WorldWideScience

Sample records for model health maintenance

  1. Optimization of maintenance for power system equipment using a predictive health model

    NARCIS (Netherlands)

    Bajracharya, G.; Koltunowicz, T.; Negenborn, R.R.; Papp, Z.; Djairam, D.; Schutter, B.D. de; Smit, J.J.

    2009-01-01

    In this paper, a model-predictive control based framework is proposed for modeling and optimization of the health state of power system equipment. In the framework, a predictive health model is proposed that predicts the health state of the equipment based on its usage and maintenance actions. Based

  2. A Situational Maintenance Model

    DEFF Research Database (Denmark)

    Luxhoj, James T.; Thorsteinsson, Uffe; Riis, Jens Ove

    1997-01-01

    An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance.......An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance....

  3. Flight Crew Health Maintenance

    Science.gov (United States)

    Gullett, C. C.

    1970-01-01

    The health maintenance program for commercial flight crew personnel includes diet, weight control, and exercise to prevent heart disease development and disability grounding. The very high correlation between hypertension and overweight in cardiovascular diseases significantly influences the prognosis for a coronary prone individual and results in a high rejection rate of active military pilots applying for civilian jobs. In addition to physical fitness the major items stressed in pilot selection are: emotional maturity, glucose tolerance, and family health history.

  4. Stakeholders responses on health maintenance organizations ...

    African Journals Online (AJOL)

    National Health Insurance Scheme uses the services of Health Maintenance Organizations to run the scheme. This model of administering a national health insurance scheme is different from how so many other national health insurance programs are run in other parts of the world. The designing of the NHIS to include the ...

  5. Examining motivations and barriers for attending maintenance community-based cardiac rehabilitation using the health-belief model.

    Science.gov (United States)

    Horwood, Hayley; Williams, Michael J A; Mandic, Sandra

    2015-10-01

    Reasons for low attendance at maintenance cardiac rehabilitation (CR) programs remain largely unknown. Using the Health Belief Model as a theoretical framework, this study compared the motivations and barriers for attending a community-based CR maintenance program in high attenders (HA), low attenders (LA) and non-attenders (NA) with coronary artery disease (CAD). Forty-four older adults with CAD (70.5% males; age: 72.7±6.9 years; 11 HA, 16 LA and 17 NA) completed questionnaires examining reasons for attending CR: perceived threat (symptoms of CAD; the Revised Illness Perception Questionnaire), perceived benefits (Multi-dimensional Outcomes Expectations for Exercise Scale), perceived barriers (Cardiac Rehabilitation Barriers Scale) and cues to action questionnaire. Sociodemographic characteristics and perceived threat were not different between the groups. Compared to LA and NA, HA perceived greater social and physical (vs NA only) benefits of participation in maintenance CR and had fewer barriers to attending (all phealth concerns and others having heart problems were stronger cues to action for HA versus NA (all p<0.05). Participants perceived greater benefits from attending CR, had fewer barriers and perceived stronger cues to action compared to non-attenders. Promoting CR maintenance programs should emphasise physical and social benefits and provide encouragement. Copyright © 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

  6. Buildings Lean Maintenance Implementation Model

    Science.gov (United States)

    Abreu, Antonio; Calado, João; Requeijo, José

    2016-11-01

    Nowadays, companies in global markets have to achieve high levels of performance and competitiveness to stay "alive".Within this assumption, the building maintenance cannot be done in a casual and improvised way due to the costs related. Starting with some discussion about lean management and building maintenance, this paper introduces a model to support the Lean Building Maintenance (LBM) approach. Finally based on a real case study from a Portuguese company, the benefits, challenges and difficulties are presented and discussed.

  7. Building new computational models to support health behavior change and maintenance: new opportunities in behavioral research.

    Science.gov (United States)

    Spruijt-Metz, Donna; Hekler, Eric; Saranummi, Niilo; Intille, Stephen; Korhonen, Ilkka; Nilsen, Wendy; Rivera, Daniel E; Spring, Bonnie; Michie, Susan; Asch, David A; Sanna, Alberto; Salcedo, Vicente Traver; Kukakfa, Rita; Pavel, Misha

    2015-09-01

    Adverse and suboptimal health behaviors and habits are responsible for approximately 40 % of preventable deaths, in addition to their unfavorable effects on quality of life and economics. Our current understanding of human behavior is largely based on static "snapshots" of human behavior, rather than ongoing, dynamic feedback loops of behavior in response to ever-changing biological, social, personal, and environmental states. This paper first discusses how new technologies (i.e., mobile sensors, smartphones, ubiquitous computing, and cloud-enabled processing/computing) and emerging systems modeling techniques enable the development of new, dynamic, and empirical models of human behavior that could facilitate just-in-time adaptive, scalable interventions. The paper then describes concrete steps to the creation of robust dynamic mathematical models of behavior including: (1) establishing "gold standard" measures, (2) the creation of a behavioral ontology for shared language and understanding tools that both enable dynamic theorizing across disciplines, (3) the development of data sharing resources, and (4) facilitating improved sharing of mathematical models and tools to support rapid aggregation of the models. We conclude with the discussion of what might be incorporated into a "knowledge commons," which could help to bring together these disparate activities into a unified system and structure for organizing knowledge about behavior.

  8. Harnessing centred identity transformation to reduce executive function burden for maintenance of health behaviour change: the Maintain IT model.

    Science.gov (United States)

    Caldwell, Ann E; Masters, Kevin S; Peters, John C; Bryan, Angela D; Grigsby, Jim; Hooker, Stephanie A; Wyatt, Holly R; Hill, James O

    2018-02-19

    The inability to produce sustainable lifestyle modifications (e.g., physical activity, healthy diet) remains a major barrier to reducing morbidity and mortality from prevalent, preventable conditions. The objective of this paper is to present a model that builds on and extends foundational theory and research to suggest novel approaches that may help to produce lasting behaviour change. The model aims to integrate factors not typically examined together in order to elucidate potential processes underlying a shift from behaviour initiation to long-term maintenance. The central premise of the Maintain IT model builds on approaches demonstrating that in-tact executive function (EF) is critical for health behaviour initiation, for more complex behaviours beyond initiation, and in unsupportive environments and circumstances, but successful recruitment of EF is effortful and prone to error. Enduring changes are more likely if the underlying cognitive processes can become less effortful (non-conscious, automatic). The Maintain IT model posits that a centred identity transformation is one path leading to less effortful processing and facilitating successful recruitment of EF when necessary over the long term, increasing the sustainability of health behaviour change. A conceptual overview of the literature supporting the utility of this integrative model, future directions, and anticipated challenges are presented.

  9. Paying for quality not quantity: a wisconsin health maintenance organization proposes an incentive model for reimbursement of chiropractic services.

