplasia, Stickler syndrome, Kniest dysplasia, and anauxetic dysplasia. Complex treatment, which included axial correction and juxta-articular realignment, was performed as a single-stage, or consecutive surgery. Surgical techniques included corrective osteotomies with internal fixation, guided growth technique and external fixation devices. Best results (full axial correction, normal alignment of the joint were achieved in 8 patients, including 2 patients with metaphyseal dysplasia, 2 patients with multiple epyphyseal dysplasia, 2 patients with spondyloepyphyseal dysplasia, patient with Stickler syndrome and patient with spondylometaphyseal dysplasia. Good results (partial correction at the present time were seen in 4 patients (2 patients with Kniest dysplasia, 1 - with multiple epyphyseal dysplasia and 1 - with anauxetic dysplasia. Satisfactory results (non-progressive condition in previous progression were obtained in 2 patients with diastrophic dysplasia, and poor results (progression of the deformity - in 1 patient with diastrophic dysplasia. Positive results in most of the cases of our series make promising future for usage of complex approach for orthopedic management of children with skeletal dysplasias; advanced international cooperation is productive and helpful for diagnostics and management of rare diseases.

An Evolutionary Complex Systems Decision-Support Tool for the Management of Operations

International Nuclear Information System (INIS)

Baldwin, J S; Allen, P M; Ridgway, K

2011-01-01

This research aimed to add both to the development of complex systems thinking in the subject area of Operations and Production Management and to the limited number of applications of computational models and simulations from the science of complex systems. The latter potentially offer helpful decision-support tools for operations and production managers. A mechanical engineering firm was used as a case study where a combined qualitative and quantitative methodological approach was employed to extract the required data from four senior managers. Company performance measures as well as firm technologies, practices and policies, and their relation and interaction with one another, were elicited. The data were subjected to an evolutionary complex systems model resulting in a series of simulations. The findings included both reassuring and some unexpected results. The simulation based on the CEO's opinions led the most cohesive and synergistic collection of practices describing the firm, closely followed by the Marketing and R and D Managers. The Manufacturing Manager's responses led to the most extreme evolutionary trajectory where the integrity of the entire firm came into question particularly when considering how employees were utilised. By drawing directly from the opinions and views of managers rather than from logical 'if-then' rules and averaged mathematical representations of agents that characterise agent-based and other self-organisational models, this work builds on previous applications by capturing a micro-level description of diversity and a learning effect that has been problematical not only in terms of theory but also in application. This approach can be used as a decision-support tool for operations and other managers providing a forum with which to explore a) the strengths, weaknesses and consequences of different decision-making capacities within the firm; b) the introduction of new manufacturing technologies, practices and policies; and, c) the

An Evolutionary Complex Systems Decision-Support Tool for the Management of Operations

Science.gov (United States)

Baldwin, J. S.; Allen, P. M.; Ridgway, K.

2011-12-01

This research aimed to add both to the development of complex systems thinking in the subject area of Operations and Production Management and to the limited number of applications of computational models and simulations from the science of complex systems. The latter potentially offer helpful decision-support tools for operations and production managers. A mechanical engineering firm was used as a case study where a combined qualitative and quantitative methodological approach was employed to extract the required data from four senior managers. Company performance measures as well as firm technologies, practices and policies, and their relation and interaction with one another, were elicited. The data were subjected to an evolutionary complex systems model resulting in a series of simulations. The findings included both reassuring and some unexpected results. The simulation based on the CEO's opinions led the most cohesive and synergistic collection of practices describing the firm, closely followed by the Marketing and R&D Managers. The Manufacturing Manager's responses led to the most extreme evolutionary trajectory where the integrity of the entire firm came into question particularly when considering how employees were utilised. By drawing directly from the opinions and views of managers rather than from logical 'if-then' rules and averaged mathematical representations of agents that characterise agent-based and other self-organisational models, this work builds on previous applications by capturing a micro-level description of diversity and a learning effect that has been problematical not only in terms of theory but also in application. This approach can be used as a decision-support tool for operations and other managers providing a forum with which to explore a) the strengths, weaknesses and consequences of different decision-making capacities within the firm; b) the introduction of new manufacturing technologies, practices and policies; and, c) the

Sistemic Approach – a Complexity Management Instrument

Directory of Open Access Journals (Sweden)

Vadim Dumitrascu

2006-02-01

Full Text Available The systemic principle uses the deduction and the induction, analyse and synthesis, inferency and proferency, in order to find out the interdependencies and the inner connections that make mooving the complex organized entities. The true valences of this approach can be found neither in the simplist models of the “in-out” type, nor in the “circular” models that fill in the Economics and Management handbooks, and that consecrate another kind of formalism, but in the constructiviste-reflexive strategies, used in order to explain the economic and social structures.

Human resource management practices in a medical complex in the ...

African Journals Online (AJOL)

staff, accountability, general HR efficiency, occupation-specific dispensation adjustments and performance management and development system efficiency, and availability of HR staff. All these characteristics were judged to be poor. Conclusion. HRM practices in this Eastern Cape medical complex were inadequate and a ...

B Plant Complex waste management training plan. Revision 1

International Nuclear Information System (INIS)

Beam, T.G.

1994-01-01

This training program is designed to comply with all applicable federal, state and US Department of Energy-Richland Operations Office training requirements. The training program complies with requirements contained within WAC 173-303-330 for the development of a written dangerous waste training program. The training program is designed to prepare personnel to manage and maintain waste treatment, storage and disposal (TSD) units, as well as generator units, in a safe, effective, efficient and environmentally sound manner. In addition to preparing employees to manage and maintain TSD and generator units under normal conditions, the training program ensures that employees are prepared to respond in a prompt and effective manner should an emergency occur. The training plan also identifies specific individuals holding key waste management positions at B Plant Complex

2nd Asia-Pacific Conference on Complex Systems Design & Management

CERN Document Server

Fong, Saik; Krob, Daniel; Lui, Pao; Tan, Yang

2016-01-01

This book contains all refereed papers that were accepted to the second edition of the Asia-Pacific conference on « Complex Systems Design & Management Asia» (CSD&M Asia 2016) that took place in Singapore from February 24 to February 26, 2016 (Website: http://www.2016.csdm-asia.net/). These proceedings cover the most recent trends in the emerging field of Complex Systems, both from an academic and a professional perspective. A special focus is put on Smart Nations: Designing and Sustaining. The CSD&M Asia 2016 conference is organized under the guidance of the Singapore division of the Center of Excellence on Systems Architecture, Management, Economy and Strategy (CESAMES) – Legal address: C.E.S.A.M.E.S. Singapore – 16 Raffles Quay – #38-03 Hong Leong Building – Singapore 048581 (website : http://www.cesames.net/en – email: contact@cesames.net).

Environmental surveillance report for the INEL radioactive waste management complex. Annual report, 1976

International Nuclear Information System (INIS)

Dolenc, M.R.; Janke, D.H.

1977-05-01

This report describes the environmental surveillance activities during 1976 at the two solid waste facilities of the Idaho National Engineering Laboratory. The monitoring program encompasses periodic and random sampling of air, water, and soil within and adjacent to the Radioactive Waste Management Complex and SL-1 Burial Ground. It was found that operation of the Radioactive Waste Management Complex and SL-1 during 1976 had little radiological impact on the environment and radioactivity levels were shown to be within appropriate guidelines for worker safety

Does Lean & Agile Project Management Help Coping with Project Complexity?

NARCIS (Netherlands)

Jalali Sohi, A.; Hertogh, M.J.C.M.; Bosch-Rekveldt, M.G.C.; Blom, R.; Serpell, A.; Ferrada, X.

2016-01-01

Still, projects in the construction sector are delivered with time delays and cost overruns. One of the reasons for poor performance was assigned to project complexity. A combination of lean construction and agile project management are hypothesized as a possible solution to cope with project

System for decision analysis support on complex waste management issues

International Nuclear Information System (INIS)

Shropshire, D.E.

1997-01-01

A software system called the Waste Flow Analysis has been developed and applied to complex environmental management processes for the United States Department of Energy (US DOE). The system can evaluate proposed methods of waste retrieval, treatment, storage, transportation, and disposal. Analysts can evaluate various scenarios to see the impacts to waste slows and schedules, costs, and health and safety risks. Decision analysis capabilities have been integrated into the system to help identify preferred alternatives based on a specific objectives may be to maximize the waste moved to final disposition during a given time period, minimize health risks, minimize costs, or combinations of objectives. The decision analysis capabilities can support evaluation of large and complex problems rapidly, and under conditions of variable uncertainty. The system is being used to evaluate environmental management strategies to safely disposition wastes in the next ten years and reduce the environmental legacy resulting from nuclear material production over the past forty years

Research of experience of leading foreign countries in the management by a build complex

OpenAIRE

Borovik, Yu

2010-01-01

In the article the experience of leading foreign countries is explored in the management by build industry and possibilities of his application in the management by the transport build complex of Ukraine.

Management of complex pediatric laryngotracheal stenosis with skin graft reconstruction.

Science.gov (United States)

Bowe, Sarah N; Wentland, Carissa J; Sandhu, G S; Hartnick, Christopher J

2018-05-01

For pediatric patients with laryngotracheal stenosis, the ultimate goal is creation of a safe, functional airway. Unfortunately, wound healing in a hollow structure can complicate repair attempts, leading to restenosis. Herein, we present our experience using skin-grafting techniques in two complex pediatric laryngotracheal stenosis cases, leading to successful decannulation or speech production. A chart review was performed examining the evaluation and management of two pediatric patients with laryngotracheal stenosis despite prior reconstructive attempts. Patient history, bronchoscopic evaluation, intra-operative technique, post-operative management, treatment outcomes, and complications were noted. Harvesting and preparation of the split-thickness skin grafts (STSG) proceeded in a similar manner for each case. Stenting material varied based on the clinical scenario. Using this technique, our patient with a Type 3 glottic web achieved substantial improvement in exercise tolerance, as well as vocal strength and quality. In addition, our aphonic patient could vocalize for the first time since her laryngotracheal injury. Temporary endoluminal stenting with skin graft lining can reproduce epithelial continuity and provide "biological inhibition" to enhance the wound healing process. When previous reconstructive efforts have failed, use of STSG can be considered in the management of complex pediatric laryngotracheal stenosis. Copyright © 2018. Published by Elsevier B.V.

Managing Scientific Software Complexity with Bocca and CCA

Directory of Open Access Journals (Sweden)

Benjamin A. Allan

2008-01-01

Full Text Available In high-performance scientific software development, the emphasis is often on short time to first solution. Even when the development of new components mostly reuses existing components or libraries and only small amounts of new code must be created, dealing with the component glue code and software build processes to obtain complete applications is still tedious and error-prone. Component-based software meant to reduce complexity at the application level increases complexity to the extent that the user must learn and remember the interfaces and conventions of the component model itself. To address these needs, we introduce Bocca, the first tool to enable application developers to perform rapid component prototyping while maintaining robust software-engineering practices suitable to HPC environments. Bocca provides project management and a comprehensive build environment for creating and managing applications composed of Common Component Architecture components. Of critical importance for high-performance computing (HPC applications, Bocca is designed to operate in a language-agnostic way, simultaneously handling components written in any of the languages commonly used in scientific applications: C, C++, Fortran, Python and Java. Bocca automates the tasks related to the component glue code, freeing the user to focus on the scientific aspects of the application. Bocca embraces the philosophy pioneered by Ruby on Rails for web applications: start with something that works, and evolve it to the user's purpose.

[Conceptualization of knowledge management in medium and high complexity health institutions].

Science.gov (United States)

Arboleda-Posada, Gladys I

2016-06-01

Objective To identify the familiarization, conceptualization and incorporation of employees of medium and high complexity health institutions in the Valle de Aburrá, Colombia into the strategic knowledge management platform in 2011. Methodology Cross sectional study. The study was carried out by applying surveys to 224 employees to assess knowledge management. The population included staff who working in the Health Providing Institutions (IPS) of high (52) and medium complexity (322) in the Valle de Aburrá in 2011. In both the public and private institutions surveyed, 38.8 % of the respondents said they were not familiar with knowledge management. Among those who had administrative training, the ignorance was less than among care workers. It was also noted that as the level of education increased, knowledge of the concept was greater. A high proportion (65.2 % ) of respondents placed the concept in line with the creation, organization, storage, retrieval, transfer and application of knowledge systematically. 78.7 % of respondents from public institutions said that knowledge management was part of the strategic platform of the institution. 58.3 % from private institutions said the same. Conclusions In general terms the concept of knowledge management is not well conceived or familiar to the staff working in these institutions. The study confirmed a lack of empowerment in the field to promote the development of new ideas and to ensure that they become service innovations or processes that contribute to the development of institutional knowledge.

Y-12 National Security Complex Emergency Management Hazards Assessment (EMHA) Process; FINAL

International Nuclear Information System (INIS)

Bailiff, E.F.; Bolling, J.D.

2001-01-01

This document establishes requirements and standard methods for the development and maintenance of the Emergency Management Hazards Assessment (EMHA) process used by the lead and all event contractors at the Y-12 Complex for emergency planning and preparedness. The EMHA process provides the technical basis for the Y-12 emergency management program. The instructions provided in this document include methods and requirements for performing the following emergency management activities at Y-12: (1) hazards identification; (2) hazards survey, and (3) hazards assessment

Nuclear waste management and sustainable development: the complexity of a decision in a controversial universe

International Nuclear Information System (INIS)

Le Dars, A.

2002-01-01

This PhD dissertation intends to demonstrate in what extent the concept of sustainable development applied to nuclear waste management requires a novel scientific approach. High-level and long-lived radioactive waste management needs to make decisions in taking into account multiple dimensions, characterised by uncertainty, irreversibility, and long term, and which are much debated. These scientific controversies often induce social conflicts due to the divergence in stakeholders point of views, values or interests. Therefore, nuclear waste management in a sustainable development constitutes a complex decision-making problem. This thesis focuses on high-level and long-lived radioactive waste management in the French context because this country is confronted with the most severe conflicts. Researches are operating in the 30 December 1991 law framework, and in 2006 a Parliament decision could be made concerning the choice of a long-term nuclear waste management solution. This survey studies in what extent economics can open to other scientific disciplines in using evaluation tools and decision-making procedures which better integrate several conflicting criteria. This work deals with the criticism of the epistemological and methodological foundations of economic evaluation, notably in questioning the realism of its hypothesis, and a qualitative survey directly made close to stakeholders goes deeper into the analysis of their complex relationships. The first part of this thesis puts in evidence the complexity of a sustainable nuclear waste management. Chapter 1 shows that sustainable nuclear waste management is a health and ecological problem irreducible to a technical solution, and Chapter 2 explains why sustainable nuclear waste management constitutes a social choice problem irreducible to an economic evaluation. The second part of this thesis shows that a concerted decision-making process seems to be a good procedure to overcome this complexity. Chapter 3 analyses

Multidisciplinary management of pregnancy in complex congenital heart disease: a model for coordination of care.

Science.gov (United States)

Harris, Rachel C; Fries, Melissa H; Boyle, Annelee; Adeniji-Adele, Hassan; Cherian, Zacharia; Klein, Nancy; John, Anitha S

2014-01-01

With advancements in medical care, many women with complex congenital heart disease (CHD) are now living into adulthood and childbearing years. The strains of pregnancy and parturition can be dangerous in such patients, and careful interdisciplinary plans must be made to optimize maternal and fetal health through this process. Several large studies have been published regarding risk prediction and medical management of pregnancy in complex CHD, though few case studies detailing clinical care plans have been published. The objective of this report is to describe the process of developing a detailed pregnancy and delivery care plan for three women with complex CHD, including perspectives from the multidisciplinary specialists involved in the process. This article demonstrates that collaboration between specialists in the fields of cardiology, anesthesiology, high-risk obstetrics, maternal fetal medicine, and neonatology results in clinically successful individualized treatment plans for the management of pregnancy in complex CHD. Multidisciplinary collaboration is a crucial element in the management of pregnancy in complex CHD. We provide a template used in three cases which can serve as a model for the design of future care plans. © 2014 Wiley Periodicals, Inc.

Safety management of a complex R and D ground operating system

Science.gov (United States)

Connors, J. F.; Maurer, R. A.

1975-01-01

A perspective on safety program management was developed for a complex R&D operating system, such as the NASA-Lewis Research Center. Using a systems approach, hazardous operations are subjected to third-party reviews by designated-area safety committees and are maintained under safety permit controls. To insure personnel alertness, emergency containment forces and employees are trained in dry-run emergency simulation exercises. The keys to real safety effectiveness are top management support and visibility of residual risks.

Fire test of DOT 7A Boxes

International Nuclear Information System (INIS)

Jensen, J.D.

1979-05-01

The primary objective of conducting the full-scale fire tests of the DOT (Department of Transportation) 7A FRP Boxes was to provide information to assist in quantifying the fire hazard of the storage located at the Radioactive Waste Management Complex (RWMC), and to learn if changing the storage array will decrease the fire risk. Also, the level of fire fighting and fire protection required to maintain the risk at the RWMC within acceptable DOE guidelines was investigated. Two full-scale fire tests were conducted at Southwest Research Institute (SwRI) in June 1978, using the DOE 7A FRP Plywood Storage Containers. The fire tests showed that when subjected to a substantial ignition source, the boxes will propagate fire as long as no fire-suppression measures are taken. Fire will breach the boxes and spread the radioactive contaminated waste if it is not extinguished. As the fire progresses, additional boxes will become involved, and eventually the entire storage array will ignite. It is recommended that the use of DOT 7A Boxes be discontinued and replaced with noncombustible storage containers. In the event this is not practicable, guidance recommendations are presented to minimize the large fire loss potential. It is also recommended that an investigation be conducted into the number of boxes that can be destroyed and still maintain a safe environment for employees and the public. This investigation should include how far radioactive contamination will spread, what cleanup will be required, anticipated exposure of the people within the area, and the public impact of such a fire

Mineralogical correlation of surficial sediment from area drainages with selected sedimentary interbeds at the Idaho National Engineering Laboratory, Idaho

Energy Technology Data Exchange (ETDEWEB)

Bartholomay, R.C.

1990-08-01

Ongoing research by the US Geological Survey at the INEL involves investigation of the migration of radioactive elements contained in low-level radioactive waste, hydrologic and geologic factors affecting waste movement, and geochemical factors that influence the chemical composition of the waste. Identification of the mineralogy of the Snake River Plain is needed to aid in the study of the hydrology and geochemistry of subsurface waste disposal. The US Geological Surveys project office at the Idaho National Engineering Laboratory, in cooperation with the US Department of Energy, used mineralogical data to correlate surficial sediment samples from the Big Lost River, Little Lost River, and Birch Greek drainages with selected sedimentary interbed core samples taken from test holes at the RWMC (Radioactive Waste Management Complex), TRA (Test Reactors Area), ICPP (Idaho Chemical Processing Plant), and TAN (Test Area North). Correlating the mineralogy of a particular present-day drainage area with a particular sedimentary interbed provides information on historical source of sediment for interbeds in and near the INEL. Mineralogical data indicate that surficial sediment samples from the Big Lost River drainage contained a larger amount of feldspar and pyroxene and a smaller amount of calcite and dolomite than samples from the Little Lost River and Birch Creek drainages. Mineralogical data from sedimentary interbeds at the RWMC, TRA, and ICPP correlate with surficial sediment of the present-day big Lost River drainage. Mineralogical data from a sedimentary interbed at TAN correlate with surficial sediment of the present-day Birch Creek drainage. 13 refs., 5 figs., 3 tabs.

Mineralogical correlation of surficial sediment from area drainages with selected sedimentary interbeds at the Idaho National Engineering Laboratory, Idaho

International Nuclear Information System (INIS)

Bartholomay, R.C.

1990-08-01

Ongoing research by the US Geological Survey at the INEL involves investigation of the migration of radioactive elements contained in low-level radioactive waste, hydrologic and geologic factors affecting waste movement, and geochemical factors that influence the chemical composition of the waste. Identification of the mineralogy of the Snake River Plain is needed to aid in the study of the hydrology and geochemistry of subsurface waste disposal. The US Geological Surveys project office at the Idaho National Engineering Laboratory, in cooperation with the US Department of Energy, used mineralogical data to correlate surficial sediment samples from the Big Lost River, Little Lost River, and Birch Greek drainages with selected sedimentary interbed core samples taken from test holes at the RWMC (Radioactive Waste Management Complex), TRA (Test Reactors Area), ICPP (Idaho Chemical Processing Plant), and TAN (Test Area North). Correlating the mineralogy of a particular present-day drainage area with a particular sedimentary interbed provides information on historical source of sediment for interbeds in and near the INEL. Mineralogical data indicate that surficial sediment samples from the Big Lost River drainage contained a larger amount of feldspar and pyroxene and a smaller amount of calcite and dolomite than samples from the Little Lost River and Birch Creek drainages. Mineralogical data from sedimentary interbeds at the RWMC, TRA, and ICPP correlate with surficial sediment of the present-day big Lost River drainage. Mineralogical data from a sedimentary interbed at TAN correlate with surficial sediment of the present-day Birch Creek drainage. 13 refs., 5 figs., 3 tabs

Managing complexity in process digitalisation with dynamic condition response graphs

DEFF Research Database (Denmark)

Hildebrandt, Thomas; Debois, Søren; Slaats, Tijs

2017-01-01

. Sadly, it is also witnessed by a number of expensive failed digitalisation projects. In this paper we point to two key problems in state-of-The art BPM technologies: 1) the use of rigid flow diagrams as the "source code" of process digitalisation is not suitable for managing the complexity of knowledge...

The operative management of children with complex perianal Crohn's disease.

Science.gov (United States)

Seemann, Natashia M; King, Sebastian K; Elkadri, Abdul; Walters, Thomas; Fish, Joel; Langer, Jacob C

2016-12-01

Perianal Crohn's disease (PCD) can affect both quality of life and psychological wellbeing. A subset of pediatric patients with complex PCD require surgical intervention, although appropriate timing and treatment regimens remain unclear. This study aimed to describe a large pediatric cohort in a tertiary center to determine the range of surgical management in children with complex PCD. A retrospective review of children requiring operative intervention for PCD over 13 years (2002-2014) was performed. PCD was divided into simple and complex based on the type of surgical procedure, and the two groups were compared. The 57 children were divided into two groups: the simple group (N=43) underwent abscess drainage ± seton insertion alone, and the complex group (N=14) underwent loop ileostomy ± more extensive surgery. In the complex group, females were more predominant (57% of complex vs 30% of simple), and the average age at diagnosis was lower. Anti-TNF therapy was utilized in 79.1% of simple and 100% of complex PCD. All 14 complex patients underwent a defunctioning ileostomy, with 7 requiring further operations (subtotal colectomy=4, proctocolectomy ± anal sparing=5, plastic surgery reconstruction with perineal flap/graft=4). Complex PCD represents a small but challenging subset of patients in which major surgical intervention may be necessary to alleviate the symptoms of this debilitating condition. retrospective case study with no control group - level IV. Copyright © 2016 Elsevier Inc. All rights reserved.

Project management for complex ground-based instruments: MEGARA plan

Science.gov (United States)

García-Vargas, María. Luisa; Pérez-Calpena, Ana; Gil de Paz, Armando; Gallego, Jesús; Carrasco, Esperanza; Cedazo, Raquel; Iglesias, Jorge

2014-08-01

The project management of complex instruments for ground-based large telescopes is a challenge itself. A good management is a clue for project success in terms of performance, schedule and budget. Being on time has become a strict requirement for two reasons: to assure the arrival at the telescope due to the pressure on demanding new instrumentation for this first world-class telescopes and to not fall in over-costs. The budget and cash-flow is not always the expected one and has to be properly handled from different administrative departments at the funding centers worldwide distributed. The complexity of the organizations, the technological and scientific return to the Consortium partners and the participation in the project of all kind of professional centers working in astronomical instrumentation: universities, research centers, small and large private companies, workshops and providers, etc. make the project management strategy, and the tools and procedures tuned to the project needs, crucial for success. MEGARA (Multi-Espectrógrafo en GTC de Alta Resolución para Astronomía) is a facility instrument of the 10.4m GTC (La Palma, Spain) working at optical wavelengths that provides both Integral-Field Unit (IFU) and Multi-Object Spectrograph (MOS) capabilities at resolutions in the range R=6,000-20,000. The project is an initiative led by Universidad Complutense de Madrid (Spain) in collaboration with INAOE (Mexico), IAA-CSIC (Spain) and Universidad Politécnica de Madrid (Spain). MEGARA is being developed under contract with GRANTECAN.

The features of oil & gas complex's strategic management and hydrocarbon products transportation at developing marine oil & gas fields in Arctic

Directory of Open Access Journals (Sweden)

Fadeev А. М.

2017-12-01

Full Text Available The paper considers some theoretical and practical issues of strategic management of oil and gas complex at the development of hydrocarbon resources in the Arctic offshore. The analysis of existing approaches in process and project management of oil and gas complex has been carried out taking into account characteristics of offshore projects in the Arctic zone. Considerable attention has been paid to the history and evolution of strategic management as an economic category, functional areas of strategic management at different levels of management have been proposed. The analysis of existing scientific works dedicated to the projects on the Arctic shelf, has shown insufficient development of the strategic management's theory and practice. In particular, the biggest part of the scientific studies is focused on studying issues of the management at the corporate level, at the same time questions at the level of the oil and gas complex are not considered. In existing studies, the project and process approaches to management are often opposed to each other, and according to the authors it is incorrect in relation to the management of the oil and gas complex on the Arctic shelf. The oil and gas complex is a complex and multilevel system that implements unprecedentedly difficult projects in terms of technology. The beginning of hydrocarbon production on the Arctic shelf is inextricably linked with the transportation of extracted raw materials to the processing and marketing sites; it complements the strategic management of the oil and gas complex by the features of organizing efficient transport and logistics solutions.

6th International Conference on Complex Systems Design & Management

CERN Document Server

Bocquet, Jean-Claude; Bonjour, Eric; Krob, Daniel

2016-01-01

This book contains all refereed papers that were accepted to the sixth edition of the « Complex Systems Design & Management Paris » (CSD&M Paris 2015) international conference which took place in Paris (France) on November 23-25, 2015. These proceedings cover the most recent trends in the emerging field of complex systems sciences & practices from an industrial and academic perspective, including the main industrial domains (aeronautics & aerospace, defense & security, electronics & robotics, energy & environment, health & welfare, software & e-services, transportation), scientific & technical topics (systems fundamentals, systems architecture & engineering, systems metrics & quality, systems modeling tools) and systems types (artificial ecosystems, embedded systems, software & information systems, systems of systems, transportation systems). The CSD&M Paris 2015 conference is organized under the guidance of the CESAMES non-profit organization, address...

Selected Topics on Managing Complexity and Information Systems Engineering: Editorial Introduction to Issue 8 of CSIMQ

Directory of Open Access Journals (Sweden)

Peter Forbrig

2016-10-01

Full Text Available Business process models greatly contribute to analyze and understand the activities of enterprises. However, it is still a challenge to cope with the complexity of systems specifications and their requirements. This issue of the journal of Complex Systems Informatics and Modeling (CSIMQ presents papers that discuss topics on managing complexity and information systems engineering. The papers are extended versions of selected papers from the workshop on Continuous Requirements Engineering held at the requirements engineering conference REFSQ 2016 in Gothenburg, the workshop on Managed Complexity held at the business informatics conference BIR 2016 in Prague, and the CAiSE 2016 Forum held in Ljubljana.

Managing Complexity

Energy Technology Data Exchange (ETDEWEB)

Chassin, David P.; Posse, Christian; Malard, Joel M.

2004-08-01

Physical analogs have shown considerable promise for understanding the behavior of complex adaptive systems, including macroeconomics, biological systems, social networks, and electric power markets. Many of today’s most challenging technical and policy questions can be reduced to a distributed economic control problem. Indeed, economically-based control of large-scale systems is founded on the conjecture that the price-based regulation (e.g., auctions, markets) results in an optimal allocation of resources and emergent optimal system control. This paper explores the state of the art in the use physical analogs for understanding the behavior of some econophysical systems and to deriving stable and robust control strategies for them. In particular we review and discussion applications of some analytic methods based on the thermodynamic metaphor according to which the interplay between system entropy and conservation laws gives rise to intuitive and governing global properties of complex systems that cannot be otherwise understood.

Management of large complex multi-stakeholders projects: a bibliometric approach

Directory of Open Access Journals (Sweden)

Aline Sacchi Homrich

2017-06-01

Full Text Available The growing global importance of large infrastructure projects has piqued the interest of many researchers in a variety of issues related to the management of large, multi-stakeholder projects, characterized by their high complexity and intense interaction among numerous stake-holders with distinct levels of responsibility. The objective of this study is to provide an overview of the academic literature focused on the management of these kinds of projects, describing the main themes considered, the lines of research identified and prominent trends. Bibliometric analysis techniques were used as well as network and content analysis. Research for information was performed in the scientific database, ISI Web of Knowledge and Scopus. The initial sample analysis consisted of 144 papers published between 1984 and 2014 and expanded to the references cited in these papers. The models identified in the literature converge with the following key-processes: project delivery systems; risk-management models; project cost management; public-private partnership.

Assessing and managing health and environmental risks from energy and other complex industrial systems

International Nuclear Information System (INIS)

1988-03-01

There is a growing awareness that it is necessary to identify, assess, and manage the risks of energy and other complex industrial activities in order to minimize their potential to harm public health and the environment. Therefore, quantitative risk analysis with emphasis on risk management has become an important aspect in high level decision making for regulation in developed and developing countries. The International Atomic Energy Agency (IAEA), the United Nations Environment Programme (UNEP) and the World Health Organization (WHO) have initiated a project to promote the use of risk assessment and risk management in environmental health and safety decision making throughout the world. A meeting was held in Paris, France on October 13-17, 1986. The purpose of the meeting was to: a) Discuss the state of the art of national and international experience in conducting case studies in the field of assessing and managing industrial risks from energy and other complex industrial systems either at the plant level or in highly industrialized areas within a country; b) Present and discuss planned regional risk management case studies within a country or international research projects on risk management to be implemented in the future; and c) Review the Project Document on ''Assessing, Controlling, and Managing Health and Environmental Risks from Energy and Other Complex Industrial Systems''. The full texts, together with abstracts, of the papers given at the meeting are presented. The summary reviews briefly some of the major points that arose in papers or in the ensuing discussions. Where a consensus view resulted, conclusions were drawn. Major differences of opinion are also noted

Project Execution Plan for the Remote Handled Low-Level Waste Disposal Project

Energy Technology Data Exchange (ETDEWEB)

Danny Anderson

2014-07-01

As part of ongoing cleanup activities at the Idaho National Laboratory (INL), closure of the Radioactive Waste Management Complex (RWMC) is proceeding under the Comprehensive Environmental Response, Compensation, and Liability Act (42 USC 9601 et seq. 1980). INL-generated radioactive waste has been disposed of at RWMC since 1952. The Subsurface Disposal Area (SDA) at RWMC accepted the bulk of INL’s contact and remote-handled low-level waste (LLW) for disposal. Disposal of contact-handled LLW and remote-handled LLW ion-exchange resins from the Advanced Test Reactor in the open pit of the SDA ceased September 30, 2008. Disposal of remote-handled LLW in concrete disposal vaults at RWMC will continue until the facility is full or until it must be closed in preparation for final remediation of the SDA (approximately at the end of fiscal year FY 2017). The continuing nuclear mission of INL, associated ongoing and planned operations, and Naval spent fuel activities at the Naval Reactors Facility (NRF) require continued capability to appropriately dispose of contact and remote handled LLW. A programmatic analysis of disposal alternatives for contact and remote-handled LLW generated at INL was conducted by the INL contractor in Fiscal Year 2006; subsequent evaluations were completed in Fiscal Year 2007. The result of these analyses was a recommendation to the Department of Energy (DOE) that all contact-handled LLW generated after September 30, 2008, be disposed offsite, and that DOE proceed with a capital project to establish replacement remote-handled LLW disposal capability. An analysis of the alternatives for providing replacement remote-handled LLW disposal capability has been performed to support Critical Decision-1. The highest ranked alternative to provide this required capability has been determined to be the development of a new onsite remote-handled LLW disposal facility to replace the existing remote-handled LLW disposal vaults at the SDA. Several offsite DOE

Complex-wide review of DOE's Low-Level Waste Management ES ampersand H vulnerabilities. Volume I. Final report

International Nuclear Information System (INIS)

1996-05-01

The Department of Energy (DOE) conducted a comprehensive complex-wide review of its management of low-level waste (LLW) and the radioactive component of mixed low-level waste (MLLW). This review was conducted in response to a recommendation from the Defense Nuclear Facilities Safety Board (DNFSB) which was established and authorized by Congress to oversee DOE. The DNFSB's recommendation concerning conformance with safety standards at DOE LLW sites was issued on September 8, 1994 and is referred to as Recommendation 94-2. DOE's Implementation Plan for its response to Recommendation 94-2 was submitted to the DNFSB on March 31, 1995. The DNFSB recommended that a complex-wide review of DOE's LLW management be initiated. The goal of the complex-wide review of DOE's LLW management system was to identify both programmatic and physical vulnerabilities that could lead to unnecessary radiation exposure of workers or the public or unnecessary releases of radioactive materials to the environment. Additionally, the DNFSB stated that an objective of the complex-wide review should be to establish the dimensions of the DOE LLW problem and support the identification of corrective actions to address safe disposition of past, present, and future volumes of LLW. The complex-wide review involved an evaluation of LLW management activities at 38 DOE facilities at 36 sites that actively manage LLW and MLLW

Management of disasters and complex emergencies in Africa: The challenges and constraints.

