Management of falls in community-dwelling older adults: clinical guidance statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association.

Science.gov (United States)

Avin, Keith G; Hanke, Timothy A; Kirk-Sanchez, Neva; McDonough, Christine M; Shubert, Tiffany E; Hardage, Jason; Hartley, Greg

2015-06-01

Falls in older adults are a major public health concern due to high prevalence, impact on health outcomes and quality of life, and treatment costs. Physical therapists can play a major role in reducing fall risk for older adults; however, existing clinical practice guidelines (CPGs) related to fall prevention and management are not targeted to physical therapists. The purpose of this clinical guidance statement (CGS) is to provide recommendations to physical therapists to help improve outcomes in the identification and management of fall risk in community-dwelling older adults. The Subcommittee on Evidence-Based Documents of the Practice Committee of the Academy of Geriatric Physical Therapy developed this CGS. Existing CPGs were identified by systematic search and critically appraised using the Appraisal of Guidelines, Research, and Evaluation in Europe II (AGREE II) tool. Through this process, 3 CPGs were recommended for inclusion in the CGS and were synthesized and summarized. Screening recommendations include asking all older adults in contact with a health care provider whether they have fallen in the previous year or have concerns about balance or walking. Follow-up should include screening for balance and mobility impairments. Older adults who screen positive should have a targeted multifactorial assessment and targeted intervention. The components of this assessment and intervention are reviewed in this CGS, and barriers and issues related to implementation are discussed. A gap analysis supports the need for the development of a physical therapy-specific CPG to provide more precise recommendations for screening and assessment measures, exercise parameters, and delivery models. This CGS provides recommendations to assist physical therapists in the identification and management of fall risk in older community-dwelling adults. © 2015 American Physical Therapy Association.

Assessing physical function and physical activity in patients with CKD.

Science.gov (United States)

Painter, Patricia; Marcus, Robin L

2013-05-01

Patients with CKD are characterized by low levels of physical functioning, which, along with low physical activity, predict poor outcomes in those treated with dialysis. The hallmark of clinical care in geriatric practice and geriatric research is the orientation to and assessment of physical function and functional limitations. Although there is increasing interest in physical function and physical activity in patients with CKD, the nephrology field has not focused on this aspect of care. This paper provides an in-depth review of the measurement of physical function and physical activity. It focuses on physiologic impairments and physical performance limitations (impaired mobility and functional limitations). The review is based on established frameworks of physical impairment and functional limitations that have guided research in physical function in the aging population. Definitions and measures for physiologic impairments, physical performance limitations, self-reported function, and physical activity are presented. On the basis of the information presented, recommendations for incorporating routine assessment of physical function and encouragement for physical activity in clinical care are provided.

Surgery or physical activity in the management of sciatica

DEFF Research Database (Denmark)

Fernandez, Matthew; Ferreira, Manuela L; Refshauge, Kathryn M

2016-01-01

PURPOSE: Previous reviews have compared surgical to non-surgical management of sciatica, but have overlooked the specific comparison between surgery and physical activity-based interventions. METHODS: Systematic review using MEDLINE, CINAHL, Embase and PEDro databases was conducted. Randomised...... controlled trials comparing surgery to physical activity, where patients were experiencing the three most common causes of sciatica-disc herniation, spondylolisthesis and spinal stenosis. Two independent reviewers extracted pain and disability data (converted to a common 0-100 scale) and assessed...... than physical activity for disc herniation: disability [WMD -9.00 (95 % CI -13.73, -4.27)], leg pain [WMD -16.01 (95 % CI -23.00, -9.02)] and back pain [WMD -12.44 (95 % CI -17.76, -7.09)]; for spondylolisthesis: disability [WMD -14.60 (95 % CI -17.12, -12.08)], leg pain [WMD -35.00 (95 % CI -39...

Assessment of time management attitudes among health managers.

Science.gov (United States)

Sarp, Nilgun; Yarpuzlu, Aysegul Akbay; Mostame, Fariba

2005-01-01

These days, working people are finding it difficult to manage their time, get more done at work, and find some balance in their work and personal lives. Successful time management is often suggested to be a product of organizing skills, however, what works for one person may not work for others. Context current competence assessment formats for physicians, health professionals, and managers during their training years reliably test core knowledge and basic skills. However, they may underemphasize some important domains of professional medical practice. Thus, in addition to assessments of basic skills, new formats that assess clinical reasoning, expert judgment, management of ambiguity, professionalism, time management, learning strategies, and teamwork to promise a multidimensional assessment while maintaining adequate reliability and validity in classic health education and health care institutional settings are needed to be worked on. It should be kept in mind that institutional support, reflection, and mentoring must accompany the development of assessment programs. This study was designed to describe the main factors that consume time, effective hours of work, time management opportunities, and attitudes and behaviors of health professionals and managers on time management concept through assessment by the assessment tool Time Management Inquiry Form (TMIQ-F). The study was conducted at the State Hospital, Social Security Hospital, and University Hospital at Kirikkale, Turkey between October 1999 and January 2000, including 143 subjects defined as medical managers and medical specialists. According to the results, a manager should give priority to the concept of planning, which may be counted among the efficient time management techniques, and educate him/herself on time management.

CLINICAL ASPECTS OF ACUTE POST-OPERATIVE PAIN MANAGEMENT & ITS ASSESSMENT

Directory of Open Access Journals (Sweden)

R.S.R Murthy

2010-06-01

Full Text Available Management of postoperative pain relieve suffering and leads to earlier mobilization, shortened hospital stay, reduced hospital costs, and increased patient satisfaction. An effective postoperative management is not a standardized regime rather is tailored to the needs of the individual patient, taking into account medical, psychological, and physical condition; age; level of fear or anxiety; surgical procedure; personal preference; and response to therapeutic agents given. The major goal in the management of postoperative pain is to minimize the dose of medications to lessen side effects & provide adequate analgesia. Postoperative pain is still under managed due to obstacles in implementation of Acute Pain Services due to insufficient education, fear of complications associated with available analgesic drugs, poor pain assessment and inadequate staff. This review reflects the clinical aspects of postoperative pain & its assessment & management with an emphasis on research for new analgesic molecules & delivery system.

Clinical aspects of acute post-operative pain management & its assessment

Directory of Open Access Journals (Sweden)

Anuj Gupta

2010-01-01

Full Text Available Management of postoperative pain relieve suffering and leads to earlier mobilization, shortened hospital stay, reduced hospital costs, and increased patient satisfaction. An effective postoperative management is not a standardized regime rather is tailored to the needs of the individual patient, taking into account medical, psychological, and physical condition; age; level of fear or anxiety; surgical procedure; personal preference; and response to therapeutic agents given. The major goal in the management of postoperative pain is to minimize the dose of medications to lessen side effects & provide adequate analgesia. Postoperative pain is still under managed due to obstacles in implementation of Acute Pain Services due to insufficient education, fear of complications associated with available analgesic drugs, poor pain assessment and inadequate staff. This review reflects the clinical aspects of postoperative pain & its assessment & management with an emphasis on research for new analgesic molecules & delivery system.

Management of Falls in Community-Dwelling Older Adults: Clinical Guidance Statement From the Academy of Geriatric Physical Therapy of the American Physical Therapy Association

Science.gov (United States)

Avin, Keith G.; Hanke, Timothy A.; Kirk-Sanchez, Neva; McDonough, Christine M.; Shubert, Tiffany E.; Hartley, Greg

2015-01-01

Background Falls in older adults are a major public health concern due to high prevalence, impact on health outcomes and quality of life, and treatment costs. Physical therapists can play a major role in reducing fall risk for older adults; however, existing clinical practice guidelines (CPGs) related to fall prevention and management are not targeted to physical therapists. Objective The purpose of this clinical guidance statement (CGS) is to provide recommendations to physical therapists to help improve outcomes in the identification and management of fall risk in community-dwelling older adults. Design and Methods The Subcommittee on Evidence-Based Documents of the Practice Committee of the Academy of Geriatric Physical Therapy developed this CGS. Existing CPGs were identified by systematic search and critically appraised using the Appraisal of Guidelines, Research, and Evaluation in Europe II (AGREE II) tool. Through this process, 3 CPGs were recommended for inclusion in the CGS and were synthesized and summarized. Results Screening recommendations include asking all older adults in contact with a health care provider whether they have fallen in the previous year or have concerns about balance or walking. Follow-up should include screening for balance and mobility impairments. Older adults who screen positive should have a targeted multifactorial assessment and targeted intervention. The components of this assessment and intervention are reviewed in this CGS, and barriers and issues related to implementation are discussed. Limitations A gap analysis supports the need for the development of a physical therapy–specific CPG to provide more precise recommendations for screening and assessment measures, exercise parameters, and delivery models. Conclusion This CGS provides recommendations to assist physical therapists in the identification and management of fall risk in older community-dwelling adults. PMID:25573760

Physical modalities in chronic pain management.

Science.gov (United States)

Rakel, Barbara; Barr, John O

2003-09-01

The following conclusions can be made based on review of the evidence: There is limited but positive evidence that select physical modalities are effective in managing chronic pain associated with specific conditions experienced by adults and older individuals. Overall, studies have provided the most support for the modality of therapeutic exercise. Different physical modalities have similar magnitudes of effects on chronic pain. Therefore, selection of the most appropriate physical modality may depend on the desired functional outcome for the patient, the underlying impairment, and the patient's preference or prior experience with the modality. Certain patient characteristics may decrease the effectiveness of physical modalities, as has been seen with TENS. These characteristics include depression, high trait anxiety, a powerful others locus of control, obesity, narcotic use, and neuroticism. The effect on pain by various modalities is generally strongest in the short-term period immediately after the intervention series, but effects can last as long as 1 year after treatment (e.g., with massage). Most research has tested the effect of physical modalities on chronic low back pain and knee OA. The effectiveness of physical modalities for other chronic pain conditions needs to be evaluated more completely. Older and younger adults often experience similar effects on their perception of pain from treatment with physical modalities. Therefore, use of these modalities for chronic pain in older adults is appropriate, but special precautions need to be taken. Practitioners applying physical modalities need formal training that includes the risks and precautions for these modalities. If practitioners lack formal training in the use of physical modalities, or if modality use is not within their scope of practice, it is important to consult with and refer patients to members of the team who have this specialized training. Use of a multidisciplinary approach to chronic pain

A Multipurpose Interactive System for Promoting and Assessing the Learning of Physics

Science.gov (United States)

Picciarelli, Vittorio; Selvaggi, Giovanna; Stella, Rosa

2013-01-01

This paper presents an interactive system designed to facilitate the effective management of both knowledge consolidation and (self-)assessment of the progress made in the learning of physics by upper secondary school students. Via a specific multiple-choice test database, the system proposes several learning paths designed and implemented in an…

Health physics self-assessment and the nuclear regulatory oversight process at a nuclear power plant

International Nuclear Information System (INIS)

Schofield, R.S.

2003-01-01

The U.S. Nuclear Regulatory Commission has developed improvements in their Nuclear Power Plant inspection, assessment and enforcement practices. The objective of these changes was to link regulatory action with power plant performance through a risk- informed process which is intended to enhance objectivity. One of the Strategic Performance Areas of focus by the U.S. NRC is radiation safety. Two cornerstones, Occupational Radiation Safety and Public Radiation Safety, make up this area. These cornerstones are being evaluated through U.S. NRC Performance Indicators (PI) and baseline site inspections. Key to the U.S. NRC's oversight program is the ability of the licensee to implement a self-assessment program which pro-actively identifies potential problems and develops improvements to enhance management's effectiveness. The Health Physics Self-Assessment Program at San Onofre Nuclear Generating Station (SONGS) identifies radiation protection-related weakness or negative trends. The intended end result is improved performance through rapid problem identification, timely evaluation, corrective action and follow-up effectiveness reviews. A review of the radiation protection oversight process and the SONGS Health Physics Self-Assessment Program will be presented. Lessons learned and management tools, which evaluate workforce and Health Physics (HP) staff performance to improve radiological practices, are discussed. (author)

Management of Physical Education and Sport

Science.gov (United States)

Krotee, March; Bucher, Charles

2006-01-01

This book offers a solid foundation of management concepts, skills, and techniques that enable students to develop and test the leadership, decision-making, and problem-solving required for their role in the profession of physical education and sport. The thirteenth edition continues to focus on the management and administration of physical…

Multicriteria Decision Framework for Cybersecurity Risk Assessment and Management.

Science.gov (United States)

Ganin, Alexander A; Quach, Phuoc; Panwar, Mahesh; Collier, Zachary A; Keisler, Jeffrey M; Marchese, Dayton; Linkov, Igor

2017-09-05

Risk assessors and managers face many difficult challenges related to novel cyber systems. Among these challenges are the constantly changing nature of cyber systems caused by technical advances, their distribution across the physical, information, and sociocognitive domains, and the complex network structures often including thousands of nodes. Here, we review probabilistic and risk-based decision-making techniques applied to cyber systems and conclude that existing approaches typically do not address all components of the risk assessment triplet (threat, vulnerability, consequence) and lack the ability to integrate across multiple domains of cyber systems to provide guidance for enhancing cybersecurity. We present a decision-analysis-based approach that quantifies threat, vulnerability, and consequences through a set of criteria designed to assess the overall utility of cybersecurity management alternatives. The proposed framework bridges the gap between risk assessment and risk management, allowing an analyst to ensure a structured and transparent process of selecting risk management alternatives. The use of this technique is illustrated for a hypothetical, but realistic, case study exemplifying the process of evaluating and ranking five cybersecurity enhancement strategies. The approach presented does not necessarily eliminate biases and subjectivity necessary for selecting countermeasures, but provides justifiable methods for selecting risk management actions consistent with stakeholder and decisionmaker values and technical data. Published 2017. This article is a U.S. Government work and is in the public domain in the U.S.A.

NP2010: An Assessment and Outlook for Nuclear Physics

International Nuclear Information System (INIS)

Lancaster, James

2014-01-01

This grant provided partial support for the National Research Council's (NRC) decadal survey of nuclear physics. This is part of NRC@s larger effort to assess and discuss the outlook for different fields in physics and astronomy, Physics 2010, which takes place approximately every ten years. A report has been prepared as a result of the study that is intended to inform those who are interested about the current status of research in this area and to help guide future developments of the field. A pdf version of the report is available for download, for free, at http://www.nap.edu/catalog.php?record_id=13438. Among the principal conclusions reached in the report are that the nuclear physics program in the United States has been especially well managed, principally through a recurring long-range planning process conducted by the community, and that current opportunities developed pursuant to that planning process should be exploited. In the section entitled @Building the Foundation for the Future,@ the report notes that attention needs to be paid to certain elements that are essential to the continued vitality of the field. These include ensuring that education and research at universities remain a focus for funding and that a plan be developed to ensure that forefront-computing resources, including exascale capabilities when developed, be made available to nuclear science researchers. The report also notes that nimbleness is essential for the United States to remain competitive in a rapidly expanding international nuclear physics arena and that streamlined and flexible procedures should be developed for initiating and managing smaller-scale nuclear science projects.

Self-perceived assessment skill of prospective physics teachers

Science.gov (United States)

Efendi, R.; Rustaman, N. Y.; Kaniawati, I.

2018-05-01

Assessment skills are an important component of assessment practice, without adequate assessment skills it is unlikely that teacher assessment practices will produce desired student learning outcomes. This study was conducted to reveal self-perceived assessment skills of prospective physics teachers by using quantitative descriptive analysis, and involving 92 prospective physics teachers who were experiencing teaching practice in junior high school and final project related to assessment. Data was collected by using Self-Perceived Assessment Science Skills Questionnaire consisted of 29 items related seven assessment competencies was developed and used in the study. Internal consistency reliability coefficient for the total scale scores was 0.87 as measured by Cronbach’s alpha. Determination of self-perceived assessment science skills detected from prospective physics teachers was carried out in descriptive statistics, in the form of respondent average values. Research findings show that self-perceived assessment skills of prospective physics teachers was categorized as transition.

Assessment of obese children and adolescents: a survey of pediatric obesity-management programs.

Science.gov (United States)

Eisenmann, Joey C

2011-09-01

This article provides descriptive information on the assessments conducted in stage 3 or 4 pediatric obesity-management programs associated with National Association of Children's Hospital and Related Institutions hospitals enrolled in FOCUS on a Fitter Future. Eighteen institutions completed a survey that considered the following assessments: patient/family medical history; physical examination; blood pressure; body size and composition; blood chemistry; aerobic fitness; resting metabolic rate; muscle strength and flexibility; gross motor function; spirometry; sedentary behavior and physical activity; dietary behavior and nutrition; and psychological assessments. Frequency distributions were determined for each question. Overall, the results indicate that most programs that participated in this survey were following 2007 Expert Committee assessment recommendations; however, a variety of measurement tools were used. The variation in assessment tools, protocols, etc is partially caused by the program diversity dictated by personnel, both in terms of number and duties. It also shows the challenges in standardizing methodologies across clinics if we hope to establish a national registry for pediatric obesity clinics. In addition to providing a better understanding of the current assessment practices in pediatric obesity-management programs, the results provided herein should assist other clinics/hospitals that are developing pediatric obesity programs.

Physical activity assessment and counseling in Quebec family medicine groups.

Science.gov (United States)

Baillot, Aurélie; Baillargeon, Jean-Patrice; Paré, Alex; Poder, Thomas G; Brown, Christine; Langlois, Marie-France

2018-05-01

To determine how often primary health care providers (PHCPs) in family medicine groups (FMGs) assess physical activity (PA) levels, provide PA counseling (PAC), and refer patients to exercise professionals; to describe patients' PA levels, physical fitness, and satisfaction regarding their PA management in FMGs; to describe available PA materials in FMGs and PHCPs' PAC self-efficacy and PA knowledge; and to identify characteristics of patients and PHCPs that determine the assessment of PA and PAC provided by PHCPs. Cross-sectional study using questionnaires and a medical chart audit. Ten FMGs within the Integrated University Health Network of the Centre hospitalier universitaire de Sherbrooke in Quebec. Forty FPs, 24 nurses, and 439 patients. Assessment of PA level and PAC provided by PHCPs. Overall, 51.9% of the patients had had their PA level assessed during the past 18 months, but only 21.6% received PAC from at least 1 of the PHCPs. Similar percentages were found among the inactive (n = 244) and more active (n = 195) patients. The median PAC self-efficacy score of PHCPs was 70.2% (interquartile range 52.0% to 84.7%) and the median PA knowledge score was 45.8% (interquartile range 41.7% to 54.2%), with no significant differences between nurses and FPs. In multivariate analysis, 34% of the variance in PAC provided was explained by assessment of PA level, overweight or obese status, type 2 diabetes or prediabetes, less FP experience, lower patient annual family income, more nurse encounters, and a higher patient physical component summary of quality of life. The rates of assessment of PA and provision of PAC in Quebec FMGs were low, even though most of the patients were inactive. Initiatives to support PHCPs and more resources to assess PA levels and provide PAC should be implemented. Copyright© the College of Family Physicians of Canada.

Integrating physical and financial approaches to manage environmental financial risk

Science.gov (United States)

Characklis, Gregory; Meyer, Eliot; Foster, Benjamin

2017-04-01

Physical and/or engineered solutions have long been used to manage risks associated with adverse environmental events. Examples include reservoirs as a tool for mitigating drought-related supply risk, levees for managing flood risk and dredging of inland waterways to ensure navigability during low flow periods. These measures can reduce many types of risk (e.g., loss of life), but are often employed as a means of protecting against financial losses. When the focus is on managing environmental financial risk, physical solutions can be effective, but also costly. In many cases, non-physical tools can provide a less expensive means of managing financial risk, with these often taking the form of financial instruments such as hedging contracts, contingency funds or insurance. Some of these instruments, such as flood insurance, are widely available, but historically many environmental financial risks have been managed primarily (or solely) via physical solutions without much consideration of alternatives, thereby opening opportunities for innovation in developing financial solutions. Recent research has demonstrated that financial instruments can play a significant role in managing drought-related financial risk in sectors as diverse as water utilities, energy generation and inland navigation. Nonetheless, this work has largely considered the use of these instruments within systems in which physical solutions are already in place (but failing to achieve desired performance). The next step in the evolution of managing environmental financial risk involves developing methods for designing risk management strategies that do not assume an established physical system. Here the goal is to identify the relative role that physical solutions and financial instruments should play as they are integrated into a comprehensive risk management strategy. This is not a straightforward challenge as one approach reduces the risk of financial losses and the other redistributes those losses

Cyber/Physical Security Vulnerability Assessment Integration

International Nuclear Information System (INIS)

MacDonald, Douglas G.; Key, Brad; Clements, Samuel L.; Hutton, William J.; Craig, Philip A.; Patrick, Scott W.; Crawford, Cary E.

2011-01-01

This internally funded Laboratory-Directed R and D project by the Pacific Northwest National Laboratory, in conjunction with QinetiQ North America, is intended to identify and properly assess areas of overlap (and interaction) in the vulnerability assessment process between cyber security and physical protection. Existing vulnerability analysis (VA) processes and software tools exist, and these are heavily utilized in the determination of predicted vulnerability within the physical and cyber security domains. These determinations are normally performed independently of one another, and only interact on a superficial level. Both physical and cyber security subject matter experts have come to realize that though the various interactive elements exist, they are not currently quantified in most periodic security assessments. This endeavor aims to evaluate both physical and cyber VA techniques and provide a strategic approach to integrate the interdependent relationships of each into a single VA capability. This effort will also transform the existing suite of software currently utilized in the physical protection world to more accurately quantify the risk associated with a blended attack scenario. Performance databases will be created to support the characterization of the cyber security elements, and roll them into prototype software tools. This new methodology and software capability will enable analysts to better identify and assess the overall risk during a vulnerability analysis.

Use of the Management Oversight and Risk Tree (MORT) methodology in health-physics program appraisals

International Nuclear Information System (INIS)

Essig, T.H.; Gilchrist, R.L.

1981-06-01

In January 1980, Pacific Northwest Laboratory (PNL) assumed a major role in helping the Nuclear Regulatory Commission (NRC) conduct comprehensive health physics appraisals at 47 operating nuclear power plants. These appraisals required the development of an analytical technique that permitted a deductive analysis of a health-physics program on an element-by-element basis. The technique employed was a modification of the Management Oversight and risk Tree (MORT) analytical logic methodology used in probabilistic assessments. This paper includes the method used in establishing the appraisal guidelines and assigning the proper level of importance within the analytical tree structure. The system for ensuring the proper subdivision necessary for an adequate assessment of each area (e.g., exposure controls and radioactive waste management) will also be discussed. In addition to these major subjects, the generation of specific review questions that correspond to the analytical trees is addressed

Comparison of Conflict Management Strategies of Physical Education Office Managers Based on some Demographic Characteristics

OpenAIRE

Fatemeh Ghorbanalizadeh Ghaziani; Mohsen Moadi; Siavash Khodaparast Sareshkeh

2013-01-01

The purpose of study was comparison of conflict management strategies of physical education office managers based on their some demographic characteristics. All of managers of physical education office of Mazandaran (n = 15) and Guilan (n = 16) province and their assistant [(n = 15) and (n =16) respectively] response to Putnam and Wilson’s “organizational communication conflict instrument (OCCI)”.Analysis showed that Mazandaran’s and Guilan’s managers and their assistant hadn’t differences to...

Health physics information management

International Nuclear Information System (INIS)

Schauss, R.D.

1982-01-01

The records that men have kept over the centuries have made the civilizations of man possible. Recorded history shows that our progress is closely correlated to man's ability to communicate recorded facts to others, and to effectively use knowledge gained by others. During the past few decades our ability to store and use information, and to reach larger audiences has grown dramatically. The advent of computers is discussed and their evolution to the state-of-the-art is described. Data bases, batch and on-line processing, centralized and distributed processing as well as other computer jargon are generally explained and examples are given as they apply specifically to health physics programs. It is proposed that systems designed to manage information cannot be adapted to health physics problems without extensive involvement of the HP who must use the computerized program. Specific problems which arise during the development of a computerized health physics program are explained

Physical therapy management of low back pain has changed.

Science.gov (United States)

Groenendijk, Jolanda Jozina; Swinkels, Ilse Catharina Sophia; de Bakker, Dinny; Dekker, Joost; van den Ende, Cornelia Helena Maria

2007-03-01

Since the 1990s, new insights in the physical therapy management of low back pain have been described in guidelines. Furthermore, insurance companies introduced a volume policy to control the costs for physical therapy. This study aims to establish if developments in knowledge and health policy since the 1990s have resulted in changes in the physical therapy management of patients with low back pain (LBP) in the Netherlands. Data from 3148 patients, referred because of LBP, were selected from the databases of two registration studies (1989-1992 and 2002-2003) of patients treated by physical therapists. Descriptive statistics were used to compare patient characteristics. A multi-level regression analysis was carried out to determine a change in the number of treatment sessions adjusting for patient and disease characteristics, and to control for different levels (patient and physical therapist). A small decline in the number of treatment sessions was observed. In 2002, exercise therapy was the most frequently applied intervention, while massage and physical modalities were the interventions of first choice in the early 1990s. Our results suggest that since 1990 the management of patients with LBP by physical therapists in the Netherlands has changed. Both quality management by the profession and volume policy by government and insurance companies seem to have been instrumental in bringing about a decline in the number of treatment visits and an increase in the use of evidence-based interventions.

Behavior Management in Physical Education, Recreation, and Sport: A Bibliography.

Science.gov (United States)

Lavay, Barry

1986-01-01

This bibliography contains references specifically pertaining to physical education, recreation, or sport and to behavior management. The references are classified into areas of behavior management overview, reinforcement systems, motor performance, physical fitness, recreation, and sport. (MT)

Physical perfection of future specialists to the management.

Directory of Open Access Journals (Sweden)

Dolinnyj U.A.

2012-12-01

Full Text Available The process of leadthrough of practical employments is considered on physical education on an experimental model, which are directed on the increase of reserve possibilities of organism of future specialists of management. In an experiment took part 30 students of 2 and 3 courses. It is set that management specialists for high-quality implementation of work need a high mental capacity, enhanceable psychoemotional firmness, general endurance. Directions of prophylaxis of emotional and physical overstrain are recommended, increases of level of positive motivation to systematic employments by physical exercises. It is marked that an experimental model in combination with the fixed form of leadthrough of employments on a body-conditioning and employments on specialization of the chosen type of sport is one the stages of alteration organizationally of methodical aspects of physical culture.

Assessment of management of a golf course by means of sustainability indicators

Directory of Open Access Journals (Sweden)

Gaio Cesare Pacini

2016-06-01

Full Text Available Golf courses are supposed to produce remarkable negative effects on the environment, due to some techniques involved in their management. To provide data useful for the proper assessment of the agro-environmental sustainability of a golf course, the framework agro-environmental sustainability information system (AESIS was used, utilizing a set of indicators suitable to evaluate different dimensions of sustainability (physical, ecological, productive and social. The management of areal golf course located in Tuscany (central Italy was compared to an alternative land use of the same area represented by an ordinary farm based on a sunflower-wheat rotation. Assessment indicators were selected by applying a conceptual model based on ecology theory and were calculated considering site-specific production and pedo-climatic features of the area. Different weighting scenarios were hypothesized in order to have different management options assessed and to carry out a targeted sensitivity analysis. Main results confirmed the significant impact of golf management on some ecological characteristics but the holistic assessment of AESIS approach permitted an overall evaluation that comprised a wide range of different issues. AESIS demonstrated to be a practical and adaptive tool able to perform an efficient comparison of possible land destinations.

Assessment and management of agitation in psychiatry: Expert consensus.

Science.gov (United States)

Garriga, Marina; Pacchiarotti, Isabella; Kasper, Siegfried; Zeller, Scott L; Allen, Michael H; Vázquez, Gustavo; Baldaçara, Leonardo; San, Luis; McAllister-Williams, R Hamish; Fountoulakis, Konstantinos N; Courtet, Philippe; Naber, Dieter; Chan, Esther W; Fagiolini, Andrea; Möller, Hans Jürgen; Grunze, Heinz; Llorca, Pierre Michel; Jaffe, Richard L; Yatham, Lakshmi N; Hidalgo-Mazzei, Diego; Passamar, Marc; Messer, Thomas; Bernardo, Miquel; Vieta, Eduard

2016-01-01

Psychomotor agitation is associated with different psychiatric conditions and represents an important issue in psychiatry. Current recommendations on agitation in psychiatry are not univocal. Actually, an improper assessment and management may result in unnecessary coercive or sedative treatments. A thorough and balanced review plus an expert consensus can guide assessment and treatment decisions. An expert task force iteratively developed consensus using the Delphi method. Initial survey items were based on systematic review of the literature. Subsequent surveys included new, re-worded or re-rated items. Out of 2175 papers assessing psychomotor agitation, 124 were included in the review. Each component was assigned a level of evidence. Integrating the evidence and the experience of the task force members, a consensus was reached on 22 statements on this topic. Recommendations on the assessment of agitation emphasise the importance of identifying any possible medical cause. For its management, experts agreed in considering verbal de-escalation and environmental modification techniques as first choice, considering physical restraint as a last resort strategy. Regarding pharmacological treatment, the "ideal" medication should calm without over-sedate. Generally, oral or inhaled formulations should be preferred over i.m. routes in mildly agitated patients. Intravenous treatments should be avoided.

Implementation Planning and Progress on Physical Activity Goals: The Mediating Role of Life-Management Strategies

Science.gov (United States)

Dugas, Michelle; Gaudreau, Patrick; Carraro, Natasha

2012-01-01

This 4-week prospective study examined whether the use of life-management strategies mediates the relationship between implementation planning and short-term progress on physical activity goals. In particular, the strategies of elective selection, compensation, and loss-based selection were disentangled to assess their specific mediating effects.…

Assessment and management of pain in pediatric otolaryngology.

Science.gov (United States)

Rodríguez, Maria Claudia; Villamor, Perla; Castillo, Tatiana

2016-11-01

Pain is a disease by itself and it's a public health concern of major implication in children, not just because of the emotional component of the child and his family, but also due to the potential morbidity and mortality involving it. A proper assessment of pain it's a challenge in the pediatric population, due to their lack of understanding and verbalization of hurt. Additionally, a satisfactory treatment of pediatric pain can be arduous due to a lack of clinical knowledge, insufficient pediatric research, and the fear to opioid side effects and addiction. The aim of this review is to address the current definitions of pain, its physiological mechanisms and the consequences of its inadequate management, as well as, to guide the clinicians in the assessment and management of pain in the pediatric population at otolaryngology services. Narrative review by selective MeSH search terms: Children, Pediatrics, Otolaryngology, Pain measurement, Pain Management, Analgesics and Analgesia, from databases: MEDLINE/PubMed, Cochrane, ISI, Current Contents, Scielo and LILACS, between January 2000 and May 2016. 129 articles were reviewed according to the requirements of the objectives. Pain measurement is a challenge in children as there are no physical signs that constitute an absolute or specific indicator of pain, and its diagnosis must rely on physiological, behavioral and self-report methods. Regarding treatment, a suitable alternative are the non-pharmacological cognitive/behavioral therapies helped by pharmacological therapies tailored to the severity of pain and the child's age. We provide evidence-based recommendations on pain treatment, including non-opioid analgesics, opioid analgesics and adjuvant medicines to improve the management of pain in children in otolaryngology services. We present a global review about assessment and management of pain in pediatric otolaryngology, which leads to future specific reviews on each topic. Research gaps on pain assessment and

24 CFR 902.40 - Management operations assessment.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Management operations assessment... URBAN DEVELOPMENT PUBLIC HOUSING ASSESSMENT SYSTEM PHAS Indicator #3: Management Operations § 902.40 Management operations assessment. (a) Objective. The objective of the Management Operations Indicator is to...

Knowledge, attitude and practice in emergency management of dental injury among physical education teachers: a survey in Bangalore urban schools.

Science.gov (United States)

Mohandas, U; Chandan, G D

2009-01-01

The purpose of this study was to assess, by means of a self administered structured questionnaire, the level of Knowledge, Attitude and Practice of physical education teachers in Bangalore city with regards to emergency management of dental injuries. The questionnaire surveyed the physical education teacher's background, knowledge of management of tooth fracture, avulsion, luxation injuries, it also investigated physical education teacher's attitude and the way they handle the injuries. The sample consisted 580 teachers from 700 selected schools in Bangalore city. Chi-square test was applied to test the significance between trained and untrained teachers. Among the population 70% were males physical education teachers 30% were females. 95% of the teachers had physical education training and 5% did not have the training. 95% of the population had first aid component and 5% did not have. Only 25% of trained physical education teachers had correct knowledge about tooth identification and 17% among untrained teachers. 81% of trained teachers answered correctly regarding management of fractured anterior teeth against 27.5% of untrained teachers (Pteachers in Bangalore city regarding emergency management of dental trauma. Educational programs to improve the knowledge and awareness among the teachers have to be implemented.

Assessing management effects on Oak forests in Austria

Science.gov (United States)

Gautam, Sishir; Pietsch, Stephan A.; Hasenauer, Hubert

2010-05-01

Historic land use as well as silvicultural management practices have changed the structures and species composition of central European forests. Such changes have effects on the growth of forests and contribute to global warming. As insufficient information on historic forest management is available it is hard to explain the effect of management on forests growth and its possible consequences to the environment. In this situation, the BIOME-BGC model, which integrates the main physical, biological and physiological processes based on current understanding of ecophysiology is an option for assessing the management effects through tracking the cycling of energy, water, carbon and nutrients within a given ecosystems. Such models are increasingly employed to simulate current and future forest dynamics. This study first compares observed standing tree volume, carbon and nitrogen content in soil in the high forests and coppice with standards stands of Oak forests in Austria. Biome BGC is then used to assess the effects of management on forest growth and to explain the differences with measured parameters. Close positive correlations and unbiased results and statistically insignificant differences between predicted and observed volumes indicates the application of the model as a diagnostic tool to assess management effects in oak forests. The observed data in 2006 and 2009 was further compared with the results of respective model runs. Further analysis on simulated data shows that thinning leads to an increase in growth efficiency (GE), nitrogen use efficiency (NUE) and water use efficiency (WUE), and to a decrease in the radiation use efficiency (RUE) in both forests. Among all studied growth parameters, only the difference in the NUE was statistically significant. This indicates that the difference in the yield of forests is mainly governed by the NUE difference in stands due to thinning. The coppice with standards system produces an equal amount of net primary

Configuration Management Process Assessment Strategy

Science.gov (United States)

Henry, Thad

2014-01-01

Purpose: To propose a strategy for assessing the development and effectiveness of configuration management systems within Programs, Projects, and Design Activities performed by technical organizations and their supporting development contractors. Scope: Various entities CM Systems will be assessed dependent on Project Scope (DDT&E), Support Services and Acquisition Agreements. Approach: Model based structured against assessing organizations CM requirements including best practices maturity criteria. The model is tailored to the entity being assessed dependent on their CM system. The assessment approach provides objective feedback to Engineering and Project Management of the observed CM system maturity state versus the ideal state of the configuration management processes and outcomes(system). center dot Identifies strengths and risks versus audit gotcha's (findings/observations). center dot Used "recursively and iteratively" throughout program lifecycle at select points of need. (Typical assessments timing is Post PDR/Post CDR) center dot Ideal state criteria and maturity targets are reviewed with the assessed entity prior to an assessment (Tailoring) and is dependent on the assessed phase of the CM system. center dot Supports exit success criteria for Preliminary and Critical Design Reviews. center dot Gives a comprehensive CM system assessment which ultimately supports configuration verification activities.*

Integrating Physical Actions and Financial Instruments to Manage Environmental Financial Risk

Science.gov (United States)

Foster, B.

2016-12-01

Exposure to extreme weather events can be reduced through physical actions (e.g., dams/reservoirs) or mitigated financially (e.g., insurance). Often physical actions involve investments in expensive infrastructure that reduce exposure, but whose benefits are only occasionally realized. Financial risk management does not reduce the impacts of an event, but rather redistributes them temporally, albeit at a cost. Nonetheless, these costs are typically much smaller, at least in the short run, than those incurred for physical actions. Financial strategies are also more flexible than physical ones in the face of an uncertain future. Financial contracts specifically designed to manage extreme environmental risks are becoming more common and can either replace or complement infrastructural investments as part of a risk management portfolio. In order to make optimal decisions as to the relative levels of physical and financial risk mitigation to employ, it is necessary to understand the relative merits of each strategy. This research develops a method for analyzing tradeoffs between physical and financial risk management strategies. We identify the unique cost and benefit properties of each strategy and integrate them into a single model that details the tradeoffs involved in various portfolios of physical and financial strategies. These methods are then applied to evaluate decisions to pursue emergency dredging during drought on the Mississippi River, which is used to mitigate the increased costs and/or reduced revenues barge operators face when water levels are low. Currently the U.S. Army Corps of Engineers funds most emergency dredging operations during major droughts and they are considering more intensive strategies for future droughts. Barge carriers and shippers though could manage at least some portion of their financial risks through a series of existing and experimental financial contracts. This work involves the formulation of these experimental contracts and

Management self assessment plan

Energy Technology Data Exchange (ETDEWEB)

Debban, B.L.

1998-01-30

Duke Engineering and Services Hanford Inc., Spent Nuclear Fuel Project is responsible for the operation of fuel storage facilities. The SNF project mission includes the safe removal, processing and transportation of Spent Nuclear Fuel from 100 K Area fuel storage basins to a new Storage facility in the Hanford 200 East Area. Its mission is the modification of the 100 K area fuel storage facilities and the construction of two new facilities: the 100 K Area Cold Vacuum Drying Facility, and the 200 East Area Canister Storage Building. The management self assessment plan described in this document is scheduled to begin in April of 1999 and be complete in May of 1999. The management self assessment plan describes line management preparations for declaring that line management is ready to commence operations.

Management self assessment plan

International Nuclear Information System (INIS)

Debban, B.L.

1998-01-01

Duke Engineering and Services Hanford Inc., Spent Nuclear Fuel Project is responsible for the operation of fuel storage facilities. The SNF project mission includes the safe removal, processing and transportation of Spent Nuclear Fuel from 100 K Area fuel storage basins to a new Storage facility in the Hanford 200 East Area. Its mission is the modification of the 100 K area fuel storage facilities and the construction of two new facilities: the 100 K Area Cold Vacuum Drying Facility, and the 200 East Area Canister Storage Building. The management self assessment plan described in this document is scheduled to begin in April of 1999 and be complete in May of 1999. The management self assessment plan describes line management preparations for declaring that line management is ready to commence operations

Physical education resources, class management, and student physical activity levels: a structure-process-outcome approach to evaluating physical education effectiveness.

Science.gov (United States)

Bevans, Katherine B; Fitzpatrick, Leslie-Anne; Sanchez, Betty M; Riley, Anne W; Forrest, Christopher

2010-12-01

This study was conducted to empirically evaluate specific human, curricular, and material resources that maximize student opportunities for physical activity during physical education (PE) class time. A structure-process-outcome model was proposed to identify the resources that influence the frequency of PE and intensity of physical activity during PE. The proportion of class time devoted to management was evaluated as a potential mediator of the relations between resource availability and student activity levels. Data for this cross-sectional study were collected from interviews conducted with 46 physical educators and the systematic observation of 184 PE sessions in 34 schools. Regression analyses were conducted to test for the main effects of resource availability and the mediating role of class management. Students who attended schools with a low student-to-physical educator ratio had more PE time and engaged in higher levels of physical activity during class time. Access to adequate PE equipment and facilities was positively associated with student activity levels. The availability of a greater number of physical educators per student was found to impact student activity levels by reducing the amount of session time devoted to class management. The identification of structure and process predictors of student activity levels in PE will support the allocation of resources and encourage instructional practices that best support increased student activity levels in the most cost-effective way possible. Implications for PE policies and programs are discussed. © 2010, American School Health Association.

Assessing Student Achievement in Physical Education for Teacher Evaluation

Science.gov (United States)

Mercier, Kevin; Doolittle, Sarah

2013-01-01

While many teachers continue to ignore the practice of assessing student achievement in physical education, recent federal pressures to include student assessment data in teacher evaluation systems has shown that assessment of student outcomes is here to stay. Though there is a strong tradition of assessing teacher practice in physical education,…

Managing a network vulnerability assessment

CERN Document Server

Peltier, Thomas R; Blackley, John A

2003-01-01

Managing a Network Vulnerability Assessment provides a formal framework for finding and eliminating network security threats, ensuring that no vulnerabilities are overlooked. This thorough overview focuses on the steps necessary to successfully manage an assessment, including the development of a scope statement, the understanding and proper use of assessment methodology, the creation of an expert assessment team, and the production of a valuable response report. The book also details what commercial, freeware, and shareware tools are available, how they work, and how to use them.

Environmental management assessment of the Lawrence Livermore National Laboratory Livermore, California

International Nuclear Information System (INIS)

1994-06-01

This report documents the results of the Environmental Management Assessment performed at the Lawrence Livermore National Laboratory (LLNL), Livermore, CA. LLNL is operated by the University of California (UC) under contract with the U.S. Department of Energy (DOE). Major programs at LLNL include research, development, and test activities associated with the nuclear design aspects of the nuclear weapons life cycle and related national security tasks; inertial confinement fusion; magnetic fusion energy; biomedical and environmental research; laser isotope separation; energy-related research; beam research physics; and support to a variety of Defense and other Federal agencies. During this assessment, activities and records were reviewed and interviews were conducted with personnel from management and operating contractor, Lawrence Livermore National Laboratory; DOE Oakland Operations Office; and DOE Headquarters Program Offices, including the Office of Defense Programs, Office of Environmental Management, the Office of Nuclear Energy, and the Office of Energy Research. The onsite portion was conducted in June 1994, by the DOE Office of Environmental Audit. The goal of EH-24 is enhancement of environmental protection and minimization of risk to public health and the environment. EH-24 accomplishes its mission using systematic and periodic evaluations of DOE's environmental programs within line organizations, and through use of supplemental activities that strengthen self-assessment and oversight functions within program, field, and contractor organizations. The Environmental Management Assessment of LLNL revealed that LLNL's environmental program is exemplary within the DOE complex and that all levels of LLNL management and staff consistently exhibit a high level of commitment to achieve environmental excellence

Management of virtualized infrastructure for physics databases

International Nuclear Information System (INIS)

Topurov, Anton; Gallerani, Luigi; Chatal, Francois; Piorkowski, Mariusz

2012-01-01

Demands for information storage of physics metadata are rapidly increasing together with the requirements for its high availability. Most of the HEP laboratories are struggling to squeeze more from their computer centers, thus focus on virtualizing available resources. CERN started investigating database virtualization in early 2006, first by testing database performance and stability on native Xen. Since then we have been closely evaluating the constantly evolving functionality of virtualisation solutions for database and middle tier together with the associated management applications – Oracle's Enterprise Manager and VM Manager. This session will detail our long experience in dealing with virtualized environments, focusing on newest Oracle OVM 3.0 for x86 and Oracle Enterprise Manager functionality for efficiently managing your virtualized database infrastructure.

A collaborative approach to improve the assessment of physical health in adult consumers with schizophrenia in Queensland mental health services.

Science.gov (United States)

Plever, Sally; McCarthy, Irene; Anzolin, Melissa; Emmerson, Brett; Khatun, Mohsina

2016-02-01

The objective of this study was to apply a quality improvement collaborative to increase the number of physical health assessments conducted with consumers diagnosed with schizophrenia in adult community mental health services across Queensland. Sixteen adult mental health service organisations voluntarily took part in the statewide collaborative initiative to increase the number of physical health assessments completed on persons with a diagnosis of schizophrenia spectrum disorders managed through the community mental health service. Improvement in the physical health assessment clinical indicator was demonstrated across the state over a 3-year period with an increase in the number of physical health assessments recorded from 12% to 58%. Significant improvements were made over a 3-year period by all mental health services involved in the collaborative, supporting the application of a quality improvement methodology to drive change across mental health services. © The Royal Australian and New Zealand College of Psychiatrists 2015.

Environmental Management Assessment of the Fernald Environmental Management Project (FEMP)

Energy Technology Data Exchange (ETDEWEB)

1993-04-01

This report documents the results of the Environmental Management Assessment performed at the Fernald Environmental Management Project (FEMP) in Fernald, Ohio. During this assessment, the activities conducted by the assessment team included review of internal documents and reports from previous audits and assessments; interviews with US Department of Energy (DOE) and FEMP contractor personnel; and inspection and observation of selected facilities and operations. The onsite portion of the assessment was conducted from March 15 through April 1, 1993, by DOE`s Office of Environmental Audit (EH-24) located within the Office of the Assistant Secretary for Environment, Safety, and Health (EH-1). EH-24 carries out independent assessments of DOE facilities and activities as part of the EH-1 Environment, Safety, and Health (ES&H) Oversight Audit Program. The EH-24 program is designed to evaluate the status of DOE facilities and activities with respect to compliance with Federal, state, and local environmental laws and regulations; compliance with DOE Orders, Guidance and Directives; conformance with accepted industry practices and standards of performance; and the status and adequacy of management systems developed to address environmental requirements. The Environmental Management Assessment of FEMP focused on the adequacy of environmental management systems. Further, in response to requests by the Office of Environmental Restoration and Waste Management (EM) and Fernald Field Office (FN), Quality Assurance and Environmental Radiation activities at FEMP were evaluated from a programmatic standpoint. The results of the evaluation of these areas are contained in the Environmental Protection Programs section in this report.

Environmental Management Assessment of the Fernald Environmental Management Project (FEMP)

International Nuclear Information System (INIS)

1993-04-01

This report documents the results of the Environmental Management Assessment performed at the Fernald Environmental Management Project (FEMP) in Fernald, Ohio. During this assessment, the activities conducted by the assessment team included review of internal documents and reports from previous audits and assessments; interviews with US Department of Energy (DOE) and FEMP contractor personnel; and inspection and observation of selected facilities and operations. The onsite portion of the assessment was conducted from March 15 through April 1, 1993, by DOE's Office of Environmental Audit (EH-24) located within the Office of the Assistant Secretary for Environment, Safety, and Health (EH-1). EH-24 carries out independent assessments of DOE facilities and activities as part of the EH-1 Environment, Safety, and Health (ES ampersand H) Oversight Audit Program. The EH-24 program is designed to evaluate the status of DOE facilities and activities with respect to compliance with Federal, state, and local environmental laws and regulations; compliance with DOE Orders, Guidance and Directives; conformance with accepted industry practices and standards of performance; and the status and adequacy of management systems developed to address environmental requirements. The Environmental Management Assessment of FEMP focused on the adequacy of environmental management systems. Further, in response to requests by the Office of Environmental Restoration and Waste Management (EM) and Fernald Field Office (FN), Quality Assurance and Environmental Radiation activities at FEMP were evaluated from a programmatic standpoint. The results of the evaluation of these areas are contained in the Environmental Protection Programs section in this report

Safety assessment for Area 5 radioactive-waste-management site

International Nuclear Information System (INIS)

Hunter, P.H.; Card, D.H.; Horton, K.

1982-09-01

The Area 5 Radioactive Waste Management Safety Assessment Document contains evaluations of site characteristics, facilities, and operating practices that contribute to the safe handling, storage, and disposal of low-level radioactive wastes at the Nevada Test Site. Physical geography, cultural factors, climate and meteorology, geology, hydrology (with emphasis on radionuclide migration), ecology, natural phenomena, and natural resources are discussed and determined to be suitable for effective containment of radionuclides. A separate section considers facilities and operating practices such as monitoring, storage/disposal criteria, site maintenance, equipment, and support. The section also considers the transportation and waste handling requirements supporting the new Greater Confinement Disposal Facility (GCDF), GCDF demonstration project, and other requirements for the safe handling, storage, and disposal of low-level radioactive wastes. Finally, the document provides an analysis of releases and an assessment of the near-term operational impacts and dose commitments to operating personnel and the general public from normal operations and anticipated accidental occurrences. The conclusion of this report is that the Area 5 Radioactive Waste Management Site is suitable for low-level radioactive waste handling, storage, and disposal. Also, the new GCDF demonstration project will not affect the overall safety of the Area 5 Radioactive Waste Management Site

Physics Assessment and the Development of a Taxonomy

Science.gov (United States)

Buick, J. M.

