WorldWideScience

Sample records for methodological improvements needed

  1. Transparent Guideline Methodology Needed

    DEFF Research Database (Denmark)

    Lidal, Ingeborg; Norén, Camilla; Mäkelä, Marjukka

    2013-01-01

    As part of learning at the Nordic Workshop of Evidence-based Medicine, we have read with interest the practice guidelines for central venous access, published in your Journal in 2012.1 We appraised the quality of this guideline using the checklist developed by The Evidence-Based Medicine Working ...... are based on best currently available evidence. Our concerns are in two main categories: the rigor of development, including methodology of searching, evaluating, and combining the evidence; and editorial independence, including funding and possible conflicts of interest....... Group.2 Similar criteria for guideline quality have been suggested elsewhere.3 Our conclusion was that this much needed guideline is currently unclear about several aspects of the methodology used in developing the recommendations. This means potential users cannot be certain that the recommendations...

  2. [Needs assessment to improve the applicability and methodological quality of a German S3 guideline].

    Science.gov (United States)

    Burckhardt, Marion; Hoffmann, Cristina; Nink-Grebe, Brigitte; Sänger, Sylvia

    2018-04-01

    Clinical practice guidelines can change the practice in healthcare only if their recommendations are implemented in a comprehensive way. The German S3 guideline "Local Therapy of Chronic Wounds in Patients with Peripheral Vascular Disease, Chronic Venous Insufficiency, and Diabetes" will be updated in 2017. The emphasis here is on the guideline's validity, user-friendliness and implementation into practice. Therefore, the aim was to identify the improvements required in regard to the guideline's methods and content presentation. The methodological approach used was the critical appraisal of the guideline according to established quality criteria and an additional stakeholder survey. Both were conducted between August and November 2016. The guideline and its related documents were reviewed independently by two researchers according to the criteria of the "Appraisal of Guidelines for Research and Evaluation" (AGREE-II). Published reviews and peer reviews by external experts and organisations were also taken into account. For the stakeholder survey, a questionnaire with open questions was distributed by e-mail and via the Internet to health professionals and organisations involved in the care of patients with leg ulcers in Germany. The questions were aimed at amendments and new topics based on the stakeholders' experience in inpatient and outpatient care. In addition, the survey focused on gathering suggestions to improve the applicability of the guideline. Suggested new topics and amendments were summarised thematically. The stakeholders' suggestions to improve the applicability, the results of the critical appraisal and the relevant aspects of the external reviews were then summarised according to the AGREE-II domains and presented in a cause and effect diagram. 17 questionnaires (out of 864 sent out by e-mail) were returned. Due to high practice relevance, the stakeholders suggested an expansion of the inclusion criteria to patients with infected wounds and

  3. Clearance Prediction Methodology Needs Fundamental Improvement: Trends Common to Rat and Human Hepatocytes/Microsomes and Implications for Experimental Methodology.

    Science.gov (United States)

    Wood, F L; Houston, J B; Hallifax, D

    2017-11-01

    Although prediction of clearance using hepatocytes and liver microsomes has long played a decisive role in drug discovery, it is widely acknowledged that reliably accurate prediction is not yet achievable despite the predominance of hepatically cleared drugs. Physiologically mechanistic methodology tends to underpredict clearance by several fold, and empirical correction of this bias is confounded by imprecision across drugs. Understanding the causes of prediction uncertainty has been slow, possibly reflecting poor resolution of variables associated with donor source and experimental methods, particularly for the human situation. It has been reported that among published human hepatocyte predictions there was a tendency for underprediction to increase with increasing in vivo intrinsic clearance, suggesting an inherent limitation using this particular system. This implied an artifactual rate limitation in vitro, although preparative effects on cell stability and performance were not yet resolved from assay design limitations. Here, to resolve these issues further, we present an up-to-date and comprehensive examination of predictions from published rat as well as human studies (where n = 128 and 101 hepatocytes and n = 71 and 83 microsomes, respectively) to assess system performance more independently. We report a clear trend of increasing underprediction with increasing in vivo intrinsic clearance, which is similar both between species and between in vitro systems. Hence, prior concerns arising specifically from human in vitro systems may be unfounded and the focus of investigation in the future should be to minimize the potential in vitro assay limitations common to whole cells and subcellular fractions. Copyright © 2017 by The American Society for Pharmacology and Experimental Therapeutics.

  4. Beam optimization: improving methodology

    International Nuclear Information System (INIS)

    Quinteiro, Guillermo F.

    2004-01-01

    Different optimization techniques commonly used in biology and food technology allow a systematic and complete analysis of response functions. In spite of the great interest in medical and nuclear physics in the problem of optimizing mixed beams, little attention has been given to sophisticate mathematical tools. Indeed, many techniques are perfectly suited to the typical problem of beam optimization. This article is intended as a guide to the use of two methods, namely Response Surface Methodology and Simplex, that are expected to fasten the optimization process and, meanwhile give more insight into the relationships among the dependent variables controlling the response

  5. Information needs of engineers. The methodology developed by the WFEO Committee on Engineering Information and the use of value analysis for improving information services

    International Nuclear Information System (INIS)

    Darjoto, S.W.; Martono, A.; Michel, J.

    1990-05-01

    The World Federation of Engineering Organizations - WFEO - through the work of its Committee on Engineering Information, aims at improving the efficiency of engineers and particularly at developing new attitudes and practices concerning the specialized information mastering. One important part of the WFEO/CEI programme of activities during the last years and for the next years was and is devoted to a better understanding of the information needs of engineers. But also, it seems now essential to WFEO/CEI to better evaluate information services in order to correctly adapt them to the identified needs of engineers. The following communication will emphasize these two main and related perspectives: identifying the information needs of engineers; developing Value Analysis approaches for engineering information services. (author). 3 refs

  6. Information needs of engineers. The methodology developed by the WFEO Committee on Engineering Information and the use of value analysis for improving information services

    Energy Technology Data Exchange (ETDEWEB)

    Darjoto, S W [Indonesian Inst. of Sciences, Bandung (Indonesia); Martono, A [Indonesian Inst. of Engineers, Jakarta (Indonesia); Michel, J [Ecole Nationale des Ponts et Chaussees, Paris (France)

    1990-05-01

    The World Federation of Engineering Organizations - WFEO - through the work of its Committee on Engineering Information, aims at improving the efficiency of engineers and particularly at developing new attitudes and practices concerning the specialized information mastering. One important part of the WFEO/CEI programme of activities during the last years and for the next years was and is devoted to a better understanding of the information needs of engineers. But also, it seems now essential to WFEO/CEI to better evaluate information services in order to correctly adapt them to the identified needs of engineers. The following communication will emphasize these two main and related perspectives: identifying the information needs of engineers; developing Value Analysis approaches for engineering information services. (author). 3 refs.

  7. Improving Learning Outcome Using Six Sigma Methodology

    Science.gov (United States)

    Tetteh, Godson A.

    2015-01-01

    Purpose: The purpose of this research paper is to apply the Six Sigma methodology to identify the attributes of a lecturer that will help improve a student's prior knowledge of a discipline from an initial "x" per cent knowledge to a higher "y" per cent of knowledge. Design/methodology/approach: The data collection method…

  8. Methodological approach to organizational performance improvement process

    OpenAIRE

    Buble, Marin; Dulčić, Želimir; Pavić, Ivan

    2017-01-01

    Organizational performance improvement is one of the fundamental enterprise tasks. This especially applies to the case when the term “performance improvement” implies efficiency improvement measured by indicators, such as ROI, ROE, ROA, or ROVA/ROI. Such tasks are very complex, requiring implementation by means of project management. In this paper, the authors propose a methodological approach to improving the organizational performance of a large enterprise.

  9. Methodological approach to organizational performance improvement process

    Directory of Open Access Journals (Sweden)

    Marin Buble

    2001-01-01

    Full Text Available Organizational performance improvement is one of the fundamental enterprise tasks. This especially applies to the case when the term “performance improvement” implies efficiency improvement measured by indicators, such as ROI, ROE, ROA, or ROVA/ROI. Such tasks are very complex, requiring implementation by means of project management. In this paper, the authors propose a methodological approach to improving the organizational performance of a large enterprise.

  10. Do systematic reviews on pediatric topics need special methodological considerations?

    Science.gov (United States)

    Farid-Kapadia, Mufiza; Askie, Lisa; Hartling, Lisa; Contopoulos-Ioannidis, Despina; Bhutta, Zulfiqar A; Soll, Roger; Moher, David; Offringa, Martin

    2017-03-06

    Systematic reviews are key tools to enable decision making by healthcare providers and policymakers. Despite the availability of the evidence based Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA-2009 and PRISMA-P 2015) statements that were developed to improve the transparency and quality of reporting of systematic reviews, uncertainty on how to deal with pediatric-specific methodological challenges of systematic reviews impairs decision-making in child health. In this paper, we identify methodological challenges specific to the design, conduct and reporting of pediatric systematic reviews, and propose a process to address these challenges. One fundamental decision at the outset of a systematic review is whether to focus on a pediatric population only, or to include both adult and pediatric populations. Both from the policy and patient care point of view, the appropriateness of interventions and comparators administered to pre-defined pediatric age subgroup is critical. Decisions need to be based on the biological plausibility of differences in treatment effects across the developmental trajectory in children. Synthesis of evidence from different trials is often impaired by the use of outcomes and measurement instruments that differ between trials and are neither relevant nor validated in the pediatric population. Other issues specific to pediatric systematic reviews include lack of pediatric-sensitive search strategies and inconsistent choices of pediatric age subgroups in meta-analyses. In addition to these methodological issues generic to all pediatric systematic reviews, special considerations are required for reviews of health care interventions' safety and efficacy in neonatology, global health, comparative effectiveness interventions and individual participant data meta-analyses. To date, there is no standard approach available to overcome this problem. We propose to develop a consensus-based checklist of essential items which

  11. A Soft Systems Methodology Perspective on Data Warehousing Education Improvement

    OpenAIRE

    R. Goede; E. Taylor

    2012-01-01

    This paper demonstrates how the soft systems methodology can be used to improve the delivery of a module in data warehousing for fourth year information technology students. Graduates in information technology needs to have academic skills but also needs to have good practical skills to meet the skills requirements of the information technology industry. In developing and improving current data warehousing education modules one has to find a balance in meeting the expectations of ...

  12. Performance improvement using methodology: case study.

    Science.gov (United States)

    Harmelink, Stacy

    2008-01-01

    The department of radiology at St. Luke's Regional Medical Center in Sioux City, IA implemented meaningful workflow changes for reducing patient wait times and, at the same time, improved customer and employee satisfaction scores. Lean methodology and the 7 Deadly Wastes, along with small group interaction, was used to evaluate and change the process of a patient waiting for an exam in the radiology department. The most important key to the success of a performance improvement project is the involvement of staff.

  13. Improvement of Safety Assessment Methodologies for Near Surface Disposal Facilities

    International Nuclear Information System (INIS)

    Batandjieva, B.; Torres-Vidal, C.

    2002-01-01

    The International Atomic Energy Agency (IAEA) Coordinated research program ''Improvement of Safety Assessment Methodologies for Near Surface Disposal Facilities'' (ISAM) has developed improved safety assessment methodology for near surface disposal facilities. The program has been underway for three years and has included around 75 active participants from 40 countries. It has also provided examples for application to three safety cases--vault, Radon type and borehole radioactive waste disposal facilities. The program has served as an excellent forum for exchange of information and good practices on safety assessment approaches and methodologies used worldwide. It also provided an opportunity for reaching broad consensus on the safety assessment methodologies to be applied to near surface low and intermediate level waste repositories. The methodology has found widespread acceptance and the need for its application on real waste disposal facilities has been clearly identified. The ISAM was finalized by the end of 2000, working material documents are available and an IAEA report will be published in 2002 summarizing the work performed during the three years of the program. The outcome of the ISAM program provides a sound basis for moving forward to a new IAEA program, which will focus on practical application of the safety assessment methodologies to different purposes, such as licensing radioactive waste repositories, development of design concepts, upgrading existing facilities, reassessment of operating repositories, etc. The new program will also provide an opportunity for development of guidance on application of the methodology that will be of assistance to both safety assessors and regulators

  14. Aligning Funding and Need for Family Planning: A Diagnostic Methodology

    Science.gov (United States)

    Fan, Victoria Y.; Kim, Sunja; Choi, Seemoon; Grépin, Karen A.

    2017-01-01

    Abstract With limited international resources for family planning, donors must decide how to allocate their funds to different countries. How can a donor for family planning decide whether countries are adequately prioritized for funding? This article proposes an ordinal ranking framework to identify under‐prioritized countries by rank‐ordering countries by their need for family planning and separately rank‐ordering them by their development assistance for family planning. Countries for which the rank of the need for family planning is lower than the rank of its funding are deemed under‐prioritized. We implement this diagnostic methodology to identify under‐prioritized countries that have a higher need but lower development assistance for family planning. This approach indicates whether a country is receiving less compared to other countries with similar levels of need. PMID:29044592

  15. Do systematic reviews on pediatric topics need special methodological considerations?

    OpenAIRE

    Farid-Kapadia, Mufiza; Askie, Lisa; Hartling, Lisa; Contopoulos-Ioannidis, Despina; Bhutta, Zulfiqar A.; Soll, Roger; Moher, David; Offringa, Martin

    2017-01-01

    Background Systematic reviews are key tools to enable decision making by healthcare providers and policymakers. Despite the availability of the evidence based Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA-2009 and PRISMA-P 2015) statements that were developed to improve the transparency and quality of reporting of systematic reviews, uncertainty on how to deal with pediatric-specific methodological challenges of systematic reviews impairs decision-making in child ...

  16. Knowledge Management Methodologies for Improving Safety Culture

    International Nuclear Information System (INIS)

    Rusconi, C.

    2016-01-01

    Epistemic uncertainties could affect operator’s capability to prevent rare but potentially catastrophic accident sequences. Safety analysis methodologies are powerful but fragile tools if basic assumptions are not sound and exhaustive. In particular, expert judgments and technical data could be invalidated by organizational context change (e.g., maintenance planning, supply systems etc.) or by unexpected events. In 1986 accidents like Chernobyl, the explosion of Shuttle Challenger and, two years before, the toxic release at Bhopal chemical plant represented the point of no return with respect to the previous vision of safety and highlighted the undelayable need to change paradigm and face safety issues in complex systems not only from a technical point of view but to adopt a systemic vision able to include and integrate human and organizational aspects.

  17. Establishing the need for nutrition education: I. Methodology.

    Science.gov (United States)

    Vaden, A G; Newell, G K; Dayton, A D; Foley, C S

    1983-10-01

    Developmental and data collection phases for a comprehensive needs assessment project designed to provide baseline data for planning a statewide nutrition education and training project are summarized. To meet project objectives, 97 Kansas elementary schools were selected randomly as sampling units. A mail questionnaire was used to assess nutrition knowledge and attitudes and dietary and nutrition education practices of elementary teachers and food service personnel. Data from fifth grade students were collected on-site at each school. A written test was used to measure students' nutrition knowledge, attitudes, and practices. Students' nutritional status was partially assessed by measuring their height, weight, skinfold thickness, and upper arm circumference. As an additional assessment, 24-hour dietary recall interviews were conducted with a random sample of the students. In this article, each aspect of the data collection methodology is described in detail. As emphasized by authorities in the field, more complete information is needed in many nutrition survey reports to assist in useful interpretations and for comparisons among studies.

  18. Towards methodological improvement in the Spanish studies

    Directory of Open Access Journals (Sweden)

    Beatriz Amante García

    2012-09-01

    Full Text Available The European Higher Education Area (EHEA has triggered many changes in the new degrees in Spanish universities, mainly in terms of methodology and assessment. However, in order to make such changes a success it is essential to have coordination within the teaching staff as well as active methodologies in use, which enhance and encourage students’ participation in all the activities carried out in the classroom. Most of all, when dealing with formative and summative evaluation, in which students become the ones responsible for their own learning process (López-Pastor, 2009; Torre, 2008. In this second issue of JOTSE we have included several teaching innovation experiences related to the above mentioned methodological and assessment changes.

  19. How Six Sigma Methodology Improved Doctors' Performance

    Science.gov (United States)

    Zafiropoulos, George

    2015-01-01

    Six Sigma methodology was used in a District General Hospital to assess the effect of the introduction of an educational programme to limit unnecessary admissions. The performance of the doctors involved in the programme was assessed. Ishikawa Fishbone and 5 S's were initially used and Pareto analysis of their findings was performed. The results…

  20. Improved USGS methodology for assessing continuous petroleum resources

    Science.gov (United States)

    Charpentier, Ronald R.; Cook, Troy A.

    2010-01-01

    This report presents an improved methodology for estimating volumes of continuous (unconventional) oil and gas resources within the United States and around the world. The methodology is based on previously developed U.S. Geological Survey methodologies that rely on well-scale production data. Improvements were made primarily to how the uncertainty about estimated ultimate recoveries is incorporated in the estimates. This is particularly important when assessing areas with sparse or no production data, because the new methodology allows better use of analog data from areas with significant discovery histories.

  1. Four methodologies to improve healthcare demand forecasting.

    Science.gov (United States)

    Côté, M J; Tucker, S L

    2001-05-01

    Forecasting demand for health services is an important step in managerial decision making for all healthcare organizations. This task, which often is assumed by financial managers, first requires the compilation and examination of historical information. Although many quantitative forecasting methods exist, four common methods of forecasting are percent adjustment, 12-month moving average, trendline, and seasonalized forecast. These four methods are all based upon the organization's recent historical demand. Healthcare financial managers who want to project demand for healthcare services in their facility should understand the advantages and disadvantages of each method and then select the method that will best meet the organization's needs.

  2. Lightweight methodology to improve web accessibility

    CSIR Research Space (South Africa)

    Greeff, M

    2009-10-01

    Full Text Available to improve score. Colour Contrast Fujitsu ColorSelector [9] Each colour combination has to be selected manually. Didn’t identify colour contrast problems that were highlighted by the other two tools. JuicyStudio Colour Contrast Analyser Firefox..., but this is not tested by AccessKeys AccessColor. However, AccessKeys AccessColor provides a link to the specific line in the code where the problem occurs. This is not provided by JuicyStudio Colour Contrast Analyser. According to these two tools, many colour...

  3. Using Six Sigma and Lean methodologies to improve OR throughput.

    Science.gov (United States)

    Fairbanks, Catharine B

    2007-07-01

    Improving patient flow in the perioperative environment is challenging, but it has positive implications for both staff members and for the facility. One facility in vermont improved patient throughput by incorporating Six Sigma and Lean methodologies for patients undergoing elective procedures. The results of the project were significantly improved patient flow and increased teamwork and pride among perioperative staff members. (c) AORN, Inc, 2007.

  4. A Proposed Methodology for the Conceptualization, Operationalization, and Empirical Validation of the Concept of Information Need

    Science.gov (United States)

    Afzal, Waseem

    2017-01-01

    Introduction: The purpose of this paper is to propose a methodology to conceptualize, operationalize, and empirically validate the concept of information need. Method: The proposed methodology makes use of both qualitative and quantitative perspectives, and includes a broad array of approaches such as literature reviews, expert opinions, focus…

  5. Studying Information Needs as Question-Negotiations in an Educational Context: A Methodological Comment

    Science.gov (United States)

    Lundh, Anna

    2010-01-01

    Introduction: The concept of information needs is significant within the field of Information Needs Seeking and Use. "How" information needs can be studied empirically is however something that has been called into question. The main aim of this paper is to explore the methodological consequences of discursively oriented theories when…

  6. Guide for prioritizing power plant productivity improvement projects: handbook of availability improvement methodology

    International Nuclear Information System (INIS)

    1981-01-01

    As part of its program to help improve electrical power plant productivity, the Department of Energy (DOE) has developed a methodology for evaluating productivity improvement projects. This handbook presents a simplified version of this methodology called the Availability Improvement Methodology (AIM), which provides a systematic approach for prioritizing plant improvement projects. Also included in this handbook is a description of data taking requirements necessary to support the AIM methodology, benefit/cost analysis, and root cause analysis for tracing persistent power plant problems. In applying the AIM methodology, utility engineers should be mindful that replacement power costs are frequently greater for forced outages than for planned outages. Equivalent availability includes both. A cost-effective ranking of alternative plant improvement projects must discern between those projects which will reduce forced outages and those which might reduce planned outages. As is the case with any analytical procedure, engineering judgement must be exercised with respect to results of purely mathematical calculations

  7. The need for standardization of methodology and components in commercial radioimmunoassay kits

    International Nuclear Information System (INIS)

    Wood, W.G.; Marschner, I.; Scriba, P.C.

    1978-01-01

    The problems arising from the increasing use of commercial kits in radioimmunoassay (RIA) and related fields are discussed. These problems differ according to the substance under test. The quality of individual reagents is often good, but the methodology is often not optimal and may contain short-cuts which, although commercially attractive, can lead to erroneous values and poor sensitivity and precision. Minor modifications in the methodology often lead to big improvements in sensitivity and precision. This has been demonstrated in three digoxin kits employing antibody-coated tube techniques and in four kits for thyrotropin (TSH) using different techniques. It has also been noted that with many quality-control sera imported from the USA no values are ascribed to European kits for the components listed, thus reducing these sera to the function of precision control. The study underlines the need to standardize kit components and assay methods to enable the results obtained by different laboratories with different kits to be compared. (author)

  8. Methodology of quality improvement projects for the Texas Medicare population.

    Science.gov (United States)

    Pendergrass, P W; Abel, R L; Bing, M; Vaughn, R; McCauley, C

    1998-07-01

    The Texas Medical Foundation, the quality improvement organization for the state of Texas, develops local quality improvement projects for the Medicare population. These projects are developed as part of the Health Care Quality Improvement Program undertaken by the Health Care Financing Administration. The goal of a local quality improvement project is to collaborate with providers to identify and reduce the incidence of unintentional variations in the delivery of care that negatively impact outcomes. Two factors are critical to the success of a quality improvement project. First, as opposed to peer review that is based on implicit criteria, quality improvement must be based on explicit criteria. These criteria represent key steps in the delivery of care that have been shown to improve outcomes for a specific disease. Second, quality improvement must be performed in partnership with the health care community. As such, the health care community must play an integral role in the design and evaluation of a quality improvement project and in the design and implementation of the resulting quality improvement plan. Specifically, this article provides a historical perspective for the transition from peer review to quality improvement. It discusses key steps used in developing and implementing local quality improvement projects including topic selection, quality indicator development, collaborator recruitment, and measurement of performance/improvement. Two Texas Medical Foundation projects are described to highlight the current methodology and to illustrate the impact of quality improvement projects.

  9. Improving Care for Children With Complex Needs

    Science.gov (United States)

    2017-10-10

    Medically Complex Children; Care Coordination; Case Manager; Care Manager; Collaborative Care; Disease Management; Patient Care Team or Organization; Managed Care; Children With Chronic Conditions; Children With Special Health Care Needs; Shared Care Plan; Patient Care Plan; Health Care and Resource Utilization; Adherence to Care; Functional Status and Productivity; Health Related Quality of Life; Satisfaction With Care; Care Coordinator; Family Experience of Care; Quality Health Care

  10. Improve Internal Audit Methodology in the Case Company

    OpenAIRE

    Hong Trang Nguyen, Thi

    2016-01-01

    The purpose of this study was to identify improvement areas in the internal audit methodology used by the Internal Audit team at the case company which is the local subsidiary of a global financial group. The Internal Audit activity of the case company has been recently evaluated by the Institute of Internal Auditors. The overall quality assessment concludes that the Internal Audit activity has a charter, policies and processes that are in conformance with the Mandatory Guidance of the Intern...

  11. IMPROVING METHODOLOGY OF RISK IDENTIFICATION OF OCCUPATIONAL DANGEROUS

    Directory of Open Access Journals (Sweden)

    A. P. BOCHKOVSKYI

    2018-04-01

    Full Text Available In the paper, according to the analysis of statistical data, correlation between the amount of occupational injuries and occupationaldiseases in Ukraine within last 5 years is defined. Also, using methodology of the International Labor Organizationcorrelcation between the amount of accident fatalities and general number of accidents in Ukraine and EU countries (Austria, GreatBritain, Germany, Denmark, Norway, Poland, Hungry, Finland, France is defined. It is shown that in spite of the positive dynamicsof decreasing amount of occupational injuries, the number of occupational diseases in Ukraine always increases. The comparativeanalysis of the ratio of the number of accident fatalities to the total number of registered accidents showed that, on average, Ukraineexceeds the EU countries by this indicator by 100 times.It is noted, that such negative indicators (in particular, increasing amount of occupational diseases, may occure because ofimperfect methodology for identifying the risks of professional dangerous.Also, it is ascertained that basing on the existed methodology, the identefication process of occupational dangerous isquite subjective, which reduces objectivity of conducting quantitative assessment. In order to eliminate defined drawnbacks it is firsttime proposed to use corresponding integral criterion to conduct the process of quantitative risk assessmentTo solve this problem authors formulate and propose an algorithm of improving methodology of a process of analysing dangerousand harmful production effects (DHPE which are the mainest reasons of occupational dangerous.The proposed algorithm includes implementation of four following successive steps: DHPE identification, indication of theirmaximum allowed threshold of concentrations (levels, identification of the sources of identified DHPE, esimation of consequencesof manifestation.The improved proposed methodology allows indentify risks of occurrence occupational dangerous in systems

  12. The need to improve fertility awareness

    Directory of Open Access Journals (Sweden)

    Joyce Harper

    2017-06-01

    Full Text Available Women and men globally are delaying the birth of their first child. In the UK, the average age of first conception in women is 29 years. Women experience age-related fertility decline so it is important that men and women are well-informed about this, and other aspects of fertility. A group of UK stakeholders have established the Fertility Education Initiative to develop tools and information for children, adults, teachers, parents and healthcare professionals dedicated to improving knowledge of fertility and reproductive health.

  13. Methodologies for Improved Tag Cloud Generation with Clustering

    DEFF Research Database (Denmark)

    Leginus, Martin; Dolog, Peter; Lage, Ricardo Gomes

    2012-01-01

    Tag clouds are useful means for navigation in the social web systems. Usually the systems implement the tag cloud generation based on tag popularity which is not always the best method. In this paper we propose methodologies on how to combine clustering into the tag cloud generation to improve...... coverage and overlap. We study several clustering algorithms to generate tag clouds. We show that by extending cloud generation based on tag popularity with clustering we slightly improve coverage. We also show that if the cloud is generated by clustering independently of the tag popularity baseline we...

  14. Improved FTA methodology and application to subsea pipeline reliability design.

    Science.gov (United States)

    Lin, Jing; Yuan, Yongbo; Zhang, Mingyuan

    2014-01-01

    An innovative logic tree, Failure Expansion Tree (FET), is proposed in this paper, which improves on traditional Fault Tree Analysis (FTA). It describes a different thinking approach for risk factor identification and reliability risk assessment. By providing a more comprehensive and objective methodology, the rather subjective nature of FTA node discovery is significantly reduced and the resulting mathematical calculations for quantitative analysis are greatly simplified. Applied to the Useful Life phase of a subsea pipeline engineering project, the approach provides a more structured analysis by constructing a tree following the laws of physics and geometry. Resulting improvements are summarized in comparison table form.

  15. Application of Bow-tie methodology to improve patient safety.

    Science.gov (United States)

    Abdi, Zhaleh; Ravaghi, Hamid; Abbasi, Mohsen; Delgoshaei, Bahram; Esfandiari, Somayeh

    2016-05-09

    Purpose - The purpose of this paper is to apply Bow-tie methodology, a proactive risk assessment technique based on systemic approach, for prospective analysis of the risks threatening patient safety in intensive care unit (ICU). Design/methodology/approach - Bow-tie methodology was used to manage clinical risks threatening patient safety by a multidisciplinary team in the ICU. The Bow-tie analysis was conducted on incidents related to high-alert medications, ventilator associated pneumonia, catheter-related blood stream infection, urinary tract infection, and unwanted extubation. Findings - In total, 48 potential adverse events were analysed. The causal factors were identified and classified into relevant categories. The number and effectiveness of existing preventive and protective barriers were examined for each potential adverse event. The adverse events were evaluated according to the risk criteria and a set of interventions were proposed with the aim of improving the existing barriers or implementing new barriers. A number of recommendations were implemented in the ICU, while considering their feasibility. Originality/value - The application of Bow-tie methodology led to practical recommendations to eliminate or control the hazards identified. It also contributed to better understanding of hazard prevention and protection required for safe operations in clinical settings.

  16. Working Environment In Nursing: Needs Improvement?

    Directory of Open Access Journals (Sweden)

    Alicia Hanzeliková Pogrányivá

    2012-08-01

    Full Text Available Background: Knowing the quality of life of professionals is important because it is related to job performance, better results, and greater productivity, which results in better patient care. Objective: To know the Professional Quality of Life perceived by the nurses at the Geriatric Hospital of Toledo (Spain. Method: A descriptive cross-section study was employed to measure the Professional Quality of Life of all healthcare nurses (69 in total at the Geriatric Hospital of Toledo. The questionnaire used as a measuring instrument was the Professional Quality of Life - 35. The data obtained was analyzed by means of: descriptive statistics, single-factor ANOVA variance analysis, T Student tests, and simple and multiple regression analysis. The study was approved by both the research commission and the ethics commission at the Hospital Complex of Toledo. Participation in the study on behalf of the nursing staff was voluntary. Results: In total, 45 responses were obtained (65.2%. The overall mean score measured the perceived Professional Quality of Life to be low. In relation to the three dimensions evaluated in the study, the highest average found was in “intrinsic motivation,” followed by “workload”, and then “management support.” In the multivariate analysis, “management support” was shown as the most influential factor in the Professional Quality of Life with a 23% influence (P<0.001, followed by workload with 9% (P = 0.01. Conclusions: The professionals at the participating center perceive their workplace as having an elevated degree of responsibility, a large quantity of work, a high occurrence of rushes and fatigue, and all this with little support on behalf of management. Promotions are scarce or the policies for receiving a promotion are inadequate. The perception of Professional Quality of Life in nursing is low. The obtained results indicate a need for an organizing cultural change based on participation, motivation, and

  17. QUALITY IMPROVEMENT IN MULTIRESPONSE EXPERIMENTS THROUGH ROBUST DESIGN METHODOLOGY

    Directory of Open Access Journals (Sweden)

    M. Shilpa

    2012-06-01

    Full Text Available Robust design methodology aims at reducing the variability in the product performance in the presence of noise factors. Experiments involving simultaneous optimization of more than one quality characteristic are known as multiresponse experiments which are used in the development and improvement of industrial processes and products. In this paper, robust design methodology is applied to optimize the process parameters during a particular operation of rotary driving shaft manufacturing process. The three important quality characteristics of the shaft considered here are of type Nominal-the-best, Smaller-the-better and Fraction defective. Simultaneous optimization of these responses is carried out by identifying the control parameters and conducting the experimentation using L9 orthogonal array.

  18. Is mindfulness research methodology improving over time? A systematic review.

    Directory of Open Access Journals (Sweden)

    Simon B Goldberg

    Full Text Available Despite an exponential growth in research on mindfulness-based interventions, the body of scientific evidence supporting these treatments has been criticized for being of poor methodological quality.The current systematic review examined the extent to which mindfulness research demonstrated increased rigor over the past 16 years regarding six methodological features that have been highlighted as areas for improvement. These feature included using active control conditions, larger sample sizes, longer follow-up assessment, treatment fidelity assessment, and reporting of instructor training and intent-to-treat (ITT analyses.We searched PubMed, PsychInfo, Scopus, and Web of Science in addition to a publically available repository of mindfulness studies.Randomized clinical trials of mindfulness-based interventions for samples with a clinical disorder or elevated symptoms of a clinical disorder listed on the American Psychological Association's list of disorders with recognized evidence-based treatment.Independent raters screened 9,067 titles and abstracts, with 303 full text reviews. Of these, 171 were included, representing 142 non-overlapping samples.Across the 142 studies published between 2000 and 2016, there was no evidence for increases in any study quality indicator, although changes were generally in the direction of improved quality. When restricting the sample to those conducted in Europe and North America (continents with the longest history of scientific research in this area, an increase in reporting of ITT analyses was found. When excluding an early, high-quality study, improvements were seen in sample size, treatment fidelity assessment, and reporting of ITT analyses.Taken together, the findings suggest modest adoption of the recommendations for methodological improvement voiced repeatedly in the literature. Possible explanations for this and implications for interpreting this body of research and conducting future studies are

  19. The GDOR model. A new methodology for the analysis of training needs: The case of Andorra

    Directory of Open Access Journals (Sweden)

    Marc Eguiguren Huerta

    2012-09-01

    Full Text Available Purpose: This article investigates the status and importance of continuing training in companies in the Principality of Andorra and its impact on the economic development of the country.Design/methodology/approach: The analysis is based on GDOR, a methodology based on the impact of training decisions on economic indicators and ratios that has been developed by the authors. By using GDOR, the authors explore and understand the current situation and the training needs of the main sectors in the Andorran economy.Findings: The findings incorporate a different view of lifelong learning training needs in Andorra much more related to the development needs of the country.Originality/value: With reference to best practice from different countries, particularly those in Europe, an original and new proposal to address those training needs is presented including recommendations to the country’s authorities on how to manage lifelong learning policies.

  20. Application of the accident management information needs methodology to a severe accident sequence

    International Nuclear Information System (INIS)

    Ward, L.W.; Hanson, D.J.; Nelson, W.R.; Solberg, D.E.

    1989-01-01

    The U.S. Nuclear Regulatory Commission (NRC) is conducting an Accident Management Research Program that emphasizes the application of severe accident research results to enhance the capability of plant operating personnel to effectively manage severe accidents. A methodology to identify and assess the information needs of the operating staff of a nuclear power plant during a severe accident has been developed as part of the research program designed to resolve this issue. The methodology identifies the information needs of the plant personnel during a wide range of accident conditions, the existing plant measurements capable of supplying these information needs and what, if any minor additions to instrument and display systems would enhance the capability to manage accidents, known limitations on the capability of these measurements to function properly under the conditions that will be present during a wide range of severe accidents, and areas in which the information systems could mislead plant personnel. This paper presents an application of this methodology to a severe accident sequence to demonstrate its use in identifying the information which is available for management of the event. The methodology has been applied to a severe accident sequence in a Pressurized Water Reactor with a large dry containment. An examination of the capability of the existing measurements was then performed to determine whether the information needs can be supplied

  1. Beyond Needs Analysis: Soft Systems Methodology for Meaningful Collaboration in EAP Course Design

    Science.gov (United States)

    Tajino, Akira; James, Robert; Kijima, Kyoichi

    2005-01-01

    Designing an EAP course requires collaboration among various concerned stakeholders, including students, subject teachers, institutional administrators and EAP teachers themselves. While needs analysis is often considered fundamental to EAP, alternative research methodologies may be required to facilitate meaningful collaboration between these…

  2. THE MEASUREMENT METHODOLOGY IMPROVEMENT OF THE HORIZONTAL IRREGULARITIES IN PLAN

    Directory of Open Access Journals (Sweden)

    O. M. Patlasov

    2015-08-01

    Full Text Available Purpose. Across the track superstructure (TSS there are structures where standard approach to the decision on the future of their operation is not entirely correct or acceptable. In particular, it concerns the track sections which are sufficiently quickly change their geometric parameters: the radius of curvature, angle of rotation, and the like. As an example, such portions of TSS may include crossovers where their component is within the so-called connecting part, which at a sufficiently short length, substantially changes curvature. The estimation of the position in terms of a design on the basis of the existing technique (by the difference in the adjacent arrows bending is virtually impossible. Therefore it is proposed to complement and improve the methodology for assessing the situation of the curve in plan upon difference in the adjacent versine. Methodology. The possible options for measuring horizontal curves in the plan were analyzed. The most adequate method, which does not contradict existing on the criterion of the possibility of using established standards was determined. The ease of measurement and calculation was took into account. Findings. Qualitative and quantitative verification of the proposed and existing methods showed very good agreement of the measurement results. This gives grounds to assert that this methodology can be recommended to the workers of track facilities in the assessment of horizontal irregularities in plan not only curves, but also within the connecting part of switch congresses. Originality. The existing method of valuation of the geometric position of the curves in the plan was improved. It does not create new regulations, and all results are evaluated by existing norms. Practical value. The proposed technique makes it possible, without creating a new regulatory framework, to be attached to existing one, and expanding the boundaries of its application. This method can be used not only for ordinary curves

  3. Graduate students' teaching experiences improve their methodological research skills.

    Science.gov (United States)

    Feldon, David F; Peugh, James; Timmerman, Briana E; Maher, Michelle A; Hurst, Melissa; Strickland, Denise; Gilmore, Joanna A; Stiegelmeyer, Cindy

    2011-08-19

    Science, technology, engineering, and mathematics (STEM) graduate students are often encouraged to maximize their engagement with supervised research and minimize teaching obligations. However, the process of teaching students engaged in inquiry provides practice in the application of important research skills. Using a performance rubric, we compared the quality of methodological skills demonstrated in written research proposals for two groups of early career graduate students (those with both teaching and research responsibilities and those with only research responsibilities) at the beginning and end of an academic year. After statistically controlling for preexisting differences between groups, students who both taught and conducted research demonstrate significantly greater improvement in their abilities to generate testable hypotheses and design valid experiments. These results indicate that teaching experience can contribute substantially to the improvement of essential research skills.

  4. Application of decision-making methodology to certificate-of-need applications for CT scanners

    International Nuclear Information System (INIS)

    Gottinger, H.W.; Shapiro, P.

    1985-01-01

    This paper describes a case study and application of decision-making methodology to two competing Certificate of Need (CON) applications for CT body scanners. We demonstrate the use of decision-making methodology by evaluating the CON applications. Explicit value judgements reflecting the monetary equivalent of the different categories of benefit are introduced to facilitate this comparison. The difference between the benefits (measured in monetary terms) and costs is called the net social value. Any alternative with positive net social value is judged economically justifiable, and the alternative with the greatest net social value is judged the most attractive. (orig.)

  5. Application of the accident management information needs methodology to a severe accident sequence

    International Nuclear Information System (INIS)

    Ward, L.W.; Hanson, D.J.; Nelson, W.R.; Solberg, D.E.

    1989-01-01

    The U.S. Nuclear Regulatory Commission is conducting an accident management research program that emphasizes the use of severe accident research to enhance the ability of plant operating personnel to effectively manage severe accidents. Hence, it is necessary to ensure that the plant instrumentation and information systems adequately provide this information to the operating staff during accident conditions. A methodology to identify and assess the information needs of the operating staff of a nuclear power plant during a severe accident has been developed. The methodology identifies (a) the information needs of the plant personnel during a wide range of accident conditions, (b) the existing plant measurements capable of supplying these information needs and minor additions to instrument and display systems that would enhance management capabilities, (c) measurement capabilities and limitations during severe accident conditions, and (d) areas in which the information systems could mislead plant personnel

  6. Application of the accident management information needs methodology to a severe accident sequence

    Energy Technology Data Exchange (ETDEWEB)

    Ward, L.W.; Hanson, D.J.; Nelson, W.R. (Idaho National Engineering Laboratory, Idaho Falls (USA)); Solberg, D.E. (Nuclear Regulatory Commission, Washington, DC (USA))

    1989-11-01

    The U.S. Nuclear Regulatory Commission is conducting an accident management research program that emphasizes the use of severe accident research to enhance the ability of plant operating personnel to effectively manage severe accidents. Hence, it is necessary to ensure that the plant instrumentation and information systems adequately provide this information to the operating staff during accident conditions. A methodology to identify and assess the information needs of the operating staff of a nuclear power plant during a severe accident has been developed. The methodology identifies (a) the information needs of the plant personnel during a wide range of accident conditions, (b) the existing plant measurements capable of supplying these information needs and minor additions to instrument and display systems that would enhance management capabilities, (c) measurement capabilities and limitations during severe accident conditions, and (d) areas in which the information systems could mislead plant personnel.

  7. [Improving inpatient pharmacoterapeutic process by Lean Six Sigma methodology].

    Science.gov (United States)

    Font Noguera, I; Fernández Megía, M J; Ferrer Riquelme, A J; Balasch I Parisi, S; Edo Solsona, M D; Poveda Andres, J L

    2013-01-01

    Lean Six Sigma methodology has been used to improve care processes, eliminate waste, reduce costs, and increase patient satisfaction. To analyse the results obtained with Lean Six Sigma methodology in the diagnosis and improvement of the inpatient pharmacotherapy process during structural and organisational changes in a tertiary hospital. 1.000 beds tertiary hospital. prospective observational study. The define, measure, analyse, improve and control (DMAIC), were deployed from March to September 2011. An Initial Project Charter was updated as results were obtained. 131 patients with treatments prescribed within 24h after admission and with 4 drugs. safety indicators (medication errors), and efficiency indicators (complaints and time delays). Proportion of patients with a medication error was reduced from 61.0% (25/41 patients) to 55.7% (39/70 patients) in four months. Percentage of errors (regarding the opportunities for error) decreased in the different phases of the process: Prescription: from 5.1% (19/372 opportunities) to 3.3% (19/572 opportunities); Preparation: from 2.7% (14/525 opportunities) to 1.3% (11/847 opportunities); and administration: from 4.9% (16/329 opportunities) to 3.0% (13/433 opportunities). Nursing complaints decreased from 10.0% (2119/21038 patients) to 5.7% (1779/31097 patients). The estimated economic impact was 76,800 euros saved. An improvement in the pharmacotherapeutic process and a positive economic impact was observed, as well as enhancing patient safety and efficiency of the organization. Standardisation and professional training are future Lean Six Sigma candidate projects. Copyright © 2012 SECA. Published by Elsevier Espana. All rights reserved.

  8. Cyber-Informed Engineering: The Need for a New Risk Informed and Design Methodology

    Energy Technology Data Exchange (ETDEWEB)

    Price, Joseph Daniel [Idaho National Laboratory; Anderson, Robert Stephen [Idaho National Laboratory

    2015-06-01

    Current engineering and risk management methodologies do not contain the foundational assumptions required to address the intelligent adversary’s capabilities in malevolent cyber attacks. Current methodologies focus on equipment failures or human error as initiating events for a hazard, while cyber attacks use the functionality of a trusted system to perform operations outside of the intended design and without the operator’s knowledge. These threats can by-pass or manipulate traditionally engineered safety barriers and present false information, invalidating the fundamental basis of a safety analysis. Cyber threats must be fundamentally analyzed from a completely new perspective where neither equipment nor human operation can be fully trusted. A new risk analysis and design methodology needs to be developed to address this rapidly evolving threatscape.

  9. Development of Six Sigma methodology for CNC milling process improvements

    Science.gov (United States)

    Ismail, M. N.; Rose, A. N. M.; Mohammed, N. Z.; Rashid, M. F. F. Ab

    2017-10-01

    Quality and productivity have been identified as an important role in any organization, especially for manufacturing sectors to gain more profit that leads to success of a company. This paper reports a work improvement project in Kolej Kemahiran Tinggi MARA Kuantan. It involves problem identification in production of “Khufi” product and proposing an effective framework to improve the current situation effectively. Based on the observation and data collection on the work in progress (WIP) product, the major problem has been identified related to function of the product which is the parts can’t assemble properly due to dimension of the product is out of specification. The six sigma has been used as a methodology to study and improve of the problems identified. Six Sigma is a highly statistical and data driven approach to solving complex business problems. It uses a methodical five phase approach define, measure, analysis, improve and control (DMAIC) to help understand the process and the variables that affect it so that can be optimized the processes. Finally, the root cause and solution for the production of “Khufi” problem has been identified and implemented then the result for this product was successfully followed the specification of fitting.

  10. Improvement of laboratory turnaround time using lean methodology.

    Science.gov (United States)

    Gupta, Shradha; Kapil, Sahil; Sharma, Monica

    2018-05-14

    Purpose The purpose of this paper is to discuss the implementation of lean methodology to reduce the turnaround time (TAT) of a clinical laboratory in a super speciality hospital. Delays in report delivery lead to delayed diagnosis increased waiting time and decreased customer satisfaction. The reduction in TAT will lead to increased patient satisfaction, quality of care, employee satisfaction and ultimately the hospital's revenue. Design/methodology/approach The generic causes resulting in increasing TAT of clinical laboratories were identified using lean tools and techniques such as value stream mapping (VSM), Gemba, Pareto Analysis and Root Cause Analysis. VSM was used as a tool to analyze the current state of the process and further VSM was used to design the future state with suggestions for process improvements. Findings This study identified 12 major non-value added factors for the hematology laboratory and 5 major non-value added factors for the biochemistry lab which were acting as bottlenecks resulting in limiting throughput. A four-month research study by the authors together with hospital quality department and laboratory staff members led to reduction of the average TAT from 180 to 95minutes in the hematology lab and from 268 to 208 minutes in the biochemistry lab. Practical implications Very few improvement initiatives in Indian healthcare are based on industrial engineering tools and techniques, which might be due to a lack of interaction between healthcare and engineering. The study provides a positive outcome in terms of improving the efficiency of services in hospitals and identifies a scope for lean in the Indian healthcare sector. Social implications Applying lean in the Indian healthcare sector gives its own potential solution to the problem caused, due to a wide gap between lean accessibility and lean implementation. Lean helped in changing the mindset of an organization toward providing the highest quality of services with faster delivery at

  11. Occupational therapists intervention methodologies in schools with children with Special Educational Needs in Portugal

    Directory of Open Access Journals (Sweden)

    Andreia Sofia Nabiço Maia

    2016-10-01

    Full Text Available Introduction: students with special educational needs should be inserted in regular classes, receiving all appropriate educational services allowing the development of skills and capabilities. The success of the school inclusion depends on the partnership between the various professionals in the school context. The insertion and occupational therapist’s contribution in the area of education is the subject of many studies. The importance of a professional team in school context is already recognized and valued by the community. Objectives: the aim is to identify the intervention methodologies used by occupational therapists in school with children with special educational needs. In order to determine the most common methodologies as well as relevant aspects of the therapeutic process. Method: this is a non-experimental research with descriptive and cross-sectional basis. A semi-structured questionnaire was prepared initially, quantitative in nature that was taught to occupational therapists that work or have worked for less than 3 years in school context. Results: the sample is composed of 40 occupational therapists, 37 are female and 3 are male. The majority of individuals (77.5% currently works in school context. The occupational therapists involved mainly with children, aged between 6 and 18 years. Conclusion: the methodologies used by the occupational therapists are playful activity/play therapy and the training activities of daily living. Riding for therapeutic purposes and the hippotherapy represent less widely used methodologies in school context, in that each was selected by 10% of therapists.

  12. Lean methodology for performance improvement in the trauma discharge process.

    Science.gov (United States)

    O'Mara, Michael Shaymus; Ramaniuk, Aliaksandr; Graymire, Vickie; Rozzell, Monica; Martin, Stacey

    2014-07-01

    High-volume, complex services such as trauma and acute care surgery are at risk for inefficiency. Lean process improvement can reduce health care waste. Lean allows a structured look at processes not easily amenable to analysis. We applied lean methodology to the current state of communication and discharge planning on an urban trauma service, citing areas for improvement. A lean process mapping event was held. The process map was used to identify areas for immediate analysis and intervention-defining metrics for the stakeholders. After intervention, new performance was assessed by direct data evaluation. The process was completed with an analysis of effect and plans made for addressing future focus areas. The primary area of concern identified was interservice communication. Changes centering on a standardized morning report structure reduced the number of consult questions unanswered from 67% to 34% (p = 0.0021). Physical therapy rework was reduced from 35% to 19% (p = 0.016). Patients admitted to units not designated to the trauma service had 1.6 times longer stays (p miscommunication exists around patient education at discharge. Lean process improvement is a viable means of health care analysis. When applied to a trauma service with 4,000 admissions annually, lean identifies areas ripe for improvement. Our inefficiencies surrounded communication and patient localization. Strategies arising from the input of all stakeholders led to real solutions for communication through a face-to-face morning report and identified areas for ongoing improvement. This focuses resource use and identifies areas for improvement of throughput in care delivery.

  13. A Dynamic Methodology for Improving the Search Experience

    Directory of Open Access Journals (Sweden)

    Marcia D. Kerchner

    2006-06-01

    Full Text Available In the early years of modern information retrieval, the fundamental way in which we understood and evaluated search performance was by measuring precision and recall. In recent decades, however, models of evaluation have expanded to incorporate the information-seeking task and the quality of its outcome, as well as the value of the information to the user. We have developed a systems engineering-based methodology for improving the whole search experience. The approach focuses on understanding users’ information-seeking problems, understanding who has the problems, and applying solutions that address these problems. This information is gathered through ongoing analysis of site-usage reports, satisfaction surveys, Help Desk reports, and a working relationship with the business owners.

  14. Improvements Needed in Administration of the Guaranteed Student Loan Program.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    This report identifies improvements needed in administration of the guaranteed student loan program. Improvements needed are based on the fact that that lenders are not informed when student borrowers drop out of school. Alternatives for providing lenders with timely information on enrollment terminations are indicated. Additional administrative…

  15. Bulk Fuel Pricing: DOD Needs to Take Additional Actions to Establish a More Reliable Methodology

    Science.gov (United States)

    2015-11-19

    Page 1 GAO-16-78R Bulk Fuel Pricing 441 G St. N.W. Washington, DC 20548 November 19, 2015 The Honorable Ashton Carter The Secretary of...Defense Bulk Fuel Pricing : DOD Needs to Take Additional Actions to Establish a More Reliable Methodology Dear Secretary Carter: Each fiscal...year, the Office of the Under Secretary of Defense (Comptroller), in coordination with the Defense Logistics Agency, sets a standard price per barrel

  16. Introducing soft systems methodology plus (SSM+): why we need it and what it can contribute.

    Science.gov (United States)

    Braithwaite, Jeffrey; Hindle, Don; Iedema, Rick; Westbrook, Johanna I

    2002-01-01

    There are many complicated and seemingly intractable problems in the health care sector. Past ways to address them have involved political responses, economic restructuring, biomedical and scientific studies, and managerialist or business-oriented tools. Few methods have enabled us to develop a systematic response to problems. Our version of soft systems methodology, SSM+, seems to improve problem solving processes by providing an iterative, staged framework that emphasises collaborative learning and systems redesign involving both technical and cultural fixes.

  17. A symbolic methodology to improve disassembly process design.

    Science.gov (United States)

    Rios, Pedro; Blyler, Leslie; Tieman, Lisa; Stuart, Julie Ann; Grant, Ed

    2003-12-01

    Millions of end-of-life electronic components are retired annually due to the proliferation of new models and their rapid obsolescence. The recovery of resources such as plastics from these goods requires their disassembly. The time required for each disassembly and its associated cost is defined by the operator's familiarity with the product design and its complexity. Since model proliferation serves to complicate an operator's learning curve, it is worthwhile to investigate the benefits to be gained in a disassembly operator's preplanning process. Effective disassembly process design demands the application of green engineering principles, such as those developed by Anastas and Zimmerman (Environ. Sci. Technol. 2003, 37, 94A-101A), which include regard for product complexity, structural commonality, separation energy, material value, and waste prevention. This paper introduces the concept of design symbolsto help the operator more efficiently survey product complexity with respect to location and number of fasteners to remove a structure that is common to all electronics: the housing. With a sample of 71 different computers, printers, and monitors, we demonstrate that appropriate symbols reduce the total disassembly planning time by 13.2 min. Such an improvement could well make efficient the separation of plastic that would otherwise be destined for waste-to-energy or landfill. The symbolic methodology presented may also improve Design for Recycling and Design for Maintenance and Support.

  18. METHODOLOGY OF DOMESTIC STUDIES OF MEDICINAL DRUGS NEED AND THEIR CONSUMPTION

    Directory of Open Access Journals (Sweden)

    N. B. Dryomova

    2015-01-01

    Full Text Available At the current development stage of Russian healthcare rational use of limited financial resources for the fullest satisfaction of population's need in medicinal drugs acquires a special importance. Therefore, the issue about knowledge of experts in determination of need in drugs and evaluation of the consumption, as well as methods applied for these scientific and practical tasks resolution has a critical character. The purpose of our work is to characterize the development of research methodology of medicinal drugs need and their consumption in Russia. We have revealed the dynamics and tendencies of analyzed scientific direction development, leading scientists, principal methods, and study objects using scientometric methods of content-analysis and scientific works calculation (dissertations autoab-stracts. We have established the fact of significant change of methodology beginning with 2000 comparing with a period 1970-1980s. According to authors' opinion this was conditioned by objective need in problem solving connected with pharmaceutical support in the frameworks of state guarantees.

  19. THE ASSESSMENT METHODOLOGY PDCA/PDSA – A METHODOLOGY FOR COORDINATING THE EFFORTS TO IMPROVE THE ORGANIZATIONAL PROCESSES TO ACHIEVE EXCELLENCE

    Directory of Open Access Journals (Sweden)

    Cristina Raluca POPESCU

    2015-07-01

    Full Text Available In the paper “The Assessment Methodology PDCA/PDSA – A Methodology for Coordinating the Efforts to Improve the Organizational Processes to Achieve Excellence” the authors present the basic features of the assessment methodology PDCA/PDSA that is designed to coordinate the efforts to improve the organizational processes in order to achieve excellence. In the first part of the paper (the introduction of the paper, the authors present the general background concerning the performance of management business processes and the importance of achieving excellence and furthermore correctly assessing/evaluating it. In the second part of the paper (the assessment methodology PDCA/PDSA – as a methodology for coordinating the efforts to improve the organizational processes to achieve excellence, the authors describe the characteristics of the assessment methodology PDCA/PDSA from a theoretical point of view. We can say that in the current state of global economy, the global performance includes the economic, social and environmental issues, while, effectiveness and efficiency acquire new dimensions, both quantitative and qualitative. Performance needs to adopt a more holistic view of the interdependence of internal and external parameters, quantitative and qualitative, technical and human, physical and financial management of, thus leading to what we call today overall performance.

  20. Process improvement methodologies uncover unexpected gaps in stroke care.

    Science.gov (United States)

    Kuner, Anthony D; Schemmel, Andrew J; Pooler, B Dustin; Yu, John-Paul J

    2018-01-01

    Background The diagnosis and treatment of acute stroke requires timed and coordinated effort across multiple clinical teams. Purpose To analyze the frequency and temporal distribution of emergent stroke evaluations (ESEs) to identify potential contributory workflow factors that may delay the initiation and subsequent evaluation of emergency department stroke patients. Material and Methods A total of 719 sentinel ESEs with concurrent neuroimaging were identified over a 22-month retrospective time period. Frequency data were tabulated and odds ratios calculated. Results Of all ESEs, 5% occur between 01:00 and 07:00. ESEs were most frequent during the late morning and early afternoon hours (10:00-14:00). Unexpectedly, there was a statistically significant decline in the frequency of ESEs that occur at the 14:00 time point. Conclusion Temporal analysis of ESEs in the emergency department allowed us to identify an unexpected decrease in ESEs and through process improvement methodologies (Lean and Six Sigma) and identify potential workflow elements contributing to this observation.

  1. Systematic Review of the Application of Lean and Six Sigma Quality Improvement Methodologies in Radiology.

    Science.gov (United States)

    Amaratunga, Thelina; Dobranowski, Julian

    2016-09-01

    Preventable yet clinically significant rates of medical error remain systemic, while health care spending is at a historic high. Industry-based quality improvement (QI) methodologies show potential for utility in health care and radiology because they use an empirical approach to reduce variability and improve workflow. The aim of this review was to systematically assess the literature with regard to the use and efficacy of Lean and Six Sigma (the most popular of the industrial QI methodologies) within radiology. MEDLINE, the Allied & Complementary Medicine Database, Embase Classic + Embase, Health and Psychosocial Instruments, and the Ovid HealthStar database, alongside the Cochrane Library databases, were searched on June 2015. Empirical studies in peer-reviewed journals were included if they assessed the use of Lean, Six Sigma, or Lean Six Sigma with regard to their ability to improve a variety of quality metrics in a radiology-centered clinical setting. Of the 278 articles returned, 23 studies were suitable for inclusion. Of these, 10 assessed Six Sigma, 7 assessed Lean, and 6 assessed Lean Six Sigma. The diverse range of measured outcomes can be organized into 7 common aims: cost savings, reducing appointment wait time, reducing in-department wait time, increasing patient volume, reducing cycle time, reducing defects, and increasing staff and patient safety and satisfaction. All of the included studies demonstrated improvements across a variety of outcomes. However, there were high rates of systematic bias and imprecision as per the Grading of Recommendations Assessment, Development and Evaluation guidelines. Lean and Six Sigma QI methodologies have the potential to reduce error and costs and improve quality within radiology. However, there is a pressing need to conduct high-quality studies in order to realize the true potential of these QI methodologies in health care and radiology. Recommendations on how to improve the quality of the literature are proposed

  2. Training needs of small scale poultry farmers on improved ...

    African Journals Online (AJOL)

    Poultry business is a job opportunity for numerous for earning income and ... needs of the small scale commercial poultry farmers to improve poultry production ... strategies (88%) while only 24.1% of the respondents need training on types of ...

  3. Improving Training in Methodology Enriches the Science of Psychology

    Science.gov (United States)

    Aiken, Leona S.; West, Stephen G.; Millsap, Roger E.

    2009-01-01

    Replies to the comment Ramifications of increased training in quantitative methodology by Herbet Zimiles on the current authors original article "Doctoral training in statistics, measurement, and methodology in psychology: Replication and extension of Aiken, West, Sechrest, and Reno's (1990) survey of PhD programs in North America". The…

  4. Adapting nurse competence to future patient needs using Checkland's Soft Systems Methodology.

    Science.gov (United States)

    Železnik, Danica; Kokol, Peter; Blažun Vošner, Helena

    2017-01-01

    New emerging technologies, health globalization, demographic change, new healthcare paradigms, advances in healthcare delivery and social networking will change the needs of patients in the future and consequently will require that new knowledge, competence and skill sets be acquired by nurses. Checkland's Soft Systems Methodology, focusing on the enriched CATWOE and PQR elements of the root definitions, combined with our own developed "Too much - Too little constraint" approach was used to devise impending knowledge, competence and skill sets. The analysis revealed ten needs among patients of the future, 63 constraints and 18 knowledge, competence and skill sets for the future nurse. The completed study showed that SSM is an appropriate tool for high level structuring of a "messy" real-world problem situation to meet prospective nursing challenges. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Quick Green Scan: A Methodology for Improving Green Performance in Terms of Manufacturing Processes

    Directory of Open Access Journals (Sweden)

    Aldona Kluczek

    2017-01-01

    Full Text Available The heating sector has begun implementing technologies and practices to tackle the environmental and social–economic problems caused by their production process. The purpose of this paper is to develop a methodology, “the Quick-Green-Scan”, that caters for the need of quick assessment decision-makers to improve green manufacturing performance in companies that produce heating devices. The study uses a structured approach that integrates Life Cycle Assessment-based indicators, framework and linguistic scales (fuzzy numbers to evaluate the extent of greening of the enterprise. The evaluation criteria and indicators are closely related to the current state of technology, which can be improved. The proposed methodology has been created to answer the question whether a company acts on the opportunity to be green and whether these actions are contributing towards greening, maintaining the status quo or moving away from a green outcome. Results show that applying the proposed improvements in processes helps move the facility towards being a green enterprise. Moreover, the methodology, being particularly quick and simple, is a practical tool for benchmarking, not only in the heating industry, but also proves useful in providing comparisons for facility performance in other manufacturing sectors.

  6. Training needs analysis for MSMEs: how to improve training effectiveness

    Science.gov (United States)

    Rohayati, Y.; Wulandari, S.

    2017-12-01

    The study aims to analyze training needs for MSMEs in the area of Kabupaten Bandung by selecting the case of MSMEs joined in Association for Agricultural Product Process, focusing on marketing as the main topic of the training. The needs analysis was required to improve training participation and effectiveness. Both aspects are important to notice since making MSMEs participate in training is not an easy task. Similarly, the needs analysis was carried out to anticipate participants’ thoughts that the training does not give any benefits for them or is ineffective because it does not meet their needs although it was actually to help MSMEs improve their marketing knowledge expected to lead to their success. This research involved 100 MSMEs with business ages starting from less than five years to more than 15 years. Those involved MSMEs were dominated by MSMEs targeting local marketing areas. The data were collected by survey and judgmental sampling technique. By conducting a descriptive analysis, it can be concluded that the needs of SMEs on marketing training materials should focus on improving marketing skills such as product development, sales, and use of marketing media as well as discussing legal aspects such as the need for certification and product brand. The results of the study also concluded that there is a need for training that is supplemented by making visits to more successful SMEs as well as practices with on the job training methods.

  7. Process improvement by cycle time reduction through Lean Methodology

    Science.gov (United States)

    Siva, R.; patan, Mahamed naveed khan; lakshmi pavan kumar, Mane; Purusothaman, M.; pitchai, S. Antony; Jegathish, Y.

    2017-05-01

    In present world, every customer needs their products to get on time with good quality. Presently every industry is striving to satisfy their customer requirements. An aviation concern trying to accomplish continuous improvement in all its projects. In this project the maintenance service for the customer is analyzed. The maintenance part service is split up into four levels. Out of it, three levels are done in service shops and the fourth level falls under customer’s privilege to change the parts in their aircraft engines at their location. An enhancement for electronics initial provisioning (eIP) is done for fourth level. Customers request service shops to get their requirements through Recommended Spare Parts List (RSPL) by eIP. To complete this RSPL for one customer, it takes 61.5 hours as a cycle time which is very high. By mapping current state VSM and takt time, future state improvement can be done in order to reduce cycle time using Lean tools such as Poke-Yoke, Jidoka, 5S, Muda etc.,

  8. Improving inferior vena cava filter retrieval rates with the define, measure, analyze, improve, control methodology.

    Science.gov (United States)

    Sutphin, Patrick D; Reis, Stephen P; McKune, Angie; Ravanzo, Maria; Kalva, Sanjeeva P; Pillai, Anil K

    2015-04-01

    To design a sustainable process to improve optional inferior vena cava (IVC) filter retrieval rates based on the Define, Measure, Analyze, Improve, Control (DMAIC) methodology of the Six Sigma process improvement paradigm. DMAIC, an acronym for Define, Measure, Analyze, Improve, and Control, was employed to design and implement a quality improvement project to increase IVC filter retrieval rates at a tertiary academic hospital. Retrievable IVC filters were placed in 139 patients over a 2-year period. The baseline IVC filter retrieval rate (n = 51) was reviewed through a retrospective analysis, and two strategies were devised to improve the filter retrieval rate: (a) mailing of letters to clinicians and patients for patients who had filters placed within 8 months of implementation of the project (n = 43) and (b) a prospective automated scheduling of a clinic visit at 4 weeks after filter placement for all new patients (n = 45). The effectiveness of these strategies was assessed by measuring the filter retrieval rates and estimated increase in revenue to interventional radiology. IVC filter retrieval rates increased from a baseline of 8% to 40% with the mailing of letters and to 52% with the automated scheduling of a clinic visit 4 weeks after IVC filter placement. The estimated revenue per 100 IVC filters placed increased from $2,249 to $10,518 with the mailing of letters and to $17,022 with the automated scheduling of a clinic visit. Using the DMAIC methodology, a simple and sustainable quality improvement intervention was devised that markedly improved IVC filter retrieval rates in eligible patients. Copyright © 2015 SIR. Published by Elsevier Inc. All rights reserved.

  9. The need for standardisation of methodology and components in commercial radioimmunoassay kits

    International Nuclear Information System (INIS)

    Wood, W.G.; Marschner, I.; Scriba, P.C.

    1977-01-01

    The problems arising from increasing use of commercial kits in radioimmunoassay (RIA) and related fields are discussed. The problems arising in various RIAs differ according to the substance under test. The quality of individual components is often good, although methodology is often not optimal and contains short-cuts, which although commercially attractive, can lead to erroneous values and poor sensitivity and precision. Minor modification of methodology often leads to major improvements in sensitivity and precision, and this has been demonstrated in the case of three digoxin kits employing antibody-coated tube techniques and in four kits for thyrotropin (TSH) using different techniques. It has also been noted that in many imported quality control sera from the USA no values have been ascribed to European kits for the components listed, thus reducing these sera to the function of precision control. The deductions from this study are that a standardisation of kit components and assay methods is desirable in order to allow comparison of results between laboratories using different kits. (orig.) [de

  10. Need for standardization of methodology and components in commercial radioimmunoassay kits

    Energy Technology Data Exchange (ETDEWEB)

    Wood, W G; Marschner, I; Scriba, P C [Muenchen Univ. (Germany, F.R.). Medizinische Klinik Innenstadt

    1977-01-01

    The problems arising from increasing use of commercial kits in radioimmunoassay (RIA) and related fields are discussed. The problems arising in various RIAs differ according to the substance under test. The quality of individual components is often good, although methodology is often not optimal and contains short-cuts, which although commercially attractive, can lead to erroneous values and poor sensitivity and precision. Minor modification of methodology often leads to major improvements in sensitivity and precision, and this has been demonstrated in the case of three digoxin kits employing antibody-coated tube techniques and in four kits for thyrotropin (TSH) using different techniques. It has also been noted that in many imported quality control sera from the USA no values have been ascribed to European kits for the components listed, thus reducing these sera to the function of precision control. The deductions from this study are that a standardization of kit components and assay methods is desirable in order to allow comparison of results between laboratories using different kits.

  11. Towards a Methodological Improvement of Narrative Inquiry: A Qualitative Analysis

    Science.gov (United States)

    Abdallah, Mahmoud Mohammad Sayed

    2009-01-01

    The article suggests that though narrative inquiry as a research methodology entails free conversations and personal stories, yet it should not be totally free and fictional as it has to conform to some recognized standards used for conducting educational research. Hence, a qualitative study conducted by Russ (1999) was explored as an exemplar…

  12. Enhancing the Benefit of the Chemical Mixture Methodology: A Report on Methodology Testing and Potential Approaches for Improving Performance

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Xiao-Ying; Yao, Juan; He, Hua; Glantz, Clifford S.; Booth, Alexander E.

    2012-01-01

    Extensive testing shows that the current version of the Chemical Mixture Methodology (CMM) is meeting its intended mission to provide conservative estimates of the health effects from exposure to airborne chemical mixtures. However, the current version of the CMM could benefit from several enhancements that are designed to improve its application of Health Code Numbers (HCNs) and employ weighting factors to reduce over conservatism.

  13. Methodological Improvements in Combining TMS and Functional MRI

    OpenAIRE

    Moisa, Marius

    2011-01-01

    Since 1997, when Bohning and colleagues demonstrated for the first time the feasibility of interleaving transcranial magnetic stimulation (TMS) with blood oxygenation level dependency functional magnetic resonance imaging (BOLD fMRI), this combination became a very promising techniques to study brain connectivity. However, the implementation of a reliable setup for interleaved TMS/fMRI is still technically challenging. In this thesis, I intended to further explore and develop methodological i...