    Science.gov (United States)

    Pursel, Kevin J; Jacobson, Martin; Stephenson, Kathy

    2012-07-01

    The purpose of this study is to describe a reimbursement model that was developed by one Health Maintenance Organization (HMO) to transition from fee-for-service to add a combination of pay for performance and reporting model of reimbursement for chiropractic care. The previous incentive program used by the HMO provided best-practice education and additional reimbursement incentives for achieving the National Committee for Quality Assurance Back Pain Recognition Program (NCQA-BPRP) recognition status. However, this model had not leveled costs between doctors of chiropractic (DCs). Therefore, the HMO management aimed to develop a reimbursement model to incentivize providers to embrace existing best-practice models and report existing quality metrics. The development goals included the following: it should (1) be as financially predictable as the previous system, (2) cost no more on a per-member basis, (3) meet the coverage needs of its members, and (4) be able to be operationalized. The model should also reward DCs who embraced best practices with compensation, not simply tied to providing more procedures, the new program needed to (1) cause little or no disruption in current billing, (2) be grounded achievable and defined expectations for improvement in quality, and (3) be voluntary, without being unduly punitive, should the DC choose not to participate in the program. The generated model was named the Comprehensive Chiropractic Quality Reimbursement Methodology (CCQRM; pronounced "Quorum"). In this hybrid model, additional reimbursement, beyond pay-for-procedures will be based on unique payment interpretations reporting selected, existing Physician Quality Reporting System (PQRS) codes, meaningful use of electronic health records, and achieving NCQA-BPRP recognition. This model aims to compensate providers using pay-for-performance, pay-for-quality reporting, pay-for-procedure methods. The CCQRM reimbursement model was developed to address the current needs of one

  10. A probabilistic maintenance model for diesel engines

    Science.gov (United States)

    Pathirana, Shan; Abeygunawardane, Saranga Kumudu

    2018-02-01

    In this paper, a probabilistic maintenance model is developed for inspection based preventive maintenance of diesel engines based on the practical model concepts discussed in the literature. Developed model is solved using real data obtained from inspection and maintenance histories of diesel engines and experts' views. Reliability indices and costs were calculated for the present maintenance policy of diesel engines. A sensitivity analysis is conducted to observe the effect of inspection based preventive maintenance on the life cycle cost of diesel engines.

  11. The clinical obesity maintenance model: an integration of psychological constructs including mood, emotional regulation, disordered overeating, habitual cluster behaviours, health literacy and cognitive function.

    Science.gov (United States)

    Raman, Jayanthi; Smith, Evelyn; Hay, Phillipa

    2013-01-01

    Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM). It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided.

  12. The Clinical Obesity Maintenance Model: An Integration of Psychological Constructs including Mood, Emotional Regulation, Disordered Overeating, Habitual Cluster Behaviours, Health Literacy and Cognitive Function

    Directory of Open Access Journals (Sweden)

    Jayanthi Raman

    2013-01-01

    Full Text Available Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM. It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided.

  13. Risk-based maintenance modeling. Prioritization of maintenance importances and quantification of maintenance effectiveness

    Energy Technology Data Exchange (ETDEWEB)

    Vesely, W.E.; Rezos, J.T. [Science Applications International Corp., Dublin, OH (United States)

    1995-09-01

    This report describes methods for prioritizing the risk importances of maintenances using a Probabilistic Risk Assessment (PRA). Approaches then are described for quantifying their reliability and risk effects. Two different PRA importance measures, minimal cutset importances and risk reduction importances, were used to prioritize maintenances; the findings show that both give similar results if appropriate criteria are used. The justifications for the particular importance measures also are developed. The methods developed to quantify the reliability and risk effects of maintenance actions are extensions of the usual reliability models now used in PRAs. These extended models consider degraded states of the component, and quantify the benefits of maintenance in correcting degradations and preventing failures. The negative effects of maintenance, including downtimes, also are included. These models are specific types of Markov models. The data for these models can be obtained from plant maintenance logs and from the Nuclear Plant Reliability Data System (NPRDS). To explore the potential usefulness of these models, the authors analyzed a range of postulated values of input data. These models were used to examine maintenance effects on a components reliability and performance for various maintenance programs and component data. Maintenance schedules were analyzed to optimize the component`s availability. In specific cases, the effects of maintenance were found to be large.

  14. Road maintenance planning using network flow modelling

    OpenAIRE

    Yang, Chao; Remenyte-Prescott, Rasa; Andrews, John

    2015-01-01

    This paper presents a road maintenance planning model that can be used to balance out maintenance cost and road user cost, since performing road maintenance at night can be convenient for road users but costly for highway agency. Based on the platform of the network traffic flow modelling, the traffic through the worksite and its adjacent road links is evaluated. Thus, maintenance arrangements at a worksite can be optimized considering the overall network performance. In addition, genetic alg...

  15. DEVELOPMENT OF A MAINTENANCE SCHEDULING MODEL FOR ...

    African Journals Online (AJOL)

    The method is capable of stating the overhaul frequency of each machine within this time period. For convenience in the formulation of the model, maintenance schedule was divided into two parts, namely minor and major maintenance schedules. During a minor maintenance, an individual machine is checked and reset, ...

  16. The Clinical Obesity Maintenance Model: An Integration of Psychological Constructs including Mood, Emotional Regulation, Disordered Overeating, Habitual Cluster Behaviours, Health Literacy and Cognitive Function

    OpenAIRE

    Raman, Jayanthi; Smith, Evelyn; Hay, Phillipa

    2013-01-01

    Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM). It is argued tha...

  17. The maintenance management framework models and methods for complex systems maintenance

    CERN Document Server

    Crespo Márquez, Adolfo

    2010-01-01

    “The Maintenance Management Framework” describes and reviews the concept, process and framework of modern maintenance management of complex systems; concentrating specifically on modern modelling tools (deterministic and empirical) for maintenance planning and scheduling. It will be bought by engineers and professionals involved in maintenance management, maintenance engineering, operations management, quality, etc. as well as graduate students and researchers in this field.

  18. Dynamics of Implementation and Maintenance of Organizational Health Interventions.

    Science.gov (United States)

    Jalali, Mohammad S; Rahmandad, Hazhir; Bullock, Sally Lawrence; Ammerman, Alice

    2017-08-15

    In this study, we present case studies to explore the dynamics of implementation and maintenance of health interventions. We analyze how specific interventions are built and eroded, how the building and erosion mechanisms are interconnected, and why we can see significantly different erosion rates across otherwise similar organizations. We use multiple comparative obesity prevention case studies to provide empirical information on the mechanisms of interest, and use qualitative systems modeling to integrate our evolving understanding into an internally consistent and transparent theory of the phenomenon. Our preliminary results identify reinforcing feedback mechanisms, including design of organizational processes, motivation of stakeholders, and communication among stakeholders, which influence implementation and maintenance of intervention components. Over time, these feedback mechanisms may drive a wedge between otherwise similar organizations, leading to distinct configurations of implementation and maintenance processes.