2011-01-01

Aspects of assessment in physics are considered with the aim of designing assessments that will encourage a deep approach to student learning and will ultimately lead to higher levels of achievement. A range of physics questions are considered and categorized by the level of knowledge and understanding which is require for a successful answer.…

Assessing Risk Management: How Effective Is Your Program?

Science.gov (United States)

Murphy, Kelle L.

2015-01-01

Injuries may occur more often in physical education due to the nature of the activities taught. Because of this, the issue of negligence is an important concern. Risk management is one method physical educators use to decrease the occurrence of injuries and negligence. The purpose of this article is to introduce a Risk Management Inventory that…

The Canadian Assessment of Physical literacy

DEFF Research Database (Denmark)

Francis, Claire E; Longmuir, Patricia E; Boyer, Charles

2016-01-01

. Methods: Nineteen childhood physical activity/fitness experts completed a 3-round Delphi process. Round 1 was open-ended questions. Subsequent rounds rated statements using a 5-point Likert scale. Recommendations were sought regarding protocol inclusion, relative importance within composite scores......Background: The Canadian Assessment of Physical Literacy (CAPL) was conceptualized as a tool to monitor children's physical literacy. The original model (fitness, activity behavior, knowledge, motor skill) required revision and relative weights for calculating/interpreting scores were required...... by daily behavior) is appropriate for monitoring the physical literacy of children aged 8 to 12 years. Objectively measured domains (daily behavior, physical competence) have higher relative importance. The interpretation of CAPL results should be reevaluated as more data become available. © 2016 Human...

The Inpatient Assessment and Management of Motor Functional Neurological Disorders: An Interdisciplinary Perspective.

Science.gov (United States)

McKee, Kathleen; Glass, Sean; Adams, Caitlin; Stephen, Christopher D; King, Franklin; Parlman, Kristin; Perez, David L; Kontos, Nicholas

2018-01-08

Motor functional neurologic disorders (FND)-previously termed "hysteria" and later "conversion disorder"-are exceedingly common and frequently encountered in the acute hospital setting. Despite their high prevalence, patients with motor FND can be challenging to diagnose accurately and manage effectively. To date, there is limited guidance on the inpatient approach to the neuropsychiatric evaluation of patients with functional (psychogenic) neurologic symptoms. The authors outline an inpatient multidisciplinary approach, involving neurology, psychiatry, and physical therapy, for the assessment and acute inpatient management of motor FND. A vignette of a patient with motor FND is presented followed by a discussion of general assessment principles. Thereafter, a detailed description of the neurologic and psychiatric assessments is outlined. Delivery of a "rule-in" diagnosis is emphasized and specific guidance for what can be accomplished postdiagnosis in the hospital is suggested. We encourage an interdisciplinary approach beginning at the early stages of the diagnostic assessment once an individual is suspected of having motor FND. Practical suggestions for the inpatient assessment of motor FND are presented. It is also important to individualize the diagnostic assessment. Future research should be conducted to test best practices for motor FND management in the acute inpatient hospital setting. Copyright © 2018 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. All rights reserved.

3D-based visual physical activity assessment of children

Directory of Open Access Journals (Sweden)

Maile S.

2015-09-01

Full Text Available In the last decades, an alarming rise in prevalence of childhood overweight and obesity has been observed which is partly attributed to a lack in physical activity and has started to become a public health concern. Therefore, the necessity for accurate physical activity assessment has become more and more apparent. Physical activity can be assessed objectively using accelerometers or combined devices. The application of such devices is sometimes complex and wearing the device may influence the behaviour of the test person. Therefore, assessment without any worn device would be an advantage.

A qualitative study of advanced nurse practitioners' use of physical assessment skills in the community: shifting skills across professional boundaries.

Science.gov (United States)

Raleigh, Mary; Allan, Helen

2017-07-01

To explore multiple perspectives on the use of physical assessment skills by advanced nurse practitioners in the UK. Physical assessment skills practices are embedded in advanced nursing practice roles in the UK. There is little evidence on how these skills are used by advanced nurse practitioners in the community. Case study. A qualitative interpretative single-embedded case study of 22 participants from South of England. A framework method analysed interview data collected by the researcher between March-August 2013. Participants included nurses, doctors, nurse educators and managers. Physical assessment skills education at universities is part of a policy shift to develop a flexible workforce in the UK. Shared physical assessment practices are less to do with role substitution and more about preparing practitioners with skills that are fit for purpose. Competence, capability and performance with physical assessment skills are an expectation of advanced nursing practice. These skills are used successfully by community advanced nurse practitioners to deliver a wide range of services in response to changing patient need. The introduction of physical assessment skills education to undergraduate professional preparation would create a firm foundation to develop these skills in postgraduate education. Physical assessment education prepares nurses with the clinical competencies to carry out healthcare reforms in the UK. Shared sets of clinical assessment competencies between disciplines have better outcomes for patients. Levels of assessment competence can depend on the professional attributes of individual practitioners. Unsupportive learning cultures can hinder professional development of advanced nursing practice. © 2016 John Wiley & Sons Ltd.

Reliability and validity of the transport and physical activity questionnaire (TPAQ for assessing physical activity behaviour.

Directory of Open Access Journals (Sweden)

Emma J Adams

Full Text Available No current validated survey instrument allows a comprehensive assessment of both physical activity and travel behaviours for use in interdisciplinary research on walking and cycling. This study reports on the test-retest reliability and validity of physical activity measures in the transport and physical activity questionnaire (TPAQ.The TPAQ assesses time spent in different domains of physical activity and using different modes of transport for five journey purposes. Test-retest reliability of eight physical activity summary variables was assessed using intra-class correlation coefficients (ICC and Kappa scores for continuous and categorical variables respectively. In a separate study, the validity of three survey-reported physical activity summary variables was assessed by computing Spearman correlation coefficients using accelerometer-derived reference measures. The Bland-Altman technique was used to determine the absolute validity of survey-reported time spent in moderate-to-vigorous physical activity (MVPA.In the reliability study, ICC for time spent in different domains of physical activity ranged from fair to substantial for walking for transport (ICC = 0.59, cycling for transport (ICC = 0.61, walking for recreation (ICC = 0.48, cycling for recreation (ICC = 0.35, moderate leisure-time physical activity (ICC = 0.47, vigorous leisure-time physical activity (ICC = 0.63, and total physical activity (ICC = 0.56. The proportion of participants estimated to meet physical activity guidelines showed acceptable reliability (k = 0.60. In the validity study, comparison of survey-reported and accelerometer-derived time spent in physical activity showed strong agreement for vigorous physical activity (r = 0.72, p<0.001, fair but non-significant agreement for moderate physical activity (r = 0.24, p = 0.09 and fair agreement for MVPA (r = 0.27, p = 0.05. Bland-Altman analysis showed a mean

Physically oriented therapies for the self-management of chronic pain symptoms.

Science.gov (United States)

Crawford, Cindy; Lee, Courtney; May, Todd

2014-04-01

Chronic pain management typically consists of prescription medications or provider-based, behavioral, or interventional procedures that are often ineffective, may be costly, and can be associated with undesirable side effects. Because chronic pain affects the whole person (body, mind, and spirit), patient-centered complementary and integrative medicine (CIM) therapies that acknowledge the patients' roles in their own healing processes have the potential to provide more efficient and comprehensive chronic pain management. Active self-care CIM (ACT-CIM) therapies allow for a more diverse, patient-centered treatment of complex symptoms, promote self-management, and are relatively safe and cost-effective. To date, there are no systematic reviews examining the full range of ACT-CIM used for chronic pain symptom management. A systematic review was conducted, using Samueli Institute's Rapid Evidence Assessment of the Literature methodology, to rigorously assess both the quality of the research on ACT-CIM modalities and the evidence for their efficacy and effectiveness in treating chronic pain symptoms. A working group of subject matter experts was also convened to evaluate the overall literature pool and develop recommendations for the use and implementation of these modalities. Following key database searches, 146 randomized controlled trials were included in the review, 10 of which investigated physically oriented therapies, as defined by the authors. This article summarizes the current evidence, quality, efficacy, and safety of these modalities. Recommendations and next steps to move this field of research forward are also discussed. The entire scope of the review is detailed throughout the current Pain Medicine supplement. Wiley Periodicals, Inc.

Reliability and validity of the transport and physical activity questionnaire (TPAQ) for assessing physical activity behaviour.

Science.gov (United States)

Adams, Emma J; Goad, Mary; Sahlqvist, Shannon; Bull, Fiona C; Cooper, Ashley R; Ogilvie, David

2014-01-01

No current validated survey instrument allows a comprehensive assessment of both physical activity and travel behaviours for use in interdisciplinary research on walking and cycling. This study reports on the test-retest reliability and validity of physical activity measures in the transport and physical activity questionnaire (TPAQ). The TPAQ assesses time spent in different domains of physical activity and using different modes of transport for five journey purposes. Test-retest reliability of eight physical activity summary variables was assessed using intra-class correlation coefficients (ICC) and Kappa scores for continuous and categorical variables respectively. In a separate study, the validity of three survey-reported physical activity summary variables was assessed by computing Spearman correlation coefficients using accelerometer-derived reference measures. The Bland-Altman technique was used to determine the absolute validity of survey-reported time spent in moderate-to-vigorous physical activity (MVPA). In the reliability study, ICC for time spent in different domains of physical activity ranged from fair to substantial for walking for transport (ICC = 0.59), cycling for transport (ICC = 0.61), walking for recreation (ICC = 0.48), cycling for recreation (ICC = 0.35), moderate leisure-time physical activity (ICC = 0.47), vigorous leisure-time physical activity (ICC = 0.63), and total physical activity (ICC = 0.56). The proportion of participants estimated to meet physical activity guidelines showed acceptable reliability (k = 0.60). In the validity study, comparison of survey-reported and accelerometer-derived time spent in physical activity showed strong agreement for vigorous physical activity (r = 0.72, ptravel behaviours and may be suitable for wider use. Its physical activity summary measures have comparable reliability and validity to those of similar existing questionnaires.

Reliability and Validity of the Transport and Physical Activity Questionnaire (TPAQ) for Assessing Physical Activity Behaviour

Science.gov (United States)

Adams, Emma J.; Goad, Mary; Sahlqvist, Shannon; Bull, Fiona C.; Cooper, Ashley R.; Ogilvie, David

2014-01-01

Background No current validated survey instrument allows a comprehensive assessment of both physical activity and travel behaviours for use in interdisciplinary research on walking and cycling. This study reports on the test-retest reliability and validity of physical activity measures in the transport and physical activity questionnaire (TPAQ). Methods The TPAQ assesses time spent in different domains of physical activity and using different modes of transport for five journey purposes. Test-retest reliability of eight physical activity summary variables was assessed using intra-class correlation coefficients (ICC) and Kappa scores for continuous and categorical variables respectively. In a separate study, the validity of three survey-reported physical activity summary variables was assessed by computing Spearman correlation coefficients using accelerometer-derived reference measures. The Bland-Altman technique was used to determine the absolute validity of survey-reported time spent in moderate-to-vigorous physical activity (MVPA). Results In the reliability study, ICC for time spent in different domains of physical activity ranged from fair to substantial for walking for transport (ICC = 0.59), cycling for transport (ICC = 0.61), walking for recreation (ICC = 0.48), cycling for recreation (ICC = 0.35), moderate leisure-time physical activity (ICC = 0.47), vigorous leisure-time physical activity (ICC = 0.63), and total physical activity (ICC = 0.56). The proportion of participants estimated to meet physical activity guidelines showed acceptable reliability (k = 0.60). In the validity study, comparison of survey-reported and accelerometer-derived time spent in physical activity showed strong agreement for vigorous physical activity (r = 0.72, pphysical activity (r = 0.24, p = 0.09) and fair agreement for MVPA (r = 0.27, p = 0.05). Bland-Altman analysis showed a mean overestimation of MVPA of 87.6 min/week (p�

Sarcopenia in daily practice: assessment and management.

Science.gov (United States)

Beaudart, Charlotte; McCloskey, Eugène; Bruyère, Olivier; Cesari, Matteo; Rolland, Yves; Rizzoli, René; Araujo de Carvalho, Islène; Amuthavalli Thiyagarajan, Jotheeswaran; Bautmans, Ivan; Bertière, Marie-Claude; Brandi, Maria Luisa; Al-Daghri, Nasser M; Burlet, Nansa; Cavalier, Etienne; Cerreta, Francesca; Cherubini, Antonio; Fielding, Roger; Gielen, Evelien; Landi, Francesco; Petermans, Jean; Reginster, Jean-Yves; Visser, Marjolein; Kanis, John; Cooper, Cyrus

2016-10-05

Sarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice. This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations. This paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress. Assessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future.

Area 5 Radioactive Waste Management Site Safety Assessment Document

International Nuclear Information System (INIS)

Horton, K.K.; Kendall, E.W.; Brown, J.J.

1980-02-01

The Area 5 Radioactive Waste Management Safety Assessment Document evaluates site characteristics, facilities and operating practices which contribute to the safe handling and storage/disposal of radioactive wastes at the Nevada Test Site. Physical geography, cultural factors, climate and meteorology, geology, hydrology (with emphasis on radionuclide migration), ecology, natural phenomena, and natural resources are discussed and determined to be suitable for effective containment of radionuclides. Also considered, as a separate section, are facilities and operating practices such as monitoring; storage/disposal criteria; site maintenance, equipment, and support; transportation and waste handling; and others which are adequate for the safe handling and storage/disposal of radioactive wastes. In conclusion, the Area 5 Radioactive Waste Management Site is suitable for radioactive waste handling and storage/disposal for a maximum of twenty more years at the present rate of utilization

Weight management practices associated with PCOS and their relationships with diet and physical activity.

Science.gov (United States)

Moran, L J; Brown, W J; McNaughton, S A; Joham, A E; Teede, H J

2017-03-01

Do weight management practices differ in women with and without PCOS? Women in the general population with self-reported PCOS are more likely to be using healthy weight management practices and alternative non-lifestyle measures for weight management than women without PCOS. Lifestyle management is the first-line treatment in PCOS. However, the specific weight management practices used by women with PCOS and their effect on diet and physical activity are unclear. The study was a population-based observational cross-sectional study involving women in the 1973-1978 cohort (n = 7767 total; n = 556 with PCOS, n = 7211 without PCOS). Women with and without self-reported PCOS were included. Self-reported outcome measures included healthy lifestyle-related or alternative non-lifestyle-related (e.g. laxatives or smoking) weight management practices, dietary intake and physical activity. Women with PCOS were more likely to be following both healthy [reducing meal or snack size (odds ratio (OR) 1.50, 95% CI 1.14, 1.96, P = 0.004) and reducing fat or sugar intake (OR 1.32, 95% CI 1.03, 1.69, P = 0.027) or following a low glycaemic index diet (OR 2.88, 95% CI 2.30, 3.59, P PCOS. In PCOS, the use of a range of healthy weight management practices was associated with increases in physical activity (P PCOS, height, weight, diet, physical activity and weight management behaviours. In PCOS, we should focus on improving healthy weight practices across both diet quality and quantity, and on assessing alternative weight practices and their potential adverse effect on dietary intake. L.M. is supported by a South Australian Cardiovascular Research Development Program Fellowship (ID AC11S374); a program collaboratively funded by the National Heart Foundation, the South Australian Department of Health and the South Australian Health and Medical Research Institute. H.T. is supported by the NHMRC. S.A.M. is supported by an NHMRC Career Development Fellowship Level 2, ID1104636 and was

Ontology modeling in physical asset integrity management

CERN Document Server

Yacout, Soumaya

2015-01-01

This book presents cutting-edge applications of, and up-to-date research on, ontology engineering techniques in the physical asset integrity domain. Though a survey of state-of-the-art theory and methods on ontology engineering, the authors emphasize essential topics including data integration modeling, knowledge representation, and semantic interpretation. The book also reflects novel topics dealing with the advanced problems of physical asset integrity applications such as heterogeneity, data inconsistency, and interoperability existing in design and utilization. With a distinctive focus on applications relevant in heavy industry, Ontology Modeling in Physical Asset Integrity Management is ideal for practicing industrial and mechanical engineers working in the field, as well as researchers and graduate concerned with ontology engineering in physical systems life cycles. This book also: Introduces practicing engineers, research scientists, and graduate students to ontology engineering as a modeling techniqu...

Momentary assessment of affect, physical feeling states, and physical activity in children.

Science.gov (United States)

Dunton, Genevieve F; Huh, Jimi; Leventhal, Adam M; Riggs, Nathaniel; Hedeker, Donald; Spruijt-Metz, Donna; Pentz, Mary Ann

2014-03-01

Most research on the interplay of affective and physical feelings states with physical activity in children has been conducted under laboratory conditions and fails to capture intraindividual covariation. The current study used Ecological Momentary Assessment (EMA) to bidirectionally examine how affective and physical feeling states are related to objectively measured physical activity taking place in naturalistic settings during the course of children's everyday lives. Children (N = 119, ages 9-13 years, 52% male, 32% Hispanic) completed 8 days of EMA monitoring, which measured positive affect (PA), negative affect (NA), feeling tired, and feeling energetic up to 7 times per day. EMA responses were time-matched to accelerometer assessed moderate-to-vigorous physical activity (MVPA) in the 30 min before and after each EMA survey. Higher ratings of feeling energetic and lower ratings of feeling tired were associated with more MVPA in the 30 min after the EMA prompt. More MVPA in the 30 min before the EMA prompt was associated with higher ratings of PA and feeling energetic and lower ratings of NA. Between-subjects analyses indicated that mean hourly leisure-time MVPA was associated with less intraindividual variability in PA and NA. Physical feeling states predict subsequent physical activity levels, which in turn, predict subsequent affective states in children. Active children demonstrated higher positive and negative emotional stability. Although the strength of these associations were of modest magnitude and their clinical relevance is unclear, understanding the antecedents to and consequences of physical activity may have theoretical and practical implications for the maintenance and promotion of physical activity and psychological well-being in children. PsycINFO Database Record (c) 2014 APA, all rights reserved.

Management of physical child abuse in South Africa: literature review and children's hospital data analysis.

Science.gov (United States)

Janssen, T L; van Dijk, M; Al Malki, I; van As, A B

2013-11-01

The reason for this review is the lack of data on the management of physical abused children in Africa. The primary goal of the first part is to outline the management of physical child abuse in (South) Africa and provide suggestions for other governments in Africa on which to base their management of physical child abuse, at both governmental and hospital management level. The main aim of the second part is to outline the extent of the problem as seen at the Red Cross Memorial Children's Hospital (RCH) in Cape Town. The National Library of Medicine's PubMed database was searched for articles specifically about the management of physical child abuse. Hospital data were analysed in two phases: one addressed various types of assault in order to assess the number of patients admitted to the trauma unit of RCH between 1991 and 2009, and the other to identify all children with suspected non-accidental injury (NAI) presenting to the trauma unit at RCH from January 2008 until December 2010. Information on physical abuse of children in Africa in the English scientific literature remains disappointing with only two articles focusing on its management. RCH data for the period 1991-2009 recorded a total number of 6415 children hospitalised with injuries following assault, who accounted for 4.2% of all trauma admissions. Types of abuse included assault with a blunt or sharp instrument, rape/sexual assault and human bite wounds. Over the last 2 decades, there has been a minor decline in the number of cases of severe abuse requiring admission; admissions for other injuries have remained stable. More detailed analysis of hospital data for 2008-2010, found that boys were far more commonly assaulted than girls (70.5% vs 29.5%). Physical abuse appeared to be the most common cause of abuse; 89.9% of all boys and 60.5% of all girls presented after physical abuse. In order to eradicate child abuse, awareness of it as to be promoted in the community at large. Because the types of child

Best Practices in Physics Program Assessment: Should APS Provide Accreditation Standards for Physics?

Science.gov (United States)

Hodapp, Theodore

The Phys21 report, ``Preparing Physics Students for 21st Century Careers,'' provides guidance for physics programs to improve their degree programs to make them more relevant for student career choices. Undertaking such changes and assessing impact varies widely by institution, with many departments inventing assessments with each periodic departmental or programmatic review. American Physical Society has embarked on a process to integrate information from Phys21, the results of other national studies, and educational research outcomes to generate a best-practices guide to help physics departments conduct program review, assessment, and improvement. It is anticipated that departments will be able to use this document to help with their role in university-level accreditation, and in making the case for improvements to departmental programs. Accreditation of physics programs could stem from such a document, and I will discuss some of the thinking of the APS Committee on Education in creating this guide, and how they are advising APS to move forward in the higher education landscape that is increasingly subject to standards-based evaluations. I will describe plans for the design, review, and dissemination of this guide, and how faculty can provide input into its development. This material is based upon work supported by the National Science Foundation under Grant No. 1540570. Opinions expressed do not necessarily reflect those of the NSF.

The use of advanced physical assessment skills by cardiac nurses.

Science.gov (United States)

Edmunds, Linda; Ward, Susan; Barnes, Rhian

To establish what advanced physical assessment skills are being used by cardiac nurses after they undertook a clinical patient assessment module; and to explore the factors that influence their use of these skills. A longitudinal descriptive approach using convenience sampling was employed. Qualitative data was obtained from individual interviews, non-participant observation within the participants' clinical environment and self-reported activity logs. Five key themes emerged: use of advanced physical assessment skills varied; use and development of skills was linked to personal characteristics; use influenced by perceptions of role boundaries, permission and cooperation; use influenced by participants' perception of nursing and the development of their own nursing practice; and use influenced by the physical environment and the human support within it. Cardiac nurses selectively use physical assessment skills, predominately related to the cardiorespiratory systems. Organisational structure, professional relationships and the professionalism of the individual nurse appear to play a significant part in the use of physical assessment skills. Although the findings from this qualitative study cannot be generalized, they concur with findings from recent research into physical assessment skills used by a variety of UK nurses. The implications identified are: first, for those who provide the education, in terms of what should be taught and facilitated; and second, for organizations, in ensuring staff have assessment skills relevant to their role and that systems are in place to enable the development of a supportive and progressive culture that embraces modernization congruent with healthcare policy.

The use of evidence-based practices for the management of shoulder impingement syndrome among Indian physical therapists: a cross-sectional survey

Directory of Open Access Journals (Sweden)

Vandana Phadke

2015-12-01

Full Text Available ABSTRACT Background: The understanding of the pathomechanics of shoulder impingement has evolved over the years. Likewise, assessment techniques and effective treatment strategies have also been developed. Physical therapists should keep up-to-date on the current evidence. Objective: This study explored the practices currently used by Indian physical therapists for the assessment and management of shoulder impingement syndrome (SIS. Method: Using an online questionnaire, therapists were asked to declare the causes, methods of assessment and their choices of physical therapy techniques for the management of SIS. The proportions of therapists using different techniques were analyzed descriptively, and comparisons across gender, experience level, and training were made. Data were analyzed to see if the choices of respondents compared with their responses for etiology. Results: A total of 211 responses were analyzed. Most respondents (>75% believed that overuse and abnormal motion/posture are the most significant causes of SIS. However, fewer respondents reported assessing posture (60.2% and dyskinesis, especially in women (24.2%. Ninety-four percent of the respondents reported using exercises, but exercise prescription was rather generic. Therapists additionally trained in the techniques of joint mobilization or taping declared using these techniques more frequently. The use of interferential therapy and ultrasound was reported by 89.5% and 98.4% of respondents, respectively Conclusion: Most therapists declared awareness of current recommended practices, but patient assessment, exercise prescription, and use of electrotherapy modalities were only partially based on current evidence. The study helps to identify gaps in current physical therapy approaches to SIS in India.

Analysis of Praxis physics subject assessment examinees and performance: Who are our prospective physics teachers?

Science.gov (United States)

Shah, Lisa; Hao, Jie; Rodriguez, Christian A.; Fallin, Rebekah; Linenberger-Cortes, Kimberly; Ray, Herman E.; Rushton, Gregory T.

2018-06-01

A generally agreed upon tenant of the physics teaching community is the centrality of subject-specific expertise in effective teaching. However, studies which assess the content knowledge of incoming K-12 physics teachers in the U.S. have not yet been reported. Similarly lacking are studies on if or how the demographic makeup of aspiring physics educators is different from previously reported analyses of the actual high school physics teaching workforce. Here we present findings about the demographics and subject knowledge of prospective high school physics teachers using data from Praxis physics subject assessments administered between 2006 and 2016. Our analysis reveals significant variations in exam participation and performance between men and women, as well as those with different undergraduate majors and academic performance over the past decade. Findings from this work inform understandings and decisions about the quality, recruitment, and preparation of the high school physics teaching workforce.

Analysis of Risk Management in Adapted Physical Education Textbooks

Science.gov (United States)

Murphy, Kelle L.; Donovan, Jacqueline B.; Berg, Dominck A.

2016-01-01

Physical education teacher education (PETE) programs vary on how the topics of safe teaching and risk management are addressed. Common practices to cover such issues include requiring textbooks, lesson planning, peer teaching, videotaping, reflecting, and reading case law analyses. We used a mixed methods design to examine how risk management is…

Systematic review of guidelines for the physical management of osteoarthritis.

Science.gov (United States)

Larmer, Peter J; Reay, Nicholas D; Aubert, Elizabeth R; Kersten, Paula

2014-02-01

To undertake a systematic critical appraisal of guidelines to provide a summary of recommendations for the physical management of osteoarthritis (OA). The Cochrane Library, MEDLINE, CINAHL, SPORTDiscus with Full Text, Scopus, ScienceDirect, PEDro, and Google Scholar databases were searched (2000-2013) to identify all guidelines, protocols, and recommendations for the management or treatment of OA. In addition, Internet searches of all relevant arthritis organizations were undertaken. All searches were performed between July 2012 and end of April 2013. Guidelines that included only pharmacological, injection therapy, or surgical interventions were excluded. Guidelines published only in English were retrieved. OA guidelines developed from evidence-based research, consensus, and/or expert opinion were retrieved. There were no restrictions on severity or site of OA, sex, or age. Nineteen guidelines were identified for evaluation. The quality of all guidelines was critically appraised using the Appraisal of Guidelines for REsearch and Evaluation II instrument. Each guideline was independently reviewed. All relevant recommendations for the physical management of OA were synthesized, graded, and ranked according to available evidence. Seventeen guidelines with recommendations on the physical management of OA met the inclusion criteria and underwent a full critical appraisal. There were variations in the interventions, levels of evidence, and strength of recommendations across the guidelines. Forty different interventions were identified. Recommendations were graded from "strongly recommended" to "unsupported." Exercise and education were found to be strongly recommended by most guidelines. Exercise and education were key recommendations supporting the importance of rehabilitation in the physical management of OA. This critical appraisal can assist health care providers who are involved in the management of people with OA. Copyright © 2014 American Congress of

The role of physical space in labour–management cooperation

DEFF Research Database (Denmark)

Ilsøe, Anna; Felbo-Kolding, Jonas

2018-01-01

Many studies on labour–management relations have focused on formal cooperation in manufacturing. This calls for further research and theory development on labour–management interactions in private service companies, where cooperation practices appear to be less formal. In this article, a typology...... of cooperation between managers and employees is developed, based on a microsociological study conducted in the Danish retail trade in 2013. Drawing on six indepth case studies, the article identifies four different physical spaces of labour–management cooperation: open collective, closed collective, open...

Physics Competence Assessment in Engineering Higher Education Institution

Directory of Open Access Journals (Sweden)

A. F. An

2015-01-01

Full Text Available In designing the undergraduate programmes, a development of objectified procedures to assess students and graduates’ level of skills and learning outcomes aimed at achieving the ultimate goals of training is an important task for Higher Education Institutions (HEI.The purpose of this work is to develop a description of the physics course objectives differentiated according to levels of learning achievements for engineering HEI, as well as the assessment procedures and diagnostic means associated with this description to specify and define the degree of their achievement.The taxonomy of levels to master learning content is proposed and tested. Its aim is to assess rapidly a degree of achieved objectives i.e. meeting requirements for student and graduate’s competences in physics. Classification is given according to which the reproductive activity is a manifestation of the levels of recognition, reproduction and reproductive use of knowledge while the productive activity is an ability to use previously learned information, methods of action for the new scenarios, situations, conditions. The paper presents content of the main features of learning the study materials in physics at each taxonomic level. It offers a developed package of assessment materials based on traditional (tests, training tasks and competence-oriented control methods (professionally oriented and case studies, integrative assignments. The paper proves that when designing the diagnostic means it is expedient to take into consideration the analysis results of the expert assessments that the physics course curricular elements are of significance for fundamental and ideological studies and successful learning of the module of professional disciplines. It also shows that there is a need to use the content of typical tasks in disciplines of professional cycle of the undergraduate programme.The proposed approaches and results can serve as a basis for teaching improvement in physics

Self-assessment of professionalism in physical therapy education.

Science.gov (United States)

Anderson, Deborah K; Irwin, Kent E

2013-01-01

With the physical therapy (PT) professions' advancement to the clinical doctorate degree and the promotion of autonomous practice, exemplary professional conduct is an expectation of the PT profession. PT education programs are being challenged to develop methods to teach and assess professional behavior. Forty-three PT students (11 male and 32 female, ages 20-28 years) completed the APTA Professionalism in Physical Therapy: Core Values Self-Assessment (PPTCVSA) after their first 3 week clinical experience and again after their final clinical experience. A mixed design ANOVA compared participants' total scores and individual Core Value scores on the Professionalism in Physical Therapy: Core Values Self-Assessment (PPTCVSA) after 3 and 33 weeks of clinical education. The effects of gender, age, and undergraduate area of study on growth in professionalism scores were also investigated. Total PPTCVSA scores and individual Core Value scores on professionalism (accountability, altruism, compassion/caring, excellence, integrity, professional duty, and social responsibility) were higher after 33 weeks compared to scores after 3 weeks of clinical education. Female student's total professionalism scores were higher than male student's scores on both the first and second self-assessments. In addition, female students scored themselves higher than their male peers on accountability, excellence, integrity, and professional duty. Improved scores on the PPTCVSA indicate that physical therapy education is playing an important role in the development of professional behavior, knowledge, and application in practice.

Assess the physical activity of pupils aged 11

Directory of Open Access Journals (Sweden)

Đokić Zoran

2014-01-01

Full Text Available The purpose of this research is to assess physical activity among pupils in primary schools in Novi Sad, aged 11 years. The sample consisted of 185 participants (90 boys and 95 girls. Data were collected through a questionnaire, and modified Beacke Q questionnaire was used. Physical activity related to school - physical education, sports and leisure were assessed. Frequencies were calculated for all data, and significance of differences in inclusion and type of physical activity of pupils by sex was determined by Chi-square test. In all three dimensions of physical activity, the significant differences between boys and girls (p ≤ 0.05 were established. Boys have a higher level of physical activity compared to girls. Regular attendance of physical education is high, but the class intensity is low, while girls exercise with yet lower intensity compared to the boys. Boys are more active in sports and the most common sports for them are: football and basketball, while for girls those are volleyball and tennis. Pupils involved in sports generally carry out their activities more than 4 hours per week and 9 months per year. Most of their leisure time pupils spend with computers and TV, boys spend more time in sports, while girls spend more time walking.

Challenges in Aquatic Physical Habitat Assessment: Improving Conservation and Restoration Decisions for Contemporary Watersheds

Directory of Open Access Journals (Sweden)

Jason A. Hubbart

2017-12-01

Full Text Available Attribution of in-stream biological impairment to anthropogenic activities and prioritization for restoration and/or conservation can be challenging in contemporary mixed-land-use watersheds. Critical information necessary to improve decision making can be costly and labor intensive, and thus unobtainable for many municipalities. A reduced cost, rapid stream physical habitat assessment (rPHA can yield information that, when paired with land use data may reveal causal patterns in aquatic physical habitat degradation, and thus assist targeting sites for restoration. However, a great deal of work is needed to reduce associated costs, and validate the potential of rPHA for documenting fine-scale incremental change in physical habitat conditions in complex contemporary watersheds. The following commentary serves to draw attention to rPHA challenges and research needs including (but not limited to field-based validation and optimization of new remote sensing technologies, evaluation of the accuracy and representativeness of rapid vegetation survey methods, refinement of analytical methods, and consideration of legacy land use impacts and hydrologic system evolution in rPHA results interpretation. Considering the value of rPHA-generated data for improvement of watershed resource management, such challenges constitute timely, high-impact research opportunities for investigators wishing to advance complex, contemporary aquatic ecosystem management.

Assessing and managing multiple risks in a changing world ...

Science.gov (United States)

Roskilde University (Denmark) hosted a November 2015 workshop, Environmental Risk—Assessing and Managing Multiple Risks in a Changing World. This Focus article presents the consensus recommendations of 30 attendees from 9 countries regarding implementation of a common currency (ecosystem services) for holistic environmental risk assessment and management; improvements to risk assessment and management in a complex, human-modified, and changing world; appropriate development of protection goals in a 2-stage process; dealing with societal issues; risk-management information needs; conducting risk assessment of risk management; and development of adaptive and flexible regulatory systems. The authors encourage both cross-disciplinary and interdisciplinary approaches to address their 10 recommendations: 1) adopt ecosystem services as a common currency for risk assessment and management; 2) consider cumulative stressors (chemical and nonchemical) and determine which dominate to best manage and restore ecosystem services; 3) fully integrate risk managers and communities of interest into the risk-assessment process; 4) fully integrate risk assessors and communities of interest into the risk-management process; 5) consider socioeconomics and increased transparency in both risk assessment and risk management; 6) recognize the ethical rights of humans and ecosystems to an adequate level of protection; 7) determine relevant reference conditions and the proper ecological c

Soil Quality Evaluation Using the Soil Management Assessment Framework (SMAF in Brazilian Oxisols with Contrasting Texture

Directory of Open Access Journals (Sweden)

Maurício Roberto Cherubin

Full Text Available ABSTRACT The Soil Management Assessment Framework (SMAF was developed in the U.S.A. and has been used as a tool for assessing and quantifying changes in soil quality/health (SQ induced by land uses and agricultural practices in that region and elsewhere throughout the world. An initial study using SMAF in Brazil was recently published, but additional research for a variety of soils and management systems is still needed. Our objective was to use data from five studies in southern Brazil to evaluate the potential of SMAF for assessing diverse land-use and management practices on SQ. The studies examined were: (i horizontal and vertical distribution of soil properties in a long-term orange orchard; (ii impacts of long-term land-use change from native vegetation to agricultural crops on soil properties; (iii effects of short-term tillage on soil properties in a cassava production area; (iv changes in soil properties due to mineral fertilizer and pig slurry application coupled with soil tillage practices; and (v row and inter-row sowing effects on soil properties in a long-term no-tillage area. The soils were classified as Oxisols, with clay content ranging from 180 to 800 g kg-1. Six SQ indicators [pH(H2O, P, K, bulk density, organic C, and microbial biomass] were individually scored using SMAF curves and integrated into an overall Soil Quality Index (SQI focusing on chemical, physical, and biological sectors. The SMAF was sensitive for detecting SQ changes induced by different land uses and management practices within this wide textural range of Brazilian Oxisols. The SMAF scoring curve algorithms properly transformed the indicator values expressed in different units into unitless scores ranging from 0-1, thus enabling the individual indicators to be combined into an overall index for evaluating land-use and management effects on soil functions. Soil sector scores (i.e., chemical, physical, and biological identify the principal soil limitations

Promoting and assessing creativity and innovation in physics undergraduates

Science.gov (United States)

Kohl, Patrick B.; Kuo, H. Vincent; Kowalski, Susan; Kowalski, Frank

2012-02-01

Creative thought and the ability to innovate are critical skills in industrial and academic careers alike. There exist attempts to foster creative skills in the business world, but little such work has been documented in a physics context. In particular, there are few tools available for those who want to assess the creativity of their physics students, making it difficult to tell whether instruction is having any effect. In this paper, we outline a new elective course at the Colorado School of Mines in the physics department designed to develop creativity and innovation in physics majors. We present our efforts to assess this course formatively, using tablet PCs and InkSurvey software, and summatively using the discipline-independent Torrance Tests of Creative Thinking. We also describe early work towards developing a physics-specific instrument for measuring creativity.

Physical Activity Stories: Assessing the "Meaning Standard" in Physical Education

Science.gov (United States)

Johnson, Tyler G.

2016-01-01

The presence of the "meaning standard" in both national and state content standards suggests that professionals consider it an important outcome of a quality physical education program. However, only 10 percent of states require an assessment to examine whether students achieve this standard. The purpose of this article is to introduce…

Mindfulness Meditation Versus Physical Exercise in the Management of Depression Among Nursing Students.

Science.gov (United States)

Alsaraireh, Faris Abdelkarim; Aloush, Sami Mohammad

2017-10-01

Depression among nursing students is an ongoing problem. Several psychotherapies have been suggested as alternatives to antidepressants in the management of depression. The aim of this randomized controlled study was to compare the effectiveness of mindfulness meditation versus physical exercise in the management of depression among nursing students. A sample of 181 soon-to-graduate nursing students participated in the study and were assigned at random to one of two therapies: physical exercise (n = 90) or mindfulness meditation (n = 91). The Center for Epidemiologic Studies Depression Scale was completed by the participants in both groups prior to the therapies and after completion. The findings indicated that both therapies were effective in the management of depression. However, mindfulness meditation is more effective than physical exercise. Mindfulness meditation is recommended over physical exercise in the management of depression among undergraduate nursing students. [J Nurs Educ. 2017;56(10):599-604.]. Copyright 2017, SLACK Incorporated.

Integrated environmental risk assessment and whole-process management system in chemical industry parks.

Science.gov (United States)

Shao, Chaofeng; Yang, Juan; Tian, Xiaogang; Ju, Meiting; Huang, Lei

2013-04-19

Chemical industry parks in China are considered high-risk areas because they present numerous risks that can damage the environment, such as pollution incidents. In order to identify the environmental risks and the principal risk factors in these areas, we have developed a simple physical model of a regional environmental risk field (ERF) using existing dispersal patterns and migration models. The regional ERF zoning was also conducted and a reference value for diagnostic methods was developed to determine risk-acceptable, risk-warning, and risk-mitigation zones, which can provide a risk source layout for chemical industry parks. In accordance with the environmental risk control requirements, this study focused on the three stages of control and management of environmental risk and established an environmental risk management system including risk source identification and assessment, environmental safety planning, early risk warning, emergency management, assessment of environmental effects, and environmental remediation of pollution accidents. By using this model, the environmental risks in Tianjin Binhai New Area, the largest chemical industry park in China, were assessed and the environmental risk zoning map was drawn, which suggested the existence of many unacceptable environmental risks in this area. Thus, relevant suggestions have been proposed from the perspective of the adjustment of risk source layout, intensified management of environmental risk control and so on.

Integrated Environmental Risk Assessment and Whole-Process Management System in Chemical Industry Parks

Science.gov (United States)

Shao, Chaofeng; Yang, Juan; Tian, Xiaogang; Ju, Meiting; Huang, Lei

2013-01-01

Chemical industry parks in China are considered high-risk areas because they present numerous risks that can damage the environment, such as pollution incidents. In order to identify the environmental risks and the principal risk factors in these areas, we have developed a simple physical model of a regional environmental risk field (ERF) using existing dispersal patterns and migration models. The regional ERF zoning was also conducted and a reference value for diagnostic methods was developed to determine risk-acceptable, risk-warning, and risk-mitigation zones, which can provide a risk source layout for chemical industry parks. In accordance with the environmental risk control requirements, this study focused on the three stages of control and management of environmental risk and established an environmental risk management system including risk source identification and assessment, environmental safety planning, early risk warning, emergency management, assessment of environmental effects, and environmental remediation of pollution accidents. By using this model, the environmental risks in Tianjin Binhai New Area, the largest chemical industry park in China, were assessed and the environmental risk zoning map was drawn, which suggested the existence of many unacceptable environmental risks in this area. Thus, relevant suggestions have been proposed from the perspective of the adjustment of risk source layout, intensified management of environmental risk control and so on. PMID:23603866

Integrated Environmental Risk Assessment and Whole-Process Management System in Chemical Industry Parks

Directory of Open Access Journals (Sweden)

Lei Huang

2013-04-01

Full Text Available Chemical industry parks in China are considered high-risk areas because they present numerous risks that can damage the environment, such as pollution incidents. In order to identify the environmental risks and the principal risk factors in these areas, we have developed a simple physical model of a regional environmental risk field (ERF using existing dispersal patterns and migration models. The regional ERF zoning was also conducted and a reference value for diagnostic methods was developed to determine risk-acceptable, risk-warning, and risk-mitigation zones, which can provide a risk source layout for chemical industry parks. In accordance with the environmental risk control requirements, this study focused on the three stages of control and management of environmental risk and established an environmental risk management system including risk source identification and assessment, environmental safety planning, early risk warning, emergency management, assessment of environmental effects, and environmental remediation of pollution accidents. By using this model, the environmental risks in Tianjin Binhai New Area, the largest chemical industry park in China, were assessed and the environmental risk zoning map was drawn, which suggested the existence of many unacceptable environmental risks in this area. Thus, relevant suggestions have been proposed from the perspective of the adjustment of risk source layout, intensified management of environmental risk control and so on.

Network Physics - the only company to provide physics-based network management - secures additional funding and new executives

CERN Multimedia

2003-01-01

"Network Physics, the only provider of physics-based network management products, today announced an additional venture round of $6 million in funding, as well as the addition of David Jones as president and CEO and Tom Dunn as vice president of sales and business development" (1 page).

Physical dose reconstruction in case of radiological accidents: an asset for the victims' management

International Nuclear Information System (INIS)

Huet, Christelle; Trompier, Francois; Clairand, Isabelle; Bottollier-Depois, Jean-Francois

2008-01-01

In most cases of radiological accidents caused by an external source, the irradiation is heterogeneous, even for a whole body irradiation. Therefore, more than a whole body dose, estimating the dose distribution in the victim's organism is essential to assess biological damages. This dose distribution can be obtained by physical dosimetric reconstruction methods. The laboratory has developed several techniques based on experimental and numerical dose reconstruction and retrospective dosimetry by ESR in order to assess as accurately as possible and as quickly as possible the dose received and especially its distribution throughout the organism so that the physicians may fine tune their diagnosis and prescribe the most suitable treatment. These last years, these techniques were applied several times and each time the results obtained proved to be essential for the physicians in charge of the victims in order to define the therapeutic strategy. This article proposes a review of the physical dose reconstructions performed in the laboratory for recent radiological accidents focusing on the complementarity of the methods and the gain for the victims' management. (author)

Linking Physical Climate Research and Economic Assessments of Mitigation Policies

Science.gov (United States)

Stainforth, David; Calel, Raphael

2017-04-01

Evaluating climate change policies requires economic assessments which balance the costs and benefits of climate action. A certain class of Integrated Assessment Models (IAMS) are widely used for this type of analysis; DICE, PAGE and FUND are three of the most influential. In the economics community there has been much discussion and debate about the economic assumptions implemented within these models. Two aspects in particular have gained much attention: i) the costs of damages resulting from climate change - the so-called damage function, and ii) the choice of discount rate applied to future costs and benefits. There has, however, been rather little attention given to the consequences of the choices made in the physical climate models within these IAMS. Here we discuss the practical aspects of the implementation of the physical models in these IAMS, as well as the implications of choices made in these physical science components for economic assessments[1]. We present a simple breakdown of how these IAMS differently represent the climate system as a consequence of differing underlying physical models, different parametric assumptions (for parameters representing, for instance, feedbacks and ocean heat uptake) and different numerical approaches to solving the models. We present the physical and economic consequences of these differences and reflect on how we might better incorporate the latest physical science understanding in economic models of this type. [1] Calel, R. and Stainforth D.A., "On the Physics of Three Integrated Assessment Models", Bulletin of the American Meteorological Society, in press.

Assessment of learning components of management training course ...

African Journals Online (AJOL)

Assessment of learning components of any training course provides a benchmark through which training institutions or organizers could assess the effectiveness of the training. The study assessed learning components of agricultural research management training course organized for senior research managers in Nigeria.

Methodology of environmental risk assessment management

Directory of Open Access Journals (Sweden)

Saša T. Bakrač

2012-04-01

Full Text Available Successful protection of environment is mostly based on high-quality assessment of potential and present risks. Environmental risk management is a complex process which includes: identification, assessment and control of risk, namely taking measures in order to minimize the risk to an acceptable level. Environmental risk management methodology: In addition to these phases in the management of environmental risk, appropriate measures that affect the reduction of risk occurrence should be implemented: - normative and legal regulations (laws and regulations, - appropriate organizational structures in society, and - establishing quality monitoring of environment. The emphasis is placed on the application of assessment methodologies (three-model concept, as the most important aspect of successful management of environmental risk. Risk assessment methodology - European concept: The first concept of ecological risk assessment methodology is based on the so-called European model-concept. In order to better understand this ecological risk assessment methodology, two concepts - hazard and risk - are introduced. The European concept of environmental risk assessment has the following phases in its implementation: identification of hazard (danger, identification of consequences (if there is hazard, estimate of the scale of consequences, estimate of consequence probability and risk assessment (also called risk characterization. The European concept is often used to assess risk in the environment as a model for addressing the distribution of stressors along the source - path - receptor line. Risk assessment methodology - Canadian concept: The second concept of the methodology of environmental risk assessment is based on the so-called Canadian model-concept. The assessment of ecological risk includes risk arising from natural events (floods, extreme weather conditions, etc., technological processes and products, agents (chemical, biological, radiological, etc

RISK MANAGEMENT: AN INTEGRATED APPROACH TO RISK MANAGEMENT AND ASSESSMENT

Directory of Open Access Journals (Sweden)

Szabo Alina

2012-12-01

Full Text Available Purpose: The objective of this paper is to offer an overview over risk management cycle by focusing on prioritization and treatment, in order to ensure an integrated approach to risk management and assessment, and establish the ‘top 8-12’ risks report within the organization. The interface with Internal Audit is ensured by the implementation of the scoring method to prioritize risks collected from previous generated risk report. Methodology/approach: Using evidence from other research in the area and the professional expertise, this article outlines an integrated approach to risk assessment and risk management reporting processes, by separating the risk in two main categories: strategic and operational risks. The focus is on risk prioritization and scoring; the final output will comprise a mix of strategic and operational (‘top 8-12’ risks, which should be used to establish the annual Internal Audit plan. Originality/value: By using an integrated approach to risk assessment and risk management will eliminate the need for a separate Internal Audit risk assessment over prevailing risks. It will reduce the level of risk assessment overlap by different functions (Tax, Treasury, Information System over the same risk categories as a single methodology, is used and will align timings of risk assessment exercises. The risk prioritization by usage of risk and control scoring criteria highlights the combination between financial and non-financial impact criteria allowing risks that do not naturally lend themselves to a financial amount to be also assessed consistently. It is emphasized the usage of score method to prioritize the risks included in the annual audit plan in order to increase accuracy and timelines.

Assessing the Value of Information for Identifying Optimal Floodplain Management Portfolios

Science.gov (United States)

Read, L.; Bates, M.; Hui, R.; Lund, J. R.