Science.gov (United States)

Aliyu, Alhaji

2015-01-01

Natural and man-made catastrophes have caused significant destruction and loss of lives throughout human history. Disasters accompany a wide variety of events with multiple causes and consequences often leading to a cascade of related events. African continent has not been spared of these events. A new phenomenon in the continent is terrorism that is fuelled by globalization of arms trade and has contributed significantly to escalation of conflicts in sub-Saharan Africa (SSA) resulting in complex emergencies and destruction of socioeconomic structures. The aim of this paper is to review relevant papers on management of disasters and complex emergencies in Africa and the challenges and constraints against the background of a weakened health system. Systematic search of published literature was conducted between 1990 and 2013. Grey literature (technical reports, government documents), published peer review journals, abstracts, relevant books and internet articles were reviewed. The review revealed that the frequency of both natural and man-made disasters in Africa is escalating. Complex emergencies are also on the increase since the Rwandan crisis in 1994. The impact of these events has overstretched and overwhelmed the health care system that is least prepared to handle and cope with the surge capacity and also render normal services. In conclusion, there is an urgent need for national emergency agencies/departments across Africa to develop a robust emergency preparedness and response plan. Every hospital most have a disaster management committee with flexible disaster management plan to respond to these catastrophes. There is a need for curriculum review in tertiary institutions across SSA to introduce and or expand training in disaster management.

7th International Conference on Complex Systems Design & Management

CERN Document Server

Goubault, Eric; Krob, Daniel; Stephan, François

2017-01-01

This book contains all refereed papers that were accepted to the seventh edition of the international conference « Complex Systems Design & Management Paris» (CSD&M Paris 2016) which took place in Paris (France) on the December 13-14, 2016 These proceedings cover the most recent trends in the emerging field of complex systems sciences & practices from an industrial and academic perspective, including the main industrial domains (aeronautic & aerospace, defense & security, electronics & robotics, energy & environment, healthcare & welfare services, software & e-services, transportation), scientific & technical topics (systems fundamentals, systems architecture & engineering, systems metrics & quality, system is modeling tools) and system types (artificial ecosystems, embedded systems, software & information systems, systems of systems, transportation systems). The CSD&M Paris 2016 conference is organized under the guidance of the CESAMES non-profit orga...

5th International Conference on Complex Systems Design & Management

CERN Document Server

Krob, Daniel; Morel, Gérard; Roussel, Jean-Claude

2015-01-01

This book contains all refereed papers that were accepted to the fifth edition of the « Complex Systems Design & Management » (CSD&M 2014) international conference which took place in Paris (France) on the November 12-14, 2014. These proceedings cover the most recent trends in the emerging field of complex systems sciences & practices from an industrial and academic perspective, including the main industrial domains (aeronautic & aerospace, transportation & systems, defense & security, electronics & robotics, energy & environment, health & welfare services, software & e-services), scientific & technical topics (systems fundamentals, systems architecture & engineering, systems metrics & quality, systemic tools) and system types (transportation systems, embedded systems, software & information systems, systems of systems, artificial ecosystems). The CSD&M 2014 conference is organized under the guidance of the CESAMES non-profit organization, addres...

Solid waste management complex site development plan

International Nuclear Information System (INIS)

Greager, T.M.

1994-01-01

The main purpose of this Solid Waste Management Complex Site Development Plan is to optimize the location of future solid waste treatment and storage facilities and the infrastructure required to support them. An overall site plan is recommended. Further, a series of layouts are included that depict site conditions as facilities are constructed at the SWMC site. In this respect the report serves not only as the siting basis for future projects, but provides siting guidance for Project W-112, as well. The plan is intended to function as a template for expected growth of the site over the next 30 years so that future facilities and infrastructure will be properly integrated

Solid waste management complex site development plan

Energy Technology Data Exchange (ETDEWEB)

Greager, T.M.

1994-09-30

The main purpose of this Solid Waste Management Complex Site Development Plan is to optimize the location of future solid waste treatment and storage facilities and the infrastructure required to support them. An overall site plan is recommended. Further, a series of layouts are included that depict site conditions as facilities are constructed at the SWMC site. In this respect the report serves not only as the siting basis for future projects, but provides siting guidance for Project W-112, as well. The plan is intended to function as a template for expected growth of the site over the next 30 years so that future facilities and infrastructure will be properly integrated.

The complex nature of informal care in home-based heart failure management.

Science.gov (United States)

Clark, Alexander M; Reid, Margaret E; Morrison, Caroline E; Capewell, Simon; Murdoch, David L; McMurray, John J

2008-02-01

This paper is a report of a study to examine the complexities of informal caregiving for people with chronic heart failure. Little is known of the activities involved and underlying informal care. Heart failure is a common and burdensome condition in which carers play an important management role. Semi-structured interviews were carried out with 30 informal carers nominated by patients with mild-to-moderate heart failure (24 spouses, four children, one sibling and one neighbour). Interviews examined knowledge of heart failure, its effects, reported management practices and concerns, decision making and support. The data were collected in 2001. The management of heart failure was a shared and ongoing responsibility between the carer and patient. Carers' clinical knowledge of the condition and management was often limited, but they developed extensive knowledge of its personal effects on the patient. Invisible care activities included monitoring signs of symptom exacerbation and energy boundaries against perceived current and future demands and priorities. Visible care activities included medication management, dressing, bathing and help-seeking. Carers responded to patients' capacities, and adopted philosophies that sought to foster independence while facilitating as normal a life for the patient as was possible and safe. Interventions for informal carers around effective chronic heart failure management should address both visible and invisible informal caring. Future research is needed to develop interventions with carers to improve quality of care, reduce costs and improve patient quality of life. More research is needed to explore the complexities of lay caregiving and to explore the invisible dimensions of informal care further.

IMPROVEMENT OF THE F-PERCEPTORY APPROACH THROUGH MANAGEMENT OF FUZZY COMPLEX GEOGRAPHIC OBJECTS

Directory of Open Access Journals (Sweden)

B. Khalfi

2015-08-01

Full Text Available In the real world, data is imperfect and in various ways such as imprecision, vagueness, uncertainty, ambiguity and inconsistency. For geographic data, the fuzzy aspect is mainly manifested in time, space and the function of objects and is due to a lack of precision. Therefore, the researchers in the domain emphasize the importance of modeling data structures in GIS but also their lack of adaptation to fuzzy data. The F-Perceptory approachh manages the modeling of imperfect geographic information with UML. This management is essential to maintain faithfulness to reality and to better guide the user in his decision-making. However, this approach does not manage fuzzy complex geographic objects. The latter presents a multiple object with similar or different geographic shapes. So, in this paper, we propose to improve the F-Perceptory approach by proposing to handle fuzzy complex geographic objects modeling. In a second step, we propose its transformation to the UML modeling.

Identification, classification and management of industrial waste in Kavir steel complex according to the Bazel convention and RCRA

OpenAIRE

Mohammad Hasan Ehrampoush; Mohsen Hesami Arani; Mohammad Taghi Ghaneian; Asghar Ebrahimi; Masoud Shafiee

2016-01-01

Introduction: Requiring industries for implementing industrial waste management programs and planning for proper waste disposal is essential in order to achieve sustainable development. Therefore, industrial waste management program was done in Kavir Steel Complex, in Aran va Bidgol region to identify and classify industrial waste and also to present solutions for improving waste management. In this complex, production process is hot rolling steel and the product is rebar. Material and Me...

Management of Pit 9 - highlights of accomplishments and lessons learned to date

International Nuclear Information System (INIS)

Schwartz, F.G.

1995-01-01

The Pit 9 project is a U.S. Department of Energy prototype full scale demonstration to retrieve and treat buried mixed transuranic waste. The project is being managed by the DOE-Idaho Environmental Restoration Program, in conjunction with the Environmental Protection Agency Region 10 and the state of Idaho, under the Idaho National Engineering Laboratory Federal Facility Agreement and Consent Order. Pit 9 is located in the northeast corner of the Subsurface Disposal Area (SDA) of the Radioactive Waste Management Complex (RWMC) at the Idaho National Engineering Laboratory (INEL). The Pit 9 project was conceived out of the need to determine capabilities to cost effectively retrieve and treat buried radioactive and radioactive mixed waste, and obtain characterization and contaminant migration data for buried waste at the INEL. Waste was disposed in Pit 9 from November 1967 to June 1969. Pit 9, at about 380 feet by 125 feet, represents approximately one acre of surface area of the 88 acre SDA. The pit contains approximately 350,000 ft 3 of soil beneath and between the buried waste and about 250,000 ft 3 of overburden soil. The average depth of the pit from soil surface to bedrock is approximately 17.5 feet. Approximately 110,000 ft 3 of transuranic (TRU) contaminated mixed wastes from Rocky Flats and approximately 40,000 ft 3 of low level and mixed wastes from the INEL were buried in Pit 9 during this period. Pit 9 is estimated to contain over 30,000 gallons of organics (over 30% of the total organic inventory in the SDA) and approximately 66 pounds of TRU radionuclides (between 3% and 4% of the total TRU inventory in the SDA). Pit 9 was selected as a demonstration site because it was one of the last disposal pits at the INEL to receive Rocky Flats waste, disposal records are better for Pit 9 than for disposal pits and trenches from earlier points in time, and the wastes in Pit 9 are representative of the wastes disposed in the SDA

Correlation between basalt flows and radiochemical and chemical constituents in selected wells in the southwestern part of the Idaho National Laboratory, Idaho

Science.gov (United States)

Bartholomay, Roy C.; Hodges, Mary K. V.; Champion, Duane E.

2017-12-21

Wastewater discharged to wells and ponds and wastes buried in shallow pits and trenches at facilities at the Idaho National Laboratory (INL) have contributed contaminants to the eastern Snake River Plain (ESRP) aquifer in the southwestern part of the INL. This report describes the correlation between subsurface stratigraphy in the southwestern part of the INL with information on the presence or absence of wastewater constituents to better understand how flow pathways in the aquifer control the movement of wastewater discharged at INL facilities. Paleomagnetic inclination was used to identify subsurface basalt flows based on similar inclination measurements, polarity, and stratigraphic position. Tritium concentrations, along with other chemical information for wells where tritium concentrations were lacking, were used as an indicator of which wells were influenced by wastewater disposal.The basalt lava flows in the upper 150 feet of the ESRP aquifer where wastewater was discharged at the Idaho Nuclear Technology and Engineering Center (INTEC) consisted of the Central Facilities Area (CFA) Buried Vent flow and the AEC Butte flow. At the Advanced Test Reactor (ATR) Complex, where wastewater would presumably pond on the surface of the water table, the CFA Buried Vent flow probably occurs as the primary stratigraphic unit present; however, AEC Butte flow also could be present at some of the locations. At the Radioactive Waste Management Complex (RWMC), where contamination from buried wastes would presumably move down through the unsaturated zone and pond on the surface of the water table, the CFA Buried Vent; Late Basal Brunhes; or Early Basal Brunhes basalt flows are the flow unit at or near the water table in different cores.In the wells closer to where wastewater disposal occurred at INTEC and the ATR-Complex, almost all the wells show wastewater influence in the upper part of the ESRP aquifer and wastewater is present in both the CFA Buried Vent flow and AEC Butte

Bronchoscopic Treatment in the Management of Benign Tracheal Stenosis: Choices for Simple and Complex Tracheal Stenosis.

Science.gov (United States)

Dalar, Levent; Karasulu, Levent; Abul, Yasin; Özdemir, Cengiz; Sökücü, Sinem Nedime; Tarhan, Merve; Altin, Sedat

2016-04-01

Bronchoscopic treatment is 1 of the treatment choices for both palliative and definitive treatment of benign tracheal stenosis. There is no consensus on the management of these patients, however, especially patients having complex stenoses. The aim of the present study was to assess, in the largest group of patients with complex stenoses yet reported, which types of tracheal stenosis are amenable to optimal management by bronchoscopic treatment. The present study was a retrospective cohort study including 132 consecutive patients with benign tracheal stenoses diagnosed between August 2005 and January 2013. The mean age of the study population was 52 ± 18 years; 62 (47%) were women and 70 (53%) were men. Their lesions were classified as simple and complex stenoses. Simple stenoses (n = 6) were treated with 12 rigid and flexible bronchoscopic procedures (mean of 2 per patient); 5 stents were placed. The total success rate was 100%. Among the 124 complex stenoses, 4 were treated directly with surgical intervention. In total, 481 rigid and 487 flexible bronchoscopic procedures were performed in these patients. In this group, the success rate was 69.8%. From the present study, we propose that after accurate classification, interventional bronchoscopic management may have an important role in the treatment of benign tracheal stenosis. Bronchoscopic treatment should be considered as first-line therapy for simple stenoses, whereas complex stenoses need a multidisciplinary approach and often require surgical intervention. However, bronchoscopic treatment may be a valid conservative approach in the management of patients with complex tracheal stenosis who are not eligible for operative treatment. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

The Acquisition Process as a Vehicle for Enabling Knowledge Management in the Lifecycle of Complex Federal Systems

Science.gov (United States)

Stewart, Helen; Spence, Matt Chew; Holm, Jeanne; Koga, Dennis (Technical Monitor)

2001-01-01

This white paper explores how to increase the success and operation of critical, complex, national systems by effectively capturing knowledge management requirements within the federal acquisition process. Although we focus on aerospace flight systems, the principles outlined within may have a general applicability to other critical federal systems as well. Fundamental design deficiencies in federal, mission-critical systems have contributed to recent, highly visible system failures, such as the V-22 Osprey and the Delta rocket family. These failures indicate that the current mechanisms for knowledge management and risk management are inadequate to meet the challenges imposed by the rising complexity of critical systems. Failures of aerospace system operations and vehicles may have been prevented or lessened through utilization of better knowledge management and information management techniques.

Managing Multiple Sources of Competitive Advantage in a Complex Competitive Environment

Directory of Open Access Journals (Sweden)

Alexandre Howard Henry Lapersonne

2013-12-01

Full Text Available The aim of this article is to review the literature on the topic of sustained and temporary competitive advantage creation, specifically in dynamic markets, and to propose further research possibilities. After having analyzed the main trends and scholars’ works on the subject, it was concluded that a firm which has been experiencing erosion of its core sources of economic rent generation, should have diversified its strategy portfolio in a search for new sources of competitive advantage, ones that could compensate for the decline of profits provoked by intensive competitive environments. This review concludes with the hypothesis that firms, who have decided to enter and manage multiple competitive environments, should have developed a multiple strategies framework approach. The management of this source of competitive advantage portfolio should have allowed persistence of a firm’s superior economic performance through the management of diverse temporary advantages lifecycle and through a resilient effect, where a very successful source of competitive advantage compensates the ones that have been eroded. Additionally, the review indicates that economies of emerging countries, such as the ones from the BRIC block, should present a more complex competitive environment due to their historical nature of cultural diversity, social contrasts and frequent economic disruption, and also because of recent institutional normalization that has turned the market into hypercompetition. Consequently, the study of complex competition should be appropriate in such environments.

Complexity analysis of the Next Gen Air Traffic Management System: trajectory based operations.

Science.gov (United States)

Lyons, Rhonda

2012-01-01

According to Federal Aviation Administration traffic predictions currently our Air Traffic Management (ATM) system is operating at 150 percent capacity; forecasting that within the next two decades, the traffic with increase to a staggering 250 percent [17]. This will require a major redesign of our system. Today's ATM system is complex. It is designed to safely, economically, and efficiently provide air traffic services through the cost-effective provision of facilities and seamless services in collaboration with multiple agents however, contrary the vision, the system is loosely integrated and is suffering tremendously from antiquated equipment and saturated airways. The new Next Generation (Next Gen) ATM system is designed to transform the current system into an agile, robust and responsive set of operations that are designed to safely manage the growing needs of the projected increasingly complex, diverse set of air transportation system users and massive projected worldwide traffic rates. This new revolutionary technology-centric system is dynamically complex and is much more sophisticated than it's soon to be predecessor. ATM system failures could yield large scale catastrophic consequences as it is a safety critical system. This work will attempt to describe complexity and the complex nature of the NextGen ATM system and Trajectory Based Operational. Complex human factors interactions within Next Gen will be analyzed using a proposed dual experimental approach designed to identify hazards, gaps and elicit emergent hazards that would not be visible if conducted in isolation. Suggestions will be made along with a proposal for future human factors research in the TBO safety critical Next Gen environment.

Environmental Restoration and Waste Management manpower needs assessment: US Department of Energy complex

Energy Technology Data Exchange (ETDEWEB)

Holmes, C.W.; Lewis, R.E.; Hunt, S.T. (Pacific Northwest Lab., Richland, WA (United States)); Finn, M.G. (Oak Ridge Associated Universities, Inc., TN (United States))

1992-06-01

A study was conducted Pacific Northwest Laboratory and Oak Ridge Associated Universities, Inc. to assess the supply and demand for 53 scientific, engineering, and technical occupations relevant to the US Department of Energy's (DOE's) Office of Environmental Restoration and Waste management (EM). These assessments were made by examining budget projections and the input of program/project and human resources managers throughout the DOE complex. Quantitative projections of full-time equivalent employees slots for each occupation have been developed for the 1993--1997 time frame. Qualitative assessments of the factors that affect recruitment, staffing, and retention are also reported. The implications of the study are discussed within the likely skills mix of the future workforce and the education and organization interventions most likely to address the needs of the DOE complex.

Simplified reactive power management strategy for complex power grids under stochastic operation and incomplete information

DEFF Research Database (Denmark)

Vlachogiannis, Ioannis (John)

2009-01-01

grids is a major issue for system operators. Under these circumstances an online reactive power management strategy with minimum risk concerning all uncertain and stochastic parameters is proposed. Therefore, new concepts such as reactive power-weighted node-to-node linking and reactive power control......In the current released energy market, the large-scale complex transmission networks and the distribution ones with dispersed energy sources and "intelligent" components operate under uncertainties, stochastic and prior incomplete information. A safe and reliable operation of such complex power...... capability are introduced. A distributed and interconnected stochastic learning automata system is implemented to manage, in a unified and unique way, the reactive power in complex power grids with stochastic reactive power demand and detect the vulnerable part. The proposed simplified strategy can also...

Summary of INEL research on the iron-enriched basalt waste form

International Nuclear Information System (INIS)

Reimann, G.A.; Grandy, J.D.; Eddy, T.L.; Anderson, G.L.

1992-01-01

This report summarizes the knowledge base on the iron-enriched basalt (IEB) waste form developed at the Idaho National Engineering Laboratory (INEL) during 1979--1982. The results presented discuss the applicability of IEB in converting retrieved transuranic (TRU) waste from INEL's Radioactive Waste Management Complex (RWMC) into a vitreous/ceramic (glassy/rock) stable waste form suitable for permanent disposal in an appropriate repository, such as the Waste Isolation Pilot Plant (WIPP) in New Mexico. Borosilicate glass (BSG), the approved high-level waste form, appears unsuited for this application. Melting the average waste-soil mix from the RWMC produces the IEB composition and attempting to convert IEB to the BSG composition would require additions of substantial B 2 0 3 , Na, and SiO 2 (glass frit). IEB requires processing temperatures of 1400 to 1600 degrees C, depending upon the waste composition. Production of the IEB waste form, using Joule heated melters, has proved difficult in the past because of electrode and refractory corrosion problems associated with the high temperature melts. Higher temperature electric melters (arc and plasma) are available to produce this final waste form. Past research focused on extensive slag property measurements, waste form leachability tests, mechanical, composition, and microstructure evaluations, as well as a host of experiments to improve production of the waste form. Past INEL studies indicated that the IEB glass-ceramic is a material that will accommodate and stabilize a wide range of heterogeneous waste materials, including long lived radionuclides and scrap metals, while maintaining a superior level of chemical and physical performance characteristics. Controlled cooling of the molten IEB and subsequent heat treatment will produce a glass-ceramic waste form with superior leach resistance

Supplement analysis of transuranic waste characterization and repackaging activities at the Idaho National Engineering Laboratory in support of the Waste Isolation Pilot Plant test program

International Nuclear Information System (INIS)

1991-03-01

This supplement analysis has been prepared to describe new information relevant to waste retrieval, handling, and characterization at the Idaho National Engineering Laboratory (INEL) and to evaluate the need for additional documentation to satisfy the National Environmental Policy Act (NEPA). The INEL proposes to characterize and repackage contact-handled transuranic waste to support the Waste Isolation Pilot Plant (WIPP) Test Phase. Waste retrieval, handling and processing activities in support of test phase activities at the WIPP were addressed in the Supplemental Environmental Impact Statement (SEIS) for the WIPP. To ensure that test-phase wastes are properly characterized and packaged, waste containers would be retrieved, nondestructively examined, and transported from the Radioactive Waste Management Complex (RWMC) to the Hot-Fuel Examination Facility for headspace gas analysis, visual inspections to verify content code, and waste acceptance criteria compliance, then repackaging into WIPP experimental test bins or returned to drums. Following repackaging the characterized wastes would be returned to the RWMC. Waste characterization would help DOE determine WIPP compliance with US Environmental Protection Agency regulations governing disposal of transuranic waste and hazardous waste. Additionally, this program supports onsite compliance with Resource Conservation and Recovery Act (RCRA) requirements, compliance with the terms of the No-Migration Variance at WIPP, and provides data to support future waste shipments to WIPP. This analysis will help DOE determine whether there have been substantial changes made to the proposed action at the INEL, or if preparation of a supplement to the WIPP Final Environmental Impact Statement (DOE, 1980) and SEIS (DOE, 1990a) is required. This analysis is based on current information and includes details not available to the SEIS

Applicability of a generic monitoring program for radioactive waste burial grounds at Oak Ridge National Laboratory and Idaho National Engineering Laboratory

International Nuclear Information System (INIS)

1978-07-01

Six burial grounds were evaluated at Oak Ridge to determine which would be most suitable for testing the generic monitoring approach, and two were selected. Burial Ground 4 was chosen because it is known to be leaking radioactivity and a monitoring program is desirable to determine the source, pattern and extent of the leakage. Burial Ground 6 was chosen because the most complete radiologic and geologic data is available and modern burial practices have been utilized at this site. At the Idaho National Engineering Laboratory (INEL) only one burial ground exists, the Radioactive Waste Management Complex (RWMC). The data available on the burial grounds are insufficient for an adequate understanding of radionuclide migration patterns and accordingly, inadequate for the design of reliable monitoring programs. It was decided, therefore, that preliminary monitoring programs should be designed in order to obtain additional data for a later implementation of reliable monitoring programs. The monitoring programs designed for ORNL consist primarily of the installation of surface water monitoring stations, the surveillance of trench sump wells, a test boring program to study subsurface geologic conditions, a ground water sampling program and the installation of instrumentation, specifically infiltrometers and evaporation pans, to develop data on site water balances. The program designed for the INEL burial ground includes installation of trench sumps, a ground water monitoring program, test borings to further define subsurface geohydrologic conditions and the installation of instrumentation to develop data on the site water balance. The estimated costs of implementing the recommended programs are about $420,820 for monitoring Burial Grounds 4 and 6 at Oak Ridge and $382,060 for monitoring the RWMC at INEL. 12 figures

Radioactive Waste Management Complex performance assessment: Draft

Energy Technology Data Exchange (ETDEWEB)

Case, M.J.; Maheras, S.J.; McKenzie-Carter, M.A.; Sussman, M.E.; Voilleque, P.

1990-06-01

A radiological performance assessment of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory was conducted to demonstrate compliance with appropriate radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the general public. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the general public via air, ground water, and food chain pathways. Projections of doses were made for both offsite receptors and individuals intruding onto the site after closure. In addition, uncertainty analyses were performed. Results of calculations made using nominal data indicate that the radiological doses will be below appropriate radiological criteria throughout operations and after closure of the facility. Recommendations were made for future performance assessment calculations.

Radioactive Waste Management Complex performance assessment: Draft

International Nuclear Information System (INIS)

Case, M.J.; Maheras, S.J.; McKenzie-Carter, M.A.; Sussman, M.E.; Voilleque, P.

1990-06-01

A radiological performance assessment of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory was conducted to demonstrate compliance with appropriate radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the general public. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the general public via air, ground water, and food chain pathways. Projections of doses were made for both offsite receptors and individuals intruding onto the site after closure. In addition, uncertainty analyses were performed. Results of calculations made using nominal data indicate that the radiological doses will be below appropriate radiological criteria throughout operations and after closure of the facility. Recommendations were made for future performance assessment calculations

IMPROVING MARKETING LOGISTICS MANAGEMENT OF ENTERPRISES OF AGRO-INDUSTRIAL COMPLEX

OpenAIRE

Raisa Bilovol; Alina Chaikina

2016-01-01

The Purpose of the paper is to prove the need of improving marketing logistics management at enterprises of agro-industrial complex with the use of balanced scorecard method that will allow objectively evaluate its effectiveness. Methodology. The survey is based on the use of general scientific research methods, methods of analysis and synthesis, method of abstraction. Results. Research of state sales of agricultural products in agrarian enterprises helped us to identify and organize the foll...

Understanding the Data Complexity continuum to reduce data management costs and increase data usability through partnerships with the National Centers for Environmental Information

Science.gov (United States)

Mesick, S.; Weathers, K. W.

2017-12-01

Data complexity can be seen as a continuum from complex to simple. The term data complexity refers to data collections that are disorganized, poorly documented, and generally do not follow best data management practices. Complex data collections are challenging and expensive to manage. Simplified collections readily support automated archival processes, enhanced discovery and data access, as well as production of services that make data easier to reuse. In this session, NOAA NCEI scientific data stewards will discuss the data complexity continuum. This talk will explore data simplification concepts, methods, and tools that data managers can employ which may offer more control over data management costs and processes, while achieving policy goals for open data access and ready reuse. Topics will include guidance for data managers on best allocation of limited data management resources; models for partnering with NCEI to accomplish shared data management goals; and will demonstrate through case studies the benefits of investing in documentation, accessibility, and services to increase data value and return on investment.

[A reflective case report applied to pain management in a complex care situation].

Science.gov (United States)

Kinsperger, Laura; Mayrhofer, Stefanie Maria; Pichler, Birgit; Qin, Hong; Rheinfrank, Iris; Schrems, Berta

2015-10-01

This case report deals with the unsatisfying pain management of a 44 year old patient with cardiac arrest and subsequent cardiopulmonary resuscitation. The patient has (1) a reduced consciousness, (2) is isolated due to an infection with multi-resistant germs, (3) has a tracheotomy and (4) contractures of the muscles in fingers and hands. During nursing care he shows facial expressions and body postures that indicate pain which is insufficiently addressed. The case was processed according to the model of reflexive case report by Johns (1995) and interpreted by theoretical expertise and the change of the perspective. Therefore the following questions were answered: Which factors made the nurse who brought the case to the case deliberation feeling dissatisfied with the pain management? Insufficient pain management due to a lack of knowledge, no assessment of the state of consciousness, pain and isolation probably led to unnecessary burden of the patient, next of kin and nurses. Training, systematic pain management and multi-disciplinary case conferences might facilitate dealing with comparable complex situations of caring in the future. The present case report shows that pain can only be treated successfully if pain-triggering factors are recognized, systematically assessed and treated. An adequate external assessment of the pain situation is especially important when dealing with patients who suffer from disorders of consciousness. In complex cases, in which multiple factors influence the pain situation, interdisciplinary case conferences may help to improve the quality of pain management.

Applications of systems thinking and soft operations research in managing complexity from problem framing to problem solving

CERN Document Server

2016-01-01

This book captures current trends and developments in the field of systems thinking and soft operations research which can be applied to solve today's problems of dynamic complexity and interdependency. Such ‘wicked problems’ and messes are seemingly intractable problems characterized as value-laden, ambiguous, and unstable, that resist being tamed by classical problem solving. Actions and interventions associated with this complex problem space can have highly unpredictable and unintended consequences. Examples of such complex problems include health care reform, global climate change, transnational serious and organized crime, terrorism, homeland security, human security, disaster management, and humanitarian aid. Moving towards the development of solutions to these complex problem spaces depends on the lens we use to examine them and how we frame the problem. It will be shown that systems thinking and soft operations research has had great success in contributing to the management of complexity. .

Can we talk? Communications management for the Waste Isolation Pilot Plant, a complex nuclear waste management project

International Nuclear Information System (INIS)

Goldstein, S.A.; Pullen, G.M.; Brewer, D.R.

1995-01-01

Sandia Nuclear Waste Management Program is pursuing for DOE an option for permanently disposing radioactive waste in deep geologic repositories. Included in the Program are the Waste Isolation Pilot Plant (WIPP) Project for US defense program mixed waste the Yucca Mountain Project (YMP) for spent power reactor fuel and vitrified high-level waste, projects for other waste types, and development efforts in environmental decision support technologies. WIPP and YMP are in the public arena, of a controversial nature, and provide significant management challenges. Both projects have large project teams, multiple organization participants, large budgets, long durations, are very complex, have a high degree of programmatic risk, and operate in an extremely regulated environment requiring legal defensibility. For environmental projects like these to succeed, SNL's Program is utilizing nearly all areas in PMI's Project Management Body of Knowledge (PMBOK) to manage along multiple project dimensions such as the physical sciences (e.g., geophysics and geochemistry; performance assessment; decision analysis) management sciences (controlling the triple constraint of performance, cost and schedule), and social sciences (belief systems; public participation; institutional politics). This discussion focuses primarily on communication challenges active on WIPP. How is the WIPP team meeting the challenges of managing communications?'' and ''How are you approaching similar challenges?'' will be questions for a dialog with the audience

Managing Complex Battlespace Environments Using Attack the Network Methodologies

DEFF Research Database (Denmark)

Mitchell, Dr. William L.

This paper examines the last 8 years of development and application of Attack the Network (AtN) intelligence methodologies for creating shared situational understanding of complex battlespace environment and the development of deliberate targeting frameworks. It will present a short history...... of their development, how they are integrated into operational planning through strategies of deliberate targeting for modern operations. The paper will draw experience and case studies from Iraq, Syria, and Afghanistan and will offer some lessons learned as well as insight into the future of these methodologies....... Including their possible application on a national security level for managing longer strategic endeavors....

Identification, classification and management of industrial waste in Kavir steel complex according to the Bazel convention and RCRA

Directory of Open Access Journals (Sweden)

Mohammad Hasan Ehrampoush

2016-06-01

Full Text Available Introduction: Requiring industries for implementing industrial waste management programs and planning for proper waste disposal is essential in order to achieve sustainable development. Therefore, industrial waste management program was done in Kavir Steel Complex, in Aran va Bidgol region to identify and classify industrial waste and also to present solutions for improving waste management. In this complex, production process is hot rolling steel and the product is rebar. Material and Method: The preset study was conducted in Kavir Steel Complex. Following survey of production process and sources of waste, the type and volume of produced waste were identified and measured during 3 months. Then, the classification of wastes was done according to the Bazel Convention and Resource Conservation and Recovery Act (RCRA, and finally new industrial & health solid waste management program was presented. Result: Considering the volume, industrial waste of production process in Kavir Steel Complex was between 130 to 180 grams per each ton of rebar. Main industrial waste included oxide of steel billet, industrial sludge, used oil and lubricant which were classified according to the RCRA: 8 materials with T code, 1 with C code, 5 with I code and 3 materials with C code. Conclusion: The results revealed that the most amount of industrial waste in Kavir Steel Complex is the waste of steel billet and industrial sludge, and more than 90% of Kavir steel industrial waste were reused and recycled inside or outside of this complex. It is recommended that used oil to be transport and maintain in the safe containers.