  19. Design of Preventive Maintenance Scheduling Model for ...

    African Journals Online (AJOL)

    Maintenance has gained in importance as a support function for ensuring equipment availability. Adoption of effective preventive maintenance culture in an industry can drastically reduce the cost of premature or over delayed maintenance, while accurate maintenance action can sustain continuous and reliable operation of ...

  20. Increment 23/24 Critical Readiness Review Health Maintenance System

    Science.gov (United States)

    Nieschwitz, Linda

    2010-01-01

    This slide presentation reviews the Health Maintenance System. It includes information on the carbon dioxide (CO2) and moisture removal system (CMRS), the variable oxygen system,rendevous station panels, and the crew contamination protection kit (CCPK).

  1. Maintenance cost models in deregulated power systems under opportunity costs

    International Nuclear Information System (INIS)

    Al-Arfaj, K.; Dahal, K.; Azaiez, M.N.

    2007-01-01

    In a centralized power system, the operator is responsible for scheduling maintenance. There are different types of maintenance, including corrective maintenance; predictive maintenance; preventive maintenance; and reliability-centred maintenance. The main cause of power failures is poor maintenance. As such, maintenance costs play a significant role in deregulated power systems. They include direct costs associated with material and labor costs as well as indirect costs associated with spare parts inventory, shipment, test equipment, indirect labor, opportunity costs and cost of failure. In maintenance scheduling and planning, the cost function is the only component of the objective function. This paper presented the results of a study in which different components of maintenance costs were modeled. The maintenance models were formulated as an optimization problem with single and multiple objectives and a set of constraints. The maintenance costs models could be used to schedule the maintenance activities of power generators more accurately and to identify the best maintenance strategies over a period of time as they consider failure and opportunity costs in a deregulated environment. 32 refs., 4 tabs., 4 figs

  2. Fleet equipment performance measure preventive maintenance model.

    Science.gov (United States)

    2013-02-28

    The Texas Department of Transportation : (TxDOT) operates a large fleet of on-road and : off-road equipment. Consequently, fleet : maintenance procedures (specifically preventive : maintenance such as oil changes) represent a : significant cost to th...

  3. A Predictive Maintenance Model for Railway Tracks

    DEFF Research Database (Denmark)

    Li, Rui; Wen, Min; Salling, Kim Bang

    2015-01-01

    For the modern railways, maintenance is critical for ensuring safety, train punctuality and overall capacity utilization. The cost of railway maintenance in Europe is high, on average between 30,000 – 100,000 Euro per km per year [1]. Aiming to reduce such maintenance expenditure, this paper...

  4. A Predictive Maintenance Model for Railway Tracks

    DEFF Research Database (Denmark)

    Li, Rui; Wen, Min; Salling, Kim Bang

    2015-01-01

    presents a mathematical model based on Mixed Integer Programming (MIP) which is designed to optimize the predictive railway tamping activities for ballasted track for the time horizon up to four years. The objective function is setup to minimize the actual costs for the tamping machine (measured by time......). Five technical and economic aspects are taken into account to schedule tamping: (1) track degradation of the standard deviation of the longitudinal level over time; (2) track geometrical alignment; (3) track quality thresholds based on the train speed limits; (4) the dependency of the track quality...... recovery on the track quality after tamping operation and (5) Tamping machine operation factors. A Danish railway track between Odense and Fredericia with 57.2 km of length is applied for a time period of two to four years in the proposed maintenance model. The total cost can be reduced with up to 50...

  5. Health and safety conditions of building maintenance sites in Nigeria

    African Journals Online (AJOL)

    ISHIOMA

    This research assessed the safety of the environmental conditions of timber buildings as maintenance ... emissions of Microbial Volatile Organic Compounds ... and Safety, 2009). Mouldy buildings also present serious health risks to occupants and construction employees. (World Health Organization, 2003; Stevens, 2004;.

  6. Health related quality of life of patients on maintenance ...

    African Journals Online (AJOL)

    Background: Health related quality of life is increasingly being recognised as a primary outcome measure in treatment of end-stage renal disease. The health related quality of life of patients on maintenance haemodialysis is reduced. Several interventions directed at modifiable risk factors have been shown to improve ...

  7. Stochastic models in reliability and maintenance

    CERN Document Server

    2002-01-01

    Our daily lives can be maintained by the high-technology systems. Computer systems are typical examples of such systems. We can enjoy our modern lives by using many computer systems. Much more importantly, we have to maintain such systems without failure, but cannot predict when such systems will fail and how to fix such systems without delay. A stochastic process is a set of outcomes of a random experiment indexed by time, and is one of the key tools needed to analyze the future behavior quantitatively. Reliability and maintainability technologies are of great interest and importance to the maintenance of such systems. Many mathematical models have been and will be proposed to describe reliability and maintainability systems by using the stochastic processes. The theme of this book is "Stochastic Models in Reliability and Main­ tainability. " This book consists of 12 chapters on the theme above from the different viewpoints of stochastic modeling. Chapter 1 is devoted to "Renewal Processes," under which cla...

  8. Applying Psychological Theories to Promote Long-Term Maintenance of Health Behaviors

    Science.gov (United States)

    Joseph, Rodney P.; Daniel, Casey L.; Thind, Herpreet; Benitez, Tanya J.; Pekmezi, Dori

    2014-01-01

    Behavioral health theory provides a framework for researchers to design, implement, and evaluate the effects of health promotion programs. However, limited research has examined theories used in interventions to promote long-term maintenance of health behaviors. The purpose of this review was to evaluate the available literature and identify prominent behavioral health theories used in intervention research to promote maintenance of health behaviors. We reviewed theories used in intervention research assessing long-term maintenance (≥ 6 months post-intervention) of physical activity, weight loss, and smoking cessation. Five prominent behavioral theories were referenced by the 34 studies included in the review: Self-Determination Theory, Theory of Planned Behavior, Social Cognitive Theory, Transtheoretical Model, and Social Ecological Model. Descriptions and examples of applications of these theories are provided. Implications for future research are discussed. PMID:28217036

  9. The equilibrium model of relationship maintenance.

    Science.gov (United States)