2014-12-01

Floodplain management is a complex portfolio problem that can be analyzed from an integrated perspective incorporating traditionally structural and nonstructural options. One method to identify effective strategies for preparing, responding to, and recovering from floods is to optimize for a portfolio of temporary (emergency) and permanent floodplain management options. A risk-based optimization approach to this problem assigns probabilities to specific flood events and calculates the associated expected damages. This approach is currently limited by: (1) the assumption of perfect flood forecast information, i.e. implementing temporary management activities according to the actual flood event may differ from optimizing based on forecasted information and (2) the inability to assess system resilience across a range of possible future events (risk-centric approach). Resilience is defined here as the ability of a system to absorb and recover from a severe disturbance or extreme event. In our analysis, resilience is a system property that requires integration of physical, social, and information domains. This work employs a 3-stage linear program to identify the optimal mix of floodplain management options using conditional probabilities to represent perfect and imperfect flood stages (forecast vs. actual events). We assess the value of information in terms of minimizing damage costs for two theoretical cases - urban and rural systems. We use portfolio analysis to explore how the set of optimal management options differs depending on whether the goal is for the system to be risk-adverse to a specified event or resilient over a range of events.

Business managers turn to risk assessment

International Nuclear Information System (INIS)

Allen, Frank

1993-01-01

Risk assessments have evolved to help technical managers in nuclear and other industries to design and operate plant with safety in mind. However, they are now developing into the area of business management. (author)

Using Ecological Momentary Assessment to Evaluate Current Physical Activity

Directory of Open Access Journals (Sweden)

Jolanta Marszalek

2014-01-01

Full Text Available Objective. The purpose of this study was to assess the value of ecological momentary assessment in evaluating physical activity among children, adolescents, and adults. It also determines whether ecological momentary assessment fulfills the criteria of validity, reliability, objectivity, norms, and standardization applied to the tools used for the evaluation of physical activity. Methods. The EBSCO-CINHAL, Medline, PsycINFO, PubMed, and SPORTDiscuss databases were reviewed in December 2012 for articles associated with EMA. Results. Of the 20 articles examined, half (10 used electronic methods for data collection, although various methods were used, ranging from pen and paper to smartphone applications. Ten studies used objective monitoring equipment. Nineteen studies were performed over 4 days. While the validity of the EMA method was discussed in 18 studies, only four found it to be objective. In all cases, the EMA procedures were precisely documented and confirmed to be feasible. Conclusions. Ecological momentary assessment is a valid, reliable, and feasible approach to evaluate activity and sedentary behavior. Researchers should be aware that while ecological momentary assessment offers many benefits, it simultaneously imposes many limitations which should be considered when studying physical activity.

Prune belly syndrome. A focused physical assessment.

Science.gov (United States)

Woods, Amanda G; Brandon, Debra H

2007-06-01

Prune belly syndrome, a rare congenital anomaly, exists almost exclusively in males and consists of genital and urinary abnormalities with partial or complete absence of abdominal wall musculature. The syndrome, caused by urethral obstruction early in development, is the result of massive bladder distention and urinary ascites, leading to degeneration of the abdominal wall musculature and failure of testicular descent. The impaired elimination of urine from the bladder leads to oligohydramnios, pulmonary hypoplasia, and Potter's facies. The syndrome has a broad spectrum of affected anatomy with different levels of severity. The exact etiology of prune belly syndrome is unknown, although several embryologic theories attempt to explain the anomaly. With advances in prenatal screening techniques, the diagnosis and possible treatment of prune belly syndrome can occur before birth, although controversy exists on the proper management of prune belly syndrome. This article explores the theories behind the pathophysiology and embryology of prune belly syndrome and its multisystemic effects on the newborn infant. Specific attention is paid to presentation, clinical features, head-to-toe physical assessment, family support, and nursing care of infants with prune belly syndrome.

Assessing environmental conditions of Antarctic footpaths to support management decisions.

Science.gov (United States)

Tejedo, Pablo; Benayas, Javier; Cajiao, Daniela; Albertos, Belén; Lara, Francisco; Pertierra, Luis R; Andrés-Abellán, Manuela; Wic, Consuelo; Luciáñez, Maria José; Enríquez, Natalia; Justel, Ana; Reck, Günther K

2016-07-15

Thousands of tourists visit certain Antarctic sites each year, generating a wide variety of environmental impacts. Scientific knowledge of human activities and their impacts can help in the effective design of management measures and impact mitigation. We present a case study from Barrientos Island in which a management measure was originally put in place with the goal of minimizing environmental impacts but resulted in new undesired impacts. Two alternative footpaths used by tourist groups were compared. Both affected extensive moss carpets that cover the middle part of the island and that are very vulnerable to trampling. The first path has been used by tourists and scientists since over a decade and is a marked route that is clearly visible. The second one was created more recently. Several physical and biological indicators were measured in order to assess the environmental conditions for both paths. Some physical variables related to human impact were lower for the first path (e.g. soil penetration resistance and secondary treads), while other biochemical and microbiological variables were higher for the second path (e.g. β-glucosidase and phosphatase activities, soil respiration). Moss communities located along the new path were also more diverse and sensitive to trampling. Soil biota (Collembola) was also more abundant and richer. These data indicate that the decision to adopt the second path did not lead to the reduction of environmental impacts as this path runs over a more vulnerable area with more outstanding biological features (e.g. microbiota activity, flora and soil fauna diversity). In addition, the adoption of a new route effectively doubles the human footprint on the island. We propose using only the original path that is less vulnerable to the impacts of trampling. Finally from this process, we identify several key issues that may be taken into account when carrying out impact assessment and environmental management decision-making in the

High energy physics advisory panel's composite subpanel for the assessment of the status of accelerator physics and technology

International Nuclear Information System (INIS)

1996-05-01

In November 1994, Dr. Martha Krebs, Director of the US Department of Energy (DOE) Office of Energy Research (OER), initiated a broad assessment of the current status and promise of the field of accelerator physics and technology with respect to five OER programs -- High Energy Physics, Nuclear Physics, Basic Energy Sciences, Fusion Energy, and Health and Environmental Research. Dr. Krebs asked the High Energy Physics Advisory Panel (HEPAP) to establish a composite subpanel with representation from the five OER advisory committees and with a balance of membership drawn broadly from both the accelerator community and from those scientific disciplines associated with the OER programs. The Subpanel was also charged to provide recommendations and guidance on appropriate future research and development needs, management issues, and funding requirements. The Subpanel finds that accelerator science and technology is a vital and intellectually exciting field. It has provided essential capabilities for the DOE/OER research programs with an enormous impact on the nation's scientific research, and it has significantly enhanced the nation's biomedical and industrial capabilities. Further progress in this field promises to open new possibilities for the scientific goals of the OER programs and to further benefit the nation. Sustained support of forefront accelerator research and development by the DOE's OER programs and the DOE's predecessor agencies has been responsible for much of this impact on research. This report documents these contributions to the DOE energy research mission and to the nation

Stress in crisis managers: evidence from self-report and psychophysiological assessments.

Science.gov (United States)

Janka, A; Adler, C; Fischer, L; Perakakis, P; Guerra, P; Duschek, S

2015-12-01

Directing disaster operations represents a major professional challenge. Despite its importance to health and professional performance, research on stress in crisis management remains scarce. The present study aimed to investigate self-reported stress and psychophysiological stress responses in crisis managers. For this purpose, 30 crisis managers were compared with 30 managers from other disciplines, in terms of self-reported stress, health status and psychophysiological reactivity to crisis-related and non-specific visual and acoustic aversive stimuli and cognitive challenge. Crisis managers reported lower stress levels, a more positive strain-recuperation-balance, greater social resources, reduced physical symptoms, as well as more physical exercise and less alcohol consumption. They exhibited diminished electrodermal and heart rate responses to crisis-related and non-specific stressors. The results indicate reduced stress and physical complaints, diminished psychophysiological stress reactivity, and a healthier life-style in crisis managers. Improved stress resistance may limit vulnerability to stress-related performance decline and facilitate preparedness for major incidents.

Does human resource management improve family planning service quality? Analysis from the Kenya Service Provision Assessment 2010.

Science.gov (United States)

Thatte, Nandita; Choi, Yoonjoung

2015-04-01

Human resource (HR) management is a priority for health systems strengthening in developing countries, yet few studies have empirically examined associations with service quality. The purpose of this study was to assess the relationship between HR management and family planning (FP) service quality. Data came from the 2010 Kenya Service Provision Assessment, a nationally representative health facility assessment. In total, 912 FP consultations from 301 facilities were analysed. Four indices were created to measure quality on reproductive history taking, physical examination, sexually transmitted infections prevention and pill/injectable specific counselling. HR management variables included training in the past year, any and supportive (i.e. with feedback, technical updates and discussion) in-person supervision in the past 6 months and having a written job description. Multivariate linear regression analyses were conducted to estimate coefficients of HR management variables on each of the four quality indices, adjusting for background characteristics of clients, provider and facilities. The level of service quality ranged from 16 to 53 out of a maximum score of 100 across the indices. Fifty-two per cent of consultations were done by providers who received supportive in-person supervision in the previous 6 months. In 23% and 38% of consultations, the provider was trained in the past year and had a written job description, respectively. Multivariate analyses indicated that having a written job description was associated with higher service quality in history taking, physical examination and the pill/injectable specific counselling. Other HR management variables were not significantly associated with service quality. Having a written job description was significantly associated with higher service quality and may be a useful tool for strengthening management practices. The details of such job descriptions and the quality of other management indicators should be

Friendship with a robot: Children's perception of similarity between a robot's physical and virtual embodiment that supports diabetes self-management.

Science.gov (United States)

Sinoo, Claudia; van der Pal, Sylvia; Blanson Henkemans, Olivier A; Keizer, Anouk; Bierman, Bert P B; Looije, Rosemarijn; Neerincx, Mark A

2018-02-21

The PAL project develops a conversational agent with a physical (robot) and virtual (avatar) embodiment to support diabetes self-management of children ubiquitously. This paper assesses 1) the effect of perceived similarity between robot and avatar on children's' friendship towards the avatar, and 2) the effect of this friendship on usability of a self-management application containing the avatar (a) and children's motivation to play with it (b). During a four-day diabetes camp in the Netherlands, 21 children participated in interactions with both agent embodiments. Questionnaires measured perceived similarity, friendship, motivation to play with the app and its usability. Children felt stronger friendship towards the physical robot than towards the avatar. The more children perceived the robot and its avatar as the same agency, the stronger their friendship with the avatar was. The stronger their friendship with the avatar, the more they were motivated to play with the app and the higher the app scored on usability. The combination of physical and virtual embodiments seems to provide a unique opportunity for building ubiquitous long-term child-agent friendships. an avatar complementing a physical robot in health care could increase children's motivation and adherence to use self-management support systems. Copyright © 2018 Elsevier B.V. All rights reserved.

Use of the project management methodology to establish physical protection system at nuclear facility

International Nuclear Information System (INIS)

Gramotkin, F.; Kuzmyak, I.; Kravtsov, V.

2015-01-01

The paper considers the possibility of using the project management methodology developed by the Project Management Institute (USA) in nuclear security in terms of modernization or development of physical protection system at nuclear facility. It was demonstrated that this methodology allows competent and flexible management of the projects on physical protection, ensuring effective control of their timely implementation in compliance with the planned budget and quality

Management of physical health in patients with schizophrenia: practical recommendations.

Science.gov (United States)

Heald, A; Montejo, A L; Millar, H; De Hert, M; McCrae, J; Correll, C U

2010-06-01

Improved physical health care is a pressing need for patients with schizophrenia. It can be achieved by means of a multidisciplinary team led by the psychiatrist. Key priorities should include: selection of antipsychotic therapy with a low risk of weight gain and metabolic adverse effects; routine assessment, recording and longitudinal tracking of key physical health parameters, ideally by electronic spreadsheets; and intervention to control CVD risk following the same principles as for the general population. A few simple tools to assess and record key physical parameters, combined with lifestyle intervention and pharmacological treatment as indicated, could significantly improve physical outcomes. Effective implementation of strategies to optimise physical health parameters in patients with severe enduring mental illness requires engagement and communication between psychiatrists and primary care in most health settings. Copyright (c) 2010 Elsevier Masson SAS. All rights reserved.

A Database Management Assessment Instrument

Science.gov (United States)

Landry, Jeffrey P.; Pardue, J. Harold; Daigle, Roy; Longenecker, Herbert E., Jr.

2013-01-01

This paper describes an instrument designed for assessing learning outcomes in data management. In addition to assessment of student learning and ABET outcomes, we have also found the instrument to be effective for determining database placement of incoming information systems (IS) graduate students. Each of these three uses is discussed in this…

Management self-assessment in construction phase of nuclear power station

International Nuclear Information System (INIS)

Shao Bixiu

2004-01-01

Management self-assessment is one of the quality management methods to achieve the organization's continuous improvement. Through the investigation of the methods, the author hopes to give guideline to the management at all levels involved in the construction of nuclear power station in the implementation of management self-assessment, and also to make the management self-assessment more normalized, systematical and effective

Physical Health and Dual Diagnosis

OpenAIRE

Robson, Debbie; Keen, Sarah; Mauro, Pia

2008-01-01

The physical health of people with mental illness may be neglected for a variety of reasons. This paper looks at the common physical health problems experienced by people with a dual diagnosis of substance misuse and serious mental illness, and suggests ways of assessing and managing them.

Improving the training of managers in the sphere of physical culture and sports in Ukraine

Directory of Open Access Journals (Sweden)

Stadnik S.O.

2013-09-01

Full Text Available Analyzed contemporary research on the training of managers in the sphere of physical culture and sports in Ukraine and abroad. Analyzed 50 references, which dealt with various aspects of the preparation of sports managers. It was found that in higher education of Great Britain, Germany, France, Switzerland, Russia is working to prepare managers for the sphere of physical culture and sports. It was found that training of managers in Ukraine is carried out only on the basis of two universities. Found that the content of the training of sports managers in our country needs to be improved, taking into account international experience and current market conditions of the functioning of sports organizations. Identified the main ways of improving the training of managers in the sphere of physical culture and sports in Ukraine.

ASSESSING PHYSICAL DEVELOPMENT OF CHILDREN WITH PERCENTILE DIAGRAMS

Directory of Open Access Journals (Sweden)

Rita R. Kildiyarova

2017-01-01

Full Text Available The results of the analysis of methods assessing anthropometric measures in children are presented. A method for visual examination of physical development using author's percentile diagrams for height, body weight, and the harmony of development of children of different age groups is offered. The method can be quickly performed, it is recommended for mass screening examination of children under outpatient treatment. To monitor the health of a specific child, a monitoring assessment of physical development is possible. The analysis of Z-score is of great clinical importance when determining anthropometric measures below the 3rd percentile, for the assessment of premature infants with congenital malformations and other diseases, in the presence of obesity. Graphical curves of body weight, height to age, body weight according to the height of boys and girls can be used by pediatricians. 

Occupational physical activity assessment for chronic disease prevention and management: A review of methods for both occupational health practitioners and researchers.

Science.gov (United States)

Scott, Kenneth A; Browning, Raymond C

2016-01-01

Occupational physical activity (OPA) is an occupational exposure that impacts worker health. OPA is amenable to measurement and modification through the hierarchy of controls. Occupational exposure scientists have roles in addressing inadequate physical activity, as well as excessive or harmful physical activity. Occupational health researchers can contribute to the development of novel OPA exposure assessment techniques and to epidemiologic studies examining the health impacts of physical activity at work. Occupational health practitioners stand to benefit from understanding the strengths and limitations of physical activity measurement approaches, such as accelerometers in smartphones, which are already ubiquitous in many workplaces and in some worksite health programs. This comprehensive review of the literature provides an overview of physical activity monitoring for occupational exposure scientists. This article summarizes data on the public health implications of physical activity at work, highlighting complex relationships with common chronic diseases. This article includes descriptions of several techniques that have been used to measure physical activity at work and elsewhere, focusing in detail on pedometers, accelerometers, and Global Positioning System technology. Additional subjective and objective measurement strategies are described as well.

Physical Activity in Individuals with Severe Mental Illness: Client versus Case Manager Ratings

Science.gov (United States)

Bezyak, Jill L.; Chan, Fong; Lee, Eun-Jeong; Catalano, Denise; Chiu, Chung-Yi

2012-01-01

The "Physical Activity Scale for Individuals With Physical Disabilities" was examined as a physical activity measure for people with severe mental illness. Case manager ratings were more closely related to body mass index than clients' ratings, challenging the accuracy of self-report physical activity measures for individuals with severe mental…

[Risk Assessment and Risk Management of Chemicals in China].

Science.gov (United States)

Wang, Tie-yu; Zhou, Yun-qiao; Li, Qi-feng; Lü, Yong-long

2016-02-15

Risk assessment and risk management have been increasingly approved as an effective approach for appropriate disposal and scientific management of chemicals. This study systematically analyzed the risk assessment methods of chemicals from three aspects including health risk, ecological risk and regional risk. Based on the current situation of classification and management towards chemicals in China, a specific framework of risk management on chemicals was proposed by selecting target chemicals, predominant industries and related stakeholders as the objects. The results of the present study will provide scientific support for improving risk assessment and reasonable management of chemicals in China.

Pedometer assessed physical activity of people with metabolic syndrome in Poland.

Directory of Open Access Journals (Sweden)

Anna Owlasiuk

2014-06-01

Full Text Available introduction. Metabolic syndrome is a contemporary disease of civilization, an effect of lack of healthy behaviour, a consequence of lifestyle devoid of physical activity, eating poor quality food rich in calories and excessive stress. Apart from a proper diet, physical activity remains an important part of metabolic syndrome management. objective. The main objective of the work was to evaluate the physical activity of an adult population of patients with metabolic syndrome. materials and method. Adults aged 35–70 fulfilling the criteria of metabolic syndrome according to International Diabetes Federation (IDF were included. New Lifestyles NL-2000 pedometers were used to assess locomotive physical activity during an entire week. results. In the group of 100 subjects, as many as 61 people (61% represented low or sedentary activity, while nearly one fourth of the respondents – 23 (32% represented the negligible activity type. Average weekly physical activity of those in the study was 6,743 steps/day (in 100 individuals and ranged from 1,781–15,169. A great diversity was found in the study group, since the highest number of steps per day was 23,347 and the lowest – 409. No significant differences in the number of steps on weekdays and at weekends were observed (mean: 6,676/day and 6,913/day, espectively. A statistically significant negative correlation (r = -0.29 was observed between age and physical activity, between the average daily number of steps in the week and Waist Hip Ratio (WHR (r = 0.201, as well as between the average daily number of steps in the week and Body Mass Index (BMI (r = 0.226. conclusions. The majority of people with metabolic syndrome represent a low or sedentary activity type and decrease of physical activity corresponds to increasing age, BMI and WHR. No significant differences in physical activity are observed between working days and free days (weekends.

Should systematic risk assessment and immediate intervention of the acutely ill patient replace the traditional management paradigm?

LENUS (Irish Health Repository)

Kellett, John

2012-01-01

The outcome of the traditional diagnostic history and physical depends entirely on the availability, ability and diligence of an individual doctor. An alternative is a team-based approach that performs the following tasks: a focused assessment, monitoring of the response to initial treatment, and then determining what further management is appropriate (calling for urgent help if it is required). This concept is based on risk prediction rather than diagnosis, and is captured by the mnemonic FAITH3 (Focused Assessment, Initial Treatment, hAssessing response, calling for Help and Handing over care).

Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study.

Science.gov (United States)

Fagevik Olsén, Monika; Slobo, Margareta; Klarin, Lena; Caragounis, Eva-Corina; Pazooki, David; Granhed, Hans

2016-10-28

There is scarce knowledge of physical function and pain due to multiple rib fractures following trauma. The purpose of this follow-up was to assess respiratory and physical function, pain, range of movement and kinesiophobia in patients with multiple rib fractures who had undergone stabilizing surgery and compare with conservatively managed patients. A consecutive series of 31 patients with multiple rib fractures who had undergone stabilizing surgery were assessed >1 year after the trauma concerning respiratory and physical function, pain, range of movement in the shoulders and thorax, shoulder function and kinesiophobia. For comparison, 30 patients who were treated conservatively were evaluated with the same outcome measures. The results concerning pain, lung function, shoulder function and level of physical activity were similar in the two groups. The patients who had undergone surgery had a significantly larger range of motion in the thorax (p pain, better thoracic range of motion and physical function which would indicate that surgery is preferable. If operation technique could improve in the future with a less invasive approach, it would presumably decrease post-operative pain and the benefit of surgery would be greater than the morbidity of surgery. Patients undergoing surgery have a similar long-term recovery to those who are treated conservatively except for a better range of motion in the thorax and fewer limitations in physical function. Surgery seems to be beneficial for some patients, the question remains which patients. FoU i Sverige (R&D in Sweden), No 106121.

Managing epilepsy well: self-management needs assessment.

Science.gov (United States)

Fraser, Robert T; Johnson, Erica K; Miller, John W; Temkin, Nancy; Barber, Jason; Caylor, Lisa; Ciechanowski, Paul; Chaytor, Naomi

2011-02-01

Epilepsy self-management interventions have been investigated with respect to health care needs, medical adherence, depression, anxiety, employment, and sleep problems. Studies have been limited in terms of representative samples and inconsistent or restricted findings. The direct needs assessment of patients with epilepsy as a basis for program design has not been well used as an approach to improving program participation and outcomes. This study investigated the perceived medical and psychosocial problems of adults with epilepsy, as well as their preferences for self-management program design and delivery format. Results indicated a more psychosocially challenged subgroup of individuals with significant depressive and cognitive complaints. A self-management program that involves face-to-face individual or group meetings led by an epilepsy professional and trained peer leader for 60 minutes weekly was preferred. Six to eight sessions focused on diverse education sessions (e.g., managing disability and medical care, socializing on a budget, and leading a healthy lifestyle) and emotional coping strategies delivered on weeknights or Saturday afternoons were most highly endorsed. Emotional self-management and cognitive compensatory strategies require special emphasis given the challenges of a large subgroup. Copyright © 2010 Elsevier Inc. All rights reserved.

Safety Analysis in Design and Assessment of the Physical Protection of the OKG NPP

Energy Technology Data Exchange (ETDEWEB)

Lindahl, P., E-mail: par.lindahl@okg.eon.se [OKG Aktiebolag, Oskarshamn (Sweden)

2014-10-15

OKG AB operates a three unit nuclear power plant in the southern parts of Sweden. As a result of recent development of the legislation regarding physical protection of nuclear facilities, OKG has upgraded the protection against antagonistic actions. The new legislation includes requirements both on specific protective measures and on the performance of the physical protection as a whole. In short, the performance related requirements state that sufficient measures shall be implemented to protect against antagonistic actions, as defined by the regulator in the “Design Basis Threat” (DBT). Historically, physical protection and nuclear safety has been managed much as separate issues with different, sometimes contradicting, objectives. Now, insights from the work with the security upgrade have emphasized that physical protection needs to be regarded as an important part of the Defence-In-Depth (DiD) against nuclear accidents. Specifically, OKG has developed new DBT-based analysis methods, which may be characterized as probabilistically informed deterministic analysis, conformed to a format similar to the one used for conventional internal events analysis. The result is a powerful tool for design and assessment of the performance of the protection against antagonistic actions, using a nuclear safety perspective. (author)

Assessing Program Learning Objectives to Improve Undergraduate Physics Education

Science.gov (United States)

Menke, Carrie

2014-03-01

Our physics undergraduate program has five program learning objectives (PLOs) focusing on (1) physical principles, (2) mathematical expertise, (3) experimental technique, (4) communication and teamwork, and (5) research proficiency. One PLO is assessed each year, with the results guiding modifications in our curriculum and future assessment practices; we have just completed our first cycle of assessing all PLOs. Our approach strives to maximize the ease and applicability of our assessment practices while maintaining faculty's flexibility in course design and delivery. Objectives are mapped onto our core curriculum with identified coursework collected as direct evidence. We've utilized mostly descriptive rubrics, applying them at the course and program levels as well as sharing them with the students. This has resulted in more efficient assessment that is also applicable to reaccreditation efforts, higher inter-rater reliability than with other rubric types, and higher quality capstone projects. We've also found that the varied quality of student writing can interfere with our assessment of other objectives. This poster outlines our processes, resources, and how we have used PLO assessment to strengthen our undergraduate program.

A quality management model for radiation oncology physics

International Nuclear Information System (INIS)

Sternick, E.S.

1991-01-01

State-of-the-art radiation physics quality programs operate in a data rich environment. Given the abundance of recordable events, any formalism that serves to identify and monitor a set of attributes correlated with quality is to be regarded as an important management tool. The hierarchical tree structure model describes one such useful planning method. Of the several different types of tree structures, one of the most appropriate for quality management is the pyramid model. In this model, the associations between an overall program objective and the intermediate steps leading to its attainment, are indicated by both horizontal and vertical connectors. The overall objective of the system under study occupies the vertex of the pyramid, while the level immediately below contains its principal components. Further subdivisions of each component occur in successively lower levels. The tree finally terminates at a base level consisting of actions or requirements that must be fulfilled in order to satisfy the overall objective. A pyramid model for a radiation oncology physics quality program is discussed in detail. (author). 21 refs., 4 figs., 6 tabs

A systematic review of the efficacy of self-management programs for increasing physical activity in community-dwelling adults with acquired brain injury (ABI).

Science.gov (United States)

Jones, Taryn M; Dean, Catherine M; Hush, Julia M; Dear, Blake F; Titov, Nickolai

2015-04-19

Individuals living with acquired brain injury, typically caused by stroke or trauma, are far less likely to achieve recommended levels of physical activity for optimal health and well-being. With a growing number of people living with chronic disease and disability globally, self-management programs are seen as integral to the management of these conditions and the prevention of secondary health conditions. However, to date, there has been no systematic review of the literature examining the efficacy of self-management programs specifically on physical activity in individuals with acquired brain injury, whether delivered face-to-face or remotely. Therefore, the purpose of this review is to evaluate the efficacy of self-management programs in increasing physical activity levels in adults living in the community following acquired brain injury. The efficacy of remote versus face-to-face delivery was also examined. A systematic review of the literature was conducted. Electronic databases were searched. Two independent reviewers screened all studies for eligibility, assessed risk of bias, and extracted relevant data. Five studies met the inclusion criteria for this review. Studies were widely heterogeneous with respect to program content and delivery characteristics and outcomes, although all programs utilized behavioral change principles. Four of the five studies examined interventions in which physical activity was a component of a multifaceted intervention, where the depth to which physical activity specific content was covered, and the extent to which skills were taught and practiced, could not be clearly established. Three studies showed favorable physical activity outcomes following self-management interventions for stroke; however, risk of bias was high, and overall efficacy remains unclear. Although not used in isolation from face-to-face delivery, remote delivery via telephone was the predominant form of delivery in two studies with support for its inclusion

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

Science.gov (United States)

Huang, Hui-Chun; Shanklin, Carol W

2008-05-01

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

Comprehensive Assessment of Step Aerobics Exercises Effect on Women’s Physical Performance and Physical Health

Directory of Open Access Journals (Sweden)

І. П. Масляк

2015-03-01

Full Text Available Objective: To identify the dynamics of physical performance and physical health indicators in young and middle-aged women under the effect of step aerobics exercises. Material and methods. The grounds for the study were Kharkiv fitness club “Zorianyi”. The participants were 28 women aged 20-35. The study used the following methods: theoretical analysis of scientific and methodical literature, pedagogical experiment, methods of mathematical statistics, methods of determining physical performance (Harvard step test and physical health (anthropometry, pulsometry, tonometry, spirometry, dynamometry. Results: The study assessed the level of physical performance and physical health; analyzed age-related performance differences; determined the level of the effect of step aerobics on women’s physical performance and physical health. Conclusions: Step-aerobics exercises proved to have a positive effect on the level of physical performance and physical health of the young and middle-aged women.

3rd International Conference on Ecosystem Assessment Management

CERN Document Server

Ma, Sheng-Quan; Cao, Hu-hua; Ecosystem Assessment and Fuzzy Systems Management

2014-01-01

“Ecosystem Assessment and Fuzzy Systems Management” is the edited outcome of the 3rd International Conference on Ecosystem Assessment Management (ICEAM) and the Workshop on the Construction of an Early Warning Platform for Eco-tourism (WCEWPE) in Hainan on May 5-12, 2013, Haikou, China. The 3rd ICEAM and the WCEWPE, built on the success of previous conferences, are major Symposiums for scientists, engineers and logistic management researchers presenting their the latest achievements, developments and applications in all areas of Ecosystem Assessment Management, Early Warning Platform for Eco-tourism and fuzziology. It aims to strengthen relations between industry research laboratories and universities, and to create a primary symposium for world scientists. The book, containing 47 papers, is divided into five parts: “Ecosystem Assessment, Management and Information”; “Intelligent Algorithm, Fuzzy Optimization and Engineering Application”; “Spatial Data Analysis and Intelligent Information Proces...

Associations of Affective Responses During Free-Living Physical Activity and Future Physical Activity Levels: an Ecological Momentary Assessment Study.

Science.gov (United States)

Liao, Yue; Chou, Chih-Ping; Huh, Jimi; Leventhal, Adam; Dunton, Genevieve

2017-08-01

Affective response during physical activity may influence motivation to perform future physical activity behavior. However, affective response during physical activity is often assessed under controlled laboratory conditions. The current study used ecological momentary assessment (EMA) to capture affective responses during free-living physical activity performed by adults, and determined whether these affective responses predict future moderate-to-vigorous physical activity (MVPA) levels after 6 and 12 months. At baseline, electronic EMA surveys were randomly prompted across 4 days asking about current activities and affective states (e.g., happy, stressed, energetic, tired). Affective response during physical activity was operationalized as the level of positive or negative affect reported when concurrent physical activity (e.g., exercise or sports) was also reported. Data were available for 82 adults. Future levels of moderate-to-vigorous physical activity (MVPA) were measured using accelerometers, worn for seven consecutive days at 6 and 12 months after the baseline assessment. Feeling more energetic during physical activity was associated with performing more minutes of daily MVPA after both 6 and 12 months. Feeling less negative affect during physical activity was associated with engaging in more daily MVPA minutes after 12 months only. This study demonstrated how EMA can be used to capture affective responses during free-living physical activity. Results found that feelings more energetic and less negative during physical activity were associated with more future physical activity, suggesting that positive emotional benefits may reinforce behavior.

Ignitor physics assessment and confinement projections

International Nuclear Information System (INIS)

Horton, W.; Porcelli, F.; Zhu, P.; Aydemir, A.; Tajima, T.; Kishimoto, Y.

2001-01-01

An independent assessment is presented of the physics of Ignitor, a physics demonstration experiment for achieving thermonuclear ignition (where fusion alpha heating compensates for all forms of energy losses). Simulations show that a pulse of particle power up to 10-20 MW is produced for a few seconds. Crucial issues are the production of peaked density profiles over several energy confinement times, the control of current penetration for the optimization of ohmic heating, and sawtooth avoidance. The presence of a 10-20 MW ion cyclotron radio frequency system and the operation of a high-speed pellet injector are considered essential to provide added flexibility in order to counter unexpected, adverse plasma behavior. (author)

A social-ecological impact assessment for public lands management: application of a conceptual and methodological framework

Directory of Open Access Journals (Sweden)

Amanda L. Bentley Brymer

2016-09-01

Full Text Available According to the U.S. National Environmental Policy Act of 1969 (NEPA, federal action to manipulate habitat for species conservation requires an environmental impact statement, which should integrate natural, physical, economic, and social sciences in planning and decision making. Nonetheless, most impact assessments focus disproportionately on physical or ecological impacts rather than integrating ecological and socioeconomic components. We developed a participatory social-ecological impact assessment (SEIA that addresses the requirements of NEPA and integrates social and ecological concepts for impact assessments. We cooperated with the Bureau of Land Management in Idaho, USA on a project designed to restore habitat for the Greater Sage-Grouse (Centrocercus urophasianus. We employed questionnaires, workshop dialogue, and participatory mapping exercises with stakeholders to identify potential environmental changes and subsequent impacts expected to result from the removal of western juniper (Juniperus occidentalis. Via questionnaires and workshop dialogue, stakeholders identified 46 environmental changes and associated positive or negative impacts to people and communities in Owyhee County, Idaho. Results of the participatory mapping exercises showed that the spatial distribution of social, economic, and ecological values throughout Owyhee County are highly associated with the two main watersheds, wilderness areas, and the historic town of Silver City. Altogether, the SEIA process revealed that perceptions of project scale varied among participants, highlighting the need for specificity about spatial and temporal scales. Overall, the SEIA generated substantial information concerning potential impacts associated with habitat treatments for Greater Sage-Grouse. The SEIA is transferable to other land management and conservation contexts because it supports holistic understanding and framing of connections between humans and ecosystems. By applying

Assessing the Performance of Business Unit Managers

NARCIS (Netherlands)

Bouwens, J.F.M.G.; van Lent, L.A.G.M.

2006-01-01

Using a sample of 140 managers, we investigate the use of various performance metrics in determining the periodic assessment, bonus decisions, and career paths of business unit managers.We show that the weight on accounting return measures is associated with the authority of these managers, and we

Assessment of the implementation of environmental management ...

African Journals Online (AJOL)

Assessment of the implementation of environmental management system in the construction ... Journal of Fundamental and Applied Sciences ... The Environmental Management System (EMS) illustrates a possible solution to reduce the ...

Selection, competency development and assessment of nuclear power plant managers

International Nuclear Information System (INIS)

1998-06-01

This publication provides information on proven methods and good practices with respect to the selection, development and assessment of nuclear power plant (NPP) managers. The report is organized into four sections, a glossary, two appendices, and several annexes. The Introduction (Section 1) provides the framework for the report. Section 2 describes how appropriate management competencies can be used for the selection, development and assessment of NPP managers, including: -Selection which includes recruitment, promotion and succession management. -Management development programmes including formal training, job rotation, on the job training, mentoring, and outside assignments. -Assessment of individual performance. Section 3 describes a systematic process for identifying the competencies needed by NPP managers. This section culminates in a set of suggested core competencies for NPP managers which are further expanded in Appendix A. The annexes included provide specific examples of competency-based management selection, development, and assessment programmes in several Member States. -Annex A is one method to organize and display competencies. -Annex B is an example of using competencies for selection of first line managers. -Annex C is an example of using management competencies for succession management. -Annexes -H are examples of management development programmes. -Annexes I and J are examples of management assessment programmes. A glossary of terms is provided at the end of the report to explain the use of some key terms explain the use of some key terms

Forest Landscape Assessment Tool (FLAT): rapid assessment for land management

Science.gov (United States)

Lisa Ciecko; David Kimmett; Jesse Saunders; Rachael Katz; Kathleen L. Wolf; Oliver Bazinet; Jeffrey Richardson; Weston Brinkley; Dale J. Blahna

2016-01-01

The Forest Landscape Assessment Tool (FLAT) is a set of procedures and tools used to rapidly determine forest ecological conditions and potential threats. FLAT enables planners and managers to understand baseline conditions, determine and prioritize restoration needs across a landscape system, and conduct ongoing monitoring to achieve land management goals. The rapid...

Methodology of Economic Assessment of Corporate Finance Management Effectiveness

OpenAIRE

Juscu Nicolae Cristian

2011-01-01

“The methodology of economic assessment of corporate finance management effectiveness” deals with the analysis of the basic issues of economic aspects of corporate finance management effectiveness; the paper presents the essential issues of the existing methods for establishing the economic effectiveness of corporate finance management and control; it also proposes the improvement of the approach regarding the assessment of finance management effectiveness of a company.

Asilomar conference on managing complexity in high energy physics: A summary and renaming of the conference

International Nuclear Information System (INIS)

Nash, T.

1987-02-01

The complex aspects of high energy physics work are briefly described, and approaches to managing them are discussed. Management of software and data are covered. For managing complexity in experimental physics, the choice of building or buying processor systems is addressed and the issues of compatibility and standardization are discussed

Management system quality of service radio physics and RR. ISO 9001

International Nuclear Information System (INIS)

Gil Agudo, A.; Torres Donaire, J.; Jimenez, J. C.; Carrascosa Fernandez, C.; Arjona Gutierrez, J.

2011-01-01

One of the tool increasingly deployed for the optimization of the procedures is the process management system according to a Quality Management. Likewise, for specific areas, such as central services within large institutions such as the General Hospitals of the systems of quality management is the most widely used ISO 9001. We describe in this paper our experience in implementing the system ISO 9001 in our Department of Radio physics and Radiation Protection (SRFPR).

Gait and physical impairments in patients with acute ankle sprains who did not receive physical therapy.

Science.gov (United States)

Punt, Ilona M; Ziltener, Jean-Luc; Laidet, Magali; Armand, Stéphane; Allet, Lara

2015-01-01

To assess ankle function 4 weeks after conservative management and to examine the correlation of function with gait. A prospective comparison study. Thirty patients with grade I or II acute ankle sprains were followed up after 4 weeks of conservative management not involving physical therapy. Participants underwent a clinical assessment and had to walk at a normal self-selected walking speed. Their results were compared with the data of 15 healthy subjects. Participants' joint swelling, muscle strength, passive mobility, and pain were assessed. In addition, patients' temporal-spatial, kinematic, and kinetic gait data were measured while walking. Muscle strength and passive mobility were significantly reduced on the injured side compared with the noninjured side (P ankle sprains showed slower walking speed, shorter step length, shorter single support time, reduced and delayed maximum plantar flexion, decreased maximum power, and decreased maximum moment (P ankle sprain, patients who did not receive physical therapy showed physical impairments of the ankle that were correlated with gait parameters. These findings might help fine-tune rehabilitation protocols. Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

Environmental Management Assessment of the Stanford Linear Accelerator Center

International Nuclear Information System (INIS)

1994-01-01

This report documents the results of the Environmental Management Assessment of the Stanford Linear Accelerator Center (SLAC), Menlo Park, California. During this assessment, the activities conducted by the assessment team included reviews of internal documents and reports from previous assessments; interviews with the US Department of Energy (DOE), US Environmental Protection Agency, State Water Resources Board, California Regional Water Quality Control Board, and SLAC contractor personnel; and inspections and observations of selected facilities and operations. Onsite portion of the assessment was conducted from January 18 through January 31, 1994, by the DOE Office of Environmental Audit (EH-24), located within the Office of Environment, Safety and Health (EH), and the Environment and Safety Support Division (ESS), located within the Oakland Operations Office (OAK). The EH-24 environmental management assessment and the OAK functional appraisal were combined to minimize disruptions to the site. The management disciplines and three technical areas (air quality, groundwater, and inactive waste sites) were evaluated by EH-24, and four other technical areas (surface water, waste management, toxic and chemical materials, and environmental radiation) were assessed by ESS

Assessing the physical vulnerability of check dams through an empirical damage index

Directory of Open Access Journals (Sweden)

Andrea Dell'Agnese

2013-06-01

Full Text Available A comprehensive analysis of flood risk in mountain streams has to include an assessment of the vulnerability of the protection systems, in addition to an assessment of the vulnerability of the constructed environment on alluvial fans and floodplains. Structures forming the protection systems are of a dual nature, i.e. they are designed to mitigate natural process-related hazards and, on the other hand, are prone to be damaged during their lifecycle by the same processes they should mitigate. Therefore, their effectiveness declines over time. Hence, the knowledge of how effectively control structures perform is essential for risk management. A procedure was developed to assess the physical vulnerability of check dams based on empirical evidence collected in South Tyrol, Northern Italy. A damage index defined on pre- and postevent comparisons of check dam conditions was evaluated for 362 structures in 18 mountain streams along with the relevant processes and the structural characteristics affecting it. Although the available dataset did not allow conclusive functional relationships between damage index and impact variables to be established, it was possible to assess the average expected residual functionality of check dams according to structure characteristics, and event type and intensity. These results may help plan appropriate check dam maintenance.

Assessment of physical activity in medical and public health students

OpenAIRE

Rejali, Mehri; Mostajeran, Mahnaz

2013-01-01

Background: Reduced level of physical activity, as an important problem of urbanization and industrial development, has a considerable impact on the population morbidity and mortality. The rate of inactivity has been reported to be 60?85% in adults worldwide. Considering the importance of physical activity among youth, the aim of this study was to evaluate the physical activity among university students. Materials and Methods: In this cross-sectional study physical activity was assessed in 39...

Modelling the inventory and impact assessment of partitioning and transmutation approaches to spent nuclear fuel management

International Nuclear Information System (INIS)

Hoggett-Jones, C.; Robbins, C.; Gettinby, G.; Blythe, S.

2002-01-01

An inventory modelling and impact assessment system to investigate the potential effects of partitioning and transmutation is proposed. It is founded on a mass based inventory analysis using the principles of basic nuclear physics and the international standards for assessing radiological health effects. It is specific to the back-end of the nuclear fuel cycle and is applied to four alternative spent fuel management strategies. The system accounts for the dynamic nature of post-irradiation scenarios and is being used to develop software for use within the nuclear power industry. Four example waste-disposal options are considered using the method. Impact assessments and parameter sensitivity analyses are presented

Modelling the inventory and impact assessment of partitioning and transmutation approaches to spent nuclear fuel management

Energy Technology Data Exchange (ETDEWEB)

Hoggett-Jones, C. E-mail: craig@stams.strath.ac.uk; Robbins, C.; Gettinby, G.; Blythe, S

2002-03-01

An inventory modelling and impact assessment system to investigate the potential effects of partitioning and transmutation is proposed. It is founded on a mass based inventory analysis using the principles of basic nuclear physics and the international standards for assessing radiological health effects. It is specific to the back-end of the nuclear fuel cycle and is applied to four alternative spent fuel management strategies. The system accounts for the dynamic nature of post-irradiation scenarios and is being used to develop software for use within the nuclear power industry. Four example waste-disposal options are considered using the method. Impact assessments and parameter sensitivity analyses are presented.

Revision Vodcast Influence on Assessment Scores and Study Processes in Secondary Physics

Science.gov (United States)

Marencik, Joseph J.

A quasi-experimental switching replications design with matched participants was employed to determine the influence of revision vodcasts, or video podcasts, on students' assessment scores and study processes in secondary physics. This study satisfied a need for quantitative results in the area of vodcast influence on students' learning processes. Thirty-eight physics students in an urban Ohio public high school participated in the study. The students in one Physics class were paired with students in another Physics class through the matching characteristics of current student cumulative test score mean and baseline study process as measured by the Study Process Questionnaire (SPQ). Students in both classes were given identical pedagogic treatment and access to traditional revision tools except for the supplemental revision vodcasts given to the experimental group. After students in the experimental group viewed the revision vodcast for a particular topic, the assessment scores of the students in the experimental group were compared to the assessment scores of the control group through the direct-difference, D, test to determine any difference between the assessment score means of each group. The SPQ was given at the beginning of the experiment and after each physics assessment. The direct-difference method was again used to determine any difference between the SPQ deep approach scores of each group. The SPQ was also used to determine any correlative effects between study process and revision vodcast use on students' assessment scores through descriptive statistics and an analysis of variance (ANOVA) test. Analysis indicated that revision vodcast use significantly increased students' assessment scores (p.05). There were no significant correlative effects of revision vodcast use and study processes on students' assessment scores (p>.05). This study offers educators the empirical support to devote the necessary effort, time, and resources into developing successful

Analysis of Praxis Physics Subject Assessment Examinees and Performance: Who Are Our Prospective Physics Teachers?

Science.gov (United States)

Shah, Lisa; Hao, Jie; Rodriguez, Christian A.; Fallin, Rebekah; Linenberger-Cortes, Kimberly; Ray, Herman E.; Rushton, Gregory T.

2018-01-01

A generally agreed-upon tenant of the physics teaching community is the centrality of subject-specific expertise in effective teaching. However, studies which assess the content knowledge of incoming K-12 physics teachers in the U.S. have not yet been reported. Similarly lacking are studies on if or how the demographic makeup of aspiring physics…

Methodology for assessing performance of waste management systems

International Nuclear Information System (INIS)

Meshkov, N.K.; Herzenberg, C.L.; Camasta, S.F.

1988-01-01

The newly revised draft DOE Order 5820.2, Chapter 3, requires that DOE low-level waste shall be managed on a systematic basis using the most appropriate combination of waste generation reduction, segregation, treatment, and disposal practices so that the radioactive components are contained and the overall cost effectiveness is minimized. This order expects each site to prepare and maintain an overall waste management systems performance assessment supporting the combination of waste management practices used in generation reduction segregation, treatment, packaging, storage, and disposal. A document prepared by EG and G Idaho, Inc. for the Department of Energy called Guidance for Conduct of Waste Management Systems Performance Assessment is specifically intended to provide the approach necessary to meet the systems performance assessment requirement of DOE Order 5820.2, Chapter 3, and other applicable state regulations dealing with LLW (low-level radioactive wastes). Methods and procedures are needed for assessing the performance of a waste management system. This report addresses this need. The purpose of the methodology provided in this report is to select the optimal way to manage particular sets of waste streams from generation to disposal in a safe and cost-effective manner, and thereby assist the DOE LLW mangers in complying with the DOE Order 5820.2, Chapter 3, and the associated guidance document

Question order in the assessment of misperception of physical activity

Directory of Open Access Journals (Sweden)

van Dijke Marius

2007-09-01

Full Text Available Abstract Background People often have misperceptions (overestimation or underestimation about the health-related behaviours they engage in, which may have adverse consequences for their susceptibility to behavioural change. Misperception is usually measured by combining and comparing quantified behavioural self-reports with subjective classification of the behaviour. Researchers assume that such assessments of misperception are not influenced by the order of the two types of measurement, but this has never been studied. Based on the precaution adoption model and the information processing theory, it might be expected that taking the subjective measurement after a detailed quantified behavioural self-report would improve the accuracy of the subjective measurement because the quantified report urges a person to think more in detail about their own behaviour. Methods In an experiment (n = 521, quantified self-report and subjective assessment were manipulated in a questionnaire. In one version, the quantified self-report was presented before the subjective assessment, whereas in the other version, the subjective assessment came first. Results Neither subjective assessment nor overestimation of physical activity were biased by the order of the questions. Underestimation was more prevalent among subgroups of the group which answered the subjective assessment after the quantified self-report. Conclusion Question order in questionnaires does not seem to influence misperceptions concerning physical activity in groups relevant for health education (overestimators: those who do not meet the guidelines for physical activity while rating their physical activity as sufficient or high. The small order effect found in underestimators is less relevant for health education because this subgroup already meets the guideline and therefore does not need to change behaviour.

Assessing the outcome of Strengthening Laboratory Management ...

African Journals Online (AJOL)

SLMTA) is a competency-based management training programme designed to bring about immediate and measurable laboratory improvement. The aim of this study is to assess the outcome of SLMTA on laboratory quality management system in ...

Physical and social contextual influences on children's leisure-time physical activity: an ecological momentary assessment study.

Science.gov (United States)

Dunton, Genevieve F; Liao, Yue; Intille, Stephen; Wolch, Jennifer; Pentz, Mary Ann

2011-01-01

This study used real-time electronic surveys delivered through mobile phones, known as Ecological Momentary Assessment (EMA), to determine whether level and experience of leisure-time physical activity differ across children's physical and social contexts. Children (N = 121; ages 9 to 13 years; 52% male, 32% Hispanic/Latino) participated in 4 days (Fri.-Mon.) of EMA during nonschool time. Electronic surveys (20 total) assessed primary activity (eg, active play/sports/exercise), physical location (eg, home, outdoors), social context (eg, friends, alone), current mood (positive and negative affect), and enjoyment. Responses were time-matched to the number of steps and minutes of moderate-to-vigorous physical activity (MVPA; measured by accelerometer) in the 30 minutes before each survey. Mean steps and MVPA were greater outdoors than at home or at someone else's house (all P affect was greater when alone and with family only than friends only (all P < .05). Results describing the value of outdoor and social settings could inform context-specific interventions in this age group.