  14. Improving Catastrophe Modeling for Business Interruption Insurance Needs.

    Science.gov (United States)

    Rose, Adam; Huyck, Charles K

    2016-10-01

    While catastrophe (CAT) modeling of property damage is well developed, modeling of business interruption (BI) lags far behind. One reason is the crude nature of functional relationships in CAT models that translate property damage into BI. Another is that estimating BI losses is more complicated because it depends greatly on public and private decisions during recovery with respect to resilience tactics that dampen losses by using remaining resources more efficiently to maintain business function and to recover more quickly. This article proposes a framework for improving hazard loss estimation for BI insurance needs. Improved data collection that allows for analysis at the level of individual facilities within a company can improve matching the facilities with the effectiveness of individual forms of resilience, such as accessing inventories, relocating operations, and accelerating repair, and can therefore improve estimation accuracy. We then illustrate the difference this can make in a case study example of losses from a hurricane. © 2016 Society for Risk Analysis.

  15. Establishment of Assessment Methodology Improvement of IAEA INPRO Proliferation Resistance

    International Nuclear Information System (INIS)

    Park, J. H.; Yang, M. S.; Song, K. C.; Ko, W. I.; Kim, H. D.; Kim, Y. I.; Rhee, B. W.; Kim, H. T.

    2008-03-01

    For the development of assessment methodology of acquisition and diversion pathway of nuclear material, the PR assessment methodology which has been developed by GEN-IV PR and PP group was reviewed regarding the acquisition and diversion pathway of nuclear material and we proposed the research areas to develop the model of acquisition and diversion pathway of nuclear material including misuse of fuel cycle facilities and one of the IAEA INPRO CRPs which is aiming to develop its model. From the present study, its preliminary model for acquisition and diversion pathway of nuclear material was obtained. For preliminary evaluation of DUPIC system using methodology of acquisition/diversion pathway of nm and review of pyro-processing system characteristics, the research direction and work procedure was established to develop the assessment methodology of User Requirement 4 of INPRO PR by; 1) selection of the possible pathway to acquire and divert the nuclear material of DUPIC system, 2) the analysis of selected pathway, 3) the development of the assessment methodology of robustness and multiplicity of an INS. And, the PR characteristics and process/material flow analysis of the Pyro-processing system were preliminarily studied. For establishment of R and D direction for an INS and supporting international cooperation research, the collaborative research project titled as 'Acquisition and Diversion pathway analysis of Proliferation Resistance' as one of activities of IAEA INPRO was proposed, since Korean Government decided to actively support the IAEA INPRO. In order to review and clarify the Terms of Reference (TOR) of a Korean Proposed Collaborative Project (ROK1), two INPRO Consultancy Meetings were held. Its results were presented at two INPRO Steering Committees and the finalized TOR of Korean Proposal submit the 12-th INPRO Steering Committee Meeting which was held Dec. 3-5 2007. Four participants including USA, Canada, China and European Community (EC) have decided

  16. Establishment of Assessment Methodology Improvement of IAEA INPRO Proliferation Resistance

    Energy Technology Data Exchange (ETDEWEB)

    Park, J. H.; Yang, M. S.; Song, K. C.; Ko, W. I.; Kim, H. D.; Kim, Y. I.; Rhee, B. W.; Kim, H. T.

    2008-03-15

    For the development of assessment methodology of acquisition and diversion pathway of nuclear material, the PR assessment methodology which has been developed by GEN-IV PR and PP group was reviewed regarding the acquisition and diversion pathway of nuclear material and we proposed the research areas to develop the model of acquisition and diversion pathway of nuclear material including misuse of fuel cycle facilities and one of the IAEA INPRO CRPs which is aiming to develop its model. From the present study, its preliminary model for acquisition and diversion pathway of nuclear material was obtained. For preliminary evaluation of DUPIC system using methodology of acquisition/diversion pathway of nm and review of pyro-processing system characteristics, the research direction and work procedure was established to develop the assessment methodology of User Requirement 4 of INPRO PR by; 1) selection of the possible pathway to acquire and divert the nuclear material of DUPIC system, 2) the analysis of selected pathway, 3) the development of the assessment methodology of robustness and multiplicity of an INS. And, the PR characteristics and process/material flow analysis of the Pyro-processing system were preliminarily studied. For establishment of R and D direction for an INS and supporting international cooperation research, the collaborative research project titled as 'Acquisition and Diversion pathway analysis of Proliferation Resistance' as one of activities of IAEA INPRO was proposed, since Korean Government decided to actively support the IAEA INPRO. In order to review and clarify the Terms of Reference (TOR) of a Korean Proposed Collaborative Project (ROK1), two INPRO Consultancy Meetings were held. Its results were presented at two INPRO Steering Committees and the finalized TOR of Korean Proposal submit the 12-th INPRO Steering Committee Meeting which was held Dec. 3-5 2007. Four participants including USA, Canada, China and European Community (EC

  17. Selecting Health Care Improvement Projects: A Methodology Integrating Cause-and-Effect Diagram and Analytical Hierarchy Process.

    Science.gov (United States)

    Testik, Özlem Müge; Shaygan, Amir; Dasdemir, Erdi; Soydan, Guray

    It is often vital to identify, prioritize, and select quality improvement projects in a hospital. Yet, a methodology, which utilizes experts' opinions with different points of view, is needed for better decision making. The proposed methodology utilizes the cause-and-effect diagram to identify improvement projects and construct a project hierarchy for a problem. The right improvement projects are then prioritized and selected using a weighting scheme of analytical hierarchy process by aggregating experts' opinions. An approach for collecting data from experts and a graphical display for summarizing the obtained information are also provided. The methodology is implemented for improving a hospital appointment system. The top-ranked 2 major project categories for improvements were identified to be system- and accessibility-related causes (45%) and capacity-related causes (28%), respectively. For each of the major project category, subprojects were then ranked for selecting the improvement needs. The methodology is useful in cases where an aggregate decision based on experts' opinions is expected. Some suggestions for practical implementations are provided.

  18. The Assessment Methodology RADAR – A Theoretical Approach of a Methodology for Coordinating the Efforts to Improve the Organizational Processes to Achieve Excellence

    Directory of Open Access Journals (Sweden)

    Cristina Raluca Popescu

    2015-05-01

    Full Text Available In the paper “The Assessment Methodology RADAR – A Theoretical Approach of a Methodology for Coordinating the Efforts to Improve the Organizational Processes to Achieve Excellence” the authors present the basic features of the assessment methodology RADAR that is designed to coordinate the efforts to improve the organizational processes in order to achieve excellence.

  19. Classroom Management Strategies to Address the Needs of Sudanese Refugee Learners: Support Document--Methodology and Literature Review

    Science.gov (United States)

    Burgoyne, Ursula; Hull, Oksana

    2007-01-01

    This document presents the methodology and literature review for the research report "Classroom Management Strategies to Address the Needs of Sudanese Refugee Learners" (ED499673), which examined the extent to which English language, literacy and numeracy teachers used classroom management strategies to meet the needs of adult Sudanese…

  20. Improved Methodology for Benefit Estimation of Preservation Projects

    Science.gov (United States)

    2018-04-01

    This research report presents an improved process for evaluating the benefits and economic tradeoffs associated with a variety of highway preservation projects. It includes a summary of results from a comprehensive phone survey concerning the use and...

  1. User needs for a standardized CO2 emission assessment methodology for intelligent transport systems

    NARCIS (Netherlands)

    Mans, D.; Rekiel, J.; Wolfermann, A.; Klunder, G.

    2012-01-01

    The Amitran FP7 project will define a reference methodology to assess the impact of intelligent transport systems on CO2 emissions. The methodology is intended to be used as a reference by future projects and covers both passenger and freight transport. The project will lead to a validated

  2. Some further studies on improving QFD methodology and analysis

    NARCIS (Netherlands)

    Raharjo, H.

    2010-01-01

    Quality Function Deployment (QFD) starts and ends with the customer. In other words, how it ends may depend largely on how it starts. Any QFD practitioners will start with collecting the voice of the customer that reflects customer’s needs as to make sure that the products will eventually sell or

  3. THE INTRODUCTION OF THE METHODOLOGY TO IMPROVE ROAD SAFETY

    Directory of Open Access Journals (Sweden)

    D. V. Kapsky

    2013-01-01

    Full Text Available Recommendations for improving the road safety and quality of road traffic controlled junctions(crossings on individual parameters of traffic light control, improvement of traffic light control by optimizing the length of the transition interval in the traffic light cycle, increase awareness and early warning drivers about the upcoming change traffic lights division of transport and pedestrian traffic, road conditions , transportation planning and technical aids of road  traffic, as well as recommendations for the use of the hump in the settlements, etc.

  4. Methodological approaches and magnitude of the clinical unmet need associated with amotivation in mood disorders.

    Science.gov (United States)

    Calabrese, Joseph R; Fava, Maurizio; Garibaldi, George; Grunze, Heinz; Krystal, Andrew D; Laughren, Thomas; Macfadden, Wayne; Marin, Robert; Nierenberg, Andrew A; Tohen, Mauricio

    2014-10-01

    There is growing research interest in studying motivational deficits in different neuropsychiatric disorders because these symptoms appear to be more common than originally reported and negatively impact long-term functional outcomes. However, there is considerable ambiguity in the terminology used to describe motivational deficits in the scientific literature. For the purposes of this manuscript, the term "amotivation" will be utilised in the context of mood disorders, since this is considered a more inclusive/appropriate term for this patient population. Other challenges impacting the study of amotivation in mood disorders, include: appropriate patient population selection; managing or controlling for potential confounding factors; the lack of gold-standard diagnostic criteria and assessment scales; and determination of the most appropriate study duration. This paper summarises the search for a consensus by a group of experts in the optimal approach to studying amotivation in mood disorders. The consensus of this group is that amotivation in mood disorders is a legitimate therapeutic target, given the magnitude of the associated unmet needs, and that proof-of-concept studies should be conducted in order to facilitate subsequent larger investigations. The focus of this manuscript is to consider the study of amotivation, as a residual symptom of major depressive disorder (MDD) or bipolar depression (BD), following adequate treatment with a typical antidepressant or mood stabiliser/antipsychotic, respectively. There is a paucity of data studying amotivation in mood disorders. This manuscript provides general guidance on the most appropriate study design(s) and methodology to assess potential therapeutic options for the management of residual amotivation in mood disorders. Copyright © 2014 Elsevier B.V. All rights reserved.

  5. IS THERE A NEED FOR THE POST-NON-CLASSICAL METHODOLOGY IN PEDAGOGY?

    Directory of Open Access Journals (Sweden)

    Vladislav L. Benin

    2014-01-01

    Full Text Available  The publication continues the discussion, started by Yu.V. Larina in ≪Education in Search of the Congruity Principle≫ concerning the modern methodology of pedagogical science; and identifies the criteria of the given principle along with the limitations of the post-non-classical approaches to the humanities.Methods: The methodology involves the analysis of existing view points, formalization of characteristics of post-non-classical science, and reflection of pedagogical principle of cultural conformity.Results: The research outcomes demonstrate that the gradual undermining of the fundamental science results in erosion of methodological background. In case of interdisciplinary subjects, a researcher is forced to integrate different methods and techniques, which provokes further disruption of the methodology.Scientific novelty: The author classifies and extrapolates to the humanities sphere the main characteristics of post-non-classical science; and makes a conclusion about the gradual decline of researchers’ training quality due to the lack of methodological clarity, and aggressive forms of science vulgarization leading to spontaneous development of clipping methodology.The practical significance: Implementation of the research findings can activate both theoretical and methodological aspects of teacher’s training and selfeducation.

  6. Methodologies for Improving Flight Project Information Capture, Storage, and Dissemination

    Science.gov (United States)

    Equils, Douglas J.

    2011-01-01

    This paper will discuss the drawbacks and risks of the current documentation paradigm, how Document QuickStart improves on that process and ultimately how this stream-lined approach will reduce risk and costs to the next generation of Flight Projects at JPL

  7. New Teaching Techniques to Improve Critical Thinking. The Diaprove Methodology

    Science.gov (United States)

    Saiz, Carlos; Rivas, Silvia F.

    2016-01-01

    The objective of this research is to ascertain whether new instructional techniques can improve critical thinking. To achieve this goal, two different instruction techniques (ARDESOS--group 1--and DIAPROVE--group 2--) were studied and a pre-post assessment of critical thinking in various dimensions such as argumentation, inductive reasoning,…

  8. Adapting Job Analysis Methodology to Improve Evaluation Practice

    Science.gov (United States)

    Jenkins, Susan M.; Curtin, Patrick

    2006-01-01

    This article describes how job analysis, a method commonly used in personnel research and organizational psychology, provides a systematic method for documenting program staffing and service delivery that can improve evaluators' knowledge about program operations. Job analysis data can be used to increase evaluators' insight into how staffs…

  9. Darlington annunciation: User information needs, current experience and improvement priorities

    Energy Technology Data Exchange (ETDEWEB)

    Long, T [Ontario Hydro, Toronto, ON (Canada); Davey, E C [Atomic Energy of Canada Ltd., Chalk River, ON (Canada)

    1997-09-01

    The Darlington Nuclear Generating Station (DNGS) is located approximately 40 kilometers east of Toronto, Ontario on the coast of Lake Ontario. The station consists of four 935 MW(e) pressurized heavy water CANDU type units with a nominal power output of 850 MW(e) per unit. The station was designed and is operated by Ontario Hydro and provides electricity to meet the commercial, industrial and residential needs for 3 million people. Units 1 and 2 began commercial operation in 1990, followed by Unit 3 in 1991 and Unit 4 in 1992. Since commissioning in 1991, the station has continually achieved annual production of greater than 80% of capacity. At Darlington, as in most other industrial enterprises, the plant annunciation systems play a key role in supporting operations staff in supervising and controlling plant operations to achieve both safety and production objectives. This paper will summarize the information needs of operations staff for annunciation of changing plant conditions, describe the operational experience with current plant annunciation systems, discuss areas for annunciation improvement, and outline some of the initiatives being taken to improve plant annunciation in the future. (author). 8 refs, 2 figs, 1 tab.

  10. Darlington annunciation: User information needs, current experience and improvement priorities

    International Nuclear Information System (INIS)

    Long, T.; Davey, E.C.

    1997-01-01

    The Darlington Nuclear Generating Station (DNGS) is located approximately 40 kilometers east of Toronto, Ontario on the coast of Lake Ontario. The station consists of four 935 MW(e) pressurized heavy water CANDU type units with a nominal power output of 850 MW(e) per unit. The station was designed and is operated by Ontario Hydro and provides electricity to meet the commercial, industrial and residential needs for 3 million people. Units 1 and 2 began commercial operation in 1990, followed by Unit 3 in 1991 and Unit 4 in 1992. Since commissioning in 1991, the station has continually achieved annual production of greater than 80% of capacity. At Darlington, as in most other industrial enterprises, the plant annunciation systems play a key role in supporting operations staff in supervising and controlling plant operations to achieve both safety and production objectives. This paper will summarize the information needs of operations staff for annunciation of changing plant conditions, describe the operational experience with current plant annunciation systems, discuss areas for annunciation improvement, and outline some of the initiatives being taken to improve plant annunciation in the future. (author). 8 refs, 2 figs, 1 tab

  11. Improvement of test methodology for evaluating diesel fuel stability

    Energy Technology Data Exchange (ETDEWEB)

    Gutman, M.; Tartakovsky, L.; Kirzhner, Y.; Zvirin, Y. [Internal Combustion Engines Lab., Haifa (Israel); Luria, D. [Fuel Authority, Tel Aviv (Israel); Weiss, A.; Shuftan, M. [Israel Defence Forces, Tel Aviv (Israel)

    1995-05-01

    The storage stability of diesel fuel has been extensively investigated for many years under laboratory conditions. Although continuous efforts have been made to improve testing techniques, there does not yet exist a generally accepted correlation between laboratory methods (such as chemical analysis of the fuel) and actual diesel engine tests. A testing method was developed by the Technion Internal Combustion Engines Laboratory (TICEL), in order to address this problem. The test procedure was designed to simulate diesel engine operation under field conditions. It is based on running a laboratory-modified single cylinder diesel engine for 50 h under cycling operating conditions. The overall rating of each test is based on individual evaluation of the deposits and residue formation in the fuel filter, nozzle body and needle, piston head, piston rings, exhaust valve, and combustion chamber (six parameters). Two methods for analyzing the test results were used: objective, based on measured data, and subjective, based on visual evaluation results of these deposits by a group of experts. Only the residual level in the fuel filter was evaluated quantitatively by measured results. In order to achieve higher accuracy of the method, the test procedure was improved by introducing the measured results of nozzle fouling as an additional objective evaluating (seventh) parameter. This factor is evaluated on the basis of the change in the air flow rate through the nozzle before and after the complete engine test. Other improvements in the method include the use of the nozzle assembly photograph in the test evaluation, and representation of all seven parameters on a continuous scale instead of the discrete scale used anteriorly, in order to achieve higher accuracy. This paper also contains the results obtained by application of this improved fuel stability test for a diesel fuel stored for a five-year period.

  12. The Need to introduce CFD Methodology in Analyze Hydrogen Distribution for Postulated Severe Accidents

    Energy Technology Data Exchange (ETDEWEB)

    Na, Hanbee; Park, Sukyung; Kim, Kyuntae [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of); Lee, Jongkwang [Hanbat National University, Daejeon (Korea, Republic of); Kwon, Sejin [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2015-10-15

    The regulatory requirements for combustible gas control systems in Korea is that mean hydrogen mole fraction shall be lower than 10 %, containment integrity shall be kept from combustion of hydrogen, and detonation and global fast turbulent combustion shall be avoided. KHNP provided some analysis which show hydrogen mole fraction is less than 10 % and detonation and global fast turbulence combustion are avoided for postulated severe accident events which covered over 90 % of CDF (core damage frequency) for each NPP. The results were from MAAP code that can simulate from the initiation of the accidents to hydrogen distribution inside containments. It is a Lumped-Parameter codes in which the transport of energy and mass is possible in only predetermined one direction. Therefore, there has been a long-history dispute whether one-dimensional LP codes could simulate the transportation of hydrogen accurately. For example, KHNP made a MAAP model to simulate hydrogen distribution in KSNP (Korean Standard Nuclear Plants), and the containment free volume is divided into 27 nodes in which it is assumed all the properties like each molecule mole fraction and temperate are uniform in each node. In addition, the maximum volume size of them is over 22,000 m{sup 3}, and it is not quite confident that the mole fraction of each molecules and temperature are uniform in the big size space. As for the stress test results of the Wolsong 1, civil experts asked KHNP to conduct hydrogen distribution analysis using Computational Fluid Dynamics (CFD) methodology, and if needed to install hydrogen ignitors in Wolsong 1 NPP. As a reviewer for KHNP's post actions to the Stress Test, the author also asked KHNP to do CFD analysis of hydrogen distribution, and KHNP finally agreed to analyze it using CFD by 2017. KHNP submitted a Shin-hanul 1 and 2 Operation License application in 2015, and the author also asked it to do CFD analysis to simulate hydrogen distribution for Shin-hanul 1 and 2

  13. Improvement of axial power distribution synthesis methodology in CPC

    International Nuclear Information System (INIS)

    Kim, H. H.; Gee, S. G.;; Kim, Y. B.; In, W. K.

    2003-01-01

    The capability of axial power distribution synthesis in CPC plays an important role in determining the DNBR and LPD trip caused by CPC. The axial power distribution is synthesized using the cubic spline function based on the three excore detector signals. The axial power distributions are categorized into 8 function sets and each sets are stored as pre-calculated values in CPC to save the calculation time. In this study, the additional function sets, the real break-point function sets and the polynomial function are suggested to evaluate the possibility of improving the synthesis capability in CPC. In addition, RMS errors are compared and evaluated for each synthesis method. As a result, it was confirmed that the function sets stored in CPC were not optimal. The analysis result showed that RMS error could be reduced by selecting the proper function sets suggested in this study

  14. Improved Methodology of MSLB M/E Release Analysis for OPR1000

    International Nuclear Information System (INIS)

    Park, Seok Jeong; Kim, Cheol Woo; Seo, Jong Tae

    2006-01-01

    A new mass and energy (M/E) release analysis methodology for the equipment environmental qualification (EEQ) on loss-of-coolant accident (LOCA) has been recently developed and adopted on small break LOCA EEQ. The new methodology for the M/E release analysis is extended to the M/E release analysis for the containment design for large break LOCA and the main steam line break (MSLB) accident, and named KIMERA (KOPEC Improved Mass and Energy Release Analysis) methodology. The computer code systems used in this methodology is RELAP5K/CONTEMPT4 (or RELAP5-ME) which couples RELAP5/MOD3.1/K with enhanced M/E model and LOCA long term model, and CONTEMPT4/ MOD5. This KIMERA methodology is applied to the MSLB M/E release analysis to evaluate the validation of KIMERA methodology for MSLB in containment design. The results are compared with the OPR 1000 FSAR

  15. The need and prospects for improved fusion reactors

    International Nuclear Information System (INIS)

    Krakowski, R.A.; Hagenson, R.L.; Miller, R.L.

    1986-01-01

    Conceptual fusion reactor studies over the past 10-15 yr have projected systems that may be too large, complex, and costly to be of commercial interest. One main direction for improved fusion reactors points toward smaller, higher-power-density approaches. First-order economic issues (i.e., unit direct cost and cost of electricity) are used to support the need for more compact fusion reactors. The results of a number of recent conceptual designs of reversed-field pinch, spheromak, and tokamak fusion reactors are summarized as examples of more compact approaches. While a focus has been placed on increasing the fusion-power-core mass power density beyond the minimum economic threshold of 100-200 kWe/tonne, other means by which the overall attractiveness of fusion as a long-term energy source are also addressed

  16. Clinical audit, a valuable tool to improve quality of care: General methodology and applications in nephrology

    Science.gov (United States)

    Esposito, Pasquale; Dal Canton, Antonio

    2014-01-01

    Evaluation and improvement of quality of care provided to the patients are of crucial importance in the daily clinical practice and in the health policy planning and financing. Different tools have been developed, including incident analysis, health technology assessment and clinical audit. The clinical audit consist of measuring a clinical outcome or a process, against well-defined standards set on the principles of evidence-based medicine in order to identify the changes needed to improve the quality of care. In particular, patients suffering from chronic renal diseases, present many problems that have been set as topics for clinical audit projects, such as hypertension, anaemia and mineral metabolism management. Although the results of these studies have been encouraging, demonstrating the effectiveness of audit, overall the present evidence is not clearly in favour of clinical audit. These findings call attention to the need to further studies to validate this methodology in different operating scenarios. This review examines the principle of clinical audit, focusing on experiences performed in nephrology settings. PMID:25374819

  17. Improved cook stove adoption and impact assessment: A proposed methodology

    International Nuclear Information System (INIS)

    Troncoso, Karin; Armendáriz, Cynthia; Alatorre, Silvia

    2013-01-01

    Aims: Until now, the success of improved cook stoves (ICS) implementation programs has usually been measured by the number of ICS distributed. Some important research has been conducted to try to determine the effects of the use of an ICS in the user′s health, but these studies are expensive and time consuming. Moreover, no evaluations show the impact of the technology in the user′s lives. This study seeks to contribute to fill this gap. Scope: By applying cluster analysis techniques to survey data, the most relevant variables that explain adoption and impact were identified. Using these variables, two qualitative indexes are proposed: The adoption index considers the use of the new technology, the level of satisfaction, and the conditions of the stove. The impact index considers the changes in cooking practices and life quality brought about by the ICS. Both indexes are then applied to two implementation programs. The indexes show the differences between the program results and the user′s perceptions of each technology. Conclusions: The proposed indexes can be used to measure the success of an ICS implementation program in terms of the benefits perceived by the users of these technologies. -- Highlights: •Two qualitative indexes are proposed to measure the benefits perceived by ICS users. •Two implementation programs were assessed. •The approach enables determining the impact of ICS programs at a fraction of the cost. •It enables comparing the results of different implementation programs

  18. Quality Improvement Methodologies Increase Autologous Blood Product Administration

    Science.gov (United States)

    Hodge, Ashley B.; Preston, Thomas J.; Fitch, Jill A.; Harrison, Sheilah K.; Hersey, Diane K.; Nicol, Kathleen K.; Naguib, Aymen N.; McConnell, Patrick I.; Galantowicz, Mark

    2014-01-01

    Abstract: Whole blood from the heart–lung (bypass) machine may be processed through a cell salvaging device (i.e., cell saver [CS]) and subsequently administered to the patient during cardiac surgery. It was determined at our institution that CS volume was being discarded. A multidisciplinary team consisting of anesthesiologists, perfusionists, intensive care physicians, quality improvement (QI) professionals, and bedside nurses met to determine the challenges surrounding autologous blood delivery in its entirety. A review of cardiac surgery patients’ charts (n = 21) was conducted for analysis of CS waste. After identification of practices that were leading to CS waste, interventions were designed and implemented. Fishbone diagram, key driver diagram, Plan–Do–Study–Act (PDSA) cycles, and data collection forms were used throughout this QI process to track and guide progress regarding CS waste. Of patients under 6 kg (n = 5), 80% had wasted CS blood before interventions, whereas those patients larger than 36 kg (n = 8) had 25% wasted CS before interventions. Seventy-five percent of patients under 6 kg who had wasted CS blood received packed red blood cell transfusions in the cardiothoracic intensive care unit within 24 hours of their operation. After data collection and didactic education sessions (PDSA Cycle I), CS blood volume waste was reduced to 5% in all patients. Identification and analysis of the root cause followed by implementation of education, training, and management of change (PDSA Cycle II) resulted in successful use of 100% of all CS blood volume. PMID:24783313

  19. Transboundary Water: Improving Methodologies and Developing Integrated Tools to Support Water Security

    Science.gov (United States)

    Hakimdavar, Raha; Wood, Danielle; Eylander, John; Peters-Lidard, Christa; Smith, Jane; Doorn, Brad; Green, David; Hummel, Corey; Moore, Thomas C.

    2018-01-01

    River basins for which transboundary coordination and governance is a factor are of concern to US national security, yet there is often a lack of sufficient data-driven information available at the needed time horizons to inform transboundary water decision-making for the intelligence, defense, and foreign policy communities. To address this need, a two-day workshop entitled Transboundary Water: Improving Methodologies and Developing Integrated Tools to Support Global Water Security was held in August 2017 in Maryland. The committee that organized and convened the workshop (the Organizing Committee) included representatives from the National Aeronautics and Space Administration (NASA), the US Army Corps of Engineers Engineer Research and Development Center (ERDC), and the US Air Force. The primary goal of the workshop was to advance knowledge on the current US Government and partners' technical information needs and gaps to support national security interests in relation to transboundary water. The workshop also aimed to identify avenues for greater communication and collaboration among the scientific, intelligence, defense, and foreign policy communities. The discussion around transboundary water was considered in the context of the greater global water challenges facing US national security.

  20. Proposition of Improved Methodology in Creep Life Extrapolation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Woo Gon; Park, Jae Young; Jang, Jin Sung [KAERI, Daejeon (Korea, Republic of)

    2016-05-15

    To design SFRs for a 60-year operation, it is desirable to have the experimental creep-rupture data for Gr. 91 steel close to 20 y, or at least rupture lives significantly higher than 10{sup 5} h. This requirement arises from the fact that, for the creep design, a factor of 3 times for extrapolation is considered to be appropriate. However, obtaining experimental data close to 20 y would be expensive and also take considerable time. Therefore, reliable creep life extrapolation techniques become necessary for a safe design life of 60 y. In addition, it is appropriate to obtain experimental longterm creep-rupture data in the range 10{sup 5} ∼ 2x10{sup 5} h to improve the reliability of extrapolation. In the present investigation, a new function of a hyperbolic sine ('sinh') form for a master curve in time-temperature parameter (TTP) methods, was proposed to accurately extrapolate the long-term creep rupture stress of Gr. 91 steel. Constant values used for each parametric equation were optimized on the basis of the creep rupture data. Average stress values predicted for up to 60 y were evaluated and compared with those of French Nuclear Design Code, RCC-MRx. The results showed that the master curve of the 'sinh' function was a wider acceptance with good flexibility in the low stress ranges beyond the experimental data. It was clarified clarified that the 'sinh' function was reasonable in creep life extrapolation compared with polynomial forms, which have been used conventionally until now.

  1. Proposition of Improved Methodology in Creep Life Extrapolation

    International Nuclear Information System (INIS)

    Kim, Woo Gon; Park, Jae Young; Jang, Jin Sung

    2016-01-01

    To design SFRs for a 60-year operation, it is desirable to have the experimental creep-rupture data for Gr. 91 steel close to 20 y, or at least rupture lives significantly higher than 10"5 h. This requirement arises from the fact that, for the creep design, a factor of 3 times for extrapolation is considered to be appropriate. However, obtaining experimental data close to 20 y would be expensive and also take considerable time. Therefore, reliable creep life extrapolation techniques become necessary for a safe design life of 60 y. In addition, it is appropriate to obtain experimental longterm creep-rupture data in the range 10"5 ∼ 2x10"5 h to improve the reliability of extrapolation. In the present investigation, a new function of a hyperbolic sine ('sinh') form for a master curve in time-temperature parameter (TTP) methods, was proposed to accurately extrapolate the long-term creep rupture stress of Gr. 91 steel. Constant values used for each parametric equation were optimized on the basis of the creep rupture data. Average stress values predicted for up to 60 y were evaluated and compared with those of French Nuclear Design Code, RCC-MRx. The results showed that the master curve of the 'sinh' function was a wider acceptance with good flexibility in the low stress ranges beyond the experimental data. It was clarified clarified that the 'sinh' function was reasonable in creep life extrapolation compared with polynomial forms, which have been used conventionally until now.

  2. Methodology development for availability improvement of standby equipment

    International Nuclear Information System (INIS)

    Shin, Sung Min; Jeon, In Seop; Kang, Hyun Gook

    2014-01-01

    The core damage frequency (CDF) of operating and constructing pressurized nuclear plants are ranging on the order of 10 -5 and 10 -6 per year. The target CDF of new NPP design has been set at 10 -7 . In this context, although various systems are currently studied, availability improvement of standby equipment will be more efficient than the additional application of safety systems. It is obvious in every aspect, such as management and cost efficiency. Here, soundness can affect equipment unavailability, and the soundness degrades because of aging. However, some studies did not consider aging when calculating the unavailability. Standby equipment can age because of two important factors: standby stress which accumulates over time, and test stress which accumulates with the number of tests (or operations). Both factors should be considered together when aging is considered. However, some studies only considered standby stress or test stress. There are some previous studies which considered both factors. Besides equipment soundness related to aging effect, some process like bypass during test also can affect equipment unavailability because the original function of equipment cannot be performed immediately during this process. However, there are seldom studies dealing with above factors as a whole problem. This study investigated a general approach to calculate the unavailability of standby equipment which considers aging caused by standby and test stresses and bypass process. Based on this general approach, we propose two maintenance strategies which aim to reduce standby equipment unavailability. In section 2, the general approach is presented. As one of the strategies, the changing test interval method (CIM) is introduced in section 3, and its effectiveness is also analyzed. The online monitoring method (OMM) is investigated in section 4 as another method to reduce equipment unavailability. In section 5, a combination of these two methods is analyzed. A general

  3. The hierarchy-by-interval approach to identifying important models that need improvement in severe-accident simulation codes

    International Nuclear Information System (INIS)

    Heames, T.J.; Khatib-Rahbar, M.; Kelly, J.E.

    1995-01-01

    The hierarchy-by-interval (HBI) methodology was developed to determine an appropriate phenomena identification and ranking table for an independent peer review of severe-accident computer codes. The methodology is described, and the results of a specific code review are presented. Use of this systematic and structured approach ensures that important code models that need improvement are identified and prioritized, which allows code sponsors to more effectively direct limited resources in future code development. In addition, critical phenomenological areas that need more fundamental work, such as experimentation, are identified

  4. A Multi-Methodology for improving Adelaide's Groundwater Management

    Science.gov (United States)

    Batelaan, Okke; Banks, Eddie; Batlle-Aguilar, Jordi; Breciani, Etienne; Cook, Peter; Cranswick, Roger; Smith, Stan; Turnadge, Chris; Partington, Daniel; Post, Vincent; Pool Ramirez, Maria; Werner, Adrian; Xie, Yueqing; Yang, Yuting

    2015-04-01

    Groundwater is a strategic and vital resource in South Australia playing a crucial role in sustaining a healthy environment, as well as supporting industries and economic development. In the Adelaide metropolitan region ten different aquifer units have been identified, extending to more than 500 m below sea level. Although salinity within most of these aquifers is variable, water suitable for commercial, irrigation and/or potable use is predominantly found in the deeper Tertiary aquifers. Groundwater currently contributes only 9000 ML/yr of Adelaide's total water consumption of 216,000 ML, while in the Northern Adelaide Plains 17000 ML/yr is used. However, major industries, market gardeners, golf courses, and local councils are highly dependent on this resource. Despite recent rapid expansion in managed aquifer recharge, and the potential for increased extraction of groundwater, particularly for the commercial and irrigation supplies, little is known about the sources and ages of Adelaide's groundwater. The aim of this study is therefore to provide a robust conceptualisation of Adelaide's groundwater system. The study focuses on three important knowledge gaps: 1. Does groundwater flow from the Adelaide Hills into the sedimentary aquifers on the plains? 2. What is the potential for encroachment of seawater if groundwater extraction increases? 3. How isolated are the different aquifers, or does water leak from one to the other? A multi-tool approach has been used to improve the conceptual understanding of groundwater flow processes; including the installation of new groundwater monitoring wells from the hills to the coast, an extensive groundwater sampling campaign of new and existing groundwater wells for chemistry and environmental tracers analysis, and development of a regional scale numerical model rigorously tested under different scenario conditions. The model allows quantification of otherwise hardly quantifiable quantities such as flow across fault zones and

  5. A RISK BASED METHODOLOGY TO ASSESS THE ENERGY EFFICIENCY IMPROVEMENTS IN TRADITIONALLY CONSTRUCTED BUILDINGS

    Directory of Open Access Journals (Sweden)

    D. Herrera

    2013-07-01

    Full Text Available In order to achieve the CO2 reduction targets set by the Scottish government, it will be necessary to improve the energy efficiency of existing buildings. Within the total Scottish building stock, historic and traditionally constructed buildings are an important proportion, in the order of 19 % (Curtis, 2010, and represent cultural, emotional and identity values that should be protected. However, retrofit interventions could be a complex operation because of the several aspects that are involved in the hygrothermal performance of traditional buildings. Moreover, all these factors interact with each other and therefore need to be analysed as a whole. Upgrading the envelope of traditional buildings may produce severe changes to the moisture migration leading to superficial or interstitial condensation and thus fabric decay and mould growth. Retrofit projects carried out in the past have failed because of the misunderstanding, or the lack of expert prediction, of the potential consequences associated to the envelope's alteration. The evaluation of potential risks, prior to any alteration on building's physics in order to improve its energy efficiency, is critical to avoid future damage on the wall's performance or occupants' health and well being. The aim of this PhD research project is to point out the most critical aspects related to the energy efficiency improvement of traditional buildings and to develop a risk based methodology that helps owners and practitioners during the decision making process.

  6. The urgent need for quality improvement in Russia.

    Science.gov (United States)

    Ruevekamp, D

    1994-01-01

    Induced abortion became accepted as a legal method of family planning after the October Revolution of 1917 from which terminations were performed in state hospitals free of charge upon a woman's request. The procedure was made legal in response to then newly voiced egalitarian ideals and the increasing involvement of women in the labor market, as well as because of the rapidly deteriorating situation and post-Revolution period of famine. Administrators fully expected to reduce the incidence of abortion once living conditions improved. Little was done at the time to develop contraceptives. Stalin, however, in the 1920s and 1930s, lamented a falling birth rate in the face of manpower needed for labor and the military; abortion and contraceptives were banned, leading to post-abortion complications without really stimulating the birth rate. Abortion was relegalized in 1956, but the right to contraception was never fully restored. Seven million induced abortions were officially registered to have taken place in each of the last ten years in the former Soviet Union. A woman typically undergoes one abortion per year, or approximately twenty abortions during the childbearing period of her life. Lacking knowledge about contraception, contraceptives, and what many Western countries regard to be women's reproductive health rights, most Russian women, however, freely tolerate frequent repeated abortion as a normal method of fertility regulation. Lack of access to contraceptives along with the lack of domestic contraceptive method production facilities and lack of hard currency to secure quality supplies from abroad are contributing factors to this ongoing trend. Gynecologists also receive lucrative fees for illegal abortions and are unlikely to promote change. Plans to open twelve family planning centers in Moscow have been hampered by the inertia of bureaucracy, the lack of financial means, the lack of trained personnel, and people's suspicion of government bodies. Much needs

  7. THE ASSESSMENT METHODOLOGIES PTELR, ADRI AND CAE – THREE METHODOLOGIES FOR COORDINATING THE EFFORTS TO IMPROVE THE ORGANIZATIONAL PROCESSES TO ACHIEVE EXCELLENCE

    OpenAIRE

    Cristina Raluca POPESCU; Gheorghe N. POPESCU

    2015-01-01

    In the paper “The Assessment Methodologies PTELR, ADRI and CAE – Three Methodologies for Coordinating the Efforts to Improve the Organizational Processes to Achieve Excellence” the authors present the basic features of the assessment methodologies PTELR, ADRI and CAE that are designed to coordinate the efforts to improve the organizational processes in order to achieve excellence. In the first part of the paper (the introduction of the paper), the authors present the general background concer...

  8. Teacher training program for medical students: improvements needed

    Directory of Open Access Journals (Sweden)

    van Diggele C

    2015-04-01

    Full Text Available Christie van Diggele,1 Annette Burgess,2 Craig Mellis21The University of Sydney, Sydney, NSW, Australia; 2Sydney Medical School – Central, The University of Sydney, Sydney, NSW, AustraliaIntroduction: Skills in peer teaching, assessment, and feedback are increasingly documented internationally as required graduate attributes in medicine. Yet these skills are rarely taught in medical schools. We sought to design and deliver a short but effective teacher training (TT program for medical students that could be easily integrated into the professional development curriculum. This study sought to evaluate such a pilot program, based on student perception.Methods: The study took place at a major metropolitan teaching hospital, where 38 medical students were invited to attend a voluntary, newly designed four-module TT program. In total, 23/38 (61% of invited students attended. Mixed methods were used for evaluation. Questionnaires were completed by 21/23 (91% of students, and 6/23 (26% of students participated in a focus group.Results: Students reported that as a result of the program they felt more confident to facilitate small group teaching activities and to provide feedback to peers using the suggested frameworks. Students would like the program to contain more in-depth educational theory and to allow a more time for small group learning activities. They would also like to see opportunities for participation across all clinical schools.Conclusion: The TT program was successful in increasing student awareness of educational theory and practice, thereby improving their confidence in teaching and assessing their peers and making them feel better prepared for their careers as medical practitioners. Key improvements to the program are needed in terms of more in-depth theory and more time spent on small group learning. This might be achieved by complementing the course with e-learning.Keywords: teacher training, medical students, peer teaching, peer

  9. Does Deregulation of Quality Standards in Telecomunications Improve Social Welfare? A Methodological Note Does Deregulation of Quality Standards in Telecomunications Improve Social Welfare? A Methodological Note

    OpenAIRE

    Felipe Morandé

    1990-01-01

    Does Deregulation of Quality Standards in Telecomunications Improve Social Welfare? A Methodological Note One of the main reasons behind the bit difference observed in the per capita number of telephones between develope and developing countries is the high capital cost -a scarce resource in LDC's- of expanding telecommunications infrastructure. A reasonable question to raise in this context is the extent to which that high capital cost of investment could be diminished if international quali...

  10. Fiscal terms for gas need improvement in many countries

    International Nuclear Information System (INIS)

    Meurs, A.P.H. van; Seck, A.

    1997-01-01

    It would be logical to assume that many governments in the world would have more favorable fiscal terms for gas than for oil in order to stimulate gas development. The economics of gas is often less attractive than oil. In many countries gas markets are limited, often causing delays in gas development or restricting the level of production. Expensive gas pipeline and distribution systems need to be installed in order to deliver gas from the fields to markets. Prices for gas at the wellhead are usually lower than for oil on an energy equivalent basis. Gas is a desirable fuel for environmental reasons. Domestic gas development could result in a lower level of oil imports or increased oil exports. Low cost gas could be used in many ways to stimulate the development of certain industries. Finally, improved terms for gas could result in better overall petroleum exploration economics which often results in the discovery of more oil as well as gas. However, a comparative analysis of the government take for oil and for gas for the same concessions and contracts indicates that most governments still require identical fiscal terms for gas and oil. Only a few governments are stimulating gas development with more attractive fiscal terms

  11. Oil and gas site contamination risks : improved oversight needed

    International Nuclear Information System (INIS)

    2010-02-01

    British Columbia has seen record levels of activities in the oil and gas sector. Upstream petroleum processes include exploration, well completion and production. Site contamination can occur during all of these activities, resulting in potential environmental and human health impacts. Although well operators are responsible by law for site restoration, there is a potential risk that some operators will not fulfill their responsibilities, thereby leaving the province liable for the site restoration costs. In British Columbia, the BC Oil and Gas Commission (OGC) is responsible for managing these risks through oversight activities designed to ensure that industry meets its obligations. The OGC also manages the orphan sites reclamation fund. This report presented an audit of the OGC in order to determine if it is providing adequate oversight of upstream oil and gas site contamination risks. The audit examined whether the agency responsibilities are clear and whether the OGC is fully aware of the environmental and financial risks associated with upstream oil and gas site contamination. The audit also examined if the OGC has established appropriate procedures to oversee the risks and to inform the public of how effectively site contamination risks are being managed. The report presented the audit background, audit expectations, findings, conclusions and recommendations. It was concluded that the OGC's oversight of the environmental and financial risks associated with oil and gas site contamination needs improving. tabs., figs.

  12. Using Quality Tools and Methodologies to Improve a Hospital's Quality Position.

    Science.gov (United States)

    Branco, Daniel; Wicks, Angela M; Visich, John K

    2017-01-01

    The authors identify the quality tools and methodologies most frequently used by quality-positioned hospitals versus nonquality hospitals. Northeastern U.S. hospitals in both groups received a brief, 12-question survey. The authors found that 93.75% of the quality hospitals and 81.25% of the nonquality hospitals used some form of process improvement methodologies. However, there were significant differences between the groups regarding the impact of quality improvement initiatives on patients. The findings indicate that in quality hospitals the use of quality improvement initiatives had a significantly greater positive impact on patient satisfaction and patient outcomes when compared to nonquality hospitals.

  13. Proposed methodology for estimating the impact of highway improvements on urban air pollution.

    Science.gov (United States)

    1971-01-01

    The aim of this methodology is to indicate the expected change in ambient air quality in the vicinity of a highway improvement and in the total background level of urban air pollution resulting from the highway improvement. Both the jurisdiction in w...

  14. The need for scientific research aimed at improving of the quality of accounting information

    Directory of Open Access Journals (Sweden)

    T.F. Plahtiy

    2015-09-01

    Full Text Available It has been proved that the use of qualitative approach is one of the ways to further development of the accounting. The features of the concept of «quality of accounting information» in the Ukrainian legislation have been analyzed in the article. The author grounds the necessity of development of the normative document where the further ways of accounting on the basis of qualitative approach should be formulated. The article singles out two main groups of scientists who raised the issue of the need to improve the quality of accounting information. Points of view of each group of scientists have been grounded. The relationship between the quality of accounting information and the efficiency of management decisions have been analyzed. The article proves that the generation of quality information by accounting system creates the necessary preconditions for effective management decisions. General scientific and methodological reasons for research aimed at improving the quality of accounting information have been showen.

  15. The 5S methodology as a tool for improving the organisation

    OpenAIRE

    J. Michalska; D. Szewieczek

    2007-01-01

    Purpose: The aim of this paper is showing the 5S methodology. In this paper it was introduced the way of implementing the 5S methodology in the company.Design/methodology/approach: In the frames of own research it has been analysed and implemented the 5S rules in the production process.Findings: On the basis of the own research it can be stated, that introducing the 5S rules bring the great changes in the company, for example: process improvement by costs’ reduction, increasing of effectivene...

  16. Improving the Understanding of Research Methodology and Self-Regulated Learning Through Blog Project

    OpenAIRE

    Retnawati, Heri

    2017-01-01

    : This classroom action research seeks to improve self-regulated learning (SRL) and understanding of research methodology at the graduate school. Nineteen graduate school students were involved. Using project-based learning (PjBL), students were assigned to create online blogs as the main project. The blog was intended for representing their understanding of research methodology by writing review of research articles and submitting a research proposal. The classroom action research was based ...

  17. Assessing cancer drugs for reimbursement: methodology, relationship between effect size and medical need.

    Science.gov (United States)

    de Sahb-Berkovitch, Rima; Woronoff-Lemsi, Marie-Christine; Molimard, Mathieu

    2010-01-01

    Reimbursement is assessed by the Transparency Commission from the Health Authority (HAS) using a medical benefit (SMR) score that gives access to reimbursement, an "improvement of medical service rendered" (ASMR) that determines the added therapeutic value, and the target population. Assessing cancer drugs for reimbursement raises the same issues as other therapeutic classes, with some key differences. Overall survival (OS) is considered by the Transparency Commission as the endpoint for assessing clinical benefit, and yet it is not an applicable primary endpoint in all types of cancer. Later lines of treatment, particularly during the development process, may make it difficult to interpret OS as the primary endpoint. Therefore, progression-free survival (PFS) for metastatic situations and disease-free survival (DFS) in adjuvant situations are wholly relevant endpoints for decisions on the reimbursement of a new cancer drug. Effect size is assessed using actuarial survival curves of the product versus the comparator, and it is difficult to summarise them into one single parameter. Results are generally interpreted based on median survival, which is fragmented because it only measures one point of the curve. The hazard ratio measures the effect of treatment throughout the duration of survival and is therefore more comprehensive in quantifying clinical benefit. Determining an effect size threshold for granting reimbursement is difficult given the diversity of cancer settings and the level of medical need, which influences assessment of the clinical relevance of the observed difference. Rapid progress in comparators (700 molecules in development) and the identification of predictive factors of efficacy (biomarkers, histology, etc.) during development may lead to different ASMR scores per population, or to the restriction of the target population to a subgroup of the marketing authorisation (MA) population in which the expected effect size is greater. To address these

  18. Improving timeliness and efficiency in the referral process for safety net providers: application of the Lean Six Sigma methodology.

    Science.gov (United States)

    Deckard, Gloria J; Borkowski, Nancy; Diaz, Deisell; Sanchez, Carlos; Boisette, Serge A

    2010-01-01

    Designated primary care clinics largely serve low-income and uninsured patients who present a disproportionate number of chronic illnesses and face great difficulty in obtaining the medical care they need, particularly the access to specialty physicians. With limited capacity for providing specialty care, these primary care clinics generally refer patients to safety net hospitals' specialty ambulatory care clinics. A large public safety net health system successfully improved the effectiveness and efficiency of the specialty clinic referral process through application of Lean Six Sigma, an advanced process-improvement methodology and set of tools driven by statistics and engineering concepts.

  19. Network meta-analysis-highly attractive but more methodological research is needed

    Directory of Open Access Journals (Sweden)

    Singh Sonal

    2011-06-01

    Full Text Available Abstract Network meta-analysis, in the context of a systematic review, is a meta-analysis in which multiple treatments (that is, three or more are being compared using both direct comparisons of interventions within randomized controlled trials and indirect comparisons across trials based on a common comparator. To ensure validity of findings from network meta-analyses, the systematic review must be designed rigorously and conducted carefully. Aspects of designing and conducting a systematic review for network meta-analysis include defining the review question, specifying eligibility criteria, searching for and selecting studies, assessing risk of bias and quality of evidence, conducting a network meta-analysis, interpreting and reporting findings. This commentary summarizes the methodologic challenges and research opportunities for network meta-analysis relevant to each aspect of the systematic review process based on discussions at a network meta-analysis methodology meeting we hosted in May 2010 at the Johns Hopkins Bloomberg School of Public Health. Since this commentary reflects the discussion at that meeting, it is not intended to provide an overview of the field.

  20. A Case Study of Six Sigma Define-Measure-Analyze-Improve-Control (DMAIC Methodology in Garment Sector

    Directory of Open Access Journals (Sweden)

    Abdur Rahman

    2017-12-01

    Full Text Available This paper demonstrates the empirical application of Six Sigma and Define-Measure-Analyze-Improve-Control (DMAIC methodology to reduce product defects within a garments manufacturing organization in Bangladesh which follows the DMAIC methodology to investigate defects, root causes and provide a solution to eliminate these defects. The analysis from employing Six Sigma and DMAIC indicated that the broken stitch and open seam influenced the number of defective products. Design of experiments (DOE and the analysis of variance (ANOVA techniques were combined to statistically determine the correlation of the broken stitch and open seam with defects as well as to define their optimum values needed to eliminate the defects. Thus, a reduction of about 35% in the garments defect was achieved, which helped the organization studied to reduce its defects and thus improve its Sigma level from 1.7 to 3.4.

  1. Urban development and transport disadvantage: Methodology to evaluate social transport needs in Latin American cities

    OpenAIRE

    Lizarraga, Carmen; Jaramillo, Ciro; Grindlay, Alejandro L.

    2011-01-01

    This article examines the theoretical framework for accessibility, social exclusion and provision of public transport. The socio-economic and urban characteristics of Latin American cities require the creation of specific indices to determine social needs for public transport. In the article an index of social transport needs is drawn up. It can be used to highlight a problem which is severely affecting wide groups in Latin America who suffer social exclusion aggravated by a deficient provisi...

  2. Radiobiological research needed for the improvement of radiotherapy

    International Nuclear Information System (INIS)

    1977-01-01

    The use of radiation in therapy of cancer and diagnosis of other diseases has been practised since the discovery of X-ray. Radiotherapy of cancer was founded on the simple observation that radiations can kill tumour cells. As the science of radiobiology developed, some of its concepts were slowly incorporated in the therapeutic use of radiations, and this led to improve patient treatment. However, although radiobiology continued to progress, a communication gap built up between practising clinicians and radiobiologists. The purpose of this symposium was to help bridge the gap and to encourage co-operation between radiotherapists and radiobiologists. Fractionated dose regimes for external cobalt or X-ray therapy were extensively discussed. Of particular concern was whether acute dose rates which could reduce treatment time per patient would be favourable from the point of view of side effects on normal tissues such as skin, spinal cord, lungs, kidneys and other organs. Also discussed was whether high doses followed by small dose fractionation would lead to a therapeutic gain. New information was presented that during the fractionation period, normal cells may have better recovery potential than the tumour cells, and in view of this new information, the present practice of radiotherapy using fractionated doses may be further improved. The failures of radiotherapy are mainly due to the radioresistant hypoxic cells which escape radiation damage. These could be destroyed with the use of high LET radiations, super fractionated dose schedules or radiosensitisers specifically active towards hypoxic cells. Chemical radiosensitisers have now become available and have proved as effective as neutrons in their therapeutic gains. Clinical trials are underway in the UK and Romania on these radiosensitisers. One that deserves special mention is a nitroimidazole derivative, RO-07-0582, which has had extensive in vitro and in vivo studies, and clinical trials with human patients

  3. Application of quality improvement analytic methodology in emergency medicine research: A comparative evaluation.

    Science.gov (United States)

    Harries, Bruce; Filiatrault, Lyne; Abu-Laban, Riyad B

    2018-05-30

    Quality improvement (QI) analytic methodology is rarely encountered in the emergency medicine literature. We sought to comparatively apply QI design and analysis techniques to an existing data set, and discuss these techniques as an alternative to standard research methodology for evaluating a change in a process of care. We used data from a previously published randomized controlled trial on triage-nurse initiated radiography using the Ottawa ankle rules (OAR). QI analytic tools were applied to the data set from this study and evaluated comparatively against the original standard research methodology. The original study concluded that triage nurse-initiated radiographs led to a statistically significant decrease in mean emergency department length of stay. Using QI analytic methodology, we applied control charts and interpreted the results using established methods that preserved the time sequence of the data. This analysis found a compelling signal of a positive treatment effect that would have been identified after the enrolment of 58% of the original study sample, and in the 6th month of this 11-month study. Our comparative analysis demonstrates some of the potential benefits of QI analytic methodology. We found that had this approach been used in the original study, insights regarding the benefits of nurse-initiated radiography using the OAR would have been achieved earlier, and thus potentially at a lower cost. In situations where the overarching aim is to accelerate implementation of practice improvement to benefit future patients, we believe that increased consideration should be given to the use of QI analytic methodology.

  4. Promoting Continuous Quality Improvement in the Alabama Child Health Improvement Alliance Through Q-Sort Methodology and Learning Collaboratives.

    Science.gov (United States)

    Fifolt, Matthew; Preskitt, Julie; Rucks, Andrew; Corvey, Kathryn; Benton, Elizabeth Cason

    Q-sort methodology is an underutilized tool for differentiating among multiple priority measures. The authors describe steps to identify, delimit, and sort potential health measures and use selected priority measures to establish an overall agenda for continuous quality improvement (CQI) activities within learning collaboratives. Through an iterative process, the authors vetted a list of potential child and adolescent health measures. Multiple stakeholders, including payers, direct care providers, and organizational representatives sorted and prioritized measures, using Q-methodology. Q-methodology provided the Alabama Child Health Improvement Alliance (ACHIA) an objective and rigorous approach to system improvement. Selected priority measures were used to design learning collaboratives. An open dialogue among stakeholders about state health priorities spurred greater organizational buy-in for ACHIA and increased its credibility as a statewide provider of learning collaboratives. The integrated processes of Q-sort methodology, learning collaboratives, and CQI offer a practical yet innovative way to identify and prioritize state measures for child and adolescent health and establish a learning agenda for targeted quality improvement activities.

  5. Methodological proposal for the definition of improvement strategies in logistics of SME

    Directory of Open Access Journals (Sweden)

    Yeimy Liseth Becerra

    2014-12-01

    Full Text Available A methodological proposal for defining strategies of improvement in logistics of SMEs is presented as a means to fulfill a specific objective of the project Methodological design on storage logistics, acquisition, ownership of information systems and communication for Colombian SMEs, baker subsector, which currently runs the research group SEPRO, of Universidad Nacional of Colombia and supported by Colciencias. The project corresponds to the completion of the last stage of the base project, and aims to implement the corresponding target, raised in the research project that has been developing the research group SEPRO. To do this, it was made a review of the methodology used during the execution of the basic project, as well as the state of the art of techniques used in similar research for the evaluation and definition of breeding strategies in SMEs logistics. Revised techniques were compared and a proposed methodology was configured, which consists of the techniques that represented the greatest advantages for the research development.

  6. Development of an Improved Methodology to Assess Potential Unconventional Gas Resources

    International Nuclear Information System (INIS)

    Salazar, Jesus; McVay, Duane A.; Lee, W. John

    2010-01-01

    Considering the important role played today by unconventional gas resources in North America and their enormous potential for the future around the world, it is vital to both policy makers and industry that the volumes of these resources and the impact of technology on these resources be assessed. To provide for optimal decision making regarding energy policy, research funding, and resource development, it is necessary to reliably quantify the uncertainty in these resource assessments. Since the 1970s, studies to assess potential unconventional gas resources have been conducted by various private and governmental agencies, the most rigorous of which was by the United States Geological Survey (USGS). The USGS employed a cell-based, probabilistic methodology which used analytical equations to calculate distributions of the resources assessed. USGS assessments have generally produced distributions for potential unconventional gas resources that, in our judgment, are unrealistically narrow for what are essentially undiscovered, untested resources. In this article, we present an improved methodology to assess potential unconventional gas resources. Our methodology is a stochastic approach that includes Monte Carlo simulation and correlation between input variables. Application of the improved methodology to the Uinta-Piceance province of Utah and Colorado with USGS data validates the means and standard deviations of resource distributions produced by the USGS methodology, but reveals that these distributions are not right skewed, as expected for a natural resource. Our investigation indicates that the unrealistic shape and width of the gas resource distributions are caused by the use of narrow triangular input parameter distributions. The stochastic methodology proposed here is more versatile and robust than the USGS analytic methodology. Adoption of the methodology, along with a careful examination and revision of input distributions, should allow a more realistic

  7. Relay chatter and operator response after a large earthquake: An improved PRA methodology with case studies

    International Nuclear Information System (INIS)

    Budnitz, R.J.; Lambert, H.E.; Hill, E.E.

    1987-08-01

    The purpose of this project has been to develop and demonstrate improvements in the PRA methodology used for analyzing earthquake-induced accidents at nuclear power reactors. Specifically, the project addresses methodological weaknesses in the PRA systems analysis used for studying post-earthquake relay chatter and for quantifying human response under high stress. An improved PRA methodology for relay-chatter analysis is developed, and its use is demonstrated through analysis of the Zion-1 and LaSalle-2 reactors as case studies. This demonstration analysis is intended to show that the methodology can be applied in actual cases, and the numerical values of core-damage frequency are not realistic. The analysis relies on SSMRP-based methodologies and data bases. For both Zion-1 and LaSalle-2, assuming that loss of offsite power (LOSP) occurs after a large earthquake and that there are no operator recovery actions, the analysis finds very many combinations (Boolean minimal cut sets) involving chatter of three or four relays and/or pressure switch contacts. The analysis finds that the number of min-cut-set combinations is so large that there is a very high likelihood (of the order of unity) that at least one combination will occur after earthquake-caused LOSP. This conclusion depends in detail on the fragility curves and response assumptions used for chatter. Core-damage frequencies are calculated, but they are probably pessimistic because assuming zero credit for operator recovery is pessimistic. The project has also developed an improved PRA methodology for quantifying operator error under high-stress conditions such as after a large earthquake. Single-operator and multiple-operator error rates are developed, and a case study involving an 8-step procedure (establishing feed-and-bleed in a PWR after an earthquake-initiated accident) is used to demonstrate the methodology

  8. A Scoping Review of Clinical Practice Improvement Methodology Use in Rehabilitation

    Directory of Open Access Journals (Sweden)

    Marie-Eve Lamontagne

    2016-01-01

    Full Text Available Context The Clinical Practice Improvement (CPI approach is a methodological and quality improvement approach that has emerged and is gaining in popularity. However, there is no systematic description of its use or the determinants of its practice in rehabilitation settings. Method We performed a scoping review of the use of CPI methodology in rehabilitation settings. Results A total of 103 articles were reviewed. We found evidence of 13 initiatives involving CPI with six different populations. A total of 335 citations of determinants were found, with 68.7% related to CPI itself. Little information was found about what type of external and internal environment, individual characteristics and implementation process might facilitate or hinder the use of CPI. Conclusion Given the growing popularity of this methodological approach, CPI initiatives would gain from increasing knowledge of the determinants of its success and incorporating them in future implementation.

  9. Mechanism analysis and evaluation methodology of regenerative braking contribution to energy efficiency improvement of electrified vehicles

    International Nuclear Information System (INIS)

    Lv, Chen; Zhang, Junzhi; Li, Yutong; Yuan, Ye

    2015-01-01

    Highlights: • The energy flow of an electric vehicle with regenerative brake is analyzed. • Methodology for measuring the regen brake contribution is discussed. • Evaluation parameters of regen brake contribution are proposed. • Vehicle tests are carried out on chassis dynamometer. • Test results verify the evaluation method and parameters proposed. - Abstract: This article discusses the mechanism and evaluation methods of contribution brought by regenerative braking to electric vehicle’s energy efficiency improvement. The energy flow of an electric vehicle considering the braking energy regeneration was analyzed. Then, methodologies for measuring the contribution made by regenerative brake to vehicle energy efficiency improvement were introduced. Based on the energy flow analyzed, two different evaluation parameters were proposed. Vehicle tests were carried out on chassis dynamometer under typical driving cycles with three different control strategies. The experimental results the difference between the proposed two evaluation parameters, and demonstrated the feasibility and effectiveness of the evaluation methodologies proposed

  10. Additional improvements needed in physical security at nuclear powerplants

    International Nuclear Information System (INIS)

    1983-01-01

    Since the middle 1970's, the Nuclear Regulatory Commission and powerplant operators have taken measures to reduce the vulnerability of powerplants to attempted acts of sabotage. GAO's evaluation disclosed that further improvements can be made by screening nuclear plant employees to reduce the number of potential saboteurs and strengthening the physical security systems to ensure their compatibility with other plant safety systems. The Commission has taken two initiatives addressing these improvements. Therefore, GAO is not making recommendations at this time

  11. Improving Early Numeracy of Young Children with Special Education Needs.

    Science.gov (United States)

    Van Luit, Johannes E. H.; Schopman, Esther A.

    2000-01-01

    Sixty-two students from special needs kindergartens were given early mathematics intervention. The early numeracy program was developed for children with disabilities and early numeracy difficulties by basing instruction on perceptual gestalt theory. Children performed better at posttest than controls but failed to transfer their knowledge to…

  12. Building an integrated methodology of learning that can optimally support improvements in healthcare.

    Science.gov (United States)

    Lynn, Joanne

    2011-04-01

    The methods for healthcare reform are strikingly underdeveloped, with much reliance on political power. A methodology that combined methods from sources such as clinical trials, experience-based wisdom, and improvement science could be among the aims of the upcoming work in the USA on comparative effectiveness and on the agenda of the Center for Medicare and Medicaid Innovation in the Centers for Medicare and Medicaid Services. Those working in quality improvement have an unusual opportunity to generate substantial input into these processes through professional organisations such as the Academy for Healthcare Improvement and dominant leadership organisations such as the Institute for Healthcare Improvement.

  13. The need for psychiatric care in England: a spatial factor methodology

    Science.gov (United States)

    Congdon, Peter

    2008-09-01

    To ensure health resources are equitably distributed, composite indices of population morbidity or “health need” are often used. Measures of the dimensions of population morbidity (e.g. socioeconomic deprivation) relevant to health need are typically not directly available but indirectly measured through census or other sources. This paper considers measurement of latent population morbidity constructs using both health outcomes (e.g. hospital admissions, mortality) and observed area social and demographic indicators (e.g. census data). The constructs are allowed to be spatially correlated between areas, as well as correlated with one another within areas. The health outcomes may depend both on the latent constructs and on other relevant covariates (e.g. bed supply), with some covariates possibly measured only at higher (regional) scales. A case study considers variations in psychiatric admissions in 354 English local authority areas in relation to two latent constructs: area deprivation and social fragmentation.

  14. Report: EPA’s Fleet Management Program Needs Improvement

    Science.gov (United States)

    Report #15-P-0001, October 6, 2014. If oversight of the EPA’s fleet is not improved, the $6 million-per-year program could be ineffective and inefficient in supporting the agency’s mission and reporting data to the federal system.

  15. Needed improvements in the development of systemic corrective actions.

    Energy Technology Data Exchange (ETDEWEB)

    Campisi, John A.

    2009-07-01

    There are indications that corrective actions, as implemented at Sandia National Laboratories are not fully adequate. Review of independent audits spanning multiple years provides evidence of recurring issues within the same or similar operations and programs. Several external audits have directly called into question the ability Sandia's assessment and evaluation processes to prevent recurrence. Examples of repeated findings include lockout/tagout programs, local exhaust ventilation controls and radiological controls. Recurrence clearly shows that there are underlying systemic factors that are not being adequately addressed by corrective actions stemming from causal analyses. Information suggests that improvements in the conduct of causal analyses and, more importantly, in the development of subsequent corrective actions are warranted. Current methodolgies include Management Oversight Risk Tree, developed in the early 1970s and Systemic Factors Analysis. Recommendations for improvements include review of other causal analysis systems, training, improved formality of operations, improved documentation, and a corporate method that uses truly systemic solutions. This report was written some years ago and is being published now to form the foundation for current, follow-on reports being developed. Some outdated material is recognized but is retained for report completeness.

  16. Need for improved standards in neutron personnel dosimetry

    International Nuclear Information System (INIS)

    Auxier, J.A.

    1976-01-01

    There is a continuing need for standards in neutron monitoring. A discussion of special problem areas and the benefits of intercomparisons is given. The RBE for leukemia induction in the survivors of the nuclear bombings of Hiroshima and Nagasaki is greater than ten for absorbed doses in the bone marrow of less than 100 rads; this may have an important impact on neutron standards preparation

  17. An Improved Setpoint Determination Methodology for the Plant Protection System Considering Beyond Design Basis Events

    International Nuclear Information System (INIS)

    Lee, C.J.; Baik, K.I.; Baek, S.M.; Park, K.-M.; Lee, S.J.

    2013-06-01

    According to the nuclear regulations and industry standards, the trip setpoint and allowable value for the plant protection system have been determined by considering design basis events. In order to improve the safety of a nuclear power plant, an attempt has been made to develop an improved setpoint determination methodology for the plant protection system trip parameter considering not only a design basis event but also a beyond design basis event. The results of a quantitative evaluation performed for the Advanced Power Reactor 1400 nuclear power plant in Korea are presented herein. The results confirmed that the proposed methodology is able to improve the nuclear power plant's safety by determining more reasonable setpoints that can cover beyond design basis events. (authors)

  18. How to Improve Engineering Competencies for Students with Special Needs?

    Science.gov (United States)

    Maknun, J.; Barliana, M. S.; Cahyani, D.

    2018-02-01

    The problem of vocational education for Children with Special Needs (CSN) is not only about the service profile, spectrum relevance and competency level, but also the carrying capacity of educational facilities. In this regard, two important things are highlighted. First, the different characteristics of the design of educational facilities between regular and exceptional schools. Second, the distinctive characteristics of the design of the school facilities are extraordinary for general education (academic) and vocational education. The purpose of this study is to describe the level of suitability of the architectural design of educational facilities with the needs of vocational learning behavior for children with special needs in West Java, Indonesia. The entire research used the Education Research and Development (R & D) method of Developing the Architectural Facility Design Guide to Support the Vocational Competence of Crew Competence in accordance with the stages developed by Thiagarajan (1974) known as Four-D Model. To achieve the above objectives, then the stages of the R & D method that is done is the define, design and develop stage. Evaluation results show the infrastructure of education of Special School (SLB) Cicendo, Indonesia has met the standards set by the government, especially on aspects of land and building areas have met the standards. Most aspects of accessibility such as the basic size of space, pedestrian pathways, and doors have been met. But other aspects such as guiding lines, ram, ladders, toilets, showers, sinks, furniture and signs do not meet accessibility requirements. The conclusion is the educational infrastructure of the school in general has met the standards set by the government.

  19. Integration of an iterative methodology for exergoeconomic improvement of thermal systems with a process simulator

    International Nuclear Information System (INIS)

    Vieira, Leonardo S.; Donatelli, Joao L.; Cruz, Manuel E.