    Murray, Sandra L; Holmes, John G; Griffin, Dale W; Derrick, Jaye L

    2015-01-01

    A new equilibrium model of relationship maintenance is proposed. People can protect relationship bonds by practicing 3 threat-mitigation rules: Trying to accommodate when a partner is hurtful, ensuring mutual dependence, and resisting devaluing a partner who impedes one's personal goals. A longitudinal study of newlyweds revealed evidence for the equilibrium model, such that relationship well-being (as indexed by satisfaction and commitment) declining from its usual state predicted increased threat-mitigation; in turn, increasing threat mitigation from its usual state predicted increased relationship well-being. Longitudinal findings further revealed adaptive advantages to uncertain trust. First, the match between trust and partner-risk predicted the trajectory of threat mitigation over time. People who hesitated to trust a high-risk partner became more likely to mitigate threats over 3 years, but people who hesitated to trust a safe partner became less likely to mitigate threats. The match between threat mitigation and partner-risk also predicted when being less trusting eroded later relationship well-being. Namely, when women paired with high-risk partners became more likely to mitigate threats, being less trusting at marriage lost its capacity to erode later relationship well-being. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  10. Maintenance of forest ecosystem health and vitality

    Science.gov (United States)

    Ryan D. DeSantis; W. Keith Moser

    2016-01-01

    Forest health will likely be threatened by a number of factors - including fragmentation, fire regime alteration, and a variety of diseases, insects, and invasive plants - along with global climate change (Krist et al. 2007, Tkacz et al. 2008). By itself, global climate change could dramatically and rapidly alter forest composition and structure (Allen and Breshears...

  11. Maintenance Optimization based on Mathematical Modeling

    NARCIS (Netherlands)

    de Jonge, Bram

    2017-01-01

    Due to an increasingly competitive marketplace and an ongoing shift from labor intensive to technology intensive industries, the importance of effectively planned and performed maintenance activities is growing. Because consequences of equipment failures are often severe, it is generally preferred

  12. Modelling inspection policies for building maintenance.

    Science.gov (United States)

    Christer, A H

    1982-08-01

    A method of assessing the potential of an inspection maintenance policy as opposed to an existing breakdown maintenance policy for a building complex is developed. The method is based upon information likely to be available and specific subjective assessments which could be made available. Estimates of the expected number of defects identified at an inspection and the consequential cost saving are presented as functions of the inspection frequency.

  13. application of christer's inspection model for building maintenance

    African Journals Online (AJOL)

    Abstract. This work applies the Christer's inspection model in building maintenance. The model estimates the effect of inspection intervals on total maintenance costs, which include inspection, material and down time cost. An experimental collection of data designed to test tradesmen's ability to comprehend with what was ...

  14. Model based decision support for planning of road maintenance

    NARCIS (Netherlands)

    van Harten, Aart; Worm, J.M.; Worm, J.M.

    1996-01-01

    In this article we describe a Decision Support Model, based on Operational Research methods, for the multi-period planning of maintenance of bituminous pavements. This model is a tool for the road manager to assist in generating an optimal maintenance plan for a road. Optimal means: minimising the

  15. Application of Christer's Inspection Model for Building Maintenance ...

    African Journals Online (AJOL)

    This work applies the Christer's inspection model in building maintenance. The model estimates the effect of inspection intervals on total maintenance costs, which include inspection, material and down time cost. An experimental collection of data designed to test tradesmen's ability to comprehend with what was needed to ...

  16. Maintenance modeling and optimization integrating human and material resources

    Energy Technology Data Exchange (ETDEWEB)

    Martorell, S., E-mail: smartore@iqn.upv.e [Dpto. Ingenieria Quimica y Nuclear, Universidad Politecnica Valencia (Spain); Villamizar, M.; Carlos, S. [Dpto. Ingenieria Quimica y Nuclear, Universidad Politecnica Valencia (Spain); Sanchez, A. [Dpto. Estadistica e Investigacion Operativa Aplicadas y Calidad, Universidad Politecnica Valencia (Spain)

    2010-12-15

    Maintenance planning is a subject of concern to many industrial sectors as plant safety and business depend on it. Traditionally, the maintenance planning is formulated in terms of a multi-objective optimization (MOP) problem where reliability, availability, maintainability and cost (RAM+C) act as decision criteria and maintenance strategies (i.e. maintenance tasks intervals) act as the only decision variables. However the appropriate development of each maintenance strategy depends not only on the maintenance intervals but also on the resources (human and material) available to implement such strategies. Thus, the effect of the necessary resources on RAM+C needs to be modeled and accounted for in formulating the MOP affecting the set of objectives and constraints. In this paper RAM+C models to explicitly address the effect of human resources and material resources (spare parts) on RAM+C criteria are proposed. This extended model allows accounting for explicitly how the above decision criteria depends on the basic model parameters representing the type of strategies, maintenance intervals, durations, human resources and material resources. Finally, an application case is performed to optimize the maintenance plan of a motor-driven pump equipment considering as decision variables maintenance and test intervals and human and material resources.

  17. Maintenance modeling and optimization integrating human and material resources

    International Nuclear Information System (INIS)

    Martorell, S.; Villamizar, M.; Carlos, S.; Sanchez, A.

    2010-01-01

    Maintenance planning is a subject of concern to many industrial sectors as plant safety and business depend on it. Traditionally, the maintenance planning is formulated in terms of a multi-objective optimization (MOP) problem where reliability, availability, maintainability and cost (RAM+C) act as decision criteria and maintenance strategies (i.e. maintenance tasks intervals) act as the only decision variables. However the appropriate development of each maintenance strategy depends not only on the maintenance intervals but also on the resources (human and material) available to implement such strategies. Thus, the effect of the necessary resources on RAM+C needs to be modeled and accounted for in formulating the MOP affecting the set of objectives and constraints. In this paper RAM+C models to explicitly address the effect of human resources and material resources (spare parts) on RAM+C criteria are proposed. This extended model allows accounting for explicitly how the above decision criteria depends on the basic model parameters representing the type of strategies, maintenance intervals, durations, human resources and material resources. Finally, an application case is performed to optimize the maintenance plan of a motor-driven pump equipment considering as decision variables maintenance and test intervals and human and material resources.

  18. Operations Research Models for Scheduling Railway Infrastructure Maintenance

    NARCIS (Netherlands)

    G. Budai-Balke (Gabriella)

    2009-01-01

    textabstractIn the last decades, maintenance of technical systems has become increasingly impor- tant in many industries. Such systems are transport systems (rail, bus, airplane), civil engineering systems (roads, buildings, bridges), health care (hospitals), communication systems, manufacturing

  19. design of preventive maintenance scheduling model for ...

    African Journals Online (AJOL)

    connected in parallel, Rj(ti) is the reliability of the jth unit at ith time interval, n is the to- tal number of systems (components or units) connected in parallel. Equations (3) and (4) enable us to deter- mine the reliability of all components, units or sub-systems in an industry. 5. System Reliability with Preventive. Maintenance. Fig.