Soil physical indicators of management systems in traditional agricultural areas under manure application

Directory of Open Access Journals (Sweden)

Luiz Paulo Rauber

Full Text Available ABSTRACT Studies of the successive application of manure as fertilizer and its combined effect with long-term soil management systems are important to the identification of the interdependence of physical attributes. The aim of this study was to evaluate changes in the physical properties of a Rhodic Kandiudox under management systems employing successive applications of pig slurry and poultry litter, and select physical indicators that distinguish these systems using canonical discriminant analysis (CDA. The systems consisting of treatments including land use, management and the application time of organic fertilizers are described as follows: silage maize under no-tillage (NT-M7 years; silage maize under conventional tillage (CT-M20 years; annual pasture with chisel plowing (CP-P3 years; annual pasture with chisel plowing (CP-P15 years; perennial pasture without tillage (NT-PP20 years; and no-tillage yerba mate (NT-YM20 years and were compared with native forest (NF and native pasture (NP. Soil samples were collected from the layers at the following depths: 0.0-0.05, 0.05-0.10, and 0.10-0.20 m, and were analyzed for bulk density, porosity, aggregation, flocculation, penetration resistance, water availability and total clay content. Canonical discriminant analysis was an important tool in the study of physical indicators of soil quality. Organic fertilization, along with soil management, influences soil structure and its porosity. Total porosity was the most important physical property in the distinction of areas with management systems and application times of manure for the 0.0-0.05 and 0.10-0.20 m layers. Soil aeration and micropores differentiated areas in the 0.05-0.10 m layer. Animal trampling and machinery traffic were the main factors inducing compaction of this clayey soil.

Physical Activity Assessment

Science.gov (United States)

Current evidence convincingly indicates that physical activity reduces the risk of colon and breast cancer. Physical activity may also reduce risk of prostate cancer. Scientists are also evaluating potential relationships between physical activity and other cancers.

Correlation between physical examination and three-dimensional gait analysis in the assessment of rotational abnormalities in children with cerebral palsy.

Science.gov (United States)

Teixeira, Fernando Borge; Ramalho Júnior, Amancio; Morais Filho, Mauro César de; Speciali, Danielli Souza; Kawamura, Catia Miyuki; Lopes, José Augusto Fernandes; Blumetti, Francesco Camara

2018-01-01

Objective To evaluate the correlation between physical examination data concerning hip rotation and tibial torsion with transverse plane kinematics in children with cerebral palsy; and to determine which time points and events of the gait cycle present higher correlation with physical examination findings. Methods A total of 195 children with cerebral palsy seen at two gait laboratories from 2008 and 2016 were included in this study. Physical examination measurements included internal hip rotation, external hip rotation, mid-point hip rotation and the transmalleolar axis angle. Six kinematic parameters were selected for each segment to assess hip rotation and shank-based foot rotation. Correlations between physical examination and kinematic measures were analyzed by Spearman correlation coefficients, and a significance level of 5% was considered. Results Comparing physical examination measurements of hip rotation and hip kinematics, we found moderate to strong correlations for all variables (pphysical examination and hip rotation kinematics (rho range: 0.48-0.61). Moderate correlations were also found between the transmalleolar axis angle measurement on physical examination and foot rotation kinematics (rho range 0.44-0.56; p<0.001). Conclusion These findings may have clinical implications in the assessment and management of transverse plane gait deviations in children with cerebral palsy.

Implementing Management Systems-Based Assessments

International Nuclear Information System (INIS)

Campisi, John A.; Reese, Robert T.

1999-01-01

centralized management systems. The resulting corporate management system gives the appearance of an assembly of multiple, nearly independent operating units. The executive management system maintains these separate units, encouraging autonomy and creativity by establishing a minimum of requirements and procedures. In any organization, senior management has a responsibility to ensure that all operating units are meeting requirements. Part of this responsibility is fulfilled by conducting oversight or assurance activities, to determine the effectiveness of established systems in meeting requirements and performance expectations. Internal independent assessment is one of these assurance activities. Independent appraisals are combined with external audits and appraisals, self-assessments, peer reviews, project reviews, and other internal and external audits (e.g., financial, contractual) for a more complete assurance view. At SNL, internal independent appraisals are performed by the Audit Center, which reports directly to the Executive Vice President. ES ampersand H independent appraisals are the responsibility of the ES ampersand H and Quality Assessments Department, with a staff complement of eight. With our organization's charter to perform internal, independent appraisals, we set out to develop an approach and associated tools, which would be useful in the overall SNL environment and within our resource limitations

Implementing Management Systems-Based Assessments

Energy Technology Data Exchange (ETDEWEB)

Campisi, John A.; Reese, Robert T.

1999-05-03

centralized management systems. The resulting corporate management system gives the appearance of an assembly of multiple, nearly independent operating units. The executive management system maintains these separate units, encouraging autonomy and creativity by establishing a minimum of requirements and procedures. In any organization, senior management has a responsibility to ensure that all operating units are meeting requirements. Part of this responsibility is fulfilled by conducting oversight or assurance activities, to determine the effectiveness of established systems in meeting requirements and performance expectations. Internal independent assessment is one of these assurance activities. Independent appraisals are combined with external audits and appraisals, self-assessments, peer reviews, project reviews, and other internal and external audits (e.g., financial, contractual) for a more complete assurance view. At SNL, internal independent appraisals are performed by the Audit Center, which reports directly to the Executive Vice President. ES&H independent appraisals are the responsibility of the ES&H and Quality Assessments Department, with a staff complement of eight. With our organization's charter to perform internal, independent appraisals, we set out to develop an approach and associated tools, which would be useful in the overall SNL environment and within our resource limitations.

Management of physical child abuse in South Africa:Literature review and children's hospital data analysis

NARCIS (Netherlands)

Janssen, T.L. (T. L.); M. van Dijk (Monique); Al Malki, I. (I.); A.B. van As (Àrjan Bastiaan)

2013-01-01

textabstractBackground: The reason for this review is the lack of data on the management of physical abused children in Africa. The primary goal of the first part is to outline the management of physical child abuse in (South) Africa and provide suggestions for other governments in Africa on which

Assessment of physical activity in people with diabetes and peripheral neuropathy

NARCIS (Netherlands)

van Schie, Carine H. M.; Noordhof, Elja L. J.; Busch-Westbroek, Tessa E.; Beelen, Anita; Nollet, Frans

2011-01-01

This study evaluates the validity of the Step Activity Monitor (SAM) for assessing physical activity in neuropathic people with diabetes and the relation with self-reported physical activity. SAM was shown to be valid. Although SAM and self-reported physical activity are correlated, caution should

Definition and assessment of physical efficiency of students – basketball players

Directory of Open Access Journals (Sweden)

Kuzminchuk Artem

2016-04-01

Full Text Available Purpose: assess the level of physical efficiency of students – basketball players by using the Harvard step test. Material & Methods: the analysis of scientific-methodical literature, educational testing, pedagogical experiment, methods of mathematical statistics. For determination and assessment physical efficiency of students – basketball players used the Harvard step test. In pedagogical testing for assessing special performance was attended by 14 students – basketball players (n=14 men's teams of the Medical Institute of Sumy State University. Results: the analysis of scientific and technical literature showed gaps in training basketball players, namely, to improve the physical performance. Especially these problems are when basketball training sessions combine with study in higher educational institutions. The load that caused a combination of mental and physical labor is enough to affect on the performance, develop resistance to fatigue. Still need to look for approaches that can help in conditions of single 3-4 workouts per week to maintain a high level of physical capacity of basketball players. Conclusions: analyzing the test results of basketball team players at Medical Institute of Sumy State University, we can say that the level of physical performance is satisfactory and functional status is mediocre. Players need more regular training which includes special exercises with high intensity close to competitive conditions

Relative Physical Position as an Impression-Management Strategy: Sex Differences in Its Use and Implications.

Science.gov (United States)

Makhanova, Anastasia; McNulty, James K; Maner, Jon K

2017-05-01

People's physical position relative to others may shape how those others perceive them. The research described here suggests that people use relative physical position to manage impressions by strategically positioning themselves either higher or lower relative to ostensible observers. Five studies supported the prediction that women take and display photographs portraying themselves in a low relative physical position to highlight their youthful features and appear attractive, whereas men take and display photographs portraying themselves in a high relative physical position to highlight their size and appear dominant. The effectiveness of these strategies was confirmed in two studies that measured social perceptions of male and female targets who varied in their relative position. In sum, as do members of other social species, people use relative physical position to manage social impressions, and although these impression-management strategies may have deep ancestral roots, they appear to manifest themselves through a contemporary human modality-photographs.

Assessment of uncertainties in severe accident management strategies

International Nuclear Information System (INIS)

Kastenberg, W.E.; Apostolakis, G.; Catton, I.; Dhir, V.K.; Okrent, D.

1990-01-01

Recent progress on the development of Probabilistic Risk Assessment (PRA) as a tool for qualifying nuclear reactor safety and on research devoted to severe accident phenomena has made severe accident management an achievable goal. Severe accident management strategies may involve operational changes, modification and/or addition of hardware, and institutional changes. In order to achieve the goal of managing severe accidents, a method for assessment of strategies must be developed which integrates PRA methodology and our current knowledge concerning severe accident phenomena, including uncertainty. The research project presented in this paper is aimed at delineating uncertainties in severe accident progression and their impact on severe accident management strategies

Students attitude of physical education and healthy lifestyle and their self-assessment of physical fitness

Directory of Open Access Journals (Sweden)

Vitaliy Grinko

2015-02-01

Full Text Available Purpose: to identify students' attitudes toward physical education and healthy lifestyle, their own assessment of the level of physical fitness and physical qualities of priority. Material and Methods: conducted a questionnaire survey of students of Kharkiv National Economic University and Peter Vasilenko Kharkiv National Technical University of Agriculture. The study involved 166 first-year students (77 boys and 89 girls. Results: it was found that a positive attitude towards a healthy lifestyle and stick to it – 69,35% of the respondents; to physical education and are aware of the usefulness of employment – 84,8%; satisfied with their level of physical development – 40,65%. Conclusions: these results confirm the data that is currently experiencing a significant decline in the level of interest and motivation of students to a healthy lifestyle and physical education.

Self-management of mood and/or anxiety disorders through physical activity/exercise.

Science.gov (United States)

Pelletier, Louise; Shanmugasegaram, Shamila; Patten, Scott B; Demers, Alain

2017-05-01

Physical activity/exercise is regarded as an important self-management strategy for individuals with mental illness. The purpose of this study was to describe individuals with mood and/or anxiety disorders who were exercising or engaging in physical activity to help manage their disorders versus those who were not, and the facilitators for and barriers to engaging in physical activity/exercise. For this study, we used data from the 2014 Survey on Living with Chronic Diseases in Canada-Mood and Anxiety Disorders Component. Selected respondents (n = 2678) were classified according to the frequency with which they exercised: (1) did not exercise; (2) exercised 1 to 3 times a week; or (3) exercised 4 or more times a week. We performed descriptive and multinomial multiple logistic regression analyses. Estimates were weighted to represent the Canadian adult household population living in the 10 provinces with diagnosed mood and/or anxiety disorders. While 51.0% of the Canadians affected were not exercising to help manage their mood and/or anxiety disorders, 23.8% were exercising from 1 to 3 times a week, and 25.3% were exercising 4 or more times a week. Increasing age and decreasing levels of education and household income adequacy were associated with increasing prevalence of physical inactivity. Individuals with a mood disorder (with or without anxiety) and those with physical comorbidities were less likely to exercise regularly. The most important factor associated with engaging in physical activity/exercise was to have received advice to do so by a physician or other health professional. The most frequently cited barriers for not exercising at least once a week were as follows: prevented by physical condition (27.3%), time constraints/too busy (24.1%) and lack of will power/self-discipline (15.8%). Even though physical activity/exercise has been shown beneficial for depression and anxiety symptoms, a large proportion of those with mood and/or anxiety disorders did

Self-management of mood and/or anxiety disorders through physical activity/exercise

Directory of Open Access Journals (Sweden)

Louise Pelletier

2017-05-01

Full Text Available Introduction: Physical activity/exercise is regarded as an important self-management strategy for individuals with mental illness. The purpose of this study was to describe individuals with mood and/or anxiety disorders who were exercising or engaging in physical activity to help manage their disorders versus those who were not, and the facilitators for and barriers to engaging in physical activity/exercise. Methods: For this study, we used data from the 2014 Survey on Living with Chronic Diseases in Canada-Mood and Anxiety Disorders Component. Selected respondents (n = 2678 were classified according to the frequency with which they exercised: (1 did not exercise; (2 exercised 1 to 3 times a week; or (3 exercised 4 or more times a week. We performed descriptive and multinomial multiple logistic regression analyses. Estimates were weighted to represent the Canadian adult household population living in the 10 provinces with diagnosed mood and/or anxiety disorders. Results: While 51.0% of the Canadians affected were not exercising to help manage their mood and/or anxiety disorders, 23.8% were exercising from 1 to 3 times a week, and 25.3% were exercising 4 or more times a week. Increasing age and decreasing levels of education and household income adequacy were associated with increasing prevalence of physical inactivity. Individuals with a mood disorder (with or without anxiety and those with physical comorbidities were less likely to exercise regularly. The most important factor associated with engaging in physical activity/exercise was to have received advice to do so by a physician or other health professional. The most frequently cited barriers for not exercising at least once a week were as follows: prevented by physical condition (27.3%, time constraints/too busy (24.1% and lack of will power/self-discipline (15.8%. Conclusion: Even though physical activity/exercise has been shown beneficial for depression and anxiety symptoms, a large

Effects of comprehensive geriatric assessment on physical fitness in an acute medical setting for frail elderly patients.

Science.gov (United States)

Åhlund, Kristina; Bäck, Maria; Öberg, Birgitta; Ekerstad, Niklas

2017-01-01

Frail elderly people often use emergency care. During hospitalization, physical decline is common, implying an increased risk of adverse health outcomes. Comprehensive Geriatric Assessment (CGA) has been shown to be beneficial for these patients in hospital care. However, there is very limited evidence about the effects on physical fitness. The aim was to compare effects on physical fitness in the acute care of frail elderly patients at a CGA unit versus conventional care, 3 months after discharge. A clinical, prospective, controlled trial with two parallel groups was conducted. Patients aged ≥75 years, assessed as frail and in need of inpatient care, were assigned to a CGA unit or conventional care. Measurements of physical fitness, including handgrip strength (HS), timed up-and-go (TUG), and the 6-minute walk test (6-MWT) were made twice, at the hospital index care period and at the 3-month follow-up. Data were analyzed as the mean change from index to the 3-month follow-up, and dichotomized as decline versus stability/improvement in physical fitness. In all, 408 participants, aged 85.7±5.4 years, were included. The intervention group improved significantly in all components of physical fitness. The controls improved in TUG and declined in HS and 6-MWT. When the changes were dichotomized the intervention group declined to a lesser extent; HS p elderly patients at a CGA unit is superior to conventional care in terms of preserving physical fitness at 3 months follow-up. CGA management may positively influence outcomes of great importance for these patients, such as mobility, strength, and endurance.

Assessment of physical activity and energy expenditure: an overview of objective measures

Directory of Open Access Journals (Sweden)

Andrew P Hills

2014-06-01

Full Text Available The ability to assess energy expenditure and estimate physical activity in free-living individuals is extremely important in the global context of non-communicable diseases including malnutrition, overnutrition (obesity and diabetes. It is also important to appreciate that physical activity and energy expenditure are different constructs with physical activity defined as any bodily movement that results in energy expenditure and accordingly, energy is expended as a result of physical activity. However, total energy expenditure, best assessed using the criterion doubly labelled water technique, includes components in addition to physical activity energy expenditure, namely resting energy expenditure and the thermic effect of food. Given the large number of assessment techniques currently used to estimate physical activity in humans, it is imperative to understand the relative merits of each. The goal of this review is to provide information on the utility and limitations of a range of objective measures of physical activity and their relationship with energy expenditure. The measures discussed include those based on energy expenditure or oxygen uptake including doubly labelled water, activity energy expenditure, physical activity level, and metabolic equivalent; those based on heart rate monitoring and motion sensors; and because of their widespread use, selected subjective measures.

Managing health physics departmental data via a local area network

International Nuclear Information System (INIS)

Weber, P.J.; Castronovo, F.P. Jr.

1993-01-01

The authors describe the multiuser data management system that can be accessed simultaneously by all department members, in use at the Dept of Health Physics, Brigham and Women's Hospital, U.S.A., which makes use of the Local Area Network. (UK)

Risk assessment and risk management in managed aquifer recharge

CSIR Research Space (South Africa)

Page, D

2012-06-01

Full Text Available This chapter presents the methodologies used for risk assessment and risk management in MAR in Australia and the European Union, qualitative and quantitative approaches adopted within the RECLAIM Water project and case studies where the outcomes...

CATHARE Assessment of PACTEL LOCA Experiments with Accident Management

Directory of Open Access Journals (Sweden)

Luben Sabotinov

2010-01-01

Full Text Available This paper summarizes the analysis results of three PACTEL experiments, carried out with the advanced thermal-hydraulic system computer CATHARE 2 code as a part of the second work package WP2 (analytical work of the EC project “Improved Accident Management of VVER nuclear power plants” (IMPAM-VVER. The three LOCA experiments, conducted on the Finnish test facility PACTEL (VVER-440 model, represent 7.4% cold leg breaks with combination of secondary bleed and primary bleed and feed and different actuation modes of the passive safety injection. The code was used for both defining and analyzing the experiments, and to assess its capabilities in predicting the associated complex VVER-related phenomena. The code results are in reasonable agreement with the measurements, and the important physical phenomena are well predicted, although still further improvement and validation might be necessary.

Assessment, management and treatment of acute fingertip injuries.

Science.gov (United States)

Kearney, Anthony; Canty, Louise

2016-06-01

Fingertip injuries with nail bed trauma can require specialist hand surgery, depending on severity. However, most of these injuries can be managed in well-equipped emergency departments by emergency nurses with an in-depth knowledge and understanding of the anatomy and physiology of the fingernail and surrounding structures, assessment and examination, pain management and treatment. This article describes the surface and underlying anatomy and physiology of the nail, the most common mechanisms of injury, relevant diagnostic investigations, and initial assessment and management. It also discusses treatment options, referral pathways, and patient discharge advice.

Preschoolers’ Technology-Assessed Physical Activity and Cognitive Function: A Cross-Sectional Study

Directory of Open Access Journals (Sweden)

Minghui Quan

2018-05-01

Full Text Available Early childhood is a critical period for development of cognitive function, but research on the association between physical activity and cognitive function in preschool children is limited and inconclusive. This study aimed to examine the association between technology-assessed physical activity and cognitive function in preschool children. A cross-sectional analysis of baseline data from the Physical Activity and Cognitive Development Study was conducted in Shanghai, China. Physical activity was measured with accelerometers for 7 consecutive days, and cognitive functions were assessed using the Chinese version of Wechsler Young Children Scale of Intelligence (C-WYCSI. Linear regression analyses were used to assess the association between physical activity and cognitive function. A total of 260 preschool children (boys, 144; girls, 116; mean age: 57.2 ± 5.4 months were included in analyses for this study. After adjusting for confounding factors, we found that Verbal Intelligence Quotient, Performance Intelligence Quotient, and Full Intelligence Quotient were significantly correlated with light physical activity, not moderate to vigorous physical activity, in boys. Standardized coefficients were 0.211, 0.218, and 0.242 (all p < 0.05 in three different models, respectively. However, the correlation between physical activity and cognitive functions were not significant in girls (p > 0.05. These findings suggest that cognitive function is apparently associated with light physical activity in boys. Further studies are required to clarify the sex-specific effect on physical activity and cognitive functions.

Assessment of laboratory logistics management information system ...

African Journals Online (AJOL)

Introduction: Logistics management information system for health commodities remained poorly implemented in most of developing countries. To assess the status of laboratory logistics management information system for HIV/AIDS and tuberculosis laboratory commodities in public health facilities in Addis Ababa. Methods: ...

Wellness Assessment: A Rationale, A Measure, and Physical/Psychological Components.

Science.gov (United States)

Shuffield, Gilda; Dana, Richard H.

Wellness, or holistic health, represents a positive attitude toward the integration of physical and psychological aspects of lifestyle. There have been few attempts to assess wellness that contain more than questionnaire items across several component areas. This paper describes a test battery that includes physical (nutrition, cardiorespiratory…

Promoting Physical and Mental Health among College Students: A Needs Assessment

Science.gov (United States)

Bezyak, Jill; Clark, Alena

2016-01-01

Purpose: To conduct an initial needs assessment of physical and mental health behavior among college students to improve understanding of physical and mental health needs among future helping professionals. Method: A sample of 24 undergraduate students was used to provide a description of mental health, physical activity, and healthy eating…

Application of Life Cycle Assessment on Electronic Waste Management: A Review

Science.gov (United States)

Xue, Mianqiang; Xu, Zhenming

2017-04-01

Electronic waste is a rich source of both valuable materials and toxic substances. Management of electronic waste is one of the biggest challenges of current worldwide concern. As an effective and prevailing environmental management tool, life cycle assessment can evaluate the environmental performance of electronic waste management activities. Quite a few scientific literatures reporting life cycle assessment of electronic waste management with significant outcomes have been recently published. This paper reviewed the trends, characteristics, research gaps, and challenges of these studies providing detailed information for practitioners involved in electronic waste management. The results showed that life cycle assessment studies were most carried out in Europe, followed by Asia and North America. The research subject of the studies mainly includes monitors, waste printed circuit boards, mobile phones, computers, printers, batteries, toys, dishwashers, and light-emitting diodes. CML was the most widely used life cycle impact assessment method in life cycle assessment studies on electronic waste management, followed by EI99. Furthermore, 40% of the reviewed studies combined with other environmental tools, including life cycle cost, material flow analysis, multi-criteria decision analysis, emergy analysis, and hazard assessment which came to more comprehensive conclusions from different aspects. The research gaps and challenges including uneven distribution of life cycle assessment studies, life cycle impact assessment methods selection, comparison of the results, and uncertainty of the life cycle assessment studies were examined. Although life cycle assessment of electronic waste management facing challenges, their results will play more and more important role in electronic waste management practices.

A methodology for physically based rockfall hazard assessment

Directory of Open Access Journals (Sweden)

G. B. Crosta

2003-01-01

Full Text Available Rockfall hazard assessment is not simple to achieve in practice and sound, physically based assessment methodologies are still missing. The mobility of rockfalls implies a more difficult hazard definition with respect to other slope instabilities with minimal runout. Rockfall hazard assessment involves complex definitions for "occurrence probability" and "intensity". This paper is an attempt to evaluate rockfall hazard using the results of 3-D numerical modelling on a topography described by a DEM. Maps portraying the maximum frequency of passages, velocity and height of blocks at each model cell, are easily combined in a GIS in order to produce physically based rockfall hazard maps. Different methods are suggested and discussed for rockfall hazard mapping at a regional and local scale both along linear features or within exposed areas. An objective approach based on three-dimensional matrixes providing both a positional "Rockfall Hazard Index" and a "Rockfall Hazard Vector" is presented. The opportunity of combining different parameters in the 3-D matrixes has been evaluated to better express the relative increase in hazard. Furthermore, the sensitivity of the hazard index with respect to the included variables and their combinations is preliminarily discussed in order to constrain as objective as possible assessment criteria.

Management perceptions of the Health Physics Technician job

International Nuclear Information System (INIS)

Mazour, T.J.; Marotta, F.J.

1985-12-01

In 1984, an industry-wide job analysis of nuclear power reactor Health Physics Technicians (HPTs) was completed. These results provided the basis for job descriptions, industry-wide task listings and recommendations for task selections for further analysis and formal training. A total of 389 tasks were identified and reviewed by 850 HPTs representing 39 plants and 6 vendor companies. Constructive criticism of the HPT job analysis focused on the fact that HPT supervisors and managers were not included in the survey. Concerns were addressed that these supervisors/managers might have a divergent perception of the HPT job that could lead to different conclusions than those that were originally drawn. The only way to confirm (or deny) this hypothesis was to verify the results of the job analysis of HPTs by also surveying radiation protection management personnel. A total of 19 HPT supervisors/managers completed the same survey that had been used for HPT job incumbents. They were asked to rate each task on the basis of their job incumbents' performance of the task. Of the 1161 ratings (389 tasks each with a rating for frequency, difficulty, and importance), only 37 of the ratings differed between the HPTs and the HPT supervisors/managers (at the 99% confidence level)

The Perceptions and Experiences of School Management Teams and Teachers of the Management of Physical Resources in Public Schools

Science.gov (United States)

Mestry, Raj; Bodalina, Kishan

2015-01-01

The effective management of physical resources significantly impacts on the quality of teaching and learning in schools. The procurement, utilization and maintenance of physical resources through organized structures, well-designed policies and rigid processes are critical for quality education. According to the South African Schools Act 1996, a…

75 FR 39036 - Public Housing Assessment System (PHAS): Management Operations Certification

Science.gov (United States)

2010-07-07

... System (PHAS): Management Operations Certification AGENCY: Office of the Chief Information Officer, HUD... management operations. The information is used to assess the management performance of PHAs. DATES: Comments... following information: Title of Proposal: Public Housing Assessment System (PHAS): Management Operations...

GP pain management: what are the 'Ps' and 'As' of pain management?

Science.gov (United States)

Wan, Aston

2014-08-01

Pain is one common reason for clinical encounters in primary care. The complex nature of chronic pain syndromes can make assessment and management daunting at times. This article presents an easy scheme to help general practitioners efficiently assess, manage and review/follow up patients with chronic pain. The mnemonic presented for assessment is the '4Ps' (pain, other pathology/past medical history, performance/function and psychological/psychiatric status). For management, we can also use '4Ps' (physical, psychological, pharmacological and procedural) and for review there are the '6As' (activities, analgesia, adverse effects, aberrance behaviours, affects and adequate documentation).

The Loyalty of older people in fitness centers: Managing customers for physical activity programs

Directory of Open Access Journals (Sweden)

Jerónimo García Fernández

2010-01-01

Full Text Available The fitness centers are now places where partners perform «controlled» physical activity, which improves their physical and mental state, and where they socialize with other partners of all ages. These centers have been typically managed by people without training in this subject and with the only interest of obtaining partners without taking into account the long-term impact. This problem, together with management problems of the center and personal problems of the members, have meant that there are high desertion rates in this type of indoor facilities, with the consequent increase in expenditure on marketing and a non-sustainable profitability. We propose a program of physical activity that could improve the rate of loyalty, being the central point of management of sports centers today, the satisfaction and loyalty to the fitness centers.

Research-based assessment affordances and constraints: Perceptions of physics faculty

Science.gov (United States)

Madsen, Adrian; McKagan, Sarah B.; Martinuk, Mathew Sandy; Bell, Alexander; Sayre, Eleanor C.

2016-06-01

[This paper is part of the Focused Collection on Preparing and Supporting University Physics Educators.] To help faculty use research-based materials in a more significant way, we learn about their perceived needs and desires and use this information to suggest ways for the physics education research community to address these needs. When research-based resources are well aligned with the perceived needs of faculty, faculty members will more readily take them up. We used phenomenographic interviews of ordinary physics faculty and department chairs to identify four families of issues that faculty have around research-based assessments (RBAs). First, many faculty are interested in using RBAs but need help with the practicalities of administering RBAs: how to find them, which ones there are, and how to administer them. Second, at the same time, many faculty think that RBAs are limited and do not measure many of the things they care about, or are not applicable in their classes. They want assessments to measure skills, perceptions, and specific concepts. Third, many faculty want to turn to communities of other faculty and experts to help them interpret their assessment results and suggest other ways to do assessment. They want to better understand their assessment results by comparing to others and interacting with faculty from other schools to learn about how they do assessment. Fourth, many faculty consider their courses in the broader contexts of accountability and their departments. They want help with assessment in these broader contexts. We also discuss how a faculty member's role in their department and type of institution influence their perceived wants and needs around assessment.

Mental Health Professionals' Suicide Risk Assessment and Management Practices.

Science.gov (United States)

Roush, Jared F; Brown, Sarah L; Jahn, Danielle R; Mitchell, Sean M; Taylor, Nathanael J; Quinnett, Paul; Ries, Richard

2018-01-01

Approximately 20% of suicide decedents have had contact with a mental health professional within 1 month prior to their death, and the majority of mental health professionals have treated suicidal individuals. Despite limited evidence-based training, mental health professionals make important clinical decisions related to suicide risk assessment and management. The current study aimed to determine the frequency of suicide risk assessment and management practices and the association between fear of suicide-related outcomes or comfort working with suicidal individuals and adequacy of suicide risk management decisions among mental health professionals. Mental health professionals completed self-report assessments of fear, comfort, and suicide risk assessment and management practices. Approximately one third of mental health professionals did not ask every patient about current or previous suicidal thoughts or behaviors. Further, comfort, but not fear, was positively associated with greater odds of conducting evidence-based suicide risk assessments at first appointments and adequacy of suicide risk management practices with patients reporting suicide ideation and a recent suicide attempt. The study utilized a cross-sectional design and self-report questionnaires. Although the majority of mental health professionals report using evidenced-based practices, there appears to be variability in utilization of evidence-based practices.

Assessment of the physical activity, body mass index and energy ...

African Journals Online (AJOL)

Background: Declining levels of physical activity at workplaces, during leisure time and when travelling, accompanied by increasing exposure to the mass media, are major determinants of the global obesity epidemic. This study aimed to assess physical activity, the body mass index (BMI) and energy intake of human ...

Review Committee report on the conceptual design of the Tokamak Physics Experiment

International Nuclear Information System (INIS)

1993-04-01

This report discusses the following topics on the conceptual design of the Tokamak Physics Experiment: Role and mission of TPX; overview of design; physics design assessment; engineering design assessment; evaluation of cost, schedule, and management plans; and, environment safety and health

Automated Ecological Assessment of Physical Activity: Advancing Direct Observation.

Science.gov (United States)

Carlson, Jordan A; Liu, Bo; Sallis, James F; Kerr, Jacqueline; Hipp, J Aaron; Staggs, Vincent S; Papa, Amy; Dean, Kelsey; Vasconcelos, Nuno M

2017-12-01

Technological advances provide opportunities for automating direct observations of physical activity, which allow for continuous monitoring and feedback. This pilot study evaluated the initial validity of computer vision algorithms for ecological assessment of physical activity. The sample comprised 6630 seconds per camera (three cameras in total) of video capturing up to nine participants engaged in sitting, standing, walking, and jogging in an open outdoor space while wearing accelerometers. Computer vision algorithms were developed to assess the number and proportion of people in sedentary, light, moderate, and vigorous activity, and group-based metabolic equivalents of tasks (MET)-minutes. Means and standard deviations (SD) of bias/difference values, and intraclass correlation coefficients (ICC) assessed the criterion validity compared to accelerometry separately for each camera. The number and proportion of participants sedentary and in moderate-to-vigorous physical activity (MVPA) had small biases (within 20% of the criterion mean) and the ICCs were excellent (0.82-0.98). Total MET-minutes were slightly underestimated by 9.3-17.1% and the ICCs were good (0.68-0.79). The standard deviations of the bias estimates were moderate-to-large relative to the means. The computer vision algorithms appeared to have acceptable sample-level validity (i.e., across a sample of time intervals) and are promising for automated ecological assessment of activity in open outdoor settings, but further development and testing is needed before such tools can be used in a diverse range of settings.

Automated Ecological Assessment of Physical Activity: Advancing Direct Observation

Directory of Open Access Journals (Sweden)

Jordan A. Carlson

2017-12-01

Full Text Available Technological advances provide opportunities for automating direct observations of physical activity, which allow for continuous monitoring and feedback. This pilot study evaluated the initial validity of computer vision algorithms for ecological assessment of physical activity. The sample comprised 6630 seconds per camera (three cameras in total of video capturing up to nine participants engaged in sitting, standing, walking, and jogging in an open outdoor space while wearing accelerometers. Computer vision algorithms were developed to assess the number and proportion of people in sedentary, light, moderate, and vigorous activity, and group-based metabolic equivalents of tasks (MET-minutes. Means and standard deviations (SD of bias/difference values, and intraclass correlation coefficients (ICC assessed the criterion validity compared to accelerometry separately for each camera. The number and proportion of participants sedentary and in moderate-to-vigorous physical activity (MVPA had small biases (within 20% of the criterion mean and the ICCs were excellent (0.82–0.98. Total MET-minutes were slightly underestimated by 9.3–17.1% and the ICCs were good (0.68–0.79. The standard deviations of the bias estimates were moderate-to-large relative to the means. The computer vision algorithms appeared to have acceptable sample-level validity (i.e., across a sample of time intervals and are promising for automated ecological assessment of activity in open outdoor settings, but further development and testing is needed before such tools can be used in a diverse range of settings.

Opinion paper: the role of work in the management of medically unexplained physical symptoms.

Science.gov (United States)

Tobback, Els; Mariman, An; Clauwaert, Lies; Godderis, Lode; Heytens, Stefan; Ruppol, Patrick; Spooren, Daniel; Tytgat, Rita; De Muynck, Martine; Vogelaers, Dirk

2018-05-04

Patients with medically unexplained physical symptoms suffer from chronic fatigue and/or pain in combination with a variety of other symptoms. A flexible, biopsychosocial approach is needed for diagnostic screening and global management. It is crucial to involve the direct patient environment, including family, friends, colleagues as well as health providers, evaluation, and reintegration sector. The aim of this paper is to review the importance of work in the management of medically unexplained physical symptoms. In this paper, different actors involved explain their views and handling concerning work in the management of MUPS. Symptom severity and lack of understanding from the environment can negatively impact on earning an independent income from labor for years. Work, whether or not paid, is however, an important life domain with positive effects on physical, psychological, and social well-being. Therefore, health actors are pivotal in starting the professional reintegration process as soon as possible and should discuss this item from the early stage onward. Support services can be consulted in mutual interaction as required. A case manager, acting as a central intermediator within this multidisciplinary approach, may promote effective communication and coordination between the patients and their surrounding actors. The professional reintegration process should start as soon as possible within the management of medically unexplained physical symptoms. As such, the care sector, the evaluation sector, and the professional integration sector should collaborate and effectively communicate with each other.

Role of intra-articular corticosteroid injections in pain management during physical rehabilitation of moderate to severe cases of knee osteoarthritis

International Nuclear Information System (INIS)

Tasaduq, N.; Saleem, M.; Rehman, S.S.U.; Saleem, M.

2013-01-01

Objective: To determine the role of intra-articular corticosteroid injections in pain management during physical rehabilitation of moderate to severe cases of knee osteoarthritis. Study Design: Randomized control trial (RCT). Place and Duration of Study: Department of Rheumatology and Rehabilitation, Fauji Foundation Hospital Rawalpindi during June 2011 to February 2012. Patients and Methods: Sixty patients with moderate to severe knee osteoarthritis were randomly selected by using probability simple random sampling technique, and randomly placed into two groups A and B through flip a coin method. The intra-articular corticosteroid injections were administered into 30 patients, including 22 female and 08 male, followed by a 2 weeks physical rehabilitation program. In group B all 30 patients, 19 female and 11 male, underwent through a 2 weeks physical rehabilitation program. The visual analog scale (VAS) was used to assess the intensity of pain and was measured at the start and at completion of the 2 week treatment program. Results: There were 60 cases in the study; 30 in each treatment groups A and B, and no drop outs. Mean age of the patients in group A was 56.25 and group B it was 58.75 years. Majority of patients in both the groups were between 44 - 77 years of age. The pain intensity was calculated in group A (p-value=0.007) and group B (p-value=0.009) at baseline. The patients in group A was treated by intra-articular corticosteroid injections followed by physical rehabilitation and group B was treated only with physical rehabilitation for two months. The pain intensity was measured at the completion of treatment for group A (p - value = 0.006) and B (p - value 0.271). Conclusion: The study concluded that intra-articular corticosteroid injections combined with physical therapy management are more effective in pain management during physical rehabilitation of moderate to severe cases of knee osteoarthritis as compare with physical therapy alone. (author)

Momentary assessment of contextual influences on affective response during physical activity.

Science.gov (United States)

Dunton, Genevieve Fridlund; Liao, Yue; Intille, Stephen; Huh, Jimi; Leventhal, Adam

2015-12-01

Higher positive and lower negative affective response during physical activity may reinforce motivation to engage in future activity. However, affective response during physical activity is typically examined under controlled laboratory conditions. This research used ecological momentary assessment (EMA) to examine social and physical contextual influences on momentary affective response during physical activity in naturalistic settings. Participants included 116 adults (mean age = 40.3 years, 73% female) who completed 8 randomly prompted EMA surveys per day for 4 days across 3 semiannual waves. EMA surveys measured current activity level, social context, and physical context. Participants also rated their current positive and negative affect. Multilevel models assessed whether momentary physical activity level moderated differences in affective response across contexts controlling for day of the week, time of day, and activity intensity (measured by accelerometer). The Activity Level × Alone interaction was significant for predicting positive affect (β = -0.302, SE = 0.133, p = .024). Greater positive affect during physical activity was reported when with other people (vs. alone). The Activity Level × Outdoors interaction was significant for predicting negative affect (β = -0.206, SE = 0.097, p = .034). Lower negative affect during physical activity was reported outdoors (vs. indoors). Being with other people may enhance positive affective response during physical activity, and being outdoors may dampen negative affective response during physical activity. (c) 2015 APA, all rights reserved).

Air Traffic Management Cost Assessment Tool, Phase II

Data.gov (United States)

National Aeronautics and Space Administration — The Robust Analytics Air Traffic Management Cost Assessment Tool (ACAT) provides the comprehensive capability to analyze the impacts of NASA air traffic management...

Use of Microcomputer to Manage Assessment Data.

Science.gov (United States)

Vance, Booney; Hayden, David

1982-01-01

Examples are provided of a computerized special education management system used to manage assessment data for exceptional students. The system is designed to provide a simple yet efficient method of tracking data from educational and psychological evaluations (specifically the Wechsler Intelligence Scale for Children--Revised scores). (CL)

Self-assessment of health and physical fitness by young adults practising sport

Directory of Open Access Journals (Sweden)

Małgorzata Kałwa

2016-12-01

Full Text Available Introduction: Practising sport and engaging in physical activity at a young age is meant to increase the level of a person’s physical fitness and health. Yet, the generation of 20-year-olds – former and active sportspersons – assess their general physical fitness and health as worse than good. Therefore, does practising sport, in the self-assessment of young persons, really improve one’s health and physical fitness? Purpose: The purpose of this research was to diagnose the subjective assessment of fitness and a sense of health among young adults practising sport as well as former sportspersons in comparison with the self-assessment of non-training persons. Materials and methodology: 1153 adult persons aged 19-28 were surveyed. Those persons were supposed to perform a self-assessment of their health and physical fitness and report the pain disorders that they experienced. The group surveyed included 484 ex-sportspersons, 450 active sportspersons and 212 persons who had never practised sport. The survey used a 1-5 assessment scale. Results: The survey participants assessed their general physical fitness level at 3.82 ±1.00 and their health level at 3.88 ±1.10. In comparison with the other groups the sportspersons gave their fitness a better mark despite the largest number of pain disorders experienced. The result of health self-assessment did not differ among the groups. Sportspersons and ex-sportspersons indicated injuries and the pain felt, especially in the cervical and thoracic spine, the hips and the head, and complained more frequently about shortness of breath. Conclusions: Practising sport at a young age does not significantly alter the self-assessment of health among young persons. An average sportsperson experiences at least one pain disorder that correlates with a lower sense of good health. The highest frequency of associated pain disorders is observed in sportspersons, with the pain being located mainly in the area of the

Risk assessment and management of radiofrequency radiation exposure

Energy Technology Data Exchange (ETDEWEB)

Dabala, Dana [Railways Medical Clinic Cluj-Napoca, Occupational Medicine Department, 16-20 Bilascu Gheorghe St., 400015 Cluj-Napoca (Romania); Surducan, Emanoil; Surducan, Vasile; Neamtu, Camelia [National Institute for Research and Development of Isotopic and Molecular Technologies, 65-103 Donath St., 400293 Cluj-Napoca (Romania)

2013-11-13

Radiofrequency radiation (RFR) industry managers, occupational physicians, security department, and other practitioners must be advised on the basic of biophysics and the health effects of RF electromagnetic fields so as to guide the management of exposure. Information on biophysics of RFR and biological/heath effects is derived from standard texts, literature and clinical experiences. Emergency treatment and ongoing care is outlined, with clinical approach integrating the circumstances of exposure and the patient's symptoms. Experimental risk assessment model in RFR chronic exposure is proposed. Planning for assessment and monitoring exposure, ongoing care, safety measures and work protection are outlining the proper management.

Risk assessment and management of radiofrequency radiation exposure

International Nuclear Information System (INIS)

Dabala, Dana; Surducan, Emanoil; Surducan, Vasile; Neamtu, Camelia

2013-01-01

Radiofrequency radiation (RFR) industry managers, occupational physicians, security department, and other practitioners must be advised on the basic of biophysics and the health effects of RF electromagnetic fields so as to guide the management of exposure. Information on biophysics of RFR and biological/heath effects is derived from standard texts, literature and clinical experiences. Emergency treatment and ongoing care is outlined, with clinical approach integrating the circumstances of exposure and the patient's symptoms. Experimental risk assessment model in RFR chronic exposure is proposed. Planning for assessment and monitoring exposure, ongoing care, safety measures and work protection are outlining the proper management

Role of physical activity in the management and assessment of rheumatoid arthritis patients.

Science.gov (United States)

Hernández-Hernández, María Vanesa; Díaz-González, Federico

Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting diarthrodial joints, in which patients tend to perform less physical activity (PA) than recommended. This review focuses on the existing evidence about the relationship of PA and RA, specifically how the former influences joint inflammation, disability, quality of life and pain in RA patients, and also how disease activity potentially impacts PA in these patients. A literature search of EMBASE and MEDLINE databases from January 2000 to January 2015. The evidence indicating that PA in RA patients is safe and the benefits from regularly performing, both aerobic and resistance exercises, in these patients include improvement in: quality of life, functionality, pain and number of swollen joints. Interestingly, recent studies suggest that changes in disease activity in RA patients inversely correlate with variations in PA, as assessed by accelerometry. The regular monitoring of PA in RA patients might facilitate a more objective evaluation of variations in disease activity, helping physicians to make general and therapeutic recommendations that will improve both the health status and the joint functionality of these patients. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

Texting to increase adolescent physical activity: Feasibility assessment

Science.gov (United States)

Feasibility trials assess whether a behavior change program warrants a definite trial evaluation. This paper reports the feasibility of an intervention consisting of Self Determination Theory-informed text messages, pedometers, and goal prompts to increase adolescent physical activity. A 4-group ran...

A comparison of data management systems used in high energy physics

International Nuclear Information System (INIS)

Hansl-Kozanecka, T.

1992-04-01

Data-management systems for defining data and manipulating them with FORTRAN programs have become increasingly important. We compare three systems that were developed within the high-energy physics community: BOS, JAZELLE and ZEBRA. (orig.)

Assessing and managing multiple risks in a changing world-The Roskilde recommendations.

Science.gov (United States)

Selck, Henriette; Adamsen, Peter B; Backhaus, Thomas; Banta, Gary T; Bruce, Peter K H; Burton, G Allen; Butts, Michael B; Boegh, Eva; Clague, John J; Dinh, Khuong V; Doorn, Neelke; Gunnarsson, Jonas S; Hauggaard-Nielsen, Henrik; Hazlerigg, Charles; Hunka, Agnieszka D; Jensen, John; Lin, Yan; Loureiro, Susana; Miraglia, Simona; Munns, Wayne R; Nadim, Farrokh; Palmqvist, Annemette; Rämö, Robert A; Seaby, Lauren P; Syberg, Kristian; Tangaa, Stine R; Thit, Amalie; Windfeld, Ronja; Zalewski, Maciej; Chapman, Peter M

2017-01-01

Roskilde University (Denmark) hosted a November 2015 workshop, Environmental Risk-Assessing and Managing Multiple Risks in a Changing World. This Focus article presents the consensus recommendations of 30 attendees from 9 countries regarding implementation of a common currency (ecosystem services) for holistic environmental risk assessment and management; improvements to risk assessment and management in a complex, human-modified, and changing world; appropriate development of protection goals in a 2-stage process; dealing with societal issues; risk-management information needs; conducting risk assessment of risk management; and development of adaptive and flexible regulatory systems. The authors encourage both cross-disciplinary and interdisciplinary approaches to address their 10 recommendations: 1) adopt ecosystem services as a common currency for risk assessment and management; 2) consider cumulative stressors (chemical and nonchemical) and determine which dominate to best manage and restore ecosystem services; 3) fully integrate risk managers and communities of interest into the risk-assessment process; 4) fully integrate risk assessors and communities of interest into the risk-management process; 5) consider socioeconomics and increased transparency in both risk assessment and risk management; 6) recognize the ethical rights of humans and ecosystems to an adequate level of protection; 7) determine relevant reference conditions and the proper ecological context for assessments in human-modified systems; 8) assess risks and benefits to humans and the ecosystem and consider unintended consequences of management actions; 9) avoid excessive conservatism or possible underprotection resulting from sole reliance on binary, numerical benchmarks; and 10) develop adaptive risk-management and regulatory goals based on ranges of uncertainty. Environ Toxicol Chem 2017;36:7-16. © 2016 SETAC. © 2016 SETAC.

The MOVE study: a study protocol for a randomised controlled trial assessing interventions to maximise attendance at physical activity facilities.

Science.gov (United States)

Newton, Joshua D; Klein, Ruth; Bauman, Adrian; Newton, Fiona J; Mahal, Ajay; Gilbert, Kara; Piterman, Leon; Ewing, Michael T; Donovan, Robert J; Smith, Ben J

2015-04-18

Physical activity is associated with a host of health benefits, yet many individuals do not perform sufficient physical activity to realise these benefits. One approach to rectifying this situation is through modifying the built environment to make it more conducive to physical activity, such as by building walking tracks or recreational physical activity facilities. Often, however, modifications to the built environment are not connected to efforts aimed at encouraging their use. The purpose of the Monitoring and Observing the Value of Exercise (MOVE) study is to evaluate the effectiveness of two interventions designed to encourage the ongoing use of a new, multi-purpose, community-based physical activity facility. A two-year, randomised controlled trial with yearly survey points (baseline, 12 months follow-up, 24 months follow-up) will be conducted among 1,300 physically inactive adult participants aged 18-70 years. Participants will be randomly assigned to one of three groups: control, intervention 1 (attendance incentives), or intervention 2 (attendance incentives and tailored support following a model based on customer relationship management). Primary outcome measures will include facility usage, physical activity participation, mental and physical wellbeing, community connectedness, social capital, friendship, and social support. Secondary outcome measures will include stages of change for facility usage and social cognitive decision-making variables. This study will assess whether customer relationship management systems, a tool commonly used in commercial marketing settings, can encourage the ongoing use of a physical activity facility. Findings may also indicate the population segments among which the use of such systems are most effective, as well as their cost-effectiveness. Australian New Zealand Clinical Trials Registry: ACTRN12615000012572 (registered 9 January 2015).

The Contribution of Project Environmental Assessment to Assessing and Managing Cumulative Effects: Individually and Collectively Insignificant?

Science.gov (United States)

Noble, Bram; Liu, Jialang; Hackett, Paul

2017-04-01

This paper explores the opportunities and constraints to project-based environmental assessment as a means to support the assessment and management of cumulative environmental effects. A case study of the hydroelectric sector is used to determine whether sufficient information is available over time through project-by-project assessments to support an adequate understanding of cumulative change. Results show inconsistency from one project to the next in terms of the components and indicators assessed, limited transfer of baseline information between project assessments over time, and the same issues and concerns being raised by review panels-even though the projects reviewed are operating in the same watershed and operated by the same proponent. Project environmental assessments must be managed, and coordinated, as part of a larger system of impact assessment, if project-by-project assessments are to provide a meaningful forum for learning and understanding cumulative change. The paper concludes with recommendations for improved project-based assessment practice in support of cumulative effects assessment and management.