    2004-01-01

    In this paper, we present the development and automated implementation of an iterative methodology for exergoeconomic improvement of thermal systems integrated with a process simulator, so as to be applicable to real, complex plants. The methodology combines recent available exergoeconomic techniques with new qualitative and quantitative criteria for the following tasks: (i) identification of decision variables that affect system total cost and exergetic efficiency; (ii) hierarchical classification of components; (iii) identification of predominant terms in the component total cost; and (iv) choice of main decision variables in the iterative process. To show the strengths and potential advantages of the proposed methodology, it is here applied to the benchmark CGAM cogeneration system. The results obtained are presented and discussed in detail and are compared to those reached using a mathematical optimization procedure

  20. Methods for measurements of energy and emissions related to motor vehicles: Identification of needs for improvements

    Energy Technology Data Exchange (ETDEWEB)

    Karl-Erik Egebaeck, K.E. [Luleaa Univ. of Technology, Luleaa (Sweden). Dept. of Environmental Technology; Karlsson, Hua L. [MTC AB, Haninge (Sweden); Westerholm, R. [Stockholm Univ. (Sweden). Dept. of Analytical Chemistry

    2002-01-01

    The official methods in use today for emission testing of vehicles and engines were primarily developed for the characterisation of exhaust emissions from motor vehicles fuelled with petrol or diesel oil. The setting of new lower emission standards will make it difficult to obtain sufficient accuracy, using the present systems, for the quantification of exhaust emissions in the future. Development of new emission control technology and improved fuels has made it possible to meet these more stringent standards. Consequently new emission standards will lead to a need for new and improved methodologies and new instrumentation for the characterisation of the emissions from vehicles/engines/fuels. The present report comprises a discussion and comments on questions related to improved methods for emission measurements. The report is based on a study of the literature, site visits to laboratories and research institutes etc in the US and a meeting with representatives of the EU Commission, carried out during the spring of 2001. The conclusions and recommendations in the pre-study report are summarised in sub titles: General, regulated emissions, unregulated emissions, greenhouse gases and fuel consumption. Since the questions and problems discussed have an international connection they should be discussed in an international forum. However, before such discussions can be organised the problems related to measurement of emissions and fuel consumption must be more extensively studied than in this pre-study.

  1. THE QUALITY IMPROVEMENT OF PRIMER PACKAGING PROCESS USING SIX SIGMA METHODOLOGY

    Directory of Open Access Journals (Sweden)

    Prima Ditahardiyani

    2008-01-01

    Full Text Available The implementation of Six Sigma has become a common theme in many organizations. This paper presents the Six Sigma methodology and its implementation in a primer packaging process of Cranberry drink. DMAIC (Define, Measure, Analyze, Improve and Control approach is used to analyze and to improve the primer packaging process, which have high variability and defects output. After the improvement, the results showed that there was an increasing sigma level. However, it is not significantly and has not achieved the world standard quality, yet. Therefore, the implementation of Six Sigma in primer packaging process of Cranberry drink still has a room for doing a further research.

  2. Capturing User Needs to Improve Processes at EOSDIS Data Centers

    Science.gov (United States)

    Sofinowski, E. J.; Boquist, C. L.

    2009-12-01

    Since 2004 the Earth Observing System Data and Information System (EOSDIS) has conducted an annual comprehensive survey of user satisfaction using the American Customer Satisfaction Index (ACSI). Customer satisfaction ratings for EOSDIS consistently rate better than the overall government ratings. As part of the survey users are asked to submit comments concerning their experiences and interests. These user comments provide valuable insight into the effect of data center processes on users' experiences. Although user satisfaction has remained high, their preferences have changed with the rapid advances in web-based services. This analysis investigates the correlation between user comments, process changes or capability improvements at the individual data centers, and whether the changes at the data centers and web sites show a corresponding increase in user satisfaction. We will evaluate the comments in the areas of Product Search, Product Selection and Order, Delivery, Product Quality and Customer Support.

  3. The IAEA research project on improvement of safety assessment methodologies for near surface disposal facilities

    International Nuclear Information System (INIS)

    Torres-Vidal, C.; Graham, D.; Batandjieva, B.

    2002-01-01

    The International Atomic Energy Agency (IAEA) Research Coordinated Project on Improvement of Safety Assessment Methodologies for Near Surface Disposal Facilities (ISAM) was launched in November 1997 and it has been underway for three years. The ISAM project was developed to provide a critical evaluation of the approaches and tools used in long-term safety assessment of near surface repositories. It resulted in the development of a harmonised approach and illustrated its application by way of three test cases - vault, borehole and Radon (a particular range of repository designs developed within the former Soviet Union) type repositories. As a consequence, the ISAM project had over 70 active participants and attracted considerable interest involving around 700 experts from 72 Member States. The methodology developed, the test cases, the main lessons learnt and the conclusions have been documented and will be published in the form of an IAEA TECDOC. This paper presents the work of the IAEA on improvement of safety assessment methodologies for near surface waste disposal facilities and the application of these methodologies for different purposes in the individual stages of the repository development. The paper introduces the main objectives, activities and outcome of the ISAM project and summarizes the work performed by the six working groups within the ISAM programme, i.e. Scenario Generation and Justification, Modelling, Confidence Building, Vault, Radon Type Facility and Borehole test cases. (author)

  4. Improved best estimate plus uncertainty methodology, including advanced validation concepts, to license evolving nuclear reactors

    International Nuclear Information System (INIS)

    Unal, C.; Williams, B.; Hemez, F.; Atamturktur, S.H.; McClure, P.

    2011-01-01

    Research highlights: → The best estimate plus uncertainty methodology (BEPU) is one option in the licensing of nuclear reactors. → The challenges for extending the BEPU method for fuel qualification for an advanced reactor fuel are primarily driven by schedule, the need for data, and the sufficiency of the data. → In this paper we develop an extended BEPU methodology that can potentially be used to address these new challenges in the design and licensing of advanced nuclear reactors. → The main components of the proposed methodology are verification, validation, calibration, and uncertainty quantification. → The methodology includes a formalism to quantify an adequate level of validation (predictive maturity) with respect to existing data, so that required new testing can be minimized, saving cost by demonstrating that further testing will not enhance the quality of the predictive tools. - Abstract: Many evolving nuclear energy technologies use advanced predictive multiscale, multiphysics modeling and simulation (M and S) capabilities to reduce the cost and schedule of design and licensing. Historically, the role of experiments has been as a primary tool for the design and understanding of nuclear system behavior, while M and S played the subordinate role of supporting experiments. In the new era of multiscale, multiphysics computational-based technology development, this role has been reversed. The experiments will still be needed, but they will be performed at different scales to calibrate and validate the models leading to predictive simulations for design and licensing. Minimizing the required number of validation experiments produces cost and time savings. The use of multiscale, multiphysics models introduces challenges in validating these predictive tools - traditional methodologies will have to be modified to address these challenges. This paper gives the basic aspects of a methodology that can potentially be used to address these new challenges in

  5. THE ASSESSMENT METHODOLOGIES PTELR, ADRI AND CAE – THREE METHODOLOGIES FOR COORDINATING THE EFFORTS TO IMPROVE THE ORGANIZATIONAL PROCESSES TO ACHIEVE EXCELLENCE

    Directory of Open Access Journals (Sweden)

    Cristina Raluca POPESCU

    2015-07-01

    Full Text Available In the paper “The Assessment Methodologies PTELR, ADRI and CAE – Three Methodologies for Coordinating the Efforts to Improve the Organizational Processes to Achieve Excellence” the authors present the basic features of the assessment methodologies PTELR, ADRI and CAE that are designed to coordinate the efforts to improve the organizational processes in order to achieve excellence. In the first part of the paper (the introduction of the paper, the authors present the general background concerning the performance of management business processes and the importance of achieving excellence and furthermore correctly assessing/evaluating it. Aspects such as quality, quality control, quality assurance, performance and excellence are brought into discussion in the context generated by globalization, new technologies and new business models. Moreover, aspects regarding the methods employed to ensure the quality, maintaining it and continuous improvements, as well as total quality management, are also main pillars of this current research. In the content of the paper (the assessment methodologies PTELR, ADRI and CAE – as methodologies for coordinating the efforts to improve the organizational processes to achieve excellence, the authors describe the characteristics of the assessment methodologies PTELR, ADRI and CAE from a theoretical point of view.

  6. An Improved Methodology to Overcome Key Issues in Human Fecal Metagenomic DNA Extraction

    Directory of Open Access Journals (Sweden)

    Jitendra Kumar

    2016-12-01

    Full Text Available Microbes are ubiquitously distributed in nature, and recent culture-independent studies have highlighted the significance of gut microbiota in human health and disease. Fecal DNA is the primary source for the majority of human gut microbiome studies. However, further improvement is needed to obtain fecal metagenomic DNA with sufficient amount and good quality but low host genomic DNA contamination. In the current study, we demonstrate a quick, robust, unbiased, and cost-effective method for the isolation of high molecular weight (>23 kb metagenomic DNA (260/280 ratio >1.8 with a good yield (55.8 ± 3.8 ng/mg of feces. We also confirm that there is very low human genomic DNA contamination (eubacterial: human genomic DNA marker genes = 227.9:1 in the human feces. The newly-developed method robustly performs for fresh as well as stored fecal samples as demonstrated by 16S rRNA gene sequencing using 454 FLX+. Moreover, 16S rRNA gene analysis indicated that compared to other DNA extraction methods tested, the fecal metagenomic DNA isolated with current methodology retains species richness and does not show microbial diversity biases, which is further confirmed by qPCR with a known quantity of spike-in genomes. Overall, our data highlight a protocol with a balance between quality, amount, user-friendliness, and cost effectiveness for its suitability toward usage for culture-independent analysis of the human gut microbiome, which provides a robust solution to overcome key issues associated with fecal metagenomic DNA isolation in human gut microbiome studies.

  7. Improving quality of life in multiple sclerosis: an unmet need.

    Science.gov (United States)

    Zwibel, Howard L; Smrtka, Jennifer

    2011-05-01

    Multiple sclerosis (MS) affects approximately 400,000 people in the United States and 2.1 million people worldwide. It is the most common chronic, non-traumatic neurological disorder afflicting young people during their peak productive ages. MS can diminish quality of life (QOL) by interfering with the ability to work, pursue leisure activities, and carry on usual life roles. Symptoms that affect QOL may include impaired mobility, fatigue, depression, pain, spasticity, cognitive impairment, sexual dysfunction, bowel and bladder dysfunction, vision and hearing problems, seizures, and sDwallowing and breathing difficulties. Direct medical costs of MS in the United States are estimated in excess of $10 billion per year. Indirect costs of MS include costs of reduced employment or unemployment, assistive equipment, disability related home modifications, and paid and unpaid personal care. Although direct medical costs predominate in the earlier stages of MS, indirect costs of productivity loss are responsible for higher costs later. Disease-modifying therapies (DMTs) lessen symptoms, reduce relapses, and delay disability progression. Unfortunately, many DMTs might produce only modest improvements in QOL. Although symptom-specific therapies do not delay disease progression, they may delay unemployment and dependency, thereby reducing indirect costs.

  8. An urgent need to improve life conditions of seniors.

    Science.gov (United States)

    Hebert, R

    2010-10-01

    In the fall of 2007, the Government of Quebec set up a Public Consultation on Living Conditions of Seniors. Fifty sessions were held in 26 cities across all 17 regions of the province. More than 4000 seniors attended the sessions and 275 briefs were received from scientists and associations. Three themes were identified in the report published in 2008: supporting seniors and their caregivers, reinforcing the place of seniors in society, and preventing problems associated with aging (suicide, abuse, addictions). The main actions that I recommended included: Increasing the Guaranteed Income Supplement to prevent poverty; Modifying pension plans and working conditions to allow for progressive retirement; Making a major investment in home care to provide access to services regardless of place of residence; Introducing an Autonomy Support Benefit and autonomy insurance program for financing services to support people with disabilities; Generalizing an Integrated Service Delivery Network providing services to frail older people; Better training for professionals in gerontology. I also recommended setting up a National Policy on Seniors to align all government departments and agencies, municipalities and the private sector around a vision, objectives and a set of actions for improving the integration of seniors in an aging society. This would contribute to a more equitable, interdependent and wiser society. Unfortunately, the Government did not support these recommendations. It is now time for scientists to get involved in leading policy on seniors and in the political arena.

  9. A Study on the Improvement of the INPRO Proliferation Resistance Assessment Methodology

    International Nuclear Information System (INIS)

    Ko, Won Il; Chang, Hong Lae

    2010-07-01

    consultancy meetings, the current version of the INPRO PR methodology needs to be revised according to the results of the current study on the development of an assessment procedure and metrics to evaluate the multiplicity and robustness of proliferation barriers

  10. The Urgent Need for Improved Climate Models and Predictions

    Science.gov (United States)

    Goddard, Lisa; Baethgen, Walter; Kirtman, Ben; Meehl, Gerald

    2009-09-01

    An investment over the next 10 years of the order of US$2 billion for developing improved climate models was recommended in a report (http://wcrp.wmo.int/documents/WCRP_WorldModellingSummit_Jan2009.pdf) from the May 2008 World Modelling Summit for Climate Prediction, held in Reading, United Kingdom, and presented by the World Climate Research Programme. The report indicated that “climate models will, as in the past, play an important, and perhaps central, role in guiding the trillion dollar decisions that the peoples, governments and industries of the world will be making to cope with the consequences of changing climate.” If trillions of dollars are going to be invested in making decisions related to climate impacts, an investment of $2 billion, which is less than 0.1% of that amount, to provide better climate information seems prudent. One example of investment in adaptation is the World Bank's Climate Investment Fund, which has drawn contributions of more than $6 billion for work on clean technologies and adaptation efforts in nine pilot countries and two pilot regions. This is just the beginning of expenditures on adaptation efforts by the World Bank and other mechanisms, focusing on only a small fraction of the nations of the world and primarily aimed at anticipated anthropogenic climate change. Moreover, decisions are being made now, all around the world—by individuals, companies, and governments—that affect people and their livelihoods today, not just 50 or more years in the future. Climate risk management, whether related to projects of the scope of the World Bank's or to the planning and decisions of municipalities, will be best guided by meaningful climate information derived from observations of the past and model predictions of the future.

  11. Special needs hurricane shelters and the ageing population: development of a methodology and a case study application.

    Science.gov (United States)

    Horner, Mark W; Ozguven, Eren Erman; Marcelin, Jean Michael; Kocatepe, Ayberk

    2018-01-01

    Recent experience of hurricanes, particularly in the southeast United States, has heightened awareness of the multifaceted nature of and the challenges to effective disaster relief planning. One key element of this planning is providing adequate shelter at secure locations for people who evacuate. Some of these individuals will have 'special needs', yet there is little research on the relationship with shelter space. This study designed a geographic information systems-based network optimisation methodology for the siting of special needs hurricane relief shelters, with a focus on the transportation component. It sought to find new locations for shelters that maximise accessibility by vulnerable populations, given capacity constraints, concentrating on the ageing population. The framework was implemented in a medium-sized metropolitan statistical area in the state of Florida where data suggest a possible deficit in special needs shelter space. The study analysed options for increasing special needs shelter capacity, while considering potential uncertainties in transportation network availability. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

  12. Lean six sigma methodologies improve clinical laboratory efficiency and reduce turnaround times.

    Science.gov (United States)

    Inal, Tamer C; Goruroglu Ozturk, Ozlem; Kibar, Filiz; Cetiner, Salih; Matyar, Selcuk; Daglioglu, Gulcin; Yaman, Akgun

    2018-01-01

    Organizing work flow is a major task of laboratory management. Recently, clinical laboratories have started to adopt methodologies such as Lean Six Sigma and some successful implementations have been reported. This study used Lean Six Sigma to simplify the laboratory work process and decrease the turnaround time by eliminating non-value-adding steps. The five-stage Six Sigma system known as define, measure, analyze, improve, and control (DMAIC) is used to identify and solve problems. The laboratory turnaround time for individual tests, total delay time in the sample reception area, and percentage of steps involving risks of medical errors and biological hazards in the overall process are measured. The pre-analytical process in the reception area was improved by eliminating 3 h and 22.5 min of non-value-adding work. Turnaround time also improved for stat samples from 68 to 59 min after applying Lean. Steps prone to medical errors and posing potential biological hazards to receptionists were reduced from 30% to 3%. Successful implementation of Lean Six Sigma significantly improved all of the selected performance metrics. This quality-improvement methodology has the potential to significantly improve clinical laboratories. © 2017 Wiley Periodicals, Inc.

  13. Methodology for the Systematic Assessment of the Regulatory Competence Needs (SARCoN) for Regulatory Bodies of Nuclear Installations

    International Nuclear Information System (INIS)

    2015-03-01

    A regulatory body’s competence is dependent, among other things, on the competence of its staff. A necessary, but not sufficient, condition for a regulatory body to be competent is that its staff can perform the tasks related to the functions of the regulatory body. In 2001, the IAEA published TECDOC 1254, Training the Staff of the Regulatory Body for Nuclear Facilities: A Competency Framework, which examines the manner in which the recognized regulatory functions of a nuclear regulatory body results in competence needs. Using the internationally recognized systematic approach to training, TECDOC 1254 provides a framework for regulatory bodies for managing training and developing, and maintaining the competence of its staff. It has been successfully used by many regulatory bodies all over the world, including States embarking on a nuclear power programme. The IAEA has also introduced a methodology and an assessment tool — Guidelines for Systematic Assessment of Regulatory Competence Needs (SARCoN) — which provides practical guidance on analysing the training and development needs of a regulatory body and, through a gap analysis, guidance on establishing competence needs and how to meet them. In 2013, the IAEA published Safety Reports Series No. 79, Managing Regulatory Body Competence, which provides generic guidance based on IAEA safety requirements in the development of a competence management system within a regulatory body’s integrated management system. An appendix in the Safety Report deals with the special case of building up the competence of regulatory bodies as part of the overall process of establishing an embarking State’s regulatory system. This publication provides guidance for the analysis of required and existing competences to identify those required by the regulatory body to perform its functions and therefore associated needs for acquiring competences. Hence, it is equally applicable to the needs of States embarking on nuclear power

  14. Application of Taguchi methodology to improve the functional quality of a mechanical device

    International Nuclear Information System (INIS)

    Regeai, Awatef Omar

    2005-01-01

    Manufacturing and quality control are recognized branches of engineering management. special attention has been made to improve thr tools and methods for the purpose of improving the products quality and finding solutions for any Obstacles and/or problems during the production process. Taguchi methodology is one of the most powerful techniques for improving product and manufacturing process quality at low cost. It is a strategical and practical method that aims to assist managers and industrial engineers to tackle manufacturing quality problems in a systematic and structured manner. The potential benefit of Taguchi methodology lies in its ease of use, its emphasis on reducing variability to give more economical products and hence the accessibility to the engineering fraternity for solving real life quality problems. This study applies Taguchi methodology to improve the functional quality of a local made chain gear by a purposed heat treatment process. The hardness of steel is generally a function not of its composition only, but rather of its heat treatment. The study investigates the effects of various heat treatment parameters, including ramp rate of heating, normalizing holding time, normalizing temperature, annealing holding time, annealing temperature, hardening holding time, hardening temperature, quenching media, tempering temperature and tempering holding time upon the hardness, which is a measure of resistance to plastic deformation. Both the analysis of means (ANOM) and Signal to Noise ratio (S/N) have been carried out for determining the optimal condition of the process. A significant improvement of the functional quality characteristic (hardness) by more than 32% was obtained. The Scanning Electron Microscopy technique was used in this study to obtain visual evidence of the quality and continuous improvement of the heat treated samples. (author)

  15. A general improved methodology to forecasting future oil production: Application to the UK and Norway

    International Nuclear Information System (INIS)

    Fiévet, L.; Forró, Z.; Cauwels, P.; Sornette, D.

    2015-01-01

    We present a new Monte-Carlo methodology to forecast the crude oil production of Norway and the U.K. based on a two-step process, (i) the nonlinear extrapolation of the current/past performances of individual oil fields and (ii) a stochastic model of the frequency of future oil field discoveries. Compared with the standard methodology that tends to underestimate remaining oil reserves, our method gives a better description of future oil production, as validated by our back-tests starting in 2008. Specifically, we predict remaining reserves extractable until 2030 to be 5.7 ± 0.3 billion barrels for Norway and 3.0 ± 0.3 billion barrels for the UK, which are respectively 45% and 66% above the predictions using an extrapolation of aggregate production. - Highlights: • Two step methodology to forecast a countries oil production. • Nonlinear extrapolation of the performance of individual fields. • Stochastic model of the frequency of future discoveries. • Backtest starting in 2008 of the methodology. • Improvement upon standard extrapolation of aggregate production

  16. Improved best estimate plus uncertainty methodology including advanced validation concepts to license evolving nuclear reactors

    International Nuclear Information System (INIS)

    Unal, Cetin; Williams, Brian; McClure, Patrick; Nelson, Ralph A.

    2010-01-01

    Many evolving nuclear energy programs plan to use advanced predictive multi-scale multi-physics simulation and modeling capabilities to reduce cost and time from design through licensing. Historically, the role of experiments was primary tool for design and understanding of nuclear system behavior while modeling and simulation played the subordinate role of supporting experiments. In the new era of multi-scale multi-physics computational based technology development, the experiments will still be needed but they will be performed at different scales to calibrate and validate models leading predictive simulations. Cost saving goals of programs will require us to minimize the required number of validation experiments. Utilization of more multi-scale multi-physics models introduces complexities in the validation of predictive tools. Traditional methodologies will have to be modified to address these arising issues. This paper lays out the basic aspects of a methodology that can be potentially used to address these new challenges in design and licensing of evolving nuclear technology programs. The main components of the proposed methodology are verification, validation, calibration, and uncertainty quantification. An enhanced calibration concept is introduced and is accomplished through data assimilation. The goal is to enable best-estimate prediction of system behaviors in both normal and safety related environments. To achieve this goal requires the additional steps of estimating the domain of validation and quantification of uncertainties that allow for extension of results to areas of the validation domain that are not directly tested with experiments, which might include extension of the modeling and simulation (M and S) capabilities for application to full-scale systems. The new methodology suggests a formalism to quantify an adequate level of validation (predictive maturity) with respect to required selective data so that required testing can be minimized for

  17. Improved best estimate plus uncertainty methodology including advanced validation concepts to license evolving nuclear reactors

    Energy Technology Data Exchange (ETDEWEB)

    Unal, Cetin [Los Alamos National Laboratory; Williams, Brian [Los Alamos National Laboratory; Mc Clure, Patrick [Los Alamos National Laboratory; Nelson, Ralph A [IDAHO NATIONAL LAB

    2010-01-01

    Many evolving nuclear energy programs plan to use advanced predictive multi-scale multi-physics simulation and modeling capabilities to reduce cost and time from design through licensing. Historically, the role of experiments was primary tool for design and understanding of nuclear system behavior while modeling and simulation played the subordinate role of supporting experiments. In the new era of multi-scale multi-physics computational based technology development, the experiments will still be needed but they will be performed at different scales to calibrate and validate models leading predictive simulations. Cost saving goals of programs will require us to minimize the required number of validation experiments. Utilization of more multi-scale multi-physics models introduces complexities in the validation of predictive tools. Traditional methodologies will have to be modified to address these arising issues. This paper lays out the basic aspects of a methodology that can be potentially used to address these new challenges in design and licensing of evolving nuclear technology programs. The main components of the proposed methodology are verification, validation, calibration, and uncertainty quantification. An enhanced calibration concept is introduced and is accomplished through data assimilation. The goal is to enable best-estimate prediction of system behaviors in both normal and safety related environments. To achieve this goal requires the additional steps of estimating the domain of validation and quantification of uncertainties that allow for extension of results to areas of the validation domain that are not directly tested with experiments, which might include extension of the modeling and simulation (M&S) capabilities for application to full-scale systems. The new methodology suggests a formalism to quantify an adequate level of validation (predictive maturity) with respect to required selective data so that required testing can be minimized for cost

  18. Improvement of the Assignment Methodology of the Approach Embankment Design to Highway Structures in Difficult Conditions

    Science.gov (United States)

    Chistyy, Y.; Kuzakhmetova, E.; Fazilova, Z.; Tsukanova, O.

    2018-03-01

    Design issues of junction of bridges and overhead road with approach embankment are studied. The reasons for the formation of deformations in the road structure are indicated. Activities to ensure sustainability and acceleration of the shrinkage of a weak subgrade approach embankment are listed. The necessity of taking into account the man-made impact of the approach embankment on the subgrade behavior is proved. Modern stabilizing agents to improve the properties of used soils in the embankment and the subgrade are suggested. Clarified methodology for determining an active zone of compression in the subgrade under load from the weight of the embankment is described. As an additional condition to the existing methodology for establishing the lower bound of the active zone of compression it is offered to accept the accuracy of evaluation of soil compressibility and determine shrinkage.

  19. Improving process methodology for measuring plutonium burden in human urine using fission track analysis

    International Nuclear Information System (INIS)

    Krahenbuhl, M.P.; Slaughter, D.M.

    1998-01-01

    The aim of this paper is to clearly define the chemical and nuclear principles governing Fission Track Analysis (FTA) to determine environmental levels of 239 Pu in urine. The paper also addresses deficiencies in FTA methodology and introduces improvements to make FTA a more reliable research tool. Our refined methodology, described herein, includes a chemically-induced precipitation phase, followed by anion exchange chromatography and employs a chemical tracer, 236 Pu. We have been able to establish an inverse correlation between Pu recovery and sample volume and our data confirms that increases in sample volume do not result in higher accuracy or lower detection limits. We conclude that in subsequent studies, samples should be limited to approximately two liters. The Pu detection limit for a sample of this volume is 2.8 μBq/l. (author)

  20. The Researching on Evaluation of Automatic Voltage Control Based on Improved Zoning Methodology

    Science.gov (United States)

    Xiao-jun, ZHU; Ang, FU; Guang-de, DONG; Rui-miao, WANG; De-fen, ZHU

    2018-03-01

    According to the present serious phenomenon of increasing size and structure of power system, hierarchically structured automatic voltage control(AVC) has been the researching spot. In the paper, the reduced control model is built and the adaptive reduced control model is researched to improve the voltage control effect. The theories of HCSD, HCVS, SKC and FCM are introduced and the effect on coordinated voltage regulation caused by different zoning methodologies is also researched. The generic framework for evaluating performance of coordinated voltage regulation is built. Finally, the IEEE-96 stsyem is used to divide the network. The 2383-bus Polish system is built to verify that the selection of a zoning methodology affects not only the coordinated voltage regulation operation, but also its robustness to erroneous data and proposes a comprehensive generic framework for evaluating its performance. The New England 39-bus network is used to verify the adaptive reduced control models’ performance.

  1. Incorporating performance improvement methods into a needs assessment: experience with a nutrition and exercise curriculum.

    Science.gov (United States)

    Fluker, Shelly-Ann; Whalen, Ursula; Schneider, Jason; Cantey, Paul; Bussey-Jones, Jada; Brady, Donald; Doyle, Joyce P

    2010-09-01

    Clinical guidelines recommend that physicians counsel patients on diet and exercise; however, physician counseling remains suboptimal. To determine if incorporating performance improvement (PI) methodologies into a needs assessment for an internal medicine (IM) residency curriculum on nutrition and exercise counseling was feasible and enhanced our understanding of the curricular needs. One hundred and fifty-eight IM residents completed a questionnaire to assess their knowledge, attitudes, and practices (KAP) about nutrition and exercise counseling for hypertensive patients. Residents' baseline nutrition and exercise counseling rates were also obtained using chart abstraction. Fishbone diagrams were created by the residents to delineate perceived barriers to diet and exercise counseling. The KAP questionnaire was analyzed using descriptive statistics. Chart abstraction data was plotted on run charts and average counseling rates were calculated. Pareto charts were developed from the fishbone diagrams depicting the number of times each barrier was reported. Almost 90% of the residents reported counseling their hypertensive patients about diet and exercise more than 20% of the time on the KAP questionnaire. In contrast, chart abstraction revealed average counseling rates of 3% and 4% for nutrition and exercise, respectively. The KAP questionnaire exposed a clinical knowledge deficit, lack of familiarity with the national guidelines, and low self-efficacy. In contrast, the fishbone analysis highlighted patient apathy, patient co-morbidities, and time pressure as the major perceived barriers. We found that incorporating PI methods into a needs assessment for an IM residency curriculum on nutrition and exercise counseling for patients at risk of cardiovascular disease was feasible, provided additional information not obtained through other means, and provided the opportunity to pilot the use of PI techniques as an educational strategy and means of measuring outcomes. Our

  2. FORMATION AND IMPLEMENTATION OF PUBLIC NEEDS AS A MEASURE OF IMPROVEMENT OF SOCIETY TERRITORIAL ORGANIZATION

    Directory of Open Access Journals (Sweden)

    Larysa Bogush

    2015-11-01

    Full Text Available The purpose of the paper is to study the relationship of the formation and implementation of the range of social needs with the evolution and activity is focused on the improvement of the territorial organization of society. Methodology of research involves: the substantiation of the origin, factors for the development, approaches to classification, functions of public needs in the development of state and society; the study of the socio-humanitarian space of formation and realization of the needs of individuals, functional and territorial communities, as well as a mechanism of their satisfaction at the national and spatial scales (on the example of Ukraine – a country with a developing economy, wherein the decentralization of powers in the field social welfare and consolidation of local communities are implemented at present. Results. Summarized and proved the patterns and trends of development, evolution, transformation of needs of social groups, functional and territorial communities of the population, as well as the relationship of these processes with the economic and institutional capacities and mechanisms of satisfaction of the spectrum of social needs in consideration of peculiarities, achieved and desired parameters of development of productive forces, human and other components of the social and humanitarian potential, cultural features of the society. The development of the institutional, functional and territorial organization of society, in fact, is a process of formation and implementation in the range of human needs (individual and collective, which is estimated with the factors, conditions and mechanisms of their satisfaction, including through the dynamics of the positions of the spectrum of social groups and subjects concerning the required amount of vital goods consumption. Practical implications. Social and political transformation stimulates the establishment of the multidirectional formation in the Ukrainian economy of

  3. Joint Exercise Program: DOD Needs to Take Steps to Improve the Quality of Funding Data

    Science.gov (United States)

    2017-02-01

    need to do their due diligence in uploading supporting documentation in order to ensure proper accountability of Combatant Commanders Exercise...Event Life Cycle5 methodology captured and reviewed in JTIMS. Task Performance Observations—which identify whether the training audience achieved the...5The Joint Event Life Cycle comprises the design, planning, preparation, execution

  4. Improved methodology to assess modification and completion of landfill gas management in the aftercare period

    International Nuclear Information System (INIS)

    Morris, Jeremy W.F.; Crest, Marion; Barlaz, Morton A.; Spokas, Kurt A.; Åkerman, Anna; Yuan, Lei

    2012-01-01

    Highlights: ► Performance-based evaluation of landfill gas control system. ► Analytical framework to evaluate transition from active to passive gas control. ► Focus on cover oxidation as an alternative means of passive gas control. ► Integrates research on long-term landfill behavior with practical guidance. - Abstract: Municipal solid waste landfills represent the dominant option for waste disposal in many parts of the world. While some countries have greatly reduced their reliance on landfills, there remain thousands of landfills that require aftercare. The development of cost-effective strategies for landfill aftercare is in society’s interest to protect human health and the environment and to prevent the emergence of landfills with exhausted aftercare funding. The Evaluation of Post-Closure Care (EPCC) methodology is a performance-based approach in which landfill performance is assessed in four modules including leachate, gas, groundwater, and final cover. In the methodology, the objective is to evaluate landfill performance to determine when aftercare monitoring and maintenance can be reduced or possibly eliminated. This study presents an improved gas module for the methodology. While the original version of the module focused narrowly on regulatory requirements for control of methane migration, the improved gas module also considers best available control technology for landfill gas in terms of greenhouse gas emissions, air quality, and emissions of odoriferous compounds. The improved module emphasizes the reduction or elimination of fugitive methane by considering the methane oxidation capacity of the cover system. The module also allows for the installation of biologically active covers or other features designed to enhance methane oxidation. A methane emissions model, CALMIM, was used to assist with an assessment of the methane oxidation capacity of landfill covers.

  5. Improved methodology to assess modification and completion of landfill gas management in the aftercare period

    Energy Technology Data Exchange (ETDEWEB)

    Morris, Jeremy W.F., E-mail: jmorris@geosyntec.com [Geosyntec Consultants, 10220 Old Columbia Road, Suite A, Columbia, MD 21046 (United States); Crest, Marion, E-mail: marion.crest@suez-env.com [Suez Environnement, 38 rue du President Wilson, 78230 Le Pecq (France); Barlaz, Morton A., E-mail: barlaz@ncsu.edu [Department of Civil, Construction, and Environmental Engineering, Campus Box 7908, North Carolina State University, Raleigh, NC 27695-7908 (United States); Spokas, Kurt A., E-mail: kurt.spokas@ars.usda.gov [United States Department of Agriculture - Agricultural Research Service, 1991 Upper Buford Circle, 439 Borlaug Hall, St. Paul, MN 55108 (United States); Akerman, Anna, E-mail: anna.akerman@sita.fr [SITA France, Tour CB 21, 16 Place de l' Iris, 92040 Paris La Defense Cedex (France); Yuan, Lei, E-mail: lyuan@geosyntec.com [Geosyntec Consultants, 10220 Old Columbia Road, Suite A, Columbia, MD 21046 (United States)

    2012-12-15

    Highlights: Black-Right-Pointing-Pointer Performance-based evaluation of landfill gas control system. Black-Right-Pointing-Pointer Analytical framework to evaluate transition from active to passive gas control. Black-Right-Pointing-Pointer Focus on cover oxidation as an alternative means of passive gas control. Black-Right-Pointing-Pointer Integrates research on long-term landfill behavior with practical guidance. - Abstract: Municipal solid waste landfills represent the dominant option for waste disposal in many parts of the world. While some countries have greatly reduced their reliance on landfills, there remain thousands of landfills that require aftercare. The development of cost-effective strategies for landfill aftercare is in society's interest to protect human health and the environment and to prevent the emergence of landfills with exhausted aftercare funding. The Evaluation of Post-Closure Care (EPCC) methodology is a performance-based approach in which landfill performance is assessed in four modules including leachate, gas, groundwater, and final cover. In the methodology, the objective is to evaluate landfill performance to determine when aftercare monitoring and maintenance can be reduced or possibly eliminated. This study presents an improved gas module for the methodology. While the original version of the module focused narrowly on regulatory requirements for control of methane migration, the improved gas module also considers best available control technology for landfill gas in terms of greenhouse gas emissions, air quality, and emissions of odoriferous compounds. The improved module emphasizes the reduction or elimination of fugitive methane by considering the methane oxidation capacity of the cover system. The module also allows for the installation of biologically active covers or other features designed to enhance methane oxidation. A methane emissions model, CALMIM, was used to assist with an assessment of the methane oxidation

  6. An integrated methodology for process improvement and delivery system visualization at a multidisciplinary cancer center.

    Science.gov (United States)

    Singprasong, Rachanee; Eldabi, Tillal

    2013-01-01

    Multidisciplinary cancer centers require an integrated, collaborative, and stream-lined workflow in order to provide high quality of patient care. Due to the complex nature of cancer care and continuing changes to treatment techniques and technologies, it is a constant struggle for centers to obtain a systemic and holistic view of treatment workflow for improving the delivery systems. Project management techniques, Responsibility matrix and a swim-lane activity diagram representing sequence of activities can be combined for data collection, presentation, and evaluation of the patient care. This paper presents this integrated methodology using multidisciplinary meetings and walking the route approach for data collection, integrated responsibility matrix and swim-lane activity diagram with activity time for data representation and 5-why and gap analysis approach for data analysis. This enables collection of right detail of information in a shorter time frame by identifying process flaws and deficiencies while being independent of the nature of the patient's disease or treatment techniques. A case study of a multidisciplinary regional cancer centre is used to illustrate effectiveness of the proposed methodology and demonstrates that the methodology is simple to understand, allowing for minimal training of staff and rapid implementation. © 2011 National Association for Healthcare Quality.

  7. Improving operating room efficiency in academic children's hospital using Lean Six Sigma methodology.

    Science.gov (United States)

    Tagge, Edward P; Thirumoorthi, Arul S; Lenart, John; Garberoglio, Carlos; Mitchell, Kenneth W

    2017-06-01

    Lean Six Sigma (LSS) is a process improvement methodology that utilizes a collaborative team effort to improve performance by systematically identifying root causes of problems. Our objective was to determine whether application of LSS could improve efficiency when applied simultaneously to all services of an academic children's hospital. In our tertiary academic medical center, a multidisciplinary committee was formed, and the entire perioperative process was mapped, using fishbone diagrams, Pareto analysis, and other process improvement tools. Results for Children's Hospital scheduled main operating room (OR) cases were analyzed, where the surgical attending followed themselves. Six hundred twelve cases were included in the seven Children's Hospital operating rooms (OR) over a 6-month period. Turnover Time (interval between patient OR departure and arrival of the subsequent patient) decreased from a median 41min in the baseline period to 32min in the intervention period (p<0.0001). Turnaround Time (interval between surgical dressing application and subsequent surgical incision) decreased from a median 81.5min in the baseline period to 71min in the intervention period (p<0.0001). These results demonstrate that a coordinated multidisciplinary process improvement redesign can significantly improve efficiency in an academic Children's Hospital without preselecting specific services, removing surgical residents, or incorporating new personnel or technology. Prospective comparative study, Level II. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. [Improvement in the efficiency of a rehabilitation service using Lean Healthcare methodology].

    Science.gov (United States)

    Pineda Dávila, S; Tinoco González, J

    2015-01-01

    The aim of this study was to evaluate the reduction in costs and the increase in time devoted to the patient, by applying Lean Healthcare methodology. A multidisciplinary team was formed, setting up three potential areas for improvement by performing a diagnostic process, including the storage and standardization of materials, and professional tasks in the therapeutic areas, by implementing three Lean tools: kanban, 5S and 2P. Stored material costs decreased by 43%, the cost of consumables per patient treated by 19%, and time dedicated to patient treatment increased by 7%. The processes were standardized and "muda" (wastefulness) was eliminated, thus reducing costs and increasing the value to the patient. All this demonstrates that it is possible to apply tools of industrial origin to the health sector, with the aim of improving the quality of care and achieve maximum efficiency. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

  9. A call to improve sampling methodology and reporting in young novice driver research.

    Science.gov (United States)

    Scott-Parker, B; Senserrick, T

    2017-02-01

    Young drivers continue to be over-represented in road crash fatalities despite a multitude of research, communication and intervention. Evidence-based improvement depends to a great extent upon research methodology quality and its reporting, with known limitations in the peer-review process. The aim of the current research was to review the scope of research methodologies applied in 'young driver' and 'teen driver' research and their reporting in four peer-review journals in the field between January 2006 and December 2013. In total, 806 articles were identified and assessed. Reporting omissions included participant gender (11% of papers), response rates (49%), retention rates (39%) and information regarding incentives (44%). Greater breadth and specific improvements in study designs and reporting are thereby identified as a means to further advance the field. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  10. New evaluation methodology of regenerative braking contribution to energy efficiency improvement of electric vehicles

    International Nuclear Information System (INIS)

    Qiu, Chengqun; Wang, Guolin

    2016-01-01

    Highlights: • Two different contribution ratio evaluation parameters according to the deceleration braking process are proposed. • Methodologies for calculating the contribution made by regenerative brake to improve vehicle energy efficiency are proposed. • Road test results imply that the proposed parameters are effective. - Abstract: Comprehensive research is conducted on the design and control of a regenerative braking system for electric vehicles. The mechanism and evaluation methods of contribution brought by regenerative braking to improve electric vehicle’s energy efficiency are discussed and analyzed by the energy flow. Methodologies for calculating the contribution made by regenerative brake are proposed. Additionally a new regenerative braking control strategy called “serial 2 control strategy” is introduced. Moreover, two control strategies called “parallel control strategy” and “serial 1 control strategy” are proposed as the comparative control strategy. Furthermore, two different contribution ratio evaluation parameters according to the deceleration braking process are proposed. Finally, road tests are carried out under China typical city regenerative driving cycle standard with three different control strategies. The serial 2 control strategy offers considerably higher regeneration efficiency than the parallel strategy and serial 1 strategy.

  11. Residency Training: Quality improvement projects in neurology residency and fellowship: applying DMAIC methodology.

    Science.gov (United States)

    Kassardjian, Charles D; Williamson, Michelle L; van Buskirk, Dorothy J; Ernste, Floranne C; Hunderfund, Andrea N Leep

    2015-07-14

    Teaching quality improvement (QI) is a priority for residency and fellowship training programs. However, many medical trainees have had little exposure to QI methods. The purpose of this study is to review a rigorous and simple QI methodology (define, measure, analyze, improve, and control [DMAIC]) and demonstrate its use in a fellow-driven QI project aimed at reducing the number of delayed and canceled muscle biopsies at our institution. DMAIC was utilized. The project aim was to reduce the number of delayed muscle biopsies to 10% or less within 24 months. Baseline data were collected for 12 months. These data were analyzed to identify root causes for muscle biopsy delays and cancellations. Interventions were developed to address the most common root causes. Performance was then remeasured for 9 months. Baseline data were collected on 97 of 120 muscle biopsies during 2013. Twenty biopsies (20.6%) were delayed. The most common causes were scheduling too many tests on the same day and lack of fasting. Interventions aimed at patient education and biopsy scheduling were implemented. The effect was to reduce the number of delayed biopsies to 6.6% (6/91) over the next 9 months. Familiarity with QI methodologies such as DMAIC is helpful to ensure valid results and conclusions. Utilizing DMAIC, we were able to implement simple changes and significantly reduce the number of delayed muscle biopsies at our institution. © 2015 American Academy of Neurology.

  12. Using Lean Six Sigma Methodology to Improve Quality of the Anesthesia Supply Chain in a Pediatric Hospital.

    Science.gov (United States)

    Roberts, Renée J; Wilson, Ashley E; Quezado, Zenaide

    2017-03-01

    Six Sigma and Lean methodologies are effective quality improvement tools in many health care settings. We applied the DMAIC methodology (define, measure, analyze, improve, control) to address deficiencies in our pediatric anesthesia supply chain. We defined supply chain problems by mapping existing processes and soliciting comments from those involved. We used daily distance walked by anesthesia technicians and number of callouts for missing supplies as measurements that we analyzed before and after implementing improvements (anesthesia cart redesign). We showed improvement in the metrics after those interventions were implemented, and those improvements were sustained and thus controlled 1 year after implementation.

  13. An Improved Methodology to Overcome Key Issues in Human Fecal Metagenomic DNA Extraction

    DEFF Research Database (Denmark)

    Kumar, Jitendra; Kumar, Manoj; Gupta, Shashank

    2016-01-01

    Microbes are ubiquitously distributed in nature, and recent culture-independent studies have highlighted the significance of gut microbiota in human health and disease. Fecal DNA is the primary source for the majority of human gut microbiome studies. However, further improvement is needed to obta...

  14. Towards a global CO2 calculation standard for supply chains: Suggestions for methodological improvements

    NARCIS (Netherlands)

    Davydenko, I.; Ehrler, V.; Ree, D. de; Lewis, A.; Tavasszy, L.

    2014-01-01

    Improving the efficiency and sustainability of supply chains is a shared aim of the transport industry, its customers, governments as well as industry organisations. To optimize supply chains and for the identification of best practice, standards for their analysis are needed in order to achieve

  15. Reducing DNACPR complaints to zero: designing and implementing a treatment escalation plan using quality improvement methodology.

    Science.gov (United States)

    Shermon, Elizabeth; Munglani, Laura; Oram, Sarah; William, Linda; Abel, Julian

    2017-01-01

    Do Not Attempt Resuscitation (DNAR)decisions have traditionally formed the basis of ceiling of care discussions. However, poor quality discussions can lead to high patient and relative dissatisfaction, generating hospital complaints. Treatment escalation plans (TEPs) aim to highlight the wider remit of treatment options with a focus on effective communication. We aimed to improve TEP discussions and documentation at Weston General Hospital by introducing a standardised form. We aimed to develop a TEP document to reduce resuscitation-related complaints by improving communication and documentation. Qualitative and quantitative data were collected over 2 years and used to develop plan-do-study-act (PDSA) cycles using quality improvement methodology. Main barriers to improvement included time constraints and clinician's resistance. Analysis of patient liaison services data showed a progressive reduction in complaints regarding resuscitation, with no complaints having been received for the final six months of the project. Through use of a standardised form including treatment prompts, the quality of discussions and plans improved. Qualitative feedback demonstrated increased patient and relative satisfaction. In addition, junior doctors report the plans are helpful when making out-of-hours decisions. Development of a user-friendly form to document patient-guided TEPs helped junior doctors to lead advanced care planning discussions. The use of PDSA cycles demonstrated improvement in the quality of forms, which in turn improved communication, documentation and satisfaction. Future developments could include involvement of specialist teams to ensure TEP forms remain relevant to all clinical areas. In addition, with widespread use of the TEP forms, the traditional tick-box DNAR could be replaced to focus on patient-led care planning.

  16. Improving Efficiency Using Time-Driven Activity-Based Costing Methodology.

    Science.gov (United States)

    Tibor, Laura C; Schultz, Stacy R; Menaker, Ronald; Weber, Bradley D; Ness, Jay; Smith, Paula; Young, Phillip M

    2017-03-01

    The aim of this study was to increase efficiency in MR enterography using a time-driven activity-based costing methodology. In February 2015, a multidisciplinary team was formed to identify the personnel, equipment, space, and supply costs of providing outpatient MR enterography. The team mapped the current state, completed observations, performed timings, and calculated costs associated with each element of the process. The team used Pareto charts to understand the highest cost and most time-consuming activities, brainstormed opportunities, and assessed impact. Plan-do-study-act cycles were developed to test the changes, and run charts were used to monitor progress. The process changes consisted of revising the workflow associated with the preparation and administration of glucagon, with completed implementation in November 2015. The time-driven activity-based costing methodology allowed the radiology department to develop a process to more accurately identify the costs of providing MR enterography. The primary process modification was reassigning responsibility for the administration of glucagon from nurses to technologists. After implementation, the improvements demonstrated success by reducing non-value-added steps and cost by 13%, staff time by 16%, and patient process time by 17%. The saved process time was used to augment existing examination time slots to more accurately accommodate the entire enterographic examination. Anecdotal comments were captured to validate improved staff satisfaction within the multidisciplinary team. This process provided a successful outcome to address daily workflow frustrations that could not previously be improved. A multidisciplinary team was necessary to achieve success, in addition to the use of a structured problem-solving approach. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  17. Report: EPA Improved Its National Security Information Program, but Some Improvements Still Needed

    Science.gov (United States)

    Report #16-P-0196, June 2, 2016. The EPA will continue to improve its national security information program by completing information classification guides that can be used uniformly and consistently throughout the agency.

  18. Time-to-event methodology improved statistical evaluation in register-based health services research.

    Science.gov (United States)

    Bluhmki, Tobias; Bramlage, Peter; Volk, Michael; Kaltheuner, Matthias; Danne, Thomas; Rathmann, Wolfgang; Beyersmann, Jan

    2017-02-01

    Complex longitudinal sampling and the observational structure of patient registers in health services research are associated with methodological challenges regarding data management and statistical evaluation. We exemplify common pitfalls and want to stimulate discussions on the design, development, and deployment of future longitudinal patient registers and register-based studies. For illustrative purposes, we use data from the prospective, observational, German DIabetes Versorgungs-Evaluation register. One aim was to explore predictors for the initiation of a basal insulin supported therapy in patients with type 2 diabetes initially prescribed to glucose-lowering drugs alone. Major challenges are missing mortality information, time-dependent outcomes, delayed study entries, different follow-up times, and competing events. We show that time-to-event methodology is a valuable tool for improved statistical evaluation of register data and should be preferred to simple case-control approaches. Patient registers provide rich data sources for health services research. Analyses are accompanied with the trade-off between data availability, clinical plausibility, and statistical feasibility. Cox' proportional hazards model allows for the evaluation of the outcome-specific hazards, but prediction of outcome probabilities is compromised by missing mortality information. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Improving patient care in cardiac surgery using Toyota production system based methodology.

    Science.gov (United States)

    Culig, Michael H; Kunkle, Richard F; Frndak, Diane C; Grunden, Naida; Maher, Thomas D; Magovern, George J

    2011-02-01

    A new cardiac surgery program was developed in a community hospital setting using the operational excellence (OE) method, which is based on the principles of the Toyota production system. The initial results of the first 409 heart operations, performed over the 28 months between March 1, 2008, and June 30, 2010, are presented. Operational excellence methodology was taught to the cardiac surgery team. Coaching started 2 months before the opening of the program and continued for 24 months. Of the 409 cases presented, 253 were isolated coronary artery bypass graft operations. One operative death occurred. According to the database maintained by The Society of Thoracic Surgeons, the risk-adjusted operative mortality rate was 61% lower than the regional rate. Likewise, the risk-adjusted rate of major complications was 57% lower than The Society of Thoracic Surgeons regional rate. Daily solution to determine cause was attempted on 923 distinct perioperative problems by all team members. Using the cost of complications as described by Speir and coworkers, avoiding predicted complications resulted in a savings of at least $884,900 as compared with the regional average. By the systematic use of a real time, highly formatted problem-solving methodology, processes of care improved daily. Using carefully disciplined teamwork, reliable implementation of evidence-based protocols was realized by empowering the front line to make improvements. Low rates of complications were observed, and a cost savings of $3,497 per each case of isolated coronary artery bypass graft was realized. Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  20. The improving of methodological principles of enterprise competitiveness management under the crisis

    Directory of Open Access Journals (Sweden)

    Marina Dyadyuk

    2016-12-01

    Full Text Available The purpose of this research is methodological bases improving and forming of practical tools for enterprise competitiveness management under the crisis. The specific features of the competitive environment of enterprises in Ukraine under the global and national crisis are researched in the article. From this it is concluded that any enterprise must have a greater degree of flexibility than in periods of stability or economic growth for obtaining and maintaining of competitive advantages in the current period of global instability. Flexibility and adaptability of the economic system is the main prerequisite for obtaining and developing of enterprise competitive advantages and stem component of competitiveness. We identified and characterized the methodological components of adaptive management process on the base of systematic approach and with taking into account views of scientists. The obtained scientific results are the basis for conceptual model of integrated system of enterprise adaptive management in terms of dynamic and uncertainty environment. We propose to implement this kind of control on three levels: strategic (preventive management, functionality (tactical management and operational (symptomatic management on the base of analyzing economically grounded views and existing positions. It all together will ensure effective adaptation at the macroeconomic, meso and micro levels of management. The main purpose of the proposed integrated management system is ensuring the stability and integrity of enterprises activity in terms of variability and uncertainty of the environment. The implementation of such management system provides the enterprise with certain competitive advantages. It will allow to Ukrainian enterprises maintaining the competitive position in unfavorable external conditions, but also maintaining and improving the competitiveness.

  1. Optimization of a novel improver gel formulation for Barbari flat bread using response surface methodology.

    Science.gov (United States)

    Pourfarzad, Amir; Haddad Khodaparast, Mohammad Hossein; Karimi, Mehdi; Mortazavi, Seyed Ali

    2014-10-01

    Nowadays, the use of bread improvers has become an essential part of improving the production methods and quality of bakery products. In the present study, the Response Surface Methodology (RSM) was used to determine the optimum improver gel formulation which gave the best quality, shelf life, sensory and image properties for Barbari flat bread. Sodium stearoyl-2-lactylate (SSL), diacetyl tartaric acid esters of monoglyceride (DATEM) and propylene glycol (PG) were constituents of the gel and considered in this study. A second-order polynomial model was fitted to each response and the regression coefficients were determined using least square method. The optimum gel formulation was found to be 0.49 % of SSL, 0.36 % of DATEM and 0.5 % of PG when desirability function method was applied. There was a good agreement between the experimental data and their predicted counterparts. Results showed that the RSM, image processing and texture analysis are useful tools to investigate, approximate and predict a large number of bread properties.

  2. Report: Implementation Plan With Cost Sharing Methodology Needed for Region 8 Senior Environmental Employee Work on Lead Risk Reduction

    Science.gov (United States)

    Report #13-P-0430, September 24, 2013. The two Region 8 program offices that jointly implement the Lead Renovation, Repair and Painting Program do not have methodology or agreement for sharing SEE funding, which has led to confusion.

  3. An Improved Cambridge Filter Pad Extraction Methodology to Obtain More Accurate Water and “Tar” Values: In Situ Cambridge Filter Pad Extraction Methodology

    Directory of Open Access Journals (Sweden)

    Ghosh David

    2014-07-01

    conventional cigarettes is required the in situ extraction methodology must be used for the aerosol of the PMI HTP to obtain accurate NFDPM/”tar” values. This would be for example the case if there were a need to print “tar” yields on packs or compare yields to ceilings. Failure to use the in situ extraction methodology will result in erroneous and overestimated NFDPM/”tar” values.

  4. Selective critique of risk assessments with recommendations for improving methodology and practise

    International Nuclear Information System (INIS)

    Aven, Terje

    2011-01-01

    Risk assessments are often criticised for defending activities that could harm the environment and human health. The risk assessments produce numbers which are used to prove that the risk associated with the activity is acceptable. In this way, risk assessments seem to be a tool generally serving business. Government agencies have based their regulations on the use of risk assessment and the prevailing practise is supported by the regulations. In this paper, we look more closely into this critique. Are risk assessments being misused or are risk assessments simply not a suitable tool for guiding decision-making in the face of risks and uncertainties? Is the use of risk assessments not servicing public interests? We argue that risk assessments may provide useful decision support but the quality of the risk assessments and the associated risk assessment processes need to be improved. In this paper, three main improvement areas (success factors) are identified and discussed: (1) the scientific basis of the risk assessments needs to be strengthened, (2) the risk assessments need to provide a much broader risk picture than what is typically the case today. Separate uncertainty analyses should be carried out, extending the traditional probabilistic-based analyses and (3) the cautionary and precautionary principles need to be seen as rational risk management approaches, and their application would, to a large extent, be based on risk and uncertainty assessments.

  5. Report: EPA Needs to Improve Management Practices to Ensure a Successful Customer Technology Solutions Project

    Science.gov (United States)

    Report #10-P-0194, August 23, 2010. Although EPA indicated it could avoid spending more than $115.4 million over 8.5 years by consolidating the desktop computing environment, improved management practices are needed.

  6. Report: Improved Management Practices Needed to Increase Use of Exchange Network

    Science.gov (United States)

    Report #2007-P-00030, August 20, 2007. EPA established a partnership with the Exchange Network’s governance bodies to assist them with accomplishing Network initiatives, more improvements are needed to ensure Network partners fully utilize the Network.

  7. Report: Office of Research and Development Needs to Improve Its Method of Measuring Administrative Savings

    Science.gov (United States)

    Report #11-P-0333, July 14, 2011. ORD’s efforts to reduce its administrative costs are noteworthy, but ORD needs to improve its measurement mechanism for assessing the effectiveness of its initiatives to reduce administrative costs.

  8. Application of Lean Healthcare methodology in a urology department of a tertiary hospital as a tool for improving efficiency.

    Science.gov (United States)

    Boronat, F; Budia, A; Broseta, E; Ruiz-Cerdá, J L; Vivas-Consuelo, D

    To describe the application of the Lean methodology as a method for continuously improving the efficiency of a urology department in a tertiary hospital. The implementation of the Lean Healthcare methodology in a urology department was conducted in 3 phases: 1) team training and improvement of feedback among the practitioners, 2) management by process and superspecialisation and 3) improvement of indicators (continuous improvement). The indicators were obtained from the Hospital's information systems. The main source of information was the Balanced Scorecard for health systems management (CUIDISS). The comparison with other autonomous and national urology departments was performed through the same platform with the help of the Hospital's records department (IASIST). A baseline was established with the indicators obtained in 2011 for the comparative analysis of the results after implementing the Lean Healthcare methodology. The implementation of this methodology translated into high practitioner satisfaction, improved quality indicators reaching a risk-adjusted complication index (RACI) of 0.59 and a risk-adjusted mortality rate (RAMR) of 0.24 in 4 years. A value of 0.61 was reached with the efficiency indicator (risk-adjusted length of stay [RALOS] index), with a savings of 2869 stays compared with national Benchmarking (IASIST). The risk-adjusted readmissions index (RARI) was the only indicator above the standard, with a value of 1.36 but with progressive annual improvement of the same. The Lean methodology can be effectively applied to a urology department of a tertiary hospital to improve efficiency, obtaining significant and continuous improvements in all its indicators, as well as practitioner satisfaction. Team training, management by process, continuous improvement and delegation of responsibilities has been shown to be the fundamental pillars of this methodology. Copyright © 2017 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. MODERN CONCEPTS OF THE SIX SIGMA METHODOLOGY FOR IMPROVING THE QUALITY

    Directory of Open Access Journals (Sweden)

    MARGARITA JANESKA

    2018-02-01

    Full Text Available Product quality is generally accepted as being crucial in today’s industrial business. The traditional aspects of product quality are connected to product design (translating customer demands into attractive features and technical specifications and to the design and specification of high performance production processes with low defect rates. Quality management is the general expression for all actions leading to quality. Quality management is focused on improving customer satisfaction through continuous improvement of processes including the removal of uncertain activities, and continuous improvement of the quality of processes, products and services. The quality management includes four key processes, such as quality planning, quality assurance, quality control and quality costs. The main accent in this paper will be on quality control and the application of one of the quality control tools in order to improve it. Six Sigma is different from other quality improvement concepts in that its framework is comprised of many principles, tools and techniques, which, together with experience, are all integrated and translated into best practices. Bearing in mind that the goal of every company is to work effectively and effectively in the long run, this paper focuses on Six Sigma as a way to continuously improve quality. Namely, this paper emphasizes the key features of the quality of products / services, the Need for the application of Six Sigma for quality assurance, and also a detailed list of tools and techniques that can be used during the implementation of Six Sigma.

  10. Defense Logistics Agency Disposition Services Needs to Improve Demilitarization Program Self-Assessment Evaluations - Redacted

    Science.gov (United States)

    2016-12-20

    from mandatory disclosure under the Freedom of Information Act. Defense Logistics Agency Disposition Services Needs to Improve Demilitarization...Project No. D2016-D000RD-0057.000) │ i Results in Brief Defense Logistics Agency Disposition Services Needs to Improve Demilitarization Program Self...Assessment Evaluations Visit us at www.dodig.mil December 20, 2016 Objective Our audit objective was to determine whether the Defense Logistics Agency

  11. Family Education as an Element to Improve Quality of Life of Children with Special Needs

    OpenAIRE

    Kokle-Narbuta, Iveta

    2015-01-01

    The current research aims to analyse the importance of family education in improving life quality of children with special needs. Nowadays our society aim for sustainable development which means equal rights and possibilities for all the citizens but reality shows a different situation, especially it concerns children with special needs. Family education could be one of possible ways how to improve the quality of life. In the current article the author looks on family education as a solution ...

  12. Can formal collaborative methodologies improve quality in primary health care in New Zealand? Insights from the EQUIPPED Auckland Collaborative.

    Science.gov (United States)

    Palmer, Celia; Bycroft, Janine; Healey, Kate; Field, Adrian; Ghafel, Mazin

    2012-12-01

    Auckland District Health Board was one of four District Health Boards to trial the Breakthrough Series (BTS) methodology to improve the management of long-term conditions in New Zealand, with support from the Ministry of Health. To improve clinical outcomes, facilitate planned care and promote quality improvement within participating practices in Auckland. Implementation of the Collaborative followed the improvement model / Institute for Healthcare Improvement methodology. Three topic areas were selected: system redesign, cardio-vascular disease/diabetes, and self-management support. An expert advisory group and the Improvement Foundation Australia helped guide project development and implementation. Primary Health Organisation facilitators were trained in the methodology and 15 practice teams participated in the three learning workshops and action periods over 12 months. An independent evaluation study using both quantitative and qualitative methods was conducted. Improvements were recorded in cardiovascular disease risk assessment, practice-level systems of care, self-management systems and follow-up and coordination for patients. Qualitative research found improvements in coordination and teamwork, knowledge of practice populations and understanding of managing long-term conditions. The Collaborative process delivered some real improvements in the systems of care for people with long-term conditions and a change in culture among participating practices. The findings suggest that by strengthening facilitation processes, improving access to comprehensive population audit tools and lengthening the time frame, the process has the potential to make significant improvements in practice. Other organisations should consider this approach when investigating quality improvement programmes.

  13. Improving hospital discharge time: a successful implementation of Six Sigma methodology.

    Science.gov (United States)

    El-Eid, Ghada R; Kaddoum, Roland; Tamim, Hani; Hitti, Eveline A

    2015-03-01

    Delays in discharging patients can impact hospital and emergency department (ED) throughput. The discharge process is complex and involves setting specific challenges that limit generalizability of solutions. The aim of this study was to assess the effectiveness of using Six Sigma methods to improve the patient discharge process. This is a quantitative pre and post-intervention study. Three hundred and eighty-six bed tertiary care hospital. A series of Six Sigma driven interventions over a 10-month period. The primary outcome was discharge time (time from discharge order to patient leaving the room). Secondary outcome measures included percent of patients whose discharge order was written before noon, percent of patients leaving the room by noon, hospital length of stay (LOS), and LOS of admitted ED patients. Discharge time decreased by 22.7% from 2.2 hours during the preintervention period to 1.7 hours post-intervention (P Six Sigma methodology can be an effective change management tool to improve discharge time. The focus of institutions aspiring to tackle delays in the discharge process should be on adopting the core principles of Six Sigma rather than specific interventions that may be institution-specific.

  14. Using lean methodology to improve efficiency of electronic order set maintenance in the hospital.

    Science.gov (United States)

    Idemoto, Lori; Williams, Barbara; Blackmore, Craig

    2016-01-01

    Order sets, a series of orders focused around a diagnosis, condition, or treatment, can reinforce best practice, help eliminate outdated practice, and provide clinical guidance. However, order sets require regular updates as evidence and care processes change. We undertook a quality improvement intervention applying lean methodology to create a systematic process for order set review and maintenance. Root cause analysis revealed challenges with unclear prioritization of requests, lack of coordination between teams, and lack of communication between producers and requestors of order sets. In March of 2014, we implemented a systematic, cyclical order set review process, with a set schedule, defined responsibilities for various stakeholders, formal meetings and communication between stakeholders, and transparency of the process. We first identified and deactivated 89 order sets which were infrequently used. Between March and August 2014, 142 order sets went through the new review process. Processing time for the build duration of order sets decreased from a mean of 79.6 to 43.2 days (pLean production principles to the order set review process resulted in significant improvement in processing time and increased quality of orders. As use of order sets and other forms of clinical decision support increase, regular evidence and process updates become more critical.

  15. THE ARTHRITIS AND MUSCULOSKELETAL QUALITY IMPROVEMENT PROGRAM (AMQUIP: A BREAKTHROUGH SERIES METHODOLOGY PROJECT

    Directory of Open Access Journals (Sweden)

    MASTURA I

    2008-01-01

    Full Text Available The Australian government had funded the National Primary Care Collaborative (NPCC program with funding of $14.6 million over three years. One of the pilots project was the Arthritis and Musculoskeletal Quality Improvement Program (AMQuIP.The study aims to optimize general practitioners (GPs management of patients with osteoarthritis (OA of the hip and knee by identifying gaps between their current practice and best practice. The Breakthrough Series Collaborative methodology with several Plan-Do-Study-Act (PDSA cycles was employed. Participants comprises of 12 GPs/practices from two Victorian Divisions of general Practice (one rural, one metropolitan with 10 patients per GP/practice. GPs/practices attended an orientation and three learning workshops and a videoconference. GPs/practices completed PDSA cycles between workshop and reported results at workshops. GPs/practices reported use of guidelines, change in patient management and change in practice management/systems. All recruited patients completed the SF-12v2 Health Survey and WOMAC OA Index Questionnaire twice. Follow up activities including focus groups and face-to-face interviews were held six months after the final workshop. All GPs/practices used the guidelines/key messages, introduced “new” management strategies to patients, and made positive changes to their practice management/systems. Patient reported positive changes and outcomes. By using a structured methodology and evidence-based guidelines/key messages; GPs can introduce new patient management strategies, and by identifying gaps in practice management systems, positive changes can be achieved.

  16. Improvement in decay ratio calculation in LAPUR5 methodology for BWR instability

    International Nuclear Information System (INIS)

    Li Hsuannien; Yang Tzungshiue; Shih Chunkuan; Wang Jongrong; Lin Haotzu

    2009-01-01

    LAPUR5, based on frequency domain approach, is a computer code that analyzes the core stability and calculates decay ratios (DRs) of boiling water nuclear reactors. In current methodology, one set of parameters (three friction multipliers and one density reactivity coefficient multiplier) is chosen for LAPUR5 input files, LAPURX and LAPURW. The calculation stops and DR for this particular set of parameters is obtained when the convergence criteria (pressure, mass flow rate) are first met. However, there are other sets of parameters which could also meet the same convergence criteria without being identified. In order to cover these ranges of parameters, we developed an improved procedure to calculate DR in LAPUR5. First, we define the ranges and increments of those dominant input parameters in the input files for DR loop search. After LAPUR5 program execution, we can obtain all DRs for every set of parameters which satisfy the converge criteria in one single operation. The part for loop search procedure covers those steps in preparing LAPURX and LAPURW input files. As a demonstration, we looked into the reload design of Kuosheng Unit 2 Cycle 22. We found that the global DR has a maximum at exposure of 9070 MWd/t and the regional DR has a maximum at exposure of 5770 MWd/t. It should be noted that the regional DR turns out to be larger than the global ones for exposures less than 5770 MWd/t. Furthermore, we see that either global or regional DR by the loop search method is greater than the corresponding values from our previous approach. It is concluded that the loop search method can reduce human error and save human labor as compared with the previous version of LAPUR5 methodology. Now the maximum DR can be effectively obtained for a given plant operating conditions and a more precise stability boundary, with less uncertainty, can be plotted on plant power/flow map. (author)

  17. Improvement The Acquisition of Research Methodology and Self Regulated Learning through Blog Project

    Directory of Open Access Journals (Sweden)

    Heri Retnawati

    2017-06-01

    Full Text Available Abstract: This classroom action research seeks to improveself-regulated learning (SRL and understanding of research methodology at the graduate school. Nineteen graduate school students were involved. Using project-based learning (PjBL, students were assigned to create online blogs as the main project. The blog was intended for representing their understanding of research methodology by writing review of research articles and submitting a research proposal. The classroom action research was based ona model by Kemmis & McTaggart and was conducted in two cycles. The data were analyzed using mixed methods in which the main data were analyzed qualitatively and further analysed quantitatively. The results of the study showed that after completing the course, students not only gained knowledge about research methods, but were also able to write are search proposal. In addition, the project-based learning could facilitate students to practice their communication skills while writing on their blog and to improve selfegulated learning. Keywords: Action research, project-based learning, blog, self-regulated learning PENINGKATAN PENGUASAAN METODOLOGI PENELITIAN DAN SELF REGULATED LEARNING MELALUI PROJEK BLOG Abstrak: Penelitian tindakan kelas ini bertujuan untuk meningkatkan kemandirian belajar dan pemahaman metodologi penelitian di sekolah Pascasarjana. Partisipan yang terlibat pada studi ini adalah 19 mahasiswa master di sekolah pascasarjana. Dengan menerapkan pembelajaran berbasis projek (PjBL, mahasiswa diberi tugas membuat blog sebagai projek utama. Projek yang dibuat mahasiswa berupa blog untuk merepresantasikan pemahaman metodologi penelitian mahasiswa melalui tulisan dan usulan penelitian tesis. Penelitian tindakan ini dilaksanakan dalam dua siklus dengan model Kemmis & Taggart. Analisis data dilakukan dengan mixed methods secara kualitatif dengan dilengkapi analisis kuantitatif sebagai pendukung. Hasil studi menunjukkan bahwa setelah menyelesaikan

  18. Agile Methodologies and Software Process Improvement Maturity Models, Current State of Practice in Small and Medium Enterprises

    OpenAIRE

    Koutsoumpos, Vasileios; Marinelarena, Iker

    2013-01-01

    Abstract—Background: Software Process Improvement (SPI) maturity models have been developed to assist organizations to enhance software quality. Agile methodologies are used to ensure productivity and quality of a software product. Amongst others they are applied in Small and Medium – sized Enterprises (SMEs). However, little is known about the combination of Agile methodologies and SPI maturity models regarding SMEs and the results that could emerge, as all the current SPI models are address...