A Mathematical Model of the Hotel Service Oligopoly Market and a Conflict-Optimal Management Method of the Hotel Complex Competitiveness

Directory of Open Access Journals (Sweden)

M. Soro

2015-01-01

Full Text Available The aim of this work is to enhance competitiveness of hotel complex management in the hotel service market of the state of Côte d'Ivoire.The objectives of this study are:1 producing a model of oligopoly market of hotel services based on marketing research;2 synthesis of the conflict-optimum management method of a hotel complex using the model of oligopoly market of hotel services;3 study of issues on competitiveness enhancement of running hotel complex in the market of oligopoly under counter-conditions of other hotel complexes.To obtain the result the paper offers to use techniques of classical and modern theory of management, namely methods of the theory of optimal management of multi-object multicriteria systems, methods of game theory, methods of system analysis, operations research and decision-making.The paper proposes a model of the oligopoly market for interaction of hotels in the hospitality services in Stackelberg’s form in which, as the "governing" parameters, a hotel complex has the accommodation cost in the selected category and the advertising cost. Monthly income of the hotel complex is proposed as an indicator of the efficiency. Evaluation of success in the market is based on the indicator of competitiveness.To solve the problem of multi-criteria optimization the paper offers a method of conflictoptimum competitiveness management of hotel complexes. It considers a model example of the interaction between two complexes in the market of duopoly.It is concluded that in the case of a saturated demand for the services of hotel complexes, there is a guaranteed Nash solution, which ensures a certain profit regardless of the actions of another hotel complex. In the case of unsaturated demand (lack of customers in the market there is no guaranteed solution, which is a prerequisite for entry into agreement between the market players.The model obtained can be useful for observing trends in the market of hotel services.

Department of Energy environmental management complex-wide integration using systems engineering

International Nuclear Information System (INIS)

Fairbourn, P.

1997-01-01

A systems engineering approach was successfully used to recommend changes to environmental management activities across the DOE Complex. A team of technical experts and systems engineers developed alternatives that could save tax payers billions of dollars if the barriers are removed to allow complete implementation. The alternatives are technically-based and defensible, and are being worked through the stakeholder review process. The integration process and implementing project structure are both discussed

INEL test plan for evaluating waste assay systems

International Nuclear Information System (INIS)

Mandler, J.W.; Becker, G.K.; Harker, Y.D.; Menkhaus, D.E.; Clements, T.L. Jr.

1996-09-01

A test bed is being established at the Idaho National Engineering Laboratory (INEL) Radioactive Waste Management Complex (RWMC). These tests are currently focused on mobile or portable radioassay systems. Prior to disposal of TRU waste at the Waste Isolation Pilot Plant (WIPP), radioassay measurements must meet the quality assurance objectives of the TRU Waste Characterization Quality Assurance Program Plan. This test plan provides technology holders with the opportunity to assess radioassay system performance through a three-tiered test program that consists of: (a) evaluations using non-interfering matrices, (b) surrogate drums with contents that resemble the attributes of INEL-specific waste forms, and (c) real waste tests. Qualified sources containing a known mixture and range of radionuclides will be used for the non-interfering and surrogate waste tests. The results of these tests will provide technology holders with information concerning radioassay system performance and provide the INEL with data useful for making decisions concerning alternative or improved radioassay systems that could support disposal of waste at WIPP

Intelligent Mobile Sensor System (IMSS) for drum inspection and monitoring - Volume 3. Final report, October 1, 1993 - April 22, 1995

International Nuclear Information System (INIS)

1995-01-01

This manual is intended to be read by people who will use the IMSS system on a regular basis, who will be referred to as IMSS system operators. Portions of this manual are intended to be read by operations staff who need to understand certain aspects of the IMSS system since their staff will be working near the IMSS vehicle and docking station. Sections 1 through 4 provide general information of interest both to operations staff and IMSS system operators. The remainder of this manual provides information of interest mainly to IMSS system operators. This manual is customized for use of the IMSS system at the DOE Idaho National Engineering Laboratory (INEL), specifically in Buildings 628 through 634 at INEL's Radioactive Waste Management Complex (RWMC). The vast majority of this manual is applicable to any installation site--only a few minor details are specific to INEL. This manual will be complemented by one-on-one training provided to INEL personnel by the IMSS system development team

Decontamination and decommissioning of TAN radioactive liquid-waste-evaporator system (PM-2A). Final report

International Nuclear Information System (INIS)

Smith, D.L.

1983-03-01

This report describes the decontamination and decommissioning of the Test Area North (TAN) liquid waste evaporator (PM-2A). The PM-2A facility included the aboveground evaporator system, two underground holding tanks and feedlines, an electrical distribution subsystem, and one above ground concrete tank. Much surface soil of the PM-2A area was also radioactively contaminated. Stabilization of the liquid and sludge in the holding tanks, a major task, was achieved by pumping most of the liquid into 55-gal drums and mixing it with cement. The drums were buried in the Radioactive Waste Management Complex (RWMC). The remaining liquid and sludge were dried in place by layers of diatomaceous earth. The most contaminated surface soil was removed, and the area backfilled with clean topsoil and graded, reducing the surface radiation field to background. A 6-ft-high chain link fence now surrounds the area. Most of the area was seeded to crested wheatgrass. 46 figures, 9 tables

INEL test plan for evaluating waste assay systems

Energy Technology Data Exchange (ETDEWEB)

Mandler, J.W.; Becker, G.K.; Harker, Y.D.; Menkhaus, D.E.; Clements, T.L. Jr.

1996-09-01

A test bed is being established at the Idaho National Engineering Laboratory (INEL) Radioactive Waste Management Complex (RWMC). These tests are currently focused on mobile or portable radioassay systems. Prior to disposal of TRU waste at the Waste Isolation Pilot Plant (WIPP), radioassay measurements must meet the quality assurance objectives of the TRU Waste Characterization Quality Assurance Program Plan. This test plan provides technology holders with the opportunity to assess radioassay system performance through a three-tiered test program that consists of: (a) evaluations using non-interfering matrices, (b) surrogate drums with contents that resemble the attributes of INEL-specific waste forms, and (c) real waste tests. Qualified sources containing a known mixture and range of radionuclides will be used for the non-interfering and surrogate waste tests. The results of these tests will provide technology holders with information concerning radioassay system performance and provide the INEL with data useful for making decisions concerning alternative or improved radioassay systems that could support disposal of waste at WIPP.

Simplified reactive power management strategy for complex power grids under stochastic operation and incomplete information

International Nuclear Information System (INIS)

Vlachogiannis, John G.

2009-01-01

In the current released energy market, the large-scale complex transmission networks and the distribution ones with dispersed energy sources and 'intelligent' components operate under uncertainties, stochastic and prior incomplete information. A safe and reliable operation of such complex power grids is a major issue for system operators. Under these circumstances an online reactive power management strategy with minimum risk concerning all uncertain and stochastic parameters is proposed. Therefore, new concepts such as reactive power-weighted node-to-node linking and reactive power control capability are introduced. A distributed and interconnected stochastic learning automata system is implemented to manage, in a unified and unique way, the reactive power in complex power grids with stochastic reactive power demand and detect the vulnerable part. The proposed simplified strategy can also consider more stochastic aspects such as variable grid's topology. Results of the proposed strategy obtained on the networks of IEEE 30-bus and IEEE 118-bus systems demonstrate the effectiveness of the proposed strategy.

Can we talk? Communications management for the Waste Isolation Pilot Plant, a complex nuclear waste management project

Energy Technology Data Exchange (ETDEWEB)

Goldstein, S.A.; Pullen, G.M.; Brewer, D.R.

1995-07-01

Sandia Nuclear Waste Management Program is pursuing for DOE an option for permanently disposing radioactive waste in deep geologic repositories. Included in the Program are the Waste Isolation Pilot Plant (WIPP) Project for US defense program mixed waste the Yucca Mountain Project (YMP) for spent power reactor fuel and vitrified high-level waste, projects for other waste types, and development efforts in environmental decision support technologies. WIPP and YMP are in the public arena, of a controversial nature, and provide significant management challenges. Both projects have large project teams, multiple organization participants, large budgets, long durations, are very complex, have a high degree of programmatic risk, and operate in an extremely regulated environment requiring legal defensibility. For environmental projects like these to succeed, SNL`s Program is utilizing nearly all areas in PMI`s Project Management Body of Knowledge (PMBOK) to manage along multiple project dimensions such as the physical sciences (e.g., geophysics and geochemistry; performance assessment; decision analysis) management sciences (controlling the triple constraint of performance, cost and schedule), and social sciences (belief systems; public participation; institutional politics). This discussion focuses primarily on communication challenges active on WIPP. How is the WIPP team meeting the challenges of managing communications?`` and ``How are you approaching similar challenges?`` will be questions for a dialog with the audience.

IMPROVING MARKETING LOGISTICS MANAGEMENT OF ENTERPRISES OF AGRO-INDUSTRIAL COMPLEX

Directory of Open Access Journals (Sweden)

Raisa Bilovol

2016-11-01

Full Text Available The Purpose of the paper is to prove the need of improving marketing logistics management at enterprises of agro-industrial complex with the use of balanced scorecard method that will allow objectively evaluate its effectiveness. Methodology. The survey is based on the use of general scientific research methods, methods of analysis and synthesis, method of abstraction. Results. Research of state sales of agricultural products in agrarian enterprises helped us to identify and organize the following disadvantages: intermediary structures that are engaged in marketing of agricultural products significantly increase their costs that excess in 2-4 times the original price of agricultural products; inadequacy of agricultural market infrastructure and lack of wholesale and retail markets for agricultural products; low level of development of information electronic communications; backwardness of transport infrastructure and poor quality of roads, particularly in rural areas; high level of physical and moral deterioration of transport; low level of development of industrial and technological base of agricultural enterprises warehousing. Practical implications. We systemized and proposed indicators of evaluation of marketing logistics at enterprises of the agro-industrial complex based on the Balanced Scorecard in key areas: financial and cost-effectiveness indicators; indicators of internal logistics business processes; quality and development staff; indicators in the direction of working with clients. To the financial indicators and indicators of economic efficiency we included such as sales per 1 employer at marketing department (Qs/employer, proportion of logistics cost of marketing in the total cost of the enterprise (%, coefficient of the implementation of marketing plan (Cm, ROI in logistics marketing (%, profitability of marketing channels (%. Internal logistics business processes in enterprises of the agro-industrial complex represented by such

The virtual product-process design laboratory to manage the complexity in the verification of formulated products

DEFF Research Database (Denmark)

Conte, Elisa; Gani, Rafiqul; Malik, Tahir I.

2011-01-01

-Process Design laboratory (virtual PPD-lab) software is based on this decomposition strategy for the design of formulated liquid products. When the needed models are available in the software, the solution of formulation design/verification problems is straightforward, while when models are not available...... mixtures need to be predicted. This complexity has to be managed through decomposition of the problem into sub-problems. Each sub-problem is solved and analyzed and, from the knowledge gained, an overall evaluation of the complex chemical system representing the product is made. The virtual Product...... in the software library, they need to be developed and/or implemented. The potential of the virtual PPD-lab in managing the complexity in the verification of formulated products, after the needed models have been developed and implemented, is highlighted in this paper through a case study from industry dealing...

What Governs District Manager Decision Making? A Case Study of Complex Leadership in Dangme West District, Ghana

NARCIS (Netherlands)

Kwamie, Aku; Agyepong, Irene Akua; Dijk, Van Han

2015-01-01

Management and leadership in complex health systems
have been little addressed as contributors toward improving maternal
and newborn health. Widespread perceptions of weak district-level
management and leadership have encouraged capacity strengthening
interventions with a predominant

Optimal management of seizures associated with tuberous sclerosis complex: current and emerging options

Directory of Open Access Journals (Sweden)

Wang S

2014-10-01

Full Text Available Shelly Wang,1 Aria Fallah2,3 1Department of Neurosurgery, University of Toronto, Toronto, ON, Canada; 2Department of Neurosurgery, Miami Children’s Hospital, Miami, FL, USA; 3Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada Abstract: Seizures are clinically significant manifestations associated with 79%–90% of patients with tuberous sclerosis complex. Often occurring within the first year of life in the form of infantile spasms, seizures interfere with neuropsychiatric, social, and cognitive development and carry significant individual and societal consequences. Prompt identification and treatment of seizures is an important focus in the overall management of tuberous sclerosis complex patients. Medical management, either after seizure onset or prophylactically in infants with electroencephalographic abnormalities, is considered first-line therapy. Vigabatrin and adrenocorticotropic hormone have emerged over the past few decades as mainstay pharmacologic modalities. Furthermore, emerging research on mammalian target of rapamycin inhibitors demonstrated promise for the management of seizures and subependymal giant cell astrocytoma. For appropriate surgical candidates with an epileptogenic zone associated with one or more glioneuronal hamartomas, ideally in noneloquent cortex, resective surgery can be considered, which provides a cure in 56% of patients. For medically refractory patients who do not meet criteria for curative surgery, palliative surgical approaches focused on reducing seizure burden, in the form of corpus callosotomy and vagus nerve stimulation, are alternative management options. Lastly, the ketogenic diet, a reemerging therapy based on the anticonvulsant effects of ketone bodies, can be utilized independently or in conjunction with other treatment modalities for the management of difficult-to-treat seizures. Keywords: epilepsy, adrenocorticotropic hormone, vigabatrin, mammalian

Management of complex urethral stricture disease: Algorithm and experience from a single institute

Directory of Open Access Journals (Sweden)

Yu-Hua Shau

2015-09-01

Conclusion: Complex urethral strictures can be managed by a variety of surgical techniques according to specific stricture locations. However, a careful postoperative follow-up for recurrences is mandatory, since ∼40% of patients undergoing buccal mucosal graft-augmented urethroplasties were expected to have additional procedures after the index urethroplasty.

Managing and engineering in complex situations

CERN Document Server

Sousa-Poza, Andres

2013-01-01

With so many terms available to define the same thing, it would seem nearly irresponsible to introduce yet another term (complex situation) to describe a phenomenological state of such as a system. However, a complex situation infers both a broader meaning and imposes a different perspective. Complex in this context is dependent on understanding and reality rather than observer and knowledge.   Situation imposes a gestalt that cannot be characterized within a singular perspective that relegates paradox to a superior/subordinate hierarchy. This also infers that complex situation has no monotonic definition or each definition is by default incomplete. Therefore the perennial derivations for systems such as complex systems, system of systems, federation of systems is no longer a sufficient descriptor for complex situation.  Ergo system and its genealogy lack the constitution to define complex situations. The books' intent is to explore this pathology through a series of papers written by authors that work in ...

Servitization, Services and Managing Complexity

DEFF Research Database (Denmark)

Harjo, Ieva; Frandsen, Thomas; Hsuan, Juliana

This paper explores how seemingly complex servitized solutions can become tradable in a customer–supplier relationship by objectification and abbreviation. The key argument is that the complexity of product-service solutions can be reduced by abbreviation of the reality in written form of contracts...

Results of the gamma-neutron mapper performance test on 55-gallon drums at the RWMC

International Nuclear Information System (INIS)

Gehrke, R.J.; Lawrence, R.S.; Roybal, L.G.; Svoboda, J.M.; Harker, D.J.; Thompson, D.N.; Carpenter, M.V.; Josten, N.E.

1995-07-01

The primary purpose of the gamma-neutron mapper (G at sign) is to provide accurate and quantitative spatial information of the gamma-ray and neutron radiation fields as a function of position about the excavation of a radioactive waste site. The GNM is designed to operate remotely and can be delivered to any point on an excavation by the robotic gantry crane developed by the dig-face project at the Idaho National Engineering Laboratory (INEL). It can also be easily adapted to other delivery systems. The GNM can be deployed over a waste site at a predetermined scan rate and has sufficient accuracy to identify and quantify radioactive contaminants of importance. The results reported herein are from a performance test conducted at the Transuranic Storage Area, Building 628, of the Radioactive Waste Management Complex located at the INEL. This building is an active interim-storage area for 55-gal drums of transuranic waste from the Department of Energy's Rocky Flats Plant. The performance test consisted of scanning a stack of drums five high by five wide. Prior to the test, radiation fields were measured by a health physicist at the center of the drums and ranged from 0.5 mR/h to 35 mR/h. Scans of the drums using the GNM were taken at standoff distances from the vertical drum stack of 15 cm, 30 cm, 45 cm, and 90 cm. Data were acquired at scan speeds of 7.5 cm/s and 15 cm/s. The results of these scans and a comparison of these results with the manifests of these drums are compared and discussed

Bench-scale arc melter for R&D in thermal treatment of mixed wastes

Energy Technology Data Exchange (ETDEWEB)

Kong, P.C.; Grandy, J.D.; Watkins, A.D.; Eddy, T.L.; Anderson, G.L.

1993-05-01

A small dc arc melter was designed and constructed to run bench-scale investigations on various aspects of development for high-temperature (1,500-1,800{degrees}C) processing of simulated transuranic-contaminated waste and soil located at the Radioactive Waste Management Complex (RWMC). Several recent system design and treatment studies have shown that high-temperature melting is the preferred treatment. The small arc melter is needed to establish techniques and procedures (with surrogates) prior to using a similar melter with the transuranic-contaminated wastes in appropriate facilities at the site. This report documents the design and construction, starting and heating procedures, and tests evaluating the melter`s ability to process several waste types stored at the RWMC. It is found that a thin graphite strip provides reliable starting with initial high current capability for partially melting the soil/waste mixture. The heating procedure includes (1) the initial high current-low voltage mode, (2) a low current-high voltage mode that commences after some slag has formed and arcing dominates over the receding graphite conduction path, and (3) a predominantly Joule heating mode during which the current can be increased within the limits to maintain relatively quiescent operation. Several experiments involving the melting of simulated wastes are discussed. Energy balance, slag temperature, and electrode wear measurements are presented. Recommendations for further refinements to enhance its processing capabilities are identified. Future studies anticipated with the arc melter include waste form processing development; dissolution, retention, volatilization, and collection for transuranic and low-level radionuclides, as well as high vapor pressure metals; electrode material development to minimize corrosion and erosion; refractory corrosion and/or skull formation effects; crucible or melter geometry; metal oxidation; and melt reduction/oxidation (redox) conditions.

Bench-scale arc melter for R ampersand D in thermal treatment of mixed wastes

International Nuclear Information System (INIS)

Kong, P.C.; Grandy, J.D.; Watkins, A.D.; Eddy, T.L.; Anderson, G.L.

1993-05-01

A small dc arc melter was designed and constructed to run bench-scale investigations on various aspects of development for high-temperature (1,500-1,800 degrees C) processing of simulated transuranic-contaminated waste and soil located at the Radioactive Waste Management Complex (RWMC). Several recent system design and treatment studies have shown that high-temperature melting is the preferred treatment. The small arc melter is needed to establish techniques and procedures (with surrogates) prior to using a similar melter with the transuranic-contaminated wastes in appropriate facilities at the site. This report documents the design and construction, starting and heating procedures, and tests evaluating the melter's ability to process several waste types stored at the RWMC. It is found that a thin graphite strip provides reliable starting with initial high current capability for partially melting the soil/waste mixture. The heating procedure includes (1) the initial high current-low voltage mode, (2) a low current-high voltage mode that commences after some slag has formed and arcing dominates over the receding graphite conduction path, and (3) a predominantly Joule heating mode during which the current can be increased within the limits to maintain relatively quiescent operation. Several experiments involving the melting of simulated wastes are discussed. Energy balance, slag temperature, and electrode wear measurements are presented. Recommendations for further refinements to enhance its processing capabilities are identified. Future studies anticipated with the arc melter include waste form processing development; dissolution, retention, volatilization, and collection for transuranic and low-level radionuclides, as well as high vapor pressure metals; electrode material development to minimize corrosion and erosion; refractory corrosion and/or skull formation effects; crucible or melter geometry; metal oxidation; and melt reduction/oxidation (redox) conditions

Managing culture change in the commercial nuclear industry and the DOE weapons complex

International Nuclear Information System (INIS)

Buhl, A.R.

1992-01-01

Culture is the basic pattern of shared beliefs, behaviors, and assumptions acquired over time by the people in the organization. Culture is learned and can be modified over time. Many failures in managing change in recent years in the commercial nuclear industry and in the DOE weapons complex can be attributed to not accepting the central axiom of safety, health, and environmental matters. This paper presents specific lessons learned from experiences in commercial nuclear power and US Department of Energy weapons facilities restarts: (1) the attributes of problem plants and symptoms that predict impending regulatory doom; (2) the root causes of plant shutdown by regulators; (3) management infrastructure problems; and (4) actions required by management to effect the culture shift necessary to resume operations

Reversibility of Decisions and Retrievability of Radioactive Waste: An Overview of Regulatory Positions and Issues

International Nuclear Information System (INIS)

Ruiz-Lopez, Carmen; Pescatore, Claudio

2015-02-01

The Radioactive Waste Management Committee (RWMC) of the NEA has been at the forefront worldwide in examining the topic of Reversibility and Retrievability (R and R). As early as 2001, an NEA survey-based report entitled 'Reversibility and Retrievability in Geological Disposal of Radioactive Waste' provided an overview of R and R by an ad-hoc group of experts from 11 NEA Member countries. The 2001 report (NEA 2001) observed that national safety regulations dealt mainly with operational safety and design targets for long-term (post-closure) safety and relatively little consideration was given to retrievability/reversibility or its implications. Yet, policy frames saw benefits from retrievability. In 2007, the RWMC launched the NEA R and R project with participation from 15 countries and two international organisations. The project included, amongst its members, representatives of six organisations involved in regulation, five regulatory authorities of five countries and one technical support organisation to the safety authorities. The project aimed to improve awareness amongst the RWMC constituency of the breadth of issues and positions regarding the concepts of R and R with the goal of providing a neutral overview of relevant issues and viewpoints in OECD countries. Hence substantial attention was given to R and R regulatory issues mainly in the context of decision making for repository development. The report (NEA 2011) points out regulatory issues, including safety criteria and licensing considerations. The present document presents an overview of findings, positions, boundary conditions and issues based on the results of the R and R project of 2007-2011 (stepwise decision making and reversibility, regulatory authorisations and R and R, decision making for retrieval) and of the Reims conference of December 2010 (terminology and definitions, legal and policy context, motivations for R and R, practical aspects, stakeholders confidence aspects)

Materials and Fuels Complex Facilities Radioactive Waste Management Basis and DOE Manual 435.1-1 Compliance Tables

Energy Technology Data Exchange (ETDEWEB)

Lisa Harvego; Brion Bennett

2011-09-01

Department of Energy Order 435.1, 'Radioactive Waste Management,' along with its associated manual and guidance, requires development and maintenance of a radioactive waste management basis for each radioactive waste management facility, operation, and activity. This document presents a radioactive waste management basis for Idaho National Laboratory's Materials and Fuels Complex facilities that manage radioactive waste. The radioactive waste management basis for a facility comprises existing laboratory-wide and facility-specific documents. Department of Energy Manual 435.1-1, 'Radioactive Waste Management Manual,' facility compliance tables also are presented for the facilities. The tables serve as a tool for developing the radioactive waste management basis.

Materials and Fuels Complex Facilities Radioactive Waste Management Basis and DOE Manual 435.1-1 Compliance Tables

International Nuclear Information System (INIS)

Harvego, Lisa; Bennett, Brion

2011-01-01

Department of Energy Order 435.1, 'Radioactive Waste Management,' along with its associated manual and guidance, requires development and maintenance of a radioactive waste management basis for each radioactive waste management facility, operation, and activity. This document presents a radioactive waste management basis for Idaho National Laboratory's Materials and Fuels Complex facilities that manage radioactive waste. The radioactive waste management basis for a facility comprises existing laboratory-wide and facility-specific documents. Department of Energy Manual 435.1-1, 'Radioactive Waste Management Manual,' facility compliance tables also are presented for the facilities. The tables serve as a tool for developing the radioactive waste management basis.

In situ vitrification on buried waste

International Nuclear Information System (INIS)

Bates, S.O.

1992-01-01

In situ vitrification (ISV) is being evaluated as a remedial treatment technology for buried mixed and transuranic (TRU) wastes at the Subsurface Disposal Area (SDA) at Idaho National Engineering Laboratory (INEL) and can be related to buried wastes at other Department of Energy (DOE) sites. There are numerous locations around the DOE Complex where wastes were buried in the ground or stored for future burial. The Buried Waste Program (BWP) is conducting a comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) remedial investigation/feasibility study (RI/FS) for the Department of Energy - Field Office Idaho (DOE-ID). As part of the RI/FS, an ISV scoping study on the treatability of the SDA mixed low-level and mixed TRU waste is being performed for applicability to remediation of the waste at the Radioactive Waste Management Complex (RWMC). The ISV project being conducted at the INEL by EG ampersand G Idaho, Inc. consists of a treatability investigation to collect data to satisfy nine CERCLA criteria with regards to the SDA. This treatability investigation involves a series of experiments and related efforts to study the feasibility of ISV for remediation of mixed and TRU waste disposed of at the SDA

Preparing for Construction and Operation of Geological Repositories - Challenges to the Regulator and the Implementer. Proceedings of the Joint RF/IGSC Workshop, Issy-les-Moulineaux, France, 25-27 January 2012

International Nuclear Information System (INIS)

2014-01-01

More radioactive waste management programmes are advancing to a new repository development phase and are preparing for the application of their construction license of a deep geological disposal facility. Such developmental progress brought along significant changes to repository development affecting both the waste management programme implementers and the regulators. New issues impacting both the regulatory authorities and the future facility operators include operational safety and reliability, increased demands on human resources, activities to ensure quality assurance, the additional requirements on information management system and management plans for construction work. To respond to new arising issues, the Radioactive Waste Management Committee (RWMC) of the OECD Nuclear Energy Agency (NEA) has agreed, as stated in the 2011-2016 Strategic Plan, that the Committee will focus on constituencies for the preparation of the construction and operation license of future deep geological repositories. In addition, the Committee will consider operational aspects of repository implementation, both connected to the operational safety and the impact on the post-closure long-term safety. In particular, the RWMC has approved the RWMC Regulator's Forum (RWMC-RF) and the Integration Group for the Safety Case (IGSC) to hold a joint workshop to explore challenging issues and practices in preparing for the application of the construction license of a geological repository. The joint workshop titled 'Preparing for Construction and Operation of Geological Repositories - Challenges to the Regulator and the Implementer' was held on January 25-27, 2012 at the NEA premises in Issy-les-Moulineaux, France. The key objective of the workshop was to identify, and exchange experience on, the current and future challenges faced by the implementers and the regulators when preparing for their application of a construction license of a geological repository. The workshop gave a

Book Review: Water Diplomacy: A Negotiated Approach to Managing Complex Water Networks

Science.gov (United States)

Hossain, Faisal

2013-01-01

All nations have built their economies around water that is naturally available. Almost all sectors of the economy depend on water. Yet there is conflict among various users for the finite amount of water that is available. Managers and practitioners have long held the notion that competition rather than collaboration is the solution when there is conflict. Water Diplomacy: A Negotiated Approach to Managing Complex Water Networks, by Shafiqul Islam and Lawrence Susskind, provides a refreshingly compelling alternative to overcoming water conflicts. The book argues that the dynamic sociopolitical and socioeconomic constraints of water resources are best addressed in a "diplomacy" framework. The book rebuts, using several case studies, the technically rigid competition approach of today's water sharing practice.

The environmental and ethical basis of the geological disposal of long-lived radioactive waste

International Nuclear Information System (INIS)

Vuori, S.

1995-01-01

This partial translation into Finnish of the recently issued Collective Opinion of the Radioactive Waste Management Committee (RWMC) of the OECD Nuclear Energy Agency is published here to provide general information to the members of the Finnish Nuclear Society. Full translation will be published later by the Ministry of Trade and Industry. The collective opinion addresses the strategy for the final disposal of long-lived radioactive wastes seen from an environmental and ethical perspective, including considerations of equity and fairness within and between generations

The complexity paradigm in management reconceptualizing

Directory of Open Access Journals (Sweden)

Petrović Slavica P.

2005-01-01

Full Text Available Chaos and complexity theory is a special, functionalist systems approach to dealing with complex, dynamic, nonlinear systems. Through treating organizations as complex, with their environments coevolving, nonlinear systems, complexity theory is aimed at creative research of their erratic nature. When an organization is in a state of bounded instability, at the edge of chaos, order and disorder are intertwined, its behavior is irregular and unpredictable but has some pattern. According to the complexity paradigm organizations have to strive to avoid the equilibrium states of stability and instability. They have instead to strive to remain in a state of bounded instability, at the edge of chaos, where they are able to display their full potential for creativity and innovation.

Coping with Complex Environmental and Societal Flood Risk Management Decisions: An Integrated Multi-criteria Framework

Directory of Open Access Journals (Sweden)

Love Ekenberg

2011-08-01

Full Text Available During recent years, a great deal of attention has been focused on the financial risk management of natural disasters. One reason behind is that the economic losses from floods, windstorms, earthquakes and other disasters in both the developing and developed countries are escalating dramatically. It has become apparent that an integrated water resource management approach would be beneficial in order to take both the best interests of society and of the environment into consideration. One improvement consists of models capable of handling multiple criteria (conflicting objectives as well as multiple stakeholders (conflicting interests. A systems approach is applied for coping with complex environmental and societal risk management decisions with respect to flood catastrophe policy formation, wherein the emphasis is on computer-based modeling and simulation techniques combined with methods for evaluating strategies where numerous stakeholders are incorporated in the process. The resulting framework consists of a simulation model, a decision analytical tool, and a set of suggested policy strategies for policy formulation. The framework will aid decision makers with high risk complex environmental decisions subject to significant uncertainties.

Development of joint regulatory guidance on the management of higher activity radioactive wastes on nuclear licensed sites - 16095

International Nuclear Information System (INIS)

Bacon, Mick; Ilett, Doug; Whittall, Andy

2009-01-01

In 2006 the UK Government's response (1) to recommendations by its Committee on Radioactive Waste Management (CoRWM) established, in England and Wales, that geological disposal, supported by safe and secure interim storage, is the preferred route for the long-term management of higher-activity radioactive waste (i.e. that which is not suitable for near-surface disposal). It also gave the responsibility for delivering the programme for a deep geological repository to the Nuclear Decommissioning Authority (NDA). The Scottish Government has a policy of long term, near site, near surface safe and secure interim storage. To support the open and transparent approach promised by Government, the Health and Safety Executive (HSE), the Environment Agency and the Scottish Environment Protection Agency (SEPA) are developing joint guidance on the management of higher-activity radioactive waste to explain regulatory objectives in securing safe and secure interim storage and the associated management of radioactive wastes. The guidance comes in two parts: - Guidance on the regulatory process; - Technical guidance modules. The guidance promotes a cradle to grave approach to radioactive waste management and by aligning the regulatory interests of environmental and safety regulators it delivers one of the Government's 'Better Regulation' objectives. This paper describes the process by which the joint guidance was produced with particular emphasis on stakeholder engagement. It describes the key features of the guidance, including the concept of the radioactive waste management case (RWMC). Finally the problems encountered with dissemination and implementation are discussed together with measures taken by the regulators to improve these aspects. (1) : UK Government and the devolved administrations, 'Response to the Report and Recommendations from the Committee on Radioactive Waste Management (CoRWM)', (PB 12303) October 2006. www

Aspects of transport system management within mining complex using information and telecommunication systems

Science.gov (United States)

Semykina, A. S.; Zagorodniy, N. A.; Konev, A. A.; Duganova, E. V.

2018-05-01

The paper considers aspects of transport system management within the mining complex. It indicates information and telecommunication systems that are used to increase transportation efficiency. It also describes key advantages and disadvantages. It is found that software products of the Modular Company used in pits allow increasing transport performance, minimizing losses and ensuring efficient transportation of minerals.

Managing Complexity in Evidence Analysis: A Worked Example in Pediatric Weight Management.