  20. Integrated maintenance management model in the printing industry

    Directory of Open Access Journals (Sweden)

    Csaba Horváth

    2010-09-01

    Full Text Available Rapid technological and economic changes are setting radically new task for maintenance divisions of printingworks. In this dissertation the author provides a summary on the possible approaches for the adoption to the newrequirements. He formulates his situation analysis based on an exhaustive questionnaire survey, and points out thecurrents of changes and challenges caused by the expected developments in the maintenance field of the printingindustry.Based on the possible answers on these challenges, the Author has compiled a - yet missing - maintenance managementmodel that encompasses the maintenance specialties of the industry, as well as the professional heritage andthe latest scientific accomplishments in the discipline of maintenance.The model is based on the widely accepted quality focused maintenance approach, that is supplemented by theAuthor with four new aspects - 1 reliability-focused culture, 2 quality management system, 3 employment ofexternal service provides, 4 maintenance characteristics specific to printing machinery - determining their effectsand integrating them into one single system.In order to construct the model, the Author develops specific solutions that can be seen as own scientific achievementson the specification of maintenance characteristics of printing machinery; on the efficiency improving applicationsof quality management systems, modern knowledge management and reliability focused corporate culture;and on the implementation of a maintenance information system.

  1. Maintenance personnel performance simulation (MAPPS): a model for predicting maintenance performance reliability in nuclear power plants

    International Nuclear Information System (INIS)

    Knee, H.E.; Krois, P.A.; Haas, P.M.; Siegel, A.I.; Ryan, T.G.

    1983-01-01

    The NRC has developed a structured, quantitative, predictive methodology in the form of a computerized simulation model for assessing maintainer task performance. Objective of the overall program is to develop, validate, and disseminate a practical, useful, and acceptable methodology for the quantitative assessment of NPP maintenance personnel reliability. The program was organized into four phases: (1) scoping study, (2) model development, (3) model evaluation, and (4) model dissemination. The program is currently nearing completion of Phase 2 - Model Development

  2. Sexual function in F-111 maintenance workers: the study of health outcomes in aircraft maintenance personnel.

    Science.gov (United States)

    Brown, Anthony; Gibson, Richard; Tavener, Meredith; Guest, Maya; D'Este, Catherine; Byles, Julie; Attia, John; Horsley, Keith; Harrex, Warren; Ross, James

    2009-06-01

    In Australia, four formal F-111 fuel tank deseal/reseal (DSRS) repair programs were implemented over more than two decades, each involving different processes and using a range of hazardous substances. However, health concerns were raised by a number of workers. The "Study of Health Outcomes in Aircraft Maintenance Personnel" was commissioned by the Australian Department of Defence to investigate potential adverse health outcomes as a result of being involved in the deseal/reseal processes. To compare measures of sexual function in F-111 aircraft fuel tank DSRS maintenance workers, against two appropriate comparison groups. Exposed and comparison participants completed a postal questionnaire which included general questions of health and health behavior, and two specific questions on sexual functioning. They also completed the International Index of Erectile Function (IIEF) questionnaire. Logistic regression was used to explore exposure status and outcome while adjusting for potential confounders. The three outcomes of interest for this study were the proportion of participants with erectile dysfunction (ED) according to the IIEF, the proportion with self-reported loss of interest in sex, and the proportion with self-reported problems with sexual functioning. Compared with each of the comparison groups, a larger proportion of the exposed group reported sexual problems and were classified as having ED according to the IIEF. In logistic regression, the odds of all three outcomes were higher for exposed participants relative to each comparison group and after adjustment for potentially confounding variables including anxiety and depression. There was a consistent problem with sexual functioning in the exposed group that is not explained by anxiety and depression, and it appears related to DSRS activities.

  3. State-of-the-art Model M-2 Maintenance System

    International Nuclear Information System (INIS)

    Herndon, J.N.; Martin, H.L.; Satterlee, P.E. Jr.; Jelatis, D.G.; Jennrich, C.E.

    1984-04-01

    The Model M-2 Maintenance System is part of an ongoing program within the Consolidated Fuel Reprocessing Program (CFRP) at Oak Ridge National Laboratory (ORNL) to improve remote manipulation technology for future nuclear fuel reprocessing and other remote applications. Techniques, equipment, and guidelines which can improve the efficiency of remote maintenance are being developed. The Model M-2 Maintenance System, installed in the Integrated Equipment Test (IET) Facility at ORNL, provides a complete, integrated remote maintenance system for the demonstration and development of remote maintenance techniques. The system comprises a pair of force-reflecting servomanipulator arms, television viewing, lighting, and auxiliary lifting capabilities, thereby allowing manlike maintenance operations to be executed remotely within the remote cell mockup area in the IET. The Model M-2 Maintenance System incorporates an upgraded version of the proven Central Research Laboratories' Model M servomanipulator. Included are state-of-the-art brushless dc servomotors for improved performance, remotely removable wrist assemblies, geared azimuth drive, and a distributed microprocessor-based digital control system. 5 references, 8 figures

  4. Modeling of the maintenance policy of an offshore wind farm

    International Nuclear Information System (INIS)

    Maddens, L.; Labeau, P.E.

    2004-01-01

    Wind energy has a key position in the market of renewable electricity production means. Offshore wind farms offer additional surfaces to exploit this form of energy, together with more favourable wind conditions. Yet offshore windmills ask for higher investment and maintenance costs. Optimising the latter costs should therefore turn out to be particularly beneficial for this technology. The present paper summarizes the main modelling aspects of the maintenance of a typical offshore wind farm, such as the accessibility of the wind turbines and the impact of weather conditions, the cost of the different transport resources, the number of maintenance teams, a tolerated unavailability of part of the windmills, the opportunity to combine corrective and preventive maintenance actions on one or several windmills. All these features were embedded in a Petri net model of the maintenance policy of the farm, allowing to estimate the maintenance costs entailed by several strategies. Advantages and drawbacks of using Petri nets for the modelling of such a maintenance strategy are finally discussed. (authors)

  5. The road maintenance funding models in Indonesia use earmarked tax

    Science.gov (United States)

    Gultom, Tiopan Henry M.; Tamin, Ofyar Z.; Sjafruddin, Ade; Pradono

    2017-11-01

    One of the solutions to get a sustainable road maintenance fund is to separate road sector revenue from other accounts, afterward, form a specific account for road maintenance. In 2001, Antameng and the Ministry of Public Works proposed a road fund model in Indonesia. Sources of the road funds proposal was a tariff formed on the nominal total tax. The policy of road funds was proposed to finance the road network maintenance of districts and provincials. This research aims to create a policy model of road maintenance funds in Indonesia using an earmarked tax mechanism. The research method is qualitative research, with data collection techniques are triangulation. Interview methods conducted were semi-structured. Strength, Weakness, Opportunities, and Threat from every part of the models were showen on the survey format. Respondents were representative of executives who involved directly against the financing of road maintenance. Validation model conducted by a discussion panel, it was called the Focus Group Discussion (FGD). The FGD involved all selected respondents. Road maintenance financing model that most appropriately applied in Indonesia was a model of revenue source use an earmarked PBBKB, PKB and PPnBM. Revenue collection mechanism was added tariff of registered vehicle tax (PKB), Vehicle Fuel Tax (PBBKB) and the luxury vehicle sales tax (PPnBM). The funds are managed at the provincial level by a public service agency.