  19. Environmental and climate security: improving scenario methodologies for science and risk assessment

    Science.gov (United States)

    Briggs, C. M.; Carlsen, H.

    2010-12-01

    Governments and popular discussions have increasingly referred to concepts of ‘climate security’, often with reference to IPCC data. Development of effective methodologies to translate complex, scientific data into risk assessments has lagged, resulting in overly simplistic political assumptions of potential impacts. Climate security scenarios have been developed for use by security and military agencies, but effective engagement by scientific communities requires an improved framework. Effective use of data requires improvement both of climate projections, and the mapping of cascading impacts across interlinked, complex systems. In this research we propose a process for systematic generation of subsets of scenarios (of arbitrary size) from a given set of variables with possible interlinkages. The variables could include climatic changes as well as other global changes of concerns in a security context. In coping with possible challenges associated with the nexus of climate change and security - where deep structural uncertainty and possible irreversible changes are of primary interest - it is important to explore the outer limits of the relevant uncertainties. Therefore the proposed process includes a novel method that will help scenario developers in generating scenario sets where the scenarios are in a quantifiable sense maximally different and therefore best ‘span’ the whole set of scenarios. When downscaled onto a regional level, this process can provide guidance to potentially significant and abrupt geophysical changes, where high uncertainty has often prevented communication of risks. Potential physical changes can then be used as starting points for mapping cascading effects across networks, including topological analysis to identify critically vulnerable nodes and fragile systems, the existence of positive or negative feedback loops, and possible intervention points. Advanced knowledge of both potential geo-physical shifts and related non

  20. Improvement in the incident reporting and investigation procedures using process excellence (DMAI2C) methodology

    International Nuclear Information System (INIS)

    Miles, Elizabeth N.

    2006-01-01

    In 1996, Health and Safety introduced an incident investigation process called Learning to Look ( C) to Johnson and Johnson. This process provides a systematic way of analyzing work-related injuries and illness, uncovers root cause that leads to system defects, and points to viable solutions. The process analyzed involves three steps: investigation and reporting of the incident, determination of root cause, and development and implementation of a corrective action plan. The process requires the investigators to provide an initial communication for work-related serious injuries and illness as well as lost workday cases to Corporate Headquarters within 72h of the incident with a full investigative report to follow within 10 days. A full investigation requires a written report, a cause-result logic diagram (CRLD), a corrective action plan (CAP) and a report of incident costs (SafeCost) all due to be filed electronically. It is incumbent on the principal investigator and his or her investigative teams to assemble the various parts of the investigation and to follow up with the relevant parties to ensure corrective actions are implemented, and a full report submitted to Corporate executives. Initial review of the system revealed that the process was not working as designed. A number of reports were late, not signed by the business leaders, and in some instances, all cause were not identified. Process excellence was the process used to study the issue. The team used six sigma DMAI 2 C methodologies to identify and implement system improvements. The project examined the breakdown of the critical aspects of the reporting and investigation process that lead to system errors. This report will discuss the study findings, recommended improvements, and methods used to monitor the new improved process

  1. Employing response surface methodology (RSM) to improve methane production from cotton stalk.

    Science.gov (United States)

    Zhang, Han; Khalid, Habiba; Li, Wanwu; He, Yanfeng; Liu, Guangqing; Chen, Chang

    2018-03-01

    China is the largest cotton producer with the cotton output accounting for 25% of the total world's cotton production. A large quantity of cotton stalk (CS) waste is generated which is burned and causes environmental and ecological problems. This study investigated the anaerobic digestibility of CS by focusing on improving the methane yield by applying central composite design of response surface methodology (RSM). The purpose of this study was to determine the best level of factors to optimize the desired output of methane production from CS. Thus, it was necessary to describe the relationship of many individual variables with one or more response values for the effective utilization of CS. The influences of feed to inoculum (F/I) ratio and organic loading (OL) on methane production were investigated. Results showed that the experimental methane yield (EMY) and volatile solid (VS) removal were calculated to be 70.22 mL/gVS and 14.33% at F/I ratio of 0.79 and organic loading of 25.61 gVS/L, respectively. Characteristics of final effluent showed that the anaerobic system was stable. This research laid a foundation for future application of CS to alleviate the problems of waste pollution and energy output.

  2. Computer Literacy Improvement Needs: Physicians' Self Assessment in the Makkah Region

    Directory of Open Access Journals (Sweden)

    Hani Abdulsattar Shaker

    2013-11-01

    Full Text Available Objective: A confidential inquiry by the Directorate General of health affairs, Makkah region, Saudi Arabia, found physicians were resistant to enter patient-related information in the electronic medical records system at different hospitals. This study aims to highlight their computer literacy needs.Methods: This cross-sectional survey was conducted on physicians using a structured questionnaire bearing nine questions/stems with dichotomous answers, (i.e., yes/no that was distributed among physicians at six different Ministry of Health hospitals in the Makkah Region, Saudi Arabia, between May and August 2009. The results for future needs in computer skills were categorized as "none" if the rate of answer "yes" to any stem was 0-25%, "little" if 26-50%, "some" if 51-75% and "substantial" if >75% rated "yes".Results: The response rate of 82% of determined sample size (n = 451 was attained. Computer literacy improvement elements (CLIE, i.e., "word processing software skills (MS Word", "presentation software skills (Power Point", "internet search skills", "medical database search skills", "spreadsheet software skills (Excel" and "advanced e-mail management skills" were in "substantial" need of improvement among the majority of settings and categories. All other computer literacy improvement elements were in "some" need of improvement.Conclusion: The overall outcome of this study indicates that physicians need further computer literacy improvements.

  3. Improving the Quality of Experience Journals: Training Educational Psychology Students in Basic Qualitative Methodology

    Science.gov (United States)

    Reynolds-Keefer, Laura

    2010-01-01

    This study evaluates the impact of teaching basic qualitative methodology to preservice teachers enrolled in an educational psychology course in the quality of observation journals. Preservice teachers enrolled in an educational psychology course requiring 45 hr of field experience were given qualitative methodological training as a part of the…

  4. POSSIBILITY OF IMPROVING EXISTING STANDARDS AND METHODOLOGIES FOR AUDITING INFORMATION SYSTEMS TO PROVIDE E-GOVERNMENT SERVICES

    Directory of Open Access Journals (Sweden)

    Евгений Геннадьевич Панкратов

    2014-03-01

    Full Text Available This article analyzes the existing methods of e-government systems audit, their shortcomings are examined.  The approaches to improve existing techniques and adapt them to the specific characteristics of e-government systems are suggested. The paper describes the methodology, providing possibilities of integrated assessment of information systems. This methodology uses systems maturity models and can be used in the construction of e-government rankings, as well as in the audit of their implementation process. Maturity models are based on COBIT, COSO methodologies and models of e-government, developed by the relevant committee of the UN. The methodology was tested during the audit of information systems involved in the payment of temporary disability benefits. The audit was carried out during analysis of the outcome of the pilot project for the abolition of the principle of crediting payments for disability benefits.DOI: http://dx.doi.org/10.12731/2218-7405-2014-2-5

  5. How Can Health Information Technologies Contribute to Improve Health Care Services for High-Need Patients?

    Science.gov (United States)

    Nøhr, Christian; Botin, Lars; Zhu, Xinxin

    2017-01-01

    This paper discusses how health information technologies like tele-care, tele-health and tele-medicine can improve the condition for high-need patients, specifically in relation to access. The paper addresses specifically the values of timeliness and equity and how tele technological solutions can support and enhance these values. The paper introduces to the concept of scaffolding, which constitutes the framework for dynamic, appropriate, caring and embracing approaches for engaging and involving high-need patients that are vulnerable and exposed. A number of specific considerations for designing tele-technologies for high-need patients are derived, and the paper concludes that ethical and epistemological criterions for design are needed in order to meet the needs and requirements of the weak and exposed.

  6. A New Screening Methodology for Improved Oil Recovery Processes Using Soft-Computing Techniques

    Science.gov (United States)

    Parada, Claudia; Ertekin, Turgay

    2010-05-01

    The first stage of production of any oil reservoir involves oil displacement by natural drive mechanisms such as solution gas drive, gas cap drive and gravity drainage. Typically, improved oil recovery (IOR) methods are applied to oil reservoirs that have been depleted naturally. In more recent years, IOR techniques are applied to reservoirs even before their natural energy drive is exhausted by primary depletion. Descriptive screening criteria for IOR methods are used to select the appropriate recovery technique according to the fluid and rock properties. This methodology helps in assessing the most suitable recovery process for field deployment of a candidate reservoir. However, the already published screening guidelines neither provide information about the expected reservoir performance nor suggest a set of project design parameters, which can be used towards the optimization of the process. In this study, artificial neural networks (ANN) are used to build a high-performance neuro-simulation tool for screening different improved oil recovery techniques: miscible injection (CO2 and N2), waterflooding and steam injection processes. The simulation tool consists of proxy models that implement a multilayer cascade feedforward back propagation network algorithm. The tool is intended to narrow the ranges of possible scenarios to be modeled using conventional simulation, reducing the extensive time and energy spent in dynamic reservoir modeling. A commercial reservoir simulator is used to generate the data to train and validate the artificial neural networks. The proxy models are built considering four different well patterns with different well operating conditions as the field design parameters. Different expert systems are developed for each well pattern. The screening networks predict oil production rate and cumulative oil production profiles for a given set of rock and fluid properties, and design parameters. The results of this study show that the networks are

  7. Successful Technology Commercialization – Yes or No? Improving the Odds. The Quick Look Methodology and Process

    OpenAIRE

    Pletcher, Gary; Zehner II, William Bradley

    2017-01-01

    This article explores the relationships which transform new scientific knowledge into new commercial products, services, and ventures to create wealth creation. The major technology and marketing commercialization dilemmas are defined and addressed. The Quicklook methodology and related processes to quickly assess the commercial viability and potential of a scientific research project is explained. Using the Quicklook methodology and process early in the research and development process i...

  8. Critical reflections on realist review: insights from customizing the methodology to the needs of participatory research assessment.

    Science.gov (United States)

    Jagosh, Justin; Pluye, Pierre; Wong, Geoff; Cargo, Margaret; Salsberg, Jon; Bush, Paula L; Herbert, Carol P; Green, Lawrence W; Greenhalgh, Trish; Macaulay, Ann C

    2014-06-01

    Realist review has increased in popularity as a methodology for complex intervention assessment. Our experience suggests that the process of designing a realist review requires its customization to areas under investigation. To elaborate on this idea, we first describe the logic underpinning realist review and then present critical reflections on our application experience, organized in seven areas. These are the following: (1) the challenge of identifying middle range theory; (2) addressing heterogeneity and lack of conceptual clarity; (3) the challenge of appraising the quality of complex evidence; (4) the relevance of capturing unintended outcomes; (5) understanding the process of context, mechanism, and outcome (CMO) configuring; (6) incorporating middle-range theory in the CMO configuration process; and (7) using middle range theory to advance the conceptualization of outcomes - both visible and seemingly 'hidden'. One conclusion from our experience is that the degree of heterogeneity of the evidence base will determine whether theory can drive the development of review protocols from the outset, or will follow only after an intense period of data immersion. We hope that presenting a critical reflection on customizing realist review will convey how the methodology can be tailored to the often complex and idiosyncratic features of health research, leading to innovative evidence syntheses. Copyright © 2013 John Wiley & Sons, Ltd.

  9. Inernational research in health care management: its need in the 21st century, methodological challenges, ethical issues, pitfalls, and practicalities.

    Science.gov (United States)

    Buttigieg, Sandra C; Rathert, Cheryl; D'Aunno, Thomas A; Savage, Grant T

    2015-01-01

    This commentary argues in favor of international research in the 21st century. Advances in technology, science, communication, transport, and infrastructure have transformed the world into a global village. Industries have increasingly adopted globalization strategies. Likewise, the health sector is more internationalized whereby comparisons between diverse health systems, international best practices, international benchmarking, cross-border health care, and cross-cultural issues have become important subjects in the health care literature. The focus has now turned to international, collaborative, cross-national, and cross-cultural research, which is by far more demanding than domestic studies. In this commentary, we explore the methodological challenges, ethical issues, pitfalls, and practicalities within international research and offer possible solutions to address them. The commentary synthesizes contributions from four scholars in the field of health care management, who came together during the annual meeting of the Academy of Management to discuss with members of the Health Care Management Division the challenges of international research. International research is worth pursuing; however, it calls for scholarly attention to key methodological and ethical issues for its success. This commentary addresses salient issues pertaining to international research in one comprehensive account.

  10. Research needs and improvement of standards for nuclear power plant design

    International Nuclear Information System (INIS)

    Chen, C.; Moreadith, F.L.

    1978-01-01

    The need for research and improvement of code requirements, for both economy and safety reasons is discussed for the following topics relevant to nuclear power plant structural analysis: Earthquake definition; dynamic behavior of reinforced concrete structures under impact loads; design for postulated pipe rupture; code requirements for loading combinations for concrete structures, reinforcing steel splicing, reinforced concrete structural design for thermal effects. (Auth.)

  11. Need for baby friendly commu- nity initiative to improve the low ...

    African Journals Online (AJOL)

    Ekanem EE. Fajola AO. Need for baby friendly commu- nity initiative to improve the low exclusive breastfeeding rates in. Nigeria. Accepted: 26th April 2016. Ekanem EE. Department of Paediatrics,. University of Calabar, Calabar, Nigeria. Email:emmanuelekanem@unical.edu.ng. Fajola AO. Regional Community Health,.

  12. Counterfeit Parts: DOD Needs to Improve Reporting and Oversight to Reduce Supply Chain Risk

    Science.gov (United States)

    2016-02-01

    agencies and contractors we met with stated that they have encountered counterfeit parts less frequently in the DOD supply chain , in part, because...the DOD supply chain as a method to prevent further counterfeiting.22 DOD and industry officials noted that timely reporting of...COUNTERFEIT PARTS DOD Needs to Improve Reporting and Oversight to Reduce Supply Chain Risk Report to Congressional Committees

  13. Reliability improvements on Thales RM2 rotary Stirling coolers: analysis and methodology

    Science.gov (United States)

    Cauquil, J. M.; Seguineau, C.; Martin, J.-Y.; Benschop, T.

    2016-05-01

    The cooled IR detectors are used in a wide range of applications. Most of the time, the cryocoolers are one of the components dimensioning the lifetime of the system. The cooler reliability is thus one of its most important parameters. This parameter has to increase to answer market needs. To do this, the data for identifying the weakest element determining cooler reliability has to be collected. Yet, data collection based on field are hardly usable due to lack of informations. A method for identifying the improvement in reliability has then to be set up which can be used even without field return. This paper will describe the method followed by Thales Cryogénie SAS to reach such a result. First, a database was built from extensive expertizes of RM2 failures occurring in accelerate ageing. Failure modes have then been identified and corrective actions achieved. Besides this, a hierarchical organization of the functions of the cooler has been done with regard to the potential increase of its efficiency. Specific changes have been introduced on the functions most likely to impact efficiency. The link between efficiency and reliability will be described in this paper. The work on the two axes - weak spots for cooler reliability and efficiency - permitted us to increase in a drastic way the MTTF of the RM2 cooler. Huge improvements in RM2 reliability are actually proven by both field return and reliability monitoring. These figures will be discussed in the paper.

  14. Improving methodology in open vessel digestion with a graphite heating block (T7)

    International Nuclear Information System (INIS)

    Kainrath, P.; Conrads, B.; Ross, A.

    2002-01-01

    Full text: Open block digestion systems have been very popular in environmental analysis over the past decades, but have consistently suffered from the major drawback of their sensitivity against corrosion and the subsequent risk of contamination. Therefore block digestion systems have not been considered state-of-the-art technology in trace and ultra trace sample preparation. Graphite block digestion systems are well established in North America and are recently becoming more frequently considered in Europe. These systems overcome the deficiencies of the traditional systems, made from stainless steel or aluminum, because the block is manufactured from graphite and typically coated with a fluoro-polymer to present the possibility metallic contamination from the surface of the system during the handling of the samples. Graphite block systems present an alternative to the current mainstream technology of open and closed vessel microwave assisted digestion systems, as they allow large numbers of samples to be digested simultaneously, thus overcoming one of the major weaknesses of closed vessel systems. More recently a number of improvements in the technology has been developed for graphite block digestion systems and studies have been performed to evaluate the effects of such improvements. The paper presented will deal with the technological improvements: monitoring and control of sample temperature vs. monitoring of block temperature, elimination of cross contamination effects during open vessel block digestion, evaporation of samples for pre-concentration or multiple digestion steps, addressing the needs of various labs and applications for block digesters. The effects of those developments will be discussed; application examples and finally an outlook into possible future trends for graphite block digestion systems will be given. (author)

  15. Improving Robustness Assessment Methodologies for Structures Impacted by Missiles (IRIS-2012) - Final Report

    International Nuclear Information System (INIS)

    Orbovic, Neb; Blahoainu, Andrei; Sagals, Genadis; Tarallo, Francois; Rambach, Jean-Mathieu; Huerta, Alejandro; White, Andrew; Nevander, Olli; ); Riera, Jorge Daniel; Krauthammer, Ted; Krutzik, Norbert; Arros, Jorma; Rouqand, Alain; Stangenberg, Friedhelm; Schwer, Leonard E.

    2014-01-01

    This report documents the results and conclusions of the second phase of the Integrity and Ageing of Components and Structures Working Group (WGIAGE) activity 'Improving Robustness assessment of structures Impacted by missiles', called IRIS-2012. The objective of the activity was to conduct a post-test benchmark study to improve models and evaluation techniques used in IRIS-2010. The benchmark was open to the new participants and some of IRIS-2010 participants did not take part of IRIS-2012. For this reason the team numbers in two benchmarks are different and to make direct comparisons it is necessary to have both lists. For IRIS-2010 benchmark a series of repeated test was performed: two bending rupture tests and three punching rupture tests. For IRIS-2012 and based on recommendation from IRIS-2010, tri-axial tests and Brazilian tensile test were additionally performed in order to calibrate constitutive models. The benchmark was officially launched in February 2012 with the participation of twenty six teams from twenty different institutions (Safety Authorities, TSOs, Utilities, Vendors, Research Institutes and Consulting Companies), from ten different countries from Europe, North America and Asia (plus 1 international organisation). A three day workshop was convened in October 2012 in Ottawa, Ontario, Canada where each participating team presented and discussed their results and performed simulations. Based on IRIS-2010 results and recommendations, OECD/NEA members recognized that there was a need to continue the work on understanding and improving simulation of structural impact. The goal of the new IRIS-2012 benchmark was to: 1) Update and improve existing FE models, for teams that participated in IRIS-2010, or to create new models for new participants. In order to improve FE models it was requested to: Simulate uni-axial unconfined concrete test and tri-axial concrete tests, using the results provided by IRSN, as well as the Brazilian test (concrete tensile

  16. Characteristic Rain Events: A Methodology for Improving the Amenity Value of Stormwater Control Measures

    DEFF Research Database (Denmark)

    Smit Andersen, Jonas; Lerer, Sara Maria; Backhaus, Antje

    2017-01-01

    of achieving amenity value is to stage the rainwater and thus bring it to the attention of the public. We present here a methodology for creating a selection of rain events that can help bridge between engineering and landscape architecture when dealing with staging of rainwater. The methodology uses......Local management of rainwater using stormwater control measures (SCMs) is gaining increased attention as a sustainable alternative and supplement to traditional sewer systems. Besides offering added utility values, many SCMs also offer a great potential for added amenity values. One way...... quantitative and statistical methods to select Characteristic Rain Events (CREs) for a range of frequent return periods: weekly, bi-weekly, monthly, bi-monthly, and a single rarer event occurring only every 1–10 years. The methodology for selecting CREs is flexible and can be adjusted to any climatic settings...

  17. Development of an integrated methodology for the energy needs of a major urban city: The case study of Athens, Greece

    DEFF Research Database (Denmark)

    Xydis, George

    2012-01-01

    /s to meet the (metropolitan) city's energy needs using Renewable Energy Sources (RES) and additionally implement a techno-economic analysis through a developed tool, in order to find which RES should participate in the city's energy system examining different scenarios focusing not only on the projects......' economical success but also on minimizing the cost for the society....

  18. Protocol for using mixed methods and process improvement methodologies to explore primary care receptionist work.

    Science.gov (United States)

    Litchfield, Ian; Gale, Nicola; Burrows, Michael; Greenfield, Sheila

    2016-11-16

    The need to cope with an increasingly ageing and multimorbid population has seen a shift towards preventive health and effective management of chronic disease. This places general practice at the forefront of health service provision with an increased demand that impacts on all members of the practice team. As these pressures grow, systems become more complex and tasks delegated across a broader range of staff groups. These include receptionists who play an essential role in the successful functioning of the surgery and are a major influence on patient satisfaction. However, they do so without formal recognition of the clinical implications of their work or with any requirements for training and qualifications. Our work consists of three phases. The first will survey receptionists using the validated Work Design Questionnaire to help us understand more precisely the parameters of their role; the second involves the use of iterative focus groups to help define the systems and processes within which they work. The third and final phase will produce recommendations to increase the efficiency and safety of the key practice processes involving receptionists and identify the areas and where receptionists require targeted support. In doing so, we aim to increase job satisfaction of receptionists, improve practice efficiency and produce better outcomes for patients. Our work will be disseminated using conferences, workshops, trade journals, electronic media and through a series of publications in the peer reviewed literature. At the very least, our work will serve to prompt discussion on the clinical role of receptionists and assess the advantages of using value streams in conjunction with related tools for process improvement. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  19. Application of multimedia services in the broadband environment to improve logistic needs of the army

    Directory of Open Access Journals (Sweden)

    Radiša R. Stefanović

    2012-07-01

    Full Text Available The paper analyzes the flow of some multimedia services, and points to the possibility of applying some of the services in the broadband environment to improve the logistic needs of the army. The need to convey information in different forms (from text, data, graphics, still pictures to video motion pictures is increasing continually. Requests for information transfer in high resolution require increasing the flow to several dozens of Mb/s. Broadband represents the platform for a wide range of multimedia services. Each multimedia service requires a certain flow which can be partially decreased with advanced coding techniques.

  20. THE NEED TO IMPROVE PRACTICAL INFORMATION SYSTEM IN AGRICULTURE AND SPECIALIZED INDUSTRY

    Directory of Open Access Journals (Sweden)

    Romeo Cătălin CREŢU

    2015-04-01

    Full Text Available In Romania, the establishment of the market economy has required the elaboration and implementation of agricultural, alimentary and nutritional policies, based on scientific criteria, to ensure that the structure of Romanian agriculture would come close to that of the European Union agriculture. Agricultural policy needs to be coherent, flexible and directed towards the economic, social and environmental protection performance. Worldwide practice shows that empiric experience of economic agents does not suffice, but requires plenty of scientific knowledge. The hereby study undertakes to carry out a radiography of the production potential of agricultural operations in Romania and to demonstrate the need for improving practical information systems in agriculture and specialized industry.

  1. Need for a marginal methodology in assessing natural gas system methane emissions in response to incremental consumption.

    Science.gov (United States)

    Mac Kinnon, Michael; Heydarzadeh, Zahra; Doan, Quy; Ngo, Cuong; Reed, Jeff; Brouwer, Jacob

    2018-05-17

    Accurate quantification of methane emissions from the natural gas system is important for establishing greenhouse gas inventories and understanding cause and effect for reducing emissions. Current carbon intensity methods generally assume methane emissions are proportional to gas throughput so that increases in gas consumption yield linear increases in emitted methane. However, emissions sources are diverse and many are not proportional to throughput. Insights into the causal drivers of system methane emissions, and how system-wide changes affect such drivers are required. The development of a novel cause-based methodology to assess marginal methane emissions per unit of fuel consumed is introduced. The carbon intensities of technologies consuming natural gas are critical metrics currently used in policy decisions for reaching environmental goals. For example, the low-carbon fuel standard in California uses carbon intensity to determine incentives provided. Current methods generally assume methane emissions from the natural gas system are completely proportional to throughput. The proposed cause-based marginal emissions method will provide a better understanding of the actual drivers of emissions to support development of more effective mitigation measures. Additionally, increasing the accuracy of carbon intensity calculations supports the development of policies that can maximize the environmental benefits of alternative fuels, including reducing greenhouse gas emissions.

  2. Quality Service Analysis and Improvement of Pharmacy Unit of XYZ Hospital Using Value Stream Analysis Methodology

    Science.gov (United States)

    Jonny; Nasution, Januar

    2013-06-01

    Value stream mapping is a tool which is needed to let the business leader of XYZ Hospital to see what is actually happening in its business process that have caused longer lead time for self-produced medicines in its pharmacy unit. This problem has triggered many complaints filed by patients. After deploying this tool, the team has come up with the fact that in processing the medicine, pharmacy unit does not have any storage and capsule packing tool and this condition has caused many wasting times in its process. Therefore, the team has proposed to the business leader to procure the required tools in order to shorten its process. This research has resulted in shortened lead time from 45 minutes to 30 minutes as required by the government through Indonesian health ministry with increased %VA (valued added activity) or Process Cycle Efficiency (PCE) from 66% to 68% (considered lean because it is upper than required 30%). This result has proved that the process effectiveness has been increase by the improvement.

  3. Quality Service Analysis and Improvement of Pharmacy Unit of XYZ Hospital Using Value Stream Analysis Methodology

    International Nuclear Information System (INIS)

    Jonny; Nasution, Januar

    2013-01-01

    Value stream mapping is a tool which is needed to let the business leader of XYZ Hospital to see what is actually happening in its business process that have caused longer lead time for self-produced medicines in its pharmacy unit. This problem has triggered many complaints filed by patients. After deploying this tool, the team has come up with the fact that in processing the medicine, pharmacy unit does not have any storage and capsule packing tool and this condition has caused many wasting times in its process. Therefore, the team has proposed to the business leader to procure the required tools in order to shorten its process. This research has resulted in shortened lead time from 45 minutes to 30 minutes as required by the government through Indonesian health ministry with increased %VA (valued added activity) or Process Cycle Efficiency (PCE) from 66% to 68% (considered lean because it is upper than required 30%). This result has proved that the process effectiveness has been increase by the improvement.

  4. Improving Access to Psychological Therapies (IAPT) - The Need for Radical Reform.

    Science.gov (United States)

    Scott, Michael J

    2018-02-01

    Improving Access to Psychological Therapies is a UK government-funded initiative to widen access to the psychological treatment of depression and anxiety disorders. The author has had the opportunity to independently assess 90 Improving Access to Psychological Therapies clients, using a standardised semi-structured interview, the Structured Clinical Diagnostic Interview for DSM Disorders (SCID) and to listen to their account of interaction with the service. The results suggest that only the tip of the iceberg fully recovers from their disorder (9.2%) whether or not they were treated before or after a personal injury claim. There is a pressing need to re-examine the modus operandi of the service.

  5. Evaluation of a performance assessment methodology for low-level radioactive waste disposal facilities: Validation needs. Volume 2

    International Nuclear Information System (INIS)

    Kozak, M.W.; Olague, N.E.

    1995-02-01

    In this report, concepts on how validation fits into the scheme of developing confidence in performance assessments are introduced. A general framework for validation and confidence building in regulatory decision making is provided. It is found that traditional validation studies have a very limited role in developing site-specific confidence in performance assessments. Indeed, validation studies are shown to have a role only in the context that their results can narrow the scope of initial investigations that should be considered in a performance assessment. In addition, validation needs for performance assessment of low-level waste disposal facilities are discussed, and potential approaches to address those needs are suggested. These areas of topical research are ranked in order of importance based on relevance to a performance assessment and likelihood of success

  6. Evaluation of a performance assessment methodology for low-level radioactive waste disposal facilities: Validation needs. Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    Kozak, M.W.; Olague, N.E. [Sandia National Labs., Albuquerque, NM (United States)

    1995-02-01

    In this report, concepts on how validation fits into the scheme of developing confidence in performance assessments are introduced. A general framework for validation and confidence building in regulatory decision making is provided. It is found that traditional validation studies have a very limited role in developing site-specific confidence in performance assessments. Indeed, validation studies are shown to have a role only in the context that their results can narrow the scope of initial investigations that should be considered in a performance assessment. In addition, validation needs for performance assessment of low-level waste disposal facilities are discussed, and potential approaches to address those needs are suggested. These areas of topical research are ranked in order of importance based on relevance to a performance assessment and likelihood of success.

  7. Application of the methodology for improving the business processes for the compamy for Airport services TAV Airports Holding, Macedonia

    OpenAIRE

    Mitreva, Elizabeta; Taskov, Nako; Lazarovski, Zlatko

    2015-01-01

    In this paper we will make a full diagnosis of some business processes in the company for Airport services TAV Airports Holding, Macedonia. Based on the analysis we have made on the existing quality system an appropriate methodology is designed for each feature of the TQM (Total Quality Management) system in order to find the optimal solution for smooth operation of the airport traffic, in order to meet the wishes and needs of the customer, while the company makes a profit. The methodol...

  8. Multiple Behavior Change Intervention to Improve Detection of Unmet Social Needs and Resulting Resource Referrals.

    Science.gov (United States)

    Colvin, Jeffrey D; Bettenhausen, Jessica L; Anderson-Carpenter, Kaston D; Collie-Akers, Vicki; Plencner, Laura; Krager, Molly; Nelson, Brooke; Donnelly, Sara; Simmons, Julia; Higinio, Valeria; Chung, Paul J

    2016-03-01

    It is critical that pediatric residents learn to effectively screen families for active and addressable social needs (ie, negative social determinants of health). We sought to determine 1) whether a brief intervention teaching residents about IHELP, a social needs screening tool, could improve resident screening, and 2) how accurately IHELP could detect needs in the inpatient setting. During an 18-month period, interns rotating on 1 of 2 otherwise identical inpatient general pediatrics teams were trained in IHELP. Interns on the other team served as the comparison group. Every admission history and physical examination (H&P) was reviewed for IHELP screening. Social work evaluations were used to establish the sensitivity and specificity of IHELP and document resources provided to families with active needs. During a 21-month postintervention period, every third H&P was reviewed to determine median duration of continued IHELP use. A total of 619 admissions met inclusion criteria. Over 80% of intervention team H&Ps documented use of IHELP. The percentage of social work consults was nearly 3 times greater on the intervention team than on the comparison team (P Social work provided resources for 78% of positively screened families. The median duration of screening use by residents after the intervention was 8.1 months (interquartile range 1-10 months). A brief intervention increased resident screening and detection of social needs, leading to important referrals to address those needs. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  9. Child Support; Need to Improve Efforts to Identify Fathers and Obtain Support Orders.

    Science.gov (United States)

    1987-04-01

    34 Reduces the stigma of illegitimacy and helps give the child a sense of identity. • Increases the child’s opportunity to develop a close parental...A179 979 CHILD SUPPORT; NEED TO IMPROVE EFFORTS TO IDENTIFY 1/1 FATHERS AND OBTAIN SUPPORT ORDERS(U) GENERAL ACCOUNTING OFFICE WASHINGTON DC HUNAN...April 30, 1987 The Honorable Otis R. Bowen, M.D. The Secretary of Health and Human Services Dear Mr. Secretary: This report discusses child support

  10. Foreign Affairs: Specific Action Plan Needed to Improve Response to Parental Child Abductions

    Science.gov (United States)

    2000-03-01

    the child or prejudice to interested parties; (3) secure the voluntary return of the child or to bring about an amicable resolution of the issues, and...FOREIGN AFFAIRS Specific Action Plan Needed to Improve Response to Parental Child Abductions DISTRIBUTION STATEMENT A Approved for Public Release...International Parental Child Abduction 17 Page 1 GAO/NSIAD-00-10 Parental Child Abduction Page 2 GAO/NSIAD-00-10 Parental Child Abduction GAP

  11. Good practice or positive action? Using Q methodology to identify competing views on improving gender equality in academic medicine.

    Science.gov (United States)

    Bryant, Louise D; Burkinshaw, Paula; House, Allan O; West, Robert M; Ward, Vicky

    2017-08-22

    The number of women entering medicine has increased significantly, yet women are still under-represented at senior levels in academic medicine. To support the gender equality action plan at one School of Medicine, this study sought to (1) identify the range of viewpoints held by staff on how to address gender inequality and (2) identify attitudinal barriers to change. Q methodology. 50 potential interventions representing good practice or positive action, and addressing cultural, organisational and individual barriers to gender equality, were ranked by participants according to their perception of priority. The School of Medicine at the University of Leeds, UK. Fifty-five staff members were purposively sampled to represent gender and academic pay grade. Principal components analysis identified six competing viewpoints on how to address gender inequality. Four viewpoints favoured positive action interventions: (1) support careers of women with childcare commitments, (2) support progression of women into leadership roles rather than focus on women with children, (3) support careers of all women rather than just those aiming for leadership, and (4) drive change via high-level financial and strategic initiatives. Two viewpoints favoured good practice with no specific focus on women by (5) recognising merit irrespective of gender and (6) improving existing career development practice. No viewpoint was strongly associated with gender, pay grade or role; however, latent class analysis identified that female staff were more likely than male to prioritise the setting of equality targets. Attitudinal barriers to the setting of targets and other positive action initiatives were identified, and it was clear that not all staff supported positive action approaches. The findings and the approach have utility for those involved in gender equality work in other medical and academic institutions. However, the impact of such initiatives needs to be evaluated in the longer term.

  12. A methodology for assessing the professional development needs of nurses and midwives in Indonesia: paper 1 of 3

    Directory of Open Access Journals (Sweden)

    Hilan Aflah

    2006-04-01

    Full Text Available Abstract Background Despite recent developments, health care provision in Indonesia remains suboptimal. Difficult terrain, economic crises, endemic diseases and high population numbers, coupled with limited availability of qualified health care professionals, all contribute to poor health status. In a country with a population of 220 million, there are currently an estimated 50 nurses and 26 midwives per 100 000 people. In line with government initiatives, this series of studies was undertaken to establish the training and development needs of nurses and midwives working within a variety of contexts in Indonesia, with the ultimate aim of enhancing care provision within these domains. Methods An established, psychometrically valid and reliable training needs instrument was modified for use within the Indonesian context. While this technique has had widespread international use in the developed world, its application for developing countries has not yet been established. The standard form consists of a biographical cover sheet and a core set of 30 items (all health-related tasks, which have to be rated along two seven-point scales. The first of these scales asks respondents to assess how important the task is to their job and the second scale is a self-assessment of respondents' current performance level of the task. By comparing the importance rating with the performance rating, an index of training need can be obtained (high importance and low performance indicating a significant training need. The modifications incorporated for use in this series of studies were a further 10 items, which were constructed following expert group and focus group discussions and a review of the relevant literature. Pilot trials with 109 respondents confirmed its feasibility and acceptability. The instrument was then administered to 524 nurses and 332 midwives across Indonesia. Results The data were subjected to a retrospective factor analysis, using a Varimax

  13. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness.

    Science.gov (United States)

    Koch, Sven H; Weir, Charlene; Haar, Maral; Staggers, Nancy; Agutter, Jim; Görges, Matthias; Westenskow, Dwayne

    2012-01-01

    Fatal errors can occur in intensive care units (ICUs). Researchers claim that information integration at the bedside may improve nurses' situation awareness (SA) of patients and decrease errors. However, it is unclear which information should be integrated and in what form. Our research uses the theory of SA to analyze the type of tasks, and their associated information gaps. We aimed to provide recommendations for integrated, consolidated information displays to improve nurses' SA. Systematic observations methods were used to follow 19 ICU nurses for 38 hours in 3 clinical practice settings. Storyboard methods and concept mapping helped to categorize the observed tasks, the associated information needs, and the information gaps of the most frequent tasks by SA level. Consensus and discussion of the research team was used to propose recommendations to improve information displays at the bedside based on information deficits. Nurses performed 46 different tasks at a rate of 23.4 tasks per hour. The information needed to perform the most common tasks was often inaccessible, difficult to see at a distance or located on multiple monitoring devices. Current devices at the ICU bedside do not adequately support a nurse's information-gathering activities. Medication management was the most frequent category of tasks. Information gaps were present at all levels of SA and across most of the tasks. Using a theoretical model to understand information gaps can aid in designing functional requirements. Integrated information that enhances nurses' Situation Awareness may decrease errors and improve patient safety in the future.

  14. Characteristic Rain Events: A Methodology for Improving the Amenity Value of Stormwater Control Measures

    DEFF Research Database (Denmark)

    Smit Andersen, Jonas; Lerer, Sara Maria; Backhaus, Antje

    2017-01-01

    Local management of rainwater using stormwater control measures (SCMs) is gaining increased attention as a sustainable alternative and supplement to traditional sewer systems. Besides offering added utility values, many SCMs also offer a great potential for added amenity values. One way...... of achieving amenity value is to stage the rainwater and thus bring it to the attention of the public. We present here a methodology for creating a selection of rain events that can help bridge between engineering and landscape architecture when dealing with staging of rainwater. The methodology uses......; here we show its use for Danish conditions. We illustrate with a case study how CREs can be used in combination with a simple hydrological model to visualize where, how deep and for how long water is visible in a landscape designed to manage rainwater....

  15. Characteristic Rain Events: A Methodology for Improving the Amenity Value of Stormwater Control Measures

    Directory of Open Access Journals (Sweden)

    Jonas Smit Andersen

    2017-10-01

    Full Text Available Local management of rainwater using stormwater control measures (SCMs is gaining increased attention as a sustainable alternative and supplement to traditional sewer systems. Besides offering added utility values, many SCMs also offer a great potential for added amenity values. One way of achieving amenity value is to stage the rainwater and thus bring it to the attention of the public. We present here a methodology for creating a selection of rain events that can help bridge between engineering and landscape architecture when dealing with staging of rainwater. The methodology uses quantitative and statistical methods to select Characteristic Rain Events (CREs for a range of frequent return periods: weekly, bi-weekly, monthly, bi-monthly, and a single rarer event occurring only every 1–10 years. The methodology for selecting CREs is flexible and can be adjusted to any climatic settings; here we show its use for Danish conditions. We illustrate with a case study how CREs can be used in combination with a simple hydrological model to visualize where, how deep and for how long water is visible in a landscape designed to manage rainwater.

  16. Theoretical and Methodological Aspects of Optimization of Relationship between Economic Potential and Sources for Public Needs Settlement

    Directory of Open Access Journals (Sweden)

    Stojanović Aleksandar

    2016-06-01

    Full Text Available The relative level of fiscal revenue in relation to the total aggregate domestic product or national income is a central indicator to be established in the national economy. This indicator is the “tax ratio”. The tendency of almost every economic and especially fiscal policy is that this indicator expresses the optimal ratio between the part of the domestic product or national income, which is intended to be used for the settlement of public needs and the general economic aggregate of the latter economic categories. Its special importance lies in the design concept of medium-term or long-term social and economic development. It is necessary to determine the framework of the global distribution of the domestic product or national income, which is acceptable, on the one hand, from the perspective of a balanced and stable economic growth, and on the other hand, from the standpoint of balancing interests of all social structures of modern mixed societies.

  17. Student nurses need more than maths to improve their drug calculating skills.

    Science.gov (United States)

    Wright, Kerri

    2007-05-01

    Nurses need to be able to calculate accurate drug calculations in order to safely administer drugs to their patients (NMC, 2002). Studies have shown however that nurses do not always have the necessary skills to calculate accurate drug dosages and are potentially administering incorrect dosages of drugs to their patients (Hutton, M. 1998. Nursing Mathematics: the importance of application. Nursing Standard 13(11), 35-38; Kapborg, I. 1994. Calculation and administration of drug dosage by Swedish nurses, Student Nurses and Physicians. International Journal for Quality in Health Care 6(4), 389-395; O'Shea, E. 1999. Factors contributing to medication errors: a literature review. Journal of Advanced Nursing 8, 496-504; Wilson, A. 2003. Nurses maths: researching a practical approach. Nursing Standard 17(47), 33-36). The literature indicates that in order to improve drug calculations strategies need to focus on both the mathematical skills and conceptual skills of student nurses so they can interpret clinical data into drug calculations to be solved. A study was undertaken to investigate the effectiveness of implementing several strategies which focussed on developing the mathematical and conceptual skills of student nurses to improve their drug calculation skills. The study found that implementing a range of strategies which addressed these two developmental areas significantly improved the drug calculation skills of nurses. The study also indicates that a range of strategies has the potential ensuring that the skills taught are retained by the student nurses. Although the strategies significantly improved the drug calculation skills of student nurses, the fact that only 2 students were able to achieve 100% in their drug calculation test indicates a need for further research into this area.

  18. A methodology to determine the level of automation to improve the production process and reduce the ergonomics index

    Science.gov (United States)

    Chan-Amaya, Alejandro; Anaya-Pérez, María Elena; Benítez-Baltazar, Víctor Hugo

    2017-08-01

    Companies are constantly looking for improvements in productivity to increase their competitiveness. The use of automation technologies is a tool that have been proven to be effective to achieve this. There are companies that are not familiar with the process to acquire automation technologies, therefore, they abstain from investments and thereby miss the opportunity to take advantage of it. The present document proposes a methodology to determine the level of automation appropriate for the production process and thus minimize automation and improve production taking in consideration the ergonomics factor.

  19. Information Needs of Textile Industry: Methodological Approach Tekstil Endüstrisinin Enformasyon Gereksinimleri: Metodolojik Yaklaşım

    Directory of Open Access Journals (Sweden)

    Oya Gürdal

    1998-03-01

    Full Text Available Up till now various user studies were made to show the information needs and the information use habits of the industrial firms. With the same objective, a user survey is realized in the Turkish textile industry. The research that has been done in Turkey and other world countries show that users does not know the presence of information sources and I or channels and the information needed is retrieved randomely or with difficulty. However, there is a very important relationship between the comprehension of the importance of information for the fulfilment of industrial activities and establishment and use of information sources / channels and/or information centers. Endüstriyel işletmelerin enformasyon gereksinimlerini ve bu kesimin bilgi merkezlerini kullanma alışkanlıklarını belirlemek üzere çeşitli "kullanıcı incelemeleri" (survey çalışmaları yapılmaktadır. Bu çalışmada da aynı amaçla, Türk tekstil sektörü baz alınarak endüstriyel survey araştırması gerçekleştirilmiştir. Dünyada ve bizde yapılan çalışmalar göstermektedir ki mevcut olan enformasyon kaynakları ve / veya kanallarının varlığı kullanıcılar tarafından bilinmemekte, bu nedenle de gereksinilen enformasyona güçlükle ya da rastlantısal biçimde erişilmektedir. Bununla birlikte endüstriyel aktiviteler için enformasyonun öneminin kavranması ile enformasyon kaynakları/kanalları ve / veya bilgi merkezlerinin oluşumu ve kullanımı arasında önemli bir bağ bulunmaktadır.

  20. Processing needs and methodology for wastewaters from the conversion of coal, oil shale, and biomass to synfuels

    Energy Technology Data Exchange (ETDEWEB)

    1980-05-01

    The workshop identifies needs to be met by processing technology for wastewaters, and evaluates the suitability, approximate costs, and problems associated with current technology. Participation was confined to DOE Environmental Control Technology contractors to pull together and integrate past wastewater-related activities, to assess the status of synfuel wastewater treatability and process options, and to abet technology transfer. Particular attention was paid to probable or possible environmental restrictions which cannot be economically met by present technology. Primary emphasis was focussed upon process-condensate waters from coal-conversion and shale-retorting processes. Due to limited data base and time, the workshop did not deal with transients, upsets, trade-offs and system optimization, or with solids disposal. The report is divided into sections that, respectively, survey the water usage and effluent situation (II); identify the probable and possible water-treatment goals anticipated at the time when large-scale plants will be constructed (III); assess the capabilities, costs and shortcomings of present technology (IV); explore particularly severe environmental-control problems (V); give overall conclusions from the Workshop and recommendations for future research and study (VI); and, finally, present Status Reports of current work from participants in the Workshop (VII).

  1. Faculty development to improve teaching at a health sciences center: a needs assessment.

    Science.gov (United States)

    Scarbecz, Mark; Russell, Cynthia K; Shreve, Robert G; Robinson, Melissa M; Scheid, Cheryl R

    2011-02-01

    There has been increasing interest at health science centers in improving the education of health professionals by offering faculty development activities. In 2007-08, as part of an effort to expand education-related faculty development offerings on campus, the University of Tennessee Health Science Center surveyed faculty members in an effort to identify faculty development activities that would be of interest. Factor analysis of survey data indicated that faculty interests in the areas of teaching and learning can be grouped into six dimensions: development of educational goals and objectives, the use of innovative teaching techniques, clinical teaching, improving traditional teaching skills, addressing teaching challenges, and facilitating participation. There were significant differences in the level of interest in education-related faculty development activities by academic rank and by the college of appointment. Full professors expressed somewhat less interest in faculty development activities than faculty members of lower ranks. Faculty members in the Colleges of Medicine and Dentistry expressed somewhat greater interest in faculty development to improve traditional teaching skills. The policy implications of the survey results are discussed, including the need for faculty development activities that target the needs of specific faculty groups.

  2. Single Case Method in Psychology: How to Improve as a Possible Methodology in Quantitative Research.

    Science.gov (United States)

    Krause-Kjær, Elisa; Nedergaard, Jensine I

    2015-09-01

    Awareness of including Single-Case Method (SCM), as a possible methodology in quantitative research in the field of psychology, has been argued as useful, e.g., by Hurtado-Parrado and López-López (IPBS: Integrative Psychological & Behavioral Science, 49:2, 2015). Their article introduces a historical and conceptual analysis of SCMs and proposes changing the, often prevailing, tendency of neglecting SCM as an alternative to Null Hypothesis Significance Testing (NHST). This article contributes by putting a new light on SCM as an equally important methodology in psychology. The intention of the present article is to elaborate this point of view further by discussing one of the most fundamental requirements as well as main characteristics of SCM regarding temporality. In this respect that; "…performance is assessed continuously over time and under different conditions…" Hurtado-Parrado and López-López (IPBS: Integrative Psychological & Behavioral Science, 49:2, 2015). Defining principles when it comes to particular units of analysis, both synchronic (spatial) and diachronic (temporal) elements should be incorporated. In this article misunderstandings of the SCM will be adduced, and further the temporality will be described in order to propose how the SCM could have a more severe usability in psychological research. It is further discussed how to implement SCM in psychological methodology. It is suggested that one solution might be to reconsider the notion of time in psychological research to cover more than a variable of control and in this respect also include the notion of time as an irreversible unity within life.

  3. Improvement in Product Development: Use of back-end data to support upstream efforts of Robust Design Methodology

    Directory of Open Access Journals (Sweden)

    Vanajah Siva

    2012-12-01

    Full Text Available In the area of Robust Design Methodology (RDM less is done on how to use and work with data from the back-end of the product development process to support upstream improvement. The purpose of this paper is to suggest RDM practices for the use of customer claims data in early design phases as a basis for improvements. The back-end data, when systematically analyzed and fed back into the product development process, aids in closing the product development loop from claims to improvement in the design phase. This is proposed through a flow of claims data analysis tied to an existing tool, namely Failure Mode and Effects Analysis (FMEA. The systematic and integrated analysis of back-end data is suggested as an upstream effort of RDM to increase understanding of noise factors during product usage based on the feedback of claims data to FMEA and to address continuous improvement in product development.

  4. Construction Delay Analysis Techniques—A Review of Application Issues and Improvement Needs

    Directory of Open Access Journals (Sweden)

    Nuhu Braimah

    2013-07-01

    Full Text Available The time for performance of a project is usually of the essence to the employer and the contractor. This has made it quite imperative for contracting parties to analyse project delays for purposes of making right decisions on potential time and/or cost compensation claims. Over the years, existing delay analysis techniques (DATs for aiding this decision-making have been helpful but have not succeeded in curbing the high incidence of disputes associated with delay claims resolutions. A major source of the disputes lies with the limitations and capabilities of the techniques in their practical use. Developing a good knowledge of these aspects of the techniques is of paramount importance in understanding the real problematic issues involved and their improvement needs. This paper seeks to develop such knowledge and understanding (as part of a wider research work via: an evaluation of the most common DATs based on a case study, a review of the key relevant issues often not addressed by the techniques, and the necessary improvements needs. The evaluation confirmed that the various techniques yield different analysis results for the same delay claims scenario, mainly due to their unique application procedures. The issues that are often ignored in the analysis but would also affect delay analysis results are: functionality of the programming software employed for the analysis, resource loading and levelling requirements, resolving concurrent delays, and delay-pacing strategy. Improvement needs by way of incorporating these issues in the analysis and focusing on them in future research work are the key recommendations of the study.

  5. A simple and efficient methodology to improve geometric accuracy in gamma knife radiation surgery: implementation in multiple brain metastases.

    Science.gov (United States)

    Karaiskos, Pantelis; Moutsatsos, Argyris; Pappas, Eleftherios; Georgiou, Evangelos; Roussakis, Arkadios; Torrens, Michael; Seimenis, Ioannis

    2014-12-01

    To propose, verify, and implement a simple and efficient methodology for the improvement of total geometric accuracy in multiple brain metastases gamma knife (GK) radiation surgery. The proposed methodology exploits the directional dependence of magnetic resonance imaging (MRI)-related spatial distortions stemming from background field inhomogeneities, also known as sequence-dependent distortions, with respect to the read-gradient polarity during MRI acquisition. First, an extra MRI pulse sequence is acquired with the same imaging parameters as those used for routine patient imaging, aside from a reversal in the read-gradient polarity. Then, "average" image data are compounded from data acquired from the 2 MRI sequences and are used for treatment planning purposes. The method was applied and verified in a polymer gel phantom irradiated with multiple shots in an extended region of the GK stereotactic space. Its clinical impact in dose delivery accuracy was assessed in 15 patients with a total of 96 relatively small (series. Due to these uncertainties, a considerable underdosage (5%-32% of the prescription dose) was found in 33% of the studied targets. The proposed methodology is simple and straightforward in its implementation. Regarding multiple brain metastases applications, the suggested approach may substantially improve total GK dose delivery accuracy in smaller, outlying targets. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. Study to improve recriticality evaluation methodology after severe accident (Joint research)

    International Nuclear Information System (INIS)

    Kugo, Teruhiko; Ishikawa, Makoto; Nagaya, Yasunobu; Yokoyama, Kenji; Fukaya, Yuji; Maruyama, Hiromi; Kondo, Takao; Minato, Hirokazu; Tsuchiya, Akiyuki; Ishii, Yoshihiko; Fujimura, Koji

    2014-03-01

    The present report summarizes the results of a 2-year cooperative study between JAEA and Hitachi-GE Nuclear Energy in order to contribute to the settlement of the Fukushima-Daiich nuclear power plants which suffered from the severe accident on March 2011. In the Fukushima-Daiich plants, it is considered that the nuclear fuel in the core was melted down by the loss of ultimate heat sink by the station black out after the 2011 off the Pacific coast of Tohoku Earthquake. The position and/or the mass of the melted fuel have not been known yet. Therefore, the possibility of recriticality events and the severity of the postulated recriticality are uncertain. In the present study, the possible scenarios to reach the recriticality events in Fukushima-Daiich were investigated first. Then, the analytical methodology to evaluate the time-dependent recriticality events has been developed by modelling the reactivity insertion rate and the possible feedback according to the recriticality scenarios identified in the first step. The methodology developed here has been equipped as a transient simulation tool, PORCAS, which is operated on a multi-purpose platform for reactor analysis, MARBLE. Finally, the radiation exposure rates by the postulated recriticality events in Fukushima-Daiich were approximately evaluated to estimate the impact to the public environment. (author)

  7. Lessons learned: Needs for improving human health risk assessment at USDOE Sites

    International Nuclear Information System (INIS)

    Hamilton, L.D.; Holtzman, S.; Meinhold, A.F.; Morris, S.C.; Rowe, M.D.; Daniels, J.I.; Layton, D.W.; Anspaugh, L.R.

    1993-09-01

    Realistic health risk assessments were performed in a pilot study of three U.S. Department of Energy (USDOE) sites. These assessments, covering a broad spectrum of data and methods, were used to identify needs for improving future health risk assessments at USDOE sites. Topics receiving specific recommendations for additional research include: choice of distributions for Monte Carlo simulation; estimation of risk reduction; analysis of the U.S. Department of Agriculture Database on food and nutrient intakes; investigations on effects of food processing on contaminant levels; background food and environmental concentrations of contaminants; method for handling exposures to groundwater plumes, methods for analyzing less than lifetime exposure to carcinogens; and improvement of bioaccumulation factors

  8. How Serious Do We Need to Be? Improving Information Literacy Skills through Gaming and Interactive Elements

    Directory of Open Access Journals (Sweden)

    Ana van Meegen

    2010-09-01

    Full Text Available Catching the attention of highly technologically and visually oriented students is a challenge for libraries. The number of students entering the universities is increasing and a face-to-face learning setting is an impossible mission for the few available subject librarians. This paper demonstrates how effective the use of serious game or other web-based interactive elements can be for teaching information literacy. By means of quasi-experimental research the impact that the game Saving Asia on students’ learning is analysed and compared to a web-based online tutorial of the Vrije Universiteit Amsterdam (Free University of Amsterdam. This research demonstrated that the game needs to be improved if it is to fit into the regular curriculum of the university, but interactive elements definitely improve learning results.

  9. Using Lean Six Sigma Methodology to Improve a Mass Immunizations Process at the United States Naval Academy.

    Science.gov (United States)

    Ha, Chrysanthy; McCoy, Donald A; Taylor, Christopher B; Kirk, Kayla D; Fry, Robert S; Modi, Jitendrakumar R

    2016-06-01

    Lean Six Sigma (LSS) is a process improvement methodology developed in the manufacturing industry to increase process efficiency while maintaining product quality. The efficacy of LSS application to the health care setting has not been adequately studied. This article presents a quality improvement project at the U.S. Naval Academy that uses LSS to improve the mass immunizations process for Midshipmen during in-processing. The process was standardized to give all vaccinations at one station instead of giving a different vaccination at each station. After project implementation, the average immunizations lead time decreased by 79% and staffing decreased by 10%. The process was shown to be in control with a capability index of 1.18 and performance index of 1.10, resulting in a defect rate of 0.04%. This project demonstrates that the LSS methodology can be applied successfully to the health care setting to make sustainable process improvements if used correctly and completely. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  10. Contribution for the improvement of pressurized thermal shock assessment methodologies in PWR pressure vessels

    International Nuclear Information System (INIS)

    Gomes, Paulo de Tarso Vida

    2005-01-01

    The structural integrity assessment of nuclear reactor pressure vessel, concerned to Pressurized Thermal Shock (PTS) accidents, became a necessity and has been investigated since the eighty's. The recognition of the importance of PTS assessment has led the international nuclear technology community to devote a considerable research effort directed to the complete integrity assessment process of the Reactor Pressure Vessels (VPR). Researchers in Europe, Japan and U.S.A. have concentrated efforts in the VPR structural and fracture analysis, conducting experiments to best understand how specific factors act on the behavior of discontinuities, under PTS loading conditions. The main goal of this work is to study de structural behavior of an 'in scale' PWR nuclear reactor pressure vessel model, containing actual discontinuities, under loading conditions generated by a pressurized thermal shock. To construct the pressure vessel model utilized in this research, the approach developed by Barroso (1995) and based on likelihood studies, related to thermal-hydraulic behavior during the PTS was employed. To achieve the objective of this research, a new methodology to generate cracks, with known geometry and localization in the vessel model wall was developed. Additionally, an hydraulic circuit, able to flood the vessel model, heated to 300 deg C, with 10 m 3 of water at 8 deg C, in 170 seconds, was built. Thermo-hydraulic calculations using RELAP5/M0D 3.2.2γ computational code were done, to estimate the temperature profiles during the cooling time. The resulting data subsidized the thermo-structural calculations that were accomplished using ANSYS 7.01 computational code, for both 2D and 3D models. So, the stress profiles obtained with these calculations were associated with fracture mechanics concepts, to assess the crack growth behavior in the VPR model wall. After the PTS test, the VPR model was submitted to destructive and non-destructive inspections. The results

  11. Improved Formulations for Air-Surface Exchanges Related to National Security Needs: Dry Deposition Models

    Energy Technology Data Exchange (ETDEWEB)

    Droppo, James G.

    2006-07-01

    The Department of Homeland Security and others rely on results from atmospheric dispersion models for threat evaluation, event management, and post-event analyses. The ability to simulate dry deposition rates is a crucial part of our emergency preparedness capabilities. Deposited materials pose potential hazards from radioactive shine, inhalation, and ingestion pathways. A reliable characterization of these potential exposures is critical for management and mitigation of these hazards. A review of the current status of dry deposition formulations used in these atmospheric dispersion models was conducted. The formulations for dry deposition of particulate materials from am event such as a radiological attack involving a Radiological Detonation Device (RDD) is considered. The results of this effort are applicable to current emergency preparedness capabilities such as are deployed in the Interagency Modeling and Atmospheric Assessment Center (IMAAC), other similar national/regional emergency response systems, and standalone emergency response models. The review concludes that dry deposition formulations need to consider the full range of particle sizes including: 1) the accumulation mode range (0.1 to 1 micron diameter) and its minimum in deposition velocity, 2) smaller particles (less than .01 micron diameter) deposited mainly by molecular diffusion, 3) 10 to 50 micron diameter particles deposited mainly by impaction and gravitational settling, and 4) larger particles (greater than 100 micron diameter) deposited mainly by gravitational settling. The effects of the local turbulence intensity, particle characteristics, and surface element properties must also be addressed in the formulations. Specific areas for improvements in the dry deposition formulations are 1) capability of simulating near-field dry deposition patterns, 2) capability of addressing the full range of potential particle properties, 3) incorporation of particle surface retention/rebound processes, and

  12. USING A NEW SUPPLY CHAIN PLANNING METHODOLOGY TO IMPROVE SUPPLY CHAIN EFFICIENCY

    Directory of Open Access Journals (Sweden)

    A.L.V. Raubenheimer

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Effective supply chain planning and management has emerged as one of the most challenging opportunities for companies in the global economy during the last decade or two. This article reviews the evolution of Supply Chain Management and the traditional Supply Chain Solutions. It then introduces a new Supply Chain Planning methodology in which simulation modelling plays an important value-adding role to help organisations understand the dynamics of their Supply Chains.

    AFRIKAANSE OPSOMMING:Effektiewe voorsieningskettingbeplanning en –bestuur het gedurende die laaste twee dekades ontwikkel tot een van die mees uitdagende geleenthede vir ondernemings in die wêreldekonomie. Hierdie artikel hersien kortliks die ontwikkeling van voorsieningskettingbestuur en die tradisionele oplossings. ‘n Nuwe voorsieningskettingbeplanningsmetodologie word dan voorgestel en bespreek waarin simulasiemodellering ‘n belangrike rol speel om ondernemings te help om die dinamika van hul voorsieningskettings te begryp.

  13. Improving life cycle assessment methodology for the application of decision support

    DEFF Research Database (Denmark)

    Herrmann, Ivan Tengbjerg

    for the application of decision support and evaluation of uncertainty in LCA. From a decision maker’s (DM’s) point of view there are at least three main “illness” factors influencing the quality of the information that the DM uses for making decisions. The factors are not independent of each other, but it seems......) refrain from making a decision based on an LCA and thus support a decision on other parameters than the LCA environmental parameters. Conversely, it may in some decision support contexts be acceptable to base a decision on highly uncertain information. This all depends on the specific decision support...... the different steps. A deterioration of the quality in each step is likely to accumulate through the statistical value chain in terms of increased uncertainty and bias. Ultimately this can make final decision support problematic. The "Law of large numbers" (LLN) is the methodological tool/probability theory...

  14. Updating and improving methodology for prioritizing highway project locations on the strategic intermodal system (SIS).

    Science.gov (United States)

    2016-04-01

    The Florida Department of Transportation (FDOT) District One developed the Congestion Management Process : (CMP) system to prioritize low-cost, near-term highway improvements on the Strategic Intermodal System (SIS). : The existing CMP system is desi...

  15. Impact of lean six sigma process improvement methodology on cardiac catheterization laboratory efficiency.

    Science.gov (United States)

    Agarwal, Shikhar; Gallo, Justin J; Parashar, Akhil; Agarwal, Kanika K; Ellis, Stephen G; Khot, Umesh N; Spooner, Robin; Murat Tuzcu, Emin; Kapadia, Samir R

    2016-03-01

    Operational inefficiencies are ubiquitous in several healthcare processes. To improve the operational efficiency of our catheterization laboratory (Cath Lab), we implemented a lean six sigma process improvement initiative, starting in June 2010. We aimed to study the impact of lean six sigma implementation on improving the efficiency and the patient throughput in our Cath Lab. All elective and urgent cardiac catheterization procedures including diagnostic coronary angiography, percutaneous coronary interventions, structural interventions and peripheral interventions performed between June 2009 and December 2012 were included in the study. Performance metrics utilized for analysis included turn-time, physician downtime, on-time patient arrival, on-time physician arrival, on-time start and manual sheath-pulls inside the Cath Lab. After implementation of lean six sigma in the Cath Lab, we observed a significant improvement in turn-time, physician downtime, on-time patient arrival, on-time physician arrival, on-time start as well as sheath-pulls inside the Cath Lab. The percentage of cases with optimal turn-time increased from 43.6% in 2009 to 56.6% in 2012 (p-trendprocess improvement initiative, lean six sigma, on improving and sustaining efficiency of our Cath Lab operation. After the successful implementation of this continuous quality improvement initiative, there was a significant improvement in the selected performance metrics namely turn-time, physician downtime, on-time patient arrival, on-time physician arrival, on-time start as well as sheath-pulls inside the Cath Lab. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Pesticide regulations and farm worker safety: the need to improve pesticide regulations in Viet Nam.

    Science.gov (United States)

    Phung, Dung Tri; Connell, Des; Miller, Greg; Rutherford, Shannon; Chu, Cordia

    2012-06-01

    Agricultural pesticide use in Viet Nam has more than tripled since 1990. However, pesticide legislation and regulations have not been developed in response to this large increase in usage, as a result of which pesticides pose a serious threat to human health and the environment. This paper identifies the need to improve pesticide regulations in Viet Nam through a comparative analysis of pesticide regulations in Viet Nam and the United States of America, where the rate of acute poisoning among agricultural workers is much lower than in Viet Nam and where information pertaining to pesticide regulations is made accessible to the public. The analysis identified several measures that would help to improve Viet Nam's pesticide regulations. These include enhancing pesticide legislation, clarifying the specific roles and active involvement of both the environmental and health sectors; performing a comprehensive risk-benefit evaluation of pesticide registration and management practices; improving regulations on pesticide suspension and cancellation, transport, storage and disposal; developing import and export policies and enhancing pesticide-related occupational safety programmes.

  17. Mercury methylation and reduction potentials in marine water: An improved methodology using {sup 197}Hg radiotracer

    Energy Technology Data Exchange (ETDEWEB)

    Koron, Neza [National Institute of Biology, Marine Biology Station, Fornace 41, 6330 Piran (Slovenia); Bratkic, Arne [Department of Environmental Sciences, ' Jozef Stefan' Institute, Jamova 39, 1000 Ljubljana (Slovenia); Ribeiro Guevara, Sergio, E-mail: ribeiro@cab.cnea.gov.ar [Laboratorio de Analisis por Activacion Neutronica, Centro Atomico Bariloche, Av. Bustillo km 9.5, 8400 Bariloche (Argentina); Vahcic, Mitja; Horvat, Milena [Department of Environmental Sciences, ' Jozef Stefan' Institute, Jamova 39, 1000 Ljubljana (Slovenia)

    2012-01-15

    A highly sensitive laboratory methodology for simultaneous determination of methylation and reduction of spiked inorganic mercury (Hg{sup 2+}) in marine water labelled with high specific activity radiotracer ({sup 197}Hg prepared from enriched {sup 196}Hg stable isotope) was developed. A conventional extraction protocol for methylmercury (CH{sub 3}Hg{sup +}) was modified in order to significantly reduce the partitioning of interfering labelled Hg{sup 2+} into the final extract, thus allowing the detection of as little as 0.1% of the Hg{sup 2+} spike transformed to labelled CH{sub 3}Hg{sup +}. The efficiency of the modified CH{sub 3}Hg{sup +} extraction procedure was assessed by radiolabelled CH{sub 3}Hg{sup +} spikes corresponding to concentrations of methylmercury between 0.05 and 4 ng L{sup -1}. The recoveries were 73.0{+-}6.0% and 77.5{+-}3.9% for marine and MilliQ water, respectively. The reduction potential was assessed by purging and trapping the radiolabelled elemental Hg in a permanganate solution. The method allows detection of the reduction of as little as 0.001% of labelled Hg{sup 2+} spiked to natural waters. To our knowledge, the optimised methodology is among the most sensitive available to study the Hg methylation and reduction potential, therefore allowing experiments to be done at spikes close to natural levels (1-10 ng L{sup -1}). - Highlights: Black-Right-Pointing-Pointer Inorganic mercury methylation and reduction in marine water were studied. Black-Right-Pointing-Pointer High specific activity {sup 197}Hg was used to label Hg{sup 2+} spikes at natural levels. Black-Right-Pointing-Pointer Methylmercury extraction had 73% efficiency for 0.05-4 ng L{sup -1} levels. Black-Right-Pointing-Pointer High sensibility to assess methylation potentials, below 0.1% of the spike. Black-Right-Pointing-Pointer High sensibility also for reduction potentials, as low as 0.001% of the spike.

  18. Application of kaizen methodology to foster departmental engagement in quality improvement.

    Science.gov (United States)

    Knechtges, Paul; Decker, Michael Christopher

    2014-12-01

    The Toyota Production System, also known as Lean, is a structured approach to continuous quality improvement that has been developed over the past 50 years to transform the automotive manufacturing process. In recent years, these techniques have been successfully applied to quality and safety improvement in the medical field. One of these techniques is kaizen, which is the Japanese word for "good change." The central tenant of kaizen is the quick analysis of the small, manageable components of a problem and the rapid implementation of a solution with ongoing, real-time reassessment. Kaizen adds an additional "human element" that all stakeholders, not just management, must be involved in such change. Because of the small size of the changes involved in a kaizen event and the inherent focus on human factors and change management, a kaizen event can serve as good introduction to continuous quality improvement for a radiology department. Copyright © 2014. Published by Elsevier Inc.

  19. Probiotics production and alternative encapsulation methodologies to improve their viabilities under adverse environmental conditions.