Science.gov (United States)

Parrott, James Scott; Henry, Beverly; Thompson, Kyle L; Ziegler, Jane; Handu, Deepa

2018-05-02

Nutrition interventions are often complex and multicomponent. Typical approaches to meta-analyses that focus on individual causal relationships to provide guideline recommendations are not sufficient to capture this complexity. The objective of this study is to describe the method of meta-analysis used for the Pediatric Weight Management (PWM) Guidelines update and provide a worked example that can be applied in other areas of dietetics practice. The effects of PWM interventions were examined for body mass index (BMI), body mass index z-score (BMIZ), and waist circumference at four different time periods. For intervention-level effects, intervention types were identified empirically using multiple correspondence analysis paired with cluster analysis. Pooled effects of identified types were examined using random effects meta-analysis models. Differences in effects among types were examined using meta-regression. Context-level effects are examined using qualitative comparative analysis. Three distinct types (or families) of PWM interventions were identified: medical nutrition, behavioral, and missing components. Medical nutrition and behavioral types showed statistically significant improvements in BMIZ across all time points. Results were less consistent for BMI and waist circumference, although four distinct patterns of weight status change were identified. These varied by intervention type as well as outcome measure. Meta-regression indicated statistically significant differences between the medical nutrition and behavioral types vs the missing component type for both BMIZ and BMI, although the pattern varied by time period and intervention type. Qualitative comparative analysis identified distinct configurations of context characteristics at each time point that were consistent with positive outcomes among the intervention types. Although analysis of individual causal relationships is invaluable, this approach is inadequate to capture the complexity of dietetics

[Refusal of care faced by case manager from elderly persons in complex situation: cross perspectives].

Science.gov (United States)

Corvol, A; Balard, F; Moutel, G; Somme, D

2014-01-01

Case management is a new professional field in France. It is addressed to elderly persons living in community whose situation is regarded as particularly complex. Case managers have to assess needs and coordinate necessary services. One common criteria of complexity is refusal of care. The objective of this study is to compare the words of users with those of case managers about refusal of care, in order to understand its meaning, professionals' attitudes and ethical challenges. Two researchers have cooperated on this qualitative research: the first one, anthropologist, interviewed 19 individuals, and 11 of their caregivers. The second one, geriatrician and researcher in medical ethics, lead four focus groups gathering a total of 18 case managers. Refusal of care often is the result of the will of preserving one's identity, compromised by illness. Individuals seek control on their life. Facing this behaviour, case managers try to secure the individual, by establishing a personal relationship that respects their choices, even if care has to be delayed. Refusal of care may sometimes disclose a desire to vanish, in front of which professionals meet their own limits. To recognise an elderly person that refuses care as a unique individual who can make choices secure his identity, and allow him to change. Copyright © 2013 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

Three propositions on why characteristics of performance management systems converge across policy areas with different levels of task complexity

DEFF Research Database (Denmark)

Bjørnholt, Bente; Lindholst, Andrej Christian; Agger Nielsen, Jeppe

2014-01-01

of task complexity amidst a lack of formal and overarching, government-wide policies. We advance our propositions from a case study comparing the characteristics of performance management systems across social services (eldercare) and technical services (park services) in Denmark. Contrary to expectations......This article investigates the differences and similarities between performance management systems across public services. We offer three propositions as to why the characteristics of performance management systems may still converge across policy areas in the public sector with different levels...... for divergence due to differences in task complexity, the characteristics of performance management systems in the two policy areas are observed to converge. On the basis of a case study, we propose that convergence has occurred due to 1) similarities in policy-specific reforms, 2) institutional pressures, and 3...

Towards a regional ontology of management education in Africa: A complexity leadership theory perspective

Directory of Open Access Journals (Sweden)

Nixon M. Ochara

2017-02-01

Full Text Available Orientation: The title of this critique, ‘Towards a regional ontology of management education in Africa: A complexity leadership theory perspective’, sought to capture a paradox in the prescriptive nature and universalistic leaning of current leadership theories; yet local realities may call for being cognisant of (possible extant regional ontologies. Motivation for the study: The argumentation and analysis developed in this article were based on a synthesis of ideas from literature to evolve a preliminary regional ontology for reorienting business and management education relevant for Africa. Research design, approach and method: The critique was structured on insights from complexity leadership theory. The outcome was a proposition for an Afrocentric regional ontology for strengthening business and management education anchored on four themes: ethical and moral engagement, entrepreneurial leadership, Ubuntu and local National Systems of Innovation (NSI. These emerging ideas were considered to be tentative and should be considered as a foundation to inform further inquiry into how business and management education in Africa can be better interpreted and legitimised in the behavioural sciences. Practical/managerial implications: From an Afrocentric perspective, conceptualising and maintaining the logic of leadership was considered to be desirable and imperative in evolving a regional ontology of leadership that takes into account local realities. Of course, we recognised that these defining rationalities are not unique to Africa, but that said; a regional perspective that is unique cannot continue to be ignored but should find their place in discourses about leadership in the 21st century. Contribution/value-add: The synthesis and narrative presented in this paper concisely summarises and provides traction on how to advance business and management education in Africa.

Real time information management for improving productivity in metallurgical complexes

International Nuclear Information System (INIS)

Bascur, O.A.; Kennedy, J.P.

1999-01-01

Applying the latest information technologies in industrial plants has become a serious challenge to management and technical teams. The availability of real time and historical operations information to identify the most critical part of the processing system from mechanical integrity is a must for global plant optimization. Expanded use of plant information on the desktop is a standard tool for revenue improvement, cost reduction, and adherence to production constraints. The industrial component desktop supports access to information for process troubleshooting, continuous improvement and innovation by plant and staff personnel. Collaboration between groups enables the implementation of an overall process effectiveness index based on losses due to equipment availability, production and product quality. The key to designing technology is to use the Internet based technologies created by Microsoft for its marketplace-office automation and the Web. Time derived variables are used for process analysis, troubleshooting and performance assessment. Connectivity between metallurgical complexes, research centers and their business system has become a reality. Two case studies of large integrated mining/metallurgical complexes are highlighted. (author)

The Effectiveness of an Electronic Security Management System in a Privately Owned Apartment Complex

Science.gov (United States)

Greenberg, David F.; Roush, Jeffrey B.

2009-01-01

Poisson and negative binomial regression methods are used to analyze the monthly time series data to determine the effects of introducing an integrated security management system including closed-circuit television (CCTV), door alarm monitoring, proximity card access, and emergency call boxes to a large privately-owned complex of apartment…

CONTROLLING AS A MECHANISM TO INCREASE THE EFFICIENCY OF MANAGEMENT ENTERPRISES OF FUEL-ENERGY COMPLEX

Directory of Open Access Journals (Sweden)

M. A. Ostashkin

2013-01-01

Full Text Available This article discusses the possibility of application of controlling as mechanism of increasing the efficiency of management of enterprises of fuel- energy complex. The research was conducted on the materials of the JSC «Gazprom».

Task complexity and task, goal, and reward interdependence in group performance management : A prescriptive model

NARCIS (Netherlands)

van Vijfeijken, H.; Kleingeld, A.; van Tuijl, H.; Algera, J.A.; Thierry, Hk.

2002-01-01

A prescriptive model on how to design effective combinations of goal setting and contingent rewards for group performance management is presented. The model incorporates the constructs task complexity, task interdependence, goal interdependence, and reward interdependence and specifies optimal fit

One of a kind complex offers unique energy management challenges

Energy Technology Data Exchange (ETDEWEB)

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

1993-10-01

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

Complexity management in the food industry

DEFF Research Database (Denmark)

Herbert-Hansen, Zaza Nadja Lee; Jacobsen, Peter

2017-01-01

The many stakeholders in the food industry with their diverse interests make this industry complex and interesting to work with. There are four main stakeholders; 1) The customers with their increased demand for customized products, quick delivery times and increased responsiveness, 2) The author......The many stakeholders in the food industry with their diverse interests make this industry complex and interesting to work with. There are four main stakeholders; 1) The customers with their increased demand for customized products, quick delivery times and increased responsiveness, 2...... this complexity and finding a method for using these complexity factors in economic calculations. The research question this paper seeks to address is therefore “Which complexity factors can be quantified in the food industry and how can they be used in economic calculations?” A case study of a SME Danish bread...... producer will address the research question due to the explorative nature of this study and the limited amount of previous research within this field....

Management of anterior teeth damage caused by complex caries through aesthetic endorestoration

Directory of Open Access Journals (Sweden)

Nanik Zubaidah

2011-03-01

Full Text Available Background: Dental caries is a microbiological disease that result in localized dissolution and destruction of the calcified tissue. It is multifactorial, therefore prevention must be based on a multifactorial approach. The damage of anterior teeth due to complex caries, for certain person may interfere their performance and decrease their self confidence aesthetically. Restoration of tooth form and function, especially on anterior teeth is highly valuable. Purpose: To present a case of maxillary anterior teeth with complex caries, through endorestoration treatment for recovering its original function and aesthetic. Case: The 21 years old male patient with complex carries on maxillary anterior teeth number 12, 11, 21, 22 and 23. The patient felt bad about his performance and affect his self confidence. The patient visited the clinic to repair his teeth and to get its form and function aesthetically. Case management: The endorestoration treatment was performed for carious teeth through pulpectomy followed by insertion of post retention and porcelain fused to metal crowns. Conclusion: Anterior teeth with severed complex caries can be managed through endorestoration treatment to recover its performance and function aesthetically.Latar belakang: Dental karies adalah penyakit infeksi yang berakibat kerusakan jaringan kalsifikasi dan bersifat multifactorial. Oleh karena itu pencegahan dilakukan dengan pendekatan multifactorial. Kerusakan gigi anterior karena karies kompleks untuk orang-orang tertentu mungkin berdampak pada penampilan dan penurunan kepercayaan diri karena factor estetik. Perbaikan gigi anterior dari berbagai kerusakan baik dalam hal bentuk maupun fungsinya sangat besar nilainya. Tujuan: Untuk menunjukkan kasus gigi anterior rahang atas karena karies kompleks melalui perawatan endorestorasi untuk mengembalikan fungsi gigi asli dan estetik. Kasus: Laki-laki usia 21 tahun dengan karies kompleks pada gigi anterior rahang atas 12, 11, 21

Three-stage management of complex pancreatic trauma with gastroduodenopancreatectomy: A case report

Directory of Open Access Journals (Sweden)

Sergio Henrique Bastos Damous

Full Text Available Introduction: Severe injuries of the pancreatic head and duodenum in haemodynamically unstable patients are complex management. The purpose of this study is to report a case of complex pancreatic trauma induced by gunshot and managed with surgical approaches at three different times. Presentation of case: Exploratory laparotomy was indicated after initial emergency room care, with findings of cloudy blood-tinged fluid and blood clots on the mesentery near the hepatic angle, on the region of the 2nd portion of the duodenum and at the pancreatic head. Gastroduodenopancreatectomy was performed with right hemicolectomy and the peritoneal cavity was temporarily closed by a vacuum peritoneostomy. Surgical reopening occurred on the fifth postoperative day, and the patient was subjected to single-loop reconstruction of the intestinal transit with telescoping pancreaticojejunal anastomosis, biliodigestive anastomosis with termino-lateral hepaticojejunal anastomosis with a Kehr drain and gastroenteroanastomosis in 2 planes. The terminal ileostomy was maintained. After 2 days, the patient was subjected to abdominal wall closure without complications, which required relaxing Gibson incisions and wound closure with polypropylene mesh placement in a pre-aponeurotic position closed with multiple stitches. Results: The patient was discharged on the 40th post-trauma day without drains, with a functioning ileostomy and with a scheduled reconstruction of intestinal transit. Conclusion: In the presence of multiple associated injuries, hemodynamic instability and the need for an extensive surgical procedure such as duodenopancreatectomy, damage control surgery performed in stages as reported here enables the clinical stabilization of the patient for definitive treatment, achieving better survival results. Keywords: Pancreatic trauma, Complex trauma, Damage control, Trauma, Gastroduodenopancreatectomy

Care for a Patient With Cancer As a Project: Management of Complex Task Interdependence in Cancer Care Delivery.

Science.gov (United States)

Trosman, Julia R; Carlos, Ruth C; Simon, Melissa A; Madden, Debra L; Gradishar, William J; Benson, Al B; Rapkin, Bruce D; Weiss, Elisa S; Gareen, Ilana F; Wagner, Lynne I; Khan, Seema A; Bunce, Mikele M; Small, Art; Weldon, Christine B

2016-11-01

Cancer care is highly complex and suffers from fragmentation and lack of coordination across provider specialties and clinical domains. As a result, patients often find that they must coordinate care on their own. Coordinated delivery teams may address these challenges and improve quality of cancer care. Task interdependence is a core principle of rigorous teamwork and is essential to addressing the complexity of cancer care, which is highly interdependent across specialties and modalities. We examined challenges faced by a patient with early-stage breast cancer that resulted from difficulties in understanding and managing task interdependence across clinical domains involved in this patient's care. We used team science supported by the project management discipline to discuss how various task interdependence aspects can be recognized, deliberately designed, and systematically managed to prevent care breakdowns. This case highlights how effective task interdependence management facilitated by project management methods could markedly improve the course of a patient's care. This work informs efforts of cancer centers and practices to redesign cancer care delivery through innovative, practical, and patient-centered approaches to management of task interdependence in cancer care. Future patient-reported outcomes research will help to determine optimal ways to engage patients, including those who are medically underserved, in managing task interdependence in their own care.

The Convergence of the telematic, computing and information services as a basis for using artificial intelligence to manage complex techno-organizational systems

Directory of Open Access Journals (Sweden)

Raikov Alexander

2018-01-01

Full Text Available The authors analyses the problems of using artificial intelligence to manage complex techno-organizational systems on the basis of the convergence of the telematic, computing and information services in order to manage complex techno-organizational systems in the aerospace industry. This means getting the space objects a higher level of management based on the self-organizing integration principle. Using the artificial intelligence elements allows us to get more optimal and limit values parameters of the ordinal and critical situations in real time. Thus, it helps us to come closer to the limit values parameters of the managed objects due to rising managing and observant possibilities.

Transuranic waste examination quality assurance at the Idaho National Engineering Laboratory

International Nuclear Information System (INIS)

Bower, J.M.

1987-01-01

Since 1954, defense-generated transuranic (TRU) waste has been received at the Radioactive Waste Management Complex (RWMC) at the Idaho National Engineering Laboratory (INEL). A major objective of the Department of Energy (DOE) Nuclear Waste Management Programs is the proper management of the defense-generated TRU waste. The Stored Waste Examination Pilot Plant (SWEPP) is providing nondestructive examination and assay of retrievably stored contact handled TRU waste in order to certify it to the Waste Isolation Pilot Plant Waste Acceptance Crtieria (WIPP-WAC). SWEPP's capabilities for certifying contact handled waste containers include weighing, real-time radiographic examination, fissile material assay examination, container integrity examination, radiological surveys and labeling of waste containers. These processes involve not only instrument accuracy but also a wide range of technician interpretation from moderate on the assay to 100% on the radiograph. This, therefore, requires a variety of quality assurance techniques to ensure that the examinations and certifications are being performed correctly. The purpose of this paper is to discuss the methods utilized by SWEPP for checking on the examination process and to ensure that waste certifications are being properly performed. Included is the application of the quality assurance techniques to each examination system, the management of the data generated by the examination, and the verifications to ensure accurate certification. 1 ref

Proceedings of the international information exchange meeting on diffusion phenomena in bentonite and rock. Aiming at the safety assessment of the geological disposal

International Nuclear Information System (INIS)

Sato, Haruo; Hatanaka, Koichiro

2009-12-01

The international information exchange meeting on diffusion phenomena in bentonite and rock was held at Horonobe Underground Research Center on 18th July, 2006. This meeting was hosted by Japan Atomic Energy Agency (JAEA) and supported by Hokkaido University and Radioactive Waste Management Funding and Research Center (RWMC). Totally 18 scientists who are specialists of diffusion participated from Finland (VTT) and Japan (7 research organizations) in the meeting. 6 presentations were made on recent research activities and outputs on diffusion phenomena in bentonite and rock. The 6 papers are indexed individually. (J.P.N.)

Control of Future Air Traffic Systems via Complexity Bound Management

Science.gov (United States)

Alexandrov, Natalia

2013-01-01

The complexity of the present system for managing air traffic has led to "discreteness" in approaches to creating new concepts: new concepts are created as point designs, based on experience, expertise, and creativity of the proposer. Discrete point designs may be highly successful but they are difficult to substantiate in the face of equally strong substantiation of competing concepts, as well as the state of the art in concept evaluation via simulations. Hybrid concepts may present a compromise - the golden middle. Yet a hybrid of sometimes in principle incompatible concepts forms another point design that faces the challenge of substantiation and validation. We are faced with the need to re-design the air transportation system ab initio. This is a daunting task, especially considering the problem of transitioning from the present system to any fundamentally new system. However, design from scratch is also an opportunity to reconsider approaches to new concept development. In this position paper we propose an approach, Optimized Parametric Functional Design, for systematic development of concepts for management and control of airspace systems, based on optimization formulations in terms of required system functions and states. This reasoning framework, realizable in the context of ab initio system design, offers an approach to deriving substantiated airspace management and control concepts. With growing computational power, we hope that the approach will also yield a methodology for actual dynamic control of airspace

Nurse-led case management for ambulatory complex patients in general health care: A systematic review

NARCIS (Netherlands)

Latour-Delfgaauw, C.H.M.; van der Windt, D.A.W.M.; de Jonge, P.; Riphagen, II; Vos, R.; Huyse, F.J.; Stalman, W.A.B.

2007-01-01

Objective: The aim of this study was to summarize the available literature on the effectiveness of ambulatory nurse-led case management for complex patients in general health care. Method: We searched MEDLINE, EMBASE, the Cochrane Controlled Trials Register, and Cinahl. We included randomized

Progression in Complexity: Contextualizing Sustainable Marine Resources Management in a 10th Grade Classroom

Science.gov (United States)

Bravo-Torija, Beatriz; Jiménez-Aleixandre, María-Pilar

2012-01-01

Sustainable management of marine resources raises great challenges. Working with this socio-scientific issue in the classroom requires students to apply complex models about energy flow and trophic pyramids in order to understand that food chains represent transfer of energy, to construct meanings for sustainable resources management through discourse, and to connect them to actions and decisions in a real-life context. In this paper we examine the process of elaboration of plans for resources management in a marine ecosystem by 10th grade students (15-16 year) in the context of solving an authentic task. A complete class ( N = 14) worked in a sequence about ecosystems. Working in small groups, the students made models of energy flow and trophic pyramids, and used them to solve the problem of feeding a small community for a long time. Data collection included videotaping and audiotaping of all of the sessions, and collecting the students' written productions. The research objective is to examine the process of designing a plan for sustainable resources management in terms of the discursive moves of the students across stages in contextualizing practices, or different degrees of complexity (Jiménez-Aleixandre & Reigosa International Journal of Science Education, 14(1): 51-61 2006), understood as transformations from theoretical statements to decisions about the plan. The analysis of students' discursive moves shows how the groups progressed through stages of connecting different models, between them and with the context, in order to solve the task. The challenges related to taking this sustainability issue to the classroom are discussed.

Is there still a role for traditional methods in the management of fractures of the zygomatic complex?

LENUS (Irish Health Repository)

O'Sullivan, S T

2012-02-03

With the introduction of low-profile mini-plating systems, a trend has developed towards open reduction and rigid internal fixation (ORIF) of fractures of the cranio-facial skeleton. The current policy for management of zygomatic fractures in our unit is to attempt primary reduction by traditional methods, and proceed to ORIF in the event of unsatisfactory fracture stability or alignment. Over a one-year period, 109 patients underwent surgical correction of fractures of the zygomatic complex. Standard Gilles\\' elevation was performed in 71 cases, percutaneous elevation in three cases, and ORIF was performed in 35 cases. Mean follow-up was 190 days. One case of persistent infraorbital step and three cases of residual malar flattening were documented in patients who underwent Gilles or percutaneous elevation. Morbidity associated with ORIF was minimal. We conclude that while ORIF of zygomatic fractures may offer better results than traditional methods in the management of complex fractures, traditional methods still have a role to play in less complex fractures.

Results from 10 Years of a CBT Pain Self-Management Outpatient Program for Complex Chronic Conditions

Directory of Open Access Journals (Sweden)

Kathryn A. Boschen

2016-01-01

Full Text Available Background. Traditional unimodal interventions may be insufficient for treating complex pain, as they do not address cognitive and behavioural contributors to pain. Cognitive Behavioural Therapy (CBT and physical exercise (PE are empirically supported treatments that can reduce pain and improve quality of life. Objectives. To examine the outcomes of a pain self-management outpatient program based on CBT and PE at a rehabilitation hospital in Toronto, Ontario. Methods. The pain management group (PMG consisted of 20 sessions over 10 weeks. The intervention consisted of four components: education, cognitive behavioural skills, exercise, and self-management strategies. Outcome measures included the sensory, affective, and intensity of pain experience, depression, anxiety, pain disability, active and passive coping style, and general health functioning. Results. From 2002 to 2011, 36 PMGs were run. In total, 311 patients entered the program and 214 completed it. Paired t-tests showed significant pre- to posttreatment improvements in all outcomes measured. Patient outcomes did not differ according to the number or type of diagnoses. Both before and after treatment, women reported more active coping than men. Discussion. The PMGs improved pain self-management for patients with complex pain. Future research should use a randomized controlled design to better understand the outcomes of PMGs.

Issues of human resources management in the enterprises of the machine-building complex of the Tyumen region

Directory of Open Access Journals (Sweden)

Lez’er Victoria

2018-01-01

Full Text Available This article, the authors have considered theoretical-methodological and practical aspects of human resource management in the process of restructuring enterprises of the machine-building complex of the Tyumen region. Based on the study of the evolution of theories concerning the human factor in the economy, the systematization and generalization of the provisions contained therein, the system of categories in the field of human resource management is substantiated. The basic principles of such management have been identified and supplemented, the tasks facing the enterprise management have been clarified, new tools for human resource management have been proposed, to ensure the completeness, continuity and validity of the decisions made in the field of human resources management in the restructuring of industrial enterprises.

Complex-wide review of DOE's Low-Level Waste Management ES ampersand H vulnerabilities. Volume II. Final report

International Nuclear Information System (INIS)

1996-05-01

Volume I of this report presents a summary of DOE's complex-wide review of its low-level waste management system, including the assessment scope and methodology, site-specific and complex-wide vulnerabilities, and DOE's conclusions and recommendations. Volume II presents a more detailed discussion of the assessment methodology and evaluation instruments developed by the Assessment Working Group for identifying site-specific vulnerabilities, categorizing and classifying vulnerabilities, and identifying and analyzing complex-wide vulnerabilities. Attachments A and B of this volume contain, respectively, the Site Evaluation Survey and the Vulnerability Assessment Form used in those processes. Volume III contains the site-specific assessment reports for the 36 sites (38 facilities) assessed in the complex-wide review from which the complex-wide vulnerabilities were drawn

Long-lived legacy: Managing high-level and transuranic waste at the DOE Nuclear Weapons Complex. Background paper

International Nuclear Information System (INIS)

1991-05-01

The document focuses on high-level and transuranic waste at the DOE nuclear weapons complex. Reviews some of the critical areas and aspects of the DOE waste problem in order to provide data and further analysis of important issues. Partial contents, High-Level Waste Management at the DOE Weapons Complex, are as follows: High-Level Waste Management: Present and Planned; Amount and Distribution; Current and Potential Problems; Vitrification; Calcination; Alternative Waste Forms for the Idaho National Engineering Laboratory; Technologies for Pretreatment of High-Level Waste; Waste Minimization; Regulatory Framework; Definition of High-Level Waste; Repository Delays and Contingency Planning; Urgency of High-Level Tank Waste Treatment; Technologies for High-Level Waste Treatment; Rethinking the Waste Form and Package; Waste Form for the Idaho National Engineering Laboratory; Releases to the Atmosphere; Future of the PUREX Plant at Hanford; Waste Minimization; Tritium Production; International Cooperation; Scenarios for Future HLW Production. Partial contents of Chapter 2, Managing Transuranic Waste at the DOE Nuclear Weapons Complex, are as follows: Transuranic Waste at Department of Energy Sites; Amount and Distribution; Waste Management: Present and Planned; Current and Potential Problems; Three Technologies for Treating Retrievably Stored Transuranic Waste; In Situ Vitrification; The Applied Research, Development, Demonstration, Testing, and Evaluation Plan (RDDT ampersand E); Actinide Conversion (Transmutation); Waste Minimization; The Regulatory Framework; Definition of, and Standards for, Disposal of Transuranic Waste; Repository Delays; Alternative Storage and Disposal Strategies; Remediation of Buried Waste; The Waste Isolation Pilot Plant; Waste Minimization; Scenarios for Future Transuranic Waste Production; Conditions of No-Migration Determination

Hazards ahead: Managing cleanup worker health and safety at the nuclear weapons complex. Background paper

International Nuclear Information System (INIS)

1993-02-01

Cold War nuclear weapons production has left a legacy of environmental contamination that is unprecented in scope and complexity. The Department of Energy has begun cleaning up pollution at the Nuclear Weapons Complex (NWC)--an expensive, decades-long task that will require a workforce numbering tens of thousands of scientists, technicians, and laborers. Protecting their health and safety must be a major goal of the cleanup effort. Achieving the goal will require DOE to successfully confront significant technical and managerial challenges, but it also poses a unique opportunity to advance state-of-the-art occupational health and safety technologies and practices. The report provides an evaluation of environmental restoration and waste management at the DOE Nuclear Weapons Complex. It examines risks workers might face in cleaning up contamination at the complex and evaluates the effectiveness of DOE's occupational safety and health programs for cleanup workers

Managing teams performing complex innovation projects

NARCIS (Netherlands)

Oeij, P.R.A.; Vroome, E.M.M. de; Dhondt, S.; Gaspersz, J.B.R.

2012-01-01

Complexity of projects is hotly debated and a factor which affects innovativeness of team performance. Much attention in the past is paid to technical complexity and many issues are related to natural and physical sciences. A growing awareness of the importance of socio-organisational issues is

Complex-wide review of DOE's management of low-level radioactive waste - progress to date

International Nuclear Information System (INIS)

Letourneau, M.J.

1995-01-01

The Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 94-2 includes a recommendation that the Department of Energy (DOE) conduct a comprehensive, complex-wide review of the low-level waste issue to establish the dimensions of the low-level waste problem and to identify necessary corrective actions to address the safe disposition of past, present, and future volumes. DOE's Implementation Plan calls for the conduct of a complex-wide review of low-level radioactive waste treatment, storage, and disposal sites to identify environmental, safety, and health vulnerabilities. The complex-wide review focuses on low-level waste disposal facilities through a site evaluation survey, reviews of existing documentation, and onsite observations. Low-level waste treatment and storage facilities will be assessed for their ability to meet waste acceptance criteria for disposal. Results from the complex-wide review will be used to form the basis for an integrated and planned set of actions to correct the identified vulnerabilities and to prompt development of new requirements for managing low-level waste

Provision of radiation safety at the designing of the industrial complex of solid radwaste management (ICSRM)

International Nuclear Information System (INIS)

Lobach, S.Yu.; Sevastyuk, O.V.

2003-01-01

The article presents the basic principles and criteria of the radiation safety provision, organization of the radiation control system, and dose calculation for the staff irradiation at the construction and operation of the Industrial complex of solid radwaste management (ICSRM)

Annual report on monitoring of the unsaturated zone and recharge areas at INEL to the state of Idaho INEL Oversight Committee

International Nuclear Information System (INIS)

King, B.; Bloomsburg, G.; Horn, D.; Liou, J.; Finnie, J.

1992-01-01

During the early years of the INEL, the USGS conducted extensive studies (sitewide drilling program) of the geology and hydrology of the area collecting varied data over the years. The unsaturated zone has not received much attention until recently. The studies that have been done are a result of problems or concerns arising from liquid radioactive waste disposal. The TRA facility has the most information published about its waste disposal activities. The ICPP has less data about the unsaturated zone due to the fact that most waste water disposal has been to a well. Little is known about the effect of waste water disposal at the NRF on the unsaturated zone. Essentially no information was found about waste disposal activities at other facilities, primarily because there does not appear to be any reported problems associated with waste water disposal at these locations. The RWMC has received much attention in the last few years as the result of being priority No. 1 in the superfund clean up of the INEL. A considerable amount of data are available describing the unsaturated zone at the RWMC. These data have been collected to field calibrate a radionuclide migration model for the RWMC

Site-specific probabilistic seismic hazard analyses for the Idaho National Engineering Laboratory. Volume 1: Final report

International Nuclear Information System (INIS)

1996-05-01

This report describes and summarizes a probabilistic evaluation of ground motions for the Idaho National Engineering Laboratory (INEL). The purpose of this evaluation is to provide a basis for updating the seismic design criteria for the INEL. In this study, site-specific seismic hazard curves were developed for seven facility sites as prescribed by DOE Standards 1022-93 and 1023-96. These sites include the: Advanced Test Reactor (ATR); Argonne National Laboratory West (ANL); Idaho Chemical Processing Plant (ICPP or CPP); Power Burst Facility (PBF); Radioactive Waste Management Complex (RWMC); Naval Reactor Facility (NRF); and Test Area North (TAN). The results, probabilistic peak ground accelerations and uniform hazard spectra, contained in this report are not to be used for purposes of seismic design at INEL. A subsequent study will be performed to translate the results of this probabilistic seismic hazard analysis to site-specific seismic design values for the INEL as per the requirements of DOE Standard 1020-94. These site-specific seismic design values will be incorporated into the INEL Architectural and Engineering Standards

T-Rex system for operation in TRU, LLW, and hazardous zones

International Nuclear Information System (INIS)

Kline, H.M.; Andreycheck, T.P.; Beeson, B.K.

1995-01-01

T-Rex stands for Transuranic Storage Area Remote Excavator that is dedicated to the retrieval of above ground waste containers and overburden at the Radioactive Waste Management Complex (RWMC) located at the Idaho National Engineering Laboratory. There are a number of sites around the world containing (transuranic) (TRU), low level (LLW), and hazardous wastes that requires teleoperated, heavy lift manipulators with long reach and high precision to handle the materials stored there. Remote operation of equipment will reduce the risk to personnel to as-low-as-reasonably-achievable (ALARA) levels. The T-Rex is designed to fulfill this requirement at relatively low cost through the integration of a production front shovel excavator with a control system, local and remote operator control stations, a closed-circuit television system (CCTV), and multiple end effectors with quick changeout capability. This paper describes the conversion of an off-the-shelf excavator to a machine utilizing a modified hydraulic system, an integrated onboard remote control system, CCTV system, collision avoidance system, and a remote control station

Application of PINS and GNAT to the assay of 55-gal containers of radioactive waste

International Nuclear Information System (INIS)

Gehrke, R.J.; Aryaeinejad, R.; Watts, K.D.; Staples, D.R.; Akers, D.W.

1994-03-01

The Portable Isotropic Neutron Spectroscopy (PINS) and Gamma Neutron Assay Technique (GNAT) assay systems that were developed with funding from the office of Research and Development (NN20), were taken to the Stored Waste Examination Pilot Plant (SWEPP) facility at the Radioactive Waste Management Complex (RWMC) and applied to the assay of surrogate and Rocky Flats Plant waste contained in 55-gal drums. PINS, a portable prompt γ neutron activation analysis technique, was able to identify key elements in both the surrogate and real waste so that three-main waste categories: metal, combustible material, and cemented chlorinated sludge wastes could be identified. GNAT, a γ, neutron assay technique for the identification and quantification of fissioning isotopes, was able to identify 240 Pu in surrogate waste in which nine 1-g nuclear accident dosimeters were inserted. GNAT was also able to identify 24O Pu in real 55-gal waste drums containing 15- and 40-g of plutonium even in the presence of high activity concentrations of 241 Am

Management of Innovation in a Flat World: Growing Complexity, Globalisation and Citizen Participation

OpenAIRE

Mulder, K.F.

2016-01-01

Innovation is not what it was in the 20th century; the classic century of R & D based innovation. The nature of innovation is changing, only in part because different technologies dominate innovation. This paper identifies three main societal trends that are of major importance for strategic management of innovation in industry and for government industrial- and technology policies. These trends are: - Growing complexity - Globalisation - Citizen participation As a result, innovation strategy...