  6. Health maintenance practices and healthcare experiences among international university students.

    Science.gov (United States)

    Martin, Suzanne; Dyer, Jane

    2017-11-01

    While over a million international students attend U.S. universities, there is little information to guide providers on their care. Differences in language and health beliefs can lead to misunderstandings and poor outcomes. The purpose of this study was to describe the health practices and healthcare experiences of international students before and after they move to the United States to carve out specific quality improvement activities at a student health center. International students volunteered to attend focus groups. Data were analyzed using text coding software (Dedoose) to identify salient themes that reflected participants' experiences. Participants (N = 19) identified four areas of health maintenance: exercise, nutrition, yearly checkups, and self-care for minor ailments. While participants described health care in their home countries as accessible and affordable, they described health care in the United States as less accessible, more expensive, and laden with communication mishaps. A broader educational message to international students, that is, how to maintain healthy habits in the United States and how to access/navigate U.S. health care, coupled with staff training on effective health communication and the use of interpreter services would enhance the health and healthcare experience of this vital population. ©2017 American Association of Nurse Practitioners.

  7. Pavement maintenance optimization model using Markov Decision Processes

    Science.gov (United States)

    Mandiartha, P.; Duffield, C. F.; Razelan, I. S. b. M.; Ismail, A. b. H.

    2017-09-01

    This paper presents an optimization model for selection of pavement maintenance intervention using a theory of Markov Decision Processes (MDP). There are some particular characteristics of the MDP developed in this paper which distinguish it from other similar studies or optimization models intended for pavement maintenance policy development. These unique characteristics include a direct inclusion of constraints into the formulation of MDP, the use of an average cost method of MDP, and the policy development process based on the dual linear programming solution. The limited information or discussions that are available on these matters in terms of stochastic based optimization model in road network management motivates this study. This paper uses a data set acquired from road authorities of state of Victoria, Australia, to test the model and recommends steps in the computation of MDP based stochastic optimization model, leading to the development of optimum pavement maintenance policy.

  8. Service Life and Maintenance Modelling of Reinforced Concrete Bridge Decks

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle

    Recent research in the area of assessment and maintenance of reinforced concrete bridge decks is presented in this paper. Three definitions of service lifetime are introduced and the difficult problem of assessing the service life is discussed. A stochastic modelling of corrosion and corrosion cr...... cracking is introduced and the site dependency of corrosion is stressed. Finally, a recently developed optimal repair strategy for bridges is briefly explained.......Recent research in the area of assessment and maintenance of reinforced concrete bridge decks is presented in this paper. Three definitions of service lifetime are introduced and the difficult problem of assessing the service life is discussed. A stochastic modelling of corrosion and corrosion...

  9. A multi-criteria model for maintenance job scheduling

    Directory of Open Access Journals (Sweden)

    Sunday A. Oke

    2007-12-01

    Full Text Available This paper presents a multi-criteria maintenance job scheduling model, which is formulated using a weighted multi-criteria integer linear programming maintenance scheduling framework. Three criteria, which have direct relationship with the primary objectives of a typical production setting, were used. These criteria are namely minimization of equipment idle time, manpower idle time and lateness of job with unit parity. The mathematical model constrained by available equipment, manpower and job available time within planning horizon was tested with a 10-job, 8-hour time horizon problem with declared equipment and manpower available as against the required. The results, analysis and illustrations justify multi-criteria consideration. Thus, maintenance managers are equipped with a tool for adequate decision making that guides against error in the accumulated data which may lead to wrong decision making. The idea presented is new since it provides an approach that has not been documented previously in the literature.

  10. A Capacity Forecast Model for Volatile Data in Maintenance Logistics

    Science.gov (United States)

    Berkholz, Daniel

    2009-05-01

    Maintenance, repair and overhaul processes (MRO processes) are elaborate and complex. Rising demands on these after sales services require reliable production planning and control methods particularly for maintaining valuable capital goods. Downtimes lead to high costs and an inability to meet delivery due dates results in severe contract penalties. Predicting the required capacities for maintenance orders in advance is often difficult due to unknown part conditions unless the goods are actually inspected. This planning uncertainty results in extensive capital tie-up by rising stock levels within the whole MRO network. The article outlines an approach to planning capacities when maintenance data forecasting is volatile. It focuses on the development of prerequisites for a reliable capacity planning model. This enables a quick response to maintenance orders by employing appropriate measures. The information gained through the model is then systematically applied to forecast both personnel capacities and the demand for spare parts. The improved planning reliability can support MRO service providers in shortening delivery times and reducing stock levels in order to enhance the performance of their maintenance logistics.

  11. Annotated References on: Engineering Maintenance, Sanitation Public Health, Sanitation Health Care Facility, Housekeeping, and Purchasing.

    Science.gov (United States)

    California Univ., Los Angeles. Div. of Vocational Education.

    Developed as part of the Allied Health Professions Projects, these five annotated bibliographies contain resource materials from the following areas: (1) Engineering Maintenance, 13 entries, (2) Sanitation and Public Health, 15 entries, (3) Hospital and Nursing Home Administration, 12 entries, (4) Hospital Housekeeping, 43 entries, and (5)…

  12. application of christer's inspection model for building maintenance

    African Journals Online (AJOL)

    namely: masonry, roofing, window frames and paint- ing. Modelling the deterioration of these components permitted determining the maintenance policy that ..... rating Structures: Assessment, Design and Manage- ment. ASCE, Reston, Virginia, 2004, pp. 384–391. 5. Pierskalla. W. P. and Voelker, J. A. A survey of main-.

  13. Mobile Healthcare Applications and Gamification for Sustained Health Maintenance

    Directory of Open Access Journals (Sweden)

    Changjun Lee

    2017-05-01

    Full Text Available This paper examines how gamification affects user intention to use mobile healthcare applications (mHealth and how the effect of gamification works differently according to health status, age, and gender. We use data from a mobile survey conducted by a Korean representative survey agency. We estimate the effect of gamification on user intention to use mobile healthcare applications based on a structural equation model and examine the moderating effects of self-reported health status, age, and gender. We find that gamification is effective in increasing user intention to use mHealth, especially in the healthy and younger groups. These findings suggest that mHealth, with the gamification factor, would encourage healthy (but lack exercise people as well as unhealthy people to maintain their health status, and thus the mHealth developers need to consider the gamification factor when they develop mHealth services for healthy people.