    Science.gov (United States)

    Coghetto, Chaline Caren; Brinques, Graziela Brusch; Ayub, Marco Antônio Záchia

    2016-12-01

    Probiotic products are dietary supplements containing live microorganisms producing beneficial health effects on the host by improving intestinal balance and nutrient absorption. Among probiotic microorganisms, those classified as lactic acid bacteria are of major importance to the food and feed industries. Probiotic cells can be produced using alternative carbon and nitrogen sources, such as agroindustrial residues, at the same time contributing to reduce process costs. On the other hand, the survival of probiotic cells in formulated food products, as well as in the host gut, is an essential nutritional aspect concerning health benefits. Therefore, several cell microencapsulation techniques have been investigated as a way to improve cell viability and survival under adverse environmental conditions, such as the gastrointestinal milieu of hosts. In this review, different aspects of probiotic cells and technologies of their related products are discussed, including formulation of culture media, and aspects of cell microencapsulation techniques required to improve their survival in the host.

  20. An Improved Methodology for Multidimensional High-Throughput Preformulation Characterization of Protein Conformational Stability

    Science.gov (United States)

    Maddux, Nathaniel R.; Rosen, Ilan T.; Hu, Lei; Olsen, Christopher M.; Volkin, David B.; Middaugh, C. Russell

    2013-01-01

    The Empirical Phase Diagram (EPD) technique is a vector-based multidimensional analysis method for summarizing large data sets from a variety of biophysical techniques. It can be used to provide comprehensive preformulation characterization of a macromolecule’s higher-order structural integrity and conformational stability. In its most common mode, it represents a type of stimulus-response diagram using environmental variables such as temperature, pH, and ionic strength as the stimulus, with alterations in macromolecular structure being the response. Until now EPD analysis has not been available in a high throughput mode because of the large number of experimental techniques and environmental stressor/stabilizer variables typically employed. A new instrument has been developed that combines circular dichroism, UV-absorbance, fluorescence spectroscopy and light scattering in a single unit with a 6-position temperature controlled cuvette turret. Using this multifunctional instrument and a new software system we have generated EPDs for four model proteins. Results confirm the reproducibility of the apparent phase boundaries and protein behavior within the boundaries. This new approach permits two EPDs to be generated per day using only 0.5 mg of protein per EPD. Thus, the new methodology generates reproducible EPDs in high-throughput mode, and represents the next step in making such determinations more routine. PMID:22447621

  1. Application of Response Surface Methodology for the Technological Improvement of Solid Lipid Nanoparticles.

    Science.gov (United States)

    Dal Pizzol, Carine; O'Reilly, Andre; Winter, Evelyn; Sonaglio, Diva; de Campos, Angela Machado; Creczynski-Pasa, Tânia Beatriz

    2016-02-01

    Solid lipid nanoparticles (SLN) are colloidal particles consisting of a matrix composed of solid (at room and body temperatures) lipids dispersed in aqueous emulsifier solution. During manufacture, their physicochemical properties may be affected by several formulation parameters, such as type and concentration of lipid, proportion of emulsifiers and amount of solvent. Thus, the aim of this work was to study the influence of these variables on the preparation of SLN. A D-optimal Response Surface Methodology design was used to establish a mathematical model for the optimization of SLN. A total of 30 SLN formulations were prepared using the ultrasound method, and then characterized on the basis of their physicochemical properties, including particle size, polydispersity index (PI) and Zeta Potential (s). Particle sizes ranged between 107 and 240 nm. All SLN formulations showed negative sigma and PI values below 0.28. Prediction of the optimal conditions was performed using the desirability function targeting the reduction of all responses. The optimized SLN formulation showed similar theoretical and experimental values, confirming the sturdiness and predictive ability of the mathematical model for SLN optimization.

  2. Improvement of Folate Biosynthesis by Lactic Acid Bacteria Using Response Surface Methodology

    Directory of Open Access Journals (Sweden)

    Norfarina Muhamad Nor

    2010-01-01

    Full Text Available Lactic acid bacteria (Lactococcus lactis NZ9000, Lactococcus lactis MG1363, Lactobacillus plantarum I-UL4 and Lactobacillus johnsonii DSM 20553 have been screened for their ability to produce folate intracellularly and/or extracellularly. L. plantarum I-UL4 was shown to be superior producer of folate compared to other strains. Statistically based experimental designs were used to optimize the medium formulation for the growth of L. plantarum I-UL4 and folate biosynthesis. The optimal values of important factors were determined by response surface methodology (RSM. The effects of carbon sources, nitrogen sources and para-aminobenzoic acid (PABA concentrations on folate biosynthesis were determined prior to RSM study. The biosynthesis of folate by L. plantarum I-UL4 increased from 36.36 to 60.39 µg/L using the optimized medium formulation compared to the selective Man de Rogosa Sharpe (MRS medium. Conditions for the optimal growth of L. plantarum I-UL4 and folate biosynthesis as suggested by RSM were as follows: lactose 20 g/L, meat extract 16.57 g/L and PABA 10 µM.

  3. An improved experimental methodology to evaluate the effectiveness of protective gloves against nanoparticles in suspension.

    Science.gov (United States)

    Vinches, Ludwig; Zemzem, Mohamed; Hallé, Stéphane; Peyro, Caroline; Wilkinson, Kevin J; Tufenkji, Nathalie

    2017-07-01

    Recent studies underline the potential health risks associated to the "nano" revolution, particularly for the workers who handle engineered nanoparticles (ENPs) that can be found in the formulation of several commercial products. Although many Health & Safety agencies recommend the use of protective gloves against chemicals, few studies have investigated the effectiveness of these gloves towards nanoparticle suspensions. Moreover, the data that are available are often contradictory. This study was designed to evaluate the effectiveness of protective gloves against nanoparticles in suspension. For this purpose, a new methodology was developed in order to take into account parameters encountered in the workplace such as mechanical deformations (MD) that simulate hand flexion and sweat. The effects of the precise experimental protocol on the concentrations of nanoparticles that were detected in the sampling suspension were assessed. Several samples of nitrile rubber gloves (73 µm thick), taken from different boxes, were brought into contact with gold nanoparticles (5 nm) in water. During their exposure to ENPs, the glove samples submitted systematic mechanical deformations and were placed in contact with a physiological solution simulating human sweat. Under these conditions, results obtained by inductively coupled plasma mass spectrometry (ICPMS) showed that the 5 nm gold nanoparticles passed through the protective gloves. This result was acquired, in spite of the observation of significant losses during the sampling phase that will be important for future experiments evaluating the effectiveness of these materials.

  4. A novel methodology improves reservoir characterization models using geologic fuzzy variables

    Energy Technology Data Exchange (ETDEWEB)

    Soto B, Rodolfo [DIGITOIL, Maracaibo (Venezuela); Soto O, David A. [Texas A and M University, College Station, TX (United States)

    2004-07-01

    One of the research projects carried out in Cusiana field to explain its rapid decline during the last years was to get better permeability models. The reservoir of this field has a complex layered system that it is not easy to model using conventional methods. The new technique included the development of porosity and permeability maps from cored wells following the same trend of the sand depositions for each facie or layer according to the sedimentary facie and the depositional system models. Then, we used fuzzy logic to reproduce those maps in three dimensions as geologic fuzzy variables. After multivariate statistical and factor analyses, we found independence and a good correlation coefficient between the geologic fuzzy variables and core permeability and porosity. This means, the geologic fuzzy variable could explain the fabric, the grain size and the pore geometry of the reservoir rock trough the field. Finally, we developed a neural network permeability model using porosity, gamma ray and the geologic fuzzy variable as input variables. This model has a cross-correlation coefficient of 0.873 and average absolute error of 33% compared with the actual model with a correlation coefficient of 0.511 and absolute error greater than 250%. We tested different methodologies, but this new one showed dramatically be a promiser way to get better permeability models. The use of the models have had a high impact in the explanation of well performance and workovers, and reservoir simulation models. (author)

  5. Progress in Space Weather Modeling and Observations Needed to Improve the Operational NAIRAS Model Aircraft Radiation Exposure Predictions

    Science.gov (United States)

    Mertens, C. J.; Kress, B. T.; Wiltberger, M. J.; Tobiska, W.; Xu, X.

    2011-12-01

    The Nowcast of Atmospheric Ionizing Radiation for Aviation Safety (NAIRAS) is a prototype operational model for predicting commercial aircraft radiation exposure from galactic and solar cosmic rays. NAIRAS predictions are currently streaming live from the project's public website, and the exposure rate nowcast is also available on the SpaceWx smartphone app for iPhone, IPad, and Android. Cosmic rays are the primary source of human exposure to high linear energy transfer radiation at aircraft altitudes, which increases the risk of cancer and other adverse health effects. Thus, the NAIRAS model addresses an important national need with broad societal, public health and economic benefits. The processes responsible for the variability in the solar wind, interplanetary magnetic field, solar energetic particle spectrum, and the dynamical response of the magnetosphere to these space environment inputs, strongly influence the composition and energy distribution of the atmospheric ionizing radiation field. During the development of the NAIRAS model, new science questions were identified that must be addressed in order to obtain a more reliable and robust operational model of atmospheric radiation exposure. Addressing these science questions require improvements in both space weather modeling and observations. The focus of this talk is to present these science questions, the proposed methodologies for addressing these science questions, and the anticipated improvements to the operational predictions of atmospheric radiation exposure. The overarching goal of this work is to provide a decision support tool for the aviation industry that will enable an optimal balance to be achieved between minimizing health risks to passengers and aircrew while simultaneously minimizing costs to the airline companies.

  6. Analysis of the nutritional management practices in intensive care: Identification of needs for improvement.

    Science.gov (United States)

    Lázaro-Martín, N I; Catalán-González, M; García-Fuentes, C; Terceros-Almanza, L; Montejo-González, J C

    2015-12-01

    To analyze the nutritional management practices in Intensive Care (ICU) to detect the need for improvement actions. Re-evaluate the process after implementation of improvement actions. Prospective observational study in 3 phases: 1) observation; 2) analysis, proposal development and dissemination; 3) analysis of the implementation. ICU of a hospital of high complexity. Adult ICU forecast more than 48h of artificial nutrition. Parenteral nutrition (PN), enteral nutrition (EN) (type, average effective volume, complications) and average nutritional ratio. A total of 229 patients (phase 1: 110, phase 3: 119). After analyzing the initial results, were proposed: increased use and precocity of EN, increased protein intake, nutritional monitoring effectiveness and increased supplementary indication NP. The measures were broadcast at specific meetings. During phase 3 more patients received EN (55.5 vs. 78.2%, P=.001), with no significant difference in the start time (1.66 vs. 2.33 days), duration (6.82 vs. 10,12 days) or complications (37,7 vs. 47,3%).Use of hyperproteic diets was higher in phase 3 (0 vs. 13.01%, P<.05). The use of NP was similar (48.2 vs. 48,7%) with a tendency to a later onset in phase 3 (1.25±1.25 vs. 2.45±3.22 days). There were no significant differences in the average nutritional ratio (0.56±0.28 vs. 0.61±0.27, P=.56). The use of EN and the protein intake increased, without appreciating effects on other improvement measures. Other methods appear to be necessary for the proper implementation of improvement measures. Copyright © 2015 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.

  7. Does the world need a scientific society for research on how to improve healthcare?

    Directory of Open Access Journals (Sweden)

    Wensing Michel

    2012-02-01

    Full Text Available Abstract In this editorial, we reflect on the arguments for starting a scientific society focused on research on how to improve healthcare. This society would take an inclusive approach to what constitutes healthcare. For instance, it should include mental health healthcare, treatment for substance abuse, the work of allied health professions, and preventive healthcare. The society would be open to researchers from all traditions. Thus, we take an inclusive approach to what constitutes scientific research, as long as it uses rigorous methods, is focused on improving healthcare, and aims at knowledge that can be transferred across settings. The society would primarily target scientific researchers but would invite others with an interest in this area of research, regardless of their discipline, position, field of application, or group affiliation (e.g., improvement science, behavioral medicine, knowledge translation. A society would need fruitful collaboration with related societies and organizations, which may include having combined meetings. Special links may be developed with one or more journals. A website to provide information on relevant resources, events, and training opportunities is another key activity. It would also provide a voice for the field at funding agencies, political arenas, and similar institutions. An organizational structure and financial resources are required to develop and run these activities. Our aim is to start an international debate, to discover if we can establish a shared vision across academics and stakeholders engaged with creating scientific knowledge on how to improve healthcare. We invite readers to express their views in the online questionnaire accessed by following the URL link provided at the end of the editorial.

  8. Leveraging Competency Framework to Improve Teaching and Learning: A Methodological Approach

    Science.gov (United States)

    Shankararaman, Venky; Ducrot, Joelle

    2016-01-01

    A number of engineering education programs have defined learning outcomes and course-level competencies, and conducted assessments at the program level to determine areas for continuous improvement. However, many of these programs have not implemented a comprehensive competency framework to support the actual delivery and assessment of an…

  9. Training and Action for Patient Safety: Embedding Interprofessional Education for Patient Safety within an Improvement Methodology

    Science.gov (United States)

    Slater, Beverley L.; Lawton, Rebecca; Armitage, Gerry; Bibby, John; Wright, John

    2012-01-01

    Introduction: Despite an explosion of interest in improving safety and reducing error in health care, one important aspect of patient safety that has received little attention is a systematic approach to education and training for the whole health care workforce. This article describes an evaluation of an innovative multiprofessional, team-based…

  10. Аccounting and methodological aspects of capital expenditure for land improvement

    Directory of Open Access Journals (Sweden)

    J.P. Melnychuk

    2016-07-01

    Full Text Available The article highlights the process of reflection in accounting the capital costs for land improvement. The main legislation governing this issue is covered. Also the article has agreed the key issues that ensure in accounting for capital expenditures for farmland improving. The survey has benefited such general scientific methods as: induction and deduction, dialectic, historical and systematic methods and specific methods of accounting. Due to the land reform the ownership of the land was changed. Lands which were owned by farms have been privatized and have received a particular owner. Now privatized lands constitute a significant part of farmland. The land managers require quality accounting information about composition and state of the land and improvements that occur to make an effective management. The numerous changes in legislation generate controversies in their interpretation and, consequently, it results in appearance of the discrepancies in the conduct of cost accounting for capital land improvement which will effect on the amount of net profit in future. The article reflects the economic substance of the process and fundamentally describes the implementation method of accounting for capital expenditure for land in accordance with the applicable law.

  11. Control Charts in Healthcare Quality Improvement A Systematic Review on Adherence to Methodological Criteria

    NARCIS (Netherlands)

    Koetsier, A.; van der Veer, S. N.; Jager, K. J.; Peek, N.; de Keizer, N. F.

    2012-01-01

    Objectives: Use of Shewhart control charts in quality improvement (QI) initiatives is increasing. These charts are typically used in one or more phases of the Plan Do Study Act (PDSA) cycle to monitor summaries of process and outcome data, abstracted from clinical information systems, over time. We

  12. Approaches for improving present laboratory and field methodology for evaluation efficacy of transgenic technologies

    Science.gov (United States)

    Assessing the efficacy of transgenic plants under new environmental and management regimes is of prime importance to the companies which produce new or improved existing transgenic products, breeders which create different varieties stacked with Bt endotoxins, and growers who use them for production...

  13. Groundwater footprint methodology as policy tool for balancing water needs (agriculture & tourism) in water scarce islands - The case of Crete, Greece.

    Science.gov (United States)

    Kourgialas, Nektarios N; Karatzas, George P; Dokou, Zoi; Kokorogiannis, Andreas

    2018-02-15

    In many Mediterranean islands with limited surface water resources, the growth of agricultural and touristic sectors, which are the main water consumers, highly depends on the sustainable water resources management. This work highlights the crucial role of groundwater footprint (GF) as a tool for the sustainable management of water resources, especially in water scarce islands. The groundwater footprint represents the water budget between inflows and outflows in an aquifer system and is used as an index of the effect of groundwater use in natural resources and environmental flows. The case study presented in this paper is the island of Crete, which consists of 11 main aquifer systems. The data used for estimating the groundwater footprint in each system were groundwater recharges, abstractions through 412 wells, environmental flows (discharges) from 76 springs and 19 streams present in the area of study. The proposed methodology takes into consideration not only the water quantity but also the water quality of the aquifer systems and can be used as an integrated decision making tool for the sustainable management of groundwater resources. This methodology can be applied in any groundwater system. The results serve as a tool for assessing the potential of sustainable use and the optimal distribution of water needs under the current and future climatic conditions, considering both quantitative and qualitative factors. Adaptation measures and water policies that will effectively promote sustainable development are also proposed for the management of the aquifer systems that exhibit a large groundwater footprint. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Educational needs for improving self-care in heart failure patients with diabetes.

    Science.gov (United States)

    Cha, EunSeok; Clark, Patricia C; Reilly, Carolyn Miller; Higgins, Melinda; Lobb, Maureen; Smith, Andrew L; Dunbar, Sandra B

    2012-01-01

    To explore the need for self-monitoring and self-care education in heart failure patients with diabetes (HF- DM patients) by describing cognitive and affective factors to provide guidance in developing effective self-management education. A cross-sectional correlation design was employed using baseline patient data from a study testing a 12-week patient and family dyad intervention to improve dietary and medication-taking self-management behaviors in HF patients. Data from 116 participants recruited from metropolitan Atlanta area were used. Demographic and comorbidities, physical function, psychological distress, relationship with health care provider, self-efficacy (medication taking and low sodium diet), and behavioral outcomes (medications, dietary habits) were assessed. Descriptive statistics and a series of chi-square tests, t tests, or Mann-Whitney tests were performed to compare HF patients with and without DM. HF-DM patients were older and heavier, had more comorbidities, and took more daily medications than HF patients. High self-efficacy on medication and low-sodium diet was reported in both groups with no significant difference. Although HF-DM patients took more daily medications than HF, both groups exhibited high HF medication-taking behaviors. The HF-DM patients consumed significantly lower total sugar than HF patients but clinically higher levels of sodium. Diabetes educators need to be aware of potential conflicts of treatment regimens to manage 2 chronic diseases. Special and integrated diabetes self-management education programs that incorporate principles of HF self-management should be developed to improve self-management behavior in HF-DM patients.

  15. State-of-the-art and needs for jet instability and direct contact condensation model improvements

    International Nuclear Information System (INIS)

    Bousbia-Salah, A.; Moretti, F.; D'auria, F.; Bousbia-Salah, A.)

    2007-01-01

    There is a common understanding among thermal-hydraulic experts that the system analysis codes have currently reached an acceptable degree of maturity. Reliable application, however, is still limited to the validated domain. There is a growing need for qualified codes in assessing the safety of the existing reactors and for developing advanced reactor systems. Under conditions involving multi-phase flow simulations, the use of classical methods, mainly based upon the one dimensional approach, is not appropriate at all. The use of new computational models, such as the direct numerical simulation, large-eddy simulation or other advanced computational fluid dynamics methods, seems to be more suitable for more complex events. For this purpose, the European Commission financed NURESIM Integrated Project (as a part of the FP6 programme), was adopted to provide the initial step towards a Common European Standard Software Platform for modelling, recording and recovering computer data for nuclear reactor simulations. Some of the studies carried out at the University of Pisa within the framework of the NURESIM project are presented in this paper. They mainly concern the investigation of two critical phenomena connected with jet instabilities and direct contact condensation that occur during emergency core cooling. Through these examples, the state-of-the-art and the need for model improvements and validation against new experimental data for the sake of getting a better understanding and more accurate predictions are discussed. (author)

  16. VVER operational safety improvements: lessons learnt from European co-operation and future research needs

    International Nuclear Information System (INIS)

    Pazdera, F.; Vasa, I.; Zd'arek, J.

    2003-01-01

    The paper summarises involvement of Nuclear Research Institute Rez (NRI) in the areas which are directly related to Reactor Operational Safety and Plant Life Management, it also gives an idea how results of the research projects can be used to enhance safety of VVER reactors. These issues are for many years subject of a wide international co-operation effort, covered by such programmes as PHARE, OECD/NEA TACIS, 5th Framework Programme. Nuclear Research Institute participated in the majority of these programmes and projects, which allowed us to evaluate benefits (especially for VVER reactors) of the projects already finalised or running, as well as to formulate so-called 'future research needs', which possibly may be pursued within 6th Framework Programme. The paper highlights the main features of some projects our Institute was and is involved in, emphasising the most important results, expectations and future needs. It also very briefly, deals with some general and particular lessons learnt within these projects and their application to VVER reactors, especially as to their safety improvement. The paper also mentions VVER-focused projects and activities, co-ordinated by the OECD, which should enable to extend multilateral contacts already existing between organisations of the EU countries to include organisations from Russia, USA, Japan and possibly some other countries

  17. Determining the need for improvement of infant incubator design with quality function deployment

    Science.gov (United States)

    Tarigan, U.; Ginting, R.; Siregar, I.

    2018-02-01

    A Newborns need particular attention because it takes time to adapt to the outside world. In accordance with the standard post-neonatal procedures, newborns should be incorporated into the incubator within a specified period of time according to the infant’s health level. Infant incubator as a medical device used to care for newborns, often get complaints from doctors and child nurses. The complaint indicates consumer dissatisfaction with incubator products in the hospital. Broadly speaking, objection against infant incubators lie in inappropriate designs. To overcome these complaints the researchers apply the method of Quality Function Deployment to determine the characteristics of priority techniques in accordance with the wishes of consumers with it. The primary focus of QFD is to engage customers in the product development process as early as possible, which their needs and desires serve as the starting point of the QFD process. Therefore, QFD is called the voice of customer. The underlying philosophy is that customers are not always satisfied with a product even though the product has been perfectly produced. The results show that the category used as a priority improvement is the additional function of the oxygen cylinder and the size of the door hole. QFD phase one produces technical characteristics of Ergonomy, Features and Cost as critical part determinants.

  18. Integrated methodology for production related risk management of vehicle electronics (IMPROVE)

    OpenAIRE

    Geis, Stefan Rafael

    2006-01-01

    This scientific work is designated to provide an innovative and integrated conceptional approach to improve the assembly quality of automotive electronics. This is achieved by the reduction and elimination of production related risks of automotive electronics and the implementation of a sustainable solution process. The focus is the development and implementation of an integrated technical risk management approach for automotive electronics throughout the vehicle life cycle and the vehicle pr...

  19. Improved Temperature Sounding and Quality Control Methodology Using AIRS/AMSU Data: The AIRS Science Team Version 5 Retrieval Algorithm

    Science.gov (United States)

    Susskind, Joel; Blaisdell, John M.; Iredell, Lena; Keita, Fricky

    2009-01-01

    This paper describes the AIRS Science Team Version 5 retrieval algorithm in terms of its three most significant improvements over the methodology used in the AIRS Science Team Version 4 retrieval algorithm. Improved physics in Version 5 allows for use of AIRS clear column radiances in the entire 4.3 micron CO2 absorption band in the retrieval of temperature profiles T(p) during both day and night. Tropospheric sounding 15 micron CO2 observations are now used primarily in the generation of clear column radiances .R(sub i) for all channels. This new approach allows for the generation of more accurate values of .R(sub i) and T(p) under most cloud conditions. Secondly, Version 5 contains a new methodology to provide accurate case-by-case error estimates for retrieved geophysical parameters and for channel-by-channel clear column radiances. Thresholds of these error estimates are used in a new approach for Quality Control. Finally, Version 5 also contains for the first time an approach to provide AIRS soundings in partially cloudy conditions that does not require use of any microwave data. This new AIRS Only sounding methodology, referred to as AIRS Version 5 AO, was developed as a backup to AIRS Version 5 should the AMSU-A instrument fail. Results are shown comparing the relative performance of the AIRS Version 4, Version 5, and Version 5 AO for the single day, January 25, 2003. The Goddard DISC is now generating and distributing products derived using the AIRS Science Team Version 5 retrieval algorithm. This paper also described the Quality Control flags contained in the DISC AIRS/AMSU retrieval products and their intended use for scientific research purposes.

  20. A Simple and Efficient Methodology To Improve Geometric Accuracy in Gamma Knife Radiation Surgery: Implementation in Multiple Brain Metastases

    Energy Technology Data Exchange (ETDEWEB)

    Karaiskos, Pantelis, E-mail: pkaraisk@med.uoa.gr [Medical Physics Laboratory, Medical School, University of Athens (Greece); Gamma Knife Department, Hygeia Hospital, Athens (Greece); Moutsatsos, Argyris; Pappas, Eleftherios; Georgiou, Evangelos [Medical Physics Laboratory, Medical School, University of Athens (Greece); Roussakis, Arkadios [CT and MRI Department, Hygeia Hospital, Athens (Greece); Torrens, Michael [Gamma Knife Department, Hygeia Hospital, Athens (Greece); Seimenis, Ioannis [Medical Physics Laboratory, Medical School, Democritus University of Thrace, Alexandroupolis (Greece)

    2014-12-01

    Purpose: To propose, verify, and implement a simple and efficient methodology for the improvement of total geometric accuracy in multiple brain metastases gamma knife (GK) radiation surgery. Methods and Materials: The proposed methodology exploits the directional dependence of magnetic resonance imaging (MRI)-related spatial distortions stemming from background field inhomogeneities, also known as sequence-dependent distortions, with respect to the read-gradient polarity during MRI acquisition. First, an extra MRI pulse sequence is acquired with the same imaging parameters as those used for routine patient imaging, aside from a reversal in the read-gradient polarity. Then, “average” image data are compounded from data acquired from the 2 MRI sequences and are used for treatment planning purposes. The method was applied and verified in a polymer gel phantom irradiated with multiple shots in an extended region of the GK stereotactic space. Its clinical impact in dose delivery accuracy was assessed in 15 patients with a total of 96 relatively small (<2 cm) metastases treated with GK radiation surgery. Results: Phantom study results showed that use of average MR images eliminates the effect of sequence-dependent distortions, leading to a total spatial uncertainty of less than 0.3 mm, attributed mainly to gradient nonlinearities. In brain metastases patients, non-eliminated sequence-dependent distortions lead to target localization uncertainties of up to 1.3 mm (mean: 0.51 ± 0.37 mm) with respect to the corresponding target locations in the “average” MRI series. Due to these uncertainties, a considerable underdosage (5%-32% of the prescription dose) was found in 33% of the studied targets. Conclusions: The proposed methodology is simple and straightforward in its implementation. Regarding multiple brain metastases applications, the suggested approach may substantially improve total GK dose delivery accuracy in smaller, outlying targets.

  1. Fundamental and methodological investigations for the improvement of elemental analysis by inductively coupled plasma mass soectrometry

    Energy Technology Data Exchange (ETDEWEB)

    Ebert, Christopher Hysjulien [Ames Lab., Ames, IA (United States)

    2012-01-01

    This dissertation describes a variety of studies meant to improve the analytical performance of inductively coupled plasma mass spectrometry (ICP-MS) and laser ablation (LA) ICP-MS. The emission behavior of individual droplets and LA generated particles in an ICP is studied using a high-speed, high frame rate digital camera. Phenomena are observed during the ablation of silicate glass that would cause elemental fractionation during analysis by ICP-MS. Preliminary work for ICP torch developments specifically tailored for the improvement of LA sample introduction are presented. An abnormal scarcity of metal-argon polyatomic ions (MAr{sup +}) is observed during ICP-MS analysis. Evidence shows that MAr{sup +} ions are dissociated by collisions with background gas in a shockwave near the tip of the skimmer cone. Method development towards the improvement of LA-ICP-MS for environmental monitoring is described. A method is developed to trap small particles in a collodion matrix and analyze each particle individually by LA-ICP-MS.

  2. Achievement for All: improving psychosocial outcomes for students with special educational needs and disabilities.

    Science.gov (United States)

    Humphrey, Neil; Lendrum, Ann; Barlow, Alexandra; Wigelsworth, Michael; Squires, Garry

    2013-04-01

    Students with special educational needs and disabilities (SEND) are at a greatly increased risk of experiencing poor psychosocial outcomes. Developing effective interventions that address the cause of these outcomes has therefore become a major policy priority in recent years. We report on a national evaluation of the Achievement for All (AfA) programme that was designed to improve outcomes for students with SEND through: (1) academic assessment, tracking and intervention, (2) structured conversations with parents, and (3) developing provision to improve wider outcomes (e.g. positive relationships). Using a quasi-experimental, pre-test-post-test control group design, we assessed the impact of AfA on teacher ratings of the behaviour problems, positive relationships and bullying of students with SEND over an 18-month period. Participants were 4758 students with SEND drawn from 323 schools across England. Our main impact analysis demonstrated that AfA had a significant impact on all three response variables when compared to usual practice. Hierarchical linear modelling of data from the intervention group highlighted a range of school-level contextual factors and implementation activities and student-level individual differences that moderated the impact of AfA on our study outcomes. The implications of our findings are discussed, and study strengths and limitations are noted. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

  3. A METHODOLOGY FOR IMPROVING PRODUCTIVITY OF THE EXISTING SHIPBUILDING PROCESS USING MODERN PRODUCTION CONCEPTs AND THE AHP METHOD

    Directory of Open Access Journals (Sweden)

    Venesa Stanić

    2017-01-01

    Full Text Available In recent years, shipyards have been facing difficulties in controlling operational costs. To maintain continual operation of all of the facilities, a shipyard must analyze ways of utilizing present production systems for assembling interim vessel products as well as other types of industrial constructions. In the past, new machines continuously improved shipbuilding processes, including software and organizational restructuring, but management continued to search for a modern technological concept that will provide higher productivity, greater profit and overall reduction in costs. In the article the authors suggest implementing Design for Production, Design for Maintainability and Group Technology principles using the Analytical Hierarchy Process (AHP to apply to multi criteria decision making methods as an efficient tool for maintaining international competitiveness in the modern shipbuilding industry. This novel methodology is implemented through four phases. In the first phase, the present situation analysis is suggested for a real shipyard by establishing closest relations among production lines. The second phase presents a constraint analysis that must be evaluated when developing the design solution. The third phase involves generating a typical number of selected alternatives of the Design for Production, Design for Maintainability and Group Technology principles. In the fourth phase, the optimal design solution is selected using the Analytical Hierarchy Process (AHP method. The solution incorporating this modern methodology will improve productivity, profit and lead to decreasing operational costs.

  4. Improving performance management for delivering appropriate care for patients no longer needing acute hospital care.

    Science.gov (United States)

    Penney, Christine; Henry, Effie

    2008-01-01

    The public, providers and policy-makers are interested in a service continuum where care is provided in the appropriate place. Alternate level of care is used to define patients who no longer need acute care but remain in an acute care bed. Our aims were to determine how subacute care and convalescent care should be defined in British Columbia (BC); how these care levels should be aligned with existing legislation to provide more consistent service standards to patients and what reporting requirements were needed for system planning and performance management. A literature review was conducted to understand the international trends in performance management, care delivery models and change management. A Canada-wide survey was carried out to determine the directions of other provinces on the defined issues and a BC survey provided a current state analysis of programming within the five regional health authorities (HAs). A provincial policy framework for subacute and convalescent care has been developed to begin to address the concerns raised and provide a base for performance measurement. The policy has been approved and disseminated to BC HAs for implementation. An implementation plan has been developed and implementation activities have been integrated into the work of existing provincial committees. Evaluation will occur through performance measurement. The benefits anticipated include: clear policy guidance for programme development; improved comparability of performance information for system monitoring, planning and integrity of the national acute care Discharge Abstracting Database; improved efficiency in acute care bed use; and improved equity of access, insurability and quality for patients requiring subacute and convalescent care. While a national reporting system exists for acute care in Canada, this project raises questions about the implications for this system, given the shifting definition of acute care as other care levels emerge. Questions are also

  5. TO METHODOLOGY FOR IMPROVEMENT OF ACTIVE VIBRO-PROTECTION WHILE USING FUNCTIONAL DIAGNOSTICS

    Directory of Open Access Journals (Sweden)

    T. N. Mikulik

    2014-01-01

    Full Text Available The paper investigates vibro-protection conditions for “operator-chair” system of a transport facility (“Belarus-tractorfamily. Experimental  research for the system vibroloading with due account of elastic shock-absorbing characteristics, operator’s comfortability. The paper has made it possible to determine a range of the system vibration frequency which is badlysustained by the operator because the last is located in the zone of natural frequency of human visceral organs vibrationsInfluence of physiological operator’s factors – heartbeat rate, variational height, mode amplitude, stress index has been investigated on the basis of a factor experiment and correlation dependences have been obtained in the paper. The developed methodology for investigation of algorithmic provision pertaining to better active vibroprotection of the “operator-chair” system presupposes an availability of mathematical model used for synthesis of control laws and selection of algorithms for formation of signals on physiological operator’s state. Structural algorithm scheme for vibroprotection of “driver – seat – road” system has been drawn in the paper. Harmonic sinusoidal and poly-harmonic disturbances from the side of a power unit and discrete algorithms based on filtration of white noise with a linear filter and  prescribed correlation function have been accepted as a mathematical model for external environment disturbances. In case of harmonic excitation of “operator – chair” system  a force transferred to the system by a shock-absorber and also shock-absorber efficiency evaluation in the form of force transmission coefficient and vibration insulation value are estimated at decibels. Fourier’s series describes motion of the system in case of vibration forces initiated by the operation of the power unit. Piecewise-linear function describes a reaction on impact excitation of the system when final change in speed and motion

  6. Utilizing Lean Six Sigma Methodology to Improve the Authored Works Command Approval Process at Naval Medical Center San Diego.

    Science.gov (United States)

    Valdez, Michelle M; Liwanag, Maureen; Mount, Charles; Rodriguez, Rechell; Avalos-Reyes, Elisea; Smith, Andrew; Collette, David; Starsiak, Michael; Green, Richard

    2018-03-14

    Inefficiencies in the command approval process for publications and/or presentations negatively impact DoD Graduate Medical Education (GME) residency programs' ability to meet ACGME scholarly activity requirements. A preliminary review of the authored works approval process at Naval Medical Center San Diego (NMCSD) disclosed significant inefficiency, variation in process, and a low level of customer satisfaction. In order to facilitate and encourage scholarly activity at NMCSD, and meet ACGME requirements, the Executive Steering Council (ESC) chartered an interprofessional team to lead a Lean Six Sigma (LSS) Rapid Improvement Event (RIE) project. Two major outcome metrics were identified: (1) the number of authored works submissions containing all required signatures and (2) customer satisfaction with the authored works process. Primary metric baseline data were gathered utilizing a Clinical Investigations database tracking publications and presentations. Secondary metric baseline data were collected via a customer satisfaction survey to GME faculty and residents. The project team analyzed pre-survey data and utilized LSS tools and methodology including a "gemba" (environment) walk, cause and effect diagram, critical to quality tree, voice of the customer, "muda" (waste) chart, and a pre- and post-event value stream map. The team selected an electronic submission system as the intervention most likely to positively impact the RIE project outcome measures. The number of authored works compliant with all required signatures improved from 52% to 100%. Customer satisfaction rated as "completely or mostly satisfied" improved from 24% to 97%. For both outcomes, signature compliance and customer satisfaction, statistical significance was achieved with a p methodology and tools to improve signature compliance and increase customer satisfaction with the authored works approval process, leading to 100% signature compliance, a comprehensive longitudinal repository of all

  7. Projecting future expansion of invasive species: comparing and improving methodologies for species distribution modeling.

    Science.gov (United States)

    Mainali, Kumar P; Warren, Dan L; Dhileepan, Kunjithapatham; McConnachie, Andrew; Strathie, Lorraine; Hassan, Gul; Karki, Debendra; Shrestha, Bharat B; Parmesan, Camille

    2015-12-01

    Modeling the distributions of species, especially of invasive species in non-native ranges, involves multiple challenges. Here, we developed some novel approaches to species distribution modeling aimed at reducing the influences of such challenges and improving the realism of projections. We estimated species-environment relationships for Parthenium hysterophorus L. (Asteraceae) with four modeling methods run with multiple scenarios of (i) sources of occurrences and geographically isolated background ranges for absences, (ii) approaches to drawing background (absence) points, and (iii) alternate sets of predictor variables. We further tested various quantitative metrics of model evaluation against biological insight. Model projections were very sensitive to the choice of training dataset. Model accuracy was much improved using a global dataset for model training, rather than restricting data input to the species' native range. AUC score was a poor metric for model evaluation and, if used alone, was not a useful criterion for assessing model performance. Projections away from the sampled space (i.e., into areas of potential future invasion) were very different depending on the modeling methods used, raising questions about the reliability of ensemble projections. Generalized linear models gave very unrealistic projections far away from the training region. Models that efficiently fit the dominant pattern, but exclude highly local patterns in the dataset and capture interactions as they appear in data (e.g., boosted regression trees), improved generalization of the models. Biological knowledge of the species and its distribution was important in refining choices about the best set of projections. A post hoc test conducted on a new Parthenium dataset from Nepal validated excellent predictive performance of our 'best' model. We showed that vast stretches of currently uninvaded geographic areas on multiple continents harbor highly suitable habitats for parthenium

  8. Improving Baseline Model Assumptions: Evaluating the Impacts of Typical Methodological Approaches in Watershed Models

    Science.gov (United States)

    Muenich, R. L.; Kalcic, M. M.; Teshager, A. D.; Long, C. M.; Wang, Y. C.; Scavia, D.

    2017-12-01

    Thanks to the availability of open-source software, online tutorials, and advanced software capabilities, watershed modeling has expanded its user-base and applications significantly in the past thirty years. Even complicated models like the Soil and Water Assessment Tool (SWAT) are being used and documented in hundreds of peer-reviewed publications each year, and likely more applied in practice. These models can help improve our understanding of present, past, and future conditions, or analyze important "what-if" management scenarios. However, baseline data and methods are often adopted and applied without rigorous testing. In multiple collaborative projects, we have evaluated the influence of some of these common approaches on model results. Specifically, we examined impacts of baseline data and assumptions involved in manure application, combined sewer overflows, and climate data incorporation across multiple watersheds in the Western Lake Erie Basin. In these efforts, we seek to understand the impact of using typical modeling data and assumptions, versus using improved data and enhanced assumptions on model outcomes and thus ultimately, study conclusions. We provide guidance for modelers as they adopt and apply data and models for their specific study region. While it is difficult to quantitatively assess the full uncertainty surrounding model input data and assumptions, recognizing the impacts of model input choices is important when considering actions at the both the field and watershed scales.

  9. Ultrasonic particle image velocimetry for improved flow gradient imaging: algorithms, methodology and validation

    International Nuclear Information System (INIS)

    Niu Lili; Qian Ming; Yu Wentao; Jin Qiaofeng; Ling Tao; Zheng Hairong; Wan Kun; Gao Shen

    2010-01-01

    This paper presents a new algorithm for ultrasonic particle image velocimetry (Echo PIV) for improving the flow velocity measurement accuracy and efficiency in regions with high velocity gradients. The conventional Echo PIV algorithm has been modified by incorporating a multiple iterative algorithm, sub-pixel method, filter and interpolation method, and spurious vector elimination algorithm. The new algorithms' performance is assessed by analyzing simulated images with known displacements, and ultrasonic B-mode images of in vitro laminar pipe flow, rotational flow and in vivo rat carotid arterial flow. Results of the simulated images show that the new algorithm produces much smaller bias from the known displacements. For laminar flow, the new algorithm results in 1.1% deviation from the analytically derived value, and 8.8% for the conventional algorithm. The vector quality evaluation for the rotational flow imaging shows that the new algorithm produces better velocity vectors. For in vivo rat carotid arterial flow imaging, the results from the new algorithm deviate 6.6% from the Doppler-measured peak velocities averagely compared to 15% of that from the conventional algorithm. The new Echo PIV algorithm is able to effectively improve the measurement accuracy in imaging flow fields with high velocity gradients.

  10. A new and improved methodology for qualitative and quantitative mineralogical analysis of Boom Clay

    International Nuclear Information System (INIS)

    Zeelmaekers, E.; Vandenberghe, N.; Honty, M.; De Craen, M.; Derkowski, A.; Van Geet, M.

    2010-01-01

    Document available in extended abstract form only. A good knowledge of the mineralogy of any host formation studied for geological disposal of high-level radioactive waste, is a prerequisite for understanding the geochemical environment which will determine the migration and retention behaviour of radionuclides. In this respect, the Boom Clay mineralogical composition has been extensively studied last decades as reference host formation (e.g. ARCHIMEDEARGILE project, OECD-NEA clay catalogue report) with the aim to provide reliable data for a safety assessment. However, a comparison of the available literature data clearly showed a serious discrepancy among studies, not only in the quantitative, but also in the qualitative mineralogical composition of the Boom Clay (SAFIR II). The reason for such a huge disagreement could be related, among others, to variable grain size distributions of the studied samples (sample heterogeneity) and differences in the methodological approaches. In particular, the unambiguous characterisation of clay minerals and the quantification of mixed-layer phases appeared as an everlasting problem. This study is aimed at achieving a consensus on the qualitative and quantitative mineralogical data of the Boom Clay using the most advanced techniques currently available in the clay science. A new sampling campaign was performed in such a way that samples are (20 in total) more or less regularly distributed over Boom Clay Formation, ensuring that variations in the grain size distributions due to silty clay-clayey silt layers alternations are accounted for. The novel concept based on an analysis at two levels was applied: (1) bulk rock and (2) clay fraction analysis. (1) A bulk rock analysis consists of conventional XRD analysis with the identification of the principal mineral phases. As a next step, the bulk rock was mixed with a ZnO internal standard and experimental diffraction patterns of randomly oriented powders were analyzed using &apos

  11. Improving Emergency Department radiology transportation time: a successful implementation of lean methodology.

    Science.gov (United States)

    Hitti, Eveline A; El-Eid, Ghada R; Tamim, Hani; Saleh, Rana; Saliba, Miriam; Naffaa, Lena

    2017-09-05

    Emergency Department overcrowding has become a global problem and a growing safety and quality concern. Radiology and laboratory turnaround time, ED boarding and increased ED visits are some of the factors that contribute to ED overcrowding. Lean methods have been used in the ED to address multiple flow challenges from improving door-to-doctor time to reducing length of stay. The objective of this study is to determine the effectiveness of using Lean management methods on improving Emergency Department transportation times for plain radiography. We performed a before and after study at an academic urban Emergency Department with 49,000 annual visits after implementing a Lean driven intervention. The primary outcome was mean radiology transportation turnaround time (TAT). Secondary outcomes included overall study turnaround time from order processing to preliminary report time as well as ED length of stay. All ED patients undergoing plain radiography 6 months pre-intervention were compared to all ED patients undergoing plain radiography 6 months post-intervention after a 1 month washout period. Post intervention there was a statistically significant decrease in the mean transportation TAT (mean ± SD: 9.87 min ± 15.05 versus 22.89 min ± 22.05, respectively, p-value <0.0001). In addition, it was found that 71.6% of patients in the post-intervention had transportation TAT ≤ 10 min, as compared to 32.3% in the pre-intervention period, p-value <0.0001, with narrower interquartile ranges in the post-intervention period. Similarly, the "study processing to preliminary report time" and the length of stay were lower in the post-intervention as compared to the pre-intervention, (52.50 min ± 35.43 versus 54.04 min ± 34.72, p-value = 0.02 and 3.65 h ± 5.17 versus 4.57 h ± 10.43, p < 0.0001, respectively), in spite of an increase in the time it took to elease a preliminary report in the post-intervention period. Using Lean change management

  12. Improved and Reproducible Flow Cytometry Methodology for Nuclei Isolation from Single Root Meristem

    Directory of Open Access Journals (Sweden)

    Thaís Cristina Ribeiro Silva

    2010-01-01

    Full Text Available Root meristems have increasingly been target of cell cycle studies by flow cytometric DNA content quantification. Moreover, roots can be an alternative source of nuclear suspension when leaves become unfeasible and for chromosome analysis and sorting. In the present paper, a protocol for intact nuclei isolation from a single root meristem was developed. This proceeding was based on excision of the meristematic region using a prototypical slide, followed by short enzymatic digestion and mechanical isolation of nuclei during homogenization with a hand mixer. Such parameters were optimized for reaching better results. Satisfactory nuclei amounts were extracted and analyzed by flow cytometry, producing histograms with reduced background noise and CVs between 3.2 and 4.1%. This improved and reproducible technique was shown to be rapid, inexpensive, and simple for nuclear extraction from a single root tip, and can be adapted for other plants and purposes.

  13. New scoring methodology improves the sensitivity of the Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog) in clinical trials.

    Science.gov (United States)

    Verma, Nishant; Beretvas, S Natasha; Pascual, Belen; Masdeu, Joseph C; Markey, Mia K

    2015-11-12

    As currently used, the Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog) has low sensitivity for measuring Alzheimer's disease progression in clinical trials. A major reason behind the low sensitivity is its sub-optimal scoring methodology, which can be improved to obtain better sensitivity. Using item response theory, we developed a new scoring methodology (ADAS-CogIRT) for the ADAS-Cog, which addresses several major limitations of the current scoring methodology. The sensitivity of the ADAS-CogIRT methodology was evaluated using clinical trial simulations as well as a negative clinical trial, which had shown an evidence of a treatment effect. The ADAS-Cog was found to measure impairment in three cognitive domains of memory, language, and praxis. The ADAS-CogIRT methodology required significantly fewer patients and shorter trial durations as compared to the current scoring methodology when both were evaluated in simulated clinical trials. When validated on data from a real clinical trial, the ADAS-CogIRT methodology had higher sensitivity than the current scoring methodology in detecting the treatment effect. The proposed scoring methodology significantly improves the sensitivity of the ADAS-Cog in measuring progression of cognitive impairment in clinical trials focused in the mild-to-moderate Alzheimer's disease stage. This provides a boost to the efficiency of clinical trials requiring fewer patients and shorter durations for investigating disease-modifying treatments.

  14. Health and household air pollution from solid fuel use: the need for improved exposure assessment.

    Science.gov (United States)

    Clark, Maggie L; Peel, Jennifer L; Balakrishnan, Kalpana; Breysse, Patrick N; Chillrud, Steven N; Naeher, Luke P; Rodes, Charles E; Vette, Alan F; Balbus, John M

    2013-10-01

    Nearly 3 billion people worldwide rely on solid fuel combustion to meet basic household energy needs. The resulting exposure to air pollution causes an estimated 4.5% of the global burden of disease. Large variability and a lack of resources for research and development have resulted in highly uncertain exposure estimates. We sought to identify research priorities for exposure assessment that will more accurately and precisely define exposure-response relationships of household air pollution necessary to inform future cleaner-burning cookstove dissemination programs. As part of an international workshop in May 2011, an expert group characterized the state of the science and developed recommendations for exposure assessment of household air pollution. The following priority research areas were identified to explain variability and reduce uncertainty of household air pollution exposure measurements: improved characterization of spatial and temporal variability for studies examining both short- and long-term health effects; development and validation of measurement technology and approaches to conduct complex exposure assessments in resource-limited settings with a large range of pollutant concentrations; and development and validation of biomarkers for estimating dose. Addressing these priority research areas, which will inherently require an increased allocation of resources for cookstove research, will lead to better characterization of exposure-response relationships. Although the type and extent of exposure assessment will necessarily depend on the goal and design of the cookstove study, without improved understanding of exposure-response relationships, the level of air pollution reduction necessary to meet the health targets of cookstove interventions will remain uncertain.

  15. 'Intelligent' triggering methodology for improved detectability of wavelength modulation diode laser absorption spectrometry applied to window-equipped graphite furnaces

    International Nuclear Information System (INIS)

    Gustafsson, Joergen; Axner, Ove

    2003-01-01

    The wavelength modulation-diode laser absorption spectrometry (WM-DLAS) technique experiences a limited detectability when window-equipped sample compartments are used because of multiple reflections between components in the optical system (so-called etalon effects). The problem is particularly severe when the technique is used with a window-equipped graphite furnace (GF) as atomizer since the heating of the furnace induces drifts of the thickness of the windows and thereby also of the background signals. This paper presents a new detection methodology for WM-DLAS applied to a window-equipped GF in which the influence of the background signals from the windows is significantly reduced. The new technique, which is based upon a finding that the WM-DLAS background signals from a window-equipped GF are reproducible over a considerable period of time, consists of a novel 'intelligent' triggering procedure in which the GF is triggered at a user-chosen 'position' in the reproducible drift-cycle of the WM-DLAS background signal. The new methodology makes also use of 'higher-than-normal' detection harmonics, i.e. 4f or 6f, since these previously have shown to have a higher signal-to-background ratio than 2f-detection when the background signals originates from thin etalons. The results show that this new combined background-drift-reducing methodology improves the limit of detection of the WM-DLAS technique used with a window-equipped GF by several orders of magnitude as compared to ordinary 2f-detection, resulting in a limit of detection for a window-equipped GF that is similar to that of an open GF

  16. Lipofection of insulin-producing RINm5F cells: methodological improvements.

    Science.gov (United States)

    Barbu, Andreea; Welsh, Nils

    2007-01-01

    Cationic lipid/DNA-complexes have been widely used as gene transfer vectors because they are less toxic and immunogenic than viral vectors. The aim of the present study was to improve and characterize lipofection of an insulin-producing cell line. We compared the transfection efficiency of seven commercially available lipid formulations (Lipotaxi, SuperFect, Fugene, TransFast, Dosper, GenePORTER and LipofectAMINE) by flow cytometry analysis of GFP-expression. In addition, we have determined the influences of centrifugation, serum and a nuclear localization signal peptide on the lipofection efficiency. We observed that two lipid formulations, GenePORTER and LipofectAMINE, were able to promote efficient gene transfer in RINm5F cells. However, GenePORTER exhibited the important advantage of being able to transfect cells in the presence of serum and with less cytotoxicity than LipofectAMINE. LipofectAMINE-induced RINm5F cell death could partially be counteracted by TPA, forskolin or fumonisin beta(1). Finally, both centrifugation and a nuclear localization signal peptide increased transfection efficiency.

  17. Improved methodology for generation of axial flux shapes in digital core protection systems

    International Nuclear Information System (INIS)

    Lee, G.-C.; Baek, W.-P.; Chang, S.H.

    2002-01-01

    An improved method of axial flux shape (AFS) generation for digital core protection systems of pressurized water reactors is presented in this paper using an artificial neural network (ANN) technique - a feedforward network trained by backpropagation. It generates 20-node axial power shapes based on the information from three ex-core detectors. In developing the method, a total of 7173 axial flux shapes are generated from ROCS code simulation for training and testing of the ANN. The ANN trained 200 data predicts the remaining data with the average root mean square error of about 3%. The developed method is also tested with the real plant data measured during normal operation of Yonggwang Unit 4. The RMS errors in the range of 0.9∼2.1% are about twice as accurate as the cubic spline approximation method currently used in the plant. The developed method would contribute to solve the drawback of the current method as it shows reasonable accuracy over wide range of core conditions

  18. Improvement of methodological and data background for life cycle assessment of nano-metaloxides

    DEFF Research Database (Denmark)

    Miseljic, Mirko

    =0.01) to 3.20E-03 (801-1000 nm, α=1) PAF·m3 ·day/kg for Ag, TiO2, and ZnO ENMs, respectively. In terms of toxicity level the derived CFs show that Ag>ZnO>TiO2. The CFs can be applied, but should be considered interim. A LCA case study was performed on five ENM products, where novel industrial...... model was setup. The fate was based on peri-kinetic aggregation (Brownian motion), ortho-kinetic aggregation (fluid motion), differential settling (sedimentation), resuspension and dissolution of ENMs. The effect part was based on three freshwater trophic levels (algae, daphnia and fish...... measurements from products. Based on the review a central part of the improvement could be done by addressing the functional unit, data inventory and ENM freshwater ecotoxicity CFs. In order to derive freshwater (European continent) ecotoxicity CFs, at midpoint level, of metal (-oxide) ENMs a fate and effect...

  19. Organisms for biofuel production: natural bioresources and methodologies for improving their biosynthetic potentials.

    Science.gov (United States)

    Hu, Guangrong; Ji, Shiqi; Yu, Yanchong; Wang, Shi'an; Zhou, Gongke; Li, Fuli

    2015-01-01

    In order to relieve the pressure of energy supply and environment contamination that humans are facing, there are now intensive worldwide efforts to explore natural bioresources for production of energy storage compounds, such as lipids, alcohols, hydrocarbons, and polysaccharides. Around the world, many plants have been evaluated and developed as feedstock for bioenergy production, among which several crops have successfully achieved industrialization. Microalgae are another group of photosynthetic autotroph of interest due to their superior growth rates, relatively high photosynthetic conversion efficiencies, and vast metabolic capabilities. Heterotrophic microorganisms, such as yeast and bacteria, can utilize carbohydrates from lignocellulosic biomass directly or after pretreatment and enzymatic hydrolysis to produce liquid biofuels such as ethanol and butanol. Although finding a suitable organism for biofuel production is not easy, many naturally occurring organisms with good traits have recently been obtained. This review mainly focuses on the new organism resources discovered in the last 5 years for production of transport fuels (biodiesel, gasoline, jet fuel, and alkanes) and hydrogen, and available methods to improve natural organisms as platforms for the production of biofuels.

  20. Improving of the financial statements forms of credit unions under stakeholders information needs

    Directory of Open Access Journals (Sweden)

    O.L. Bilyachenko

    2016-07-01

    Full Text Available The need for a satisfaction of credit union users’ information requests causes necessity to improve procedure of disclosure of financial information in their financial statements. Analysis of statistics on the activities of credit unions in Ukraine has allowed revealing decrease in their number on the background of organizational consolidation. The study of international financial reporting framework, regulatory documents on accounting and reporting in Ukraine provided an opportunity to identify deficiencies of the disclosure of information about credit unions’ business activities. The result of the study is that the balance sheet and a profit and loss statement for the credit union have been added by the items, which will more fully disclose the information on assets and liabilities, business activities income and costs. In addition, these changes will avoid duplication of such information in the specialized reports provided by credit unions to the National Commission for State Regulation of Financial Services Markets. In general, this will help to protect of credit unions members’ rights and will strengthen the depositors’ and creditors’ confidence in the credit unions activities.

  1. A cross sectional study at subcentre level reflecting need for improving coverage of maternal health services

    Directory of Open Access Journals (Sweden)

    Geetu Singh

    2015-03-01

    Full Text Available Background: A Health Sub-centre is the most peripheral and first point of contact between the primary health care system and the community. It is imperative to get insight into their functioning which were established with the objectives of minimizing the hardships of the rural people. Objective: To study the coverages of maternal services at subcentres in district Jhansi. Material & Methods: A cross-sectional study was conducted with sample of 20 subcentres in the district Jhansi from June 2012 to July 2013. Various records of the Health workers were examined for maternal health services coverages and noted down on a pre-designed questionnaire. Results: Present study showed that currently married pregnant women aged 15-49 years registered for ANC were 72.1%. Women who received antenatal check-up in first trimester in subcentres were around 50%. Women who received 3 or more antenatal visits were only 29% in study. Meager 3.6% women received IFA for 100 days or more. Similarly women with full antenatal check-up were only 3%. In current study it was found that family planning coverages for female Sterilization was 60% but male Sterilization was just 0.5%. Conclusion: Higher emphasis needs to be given for better coverage of all maternal services. There should be provision for improvement of competence, confidence and motivation of health workers to ensure full range of maternal care activities specified under NRHM program.

  2. Statin non-adherence and residual cardiovascular risk: There is need for substantial improvement.

    Science.gov (United States)

    Banach, Maciej; Stulc, Tomas; Dent, Ricardo; Toth, Peter P

    2016-12-15

    Although statin therapy has proven to be the cornerstone for prevention and treatment of cardiovascular disease (CVD), there are many patients for whom long-term therapy remains suboptimal. The aims of this article are to review the current complex issues associated with statin use and to explore when novel treatment approaches should be considered. Statin discontinuation as well as adherence to statin therapy remain two of the greatest challenges for lipidologists. Evidence suggests that between 40 and 75% of patients discontinue their statin therapy within one year after initiation. Furthermore, whilst the reasons for persistence with statin therapy are complex, evidence shows that low-adherence to statins negatively impacts clinical outcomes and residual CV risk remains a major concern. Non-adherence or lack of persistence with long-term statin therapy in real-life may be the main cause of inadequate low density lipoprotein cholesterol lowering with statins. There is a large need for the improvement of the use of statins, which have good safety profiles and are inexpensive. On the other hand, in a non-cost-constrained environment, proprotein convertase subtilisin/kexin type 9 inhibitors should arguably be used more often in those patients in whom treatment with statins remains unsatisfactory. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  3. Use of PFMEA methodology as a competitive advantage for the analysis of improvements in an experimental procedure

    Directory of Open Access Journals (Sweden)

    Fernando Coelho

    2015-12-01

    Full Text Available The methodology of Failure Modes and Effects Analysis (FMEA, utilized by industries to investigate potential failures, contributes to ensuring the robustness of the project and the manufacturing process, even before production starts. Thus, there is a reduced likelihood of errors, and a higher level of efficiency and effectiveness at high productivity. This occurs through the elimination or reduction of productive problems. In this context, this study is based on the structured application of PFMEA (Process Failure Mode Effects Analysis, associated with other quality tools, in a simulation of the assembly of an electro-pneumatic system. This study was performed at the Experimental Laboratory of the Botucatu Technology Faculty (FATEC, with the support of five undergraduate students from the Technology Industrial Production Course. The methodology applied contributed to the forecast of 24 potential failures and improvements opportunities, investigation of their causes, proving to be a standard that is applicable to any productive process with a gain in efficiency and effectiveness. Therefore, the final strategy was to evaluate and minimize the potential failures, to reduce production costs and to increase the performance of the process.

  4. Nutrients interaction investigation to improve Monascus purpureus FTC5391 growth rate using Response Surface Methodology and Artificial Neural Network

    Directory of Open Access Journals (Sweden)

    Mohamad, R.

    2013-01-01

    Full Text Available Aims: Two vital factors, certain environmental conditions and nutrients as a source of energy are entailed for successful growth and reproduction of microorganisms. Manipulation of nutritional requirement is the simplest and most effectual strategy to stimulate and enhance the activity of microorganisms. Methodology and Results: In this study, response surface methodology (RSM and artificial neural network (ANN were employed to optimize the carbon and nitrogen sources in order to improve growth rate of Monascus purpureus FTC5391,a new local isolate. The best models for optimization of growth rate were a multilayer full feed-forward incremental back propagation network, and a modified response surface model using backward elimination. The optimum condition for cell mass production was: sucrose 2.5%, yeast extract 0.045%, casamino acid 0.275%, sodium nitrate 0.48%, potato starch 0.045%, dextrose 1%, potassium nitrate 0.57%. The experimental cell mass production using this optimal condition was 21 mg/plate/12days, which was 2.2-fold higher than the standard condition (sucrose 5%, yeast extract 0.15%, casamino acid 0.25%, sodium nitrate 0.3%, potato starch 0.2%, dextrose 1%, potassium nitrate 0.3%. Conclusion, significance and impact of study: The results of RSM and ANN showed that all carbon and nitrogen sources tested had significant effect on growth rate (P-value < 0.05. In addition the use of RSM and ANN alongside each other provided a proper growth prediction model.

  5. Methodology for determining the effectiveness of implementing innovations and proposals for improving production in oil industry branches

    Energy Technology Data Exchange (ETDEWEB)

    Luzin, V I; Logachev, V M

    1980-01-01

    An appropriate technology is applied with a specialized method for determining the economic effectiveness of new technological inventions and efficiency in the national economy from 1977 until the present. An analogous project has also been developed in order to consider and examine specific elements of the oil industry. This project incorporates a specialized methodology to examine the principle factors behind oil production-extraction and associated with scientific-technical progress. This approach applies technical and efficiency proposals and considered new inventions during the planning stages in order to calculate the economic effectiveness of these new inputs. The principle methodological premise for the calculation of annual economic effectiveness during the planning stages is based upon economic stimulation inspired by new inventions and efficiency experts. A formula is provided for conducting such calculations. Examples are provided to illustrate how the annual economic effectiveness of a depulsator (a device used to improve the quality of separation for oil-gas mixtures while at the same time reducing oil loss) is calculated. The authors offer a detailed examination of methods used to accurately reflect the economic effectiveness of new technologies within the spheres of planning and calculating indicators for enterprises and production organization in the oil industry, both by individual branch, and for the entire industry.

  6. TL sensitivity constancy of quartz upon UV+(β,γ) irradiation cycle: An improvement on dating methodology

    International Nuclear Information System (INIS)

    Souza, J.H.

    1985-01-01

    Thermoluminescence (TL) sensivitivy of natural quartz (beaches, paleobeaches and fixed dunes) to Beta and Gamma rays has been studied in a temperature range between 250-400 0 C, before and after bleaching by solar irradiation. A first TL glow growth curve was obtained through Beta irradiation of 'as found' samples and a second glow growth curve was obtained by bleaching through solar irradiation the TL acquired either through an excitation Gamma dose or through environmental radiation to finally re-irradiate the samples under Beta rays. Experimental results showing the constancy of sensitivity, for doses of until about 10K rads, are the basis for a proposal to improve TL dating methodology expanding its present limits. (Author) [pt

  7. Improved automatic filtering methodology for an optimal pharmacokinetic modelling of DCE-MR images of the prostate

    Energy Technology Data Exchange (ETDEWEB)

    Vazquez Martinez, V.; Bosch Roig, I.; Sanz Requena, R.

    2016-07-01

    In Dynamic Contrast-Enhanced Magnetic Resonance (DCEMR) studies with high temporal resolution, images are quite noisy due to the complicate balance between temporal and spatial resolution. For this reason, the temporal curves extracted from the images present remarkable noise levels and, because of that, the pharmacokinetic parameters calculated by least squares fitting from the curves and the arterial phase (a useful marker in tumour diagnosis which appears in curves with high arterial contribution) are affected. In order to solve these limitations, an automatic filtering method was developed by our group. In this work, an advanced automatic filtering methodology is presented to further improve noise reduction of the temporal curves in order to obtain more accurate kinetic parameters and a proper modelling of the arterial phase. (Author)

  8. Innovative Resources Based on ICTs and Authentic Materials to Improve EFL Students' Communicative Needs

    Science.gov (United States)

    González Otero, Rebeca

    2016-01-01

    Our global society and our current communication needs have put a strain on English as a Foreign Language (EFL) teaching, since common resources such as textbooks may fail to adapt to the needs and interests of our students. The present action research study aims at identifying EFL students' communicative needs and developing their oral skills…

  9. Urgent Need for Improved Mental Health Care and a More Collaborative Model of Care

    Science.gov (United States)

    Lake, James; Turner, Mason Spain

    2017-01-01

    Current treatments and the dominant model of mental health care do not adequately address the complex challenges of mental illness, which accounts for roughly one-third of adult disability globally. These circumstances call for radical change in the paradigm and practices of mental health care, including improving standards of clinician training, developing new research methods, and re-envisioning current models of mental health care delivery. Because of its dominant position in the US health care marketplace and its commitment to research and innovation, Kaiser Permanente (KP) is strategically positioned to make important contributions that will shape the future of mental health care nationally and globally. This article reviews challenges facing mental health care and proposes an agenda for developing a collaborative care model in primary care settings that incorporates conventional biomedical therapies and complementary and alternative medicine approaches. By moving beyond treatment delivery via telephone and secure video and providing earlier interventions through primary care clinics, KP is shifting the paradigm of mental health care to a collaborative care model focusing on prevention. Recommendations are to expand current practices to include integrative treatment strategies incorporating evidence-based biomedical and complementary and alternative medicine modalities that can be provided to patients using a collaborative care model. Recommendations also are made for an internal research program aimed at investigating the efficacy and cost-effectiveness of promising complementary and alternative medicine and integrative treatments addressing the complex needs of patients with severe psychiatric disorders, many of whom respond poorly to treatments available in KP mental health clinics. PMID:28898197

  10. Support for reporting guidelines in surgical journals needs improvement: A systematic review.

    Science.gov (United States)

    Agha, Riaz A; Barai, Ishani; Rajmohan, Shivanchan; Lee, Seon; Anwar, Mohammed O; Fowler, Alexander J; Orgill, Dennis P; Altman, Douglas G

    2017-09-01

    Evidence-based medicine works best if the evidence is reported well. Past studies have shown reporting quality to be lacking in the field of surgery. Reporting guidelines are an important tool for authors to optimize the reporting of their research. The objective of this study was to analyse the frequency and strength of recommendation for such reporting guidelines within surgical journals. A systematic review of the 198 journals within the Journal Citation Report 2014 (surgery category) published by Thomson Reuters was undertaken. The online guide for authors for each journal was screened by two independent groups and results compared. Data regarding the presence and strength of recommendation to use reporting guidelines was extracted. 193 journals were included (as five appeared twice having changed their name). These had a median impact factor of 1.526 (range 0.047-8.327), with a median of 145 articles published per journal (range 29-659), with 34,036 articles published in total over the two-year window 2012-2013. The majority (62%) of surgical journals made no mention of reporting guidelines within their guidelines for authors. Of the 73 (38%) that did mention them, only 14% (10/73) required the use of all relevant reporting guidelines. The most frequently mentioned reporting guideline was CONSORT (46 journals). The mention of reporting guidelines within the guide for authors of surgical journals needs improvement. Authors, reviewers and editors should work to ensure that research is reported in line with the relevant reporting guidelines. Journals should consider hard-wiring adherence to them. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  11. An Improvement in Biodiesel Production from Waste Cooking Oil by Applying Thought Multi-Response Surface Methodology Using Desirability Functions

    Directory of Open Access Journals (Sweden)

    Marina Corral Bobadilla

    2017-01-01

    Full Text Available The exhaustion of natural resources has increased petroleum prices and the environmental impact of oil has stimulated the search for an alternative source of energy such as biodiesel. Waste cooking oil is a potential replacement for vegetable oils in the production of biodiesel. Biodiesel is synthesized by direct transesterification of vegetable oils, which is controlled by several inputs or process variables, including the dosage of catalyst, process temperature, mixing speed, mixing time, humidity and impurities of waste cooking oil that was studied in this case. Yield, turbidity, density, viscosity and higher heating value are considered as outputs. This paper used multi-response surface methodology (MRS with desirability functions to find the best combination of input variables used in the transesterification reactions to improve the production of biodiesel. In this case, several biodiesel optimization scenarios have been proposed. They are based on a desire to improve the biodiesel yield and the higher heating value, while decreasing the viscosity, density and turbidity. The results demonstrated that, although waste cooking oil was collected from various sources, the dosage of catalyst is one of the most important variables in the yield of biodiesel production, whereas the viscosity obtained was similar in all samples of the biodiesel that was studied.

  12. CONSUMER PROTECTION: Federal Actions Are Needed to Improve Oversight of the Household Goods Moving Industry

    National Research Council Canada - National Science Library

    2001-01-01

    .... The Motor Carrier Safety Improvement Act of 1999 directed that we assess the effectiveness of the Department of Transportation s consumer protection activities for the interstate household goods...