A program-level management system for the life cycle environmental and economic assessment of complex building projects

International Nuclear Information System (INIS)

Kim, Chan-Joong; Kim, Jimin; Hong, Taehoon; Koo, Choongwan; Jeong, Kwangbok; Park, Hyo Seon

2015-01-01

Climate change has become one of the most significant environmental issues, of which about 40% come from the building sector. In particular, complex building projects with various functions have increased, which should be managed from a program-level perspective. Therefore, this study aimed to develop a program-level management system for the life-cycle environmental and economic assessment of complex building projects. The developed system consists of three parts: (i) input part: database server and input data; (ii) analysis part: life cycle assessment and life cycle cost; and (iii) result part: microscopic analysis and macroscopic analysis. To analyze the applicability of the developed system, this study selected ‘U’ University, a complex building project consisting of research facility and residential facility. Through value engineering with experts, a total of 137 design alternatives were established. Based on these alternatives, the macroscopic analysis results were as follows: (i) at the program-level, the life-cycle environmental and economic cost in ‘U’ University were reduced by 6.22% and 2.11%, respectively; (ii) at the project-level, the life-cycle environmental and economic cost in research facility were reduced 6.01% and 1.87%, respectively; and those in residential facility, 12.01% and 3.83%, respective; and (iii) for the mechanical work at the work-type-level, the initial cost was increased 2.9%; but the operation and maintenance phase was reduced by 20.0%. As a result, the developed system can allow the facility managers to establish the operation and maintenance strategies for the environmental and economic aspects from a program-level perspective. - Highlights: • A program-level management system for complex building projects was developed. • Life-cycle environmental and economic assessment can be conducted using the system. • The design alternatives can be analyzed from the microscopic perspective. • The system can be used to

A program-level management system for the life cycle environmental and economic assessment of complex building projects

Energy Technology Data Exchange (ETDEWEB)

Kim, Chan-Joong [Parsons Brinckerhoff, Seoul 135-763 (Korea, Republic of); Kim, Jimin; Hong, Taehoon; Koo, Choongwan; Jeong, Kwangbok; Park, Hyo Seon [Department of Architectural Engineering, Yonsei University, Seoul 120-749 (Korea, Republic of)

2015-09-15

Climate change has become one of the most significant environmental issues, of which about 40% come from the building sector. In particular, complex building projects with various functions have increased, which should be managed from a program-level perspective. Therefore, this study aimed to develop a program-level management system for the life-cycle environmental and economic assessment of complex building projects. The developed system consists of three parts: (i) input part: database server and input data; (ii) analysis part: life cycle assessment and life cycle cost; and (iii) result part: microscopic analysis and macroscopic analysis. To analyze the applicability of the developed system, this study selected ‘U’ University, a complex building project consisting of research facility and residential facility. Through value engineering with experts, a total of 137 design alternatives were established. Based on these alternatives, the macroscopic analysis results were as follows: (i) at the program-level, the life-cycle environmental and economic cost in ‘U’ University were reduced by 6.22% and 2.11%, respectively; (ii) at the project-level, the life-cycle environmental and economic cost in research facility were reduced 6.01% and 1.87%, respectively; and those in residential facility, 12.01% and 3.83%, respective; and (iii) for the mechanical work at the work-type-level, the initial cost was increased 2.9%; but the operation and maintenance phase was reduced by 20.0%. As a result, the developed system can allow the facility managers to establish the operation and maintenance strategies for the environmental and economic aspects from a program-level perspective. - Highlights: • A program-level management system for complex building projects was developed. • Life-cycle environmental and economic assessment can be conducted using the system. • The design alternatives can be analyzed from the microscopic perspective. • The system can be used to

Proceedings of the NEA Workshop on the Management of Non-Nuclear Radioactive Waste

International Nuclear Information System (INIS)

Zafiropoulos, Demetre; Dilday, Daniel; Siemann, Michael; Ciambrella, Massimo; Lazo, Edward; Sartori, Enrico; ); Dionisi, Mario; Long, Juliet; Nicholson, David; Chambers, Douglas; Garcia Alves, Joao Henrique; McMahon, Ciara; Bruno, Gerard; Fan, Zhiwen; ); Ripani, Marco; Nielsen, Mette; Solente, Nicolas; Templeton, John; Paratore, Angelo; Feinhals, Joerg; Pandolfi, Dana; Sarchiapone, Lucia; Picentino, Bruno; Simms, Helen; Beer, Hans-Frieder; Deryabin, Sergey; Ulrici, Luisa; Bergamaschi, Carlo; Nottestad, Stacy; Anagnostakis, Marios

2017-05-01

All NEA member countries, whether or not they have nuclear power plants, are faced with appropriately managing non-nuclear radioactive waste produced through industrial, research and medical activities. Sources of such waste can include national laboratory and university research activities, used and lost industrial gauges and radiography sources, hospital nuclear medicine activities and in some circumstances, naturally occurring radioactive material (NORM) activities. Although many of these wastes are not long-lived, the shear variety of sources makes it difficult to generically assess their physical (e.g. volume, chemical form, mixed waste) or radiological (e.g. activity, half-life, concentration) characteristics. Additionally, the source-specific nature of these wastes poses questions and challenges to their regulatory and practical management at a national level. This had generated interest from both the radiological protection and radioactive waste management communities, and prompted the Committee on Radiological Protection and Public Health (CRPPH) to organise, in collaboration with the Radioactive Waste Management Committee (RWMC), a workshop tackling some of the key issues of this challenging topic. The key objectives of the NEA Workshop on the Management of Non-Nuclear Radioactive Waste were to address the particularities of managing non-nuclear waste in all its sources and forms and to share and exchange national experiences. Presentations and discussions addressed both technical aspects and national frameworks. Technical aspects included: - the range of non-nuclear waste sources, activities, volumes and other relevant characteristics; - waste storage and repository capacities and life cycles; - safety considerations for mixed wastes management; - human resources and knowledge management; - legal, regulatory and financial assurance, and liability issues. Taking into account the entire non-nuclear waste life-cycle, the workshop covered planning and

Self-management support and training for patients with chronic and complex conditions improves health-related behaviour and health outcomes.

Science.gov (United States)

Harvey, Peter W; Petkov, John N; Misan, Gary; Fuller, Jeffrey; Battersby, Malcolm W; Cayetano, Teofilo N; Warren, Kate; Holmes, Paul

2008-05-01

The Sharing Health Care SA chronic disease self-management (CDSM) project in rural South Australia was designed to assist patients with chronic and complex conditions (diabetes, cardiovascular disease and arthritis) to learn how to participate more effectively in the management of their condition and to improve their self-management skills. Participants with chronic and complex conditions were recruited into the Sharing Health Care SA program and offered a range of education and support options (including a 6-week peer-led chronic disease self-management program) as part of the Enhanced Primary Care care planning process. Patient self-reported data were collected at baseline and subsequent 6-month intervals using the Partners in Health (PIH) scale to assess self-management skill and ability for 175 patients across four data collection points. Health providers also scored patient knowledge and self-management skills using the same scale over the same intervals. Patients also completed a modified Stanford 2000 Health Survey for the same time intervals to assess service utilisation and health-related lifestyle factors. Results show that both mean patient self-reported PIH scores and mean health provider PIH scores for patients improved significantly over time, indicating that patients demonstrated improved understanding of their condition and improved their ability to manage and deal with their symptoms. These results suggest that involvement in peer-led self-management education programs has a positive effect on patient self-management skill, confidence and health-related behaviour.

Robotic Ureteroplasty with Buccal Mucosa Graft for the Management of Complex Ureteral Strictures.

Science.gov (United States)

Lee, Ziho; Waldorf, Benjamin T; Cho, Eric Y; Liu, Jeffrey C; Metro, Michael J; Eun, Daniel D

2017-12-01

Surgical management of proximal and mid ureteral strictures that are not amenable to primary excision and anastomosis is challenging. Although a buccal mucosa graft is commonly used during substitution urethroplasty, its use in substitution ureteroplasty is limited. We describe our technique of robotic ureteroplasty with a buccal mucosa graft to manage complex ureteral strictures and we report our outcomes. We retrospectively reviewed the records of 12 patients who underwent robotic ureteroplasty with a buccal mucosa graft between September 2014 and June 2016. The indication for the procedure was a proximal or mid ureteral stricture not amenable to primary excision and anastomosis. The primary outcomes were clinical success, absent symptoms on ureteral pathology and radiological success, defined as absent ureteral obstruction on retrograde pyelography, renal scan and/or computerized tomography. Four of the 12 patients (33.3%) had a ureteropelvic junction stricture, 4 (33.3%) had a proximal stricture and 4 (33.3%) had a mid ureteral stricture. Eight of the 12 patients (66.7%) had previously undergone failed ureteral reconstruction. Median stricture length was 3 cm (range 2 to 5). Median operative time was 217 minutes (range 136 to 344) and mean estimated blood loss was 100 ml (range 50 to 200). Median length of stay was 1 day (range 1 to 6). At a median followup of 13 months (range 4 to 30) 10 of the 12 cases (83.3%) were clinically and radiologically successful. Robotic ureteroplasty with a buccal mucosa graft is associated with low inherent morbidity. It is an effective way to manage complex proximal and mid ureteral strictures. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Ecology studies at the Idaho National Engineering Laboratory Radioactive Waste Management Complex

International Nuclear Information System (INIS)

Arthur, W.J.; Markham, O.D.

1978-01-01

In September 1977 a radioecological research program was initiated at the Idaho National Engineering Laboratory (INEL) Radioactive Waste Management Complex in the southcentral Idaho. The primary goals of the research are to: (1) determine floral and faunal composition in the area; (2) sample various ecosystem components for radionuclides; (3) determine impacts of small mammal burrowing and vegetation growth on movement of radioactive materials; (4) compare ambient radiation exposures to radiation doses received by animals inhabiting the area; and (5) understand the interrelationships between the organisms and their role in radionuclide transport

Complex Systems and Dependability

CERN Document Server

Zamojski, Wojciech; Sugier, Jaroslaw

2012-01-01

Typical contemporary complex system is a multifaceted amalgamation of technical, information, organization, software and human (users, administrators and management) resources. Complexity of such a system comes not only from its involved technical and organizational structure but mainly from complexity of information processes that must be implemented in the operational environment (data processing, monitoring, management, etc.). In such case traditional methods of reliability analysis focused mainly on technical level are usually insufficient in performance evaluation and more innovative meth

The deployed medical director: managing the challenges of a complex trauma system.

Science.gov (United States)

Mahoney, P F; Hodgetts, T J; Hicks, I

2011-09-01

Contemporary combat casualty care has never been more sophisticated or effective, which is matched by an unprecedented level of clinical complexity. The management of this complexity has demanded the evolution of a more direct clinical leadership model in the field hospital: the Deployed Medical Director (DMD). The DMD has a central co-ordinating role in reducing the friction generated by individuals' unfamiliarity in a rapidly developing clinical environment that has diverged from the NHS; in cementing interoperability within a multinational medical treatment facility working at high intensity; and in maintaining and developing the highest clinical standards within the deployed trauma system. This article describes the evolution of the DMD role and illustrates the challenges through a series of vignettes. Particular emphasis is given to the organisational risk that the role carries through necessary ethical choices, the requirement to integrate multi-national cultural differences and the challenge of dealing with interpersonal frictions amongst senior staff.

Developing a complex intervention for the outpatient management of incidentally diagnosed pulmonary embolism in cancer patients.

Science.gov (United States)

Palmer, June; Bozas, George; Stephens, Andrew; Johnson, Miriam; Avery, Ged; O'Toole, Lorcan; Maraveyas, Anthony

2013-06-27

Most patients with pulmonary embolism (PE) spend 5-7 days in hospital even though only 4.5% will develop serious complications during this time. In particular, the group of patients with incidentally diagnosed PE (i-PE) includes many patients with low risk features potentially ideal for outpatient management; however the evidence for their optimal management is lacking hence relative practices may vary considerably. We describe the development process, components, links and function of a nurse-led service for the management of patients with i-PE, developed in accordance to the UK Medical Research Council complex intervention guidance. Phase 0 (Theoretical underpinning): The Pulmonary Embolism Severity Index (PESI) was selected for patient risk assessment and the American Society of Clinical Oncology (ASCO) guideline for the management of PE in cancer patients (2007) was selected as quality measure. Historical registry and audit data from our centre regarding i-PE incidence and management for the period between 2006 and 2009 illustrating the then current practices were reviewed. Phase 1 (Modelling): Modelling of the pathway included the following: a) Identification of training needs, planning and implementation of training schemes and development of transferable competencies and training materials. b) Mapping patient pathways and flow and c) Production of key documentation and Standard Operating Procedures for the delivery of the service. Phase 2 (Implementation and testing of the intervention): During the initial 12 months of implementation, remedial action was taken to address identified deficiencies regarding patient referral to the pathway, compliance with treatment protocol, patient follow up, selection challenges from the use of PESI in cancer patients and challenges regarding the "first-pass" identification of i-PE. We have developed and piloted a complex intervention to manage cancer patients with incidental PE in an outpatient setting. Adherence to evidence

Risk Management Capability Maturity and Performance of Complex Product and System (CoPS Projects with an Asian Perspective

Directory of Open Access Journals (Sweden)

Ren, Y.

2014-07-01

Full Text Available Complex Products and Systems (CoPS are high value, technology and engineering-intensive capital goods. The motivation of this study is the persistent high failure rate of CoPS projects, Asian CoPS provider’s weak capability and lack of specific research on CoPS risk management. This paper evaluates risk management maturity level of CoPS projects against a general CoPS risk management capability maturity model (RM-CMM developed by the authors. An Asian based survey was conducted to investigate the value of RM to project performance, and Asian (non-Japanese CoPS implementers’ perceived application of RM practices, their strengths and weaknesses. The survey result shows that higher RM maturity level leads to higher CoPS project performance. It also shows project complexity and uncertainty moderates the relationship between some RM practices and project performance, which implies that a contingency approach should be adopted to manage CoPS risks effectively. In addition, it shows that Asian CoPS implementers are weak in RM process and there are also rooms for improvement in the softer aspects of organizational capabilities and robustness.

AIMAR survey on complex forms of bronchial asthma and COPD, their management and perception of critical issues.

Science.gov (United States)

Donner, Claudio F; Visconti, Alberto

2014-01-01

The management of patients with complex forms of bronchial asthma and COPD is not usually addressed in the major international guidelines and management documents which exclusively address pure forms. AIMAR thus undertook a survey to obtain information about: a) the perceived frequency of complex forms of asthma/COPD in adult patients and in the elderly; b) patient management regarding the complex forms (focus on therapeutic goals and consequent treatment); c) the management problems perceived in diagnosis, management, monitoring, indices of appropriateness in pharmacological treatment and adherence to treatment. The survey consisted of 18 multiple choice questions, completed by means of a web-based electronic form published in internet. All the data and responses inserted in the system were checked on-line for coherence and completeness directly during the phase of insertion and each participant had one only possibility of participating. The data thus collected were memorized directly within a relational database, based on consolidated open-source MySQL technology, and thus were immediately available for examination also during the course of the survey. Access to the data, mediated by a "back office" system of interrogation and report, enabled constant monitoring of the survey as it was being carried out, as well as extractions and verification, even on smaller data sets. The survey was carried out in the full month of December 2013 and first half of January 2014. A total of 252 questionnaires were collected from the following physician groups: pneumologists (n = 180), general practitioners (GPs) (n = 32), allergologists (n = 8), internal medicine specialists (n = 20), other specialists (n = 12). Complex forms of bronchial asthma and COPD are frequently observed and considered present in variable percentages ranging from about 10% to about 50% of patients visited and considered typical of patients with a previous history of asthma. Risk factors

The complexity of changes in the domain of managing public expenditures

Directory of Open Access Journals (Sweden)

Dimitrijević Marina

2016-01-01

Full Text Available Public expenditures are a huge problem in contemporary states. In the conditions of a global economic crisis and the circumstances involving high level of citizen dissatisfaction related to the former methods of funding and managing the public sector (reflected in ruining the funding sources, irrational spending of public expenditure funds, increase in the budget deficit and the level of public debt, the changes in the domain of managing public expenditures have become a priority. By their nature, these changes are complex and long-lasting, and they should bring significant improvements in the field of public expenditure; they have to provide for lawful and purposeful spending of public funds. It is expected to lower the needed public incomes for financing public expenditure, to improve production and competition in the market economy, and to increase personal consumption, living standard and the quality of life of the population. Regardless of the social, economic, legal or political environment in each of state, the topical issue of reforming the management of public expenditures seems to imply a return to a somewhat neglected need for the public sector to function within its own financial possibilities. The state modernisation processes and advancement in the process of managing public expenditures call for a realistic evaluation of the existing condition and circumstances in which these processes occur, as well as the assessment of potential and actual risks that may hinder their effectiveness. Otherwise, it seems that the establishment of a significant level of responsibility in spending the budget funds and a greater transparency of public expenditure may be far-fetched goals.

Waste management under multiple complexities: Inexact piecewise-linearization-based fuzzy flexible programming

International Nuclear Information System (INIS)

Sun Wei; Huang, Guo H.; Lv Ying; Li Gongchen

2012-01-01

Highlights: ► Inexact piecewise-linearization-based fuzzy flexible programming is proposed. ► It’s the first application to waste management under multiple complexities. ► It tackles nonlinear economies-of-scale effects in interval-parameter constraints. ► It estimates costs more accurately than the linear-regression-based model. ► Uncertainties are decreased and more satisfactory interval solutions are obtained. - Abstract: To tackle nonlinear economies-of-scale (EOS) effects in interval-parameter constraints for a representative waste management problem, an inexact piecewise-linearization-based fuzzy flexible programming (IPFP) model is developed. In IPFP, interval parameters for waste amounts and transportation/operation costs can be quantified; aspiration levels for net system costs, as well as tolerance intervals for both capacities of waste treatment facilities and waste generation rates can be reflected; and the nonlinear EOS effects transformed from objective function to constraints can be approximated. An interactive algorithm is proposed for solving the IPFP model, which in nature is an interval-parameter mixed-integer quadratically constrained programming model. To demonstrate the IPFP’s advantages, two alternative models are developed to compare their performances. One is a conventional linear-regression-based inexact fuzzy programming model (IPFP2) and the other is an IPFP model with all right-hand-sides of fussy constraints being the corresponding interval numbers (IPFP3). The comparison results between IPFP and IPFP2 indicate that the optimized waste amounts would have the similar patterns in both models. However, when dealing with EOS effects in constraints, the IPFP2 may underestimate the net system costs while the IPFP can estimate the costs more accurately. The comparison results between IPFP and IPFP3 indicate that their solutions would be significantly different. The decreased system uncertainties in IPFP’s solutions demonstrate

Three-stage management of complex pancreatic trauma with gastroduodenopancreatectomy: A case report.

Science.gov (United States)

Damous, Sergio Henrique Bastos; Darce, George Felipe Bezerra; Leal, Renato Silveira; Costa, Adilson Rodrigues; Ferreira, Pedro Henrique Alves; de Oliveira Bernini, Celso; Utiyama, Edivaldo Massazo

2018-01-01

Severe injuries of the pancreatic head and duodenum in haemodynamically unstable patients are complex management. The purpose of this study is to report a case of complex pancreatic trauma induced by gunshot and managed with surgical approaches at three different times. Exploratory laparotomy was indicated after initial emergency room care, with findings of cloudy blood-tinged fluid and blood clots on the mesentery near the hepatic angle, on the region of the 2nd portion of the duodenum and at the pancreatic head. Gastroduodenopancreatectomy was performed with right hemicolectomy and the peritoneal cavity was temporarily closed by a vacuum peritoneostomy. Surgical reopening occurred on the fifth postoperative day, and the patient was subjected to single-loop reconstruction of the intestinal transit with telescoping pancreaticojejunal anastomosis, biliodigestive anastomosis with termino-lateral hepaticojejunal anastomosis with a Kehr drain and gastroenteroanastomosis in 2 planes. The terminal ileostomy was maintained. After 2 days, the patient was subjected to abdominal wall closure without complications, which required relaxing Gibson incisions and wound closure with polypropylene mesh placement in a pre-aponeurotic position closed with multiple stitches. The patient was discharged on the 40th post-trauma day without drains, with a functioning ileostomy and with a scheduled reconstruction of intestinal transit. In the presence of multiple associated injuries, hemodynamic instability and the need for an extensive surgical procedure such as duodenopancreatectomy, damage control surgery performed in stages as reported here enables the clinical stabilization of the patient for definitive treatment, achieving better survival results. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Sustaining complex interventions in long-term care: a qualitative study of direct care staff and managers.

Science.gov (United States)

Colón-Emeric, Cathleen; Toles, Mark; Cary, Michael P; Batchelor-Murphy, Melissa; Yap, Tracey; Song, Yuting; Hall, Rasheeda; Anderson, Amber; Burd, Andrew; Anderson, Ruth A

2016-07-16

Little is known about the sustainability of behavioral change interventions in long-term care (LTC). Following a cluster randomized trial of an intervention to improve staff communication (CONNECT), we conducted focus groups of direct care staff and managers to elicit their perceptions of factors that enhance or reduce sustainability in the LTC setting. The overall aim was to generate hypotheses about how to sustain complex interventions in LTC. In eight facilities, we conducted 15 focus groups with 83 staff who had participated in at least one intervention session. Where possible, separate groups were conducted with direct care staff and managers. An interview guide probed for staff perceptions of intervention salience and sustainability. Framework analysis of coded transcripts was used to distill insights about sustainability related to intervention features, organizational context, and external supports. Staff described important factors for intervention sustainability that are particularly challenging in LTC. Because of the tremendous diversity in staff roles and education level, interventions should balance complexity and simplicity, use a variety of delivery methods and venues (e.g., group and individual sessions, role-play/storytelling), and be inclusive of many work positions. Intervention customizability and flexibility was particularly prized in this unpredictable and resource-strapped environment. Contextual features noted to be important include addressing the frequent lack of trust between direct care staff and managers and ensuring that direct care staff directly observe manager participation and support for the program. External supports suggested to be useful for sustainability include formalization of changes into facility routines, using "train the trainer" approaches and refresher sessions. High staff turnover is common in LTC, and providing materials for new staff orientation was reported to be important for sustainability. When designing or

Complex-wide review of DOE`s management of low-level radioactive waste - progress to date

Energy Technology Data Exchange (ETDEWEB)

Letourneau, M.J.

1995-12-31

The Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 94-2 includes a recommendation that the Department of Energy (DOE) conduct a comprehensive, complex-wide review of the low-level waste issue to establish the dimensions of the low-level waste problem and to identify necessary corrective actions to address the safe disposition of past, present, and future volumes. DOE`s Implementation Plan calls for the conduct of a complex-wide review of low-level radioactive waste treatment, storage, and disposal sites to identify environmental, safety, and health vulnerabilities. The complex-wide review focuses on low-level waste disposal facilities through a site evaluation survey, reviews of existing documentation, and onsite observations. Low-level waste treatment and storage facilities will be assessed for their ability to meet waste acceptance criteria for disposal. Results from the complex-wide review will be used to form the basis for an integrated and planned set of actions to correct the identified vulnerabilities and to prompt development of new requirements for managing low-level waste.

Use of the "dual construct" for the management of complex spinal reconstructions.

Science.gov (United States)

Shen, Francis H; Qureshi, Rabia; Tyger, Rose; Lehman, Rebecca; Singla, Anuj; Shimer, Adam; Hassanzadeh, Hamid

2018-03-01

Surgical management of complex spinal reconstructions remains a clinical challenge, as pseudoarthrosis with subsequent rod breakage can occur. Increased rod density in the form of "satellite" or "outrigger" rods have been described; however, rod-fracture above or below satellite rods persist and can result in dissociation of the construct, loss of correction, and recurrence of deformity. The use of four distinct and mechanically independent rods (dual construct) reduces this concern. Since the original case description in 2006, there have been no other studies that use the dual construct for the surgical management of complex spinal reconstructions. The purpose of this study is to review the long-term experience and surgical technique using the dual construct, and to present our complications, rod fracture rates, and outcomes for the surgical management of complex spinal reconstructions. This study used a surgical technique with case series outcomes. Patients were from a single-institute who underwent dual construct between 2010 and 2014 and who were available for 2-year follow-up. Radiographic and functional outcomes, complications, rod fracture rates, and revision surgery rates were the outcome measures. A retrospective review was conducted from a single institution between 2010 and 2014, with a subsequent 2-year follow-up period. Extensive review of patients' medical record, radiographs, and advanced imaging where available was performed. Medical record was evaluated for patient demographics, surgical procedure, and complications. Radiographic measurements included presence or absence of implant failure and proximal junctional kyphosis or distal junctional kyphosis. A total of 36 patients underwent surgical reconstruction. The average estimated blood loss was 1,856 cc (range, 400-4,000 cc). The average length of stay was 7.3 days (range, 4-22 days). Clinical follow-up reported 21 patients (58.3%) with no or minimal pain. There were six deaths during the

What is the subject of decision-making in the management of development and operation of a nuclear power complex

International Nuclear Information System (INIS)

Drahny, M.

1986-01-01

Decision-making in the nuclear power complex is described in context with the respective process of management. Basic concepts are defined, the course of an elementary decision-making process described and basic knowledge is generalized for more complex actual cases. Conditions are studied which determine the quality of adopted decisions. Special attention is devoted to working papers for the decision-making process and to the compilers of such papers. Items of decision-making in the nuclear power complex are classified in time sequence and system hierarchy. (author)

Efficiency increase of complex production and transport systems management

Directory of Open Access Journals (Sweden)

Kornilov S.

2017-01-01

Full Text Available This article deals with the problem of the reduced efficiency of management in complex production - transport systems due to the lack of co-ordination in the operation of industrial enterprises and transport carrying out their maintenance. The existing transport service schedules for auxiliary departments do not take into account possible changes in operating conditions, the probability of malfunctions and the amount of reserves, which leads to an increase in general production costs. To solve this problem, we propose to use the interval regulation of production and transport processes in all departments of the complex production and transport systems. Also, such regulation involves the determination of traffic service priority. This will allow passing on from the regulated control of production and transport processes to the situational one, adapted to specific conditions, and reducing losses from untimely transport servicing, which will lead to a stores reduction and efficiency increase of the enterprise circulating facilities use. Testing the effectiveness of interval regulation was performed on the system and dynamics simulation model of liquid iron transportation in the oxygen converter shop of the metallurgical enterprise. It was established that the use of interval regulation processes in iron production and its transportation will allow decreasing non-productive downtime by 21% and the amount of the liquid iron in anticipation of recasting in the oxygen converter shop – by 33%. Economical effect of reducing the liquid iron downtime during transportation to the oxygen converter shop will be about 30 million rubles per year.

Scripted collaboration in serious gaming for complex learning: Effects of multiple perspectives when acquiring water management skills

NARCIS (Netherlands)

Hummel, Hans; Van Houcke, Jasper; Nadolski, Rob; Van der Hiele, Tony; Kurvers, Hub; Löhr, Ansje

2010-01-01

Hummel, H. G. K., Van Houcke, J., Nadolski, R. J., Van der Hiele, T., Kurvers, H., & Löhr, A. (2011). Scripted collaboration in gaming for complex learning: Effects of multiple perspectives when acquiring water management skills. British Journal of Educational Technology, 42(6),

STRATEGIC MANAGEMENT OF A TERRITORIAL DISTRIBUTED COMPLEX

OpenAIRE

Vidovskiy L. A.; Yanaeva M. V.; Murlin A. G.; Murlinа V. A.

2015-01-01

The article is devoted to strategic management and implementation of the strategy. Management strategy is based on the management of strategic potential of the enterprise. The strategic potential of the company generates only those resources that can be changed because of strategic decisions. Analysis of the potential of the enterprise should cover almost all spheres of its activity: the enterprise management, production, marketing, finance, human resources. The article has designed a system ...

Using logic model methods in systematic review synthesis: describing complex pathways in referral management interventions.

Science.gov (United States)

Baxter, Susan K; Blank, Lindsay; Woods, Helen Buckley; Payne, Nick; Rimmer, Melanie; Goyder, Elizabeth

2014-05-10

There is increasing interest in innovative methods to carry out systematic reviews of complex interventions. Theory-based approaches, such as logic models, have been suggested as a means of providing additional insights beyond that obtained via conventional review methods. This paper reports the use of an innovative method which combines systematic review processes with logic model techniques to synthesise a broad range of literature. The potential value of the model produced was explored with stakeholders. The review identified 295 papers that met the inclusion criteria. The papers consisted of 141 intervention studies and 154 non-intervention quantitative and qualitative articles. A logic model was systematically built from these studies. The model outlines interventions, short term outcomes, moderating and mediating factors and long term demand management outcomes and impacts. Interventions were grouped into typologies of practitioner education, process change, system change, and patient intervention. Short-term outcomes identified that may result from these interventions were changed physician or patient knowledge, beliefs or attitudes and also interventions related to changed doctor-patient interaction. A range of factors which may influence whether these outcomes lead to long term change were detailed. Demand management outcomes and intended impacts included content of referral, rate of referral, and doctor or patient satisfaction. The logic model details evidence and assumptions underpinning the complex pathway from interventions to demand management impact. The method offers a useful addition to systematic review methodologies. PROSPERO registration number: CRD42013004037.

Forming the management model in industrial partnerships of the machine-building complex of Ukraine

OpenAIRE

Reshetilova, T.; Kuvaieva, T.

2016-01-01

Stages of development the processes of forming the industrial networks, technological and logistic chains, partnership and their varieties are analyzed. Factors that determine the rate and scale of the process of forming the partnerships in the machine-building complex of Ukraine are established. A group of the factors that lead to forming the vertical partnership based on Partner Relationship Management (PRM) in mining machinery and mining industry are determined and analyzed. It is possible...

Managing expectations: cognitive authority and experienced control in complex healthcare processes.

Science.gov (United States)

Hunt, Katherine J; May, Carl R

2017-07-05

Balancing the normative expectations of others (accountabilities) against the personal and distributed resources available to meet them (capacity) is a ubiquitous feature of social relations in many settings. This is an important problem in the management of long-term conditions, because of widespread problems of non-adherence to treatment regimens. Using long-term conditions as an example, we set out middle range theory of this balancing work. A middle-range theory was constructed four stages. First, a qualitative elicitation study of men with heart failure was used to develop general propositions about patient and care giver experience, and about the ways that the organisation and delivery of care affected this. Second, these propositions were developed and confirmed through a systematic review of qualitative research literature. Third, theoretical propositions and constructs were built, refined and presented as a logic model associated with two main theoretical propositions. Finally, a construct validation exercise was undertaken, in which construct definitions informed reanalysis of a set of systematic reviews of studies of patient and caregiver experiences of heart failure that had been included in an earlier meta-review. Cognitive Authority Theory identifies, characterises and explains negotiation processes in in which people manage their relations with the expectations of normative systems - like those encountered in the management of long-term conditions. Here, their cognitive authority is the product of an assessment of competence, trustworthiness and credibility made about a person by other participants in a healthcare process; and their experienced control is a function of the degree to which they successfully manage the external process-specific limiting factors that make it difficult to otherwise perform in their role. Cognitive Authority Theory assists in explaining how participants in complex social processes manage important relational aspects of

Decision-Making in Management of the Complex Trauma Patient: Changing the Mindset of the non-trauma Surgeon.

Science.gov (United States)

Sonesson, Linda; Boffard, Kenneth; Lundberg, Lars; Rydmark, Martin; Karlgren, Klas

2018-01-16

European surgeons are frequently subspecialized and trained primarily in elective surgical techniques. As trauma leaders, they may occasionally have to deal with complex polytrauma, advanced management techniques, differing priorities, and the need for multidisciplinary care. There is a lack of expertise, experience, and a low trauma volume, as well as a lack of research, with limited support as to the decision-making and teaching challenges present. We studied what experienced trauma experts describe as the challenges that are specific to the advanced surgical decision-making required, whether civilian, humanitarian, or military. Design-based research using combined methods including interviews, reviews of authentic trauma cases, and video-recorded resuscitations performed at a high-volume civilian academic trauma center. Several educational dilemmas were identified: (1) thinking physiologically, (2) the application of damage control resuscitation and surgery, (3) differing priorities and time management, (4) impact of environment, (5) managing limited resources, (6) lack of general surgical skills, (7) different cultural behavior, and (8) ethical issues. The challenges presented, and the educational domains identified, constitute a basis for improved development of education and training in complex surgical decision-making. This study contributes new knowledge about the mindset required for decision-making in patients with complex multisystem trauma and competing priorities of care. This is, especially important in countries having a low intensity of trauma in both military and civilian environments, and consequential limited skills, and lack of expertise. Guidelines focused on the same decision-making process, using virtual patients and blended learning, can be developed.

Radioactive Waste Management Complex low-level waste radiological performance assessment

Energy Technology Data Exchange (ETDEWEB)

Maheras, S.J.; Rood, A.S.; Magnuson, S.O.; Sussman, M.E.; Bhatt, R.N.