Electronic Assessment of Physical Decline in Geriatric Cancer Patients.

Science.gov (United States)

Fallahzadeh, Ramin; Ghasemzadeh, Hassan; Shahrokni, Armin

2018-03-08

The purpose of this review is to explore state-of-the-art remote monitoring and emerging new sensing technologies for in-home physical assessment and their application/potential in cancer care. In addition, we discuss the main functional and non-functional requirements and research challenges of employing such technologies in real-world settings. With rapid growth in aging population, effective and efficient patient care has become an important topic. Advances in remote monitoring and in its forefront in-home physical assessment technologies play a fundamental role in reducing the cost and improving the quality of care by complementing the traditional in-clinic healthcare. However, there is a gap in medical research community regarding the applicability and potential outcomes of such systems. While some studies reported positive outcomes using remote assessment technologies, such as web/smart phone-based self-reports and wearable sensors, the cancer research community is still lacking far behind. Thorough investigation of more advanced technologies in cancer care is warranted.

[The mission of Princeton Plasma Physics Laboratory

International Nuclear Information System (INIS)

1993-01-01

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

Comparing Physics Textbooks in Terms of Assessment and Evaluation Tools

Directory of Open Access Journals (Sweden)

Zeynep Başkan Takaoğlu

2017-10-01

Full Text Available Assessment and evaluation instruments provide teachers the opportunity of shaping education in the beginning, contributing to education during the process and evaluating education at the end of the process. Textbooks, on the other hand, are resources that present the aforementioned contributions to teachers at first hand. Thus, the study aims to compare the distribution of assessment and evaluation instruments in the physics textbooks being used in the academic year of 2011- 2012 and 2016-2017 according to units, settlement within units and types of assessment instruments that are used. For that purpose, 9, 10, 11 and 12th grade textbooks being used in physics lessons in the academic year of 2011-2012 and 2016-2017 were examined via document analysis method. As a result of the study, it was determined that the highest number of assessment instruments in physics textbooks from two different years was encountered in the unit of force and motion. The reason for this unit having higher number of questions could be associated with higher number of mathematical operations in the unit intended for allowing students to overcome their mathematical deficiencies by practicing such questions. It was observed that the number of questions was increased especially in the books being used in the academic year of 2016-2017 and alternative assessment instruments were fewer than traditional assessment instruments. Traditional assessment instruments are still used very frequently in the textbooks, which proves the effect of traditional approaches in assessment and evaluation. Another reason for this condition is that a result-oriented evaluation is used in the university entrance exam. In the light of these results, it is suggested to make the university exam student-centered rather than making an arrangement in textbooks.

Ecological quality assessment of rivers and integrated catchment management in England and Wales

Directory of Open Access Journals (Sweden)

Paul LOGAN

2001-09-01

Full Text Available This paper deals with the ecological assessment of river quality and its relationship to integrated catchment management. The concept of catchment or river basin management has been a basic management tool in England and Wales since 1990; it is now being enshrined in the Water Framework Directive. Historically the statutory and operational drivers in the UK have lead to the development of distinctly different approaches to the management of water quality, water resources (quantity and physical river structure. More recently a proactive approach to the sustainable use of water promulgated in the Local Environment Agency Plans has also dealt with the three management aspects in some isolation although greater effort has been made to present the issues in an integrated manner. The Water Framework Directive calls for further integration in river basin plans and associated programmes of measures. In the paper the three approaches are described and considered in light of the requirements of the Water Framework Directive. Water Quality classification and objective setting has been based on information from the survey of benthic macro-invertebrates. The Biological Monitoring Working Party Score and the predictive software River Invertebrate Prediction and Classification System (RIVPACS have been used to set site-specific targets for management purposes. RIVPACS includes a reference database of minimally impacted sites for comparison with the observed data. This approach is in line with the requirements of the directive. Physical river structure work has been based on monitoring of in-river and river corridor characteristics. The River Habitat System (RHS has also developed a reference database but is less well developed in terms of its predictive ability. The use of ecological information in Water Resource management has taken a different approach based on the concept of differential ecological sensitivity to the hydrological regime within the river. In

Analysis of the most common concept inventories in physics: What are we assessing?

Science.gov (United States)

Laverty, James T.; Caballero, Marcos D.

2018-06-01

Assessing student learning is a cornerstone of educational practice. Standardized assessments have played a significant role in the development of instruction, curricula, and educational spaces in college physics. However, the use of these assessments to evaluate student learning is only productive if they continue to align with our learning goals. Recently, there have been calls to elevate the process of science ("scientific practices") to the same level of importance and emphasis as the concepts of physics ("core ideas" and "crosscutting concepts"). We use the recently developed Three-Dimensional Learning Assessment Protocol to investigate how well the most commonly used standardized assessments in introductory physics (i.e., concept inventories) align with this modern understanding of physics education's learning goals. We find that many of the questions on concept inventories do elicit evidence of student understanding of core ideas, but do not have the potential to elicit evidence of scientific practices or crosscutting concepts. Furthermore, we find that the individual scientific practices and crosscutting concepts that are assessed using these tools are limited to a select few. We discuss the implications that these findings have on designing and testing curricula and instruction both in the past and for the future.

Femoral anteversion assessment: Comparison of physical examination, gait analysis, and EOS biplanar radiography.

Science.gov (United States)

Westberry, David E; Wack, Linda I; Davis, Roy B; Hardin, James W

2018-05-01

Multiple measurement methods are available to assess transverse plane alignment of the lower extremity. This study was performed to determine the extent of correlation between femoral anteversion assessment using simultaneous biplanar radiographs and three-dimensional modeling (EOS imaging), clinical hip rotation by physical examination, and dynamic hip rotation assessed by gait analysis. Seventy-seven patients with cerebral palsy (GMFCS Level I and II) and 33 neurologically typical children with torsional abnormalities completed a comprehensive gait analysis with same day biplanar anterior-posterior and lateral radiographs and three-dimensional transverse plane assessment of femoral anteversion. Correlations were determined between physical exam of hip rotation, EOS imaging of femoral anteversion, and transverse plane hip kinematics for this retrospective review study. Linear regression analysis revealed a weak relationship between physical examination measures of hip rotation and biplanar radiographic assessment of femoral anteversion. Similarly, poor correlation was found between clinical evaluation of femoral anteversion and motion assessment of dynamic hip rotation. Correlations were better in neurologically typical children with torsional abnormalities compared to children with gait dysfunction secondary to cerebral palsy. Dynamic hip rotation cannot be predicted by physical examination measures of hip range of motion or from three-dimensional assessment of femoral anteversion derived from biplanar radiographs. Copyright © 2018 Elsevier B.V. All rights reserved.

Validity and reliability of self-assessed physical fitness using visual analogue scales

DEFF Research Database (Denmark)

Strøyer, Jesper; Essendrop, Morten; Jensen, Lone Donbaek

2007-01-01

To test the validity and reliability of self-assessed physical fitness samples included healthcare assistants working at a hospital (women=170, men=17), persons working with physically and mentally handicapped patients (women=530, men= 123), and two separate groups of healthcare students (a) women...... except for flexibility among men. The reliability was moderate to good (ICC = .62 - .80). Self-assessed aerobic fitness, muscle strength, and flexibility showed moderate construct validity and moderate to good reliability using visual analogues.......=91 and men=5 and (b) women=159 and men=10. Five components of physical fitness were self-assessed by Visual Analogue Scales with illustrations and verbal anchors for the extremes: aerobic fitness, muscle strength, endurance, flexibility, and balance. Convergent and divergent validity were evaluated...

Management assessment using draft ANSI/ASQC-E4

International Nuclear Information System (INIS)

Hampton, E. Jr.

1992-01-01

Presented herein is a description of the process, methods, and techniques employed to conduct a comprehensive environmental management assessment of environmental waste management activities conducted by the Waste Management Department of Reynolds Electrical ampersand Engineering Co., Inc. (REECo) at the Nevada Test Site (NTS) using the draft ANSI/ASQC-E4 standard

Optimising investment in asset management using the multivariate asset management assessment topography

Directory of Open Access Journals (Sweden)

Bam, Wouter Gideon

2014-08-01

Full Text Available The multivariate asset management assessment topography (MAMAT was developed to quantify, and represent graphically, development, adoption, and performance of a business’ asset management (AM systems, as described by standards such as PAS 55. The MAMAT provides a way to visualise clearly the strengths and weaknesses of a business’ asset management system. Building on MAMAT, a model describing the relationship between the commitment of resources and the corresponding improvement in the MAMAT assessment outcome is proposed. The goal is to develop an optimisation model that will maximise financial benefits by improving the MAMAT assessment score achieved by a business, while minimising the investment required to attain this improvement. This is achieved by determining the optimal allocation of resources to the different subcategories of the MAMAT assessment framework. The multi-objective cross-entropy method (MOO CEM is used to find the Pareto set of solutions for this problem. In order to showcase the intended industry application and use of the optimisation model, a hypothetical case study is executed and described in this paper. From this application, it was found that the MOO CEM finds useful solutions that can support the implementation of standards such as PAS 55 by prioritising and assigning resources to implementation activities.

‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management

Directory of Open Access Journals (Sweden)

Andrew P. Hills

2013-05-01

Full Text Available Obesity is associated with numerous short- and long-term health consequences. Low levels of physical activity and poor dietary habits are consistent with an increased risk of obesity in an obesogenic environment. Relatively little research has investigated associations between eating and activity behaviors by using a systems biology approach and by considering the dynamics of the energy balance concept. A significant body of research indicates that a small positive energy balance over time is sufficient to cause weight gain in many individuals. In contrast, small changes in nutrition and physical activity behaviors can prevent weight gain. In the context of weight management, it may be more feasible for most people to make small compared to large short-term changes in diet and activity. This paper presents a case for the use of small and incremental changes in diet and physical activity for improved weight management in the context of a toxic obesogenic environment.

Shift manager workload assessment - A case study

International Nuclear Information System (INIS)

Berntson, K.; Kozak, A.; Malcolm, J. S.

2006-01-01

In early 2003, Bruce Power restarted two of its previously laid up units in the Bruce A generating station, Units 3 and 4. However, due to challenges relating to the availability of personnel with active Shift Manager licenses, an alternate shift structure was proposed to ensure the safe operation of the station. This alternate structure resulted in a redistribution of responsibility, and a need to assess the resulting changes in workload. Atomic Energy of Canada Limited was contracted to perform a workload assessment based on the new shift structure, and to provide recommendations, if necessary, to ensure Shift Managers had sufficient resources available to perform their required duties. This paper discusses the performance of that assessment, and lessons learned as a result of the work performed during the Restart project. (authors)

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

Science.gov (United States)

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

2016-04-01

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

Probabilistic risk assessment as an aid to risk management

International Nuclear Information System (INIS)

Garrick, B.J.

1982-01-01

Probabilistic risk assessments are providing important insights into nuclear power plant safety. Their value is two-fold: first as a means of quantifying nuclear plant risk including contributors to risk, and second as an aid to risk management. A risk assessment provides an analytical plant model that can be the basis for performing meaningful decision analyses for controlling safety. It is the aspect of quantitative risk management that makes probabilistic risk assessment an important technical discipline of the future

Knowledge, attitude and practice of physiotherapists towards promotion of physically active lifestyles in patient management

Directory of Open Access Journals (Sweden)

Aweto Happiness A

2013-01-01

Full Text Available Abstract Background Physiotherapists as primary health care practitioners are well placed in promoting physically active lifestyles, but their role and practice towards its promotion among patients in Nigeria has not been fully investigated. This study was therefore aimed at determining the knowledge, attitude and practice of Nigerian physiotherapists towards promotion of non-treatment physical activity among patients. Methods Three hundred and eight practicing physiotherapists from various public and private hospitals in 14 states of Nigeria completed an adopted 20-item questionnaire, which collected information on physical activity promotion in physiotherapy practice. Result Respondents with good knowledge and attitude towards physical activity promotion in patient management were 196(63.6% and 292(94.8% respectively. Only 111 (36% of the respondents counselled more than 10 patients in the past one month on the benefits of adopting a more physically active lifestyle. Chi-square analysis showed a significant association between low practice of physical activity promotion in patient management with inadequate consultation time (ℵ2 = 3.36, p = 0.043, years of working experience of physiotherapists (ℵ2 = 11.37, p =0.023 and relative physical activity levels of physiotherapists (ℵ2 = 11.82, p = 0.037. The need for Physical activity recommendation guideline was supported by 287 (97% respondents. Conclusion Nigerian physiotherapists have good knowledge and attitude towards promotion of physically active lifestyle in their patients but do not counsel many of them, due to insufficient consultation time. Integrating brief counselling into usual treatment sessions is perceived as the most feasible form of physical activity promotion in patient management.

RISK MANAGEMENT: AN INTEGRATED APPROACH TO RISK MANAGEMENT AND ASSESSMENT

OpenAIRE

Szabo Alina

2012-01-01

Purpose: The objective of this paper is to offer an overview over risk management cycle by focusing on prioritization and treatment, in order to ensure an integrated approach to risk management and assessment, and establish the ‘top 8-12’ risks report within the organization. The interface with Internal Audit is ensured by the implementation of the scoring method to prioritize risks collected from previous generated risk report. Methodology/approach: Using evidence from other research in ...

Control rods in LMFBRs: a physics assessment

International Nuclear Information System (INIS)

McFarlane, H.F.; Collins, P.J.

1982-08-01

This physics assessment is based on roughly 300 control rod worth measurements in ZPPR from 1972 to 1981. All ZPPR assemblies simulated mixed-oxide LMFBRs, representing sizes of 350, 700, and 900 MWe. Control rod worth measurements included single rods, various combinations of rods, and Ta and Eu rods. Additional measurements studied variations in B 4 C enrichment, rod interaction effects, variations in rod geometry, neutron streaming in sodium-filled channels, and axial worth profiles. Analyses were done with design-equivalent methods, using ENDF/B Version IV data. Some computations for the sensitivities to approximations in the methods have been included. Comparisons of these analyses with the experiments have allowed the status of control rod physics in the US to be clearly defined

Environmental management: Integrating ecological evaluation, remediation, restoration, natural resource damage assessment and long-term stewardship on contaminated lands

International Nuclear Information System (INIS)

Burger, Joanna

2008-01-01

Ecological evaluation is essential for remediation, restoration, and Natural Resource Damage Assessment (NRDA), and forms the basis for many management practices. These include determining status and trends of biological, physical, or chemical/radiological conditions, conducting environmental impact assessments, performing remedial actions should remediation fail, managing ecosystems and wildlife, and assessing the efficacy of remediation, restoration, and long-term stewardship. The objective of this paper is to explore the meanings of these assessments, examine the relationships among them, and suggest methods of integration that will move environmental management forward. While remediation, restoration, and NRDA, among others, are often conducted separately, it is important to integrate them for contaminated land where the risks to ecoreceptors (including humans) can be high, and the potential damage to functioning ecosystems great. Ecological evaluations can range from inventories of local plants and animals, determinations of reproductive success of particular species, levels of contaminants in organisms, kinds and levels of effects, and environmental impact assessments, to very formal ecological risk assessments for a chemical or other stressor. Such evaluations can range from the individual species to populations, communities, ecosystems or the landscape scale. Ecological evaluations serve as the basis for making decisions about the levels and kinds of remediation, the levels and kinds of restoration possible, and the degree and kinds of natural resource injuries that have occurred because of contamination. Many different disciplines are involved in ecological evaluation, including biologists, conservationists, foresters, restoration ecologists, ecological engineers, economists, hydrologist, and geologists. Since ecological evaluation forms the basis for so many different types of environmental management, it seems reasonable to integrate management options

Instream Physical Habitat Modelling Types

DEFF Research Database (Denmark)

Conallin, John; Boegh, Eva; Krogsgaard, Jørgen

2010-01-01

The introduction of the EU Water Framework Directive (WFD) is providing member state water resource managers with significant challenges in relation to meeting the deadline for 'Good Ecological Status' by 2015. Overall, instream physical habitat modelling approaches have advantages and disadvanta......The introduction of the EU Water Framework Directive (WFD) is providing member state water resource managers with significant challenges in relation to meeting the deadline for 'Good Ecological Status' by 2015. Overall, instream physical habitat modelling approaches have advantages...... suit their situations. This paper analyses the potential of different methods available for water managers to assess hydrological and geomorphological impacts on the habitats of stream biota, as requested by the WFD. The review considers both conventional and new advanced research-based instream...... physical habitat models. In parametric and non-parametric regression models, model assumptions are often not satisfied and the models are difficult to transfer to other regions. Research-based methods such as the artificial neural networks and individual-based modelling have promising potential as water...

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.

Maintenance and Outage Management Assessment (MOMA)

International Nuclear Information System (INIS)

2005-01-01

The competitive environment has significant implications for nuclear power plant (NPP) operations, which include, inter alia, the need for efficient use of resources and effective management of plant activities of maintenance and outages. The purpose of NPP maintenance and outages is to allow NPPs to use all those functions necessary for safe and reliable power production by keeping them available and adequate maintenance programme is essential. The maintenance programme covers all preventive and remedial measures, both administrative and technical, necessary to identify and mitigate degradation of a functioning system, structure or component, or restore the design functions of a failed system, structure or component to an acceptable level. In response to the needs of MSs, NPES (Nuclear Power Section, Division of Nuclear Power, IAEA) plans to strengthen its services. NPES services will not only continue to provide its 'traditional' products of publications of nuclear industrial best practices and technical implementation of TC projects on plant maintenance and outage management, but also be expanded to deliver, in a timely manner, technical support missions as requested by MSs for NPPs. One of many services is Maintenance and Outage Management Assessment (MOMA). The NPP can obtain support and assistance in assessment and optimisation of its maintenance program and/or outage management. It aims to help the NPP improve its performance of maintenance and outage in a competitive nuclear power business environment. The specific benefits of the assessment are as follows: a) disseminate nuclear industrial best practices on maintenance program and outage management in the world, b) benchmark, evaluate and optimise the approach of maintenance program and outage management and c) identify solutions to known problems at nuclear power plants, if any. MOMA is conducted at the request of NPPs of any IAEA Member States. MOMA consists in a technical mission/visit for 1-3 weeks by

MANAGING PHYSICAL DEVELOPMENT IN PERI-URBAN AREAS OF KUMASI, GHANA: A CASE OF ABUAKWA

Directory of Open Access Journals (Sweden)

Paul Amoateng

2013-01-01

Full Text Available A remarkable trait of the 21 st century has been the high rate of urbanization which has characterized the growth and development of cities especially in developing countries. This situation has fuelled rapid physical development and expansion of peri-urban areas as urban dwellers relocate to cities’ peripheries. Focusing on Abuakwa a peri-urban area in Kumasi, the second largest city in Ghana, this paper assesses the nature and extent of physical development in peri-urban areas, and identifies the factors contributing to the rapid development of peri-urban areas. The paper further examines the effects of the increasing physical growth on the development of peri-urban Abuakwa. Using a case study approach, both primary and secondary sources of data were collected from decentralized government institutions of Kumasi Metropolitan Assembly (KMA and Atwima Nwabiagya District Assembly (ANDA, as well as indigenes and relocated urban dwellers in Abuakwa. The paper reveals that the outward drift has manifested itself in an increased scramble for land for residential and commercial purposes in the peri-urban area. The resultant effect has been the fast and spontaneous physical development in the urban periphery which has significantly altered the peri-urban morphology. The paper recommends the establishment of Customary Land Secretariat (CLS to co-ordinate allocation of land, and the application of settlement growth management approaches to ensure the creation of a functional city and liveable peri-urban areas.

Probabilistic Design and Management of Sustainable Concrete Infrastructure Using Multi-Physics Service Life Models

DEFF Research Database (Denmark)

Lepech, Michael; Geiker, Mette; Michel, Alexander

This paper looks to address the grand challenge of integrating construction materials engineering research within a multi-scale, inter-disciplinary research and management framework for sustainable concrete infrastructure. The ultimate goal is to drive sustainability-focused innovation and adoption...... cycles in the broader architecture, engineering, construction (AEC) industry. Specifically, a probabilistic design framework for sustainable concrete infrastructure and a multi-physics service life model for reinforced concrete are presented as important points of integration for innovation between...... design, consists of concrete service life models and life cycle assessment (LCA) models. Both types of models (service life and LCA) are formulated stochastically so that the service life and time(s) to repair, as well as total sustainability impact, are described by a probability distribution. A central...

Integrating co-morbid depression and chronic physical disease management: identifying and resolving failures in self-regulation.

Science.gov (United States)

Detweiler-Bedell, Jerusha B; Friedman, Michael A; Leventhal, Howard; Miller, Ivan W; Leventhal, Elaine A

2008-12-01

Research suggests that treatments for depression among individuals with chronic physical disease do not improve disease outcomes significantly, and chronic disease management programs do not necessarily improve mood. For individuals experiencing co-morbid depression and chronic physical disease, demands on the self-regulation system are compounded, leading to a rapid depletion of self-regulatory resources. Because disease and depression management are not integrated, patients lack the understanding needed to prioritize self-regulatory goals in a way that makes disease and depression management synergistic. A framework in which the management of co-morbidity is considered alongside the management of either condition alone offers benefits to researchers and practitioners and may help improve clinical outcomes.

Multi-instrument assessment of physical activity in female office workers

Directory of Open Access Journals (Sweden)

Sema Can

2016-12-01

Full Text Available Objectives: The aim of this study was to examine the multi-instrument assessment of physical activity in female office workers. Material and Methods: Fifty healthy women (age (mean ± standard deviation: 34.8±5.9 years, body height: 158±0.4 cm, body weight: 61.8±7.5 kg, body mass index: 24.6±2.7 kg/m2 workers from the same workplace volunteered to participate in the study. Physical activity was measured with the 7-day Physical Activity Assessment Questionnaire (7-d PAAQ, an objective multi-sensor armband tool, and also a waist-mounted pedometer, which were both worn for 7 days. Results: A significant correlation between step numbers measured by armband and pedometer was observed (r = 0.735, but the step numbers measured by these 2 methods were significantly different (10 941±2236 steps/ day and 9170±2377 steps/day, respectively; p < 0.001. There was a weak correlation between the value of 7-d PAAQ total energy expenditure and the value of armband total energy expenditure (r = 0.394, p = 0.005. However, total energy expenditure values measured by armband and 7-d PAAQ were not significantly different (2081±370 kcal/ day and 2084±197 kcal/day, respectively; p = 0.96. In addition, physical activity levels (average daily metabolic equivalents (MET measured by armband and 7-d PAAQ were not significantly different (1.45±0.12 MET/day and 1.47±0.24 MET/day, respectively; p = 0.44. Conclusions: The results of this study showed that the correlation between pedometer and armband measurements was higher than that between armband measurements and 7-d PAAQ selfreports. Our results suggest that none of the assessment methods examined here, 7-d PAAQ, pedometer, or armband, is sufficient when used as a single tool for physical activity level determination. Therefore, multi-instrument assessment methods are preferable. Int J Occup Med Environ Health 2016;29(6:937–945

Knowledge management: High energy physics as model case

International Nuclear Information System (INIS)

Trabelsi, A.

2004-01-01

Full text: The world-wide High Energy Physics (HEP) community has emerged as one of the major forces in developing new tools and concepts to enhance the overall quality of knowledge management and to support technological innovation in this field. Though joint research and academic activities in HEP represent a more than 50-years old tradition, collaboration in this field has changed over the decades. In coming years, bigger and more distributed than ever before collaborations, with several thousand physicists and engineers, will concentrate on fewer major HEP experiments. They will face unprecedented challenges to accomplish their work at the leading laboratories where large accelerators are being constructed. These challenges arise primarily from the rapidly increasing size and complexity of datasets to be collected and the enormous computational, storage and networking resources to be deployed by global collaborations in order to process, distribute and analyze information. During the last two decades, the Web was HEP community response to the new wave of scientific collaborations. Almost all data networking in the HEP community is today based on the Internet which has since grown into a global information highway. Currently, HEP community needs to attempt to progress beyond structure information towards automated knowledge management of scientific data which requires extremely capable computing infrastructures supporting several key areas. Together with computer scientists, HEP community recognised as a driving force, is extremely well positioned to continue this successful strategy with respect to the initiative to build 'the next generation internet'. Facing knowledge sharing, acquisition and organisation growing requirement, HEP scientists invented the preprint concept in order to facilitate and speed up access to the ongoing research development and results. Preprint archive has since become a global repository for research particularly in physics

Healthy and maladaptive dependency and its relationship to pain management and perceptions in physical therapy patients.

Science.gov (United States)

Huprich, Steven K; Hoban, Patrick; Boys, Ashley; Rosen, Alexandra

2013-12-01

This study examined the association among healthy and maladaptive aspects of interpersonal dependency and the management of pain in physical therapy outpatients. Ninety-eight patients were administered the Relationship Profile Test, West Haven-Yale Multidimensional Pain Inventory, and Pain Catastrophizing Scale. Results indicated that Destructive Overdependence was positively associated with an increased number of office visits, pain interference in one's daily life, pain severity, affective distress, and receiving positive partner responses. Dysfunctional Detachment was associated with affective distress, pain interference in one's daily life, and rumination about pain. Healthy Dependency was only associated with receiving distracting responses from others. Believing that a spouse/partner is supportive and caring about one's pain partially mediated the relationship between overdependency and pain interfering in one's life. These results support the clinical utility of assessing interpersonal dependency for its relationship to managing one's pain and health care utilization.

ABOUT FORMS, EFFICIENCY AND ASSESSMENT OF ENVIRONMENTAL MANAGEMENT

Directory of Open Access Journals (Sweden)

H. Bachev

2015-03-01

Full Text Available We suggest a holistic framework for analyzing, assessment and improvement of environmental management using “agrariansector” as an example. It incorporates an interdisciplinary approach (Economics, Organization, Law, Sociology, Ecology, Technology, Behavioral and Political Sciences and includes: specification of managerial actors, needs and spectrum of governing modes (institutional environment; private, collective, market, public modes at different level of decision-making (individual, farm, eco-system, local, regional, national, transnational, global; specification of critical socio-economic, natural, technological, behavioral etc. factors of managerial choice, and feasible spectrum of managerial forms; defining and assessing comparative and absolute efficiency of eco-management forms and system; improvement of forms of public intervention in eco-management.

Breakthrough Propulsion Physics Project: Project Management Methods

Science.gov (United States)

Millis, Marc G.

2004-01-01

To leap past the limitations of existing propulsion, the NASA Breakthrough Propulsion Physics (BPP) Project seeks further advancements in physics from which new propulsion methods can eventually be derived. Three visionary breakthroughs are sought: (1) propulsion that requires no propellant, (2) propulsion that circumvents existing speed limits, and (3) breakthrough methods of energy production to power such devices. Because these propulsion goals are presumably far from fruition, a special emphasis is to identify credible research that will make measurable progress toward these goals in the near-term. The management techniques to address this challenge are presented, with a special emphasis on the process used to review, prioritize, and select research tasks. This selection process includes these key features: (a) research tasks are constrained to only address the immediate unknowns, curious effects or critical issues, (b) reliability of assertions is more important than the implications of the assertions, which includes the practice where the reviewers judge credibility rather than feasibility, and (c) total scores are obtained by multiplying the criteria scores rather than by adding. Lessons learned and revisions planned are discussed.

Improvement of Physical Therapist Assessment of Risk of Falls in the Hospital and Discharge Handover Through an Intervention to Modify Clinical Behavior.

Science.gov (United States)

Thomas, Susie; Mackintosh, Shylie

2016-06-01

Discharge from the hospital is a high risk transition period for older adults at risk of falls. Guidelines relevant to physical therapists for managing this risk are well documented, but commonly not implemented. This project implemented an intervention to improve physical therapists' adherence to key guideline recommendations for managing risk of falls on discharge from one hospital. A pretest-posttest study design was undertaken and was underpinned by the Theoretical Domains Framework (TDF) to aid in the design of interventions to increase physical therapists' adherence to guideline recommendations and to identify barriers to these interventions. A multifaceted intervention was implemented, including the establishment of a governance committee, education sessions, development of a "pathway" to guide practice, modification of an existing standardized assessment proforma, development of standardized processes and indicators for handover, increasing availability of educational handouts, audit and feedback processes, and allocation of dedicated staffing to oversee falls prevention within the physical therapy department. There were significant improvements in physical therapist behavior leading to key guideline recommendations being met, including: the proportion of patients who were identified to be at risk of falls (6.3% preintervention versus 94.8% postintervention) prior to discharge, an increase in documentation of clinical handover at discharge (68.6% preintervention versus 90.9% postintervention), and improvement in the quality of this documented clinical handover (34.9% of case notes met 5 criteria preintervention versus 92.9% postintervention). The approach was resource intensive and consequently may be difficult to replicate at other sites. A multifaceted intervention underpinned by the TDF, designed to modify physical therapists' behavior to improve adherence to guideline recommendations for managing risk of falls on discharge from one hospital, was

Exploring Academics' Approaches to Managing Team Assessment

Science.gov (United States)

Augar, Naomi; Woodley, Carolyn J.; Whitefield, Despina; Winchester, Maxwell

2016-01-01

Purpose: The purpose of this paper is to develop an understanding of academics' approaches to managing team assessment at an Australian University with a view to informing policy development and assessment design. Design/methodology/approach: The research was conducted using a single exploratory case study approach focussing on the team assessment…

Technological sequence of creating components of the training system of the future officers to the management of physical training

Directory of Open Access Journals (Sweden)

Olkhovy O.M.

2012-09-01

Full Text Available The goal is to determine constructive ways of sequence of constructing components of the training system of the future officers to carry out official questions of managing the physical training in the process of the further military career. The structural logic circuit of the interconnections stages of optimum cycle management and technological sequence of constructing the components of the training system of the future officers to the management of physical training, which provides: definition of requirements to the typical problems of professional activities on the issues of the leadership, organization and conducting of physical training, the creation of the phased system model cadets training, training of the curriculum discipline ″Physical education, special physical training and sport″; model creation and definition of criteria of the integral evaluation of the readiness of the future officers to the management of physical training was determined through the analysis more than thirty documentary and scientific literature.

Assessing Expertise in Introductory Physics Using Categorization Task

Science.gov (United States)

Mason, Andrew; Singh, Chandralekha

2011-01-01

The ability to categorize problems based upon underlying principles, rather than surface features or contexts, is considered one of several proxy predictors of expertise in problem solving. With inspiration from the classic study by Chi, Feltovich, and Glaser, we assess the distribution of expertise among introductory physics students by asking…

Evaluation of occupational physical load during 6-month international crisis management operation.

Science.gov (United States)

Pihlainen, Kai; Santtila, Matti; Vasankari, Tommi; Häkkinen, Keijo; Kyröläinen, Heikki

2018-01-07

Generally, operational military duties are associated with a variety of stressors, such as prolonged physical activity (PA). However, limited information is available on the occupational workload or changes in PA during international military operations. Thus, the aim of the study was to investigate the changes in body composition, stress biomarkers, PA, and heart rate (HR) responses of 79 male soldiers during a 6-month international crisis management operation. Measurements were conducted 3 times in South-Lebanon during the operation. Body composition was assessed by the bioelectrical impedance method. Blood samples were analyzed for serum testosterone, sex-hormone binding globulin (SHBG), cortisol and insulin-like growth factor. Saliva sampling was used for analyzing stress biomarkers, cortisol and α-amylase. Heart rate and physical activity were monitored by a recordable belt and tri-axial accelerometer, respectively. Increases in muscle mass (39.2±4.1 vs. 39.5±4.2 kg, p PRE-MID) of the study. The increase in muscle mass remained significant during the latter half (PRE-POST, 39.2±4.1 vs. 39.6±4.4 kg, p PRE-POST, 36.5±33.7 vs. 55.1±39.7 U/ml), the acute stress biomarkers and HR responses remained unchanged. Furthermore, the low quantity of PA, low HR values and subjective ratings of exertion refer to rather light physical workload. Due to the operatively calm nature of the working environment, the present soldiers did not express any significant signs of physical overload during the study period. Int J Occup Med Environ Health 2018;31(2):185-197. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

Better assessment of physical function: item improvement is neglected but essential.

Science.gov (United States)

Bruce, Bonnie; Fries, James F; Ambrosini, Debbie; Lingala, Bharathi; Gandek, Barbara; Rose, Matthias; Ware, John E

2009-01-01

Physical function is a key component of patient-reported outcome (PRO) assessment in rheumatology. Modern psychometric methods, such as Item Response Theory (IRT) and Computerized Adaptive Testing, can materially improve measurement precision at the item level. We present the qualitative and quantitative item-evaluation process for developing the Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function item bank. The process was stepwise: we searched extensively to identify extant Physical Function items and then classified and selectively reduced the item pool. We evaluated retained items for content, clarity, relevance and comprehension, reading level, and translation ease by experts and patient surveys, focus groups, and cognitive interviews. We then assessed items by using classic test theory and IRT, used confirmatory factor analyses to estimate item parameters, and graded response modeling for parameter estimation. We retained the 20 Legacy (original) Health Assessment Questionnaire Disability Index (HAQ-DI) and the 10 SF-36's PF-10 items for comparison. Subjects were from rheumatoid arthritis, osteoarthritis, and healthy aging cohorts (n = 1,100) and a national Internet sample of 21,133 subjects. We identified 1,860 items. After qualitative and quantitative evaluation, 124 newly developed PROMIS items composed the PROMIS item bank, which included revised Legacy items with good fit that met IRT model assumptions. Results showed that the clearest and best-understood items were simple, in the present tense, and straightforward. Basic tasks (like dressing) were more relevant and important versus complex ones (like dancing). Revised HAQ-DI and PF-10 items with five response options had higher item-information content than did comparable original Legacy items with fewer response options. IRT analyses showed that the Physical Function domain satisfied general criteria for unidimensionality with one-, two-, three-, and four-factor models

Assessing expertise in introductory physics using categorization task

Directory of Open Access Journals (Sweden)

Andrew Mason

2011-10-01

Full Text Available The ability to categorize problems based upon underlying principles, rather than surface features or contexts, is considered one of several proxy predictors of expertise in problem solving. With inspiration from the classic study by Chi, Feltovich, and Glaser, we assess the distribution of expertise among introductory physics students by asking three introductory physics classes, each with more than a hundred students, to categorize mechanics problems based upon similarity of solution. We compare their categorization with those of physics graduate students and faculty members. To evaluate the effect of problem context on students’ ability to categorize, two sets of problems were developed for categorization. Some problems in one set included those available from the prior study by Chi et al. We find a large overlap between calculus-based introductory students and graduate students with regard to their categorizations that were assessed as “good.” Our findings, which contrast with those of Chi et al., suggest that there is a wide distribution of expertise in mechanics among introductory and graduate students. Although the categorization task is conceptual, introductory students in the calculus-based course performed better than those in the algebra-based course. Qualitative trends in categorization of problems are similar between the non-Chi problems and problems available from the Chi study used in our study although the Chi problems used are more difficult on average.

Parent knowledge of disease management in cystic fibrosis: Assessing behavioral treatment management.

Science.gov (United States)

Nicolais, Christina J; Bernstein, Ruth; Riekert, Kristin A; Quittner, Alexandra L

2018-02-01

Cystic fibrosis (CF) is a life-shortening, burdensome disease requiring complex knowledge to manage the disease. Significant gaps in knowledge have been documented for parents, which may lead to unintentionally poor adherence and insufficient transfer of treatment responsibility from parents to adolescents. There are no current, validated measures of parent knowledge for this population and there are no measures that assess the knowledge required for day-to-day behavioral management of CF. We assessed the psychometric properties of the parent version of the Knowledge of Disease Management-Cystic Fibrosis measure (KDM-CF-P) using data from iCARE (I Change Adherence and Raise Expectations), a randomized control adherence intervention trial. A total of 196 parents in the iCARE standard care/control arm completed 35 items assessing their knowledge of disease management at their 12-month study visit, prior to beginning the intervention. Items were eliminated from the measure if they met the threshold for ceiling effects, were deemed clinically irrelevant, or did not correlate well with their intended scale. Item-to-total correlations, confirmatory factor analysis, discriminant function, reliability, and convergent validity were calculated. The KDM-CF-P (19 items) demonstrated internal consistency of KR20 = 0.60 on each scale and a two-scale structure. Convergent validity for knowledge scores was found with maternal education, family income, and type of medical insurance. Parents correctly answered approximately 85% of items on the KDM-CF-P. The KDM-CF-P psychometrics support a two-scale measure with clinical utility. It is useful for assessing gaps in knowledge that can be remediated through individualized, tailored interventions. © 2017 Wiley Periodicals, Inc.

Life cycle assessment of waste management systems: Assessing technical externalities

DEFF Research Database (Denmark)

Brogaard, Line Kai-Sørensen

The life cycle assessment (LCA) of a waste management system relies on many internal characteristics such as pollution control systems and recovery efficiencies. It also relies on technical externalities supporting the waste management system in terms of capital goods and energy and material...... for the primary and secondary production of materials, 366 datasets were gathered. The materials in focus were: paper, newsprint, cardboard, corrugated board, glass, aluminium, steel and plastics (HDPE, LDPE, LLDPE, PET, PS, PVC). Only one quarter of these data concerned secondary production, thus underlining...

An internet survey of the characteristics and physical activity of community-dwelling Australian adults with acquired brain injury: Exploring interest in an internet-delivered self-management program focused on physical activity.

Science.gov (United States)

Jones, Taryn M; Dean, Catherine M; Dear, Blake F; Hush, Julia M; Titov, Nickolai

2016-01-01

Individuals with acquired brain injury (ABI) are more likely to be physically inactive and experience barriers to accessing services to address inactivity. This study was designed to guide the development of an internet-delivered self-management program to increase physical activity after ABI. The aims of this study were to examine the current physical activity status of community-dwelling Australian adults with ABI, the barriers to physical activity they experience and to explore interest an internet-delivered self-management program aimed at increasing physical activity. An online survey of Australian adults with ABI was used to collect information about demographic characteristics; general health; emotional well-being; mobility and physical activity status, and satisfaction; barriers to physical activity; confidence in overcoming barriers, and; interest in an internet self-management program. Data were analyzed descriptively and correlational analyses examined relationships between variables. Data were analyzed from 59 respondents. Over half were not satisfied with their current physical activity status. The most frequently reported barriers were pain/discomfort, fatigue and fear, and confidence to overcome these barriers was very low. Interest in an internet-delivered self-management program was high (74%) and not related to the amount of physical activity, satisfaction with physical activity and mobility status or total number of barriers. Australian adults with ABI are not satisfied with their activity levels and experience barriers in maintaining their physical activity levels. Participants were interested in accessing an internet-delivered self-management program aimed at improving physical activity levels. Therefore such a program warrants development and evaluation. Copyright © 2016 Elsevier Inc. All rights reserved.

Physics Faculty Perceptions of Research-based Assessment

Science.gov (United States)

Sayre, Eleanor

2016-03-01

When research-based resources are well aligned with the perceived needs of faculty, faculty members will more readily take them up. We used phenomenographic interviews of ordinary physics faculty and department chairs to identify four families of issues that faculty have around research-based assessments (RBAs). First, many faculty are interested in using RBAs, but need help with the practicalities of administering RBAs: how to find them, which ones there are, and how to administer them. Second, at the same time, many faculty think that RBAs are limited and don't measure many of the things they care about, or aren't applicable in their classes. They want assessments to measure skills, perceptions, and specific concepts. Third, many faculty want to turn to communities of other faculty and experts to help them interpret their assessment results and suggest other ways to do assessment. They want to better understand their assessment results by comparing to others and interacting with faculty from other schools to learn about how they do assessment. Fourth, many faculty consider their courses in the broader contexts of accountability and their departments. They want help with assessment in these broader contexts. We also discuss how faculty members' roles in their departments and institutions influence their perceived wants and needs around assessment. Supported by NSF DUE-1256354, DUE-1256354, DUE-1347821, DUE-1347728.

Study on countermeasures for effective assessment of domestic system of physical protection

International Nuclear Information System (INIS)

Lee, Jong Uk; An, J. S.; Min, G. S.; Yoon, W. K.; Kim, K. J.; Kim, J. K.; Lim, J. H.; Choe, K. K.; Park, S. G.

2004-04-01

Since the threat for nuclear facilities has increased due to the collapse of the Soviet Union and the allegations of Iraq and North Korean nuclear programmes, the concern for international regime of physical protection has been a hot issue worldwide. In addition, as the international strengthening trend of physical protection had been speeded up since the September 11th terror, Member States including the IAEA had agreed to revise the CPPNM(INFCIRC/274/rev.1) and prepared a draft amendment of CPPNM to establish their systems of physical protection based on threat assessment. However, Korean government has not yet established the domestic regime of threat assessment as well as national DBT for nuclear facilities, so it is very urgent to prepare the measures for them. As a domestic countermeasure for the international trend, Korean government promulgated a new 'Law for Physical Protection and Radiological Emergency'(LPPRE) on May 2003, which was based on establishing the regime of threat assessment, but it is necessary for us to construct the substantial countermeasures for its implementation as well as to legislate the following regulations of the LPPRE. Therefore, this study suggests the measures for constructing domestic regime of threat assessment in order to establish the legal and institutional framework and provides the efficient countermeasures for its implementation

Crossing physical simulations of snow conditions and a geographic model of ski area to assess ski resorts vulnerability

Science.gov (United States)

François, Hugues; Spandre, Pierre; Morin, Samuel; George-Marcelpoil, Emmanuelle; Lafaysse, Matthieu; Lejeune, Yves

2016-04-01

In order to face climate change, meteorological variability and the recurrent lack of natural snow on the ground, ski resorts adaptation often rely on technical responses. Indeed, since the occurrence of episodes with insufficient snowfalls in the early 1990's, snowmaking has become an ordinary practice of snow management, comparable to grooming, and contributes to optimise the operation of ski resorts. It also participates to the growth of investments and is associated with significant operating costs, and thus represents a new source of vulnerability. The assessment of the actual effects of snowmaking and of snow management practices in general is a real concern for the future of the ski industry. The principal model use to simulate snow conditions in resorts, Ski Sim, has also been moving this way. Its developers introduced an artificial input of snow on ski area to complete natural snowfalls and considered different organisations of ski lifts (lower and upper zones). However the use of a degree-day model prevents them to consider the specific properties of artificial snow and the impact of grooming on the snowpack. A first proof of concept in the French Alps has shown the feasibility and the interest to cross the geographic model of ski areas and the output of the physically-based reanalysis of snow conditions SAFRAN - Crocus (François et al., CRST 2014). Since these initial developments, several ways have been explored to refine our model. A new model of ski areas has been developed. Our representation is now based on gravity derived from a DEM and ski lift localisation. A survey about snow management practices also allowed us to define criteria in order to model snowmaking areas given ski areas properties and tourism infrastructures localisation. We also suggest to revisit the assessment of ski resort viability based on the "one hundred days rule" based on natural snow depth only. Indeed, the impact of snow management must be considered so as to propose

Using Mobile Health (mHealth) Technology in the Management of Diabetes Mellitus, Physical Inactivity, and Smoking.

Science.gov (United States)

Rehman, Hasan; Kamal, Ayeesha K; Sayani, Saleem; Morris, Pamela B; Merchant, Anwar T; Virani, Salim S

2017-04-01

Cardiovascular mortality remains high due to insufficient progress made in managing cardiovascular risk factors such as diabetes mellitus, physical inactivity, and smoking. Healthy lifestyle choices play an important role in the management of these modifiable risk factors. Mobile health or mHealth is defined as the use of mobile computing and communication technologies (i.e., mobile phones, wearable sensors) for the delivery of health services and health-related information. In this review, we examine some recent studies that utilized mHealth tools to improve management of these risk factors, with examples from developing countries where available. The mHealth intervention used depends on the availability of resources. While developing countries are often restricted to text messages, more resourceful settings are shifting towards mobile phone applications and wearable technology. Diabetes mellitus has been extensively studied in different settings, and results have been encouraging. Tools utilized to increase physical activity are expensive, and studies have been limited to resource-abundant areas and have shown mixed results. Smoking cessation has had promising initial results with the use of technology, but mHealth's ability to recruit participants beyond those actively seeking to quit has not been established. mHealth interventions appear to be a potential tool in improving control of cardiovascular risk factors that rely on individuals making healthy lifestyle choices. Data related to clinical impact, if any, of commercially available tools is lacking. More studies are needed to assess interventions that target multiple cardiovascular risk factors and their impact on hard cardiovascular outcomes.

Assessment of physical activity and energy expenditure: an overview of objective measures

OpenAIRE

Andrew P Hills; Andrew P Hills; Najat eMokhtar; Nuala M Byrne

2014-01-01

The ability to assess energy expenditure and estimate physical activity in free-living individuals is extremely important in the global context of non-communicable diseases including malnutrition, overnutrition (obesity) and diabetes. It is also important to appreciate that physical activity and energy expenditure are different constructs with physical activity defined as any bodily movement that results in energy expenditure and accordingly, energy is expended as a result of physical activit...

Validity and Responsiveness of Concept Map Assessment Scores in Physical Education

Science.gov (United States)

Lee, Yun Soo; Jang, Yongkyu; Kang, Minsoo

2015-01-01

Concept map assessment has been applied to many education areas to measure students' knowledge structure. However, the proper and valid use of concept map assessment has not been examined in physical education. The purpose of this study was to evaluate the evidence of validity and responsiveness of the concept map assessment scores in physical…

A risk communication case study: the Nevada risk assessment/management program

International Nuclear Information System (INIS)

Hechanova, A.E.

2001-01-01

The Nevada Risk Assessment/Management Program is part of a national effort by the U.S. Department of Energy (Grant DE-FG01-96EW56093) to develop new sources of information and approaches to risk assessment, risk management, risk communication and public outreach as these objectives relate to the ecological and human health effects of radioactive and hazardous material management and site remediation activities. This paper reviews the innovation behind the Nevada Risk Assessment/Management Program and presents a synopsis of the effort that began in 1995 and will officially conclude on April 30, 2000. (author)

The Tokamak Fusion Test Reactor decontamination and decommissioning project and the Tokamak Physics Experiment at the Princeton Plasma Physics Laboratory. Environmental Assessment

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-05-27

If the US is to meet the energy needs of the future, it is essential that new technologies emerge to compensate for dwindling supplies of fossil fuels and the eventual depletion of fissionable uranium used in present-day nuclear reactors. Fusion energy has the potential to become a major source of energy for the future. Power from fusion energy would provide a substantially reduced environmental impact as compared with other forms of energy generation. Since fusion utilizes no fossil fuels, there would be no release of chemical combustion products to the atmosphere. Additionally, there are no fission products formed to present handling and disposal problems, and runaway fuel reactions are impossible due to the small amounts of deuterium and tritium present. The purpose of the TPX Project is to support the development of the physics and technology to extend tokamak operation into the continuously operating (steady-state) regime, and to demonstrate advances in fundamental tokamak performance. The purpose of TFTR D&D is to ensure compliance with DOE Order 5820.2A ``Radioactive Waste Management`` and to remove environmental and health hazards posed by the TFTR in a non-operational mode. There are two proposed actions evaluated in this environmental assessment (EA). The actions are related because one must take place before the other can proceed. The proposed actions assessed in this EA are: the decontamination and decommissioning (D&D) of the Tokamak Fusion Test Reactor (TFTR); to be followed by the construction and operation of the Tokamak Physics Experiment (TPX). Both of these proposed actions would take place primarily within the TFTR Test Cell Complex at the Princeton Plasma Physics Laboratory (PPPL). The TFTR is located on ``D-site`` at the James Forrestal Campus of Princeton University in Plainsboro Township, Middlesex County, New Jersey, and is operated by PPPL under contract with the United States Department of Energy (DOE).