  13. Improving Scientific Research Methodology in Undergraduate Medical Students: a case of team based training blended in a research project

    Institute of Scientific and Technical Information of China (English)

    W.Zhang; C.Cambier; Y.Zhang; J.M.Vandeweerd; P.Gustin

    2014-01-01

    An educational intervention targeting medical students and aiming to develop skills useful to the writing of a health science research protocol over a short period of time has been developed in the Shanghai Jiao Tong University School of Medicine. The methodology blending the principles of PBL and TBL is detailed and key issues of this implementation are discussed. Twenty-one students were enrolled in a research master degree and participated to three mandatory 180-minutes sessions. Beyond classical skills useful to solve a problem, this new intervention focused on the transformation of knowledge to create an authentic content, which is a feature of the project-based learning(PBL). The training process was designed according to team-based learning(TBL) procedure except that work sharing between groups and pooling resources and outcomes of each group allowed the construction of one final class original research project in the field of respiratory pharmacology. The combination of both learning methods allowed promoting individual and group accountability necessary to improve self-learning and the quality of the final joint project. The peer reviewing was an essential factor in creating the students’ motivation and improving of team discussion. The grades individually assigned for skills and quality of the project by an external teacher suggested that key objectives of the intervention were reached. In conclusion, the educational intervention described in this paper appears as an appropriate method to develop specific skills necessary to write and discuss a research project within a research team.Further works are necessary to measure the degree of satisfaction of students and improvement of performance.

  14. Collaborative improvement: What do we know? Where do we need to go?

    NARCIS (Netherlands)

    Middel, H.G.A.; Boer, Harm; Fisscher, O.A.M.

    2005-01-01

    Although especially through research performed across the CINet community, a lot of theoretical and practical knowledge has been developed on intra-firm continuous improvement, there is still a substantial lack of empirically grounded contributions and theories on collaborative improvement (CoI),

  15. Improving health promotion through central rating of interventions: the need for Responsive Guidance.

    NARCIS (Netherlands)

    Kok, Maarten Olivier; Bal, Roland; Roelofs, Caspar David; Schuit, Albertine Jantine

    2017-01-01

    In several countries, attempts are made to improve health promotion by centrally rating the effectiveness of health promotion interventions. The Dutch Effectiveness Rating System (ERS) for health promotion interventions is an improvement-oriented approach in which multi-disciplinary expert

  16. Information Security: "I LOVE YOU" Computer Virus Emphasizes Critical Need for Agency and Governmentwide Improvements

    National Research Council Canada - National Science Library

    Rhodes, Keith

    2000-01-01

    .... The attachment is a Visual Basic Script (VBS) file.2 As long as recipients do not run the attached file, their systems will not be affected and they need only to delete the e-mail and its attachment...

  17. Delivering primary care in prison: the need to improve health information

    Directory of Open Access Journals (Sweden)

    Sudy Anaraki

    2003-12-01

    Conclusions To provide 'equivalence of care' for prisoners, primary care trusts need to implement full electronic clinical records in prisons and ensure staff have access to resources on the internet.

  18. Improving the Transfer and Use of Agricultural Market Information in Zambia: A User Needs Assessment

    OpenAIRE

    Chomba, Geoffrey; Mbozi, Green; Mundia, David; Simpamba, Mike; Mwiinga, Billy; Donovan, Cynthia; Mushingwani, Stanely

    2002-01-01

    The overall objective of the assessment is to review the current agricultural marketing information system and to establish felt marketing needs for agricultural marketing participants and other interested parties. Specifically, the study aimed at achieving the following- to assess the marketing information needs among user groups; to assess the current level of satisfaction and utilization of existing marketing support (information) services including AMIC; to identify other agricultural mar...

  19. Management Report: Improvements Needed in IRS's Accounting Procedures and Internal Controls

    National Research Council Canada - National Science Library

    2002-01-01

    ... with requirements of the Federal Financial Management Improvement Act of 1996. A separate report on the implementation status of recommendations from our prior IRS financial audits and related financial management reports will be issued shortly...

  20. Methodological Guidelines for Advertising Research

    DEFF Research Database (Denmark)

    Rossiter, John R.; Percy, Larry

    2017-01-01

    In this article, highly experienced advertising academics and advertising research consultants John R. Rossiter and Larry Percy present and discuss what they believe to be the seven most important methodological guidelines that need to be implemented to improve the practice of advertising research....... Their focus is on methodology, defined as first choosing a suitable theoretical framework to guide the research study and then identifying the advertising responses that need to be studied. Measurement of those responses is covered elsewhere in this special issue in the article by Bergkvist and Langner. Most...

  1. Marrying Step Feed with Secondary Clarifier Improvements to Significantly Increase Peak Wet Weather Treatment Capacity: An Integrated Methodology.

    Science.gov (United States)

    Daigger, Glen T; Siczka, John S; Smith, Thomas F; Frank, David A; McCorquodale, J A

    2017-08-01

      The need to increase the peak wet weather secondary treatment capacity of the City of Akron, Ohio, Water Reclamation Facility (WRF) provided the opportunity to test an integrated methodology for maximizing the peak wet weather secondary treatment capacity of activated sludge systems. An initial investigation, consisting of process modeling of the secondary treatment system and computational fluid dynamics (CFD) analysis of the existing relatively shallow secondary clarifiers (3.3 and 3.7 m sidewater depth in 30.5 m diameter units), indicated that a significant increase in capacity from 416 000 to 684 000 m3/d or more was possible by adding step feed capabilities to the existing bioreactors and upgrading the existing secondary clarifiers. One of the six treatment units at the WRF was modified, and an extensive 2-year testing program was conducted to determine the total peak wet weather secondary treatment capacity achievable. The results demonstrated that a peak wet weather secondary treatment capacity approaching 974 000 m3/d is possible as long as secondary clarifier solids and hydraulic loadings could be separately controlled using the step feed capability provided. Excellent sludge settling characteristics are routinely experienced at the City of Akron WRF, raising concerns that the identified peak wet weather secondary treatment capacity could not be maintained should sludge settling characteristics deteriorate for some reason. Computational fluid dynamics analysis indicated that the impact of the deterioration of sludge settling characteristics could be mitigated and the identified peak wet weather secondary treatment capacity maintained by further use of the step feed capability provided to further reduce secondary clarifier solids loading rates at the identified high surface overflow rates. The results also demonstrated that effluent limits not only for total suspended solids (TSS) and five-day carbonaceous biochemical oxygen demand (cBOD5) could be

  2. Health Data Entanglement and artificial intelligence-based analysis: a brand new methodology to improve the effectiveness of healthcare services.

    Science.gov (United States)

    Capone, A; Cicchetti, A; Mennini, F S; Marcellusi, A; Baio, G; Favato, G

    2016-01-01

    Healthcare expenses will be the most relevant policy issue for most governments in the EU and in the USA. This expenditure can be associated with two major key categories: demographic and economic drivers. Factors driving healthcare expenditure were rarely recognised, measured and comprehended. An improvement of health data generation and analysis is mandatory, and in order to tackle healthcare spending growth, it may be useful to design and implement an effective, advanced system to generate and analyse these data. A methodological approach relied upon the Health Data Entanglement (HDE) can be a suitable option. By definition, in the HDE a large amount of data sets having several sources are functionally interconnected and computed through learning machines that generate patterns of highly probable future health conditions of a population. Entanglement concept is borrowed from quantum physics and means that multiple particles (information) are linked together in a way such that the measurement of one particle's quantum state (individual health conditions and related economic requirements) determines the possible quantum states of other particles (population health forecasts to predict their impact). The value created by the HDE is based on the combined evaluation of clinical, economic and social effects generated by health interventions. To predict the future health conditions of a population, analyses of data are performed using self-learning AI, in which sequential decisions are based on Bayesian algorithmic probabilities. HDE and AI-based analysis can be adopted to improve the effectiveness of the health governance system in ways that also lead to better quality of care.

  3. Improvement of gel strength and melting point of fish gelatin by addition of coenhancers using response surface methodology.

    Science.gov (United States)

    Koli, Jayappa M; Basu, Subrata; Nayak, Binay B; Kannuchamy, Nagalakshmi; Gudipati, Venkateshwarlu

    2011-08-01

    Fish gelatin is a potential alternative to mammalian gelatin. However, poor gel strength and low melting point limit its applications. The study was aimed at improving these properties by adding coenhancers in the range obtained from response surface methodology (RSM) by using Box-Behnken design. Three different coenhancers, MgSO₄, sucrose, and transglutaminase were used as the independent variables for improving the gel strength and melting point of gelatin extracted from Tiger-toothed croaker (Otolithes ruber). Addition of coenhancers at different combinations resulted gel strength and melting point in the range of 150.5 to 240.5 g and 19.5 to 22.5 °C, respectively. The optimal concentrations of coenhancers for predicted maximum gel strength (242.8 g) obtained by RSM were 0.23 M MgSO₄, 12.60% sucrose (w/v), and 5.92 mg/g transglutaminase and for predicted maximum melting point (22.57 °C), the values were 0.24 M MgSO₄, 10.44% sucrose (w/v), and 5.72 mg/g transglutaminase. By addition of coenhancers at these optimal concentrations in verification experiments, the gel strength and melting point were improved from 170 to 240.89 g and 20.3 to 22.7 °C, respectively. These experimental values agreed well with the predicted values demonstrating the fitness of the models. Results from the present study clearly revealed that the addition of coenhancers at a particular combination can improve the gel strength and melting point of fish gelatin to enhance its range of applications. There is a growing interest in the use of fish gelatin as an alternative to mammalian gelatin. However, poor gel strength and low melting point of fish gelatin have limited its commercial applications. The gel strength and melting point of fish gelatin can be increased by incorporation of coenhancers such as magnesium sulphate, sucrose, and transglutaminase. Results of this work help to produce the fish gelatin suitable for wide range of applications in the food industry. © 2011 Institute

  4. Housing, Transportation, And Food: How ACOs Seek To Improve Population Health By Addressing Nonmedical Needs Of Patients.

    Science.gov (United States)

    Fraze, Taressa; Lewis, Valerie A; Rodriguez, Hector P; Fisher, Elliott S

    2016-11-01

    Addressing nonmedical needs-such as the need for housing-is critical to advancing population health, improving the quality of care, and lowering the costs of care. Accountable care organizations (ACOs) are well positioned to address these needs. We used qualitative interviews with ACO leaders and site visits to examine how these organizations addressed the nonmedical needs of their patients, and the extent to which they did so. We developed a typology of medical and social services integration among ACOs that disentangles service and organizational integration. We found that the nonmedical needs most commonly addressed by ACOs were the need for transportation and housing and food insecurity. ACOs identified nonmedical needs through processes that were part of the primary care visit or care transformation programs. Approaches to meeting patients' nonmedical needs were either individualized solutions (developed patient by patient) or targeted approaches (programs developed to address specific needs). As policy makers continue to provide incentives for health care organizations to meet a broader spectrum of patients' needs, these findings offer insights into how health care organizations such as ACOs integrate themselves with nonmedical organizations. Project HOPE—The People-to-People Health Foundation, Inc.

  5. Improving health promotion through central rating of interventions: the need for Responsive Guidance.

    Science.gov (United States)

    Kok, Maarten Olivier; Bal, Roland; Roelofs, Caspar David; Schuit, Albertine Jantine

    2017-11-23

    In several countries, attempts are made to improve health promotion by centrally rating the effectiveness of health promotion interventions. The Dutch Effectiveness Rating System (ERS) for health promotion interventions is an improvement-oriented approach in which multi-disciplinary expert committees rate available health promotion interventions as 'theoretically sound', 'probably effective' or 'proven effective'. The aim of this study is to explore the functioning of the ERS and the perspective of researchers, policy-makers and practitioners regarding its contribution to improvement. We interviewed 53 selected key informants from research, policy and practice in the Netherlands and observed the assessment of 12 interventions. Between 2008 and 2012, a total of 94 interventions were submitted to the ERS, of which 23 were rejected, 58 were rated as 'theoretically sound', 10 were rated as 'probably effective' and 3 were rated as 'proven effective'. According to participants, the ERS was intended to facilitate both the improvement of available interventions and the improvement of health promotion in practice. While participants expected that describing and rating interventions promoted learning and enhanced the transferability of interventions, they were concerned that the ERS approach was not suitable for guiding intervention development and improving health promotion in practice. The expert committees that assessed the interventions struggled with a lack of norms for the relevance of effects and questions about how effects should be studied and rated. Health promotion practitioners were concerned that the ERS neglected the local adaptation of interventions and did not encourage the improvement of aspects like applicability and costs. Policy-makers and practitioners were worried that the lack of proven effectiveness legitimised cutbacks rather than learning and advancing health promotion. While measuring and centrally rating the effectiveness of interventions can be

  6. Joint Improvised-Threat Defeat Agency Needs to Improve Assessment and Documentation of Counter-Improvised Explosive Device Initiatives (Redacted)

    Science.gov (United States)

    2016-08-09

    E XC E L L E N C E Joint Improvised ‑Threat Defeat Agency Needs to Improve Assessment and Documentation of Counter‑ Improvised Explosive Device...USE ONLY DODIG-2016-120 (Project No. D2015-D000AE-0222.000) │ i Results in Brief Joint Improvised ‑Threat Defeat Agency Needs to Improve Assessment and...Documentation of Counter‑ Improvised Explosive Device Initiatives Visit us at www.dodig.mil Objective Our audit objective was to determine whether

  7. Mining the gap: Assessing leadership needs to improve 21st century plant pathology

    Science.gov (United States)

    Scientists and plant pathologists are trained in scientific knowledge and critical thinking as part of their career preparation process. However, the extensive training in science-related skills comes at a cost to “soft skills”, the competencies needed for interpersonal skills, communication, manage...

  8. FAA Training. Continued Improvements Needed in FAA's Controller Field Training Program. Report to Congressional Requesters.

    Science.gov (United States)

    General Accounting Office, Washington, DC. Resources, Community, and Economic Development Div.

    Having examined the Federal Aviation Administration's (FAA) current program for providing field training to developmental and full-performance-level air traffic controllers, the General Accounting Office (GAO) recommends ensuring that FAA and contractor personnel are providing training consistently and uniformly. Further changes needed to ensure…

  9. What we need to improve the Public Health Workforce in Europe?

    Directory of Open Access Journals (Sweden)

    Vesna Bjegovic-Mikanovic

    2015-12-01

    multidisciplinary public health workforce is needed, supported by new skills and expertise. It has been demonstrated that public health education needs to include a wider range of health related professionals including: managers, health promotion specialists, health economists, lawyers and pharmacists. In the future, public health professionals will increasingly require enhanced communication and leadership skills, as well as a broad, interdisciplinary focus, if they are to truly impact upon the health of the population and compete successfully in today‘s job market. New developments comprise flexible academic programmes, lifelong learning, employability, and accreditation. In Europe‘s current climate of extreme funding constraints, the need for upgrading public health training and education is more important than ever. The broad supportive environment and context for change are in place. By focusing on assessment and evaluation of the current context, coordination and joint efforts to promote competency-based education, and support and growth of new developments, a stronger, more versatile and much needed workforce will be developed.

  10. Bureau of Indian Affairs Schools: New Facilities Management Information System Promising, but Improved Data Accuracy Needed.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    A General Accounting Office (GAO) study evaluated the Bureau of Indian Affairs' (BIA) new facilities management information system (FMIS). Specifically, the study examined whether the new FMIS addresses the old system's weaknesses and meets BIA's management needs, whether BIA has finished validating the accuracy of data transferred from the old…

  11. Improving Literacy Skills in Students with Complex Communication Needs Who Use Augmentative/Alternative Communication Systems

    Science.gov (United States)

    Bailey, Rita L.; Angell, Maureen E.; Stoner, Julia B.

    2011-01-01

    A structured intervention package including direct, scaffolded, instructional lessons was implemented using an error correction learning system and a picture book-based phonological and phonemic awareness activity for four participants with complex communication needs, ranging from 12 to 15 years, in a junior high school setting. Although…

  12. Hearing in Athletes with Intellectual Disabilities: The Need for Improved Ear Care

    Science.gov (United States)

    McCracken, W.; Lumm, J.; Laoide-Kemp, S.

    2011-01-01

    Background: The Special Olympics offer the opportunity for athletes with intellectual disabilities to participate in a range of sports at regional, national and international level. A parallel Healthy Athletes programme was introduced to ensure safety at the games but also to collect data on the health needs of those with intellectual disabilities…

  13. The former USSR: an energy balance in urgent need of improvement

    International Nuclear Information System (INIS)

    Provost, H.

    1993-01-01

    The energy balance of the former USSR is a decisive factor in the economies of the countries now remaining. This balance is facing a crunch due to excessive consumption of liquid hydrocarbons, combined with a downswing in production since 1988. There is a pressing need to open up the petroleum industries to Western technologies and partnerships. 1 fig., 4 tabs

  14. Needs and requests--patients and physicians voices about improving the management of spinal cord injury neuropathic pain.

    Science.gov (United States)

    Norrbrink, Cecilia; Löfgren, Monika

    2016-01-01

    The present purpose was to explore patients' and involved physicians' needs and requests for improving their management of neuropathic pain following spinal cord injury (SCI). Sixteen patients with SCI and neuropathic pain, and nine physicians, were interviewed in focus-groups or individual interviews. An emergent design was used and the interviews and analyses were carried out in parallel, making it possible to use and deepen new emerging knowledge. The interviews were transcribed verbatim and processed according to content analysis. A final model with four themes described the results. Three themes covered the current situation: limitations in structure, lack of knowledge and competence, and frustrations. A fourth theme, needs and requests, described suggestions by patients and physicians for future improvements. Suggestions included increased participation, increased patient involvement in the pain rehabilitation process, support in the process of learning to live with pain, implementation of multi-modal pain rehabilitation, and the use of complementary treatments for neuropathic pain. Neuropathic pain following SCI needs to be assessed and treated using a structured, inter-disciplinary, multi-modal rehabilitation approach involving patients in planning and decision-making. For improving SCI neuropathic pain management, there is a great need for individually-tailored management, planned in a dialogue on equal terms between health care and the patient. Patients desire continuity and regularity and the possibility of receiving complementary treatments for SCI neuropathic pain. Access to structured pain rehabilitation is needed. Support and tools need to be provided in the learning-to-live with pain process.

  15. Decreasing laboratory turnaround time and patient wait time by implementing process improvement methodologies in an outpatient oncology infusion unit.

    Science.gov (United States)

    Gjolaj, Lauren N; Gari, Gloria A; Olier-Pino, Angela I; Garcia, Juan D; Fernandez, Gustavo L

    2014-11-01

    Prolonged patient wait times in the outpatient oncology infusion unit indicated a need to streamline phlebotomy processes by using existing resources to decrease laboratory turnaround time and improve patient wait time. Using the DMAIC (define, measure, analyze, improve, control) method, a project to streamline phlebotomy processes within the outpatient oncology infusion unit in an academic Comprehensive Cancer Center known as the Comprehensive Treatment Unit (CTU) was completed. Laboratory turnaround time for patients who needed same-day lab and CTU services and wait time for all CTU patients was tracked for 9 weeks. During the pilot, the wait time from arrival to CTU to sitting in treatment area decreased by 17% for all patients treated in the CTU during the pilot. A total of 528 patients were seen at the CTU phlebotomy location, representing 16% of the total patients who received treatment in the CTU, with a mean turnaround time of 24 minutes compared with a baseline turnaround time of 51 minutes. Streamlining workflows and placing a phlebotomy station inside of the CTU decreased laboratory turnaround times by 53% for patients requiring same day lab and CTU services. The success of the pilot project prompted the team to make the station a permanent fixture. Copyright © 2014 by American Society of Clinical Oncology.

  16. DoD Needs to Improve Screening and Access Controls for General Public Tenants Leasing Housing on Military Installations (REDACTED)

    Science.gov (United States)

    2016-04-01

    helps enhance service members’ quality of life by improving the condition of military-owned housing faster and more economically than traditional...DEPARTMENT OF THE ARMY SUBJECT: DoD Needs to Improve Screening and Access Controls for General Public Tenants Leasing Housing on Military...public tenants who leased DoD privatized housing before granting those tenants unescorted access to military installations. In addition, DoD officials

  17. Air quality continued to improve in 2014, but progress are still needed

    International Nuclear Information System (INIS)

    Le Moullec, Aurelie

    2015-09-01

    The improvement in air quality that began some years ago continued. Average concentrations of pollutants decreased and exceedance of thresholds for protection of health was observed in fewer areas. Progress was, notably, the result of efforts made to reduce emissions, something made more difficult by the number and variety of sources of pollution. These improvements were, however, fragile as they were partially dependent on weather conditions. 2014 was, thus, marked by an important episode of particulate pollution. In addition, the progress made was not sufficient to bring France into full compliance with European standards, as was also the case for other European countries. (author)

  18. Needs and Opportunities to Improve the Operational Quality of Forwarding Companies

    Directory of Open Access Journals (Sweden)

    Dovilė Kontautaitė

    2013-04-01

    Full Text Available It is essential for forwarding companies to improve their activity by improving their internal and external processes in order to provide for a client an estimated basic and added value and effectively manage the flow of information in the general logistic supply chain. The article analyses the concepts of quality management and activity process, emphasising the main process of a forwarding enterprise and the demand to optimise the activity establishing quality management systems. The scientific literature analysis assists in the provision of quality assessment indicators of forwarding companies and ascertaining quality management systems that are suitable for transport companies.Article in Lithuanian

  19. Improvements in the analytical methodology for the residue determination of the herbicide glyphosate in soils by liquid chromatography coupled to mass spectrometry.

    Science.gov (United States)

    Botero-Coy, A M; Ibáñez, M; Sancho, J V; Hernández, F

    2013-05-31

    The determination of glyphosate (GLY) in soils is of great interest due to the widespread use of this herbicide and the need of assessing its impact on the soil/water environment. However, its residue determination is very problematic especially in soils with high organic matter content, where strong interferences are normally observed, and because of the particular physico-chemical characteristics of this polar/ionic herbicide. In the present work, we have improved previous LC-MS/MS analytical methodology reported for GLY and its main metabolite AMPA in order to be applied to "difficult" soils, like those commonly found in South-America, where this herbicide is extensively used in large areas devoted to soya or maize, among other crops. The method is based on derivatization with FMOC followed by LC-MS/MS analysis, using triple quadrupole. After extraction with potassium hydroxide, a combination of extract dilution, adjustment to appropriate pH, and solid phase extraction (SPE) clean-up was applied to minimize the strong interferences observed. Despite the clean-up performed, the use of isotope labelled glyphosate as internal standard (ILIS) was necessary for the correction of matrix effects and to compensate for any error occurring during sample processing. The analytical methodology was satisfactorily validated in four soils from Colombia and Argentina fortified at 0.5 and 5mg/kg. In contrast to most LC-MS/MS methods, where the acquisition of two transitions is recommended, monitoring all available transitions was required for confirmation of positive samples, as some of them were interfered by unknown soil components. This was observed not only for GLY and AMPA but also for the ILIS. Analysis by QTOF MS was useful to confirm the presence of interferent compounds that shared the same nominal mass of analytes as well as some of their main product ions. Therefore, the selection of specific transitions was crucial to avoid interferences. The methodology developed

  20. Next Generation Enterprise Network: Navy Implementing Revised Approach, but Improvement Needed in Mitigating Risks

    Science.gov (United States)

    2012-09-01

    Hewlett Packard Enterprise Services) that ended in September 2010.2 To bridge the time between the end of the NMCI contract and the full transition to...some leasehold improvements; and moveable infrastructure associated with local network operations. Award contract for transport services and

  1. Photosynthesis: ancient, essential, complex, diverse ... and in need of improvement in a changing world

    Science.gov (United States)

    A challenge to crop improvement is the fact that the photosynthetic process has been fine tuned by billions of years of natural selection, and is subject to deeply rooted genetic controls shaped in the native environments of the crop ancestors. These may be difficult to change and may not be optima...

  2. Investigating Information Needs to Improve Cooperation Between Developers and Bug Reporters

    NARCIS (Netherlands)

    Breu, S.; Premraj, R.; Sillito, J.; Zimmermann, T.

    2010-01-01

    For many software projects, bug tracking systems play a central role in supporting collaboration between the developers and the users of the software. To better understand this collaboration and how tool support can be improved, we have quantitatively and qualitatively analysed the questions asked

  3. Solitary Active Videogame Play Improves Executive Functioning More Than Collaborative Play for Children with Special Needs.

    Science.gov (United States)

    Flynn, Rachel M; Colon, Nirmaliz

    2016-12-01

    This pilot study examined the impact of playing an active videogame on executive functioning (EF) skills for children with special needs, who typically have lower EF skills. Acute EF change was measured in 36 children with a range of special needs, including mental health disorders and developmental disabilities. Participants were assigned to one of two active videogame conditions: playing alone and playing with a peer. Two different EF tasks were conducted pre- and postplay. Children who played alone increased their accuracy performance more than children in the paired-play condition on two measures of EF. The study explored potential covariates of prior videogame experience, age, and enjoyment, but none of these variables related to EF change. This study's findings support active videogame play as an activity that can boost EF skills for children with special needs when they play alone. Future research should continue to examine the relationships between EF and active videogame play with a peer to elucidate the contributions of social interactions.

  4. What kind of knowledge do small companies need to improve their working environment?

    DEFF Research Database (Denmark)

    Antonsson, Ann-Beth; Hasle, Peter

    2015-01-01

    towards knowledge-based behaviour. Additionally the time required increases when moving from skill- to knowledge-based behaviour. On the other hand, skill-based behaviour lacks the ability to solve problems and adapt to new situations. In the working environment risk assessment as well as the development...... of management routines are typically knowledge-based activities, whereas the application of good practice is more of skill or rule-based. For small companies, time as well as knowledge is an important constraint for the work environment management. Therefore the conclusion could be to focus on and provide skill......Background One of the main obstacles identified for small companies´ improvement of the working environment is lack of knowledge. Aim To discuss what kind of knowledge is required by small companies if they are to be able to improve their working environment and the pros and cons of different kinds...

  5. DOD Financial Management: Additional Efforts Needed to Improve Audit Readiness of Navy Military Pay and Other Related Activities

    Science.gov (United States)

    2015-09-01

    of Major Systems Involved in Processing and Reporting Navy Military Payroll 8 Figure 3: Management Representation Letter Timeline for the April 2013...Figure 3: Management Representation Letter Timeline for the April 2013 Military Payroll Examination Without a policy that addresses...DOD FINANCIAL MANAGEMENT Additional Efforts Needed to Improve Audit Readiness of Navy Military Pay and Other Related

  6. The Role of Need for Contraception in the Evaluation of Interventions to Improve Access to Family-Planning Methods

    Science.gov (United States)

    Leon, Federico R.; Lundgren, Rebecka; Sinai, Irit; Jennings, Victoria

    2011-01-01

    A nonrandomized experiment carried out in Jharkhand, India, shows how the effects of interventions designed to improve access to family-planning methods can be erroneously regarded as trivial when contraceptive use is utilized as dependent variable, ignoring women's need for contraception. Significant effects of the intervention were observed on…

  7. Information Needs Perceived as Important by Leaders in Advanced Technological Education: Alignment with Community College Program Improvement Initiatives

    Science.gov (United States)

    Badway, Norena Norton; Somerville, Jerry

    2011-01-01

    The purpose of this study was to analyze what leaders of Advanced Technological Education (ATE) programs funded by the National Science Foundation believe are their most important needs for research information. Data was collected through a Delphi process, and results were analyzed through frameworks associated with program improvement initiatives…

  8. A Quality Function Deployment Analysis of Customer Needs for Meeting School Improvement Goals: The Voice of the School Principal.

    Science.gov (United States)

    Kushner, Susan N.; And Others

    In providing leadership for school improvement teams, principals must employ group communication and decision-making skills. In this study, a planning procedure called Quality Function Deployment (QFD) was modified for use with school-based administrators. Teams of school leaders used QFD to generate the top priority needs of school customers…

  9. Manic Monday to fabulous Friday: partnering to improve behavioral and mental health needs of students.

    Science.gov (United States)

    Schwind, Karen S; Freeman, Sally Ann; Garcia, Molly; Roberts, Ruth

    2015-01-01

    School nurses across the United States continue to see an increase in the number of children and families with behavioral and mental health issues that affect many aspects of overall health and education. When referral to a mental health professional is indicated, there are often few available community mental health providers, long waits for appointments, or both. This article describes how school nurses can leverage school district and community resources and increase their capacity to meet the behavioral and mental health needs of children in the school setting.

  10. Need for improving the federal and state siting and licensing process

    International Nuclear Information System (INIS)

    Hartman, R.M.

    1976-01-01

    The environmental, health, and safety regulatory process has slowly evolved into a vast number of complex and uncoordinated institutional processes. These processes add unnecessary project costs, in addition to stifling and deterring government and industry from meeting their full responsibilities. The regulatory process is weighted down with inflexibility, staff bureaucracies, duplication of effort, and confusing court cases. The process has become so complex and bureaucratic that it appears incapable of being patched up or reformed from within. Thus, a whole new regulatory process, more integrated, simplified, and expeditious is needed

  11. Digital divide and information needs for improving family support among the poor and underserved.

    Science.gov (United States)

    Collins, Sarah A; Yoon, Sunmoo; Rockoff, Maxine L; Nocenti, David; Bakken, Suzanne

    2016-03-01

    Despite of its emotional benefits, communication with family members who live abroad can present a large financial burden for low-income foreign-born individuals. The aims of this study were (1) to explore the current technologies available for low-cost communication with family living abroad and (2) to assess the level of awareness and use of low-cost technologies for family communication as well as related information needs among low-income foreign-born individuals. This mixed-methods study included an environmental scan, survey, and focus groups with low-income foreign-born individuals living in East Harlem in New York City. Low-income individuals who have family members living abroad face financial stress with complicated technology choices for communication with family living abroad and they have many information needs. They would welcome interactive and convenient educational tools that (1) build skills for utilization of various technologies and (2) provide decision support to simplify choosing among the vast array of available communication options. © The Author(s) 2014.

  12. Assessing pediatrics residents' mathematical skills for prescribing medication: a need for improved training.

    Science.gov (United States)

    Glover, Mark L; Sussmane, Jeffrey B

    2002-10-01

    To evaluate residents' skills in performing basic mathematical calculations used for prescribing medications to pediatric patients. In 2001, a test of ten questions on basic calculations was given to first-, second-, and third-year residents at Miami Children's Hospital in Florida. Four additional questions were included to obtain the residents' levels of training, specific pediatrics intensive care unit (PICU) experience, and whether or not they routinely double-checked doses and adjusted them for each patient's weight. The test was anonymous and calculators were permitted. The overall score and the score for each resident class were calculated. Twenty-one residents participated. The overall average test score and the mean test score of each resident class was less than 70%. Second-year residents had the highest mean test scores, although there was no significant difference between the classes of residents (p =.745) or relationship between the residents' PICU experiences and their exam scores (p =.766). There was no significant difference between residents' levels of training and whether they double-checked their calculations (p =.633) or considered each patient's weight relative to the dose prescribed (p =.869). Seven residents committed tenfold dosing errors, and one resident committed a 1,000-fold dosing error. Pediatrics residents need to receive additional education in performing the calculations needed to prescribe medications. In addition, residents should be required to demonstrate these necessary mathematical skills before they are allowed to prescribe medications.

  13. Safety cases for the co-ordinated research project on improvement of safety assessment methodologies for near surface radioactive waste disposal facilities (ISAM)

    International Nuclear Information System (INIS)

    Kozak, M.W.; Torres-Vidal, C.; Kelly, E.; Guskov, A.; Blerk, J. van

    2002-01-01

    A Co-ordinated Research Project (CRP) has recently been completed on the Improvement of Safety Assessment Methodologies for Near-Surface Radioactive Waste Disposal Facilities (ISAM). A major aspect of the project was the use of safety cases for the practical application of safety assessment. An overview of the ISAM safety cases is given in this paper. (author)

  14. Tools for surveying and improving the quality of life: people with special needs in focus.

    Science.gov (United States)

    Hoyningen-Süess, Ursula; Oberholzer, David; Stalder, René; Brügger, Urs

    2012-01-01

    This article seeks to describe online tools for surveying and improving quality of life for people with disabilities living in assisted living centers and special education service organizations. Ensuring a decent quality of life for disabled people is an important welfare state goal. Using well-accepted quality of life conceptions, online diagnostic and planning tools were developed during an Institute for Education, University of Zurich, research project. The diagnostic tools measure, evaluate and analyze disabled people's quality of life. The planning tools identify factors that can affect their quality of life and suggest improvements. Instrument validity and reliability are not tested according to the standard statistical procedures. This will be done at a more advanced stage of the project. Instead, the tool is developed, refined and adjusted in cooperation with practitioners who are constantly judging it according to best practice standards. The tools support staff in assisted living centers and special education service organizations. These tools offer comprehensive resources for surveying, quantifying, evaluating, describing and simulating quality of life elements.

  15. Methodological improvement and extension of scope of the guide to the radiological examination and evaluation of contaminated former mining sites. Final report

    International Nuclear Information System (INIS)

    2005-01-01

    G.E.O.S. Freiberg Ingenieurgesellschaft mbH have been requested in a letter from the Federal Radiation Protection Office dated 15 September 2006 - AG 3.1 StSch - to submit a quote on the topic of ''Methodological improvement and extension of scope of the guide to the radiological examination and evaluation of contaminated former mining sites''. In response to this request Part A of this guide is to be extended by a section on microbiology or, more specifically, on processes in tailings and sedimentation plants that could be induced by microorganisms. Up until now the guide only considered chemical and geochemical processes in the modelling and evaluation of the release of radionuclides from tailings. However, in view of the possibility of microbiological processes occurring in tailings, as for example in the presence of pyrite, one must also reckon with microbiological influences on radionuclide release. the following tasks and problems will therefore be addressed: Do the recommendations given in the guide also apply if microbiological influences are considered? Is it also necessary to consider microbiological issues in the examination and modelling of radionuclide transport via groundwater? What parameters need to be measured and assessed if decisions on rehabilitation measures for tailings must also be based on microbiological aspects? Which examination methods should be used to measure the required parameters efficiently and reliably? Is there anything particular that needs to be considered in studying the involvement of microbiological processes in the release of radionuclides from industrial sedimentation plants? The recommendations given in the guide with respect to the treatment of the water pathway should be reviewed with regard to any amendments or supplementations they might require from the microbiological viewpoint. It should also be investigated whether microbiological studies and measurements are required for the guide's further development. The

  16. A cross-sectional study with an improved methodology to assess occupational air pollution exposure and respiratory health in motorcycle taxi driving

    International Nuclear Information System (INIS)

    Lawin, Herve; Agodokpessi, Gildas; Ayelo, Paul; Kagima, Jacqueline; Sonoukon, Rodrigue; Mbatchou Ngahane, Bertrand H.; Awopeju, Olayemi; Vollmer, William M.; Nemery, Benoit; Burney, Peter; Fayomi, Benjamin

    2016-01-01

    Introduction: Motorcycle taxi driving is common in many African cities. This study tested whether this occupation is associated with more respiratory disorders in a context of widespread urban air pollution with an improved methodology. Methods: In a cross sectional study we compared 85 male motorcycle taxi drivers in the capital city of the Republic of Benin (Cotonou) with an age and neighborhood matched control group. All participants carried a portable carbon monoxide data logger for 8 hours per day to assess exposure to air pollution. Respiratory symptoms were obtained using a standardized questionnaire and pulmonary function was assessed by spirometry. Results: The two groups did not differ significantly (p > 0.10) in their age, height, educational level, and exposures to smoke from biomass fuels and tobacco products. The taxi drivers were exposed to higher mean (SD) levels of carbon monoxide (7.6 ± 4.9 ppmvs. 5.4 ± 3.8 ppm p = 0.001). They reported more phlegm and tended to have slightly lower levels of lung function, although these differences were not statistically significant. Conclusion: In this cross sectional study of young motorcycle taxi drivers with substantial exposure to urban traffic and a matched control group, we found no evidence for respiratory impairment. A follow-up of such study population with other pollution exposure surrogate and other clinical endpoint may provide a more robust conclusion regarding the exposure response in this professional group. - Highlights: • Need of improved study method to assess air pollution effect in exposed workers • This study compared motorcycle taxi drivers and a matched control group • Personal carbon monoxide exposure and respiratory disorders were collected • No evidence of more respiratory disorders even though pollutant exposure was higher

  17. A cross-sectional study with an improved methodology to assess occupational air pollution exposure and respiratory health in motorcycle taxi driving

    Energy Technology Data Exchange (ETDEWEB)

    Lawin, Herve, E-mail: hervelawin@yahoo.fr [Unit of Teaching and Research in Occupational and Environmental Health, Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi (Benin); Agodokpessi, Gildas [Centre National Hospitalier et Universitaire de Pneumo-Phtisiologie, Cotonou (Benin); Ayelo, Paul [Unit of Teaching and Research in Occupational and Environmental Health, Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi (Benin); Kagima, Jacqueline [Department of internal medicine, Egerton University (Kenya); Sonoukon, Rodrigue [Unit of Teaching and Research in Occupational and Environmental Health, Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi (Benin); Mbatchou Ngahane, Bertrand H. [Department of Internal Medicine, Douala General Hospital, Cameroon Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala (Cameroon); Awopeju, Olayemi [Department of Medicine, Obafemi Awolowo University, Ile Ife (Nigeria); Vollmer, William M. [Center for Health Research, Kaiser Permanente Northwest, Portland (United States); Nemery, Benoit [Dept. of Public Health, Occupational and Environmental Insurance Medicine, KU Leuven, Leuven (Belgium); Burney, Peter [National Heart & Lung Institute, Imperial College, London (United Kingdom); Fayomi, Benjamin [Unit of Teaching and Research in Occupational and Environmental Health, Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi (Benin)

    2016-04-15

    Introduction: Motorcycle taxi driving is common in many African cities. This study tested whether this occupation is associated with more respiratory disorders in a context of widespread urban air pollution with an improved methodology. Methods: In a cross sectional study we compared 85 male motorcycle taxi drivers in the capital city of the Republic of Benin (Cotonou) with an age and neighborhood matched control group. All participants carried a portable carbon monoxide data logger for 8 hours per day to assess exposure to air pollution. Respiratory symptoms were obtained using a standardized questionnaire and pulmonary function was assessed by spirometry. Results: The two groups did not differ significantly (p > 0.10) in their age, height, educational level, and exposures to smoke from biomass fuels and tobacco products. The taxi drivers were exposed to higher mean (SD) levels of carbon monoxide (7.6 ± 4.9 ppmvs. 5.4 ± 3.8 ppm p = 0.001). They reported more phlegm and tended to have slightly lower levels of lung function, although these differences were not statistically significant. Conclusion: In this cross sectional study of young motorcycle taxi drivers with substantial exposure to urban traffic and a matched control group, we found no evidence for respiratory impairment. A follow-up of such study population with other pollution exposure surrogate and other clinical endpoint may provide a more robust conclusion regarding the exposure response in this professional group. - Highlights: • Need of improved study method to assess air pollution effect in exposed workers • This study compared motorcycle taxi drivers and a matched control group • Personal carbon monoxide exposure and respiratory disorders were collected • No evidence of more respiratory disorders even though pollutant exposure was higher.

  18. Integrating Environmental Management of Asthma into Pediatric Health Care: What Worked and What Still Needs Improvement?

    Science.gov (United States)

    Roberts, James R; Newman, Nicholas; McCurdy, Leyla E; Chang, Jane S; Salas, Mauro A; Eskridge, Bernard; De Ybarrondo, Lisa; Sandel, Megan; Mazur, Lynnette; Karr, Catherine J

    2016-12-01

    The National Environmental Education Foundation (NEEF) launched an initiative in 2005 to integrate environmental management of asthma into pediatric health care. This study, a follow-up to a 2013 study, evaluated the program's impact and assessed training results by 5 new faculty champions. We surveyed attendees at training sessions to measure knowledge and the likelihood of asking about and managing environmental triggers of asthma. To conduct the program evaluation, a workshop was held with the faculty champions and NEEF staff in which we identified major program benefits, as well as challenges and suggestions for the future. Trainee baseline knowledge of environmental triggers was low, but they reported robust improvement in environmental triggers knowledge and intention to recommend environmental management. The program has a broad, national scope, reaching more than 12 000 physicians, health care providers, and students, and some faculty champions successfully integrated materials into health record. Program barriers and future endeavors were identified.

  19. Nuclear separations for radiopharmacy : the need for improved separations to meet future research and clinical demands

    International Nuclear Information System (INIS)

    Bond, A.H.; Rogers, R.D.; Dietz, M.L.

    2000-01-01

    Several recent national and international reports have predicted that the demand for radionuclides used in medicine will increase significantly over the next 20 years. Separation science is an integral part of the production and development of new radionuclides for diagnostic and therapeutic applications and will play a major role in process improvements to existing radiopharmaceuticals to meet increasing demands. The role of separation science in the production of radionuclides for medical applications is briefly discussed, followed by an overview of the manuscripts from the American Chemical Society symposium 'Nuclear Separations for Radiopharmacy'. A listing of the most widely used radionuclides in clinical application and medical research serves as a foundation for the discussion of future research opportunities in separation science

  20. DOMAINS OF RAILWAY TRAFFIC IN THE CZECH REPUBLIC, WHICH NEED THE SAFETY IMPROVEMENT

    Directory of Open Access Journals (Sweden)

    Dana Procházková

    2017-08-01

    Full Text Available The paper analyses the railway accidents sources in the Czech Republic on the basis of knowledge on complex system behaviour. It derives seven categories of sources of railway accidents. The individual categories include the accident sources from the same field domain. These domains are: technical related to rail traffic vehicles; technical related to rail infrastructure and railway station; railway operation control – organizational causes; railway operation control – cyber causes; control of rail traffic vehicles; attack on the train; domain legislative and other. The results show that for railway traffic safety improvement, it is necessary to pay attention to all categories, and especially to these that lead to organizational accidents origination.

  1. Unmet Need: Improving mHealth Evaluation Rigor to Build the Evidence Base.

    Science.gov (United States)

    Mookherji, Sangeeta; Mehl, Garrett; Kaonga, Nadi; Mechael, Patricia

    2015-01-01

    mHealth-the use of mobile technologies for health-is a growing element of health system activity globally, but evaluation of those activities remains quite scant, and remains an important knowledge gap for advancing mHealth activities. In 2010, the World Health Organization and Columbia University implemented a small-scale survey to generate preliminary data on evaluation activities used by mHealth initiatives. The authors describe self-reported data from 69 projects in 29 countries. The majority (74%) reported some sort of evaluation activity, primarily nonexperimental in design (62%). The authors developed a 6-point scale of evaluation rigor comprising information on use of comparison groups, sample size calculation, data collection timing, and randomization. The mean score was low (2.4); half (47%) were conducting evaluations with a minimum threshold (4+) of rigor, indicating use of a comparison group, while less than 20% had randomized the mHealth intervention. The authors were unable to assess whether the rigor score was appropriate for the type of mHealth activity being evaluated. What was clear was that although most data came from mHealth projects pilots aimed for scale-up, few had designed evaluations that would support crucial decisions on whether to scale up and how. Whether the mHealth activity is a strategy to improve health or a tool for achieving intermediate outcomes that should lead to better health, mHealth evaluations must be improved to generate robust evidence for cost-effectiveness assessment and to allow for accurate identification of the contribution of mHealth initiatives to health systems strengthening and the impact on actual health outcomes.

  2. The Need for Improved Detection and Management of Adult-Onset Hearing Loss in Australia

    Directory of Open Access Journals (Sweden)

    Catherine M. McMahon

    2013-01-01

    Full Text Available Adult-onset hearing loss is insidious and typically diagnosed and managed several years after onset. Often, this is after the loss having led to multiple negative consequences including effects on employment, depressive symptoms, and increased risk of mortality. In contrast, the use of hearing aids is associated with reduced depression, longer life expectancy, and retention in the workplace. Despite this, several studies indicate high levels of unmet need for hearing health services in older adults and poor use of prescribed hearing aids, often leading to their abandonment. In Australia, the largest component of financial cost of hearing loss (excluding the loss of well-being is due to lost workplace productivity. Nonetheless, the Australian public health system does not have an effective and sustainable hearing screening strategy to tackle the problem of poor detection of adult-onset hearing loss. Given the increasing prevalence and disease burden of hearing impairment in adults, two key areas are not adequately met in the Australian healthcare system: (1 early identification of persons with chronic hearing impairment; (2 appropriate and targeted referral of these patients to hearing health service providers. This paper reviews the current literature, including population-based data from the Blue Mountains Hearing Study, and suggests different models for early detection of adult-onset hearing loss.

  3. What is needed to improve food sales in schools?Food vendors’ opinion from El Salvador

    Directory of Open Access Journals (Sweden)

    Caroline eHilari

    2015-07-01

    Full Text Available Latin America and the Caribbean are at the forefront of the double burden of malnourishment, with rocketing rates of overweight, obesity and stagnant prevalence of stunting in many countries. School children are at a crucial age for setting eating habits, physical activity, nutritional status and long term outcomes both in their health as well as their education and economic productivity. Save the Children International implements a school health and nutrition program in 45 rural schools in El Salvador, Central America. The program aims at increasing the consumption of protein and micronutrients while reducing intake of sugar and fats in school children. In addition, there is great emphasis on food hygiene and safe handling, through training of the food vendors. We developed a conceptual framework for school nutrition programs that is phrased around five different moments: school snacks, school stores, nutrition learning, bringing food to school and eating at home. Monitoring and control lies in the hands of student brigades, which fosters child participation. We present findings of a qualitative evaluation on sale regulation in school food stores, documenting additional interventions that were needed to foster compliance. We explore how vendors are making money on healthy food if head teachers and parents are involved in regulating food stores and children are motivated to cherish fruits and vegetables. Based on these findings, we discuss a model of an enabling environment for healthy food at school.

  4. Space Projects: Improvements Needed in Selecting Future Projects for Private Financing

    Science.gov (United States)

    1990-01-01

    The Office of Management and Budget (OMB) and NASA jointly selected seven projects for commercialization to reduce NASA's fiscal year 1990 budget request and to help achieve the goal of increasing private sector involvement in space. However, the efforts to privately finance these seven projects did not increase the commercial sector's involvement in space to the extent desired. The General Accounting Office (GAO) determined that the projects selected were not a fair test of the potential of increasing commercial investment in space at an acceptable cost to the government, primarily because the projects were not properly screened. That is, neither their suitability for commercialization nor the economic consequences of seeking private financing for them were adequately evaluated before selection. Evaluations and market tests done after selection showed that most of the projects were not viable candidates for private financing. GAO concluded that projects should not be removed from NASA's budget for commercial development until after careful screening has been done to determine whether adequate commercial demand exists, development risks are commercially acceptable and private financing is found or judged to be highly likely, and the cost effectiveness of such a decision is acceptable. Premature removal of projects from NASA's budget ultimately can cause project delays and increased costs when unsuccessful commercialization candidates must be returned to the budget. NASA also needs to ensure appropriate comparisons of government and private financing options for future commercialization projects.

  5. Methodology for systematic analysis and improvement of manufacturing unit process life-cycle inventory (UPLCI)—CO2PE! initiative (cooperative effort on process emissions in manufacturing). Part 1: Methodology description

    DEFF Research Database (Denmark)

    Kellens, Karel; Dewulf, Wim; Overcash, Michael

    2012-01-01

    the provision of high-quality data for LCA studies of products using these unit process datasets for the manufacturing processes, as well as the in-depth analysis of individual manufacturing unit processes.In addition, the accruing availability of data for a range of similar machines (same process, different......This report proposes a life-cycle analysis (LCA)-oriented methodology for systematic inventory analysis of the use phase of manufacturing unit processes providing unit process datasets to be used in life-cycle inventory (LCI) databases and libraries. The methodology has been developed...... and resource efficiency improvements of the manufacturing unit process. To ensure optimal reproducibility and applicability, documentation guidelines for data and metadata are included in both approaches. Guidance on definition of functional unit and reference flow as well as on determination of system...

  6. Improving irrigation efficiency : the need for a relevant sequence of the management tools

    Science.gov (United States)

    Fayolle, Y.

    2009-04-01

    With 70 % of worldwide withdrawals, irrigation efficiency is a key issue in the overall problem of water resources. Management of water dedicated to agriculture should be improved to secure food production and save water to deal with increasing domestic and industrial demands. This paper is based on the results of a collaborative research project conducted in India with a local NGO (the Aga Khan Rural Support Programme, AKRSP(I)) during which GIS were tested. It is aimed at analyzing the efficiency of water usage in a water development programme conducted by the partner NGO in the semi-arid margins of Gujarat state. The analysis raises the question of the articulation of legal, institutional, economical, and technical tools to improve water efficiency. The NGO supervises the construction of surface water harvesting structures for irrigation purposes. Following a participatory approach, it creates and trains user groups to which the management of dams would then be devolved. User group membership depends on financial contribution to the building costs. A legal vacuum regarding surface water management combined with unequal investment capacities favor the concentration of water resources in the hands of a limited number of farmers. This causes low water use efficiency, irrigation choices being mostly oriented to high water consumptive crops and recipient farmers showing no interest in investing in water saving techniques. Our observations favor equality of access and paying more attention to the sequence in which management tools are articulated. On a national scale, as a prerequisite, water user rights as well as NGO's intervention legal framework should be clarified. On a project scale, before construction, information systems could help to identify all potential beneficiaries and optimize equality of access. It aims at reducing the volume of water per farmer to encourage them to irrigate low water consumptive crops and invest in water saving techniques. Depending

  7. Prison Library Services in Croatia Need Improvement to Meet International Standards of Universal Rights to Access

    Directory of Open Access Journals (Sweden)

    Carol Perryman

    2016-09-01

    . While use of the libraries was high, most responses reflected severely limited educational, rehabilitative or cultural programming and access to the internet, and lack of space for collections and reading purposes. Conclusion – Libraries in Croatia fail to meet international standards for staffing, collections, and services. Recommendations for immediate improvement are made, including legislative advocacy and funding, improved public library involvement, and the creation of national standards aligned with international standards.

  8. Making the case for change: What researchers need to consider when designing behavior change interventions aimed at improving medication dispensing.

    Science.gov (United States)

    Cadogan, Cathal A; Ryan, Cristín; Hughes, Carmel

    2016-01-01

    There is a growing emphasis on behavior change in intervention development programmes aimed at improving public health and healthcare professionals' practice. A number of frameworks and methodological tools have been established to assist researchers in developing interventions seeking to change healthcare professionals' behaviors. The key features of behavior change intervention design involve specifying the target group (i.e. healthcare professional or patient cohort), the target behavior and identifying mediators (i.e. barriers and facilitators) of behavior change. Once the target behavior is clearly specified and understood, specific behavior change techniques can then be used as the basis of the intervention to target identified mediators of behavior change. This commentary outlines the challenges for pharmacy practice-based researchers in targeting dispensing as a behavior when developing behavior change interventions aimed at pharmacists and proposes a definition of dispensing to consider in future research. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Improving pediatric cardiac surgical care in developing countries: matching resources to needs.

    Science.gov (United States)

    Dearani, Joseph A; Neirotti, Rodolfo; Kohnke, Emily J; Sinha, Kingshuk K; Cabalka, Allison K; Barnes, Roxann D; Jacobs, Jeffrey P; Stellin, Giovanni; Tchervenkov, Christo I; Cushing, John C

    2010-01-01

    This article reviews a systematic approach to the design and support of pediatric cardiac surgery programs in the developing world with the guidance and strategies of Children's HeartLink, an experienced non-government organization for more than 40 years. An algorithm with criteria for the selection of a partner site is outlined. A comprehensive education strategy from the physician to the allied health care provider is the mainstay for successful program development. In a partner program, the road to successful advancement and change depends on many factors, such as government support, hospital administration support, medical staff leadership, and a committed and motivated faculty with requisite skills, incentives, and resources. In addition to these factors, it is essential that the development effort includes considerations of environment (eg, governmental support, regulatory environment, and social structure) and health system (elements related to affordability, access, and awareness of care) that impact success. Partner programs should be willing to initiate a clinical database with the intent to analyze and critique their results to optimize quality assurance and improve outcomes. Copyright (c) 2010 Elsevier Inc. All rights reserved.

  10. Assessing the methods needed for improved dengue mapping: a SWOT analysis.

    Science.gov (United States)

    Attaway, David Frost; Jacobsen, Kathryn H; Falconer, Allan; Manca, Germana; Waters, Nigel M

    2014-01-01

    Dengue fever, a mosquito-borne viral infection, is a growing threat to human health in tropical and subtropical areas worldwide. There is a demand from public officials for maps that capture the current distribution of dengue and maps that analyze risk factors to predict the future burden of disease. To identify relevant articles, we searched Google Scholar, PubMed, BioMed Central, and WHOLIS (World Health Organization Library Database) for published articles with a specific set of dengue criteria between January 2002 and July 2013. After evaluating the currently available dengue models, we identified four key barriers to the creation of high-quality dengue maps: (1) data limitations related to the expense of diagnosing and reporting dengue cases in places where health information systems are underdeveloped; (2) issues related to the use of socioeconomic proxies in places with limited dengue incidence data; (3) mosquito ranges which may be changing as a result of climate changes; and (4) the challenges of mapping dengue events at a variety of scales. An ideal dengue map will present endemic and epidemic dengue information from both rural and urban areas. Overcoming the current barriers requires expanded collaboration and data sharing by geographers, epidemiologists, and entomologists. Enhanced mapping techniques would allow for improved visualizations of dengue rates and risks.

  11. A Hybrid MCDM Model for Improving the Electronic Health Record to Better Serve Client Needs

    Directory of Open Access Journals (Sweden)

    James J. H. Liou

    2017-10-01

    Full Text Available Although the electronic health record (EHR is a promising innovation in the healthcare industry, the implementation of EHR has been relatively slow. A theoretical structure for the exploration and improvement of this usage of EHR is proposed. Incorporating the theoretical structure of TOE (technology-organization-environment, we apply the DEMATEL (decision-making trial and evaluation laboratory technique to illustrate the influence-matrix and to construct the INRM (influential network relationship map. Based on this DEMATEL influence matrix and the fundamental concepts of ANP (Analytic Hierarchy Process, we derive influential weights for the criteria. These influential weights are then combined with the modified VIKOR (VlseKriterijumska Optimizacija I Kompromisno Resenje method to find ways to understand and enhance the usage of EHR technology. The outcome demonstrates that our model can not only be used for implementation of EHR technology, but can also be applied to analyze the gaps in performance between the aspiration level and present performance values in individual criterion/dimension.

  12. Need of extensive R and D involvement in improving quality of power generation management in India

    International Nuclear Information System (INIS)

    Palit, A.

    1992-01-01

    The existing level of electric output from the Indian power generating units is about 55% which is much below the performance of similar units in other countries. The performance of Indian units can be improved by adopting cost effective and quality control measures in power generation management. To find out and implement such measures, research and development work must be taken up in the following areas : (1)metallurgical degradation and residual life assessment of power plant components, (2)use of non-destructive testing techniques to examine the components and to find out the defects, (3)corrosion of boilers, piping and cooling systems, (4)water chemistry and pretreatment of raw water, (5)mechanical deterioration of rotating components and machines, (6)health assessment and condition monitoring of rotating machine and high voltage transformers, and (7)quality control in efficient use of coal and lubricants. Environmental impact assessment should also be done and measures should be taken to keep the pollution within statutory limits. This will also require R and D support. (M.G.B.)

  13. Motivational techniques to improve self-care in hemophilia: the need to support autonomy in children.

    Science.gov (United States)

    Bérubé, Sarah; Mouillard, Florine; Amesse, Claudine; Sultan, Serge

    2016-01-11

    In pediatric hemophilia, caregivers are facing unique challenges to adherence and self-care in children and adolescents with hemophilia. Hemophilia treatment requires adequate prophylaxis and on-demand treatment, as well as a clear behavioral strategy to limit risk-taking in terms of physical exercise and diet. Medication adherence rates of hemophilia patients have been reported to decrease during late childhood and adolescence. In the developing child, moving safely from parent-care to self-care is one of the greatest challenges of integrative care within this domain. There is a clear need for initiatives designed to increase an individual's motivation for treatment and self-care activities. Among motivational approaches, the self-determination perspective offers a useful framework to explain how the transition to self-care can be facilitated. We discuss how motivation regarding hemophilia treatment may be increased through parental autonomy support and we offer examples of applied communication techniques to facilitate autonomy-supportive caregiving. Although it has not yet been tested in the context of hemophilia, these communication techniques could potentially help caregivers promote adherence and self-care in children. Confronted by unique challenges to adherence and self-care, caregivers of children with hemophilia should move from an exclusive focus on illness-management education to an integrative strategy, including motivation-enhancing communication. The self-determination perspective provides important proximal objectives (e.g. autonomy support) to maintain optimal adherence in adolescents as they move from parent-care to self-care. Future research initiatives should address the practice of these communication techniques and evaluate them in the context of hemophilia.

  14. A Novel Methodology for Improving Plant Pest Surveillance in Vineyards and Crops Using UAV-Based Hyperspectral and Spatial Data.

    Science.gov (United States)

    Vanegas, Fernando; Bratanov, Dmitry; Powell, Kevin; Weiss, John; Gonzalez, Felipe

    2018-01-17

    Recent advances in remote sensed imagery and geospatial image processing using unmanned aerial vehicles (UAVs) have enabled the rapid and ongoing development of monitoring tools for crop management and the detection/surveillance of insect pests. This paper describes a (UAV) remote sensing-based methodology to increase the efficiency of existing surveillance practices (human inspectors and insect traps) for detecting pest infestations (e.g., grape phylloxera in vineyards). The methodology uses a UAV integrated with advanced digital hyperspectral, multispectral, and RGB sensors. We implemented the methodology for the development of a predictive model for phylloxera detection. In this method, we explore the combination of airborne RGB, multispectral, and hyperspectral imagery with ground-based data at two separate time periods and under different levels of phylloxera infestation. We describe the technology used-the sensors, the UAV, and the flight operations-the processing workflow of the datasets from each imagery type, and the methods for combining multiple airborne with ground-based datasets. Finally, we present relevant results of correlation between the different processed datasets. The objective of this research is to develop a novel methodology for collecting, processing, analising and integrating multispectral, hyperspectral, ground and spatial data to remote sense different variables in different applications, such as, in this case, plant pest surveillance. The development of such methodology would provide researchers, agronomists, and UAV practitioners reliable data collection protocols and methods to achieve faster processing techniques and integrate multiple sources of data in diverse remote sensing applications.

  15. A Novel Methodology for Improving Plant Pest Surveillance in Vineyards and Crops Using UAV-Based Hyperspectral and Spatial Data

    Science.gov (United States)

    Vanegas, Fernando; Weiss, John; Gonzalez, Felipe

    2018-01-01

    Recent advances in remote sensed imagery and geospatial image processing using unmanned aerial vehicles (UAVs) have enabled the rapid and ongoing development of monitoring tools for crop management and the detection/surveillance of insect pests. This paper describes a (UAV) remote sensing-based methodology to increase the efficiency of existing surveillance practices (human inspectors and insect traps) for detecting pest infestations (e.g., grape phylloxera in vineyards). The methodology uses a UAV integrated with advanced digital hyperspectral, multispectral, and RGB sensors. We implemented the methodology for the development of a predictive model for phylloxera detection. In this method, we explore the combination of airborne RGB, multispectral, and hyperspectral imagery with ground-based data at two separate time periods and under different levels of phylloxera infestation. We describe the technology used—the sensors, the UAV, and the flight operations—the processing workflow of the datasets from each imagery type, and the methods for combining multiple airborne with ground-based datasets. Finally, we present relevant results of correlation between the different processed datasets. The objective of this research is to develop a novel methodology for collecting, processing, analysing and integrating multispectral, hyperspectral, ground and spatial data to remote sense different variables in different applications, such as, in this case, plant pest surveillance. The development of such methodology would provide researchers, agronomists, and UAV practitioners reliable data collection protocols and methods to achieve faster processing techniques and integrate multiple sources of data in diverse remote sensing applications. PMID:29342101

  16. Japanese Encephalitis in Assam, India: Need to Increase Healthcare Workers' Understanding to Improve Health Care.

    Directory of Open Access Journals (Sweden)

    Akram Ahmad

    Full Text Available Japanese encephalitis (JE is a major cause of high morbidity and mortality in several states across India. However, in 2014, a sharp rise was observed in the number of cases of JE in north-eastern Assam state, and 51% of the total cases of JE in India were reported from the Assam in the same year. In this regard, a study was conducted to evaluate the knowledge and attitudes of healthcare workers in Darrang, a district of Assam highly affected by JE.A cross sectional study was conducted for 2 months among HCWs in the major district hospital of Darrang, Assam. A pre-tested, self-administered questionnaire was used to collect data from the participants. Convenience sampling approach was used to collect data from different departments of the hospitals. Descriptive and logistic regression analyses were used to express the results.The knowledge of HCWs regarding JE was poor with a mean knowledge score of 11.02±2.39 (out of 17, while their attitudes were positive with a mean attitudes score of 43.16± 2.47 (ranging from 13 to 52. Overall, 40.4% and 74.3% of participants demonstrated good knowledge and positive attitudes respectively. Cut-off score for good knowledge and positive attitudes toward JE was set as ≥12 and >40 respectively. Older participants (40-49 years and experienced workers (>10 years were significantly associated with good knowledge as compared to their referent group (p<0.05, while knowledge of nurses and other orderlies were significantly lower than physicians (p<0.01. Similar factors were associated with the positive attitudes of the participants with the exception of experience. Television was the major source of information regarding JE reported by HCWs (79%.Although the knowledge was not optimized, HCWs exhibited positive attitudes towards JE. Future research is required to design, implement and evaluate interventions to improve the knowledge of JE among HCWs.

  17. Commercial coral-reef fisheries across Micronesia: A need for improving management

    Science.gov (United States)

    Houk, P.; Rhodes, K.; Cuetos-Bueno, J.; Lindfield, S.; Fread, V.; McIlwain, J. L.

    2012-03-01

    A dearth of scientific data surrounding Micronesia's coral-reef fisheries has limited their formal assessment and continues to hinder local and regional management efforts. We approach this problem by comparing catch-based datasets from market landings across Micronesia to evaluate fishery status in the Commonwealth of the Northern Mariana Islands (CNMI), Guam, Yap, and Pohnpei. Initial examinations found that calm weather and low lunar illumination predicted between 6% (Yap) and 30% (CNMI) of the variances in daily commercial landings. Both environmentally driven catch success and daily catch variability increased in accordance with reef-fish demand indices. Subsequent insight from species composition and size-at-capture data supported these findings, highlighting reduced trophic levels and capture sizes where higher human-population-per-reef-area existed. Among the 12-15 target species and/or species complexes that accounted for 70% of the harvest biomass, capture sizes were consistently smallest for CNMI and Guam, often below the reported mean reproductive sizes. Comparatively, Pohnpei has the greatest potential for reef fisheries, with a large reef area (303 km2) and a moderate human population (34,000 people). However, the estimated harvest volume of 476 mt year-1 was 8-9 times higher than other jurisdictions. Even on Yap where the reef-fish demand index was lowest (67.7 people km-2 reef habitat), many target fish were harvested below their mean reproductive sizes, including the iconic green bumphead parrotfish and humphead wrasse, as well as several other herbivores. We discuss our results with respect to the contemporary doctrine surrounding size-spectra, catch composition, and catch frequencies that afford insight into fishery pressure and status. We posit that regional catch-based policies (initially) instituted at the market level, combined with area and gear-based restrictions, represent plausible vectors for improving Micronesian fisheries.

  18. Bedding on geotextile mattresses: how much is needed to improve cow comfort?

    Science.gov (United States)

    Tucker, C B; Weary, D M

    2004-09-01

    The objective of our study was to evaluate how the amount of sawdust bedding on mattresses affects dairy cattle behavior and preferences. Eleven nonlactating, multiparous cows were housed individually in pens with access to 3 free stalls. Each stall was fitted with a geotextile mattress covered with either 0, 1, or 7.5 kg of kiln-dried sawdust. The experiment began with 7 d of acclimatization to all 3 stalls. Cows were then allowed access to only 1 of the 3 stalls at a time, each for 3 d (restriction phase). At the end of this restriction phase, cows were allowed free access to all 3 stalls for 3 d (free-choice phase). Time spent lying and the number of lying bouts increased significantly with the amount of bedding, from 12.3 +/- 0.53 h lying and 8.5 +/- 0.62 bouts per 24 h on bare mattresses to 13.8 +/- 0.53 h lying and 10.0 +/- 0.62 bouts per 24 h on mattresses with 7.5 kg of sawdust. In addition, the animals spent less time standing with only the front hooves in the stalls when more sawdust was present. When allowed free access to all 3 options, all 11 animals spent a majority of their time lying and standing in the 7.5-kg option. In conclusion, cows preferred mattresses bedded with 7.5 kg of sawdust, on which they spent more time lying down and less time standing with only the front hooves in stalls. These results indicate that more sawdust bedding improves cow comfort in stalls with geotextile mattresses.

  19. Heller myotomy with esophageal diverticulectomy: an operation in need of improvement.

    Science.gov (United States)

    Bowman, Ty A; Sadowitz, Benjamin D; Ross, Sharona B; Boland, Andrew; Luberice, Kenneth; Rosemurgy, Alexander S

    2016-08-01

    diverticulectomy site are unpredictable, occur after discharge, and remain vexing. Nevertheless, for this advanced form of achalasia, long-term symptom relief and patient satisfaction are high after anterior fundoplication with concomitant diverticulectomy. New and innovative techniques are needed to decrease the frequency of leaks at the diverticulectomy site.

  20. Student's Need Analysis for the Development of Chemistry Modules Based Guided Inquiry to Improve Science Process Skill

    Directory of Open Access Journals (Sweden)

    Jane Arantika

    2018-04-01

    Full Text Available Science process skills (SPS are an important aspect of learning science. SPS help students to develop creativity in learning. Process skills such as observing, formulating questions, interpreting, experimenting, hypothesizing, applying concepts, and communicating. This study aims to analyze the need for development resources needs of science filled with science process skills. Requirement analysis of the development of teaching materials with the skill of the process of science needs to be done because the textbook is the reference a teacher in the class. The subjects matter of chemistry the study was three senior high schools in Sambas, West Borneo. Needs analysis conducted using a qualitative approach, in terms of needs in classroom learning and content of process skills on teaching materials. Data were collected by interviews and questionnaires were analyzed descriptively. The results showed that as many as 27 percents of students perceive the book used in learning has not yet trained the science process skills. As many as 73 percents of students perceive that they need instructional materials in the form of inquiry-based chemistry modules to improve science process skills. Modules are developed based guided inquiry for having guided inquiry learning stages that can practice students' science process skills.