1994-04-01

This report documents the projected radiological dose impacts associated with the disposal of radioactive low-level waste at the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory. This radiological performance assessment was conducted to evaluate compliance with applicable radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the public and the environment. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the public via air, groundwater, and food chain pathways. Projections of doses were made for both offsite receptors and individuals inadvertently intruding onto the site after closure. In addition, uncertainty and sensitivity analyses were performed. The results of the analyses indicate compliance with established radiological criteria and provide reasonable assurance that public health and safety will be protected.

Radioactive Waste Management Complex low-level waste radiological performance assessment

International Nuclear Information System (INIS)

Maheras, S.J.; Rood, A.S.; Magnuson, S.O.; Sussman, M.E.; Bhatt, R.N.

1994-04-01

This report documents the projected radiological dose impacts associated with the disposal of radioactive low-level waste at the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory. This radiological performance assessment was conducted to evaluate compliance with applicable radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the public and the environment. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the public via air, groundwater, and food chain pathways. Projections of doses were made for both offsite receptors and individuals inadvertently intruding onto the site after closure. In addition, uncertainty and sensitivity analyses were performed. The results of the analyses indicate compliance with established radiological criteria and provide reasonable assurance that public health and safety will be protected

Peer support of complex health behaviors in prevention and disease management with special reference to diabetes: systematic reviews.

Science.gov (United States)

Fisher, Edwin B; Boothroyd, Renée I; Elstad, Emily A; Hays, Laura; Henes, Amy; Maslow, Gary R; Velicer, Clayton

2017-01-01

Examine Peer Support (PS) for complex, sustained health behaviors in prevention or disease management with emphasis on diabetes prevention and management. PS was defined as emotional, motivational and practical assistance provided by nonprofessionals for complex health behaviors. Initial review examined 65 studies drawn from 1442 abstracts identified through PubMed, published 1/1/2000-7/15/2011. From this search, 24 reviews were also identified. Extension of the search in diabetes identified 30 studies published 1/1/2000-12/31/2015. In initial review, 54 of all 65 studies (83.1%) reported significant impacts of PS, 40 (61.5%) reporting between-group differences and another 14 (21.5%) reporting significant within-group changes. Across 19 of 24 reviews providing quantifiable findings, a median of 64.5% of studies reviewed reported significant effects of PS. In extended review of diabetes, 26 of all 30 studies (86.7%) reported significant impacts of PS, 17 (56.7%) reporting between-group differences and another nine (30.0%) reporting significant within-group changes. Among 19 of these 30 reporting HbA1c data, average reduction was 0.76 points. Studies that did not find effects of PS included other sources of support, implementation or methodological problems, lack of acceptance of interventions, poor fit to recipient needs, and possible harm of unmoderated PS. Across diverse settings, including under-resourced countries and health care systems, PS is effective in improving complex health behaviors in disease prevention and management including in diabetes.

A systems engineering approach to manage the complexity in sustainable chemical product-process design

DEFF Research Database (Denmark)

Gani, Rafiqul

This paper provides a perspective on model-data based solution approaches for chemical product-process design, which consists of finding the identity of the candidate chemical product, designing the process that can sustainably manufacture it and verifying the performance of the product during...... framework can manage the complexity associated with product-process problems very efficiently. Three specific computer-aided tools (ICAS, Sustain-Pro and VPPDLab) have been presented and their applications to product-process design, highlighted....

Application of Artificial Neural Networks to Complex Groundwater Management Problems

International Nuclear Information System (INIS)

Coppola, Emery; Poulton, Mary; Charles, Emmanuel; Dustman, John; Szidarovszky, Ferenc

2003-01-01

As water quantity and quality problems become increasingly severe, accurate prediction and effective management of scarcer water resources will become critical. In this paper, the successful application of artificial neural network (ANN) technology is described for three types of groundwater prediction and management problems. In the first example, an ANN was trained with simulation data from a physically based numerical model to predict head (groundwater elevation) at locations of interest under variable pumping and climate conditions. The ANN achieved a high degree of predictive accuracy, and its derived state-transition equations were embedded into a multiobjective optimization formulation and solved to generate a trade-off curve depicting water supply in relation to contamination risk. In the second and third examples, ANNs were developed with real-world hydrologic and climate data for different hydrogeologic environments. For the second problem, an ANN was developed using data collected for a 5-year, 8-month period to predict heads in a multilayered surficial and limestone aquifer system under variable pumping, state, and climate conditions. Using weekly stress periods, the ANN substantially outperformed a well-calibrated numerical flow model for the 71-day validation period, and provided insights into the effects of climate and pumping on water levels. For the third problem, an ANN was developed with data collected automatically over a 6-week period to predict hourly heads in 11 high-capacity public supply wells tapping a semiconfined bedrock aquifer and subject to large well-interference effects. Using hourly stress periods, the ANN accurately predicted heads for 24-hour periods in all public supply wells. These test cases demonstrate that the ANN technology can solve a variety of complex groundwater management problems and overcome many of the problems and limitations associated with traditional physically based flow models

Managing a complex case of hypospadias cripple and chordee

Directory of Open Access Journals (Sweden)

Costin Gingu

2017-11-01

Full Text Available Objectives. Hypospadias is a congenital affliction in which the urethral meatus is located on the underside of the penis. These cases are usually treated during childhood by pediatric surgeons, but more complex forms tend to reoccur, and after several failed attempts end up as hypospadias cripple in the care of urologists at an adult age. The aim of this paper is to present the management of a complex case of hypospadias cripple associated with penile curvature (chordee. Materials and Methods. A 24 year old patient presented in our clinic with hypospadias cripple and ventral penile curvature. At the physical examination we found a penoscrotal urethral meatus, heavy scaring of the distal ventral penis and a ventral chordee of approximately 90 degrees in erect state. A two stage “Bracka” repair technique with buccal mucosa graft was chosen. The first stage of the surgery consisted of removing the scarred and defective distal urethral plate and the fibrotic tissue responsible for the penile curvature, preparing the corpora cavernosa for the graft, clefting the glans, harvesting two buccal mucosa grafts from both inner cheeks, and finally quilting the grafts on the defect. The second stage of the repair was performed after a period of about six months, and consisted in the tubularization of the matured graft and glans plasty. Results and Conclusions. No immediate or late complications occurred after any of the two stages of the surgery; no significant ventral chordee was observed and no urethral fistula occurred till the one year follow-up. A two stage “Bracka” repair technique is best suited for treating these patients, correcting ventral chordee in the first session.

Managing complex research datasets using electronic tools: A meta-analysis exemplar

Science.gov (United States)

Brown, Sharon A.; Martin, Ellen E.; Garcia, Theresa J.; Winter, Mary A.; García, Alexandra A.; Brown, Adama; Cuevas, Heather E.; Sumlin, Lisa L.

2013-01-01

Meta-analyses of broad scope and complexity require investigators to organize many study documents and manage communication among several research staff. Commercially available electronic tools, e.g., EndNote, Adobe Acrobat Pro, Blackboard, Excel, and IBM SPSS Statistics (SPSS), are useful for organizing and tracking the meta-analytic process, as well as enhancing communication among research team members. The purpose of this paper is to describe the electronic processes we designed, using commercially available software, for an extensive quantitative model-testing meta-analysis we are conducting. Specific electronic tools improved the efficiency of (a) locating and screening studies, (b) screening and organizing studies and other project documents, (c) extracting data from primary studies, (d) checking data accuracy and analyses, and (e) communication among team members. The major limitation in designing and implementing a fully electronic system for meta-analysis was the requisite upfront time to: decide on which electronic tools to use, determine how these tools would be employed, develop clear guidelines for their use, and train members of the research team. The electronic process described here has been useful in streamlining the process of conducting this complex meta-analysis and enhancing communication and sharing documents among research team members. PMID:23681256

Flow assurance : complex phase behavior and complex work requires confidence and vigilance

Energy Technology Data Exchange (ETDEWEB)

Brown, L.D. [ConocoPhillips, Major Projects, Advanced Integrated Simulation, Houston, TX (United States)

2008-07-01

Petroleum exploration and development projects and operations increasingly rely on flow assurance definition. Flow assurance is an integrating discipline as it follows the fluid from the reservoir to the market. Flow assurance works across complex technical and non-technical interfaces, including the reservoir, well completions, operation processes, project management, physical/organic chemistry, fluid mechanics, chemical engineering, mechanical engineering and corrosion. The phase behaviour in real fluids also has complex interfaces. The understanding and management of flow assurance of complex phase behaviour must be well communicated in order to enable proper selection, execution, and operation of development concepts designed to manage successful production within the fluid's phase behaviour. Simulation tools facilitate the translation of science into engineering. Academic, industrial, and field research is the core of these tools. The author cautioned that vigilance is required to assist and identify the right time to move innovation into the core tools.

Complexity in practice: understanding primary care as a complex adaptive system

Directory of Open Access Journals (Sweden)

Beverley Ellis

2010-06-01

Conclusions The results are real-world exemplars of the emergent properties of complex adaptive systems. Improving clinical governance in primary care requires both complex social interactions and underpinning informatics. The socio-technical lessons learned from this research should inform future management approaches.

Quattor: managing (complex) grid sites

International Nuclear Information System (INIS)

Jouvin, M

2008-01-01

Quattor is a tool developed to efficiently manage fabrics with hundreds or thousands of Linux machines, while still being able to manage smaller clusters easily. It was originally developed inside the European Data Grid (EDG) project and is now in use at more than 50 grid sites running gLite middleware, ranging from small LCG T3s to very large sites like CERN. Quattor's ability to factorize and to reuse common parts of service configurations permitted the development of the QWG templates: a complete set of standard templates to configure the OS and gLite middleware. Any site can just import and customize the configuration without editing the bulk of the templates. Collaboration around these templates results in a very efficient sharing of installation and configuration information between those sites using them

Integrated health management and control of complex dynamical systems

Science.gov (United States)

Tolani, Devendra K.

2005-11-01

A comprehensive control and health management strategy for human-engineered complex dynamical systems is formulated for achieving high performance and reliability over a wide range of operation. Results from diverse research areas such as Probabilistic Robust Control (PRC), Damage Mitigating/Life Extending Control (DMC), Discrete Event Supervisory (DES) Control, Symbolic Time Series Analysis (STSA) and Health and Usage Monitoring System (HUMS) have been employed to achieve this goal. Continuous-domain control modules at the lower level are synthesized by PRC and DMC theories, whereas the upper-level supervision is based on DES control theory. In the PRC approach, by allowing different levels of risk under different flight conditions, the control system can achieve the desired trade off between stability robustness and nominal performance. In the DMC approach, component damage is incorporated in the control law to reduce the damage rate for enhanced structural durability. The DES controller monitors the system performance and, based on the mission requirements (e.g., performance metrics and level of damage mitigation), switches among various lower-level controllers. The core idea is to design a framework where the DES controller at the upper-level, mimics human intelligence and makes appropriate decisions to satisfy mission requirements, enhance system performance and structural durability. Recently developed tools in STSA have been used for anomaly detection and failure prognosis. The DMC deals with the usage monitoring or operational control part of health management, where as the issue of health monitoring is addressed by the anomaly detection tools. The proposed decision and control architecture has been validated on two test-beds, simulating the operations of rotorcraft dynamics and aircraft propulsion.

The complexity of managing COPD exacerbations: a grounded theory study of European general practice

Science.gov (United States)

Risør, Mette Bech; Spigt, Mark; Iversen, R; Godycki-Cwirko, M; Francis, N; Altiner, A; Andreeva, E; Kung, K; Melbye, H

2013-01-01

Objectives To understand the concerns and challenges faced by general practitioners (GPs) and respiratory physicians about primary care management of acute exacerbations in patients with chronic obstructive pulmonary disease (COPD). Design 21 focus group discussions (FGDs) were performed in seven countries with a Grounded Theory approach. Each country performed three rounds of FGDs. Setting Primary and secondary care in Norway, Germany, Wales, Poland, Russia, The Netherlands, China (Hong Kong). Participants 142 GPs and respiratory physicians were chosen to include urban and rural GPs as well as hospital-based and out patient-clinic respiratory physicians. Results Management of acute COPD exacerbations is dealt with within a scope of concerns. These concerns range from ‘dealing with comorbidity’ through ‘having difficult patients’ to ‘confronting a hopeless disease’. The first concern displays medical uncertainty regarding diagnosis, medication and hospitalisation. These clinical processes become blurred by comorbidity and the social context of the patient. The second concern shows how patients receive the label ‘difficult’ exactly because they need complex attention, but even more because they are time consuming, do not take responsibility and are non-compliant. The third concern relates to the emotional reactions by the physicians when confronted with ‘a hopeless disease’ due to the fact that most of the patients do not improve and the treatment slows down the process at best. GPs and respiratory physicians balance these concerns with medical knowledge and practical, situational knowledge, trying to encompass the complexity of a medical condition. Conclusions Knowing the patient is essential when dealing with comorbidities as well as with difficult relations in the consultations on exacerbations. This study suggests that it is crucial to improve the collaboration between primary and secondary care, in terms of, for example, shared consultations

Managing complex industrial change through projects

OpenAIRE

Perotti , Clément; Minel , Stéphanie; Benoit , Roussel; Jean , Renaud

2010-01-01

International audience; This paper proposes some elements showing that project is an appropriate way to manage organizational change, and that an individual change occurs during these phases. We suggest that project team should manage individual change in the framework of project for three main reasons. First, being at the crossroad of strategic and operational levels, project team is in the right position in organisation to "translate" organizational change to individuals, and vice-versa. Se...

2012 Symposium on Chaos, Complexity and Leadership

CERN Document Server

Erçetin, Şefika

2014-01-01

These proceedings from the 2012 symposium on "Chaos, complexity and leadership"  reflect current research results from all branches of Chaos, Complex Systems and their applications in Management. Included are the diverse results in the fields of applied nonlinear methods, modeling of data and simulations, as well as theoretical achievements of Chaos and Complex Systems. Also highlighted are  Leadership and Management applications of Chaos and Complexity Theory.

Simplicity-minded management. A practical guide to stripping complexity out of your organization.

Science.gov (United States)

Ashkenas, Ron

2007-12-01

Large organizations are by nature complex, but over the years new business challenges--globalization, innovative technologies, and regulations, to name a few--have conspired to add layer upon layer of complexity to corporate structure and management. Organizations have become increasingly ungovernable and unwieldy: Performance is declining, accountability is unclear, decision rights are muddy, and data are crunched repeatedly, often with no clear purpose in mind. To avoid frustration and inefficiency, executives need to systematically attack the causes of complexity in their companies. Ashkenas and his partners at Robert H. Schaffer & Associates have worked with dozens of firms to help them develop strategies for simplifying. In this article, the author details the elements of a simplicity-minded strategy: Streamline the structure; prune products, services, and features; build disciplined processes; and improve managerial habits. ConAgra Foods' experience illustrates how one company turned itself around through careful execution of a simplicity strategy. The packaged-food supplier had become enormously successful by acquiring well-known brands and then allowing them to operate autonomously, evolving into a $14 billion organization with more than 100 brands, a food services business, and a commodity trading operation. ConAgra, however, had no common method for reporting, tracking, or analyzing results. Over time, therefore, it became a highly unwieldy enterprise, riddled with inefficiencies and unable to communicate adequately with investors and other stakeholders. When CEO Gary Rodkin came on board, in 2005, he invested in a series of initiatives to combat complexity. The tactic not only made life easier for customers and employees but also saved millions of dollars in costs. This article has an online interactive questionnaire that can help you assess your own company's level of complexity.

A conceptual framework for addressing complexity and unfolding transition dynamics when developing sustainable adaptation strategies in urban water management.

Science.gov (United States)

Fratini, C F; Elle, M; Jensen, M B; Mikkelsen, P S

2012-01-01

To achieve a successful and sustainable adaptation to climate change we need to transform the way we think about change. Much water management research has focused on technical innovation with a range of new solutions developed to achieve a 'more sustainable and integrated urban water management cycle'. But Danish municipalities and utility companies are struggling to bring such solutions into practice. 'Green infrastructure', for example, requires the consideration of a larger range of aspects related to the urban context than the traditional urban water system optimization. There is the need for standardized methods and guidelines to organize transdisciplinary processes where different types of knowledge and perspectives are taken into account. On the basis of the macro-meso-micro pattern inspired by complexity science and transition theory, we developed a conceptual framework to organize processes addressing the complexity characterizing urban water management in the context of climate change. In this paper the framework is used to organize a research process aiming at understanding and unfolding urban dynamics for sustainable transition. The final goal is to enable local authorities and utilities to create the basis for managing and catalysing the technical and organizational innovation necessary for a sustainable transition towards climate change adaptation in urban areas.

Database management for an electrical distribution network of intermediate complexity CERN

CERN Document Server

De Ruschi, Daniele; Burdet, Georges

2010-01-01

This thesis is submitted as the final work for the degree of Master of Science in Engineering of Information that has been taken by the writer at at University of Bergamo, Italy. The report is based on the work conducted by the writer from September 2009 throughout June 2010 on a project assignment given by the department of Engineering Electrical Control at CERN Genève The work performed is a contribution to the GESMAR system of CERN. GESMAR is a CERN made complex platform for support and management of electric network. In this work is developed an information system for an ETL process. The report presents the design, implementation and evaluation made, prototypes of applications which take advantages of new information inserted in GESMAR are also presented.

Proceedings of the symposium on the management of prairie dog complexes for the reintroduction of the black-footed ferret

Science.gov (United States)

Oldemeyer, John L.; Biggins, Dean E.; Miller, Brian J.; Crete, Ronald

1993-01-01

The workshop featured a review of current knowledge in the biology of prairie dogs in the context of managing black-footed ferret habitat. The review addressed two main components. The first consisted of a series of papers on prairie dog habitat and biology. The second component of the workshop was a summary of the participants' discussion about managing prairie dog complexes. This discussion was based on the previously identified papers and profited from the participants' expertise on the ecology of black-footed ferrets and prairie dogs. The report provides current and comprehensive information about management of habitat for prairie dogs and black-footed ferrets and is a useful guide for agencies and individuals that manage black-footed ferrets.

Removal of regulatory controls for materials and sites

International Nuclear Information System (INIS)

2004-01-01

Issues with the removal of regulatory controls are very important on the agenda of the regulatory authorities dealing with radioactive waste management (RWM). These issues arise prominently in decommissioning and in site remediation, and decisions can be very wide ranging having potentially important economic impacts and reaching outside the RWM area. The RWMC Regulators Forum started to address these issues by holding a topical discussion at its meeting in March 2003. Ths present document collates the national regulatory positions in the area of removal of regulatory controls. A summary of the national positions is also provided. The document is up to date to April 2004. (authors)

Surgical management of spontaneous in-the-bag intraocular lens and capsular tension ring complex dislocation

Directory of Open Access Journals (Sweden)

Uzeyir Gunenc

2014-01-01

Full Text Available We describe a technique to manage late spontaneous intraocular lens (IOL and capsular tension ring (CTR dislocation within the intact capsular bag. The subluxated IOL and CTR complex can be positioned in a closed chamber and fixed to the pars plana at both 3 and 9 o′clock quadrants with the presented ab externo direct scleral suturation technique which provides an easy, safe and effective surgical option for such cases.

Exploring representations and experiences of case-management users: towards difficulties and solutions to leading qualitative interviews with older people with complex living conditions.

Science.gov (United States)

Balard, Frédéric; Corre, Stéphanie Pin Le; Trouvé, Hélène; Saint-Jean, Olivier; Somme, Dominique

2013-01-01

By matching needs to resource services, case management could be a useful tool for improving the care of older people with complex living conditions. Collecting and analysing the users' experiences represents a good way to evaluate the effectiveness and efficiency of a case-management service. However, in the literature, fieldwork is very rarely considered and the users included in qualitative research seem to be the most accessible. This study was undertaken to describe the challenges of conducting qualitative research with older people with complex living conditions in order to understand their experiences with case-management services. Reflective analysis was applied to describe the process of recruiting and interviewing older people with complex living conditions in private homes, describing the protocol with respect to fieldwork chronology. The practical difficulties inherent in this type of study are addressed, particularly in terms of defining a sample, the procedure for contacting the users and conducting the interview. The users are people who suffer from a loss of autonomy because of cognitive impairment, severe disease and/or psychiatric or social problems. Notably, most of them refuse care and assistance. Reflective analysis of our protocol showed that the methodology and difficulties encountered constituted the first phase of data analysis. Understanding the experience of users of case management to analyse the outcomes of case-management services requires a clear methodology for the fieldwork.

Understanding the Complexities of Communicating Management Decisions on the Subsistence Use of Yukon River Salmon

Science.gov (United States)

Brooks, J. F.; Trainor, S.

2017-12-01

Over 20,000 residents in Alaska and Yukon Territory rely upon the Yukon River to provide them harvests of Pacific salmon each year. Salmon are a highly valued food resource and the practice of salmon fishing along the Yukon is deep rooted in local cultures and traditions. Potential future impacts of climate change on the health of Yukon River salmon stocks could be significant. Collaborative managerial processes which incorporate the viewpoints of subsistence stakeholders will be crucial in enabling communities and managerial institutions to adapt and manage these impacts. However, the massive extent of the Yukon River makes it difficult for communities rich with highly localized knowledge to situate themselves within a drainage-wide context of resource availability, and to fully understand the implications that management decisions may have for their harvest. Differences in salmon availability and abundance between the upper and lower Yukon, commercial vs. subsistence fishery interests, and enforcement of the international Pacific Salmon Treaty further complicate understanding and makes the topic of salmon as a subsistence resource a highly contentious issue. A map which synthesizes the presence and absence of Pacific salmon throughout the entire Yukon River drainage was requested by both subsistence fishers and natural resource managers in Alaska in order to help facilitate productive conversations about salmon management decisions. Interviews with Alaskan stakeholders with managerial, biological, and subsistence harvest backgrounds were carried out and a literature review was conducted in order to understand what such a map should and could accomplish. During the research process, numerous data gaps concerning the distribution of salmon along the Yukon River were discovered, and insights about the complexities involved in translating science when it is situated within a charged political, economic, and cultural context were revealed. Preliminary maps depicting

Network Physics anounces first product to provide business-level management of the most complex and dynamic networks

CERN Multimedia

2003-01-01

Network Physics, provider of business-level, traffic flow-based network management solutions, today announced the introduction of the Network Physics NP/BizFlow-1000. With the NP/BizFlow-1000, Fortune 1000 companies with complex and dynamic networks can analyze the flows that link business groups, critical applications, and network software and hardware (1 page).

The management of complex system innovations. A theoretic approach to network formation and critical success factor identification using the case of fuel cell vehicles

Energy Technology Data Exchange (ETDEWEB)

Venghaus, Sandra

2011-07-01

Given the economic, ecological and social importance of automotive transportation, the development of alternative fueling and propulsion technologies requires a wise and sustainable political course of action. Not least the public debate on the impact of transport emissions on climate change and the call for limits to automotive CO-2-emissions reflect the relevance of the topic. In the search for innovative alternatives to the conventional gasoline or diesel propulsion technology, electromobility and hydrogen-based fuel cell vehicles constitute the two most widely discussed long-term options. The market introduction of fuel cell vehicles serves as an expedient example of a highly complex system innovation (CSI), which requires the cooperation of a variety of actors from formerly independent economic sectors in order to overcome the significant barriers to market entry. As will be discussed, such CSI can only be successfully implemented in an environment, within which the complexity-induced knowledge gap is reduced by a systematic exchange of information with respect to both the critical success factors identified by each of the involved stakeholders as well as their cooperation needs and expectations. Given this challenge, a framework is developed, which serves as the basis for a structured dialogue among the multiple stakeholders involved in the development process of a complex system innovation. The framework can thus best be classified as a corporate moderation and decision-support tool to achieve transparency in and impose structure on complex contexts. Methodically, the presented thesis addresses the development of a holistic approach to the management of complex system innovations from two perspectives: (1) a theoretical perspective of analyzing underlying structures and processes of CSI management (i.e., the CSI Management Framework), as well as (2) the development of a strategic approach for the practical implementation of CSI management in complex networks

[Certification and quality management of a complex university cardiac center according to law EN ISO 9001: 2000].

Science.gov (United States)

Beholz, Sven; Koch, Christina; Konertz, Wolfgang

2003-04-01

Quality management systems can improve quality in health care units. The introduction of a quality management system according to ISO 9001: 2000 in a university department of cardiovascular surgery is described. First a thorough analysis of all processes of patient treatment and clinical research was obtained. Multiple interfaces had to be defined to different departments as well as to administration units. All necessary resources were evaluated and optimised. Customer satisfaction was evaluated by surveys of patients and collaborating physicians. Quality rounds including physicians, nurses and technicians were instituted. Based on these preparatory works all processes including their responsibilities and necessary resources were redefined and described in the quality manual. After 18 months' of certification of our quality management system according to ISO 9001: 2000 was recommended by an independent, accredited organisation. In summary, certification of a university department of cardiovascular surgery according to ISO 9001: 2000 is possible and may represent the first step towards total quality management. In complex health care units the certification of individual departments may help to generate a consciousness for quality on the road to total quality management.

To Issue of Mathematical Management Methods Applied for Investment-Building Complex under Conditions of Economic Crisis

Science.gov (United States)

Novikova, V.; Nikolaeva, O.

2017-11-01

In the article the authors consider a cognitive management method of the investment-building complex in the crisis conditions. The factors influencing the choice of an investment strategy are studied, the basic lines of the activity in the field of crisis-management from a position of mathematical modelling are defined. The general approach to decision-making on investment in real assets on the basis of the discrete systems based on the optimum control theory is offered. With the use of a discrete maximum principle the task in view of the decision is found. The numerical algorithm to define the optimum control is formulated by investments. Analytical decisions for the case of constant profitability of the basic means are obtained.

Elevation of surficial sediment/basalt contact in the Subsurface Disposal Area, Idaho National Engineering Laboratory

International Nuclear Information System (INIS)

Hubbell, J.M.

1993-01-01

The elevation of the surficial sediment/basalt contact at the Subsurface Disposal Area (SDA), within the Radioactive Waste Management Complex (RWMC) is presented to provide a data base for future remedial actions at this site. About 1,300 elevation data from published and unpublished reports, maps, and surveyors notes were compiled to generate maps and cross-sections of the surficial sediment/basalt contact. In general, an east to west trending depression exists in the south central portion of the SDA with basalt closer to land surface on the northern and southern boundaries of the SDA. The lowest elevation of the surficial sediment/basalt contact is 4,979 ft and the greatest is land surface at 5,012 ft. The median elevation of the sediment/basalt interface is 4,994 ft. The median depth to basalt in the SDA is 16 ft if land surface elevation is assumed to be 5,010 ft. The depth from land surface to the sediment/basalt interface ranges from 24 ft in the southeast corner of the SDA to less than 3 ft at the north-central boundary of the SDA

Installation and instrumentation of a test-trench facility in the unsaturated zone at the Idaho National Engineering Laboratory

International Nuclear Information System (INIS)

Lewis, B.D.

1984-01-01

Two simulated waste trenches have been constructed just north of the Radioactive Waste Management Complex (RWMC) at the Idaho National Engineering Laboratory. Sections of culvert occupy part of these trenches and are accessible through vertical caissons. These structures therefore allow personnel access for installing instrumentation, maintenance, and observation. Instrumented simulated waste containers will occupy the remainder of the trenches, in order that soil-moisture migration may be observed in relation to waste container forms. The installation will be used to determine, under actual and simulated conditions at a shallow land-burial site in an arid environment, typical soil-moisture content, unsaturated hydraulic conductivity, matric potential, soil-moisture flux, and soil-moisture velocity. The information will be collected using instrumentation located in disturbed and undisturbed soils, simulated waste containers, and the underlying basalt layer. Therefore, data collected from the facility will (a) help characterize the hydrogeologic and geochemical properties of the surficial sediments, (b) contribute to understanding the hydrogeologic phenomena associated with buried waste (including leachate formation and radionuclide migration), (c) provide information on water and solute movement at the sediment/basalt interface, and (d) be used in a radionuclide migration model

Buried Waste Program (BWP) data qualification manual

International Nuclear Information System (INIS)

Casey, C.; Larson, R.A.; Harris, G.A.

1989-06-01

The Data Qualification Manual (DQM) has been developed to discuss the process required to qualify data generated for the Buried Waste Program (BWP). The data from the BWP tasks conducted at the Radioactive Waste Management Complex (RWMC) and elsewhere will lead to remedial decisions being made which are governed by federal regulations administered by the Environmental Protection Agency (EPA). Data qualification is the process of insuring that only data of planned and known qualities are used to make a decision or answer a question. Although it is the Data Integrity Review Committee's (DIRC) responsibility to insure that the quality of all BWP data is ultimately verified and validated, all personnel who participate in the data gathering process will affect the quality of the data and must be responsible for knowing what is required to produce data of the planned quality. Therefore this manual is addressed to all participants in a data-gathering task. This manual discusses requirements to support data qualification in several areas, including: the sampling and analysis plan; data quality objectives and PARCC goals; sample custody documentation; quality assurance; assembly of the data qualification package; and existing data. 23 refs., 4 figs., 6 tabs

Waste Characterization Facility at the Idaho National Engineering Laboratory. Environmental Assessment

International Nuclear Information System (INIS)

1995-02-01

DOE has prepared an Environmental Assessment (EA) on the proposed construction and operation of a Waste Characterization Facility (WCF) at INEL. This facility is needed to examine and characterize containers of transuranic (TRU) waste to certify compliance with transport and disposal criteria; to obtain information on waste constituents to support proper packaging, labeling, and storage; and to support development of treatment and disposal plans for waste that cannot be certified. The proposed WCF would be constructed at the Radioactive Waste Management Complex (RWMC). In accordance with the Council on Environmental Quality (CEQ) requirements in 40 CFR Parts 1500-1508, the EA examined the potential environmental impacts of the proposed WCF and discussed potential alternatives. Based on the analyses in the EA, DOE has determined that the proposed action does not constitute a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act (NEPA) of 1969, and CEQ regulations at 40 CFR 1508.18 and 1508.27. Therefore, an Environmental Impact Statement is not required, and DOE is issuing this Finding of No Significant Impact

Role of angiocardiography in the diagnosis and management of complex/complicated congenital heart disease

International Nuclear Information System (INIS)

Ling Jian; Liu Yuqing

2006-01-01

Objective: To evaluate the role of angiocadiography (ACG) in the diagnosis and management of complex/complicated congenital heart disease (CHD). Methods: A retrospective study of ACG findings in 360 cases with complex/complicated CHD was performed with a comparision to that of echocardiography (Echo) and related clinical examination. Results: The present series of CHD cases included pulmonary atresia with ventricular septal defect in 75 cases, double outlet of right ventricle in 62 cases, Fallot's tetralogy in 60 cases, single ventricle in 52 cases, transposition of the great arteries in 42 cases, tricuspid valve atresia in 15 cases, coronary abnormality in 6 eases, total abnormal pulmonary venous connection in 5 cases, total endocardial cushion defect in 5 cases, persistent truncus arteriosus in 4 cases, pulmonary atresia with normal ventricular septum in 3 cases, other disorders in 7 eases, and postsurgical operation in 24 cases. ACG was superior to that of Echo in demonstrating the abnormalities of systemic, pulmonary, and coronary arteries and their branches of complex/complicated CHD as well as measuring the pressure of pulmonary artery, vein, and systemic-pulmonary collateral vessels. Conclusion: In the diagnosis and differential diagnosis of knotty cases with complex and complicated CHD, particularly in the demonstration of full view of systemic, pulmonary, and coronary arterial branches and accurate measurement of' pulmonary arterial pressure/resistance, and atrial, ventricular, and systemic arterial pressure, ACG (including DSA) still plays an important and irreplaceable role. (authors)

Thermal management evaluation of the complex electro-optical system

Directory of Open Access Journals (Sweden)

Nijemčević Srećko S.

2017-01-01

Full Text Available The thermal management of a complex electro-optical system aimed for outdoor application is challenging task due to the requirement of having an air-sealed enclosure, harsh working environment, and an additional thermal load generated by sunlight. It is essential to consider the effect of heating loads in the system components, as well as the internal temperature distribution, that can have influence on the system life expectancy, operational readiness and parameters, and possibility for catastrophic failure. The main objective of this paper is to analyze internal temperature distribution and evaluate its influence on system component operation capability. The electro-optical system simplified model was defined and related thermal balance simulation model based on Solid Works thermal analysis module was set and applied for temperature distribution calculation. Various outdoor environment scenarios were compared to evaluate system temperature distribution and evaluate its influence on system operation, reliability, and life time in application environment. This work was done during the design process as a part of the electro-optical system optimization. The results show that temperature distribution will not be cause for catastrophic failure and malfunction operation during operation in the expected environment.