Parent-offspring correlations in pedometer-assessed physical activity.

Directory of Open Access Journals (Sweden)

David Jacobi

Full Text Available Physical activity is a major component of a healthy lifestyle in youth and adults. To identify determinants of this complex behavior is an important research objective in the process of designing interventions to promote physical activity at population level. In addition to individual determinants, there is evidence documenting familial influences on physical activity. However, the few studies that have addressed this issue with objective measures did not provide data on parent-offspring physical activity relationships throughout childhood and adolescence. The purpose of this study was to assess familial correlations in pedometer-assessed physical activity.We measured ambulatory activity in 286 French nuclear families (283 mothers, 237 fathers, and 631 children aged 8-18 years by pedometer recordings (Yamax Digiwalker DW 450 over a week. Correlations were computed with their 95% confidence intervals (CI for spouse pairs, siblings, mother-offspring, and father-offspring. Data were expressed as steps per day and computed both for the full recording period and separately for weekdays and weekends.The correlations were the highest between siblings (r=0.28, 95%CI: 0.17-0.38. Parent-offspring correlations were significant in mothers (r=0.21, 95%CI: 0.12-0.30, especially between mothers and daughters (r=0.24, 95%CI: 0.12-0.36 vs. r=0.18, 95%CI: 0.05-0.31 for sons, but were almost nonexistent in fathers. Correlations were generally higher on weekend days compared to weekdays. Mother-offspring correlations did not decrease with increasing age of children (r=0.17, 95%CI: 0.00-0.34 in 8-11-year-olds, r=0.20, 95%CI: 0.07-0.33 in 12-15-year-olds, and r=0.25, 95%CI: 0.07-0.39 in ≥16-year-olds. Finally, between-spouse correlations were significant only during weekend days (r=0.14, 95%CI: 0.01-0.27.Ambulatory activity correlated within families, with a possible mother effect. Mother-offspring correlations remained significant through the transition from

A national assessment of physical activity on US national forests

Science.gov (United States)

Jeffrey D. Kline; Randall S. Rosenberger; Eric M. White

2011-01-01

In an era of declining timber harvests on federal lands, the US Forest Service has sought to better describe the public benefits associated with the nation's continued investment in managing the national forests. We considered how national forests contribute to public health by providing significant outdoor recreation opportunities. Physical inactivity has become...

Risk assessment and management approaches on mental health units.

Science.gov (United States)

Woods, P

2013-11-01

This exploratory and descriptive study took place in one Canadian province. The study aimed to: (1) to identify and describe the nature and extent of current risk assessment and management approaches used in the adult inpatient mental health and forensic units; and (2) to identify good practice and shortfalls in the nature and extent of the approaches currently utilized. Data were collected from 48 participants through nine focus groups. Participants reported that they used a clinical approach to risk assessment. They had also not considered risk assessment and management as a proactive structured process. Education and training was also limited and skills were developed over time through practice. Five keys issues are discussed as important: reliance on clinical judgement alone is not the best choice to make; the need to consider risk as a whole concept; risk management being more reactive than proactive; education and training; and client involvement in risk assessment. © 2012 John Wiley & Sons Ltd.

Disparity in Physical Activity among Urban Youth: An Ecologically Guided Assessment

Science.gov (United States)

Lenhart, Clare M.; Patterson, Freda; Brown, Michael D.; O'Brien, Matthew J.; Nelson, Deborah B.

2014-01-01

Background: Insufficient physical activity among urban youth increases risk of chronic disease.Purpose:This study assessed reported physical activity to determine when disparities in participation emerge and what ecologically guided factors are linked with high activity. Methods:We administered a cross-sectional survey to a diverse sample of 321…

Life Cycle Assessment of Slurry Management Technologies

DEFF Research Database (Denmark)

Wesnæs, Marianne; Wenzel, Henrik; Petersen, Bjørn Molt

This report contains the results of Life Cycle Assessments of two slurry management technologies - acidification and decentred incineration. The LCA foundation can be used by the contributing companies for evaluating the environmental sustainability of a specific technology from a holistic Life...... Cycle perspective. Through this the companies can evaluate the environmental benefits and disadvantages of introducing a specific technology for slurry management. From a societal perspective the results can contribute to a clarification of which slurry management technologies (or combination...... of technologies) having the largest potential for reducing the overall environmental impacts....

Assessment of Brine Management for Geologic Carbon Sequestration

Energy Technology Data Exchange (ETDEWEB)

Breunig, Hanna M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Birkholzer, Jens T. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Borgia, Andrea [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Price, Phillip N. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Oldenburg, Curtis M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; McKone, Thomas E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division

2013-06-13

reluctant to invest in capital intensive, high risk GCS projects; early technical, economic, and environmental assessments of brine management are extremely valuable for determining the potential role of GCS in the US. We performed a first order feasibility and economic assessment, at three different locations in the US, of twelve GCS extracted-­water management options, including: geothermal energy extraction, desalination, salt and mineral harvesting, rare-­earth element harvesting, aquaculture, algae biodiesel production, road de-­icing, enhanced geothermal system (EGS) recharge, underground reinjection, landfill disposal, ocean disposal, and evaporation pond disposal. Three saline aquifers from different regions of the US were selected as hypothetical GCS project sites to encompass variation in parameters that are relevant to the feasibility and economics of brine disposal. The three aquifers are the southern Mt. Simon Sandstone Formation in the Illinois Basin, IL; the Vedder Formation in the southern San Joaquin Basin, CA; and the Jasper Interval in the eastern Texas Gulf Basin, TX. These aquifers are candidates for GCS due to their physical characteristics and their close proximity to large CO₂ emission sources. Feasibility and impacts were calculated using one mt-­CO₂ injected as the functional unit of brine management. Scenarios were performed for typical 1000MW coal-­fired power plants (CFPP) that incurred an assumed 24 percent carbon capture energy penalty (EP), injected 90 percent of CO₂ emissions (~9 million mt-­ CO₂ injected annually), and treated extracted water onsite. Net present value (NPV), land requirements, laws and regulations, and technological limits were determined for each stage of disposal, and used to estimate feasibility. The boundary of the assessment began once extracted water was brought to the surface, and ended once the water evaporated, was injected underground, or was discharged into

Radioactive waste management: the contribution of expert assessments to the implementation of safe management channels

International Nuclear Information System (INIS)

Besnus, F.; Jouve, A.C.

2011-01-01

The national Radioactive Materials and Waste Management (PNGMDR) sets objectives and defines waste management channels for all radioactive wastes produced in France. Within this framework, IRSN (Institute for Radioprotection and Nuclear Safety) expertise aims at assessing the consistency and robustness of the technical solutions set in place by the plan. As a result of this assessment, the main safety issues and priorities for upgrading the safety of the various facilities that will receive and treat waste are identified on the one hand, while possible foreseen weaknesses in terms of storage or treatment capacities are put into light on the other hand. To carry out such assessment, IRSN backs on its 'in depth' knowledge of facilities, acquired through the examination of each major step of waste management facility life (creation, commissioning, re-examination of safety...). This knowledge feeds in turn the examination of the waste management strategies implemented by operators. In addition, special attention is given to the achievement of waste packages of favourable properties as well as to the conditions for their safe disposal, since these two aspects are most often key factors for optimizing the safety of the whole management channel. By its capacity to overlook all steps of waste management channels, from production to final disposal, IRSN intends to contribute to the objective of enhancing the global safety of the management of radioactive waste. (authors)

Association of Quality Physical Education Teaching with Students’ Physical Fitness

Directory of Open Access Journals (Sweden)

Weiyun Chen, Steve Mason, Andrew Hypnar, Austin Hammond-Bennett

2016-06-01

Full Text Available This study examined the extent to which four essential dimensions of quality physical education teaching (QPET were associated with healthy levels of physical fitness in elementary school students. Participants were nine elementary PE teachers and 1, 201 fourth- and fifth-grade students who were enrolled in nine elementary schools. The students’ physical fitness were assessed using four FITNESSGRAM tests. The PE teachers’ levels of QPET were assessed using the Assessing Quality Teaching Rubrics (AQTR. The AQTR consisted of four essential dimensions including Task Design, Task Presentation, Class Management, and Instructional Guidance. Codes were confirmed through inter-rater reliability (82.4% and 84.5%. Data were analyzed through descriptive statistics, multiple R-squared regression models, and independent sample t-tests. The four essential teaching dimensions of QPET were significantly associated with the students’ cardiovascular endurance, muscular strength and endurance, and flexibility. However, they accounted for relatively low percentage of the total variance in PACER test, followed by Curl-up test, while explaining very low portions of the total variance in Push-up and Trunk Lift tests. This study indicated that the students who had experienced high level of QPET were more physically fit than their peers who did not have this experience in PACER and Curl-up tests, but not in Push-up and Trunk lift tests. In addition, the significant contribution of the four essential teaching dimensions to physical fitness components was gender-specific. It was concluded that the four teaching dimensions of QPET were significantly associated with students’ health-enhancing physical fitness.

Assessing the Effectiveness of Studio Physics in Introductory-Level Courses at Georgia State University

Science.gov (United States)

Upton, Brianna; Evans, John; Morrow, Cherilynn; Thoms, Brian

2009-11-01

Previous studies have shown that many students have misconceptions about basic concepts in physics. Moreover, it has been concluded that one of the challenges lies in the teaching methodology. To address this, Georgia State University has begun teaching studio algebra-based physics. Although many institutions have implemented studio physics, most have done so in calculus-based sequences. The effectiveness of the studio approach in an algebra-based introductory physics course needs further investigation. A 3-semester study assessing the effectiveness of studio physics in an algebra-based physics sequence has been performed. This study compares the results of student pre- and post-tests using the Force Concept Inventory. Using the results from this assessment tool, we will discuss the effectiveness of the studio approach to teaching physics at GSU.

Assessing framing of uncertainties in water management practice

NARCIS (Netherlands)

Isendahl, N.; Dewulf, A.; Brugnach, M.; Francois, G.; Möllenkamp, S.; Pahl-Wostl, C.

2009-01-01

Dealing with uncertainties in water management is an important issue and is one which will only increase in light of global changes, particularly climate change. So far, uncertainties in water management have mostly been assessed from a scientific point of view, and in quantitative terms. In this

Study of microarthropod communities to assess soil quality in different managed vineyards

Science.gov (United States)

Gagnarli, Elena; Vignozzi, Nadia; Valboa, Giuseppe; Bouneb, Mabrouk; Corino, Lorenzo; Goggioli, Donatella; Guidi, Silvia; Lottero, Mariarosa; Tarchi, Franca; Simoni, Sauro

2014-05-01

Land use type influences the abundance and diversity of soil arthropods. The evaluation of the effects of different crop managements on soil quality is commonly requested; it can be pursued by means of the determination of communities' structure of edaphic fauna. The development and application of biological indices may represent an efficient mean to assess soil quality. We evaluated the effect of crop managements (organic and Integrated Pest Management-IPM) in some vineyards in Piedmont (Italy) on soil biota in relation to some physical and chemical characteristics of the soil. The study was performed in eleven sites, including seven organic and four IPM managed vineyards located in the Costigliole d'Asti area. Samplings were carried out during the winter 2011 and the spring 2012. Soil samples were collected using a cylindrical soil core sampler (3cm diameter x 30cm height): each sample was a cylindrical soil core which was equally subdivided to study arthropod communities at different depth ranges. Additional samples were collected and analyzed for the following soil physical and chemical properties: texture (sedigraph method), pH (1:2.5 soil/water), total organic carbon (TOC), total nitrogen (NT) and calcium carbonate (dry combustion by CN analyzer). The extraction of microarthropods was performed using the selector Berlese-Tullgren. All specimens were counted and determined up to the order level. The influence of soil properties and of agronomic practices on the abundance of mesofauna was evaluated by multivariate analysis (MANOVA). The biological soil quality was also defined through the determination of biotic indices such as the qualitative and quantitative QBSar (Quality Biological Soil - arthropods), and biodiversity indices such as species richness and indices of Shannon-Wiener (H') and Simpson (D). Overall, more than four thousands arthropods were collected and the highest abundance was in biological management with about 2:1 ratio (biological vs

Measuring physical activity during pregnancy - Cultural adaptation of the Pregnancy Physical Activity Questionnaire (PPAQ) and assessment of its reliability in Polish conditions.

Science.gov (United States)

Krzepota, Justyna; Sadowska, Dorota; Sempolska, Katarzyna; Pelczar, Małgorzata

2017-12-23

The assessment of physical activity during pregnancy is crucial in perinatal care and it is an important research topic. Unfortunately, in Poland there is a lack of one commonly accepted questionnaire of physical activity during pregnancy. The aim of this study was to adapt the Pregnancy Physical Activity Questionnaire (PPAQ) to Polish conditions and assess the reliability of its Polish version (PPAQ-PL). The PPAQ was translated from English into Polish and its reliability tested. 64 correctly completed (twice, one week apart) questionnaires were qualified for analysis. Test-retest reliability was assessed using Intraclass Correlation Coefficient (ICC). As a result of the adaptation and psychometric assessment, in the Polish version of the questionnaire the number of questions was reduced from 36 to 35 by removing the question concerning 'mowing lawn while on a riding mower'. The ICC value for total activity was 0.75, which confirms a substantial level of reliability. The ICC values for subscales of intensity ranged from 0.53 (light) - 0.86 (vigorous). For subscales of type, ICC values ranged from 0.59 (transportation) - 0.89 (household/caregiving). The PPAQ-PL can be accepted as a reliable tool for the assessing physical activity of pregnant women in Poland. Information obtained using the questionnaire might be helpful in monitoring health behaviours, preventing obesity, as well as designing and promoting physical activity programmes for pregnant women.

Educational needs assessment of Mashad University of Medical Sciences’ managers in management and leadership

Directory of Open Access Journals (Sweden)

Emad Zade A

2004-01-01

Full Text Available Background: The first step in human resource development is educational need assessment. A sound knowledge of managerial roles and skills is vital for a successful management in the educational system. Purpose: To determine the educational needs of managers and directors of Mashad Medical University in filed of educational management and leadership. Method: A survey of a 40-person sample of the university managers including deans and vice deans for education of the faculties and the heads of educational groups the data were analyzed with SPSS. Results: The mean age of the sample was 47.2(±7.5 and the mean duration of serving in managerial positions were 5.4(±3.6.The most needed items to be taught were identified as strategic planning in management, setting educational goals, deciding whether the ability to be a manager is inborn or must be acquired, main problems in educational planning and surveillance techniques, educational guidance, system analysis and educational evaluation. Characteristics of educational advisors were also of great importance. Conclusion: Our study showed that educational managers were aware of their need for further development of a sound basis of managerial knowledge. Key words: Need assessment, educational needs, educational managers

Assessment of solid waste management systems in Ibadan North ...

African Journals Online (AJOL)

Assessment of solid waste management systems in Ibadan North, Oyo State using geo-spatial ... Ethiopian Journal of Environmental Studies and Management ... Keywords: GIS, Median, Nearest Neighbour Analysis (NNA), Skip Bins ...

Sustainability assessment of stormwater management systems

DEFF Research Database (Denmark)

Brudler, Sarah; Arnbjerg-Nielsen, Karsten; Ammitsøe, Christian

We quantify ecotoxicity impacts caused by different solutions to manage stormwater using life cycle assessment. As a novelty, we include emissions of a wide range of pollutants present in runoff. These emissions turn out to be of great importance, especially in decentralized, above surface systems....

Assessment of the U.S. outer continental shelf environmental studies program. 1. Physical oceanography. Final report

International Nuclear Information System (INIS)

1990-01-01

Federal responsibility for oil and gas development on the U.S. outer continental shelf (OCS) resides with the Minerals Management Service (MMS) of the U.S. Department of the Interior (DOI). The DOI's Environmental Studies Program (ESP) is the program through which MMS conducts environmental studies on the OCS and collects information to prepare environmental impact statements (EISs). It appeared to MMS in 1986 that the time was ripe to assess the status of the present program and to explore the needs for future studies. MMS requested an evaluation of the adequacy and applicability of ESP studies, a review of the general state of knowledge in the appropriate disciplines, and recommendations for future studies. Three panels were established, one of which, the Physical Oceanography Panel, investigated the physical oceanographic aspects of the ESP, the subject of the report, which is the first of three in a series. In reviewing the ESP's physical oceanography program, the panel evaluated the quality and relevance of studies carried out in waters under federal control, which extend from the limits of state jurisdictions (3-12 miles offshore) and include the central and outer continental shelf waters and the continental slope

Self-reported physical fitness in frail older persons : Reliability and validity of the self-assessment of physical fitness (Sapf)

NARCIS (Netherlands)

Weening - Dijksterhuis, Elizabeth; de Greef, Mathieu H. G.; Krijnen, Wim; van der Schans, Cees P.

2012-01-01

In very old and/ or frail older people living in long-term care facilities, physical inactivity negatively affects activities of daily living. The main reason to assess older adults' perceived fitness is to establish the relation with their beliefs about their ability to perform physical activity

Self-reported physical fitness in frail older persons : reliability and validity of the Self-Assessment of Physical Fitness (SAPF)

NARCIS (Netherlands)

Weening-Dijksterhuis, Betsy; de Greef, Mathieu; Krijnen, Wim; van der Schans, Cees

2012-01-01

In very old and/or frail older people living in long-term care facilities, physical inactivity negatively affects activities of daily living. The main reason to assess older adults' perceived fitness is to establish the relation with their beliefs about their ability to perform physical activity

Behavioral and Psychological Phenotyping of Physical Activity and Sedentary Behavior: Implications for Weight Management.

Science.gov (United States)

Bryan, Angela D; Jakicic, John M; Hunter, Christine M; Evans, Mary E; Yanovski, Susan Z; Epstein, Leonard H

2017-10-01

Risk for obesity is determined by a complex mix of genetics and lifetime exposures at multiple levels, from the metabolic milieu to psychosocial and environmental influences. These phenotypic differences underlie the variability in risk for obesity and response to weight management interventions, including differences in physical activity and sedentary behavior. As part of a broader effort focused on behavioral and psychological phenotyping in obesity research, the National Institutes of Health convened a multidisciplinary workshop to explore the state of the science in behavioral and psychological phenotyping in humans to explain individual differences in physical activity, both as a risk factor for obesity development and in response to activity-enhancing interventions. Understanding the behavioral and psychological phenotypes that contribute to differences in physical activity and sedentary behavior could allow for improved treatment matching and inform new targets for tailored, innovative, and effective weight management interventions. This summary provides the rationale for identifying psychological and behavioral phenotypes relevant to physical activity and identifies opportunities for future research to better understand, define, measure, and validate putative phenotypic factors and characterize emerging phenotypes that are empirically associated with initiation of physical activity, response to intervention, and sustained changes in physical activity. © 2017 The Obesity Society.

The attitudes of technical-school students towards assessments and motivation for studying physics

Directory of Open Access Journals (Sweden)

Stanivuk Ljiljana

2015-01-01

Full Text Available The aim of the research presented in this paper was the analysis of the attitudes of the students of a secondary technical school towards assessments and motivation for studying physics. The research was conducted with the sample of462 first- and second-year students of several four-year course profiles in technical schools in Novi Sad and Subotica. Scaling was the used technique and the instrument was construed according to the five-point Likert scale for attitudes. The results show the following: (! the students have predominantly positive attitudes towards assessments in physics, the majority think that their grades are the result of their engagement, and only few students think that the subject teacher is responsible for their low grades, (2 the students are not sufficiently motivated for studying physics, (3 the attitudes of the students towards their grades affect their motivation for learning if they think that the teacher's assessments are not fair or the lessons are too big and complex. The paper ends with a suggestion that students' motivation for studying physics should be stimulated, and stresses the importance of assessments for motivation.

Medical risk assessment in dentistry: use of the American Society of Anesthesiologists Physical Status Classification.

Science.gov (United States)

Clough, S; Shehabi, Z; Morgan, C

2016-02-12

Medical risk assessment is essential to safe patient management and the delivery of appropriate dental care. The American Society of Anesthesiologists Physical Status (ASA PS) Classification is widely used within medicine and dentistry, but has received significant criticism. This is the first UK survey to assess the consistency of medical risk assessment in dentistry. (i) To determine the use and consistency of the ASA PS among dentists and anaesthetists. (ii) To consider the appropriateness of the ASA PS in relation to dental treatment planning and delivery of care. A cross-sectional online questionnaire was distributed to anaesthetists and dental practitioners in general practice, community and hospital dental services. Questions focused on professional backgrounds, use of the ASA PS, alternative approaches to risk assessment in everyday practice and scoring of eight hypothetical patients using ASA PS. There were 101 responses, 82 were complete. Anaesthetists recorded ASA PS score more frequently than dental practitioners and found it more useful. Inconsistencies were evident in the assignment of ASA PS scores both between and within professional groups. Many dental practitioners did not use or find ASA PS helpful, with significant inconsistencies in its use. An awareness of alternative assessment scales may be useful across settings. Accepting its limitations, it would be helpful for all dentists to be educated in ASA PS and its use in medical risk assessment, particularly in relation to conscious sedation.

A summary of research-based assessment of students' beliefs about the nature of experimental physics

Science.gov (United States)

Wilcox, Bethany R.; Lewandowski, H. J.

2018-03-01

Within the undergraduate physics curriculum, students' primary exposure to experimental physics comes from laboratory courses. Thus, as experimentation is a core component of physics as a discipline, lab courses can be gateways in terms of both recruiting and retaining students within the physics major. Physics lab courses have a wide variety of explicit and/or implicit goals for lab courses, including helping students to develop expert-like beliefs about the nature and importance of experimental physics. To assess students' beliefs, attitudes, and expectations about the nature of experimental physics, there is currently one research-based assessment instrument available—the Colorado Learning Attitudes about Science Survey for Experimental Physics (E-CLASS). Since its development, the E-CLASS has been the subject of multiple research studies aimed at understanding and evaluating the effectiveness of various laboratory learning environments. This paper presents a description of the E-CLASS assessment and a summary of the research that has been done using E-CLASS data with a particular emphasis on the aspects of this work that are most relevant for instructors.

Developing and assessing accident management plans for nuclear power plants

International Nuclear Information System (INIS)

Hanson, D.J.; Johnson, S.P.; Blackman, H.S.; Stewart, M.A.

1992-07-01

This document is the second of a two-volume NUREG/CR that discusses development of accident management plans for nuclear power plants. The first volume (a) describes a four-phase approach for developing criteria that could be used for assessing the adequacy of accident management plans, (b) identifies the general attributes of accident management plans (Phase 1), (c) presents a prototype process for developing and implementing severe accident management plans (Phase 2), and (d) presents criteria that can be used to assess the adequacy of accident management plans. This volume (a) describes results from an evaluation of the capabilities of the prototype process to produce an accident management plan (Phase 3) and (b), based on these results and preliminary criteria included in NUREG/CR-5543, presents modifications to the criteria where appropriate

[Physiotherapy and physical therapy in pain management].

Science.gov (United States)

Egan, M; Seeger, D; Schöps, P

2015-10-01

Patients attend physiotherapy and physical therapy (PT) due to pain problems and/or functional impairments. Although the main focus for therapists has traditionally been physical examination and treatment of tissue structures and biomechanics, over the last few decades a growing body of research has highlighted the importance of central nervous system processing and psychosocial contributors to pain perception. Treatment with PT aims to reduce disability and suffering by reducing pain and increasing tolerance to movement. In Germany, pain management conducted by physiotherapists is currently undergoing major changes. Firstly, PT education is transitioning from a vocational to a degree level and additionally new concepts for improved multidisciplinary treatment approaches are being developed. However, there still remain substantial differences between therapists working in multidisciplinary pain clinics and those following medical referral in private practices. This article provides information on how national and international impulses have contributed to the development of different concepts of passive therapies and active/functional pain rehabilitation in Germany. In the future PT will need to provide more evidence about efficiency and modes of actions for different treatment options to selectively reason the application to patients with acute, subacute and chronic pain.

Balance Assessment Practices and Use of Standardized Balance Measures Among Ontario Physical Therapists

Science.gov (United States)

Sibley, Kathryn M.; Straus, Sharon E.; Inness, Elizabeth L.; Salbach, Nancy M.

2011-01-01

Background Balance impairment is a significant problem for older adults, as it can influence daily functioning. Treating balance impairment in this population is a major focus of physical therapist practice. Objective The purpose of this study was to document current practices in clinical balance assessment and compare components of balance assessed and measures used across practice areas among physical therapists. Design This was a cross-sectional study. Methods A survey questionnaire was mailed to 1,000 practicing physical therapists in Ontario, Canada. Results Three hundred sixty-nine individuals completed the survey questionnaire. More than 80% of respondents reported that they regularly (more than 60% of the time) assessed postural alignment, static and dynamic stability, functional balance, and underlying motor systems. Underlying sensory systems, cognitive contributions to balance, and reactive control were regularly assessed by 59.6%, 55.0%, and 41.2% of the respondents, respectively. The standardized measures regularly used by the most respondents were the single-leg stance test (79.1%), the Berg Balance Scale (45.0%), and the Timed “Up & Go” Test (27.6%). There was considerable variation in the components of balance assessed and measures used by respondents treating individuals in the orthopedic, neurologic, geriatric, and general rehabilitation populations. Limitations The survey provides quantitative data about what is done to assess balance, but does not explain the factors influencing current practice. Conclusions Many important components of balance and standardized measures are regularly used by physical therapists to assess balance. Further research, however, is needed to understand the factors contributing to the relatively lower rates of assessing reactive control, the component of balance most directly responsible for avoiding a fall. PMID:21868613

Variations in flood magnitude-effect relations and the implications for flood risk assessment and river management

Science.gov (United States)

Hooke, J. M.

2015-12-01

In spite of major physical impacts from large floods, present river management rarely takes into account the possible dynamics and variation in magnitude-impact relations over time in flood risk mapping and assessment nor incorporates feedback effects of changes into modelling. Using examples from the literature and from field measurements over several decades in two contrasting environments, a semi-arid region and a humid-temperate region, temporal variations in channel response to flood events are evaluated. The evidence demonstrates how flood physical impacts can vary at a location over time. The factors influencing that variation on differing timescales are examined. The analysis indicates the importance of morphological changes and trajectory of adjustment in relation to thresholds, and that trends in force or resistance can take place over various timescales, altering those thresholds. Sediment supply can also change with altered connectivity upstream and changes in state of hillslope-channel coupling. It demonstrates that seasonal timing and sequence of events can affect response, particularly deposition through sediment supply. Duration can also have a significant effect and modify the magnitude relation. Lack of response or deposits in some events can mean that flood frequency using such evidence is underestimated. A framework for assessment of both past and possible future changes is provided which emphasises the uncertainty and the inconstancy of the magnitude-impact relation and highlights the dynamic factors and nature of variability that should be considered in sustainable management of river channels.

Test-retest reliability of a questionnaire to assess physical environmental factors pertaining to physical activity

Directory of Open Access Journals (Sweden)

McGinn Aileen P

2005-06-01

Full Text Available Abstract Background Despite the documented benefits of physical activity, many adults do not obtain the recommended amounts. Barriers to physical activity occur at multiple levels, including at the individual, interpersonal, and environmental levels. Only until more recently has there been a concerted focus on how the physical environment might affect physical activity behavior. With this new area of study, self-report measures should be psychometrically tested before use in research studies. Therefore the objective of this study was to document the test-retest reliability of a questionnaire designed to assess physical environmental factors that might be associated with physical activity in a diverse adult population. Methods Test and retest surveys were conducted over the telephone with 106 African American and White women and men living in either Forsyth County, North Carolina or Jackson, Mississippi. Reliability of self-reported environmental factors across four domains (e.g., access to facilities and destinations, functionality and safety, aesthetics, natural environment was determined using intraclass correlation coefficients (ICC overall and separately by gender and race. Results Generally items displayed moderate and sometimes substantial reliability (ICC between 0.4 to 0.8, with a few differences by gender or race, across each of the domains. Conclusion This study provides some psychometric evidence for the use of many of these questions in studies examining the effect of self-reported physical environmental measures on physical activity behaviors, among African American and White women and men.

The Influence of Instructional Climates on Time Spent in Management Tasks and Physical Activity of 2nd-Grade Students during Physical Education

Science.gov (United States)

Logan, Samuel W.; Robinson, Leah E.; Webster, E. Kipling; Rudisill, Mary E.

2015-01-01

The purpose of this study is to determine the effect of two physical education (PE) instructional climates (mastery, performance) on the percentage of time students spent in a) moderate-to-vigorous physical activity (MVPA) and b) management tasks during PE in 2nd-grade students. Forty-eight 2nd graders (mastery, n = 23; performance, n = 25)…

Soil physical and microbiological attributes cultivated with the common bean under two management systems

Directory of Open Access Journals (Sweden)

Lorena Adriana De Gennaro

Full Text Available Agricultural management systems can alter the physical and biological soil quality, interfering with crop development. The objective of this study was to evaluate the physical and microbiological attributes of a Red Latosol, and its relationship to the biometric parameters of the common bean (Phaseolus vulgaris, irrigated and grown under two management systems (conventional tillage and direct seeding, in Campinas in the state of São Paulo, Brazil. The experimental design was of randomised blocks, with a split-plot arrangement for the management system and soil depth, analysed during the 2006/7 and 2007/8 harvest seasons, with 4 replications. The soil physical and microbiological attributes were evaluated at depths of 0.00-0.05, 0.05-0.10, 0.10-0.20 and 0.20-0.40 m. The following were determined for the crop: density, number of pods per plant, number of beans per pod, thousand seed weight, total weight of the shoots and harvest index. Direct seeding resulted in a lower soil physical quality at a depth of 0.00-0.05 m compared to conventional tillage, while the opposite occurred at a depth of 0.05-0.10 m. The direct seeding showed higher soil biological quality, mainly indicated by the microbial biomass nitrogen, basal respiration and metabolic quotient. The biometric parameters in the bean were higher under the direct seeding compared to conventional tillage.

Simulation-Based Performance Assessment: An Innovative Approach to Exploring Understanding of Physical Science Concepts

Science.gov (United States)

Gale, Jessica; Wind, Stefanie; Koval, Jayma; Dagosta, Joseph; Ryan, Mike; Usselman, Marion

2016-01-01

This paper illustrates the use of simulation-based performance assessment (PA) methodology in a recent study of eighth-grade students' understanding of physical science concepts. A set of four simulation-based PA tasks were iteratively developed to assess student understanding of an array of physical science concepts, including net force,…

Assessing the effect of increased managed care on hospitals.

Science.gov (United States)

Mowll, C A

1998-01-01

This study uses a new relative risk methodology developed by the author to assess and compare certain performance indicators to determine a hospital's relative degree of financial vulnerability, based on its location, to the effects of increased managed care market penetration. The study also compares nine financial measures to determine whether hospital in states with a high degree of managed-care market penetration experience lower levels of profitability, liquidity, debt service, and overall viability than hospitals in low managed care states. A Managed Care Relative Financial Risk Assessment methodology composed of nine measures of hospital financial and utilization performance is used to develop a high managed care state Composite Index and to determine the Relative Financial Risk and the Overall Risk Ratio for hospitals in a particular state. Additionally, financial performance of hospitals in the five highest managed care states is compared to hospitals in the five lowest states. While data from Colorado and Massachusetts indicates that hospital profitability diminishes as the level of managed care market penetration increases, the overall study results indicate that hospitals in high managed care states demonstrate a better cash position and higher profitability than hospitals in low managed care states. Hospitals in high managed care states are, however, more heavily indebted in relation to equity and have a weaker debt service coverage capacity. Moreover, the overall financial health and viability of hospitals in high managed care states is superior to that of hospitals in low managed care states.

The use of database management systems in particle physics

CERN Document Server

Stevens, P H; Read, B J; Rittenberg, Alan

1979-01-01

Examines data-handling needs and problems in particle physics and looks at three very different efforts by the Particle Data Group (PDG) , the CERN-HERA Group in Geneva, and groups cooperating with ZAED in Germany at resolving these problems. The ZAED effort does not use a database management system (DBMS), the CERN-HERA Group uses an existing, limited capability DBMS, and PDG uses the Berkely Database Management (BDMS), which PDG itself designed and implemented with scientific data-handling needs in mind. The range of problems each group tried to resolve was influenced by whether or not a DBMS was available and by what capabilities it had. Only PDG has been able to systematically address all the problems. The authors discuss the BDMS- centered system PDG is now building in some detail. (12 refs).

Data management, archiving, visualization and analysis of space physics data

Science.gov (United States)

Russell, C. T.

1995-01-01

A series of programs for the visualization and analysis of space physics data has been developed at UCLA. In the course of those developments, a number of lessons have been learned regarding data management and data archiving, as well as data analysis. The issues now facing those wishing to develop such software, as well as the lessons learned, are reviewed. Modern media have eased many of the earlier problems of the physical volume required to store data, the speed of access, and the permanence of the records. However, the ultimate longevity of these media is still a question of debate. Finally, while software development has become easier, cost is still a limiting factor in developing visualization and analysis software.

Assessment of Quality of Life in Patients With Skin Disorders Undergoing Ayurvedic Panchakarma (Biopurification) as Management.

Science.gov (United States)

Deshpande, Harish; Shivakumar; Kavita, M B; Tripathy, T B; Chaturvedi, Ashutosh

2016-07-01

Chronic skin conditions can have a negative impact on one's quality of life, affecting their physical, functional, and emotional well-being. Whereas biopurifactory measures (panchakarma) of Ayurveda claims to provide better quality of life after treatment. Hence current study is planned to provide evidence in patients with skin disorders, undergoing Ayurvedic treatment. Sixty patients with skin disorder, who underwent purification therapies like therapeutic emesis and therapeutic purgation, were randomly placed in 2 groups to assess quality of life. Quality of life assessment was done with the help of Skindex-29 among the patients before and after Ayurvedic purification therapy. Thereafter, the quality of life assessment was done on the first follow-up. A statistically significant improvement in the quality of life domains-emotions, functioning, and symptoms-after the Ayurvedic management was observed with P value Ayurveda purification therapies. © The Author(s) 2015.

Integrated Safeguards and Security Management Self-Assessment 2004

Energy Technology Data Exchange (ETDEWEB)

Lunford, Dan; Ramsey, Dwayne

2005-04-01

In 2002 Ernest Orlando Lawrence Berkeley National Laboratory deployed the first Integrated Safeguards and Security Management (ISSM) Self-Assessment process, designed to measure the effect of the Laboratory's ISSM efforts. This process was recognized by DOE as a best practice and model program for self-assessment and training. In 2004, the second Self-Assessment was launched. The cornerstone of this process was an employee survey that was designed to meet several objectives: (1) Ensure that Laboratory assets are protected. (2) Provide a measurement of the Laboratory's current security status that can be compared against the 2002 Self-Assessment baseline. (3) Educate all Laboratory staff about security responsibilities, tools, and practices. (4) Provide security staff with feedback on the effectiveness of security programs. (5) Provide line management with the information they need to make informed decisions about security. This 2004 Self Assessment process began in July 2004 with every employee receiving an information packet and instructions for completing the ISSM survey. The Laboratory-wide survey contained questions designed to measure awareness and conformance to policy and best practices. The survey response was excellent--90% of Berkeley Lab employees completed the questionnaire. ISSM liaisons from each division followed up on the initial survey results with individual employees to improve awareness and resolve ambiguities uncovered by the questionnaire. As with the 2002 survey, the Self-Assessment produced immediate positive results for the ISSM program and revealed opportunities for longer-term corrective actions. Results of the questionnaire provided information for organizational profiles and an institutional summary. The overall level of security protection and awareness was very high--often above 90%. Post-survey work by the ISSM liaisons and line management consistently led to improved awareness and metrics, as shown by a comparison of

Assessing Student Understanding of Physical Hydrology

Science.gov (United States)

Castillo, A. J.; Marshall, J.; Cardenas, M. B.

2012-12-01

Our objective is to characterize and assess upper division and graduate student thinking by developing and testing an assessment tool for a physical hydrology class. The class' learning goals are: (1) Quantitative process-based understanding of hydrologic processes, (2) Experience with different methods in hydrology, (3) Learning, problem solving, communication skills. These goals were translated into two measurable tasks asked of students in a questionnaire: (1) Describe the significant processes in the hydrological cycle and (2) Describe laws governing these processes. A third question below assessed the students' ability to apply their knowledge: You have been hired as a consultant by __ to (1) assess how urbanization and the current drought have affected a local spring and (2) predict what the effects will be in the future if the drought continues. What information would you need to gather? What measurements would you make? What analyses would you perform? Student and expert responses to the questions were then used to develop a rubric to score responses. Using the rubric, 3 researchers independently blind-coded the full set of pre and post artifacts, resulting in 89% inter-rater agreement on the pre-tests and 83% agreement on the post-tests. We present student scores to illustrate the use of the rubric and to characterize student thinking prior to and following a traditional course. Most students interpreted Q1 in terms of physical processes affecting the water cycle, the primary organizing framework for hydrology, as intended. On the pre-test, one student scored 0, indicating no response, on this question. Twenty students scored 1, indicating rudimentary understanding, 2 students scored a 2, indicating a basic understanding, and no student scored a 3. Student scores on this question improved on the post-test. On the 22 post-tests that were blind scored, 11 students demonstrated some recognition of concepts, 9 students showed a basic understanding, and 2

The Commander's Wellness Program: Assessing the Association Between Health Measures and Physical Fitness Assessment Scores, Fitness Assessment Exemptions, and Duration of Limited Duty.

Science.gov (United States)

Tvaryanas, Col Anthony P; Greenwell, Brandon; Vicen, Gloria J; Maupin, Genny M

2018-03-26

Air Force Medical Service health promotions staff have identified a set of evidenced-based interventions targeting tobacco use, sleep habits, obesity/healthy weight, and physical activity that could be integrated, packaged, and deployed as a Commander's Wellness Program. The premise of the program is that improvements in the aforementioned aspects of the health of unit members will directly benefit commanders in terms of members' fitness assessment scores and the duration of periods of limited duty. The purpose of this study is to validate the Commander's Wellness Program assumption that body mass index (BMI), physical activity habits, tobacco use, sleep, and nutritional habits are associated with physical fitness assessment scores, fitness assessment exemptions, and aggregate days of limited duty in the population of active duty U.S. Air Force personnel. This study used a cross-sectional analysis of active duty U.S. Air Force personnel with an Air Force Web-based Health Assessment and fitness assessment data during fiscal year 2013. Predictor variables included age, BMI, gender, physical activity level (moderate physical activity, vigorous activity, and muscle activity), tobacco use, sleep, and dietary habits (consumption of a variety of foods, daily servings of fruits and vegetables, consumption of high-fiber foods, and consumption of high-fat foods). Nonparametric methods were used for the exploratory analysis and parametric methods were used for model building and statistical inference. The study population comprised 221,239 participants. Increasing BMI and tobacco use were negatively associated with the outcome of composite fitness score. Increasing BMI and tobacco use and decreasing sleep were associated with an increased likelihood for the outcome of fitness assessment exemption status. Increasing BMI and tobacco use and decreasing composite fitness score and sleep were associated with an increased likelihood for the outcome of limited duty status, whereas

Assessment, authorization and access to medicaid managed mental health care.

Science.gov (United States)

Masland, Mary C; Snowden, Lonnie R; Wallace, Neal T

2007-11-01

Examined were effects on access of managed care assessment and authorization processes in California's 57 county mental health plans. Primary data on managed care implementation were collected from surveys of county plan administrators; secondary data were from Medicaid claims and enrollment files. Using multivariate fixed effects regression, we found that following implementation of managed care, greater access occurred in county plans where assessments and treatment were performed by the same clinician, and where service authorizations were made more rapidly. Lower access occurred in county plans where treating clinicians authorized services themselves. Results confirm the significant effects of managed care processes on outcomes and highlight the importance of system capacity.

[Reference curves for assessing the physical growth of male Wistar rats].

Science.gov (United States)

Cossio-Bolaños, Marco; Gómez Campos, Rossana; Vargas Vitoria, Rodrigo; Hochmuller Fogaça, Rosalvo Tadeu; de Arruda, Miguel

2013-11-01

Wistar rats are one of the most popular strains routinely used for research in the laboratory to serve as an important research tool, so it requires strict control of variables such as age, sex and body weight, and Thus to extrapolate the results to the human model. To develop reference curves for assessing the physical growth of male Wistar rats according to chronological age and somatic maturation from a non-invasive. The subjects studied were 731 male Wistar rats transversely. We assessed age, body weight and body surface. LMS method was used to construct percentile curves based on weight and somatic maturation. The proposed physical growth curves are used to track the physical growth and nutritional status diagnosis of male Wistar rats. Budgets by cutting points are: P3, P10, P25, P50, P75, P90 and P97. The results suggest that scientists from different areas can use such references, in order to extrapolate somatic growth phases of the laboratory rat and the human model is a non-invasive alternative to assess growth and nutritional status. Copyright AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

Sustainability assessment in forest management based on individual preferences.

Science.gov (United States)

Martín-Fernández, Susana; Martinez-Falero, Eugenio

2018-01-15

This paper presents a methodology to elicit the preferences of any individual in the assessment of sustainable forest management at the stand level. The elicitation procedure was based on the comparison of the sustainability of pairs of forest locations. A sustainability map of the whole territory was obtained according to the individual's preferences. Three forest sustainability indicators were pre-calculated for each point in a study area in a Scots pine forest in the National Park of Sierra de Guadarrama in the Madrid Region in Spain to obtain the best management plan with the sustainability map. We followed a participatory process involving fifty people to assess the sustainability of the forest management and the methodology. The results highlighted the demand for conservative forest management, the usefulness of the methodology for managers, and the importance and necessity of incorporating stakeholders into forestry decision-making processes. Copyright © 2017 Elsevier Ltd. All rights reserved.

Using Risk Assessment Methodologies to Meet Management Objectives

Science.gov (United States)

DeMott, D. L.

2015-01-01

Corporate and program objectives focus on desired performance and results. ?Management decisions that affect how to meet these objectives now involve a complex mix of: technology, safety issues, operations, process considerations, employee considerations, regulatory requirements, financial concerns and legal issues. ?Risk Assessments are a tool for decision makers to understand potential consequences and be in a position to reduce, mitigate or eliminate costly mistakes or catastrophic failures. Using a risk assessment methodology is only a starting point. ?A risk assessment program provides management with important input in the decision making process. ?A pro-active organization looks to the future to avoid problems, a reactive organization can be blindsided by risks that could have been avoided. ?You get out what you put in, how useful your program is will be up to the individual organization.

Implementation Authentic Task to Enhance Problem Solving and Self-Management for Physics College Students

Science.gov (United States)

Festiyed; Djamas, D.; Pilendia, D.

2018-04-01

The purpose of this study is to enhance the problem solving and self-management abilities of student teachers through individual and group authentic task. Preliminary results showed that the learning outcomes in high category, nevertheless problem solving and self-management abilities are still low and average categories (scattered at interval 40 ≤ N ≤ 65). Initiative to improve this condition is needed. Action research is the alternative solution for that condition through planning, acting, evaluating, and reflecting. This study is allowed in 4 cycles. The acting step result with integrated discuss method, case study, and presentation including self-assessment for individual and group. This method was effective to enhance problem solving and self-management abilities. The final learning outcomes seen from the correlation between student self-assessment and lecture-assessment (r=0.19). Its means there are unidirectional relationship between the result of self-assessment and lecture-assessment. The Conclusion of the research was effective to enhance problem solving and self-management ability.

Assessing Student Learning in Gender Inclusive Tertiary Mathematics and Physics Education.

Science.gov (United States)

Wistedt, Inger

1998-01-01

The merits and limitations of an alternative assessment method implemented in an inclusive university education program are discussed based on data from a study in which 24 Swedish university students presented mathematics and physics project results. The study shows how an interdisciplinary approach to assessment can promote critical reflection…

Methodology for Safety Assessment Applied to Predisposal Waste Management. Report of the Results of the International Project on Safety Assessment Driving Radioactive Waste Management Solutions (SADRWMS) 2004–2010)

International Nuclear Information System (INIS)

2015-12-01

Report of the Results of the International Project on Safety Assessment Driving Radioactive Waste Management Solutions (SADRWMS) (2004–2010) The IAEA’s progamme on Safety Assessment Driving Radioactive Waste Management Solutions (SADRWMS) focused on approaches and mechanisms for application of safety assessment methodologies for the predisposal management of radioactive waste. The initial outcome of the SADRWMS Project was achieved through the development of flowcharts, which have since been incorporated into IAEA Safety Standards Series No. GSG-3, Safety Case and Safety Assessment for Predisposal Management of Radioactive Waste. In 2005, an initial specification was developed for the Safety Assessment Framework (SAFRAN) software tool to apply the SADRWMS flowcharts. In 2008, an in-depth application of the SAFRAN tool and the SADRWMS methodology was carried out on the predisposal management facilities of the Thailand Institute of Nuclear Technology Radioactive Waste Management Centre (TINT Facility). This publication summarizes the content and outcomes of the SADRWMS programme. The Chairman’s Report of the SADRWMS Project and the Report of the TINT test case are provided on the CD-ROM which accompanies this report

Changes in soil physical and chemical properties in long term improved natural and traditional agroforestry management systems of cacao genotypes in Peruvian Amazon.

Science.gov (United States)

Arévalo-Gardini, Enrique; Canto, Manuel; Alegre, Julio; Loli, Oscar; Julca, Alberto; Baligar, Virupax

2015-01-01

Growing cacao (Theobroma cacao L.) in an agroforestry system generates a productive use of the land, preserves the best conditions for physical, chemical and biological properties of tropical soils, and plays an important role in improving cacao production and fertility of degraded tropical soils. The aim of this study was to evaluate the impact of two long term agroforestry systems of cacao management on soil physical and chemical properties in an area originally inhabited by 30 years old native secondary forest (SF). The two agroforestry systems adapted were: improved natural agroforestry system (INAS) where trees without economic value were selectively removed to provide 50% shade and improved traditional agroforestry system (ITAS) where all native trees were cut and burnt in the location. For evaluation of the changes of soil physical and chemical properties with time due to the imposed cacao management systems, plots of 10 cacao genotypes (ICS95, UF613, CCN51, ICT1112, ICT1026, ICT2162, ICT2171, ICT2142, H35, U30) and one plot with a spontaneous hybrid were selected. Soil samples were taken at 0-20, 20-40 and 40-60 cm depths before the installation of the management systems (2004), and then followed at two years intervals. Bulk density, porosity, field capacity and wilting point varied significantly during the years of assessment in the different soil depths and under the systems assessed. Soil pH, CEC, exchangeable Mg and sum of the bases were higher in the INAS than the ITAS. In both systems, SOM, Ext. P, K and Fe, exch. K, Mg and Al+H decreased with years of cultivation; these changes were more evident in the 0-20 cm soil depth. Overall improvement of SOM and soil nutrient status was much higher in the ITAS than INAS. The levels of physical and chemical properties of soil under cacao genotypes showed a marked difference in both systems.

Modular life cycle assessment of municipal solid waste management.