  1. Veterans Affairs Information Technology: Management Attention Needed to Improve Critical System Modernizations, Consolidate Data Centers, and Retire Legacy Systems

    Science.gov (United States)

    2017-02-07

    department’s three major components—the Veterans Health Administration (VHA), the Veterans Benefits Administration ( VBA ), and the National Cemetery...care and specialized care, and it performs research and development to improve veterans’ needs. VBA provides a variety of benefits to veterans and...the determination of benefits, benefits claims processing, patient admission to hospitals and clinics, and access to health records, among other

  2. Central intake to improve access to physiotherapy for children with complex needs: a mixed methods case report.

    Science.gov (United States)

    Wittmeier, Kristy D M; Restall, Gayle; Mulder, Kathy; Dufault, Brenden; Paterson, Marie; Thiessen, Matthew; Lix, Lisa M

    2016-08-31

    Children with complex needs can face barriers to system access and navigation related to their need for multiple services and healthcare providers. Central intake for pediatric rehabilitation was developed and implemented in 2008 in Winnipeg Manitoba Canada as a means to enhance service coordination and access for children and their families. This study evaluates the process and impact of implementing a central intake system, using pediatric physiotherapy as a case example. A mixed methods instrumental case study design was used. Interviews were completed with 9 individuals. Data was transcribed and analyzed for themes. Quantitative data (wait times, referral volume and caregiver satisfaction) was collected for children referred to physiotherapy with complex needs (n = 1399), and a comparison group of children referred for orthopedic concerns (n = 3901). Wait times were analyzed using the Kruskal-Wallis test, caregiver satisfaction was analyzed using Fisher exact test and change point modeling was applied to examine referral volume over the study period. Interview participants described central intake implementation as creating more streamlined processes. Factors that facilitated successful implementation included 1) agreement among stakeholders, 2) hiring of a central intake coordinator, 3) a financial commitment from the government and 4) leadership at the individual and organization level. Mean (sd) wait times improved for children with complex needs (12.3(13.1) to 8.0(6.9) days from referral to contact with family, p physiotherapy (i.e., decreasing wait times) for families of children with complex needs. Future research is needed to build on this single discipline case study approach to examine changes in wait times, therapy coordination and stakeholder satisfaction within the context of continuing improvements for pediatric therapy services within the province.

  3. Methodology and computer program for applying improved, inelastic ERR for the design of mine layouts on planar reefs.

    CSIR Research Space (South Africa)

    Spottiswoode, SM

    2002-08-01

    Full Text Available and the visco-plastic models of Napier and Malan (1997) and Malan (2002). Methodologies and a computer program (MINF) are developed during this project that write synthetic catalogues of seismic events to simulate the rock response to mining...

  4. PSA methodology

    Energy Technology Data Exchange (ETDEWEB)

    Magne, L

    1997-12-31

    The purpose of this text is first to ask a certain number of questions on the methods related to PSAs. Notably we will explore the positioning of the French methodological approach - as applied in the EPS 1300{sup 1} and EPS 900{sup 2} PSAs - compared to other approaches (Part One). This reflection leads to more general reflection: what contents, for what PSA? This is why, in Part Two, we will try to offer a framework for definition of the criteria a PSA should satisfy to meet the clearly identified needs. Finally, Part Three will quickly summarize the questions approached in the first two parts, as an introduction to the debate. 15 refs.

  5. PSA methodology

    International Nuclear Information System (INIS)

    Magne, L.

    1996-01-01

    The purpose of this text is first to ask a certain number of questions on the methods related to PSAs. Notably we will explore the positioning of the French methodological approach - as applied in the EPS 1300 1 and EPS 900 2 PSAs - compared to other approaches (Part One). This reflection leads to more general reflection: what contents, for what PSA? This is why, in Part Two, we will try to offer a framework for definition of the criteria a PSA should satisfy to meet the clearly identified needs. Finally, Part Three will quickly summarize the questions approached in the first two parts, as an introduction to the debate. 15 refs

  6. Cast heat-resistant austenitic steel with improved temperature creep properties and balanced alloying element additions and methodology for development of the same

    Science.gov (United States)

    Pankiw, Roman I; Muralidharan, Govindrarajan; Sikka, Vinod Kumar; Maziasz, Philip J

    2012-11-27

    The present invention addresses the need for new austenitic steel compositions with higher creep strength and higher upper temperatures. The new austenitic steel compositions retain desirable phases, such as austenite, M.sub.23C.sub.6, and MC in its microstructure to higher temperatures. The present invention also discloses a methodology for the development of new austenitic steel compositions with higher creep strength and higher upper temperatures.

  7. Needs of Persons with Severe Intellectual Disabilities: A Q-Methodological Study of Clients with Severe Behavioural Disorders and Severe Intellectual Disabilities

    Science.gov (United States)

    Kreuger, Linda; van Exel, Job; Nieboer, Anna

    2008-01-01

    Background: A demand-oriented approach is becoming increasingly important in care provision. The purpose of this study was to identify the primary needs of clients with Severe Behavioural Disorders and Severe Intellectual Disabilities. Materials and Methods: We used the theory of Social Production Function and Maslow's hierarchy of needs to…

  8. Air pollution impacts of speed limitation measures in large cities: The need for improving traffic data in a metropolitan area

    Science.gov (United States)

    Baldasano, José M.; Gonçalves, María; Soret, Albert; Jiménez-Guerrero, Pedro

    2010-08-01

    Assessing the effects of air quality management strategies in urban areas is a major concern worldwide because of the large impacts on health caused by the exposure to air pollution. In this sense, this work analyses the changes in urban air quality due to the introduction of a maximum speed limit to 80 km h -1 on motorways in a large city by using a novel methodology combining traffic assimilation data and modelling systems implemented in a supercomputing facility. Albeit the methodology has been non-specifically developed and can be extrapolated to any large city or megacity, the case study of Barcelona is presented here. Hourly simulations take into account the entire year 2008 (when the 80 km h -1 limit has been introduced) vs. the traffic conditions for the year 2007. The data has been assimilated in an emission model, which considers hourly variable speeds and hourly traffic intensity in the affected area, taken from long-term measurement campaigns for the aforementioned years; it also permits to take into account the traffic congestion effect. Overall, the emissions are reduced up to 4%; however the local effects of this reduction achieve an important impact for the adjacent area to the roadways, reaching 11%. In this sense, the speed limitation effects assessed represent enhancements in air quality levels (5-7%) of primary pollutants over the area, directly improving the welfare of 1.35 million inhabitants (over 41% of the population of the Metropolitan Area) and affecting 3.29 million dwellers who are potentially benefited from this strategy for air quality management (reducing 0.6% the mortality rates in the area).

  9. Reduction of Complications of Local Anaesthesia in Dental Healthcare Setups by Application of the Six Sigma Methodology: A Statistical Quality Improvement Technique.

    Science.gov (United States)

    Akifuddin, Syed; Khatoon, Farheen

    2015-12-01

    Health care faces challenges due to complications, inefficiencies and other concerns that threaten the safety of patients. The purpose of his study was to identify causes of complications encountered after administration of local anaesthesia for dental and oral surgical procedures and to reduce the incidence of complications by introduction of six sigma methodology. DMAIC (Define, Measure, Analyse, Improve and Control) process of Six Sigma was taken into consideration to reduce the incidence of complications encountered after administration of local anaesthesia injections for dental and oral surgical procedures using failure mode and effect analysis. Pareto analysis was taken into consideration to analyse the most recurring complications. Paired z-sample test using Minitab Statistical Inference and Fisher's exact test was used to statistically analyse the obtained data. The p-value six sigma improvement methodology in healthcare tends to deliver consistently better results to the patients as well as hospitals and results in better patient compliance as well as satisfaction.

  10. Evaluability Assessment of an immunization improvement strategy in rural Burkina Faso: intervention theory versus reality, information need and evaluations.

    Science.gov (United States)

    Sanou, Aboubakary; Kouyaté, Bocar; Bibeau, Gilles; Nguyen, Vinh-Kim

    2011-08-01

    An innovative immunization improvement strategy was proposed by the CRSN (Centre de Recherche en Santé de Nouna) to improve the low coverage rate for children aged 0-11 months in the health district of Nouna in Burkina Faso. This article reports on the Evaluability Assessment (EA) study that aimed to orient decisions for its evaluation in close relationship with the information needs of the stakeholders. Various methods were used, including document reviews, individual interviews, focus group discussions, meetings, literature reviews and site visits. A description of the intervention theory and philosophy is provided with its logic models and its reality documented. Lessons on the procedure include the importance of the position of the evaluability assessor, the value of replicating some steps of the assessment and the relationships between EA and process evaluation. The evaluability study concludes that the intervention had some evaluable components. To satisfy the stakeholders' needs, the initially planned community randomized controlled trial can be maintained and complemented with a process evaluation. There is a need to provide sufficient information on the cost of the intervention. This will inform decision makers on the possibility of replicating the intervention in other contexts. Copyright © 2010 Elsevier Ltd. All rights reserved.

  11. Research program for seismic qualification of nuclear plant electrical and mechanical equipment. Task 3. Recommendations for improvement of equipment qualification methodology and criteria. Volume 3

    International Nuclear Information System (INIS)

    Kana, D.D.; Pomerening, D.J.

    1984-08-01

    The Research Program for Seismic Qualification of Nuclear Plant Electrical and Mechanical Equipment has spanned a period of three years and resulted in seven technical summary reports, each of which covered in detail the findings of different tasks and subtasks, and have been combined into five NUREG/CR volumes. Volume 3 presents recommendations for improvement of equipment qualification methodology and procedural clarification/modification. The fifth category identifies issues where adequate information does not exist to allow a recommendation to be made

  12. RADON-type disposal facility safety case for the co-ordinated research project on improvement of safety assessment methodologies for near surface radioactive waste disposal facilities (ISAM)

    International Nuclear Information System (INIS)

    Guskov, A.; Batanjieva, B.; Kozak, M.W.; Torres-Vidal, C.

    2002-01-01

    The ISAM safety assessment methodology was applied to RADON-type facilities. The assessments conducted through the ISAM project were among the first conducted for these kinds of facilities. These assessments are anticipated to lead to significantly improved levels of safety in countries with such facilities. Experience gained though this RADON-type Safety Case was already used in Russia while developing national regulatory documents. (author)

  13. The Holistic Targeting (HOT) methodology as the means to improve Information Operations (IO) target development and prioritization

    OpenAIRE

    Ieva, Christopher S.

    2008-01-01

    Prioritization. In response to this challenge, this study proposes five recommendations to enhance IO integration into the Joint Targeting Cycle: the use of interim IO Joint Munitions Effectiveness Manual (JMEM) techniques to better forecast cognitive effects, the adoption of the Measure of Worth (MOW) model to assess IO effects, the HOT methodology to develop and prioritize IO targets, the use of compendium software facilitate targeting problem understanding and the network analysis to...

  14. Improving the spatial and temporal resolution with quantification of uncertainty and errors in earth observation data sets using Data Interpolating Empirical Orthogonal Functions methodology

    Science.gov (United States)

    El Serafy, Ghada; Gaytan Aguilar, Sandra; Ziemba, Alexander

    2016-04-01

    There is an increasing use of process-based models in the investigation of ecological systems and scenario predictions. The accuracy and quality of these models are improved when run with high spatial and temporal resolution data sets. However, ecological data can often be difficult to collect which manifests itself through irregularities in the spatial and temporal domain of these data sets. Through the use of Data INterpolating Empirical Orthogonal Functions(DINEOF) methodology, earth observation products can be improved to have full spatial coverage within the desired domain as well as increased temporal resolution to daily and weekly time step, those frequently required by process-based models[1]. The DINEOF methodology results in a degree of error being affixed to the refined data product. In order to determine the degree of error introduced through this process, the suspended particulate matter and chlorophyll-a data from MERIS is used with DINEOF to produce high resolution products for the Wadden Sea. These new data sets are then compared with in-situ and other data sources to determine the error. Also, artificial cloud cover scenarios are conducted in order to substantiate the findings from MERIS data experiments. Secondly, the accuracy of DINEOF is explored to evaluate the variance of the methodology. The degree of accuracy is combined with the overall error produced by the methodology and reported in an assessment of the quality of DINEOF when applied to resolution refinement of chlorophyll-a and suspended particulate matter in the Wadden Sea. References [1] Sirjacobs, D.; Alvera-Azcárate, A.; Barth, A.; Lacroix, G.; Park, Y.; Nechad, B.; Ruddick, K.G.; Beckers, J.-M. (2011). Cloud filling of ocean colour and sea surface temperature remote sensing products over the Southern North Sea by the Data Interpolating Empirical Orthogonal Functions methodology. J. Sea Res. 65(1): 114-130. Dx.doi.org/10.1016/j.seares.2010.08.002

  15. Advanced Best-Estimate Methodologies for Thermal-Hydraulics Stability Analyses with TRACG code and Improvements on Operating Boiling Water Reactors

    International Nuclear Information System (INIS)

    Vedovi, J.; Trueba, M.; Ibarra, L; Espino, M.; Hoang, H.

    2016-01-01

    In recent years GE Hitachi has introduced two advanced methodologies to address the thermal-hydraulics instabilities in Boiling Water Reactors (BWRs); the “Detect and Suppress Solution - Confirmation Density (DSS-CD)” and the “GEH Simplified Stability Solution (GS3).” These two methodologies are based on Best-Estimate Plus Uncertainty (BEPU) analyses and provide significant improvement on safety, plant maneuvering and fuel economics with respect to existing solutions. DSS-CD and GS3 solutions have been recently approved by the United States Nuclear Regulatory Commission. This paper describes the main characteristics of these two stability methodologies and shares the experience of their recent implementation in operating BWRs. The BEPU approach provided a much deeper understanding of the parameters affecting instabilities in operating BWRs and allowed for better calculation of plant setpoints by improving plant manoeuvring restrictions and reducing manual operator actions. DSS-CD and GS3 methodologies are both based on safety analyses performed with the best-estimate system code TRACG. The assessment of uncertainty is performed following the Code Scaling, Applicability and Uncertainty (CSAU) methodology documented in NUREG/CR-5249. The two solutions have been already implemented in a combined 18 BWR units with 7 more units in the process of transitioning. The main results demonstrate a significant decrease (>0.1) in the stability based Operating Limit Minimum Critical Power Ratio (OLMCPR), which possibly results in significant fuel savings and the increase in allowable stability plant setpoints that address instability events such as the one occurred at the Fermi 2 plant in 2015 and can help prevent unnecessary Scrams. The paper also describes the advantages of reduced plant manoeuvring as a result to transitioning to these solutions; in particular the history of a BWR/6 transition to DSS-CD is discussed.

  16. Accelerating energy efficiency improvement in the public sector, using Energy Performance Contracting - a workshop on Nordic experiences and needs for improvements

    Energy Technology Data Exchange (ETDEWEB)

    Gottberg, Annika; Gode, Jenny; Axelsson, Ulrik

    2009-08-15

    This report provides documentation on a workshop on experiences of Energy Performance Contracting (EPC) in the Nordic countries, aiming to identify strengths, weaknesses and needs for improvements. The results of surveys undertaken to inform presentations and discussions at the workshop are reported. Furthermore, the outcomes of the discussions during the workshop and resulting recommend actions for different actors to further and accelerate the use of EPC in the public sector are reported. Target groups for this documentation are existing and potential EPC customers, providers and policy-makers

  17. Meeting physicians' needs: a bottom-up approach for improving the implementation of medical knowledge into practice.

    Science.gov (United States)

    Vaucher, Carla; Bovet, Emilie; Bengough, Theresa; Pidoux, Vincent; Grossen, Michèle; Panese, Francesco; Burnand, Bernard

    2016-07-18

    Multiple barriers to knowledge translation in medicine have been identified (ranging from information overload to abstraction of models), leading to important implementation gaps. This study aimed at assessing the suggestions of practicing physicians for possible improvements of knowledge translation (KT) effectiveness into clinical practice. We used a mixed methods design. French- German- and Italian-speaking general practitioners, psychiatrists, orthopaedic surgeons, cardiologists, and diabetologists practicing in Switzerland were interrogated through semi-structured interviews, focus group discussions, and an online survey. A total of 985 physicians from three regions of Switzerland participated in the online survey, whereas 39 participated in focus group discussions and 14 in face-to-face interviews. Physicians expressed limitations and difficulties related to KT into their daily practice. Several barriers were identified, including influence and pressure of pharmaceutical companies, non-publication of negative results, mismatch between guidelines and practice, education gaps, and insufficient collaboration between research and practice. Suggestions to overcome barriers were improving education concerning the evaluation of scientific publications, expanding applicability of guidelines, having free and easy access to independent journals, developing collaborations between research and practice, and creating tools to facilitate access to medical information. Our study provides suggestions for improving KT into daily medical practice, matching the views, needs and preferences of practicing physicians. Responding to suggestions for improvements brought up by physicians may lead to better knowledge translation, higher professional satisfaction, and better healthcare outcomes.

  18. Executive function needs to be targeted to improve social functioning with Cognitive Remediation Therapy (CRT) in schizophrenia.

    Science.gov (United States)

    Penadés, Rafael; Catalán, Rosa; Puig, Olga; Masana, Guillem; Pujol, Núria; Navarro, Víctor; Guarch, Joana; Gastó, Cristóbal

    2010-05-15

    While the role of impaired cognition in accounting for functional outcome in schizophrenia is generally established, the relationship between cognitive and functional change in the context of treatments is far from clear. The current paper tries to identify which cognitive changes lead to improvements in daily functioning among persons with chronic schizophrenia who had current negative symptoms and evidenced neuropsychological impairments. In a previous work, Cognitive Remediation Therapy (CRT) was compared with a control therapy, involving similar length of therapist contact but different targets. At the end of treatment, CRT conferred a benefit to people with schizophrenia in cognition and functioning [Schizophrenia Research, 87 (2006) 323-331]. Subsequently, analyses of covariance (ANCOVA) were conducted with baseline and cognitive change scores as covariates to test whether cognitive change predicted change in functioning. Additionally, statistical tests to establish the mediation path with significant variables were performed. Although verbal memory, but not executive functioning, was associated with functioning at baseline, it was the improvement in executive functioning that predicted improved daily functioning. Verbal memory played a mediator role in the change process. Consequently, in order to improve daily functioning with CRT, executive function still needs to be targeted in despite of multiple cognitive impairments being present. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

  19. Identfying the Needs of Pre-Service Classroom Teachers about Science Teaching Methodology Course in Terms of Parlett's Illuminative Program Evaluation Model

    Science.gov (United States)

    Çaliskan, Ilke

    2014-01-01

    The aim of this study was to identify the needs of third grade classroom teaching students about science teaching course in terms of Parlett's Illuminative program evaluation model. Phenomographic research design was used in this study. Illuminative program evaluation model was chosen for this study in terms of its eclectic and process-based…

  20. Identfying the Needs of Pre-Service Classroom Teachers about Science Teaching Methodology Courses in Terms of Parlett's Illuminative Program Evaluation Model

    Science.gov (United States)

    Çaliskan, Ilke

    2014-01-01

    The aim of this study was to identify the needs of third grade classroom teaching students about science teaching course in terms of Parlett's Illuminative program evaluation model. Phenomographic research design was used in this study. Illuminative program evaluation model was chosen for this study in terms of its eclectic and process-based…

  1. Finding a balance between "value added" and feeling valued: revising models of care. The human factor of implementing a quality improvement initiative using Lean methodology within the healthcare sector.

    Science.gov (United States)

    Deans, Rachel; Wade, Shawna

    2011-01-01

    Growing demand from clients waiting to access vital services in a healthcare sector under economic constraint, coupled with the pressure for ongoing improvement within a multi-faceted organization, can have a significant impact on the front-line staff, who are essential to the successful implementation of any quality improvement initiative. The Lean methodology is a management system for continuous improvement based on the Toyota Production System; it focuses on two main themes: respect for people and the elimination of waste or non-value-added activities. Within the Lean process, value-added is used to describe any activity that contributes directly to satisfying the needs of the client, and non-value-added refers to any activity that takes time, space or resources but does not contribute directly to satisfying client needs. Through the revision of existing models of service delivery, the authors' organization has made an impact on increasing access to care and has supported successful engagement of staff in the process, while ensuring that the focus remains on the central needs of clients and families accessing services. While the performance metrics continue to exhibit respectable results for this strategic priority, further gains are expected over the next 18-24 months.

  2. Review of nuclear data improvement needs for nuclear radiation measurement techniques used at the CEA experimental reactor facilities

    Directory of Open Access Journals (Sweden)

    Destouches Christophe

    2016-01-01

    Full Text Available The constant improvement of the neutron and gamma calculation codes used in experimental nuclear reactors goes hand in hand with that of the associated nuclear data libraries. The validation of these calculation schemes always requires the confrontation with integral experiments performed in experimental reactors to be completed. Nuclear data of interest, straight as cross sections, or elaborated ones such as reactivity, are always derived from a reaction rate measurement which is the only measurable parameter in a nuclear sensor. So, in order to derive physical parameters from the electric signal of the sensor, one needs specific nuclear data libraries. This paper presents successively the main features of the measurement techniques used in the CEA experimental reactor facilities for the on-line and offline neutron/gamma flux characterizations: reactor dosimetry, neutron flux measurements with miniature fission chambers and Self Power Neutron Detector (SPND and gamma flux measurements with chamber ionization and TLD. For each technique, the nuclear data necessary for their interpretation will be presented, the main identified needs for improvement identified and an analysis of their impact on the quality of the measurement. Finally, a synthesis of the study will be done.

  3. The International Atomic Energy Agency (IAEA) research program to improve safety assessment methodologies for near-surface radioactive waste disposal facilities (ISAM)

    International Nuclear Information System (INIS)

    Torres-Vidal, C.; Kozak, M.W.

    2000-01-01

    The International Atomic Energy Agency (IAEA) launched a Coordinated Research Program in November 1997 on Improvement of Safety Assessment Methodologies for Near Surface Radioactive Waste Disposal Facilities (ISAM). The purpose of this paper is to describe the program and its goals, and to describe achievements of the program to date. The main objectives of the ISAM program are outlined. The primary focus of ISAM is on the practical application of safety assessment methodologies. Three kinds of practical situations are being addressed in the program: safety assessments for large vaults typical of those in Western Europe and North America, smaller vaults for medium and industrial wastes typical in eastern Europe and the former Soviet Union, and a proposed borehole technology for disposal of spent sources in low-technology conditions. (author)

  4. A structured women's preventive health clinic for residents: a quality improvement project designed to meet training needs and improve cervical cancer screening rates.

    Science.gov (United States)

    Singh, Mamta K; Einstadter, Douglas; Lawrence, Renee

    2010-10-01

    Multiple resident-related factors contribute to 'missed opportunities' in providing comprehensive preventive care for female patients, including comfort level, knowledge and experience--all of which are compounded by resident turnover rates. Of particular concern among Internal Medicine (IM) residents is their knowledge and comfort level in performing pelvic exams. To evaluate the impact of a quality improvement project of implementing a Women's Preventive Health Clinic (WPHC) on addressing gaps identified by needs assessments: residents' comfort and knowledge with female preventive care and cervical cancer screening. The WPHC, a multidisciplinary weekly clinic, focused on preventive services for women with chronic conditions. The alternating didactic and clinic sessions emphasised women's preventive health topics for IM residents. Sixty-three IM residents participated in WPHC between 2002 and 2005. Pre- and post-test design was used to assess resident knowledge and comfort levels. Cervical cancer screening rates of residents' patients were assessed pre- and post-WPHC initiation. There was a significant improvement in general knowledge (64% correct at pretest vs 73% at post-test, p=0.0002), resident comfort level in discussing women's health topics and performing gynaecological exams (p<0.0002). Cervical cancer screening rates among IM residents' patients improved from 54% (pre-WPHC initiation) to 65% (post-WPHC initiation period). The results indicate that a focused resident preventive programme can meet gaps identified by education and needs assessments, and simultaneously have a positive impact on cervical cancer screening rates and thus may serve as a model for other residency programmes.

  5. Use of lean and six sigma methodology to improve operating room efficiency in a high-volume tertiary-care academic medical center.

    Science.gov (United States)

    Cima, Robert R; Brown, Michael J; Hebl, James R; Moore, Robin; Rogers, James C; Kollengode, Anantha; Amstutz, Gwendolyn J; Weisbrod, Cheryl A; Narr, Bradly J; Deschamps, Claude

    2011-07-01

    Operating rooms (ORs) are resource-intense and costly hospital units. Maximizing OR efficiency is essential to maintaining an economically viable institution. OR efficiency projects often focus on a limited number of ORs or cases. Efforts across an entire OR suite have not been reported. Lean and Six Sigma methodologies were developed in the manufacturing industry to increase efficiency by eliminating non-value-added steps. We applied Lean and Six Sigma methodologies across an entire surgical suite to improve efficiency. A multidisciplinary surgical process improvement team constructed a value stream map of the entire surgical process from the decision for surgery to discharge. Each process step was analyzed in 3 domains, ie, personnel, information processed, and time. Multidisciplinary teams addressed 5 work streams to increase value at each step: minimizing volume variation; streamlining the preoperative process; reducing nonoperative time; eliminating redundant information; and promoting employee engagement. Process improvements were implemented sequentially in surgical specialties. Key performance metrics were collected before and after implementation. Across 3 surgical specialties, process redesign resulted in substantial improvements in on-time starts and reduction in number of cases past 5 pm. Substantial gains were achieved in nonoperative time, staff overtime, and ORs saved. These changes resulted in substantial increases in margin/OR/day. Use of Lean and Six Sigma methodologies increased OR efficiency and financial performance across an entire operating suite. Process mapping, leadership support, staff engagement, and sharing performance metrics are keys to enhancing OR efficiency. The performance gains were substantial, sustainable, positive financially, and transferrable to other specialties. Copyright © 2011 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  6. “The 3/3 Strategy”: A Successful Multifaceted Hospital Wide Hand Hygiene Intervention Based on WHO and Continuous Quality Improvement Methodology

    Science.gov (United States)

    Mestre, Gabriel; Berbel, Cristina; Tortajada, Purificación; Alarcia, Margarita; Coca, Roser; Gallemi, Gema; Garcia, Irene; Fernández, Mari Mar; Aguilar, Mari Carmen; Martínez, José Antonio; Rodríguez-Baño, Jesús

    2012-01-01

    Background Only multifaceted hospital wide interventions have been successful in achieving sustained improvements in hand hygiene (HH) compliance. Methodology/Principal Findings Pre-post intervention study of HH performance at baseline (October 2007– December 2009) and during intervention, which included two phases. Phase 1 (2010) included multimodal WHO approach. Phase 2 (2011) added Continuous Quality Improvement (CQI) tools and was based on: a) Increase of alcohol hand rub (AHR) solution placement (from 0.57 dispensers/bed to 1.56); b) Increase in frequency of audits (three days every three weeks: “3/3 strategy”); c) Implementation of a standardized register form of HH corrective actions; d) Statistical Process Control (SPC) as time series analysis methodology through appropriate control charts. During the intervention period we performed 819 scheduled direct observation audits which provided data from 11,714 HH opportunities. The most remarkable findings were: a) significant improvements in HH compliance with respect to baseline (25% mean increase); b) sustained high level (82%) of HH compliance during intervention; c) significant increase in AHRs consumption over time; c) significant decrease in the rate of healthcare-acquired MRSA; d) small but significant improvements in HH compliance when comparing phase 2 to phase 1 [79.5% (95% CI: 78.2–80.7) vs 84.6% (95% CI:83.8–85.4), phygiene day”; and “negative”:73.7% as lowest HH compliance coinciding with a statutory lay-off proceeding). Conclusions/Significance CQI tools may be a key addition to WHO strategy to maintain a good HH performance over time. In addition, SPC has shown to be a powerful methodology to detect special causes in HH performance (positive and negative) and to help establishing adequate feedback to healthcare workers. PMID:23110061

  7. Research Methodology in Global Strategy Research

    DEFF Research Database (Denmark)

    Cuervo-Cazurra, Alvaro; Mudambi, Ram; Pedersen, Torben

    2017-01-01

    We review advances in research methodology used in global strategy research and provide suggestions on how researchers can improve their analyses and arguments. Methodological advances in the extraction of information, such as computer-aided text analysis, and in the analysis of datasets......, such as differences-in-differences and propensity score matching, have helped deal with challenges (e.g., endogeneity and causality) that bedeviled earlier studies and resulted in conflicting findings. These methodological advances need to be considered as tools that complement theoretical arguments and well......-explained logics and mechanisms so that researchers can provide better and more relevant recommendations to managers designing the global strategies of their organizations....

  8. Standardization of the methodology used for fuel pressure drop evaluation to improve hydraulic calculation of heterogeneous cores

    International Nuclear Information System (INIS)

    Le Borgne, E.; Mattei, A.; Rome, M.; Rodriguez, J.M.

    2004-01-01

    The determination of hydraulic characteristics for fuel subassembly components is dependent on the hypotheses and the methodology considered. The results of hydraulic compatibility calculations using input data from different sources may thus be difficult to analyse, and their reliability will consequently be reduced. Electricite de France (EDF) and Commissariat a l'Energie Atomique (CEA) have initiated a common program aiming at controlling the consequences of such a situation, increasing the reliability of the values used in the hydraulic compatibility calculations, and proposing a standardization of the operating procedures. In a first step, this program is based on the measurements performed in the CEA HERMES P facility. Extension of this program is expected to the equivalent experimental facilities for which sufficient information will be made available. (author)

  9. Optimum extrusion-cooking conditions for improving physical properties of fish-cereal based snacks by response surface methodology.

    Science.gov (United States)

    Singh, R K Ratankumar; Majumdar, Ranendra K; Venkateshwarlu, G

    2014-09-01

    To establish the effect of barrel temperature, screw speed, total moisture and fish flour content on the expansion ratio and bulk density of the fish based extrudates, response surface methodology was adopted in this study. The experiments were optimized using five-levels, four factors central composite design. Analysis of Variance was carried to study the effects of main factors and interaction effects of various factors and regression analysis was carried out to explain the variability. The fitting was done to a second order model with the coded variables for each response. The response surface plots were developed as a function of two independent variables while keeping the other two independent variables at optimal values. Based on the ANOVA, the fitted model confirmed the model fitness for both the dependent variables. Organoleptically highest score was obtained with the combination of temperature-110(0) C, screw speed-480 rpm, moisture-18 % and fish flour-20 %.

  10. Automated microscopic characterization of metallic ores with image analysis: a key to improve ore processing. I: test of the methodology

    International Nuclear Information System (INIS)

    Berrezueta, E.; Castroviejo, R.

    2007-01-01

    Ore microscopy has traditionally been an important support to control ore processing, but the volume of present day processes is beyond the reach of human operators. Automation is therefore compulsory, but its development through digital image analysis, DIA, is limited by various problems, such as the similarity in reflectance values of some important ores, their anisotropism, and the performance of instruments and methods. The results presented show that automated identification and quantification by DIA are possible through multiband (RGB) determinations with a research 3CCD video camera on reflected light microscope. These results were obtained by systematic measurement of selected ores accounting for most of the industrial applications. Polarized light is avoided, so the effects of anisotropism can be neglected. Quality control at various stages and statistical analysis are important, as is the application of complementary criteria (e.g. metallogenetic). The sequential methodology is described and shown through practical examples. (Author)

  11. Example of the application of the PERSONA methodology in the definition of needs and requirements for the WeTakeCare system.

    Science.gov (United States)

    Barbera-Guillem, Ricard; Poveda-Puente, Rakel; Neumann, Silke; Becker, Heidrun; Ramírez, Miguel; Wienholtz, Arno; Schaedler, Inge

    2015-01-01

    In user-centred design and marketing, personas are fictional characters created to represent the different user types that might use a site, brand, or product in a similar way [1]. As in other projects, the main application and use value of the persona approach in WeTakeCare project has been to depict and thus make "vivid" the characters and the milieus created and selected. It has helped to better understand and communicate the differences among the potential users. It has also helped to understand the heterogeneity and diversity of the users' lives and to focus on how to meet their actual needs [2].

  12. Integration of Value Stream Map and Healthcare Failure Mode and Effect Analysis into Six Sigma Methodology to Improve Process of Surgical Specimen Handling

    Directory of Open Access Journals (Sweden)

    Sheng-Hui Hung

    2015-01-01

    Full Text Available Specimen handling is a critical patient safety issue. Problematic handling process, such as misidentification (of patients, surgical site, and specimen counts, specimen loss, or improper specimen preparation can lead to serious patient harms and lawsuits. Value stream map (VSM is a tool used to find out non-value-added works, enhance the quality, and reduce the cost of the studied process. On the other hand, healthcare failure mode and effect analysis (HFMEA is now frequently employed to avoid possible medication errors in healthcare process. Both of them have a goal similar to Six Sigma methodology for process improvement. This study proposes a model that integrates VSM and HFMEA into the framework, which mainly consists of define, measure, analyze, improve, and control (DMAIC, of Six Sigma. A Six Sigma project for improving the process of surgical specimen handling in a hospital was conducted to demonstrate the effectiveness of the proposed model.

  13. Integration of Value Stream Map and Healthcare Failure Mode and Effect Analysis into Six Sigma Methodology to Improve Process of Surgical Specimen Handling.

    Science.gov (United States)

    Hung, Sheng-Hui; Wang, Pa-Chun; Lin, Hung-Chun; Chen, Hung-Ying; Su, Chao-Ton

    2015-01-01

    Specimen handling is a critical patient safety issue. Problematic handling process, such as misidentification (of patients, surgical site, and specimen counts), specimen loss, or improper specimen preparation can lead to serious patient harms and lawsuits. Value stream map (VSM) is a tool used to find out non-value-added works, enhance the quality, and reduce the cost of the studied process. On the other hand, healthcare failure mode and effect analysis (HFMEA) is now frequently employed to avoid possible medication errors in healthcare process. Both of them have a goal similar to Six Sigma methodology for process improvement. This study proposes a model that integrates VSM and HFMEA into the framework, which mainly consists of define, measure, analyze, improve, and control (DMAIC), of Six Sigma. A Six Sigma project for improving the process of surgical specimen handling in a hospital was conducted to demonstrate the effectiveness of the proposed model.

  14. Improving Care in Pediatric Neuro-oncology Patients: An Overview of the Unique Needs of Children With Brain Tumors.

    Science.gov (United States)

    Fischer, Cheryl; Petriccione, Mary; Donzelli, Maria; Pottenger, Elaine

    2016-03-01

    Brain tumors represent the most common solid tumors in childhood, accounting for almost 25% of all childhood cancer, second only to leukemia. Pediatric central nervous system tumors encompass a wide variety of diagnoses, from benign to malignant. Any brain tumor can be associated with significant morbidity, even when low grade, and mortality from pediatric central nervous system tumors is disproportionately high compared to other childhood malignancies. Management of children with central nervous system tumors requires knowledge of the unique aspects of care associated with this particular patient population, beyond general oncology care. Pediatric brain tumor patients have unique needs during treatment, as cancer survivors, and at end of life. A multidisciplinary team approach, including advanced practice nurses with a specialty in neuro-oncology, allows for better supportive care. Knowledge of the unique aspects of care for children with brain tumors, and the appropriate interventions required, allows for improved quality of life. © The Author(s) 2015.

  15. Ontario's primary care reforms have transformed the local care landscape, but a plan is needed for ongoing improvement.

    Science.gov (United States)

    Hutchison, Brian; Glazier, Richard

    2013-04-01

    Primary care in Ontario, Canada, has undergone a series of reforms designed to improve access to care, patient and provider satisfaction, care quality, and health system efficiency and sustainability. We highlight key features of the reforms, which included patient enrollment with a primary care provider; funding for interprofessional primary care organizations; and physician reimbursement based on varying blends of fee-for-service, capitation, and pay-for-performance. With nearly 75 percent of Ontario's population now enrolled in these new models, total payments to primary care physicians increased by 32 percent between 2006 and 2010, and the proportion of Ontario primary care physicians who reported overall satisfaction with the practice of medicine rose from 76 percent in 2009 to 84 percent in 2012. However, primary care in Ontario also faces challenges. There is no meaningful performance measurement system that tracks the impact of these innovations, for example. A better system of risk adjustment is also needed in capitated plans so that groups have the incentive to take on high-need patients. Ongoing investment in these models is required despite fiscal constraints. We recommend a clearly articulated policy road map to continue the transformation.

  16. ["What you will": Results of an Empirical Analysis of the Need to Improve Work-life Balance for Physicians].

    Science.gov (United States)

    Jerg-Bretzke, L; Krüsmann, P; Traue, H C; Limbrecht-Ecklundt, K

    2018-01-01

    This study assessed the perceived need for clinics to improve work-life balance of physicians. Hospitals are increasingly facing demands to offer physicians working conditions that allow greater balance between family life and pursuit of career. Simultaneously, hospitals could consider this an opportunity to stand out as attractive employers. N=120 doctors of the medical faculty and N=679 medical students in their premedical and clinical training participated online. The results of the Work-Family/Family-Work Conflict Scale (WFC/FWC) showed physicians to have a decreased work/life balance when starting to work professionally, especially with a child. Ninety percent of the respondents considered the following arrangements to be especially helpful: temporary work interruptions in an emergency, part-time positions or emergency childcare. The doctors also expressed their wish to be actively supported by their supervisors on the topic of work/life balance. This analysis on work-family balance shows the need for change in the studied samples. Based on the measures that were determined to be helpful, hospitals can make conclusions about what concrete steps of action can be taken. Additionally, WFC/FWC could be used as a standardized analysis measure to assess the load imposed on physicians by family on work place and vice versa. © Georg Thieme Verlag KG Stuttgart · New York.

  17. The need analysis of chemistry module based on REACT (relating, experiencing, applying, cooperating and transferring) to improve critical thinking ability

    Science.gov (United States)

    Tyffani, D. M.; Utomo, S. B.; Rahardjo, S. B.

    2018-05-01

    This research was aimed to find out how students’ need of chemistry module based REACT (Relating, Experiencing, Applying, Cooperating and Transferring) to improve students’ critical thinking ability. The subjects of this research was the studentsof XI grade in three school in even semester of academic year 2016-2017 that contained of 48 students of Senior High School 2 Bandar Lampung, 38 students of Senior High School 3 Bandar Lampung and 46 students of Senior High School 12 Bandar Lampung. The data was gathering used non-test method by using open questionnaire with 13 questions. The results showed that 84,84% of students stated that the development of chemistry module based REACT on colloid material is needed. The analysis of hand’s book was used aspects of critical thinking proposed by Facione (2011) are interpretation, analysis, evaluation, conclusion, and explanation. Based on the result of the analysis of hand’s book at Senior High School 12 Bandar Lampung for critical thinking in colloid material that indicate 50% indicator is appropriate, while for indicator of inference and explanation only 16,67% appropriate, then for indicator analysis and evaluation doesn’t have conformity. Based on the results of the analysis shows that the hand’s book used have not empowered critical thinking ability with maximum. The development of chemistry module on colloid material is needed to overcome the problem of hand’s book that hasn’t maximized critical thinking ability, then the development of module oriented to REACT learning model (Relating, Experiencing, Applying, Cooperating, and Transferring).

  18. Self-reported needs for improving the supervision competence of PhD supervisors from the medical sciences in Denmark

    Directory of Open Access Journals (Sweden)

    Rie Raffing

    2017-10-01

    Full Text Available Abstract Background Quality of supervision is a major predictor for successful PhD projects. A survey showed that almost all PhD students in the Health Sciences in Denmark indicated that good supervision was important for the completion of their PhD study. Interestingly, approximately half of the students who withdrew from their program had experienced insufficient supervision. This led the Research Education Committee at the University of Copenhagen to recommend that supervisors further develop their supervision competence. The aim of this study was to explore PhD supervisors’ self-reported needs and wishes regarding the content of a new program in supervision, with a special focus on the supervision of PhD students in medical fields. Methods A semi-structured interview guide was developed, and 20 PhD supervisors from the Graduate School of Health and Medical Sciences at the Faculty of Health and Medical Sciences at the University of Copenhagen were interviewed. Empirical data were analysed using qualitative methods of analysis. Results Overall, the results indicated a general interest in improved competence and development of a new supervision programme. Those who were not interested argued that, due to their extensive experience with supervision, they had no need to participate in such a programme. The analysis revealed seven overall themes to be included in the course. The clinical context offers PhD supervisors additional challenges that include the following sub-themes: patient recruitment, writing the first article, agreements and scheduled appointments and two main groups of students, in addition to the main themes. Conclusions The PhD supervisors reported the clear need and desire for a competence enhancement programme targeting the supervision of PhD students at the Faculty of Health and Medical Sciences. Supervision in the clinical context appeared to require additional competence. Trial registration The Scientific Ethical Committee

  19. Self-reported needs for improving the supervision competence of PhD supervisors from the medical sciences in Denmark.

    Science.gov (United States)

    Raffing, Rie; Jensen, Thor Bern; Tønnesen, Hanne

    2017-10-23

    Quality of supervision is a major predictor for successful PhD projects. A survey showed that almost all PhD students in the Health Sciences in Denmark indicated that good supervision was important for the completion of their PhD study. Interestingly, approximately half of the students who withdrew from their program had experienced insufficient supervision. This led the Research Education Committee at the University of Copenhagen to recommend that supervisors further develop their supervision competence. The aim of this study was to explore PhD supervisors' self-reported needs and wishes regarding the content of a new program in supervision, with a special focus on the supervision of PhD students in medical fields. A semi-structured interview guide was developed, and 20 PhD supervisors from the Graduate School of Health and Medical Sciences at the Faculty of Health and Medical Sciences at the University of Copenhagen were interviewed. Empirical data were analysed using qualitative methods of analysis. Overall, the results indicated a general interest in improved competence and development of a new supervision programme. Those who were not interested argued that, due to their extensive experience with supervision, they had no need to participate in such a programme. The analysis revealed seven overall themes to be included in the course. The clinical context offers PhD supervisors additional challenges that include the following sub-themes: patient recruitment, writing the first article, agreements and scheduled appointments and two main groups of students, in addition to the main themes. The PhD supervisors reported the clear need and desire for a competence enhancement programme targeting the supervision of PhD students at the Faculty of Health and Medical Sciences. Supervision in the clinical context appeared to require additional competence. The Scientific Ethical Committee for the Capital Region of Denmark. Number: H-3-2010-101, date: 2010.09.29.

  20. Design, Implementation, and Improvement of a Methodology for Strategic Planning for Small and Medium Companies, Based on the Imaginary Construction of Concurrent Competitors

    Directory of Open Access Journals (Sweden)

    Nelson Santos Machado

    2012-06-01

    Full Text Available This article shows the results of five (5 research studies carried out in the western extreme of Santa Catarina, financed with the resources of the Fund to Support Research at the Universidade do Oeste de Santa Catarina – Unoesc or by participating companies. Such research had as its central objective the construction, application, and improvement of a strategic planning methodology adjusted to small and medium enterprises, for which conventional methods have proved to have complex, expensive, and questionable results. Having as reference Fahey (2003, we inserted the construction of an imaginary competitor-like tool of analysis of external and internal environments, as well as the establishment of strategies and actions for the company itself, in a time horizon, which acquires features of a fictitious competitor. The methodological procedures are qualitative, the design is the case study, with the adoption of action research in collecting and interpreting data, and research subjects were employees. The surveys were conducted between 2004 and 2010 in firms of service, commercial, and industrial sectors. As result, this methodology demonstrated applicability and feasibility, being able to be adopted by other companies of similar size and characteristics of those tested empirically. The main advantages are the creative process that involves the construction of an imaginary competitor, the participatory nature and of the use of action research, as well as the attachment that focuses on quality choices based on the experiences of the participants, rather than in statistical series, although they are used.

  1. Optimization of edible coating formulations for improving postharvest quality and shelf life of pear fruit using response surface methodology.

    Science.gov (United States)

    Nandane, A S; Dave, Rudri K; Rao, T V Ramana

    2017-01-01

    The effect of composite edible films containing soy protein isolate (SPI) in combination with additives like hydroxypropyl methylcellulose (HPMC) and olive oil on 'Babughosha' pear ( Pyrus communis L.) stored at ambient temperature (28 ± 5 °C and 60 ± 10% RH) was evaluated using Response surface methodology (RSM). A total of 30 edible coating formulations comprising of SPI (2-6%, w/v), olive oil (0.7-1.1%, v/v), HPMC (0.1-0.5%, w/v) and potassium sorbate (0-0.4% w/v) were evaluated for optimizing the most suitable combination. Quality parameters like weight loss%, TSS, pH and titrable acidity of the stored pears were selected as response variables for optimization. The optimization procedure was carried out using RSM. It was observed that the response variables were mainly effected by concentration of SPI and olive oil in the formulation. Edible coating comprising of SPI 5%, HPMC 0.40%, olive oil 1% and potassium sorbate 0.22% was found to be most suitable combination for pear fruit with predicted values of response variables indicated as weight loss% 3.50, pH 3.41, TSS 11.13 and TA% 0.513.

  2. Optimization extraction conditions for improving phenolic content and antioxidant activity in Berberis asiatica fruits using response surface methodology (RSM).

    Science.gov (United States)

    Belwal, Tarun; Dhyani, Praveen; Bhatt, Indra D; Rawal, Ranbeer Singh; Pande, Veena

    2016-09-15

    This study for the first time designed to optimize the extraction of phenolic compounds and antioxidant potential of Berberis asiatica fruits using response surface methodology (RSM). Solvent selection was done based on the preliminary experiments and a five-factors-three-level, Central Composite Design (CCD). Extraction temperature (X1), sample to solvent ratio (X3) and solvent concentration (X5) significantly affect response variables. The quadratic model well fitted for all the responses. Under optimal extraction conditions, the dried fruit sample mixed with 80% methanol having 3.0 pH in a ratio of 1:50 and the mixture was heated at 80 °C for 30 min; the measured parameters was found in accordance with the predicted values. High Performance Liquid Chromatography (HPLC) analysis at optimized condition reveals 6 phenolic compounds. The results suggest that optimization of the extraction conditions is critical for accurate quantification of phenolics and antioxidants in Berberis asiatica fruits, which may further be utilized for industrial extraction procedure. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. A methodology for improving the SIS-RT in analyzing the traceability of the documents written in Korean language

    International Nuclear Information System (INIS)

    Yoo, Yeong Jae; Kim, Man Cheol; Seong, Poong Hyun

    2002-01-01

    Inspection is widely believed to be an effective software verification and validation (V and V) method. However, software inspection is labor-intensive. This labor-intensive nature is compounded by a view that since software inspection uses little technology, they do not fit in well with a more technology-oriented development environment. Nevertheless, software inspection is gaining in popularity. The researchers of KAIST I and C laboratory developed the software tool managing and supporting inspection tasks, named SIS-RT. SIS-RT is designed to partially automate the software inspection processes. SIS-RT supports the analyses of traceability between the spec documents. To make SIS-RT prepared for the spec document written in Korean language, certain techniques in natural language processing have been reviewed. Among those, the case grammar is most suitable for the analyses of Korean language. In this paper, the methodology for analyzing the traceability between spec documents written in Korean language will be proposed based on the case grammar

  4. Study on the methodology for predicting and preventing errors to improve reliability of maintenance task in nuclear power plant

    International Nuclear Information System (INIS)

    Hanafusa, Hidemitsu; Iwaki, Toshio; Embrey, D.

    2000-01-01

    The objective of this study was to develop and effective methodology for predicting and preventing errors in nuclear power plant maintenance tasks. A method was established by which chief maintenance personnel can predict and reduce errors when reviewing the maintenance procedures and while referring to maintenance supporting systems and methods in other industries including aviation and chemical plant industries. The method involves the following seven steps: 1. Identification of maintenance tasks. 2. Specification of important tasks affecting safety. 3. Assessment of human errors occurring during important tasks. 4. Identification of Performance Degrading Factors. 5. Dividing important tasks into sub-tasks. 6. Extraction of errors using Predictive Human Error Analysis (PHEA). 7. Development of strategies for reducing errors and for recovering from errors. By way of a trial, this method was applied to the pump maintenance procedure in nuclear power plants. This method is believed to be capable of identifying the expected errors in important tasks and supporting the development of error reduction measures. By applying this method, the number of accidents resulting form human errors during maintenance can be reduced. Moreover, the maintenance support base using computers was developed. (author)

  5. The Fukushima nuclear crisis reemphasizes the need for improved risk communication and better use of social media.

    Science.gov (United States)

    Ng, Kwan-Hoong; Lean, Mei-Li

    2012-09-01

    The potential of social media has expanded far beyond the initial function of social communication among a network of friends. It has become an increasingly important tool in risk communication to allow the dissemination of timely and accurate information to global citizens to make more informed choices regarding a particular crisis. The Fukushima nuclear crisis is an example where the potential of social media was not fully tapped. This caused undue stress and distrust of authorities. While the use of social media in this crisis could have altered significantly the level of trust in authorities and others, two additional points should be considered. One point is the use of plain language versus scientific language in order to reach a wider audience. The other is an urgent need to improve public information especially in the event of a nuclear emergency and to enhance educational efforts and action by improving radiological protection communication from regulatory bodies and international agencies. These are points that also play a large role in the use of social media.

  6. A Quality Improvement Initiative to Reduce the Need for Mechanical Ventilation in Extremely Low Gestational Age Neonates.

    Science.gov (United States)

    Templin, Ludivine; Grosse, Camille; Andres, Virginie; Robert, Clotilde Des; Fayol, Laurence; Simeoni, Umberto; Boubred, Farid

    2017-07-01

    Objective  Limiting early intubation and mechanical ventilation in extremely low gestational age neonates (ELGAN) may decrease neonatal morbidity and mortality. The aim of our study was to demonstrate the feasibility, efficacy, and tolerability of a delivery room respiratory management protocol, including delayed umbilical cord clamping (DUCC) in combination with optimized nCPAP with high PEEP levels and less invasive surfactant administration (LISA). Study Design  This cohort quality improvement study analyzed the respiratory and neonatal outcomes of all consecutive infants born between 24 +0 and 26 +6 weeks' gestation before (period 1, n  = 40) and after (period 2, n  = 52) implementing the new protocol. Results  Compared with the period 1 infants, the period 2 infants had a lower rate of intubation in the delivery room (31 vs. 90%, p  = 0.001) and were less likely to need mechanical ventilation on day 3 (28 vs. 62%, p  = 0.002) and during the hospital stay (75 vs. 92.5%, p  < 0.05). The two groups did not differ in terms of mortality or neonatal morbidity. Conclusion  A delivery room respiratory management protocol based on DUCC, optimized nCPAP with high PEEP levels, and LISA procedure is both feasible and safe, and improved ELGAN respiratory outcomes. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  7. A needs assessment of health information technology for improving care coordination in three leading patient-centered medical homes.

    Science.gov (United States)

    Richardson, Joshua E; Vest, Joshua R; Green, Cori M; Kern, Lisa M; Kaushal, Rainu

    2015-07-01

    We investigated ways that patient-centered medical homes (PCMHs) are currently using health information technology (IT) for care coordination and what types of health IT are needed to improve care coordination. A multi-disciplinary team of researchers conducted semi-structured telephone interviews with 28 participants from 3 PCMHs in the United States. Participants included administrators and clinicians from PCMHs, electronic health record (EHR) and health information exchange (HIE) representatives, and policy makers. Participants identified multiple barriers to care coordination using current health IT tools. We identified five areas in which health IT can improve care coordination in PCMHs: 1) monitoring patient populations, 2) notifying clinicians and other staff when specific patients move across care settings, 3) collaborating around patients, 4) reporting activities, and 5) interoperability. To accomplish these tasks, many participants described using homegrown care coordination systems separate from EHRs. The participants in this study have resources, experience, and expertise with using health IT for care coordination, yet they still identified multiple areas for improvement. We hypothesize that focusing health IT development in the five areas we identified can enable more effective care coordination. Key findings from this work are that homegrown systems apart from EHRs are currently used to support care coordination and, also, that reporting tools are key components of care coordination. New health IT that enables monitoring, notifying, collaborating, reporting, and interoperability would enhance care coordination within PCMHs beyond what current health IT enables. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. A community based approach to improving resilience of forests and water resources: A local and regional climate adaptation methodology

    Science.gov (United States)

    Toby Thaler; Gwen Griffith; Nancy Gilliam

    2014-01-01

    Forest-based ecosystem services are at risk from human-caused stressors, including climate change. Improving governance and management of forests to reduce impacts and increase community resilience to all stressors is the objective of forest-related climate change adaptation. The Model Forest Policy Program (MFPP) has applied one method designed to meet this objective...

  9. Health Data Entanglement and artificial intelligence-based analysis: a brand new methodology to improve the effectiveness of healthcare services

    OpenAIRE

    Capone, A.; Cicchetti, A.; Mennini, F. S.; Marcellusi, A.; Baio, G.; Favato, G.

    2016-01-01

    Healthcare expenses will be the most relevant policy issue for most governments in the EU and in the USA. This expenditure can be associated with two major key categories: demographic and economic drivers. Factors driving healthcare expenditure were rarely recognised, measured and comprehended. An improvement of health data generation and analysis is mandatory, and in order to tackle healthcare spending growth, it may be useful to design and implement an effective, advanced system to generate...

  10. Improvement for enhanced xylanase production by Cellulosimicrobium cellulans CKMX1 using central composite design of response surface methodology.

    Science.gov (United States)

    Walia, Abhishek; Mehta, Preeti; Guleria, Shiwani; Shirkot, Chand Karan

    2015-12-01

    The effects of yeast extract (X 1 ), NH 4 NO 3 (X 2 ), peptone (X 3 ), urea (X 4 ), CMC (X 5 ), Tween 20 (X 6 ), MgSO 4 (X 7 ), and CaCO 3 (X 8 ) on production of xylanase from Cellulosimicrobium cellulans CKMX1 were optimized by statistical analysis using response surface methodology (RSM). The RSM was used to optimize xylanase production by implementing the Central composite design. Statistical analysis of the results showed that the linear, interaction and quadric terms of these variables had significant effects. However, only the linear effect of X 4 , X 5 , interaction effect of X 1 X 7 , X 1 X 8 , X 2 X 3 , X 2 X 8 , X 3 X 6 , X 3 X 8 , X 4 X 6 , X 4 X 7 , X 5 X 7 , X 5 X 8 and quadratic effect of X 3 2 , X 5 2 and X 7 2 found to be insignificant terms in the quadratic model and had no response at significant level. The minimum and maximum xylanase production obtained was 331.50 U/g DBP and 1027.65 U/g DBP, respectively. The highest xylanase activity was obtained from Run No. 30, which consisted of yeast extract (X 1 ), 1.00 g (%); NH 4 NO 3 (X 2 ), 0.20 g (%); peptone (X 3 ), 1.00 g (%); urea (X 4 ), 10 mg (%); CMC (X 5 ), 1.00 g (%); Tween 20 (X 6 ), 0.02 mL (%); CaCO 3 (X 7 ), 0.50 g (%) and MgSO 4 (X 8 ), 9.0 g (%). The optimization resulted in 3.1-fold increase of xylanase production, compared with the lowest xylanase production of 331.50 U/g DBP after 72 h of incubation in stationary flask experiment. Application of cellulase-free xylanase in pulp biobleaching from C. cellulans CKMX1 under C-E P -D sequence has been shown to bring about a 12.5 % reduction of chlorine, decrease of 0.8 kappa points (40 %), and gain in brightness was 1.42 % ISO points in 0.5 % enzyme treated pulp as compared to control.

  11. Biodiversity and Climate Modeling Workshop Series: Identifying gaps and needs for improving large-scale biodiversity models

    Science.gov (United States)

    Weiskopf, S. R.; Myers, B.; Beard, T. D.; Jackson, S. T.; Tittensor, D.; Harfoot, M.; Senay, G. B.

    2017-12-01

    At the global scale, well-accepted global circulation models and agreed-upon scenarios for future climate from the Intergovernmental Panel on Climate Change (IPCC) are available. In contrast, biodiversity modeling at the global scale lacks analogous tools. While there is great interest in development of similar bodies and efforts for international monitoring and modelling of biodiversity at the global scale, equivalent modelling tools are in their infancy. This lack of global biodiversity models compared to the extensive array of general circulation models provides a unique opportunity to bring together climate, ecosystem, and biodiversity modeling experts to promote development of integrated approaches in modeling global biodiversity. Improved models are needed to understand how we are progressing towards the Aichi Biodiversity Targets, many of which are not on track to meet the 2020 goal, threatening global biodiversity conservation, monitoring, and sustainable use. We brought together biodiversity, climate, and remote sensing experts to try to 1) identify lessons learned from the climate community that can be used to improve global biodiversity models; 2) explore how NASA and other remote sensing products could be better integrated into global biodiversity models and 3) advance global biodiversity modeling, prediction, and forecasting to inform the Aichi Biodiversity Targets, the 2030 Sustainable Development Goals, and the Intergovernmental Platform on Biodiversity and Ecosystem Services Global Assessment of Biodiversity and Ecosystem Services. The 1st In-Person meeting focused on determining a roadmap for effective assessment of biodiversity model projections and forecasts by 2030 while integrating and assimilating remote sensing data and applying lessons learned, when appropriate, from climate modeling. Here, we present the outcomes and lessons learned from our first E-discussion and in-person meeting and discuss the next steps for future meetings.

  12. Methodology of functional and cost approach to improvement of a control system of corporation in modern conditions

    Directory of Open Access Journals (Sweden)

    Zlygostev A.N.

    2017-09-01

    Full Text Available according to the author, the corporate structure of economic entities is objective need today owing to the fact that the created conditions of acceleration of economic development of the country often demand association of several legal entities and individuals conducting an entrepreneurial activity to achieve the required result. At the same time, the corporation is not independent legal form and its activity is not regulated by the Civil Code of the Russian Federation. In this regard, there is a set of various interrelations and the relations of economic entities which are based on a basis of self-government and membership of participants of corporation on long-term contractual and contract conditions. This, in turn, predetermines the search of new, most effective forms and methods of formation and development of control systems of corporations including increases in level of their personnel potential.

  13. Randomized nutrition education intervention to improve carbohydrate counting in adolescents with type 1 diabetes study: is more intensive education needed?

    Science.gov (United States)

    Spiegel, Gail; Bortsov, Andrey; Bishop, Franziska K; Owen, Darcy; Klingensmith, Georgeanna J; Mayer-Davis, Elizabeth J; Maahs, David M

    2012-11-01

    diabetes. Additional research is needed to translate nutrition education into improved health outcomes. Copyright © 2012 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  14. Genomic Microbial Epidemiology Is Needed to Comprehend the Global Problem of Antibiotic Resistance and to Improve Pathogen Diagnosis.

    Science.gov (United States)

    Wyrsch, Ethan R; Roy Chowdhury, Piklu; Chapman, Toni A; Charles, Ian G; Hammond, Jeffrey M; Djordjevic, Steven P

    2016-01-01

    Contamination of waste effluent from hospitals and intensive food animal production with antimicrobial residues is an immense global problem. Antimicrobial residues exert selection pressures that influence the acquisition of antimicrobial resistance and virulence genes in diverse microbial populations. Despite these concerns there is only a limited understanding of how antimicrobial residues contribute to the global problem of antimicrobial resistance. Furthermore, rapid detection of emerging bacterial pathogens and strains with resistance to more than one antibiotic class remains a challenge. A comprehensive, sequence-based genomic epidemiological surveillance model that captures essential microbial metadata is needed, both to improve surveillance for antimicrobial resistance and to monitor pathogen evolution. Escherichia coli is an important pathogen causing both intestinal [intestinal pathogenic E. coli (IPEC)] and extraintestinal [extraintestinal pathogenic E. coli (ExPEC)] disease in humans and food animals. ExPEC are the most frequently isolated Gram negative pathogen affecting human health, linked to food production practices and are often resistant to multiple antibiotics. Cattle are a known reservoir of IPEC but they are not recognized as a source of ExPEC that impact human or animal health. In contrast, poultry are a recognized source of multiple antibiotic resistant ExPEC, while swine have received comparatively less attention in this regard. Here, we review what is known about ExPEC in swine and how pig production contributes to the problem of antibiotic resistance.

  15. Expectations and needs of Ugandan women for improved quality of childbirth care in health facilities: A qualitative study.

    Science.gov (United States)

    Kyaddondo, David; Mugerwa, Kidza; Byamugisha, Josaphat; Oladapo, Olufemi T; Bohren, Meghan A

    2017-12-01

    To describe the experiences, expectations, and needs of urban Ugandan women in relation to good-quality facility childbirth. Women who had given birth in the 12 months prior to the study were purposively sampled and interviewed, or included in focus groups. Thematic analysis was used, and the data were interpreted within the context of an existing quality of care framework. Forty-five in-depth interviews and six focus group discussions were conducted. Respect and dignity, timely communication, competent skilled staff, and availability of medical supplies were central to women's accounts of quality care, or a lack of it. The hope for a live baby motivated women to seek facility-based childbirth. They expected to encounter competent, respectful, and caring staff with appropriate skills. In some cases, they could only fulfill these expectations through additional personal financial payments to staff, for clinical supplies, or to guarantee that they would be attended by someone with suitable skills. Long-term improvement in quality of maternity care in Uganda requires enhancement of the interaction between women and health staff in facilities, and investment in staff and resources to ensure that safe, respectful care is not dependent on willingness and/or capacity to pay. © 2017 International Federation of Gynecology and Obstetrics. The World Health Organization retains copyright and all other rights in the manuscript of this article as submitted for publication.

  16. Improving outcomes in cancer diagnosis, prevention and control: barriers, facilitators and the need for health literacy in Ibadan Nigeria.

    Science.gov (United States)

    Adedimeji, Adebola A; Lounsbury, David; Popoola, Oluwafemi; Asuzu, Chioma; Lawal, Akinmayowa; Oladoyin, V; Crifase, Cassandra; Agalliu, Ilir; Shankar, Viswanathan; Adebiyi, Akindele

    2017-10-01

    Cancers constitute a significant public health problem in Nigeria. Breast, cervix and prostate cancers are leading causes of cancer-related deaths. Changing diets, lifestyles, HIV/AIDS and macro-structural factors contribute to cancer morbidity and mortality. Poor health information linking cancer risk to individual behaviors, environmental pollutants and structural barriers undermine prevention/control efforts. Studies suggest increasing health literacy and empowering individuals to take preventive action will improve outcomes and mitigate impact on a weak health system. We obtained qualitative data from 80 men, women, and young adults in 11 focus groups to assess beliefs, risk-perceptions, preventive behaviors and perceptions of barriers and facilitators to cancer control in Ibadan, Nigeria and conducted thematic analysis. Participants demonstrated awareness of cancers and mentioned several risk factors related to individual behaviors and the environment. Nonetheless, myths and misconceptions as well as micro, meso and macro level barriers impede prevention and control efforts. Developing and implementing comprehensive context-relevant health literacy interventions in community settings are urgently needed.Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  17. Further effort is needed to improve management of chronic pain in primary care. Results from the Arkys project

    Directory of Open Access Journals (Sweden)

    Gaetano Piccinocchi

    2016-06-01

    Full Text Available Treatment of chronic pain is challenging. The Arkys project was initiated in Italy to assist general practitioners (GPs in the management of chronic pain. The main objective of this study was to determine the usefulness of Arkys for selecting new therapeutic strategies. An online interactive questionnaire for assessing pain and guiding therapeutic decisions was made available to GPs participating to Arkys. The GPs were invited to complete the questionnaire for each patient who presented moderate-severe chronic pain, and to decide on a new analgesic treatment based on the information provided by the questionnaire. Two hundred and forty four GPs participated with a total of 3035 patients. Patients (mean age 68.9 years had mostly chronic non-cancer pain (87.7%. In 42.3%, pain had neuropathic components. Only 53.6% of patients were in treatment with analgesics (strong opioids, 38.9%; NSAIDs, 32.6%; weak opioids, 25.6%; anti-epileptics, 17.3%; paracetamol, 14.9%. Use of the questionnaire resulted in the prescription of analgesics to all patients and in increased prescription of strong opioids (69.7%. NSAID prescription decreased (12.8%, while anti-epileptics use remained stable. These findings show that current management of chronic pain in primary care is far from optimal and that efforts are needed to educate GPs and improve guideline implementation.

  18. Diabetes and complications of the heart in Sub-Saharan Africa: An urgent need for improved awareness, diagnostics and management.

    Science.gov (United States)

    Glezeva, Nadezhda; Chisale, Master; McDonald, Kenneth; Ledwidge, Mark; Gallagher, Joe; Watson, Chris J

    2018-03-01

    Type 2 diabetes mellitus is no longer a disease of high income countries but a global health pandemic. With the continued and rapid increase in its prevalence worldwide it is forecasted that diabetes will be a leading cause of morbidity and mortality. A major concern stems from its role in development and progression of cardiovascular disease, including cardiac dysfunction and heart failure. Within low- and middle-income areas such as Sub-Saharan Africa the burden of diabetes is already significant driven by many factors, including, socioeconomic (urbanisation), nutritional (high-calorie "western-diet", obesity) and lifestyle (physical inactivity) changes. Insufficient economic and community resources, poor health care system development and chronic disease management, poor education, and a lack of preventative and diagnostic measures further aggravate the severity of the diabetes problem. This review outlines the burden of type 2 diabetes mellitus in Sub-Saharan Africa and highlights the need for improved community health care and regulations to reduce its epidemiological spread and devastating impact on health. Copyright © 2018 Elsevier B.V. All rights reserved.

  19. Pulmonary specialty training to improve respiratory health in low- and middle-income countries. Needs and challenges.

    Science.gov (United States)

    Chakaya, Jeremiah M; Carter, E Jane; Hopewell, Philip C

    2015-04-01

    It is estimated that 85% of the world's population lives in low- and middle-income countries (LMICs). Although economic conditions are improving in these countries, health expenditures have not kept pace with the overall economic growth, and health systems remain weak. These already inadequate systems are being further stressed by the epidemiologic transition that is taking place, characterized by a slow decrease in communicable diseases and an increase in noninfectious chronic diseases, resulting in a "double burden" of infectious and noninfectious diseases. Respiratory diseases comprise the largest category of illness within this combined burden of disease. Although there are chronic respiratory disease programs of proven effectiveness appropriate for LMICs, implementation has been greatly hampered by the lack of physicians who have special knowledge and skills in addressing the full spectrum of lung diseases. Thus, there is an urgent need to create training programs for specialists in respiratory diseases. Such programs should be developed and conducted by institutions in LMICs and tailored to fit the prevailing circumstances of the country. Existing curriculum blueprints may be used to guide training program development with appropriate modifications. Academic institutions and professional societies in high-income countries may be called upon to provide technical assistance in developing and implementing training programs. In order to better define the burden of respiratory diseases and identify effective interventions, research, moved forward by persons committed and specialized in this area of health, will be essential.

  20. Improving Adherence to Mediterranean-Style Diet With a Community Culinary Coaching Program: Methodology Development and Process Evaluation.

    Science.gov (United States)

    Polak, Rani; Pober, David; Morris, Avigail; Arieli, Rakefet; Moore, Margaret; Berry, Elliot; Ziv, Mati

    The Community Culinary Coaching Program is a community-based participatory program aimed at improving communal settlement residents' nutrition. The residents, central kitchens, preschools, and communal dining rooms were identified as areas for intervention. Evaluation included goals accomplishment assessed by food purchases by the central kitchens, and residents' feedback through focus groups. Purchasing included more vegetables (mean (standard error) percent change), (+7% (4); P = .32), fish (+115% (11); P < .001), whole grains, and legumes (+77% (9); P < .001); and less soup powders (-40% (9); P < .05), processed beef (-55% (8); P < .001), and margarine (-100% (4); P < .001). Residents recommended continuing the program beyond the project duration. This model might be useful in organizations with communal dining facilities.