Integrating water and agricultural management: collaborative governance for a complex policy problem.

Science.gov (United States)

Fish, Rob D; Ioris, Antonio A R; Watson, Nigel M

2010-11-01

This paper examines governance requirements for integrating water and agricultural management (IWAM). The institutional arrangements for the agriculture and water sectors are complex and multi-dimensional, and integration cannot therefore be achieved through a simplistic 'additive' policy process. Effective integration requires the development of a new collaborative approach to governance that is designed to cope with scale dependencies and interactions, uncertainty and contested knowledge, and interdependency among diverse and unequal interests. When combined with interdisciplinary research, collaborative governance provides a viable normative model because of its emphasis on reciprocity, relationships, learning and creativity. Ultimately, such an approach could lead to the sorts of system adaptations and transformations that are required for IWAM. Copyright © 2009 Elsevier B.V. All rights reserved.

Managing Contextual Complexity in an Experiential Learning Course: A Dynamic Systems Approach through the Identification of Turning Points in Students' Emotional Trajectories

Directory of Open Access Journals (Sweden)

Gloria Nogueiras

2017-05-01

Full Text Available This study adopts a dynamic systems approach to investigate how individuals successfully manage contextual complexity. To that end, we tracked individuals' emotional trajectories during a challenging training course, seeking qualitative changes–turning points—and we tested their relationship with the perceived complexity of the training. The research context was a 5-day higher education course based on process-oriented experiential learning, and the sample consisted of 17 students. The students used a five-point Likert scale to rate the intensity of 16 emotions and the complexity of the training on 8 measurement points. Monte Carlo permutation tests enabled to identify 30 turning points in the 272 emotional trajectories analyzed (17 students * 16 emotions each. 83% of the turning points indicated a change of pattern in the emotional trajectories that consisted of: (a increasingly intense positive emotions or (b decreasingly intense negative emotions. These turning points also coincided with particularly complex periods in the training as perceived by the participants (p = 0.003, and p = 0.001 respectively. The relationship between positively-trended turning points in the students' emotional trajectories and the complexity of the training may be interpreted as evidence of a successful management of the cognitive conflict arising from the clash between the students' prior ways of meaning-making and the challenging demands of the training. One of the strengths of this study is that it provides a relatively simple procedure for identifying turning points in developmental trajectories, which can be applied to various longitudinal experiences that are very common in educational and developmental contexts. Additionally, the findings contribute to sustaining that the assumption that complex contextual demands lead unfailingly to individuals' learning is incomplete. Instead, it is how individuals manage complexity which may or may not lead to

Increasing quality and managing complexity in neuroinformatics software development with continuous integration

Directory of Open Access Journals (Sweden)

Yury V. Zaytsev

2013-01-01

Full Text Available High quality neuroscience research requires accurate, reliable and well maintained neuroinformatics applications. As software projects become larger, offering more functionality and developing a denser web of interdependence between their component parts, we need more sophisticated methods to manage their complexity. If complexity is allowed to get out of hand, either the quality of the software or the speed of development suffer, and in many cases both. To address this issue, here we develop a scalable, low-cost and open source solution for continuous integration (CI, a technique which ensures the quality of changes to the code base during the development procedure, rather than relying on a pre-release integration phase. We demonstrate that a CI based workflow, due to rapid feedback about code integration problems and tracking of code health measures, enabled substantial increases in productivity for a major neuroinformatics project and additional benefits for three further projects. Beyond the scope of the current study, we identify multiple areas in which CI can be employed to further increase the quality of neuroinformatics projects by improving development practices and incorporating appropriate development tools. Finally, we discuss what measures can be taken to lower the barrier for developers of neuroinformatics applications to adopt this useful technique.

Increasing quality and managing complexity in neuroinformatics software development with continuous integration.

Science.gov (United States)

Zaytsev, Yury V; Morrison, Abigail

2012-01-01

High quality neuroscience research requires accurate, reliable and well maintained neuroinformatics applications. As software projects become larger, offering more functionality and developing a denser web of interdependence between their component parts, we need more sophisticated methods to manage their complexity. If complexity is allowed to get out of hand, either the quality of the software or the speed of development suffer, and in many cases both. To address this issue, here we develop a scalable, low-cost and open source solution for continuous integration (CI), a technique which ensures the quality of changes to the code base during the development procedure, rather than relying on a pre-release integration phase. We demonstrate that a CI-based workflow, due to rapid feedback about code integration problems and tracking of code health measures, enabled substantial increases in productivity for a major neuroinformatics project and additional benefits for three further projects. Beyond the scope of the current study, we identify multiple areas in which CI can be employed to further increase the quality of neuroinformatics projects by improving development practices and incorporating appropriate development tools. Finally, we discuss what measures can be taken to lower the barrier for developers of neuroinformatics applications to adopt this useful technique.

Managing Complexity in the MSL/Curiosity Entry, Descent, and Landing Flight Software and Avionics Verification and Validation Campaign

Science.gov (United States)

Stehura, Aaron; Rozek, Matthew

2013-01-01

The complexity of the Mars Science Laboratory (MSL) mission presented the Entry, Descent, and Landing systems engineering team with many challenges in its Verification and Validation (V&V) campaign. This paper describes some of the logistical hurdles related to managing a complex set of requirements, test venues, test objectives, and analysis products in the implementation of a specific portion of the overall V&V program to test the interaction of flight software with the MSL avionics suite. Application-specific solutions to these problems are presented herein, which can be generalized to other space missions and to similar formidable systems engineering problems.

340 waste handling complex: Deactivation project management plan

International Nuclear Information System (INIS)

Stordeur, R.T.

1998-01-01

This document provides an overview of the strategy for deactivating the 340 Waste Handling Complex within Hanford's 300 Area. The plan covers the period from the pending September 30, 1998 cessation of voluntary radioactive liquid waste (RLW) transfers to the 340 Complex, until such time that those portions of the 340 Complex that remain active beyond September 30, 1998, specifically, the Retention Process Sewer (RPS), can also be shut down and deactivated. Specific activities are detailed and divided into two phases. Phase 1 ends in 2001 after the core RLW systems have been deactivated. Phase 2 covers the subsequent interim surveillance of deactivated and stand-by components during the period of continued RPS operation, through the final transfer of the entire 340 Complex to the Environmental Restoration Contractor. One of several possible scenarios was postulated and developed as a budget and schedule planning case

Determinants of Complexity of Sovereign Debt Negotiation

Directory of Open Access Journals (Sweden)

Lidia Mesjasz

2016-07-01

Full Text Available The situation on all kinds of financial markets is determined by their increasing complexity. Negotiation of sovereign debt is also a complex endeavor. Its complexity results both from structural characteristics - number of actors, problems of coordination, communication, cooperation and conflict and from cognitive limitations. The survey of literature on sovereign debt management shows that no research has been done on complexity of sovereign debt management, and sovereign debt negotiation in particular. The aim of the paper is to provide initial framework concepts of complexity of sovereign debt restructuring negotiation referring to a universal collection of characteristics of negotiation. A model of debt restructuring negotiation is elaborated and a set of its complexity- related characteristics is proposed.

A building technical management system optimizes the energy recovery in a swimming pool-skating rink complex; Une GTB optimise la recuperation d'energie d'un complexe piscine-patinoire

Energy Technology Data Exchange (ETDEWEB)

Anon.

2003-04-01

The municipal skating rink of La Roche-sur-Yon (France) is supplied by a direct expansion refrigerating system. The energy recovered from this system allows to heat the sport complex made of a 25 m swimming pool and of a ludic pool. A technical management system ensures the control and management of the overall technical equipments. The automation of the system has permitted to optimize the energy costs which have remained practically unchanged since 20 years, even after the extension of the main pool and the increase of the number of visitors. (J.S.)

The architecture of the management system of complex steganographic information

Science.gov (United States)

Evsutin, O. O.; Meshcheryakov, R. V.; Kozlova, A. S.; Solovyev, T. M.

2017-01-01

The aim of the study is to create a wide area information system that allows one to control processes of generation, embedding, extraction, and detection of steganographic information. In this paper, the following problems are considered: the definition of the system scope and the development of its architecture. For creation of algorithmic maintenance of the system, classic methods of steganography are used to embed information. Methods of mathematical statistics and computational intelligence are used to identify the embedded information. The main result of the paper is the development of the architecture of the management system of complex steganographic information. The suggested architecture utilizes cloud technology in order to provide service using the web-service via the Internet. It is meant to provide streams of multimedia data processing that are streams with many sources of different types. The information system, built in accordance with the proposed architecture, will be used in the following areas: hidden transfer of documents protected by medical secrecy in telemedicine systems; copyright protection of online content in public networks; prevention of information leakage caused by insiders.

Corrective Measures Study Modeling Results for the Southwest Plume - Burial Ground Complex/Mixed Waste Management Facility

International Nuclear Information System (INIS)

Harris, M.K.

1999-01-01

Groundwater modeling scenarios were performed to support the Corrective Measures Study and Interim Action Plan for the southwest plume of the Burial Ground Complex/Mixed Waste Management Facility. The modeling scenarios were designed to provide data for an economic analysis of alternatives, and subsequently evaluate the effectiveness of the selected remedial technologies for tritium reduction to Fourmile Branch. Modeling scenarios assessed include no action, vertical barriers, pump, treat, and reinject; and vertical recirculation wells

Sustaining complex interventions in long-term care: a qualitative study of direct care staff and managers

OpenAIRE

Col?n-Emeric, Cathleen; Toles, Mark; Cary, Michael P.; Batchelor-Murphy, Melissa; Yap, Tracey; Song, Yuting; Hall, Rasheeda; Anderson, Amber; Burd, Andrew; Anderson, Ruth A.

2016-01-01

Background Little is known about the sustainability of behavioral change interventions in long-term care (LTC). Following a cluster randomized trial of an intervention to improve staff communication (CONNECT), we conducted focus groups of direct care staff and managers to elicit their perceptions of factors that enhance or reduce sustainability in the LTC setting. The overall aim was to generate hypotheses about how to sustain complex interventions in LTC. Methods In eight facilities, we cond...

Organization structures for dealing with complexity

NARCIS (Netherlands)

Meijer, B.R.

2006-01-01

"Complexity is in the eye of the beholder" is a well known quote in the research field of complexity. In the world of managers the word complex is often a synonym for difficult, complicated, involving many factors and highly uncertain. A complex business decision requires careful preparation and

A conceptual framework for addressing complexity and unfolding transition dynamics when developing sustainable adaptation strategies in urban water management

DEFF Research Database (Denmark)

Fratini, Chiara; Elle, Morten; Jensen, M. B.

2012-01-01

for standardized methods and guidelines to organize transdisciplinary processes where different types of knowledge and perspectives are taken into account. On the basis of the macro-meso-micro pattern inspired by complexity science and transition theory, we developed a conceptual framework to organize processes...... addressing the complexity characterizing urban water management in the context of climate change. In this paper the framework is used to organize a research process aiming at understanding and unfolding urban dynamics for sustainable transition. The final goal is to enable local authorities and utilities...

A student's perspective of managing data collection in a complex qualitative study.

Science.gov (United States)

Dowse, Eileen Mary; van der Riet, Pamela; Keatinge, Diana Rosemary

2014-11-01

To highlight from a doctoral student's perspective some of the unexpected and challenging issues that may arise when collecting data in a complex, qualitative study. Using a qualitative approach to undertaking a PhD requires commitment to the research topic, the acquisition of a variety of research skills and the development of expertise in writing. Despite close research supervision and guidance, the first author of this paper experienced unexpected hurdles when collecting data. This article highlights these hurdles and compares them with similar and dissimilar challenges raised by a social researcher with 30 years' experience (White 2012). The first author's experience of field research during her PhD candidature. Informed by a critical theoretical perspective, a snowballing technique was used to examine issues related to data collection by a doctoral student in a qualitative research study. The first author found the logistics of qualitative data collection, concerns about transparency, role confusion and power differentials with participants, and the effective use of video recording technology, unexpectedly challenging. Many of these issues are highlighted in the literature and/or during research supervision. However, the student researcher remains a novice when entering the field. It is often only on reflection after encountering the hurdle that the student recognises future pre-emptive or alternative methods of data collection. The challenges faced as a doctoral student managing the data collection phase of the study concurred with White's discussion of some of the 'real life challenges that novice researchers might face' (2012). Specific guidance and prudence are needed by research students to know when enough data have been collected for manageable analysis within the limits of candidature. Use of reflexivity and mindfulness practised by the student during this phase assisted the ability to reflect, respond and learn from issues as they arose and aim for a

Assessing Management Regimes in Transboundary River Basins: Do They Support Adaptive Management?

Directory of Open Access Journals (Sweden)

G.T. (Tom Raadgever

2008-06-01

Full Text Available River basin management is faced with complex problems that are characterized by uncertainty and change. In transboundary river basins, historical, legal, and cultural differences add to the complexity. The literature on adaptive management gives several suggestions for handling this complexity. It recognizes the importance of management regimes as enabling or limiting adaptive management, but there is no comprehensive overview of regime features that support adaptive management. This paper presents such an overview, focused on transboundary river basin management. It inventories the features that have been claimed to be central to effective transboundary river basin management and refines them using adaptive management literature. It then collates these features into a framework describing actor networks, policy processes, information management, and legal and financial aspects. Subsequently, this framework is applied to the Orange and Rhine basins. The paper concludes that the framework provides a consistent and comprehensive perspective on transboundary river basin management regimes, and can be used for assessing their capacity to support adaptive management.

Energy saving analysis and management modeling based on index decomposition analysis integrated energy saving potential method: Application to complex chemical processes

International Nuclear Information System (INIS)

Geng, Zhiqiang; Gao, Huachao; Wang, Yanqing; Han, Yongming; Zhu, Qunxiong

2017-01-01

Highlights: • The integrated framework that combines IDA with energy-saving potential method is proposed. • Energy saving analysis and management framework of complex chemical processes is obtained. • This proposed method is efficient in energy optimization and carbon emissions of complex chemical processes. - Abstract: Energy saving and management of complex chemical processes play a crucial role in the sustainable development procedure. In order to analyze the effect of the technology, management level, and production structure having on energy efficiency and energy saving potential, this paper proposed a novel integrated framework that combines index decomposition analysis (IDA) with energy saving potential method. The IDA method can obtain the level of energy activity, energy hierarchy and energy intensity effectively based on data-drive to reflect the impact of energy usage. The energy saving potential method can verify the correctness of the improvement direction proposed by the IDA method. Meanwhile, energy efficiency improvement, energy consumption reduction and energy savings can be visually discovered by the proposed framework. The demonstration analysis of ethylene production has verified the practicality of the proposed method. Moreover, we can obtain the corresponding improvement for the ethylene production based on the demonstration analysis. The energy efficiency index and the energy saving potential of these worst months can be increased by 6.7% and 7.4%, respectively. And the carbon emissions can be reduced by 7.4–8.2%.

Adaptive management for complex communal rangelands in South ...

African Journals Online (AJOL)

Many of the intransigent problems facing the world arise in complex systems. In this paper, I propose that communal rangelands in South Africa be recognised as complex social–ecological systems and that one of the reasons that development initiatives have had little impact on improving livelihoods and rangeland ...

Generalist solutions to complex problems: generating practice-based evidence--the example of managing multi-morbidity.

Science.gov (United States)

Reeve, Joanne; Blakeman, Tom; Freeman, George K; Green, Larry A; James, Paul A; Lucassen, Peter; Martin, Carmel M; Sturmberg, Joachim P; van Weel, Chris

2013-08-07

A growing proportion of people are living with long term conditions. The majority have more than one. Dealing with multi-morbidity is a complex problem for health systems: for those designing and implementing healthcare as well as for those providing the evidence informing practice. Yet the concept of multi-morbidity (the presence of >2 diseases) is a product of the design of health care systems which define health care need on the basis of disease status. So does the solution lie in an alternative model of healthcare? Strengthening generalist practice has been proposed as part of the solution to tackling multi-morbidity. Generalism is a professional philosophy of practice, deeply known to many practitioners, and described as expertise in whole person medicine. But generalism lacks the evidence base needed by policy makers and planners to support service redesign. The challenge is to fill this practice-research gap in order to critically explore if and when generalist care offers a robust alternative to management of this complex problem. We need practice-based evidence to fill this gap. By recognising generalist practice as a 'complex intervention' (intervening in a complex system), we outline an approach to evaluate impact using action-research principles. We highlight the implications for those who both commission and undertake research in order to tackle this problem. Answers to the complex problem of multi-morbidity won't come from doing more of the same. We need to change systems of care, and so the systems for generating evidence to support that care. This paper contributes to that work through outlining a process for generating practice-based evidence of generalist solutions to the complex problem of person-centred care for people with multi-morbidity.

Progress Report of the Project on Preservation of Records, Knowledge and Memory (RK and M) Across Generations. March 2011-March 2012

International Nuclear Information System (INIS)

2012-01-01

Various NEA member countries are currently developing and constructing deep geological disposal projects for high-level and/or long-lived radioactive waste and spent fuel. These take decades to develop and implement, and the facilities are to operate passively and safely for millennia. Although different countries are in various stages of development with regard to their programmes for final radioactive waste management (RWM), for all countries with nuclear waste the question arises: Which records need to be maintained? For what purpose? Over which timescales? By whom? For whom? What can be done now - from a managerial, technical, legal, regulatory viewpoint - to provide maximum continuity of records, message, and accessibility? How much effort, and of what kind, is it reasonable to invest, now or later? Consideration of these questions led to the launching of the OECD NEA Project on the 'Preservation of Records, Knowledge and Memory (RK and M) across Generations' by the NEA Radioactive Waste Management Committee (RWMC) in March 2011. A Collective Statement and a Vision Document have been prepared and released with RWMC approval. A project web-site has been created http://www.oecdnea. org/rwm/rkm/. As stated in the Vision document, the RK and M project will work towards a 'Menu-driven document that will allow people to identify the elements of a strategic action plan for RK and M preservation'. This document will contain recommendations to countries on useful practices as well as suggested follow-on activities in this field. The release of the 'Menu driven document' is foreseen in 2014. Currently, the project counts representatives from 16 organisations in 12 countries, plus the IAEA, and has the support of the European Commission. Most national organizations provide a financial or in-kind contribution to the running of the project

Shifting conceptions of complexity in forest management and silviculture

Science.gov (United States)

Robert T. Fahey; Brandon C. Alveshere; Julia I. Burton; Anthony W. D' Amato; Yvette L. Dickinson; William S. Keeton; Christel C. Kern; Andrew J. Larson; Brian J. Palik; Klaus J. Puettmann; Michael R. Saunders; Christopher R. Webster; Jeff W. Atkins; Christopher M. Gough; Brady S. Hardiman

2018-01-01

In the past several decades, a trend in forestry and silviculture has been toward promoting complexity in forest ecosystems, but how complexity is conceived and described has shifted over time as new ideas and terminology have been introduced. Historically, ecologically-focused silviculture has focused largely on manipulation of structural complexity, but often with...

Managing complex therapies outside hospitals. An analysis of GPs practices of how to support medication at home.

Science.gov (United States)

Piras, Enrico Maria; Miele, Francesco; Bruni, Attila; Coletta, Claudio; Zanutto, Alberto

2014-01-01

Support systems for the management of prescriptions are commonplace in hospitals, whilst they are rarely found in general practice. This exploratory study draws on a qualitative survey conducted with focus groups to investigate the information needs of General Practitioners (GPs) in regard to the therapeutic management of complex patients, the purpose being to identify possible areas of application. The question addressed is whether the systems existing in hospitals can be usefully adapted and used by GPs or if a different approach needs to be adopted to design other tools. The analysis shows that the information needs of GPs relative to medication management are significantly different from those of their hospital colleagues because the former are not directly responsible for the administration but instead operate within a care network on which they cannot exercise direct control. This study suggests that support systems for therapy management should be designed on the assumption that it derives from cooperative work by a heterogeneous network of actors, and therefore with functionalities intended to satisfy the coordination needs of all the actors involved in the process.

Dealing with complexity in pollination management

DEFF Research Database (Denmark)

Sørensen, Peter Borgen; Tscheulin, Thomas; POTTS, Simon G

generate an integrated and coherent picture of what is known, and what is not known. This, however, is a complex challenge that involves application of conceptual models to disclose knowledge structures and chains of cause and effects. Here we describe the principle of such a conceptual model...

Complex Foot Injury: Early and Definite Management.

Science.gov (United States)

Schepers, Tim; Rammelt, Stefan

2017-03-01

Complex foot injuries occur infrequently, but are life-changing events. They often present with other injuries as the result of a high-energy trauma. After initial stabilization, early assessment should be regarding salvagability. All treatment strategies are intensive. The initial treatment includes prevention of progression ischemia/necrosis, prevention of infection, and considering salvage or amputation. Definitive treatment for salvage includes anatomic reconstruction with stable internal fixation and early soft tissue coverage followed by aggressive rehabilitation. Prognosis after complex injuries is hard to predict. The various stages of the treatment are reviewed and recommendations are made. Copyright © 2016 Elsevier Inc. All rights reserved.

Complex energy system management using optimization techniques

Energy Technology Data Exchange (ETDEWEB)

Bridgeman, Stuart; Hurdowar-Castro, Diana; Allen, Rick; Olason, Tryggvi; Welt, Francois

2010-09-15

Modern energy systems are often very complex with respect to the mix of generation sources, energy storage, transmission, and avenues to market. Historically, power was provided by government organizations to load centers, and pricing was provided in a regulatory manner. In recent years, this process has been displaced by the independent system operator (ISO). This complexity makes the operation of these systems very difficult, since the components of the system are interdependent. Consequently, computer-based large-scale simulation and optimization methods like Decision Support Systems are now being used. This paper discusses the application of a DSS to operations and planning systems.

The Forum on Stakeholder Confidence celebrates a decade of work

International Nuclear Information System (INIS)

Pescatore, C.; Mays, C.; Diaconu, D.

2010-01-01

Since its foundation in 2000, the NEA Radioactive Waste Management Committee (RWMC) Forum on Stakeholder Confidence (FSC) has fostered constructive dialogues and interactions with hundreds of interested parties in radioactive waste management, ranging from specialists and academic researchers, national and local politicians to local stakeholders and associations. Many of those partners came to Paris in September 2010 to participate in the colloquium 'Looking Back, Looking Forward in Stakeholder Engagement'. This Ten- year Anniversary Colloquium as well as the FSC's eleventh regular meeting on the following two days were open to all interested parties. This article describes the Forum and the online reports in which learning is shared. It highlights the two major topics discussed at the Colloquium and reviews the joint evaluation made there of FSC achievements. Finally, it points to the directions selected for a new decade of work

2nd International Symposium on Chaos, Complexity and Leadership

CERN Document Server

Banerjee, Santo

2015-01-01

These proceedings from the 2013 symposium on "Chaos, complexity and leadership" reflect current research results from all branches of Chaos, Complex Systems and their applications in Management. Included are the diverse results in the fields of applied nonlinear methods, modeling of data and simulations, as well as theoretical achievements of Chaos and Complex Systems. Also highlighted are Leadership and Management applications of Chaos and Complexity Theory.

Bush animal attacks: management of complex injuries in a resource-limited setting

Directory of Open Access Journals (Sweden)

Mitchell Katrina B

2011-12-01

Full Text Available Abstract Introduction Though animal-related injuries and fatalities have been documented throughout the world, the variety of attacks by wild animals native to rural East Africa are less commonly described. Given the proximity of our northwestern Tanzania hospital to Lake Victoria, Lake Tanganyika, and the Serengeti National Park, and presentation of several patients attacked by bush animals and suffering a variety of complex injuries, we sought to report the pattern of attacks and surgical management in a resource-limited setting. Materials and methods Four patients who were admitted to the northwestern Tanzania tertiary referral hospital, Bugando Medical Centre (BMC, in 2010-2011 suffered attacks by different bush animals: hyena, elephant, crocodile, and vervet monkey. These patients were triaged as trauma patients in the Casualty Ward, then admitted for inpatient monitoring and treatment. Their outcomes were followed to discharge. Results The age and gender of the patients attacked was variable, though all but the pediatric patient were participating in food gathering or guarding activities in rural locations at the time of the attacks. All patients required surgical management of their injuries, which included debridement and closure of wounds, chest tube insertion, amputation, and external fixation of an extremity fracture. All patients survived and were discharged home. Discussion Though human injuries secondary to encounters with undomesticated animals such as cows, moose, and camel are reported, they often are indirect traumas resulting from road traffic collisions. Snake attacks are well documented and common. However, this series of unique bush animal attacks describes the initial and surgical management of human injuries in the resource-limited setting of the developing world. Conclusion Animal attacks are common throughout the world, but their pattern may vary in Africa throughout jungle and bush environmental settings. It is

Management of complex multi-reservoir water distribution systems using advanced control theoretic tools and techniques

CERN Document Server

Chmielowski, Wojciech Z

2013-01-01

This study discusses issues of optimal water management in a complex distribution system. The main elements of the water-management system under consideration are retention reservoirs, among which water transfers are possible, and a network of connections between these reservoirs and water treatment plants (WTPs). System operation optimisation involves determining the proper water transport routes and their flow volumes from the retention reservoirs to the WTPs, and the volumes of possible transfers among the reservoirs, taking into account transport-related delays for inflows, outflows and water transfers in the system. Total system operation costs defined by an assumed quality coefficient should be minimal. An analytical solution of the optimisation task so formulated has been obtained as a result of using Pontriagin’s maximum principle with reference to the quality coefficient assumed. Stable start and end conditions in reservoir state trajectories have been assumed. The researchers have taken into accou...

Development of the Andalusian Registry of Patients Receiving Community Case Management, for the follow-up of people with complex chronic diseases.

Science.gov (United States)

Morales-Asencio, Jose M; Kaknani-Uttumchandani, Shakira; Cuevas-Fernández-Gallego, Magdalena; Palacios-Gómez, Leopoldo; Gutiérrez-Sequera, José L; Silvano-Arranz, Agustina; Batres-Sicilia, Juan Pedro; Delgado-Romero, Ascensión; Cejudo-Lopez, Ángela; Trabado-Herrera, Manuel; García-Lara, Esteban L; Martin-Santos, Francisco J; Morilla-Herrera, Juan C

2015-10-01

Complex chronic diseases are a challenge for the current configuration of health services. Case management is a service frequently provided for people with chronic conditions, and despite its effectiveness in many outcomes, such as mortality or readmissions, uncertainty remains about the most effective form of team organization, structures and the nature of the interventions. Many processes and outcomes of case management for people with complex chronic conditions cannot be addressed with the information provided by electronic clinical records. Registries are frequently used to deal with this weakness. The aim of this study was to generate a registry-based information system of patients receiving case management to identify their clinical characteristics, their context of care, events identified during their follow-up, interventions developed by case managers and services used. The study was divided into three phases, covering the detection of information needs, the design and its implementation in the health care system, using literature review and expert consensus methods to select variables that would be included in the registry. A total of 102 variables representing structure, processes and outcomes of case management were selected for their inclusion in the registry after the consensus phase. A web-based registry with modular and layered architecture was designed. The framework follows a pattern based on the model-view-controller approach. In its first 6 months after the implementation, 102 case managers have introduced an average number of 6.49 patients each one. The registry permits a complete and in-depth analysis of the characteristics of the patients who receive case management, the interventions delivered and some major outcomes as mortality, readmissions or adverse events. © 2015 John Wiley & Sons, Ltd.

Risk Management in Complex Construction Projects that Apply Renewable Energy Sources: A Case Study of the Realization Phase of the Energis Educational and Research Intelligent Building

Science.gov (United States)

Krechowicz, Maria

2017-10-01

Nowadays, one of the characteristic features of construction industry is an increased complexity of a growing number of projects. Almost each construction project is unique, has its project-specific purpose, its own project structural complexity, owner’s expectations, ground conditions unique to a certain location, and its own dynamics. Failure costs and costs resulting from unforeseen problems in complex construction projects are very high. Project complexity drivers pose many vulnerabilities to a successful completion of a number of projects. This paper discusses the process of effective risk management in complex construction projects in which renewable energy sources were used, on the example of the realization phase of the ENERGIS teaching-laboratory building, from the point of view of DORBUD S.A., its general contractor. This paper suggests a new approach to risk management for complex construction projects in which renewable energy sources were applied. The risk management process was divided into six stages: gathering information, identification of the top, critical project risks resulting from the project complexity, construction of the fault tree for each top, critical risks, logical analysis of the fault tree, quantitative risk assessment applying fuzzy logic and development of risk response strategy. A new methodology for the qualitative and quantitative risk assessment for top, critical risks in complex construction projects was developed. Risk assessment was carried out applying Fuzzy Fault Tree analysis on the example of one top critical risk. Application of the Fuzzy sets theory to the proposed model allowed to decrease uncertainty and eliminate problems with gaining the crisp values of the basic events probability, common during expert risk assessment with the objective to give the exact risk score of each unwanted event probability.

Looking Back, Looking Forward in Stakeholder Engagement. 10-year Anniversary Colloquium of the FSC, 15 September, OECD Conference Centre, Paris

International Nuclear Information System (INIS)

Pescatore, Claudio; Buser, Marcos; Kallenbach-Herbert, Beate; Brazier, David; Molina, Mariano; Blom, Catharina; Simic, Eva; Coadou, Jean; ); Beule, Karina de; Kotra, Janet P.; LE BARS, Yves; Gonzalez Hermosilla, Fernando; Heriard Dubreuil, Gilles; Zeleznik, Nadja; O'Connor, Martin; Lezaun, Javier; Hietanen, Leena; Koivisto, Katarina; Gas, Serge; Mathieu Carey; Massart, Cecile

2010-01-01

The OECD Nuclear Energy Agency (NEA) and its Radioactive Waste Management Committee (RWMC) proudly celebrate the 10. anniversary of the Forum on Stakeholder Confidence with a one-day open Colloquium in Paris. The Colloquium takes stock of FSC achievements, conducts a multi-stakeholder discussion of important themes in the governance of radioactive waste management, and gathers guidance on new directions to be taken by the FSC in coming years. The Colloquium welcomes some 80 participants: local and national opinion leaders and stakeholder representatives, government policy and regulatory officials, R and D specialists, implementers and industry representatives from 16 countries, and journalists. This report brings together the presentations (slides) given at this colloquium: 1 - Update since September 2009, The 10-year Anniversary Colloquium; Review of the RWMC and its working parties; Review of countries' input and RWMC project vision (C. Pescatore); 2 - State-of-the-art Report on Marker Systems for Radioactive Waste Repositories (M. Buser); 3 - Consideration of Social Scientific Aspects in a Safety Case for a Geological Repository in Germany, Results of a Research Project (B. Kallenbach-Herbert); 4 - Interplay Among Stakeholders for the Definition of the Detailed Geological Survey Zone in the Meuse/Haute-Marne (Andra); 5 - Regulatory Guidance on Retrievability (D. Brazier); 6 - Sogin engagement process 2010, Focus on involvement of economic operators as a part of the local community (Sogin); 7 - The role of the Government in territorial development of Meuse/Haute-Marne (Andra); 8 - Cooperating with regional elected authorities, some cases in Spain (M. Molina); 9 - Regional development and economic growth (C. Blom); 10 - Seeking transparency, Collective Action... (C. Pescatore); 11 - Introduction and overview of country responses to the transparency questionnaire (E. Simic); 12 - EC initiatives/support towards enhanced transparency and citizens participation

Industrial Complex for Solid Radwaste Management at Chernobyle Nuclear Power Plant

Energy Technology Data Exchange (ETDEWEB)

Ahner, S.; Fomin, V. V.

2002-02-26

In the framework of the preparation for the decommissioning of the Chernobyl Nuclear Power Plant (ChNPP) an Industrial Complex for Solid Radwaste Management (ICSRM) will be built under the EC TACIS Program in the vicinity of ChNPP. The paper will present the proposed concepts and their integration into existing buildings and installations. Further, the paper will consider the safety cases, as well as the integration of Western and Ukrainian Organizations into a cohesive project team and the requirement to guarantee the fulfillment of both Western standards and Ukrainian regulations and licensing requirements. The paper will provide information on the status of the interim design and the effects of value engineering on the output of basic design phase. The paper therefor summarizes the design results of the involved design engineers of the Design and Process Providers BNFL (LOT 1), RWE NUKEM GmbH (LOT 2 and General) and INITEC (LOT 3).