Science.gov (United States)

Haupt, M; Kägi, T; Hellweg, S

2018-05-31

Life cycle assessment (LCA) is commonly applied to examine the environmental performance of waste management systems. The system boundaries are, however, often limited to either one tonne of material or to specific waste treatments and are, therefore, lacking a systems perspective. Here, a framework is proposed to assess complete waste management systems based on actual waste flows, assessed with a detailed material flow analysis (MFA) in a modular MFA/LCA approach. The transformation of the MFA into a product-process-matrix facilitates a direct link between MFA and LCA, therefore allowing for the assessment of variations in flows. To allow for an up-to-date and geographically specific assessment, 190 LCA modules were set up based on primary industrial data and the ecoinvent database. The LCA modules show where there have been improvements in different recycling processes over the past years (e.g. for paper recycling) and highlight that, from an environmental perspective, closed-loop recycling is not always preferable to open-loop recycling. In a case study, the Swiss municipal solid waste management system, of which there is already a detailed MFA, was modeled using the new LCA modules and applying the modular MFA/LCA approach. Five different mass flow distribution scenarios for the Swiss municipal solid waste management system were assessed to show the environmental impact of political measures and to test the sensitivity of the results to key parameters. The results of the case study highlight the importance of the dominant fractions in the overall environmental impacts assessment; while the metal fraction has the highest impact on a per kilogram basis, paper, cardboard, glass and mixed municipal solid waste were found to dominate the environmental impacts of the Swiss waste management system due to their mass. The scenarios also highlight the importance of the energy efficiency of municipal solid waste incineration plants and the credits from material

Natural risks assessment and management (project of monograph)

International Nuclear Information System (INIS)

Ragozin, A.L.

1998-01-01

Full text of publication follows: large-scale theoretic and practical works on the issue of natural risk assessment and management started in Russia in the end of the 80's. By now there has been made a considerable progress, which allowed for the preparation of a collective monograph on the subject mentioned in the title of this abstract. It is supposed to be published in 1999 in order to become a Russian contribution to the International Decade of Natural Disasters Reduction. The monograph included 6 chapters with the following titles: 1. Methodological foundations of natural risk analysis and assessment. 2. Investigating and forecasting natural hazards for the purpose of risk assessment. 3. Assessment of economic, social and ecological damage from natural hazards. 4, Theory of natural risk assessment. 5. Examples of natural risk assessment and mapping. 6. Natural risk management. In the report there is described the content of the monograph and unsolved questions are discussed. Executive editor offers all international experts to cooperate in the compilation of this monograph, which is to be completed by the end of 1998, especially of chapter 5 and 6. (author)

Health-related physical fitness assessment in a community-based cancer rehabilitation setting.

Science.gov (United States)

Kirkham, Amy A; Neil-Sztramko, Sarah E; Morgan, Joanne; Hodson, Sara; Weller, Sarah; McRae, Tasha; Campbell, Kristin L

2015-09-01

Assessment of physical fitness is important in order to set goals, appropriately prescribe exercise, and monitor change over time. This study aimed to determine the utility of a standardized physical fitness assessment for use in cancer-specific, community-based exercise programs. Tests anticipated to be feasible and suitable for a community setting and a wide range of ages and physical function were chosen to measure body composition, aerobic fitness, strength, flexibility, and balance. Cancer Exercise Trainers/Specialists at cancer-specific, community-based exercise programs assessed new clients (n = 60) at enrollment, designed individualized exercise programs, and then performed a re-assessment 3-6 months later (n = 34). Resting heart rate, blood pressure, body mass index, waist circumference, handgrip strength, chair stands, sit-and-reach, back scratch, single-leg standing, and timed up-and-go tests were considered suitable and feasible tests/measures, as they were performed in most (≥88 %) participants. The ability to capture change was also noted for resting blood pressure (-7/-5 mmHg, p = 0.02), chair stands (+4, p exercise program setting. However, a shorter treadmill protocol and more sensitive balance and upper body flexibility tests should be investigated.

eHealth technologies to support nutrition and physical activity behaviors in diabetes self-management

Directory of Open Access Journals (Sweden)

Rollo ME

2016-11-01

Full Text Available Megan E Rollo,1 Elroy J Aguiar,2 Rebecca L Williams,1 Katie Wynne,3 Michelle Kriss,3 Robin Callister,4 Clare E Collins1 1School of Health Sciences, Faculty of Health and Medicine, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia; 2Department of Kinesiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, USA; 3Department of Diabetes and Endocrinology, John Hunter Hospital, Hunter New England Health, New Lambton, NSW, Australia;\t4School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia Abstract: Diabetes is a chronic, complex condition requiring sound knowledge and self-management skills to optimize glycemic control and health outcomes. Dietary intake and physical activity are key diabetes self-management (DSM behaviors that require tailored education and support. Electronic health (eHealth technologies have a demonstrated potential for assisting individuals with DSM behaviors. This review provides examples of technologies used to support nutrition and physical activity behaviors in the context of DSM. Technologies covered include those widely used for DSM, such as web-based programs and mobile phone and smartphone applications. In addition, examples of novel tools such as virtual and augmented reality, video games, computer vision for dietary carbohydrate monitoring, and wearable devices are provided. The challenges to, and facilitators for, the use of eHealth technologies in DSM are discussed. Strategies to support the implementation of eHealth technologies within practice and suggestions for future research to enhance nutrition and physical activity behaviors as a part of broader DSM are provided. Keywords: diabetes self-management, eHealth, nutrition, physical activity, smartphones, wearables

EFFECT OF USING PORTFOLIO ASSESSMENT TO IMPROVE SCIENTIFIC ATTITUDE OF STUDENTS LEARNING PHYSICS IN HIGH SCHOOL

Directory of Open Access Journals (Sweden)

Gede Wartawan Putu

2018-01-01

Full Text Available This study aims to investigate the effect of portfolio assessment in teaching physics and scientific attitude. The research was conducted on students of high school in Singaraja. Research was an quasi- experimental study by using “The Posttest-Only Control Group Design”. The research involved 152 high school students of class X of science as samples, taken with multistage random sampling technique. Portfolio assessment was integrated with physics learning. The implementation of the portfolio assessment included four key elements such as the students' work folders, clear assessment criteria, and self-assessment, and conference between teacher and students. The data needed in this research was the students' scientific attitude which included the aspect of curiosity, respect for evidence, the willingness to change ideas, and critical reflection. Data needed in this research included scientific attitudes students. A Likert scale instrument was used to measure the scientific attitude students. Data were analyzed using analysis of variance with SPSS 20.0 at significance level α = 0.05. The results showed there are differences in the scientific attitude students who take physics learning with assessment portfolios and students who take physics learning with assessment of conventional. The findings of this study indicate that portfolio assessment in learning physics significantly affect the scientific attitude students.

Diagnostic Assessment and Management of Dysphagia in Patients with Alzheimer's Disease.

Science.gov (United States)

Boccardi, Virginia; Ruggiero, Carmelinda; Patriti, Alberto; Marano, Luigi

2016-01-01

A growing concern in patients affected by Alzheimer's disease (AD) is dysphagia, or swallowing impairment, which leads to malnutrition, dehydration, weight loss, functional decline and fear of eating and drinking, as well as a decrease in the quality of life. Thus the diagnostic assessment of dysphagia in patients with AD is imperative to ensure that they receive effective management, avoiding complications, and reducing comorbidity and mortality in such a growing population. Dysphagia management requires a multidisciplinary approach considering that no single strategy is appropriate for all patients. However, evidence for clinical diagnostic assessment, interventions, and medical management of dysphagia in these patients are still limited: few studies are reporting the evaluation and the management among this group of patients. Here we analyzed the most recent findings in diagnostic assessment and management of swallowing impairment in patients affected by AD.

Learning Assessment in physical education: the relationship between assessment practices of teachers and learning approaches

Directory of Open Access Journals (Sweden)

Marco Vinicio Gutiérrez

2015-02-01

Full Text Available This article shows the result of an investigation that studied teachers’ assessment practices in Physical Education in public schools from Suba in Bogota and the relationship between these practices with both superfluous and superficial learning approaches. It is organized into two sections; the first presents a classification of the evaluation practices, and the second establishes the relationship between these practices with the superficial and profound learning approaches. This article nourishes itself from a mixed-method research approach wherein the sample consisted of 68 teachers from whom data was collected using a survey. This data was then analyzed using the statistical software R. The results show the object, the purpose, procedures and ways in which teachers develop their assessment practice in physical education, and as well show a trend towards promoting meaningful and profound learning.

Recent management experience of UK performance assessments of radioactive waste disposal

International Nuclear Information System (INIS)

Thompson, B.G.J.; Wakerley, M.W.; Sumerling, T.J.

1993-01-01

The approach to management used over the past decade by a UK Government regulatory body (HMIP) to develop, test and apply integrated risk assessment methods, using a team of private contractors, is described. Two assessment projects using different contractual arrangements are compared and the significant issues arising from this experience are discussed both from the viewpoint of the client and of the main contractors. These issues include: - the client research management environment and use of computer-based information management systems; - estimating and controlling resources and timescales; - multi-disciplinary team working, communication and conflict resolution; - accomodating new information and computational tools during an assessment; - alternative documentation structures for reporting an assessment; - confidence, quality assurance (QA) and peer review

Nevada Risk Assessment/Management Program scientific peer review

International Nuclear Information System (INIS)

Bentz, E.J. Jr.; Bentz, C.B.; O'Hora, T.D.; Chen, S.Y.

1997-01-01

The 1,350 square-mile Nevada Test Site and additional sites in Nevada served as the continental sites for US nuclear weapons testing from 1951 to 1992. The Nevada Risk Assessment/Management Program (NRAMP) is a currently on-going effort of the Harry Reid Center for Environmental Studies at the University of Nevada, Las Vegas (UNLV) and the firm of E. J. Bentz and Associates, Inc., in cooperation with the US Department of Energy (DOE) Environmental Management Program. Argonne National Laboratory is one of several public and private organizations supporting personnel appointed by the NRAMP to the NRAMP Scientific Peer Review Panel. The NRAMP is part of a national effort by the DOE to develop new sources of information and approaches to risk assessment, risk management, risk communication, and public outreach relevant to the ecological and human health effects of radioactive and hazardous materials management and site remediation activities. This paper describes the development, conduct, and current results of the scientific peer review process which supports the goals of the NRAMP

Reliability and Validity of the PAQ-C Questionnaire to Assess Physical Activity in Children

Science.gov (United States)

Benítez-Porres, Javier; López-Fernández, Iván; Raya, Juan Francisco; Álvarez Carnero, Sabrina; Alvero-Cruz, José Ramón; Álvarez Carnero, Elvis

2016-01-01

Background: Physical activity (PA) assessment by questionnaire is a cornerstone in the field of sport epidemiology studies. The Physical Activity Questionnaire for Children (PAQ-C) has been used widely to assess PA in healthy school populations. The aim of this study was to evaluate the reliability and validity of the PAQ-C questionnaire in…

Assessing Pre-Service Physics Teachers’ Energy Literacy: An Application of Rasch measurement

Science.gov (United States)

Yusup, M.; Setiawan, A.; Rustaman, N. Y.; Kaniawati, I.

2017-09-01

This paper aims to present a summary of pre-service physics teachers’ responses on energy literacy assessment. A total of 123 pre-service physics teacher in first through third year of education participated. Data were analyzed using Rasch modeling. Research findings indicate that pre-service physics teachers show their low self-system toward energy conservation. They were also still lack of metacognitive and cognitive competencies. These finding provide information for the future development of curriculum, teaching and learning that can improve pre-service physics teachers’ energy literacy.

Momentary assessment of adults’ physical activity and sedentary behavior: Feasibility and validity

Directory of Open Access Journals (Sweden)

Genevieve Fridlund Dunton

2012-07-01

Full Text Available Introduction: Mobile phones are ubiquitous and easy to use, and thus have the capacity to collect real-time data from large numbers of people. Research tested the feasibility and validity of an Ecological Momentary Assessment (EMA self-report protocol using electronic surveys on mobile phones to assess adults’ physical activity and sedentary behaviors. Methods: Adults (N = 110 (73% female, 30% Hispanic, 62% overweight/obese completed a four-day signal-contingent EMA protocol (Sat. - Tues. with eight surveys randomly spaced throughout each day. EMA items assessed current activity (e.g., Watching TV/Movies, Reading/Computer, Physical Activity/Exercise. EMA responses were time-matched to minutes of moderate-to-vigorous physical activity (MVPA and sedentary activity (SA measured by accelerometer immediately before and after each EMA prompt. Results: Unanswered EMA prompts had greater MVPA (±15 min. than answered EMA prompts (p = .029 for under/normal weight participants, indicating that activity level might influence the likelihood of responding. The 15-min. intervals before vs. after the EMA-reported physical activity (n = 296 occasions did not differ in MVPA (p > .05, suggesting that prompting did not disrupt physical activity. SA decreased after EMA-reported sedentary behavior (n = 904 occasions (p < .05 for overweight and obese participants. As compared with other activities, EMA-reported physical activity and sedentary behavior had significantly greater MVPA and SA, respectively, in the ±15 minutes of the EMA prompt (p’s < .001, providing evidence for criterion validity. Conclusions: Findings generally support the acceptability and validity of a four-day signal contingent EMA protocol using mobile phones to measure physical activity and sedentary behavior in adults. However, some MVPA may be missed among underweight and normal weight individuals, and EMA may disrupt sedentary behavior among overweight/obese individuals.

An International Assessment of Mangrove Management: Incorporation in Integrated Coastal Zone Management

Directory of Open Access Journals (Sweden)

Haille N. Carter

2015-04-01

Full Text Available Due to increasing recognition of the benefits provided by mangrove ecosystems, protection policies have emerged under both wetland and forestry programs. However, little consistency remains among these programs and inadequate coordination exists among sectors of government. With approximately 123 countries containing mangroves, the need for global management of these ecosystems is crucial to sustain the industries (i.e., fisheries, timber, and tourism and coastal communities that mangroves support and protect. To determine the most effective form of mangrove management, this review examines management guidelines, particularly those associated with Integrated Coastal Zone Management (ICZM. Five case studies were reviewed to further explore the fundamentals of mangrove management. The management methodologies of two developed nations as well as three developing nations were assessed to encompass comprehensive influences on mangrove management, such as socioeconomics, politics, and land-use regulations. Based on this review, successful mangrove management will require a blend of forestry, wetland, and ICZM programs in addition to the cooperation of all levels of government. Legally binding policies, particularly at the international level, will be essential to successful mangrove management, which must include the preservation of existing mangrove habitat and restoration of damaged mangroves.

Environmental management assessment of the National Institute for Petroleum and Energy Research

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-08-01

This report documents the results of the environmental management assessment of the National Institute for Petroleum and Energy Research (NIPER), located in Bartlesville, Oklahoma. The assessment was conducted August 15-26, 1994, by the DOE Office of Environmental Audit (EH-24), located within the Office of Environment, Safety and Health. The assessment included reviews of documents and reports, as well as inspections and observations of selected facilities and operations. Further, the team conducted interviews with management and staff from the Bartlesville Project Office (BPO), the Office of Fossil Energy (FE), the Pittsburgh Energy Technology Center (PETC), state and local regulatory agencies, and BDM Oklahoma (BDM-OK), which is the management and operating (M&O) contractor for NIPER. Because of the transition from a cooperative agreement to an M&O contract in January 1994, the scope of the assessment was to evaluate (1) the effectiveness of BDM-OK management systems being developed and BPO systems in place and under development to address environmental requirements; (2) the status of compliance with DOE Orders, guidance, and directives; and (3) conformance with accepted industry management practices. An environmental management assessment was deemed appropriate at this time in order to identify any systems modifications that would provide enhanced effectiveness of the management systems currently under development.

Capabilities and Gaps Assessments of Urban Air Quality Manage-ment in Uganda

OpenAIRE

Amin Tamale Kiggundu

2015-01-01

Today, large cities across the globe are facing a pervasive problem of air pollution.  The purpose of this study is to assess the capabilities and gaps in urban air quality management in Uganda as well as proposing strategies for curbing air pollution. This study applied face to face interviews, targeting key informants such as the environmental experts, urbanization researchers and officials from the National Environment Management Authority (NEMA). Results show that rapid motorization, cont...

Swedish REGULATORY APPROACH TO SAFETY Assessment AND SEVERE ACCIDENT MANAGEMENT

International Nuclear Information System (INIS)

Frid, W.; Sandervaag, O.

1997-01-01

The Swedish regulatory approach to safety assessment and severe accident management is briefly described. The safety assessment program, which focuses on prevention of incidents and accidents, has three main components: periodic safety reviews, probabilistic safety analysis, and analysis of postulated disturbances and accident progression sequences. Management and man-technology-organisation issues, as well as inspections, play a key role in safety assessment. Basis for severe accident management were established by the Government decisions in 1981 and 1986. By the end of 1988, the severe accident mitigation systems and emergency operating procedures were implemented at all Swedish reactors. The severe accident research has continued after 1988 for further verification of the protection provided by the systems and reduction of remaining uncertainties in risk dominant phenomena

Development of Management Quality Assessment Methodology in the Public Sector: Problems and Contradictions

Directory of Open Access Journals (Sweden)

Olga Vladimirovna Kozhevina

2015-09-01

Full Text Available The development management quality assessment methodology in the public sector is relevant scientific and practical problem of economic research. The utilization of the results of the assessment on the basis of the authors’ methodology allows us to rate the public sector organizations, to justify decisions on the reorganization and privatization, and to monitor changes in the level of the management quality of the public sector organizations. The study determined the place of the quality of the control processes of the public sector organization in the system of “Quality of public administration — the effective operation of the public sector organization,” the contradictions associated with the assessment of management quality are revealed, the conditions for effective functioning of the public sector organizations are proved, a mechanism of comprehensive assessment and algorithm for constructing and evaluating the control models of management quality are developed, the criteria for assessing the management quality in the public sector organizations, including economic, budgetary, social and public, informational, innovation and institutional criteria are empirically grounded. By utilizing the proposed algorithm, the assessment model of quality management in the public sector organizations, including the financial, economic, social, innovation, informational and institutional indicators is developed. For each indicator of quality management, the coefficients of importance in the management quality assessment model, as well as comprehensive and partial evaluation indicators are determined on the basis of the expert evaluations. The main conclusion of the article is that management quality assessment for the public sector organizations should be based not only on the indicators achieved in the dynamics and utilized for analyzing the effectiveness of management, but also should take into account the reference levels for the values of these

Environmental management and monitoring for education building development

Science.gov (United States)

Masri, R. M.

2018-05-01

The purpose of research were (1) a conceptual, functional model designed and implementation for environmental management and monitoring for education building development, (2) standard operational procedure made for management and monitoring for education building development, (3) assessed physic-chemical, biological, social-economic environmental components so that fulfilling sustainable development, (4) environmental management and monitoring program made for decreasing negative and increasing positive impact in education building development activities. Descriptive method is used for the research. Cibiru UPI Campus, Bandung, West Java, Indonesia was study location. The research was conducted on July 2016 to January 2017. Spatial and activities analysis were used to assess physic-chemical, biological, social-economic environmental components. Environmental management and monitoring for education building development could be decreasing water, air, soil pollution and environmental degradation in education building development activities.

Using Instruments for Tactical Assessment in Physical Education and Extra-Curricular Sports

Science.gov (United States)

Arias-Estero, José; Castejón, Francisco

2014-01-01

The aim was to analyse the features concerning the applicational purpose and strategy of the most common instruments used to assess game tactics both in Physical Education (PE) and in extra-curricular sport contexts. The review focused on two instruments: the Game Performance Assessment Instrument (GPAI) and the Team Sport Assessment Procedure…

Efficient Assessment of the Environment for Integral Urban Water Management

Science.gov (United States)

Rost, Grit; Londong, Jörg

2015-04-01

Introduction: Sustainable water supply and sanitation is fundamental, especially in countries that are also particularly vulnerable to water-related problems. The Integrated Water Resources Management (IWRM) approach makes sure that water management is organised in a transdisciplinary way taking into account the river basin, the hydrologic system and the appendant organisation like culture, law and economics. The main objective of IWRM is the sustainable organisation of water resources quality and quantity (GWP and INBO 2009). However there are more important targets in sustainable use of water resources. New sanitation systems are focussing on adding value and maintaining essential resources in circular flow. Focussing on material fluxes can contribute on water quality, food security, sustainable use of renewable energy, adaption on water scarcity and also on rising water and sanitation demand because of rapid urban and suburban growth (Price and Vojinović 2011; Rost et al 2013; Stäudel et al 2014). Problem: There are several planning tools for IWRM as well as for urban water management. But to complete the IWRM approach for the resource oriented concept a systematic assessment tool is missing. The assessment of crucial indicators obviously requires a lot of data from different subjects/disciplines, in different scales of detail and in different accuracy and in data acquisition (Karthe et al 2014). On the one hand there will be data abundance and on the other hand the data can be unavailable or unfeasible for example because of scale and specification(Rost et al 2013). Such a complex integrated concept requires a clearly worked out structure for the way of managing and priority setting. Purpose: To get systematic in the complex planning process the toolbox model is going to develop. The assessment of the environmental screening (one part of the toolbox) is going to be presented in this paper. The first step of assessment leans on the assertion that each of the

Case study of microarthropod communities to assess soil quality in different managed vineyards

Science.gov (United States)

Gagnarli, E.; Goggioli, D.; Tarchi, F.; Guidi, S.; Nannelli, R.; Vignozzi, N.; Valboa, G.; Lottero, M. R.; Corino, L.; Simoni, S.

2015-07-01

Land use influences the abundance and diversity of soil arthropods. The evaluation of the impact of different management strategies on soil quality is increasingly sought, and the determination of community structures of edaphic fauna can represent an efficient tool. In the area of Langhe (Piedmont, Italy), eight vineyards characterized for physical and chemical properties (soil texture, soil pH, total organic carbon, total nitrogen, calcium carbonate) were selected. We evaluated the effect of two types of crop management, organic and integrated pest management (IPM), on abundance and biodiversity of microarthropods living at the soil surface. Soil sampling was carried out in winter 2011 and spring 2012. All specimens were counted and determined up to the order level. The biodiversity analysis was performed using ecological indexes (taxa richness, dominance, Shannon-Wiener, Buzas and Gibson's evenness, Margalef, equitability, Berger-Parker), and the biological soil quality was assessed with the BSQ-ar index. The mesofauna abundance was affected by both the type of management and sampling time. On the whole, a higher abundance was in organic vineyards (N = 1981) than in IPM ones (N = 1062). The analysis performed by ecological indexes showed quite a high level of biodiversity in this environment, particularly in May 2012. Furthermore, the BSQ-ar values registered were similar to those obtained in preserved soils.

Guide to the assessment of physical activity: Clinical and research applications: a scientific statement from the American Heart Association.

Science.gov (United States)

Strath, Scott J; Kaminsky, Leonard A; Ainsworth, Barbara E; Ekelund, Ulf; Freedson, Patty S; Gary, Rebecca A; Richardson, Caroline R; Smith, Derek T; Swartz, Ann M

2013-11-12

The deleterious health consequences of physical inactivity are vast, and they are of paramount clinical and research importance. Risk identification, benchmarks, efficacy, and evaluation of physical activity behavior change initiatives for clinicians and researchers all require a clear understanding of how to assess physical activity. In the present report, we have provided a clear rationale for the importance of assessing physical activity levels, and we have documented key concepts in understanding the different dimensions, domains, and terminology associated with physical activity measurement. The assessment methods presented allow for a greater understanding of the vast number of options available to clinicians and researchers when trying to assess physical activity levels in their patients or participants. The primary outcome desired is the main determining factor in the choice of physical activity assessment method. In combination with issues of feasibility/practicality, the availability of resources, and administration considerations, the desired outcome guides the choice of an appropriate assessment tool. The decision matrix, along with the accompanying tables, provides a mechanism for this selection that takes all of these factors into account. Clearly, the assessment method adopted and implemented will vary depending on circumstances, because there is no single best instrument appropriate for every situation. In summary, physical activity assessment should be considered a vital health measure that is tracked regularly over time. All other major modifiable cardiovascular risk factors (diabetes mellitus, hypertension, hypercholesterolemia, obesity, and smoking) are assessed routinely. Physical activity status should also be assessed regularly. Multiple physical activity assessment methods provide reasonably accurate outcome measures, with choices dependent on setting-specific resources and constraints. The present scientific statement provides a guide to

Outcomes Assessment in Accredited Health Information Management Programs

Science.gov (United States)

Bennett, Dorine

2010-01-01

The purpose of this study was to determine the use and perceived usefulness of outcomes assessment methods in health information management programs. Additional characteristics of the outcomes assessment practices were recognized. The findings were evaluated for significant differences in results based on age of the program, type of institution,…

Improving undergraduate medical education about pain assessment and management: A qualitative descriptive study of stakeholders’ perceptions

Science.gov (United States)

Tellier, Pierre-Paul; Bélanger, Emmanuelle; Rodríguez, Charo; Ware, Mark A; Posel, Nancy

2013-01-01

BACKGROUND Pain is one of the most common reasons for individuals to seek medical advice, yet it remains poorly managed. One of the main reasons that poor pain management persists is the lack of adequate knowledge and skills of practicing clinicians, which stems from a perceived lack of pain education during the training of undergraduate medical students. OBJECTIVE: To identify gaps in knowledge with respect to pain management as perceived by students, patients and educators. METHODS: A qualitative descriptive study was conducted. Data were generated through six focus groups with second- and fourth-year medical students, four focus groups with patients and individual semistructured interviews with nine educators. All interviews were audiotaped and an inductive thematic analysis was performed. RESULTS: A total of 70 individuals participated in the present study. Five main themes were identified: assessment of physical and psychosocial aspects of pain; clinical management of pain with pharmacology and alternative therapies; communication and the development of a good therapeutic relationship; ethical considerations surrounding pain; and institutional context of medical education about pain. CONCLUSION: Participating patients, students and pain experts recognized a need for additional medical education about pain assessment and management. Educational approaches need to teach students to gather appropriate information about pain, to acquire knowledge of a broad spectrum of therapeutic options, to develop a mutual, trusting relationship with patients and to become aware of their own biases and prejudice toward patients with pain. The results of the present study should be used to develop and enhance existing pain curricula content. PMID:23985579

Evaluation of methods to assess physical activity

Science.gov (United States)

Leenders, Nicole Y. J. M.

Epidemiological evidence has accumulated that demonstrates that the amount of physical activity-related energy expenditure during a week reduces the incidence of cardiovascular disease, diabetes, obesity, and all-cause mortality. To further understand the amount of daily physical activity and related energy expenditure that are necessary to maintain or improve the functional health status and quality of life, instruments that estimate total (TDEE) and physical activity-related energy expenditure (PAEE) under free-living conditions should be determined to be valid and reliable. Without evaluation of the various methods that estimate TDEE and PAEE with the doubly labeled water (DLW) method in females there will be eventual significant limitations on assessing the efficacy of physical activity interventions on health status in this population. A triaxial accelerometer (Tritrac-R3D, (TT)), an uniaxial (Computer Science and Applications Inc., (CSA)) activity monitor, a Yamax-Digiwalker-500sp°ler , (YX-stepcounter), by measuring heart rate responses (HR method) and a 7-d Physical Activity Recall questionnaire (7-d PAR) were compared with the "criterion method" of DLW during a 7-d period in female adults. The DLW-TDEE was underestimated on average 9, 11 and 15% using 7-d PAR, HR method and TT. The underestimation of DLW-PAEE by 7-d PAR was 21% compared to 47% and 67% for TT and YX-stepcounter. Approximately 56% of the variance in DLW-PAEE*kgsp{-1} is explained by the registration of body movement with accelerometry. A larger proportion of the variance in DLW-PAEE*kgsp{-1} was explained by jointly incorporating information from the vertical and horizontal movement measured with the CSA and Tritrac-R3D (rsp2 = 0.87). Although only a small amount of variance in DLW-PAEE*kgsp{-1} is explained by the number of steps taken per day, because of its low cost and ease of use, the Yamax-stepcounter is useful in studies promoting daily walking. Thus, studies involving the

A Physical Assessment of the Opportunities for Improved Management of the Water Resources of the Bi-National Rio Grande/Rio Bravo Basin

Science.gov (United States)

Aparicio, J.; McKinney, D.; Valdes, J.; Guitron, A.; Thomas, G.

2007-05-01

The hydro-physical opportunities for expanding the beneficial uses of the fixed water supply in the Rio Grande/Bravo Basin to better satisfy an array of water management goals are examined. These include making agriculture more resilient to periodic conditions of drought, improving the reliability of supplies to cities and towns, and restoring lost environmental functions in the river system. This is a comprehensive, outcome-neutral, model- based planning exercise performed by some 20 technical, primarily non-governmental institutions from both countries, aimed at proposing strategies that can reduce future conflicts over water throughout the entire basin. The second track consists in generating a set of future water management scenarios that respond to the needs and objectives of the basin stakeholders in each segment and each country. An array of scenarios for improved water management has been developed for the lower Rio Grande/Rio Bravo basin in Texas and the Mexican state of Tamaulipas. Another set under development will focus on the Rio Conchos and the El Paso/Juarez region. Eventually, scenarios will be generated such that will comprehend the entire basin on both sides of the border. These scenarios are the product of consultations with agricultural water districts, governmental organizations and environmental NGOs. They include strategies for reducing the physical losses of water in the system, conservation transfers, improvements in the operations of the Mexican and international reservoirs, improvements in environmental flow conditions, improvements in reliability of water supplies, and drought coping strategies.These scenarios will be evaluated for hydrologic feasibility by the basin-wide model and the gaming exercises. Modeling is necessary to understand how these options will affect the entire system and how they can be crafted to maximize the benefits and avoid unintended or uncompensated effects. The scenarios that have the potential to provide large

Qualitative risk assessment as a remediation management tool

International Nuclear Information System (INIS)

Knutson, D.E.

1991-01-01

The technique used to complete this thesis utilizes existing NRC and EPA guidance on health-based risk to qualitatively prioritize preliminary assessments and provide a tool for the direction and management of remediation activities. This method is intended as a decision making tool to aid in prioritizing the remediation effort and manage the remedial investigation and feasibility study (RI/FS) process. It is not a replacement for the RI/FS. The methodology for qualitative risk assessment utilizes data gathered in preliminary assessments and calculates the health-based hazards and consequences from contaminants found at each individual location. The health-based qualitative risk indicated that number-sign 6 fuel oil, carbon tetrachloride, depleted uranium, and enriched uranium were the contaminants of major concern, in that order. Plutonium ranked approximately sixth in the contaminant of concern priority. 38 refs., 1 fig., 9 tabs

Assessing the effects of early silvicultural management on long-term ...

African Journals Online (AJOL)

Eucalyptus is the dominant and most productive planted forest in Brazil, covering ... Usually, a decline of soil quality is caused by management that does not ... preserve crucial physical properties as permeability (root growth, infiltration and ...

Assessing economic tradeoffs in forest management.

Science.gov (United States)

Ernie Niemi; Ed. Whitelaw

1999-01-01

Method is described for assessing the competing demands for forest resources in a forest management plan by addressing economics values, economic impacts, and perceptions of fairness around each demand. Economics trends and forces that shape the dynamic ecosystem-economy relation are developed. The method is demonstrated through an illustrative analysis of a forest-...

Quality Management Plan for the Environmental Assessment and Innovation Division

Science.gov (United States)

Quality management plan (QMP) which identifies the mission, roles, responsibilities of personnel with regard to quality assurance and quality management for the environmental assessment and innovation division.

Analysis of the relationship between the application of negotiation style and conflict management strategies physical education's experts in Iran

Directory of Open Access Journals (Sweden)

Mojtaba Hassannejad

2018-04-01

Full Text Available The conflict is a major behavioral complication of groups. The manager who knows the basic principles of conflict and negotiation will be ready to deal successfully with these inevitable situations. However, this study aimed to explain the role of negotiation in conflict management among physical education experts in Education and Training System of Iran. This study applied analytical- correlation study. The sample consisted of 217 physical education experts. The Robbins' Conflict Management Questionnaire and PEER’s Negotiation Styles Questionnaire (1989 were used for collecting the data. The findings showed that there is a significant relationship between negotiation styles and conflict management. However, there was no relationship between negotiation styles and avoidance strategy.  The factual style and solution-oriented strategy were selected by participants. It was concluded that the negotiation styles and conflict management strategies should be used considering the situation.  It was recommended that the training courses would be hold to increase the skills of physical education managers and empower them.

Nursing physical assessment for patient safety in general wards: reaching consensus on core skills.

Science.gov (United States)

Douglas, Clint; Booker, Catriona; Fox, Robyn; Windsor, Carol; Osborne, Sonya; Gardner, Glenn

2016-07-01

To determine consensus across acute care specialty areas on core physical assessment skills necessary for early recognition of changes in patient status in general wards. Current approaches to physical assessment are inconsistent and have not evolved to meet increased patient and system demands. New models of nursing assessment are needed in general wards that ensure a proactive and patient safety approach. A modified Delphi study. Focus group interviews with 150 acute care registered nurses at a large tertiary referral hospital generated a framework of core skills that were developed into a web-based survey. We then sought consensus with a panel of 35 senior acute care registered nurses following a classical Delphi approach over three rounds. Consensus was predefined as at least 80% agreement for each skill across specialty areas. Content analysis of focus group transcripts identified 40 discrete core physical assessment skills. In the Delphi rounds, 16 of these were consensus validated as core skills and were conceptually aligned with the primary survey: (Airway) Assess airway patency; (Breathing) Measure respiratory rate, Evaluate work of breathing, Measure oxygen saturation; (Circulation) Palpate pulse rate and rhythm, Measure blood pressure by auscultation, Assess urine output; (Disability) Assess level of consciousness, Evaluate speech, Assess for pain; (Exposure) Measure body temperature, Inspect skin integrity, Inspect and palpate skin for signs of pressure injury, Observe any wounds, dressings, drains and invasive lines, Observe ability to transfer and mobilise, Assess bowel movements. Among a large and diverse group of experienced acute care registered nurses consensus was achieved on a structured core physical assessment to detect early changes in patient status. Although further research is needed to refine the model, clinical application should promote systematic assessment and clinical reasoning at the bedside. © 2016 John Wiley & Sons Ltd.

The consequences of using advanced physical assessment skills in medical and surgical nursing: A hermeneutic pragmatic study.

Science.gov (United States)

Zambas, Shelaine I; Smythe, Elizabeth A; Koziol-Mclain, Jane

2016-01-01

The aim of this study was to explore the consequences of the nurse's use of advanced assessment skills on medical and surgical wards. Appropriate, accurate, and timely assessment by nurses is the cornerstone of maintaining patient safety in hospitals. The inclusion of "advanced" physical assessment skills such as auscultation, palpation, and percussion is thought to better prepare nurses for complex patient presentations within a wide range of clinical situations. This qualitative study used a hermeneutic pragmatic approach. Unstructured interviews were conducted with five experienced medical and surgical nurses to obtain 13 detailed narratives of assessment practice. Narratives were analyzed using Van Manen's six-step approach to identify the consequences of the nurse's use of advanced assessment skills. The consequences of using advanced assessment skills include looking for more, challenging interpretations, and perseverance. The use of advanced assessment skills directs what the nurse looks for, what she sees, interpretation of the findings, and her response. It is the interpretation of what is seen, heard, or felt within the full context of the patient situation, which is the advanced skill. Advanced assessment skill is the means to an accurate interpretation of the clinical situation and contributes to appropriate diagnosis and medical management in complex patient situations. The nurse's use of advanced assessment skills enables her to contribute to diagnostic reasoning within the acute medical and surgical setting.

Conflict Management Training for Peacekeepers: Assessment and Recommendations. Special Report 411

Science.gov (United States)

Milofsky, Alison; Sany, Joseph; Lancaster, Illana; Krentel, Jeff

2017-01-01

This report examines the role of conflict management training in preparing peacekeepers for United Nations/African Union missions through an assessment of the United States Institute of Peace (USIP) Conflict Management Training for Peacekeepers program. The assessment relies on data collected through 137 semistructured interviews with returned…

Environmental Assessment of Possible Future Waste Management Scenarios

Directory of Open Access Journals (Sweden)

Yevgeniya Arushanyan

2017-02-01

Full Text Available Waste management has developed in many countries and will continue to do so. Changes towards increased recovery of resources in order to meet climate targets and for society to transition to a circular economy are important driving forces. Scenarios are important tools for planning and assessing possible future developments and policies. This paper presents a comprehensive life cycle assessment (LCA model for environmental assessments of scenarios and waste management policy instruments. It is unique by including almost all waste flows in a country and also allow for including waste prevention. The results show that the environmental impacts from future waste management scenarios in Sweden can differ a lot. Waste management will continue to contribute with environmental benefits, but less so in the more sustainable future scenarios, since the surrounding energy and transportation systems will be less polluting and also because less waste will be produced. Valuation results indicate that climate change, human toxicity and resource depletion are the most important environmental impact categories for the Swedish waste management system. Emissions of fossil CO2 from waste incineration will continue to be a major source of environmental impacts in these scenarios. The model is used for analyzing environmental impacts of several policy instruments including weight based collection fee, incineration tax, a resource tax and inclusion of waste in a green electricity certification system. The effect of the studied policy instruments in isolation are in most cases limited, suggesting that stronger policy instruments as well as combinations are necessary to reach policy goals as set out in for example the EU action plan on circular economy.

Assessing Performance of Three BIM-Based Views of Buildings for Communication and Management of Vertically Stratified Legal Interests

Directory of Open Access Journals (Sweden)

Behnam Atazadeh

2017-07-01

Full Text Available Multistorey buildings typically include stratified legal interests which provide entitlements to a community of owners to lawfully possess private properties and use communal and public properties. The spatial arrangements of these legal interests are often defined by multiplexing cognitively outlined spaces and physical elements of a building. In order to support 3D digital management and communication of legal arrangements of properties, a number of spatial data models have been recently developed in Geographic Information Systems (GIS and Building Information Modelling (BIM domains. While some data models, such as CityGML, IndoorGML or IFC, provide a merely physical representation of the built environment, others, e.g., LADM, mainly rely on legal data elements to support a purely legal view of multistorey buildings. More recently, spatial data models integrating legal and physical notions of multistorey buildings have been proposed to overcome issues associated with purely legal models and purely physical ones. In previous investigations, it has been found that the 3D digital data environment of BIM has the flexibility to utilize either only physical elements or only legal spaces, or an integrated view of both legal spaces and physical elements to represent spatial arrangements of stratified legal interests. In this article, the performance of these three distinct BIM-based representations of legal interests defined inside multistorey buildings is assessed in the context of the Victorian jurisdiction of Australia. The assessment metrics are a number of objects and geometry batches, visualization speed in terms of frame rate, query time, modelling legal boundaries, and visual communication of legal boundaries.

EFFECT OF USING PORTFOLIO ASSESSMENT TO IMPROVE SCIENTIFIC ATTITUDE OF STUDENTS LEARNING PHYSICS IN HIGH SCHOOL

Directory of Open Access Journals (Sweden)

putu wartawan

2017-12-01

Full Text Available This study aims to investigate the effect of portfolio assessment in teaching physics and scientific attitude. The research was conducted on students of high school  in Singaraja. Research was an  quasi- experimental study by using  “The Posttest-Only Control Group Design”.  The research involved 152 high school students of class X of science as samples, taken with multistage random sampling technique. Portfolio assessment was integrated with physics learning. The implementation of the portfolio assessment included four key elements such as the students' work folders, clear assessment criteria, and self-assessment, and conference between teacher and students.  The data needed in this research was the students' scientific attitude which included the aspect of curiosity, respect for evidence, the willingness to change ideas, and critical reflection. Data needed in this research included scientific attitudes students.  A Likert scale instrument was used to measure the scientific attitude students.  Data were analyzed using  analysis of variance with SPSS 20.0 at significance level a = 0.05. The results showed there are differences in the scientific attitude students who take physics learning with assessment portfolios and students who take physics learning with assessment of conventional.  The findings of this study indicate that portfolio assessment in learning physics significantly affect the scientific attitude students.

Soil Organic Carbon assessment on two different forest management

Science.gov (United States)

Fernández Minguillón, Alex; Sauras Yera, Teresa; Vallejo Calzada, Ramón

2017-04-01

Soil Organic Carbon assessment on two different forest management. A.F. Minguillón1, T. Sauras1, V.R: Vallejo1. 1 Departamento de Biología Evolutiva, Ecología y Ciencias Ambientales, Universidad de Barcelona, Avenida Diagonal 643, 03080 Barcelona, Spain. Soils from arid and semiarid zones are characterized by a low organic matter content from scarce plant biomass and it has been proposed that these soils have a big capacity to carbon sequestration. According to IPCC ARS WG2 (2014) report and WG3 draft, increase carbon storage in terrestrial ecosystems has been identified such a potential tool for mitigation and adaptation to climate change. In ecological restoration context improve carbon sequestration is considered a management option with multiple benefits (win-win-win). Our work aims to analyze how the recently developed restoration techniques contributed to increases in terrestial ecosystem carbon storage. Two restoration techniques carried out in the last years have been evaluated. The study was carried out in 6 localities in Valencian Community (E Spain) and organic horizons of two different restoration techniques were evaluated; slash brush and thinning Aleppo pine stands. For each technique, carbon stock and its physical and chemical stability has been analysed. Preliminary results point out restoration zones acts as carbon sink due to (1) the relevant necromass input produced by slash brush increases C stock on the topsoil ;(2) Thinning increase carbon accumulation in vegetation.

Assessment of practical and experimental work in physics through OCEA (Oxford Certificate of Educational Achievement)

Science.gov (United States)

Josephy, Richard

1986-07-01

For some years there has been a growing recognition of the need for changes in assessment patterns in school science. These changes include a move towards criterion-based assessment linking to objectives and an increased emphasis on the assessment of practical and experimental skills. These changes are, to a significant extent, embodied in the new GCSE assessment schemes and will thus affect all students and teachers of physics from September (1986). At least 20% of the total assessment in GCSE physics examinations must be of practical and experimental skills, and at least half of this must be carried out in the laboratory environment. One development which addresses the needs and problems outlined above is the science component of OCEA, the Oxford Certificate of Educational Achievement. Because this covers a much wider field than assessment of practical and experimental skills in physics, a brief description of the whole project is given.

The relationship between perfectionism of managers and Empowerment staff of physical education offices in Tehran

Directory of Open Access Journals (Sweden)

Akram G H A D I R I

2014-09-01

Full Text Available The aim of the present study is relationship between perfectionism of managers and empowerment staff of physical education offices in Tehran. This research is a descriptive – correlation, from Perspective of Nature, Applicable. The po pulation of this research consisted of managers and administrative staff in physical education offices of Tehran are the number of 351 persons. The sample estimate of the population and with using Morgan’s table And Karjsi and 185 patients were selected us ing stratified random number, of which 50 were managers and 135 employees. Independent variables were instrumented perfectionism of managers, 59 item questionnaires of Hill and Associates (2004 and tools to measure the dependent variable of empowerment pe rsonnel was 16 - item questionnaire Aspretizr (2002 . Statistical methods was included descriptive statistics and inferential statistics (Pearson and Friedman and the results in general showed a there is significant relationship between perfectionism of man agers and capabilities of personnel. And so dimensions of perfectionism of Managers had a meaningful significant negative relationship with empowerment personnel. However, discipline and stress had the strongest associations with empowerment personnel.

Clinical Practice Guideline for Physical Therapy Assessment and Treatment in Patients With Nonspecific Neck Pain.

Science.gov (United States)

Bier, Jasper D; Scholten-Peeters, Wendy G M; Staal, J Bart; Pool, Jan; van Tulder, Maurits W; Beekman, Emmylou; Knoop, Jesper; Meerhoff, Guus; Verhagen, Arianne P

2018-03-01

The Royal Dutch Society for Physical Therapy (KNGF) issued a clinical practice guideline for physical therapists that addresses the assessment and treatment of patients with nonspecific neck pain, including cervical radiculopathy, in Dutch primary care. Recommendations were based on a review of published systematic reviews.During the intake, the patient is screened for serious pathologies and corresponding patterns. Patients with cervical radiculopathy can be included or excluded through corresponding signs and symptoms and possibly diagnostic tests (Spurling test, traction/distraction test, and Upper Limb Tension Test). History taking is done to gather information about patients' limitations, course of pain, and prognostic factors (eg, coping style) and answers to health-related questions.In case of a normal recovery (treatment profile A), management should be hands-off, and patients should receive advice from the physical therapist and possibly some simple exercises to supplement "acting as usual."In case of a delayed/deviant recovery (treatment profile B), the physical therapist is advised to use, in addition to the recommendations for treatment profile A, forms of mobilization and/or manipulation in combination with exercise therapy. Other interventions may also be considered. The physical therapist is advised not to use dry needling, low-level laser, electrotherapy, ultrasound, traction, and/or a cervical collar.In case of a delayed/deviant recovery with clear and/or dominant psychosocial prognostic factors (treatment profile C), these factors should first be addressed by the physical therapist, when possible, or the patient should be referred to a specialist, when necessary.In case of neck pain grade III (treatment profile D), the therapy resembles that for profile B, but the use of a cervical collar for pain reduction may be considered. The advice is to use it sparingly: only for a short period per day and only for a few weeks.

Clinical outcomes assessment for the management of sport-related concussion.

Science.gov (United States)

Valovich McLeod, Tamara C; Register-Mihalik, Johna K

2011-02-01

PATIENT SCENARIO: An adolescent female youth soccer athlete, with a previous concussion history, suffered a second concussion 4 wk ago. Her postconcussive symptoms are affecting her school performance and social and family life. CLINICAL OUTCOMES ASSESSMENT: Concussion is typically evaluated via symptoms, cognition, and balance. There is no specific patient-oriented outcomes measure for concussion. Clinicians can choose from a variety of generic and specific outcomes instruments aimed at assessing general health-related quality of life or various concussion symptoms and comorbidities such as headache, migraine, fatigue, mood disturbances, depression, anxiety, and concussion-related symptoms. CLINICAL DECISION MAKING: The data obtained from patient self-report instruments may not actively help clinicians make return-to-play decisions; however, these scales may be useful in providing information that may help the athlete return to school, work, and social activities. The instruments may also serve to identify issues that may lead to problems down the road, including depression or anxiety, or serve to further explore the nature of an athlete's symptoms. Concussion results in numerous symptoms that have the potential to linger and has been associated with depression and anxiety. The use of outcomes scales to assess health-related quality of life and the effect of other symptoms that present with a concussion may allow clinicians to better evaluate the effects of concussion on physical, cognitive, emotional, social, school, and family issues, leading to better and more complete management.

Nurses' Role in Cardiovascular Risk Assessment and Management in People with Inflammatory Arthritis

DEFF Research Database (Denmark)

Primdahl, Jette; Ferreira, Ricardo J O; Garcia-Diaz, Silvia

2016-01-01

, in order to suggest topics for practice development and research in this area regarding persons with IA. METHODS: We searched Embase, Cinahl, Cochrane, PsycInfo and PubMed databases and included European articles from the past ten years if they described how nurses assess and/or manage CVR. In addition...... to the systematic review, we provided case studies from five different countries to illustrate national guidelines and nurses' role regarding CVR assessment and management in patients with IA. RESULTS: Thirty-three articles were included. We found that trained nurses were undertaking CVR assessment and management......INTRODUCTION: Cardiovascular risk (CVR) assessment and management in patients with inflammatory arthritis (IA) is recommended but European nurses' involvement in this role has not been well studied. AIM: The aim of the present study was to explore European nurses' role in assessing and managing CVR...