  1. INFORMATION AND COMMUNICATION TECHNOLOGIES AS A MEAN OF IMPROVING OF TRADITIONAL METHODOLOGY OF UKRAINIAN LANGUAGE TEACHING (FOR PROFESSIONAL PURPOSES

    Directory of Open Access Journals (Sweden)

    Svitlana V. Shyyka

    2017-06-01

    Full Text Available In the article it is explained the elements of practical experience and defined the main directions of introduction of information and communication technologies in the studying university course “Ukrainian language (for professional purposes” for non-philological specialization. It is analyzed the use of modern audiovisual resources and related software during lectures, practical classes, students’ independent work, individual problem tasks and research, writing essays, extracurricular communications. It is argued that modern information and communication technologies combined with traditional methods of teaching and learning can significantly optimize the educational process and improve its quality, promote cognitive activity of students and formation of communicative competence as a part of training future professionals.

  2. Reliability Centered Maintenance - Methodologies

    Science.gov (United States)

    Kammerer, Catherine C.

    2009-01-01

    Journal article about Reliability Centered Maintenance (RCM) methodologies used by United Space Alliance, LLC (USA) in support of the Space Shuttle Program at Kennedy Space Center. The USA Reliability Centered Maintenance program differs from traditional RCM programs because various methodologies are utilized to take advantage of their respective strengths for each application. Based on operational experience, USA has customized the traditional RCM methodology into a streamlined lean logic path and has implemented the use of statistical tools to drive the process. USA RCM has integrated many of the L6S tools into both RCM methodologies. The tools utilized in the Measure, Analyze, and Improve phases of a Lean Six Sigma project lend themselves to application in the RCM process. All USA RCM methodologies meet the requirements defined in SAE JA 1011, Evaluation Criteria for Reliability-Centered Maintenance (RCM) Processes. The proposed article explores these methodologies.

  3. JOINT STUDY OF IMPROVED SAFEGUARDS METHODOLOGY USING NO-NOTICE RANDOMIZED INSPECTION AT JNC'S Pu HANDLING FACILITIES

    International Nuclear Information System (INIS)

    LU, M.S.; SANBORN, J.B.

    2000-01-01

    After the Iraq war, the International Atomic Energy Agency (IAEA) 93+2 Program was developed to strengthen and improve the cost-effectiveness of the existing safeguards system. In particular, the Program aims to enhance the IAEA ability to detect undeclared nuclear activities and materials. The IAEA 93+2 Program includes: (1) Increased access to information and its effective use; (2) Increased physical access; (3) Optimum use of the existing system. The measures considered are divided in two parts: measures in Part 1 are those, which may be implemented within the existing IAEA authority; Part 2 measures require complementary legal authority, in the form of an additional Protocol, INFCIRC/540. A description of the status of its implementation can be found in ''Implementation of the Additional Protocol'' (Cooley, 1999). In particular, increased physical access includes access beyond locations requiring additional authorities derived from the INFCIRC/540 and no-notice randomized inspections. No-notice randomized inspections could enhance the inspection effectiveness and efficiency by increasing the coverage of the material involved, providing better confirmation of the operational status of the facilities and higher degree of confidence that no undeclared activities or materials existed at the facilities--including the detection of possible measures to conceal diversions

  4. Creating a Methodology for Coordinating High-resolution Air Quality Improvement Map and Greenhouse Gas Mitigation Strategies in Pittsburgh City

    Science.gov (United States)

    Shi, J.; Donahue, N. M.; Klima, K.; Blackhurst, M.

    2016-12-01

    In order to tradeoff global impacts of greenhouse gases with highly local impacts of conventional air pollution, researchers require a method to compare global and regional impacts. Unfortunately, we are not aware of a method that allows these to be compared, "apples-to-apples". In this research we propose a three-step model to compare possible city-wide actions to reduce greenhouse gases and conventional air pollutants. We focus on Pittsburgh, PA, a city with consistently poor air quality that is interested in reducing both greenhouse gases and conventional air pollutants. First, we use the 2013 Pittsburgh Greenhouse Gas Inventory to update the Blackhurst et al. model and conduct a greenhouse gas abatement potentials and implementation costs of proposed greenhouse gas reduction efforts. Second, we use field tests for PM2.5, NOx, SOx, organic carbon (OC) and elemental carbon (EC) data to inform a Land-use Regression Model for local air pollution at a 100m x 100m spatial level, which combined with a social cost of air pollution model (EASIUR) allows us to calculate economic social damages. Third, we combine these two models into a three-dimensional greenhouse gas cost abatement curve to understand the implementation costs and social benefits in terms of air quality improvement and greenhouse gas abatement for each potential intervention. We anticipated such results could provide policy-maker insights in green city development.

  5. Do physicians understand type 2 diabetes patients' perceptions of seriousness; the emotional impact and needs for care improvement? A cross-national survey

    NARCIS (Netherlands)

    Hajós, T.R.S.; Polonsky, W.H.; Twisk, J.W.; Dain, M.P.; Snoek, F.J.

    2011-01-01

    Objective: To explore across countries the extent to which physicians understand Type 2 diabetes patients' perceptions of seriousness, worries about complications, emotional distress, and needs for care improvement. Methods: Cross-sectional data were collected in a multinational survey (SHARED).

  6. Malnutrition in older adults - urgent need for action: a plea for improving the nutritional situation of older adults.

    Science.gov (United States)

    Volkert, Dorothee

    2013-01-01

    During the past decades, malnutrition has attracted increasing scientific attention and is by now regarded as a true geriatric syndrome characterized by multifactorial causality, identified by symptoms and accompanied by frailty, disability and poor outcome. This viewpoint summarizes our present knowledge and the usual current handling of malnutrition in older people and highlights the urgent need for action in this field. Age-related changes in the complex system of appetite regulation, resulting in the so-called anorexia of aging, predispose older adults to a decrease in food intake which may lead to malnutrition, if additional risk factors like health or social problems occur. Consequently, malnutrition is widespread in the older population, notably in those who are institutionalized. Despite the fact that effective interventions are available, prevention and treatment of malnutrition do not currently receive appropriate attention. As an important first step towards better awareness, screening for malnutrition should become a mandatory integral part of the comprehensive geriatric assessment. Furthermore, practical local guidelines should be implemented in all geriatric hospital wards and nursing homes in order to improve nutritional care in the daily routine. Important to note is that reasonable nutritional management is not possible without qualified staff in adequate numbers allowing appropriate individual nutritional care. Regarding future research, studies at the cellular, metabolic and clinical levels and the linking of information from different research approaches are required to better understand the transition from good nutritional health and independence of old people to malnutrition, functional impairment and poor health. In parallel to well-designed observational and intervention studies, standardized documentation of nutritional information in daily routine would enable the uniform collection of data for research as well as for political decisions

  7. Improvements in Hudson River Water Quality Create the Need for a new Approach to Monitoring and Management

    Science.gov (United States)

    O'Mullan, G. D.; Juhl, A.; Sambrotto, R.; Lipscomb, J.; Brown, T.

    2008-12-01

    The lower Hudson River is a well-flushed temperate estuary that continues to support diverse wildlife populations although its shores are home to the nation's most populated metropolitan area. Data sets from the last hundred years clearly demonstrate extreme nutrient concentrations, pathogen loading, and periods of persistent hypoxia. These data also show a clear trend of steadily improving water quality in the last thirty years. Recent increases in recreational activity, expanded shoreline parks, and waterfront redevelopment, indicate the return of the people of New York to the River, concomitant with improved water quality. While mean seasonal water quality indicators are now often acceptable for large portions of the River, there remains a lack of information about the finer scale spatial and temporal variability of water quality. A new water quality sampling program was initiated in the Fall of 2006 to address this challenge. Monthly sampling cruises collected continuous underway surface measurements of hydrographic variables in parallel with discrete sampling for nutrients and microbiology. In general, these data indicate that mid-channel locations are often within acceptable water quality standards during dry weather, but that wet weather events deliver large quantities of sewage to the River, leading to short-term deterioration in water quality. In 2006-2007, only 6 of 27 sample sites had geometric mean values for Enterococcus , a sewage-indicating microorganism, that suggest consistently poor water quality. In contrast, single-day exceedances of EPA recommended guidelines for Enterococcus were found at 21 of the 27 sites. Although the mid-channel of the River was relatively homogenous with respect to sewage indicators, large changes were observed at tributary mixing interfaces and along the shallow edges of the River where human contact is most likely. The changing use of the River, together with new information about the importance of episodic and

  8. Pattern and outcome of infertility in Enugu: the need to improve diagnostic facilities and approaches to management.

    Science.gov (United States)

    Ugwu, E O; Onwuka, C I; Okezie, O A

    2012-01-01

    In Nigeria, infertility is a social for the childless couple due to the high premium placed on propagating oneself. To determine the pattern of infertility among women attending the gynaecological clinic of university of Nigeria Teaching Hospital, Enugu and to examine the outcome of management. A descriptive retrospective design study based on findings from the folders of infertile couples presenting at the gynaecological clinic of University of Nigeria Teaching Hospital over a five year period (2004 - 2008). The data were collected from all documented and laboratory findings. The data extracted from the case records were the socio-demographic characteristics of the patients, the type of infertility whether primary or secondary, the causes, and the treatment in the years under review. The outcome of management was also evaluated. These were analyzed using SPSS 12.0.1 for window version. The mean age of the women was 34.1 +/- 4.9 range 21 - 46) years. The prevalence of infertility was 5.5% of all outpatient gynaecological consultations. The cause of infertility could not be determined in 39.4% of cases, female factors were identified as the sole causes in 28.7% of cases, male factors as sole causes in 11.5% of cases, and combined male/female factors in 20.4% of cases. Secondary infertility accounted for 76.8% of infertility and primary infertility 23.2%. The age of the women and the educational level did not significantly influence the type of infertility the women presented with (P > 0.05). Tubal factor was identified in majority of cases and pregnancy was recorded in only 17.0% of the women. Secondary infertility is more prevalent in Enugu with tubal factor accounting for majority of the cases with identifiable causes. The outcome of treatment of infertility is poor. There is need to improve infertility diagnostic and treatment facilities and approaches in Enugu, Nigeria.

  9. The physical education teacher as a principal and identification of the need to improve administrative competence towards an effective school

    Directory of Open Access Journals (Sweden)

    Alatzoglu Atanasios

    2013-01-01

    Full Text Available The thought of a Physical Education Teacher (PET being assigned the position of a Principal and exercising educational Leadership in Primary and Secondary Schools hasn't always been taken for granted, as it was the case with the other disciplines. Indicative of the hindered equal accessibility in the position of a school Principal is the fact that only since 1985 (Law 1566/1985 the Physical Education Teachers (PET are allowed to claim the Principal's position in secondary schools. Currently, Physical Education Teachers (PET have gained more self-confidence and identify differently their role in the Greek school. Given the fact that Physical Education Teachers (PET already constitute the third in volume discipline occupying the position of school Principal in Secondary Education, a significant question rises: Can Physical Education Teachers (PET be effective school leaders? The purpose of the present paper is to identify which administrative skills of the Physical Education Teachers (PET need improvement, so as the latter to be considered effective Principles according to their teachers' perceptions. Making use of a questionnaire (Principal Instructional Management Rating Scale-PIMRS adapted to the Greek reality, a total number of 460 teachers of 32 schools run by Physical Education Teachers (PET participated. The gap analysis technique applied revealed statistically significant results in all the items comprised in the measurement tool. The first three abilities/ skills lacking and should be developed by Principals - PET are the following:: 'working with multilingual parent groups' with a mean difference of 0.75 (t(454=14,649 p=0,000; 'converting the curriculum objectives into a curriculum on the school's website' with a mean difference of 0.73 (t(452=12,859 p=0,000; and 'informing parents on their children's educational advancement' (t(452=10,117 p=0,000. The present study confirms the findings of previous research concerning the effective

  10. Optimal levothyroxine replacement adequately improves symptoms of hypothyroidism; Residual symptoms need further evaluation for other than hypothyroidism causation

    Directory of Open Access Journals (Sweden)

    Rekha Singh

    2017-01-01

    Full Text Available Objectives: Many patients with hypothyroidism complain of persistent residual symptoms, despite optimal treatment, although the similar prevalence is seen in patients with documented absence of thyroid disorder in primary health-care setup. We aimed to investigate symptomatic relief in new cases of primary hypothyroidism and compare with controls with other chronic conditions. Methods: This prospective case–control follow-up study enrolled patients from July 2014 to May 2015 in an endocrine outpatient clinic of a tertiary hospital. Controls were age- and gender-matched ambulatory individuals with well-controlled other chronic diseases and no major comorbidity. Thyroid symptom questionnaire (TSQ was administered at pretreatment to all the cases and then they were started on levothyroxine (LT. At euthyroidism, TSQ was readministered. For controls, TSQ was administered only once. TSQ was measured on Likert scale 1-4 for lack of energy, dry skin, constipation, aches and pains, cold intolerance, poor memory, depression, weight gain, tiredness after walking, and difficulty in getting up (DGU. P < 0.05 was considered statistically significant. Results: A total of 194 cases (147 females and 47 males and 259 controls (187 females and 72 males were analyzed. A significant difference in the symptoms prevalence was seen between controls and pretreatment cases, except for DGU, and between subclinical and overt hypothyroidism. Pretreatment serum thyroid-stimulating hormone in cases correlated significantly with all their pretreatment symptoms score. All symptoms prevalence decreased significantly posttreatment. At euthyroidism, the mean symptoms score in posttreatment cases was similar or lower than the controls. Conclusion: LT effectively improves the symptoms of hypothyroidism in newly diagnosed cases of primary hypothyroidism. The residual symptoms need an alternation explanation other than hypothyroidism.

  11. Optimal Levothyroxine Replacement Adequately Improves Symptoms of Hypothyroidism; Residual Symptoms Need Further Evaluation for Other than Hypothyroidism Causation.

    Science.gov (United States)

    Singh, Rekha; Tandon, Ashwani; Gupta, Sushil Kumar; Saroja, K

    2017-01-01

    Many patients with hypothyroidism complain of persistent residual symptoms, despite optimal treatment, although the similar prevalence is seen in patients with documented absence of thyroid disorder in primary health-care setup. We aimed to investigate symptomatic relief in new cases of primary hypothyroidism and compare with controls with other chronic conditions. This prospective case-control follow-up study enrolled patients from July 2014 to May 2015 in an endocrine outpatient clinic of a tertiary hospital. Controls were age- and gender-matched ambulatory individuals with well-controlled other chronic diseases and no major comorbidity. Thyroid symptom questionnaire (TSQ) was administered at pretreatment to all the cases and then they were started on levothyroxine (LT). At euthyroidism, TSQ was readministered. For controls, TSQ was administered only once. TSQ was measured on Likert scale 1-4 for lack of energy, dry skin, constipation, aches and pains, cold intolerance, poor memory, depression, weight gain, tiredness after walking, and difficulty in getting up (DGU). P < 0.05 was considered statistically significant. A total of 194 cases (147 females and 47 males) and 259 controls (187 females and 72 males) were analyzed. A significant difference in the symptoms prevalence was seen between controls and pretreatment cases, except for DGU, and between subclinical and overt hypothyroidism. Pretreatment serum thyroid-stimulating hormone in cases correlated significantly with all their pretreatment symptoms score. All symptoms prevalence decreased significantly posttreatment. At euthyroidism, the mean symptoms score in posttreatment cases was similar or lower than the controls. LT effectively improves the symptoms of hypothyroidism in newly diagnosed cases of primary hypothyroidism. The residual symptoms need an alternation explanation other than hypothyroidism.

  12. Future needs for improvement of NIHL awareness training and HPD practices in the South African mining industry

    CSIR Research Space (South Africa)

    Edwards, A

    2012-08-01

    Full Text Available around the ears. ? Custom moulded for individuals ear-some of the brand names are Variphone, Noise Ban, Noise Clipper 7 Methodology ? Literature review ? Survey mines- interview managers ? Interview employees ? Observe employees 8... like?...continued 6. Training methods - Adult education - own language, visually stimulating, interactive, perceptions of susceptibility, touch emotions 7. Essential content of awareness training-cause of NIHL, effect of NIHL, methods to mitigate...

  13. On the Improvement of the Legislation Regulating the Powers of Public Authorities in the Field of Procurement of Goods, Works and Services for State and Municipal Needs

    Directory of Open Access Journals (Sweden)

    Evgeny V. Solomonov

    2016-11-01

    Full Text Available On the basis of a systematic analysis of the powers of public authorities, as well as legislation on contract system in the field of procurement of goods, works and services for state and municipal needs, the Authors come to a conclusion about the need to improve the existing legislation in this field of public relations.

  14. Applying Lean Six Sigma methodologies to improve efficiency, timeliness of care, and quality of care in an internal medicine residency clinic.

    Science.gov (United States)

    Fischman, Daniel

    2010-01-01

    Patients' connectedness to their providers has been shown to influence the success of preventive health and disease management programs. Lean Six Sigma methodologies were employed to study workflow processes, patient-physician familiarity, and appointment compliance to improve continuity of care in an internal medicine residency clinic. We used a rapid-cycle test to evaluate proposed improvements to the baseline-identified factors impeding efficient clinic visits. Time-study, no-show, and patient-physician familiarity data were collected to evaluate the effect of interventions to improve clinic efficiency and continuity of medical care. Forty-seven patients were seen in each of the intervention and control groups. The wait duration between the end of triage and the resident-patient encounter was statistically shorter for the intervention group. Trends toward shorter wait times for medical assistant triage and total encounter were also seen in the intervention group. On all measures of connectedness, both the physicians and patients in the intervention group showed a statistically significant increased familiarity with each other. This study shows that incremental changes in workflow processes in a residency clinic can have a significant impact on practice efficiency and adherence to scheduled visits for preventive health care and chronic disease management. This project used a structured "Plan-Do-Study-Act" approach.

  15. Archetype modeling methodology.

    Science.gov (United States)

    Moner, David; Maldonado, José Alberto; Robles, Montserrat

    2018-03-01

    Clinical Information Models (CIMs) expressed as archetypes play an essential role in the design and development of current Electronic Health Record (EHR) information structures. Although there exist many experiences about using archetypes in the literature, a comprehensive and formal methodology for archetype modeling does not exist. Having a modeling methodology is essential to develop quality archetypes, in order to guide the development of EHR systems and to allow the semantic interoperability of health data. In this work, an archetype modeling methodology is proposed. This paper describes its phases, the inputs and outputs of each phase, and the involved participants and tools. It also includes the description of the possible strategies to organize the modeling process. The proposed methodology is inspired by existing best practices of CIMs, software and ontology development. The methodology has been applied and evaluated in regional and national EHR projects. The application of the methodology provided useful feedback and improvements, and confirmed its advantages. The conclusion of this work is that having a formal methodology for archetype development facilitates the definition and adoption of interoperable archetypes, improves their quality, and facilitates their reuse among different information systems and EHR projects. Moreover, the proposed methodology can be also a reference for CIMs development using any other formalism. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors.

    NARCIS (Netherlands)

    Lubberding, S.; van Uden-Kraan, C.F.; te Velde, E.A.; Cuijpers, P.; Leemans, C.R.; Verdonck-de Leeuw, I.M.

    2015-01-01

    Aims and objectives: To gain insight into cancer survivors' needs towards an eHealth application monitoring quality of life and targeting personalised access to supportive care. Background: Supportive care in cancer addresses survivors' concerns and needs. However, many survivors are not taking

  17. Identification and assessment of the need to improve the operation of production systems in the metal sector enterprises

    Directory of Open Access Journals (Sweden)

    M. Górska

    2017-01-01

    Full Text Available In this paper an attempt was made to identify the areas of metal products manufacturing processes that require improvement. Determination of such areas may become a source of a lot of valuable information for the enterprise, enabling the development of its improvement directions. The results of survey allowed also to define a model of implementation importance for tasks contributing to the metal sector enterprises improvement.

  18. Report: EPA’s Information Security Program Is Established, but Improvements Are Needed to Strengthen Its Processes

    Science.gov (United States)

    Report #18-P-0031, October 30, 2017. Although the EPA has an effective information security program, management emphasis is needed to achieve a higher level of maturity for the agency’s information security program.

  19. Missile Defense: Actions Needed to Improve Planning and Cost Estimates for Long-Term Support of Ballistic Missile Defense

    National Research Council Canada - National Science Library

    2008-01-01

    .... Since the cost to operate and support a weapon system usually accounts for most of a system's lifetime costs, the resources needed to fund BMDS could be significant as DOD fields an increasing number of BMDS elements...

  20. A Call for Consensus on Methodology and Terminology to Improve Comparability in the Study of Preventable Prehospital Trauma Deaths: A Systematic Literature Review.

    Science.gov (United States)

    Oliver, Govind J; Walter, Darren P

    2016-04-01

    The study of preventable deaths is essential to trauma research for measuring service quality and highlighting avenues for improving care and as a performance indicator. However, variations in the terminology and methodology of studies on preventable prehospital trauma death limit the comparability and wider application of data. The objective of this study was to describe the heterogeneity in terminology and methodology. We performed a systematic literature review and report this using the PRISMA guidelines. Searches were conducted using PubMed (including Medline), Ovid, and Embase databases. Studies, with a full text available in English published between 1990 and 2015, meeting the following inclusion criteria were included: analysis of 1) deaths from trauma, 2) occurring in the prehospital phase of care, and 3) application of criteria to ascertain whether deaths were preventable. One author screened database results for relevance by title and abstract. The full text of identified papers was reviewed for inclusion. The reference list of included papers was screened for studies not identified by the database search. Data were extracted on predefined core elements relating to preventability reporting and definitions using a standardized form. Twenty-seven studies meeting the inclusion criteria were identified: 12 studies used two categories to assess the preventability of death while 15 used three categories. Fifteen variations in the terminology of these categories and combination with death descriptors were found. Eleven different approaches were used in defining what constituted a preventable death. Twenty-one included survivability of injuries as a criterion. Methods used to determine survivability differed and eight variations in parameters for categorization of deaths were used. Nineteen used panel review in determining preventability with six implementing panel blinding. Panel composition varied greatly by expertise of personnel. Separation of prehospital

  1. Application of Taguchi Design and Response Surface Methodology for Improving Conversion of Isoeugenol into Vanillin by Resting Cells of Psychrobacter sp. CSW4.

    Science.gov (United States)

    Ashengroph, Morahem; Nahvi, Iraj; Amini, Jahanshir

    2013-01-01

    For all industrial processes, modelling, optimisation and control are the keys to enhance productivity and ensure product quality. In the current study, the optimization of process parameters for improving the conversion of isoeugenol to vanillin by Psychrobacter sp. CSW4 was investigated by means of Taguchi approach and Box-Behnken statistical design under resting cell conditions. Taguchi design was employed for screening the significant variables in the bioconversion medium. Sequentially, Box-Behnken design experiments under Response Surface Methodology (RSM) was used for further optimization. Four factors (isoeugenol, NaCl, biomass and tween 80 initial concentrations), which have significant effects on vanillin yield, were selected from ten variables by Taguchi experimental design. With the regression coefficient analysis in the Box-Behnken design, a relationship between vanillin production and four significant variables was obtained, and the optimum levels of the four variables were as follows: initial isoeugenol concentration 6.5 g/L, initial tween 80 concentration 0.89 g/L, initial NaCl concentration 113.2 g/L and initial biomass concentration 6.27 g/L. Under these optimized conditions, the maximum predicted concentration of vanillin was 2.25 g/L. These optimized values of the factors were validated in a triplicate shaking flask study and an average of 2.19 g/L for vanillin, which corresponded to a molar yield 36.3%, after a 24 h bioconversion was obtained. The present work is the first one reporting the application of Taguchi design and Response surface methodology for optimizing bioconversion of isoeugenol into vanillin under resting cell conditions.

  2. Optimization of a fermented pumpkin-based beverage to improve Lactobacillus mali survival and α-glucosidase inhibitory activity: A response surface methodology approach

    Directory of Open Access Journals (Sweden)

    W.Y. Koh

    2018-03-01

    Full Text Available The aim of this research was to develop an optimum fermentation and composition model for a new fermented pumpkin-based beverage with high probiotic survival and α-glucosidase inhibitory activity. Relationship between fermentation temperature, inoculum and ingredient concentration with response variables (fermentation time at the fermentation endpoint pH 4.5, survival rate of Lactobacillus mali K8 in pumpkin-based beverage treated with simulated gastrointestinal tract enzyme fluids, α-glucosidase inhibitory activity and sensory overall acceptability after 4 weeks of refrigerated storage was investigated using response surface methodology. Optimal formulation was obtained at an approximation of 40% pumpkin puree concentration, 8 Log CFU/mL inoculum and at 35 °C. The product derived from this optimum formula reached the fermentation endpoint after 28.34 ± 0.10 h and the quality change during 4 weeks storage was studied. The product achieved 88.56 ± 0.67% of L. mali survival after treatment with simulated gastric and intestinal juices; demonstrated 95.89 ± 0.30% α-glucosidase inhibitory activity, as well as scored 6.99 ± 0.40 on sensory overall acceptability after 4 weeks of storage. These findings illustrated that the model is effective in improving probiotic survival and α-glucosidase inhibitory activity with excellent sensory acceptability, thus may offer a dietary means for the management of hyperglycaemia. Keywords: Probiotics, Response surface methodology, Box-Behnken, Hyperglycaemia, Functional food

  3. Neutronics and thermal-hydraulics coupling: some contributions toward an improved methodology to simulate the initiating phase of a severe accident in a sodium fast reactor

    International Nuclear Information System (INIS)

    Guyot, Maxime

    2014-01-01

    This project is dedicated to the analysis and the quantification of bias corresponding to the computational methodology for simulating the initiating phase of severe accidents on Sodium Fast Reactors. A deterministic approach is carried out to assess the consequences of a severe accident by adopting best estimate design evaluations. An objective of this deterministic approach is to provide guidance to mitigate severe accident developments and re-criticalities through the implementation of adequate design measures. These studies are generally based on modern simulation techniques to test and verify a given design. The new approach developed in this project aims to improve the safety assessment of Sodium Fast Reactors by decreasing the bias related to the deterministic analysis of severe accident scenarios. During the initiating phase, the subassembly wrapper tubes keep their mechanical integrity. Material disruption and dispersal is primarily one-dimensional. For this reason, evaluation methodology for the initiating phase relies on a multiple-channel approach. Typically a channel represents an average pin in a subassembly or a group of similar subassemblies. In the multiple-channel approach, the core thermal-hydraulics model is composed of 1 or 2 D channels. The thermal-hydraulics model is coupled to a neutronics module to provide an estimate of the reactor power level. In this project, a new computational model has been developed to extend the initiating phase modeling. This new model is based on a multi-physics coupling. This model has been applied to obtain information unavailable up to now in regards to neutronics and thermal-hydraulics models and their coupling. (author) [fr

  4. Improved robotic stereotactic body radiation therapy plan quality and planning efficacy for organ-confined prostate cancer utilizing overlap-volume histogram-driven planning methodology

    International Nuclear Information System (INIS)

    Wu, Binbin; Pang, Dalong; Lei, Siyuan; Gatti, John; Tong, Michael; McNutt, Todd; Kole, Thomas; Dritschilo, Anatoly; Collins, Sean

    2014-01-01

    Background and purpose: This study is to determine if the overlap-volume histogram (OVH)-driven planning methodology can be adapted to robotic SBRT (CyberKnife Robotic Radiosurgery System) to further minimize the bladder and rectal doses achieved in plans manually-created by clinical planners. Methods and materials: A database containing clinically-delivered, robotic SBRT plans (7.25 Gy/fraction in 36.25 Gy) of 425 patients with localized prostate cancer was used as a cohort to establish an organ’s distance-to-dose model. The OVH-driven planning methodology was refined by adding the PTV volume factor to counter the target’s dose fall-off effect and incorporated into Multiplan to automate SBRT planning. For validation, automated plans (APs) for 12 new patients were generated, and their achieved dose/volume values were compared to the corresponding manually-created, clinically-delivered plans (CPs). A two-sided, Wilcoxon rank-sum test was used for statistical comparison with a significance level of p < 0.05. Results: PTV’s V(36.25 Gy) was comparable: 95.6% in CPs comparing to 95.1% in APs (p = 0.2). On average, the refined approach lowered V(18.12 Gy) to the bladder and rectum by 8.2% (p < 0.05) and 6.4% (p = 0.14). A physician confirmed APs were clinically acceptable. Conclusions: The improvements in APs could further reduce toxicities observed in SBRT for organ-confined prostate cancer

  5. Association of family-centered care with improved anticipatory guidance delivery and reduced unmet needs in child health care.

    Science.gov (United States)

    Kuo, Dennis Z; Frick, Kevin D; Minkovitz, Cynthia S

    2011-11-01

    Little is known about the association of family-centered care (FCC) with the quality of pediatric primary care. The objectives were to assess (1) associations between family-centered care (FCC), receipt of anticipatory guidance, and unmet need for health care; and (2) whether these associations vary for children with special health care needs (CSHCN). The study, a secondary data analysis of the 2004 Medical Expenditure Panel Survey, used a nationally representative sample of family members of children 0-17 years. We measured receipt of FCC in the last 12 months with a composite score average>3.5 on a 4 point Likert scale from 4 Consumer Assessment of Healthcare Providers and Systems questions. Outcome measures were six anticipatory guidance and six unmet health care service needs items. FCC was reported by 69.6% of family members. One-fifth (22.1%) were CSHCN. Thirty percent of parents reported≥4 of 6 anticipatory guidance topics discussed and 32.5% reported≥1 unmet need. FCC was positively associated with anticipatory guidance for all children (OR=1.45; 95% CI 1.19, 1.76), but no relation was found for CSHCN in stratified analyses (OR=1.01; 95% CI .75, 1.37). FCC was associated with reduced unmet needs (OR=.38; 95% CI .31, .46), with consistent findings for both non-CSHCN and CSHCN subgroups. Family-centered care is associated with greater receipt of anticipatory guidance and reduced unmet needs. The association between FCC and anticipatory guidance did not persist for CSHCN, suggesting the need for enhanced understanding of appropriate anticipatory guidance for this population.

  6. A review on effectiveness of best management practices in improving hydrology and water quality: Needs and opportunities.

    Science.gov (United States)

    Liu, Yaoze; Engel, Bernard A; Flanagan, Dennis C; Gitau, Margaret W; McMillan, Sara K; Chaubey, Indrajeet

    2017-12-01

    Best management practices (BMPs) have been widely used to address hydrology and water quality issues in both agricultural and urban areas. Increasing numbers of BMPs have been studied in research projects and implemented in watershed management projects, but a gap remains in quantifying their effectiveness through time. In this paper, we review the current knowledge about BMP efficiencies, which indicates that most empirical studies have focused on short-term efficiencies, while few have explored long-term efficiencies. Most simulation efforts that consider BMPs assume constant performance irrespective of ages of the practices, generally based on anticipated maintenance activities or the expected performance over the life of the BMP(s). However, efficiencies of BMPs likely change over time irrespective of maintenance due to factors such as degradation of structures and accumulation of pollutants. Generally, the impacts of BMPs implemented in water quality protection programs at watershed levels have not been as rapid or large as expected, possibly due to overly high expectations for practice long-term efficiency, with BMPs even being sources of pollutants under some conditions and during some time periods. The review of available datasets reveals that current data are limited regarding both short-term and long-term BMP efficiency. Based on this review, this paper provides suggestions regarding needs and opportunities. Existing practice efficiency data need to be compiled. New data on BMP efficiencies that consider important factors, such as maintenance activities, also need to be collected. Then, the existing and new data need to be analyzed. Further research is needed to create a framework, as well as modeling approaches built on the framework, to simulate changes in BMP efficiencies with time. The research community needs to work together in addressing these needs and opportunities, which will assist decision makers in formulating better decisions regarding BMP

  7. Improving the Spatial Prediction of Soil Organic Carbon Stocks in a Complex Tropical Mountain Landscape by Methodological Specifications in Machine Learning Approaches.

    Directory of Open Access Journals (Sweden)

    Mareike Ließ

    Full Text Available Tropical forests are significant carbon sinks and their soils' carbon storage potential is immense. However, little is known about the soil organic carbon (SOC stocks of tropical mountain areas whose complex soil-landscape and difficult accessibility pose a challenge to spatial analysis. The choice of methodology for spatial prediction is of high importance to improve the expected poor model results in case of low predictor-response correlations. Four aspects were considered to improve model performance in predicting SOC stocks of the organic layer of a tropical mountain forest landscape: Different spatial predictor settings, predictor selection strategies, various machine learning algorithms and model tuning. Five machine learning algorithms: random forests, artificial neural networks, multivariate adaptive regression splines, boosted regression trees and support vector machines were trained and tuned to predict SOC stocks from predictors derived from a digital elevation model and satellite image. Topographical predictors were calculated with a GIS search radius of 45 to 615 m. Finally, three predictor selection strategies were applied to the total set of 236 predictors. All machine learning algorithms-including the model tuning and predictor selection-were compared via five repetitions of a tenfold cross-validation. The boosted regression tree algorithm resulted in the overall best model. SOC stocks ranged between 0.2 to 17.7 kg m-2, displaying a huge variability with diffuse insolation and curvatures of different scale guiding the spatial pattern. Predictor selection and model tuning improved the models' predictive performance in all five machine learning algorithms. The rather low number of selected predictors favours forward compared to backward selection procedures. Choosing predictors due to their indiviual performance was vanquished by the two procedures which accounted for predictor interaction.

  8. Improving the Spatial Prediction of Soil Organic Carbon Stocks in a Complex Tropical Mountain Landscape by Methodological Specifications in Machine Learning Approaches.

    Science.gov (United States)

    Ließ, Mareike; Schmidt, Johannes; Glaser, Bruno

    2016-01-01

    Tropical forests are significant carbon sinks and their soils' carbon storage potential is immense. However, little is known about the soil organic carbon (SOC) stocks of tropical mountain areas whose complex soil-landscape and difficult accessibility pose a challenge to spatial analysis. The choice of methodology for spatial prediction is of high importance to improve the expected poor model results in case of low predictor-response correlations. Four aspects were considered to improve model performance in predicting SOC stocks of the organic layer of a tropical mountain forest landscape: Different spatial predictor settings, predictor selection strategies, various machine learning algorithms and model tuning. Five machine learning algorithms: random forests, artificial neural networks, multivariate adaptive regression splines, boosted regression trees and support vector machines were trained and tuned to predict SOC stocks from predictors derived from a digital elevation model and satellite image. Topographical predictors were calculated with a GIS search radius of 45 to 615 m. Finally, three predictor selection strategies were applied to the total set of 236 predictors. All machine learning algorithms-including the model tuning and predictor selection-were compared via five repetitions of a tenfold cross-validation. The boosted regression tree algorithm resulted in the overall best model. SOC stocks ranged between 0.2 to 17.7 kg m-2, displaying a huge variability with diffuse insolation and curvatures of different scale guiding the spatial pattern. Predictor selection and model tuning improved the models' predictive performance in all five machine learning algorithms. The rather low number of selected predictors favours forward compared to backward selection procedures. Choosing predictors due to their indiviual performance was vanquished by the two procedures which accounted for predictor interaction.

  9. Meaningful activities for improving the wellbeing of people with dementia: beyond mere pleasure to meeting fundamental psychological needs.

    Science.gov (United States)

    Nyman, Samuel R; Szymczynska, Paulina

    2016-03-01

    Dementia is being increasingly recognised as a major public health issue for our ageing populations. A critical aspect of supporting people with dementia is facilitating their participation in meaningful activities. However, research to date has not drawn on theories of ageing from developmental psychology that would help undergird the importance of such meaningful activity. For the first time, we connect existing activity provision for people with dementia with developmental psychology theories of ageing. We reviewed the literature in two stages: first, we narratively searched the literature to demonstrate the relevance of psychological theories of ageing for provision of meaningful activities for people with dementia, and in particular focused on stage-based theories of adult development (Carl Jung and Erik Erikson), gerotranscendence (Tornstam), selective optimisation with compensation (Baltes and Baltes), and optimisation in primary and secondary control (Heckhausen and Schulz). Second, we systematically searched PubMed and PsycINFO for studies with people with dementia that made use of the aforementioned theories. The narrative review highlights that activity provision for people with dementia goes beyond mere pleasure to meeting fundamental psychological needs. More specifically, that life review therapy and life story work address the need for life review; spiritual/religious activities address the need for death preparation; intergenerational activities address the need for intergenerational relationships; re-acquaintance with previously conducted leisure activities addresses the need for a sense of control and to achieve life goals; and pursuit of new leisure activities addresses the need to be creative. The systematic searches identified two studies that demonstrated the utility of applying Erikson's theory of psychosocial development to dementia care. We argue for the importance of activity provision for people with dementia to help promote wellbeing

  10. Improving Distance Education for Students with Special Needs: A Qualitative Study of Students' Experiences with an Online Library Research Course

    Science.gov (United States)

    Catalano, Amy

    2014-01-01

    This article describes a study in which seven students with diverse disabilities participated in a one-credit online library research course which had been adapted to be accessible using the best practices literature on distance education for students with special needs. Students provided feedback on the design of the course and participated in…

  11. Supportive and Suppressive Factors in the Improvement of Vocational Special Needs Education: A Case Study of Malaysia.

    Science.gov (United States)

    Mustapha, Ramlee B.; Ali, Manisah Mohd; Bari, Safani; Amat, Salleh

    In the era of globalization, Malaysia's ability to remain economically competitive depends on the skills of its workforce. The policies and practices of Malaysia's vocational education system must be revised to do more to give the country's disabled citizens the training they need to find employment and become taxpayers. More concerted efforts are…

  12. Improving regulatory effectiveness in Federal/State siting actions. Need for power: determinants in the state decisionmaking processes. Final report

    International Nuclear Information System (INIS)

    Noble, J.B.; Hemphill, J.B.

    1978-03-01

    The Department of Energy's Nuclear Siting and Licensing Act of 1978 (S. 2775; H. R. 11704) proposes Federal/State coordination in need for facility decisionmaking for nuclear power stations. The present study examines the decisionmaking criteria used by forty-four States in making a determination of need for power/facility. Specific criteria are identified along with the number of States which make those criteria a primary or a secondary consideration in determining need for facility. Individual profiles of the studied States' decisionmaking criteria are provided. In addition, the study examines the different organizational and functional patterns found in the States' regulatory process to certificate power stations. The coordination or lack of coordination of the issuance of associated environmental permits required for power stations is outlined for each State. Information concerning States' rate treatment of expenses associated with the construction and operation of a power station is provided. The relationship between the need for power decisionmaking process and the ratemaking process is explored

  13. Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors.

    Science.gov (United States)

    Lubberding, Sanne; van Uden-Kraan, Cornelia F; Te Velde, Elisabeth A; Cuijpers, Pim; Leemans, C René; Verdonck-de Leeuw, Irma M

    2015-05-01

    To gain insight into cancer survivors' needs towards an eHealth application monitoring quality of life and targeting personalised access to supportive care. Supportive care in cancer addresses survivors' concerns and needs. However, many survivors are not taking advantage of supportive care provided. To enable cancer survivors to benefit, survivors' needs must be identified timely and effectively. An eHealth application could be a solution to meet patients' individual supportive care needs. A qualitative approach. Thirty cancer survivors (15 head and neck and 15 breast cancer survivors) participated. The majority were female (n = 20·67%). The mean age was 60 (SD 8·8) years. Mean time interval since treatment was 13·5 months (SD 10·5). All interviews were audio-recorded and transcribed verbatim. During the interviews, participants were asked about their unmet needs during follow-up care and a potential eHealth application. Data were analyzed independently by two coders and coded into key issues and themes. Cancer survivors commented that they felt unprepared for the post-treatment period and that their symptoms often remained unknown to care providers. Survivors also mentioned a suboptimal referral pattern to supportive care services. Mentioned advantages of an eHealth application were as follows: insight into the course of symptoms by monitoring, availability of information among follow-up appointments, receiving personalised advice and tailored supportive care. Cancer survivors identified several unmet needs during follow-up care. Most survivors were positive towards the proposed eHealth application and expressed that it could be a valuable addition to follow-up cancer care. Study results provide care providers with insight into barriers that impede survivors from obtaining optimal supportive care. This study also provides insight into the characteristics needed to design, build and implement an eHealth application targeting personalised access to supportive

  14. Proposal of methodology of tsunami accident sequence analysis induced by earthquake using DQFM methodology

    International Nuclear Information System (INIS)

    Muta, Hitoshi; Muramatsu, Ken

    2017-01-01

    Since the Fukushima-Daiichi nuclear power station accident, the Japanese regulatory body has improved and upgraded the regulation of nuclear power plants, and continuous effort is required to enhance risk management in the mid- to long term. Earthquakes and tsunamis are considered as the most important risks, and the establishment of probabilistic risk assessment (PRA) methodologies for these events is a major issue of current PRA. The Nuclear Regulation Authority (NRA) addressed the PRA methodology for tsunamis induced by earthquakes, which is one of the methodologies that should be enhanced step by step for the improvement and maturity of PRA techniques. The AESJ standard for the procedure of seismic PRA for nuclear power plants in 2015 provides the basic concept of the methodology; however, details of the application to the actual plant PRA model have not been sufficiently provided. This study proposes a detailed PRA methodology for tsunamis induced by earthquakes using the DQFM methodology, which contributes to improving the safety of nuclear power plants. Furthermore, this study also states the issues which need more research. (author)

  15. Improved antimicrobial compound production by a new isolate Streptomyces hygroscopicus MTCC 4003 using Plackett-Burman design and response Surface methodology.

    Science.gov (United States)

    Singh, Neha; Rai, Vibhuti

    2012-01-01

    An active strain, isolated from soil of Chhattisgarh, India, showed broad-spectrum antimicrobial activity against various pathogenic bacteria and fungi in glucose soybean meal broth. Strain was characterized as Streptomyces hygroscopicus MTCC 4003 based on 16S rRNA sequencing from Microbial Type culture Collection (MTCC), IMTECH, Chandigarh, India. Identification of the purified antimicrobial compound was done by using Infra-red (IR), Mass, Ultraviolet (UV), 1H and 13C nuclear magnetic resonance (NMR) spectra. Plackett-Burman design (PBD) and response surface methodology (RSM) methods were used for the optimization of antibiotic production. Effects of the four medium components soybean meal, glucose, CaCO3 and MgSO4 showed positive effect on antibiotic production, were investigated with the help of PBD. The individual and interaction effects of the selected variables were determined by RSM using central composite design (CCD). Applying statistical design, antibiotic production was improved nearly ten times (412 mg/L) compared with unoptimized production medium (37 mg/L).

  16. The Improvement of the Methodological Approaches to Calculating the Payback Period for Investment in order to Estimate Expenses on Establishing the Economic Security Service of an Enterprise

    Directory of Open Access Journals (Sweden)

    Melikhova Tetiana O.

    2018-03-01

    Full Text Available The aim of the article is to improve the methodological approaches to calculating the payback period for investment in order to determine the payback period for expenses on establishing the economic security service of an enterprise. It is found that the source of payback of investment at the enterprise level is cash flow product. These revenues (the result go to formation of a cash flow (expenses used to finance investment and financial activities. There proposed methods for determining the gross, net, actual, and specified payback periods for advanced investments in the long-term, which use the accumulated product of cash flow or accumulated cash flow as a source of financing. Analytic relationships between the gross, net, current, and specified payback periods for advanced investments that take into account the relationship between the accumulated gross, net, current and specified cash flows are proposed. The considered options for payback of advanced investment at the enterprise level will provide an opportunity to develop methods for determining the payback period for expenses on establishing the economic security service of an enterprise.

  17. Federally Sponsored Research at Educational Institutions: A Need for Improved Accountability. Report by the U.S. General Accounting Office.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    This report discusses federally sponsored research at educational institutions and suggests ways to improve accountability for these funds. The following suggestions are made for minimizing problems presented in this report: (1) development of more definitive cost principles for both the institutions and the Federal auditors to follow; (2) more…

  18. DOD Service Acquisition: Improved Use of Available Data Needed to Better Manage and Forecast Service Contract Requirements

    Science.gov (United States)

    2016-02-01

    Requirements Report to Congressional Committees February 2016 GAO-16-119 United States Government Accountability Office United States...Government Accountability Office Highlights of GAO-16-119, a report to congressional committees February 2016 DOD SERVICE ACQUISITION Improved...attention on government operations that it identifies as high risk due to their greater vulnerabilities to fraud , waste, abuse, and mismanagement or

  19. Improvement of equipment needed for the detection and characterization of nuclear material and radioactive samples at borders

    International Nuclear Information System (INIS)

    Arlt, R.; Kovar, A.; Swoboda, M.; Beck, P.; Duftschmid, K.E.; Lewis, W.

    2001-01-01

    Nuclear radiation measurement instruments and devices for the detection and characterisation of nuclear material and radioactive isotopes at borders play a decisive role in the set of technical measures needed to deal with the problem of illicit trafficking. Therefore the availability of a range of devices with adequate performance at affordable prices is essential. The needed equipment can be classified into the following categories: Detection equipment (border monitors and radiation pagers); Hand held devices for neutron/gamma source search and in-field characterisation of radiation sources by customs inspectors; NDA (non-destructive assay) instruments for in-depth investigation of a seized item by experts either in the field or under laboratory conditions. Instruments and techniques, which use destructive assay methods, are not considered in this paper. The most recent overview on the performance of such instruments is given in the Final Report of ITRAP (Illicit Trafficking Radiation Detection Assessment Program). According to the findings of ITRAP, although in all above mentioned categories equipment is commercially available, deficiencies and shortcomings were identified. In this paper we describe our effort in addressing some of the most essential equipment problems, identified in ITRAP - the sensitivity of border monitors with respect to the detection of nuclear material and the performance and usability of hand held and portable devices needed for in-field characterisation of seized items by customs inspectors

  20. On methodology

    DEFF Research Database (Denmark)

    Cheesman, Robin; Faraone, Roque

    2002-01-01

    This is an English version of the methodology chapter in the authors' book "El caso Berríos: Estudio sobre información errónea, desinformación y manipulación de la opinión pública".......This is an English version of the methodology chapter in the authors' book "El caso Berríos: Estudio sobre información errónea, desinformación y manipulación de la opinión pública"....

  1. Quality in-training initiative--a solution to the need for education in quality improvement: results from a survey of program directors.

    Science.gov (United States)

    Kelz, Rachel R; Sellers, Morgan M; Reinke, Caroline E; Medbery, Rachel L; Morris, Jon; Ko, Clifford

    2013-12-01

    The Next Accreditation System and the Clinical Learning Environment Review Program will emphasize practice-based learning and improvement and systems-based practice. We present the results of a survey of general surgery program directors to characterize the current state of quality improvement in graduate surgical education and introduce the Quality In-Training Initiative (QITI). In 2012, a 20-item survey was distributed to 118 surgical residency program directors from ACS NSQIP-affiliated hospitals. The survey content was developed in collaboration with the QITI to identify program director opinions regarding education in practice-based learning and improvement and systems-based practice, to investigate the status of quality improvement education in their respective programs, and to quantify the extent of resident participation in quality improvement. There was a 57% response rate. Eighty-five percent of program directors (n = 57) reported that education in quality improvement is essential to future professional work in the field of surgery. Only 28% (n = 18) of programs reported that at least 50% of their residents track and analyze their patient outcomes, compare them with norms/benchmarks/published standards, and identify opportunities to make practice improvements. Program directors recognize the importance of quality improvement efforts in surgical practice. Subpar participation in basic practice-based learning and improvement activities at the resident level reflects the need for support of these educational goals. The QITI will facilitate programmatic compliance with goals for quality improvement education. Copyright © 2013 American College of Surgeons. All rights reserved.

  2. Assessing the performance of methodological search filters to improve the efficiency of evidence information retrieval: five literature reviews and a qualitative study.

    Science.gov (United States)

    Lefebvre, Carol; Glanville, Julie; Beale, Sophie; Boachie, Charles; Duffy, Steven; Fraser, Cynthia; Harbour, Jenny; McCool, Rachael; Smith, Lynne

    2017-11-01

    predominantly used to reduce large numbers of retrieved records and to introduce focus. The Inter Technology Appraisal Support Collaboration (InterTASC) Information Specialists' Sub-Group (ISSG) Search Filters Resource was most frequently mentioned by both groups as the resource consulted to select a filter. Randomised controlled trial (RCT) and systematic review filters, in particular the Cochrane RCT and the McMaster Hedges filters, were most frequently mentioned. The majority indicated that they used different filters depending on the requirement for sensitivity or precision. Over half of the respondents used the filters available in databases. Interviewees used various approaches when using and adapting search filters. Respondents suggested that the main factors that would make choosing a filter easier were the availability of critical appraisals and more detailed performance information. Provenance and having the filter available in a central storage location were also important. The questionnaire could have been shorter and could have included more multiple choice questions, and the reviews of filter performance focused on only four study designs. Search filter studies should use a representative reference standard and explicitly report methods and results. Performance measures should be presented systematically and clearly. Searchers find filters useful in certain circumstances but expressed a need for more user-friendly performance information to aid filter choice. We suggest approaches to use, adapt and report search filter performance. Future work could include research around search filters and performance measures for study designs not addressed here, exploration of alternative methods of displaying performance results and numerical synthesis of performance comparison results. The National Institute for Health Research (NIHR) Health Technology Assessment programme and Medical Research Council-NIHR Methodology Research Programme (grant number G0901496).

  3. Future needs for improvement of noise-induced hearing loss awareness training and hearing protection device practices in the South African mining industry

    CSIR Research Space (South Africa)

    Edwards, AL

    2012-08-01

    Full Text Available ) in order to identify the future needs of the industry with regards to improvement of NIHL awareness training to target audiences in the mining industry. This paper outlines the results of the study that interviewed 143 employees from a wide range...

  4. Improving regulatory effectiveness in federal/state siting actions: state regulatory activity involved in need for power

    International Nuclear Information System (INIS)

    Nassikas, J.

    1977-04-01

    The individual views are presented of the panel members relating to the basic issues and framework for improvements of the Federal/state process for licensing of nuclear power plants, associated facilities, transmission lines, reprocessing of fuel and uranium enrichment. The synopsis supplements the initial synopsis of the views presented to the National Governors Conference Workshop ''State Perspectives on Energy Facility Siting'' in Atlanta, Georgia on December 15--16, 1976. Both synopses constitute the report of this panel

  5. Electronic symptom reporting between patient and provider for improved health care service quality: a systematic review of randomized controlled trials. part 2: methodological quality and effects.

    Science.gov (United States)

    Johansen, Monika Alise; Berntsen, Gro K Rosvold; Schuster, Tibor; Henriksen, Eva; Horsch, Alexander

    2012-10-03

    We conducted in two parts a systematic review of randomized controlled trials (RCTs) on electronic symptom reporting between patients and providers to improve health care service quality. Part 1 reviewed the typology of patient groups, health service innovations, and research targets. Four innovation categories were identified: consultation support, monitoring with clinician support, self-management with clinician support, and therapy. To assess the methodological quality of the RCTs, and summarize effects and benefits from the methodologically best studies. We searched Medline, EMBASE, PsycINFO, Cochrane Central Register of Controlled Trials, and IEEE Xplore for original studies presented in English-language articles between 1990 and November 2011. Risk of bias and feasibility were judged according to the Cochrane recommendation, and theoretical evidence and preclinical testing were evaluated according to the Framework for Design and Evaluation of Complex Interventions to Improve Health. Three authors assessed the risk of bias and two authors extracted the effect data independently. Disagreement regarding bias assessment, extraction, and interpretation of results were resolved by consensus discussions. Of 642 records identified, we included 32 articles representing 29 studies. No articles fulfilled all quality requirements. All interventions were feasible to implement in a real-life setting, and theoretical evidence was provided for almost all studies. However, preclinical testing was reported in only a third of the articles. We judged three-quarters of the articles to have low risk for random sequence allocation and approximately half of the articles to have low risk for the following biases: allocation concealment, incomplete outcome data, and selective reporting. Slightly more than one fifth of the articles were judged as low risk for blinding of outcome assessment. Only 1 article had low risk of bias for blinding of participants and personnel. We excluded 12

  6. A methodology for social experimentation

    DEFF Research Database (Denmark)

    Ravn, Ib

    A methodology is outlined whereby one may improve the performance of a social system to the satisfaction of its stakeholders, that is, facilitate desirable social and organizational transformations......A methodology is outlined whereby one may improve the performance of a social system to the satisfaction of its stakeholders, that is, facilitate desirable social and organizational transformations...

  7. A design methodology for unattended monitoring systems

    International Nuclear Information System (INIS)

    SMITH, JAMES D.; DELAND, SHARON M.

    2000-01-01

    The authors presented a high-level methodology for the design of unattended monitoring systems, focusing on a system to detect diversion of nuclear materials from a storage facility. The methodology is composed of seven, interrelated analyses: Facility Analysis, Vulnerability Analysis, Threat Assessment, Scenario Assessment, Design Analysis, Conceptual Design, and Performance Assessment. The design of the monitoring system is iteratively improved until it meets a set of pre-established performance criteria. The methodology presented here is based on other, well-established system analysis methodologies and hence they believe it can be adapted to other verification or compliance applications. In order to make this approach more generic, however, there needs to be more work on techniques for establishing evaluation criteria and associated performance metrics. They found that defining general-purpose evaluation criteria for verifying compliance with international agreements was a significant undertaking in itself. They finally focused on diversion of nuclear material in order to simplify the problem so that they could work out an overall approach for the design methodology. However, general guidelines for the development of evaluation criteria are critical for a general-purpose methodology. A poor choice in evaluation criteria could result in a monitoring system design that solves the wrong problem

  8. Simulation enabled safeguards assessment methodology

    International Nuclear Information System (INIS)

    Bean, Robert; Bjornard, Trond; Larson, Tom

    2007-01-01

    It is expected that nuclear energy will be a significant component of future supplies. New facilities, operating under a strengthened international nonproliferation regime will be needed. There is good reason to believe virtual engineering applied to the facility design, as well as to the safeguards system design will reduce total project cost and improve efficiency in the design cycle. Simulation Enabled Safeguards Assessment MEthodology has been developed as a software package to provide this capability for nuclear reprocessing facilities. The software architecture is specifically designed for distributed computing, collaborative design efforts, and modular construction to allow step improvements in functionality. Drag and drop wire-frame construction allows the user to select the desired components from a component warehouse, render the system for 3D visualization, and, linked to a set of physics libraries and/or computational codes, conduct process evaluations of the system they have designed. (authors)

  9. Simulation Enabled Safeguards Assessment Methodology

    International Nuclear Information System (INIS)

    Robert Bean; Trond Bjornard; Thomas Larson

    2007-01-01

    It is expected that nuclear energy will be a significant component of future supplies. New facilities, operating under a strengthened international nonproliferation regime will be needed. There is good reason to believe virtual engineering applied to the facility design, as well as to the safeguards system design will reduce total project cost and improve efficiency in the design cycle. Simulation Enabled Safeguards Assessment Methodology (SESAME) has been developed as a software package to provide this capability for nuclear reprocessing facilities. The software architecture is specifically designed for distributed computing, collaborative design efforts, and modular construction to allow step improvements in functionality. Drag and drop wireframe construction allows the user to select the desired components from a component warehouse, render the system for 3D visualization, and, linked to a set of physics libraries and/or computational codes, conduct process evaluations of the system they have designed

  10. Coaching to vision versus coaching to improvement needs: a preliminary investigation on the differential impacts of fostering positive and negative emotion during real time executive coaching sessions.

    Science.gov (United States)

    Howard, Anita R

    2015-01-01

    Drawing on intentional change theory (ICT; Boyatzis, 2006), this study examined the differential impact of inducing coaching recipients' vision/positive emotion versus improvement needs/negative emotion during real time executive coaching sessions. A core aim of the study was to empirically test two central ICT propositions on the effects of using the coached person's Positive Emotional Attractor (vision/PEA) versus Negative Emotional Attractor (improvement needs/NEA) as the anchoring framework of a onetime, one-on-one coaching session on appraisal of 360° feedback and discussion of possible change goals. Eighteen coaching recipients were randomly assigned to two coaching conditions, the coaching to vision/PEA condition and the coaching to improvement needs/NEA condition. Two main hypotheses were tested. Hypothesis1 predicted that participants in the vision/PEA condition would show higher levels of expressed positive emotion during appraisal of 360° feedback results and discussion of change goals than recipients in the improvement needs/NEA condition. Hypothesis2 predicted that vision/PEA participants would show lower levels of stress immediately after the coaching session than improvement needs/NEA participants. Findings showed that coaching to vision/the PEA fostered significantly lower levels of expressed negative emotion and anger during appraisal of 360° feedback results as compared to coaching to improvements needs/the NEA. Vision-focused coaching also fostered significantly greater exploration of personal passions and future desires, and more positive engagement during 360° feedback appraisal. No significant differences between the two conditions were found in emotional processing during discussion of change goals or levels of stress immediately after the coaching session. Current findings suggest that vision/PEA arousal versus improvement needs/NEA arousal impact the coaching process in quite different ways; that the coach's initial framing of the

  11. Vexatious Litigants and the ADA: Strategies to Fairly Address the Need to Improve Access for Individuals with Disabilities.

    Science.gov (United States)

    Hull, Helia Garrido

    2016-01-01

    This Article addresses the need to reform the ADA to prevent vexatious litigation and to promote the underlying goals of the Act. Part I of this Article introduces the topic of vexatious litigation and the importance of remedying the effects of exploitation of the ADA. Part II provides an overview of the ADA and its efforts to increase accessibility to individuals with disabilities, emphasizing the provisions of the Act that create incentives to engage in vexatious litigation. Part III examines and analyzes the judiciary's response to vexatious litigation under the ADA, and sanctions that have been issued to limit exploitation. Finally, Part IV provides recommendations to reform the ADA and state disability law counterparts, suggests corrective actions to address vexatious litigation, and identifies methods to promote equality for individuals with disabilities.

  12. Knowledge and skills needed to improve as preceptor: development of a continuous professional development course - a qualitative study part I.

    Science.gov (United States)

    Bengtsson, Mariette; Carlson, Elisabeth

    2015-01-01

    Preceptors are expected to have the skills to be able to form an effective learning environment and facilitate a constructive clinical learning experience for students and new employees. Internationally, access to education for preceptors varies, with preceptors worldwide requesting more education in preceptorship. This article is based on a two-part study focusing on both the development and evaluation of a continuous, credit-bearing professional development course. The aim of this part of the study was to investigate and include preceptors' requests and educational needs when developing a continuous professional development course on an advanced level. This study used a qualitative research approach. In total, 64 preceptors (62 women and two men) answered one single written, self-administered global question online. The participants were all interested in teaching and had completed an undergraduate training in preceptorship. The collected data was analysed by content analysis inspired by Burnard's description of the method. The participating preceptors illuminated two main themes: 'Tools for effective precepting of students and healthcare professionals' and 'in-depth knowledge and understanding of preceptorship in an academic setting'. The results suggest that vital components for preceptor preparation could be a) teaching and learning strategies, b) reflective and critical reasoning, c) communication models, d) the role of the preceptor, and e) preceptorship. Using the results from this study as a guide, a continuous professional development course was designed to assist preceptors in deepening their knowledge of preceptorship in regard to planning, leading and implementing educational activities directed at students, healthcare professionals, patients and their families. The course content focuses on skills needed for preceptorship and is based on adult learning principles. A continuous, credit-bearing professional development course must include an exam by

  13. A methodology for development of biocatalytic processes

    DEFF Research Database (Denmark)

    Lima Ramos, Joana

    are available. The first case study presents a rational approach for defining a development strategy for multi-enzymatic processes. The proposed methodology requires a profound and structured knowledge of the multi-enzyme systems, integrating chemistry, biological and process engineering. In order to suggest......). These process metrics can often be attained by improvements in the reaction chemistry, the biocatalyst, and/or by process engineering, which often requires a complex process development strategy. Interestingly this complexity, which arises from the need for integration of biological and process technologies...... and their relationship with the overall process is not clear.The work described in this thesis presents a methodological approach for early stage development of biocatalytic processes, understanding and dealing with the reaction, biocatalyst and process constraints. When applied, this methodology has a decisive role...

  14. Self-reported needs for improving the supervision competence of PhD supervisors from the medical sciences in Denmark

    DEFF Research Database (Denmark)

    Raffing, Rie; Jensen, Thor Bern; Tønnesen, Hanne

    2017-01-01

    Background: Quality of supervision is a major predictor for successful PhD projects. A survey showed that almost all PhD students in the Health Sciences in Denmark indicated that good supervision was important for the completion of their PhD study. Interestingly, approximately half of the students...... and wishes regarding the content of a new program in supervision, with a special focus on the supervision of PhD students in medical fields. Methods: A semi-structured interview guide was developed, and 20 PhD supervisors from the Graduate School of Health and Medical Sciences at the Faculty of Health...... and Medical Sciences at the University of Copenhagen were interviewed. Empirical data were analysed using qualitative methods of analysis. Results: Overall, the results indicated a general interest in improved competence and development of a new supervision programme. Those who were not interested argued that...

  15. Improving the Health of Workers in Indoor Environments: Priority Research Needs for a National Occupational Research Agenda

    Science.gov (United States)

    Mendell, Mark J.; Fisk, William J.; Kreiss, Kathleen; Levin, Hal; Alexander, Darryl; Cain, William S.; Girman, John R.; Hines, Cynthia J.; Jensen, Paul A.; Milton, Donald K.; Rexroat, Larry P.; Wallingford, Kenneth M.

    2002-01-01

    Indoor nonindustrial work environments were designated a priority research area through the nationwide stakeholder process that created the National Occupational Research Agenda. A multidisciplinary research team used member consensus and quantitative estimates, with extensive external review, to develop a specific research agenda. The team outlined the following priority research topics: building-influenced communicable respiratory infections, building-related asthma/allergic diseases, and nonspecific building-related symptoms; indoor environmental science; and methods for increasing implementation of healthful building practices. Available data suggest that improving building environments may result in health benefits for more than 15 million of the 89 million US indoor workers, with estimated economic benefits of $5 to $75 billion annually. Research on these topics, requiring new collaborations and resources, offers enormous potential health and economic returns. PMID:12197969

  16. Improvement in post test accident analysis results prediction for the test no. 2 in PSB test facility by applying UMAE methodology

    International Nuclear Information System (INIS)

    Dubey, S.K.; Petruzzi, A.; Giannotti, W.; D'Auria, F.

    2006-01-01

    This paper mainly deals with the improvement in the post test accident analysis results prediction for the test no. 2, 'Total loss of feed water with failure of HPIS pumps and operator actions on primary and secondary circuit depressurization', carried-out on PSB integral test facility in May 2005. This is one the most complicated test conducted in PSB test facility. The prime objective of this test is to provide support for the verification of the accident management strategies for NPPs and also to verify the correctness of some safety systems operating only during accident. The objective of this analysis is to assess the capability to reproduce the phenomena occurring during the selected tests and to quantify the accuracy of the code calculation qualitatively and quantitatively for the best estimate code Relap5/mod3.3 by systematically applying all the procedures lead by Uncertainty Methodology based on Accuracy Extrapolation (UMAE), developed at University of Pisa. In order to achieve these objectives test facility nodalisation qualification for both 'steady state level' and 'on transient level' are demonstrated. For the 'steady state level' qualification compliance to acceptance criteria established in UMAE has been checked for geometrical details and thermal hydraulic parameters. The following steps have been performed for evaluation of qualitative qualification of 'on transient level': visual comparisons between experimental and calculated relevant parameters time trends; list of comparison between experimental and code calculation resulting time sequence of significant events; identification/verification of CSNI phenomena validation matrix; use of the Phenomenological Windows (PhW), identification of Key Phenomena and Relevant Thermal-hydraulic Aspects (RTA). A successful application of the qualitative process constitutes a prerequisite to the application of the quantitative analysis. For quantitative accuracy of code prediction Fast Fourier Transform Based

  17. Realizing improved patient care through human-centered operating room design: a human factors methodology for observing flow disruptions in the cardiothoracic operating room.

    Science.gov (United States)

    Palmer, Gary; Abernathy, James H; Swinton, Greg; Allison, David; Greenstein, Joel; Shappell, Scott; Juang, Kevin; Reeves, Scott T

    2013-11-01

    Human factors engineering has allowed a systematic approach to the evaluation of adverse events in a multitude of high-stake industries. This study sought to develop an initial methodology for identifying and classifying flow disruptions in the cardiac operating room (OR). Two industrial engineers with expertise in human factors workflow disruptions observed 10 cardiac operations from the moment the patient entered the OR to the time they left for the intensive care unit. Each disruption was fully documented on an architectural layout of the OR suite and time-stamped during each phase of surgery (preoperative [before incision], operative [incision to skin closure], and postoperative [skin closure until the patient leaves the OR]) to synchronize flow disruptions between the two observers. These disruptions were then categorized. The two observers made a total of 1,158 observations. After the elimination of duplicate observations, a total of 1,080 observations remained to be analyzed. These disruptions were distributed into six categories such as communication, usability, physical layout, environmental hazards, general interruptions, and equipment failures. They were further organized into 33 subcategories. The most common disruptions were related to OR layout and design (33%). By using the detailed architectural diagrams, the authors were able to clearly demonstrate for the first time the unique role that OR design and equipment layout has on the generation of physical layout flow disruptions. Most importantly, the authors have developed a robust taxonomy to describe the flow disruptions encountered in a cardiac OR, which can be used for future research and patient safety improvements.

  18. Issues in the global applications of methodology in forensic anthropology.

    Science.gov (United States)

    Ubelaker, Douglas H

    2008-05-01

    The project and research reported in this collection of articles follows a long-term historical pattern in forensic anthropology in which new case work and applications reveal methodological issues that need to be addressed. Forensic anthropological analysis in the area of the former Yugoslavia led to questions raised regarding the applicability of methods developed from samples in other regions. The subsequently organized project reveals that such differences exist and new methodology and data are presented to facilitate applications in the Balkan area. The effort illustrates how case applications and court testimony can stimulate research advances. The articles also serve as a model for the improvement of methodology available for global applications.

  19. Methodological guidelines

    International Nuclear Information System (INIS)

    Halsnaes, K.; Callaway, J.M.; Meyer, H.J.

    1999-01-01

    The guideline document establishes a general overview of the main components of climate change mitigation assessment. This includes an outline of key economic concepts, scenario structure, common assumptions, modelling tools and country study assumptions. The guidelines are supported by Handbook Reports that contain more detailed specifications of calculation standards, input assumptions and available tools. The major objectives of the project have been provided a methodology, an implementing framework and a reporting system which countries can follow in meeting their future reporting obligations under the FCCC and for GEF enabling activities. The project builds upon the methodology development and application in the UNEP National Abatement Coasting Studies (UNEP, 1994a). The various elements provide countries with a road map for conducting climate change mitigation studies and submitting national reports as required by the FCCC. (au) 121 refs

  20. Methodological guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Halsnaes, K.; Callaway, J.M.; Meyer, H.J.

    1999-04-01

    The guideline document establishes a general overview of the main components of climate change mitigation assessment. This includes an outline of key economic concepts, scenario structure, common assumptions, modelling tools and country study assumptions. The guidelines are supported by Handbook Reports that contain more detailed specifications of calculation standards, input assumptions and available tools. The major objectives of the project have been provided a methodology, an implementing framework and a reporting system which countries can follow in meeting their future reporting obligations under the FCCC and for GEF enabling activities. The project builds upon the methodology development and application in the UNEP National Abatement Coasting Studies (UNEP, 1994a). The various elements provide countries with a road map for conducting climate change mitigation studies and submitting national reports as required by the FCCC. (au) 121 refs.