Nuclear weapons complex

International Nuclear Information System (INIS)

Rezendes, V.S.

1991-03-01

In this book, GAO characterizes DOE's January 1991 Nuclear Weapons Complex Reconfiguration Study as a starting point for reaching agreement on solutions to many of the complex's safety and environmental problems. Key decisions still need to be made about the size of the complex, where to relocate plutonium operations, what technologies to use for new tritium production, and what to do with excess plutonium. The total cost for reconfiguring and modernizing the complex is still uncertain, and some management issues remain unresolved. Congress faces a difficult task in making test decisions given the conflicting demands for scarce resources in a time of growing budget deficits and war in the Persian Gulf

Managing the Organizational and Cultural Precursors to Major Events — Recognising and Addressing Complexity

International Nuclear Information System (INIS)

Taylor, R. H.; Carhart, N.; May, J.; Wijk, L. G. A. van

2016-01-01

illustration will be given of the use of Hierarchical Process Modelling (HPM) to develop a vulnerability tool using the question sets. However, to understand the issues involved more fully, requires the development of models and associated tools which recognise the complexity and interactive nature of the organizational and cultural issues involved. Various repeating patterns of system failure appear in most of the events studied. Techniques such as System Dynamics (SD) can be used to ‘map’ these processes and capture the complexity involved. This highlights interdependencies, incubating vulnerabilities and the impact of time lags within systems. Two examples will be given. In almost all of the events studied, there has been a strong disconnect between the knowledge and aspirations of senior management and those planning and carrying out operations. There has, for example, frequently been a failure to ensure that information flows up and down the management chain are effective. It has often led to conflicts between the need to maintain safety standards through exercising a cautious and questioning attitude in the light of uncertainty and the need to meet production and cost targets. Business pressures have led to shortcuts, failure to provide sufficient oversight so that leaders are aware of the true picture of process and nuclear safety at operational level (often leading to organizational ‘drift’), normalisation of risks, and the establishment of a ‘good news culture’. The development of this disconnect and its consequences have been shown to be interdependent, dynamic and complex. A second example is that of gaining a better appreciation of the deeper factors involved in managing the supply chain and, in particular, of the interface with contractors. Initiating projects with unclear accountabilities and to unrealistic timescales, together with a lack of clarity about the cost implications when safety-related concerns are reported and need to be addressed, have

Managing Conflict in Temporary Management Systems

Science.gov (United States)

Wilemon, David L.

1973-01-01

As organizational tasks have grown more complex, several innovative temporary management systems such as matrix management have been developed. The Apollo space program has been an important contribution to the development of matrix management techniques. Discusses the role of conflict within the matrix, its determinants, and the process of…

Groundwater Modeling in Support of Water Resources Management and Planning under Complex Climate, Regulatory, and Economic Stresses

Directory of Open Access Journals (Sweden)

Emin C. Dogrul

2016-12-01

Full Text Available Groundwater is an important resource that meets part or all of the water demand in many developed basins. Since it is an integral part of the hydrologic cycle, management of groundwater resources must consider not only the management of surface flows but also the variability in climate. In addition, agricultural and urban activities both affect the availability of water resources and are affected by it. Arguably, the Central Valley of the State of California, USA, can be considered a basin where all stresses that can possibly affect the management of groundwater resources seem to have come together: a vibrant economy that depends on water, a relatively dry climate, a disparity between water demand and availability both in time and space, heavily managed stream flows that are susceptible to water quality issues and sea level rise, degradation of aquifer conditions due to over-pumping, and degradation of the environment with multiple species becoming endangered. Over the past fifteen years, the California Department of Water Resources has developed and maintained the Integrated Water Flow Model (IWFM to aid in groundwater management and planning under complex, and often competing, requirements. This paper will describe features of IWFM as a generic modeling tool, and showcase several of its innovative applications within California.

On Modeling the Behavior of Comparators for Complex Fuzzy Objects in a Fuzzy Object-Relational Database Management System

Directory of Open Access Journals (Sweden)

JuanM. Medina

2012-08-01

Full Text Available This paper proposes a parameterized definition for fuzzy comparators on complex fuzzy datatypes like fuzzy collections with conjunctive semantics and fuzzy objects. This definition and its implementation on a Fuzzy Object-Relational Database Management System (FORDBMS provides the designer with a powerful tool to adapt the behavior of these operators to the semantics of the considered application.

Perioprosthetic and Implant-Supported Rehabilitation of Complex Cases: Clinical Management and Timing Strategy.

Science.gov (United States)

Landi, Luca; Piccinelli, Stefano; Raia, Roberto; Marinotti, Fabio; Manicone, Paolo Francesco

2016-01-01

Treatment of complex perioprosthetic cases is one of the clinical challenges of everyday practice. Only a complete and thorough diagnostic setup may allow the clinician to formulate a realistic prognosis to select the abutments to support prosthetic rehabilitation. Clinical, radiographic, or laboratory parameters used separately are useless to correctly assign a reliable prognosis to single teeth except in the case of a clearly hopeless tooth. Therefore, it is crucial to gather the greatest quantity of data to determine the role that every single element can play in the prosthetic rehabilitation of the case. The following report deals with the management of a multidisciplinary periodontally compromised case in which a treatment strategy and chronology were designed to reach clinical predictability while reducing the duration of the therapy.

Assessing Complexity in Learning Outcomes--A Comparison between the SOLO Taxonomy and the Model of Hierarchical Complexity

Science.gov (United States)

Stålne, Kristian; Kjellström, Sofia; Utriainen, Jukka

2016-01-01

An important aspect of higher education is to educate students who can manage complex relationships and solve complex problems. Teachers need to be able to evaluate course content with regard to complexity, as well as evaluate students' ability to assimilate complex content and express it in the form of a learning outcome. One model for evaluating…

Managing Sustainability in Management Education

DEFF Research Database (Denmark)

Lystbæk, Christian Tang

2014-01-01

Sustainability has until relatively recently been seen as irrelevant to business practice and, hence, has been largely missing from management education. But, environmental issues are increasingly becoming a key business concern at local, national, international and global levels. This conceptual...... paper addresses the question: How can sustainability be addresses within management education? It engages in a critical discussion of traditional models for teaching sustainability and Corporate Social Responsibility (CSR) in order to develop an advanced framework that addresses the limitations...... concerning trade-offs and complexity. Thus, the paper proposes an approach to sustainability in management education which help to initiate such critical reflection and discussion by drawing attention to the complex network of relations in which a given business or industry is embedded....

Complex of Key Instruments of Management of Operation Activity of a Small Business Trade Enterprise

Directory of Open Access Journals (Sweden)

Serdyuk Vira M.

2013-11-01

Full Text Available The article offers a complex of key instruments of management of operation activity of a small business trade enterprise, including: 1 budgeting of operation activity; 2 its accounting by norms and deviations from them; 3 monitoring of operational activity of an enterprise, which envisages analysis of revealed deviations. The article shows the most efficient way of realisation and practical use of the presented concept – application of the “standard-cost” scheme within the framework of which the following tasks are solved: 1 budgeting of income from operational activity; 2 establishment of standards of costs; 3 accumulation of data on factual income and expenditures; 4 analysis of deviations and reporting; and 5 introduction of necessary amendments. The article also offers an imitation model of analysis of dynamics of trade processes, which allows detection of key spheres of management of operation activity of a small trade enterprise and principles of carrying out an efficient and well thought over financial policy.

Methodology for Measuring the Complexity of Enterprise Information Systems

Directory of Open Access Journals (Sweden)

Ilja Holub

2016-07-01

Full Text Available The complexity of enterprise information systems is currently a challenge faced not only by IT professionals and project managers, but also by the users of such systems. Current methodologies and frameworks used to design and implement information systems do not specifically deal with the issue of their complexity and, apart from few exceptions, do not at all attempt to simplify the complexity. This article presents the author's own methodology for managing complexity, which can be used to complement any other methodology and which helps limit the growth of complexity. It introduces its own definition and metric of complexity, which it defines as the sum of entities of the individual UML models of the given system, which are selected according to the MMDIS methodology so as to consistently describe all relevant content dimensions of the system. The main objective is to propose a methodology to manage information system complexity and to verify it in practice on a real-life SAP implementation project.

Development of a descriptive model of an integrated information system to support complex, dynamic, distributed decision making for emergency management in large organisations

International Nuclear Information System (INIS)

Andersen, V.; Andersen, H.B.; Axel, E.; Petersen, T.

1990-01-01

A short introduction will be given to the European (ESPRIT II) project, ''IT Support for Emergency Management - ISEM''. The project is aimed at the development of an integrated information system capable of supporting the complex, dynamic, distributed decision making in the management of emergencies. The basic models developed to describe and construct emergency management organisations and their preparedness have been illustrated, and it has been stated that similarities may be found even in emergency situations that originally are of quite different nature. (author)

Power grid complexity

Energy Technology Data Exchange (ETDEWEB)

Mei, Shengwei; Zhang, Xuemin [Tsinghua Univ., Beijing, BJ (China). Dept. of Electrical Engineering; Cao, Ming [Groningen Univ. (Netherlands). Faculty of Mathematics and Natural Sciences

2011-07-01

''Power Grid Complexity'' introduces the complex system theory known as self-organized criticality (SOC) theory and complex network theory, and their applications to power systems. It studies the network characteristics of power systems, such as their small-world properties, structural vulnerability, decomposition and coordination strategies, and simplification and equivalence methods. The book also establishes four blackout models based on SOC theory through which the SOC of power systems is studied at both the macroscopic and microscopic levels. Additionally, applications of complex system theory in power system planning and emergency management platforms are also discussed in depth. This book can serve as a useful reference for engineers and researchers working with power systems. (orig.)

Soil Management Plan for the Oak Ridge Y-12 National Security Complex Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

None

2005-03-02

This Soil Management Plan applies to all activities conducted under the auspices of the National Nuclear Security Administration (NNSA) Oak Ridge Y-12 National Security Complex (Y-12) that involve soil disturbance and potential management of waste soil. The plan was prepared under the direction of the Y-12 Environmental Compliance Department of the Environment, Safety, and Health Division. Soil disturbances related to maintenance activities, utility and building construction projects, or demolition projects fall within the purview of the plan. This Soil Management Plan represents an integrated, visually oriented, planning and information resource tool for decision making involving excavation or disturbance of soil at Y-12. This Soil Management Plan addresses three primary elements. (1) Regulatory and programmatic requirements for management of soil based on the location of a soil disturbance project and/or the regulatory classification of any contaminants that may be present (Chap. 2). Five general regulatory or programmatic classifications of soil are recognized to be potentially present at Y-12; soil may fall under one or more these classifications: (a) Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) pursuant to the Oak Ridge Reservation (ORR) Federal Facilities Agreement; (b) Resource Conservation and Recovery Act (RCRA); (c) RCRA 3004(u) solid waste managements units pursuant to the RCRA Hazardous and Solid Waste Amendments Act of 1984 permit for the ORR; (d) Toxic Substances and Control Act-regulated soil containing polychlorinated biphenyls; and (e) Radiologically contaminated soil regulated under the Atomic Energy Act review process. (2) Information for project planners on current and future planned remedial actions (RAs), as prescribed by CERCLA decision documents (including the scope of the actions and remedial goals), land use controls implemented to support or maintain RAs, RCRA post-closure regulatory requirements for

Resolving complex research data management issues in biomedical laboratories: Qualitative study of an industry-academia collaboration.

Science.gov (United States)

Myneni, Sahiti; Patel, Vimla L; Bova, G Steven; Wang, Jian; Ackerman, Christopher F; Berlinicke, Cynthia A; Chen, Steve H; Lindvall, Mikael; Zack, Donald J

2016-04-01

This paper describes a distributed collaborative effort between industry and academia to systematize data management in an academic biomedical laboratory. Heterogeneous and voluminous nature of research data created in biomedical laboratories make information management difficult and research unproductive. One such collaborative effort was evaluated over a period of four years using data collection methods including ethnographic observations, semi-structured interviews, web-based surveys, progress reports, conference call summaries, and face-to-face group discussions. Data were analyzed using qualitative methods of data analysis to (1) characterize specific problems faced by biomedical researchers with traditional information management practices, (2) identify intervention areas to introduce a new research information management system called Labmatrix, and finally to (3) evaluate and delineate important general collaboration (intervention) characteristics that can optimize outcomes of an implementation process in biomedical laboratories. Results emphasize the importance of end user perseverance, human-centric interoperability evaluation, and demonstration of return on investment of effort and time of laboratory members and industry personnel for success of implementation process. In addition, there is an intrinsic learning component associated with the implementation process of an information management system. Technology transfer experience in a complex environment such as the biomedical laboratory can be eased with use of information systems that support human and cognitive interoperability. Such informatics features can also contribute to successful collaboration and hopefully to scientific productivity. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Industrial complex for solid radwaste management (ICSRM) at Chernobyl nuclear power plant pre-commissioning of the facilities

Energy Technology Data Exchange (ETDEWEB)

Pietsch, Thomas [NUKEM Technologies GmbH, Alzenau (Germany); NUKEM Technologies GmbH, Slavutich (Ukraine)

2009-07-01

NUKEM was awarded to build the industrial complex for solid radwaste management (ICSRM) at the NPP Chernobyl. ICSRM consists of four facilities: SLWS (solid low waste storage), solid waste retrieval facility, solid waste processing plant, repository for the disposal of short-lived waste. The contribution describes the approach for testing and pre-commissioning the following systems: sorting, compaction, incineration, transport systems, monitoring, tracking and retrieval. Start-up of the facilities is planned for 2009.

Industrial complex for solid radwaste management (ICSRM) at Chernobyl nuclear power plant pre-commissioning of the facilities

International Nuclear Information System (INIS)

Pietsch, Thomas

2009-01-01

NUKEM was awarded to build the industrial complex for solid radwaste management (ICSRM) at the NPP Chernobyl. ICSRM consists of four facilities: SLWS (solid low waste storage), solid waste retrieval facility, solid waste processing plant, repository for the disposal of short-lived waste. The contribution describes the approach for testing and pre-commissioning the following systems: sorting, compaction, incineration, transport systems, monitoring, tracking and retrieval. Start-up of the facilities is planned for 2009.

Human resource management practices in a medical complex in the Eastern Cape, South Africa: assessing their impact on the retention of doctors.

Science.gov (United States)

Longmore, Bruce; Ronnie, Linda

2014-03-26

Human resource management (HRM) practices have the potential to influence the retention of doctors in the public health sector. To explore the key human resource (HR) practices affecting doctors in a medical complex in the Eastern Cape, South Africa. We used an open-ended questionnaire to gather data from 75 doctors in this setting. The most important HR practices were paying salaries on time and accurately, the management of documentation, communication, HR staff showing that they respected and valued the doctors, and reimbursement for conferences and special leave requests. All these practices were judged to be poorly administered. Essential HR characteristics were ranked in the following order: task competence of HR staff, accountability, general HR efficiency, occupation-specific dispensation adjustments and performance management and development system efficiency, and availability of HR staff. All these characteristics were judged to be poor. HRM practices in this Eastern Cape medical complex were inadequate and a source of frustration. This lack of efficiency could lead to further problems with regard to retaining doctors in public sector service.

THEORY OF CONCEPTUAL APPARATUS MANAGEMENT ACCOUNTING AGRICULTURAL ORGANIZATIONS ON THE BASIS OF REGISTRATION AND ANALYTICAL COMPLEX

Directory of Open Access Journals (Sweden)

Kobiljon Barview

2016-02-01

Full Text Available The article discusses the theory of management accounting unit of the agricultural organizations on the basis of accounting and analytical complex. With the development of modern economic relations of agricultural activity as a traditional sector of the economy, it is exposed to an active state regulation, which is manifested in a particular system of information and analytical support for accounting and control of enterprises in this industry. Agricultural organizations in the conditions of market economy is largely dependent on reliable information and analytical data.

A complex systems approach to constructing better models for managing financial markets and the economy

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Farmer, J. Doyne; Gallegati, M.; Hommes, C.; Kirman, A.; Ormerod, P.; Cincotti, S.; Sanchez, A.; Helbing, D.

2012-11-01

We outline a vision for an ambitious program to understand the economy and financial markets as a complex evolving system of coupled networks of interacting agents. This is a completely different vision from that currently used in most economic models. This view implies new challenges and opportunities for policy and managing economic crises. The dynamics of such models inherently involve sudden and sometimes dramatic changes of state. Further, the tools and approaches we use emphasize the analysis of crises rather than of calm periods. In this they respond directly to the calls of Governors Bernanke and Trichet for new approaches to macroeconomic modelling.

Clinical decision-making by midwives: managing case complexity.

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Cioffi, J; Markham, R

1997-02-01

In making clinical judgements, it is argued that midwives use 'shortcuts' or heuristics based on estimated probabilities to simplify the decision-making task. Midwives (n = 30) were given simulated patient assessment situations of high and low complexity and were required to think aloud. Analysis of verbal protocols showed that subjective probability judgements (heuristics) were used more frequently in the high than low complexity case and predominated in the last quarter of the assessment period for the high complexity case. 'Representativeness' was identified more frequently in the high than in the low case, but was the dominant heuristic in both. Reports completed after each simulation suggest that heuristics based on memory for particular conditions affect decisions. It is concluded that midwives use heuristics, derived mainly from their clinical experiences, in an attempt to save cognitive effort and to facilitate reasonably accurate decisions in the decision-making process.

Network structure and institutional complexity in an ecology of water management games

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Mark Lubell

2014-12-01

Full Text Available Social-ecological systems are governed by a complex of ecology of games featuring multiple actors, policy institutions, and issues, and not just single institutions operating in isolation. We update Long's (1958 ecology of games to analyze the coordinating roles of actors and institutions in the context of the ecology of water management games in San Francisco Bay, California. The ecology of games is operationalized as a bipartite network with actors participating in institutions, and exponential random graph models are used to test hypotheses about the structural features of the network. We found that policy coordination is facilitated mostly by federal and state agencies and collaborative institutions that span geographic boundaries. Network configurations associated with closure show the most significant departures from the predicted model values, consistent with the Berardo and Scholz (2010 "risk hypothesis" that closure is important for solving cooperation problems.

Melter development needs assessment for RWMC buried wastes

International Nuclear Information System (INIS)

Donaldson, A.D.; Carpenedo, R.J.; Anderson, G.L.

1992-02-01

This report presents a survey and initial assessment of the existing state-of-the-art melter technology necessary to thermally treat (stabilize) buried TRU waste, by producing a highly leach resistant glass/ceramic waste form suitable for final disposal. Buried mixed transuranic (TRU) waste at the Idaho National Engineering Laboratory (INEL) represents an environmental hazard requiring remediation. The Environmental Protection Agency (EPA) placed the INEL on the National Priorities List in 1989. Remediation of the buried TRU-contaminated waste via the CERCLA decision process is required to remove INEL from the National Priorities List. A Waste Technology Development (WTD) Preliminary Systems Design and Thermal Technologies Screening Study identified joule-heated and plasma-heated melters as the most probable thermal systems technologies capable of melting the INEL soil and waste to produce the desired final waste form [Iron-Enriched Basalt (IEB) glass/ceramic]. The work reported herein then surveys the state of existing melter technology and assesses it within the context of processing INEL buried TRU wastes and contaminated soils. Necessary technology development work is recommended

Strategy for introduction of rainwater management facility considering rainfall event applied on new apartment complex

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KIM, H.; Lee, D. K.; Yoo, S.

2014-12-01

As regional torrential rains become frequent due to climate change, urban flooding happens very often. That is why it is necessary to prepare for integrated measures against a wide range of rainfall. This study proposes introduction of effective rainwater management facilities to maximize the rainwater runoff reductions and recover natural water circulation for unpredictable extreme rainfall in apartment complex scale. The study site is new apartment complex in Hanam located in east of Seoul, Korea. It has an area of 7.28ha and is analysed using the EPA-SWMM and STORM model. First, it is analyzed that green infrastructure(GI) had efficiency of flood reduction at the various rainfall events and soil characteristics, and then the most effective value of variables are derived. In case of rainfall event, Last 10 years data of 15 minutes were used for analysis. A comparison between A(686mm rainfall during 22days) and B(661mm/4days) knew that soil infiltration of A is 17.08% and B is 5.48% of the rainfall. Reduction of runoff after introduction of the GI of A is 24.76% and B is 6.56%. These results mean that GI is effective to small rainfall intensity, and artificial rainwater retarding reservoir is needed at extreme rainfall. Second, set of target year is conducted for the recovery of hydrological cycle at the predevelopment. And an amount of infiltration, evaporation, surface runoff of the target year and now is analysed on the basis of land coverage, and an arrangement of LID facilities. Third, rainwater management scenarios are established and simulated by the SWMM-LID. Rainwater management facilities include GI(green roof, porous pavement, vegetative swale, ecological pond, and raingarden), and artificial rainwater. Design scenarios are categorized five type: 1)no GI, 2)conventional GI design(current design), 3)intensive GI design, 4)GI design+rainwater retarding reservoir 5)maximized rainwater retarding reservoir. Intensive GI design is to have attribute value to

Genetics Home Reference: tuberous sclerosis complex

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... 42. Citation on PubMed Northrup H, Koenig MK, Pearson DA, Au KS. Tuberous Sclerosis Complex. 1999 Jul ... Tuberous sclerosis complex: advances in diagnosis, genetics, and management. J Am Acad Dermatol. 2007 Aug;57(2): ...

Immunogenetic Management Software: a new tool for visualization and analysis of complex immunogenetic datasets.

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Johnson, Z P; Eady, R D; Ahmad, S F; Agravat, S; Morris, T; Else, J; Lank, S M; Wiseman, R W; O'Connor, D H; Penedo, M C T; Larsen, C P; Kean, L S

2012-04-01

Here we describe the Immunogenetic Management Software (IMS) system, a novel web-based application that permits multiplexed analysis of complex immunogenetic traits that are necessary for the accurate planning and execution of experiments involving large animal models, including nonhuman primates. IMS is capable of housing complex pedigree relationships, microsatellite-based MHC typing data, as well as MHC pyrosequencing expression analysis of class I alleles. It includes a novel, automated MHC haplotype naming algorithm and has accomplished an innovative visualization protocol that allows users to view multiple familial and MHC haplotype relationships through a single, interactive graphical interface. Detailed DNA and RNA-based data can also be queried and analyzed in a highly accessible fashion, and flexible search capabilities allow experimental choices to be made based on multiple, individualized and expandable immunogenetic factors. This web application is implemented in Java, MySQL, Tomcat, and Apache, with supported browsers including Internet Explorer and Firefox on Windows and Safari on Mac OS. The software is freely available for distribution to noncommercial users by contacting Leslie.kean@emory.edu. A demonstration site for the software is available at http://typing.emory.edu/typing_demo , user name: imsdemo7@gmail.com and password: imsdemo.

Historical and current fire management practices in two wilderness areas in the southwestern United States: The Saguaro Wilderness Area and the Gila-Aldo Leopold Wilderness Complex

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Molly E. Hunter; Jose M. Iniguez; Calvin A. Farris

2014-01-01

Fire suppression has been the dominant fire management strategy in the West over the last century. However, managers of the Gila and Aldo Leopold Wilderness Complex in New Mexico and the Saguaro Wilderness Area in Arizona have allowed fire to play a more natural role for decades. This report summarizes the effects of these fire management practices on key resources,...

Perioprosthetic and Implant-Supported Rehabilitation of Complex Cases: Clinical Management and Timing Strategy

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Luca Landi

2016-01-01

Full Text Available Treatment of complex perioprosthetic cases is one of the clinical challenges of everyday practice. Only a complete and thorough diagnostic setup may allow the clinician to formulate a realistic prognosis to select the abutments to support prosthetic rehabilitation. Clinical, radiographic, or laboratory parameters used separately are useless to correctly assign a reliable prognosis to single teeth except in the case of a clearly hopeless tooth. Therefore, it is crucial to gather the greatest quantity of data to determine the role that every single element can play in the prosthetic rehabilitation of the case. The following report deals with the management of a multidisciplinary periodontally compromised case in which a treatment strategy and chronology were designed to reach clinical predictability while reducing the duration of the therapy.

Developing integrated parametric planning models for budgeting and managing complex projects

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Etnyre, Vance A.; Black, Ken U.

1988-01-01

The applicability of integrated parametric models for the budgeting and management of complex projects is investigated. Methods for building a very flexible, interactive prototype for a project planning system, and software resources available for this purpose, are discussed and evaluated. The prototype is required to be sensitive to changing objectives, changing target dates, changing costs relationships, and changing budget constraints. To achieve the integration of costs and project and task durations, parametric cost functions are defined by a process of trapezoidal segmentation, where the total cost for the project is the sum of the various project cost segments, and each project cost segment is the integral of a linearly segmented cost loading function over a specific interval. The cost can thus be expressed algebraically. The prototype was designed using Lotus-123 as the primary software tool. This prototype implements a methodology for interactive project scheduling that provides a model of a system that meets most of the goals for the first phase of the study and some of the goals for the second phase.

Fuzzy Entropy Method for Quantifying Supply Chain Networks Complexity

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Zhang, Jihui; Xu, Junqin

Supply chain is a special kind of complex network. Its complexity and uncertainty makes it very difficult to control and manage. Supply chains are faced with a rising complexity of products, structures, and processes. Because of the strong link between a supply chain’s complexity and its efficiency the supply chain complexity management becomes a major challenge of today’s business management. The aim of this paper is to quantify the complexity and organization level of an industrial network working towards the development of a ‘Supply Chain Network Analysis’ (SCNA). By measuring flows of goods and interaction costs between different sectors of activity within the supply chain borders, a network of flows is built and successively investigated by network analysis. The result of this study shows that our approach can provide an interesting conceptual perspective in which the modern supply network can be framed, and that network analysis can handle these issues in practice.

Integrated approach to knowledge acquisition and safety management of complex plants with emphasis on human factors

International Nuclear Information System (INIS)

Kosmowski, K.T.

1998-01-01

In this paper an integrated approach to the knowledge acquisition and safety management of complex industrial plants is proposed and outlined. The plant is considered within a man-technology-environment (MTE) system. The knowledge acquisition is aimed at the consequent reliability evaluation of human factor and probabilistic modeling of the plant. Properly structured initial knowledge is updated in life-time of the plant. The data and knowledge concerning the topology of safety related systems and their functions are created in a graphical CAD system and are object oriented. Safety oriented monitoring of the plant includes abnormal situations due to external and internal disturbances, failures of hard/software components and failures of human factor. The operation and safety related evidence is accumulated in special data bases. Data/knowledge bases are designed in such a way to support effectively the reliability and safety management of the plant. (author)

Status of maize stalk rot complex in western belts of Nepal and its integrated management

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Subash Subedi

2016-12-01

Full Text Available Maize stalk rot complex is becoming a serious threat for maize growing areas of Nepal. A field monitoring for maize stalk rot complex was done during crop season (August, 2016 covering 10 farmers field each of Surkhet, Banke, Dang, Chitwan and Nawalparasi districts. Maize crop showed highly susceptible reaction to the disease at western belts of Dang and susceptible reaction was marked in Chitwan and Nawalparasi districts while the disease effect was mild at Banke and Surkhet district. Most of the plant diseases managed successfully through the application of bio-control agents, host resistance, chemicals and other different cultural control methods. The result of field experiment conducted at Dang showed that all the treatments had significant (P≤0.05 effect on percent disease index (PDI and crop yield over farmers practice to control maize stalk rot. The higher percent disease control (52.36% and yield increase (40.29% were recorded from the plot sprayed with streptocyclin @ 2 g L-1 and insecticide (cypermethrin + chloropyrifos @ 2.5 ml L-1 of water during knee height and subsequent spray after 15 days interval as compared to farmers practice. Out of 30 genotypes, Rampur composit, Arun 2, Rampur 34, RamS03F08, TLBRS07F16 and Rampur 24 were found resistant against stalk rot complex with higher yield at Rampur Chitwan.

FATHER TO SON: THE COMPLEXITY AND THE CHALLENGES OF MANAGEMENT OF THE FAMILY BUSINESS

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Ernani Cesar de Freitas

2012-05-01

Full Text Available For his contribution to the Brazilian economy, family businesses occupy a prominent position within the business. Many large companies in the country are, or have already been familiar in its essence, that number could be even higher if not for the complexities faced by these organizations during their generations. Thus, this paper addresses the issue of family business management in order to study the characteristics of management and governance, professional and organizational culture, pointing thus contributions to the huge network of family businesses in Brazil - the most common type of organization in the country. Thus, the objective of this study was to investigate and analyze these theoretical main characteristics in family businesses small and medium-sized segmented in trade of the Vale do Sinos/RS. For this, the present study was based from various authors, such as Davis and Frezza (2005, Bornholdt (2005, Casillas, Vazquez and Diaz (2007 and Adams (2009. We used this exploratory work through multiple case study, by means of data collection done through unstructured interview. It was found that some changes occur not only in terms of professional appearance, but by way of management and business decision-making. Some of these processes are often performed more and more worked on some family business focus of this study, however, pointed out that all these aspects should be part of the organizational dynamics of family organizations object of this study.

The Impact of Complexity on Shaping Logistics Strategies in Global Supply Chains

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Agnieszka Szmelter

2017-04-01

Full Text Available Aim/purpose - The paper aims to summarize approaches to complexity management by implementing particular logistics concepts within logistics strategies in global supply chains and to highlight a research gap in this regard. Additionally, complexity management concepts are presented. Design/methodology/approach - To achieve the research objective, a systematic literature review was used. 11 research paper were analyzed with use of review protocol. Findings - Approaches to mentioned research problem are heterogeneous in current literature and there is a research gap in complexity studies in logistics, precluding further research, for example, on complexity measurement systems. Research implications/limitations - Identified research gap will require further studies. Studied area requires more empirical research, especially in the field of complexity measurement and management techniques in particular global supply chains. Originality/value/contribution - The paper summarizes current knowledge about logistics concepts helping to manage complexity in global supply chains and defines research gaps. There are no available literature summary of that kind. The article contains a full review of logistics complexity management concepts presented in scientific literature until the end of 2016.

Management med racionalnostjo in iracionalnostjo = Management between Rationality and Irrationality

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Cene Bavec

2012-01-01

Full Text Available In the paper, we discuss theoretical and practical aspects of managementand its rational and irrational behavior in the light of traditionalmanagement theories and contemporary social theories and theoriesof complexity. We exposed differences between middle and top management,where rationality is ascribed mainly to middle management,while top management often acts on seemingly irrational way. For thepart of this irrationality, we cannot blame management because it originatesfrom the nature of the complex dynamic systems, as human organizationsare. However, a significant part of an apparently irrationalbehavior of management should be attributed to its particular and personalgoals that deviate from the goals of organization in which topmanagement absconded to the control of owners and even social norms.

Everyday value conflicts and integrative complexity of thought.

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Myyry, Liisa

2002-12-01

This study examined the value pluralism model in everyday value conflicts, and the effect of issue context on complexity of thought. According to the cognitive manager model we hypothesized that respondents would obtain a higher level of integrative complexity on personal issues that on professional and general issues. We also explored the relations of integrative complexity to value priorities, measured by the Schwartz Value Survey, and to emotional empathy. The value pluralism model was not supported by the data collected from 126 university students from social science, business and technology. The cognitive manager model was partially confirmed by data from females but not from males. Concerning value priorities, more complex respondents had higher regard for self-transcendence values, and less complex respondents for self-enhancement values Emotional empathy was also significantly related to complexity score.

Complex Foot Injury: Early and Definite Management

NARCIS (Netherlands)

Schepers, Tim; Rammelt, Stefan

2017-01-01

Complex foot injuries occur infrequently, but are life-changing events. They often present with other injuries as the result of a high-energy trauma. After initial stabilization, early assessment should be regarding salvagability. All treatment strategies are intensive. The initial treatment

Reference and PDF-manager software: complexities, support and workflow.

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Mead, Thomas L; Berryman, Donna R

2010-10-01

In the past, librarians taught reference management by training library users to use established software programs such as RefWorks or EndNote. In today's environment, there is a proliferation of Web-based programs that are being used by library clientele that offer a new twist on the well-known reference management programs. Basically, these new programs are PDF-manager software (e.g., Mendeley or Papers). Librarians are faced with new questions, issues, and concerns, given the new workflows and pathways that these PDF-manager programs present. This article takes a look at some of those.