  14. Health and Maintenance Status Determination and Predictive Fault Diagnosis System, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — The objective of this project is to demonstrate intelligent health and maintenance status determination and predictive fault diagnosis techniques for NASA rocket...

  15. Industrial Implementation of Models for Joint Production and Maintenance Planning

    OpenAIRE

    Macchi, Marco; Pozzetti, Alessandro; Fumagalli, Luca

    2014-01-01

    Part 2: Knowledge Discovery and Sharing; International audience; The paper aims at investigating the industrial applicability of models for joint production and maintenance planning. Scientific community has paid attention to this issue for decades and more recently many researchers proposed models to optimize such kind of planning. Nevertheless each scientific work is based on its peculiarities and hypothesis, which might prevent the applicability within different industrial contexts. This i...

  16. On the application of copula in modeling maintenance contract

    Science.gov (United States)

    Iskandar, B. P.; Husniah, H.

    2016-02-01

    This paper deals with the application of copula in maintenance contracts for a nonrepayable item. Failures of the item are modeled using a two dimensional approach where age and usage of the item and this requires a bi-variate distribution to modelling failures. When the item fails then corrective maintenance (CM) is minimally repaired. CM can be outsourced to an external agent or done in house. The decision problem for the owner is to find the maximum total profit whilst for the agent is to determine the optimal price of the contract. We obtain the mathematical models of the decision problems for the owner as well as the agent using a Nash game theory formulation.

  17. On the application of copula in modeling maintenance contract

    International Nuclear Information System (INIS)

    Iskandar, B P; Husniah, H

    2016-01-01

    This paper deals with the application of copula in maintenance contracts for a nonrepayable item. Failures of the item are modeled using a two dimensional approach where age and usage of the item and this requires a bi-variate distribution to modelling failures. When the item fails then corrective maintenance (CM) is minimally repaired. CM can be outsourced to an external agent or done in house. The decision problem for the owner is to find the maximum total profit whilst for the agent is to determine the optimal price of the contract. We obtain the mathematical models of the decision problems for the owner as well as the agent using a Nash game theory formulation. (paper)

  18. Financial risk sharing with providers in health maintenance organizations, 1999.

    Science.gov (United States)

    Gold, Marsha R; Lake, Timothy; Hurley, Robert; Sinclair, Michael

    2002-01-01

    The transfer of financial risk from health maintenance organizations (HMOs) to providers is controversial. To provide timely national data on these practices, we conducted a telephone survey in 1999 of a multi-staged probability sample of HMOs in 20 of the nation's 60 largest markets, accounting for 86% of all HMO enrollees nationally. Among those sampled, 82% responded. We found that HMOs' provider networks with physicians, hospitals, skilled nursing homes, and home health agencies are complex and multi-tiered Seventy-six percent of HMOs in our study use contracts for their HMO products that involve global, professional services, or hospital risk capitation to intermediate entities. These arrangements account for between 24.5 million and 27.4 million of the 55.9 million commercial and Medicare HMO enrollees in the 60 largest markets. While capitation arrangements are particularly common in California, they are more common elsewhere than many assume. The complex layering of risk sharing and delegation of care management responsibility raise questions about accountability and administrative costs in managed care. Do complex structures provide a way to involve providers more directly in managed care, or do they diffuse authority and add to administrative costs?

  19. Wind Turbine Blade Life-Time Assessment Model for Preventive Planning of Operation and Maintenance

    Directory of Open Access Journals (Sweden)

    Mihai Florian

    2015-09-01

    Full Text Available Out of the total wind turbine failure events, blade damage accounts for a substantial part, with some studies estimating it at around 23%. Current operation and maintenance (O&M practices typically make use of corrective type maintenance as the basic approach, implying high costs for repair and replacement activities as well as large revenue losses, mainly in the case of offshore wind farms. The recent development and evolution of condition monitoring techniques, as well as the fact that an increasing number of installed turbines are equipped with online monitoring systems, offers a large amount of information on the blades structural health to the decision maker. Further, inspections of the blades are often performed in connection with service. In light of the obtained information, a preventive type of maintenance becomes feasible, with the potential of predicting the blades remaining life to support O&M decisions for avoiding major failure events. The present paper presents a fracture mechanics based model for estimating the remaining life of a wind turbine blade, focusing on the crack propagation in the blades adhesive joints. A generic crack propagation model is built in Matlab based on a Paris law approach. The model is used within a risk-based maintenance decision framework to optimize maintenance planning for the blades lifetime.

  20. Impacts of building information modeling on facility maintenance management

    Energy Technology Data Exchange (ETDEWEB)

    Ahamed, Shafee; Neelamkavil, Joseph; Canas, Roberto [Centre for Computer-assisted Construction Technologies, National Research Council of Canada, London, Ontario (Canada)

    2010-07-01

    Building information modeling (BIM) is a digital representation of the physical and functional properties of a building; it has been used by construction professionals for a long time and stakeholders are now using it in different aspects of the building lifecycle. This paper intends to present how BIM impacts the construction industry and how it can be used for facility maintenance management. The maintenance and operations of buildings are in most cases still managed through the use of drawings and spreadsheets although life cycle costs of a building are significantly higher than initial investment costs; thus, the use of BIM could help in achieving a higher efficiency and so important benefits. This study is part of an ongoing research project, the nD modeling project, which aims at predicting building energy consumption with better accuracy.

  1. Survey of relationship between spiritual health and mental health in patients undergoing methadone maintenance treatment (MMT

    Directory of Open Access Journals (Sweden)

    abolhassan naghibi

    2015-12-01

    Full Text Available Introduction and goal: Religiosity and spirituality decreasesof the impact of life stress on the tendency to substance use. Everyday addedto the number of people who believe that spirituality is the way to treat neuroses and mental problems. This study aimed to determine the relationship between spiritual health and mental health in patients undergoing to methadone maintenance treatment (MMT dependent on the private and government sector in Sari. Method: This study was cross- sectional study. The target populations of this study were 123 women and men undergoing to methadone maintenance treatment (MMT. The data collected by spiritual and mental health questionnaire and were analyzed using two-sample t-test and spearman correlationin theSPSS (18 software. Findings: The grade average of spiritual health was 43/29 and mental health was 41/26.The results showed that a significant correlation between spiritual health with mental health. The highest correlation was between spiritual healthwith the social function and the lowestcorrelation was with physical problems. There was no significant relationshipbetween of marital status, number of children, sex and spiritual health. Conclusion: According to positive and significant role spiritual health in mental health, so, strengthen the spiritual dimension can to promote mental health and reduce mental disorders and the tendency to addiction.