Coupling physically based and data-driven models for assessing freshwater inflow into the Small Aral Sea

Science.gov (United States)

Ayzel, Georgy; Izhitskiy, Alexander

2018-06-01

The Aral Sea desiccation and related changes in hydroclimatic conditions on a regional level is a hot topic for past decades. The key problem of scientific research projects devoted to an investigation of modern Aral Sea basin hydrological regime is its discontinuous nature - the only limited amount of papers takes into account the complex runoff formation system entirely. Addressing this challenge we have developed a continuous prediction system for assessing freshwater inflow into the Small Aral Sea based on coupling stack of hydrological and data-driven models. Results show a good prediction skill and approve the possibility to develop a valuable water assessment tool which utilizes the power of classical physically based and modern machine learning models both for territories with complex water management system and strong water-related data scarcity. The source code and data of the proposed system is available on a Github page (https://github.com/SMASHIproject/IWRM2018" target="_blank">https://github.com/SMASHIproject/IWRM2018).

MANAGEMENT OF RESEARCH AND TEST REACTOR ALUMINUM SPENT NUCLEAR FUEL - A TECHNOLOGY ASSESSMENT

Energy Technology Data Exchange (ETDEWEB)

Vinson, D.

2010-07-11

The Department of Energy's Environmental Management (DOE-EM) Program is responsible for the receipt and storage of aluminum research reactor spent nuclear fuel or used fuel until ultimate disposition. Aluminum research reactor used fuel is currently being stored or is anticipated to be returned to the U.S. and stored at DOE-EM storage facilities at the Savannah River Site and the Idaho Nuclear Technology and Engineering Center. This paper assesses the technologies and the options for safe transportation/receipt and interim storage of aluminum research reactor spent fuel and reviews the comprehensive strategy for its management. The U.S. Department of Energy uses the Appendix A, Spent Nuclear Fuel Acceptance Criteria, to identify the physical, chemical, and isotopic characteristics of spent nuclear fuel to be returned to the United States under the Foreign Research Reactor Spent Nuclear Fuel Acceptance Program. The fuel is further evaluated for acceptance through assessments of the fuel at the foreign sites that include corrosion damage and handleability. Transport involves use of commercial shipping casks with defined leakage rates that can provide containment of the fuel, some of which are breached. Options for safe storage include wet storage and dry storage. Both options must fully address potential degradation of the aluminum during the storage period. This paper focuses on the various options for safe transport and storage with respect to technology maturity and application.

Assessment of Physical Activity and Active Transport Among School ...

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

This study will assess physical activity and active transportation levels among ... the Neighbourhood Environment Walkability Scale instrument (NEWS) for use in ... prix de la diplomatie scientifique de la part du gouvernement de l'Afrique du Sud. ... Dans le dernier numéro du bulletin de BRAS, lisez un message d'adieu de ...

Sports Nutrition Knowledge Assessment of Physical Educators and Coaches.

Science.gov (United States)

Conkle, M. Terence; Tishler, Anne G.

This study assessed the sports nutrition knowledge of current and prospective physical educators/coaches (HPEs) to determine the need for improved education in this area and to compare the nutrition knowledge of HPEs with that of foods and nutrition students (FNSs) and general college students (GENs). A researcher-developed 4-point Likert-type…

An operational health physics quality assurance program

International Nuclear Information System (INIS)

Costigan, S.A.; McAtee, J.L. III; Somers, W.M.; Huchton, R.L.

1996-01-01

DOE Order 5700.6C, Quality Assurance, stipulates QA requirements for all DOE activities. This order is now codified as 10CFR830.120, Nuclear Safety Management, Quality Assurance Requirements, which is applicable to DOE nuclear facilities. A Quality Assurance Management Plan (QAMP) was developed by the Health Physics Operations Group (ESH-1) at Los Alamos National Laboratory (LANL). The goal of the ESH-1 QAMP is to ensure that operational radiation protection activities meet the criteria outlined in DOE Order 5700.6C, DOE-ER-STD-6001-92 and 10CFR830.120. The ten required elements are QA Program, Personal Training and Qualifications, Quality Improvement, Documents and Records, Work Processes, Design, Procurement, Inspection and Acceptance Testing, Management Assessment and Independent Assessment. The QAMP has been useful for the development of QAMPs at nuclear facilities and has helped ensure uniformity of institutional requirements where Health Physics services are deployed to facilities. To implement a subset of QAMP requirements, a Quality Assurance Self-Evaluation Program (QASE) was established. This program provides a novel self-audit mechanism for the formal identification and correction of non-conforming items related to Operational Health Physics. Additionally, the QASE is a useful management tool for Radiological Control Technician Supervisors and staff and provides a tracking mechanism for ongoing problem areas. Data have been Collected for two calendar years on a number of concerns that fall into four general categories: radiological posting and labeling, instrumentation, monitoring requirements, and radiological documents/records

Improving the Assessment of the Level of Regional Resources Management

Directory of Open Access Journals (Sweden)

Taraday Vladimir N.

2017-12-01

Full Text Available The work improves the assessment of the level of managing development resources by regions of Ukraine, which is based on the use of a comprehensive assessment — multidimensional comparative analysis (namely the rank-sum test and allows comparing the effectiveness of managing resource development in regions of Ukraine using the available data, on their status on the basis of a unified system of indicators, as well as comparing the level of managing development resources by each region of Ukraine in time. The uneven development of regions of the country is investigated, the growth of inter-regional socio-economic disproportions is revealed. It is determined that, having a fundamentally different composition and volume of natural, human, financial resources, the state and effectiveness of managing development resources by regions of Ukraine is significantly different. The level of managing development resources by regions of Ukraine is proposed to be assessed by the aggregate indicators characterizing the increase in the productivity of the regional economy, profitability of local business, and level of incomes of the population; general increase in social standards, quality of life and business environment.

Risk assessment and management logistics chains

Directory of Open Access Journals (Sweden)

Vladimir Vikulov

2014-03-01

Full Text Available Background: In the context of economic globalization and increasing complexity of economic relations enterprises need methods and techniques to improve and sustain their position on the global market. Integration processes offer business new opportunities, but at the same time present new challenges for the management, including the key objectives of the risk management. Method: On the basis of analysis tools known from the pertinent literature (Supply Chain Management and Supply Chain Risk Management methods, methods of probability theory, methods of risk management, methods of statistics the authors of this paper proposed their own risk assessment method and the method of management of logistics chains. The proposed tool is a specific hybrid of solutions known from the literature. Results: The presented method has been successfully used within the frames of economic-mathematical model of industrial enterprises. Indicators of supply chain risks, including risks caused by supplier are considered in this paper. Authors formed a method of optimizing the level of supply chain risk in the integration with suppliers and customers. Conclusion: Every organization, which starting the process of integration with supplier and customers, needs to use tools, methodologies and techniques for identification of "weak links" in the supply chain. The proposed method allows to fix risk origin places in various links of the supply chain and to identify "weak links" of a logistic chain that may occur in the future. The method is a useful tool for managing not only risks and risk situations, but also to improve the efficiency of current assets management by providing the ability to optimize the level of risk in the current assets management of the industrial enterprise.

Management of pain induced by exercise and mobilization during physical therapy programs: views of patients and care providers

Directory of Open Access Journals (Sweden)

Rannou François

2011-07-01

Full Text Available Abstract Background The expectations of patients for managing pain induced by exercise and mobilization (PIEM have seldom been investigated. We identified the views of patients and care providers regarding pain management induced by exercise and mobilization during physical therapy programs. Methods We performed a qualitative study based on semi-structured interviews with a stratified sample of 12 patients (7 women and 14 care providers (6 women: 4 general practitioners [GPs], 1 rheumatologist, 1 physical medicine physician, 1 geriatrician, 2 orthopedic surgeons, and 5 physical therapists. Results Patients and care providers have differing views on PIEM in the overall management of the state of disease. Patients' descriptions of PIEM were polymorphic, and they experienced it as decreased health-related quality of life. The impact of PIEM was complex, and patient views were sometimes ambivalent, ranging from denial of symptoms to discontinuation of therapy. Care providers agreed that PIEM is generally not integrated in management strategies. Care providers more often emphasized the positive and less often the negative dimensions of PIEM than did patients. However, the consequences of PIEM cited included worsened patient clinical condition, fears about physical therapy, rejection of the physical therapist and refusal of care. PIEM follow-up is not optimal and is characterized by poor transmission of information. Patients expected education on how better to prevent stress and anxiety generated by pain, education on mobilization, and adaptations of physical therapy programs according to pain intensity. Conclusion PIEM management could be optimized by alerting care providers to the situation, improving communication among care providers, and providing education to patients and care providers.

Water Resources Assessment and Management in Drylands

Directory of Open Access Journals (Sweden)

Magaly Koch

2016-06-01

Full Text Available Drylands regions of the world face difficult issues in maintaining water resources to meet current demands which will intensify in the future with population increases, infrastructure development, increased agricultural water demands, and climate change impacts on the hydrologic system. New water resources evaluation and management methods will be needed to assure that water resources in drylands are optimally managed in a sustainable manner. Development of water management and conservation methods is a multi-disciplinary endeavor. Scientists and engineers must collaborate and cooperate with water managers, planners, and politicians to successfully adopt new strategies to manage water not only for humans, but to maintain all aspects of the environment. This particularly applies to drylands regions where resources are already limited and conflicts over water are occurring. Every aspect of the hydrologic cycle needs to be assessed to be able to quantify the available water resources, to monitor natural and anthropogenic changes, and to develop flexible policies and management strategies that can change as conditions dictate. Optimal, sustainable water management is achieved by cooperation and not conflict, thereby necessitating the need for high quality scientific research and input into the process.

Assessing the Relationship of Knowledge Management Effectiveness and Assessment Quality Improvement

Science.gov (United States)

Ringhand, Darlene Gail

2009-01-01

Administrators at post-secondary institutions have found that national or regional accreditation is necessary to remain competitive in the higher education market with evidence of assessment considered a positive measure for accreditation. This quantitative study examined the correlation between the ranked levels of knowledge management within…

Probabilistic safety assessment in nuclear power plant management

International Nuclear Information System (INIS)

Holloway, N.J.

1989-06-01

Probabilistic Safety Assessment (PSA) techniques have been widely used over the past few years to assist in understanding how engineered systems respond to abnormal conditions, particularly during a severe accident. The use of PSAs in the design and operation of such systems thus contributes to the safety of nuclear power plants. Probabilistic safety assessments can be maintained to provide a continuous up-to-date assessment (Living PSA), supporting the management of plant operations and modifications

eHealth technologies to support nutrition and physical activity behaviors in diabetes self-management.

Science.gov (United States)

Rollo, Megan E; Aguiar, Elroy J; Williams, Rebecca L; Wynne, Katie; Kriss, Michelle; Callister, Robin; Collins, Clare E

2016-01-01

Diabetes is a chronic, complex condition requiring sound knowledge and self-management skills to optimize glycemic control and health outcomes. Dietary intake and physical activity are key diabetes self-management (DSM) behaviors that require tailored education and support. Electronic health (eHealth) technologies have a demonstrated potential for assisting individuals with DSM behaviors. This review provides examples of technologies used to support nutrition and physical activity behaviors in the context of DSM. Technologies covered include those widely used for DSM, such as web-based programs and mobile phone and smartphone applications. In addition, examples of novel tools such as virtual and augmented reality, video games, computer vision for dietary carbohydrate monitoring, and wearable devices are provided. The challenges to, and facilitators for, the use of eHealth technologies in DSM are discussed. Strategies to support the implementation of eHealth technologies within practice and suggestions for future research to enhance nutrition and physical activity behaviors as a part of broader DSM are provided.

Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System

Directory of Open Access Journals (Sweden)

Evelyn Helena Corgosinho Ribeiro

Full Text Available ABSTRACT OBJECTIVE To assess the effect of interventions on the levels of physical activity of healthy adults, users of the Brazilian Unified Health System and attended by the Family Health Strategy. METHODS Non-randomized experimental study with 157 adults allocated in three groups: 1 physical exercise classes (n = 54, 2 health education (n = 54, 3 control (n = 49. The study lasted for18 months, with 12 months of interventions and six months of follow-up after intervention. Assessments took place at the beginning, in the 12 months, and in the 18 months of study. Physical activity has been assessed by questionnaires and accelerometry. For the analyses, we have used the intention-to-treat principle and generalized estimating equations. RESULTS After 12 months, both intervention groups have increased the minutes of weekly leisure time physical activity and annual scores of physical exercise, leisure and transport-related physical activity. The exercise class group has obtained the highest average annual physical exercises score when compared to the other groups (p < 0.001. In the follow-up period, the exercise class group reduced its annual score (average: -0.3; 95%CI -0.5–-0.1, while the health education group increased this score (average: 0.2; 95%CI 0.1–0.4. There have been no differences in the levels of physical activity measured by accelerometry. CONCLUSIONS The interventions have been effective in increasing the practice of physical activity. However, we have observed that the health education intervention was more effective for maintaining the practice of physical activity in the period after intervention. We recommend the use of both interventions to promote physical activity in the Brazilian Unified Health System, according to the local reality of professionals, facilities, and team objectives.

A framework for assessing severe accident management strategies

International Nuclear Information System (INIS)

Kastenberg, W.E.; Apostolakis, G.; Dhir, V.K.; Okrent, D.; Jae, M.; Lim, H.; Milici, T.; Park, H.; Swider, J.; Xing, L.; Yu, D.

1991-01-01

Accident management can be defined as the innovative use of existing and or alternative resources, systems and actions to prevent or mitigate a severe accident. Together with risk management (changes in plant operation and/or addition of equipment) and emergency planning (off-site actions), accident management provides an extension of the defense-in-depth safety philosophy for severe accidents. A significant number of probabilistic safety assessments (PSA) have been completed which yield the principal plant vulnerabilities. For each sequence/threat and each combination of strategy there may be several options available to the operator. Each strategy/option involves phenomenological and operational considerations regarding uncertainty. These considerations include uncertainty in key phenomena, uncertainty in operator behavior, uncertainty in system availability and behavior, and uncertainty in available information (i.e., instrumentation). The objective of this project is to develop a methodology for assessing severe accident management strategies given the key uncertainties mentioned above. Based on Decision Trees and Influence Diagrams, the methodology is currently being applied to two case studies: cavity flooding in a PWR to prevent vessel penetration or failure, and drywell flooding in a BWR to prevent containment failure

Oak Ridge Y-12 Plant Emergency Management Hazards Assessment (EMHA) Process

International Nuclear Information System (INIS)

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

2000-01-01

This report 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 Plant for emergency planning and preparedness. The EMHA process provides the technical basis for the Y-12 emergency management program. The instructions provides in this report include methods and requirements for performing the following emergency management activities at Y-12: hazards identification; hazards survey, and hazards assessment

[Use of physical assessment skills and education needs of advanced practice nurses and nurse specialists].

Science.gov (United States)

Shin, Hyunsook; Kim, Bog-Ja; Kang, Hee Sun

2009-10-01

The study was done to investigate physical assessment skills used by, and educational needs of, advanced practice nurses (APNs) and nurse specialists in Korea. A total of 123 APNs and nurse specialists working in five major hospitals in Seoul were surveyed from July 15 to August 20, 2007. Fourteen skills out of 126 items were reported as being performed on a regular basis by participants. The majority of these skills involved general observation. Forty-six skills were rarely used. Some participants showed a lack of confidence in certain assessment skills, such as in doing a rectal or pelvic exam, and the use of some assessment equipment. Over 90% of participants required in-depth education on health assessment provided by specialists or nursing professional organizations. More educational opportunities in physical assessment should be provided including education programs based on the nurses' skill levels and needs. This effort will help to increase confidence of APNs and nurse specialists in physical assessment skills, ultimately resulting in better nursing outcomes.

Guidelines for assessing the knowledge management maturity of organizations

Directory of Open Access Journals (Sweden)

C. J. Kruger

2007-11-01

Full Text Available In a recent article Kruger and Snyman hypothesized that progressions in knowledge management maturity (from a strategic perspective are directly related to an increased ability to speed up the strategic cycle of imitation, consolidation and innovation. The arguments proposed, however, neglected to supply the reader with a practical toolkit or even a roadmap (a time-related matrix, or questionnaire to successfully measure succession in knowledge management maturity. This article builds on the previous one and proposes a questionnaire consisting of six sections, containing 101 descriptive questions, to enable organizations to test and assess their knowledge management maturity empirically. The development of an instrument to measure knowledge management maturity required adhering to a research design that combined theoretical propositions with practical experimentation. As a point of departure, a knowledge management maturity matrix consisting of seven maturity levels was formulated. All questions contained within the matrix were benchmarked against a survey questionnaire developed by the public management service of the OECD (PUMA and were also pre-tested and validated. This process of refinement led to the formulation of the Knowledge Management Maturity Questionnaire. To avoid any taint of this research being based only on theoretical propositions, the questionnaire was tested by 178 master students of the University of Pretoria, South Africa, in nine different industries. The proposed questionnaire provides a bridge between theoretical propositions and practical usability, not only enabling knowledge management practitioners to assess the level of knowledge management maturity reached successfully but, more importantly, also serving as a guideline to institutionalize further and future knowledge management endeavours.

Cost Quality Management Assessment for the Idaho Operations Office. Final report

International Nuclear Information System (INIS)

1995-06-01

The Office of Engineering and Cost Management (EM-24) conducted a Cost Quality Management Assessment of EM-30 and EM-40 activities at the Idaho National Engineering Laboratory on Feb. 3--19, 1992 (Round I). The CQMA team assessed the cost and cost-related management activities at INEL. The Round II CQMA, conducted at INEL Sept. 19--29, 1994, reviewed EM-30, EM-40, EM-50, and EM-60 cost and cost-related management practices against performance objectives and criteria. Round II did not address indirect cost analysis. INEL has made measurable progress since Round I

Assessment of groundwater management at Hanford

International Nuclear Information System (INIS)

Deju, R.A.

1975-01-01

A comprehensive review of the groundwater management and environmental monitoring programs at the Hanford reservation was initiated in 1973. A large number of recommendations made as a result of this review are summarized. The purpose of the Hanford Hydrology Program is to maintain a groundwater surveillance network to assess contamination of the natural water system. Potential groundwater contamination is primarily a function of waste management decisions. The review revealed that although the hydrology program would greatly benefit from additional improvements, it is adequate to predict levels of contaminants present in the groundwater system. Studies are presently underway to refine advanced mathematical models to use results of the hydrologic investigation in forecasting the response of the system to different long-term management decisions. No information was found which indicates that a hazard through the groundwater pathway presently exists as a result of waste operations at Hanford. (CH)

Multidrug-resistant bacteria infection and nursing quality management application in the department of physical examination.

Science.gov (United States)

Xu, Li; Luo, Qiang; Chen, Liangzhen; Jiao, Lingmei

2017-09-01

The main problem of clinical prevention and control of multi drug resistant bacteria infection is to strengthen the monitoring of pathogenic bacteria spectrum, this study research on the multi drug-resistant bacteria infection and nursing quality management application in the department of physical examination. The results of this study showed that the number of patients with multiple drug resistant infections showed an increasing trend. Therefore, once the patients with multiple drug-resistant bacteria infection are found, the prevention and control of the patients with multiple drug-resistant bacteria should be strictly followed, and the patient's medication care should be highly valued. Also, the nurses need to be classified based on the knowledge and skill characteristics of the nurses in the department of physical examination, and compare the nursing effect before and after classification and grouping. The physicians and individuals receiving physical examinations in the department of physical examination had a higher degree of satisfaction for nursing effect after classification compared with those before classification. Classification and grouping management helps improve the nursing quality and overall quality of the nurses in the department of physical examination.

International physical protection self-assessment tool for chemical facilities.

Energy Technology Data Exchange (ETDEWEB)

Tewell, Craig R.; Burdick, Brent A.; Stiles, Linda L.; Lindgren, Eric Richard

2010-09-01

This report is the final report for Laboratory Directed Research and Development (LDRD) Project No.130746, International Physical Protection Self-Assessment Tool for Chemical Facilities. The goal of the project was to develop an exportable, low-cost, computer-based risk assessment tool for small to medium size chemical facilities. The tool would assist facilities in improving their physical protection posture, while protecting their proprietary information. In FY2009, the project team proposed a comprehensive evaluation of safety and security regulations in the target geographical area, Southeast Asia. This approach was later modified and the team worked instead on developing a methodology for identifying potential targets at chemical facilities. Milestones proposed for FY2010 included characterizing the international/regional regulatory framework, finalizing the target identification and consequence analysis methodology, and developing, reviewing, and piloting the software tool. The project team accomplished the initial goal of developing potential target categories for chemical facilities; however, the additional milestones proposed for FY2010 were not pursued and the LDRD funding therefore was redirected.

Clinical Case Vignettes: A Promising Tool to Assess Competence in the Management of Agitation.

Science.gov (United States)

Sowden, Gillian L; Vestal, Heather S; Stoklosa, Joseph B; Valcourt, Stephanie C; Peabody, John W; Keary, Christopher J; Nejad, Shamim H; Caminis, Argyro; Huffman, Jeff C

2017-06-01

While standardized patients (SPs) remain the gold standard for assessing clinical competence in a standardized setting, clinical case vignettes that allow free-text, open-ended written responses are more resource- and time-efficient assessment tools. It remains unknown, however, whether this is a valid method for assessing competence in the management of agitation. Twenty-six psychiatry residents partook in a randomized controlled study evaluating a simulation-based teaching intervention on the management of agitated patients. Competence in the management of agitation was assessed using three separate modalities: simulation with SPs, open-ended clinical vignettes, and self-report questionnaires. Performance on clinical vignettes correlated significantly with SP-based assessments (r = 0.59, p = 0.002); self-report questionnaires that assessed one's own ability to manage agitation did not correlate with SP-based assessments (r = -0.06, p = 0.77). Standardized clinical vignettes may be a simple, time-efficient, and valid tool for assessing residents' competence in the management of agitation.

From Competitive to Cooperative Resource Management for Cyber-Physical Systems

OpenAIRE

Lindberg, Mikael

2014-01-01

This thesis presents models and methods for feedback-based resource management for cyber-physical systems. Common for the scenarios considered are severe resource constraints, uncertain and time-varying conditions and the goal of enabling flexibility in systems design rather than restricting it. A brief survey on reservation-based scheduling, an important enabling technology for this thesis, is provided and shows how modern day resource reservation techniques are derived from their real-time ...

Using Plickers as an Assessment Tool in Health and Physical Education Settings

Science.gov (United States)

Chng, Lena; Gurvitch, Rachel

2018-01-01

Written tests are one of the most common assessment tools classroom teachers use today. Despite its popularity, administering written tests or surveys, especially in health and physical education settings, is time consuming. In addition to the time taken to type and print out the tests or surveys, health and physical education teachers must grade…

Development of the Office of Civilian Radioactive Waste Management's Self-Assessment Program

International Nuclear Information System (INIS)

Vlahakis, J.G.; Palabrica, R.J.; Goldsmith, S.

1993-01-01

This paper describes the development and implementation of the Self-Assessment (SA) Program of the Office of Civilian Radioactive Waste Management (RW). The basis for RW's SA Program is discussed, as well as RW's approach for meeting self-assessment requirements, RW's organization for self-assessment, actions to establish RW's SA Program, and planned RW SA implementation activities. This paper also discusses how self-assessment can support programmatic decisions and actions. The RW Director has approved and issued the Self-Assessment Management Plan that describes how RW will organize and manage its SA program. He has directed Associate/Office Directors to prepare individual Implementation Plans to provide specifics on how their Offices will meet the requirements of the RW SA Program. To assist in the preparation of these Implementation Plans, the RW Self-Assessment Unit (SAU), which manages the SA Program on behalf of the RW Director, has conducted a series of SA Implementation Workshops. The SAU has also developed an Annotated Outline for SA Implementation Plans. Following issuance of Office-specific Implementation Plans, independent evaluations by the SAU are planned

Process-oriented Approach to Designing Immersion Assessments

Science.gov (United States)

2014-02-01

Command (USSOCOM) Command Language Program Manager (CLPM) Advanced Competencies Course in a presentation titled, The Language Needs Assessment Process and...Techniques can be very similar • Physical v. psychological fidelity • Johns (2006) Discrete Context—task, social and physical • 4Ps : Purpose

Risks in hospitals. Assessment and Management

Directory of Open Access Journals (Sweden)

Bradea Ioana-Alexandra

2014-12-01

Full Text Available In a complex world, characterized by a multitude of risks, managers need to manage the risks they encounter, in an efficient way and in the shortest time possible. In the current economic crisis, the concept of hospital risk management, as the process in which is identified, analyzed, reduced, or avoided a risk that may affect the hospital, gained great importance. The Romanian health system, distinguished by: lack of transparency, poor funding, the loss of the valuable medical staff, lack of hospitals in villages and small towns, inability to engage patients due to the old and poor equipment, lack of research and problems in information privacy and cyber-security, requires an appropriate management, enabling risk managers to take decisions in order to avoid the occurrence of risks. Important for the functioning of every hospital is the perception of patients and their degree of satisfaction, regarding the quality of services, which depend largely on the quality of human resources. But what are the human resources weaknesses and risks from the patient point of view? What are the risk indicators which must be monitored to avoid risks? And also, which is the most useful method for measurement and assessment of risk?

Management assessments of Quality Assurance Program implementation effectiveness

International Nuclear Information System (INIS)

Snyder, D.A.

1984-01-01

This paper describes a method currently being used by UNC Nuclear Industries, Richland, Washington, to help assure the effectiveness of Quality Assurance (QA) Program implementation. Assessments are conducted annually by management in each department, and the results summarized to the president and his staff. The purpose of these assessments is to review the adequacy of the department's implementing procedures, training/instruction on implementing procedures, and procedure implementation effectiveness. The primary purpose is to assess effectiveness and take improvement action where the need is indicated. The QA organization provides only general guidance in conducting the assessments

An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA

Directory of Open Access Journals (Sweden)

Pearson Natalie

2011-01-01

Full Text Available Abstract Background The assessment of physical activity is an essential part of understanding patterns and influences of behaviour, designing interventions, and undertaking population surveillance and monitoring, but it is particularly problematic when using self-report instruments with young people. This study reviewed available self-report physical activity instruments developed for use with children and adolescents to assess their suitability and feasibility for use in population surveillance systems, particularly in Europe. Methods Systematic searches and review, supplemented by expert panel assessment. Results Papers (n = 437 were assessed as potentially relevant; 89 physical activity measures were identified with 20 activity-based measures receiving detailed assessment. Three received support from the majority of the expert group: Physical Activity Questionnaire for Children/Adolescents (PAQ-C/PAQ-A, Youth Risk Behaviour Surveillance Survey (YRBS, and the Teen Health Survey. Conclusions Population surveillance of youth physical activity is strongly recommended and those involved in developing and undertaking this task should consider the three identified shortlisted instruments and evaluate their appropriateness for application within their national context. Further development and testing of measures suitable for population surveillance with young people is required.

Results and Lessons Learned from a Coupled Social and Physical Hydrology Model: Testing Alternative Water Management Policies and Institutional Structures Using Agent-Based Modeling and Regional Hydrology

Science.gov (United States)

Murphy, J.; Lammers, R. B.; Prousevitch, A.; Ozik, J.; Altaweel, M.; Collier, N. T.; Kliskey, A. D.; Alessa, L.

2015-12-01

Water Management in the U.S. Southwest is under increasing scrutiny as many areas endure persistent drought. The impact of these prolonged dry conditions is a product of regional climate and hydrological conditions, but also of a highly engineered water management infrastructure and a complex web of social arrangements whereby water is allocated, shared, exchanged, used, re-used, and finally consumed. We coupled an agent-based model with a regional hydrological model to understand the dynamics in one richly studied and highly populous area: southern Arizona, U.S.A., including metropolitan Phoenix and Tucson. There, multiple management entities representing an array of municipalities and other water providers and customers, including private companies and Native American tribes are enmeshed in a complex legal and economic context in which water is bought, leased, banked, and exchanged in a variety of ways and on multiple temporal and physical scales. A recurrent question in the literature of adaptive management is the impact of management structure on overall system performance. To explore this, we constructed an agent-based model to capture this social complexity, and coupled this with a physical hydrological model that we used to drive the system under a variety of water stress scenarios and to assess the regional impact of the social system's performance. We report the outcomes of ensembles of runs in which varieties of alternative policy constraints and management strategies are considered. We hope to contribute to policy discussions in this area and connected and legislatively similar areas (such as California) as current conditions change and existing legal and policy structures are revised. Additionally, we comment on the challenges of integrating models that ostensibly are in different domains (physical and social) but that independently represent a system in which physical processes and human actions are closely intertwined and difficult to disentangle.

Worksite environment physical activity and healthy food choices: measurement of the worksite food and physical activity environment at four metropolitan bus garages

Directory of Open Access Journals (Sweden)

Gerlach Anne F

2007-05-01

Full Text Available Abstract Background The present research describes a measure of the worksite environment for food, physical activity and weight management. The worksite environment measure (WEM instrument was developed for the Route H Study, a worksite environmental intervention for weight gain prevention in four metro transit bus garages in Minneapolis-St. Paul. Methods Two trained raters visited each of the four bus garages and independently completed the WEM. Food, physical activity and weight management-related items were observed and recorded on a structured form. Inter-rater reliability was computed at the item level using a simple percentage agreement. Results The WEM showed high inter-rater reliability for the number and presence of food-related items. All garages had vending machines, microwaves and refrigerators. Assessment of the physical activity environment yielded similar reliability for the number and presence/absence of fitness items. Each garage had a fitness room (average of 4.3 items of fitness equipment. All garages had at least one stationary bike and treadmill. Three garages had at least one weighing scale available. There were no designated walking areas inside or outside. There were on average Conclusion The WEM is a reliable measure of the worksite nutrition, physical activity, and weight management environment that can be used to assess changes in the work environment.

Depleted Uranium Hexafluoride Management Program. The technology assessment report for the long-term management of depleted uranium hexafluoride. Volume 2

International Nuclear Information System (INIS)

Zoller, J.N.; Rosen, R.S.; Holliday, M.A.

1995-01-01

With the publication of a Request for Recommendations and Advance Notice of Intent in the November 10, 1994 Federal Register, the Department of Energy initiated a program to assess alternative strategies for the long-term management or use of depleted uranium hexafluoride. This Request was made to help ensure that, by seeking as many recommendations as possible, Department management considers reasonable options in the long-range management strategy. The Depleted Uranium Hexafluoride Management Program consists of three major program elements: Engineering Analysis, Cost Analysis, and an Environmental Impact Statement. This Technology Assessment Report is the first part of the Engineering Analysis Project, and assesses recommendations from interested persons, industry, and Government agencies for potential uses for the depleted uranium hexafluoride stored at the gaseous diffusion plants in Paducah, Kentucky, and Portsmouth, Ohio, and at the Oak Ridge Reservation in Tennessee. Technologies that could facilitate the long-term management of this material are also assessed. The purpose of the Technology Assessment Report is to present the results of the evaluation of these recommendations. Department management will decide which recommendations will receive further study and evaluation

Depleted Uranium Hexafluoride Management Program. The technology assessment report for the long-term management of depleted uranium hexafluoride. Volume 2

Energy Technology Data Exchange (ETDEWEB)

Zoller, J.N.; Rosen, R.S.; Holliday, M.A. [and others

1995-06-30

With the publication of a Request for Recommendations and Advance Notice of Intent in the November 10, 1994 Federal Register, the Department of Energy initiated a program to assess alternative strategies for the long-term management or use of depleted uranium hexafluoride. This Request was made to help ensure that, by seeking as many recommendations as possible, Department management considers reasonable options in the long-range management strategy. The Depleted Uranium Hexafluoride Management Program consists of three major program elements: Engineering Analysis, Cost Analysis, and an Environmental Impact Statement. This Technology Assessment Report is the first part of the Engineering Analysis Project, and assesses recommendations from interested persons, industry, and Government agencies for potential uses for the depleted uranium hexafluoride stored at the gaseous diffusion plants in Paducah, Kentucky, and Portsmouth, Ohio, and at the Oak Ridge Reservation in Tennessee. Technologies that could facilitate the long-term management of this material are also assessed. The purpose of the Technology Assessment Report is to present the results of the evaluation of these recommendations. Department management will decide which recommendations will receive further study and evaluation.

Status of Neonatal Pain Assessment and Management in Jordan.

Science.gov (United States)

Abdel Razeq, Nadin M; Akuma, Akuma O; Jordan, Sue

2016-08-01

Current pain assessment and management in neonates need to be fully described before neonatal pain care can be optimized. This study's purpose was to report neonatal nurses' knowledge, existing pain assessment practice, and pharmacological pain management of neonates in Jordan. A cross-sectional descriptive study was conducted. Eighteen neonatal intensive care units in Jordan were included in the study. One hundred eighty-four neonatal nurses participated. Questionnaires were distributed by and returned to the neonatal intensive care units' managers between June and August 2014. Descriptive and inferential statistics were used to present study results. Of 240 questionnaires distributed, 184 useable responses were returned. Nurses' knowledge regarding neonates' neurological development, nociception, and need for neonatal pain management was suboptimal. The analgesics most commonly used to treat neonatal pain were acetaminophen (52%) and lidocaine (45%). Benzodiazepines, phenobarbitone, and muscles relaxants were also used. Most nurses (54%-97%) reported that pain emanating from most painful procedures was never or rarely treated. Circumcision, lumbar punctures, and chest tube insertion were assigned the highest pain scores (≥9), but were rarely accompanied by analgesia. Pain assessment scales were more likely to be used, and procedural pain was more likely to be treated, in private hospitals than public hospitals. Neonates who require special care still suffer unnecessary pain that could be avoided and managed by following best practice recommendations. Disparities between developed and developing countries in quality of neonatal pain care appear to exist. Resources for education and routine care are needed to address these discrepancies. Copyright © 2016 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Skill assessment of the coupled physical-biogeochemical operational Mediterranean Forecasting System

Science.gov (United States)

Cossarini, Gianpiero; Clementi, Emanuela; Salon, Stefano; Grandi, Alessandro; Bolzon, Giorgio; Solidoro, Cosimo

2016-04-01

The Mediterranean Monitoring and Forecasting Centre (Med-MFC) is one of the regional production centres of the European Marine Environment Monitoring Service (CMEMS-Copernicus). Med-MFC operatively manages a suite of numerical model systems (3DVAR-NEMO-WW3 and 3DVAR-OGSTM-BFM) that provides gridded datasets of physical and biogeochemical variables for the Mediterranean marine environment with a horizontal resolution of about 6.5 km. At the present stage, the operational Med-MFC produces ten-day forecast: daily for physical parameters and bi-weekly for biogeochemical variables. The validation of the coupled model system and the estimate of the accuracy of model products are key issues to ensure reliable information to the users and the downstream services. Product quality activities at Med-MFC consist of two levels of validation and skill analysis procedures. Pre-operational qualification activities focus on testing the improvement of the quality of a new release of the model system and relays on past simulation and historical data. Then, near real time (NRT) validation activities aim at the routinely and on-line skill assessment of the model forecast and relays on the NRT available observations. Med-MFC validation framework uses both independent (i.e. Bio-Argo float data, in-situ mooring and vessel data of oxygen, nutrients and chlorophyll, moored buoys, tide-gauges and ADCP of temperature, salinity, sea level and velocity) and semi-independent data (i.e. data already used for assimilation, such as satellite chlorophyll, Satellite SLA and SST and in situ vertical profiles of temperature and salinity from XBT, Argo and Gliders) We give evidence that different variables (e.g. CMEMS-products) can be validated at different levels (i.e. at the forecast level or at the level of model consistency) and at different spatial and temporal scales. The fundamental physical parameters temperature, salinity and sea level are routinely validated on daily, weekly and quarterly base

A time-lagged momentary assessment study on daily life physical activity and affect.

Science.gov (United States)

Wichers, Marieke; Peeters, Frenk; Rutten, Bart P F; Jacobs, Nele; Derom, Catherine; Thiery, Evert; Delespaul, Philippe; van Os, Jim

2012-03-01

Novel study designs using within-subject methodology and frequent and prospective measurements are required to unravel direction of causality and dynamic processes of behavior over time. The current study examined the effects of physical activity on affective state. A primary and within-study replication sample was derived from twin pairs. Female twins (n = 504) participated in an experience sampling method study at baseline. Positive and negative affective changes were examined before and following daily life increases in physical activity. Neuroticism was measured at baseline and depressive symptoms were assessed at baseline and at each of four follow-up assessments. Diagnoses, derived by Structured Clinical Interview for Diagnostic and Statistical Manual for Mental Health-IV axis I disorders, (A. P. A., 1994) were obtained at baseline. A significant increase in positive affect (PA) following the moment of increase in physical activity was replicated across both samples up to 180 min after physical activity. There was no effect of physical activity on negative affect (NA). Across the two samples, a history of fulfilling diagnostic criteria for depression at least once moderated the effect of physical activity on PA, in that the effect was lost more rapidly. The study supports a causal effect of physical activity on PA. However, people with past experience of clinical depression may benefit less from the PA-inducing effect of physical activity. These findings have implications for the use of physical exercise in clinical practice.

Assessing waste management systems using reginalt software

International Nuclear Information System (INIS)

Meshkov, N.K.; Camasta, S.F.; Gilbert, T.L.

1988-03-01

A method for assessing management systems for low-level radioactive waste is being developed for US Department of Energy. The method is based on benefit-cost-risk analysis. Waste management is broken down into its component steps, which are generation, treatment, packaging, storage, transportation, and disposal. Several different alternatives available for each waste management step are described. A particular waste management system consists of a feasible combination of alternatives for each step. Selecting an optimal waste management system would generally proceed as follows: (1) qualitative considerations are used to narrow down the choice of waste management system alternatives to a manageable number; (2) the costs and risks for each of these system alternatives are evaluated; (3) the number of alternatives is further reduced by eliminating alternatives with similar risks but higher costs, or those with similar costs but higher risks; (4) a trade-off factor between cost and risk is chosen and used to compute the objective function (sum of the cost and risk); and (5) the selection of the optimal waste management system among the remaining alternatives is made by choosing the alternative with the smallest value for the objective function. The authors propose that the REGINALT software system, developed by EG and G Idaho, Inc., as an acid for managers of low-level commerical waste, be augmented for application to the managment of DOE-generated waste. Specific recommendations for modification of the REGINALT system are made. 51 refs., 3 figs., 2 tabs

An assessment of the current municipal solid waste management system in Lahore, Pakistan.

Science.gov (United States)

Masood, Maryam; Barlow, Claire Y; Wilson, David C

2014-09-01

The current status of solid waste management in Lahore, a metropolitan city of Pakistan, is reviewed in this article using an existing approach, the UN-Habitat city profile. This involves a systematic quantitative and qualitative assessment of physical components and governance features of the current waste management system. A material flow diagram (MFD) is developed, which allows visualisation of the current waste management system with all related inputs and outputs. This study shows that in the current system, waste collection and transportation is the main focus, however the collection coverage is only about 68%. There is no controlled or even semi-controlled waste disposal facility in Lahore. There is no official recycling system in the city. It is estimated that currently ~27% of waste by weight is being recycled through the informal sector. Making use of the organic content of the waste, a composting facility is operative in the city, producing 47,230 tonnes year(-1) of organic compost. Lahore does not perform very well in governance features. Inclusivity of users and providers of the waste management system is low in the city, as not all stakeholders are consulted in the decision making processes. Waste management costs US$20 per tonne of waste, where the main focus is only on waste collection, and the current user fees are much lower than the actual costs. This study recommends that recycling should be promoted by increasing public awareness and integrating the informal sector to make the current system sustainable and financially viable. © The Author(s) 2014.

Electrodiagnostic medicine skills competency in physical medicine and rehabilitation residents: a method for development and assessment.

Science.gov (United States)

Brown, David; Cuccurullo, Sara; Lee, Joseph; Petagna, Ann; Strax, Thomas

2008-08-01

This project sought to create an educational module including evaluation methodology to instruct physical medicine and rehabilitation (PM&R) residents in electrodiagnostic evaluation of patients with neuromuscular problems, and to verify acquired competencies in those electrodiagnostic skills through objective evaluation methodology. Sixteen residents were trained by board-certified neuromuscular and electrodiagnostic medicine physicians through technical training, lectures, and review of self-assessment examination (SAE) concepts from the American Academy of Physical Medicine & Rehabilitation syllabus provided in the Archives of Physical Medicine and Rehabilitation. After delivery of the educational module, knowledge acquisition and skill attainment were measured in (1) clinical skill in diagnostic procedures via a procedure checklist, (2) diagnosis and ability to design a patient-care management plan via chart simulated recall (CSR) exams, (3) physician/patient interaction via patient surveys, (4) physician/staff interaction via 360-degree global ratings, and (5) ability to write a comprehensive patient-care report and to document a patient-care management plan in accordance with Medicare guidelines via written patient reports. Assessment tools developed for this program address the basic competencies outlined by the Accreditation Council for Graduate Medical Education (ACGME). To test the success of the standardized educational module, data were collected on an ongoing basis. Objective measures compared resident SAE scores in electrodiagnostics (EDX) before and after institution of the comprehensive EDX competency module in a PM&R residency program. Fifteen of 16 residents (94%) successfully demonstrated proficiency in every segment of the evaluation element of the educational module by the end of their PGY-4 electrodiagnostic rotation. The resident who did not initially pass underwent remedial coursework and passed on the second attempt. Furthermore, the

Soil physics and the water management of spatially variable soils

International Nuclear Information System (INIS)

Youngs, E.G.

1983-01-01

The physics of macroscopic soil-water behaviour in inert porous materials has been developed by considering water flow to take place in a continuum. This requires the flow region to consist of an assembly of representative elementary volumes, repeated throughout space and small compared with the scale of observations. Soil-water behaviour in swelling soils may also be considered as a continuum phenomenon so long as the soil is saturated and swells and shrinks in the normal range. Macroscale heterogeneity superimposed on the inherent microscale heterogeneity can take many forms and may pose difficulties in the definition and measurement of soil physical properties and also in the development and use of predictive theories of soil-water behaviour. Thus, measurement techniques appropriate for uniform soils are often inappropriate, and criteria for soil-water management, obtained from theoretical considerations of behaviour in equivalent uniform soils, are not applicable without modification when there is soil heterogeneity. The spatial variability of soil-water properties is shown in results from field experiments concerned with water flow measurements; these illustrate both stochastic and deterministic heterogeneity in soil-water properties. Problems of water management of spatially variable soils when there is stochastic heterogeneity appear to present an insuperable problem in the application of theory. However, for soils showing deterministic heterogeneity, soil-water theory has been used in the solution of soil-water management problems. Thus, scaling using similar media theory has been applied to the infiltration of water into soils that vary over a catchment area. Also, the drain spacing to control the water-table height in soils in which the hydraulic conductivity varies with depth has been calculated using groundwater seepage theory. (author)

The Use of Academic Portfolio in the Learning and Assessment of Physics Students

Directory of Open Access Journals (Sweden)

Meng Kay Ling

2016-05-01

Full Text Available The purpose of this research paper is to examine the use of portfolios in the teaching and learning of physics at a Singapore private college. The paper starts with a short introduction of the types of students and the purpose of using academic portfolios in their learning and assessment. Some ideas of how portfolios can be used in the local context will also be discussed. It is necessary for teachers to know how to incorporate portfolio assessment in their daily lesson plans. At the same time, students who are studying physics at the college should also know how to use portfolios to their academic advantage. The paper also highlights three of the relevant work artifacts that can be included into the physics portfolios. The three work samples are concept-maps, internet research reports and newspaper articles reports. Concept-maps are useful tools to help students establish the connections between concepts. Internet research reports serve as important means for students to know more about how some scientific devices or technology use physics in the operations. Newspaper articles reports allow students to understand the real impact of physics on the lives of people. Subsequent sections of the paper discuss about the organizational flow of the portfolio, the timeline, the selection process, the portfolio checklist and assessment rubrics, the positive influences of using portfolios, the issues to consider and also the potential problems that physics teachers may face in implementing portfolios. These sections present the important framework which teachers can use as references for their portfolio initiatives in schools.

Simulation experience enhances physical therapist student confidence in managing a patient in the critical care environment.

Science.gov (United States)

Ohtake, Patricia J; Lazarus, Marcilene; Schillo, Rebecca; Rosen, Michael

2013-02-01

Rehabilitation of patients in critical care environments improves functional outcomes. This finding has led to increased implementation of intensive care unit (ICU) rehabilitation programs, including early mobility, and an associated increased demand for physical therapists practicing in ICUs. Unfortunately, many physical therapists report being inadequately prepared to work in this high-risk environment. Simulation provides focused, deliberate practice in safe, controlled learning environments and may be a method to initiate academic preparation of physical therapists for ICU practice. The purpose of this study was to examine the effect of participation in simulation-based management of a patient with critical illness in an ICU setting on levels of confidence and satisfaction in physical therapist students. A one-group, pretest-posttest, quasi-experimental design was used. Physical therapist students (N=43) participated in a critical care simulation experience requiring technical (assessing bed mobility and pulmonary status), behavioral (patient and interprofessional communication), and cognitive (recognizing a patient status change and initiating appropriate responses) skill performance. Student confidence and satisfaction were surveyed before and after the simulation experience. Students' confidence in their technical, behavioral, and cognitive skill performance increased from "somewhat confident" to "confident" following the critical care simulation experience. Student satisfaction was highly positive, with strong agreement the simulation experience was valuable, reinforced course content, and was a useful educational tool. Limitations of the study were the small sample from one university and a control group was not included. Incorporating a simulated, interprofessional critical care experience into a required clinical course improved physical therapist student confidence in technical, behavioral, and cognitive performance measures and was associated with high

Health risk assessment for program managers

International Nuclear Information System (INIS)

Jump, R.A.; Williamson, D.S.

1994-01-01

This paper presents the findings of a sensitivity analysis into the independent variables that determine the levels of health risks posed by buried plutonium and americium at a typical contaminated site in an arid region. Environmental Restoration Program Managers often must make decisions concerning cleanup levels, remediation alternatives, schedules, cost estimates, etc. based upon extraordinarily safe assumptions about risk assessment calculation inputs. This study reveals to the Program Manager which variables are major drivers to the calculated levels of risk posed by transuranic radionuclides and which ones have second order effects or less. The findings of this study should indicate which inputs should be the focus of attention during negotiations with regulators and of further empirical investigation

Psychosocial and Physical Assessment of Patients with Temporomandibular Disorders

Directory of Open Access Journals (Sweden)

Anitha B

2004-01-01

Full Text Available A study was conducted to assess the prevalence of psychosocial disorders in patients with TMD, and to establish correlation between these, and symptoms and physical signs of TMD. Thirty patients were included in the study. TMD history and TMJ examination findings were recorded. Subsequently psychosocial assessment was carried out. Eighteen patients were in psychiatric morbid (PM group and 12 were in psychiatric nonmorbid (PNM group. Symptoms and signs of TMD were compared between PM and PNM group. Strong association was evident between presence of psychiatric morbidity and certain parameters viz. pain duration, VAS, bruxism, mouth opening.

Monitoring and assessment activities and indications of empathic behavior of the examined teachers during physical education lessons

Directory of Open Access Journals (Sweden)

Radoslaw Muszkieta

2015-12-01

The material of the studies was the physical education teachers of randomly chosen Poznań (Poland schools: primary, grammar, and secondary schools. The studies involved 584 physical education teachers. The studies were conducted in the school year of 1999-2000. For the studies, an observation method was applied consisting in lesson observations during physical education lessons carried out by physical education teachers. The results of the studies form characteristic upward or downward tendencies. The higher the educational stage the higher the percentage value for the teachers who: a assess attitudes and behavior of the students; b monitor and assess knowledge of the students in the field of physical culture; c assess with grades or points motor and organizational skills; d assess verbally tasks’ achievement; e apply and introduce self-monitoring and self-assessment of knowledge, skills, attitudes, and physical fitness of the students. The downward tendencies were observed exclusively for monitoring attitudes and behavior of the students (i.e. having sports outfit, activity, involvement, attendance, etc.. The examined women were characterized by better and more positive empathic behavior. For all parameters, the women appeared to be better.