  2. Neuropsychological health in F-111 aircraft maintenance workers.

    Science.gov (United States)

    Schofield, Peter W; Gibson, Richard; Tavener, Meredith; Attia, John R; D'Este, Catherine; Guest, Maya; Brown, Anthony M; Lee, Stephen J; Horsley, Keith; Harrex, Warren; Ross, James

    2006-09-01

    To contrast subjective and objective measures of neuropsychological health in F-111 aircraft Deseal/Reseal maintenance personnel, against two appropriate comparison groups. Exposed and comparison participants completed a postal questionnaire which included a validated memory questionnaire and additional questions relating to possible cognitive symptoms. They also underwent a comprehensive neuropsychological assessment and screening for a past or current disturbance of mood. Multiple linear or logistic regression was conducted for each outcome using exposure group and potential confounders as explanatory variables. There was a strong and consistent excess of self-reported cognitive problems among the exposed group relative to the comparison groups including a 2.8-4.3-fold increase in self-reported symptoms of forgetfulness, loss of concentration and difficulty finding the right word. On detailed neuropsychological testing, the exposed group performed significantly worse than comparisons on tests of psychomotor speed, executive functioning, and new learning/memory. These findings could not be accounted for by disturbances of mood or other potential confounders. There was a strong and consistent increase in self-reported cognitive problems among the exposed, and small but significant exposure-specific differences on objective tests of cognitive functioning. The findings are consistent with the development of adverse neuropsychiatric changes related to occupational exposure to solvents.

  3. Degradation modeling with application to aging and maintenance effectiveness evaluations

    International Nuclear Information System (INIS)

    Samanta, P.K.; Vesely, W.E.; Hsu, F.; Subudhi, M.

    1991-01-01

    This paper describes a modeling approach to analyze light water reactor component degradation and failure data to understand the aging process of components. As used here, degradation modeling is the analysis of information on component degradation in order to develop models of the process and its implications. This particular modeling focuses on the analysis of the times of component degradations, to model how the rate of degradation changes with the age of the component. The methodology presented also discusses the effectiveness of maintenance as applicable to aging evaluations. The specific applications which are performed show quantitative models of component degradation rates and component failure rates from plant-specific data. The statistical techniques which are developed and applied allow aging trends to be effectively identified in the degradation data, and in the failure data. Initial estimates of the effectiveness of maintenance in limiting degradations from becoming failures also are developed. These results are important first steps in degradation modeling, and show that degradation can be modeled to identify aging trends

  4. Degradation modeling with application to aging and maintenance effectiveness evaluations

    International Nuclear Information System (INIS)

    Samanta, P.K.; Hsu, F.; Subduhi, M.; Vesely, W.E.

    1990-01-01

    This paper describes a modeling approach to analyze component degradation and failure data to understand the aging process of components. As used here, degradation modeling is the analysis of information on component degradation in order to develop models of the process and its implications. This particular modeling focuses on the analysis of the times of component degradations, to model how the rate of degradation changes with the age of the component. The methodology presented also discusses the effectiveness of maintenance as applicable to aging evaluations. The specific applications which are performed show quantitative models of component degradation rates and component failure rates from plant-specific data. The statistical techniques which are developed and applied allow aging trends to be effectively identified in the degradation data, and in the failure data. Initial estimates of the effectiveness of maintenance in limiting degradations from becoming failures also are developed. These results are important first steps in degradation modeling, and show that degradation can be modeled to identify aging trends. 2 refs., 8 figs

  5. Fuzzy Goal Programming Approach in Selective Maintenance Reliability Model

    Directory of Open Access Journals (Sweden)

    Neha Gupta

    2013-12-01

    Full Text Available 800x600 In the present paper, we have considered the allocation problem of repairable components for a parallel-series system as a multi-objective optimization problem and have discussed two different models. In first model the reliability of subsystems are considered as different objectives. In second model the cost and time spent on repairing the components are considered as two different objectives. These two models is formulated as multi-objective Nonlinear Programming Problem (MONLPP and a Fuzzy goal programming method is used to work out the compromise allocation in multi-objective selective maintenance reliability model in which we define the membership functions of each objective function and then transform membership functions into equivalent linear membership functions by first order Taylor series and finally by forming a fuzzy goal programming model obtain a desired compromise allocation of maintenance components. A numerical example is also worked out to illustrate the computational details of the method.  Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4

  6. A model for preemptive maintenance of medical linear accelerators-predictive maintenance.

    Science.gov (United States)

    Able, Charles M; Baydush, Alan H; Nguyen, Callistus; Gersh, Jacob; Ndlovu, Alois; Rebo, Igor; Booth, Jeremy; Perez, Mario; Sintay, Benjamin; Munley, Michael T

    2016-03-10

    Unscheduled accelerator downtime can negatively impact the quality of life of patients during their struggle against cancer. Currently digital data accumulated in the accelerator system is not being exploited in a systematic manner to assist in more efficient deployment of service engineering resources. The purpose of this study is to develop an effective process for detecting unexpected deviations in accelerator system operating parameters and/or performance that predicts component failure or system dysfunction and allows maintenance to be performed prior to the actuation of interlocks. The proposed predictive maintenance (PdM) model is as follows: 1) deliver a daily quality assurance (QA) treatment; 2) automatically transfer and interrogate the resulting log files; 3) once baselines are established, subject daily operating and performance values to statistical process control (SPC) analysis; 4) determine if any alarms have been triggered; and 5) alert facility and system service engineers. A robust volumetric modulated arc QA treatment is delivered to establish mean operating values and perform continuous sampling and monitoring using SPC methodology. Chart limits are calculated using a hybrid technique that includes the use of the standard SPC 3σ limits and an empirical factor based on the parameter/system specification. There are 7 accelerators currently under active surveillance. Currently 45 parameters plus each MLC leaf (120) are analyzed using Individual and Moving Range (I/MR) charts. The initial warning and alarm rule is as follows: warning (2 out of 3 consecutive values ≥ 2σ hybrid) and alarm (2 out of 3 consecutive values or 3 out of 5 consecutive values ≥ 3σ hybrid). A customized graphical user interface provides a means to review the SPC charts for each parameter and a visual color code to alert the reviewer of parameter status. Forty-five synthetic errors/changes were introduced to test the effectiveness of our initial chart limits. Forty

  7. Hidden Semi-Markov Models for Predictive Maintenance

    Directory of Open Access Journals (Sweden)

    Francesco Cartella

    2015-01-01

    Full Text Available Realistic predictive maintenance approaches are essential for condition monitoring and predictive maintenance of industrial machines. In this work, we propose Hidden Semi-Markov Models (HSMMs with (i no constraints on the state duration density function and (ii being applied to continuous or discrete observation. To deal with such a type of HSMM, we also propose modifications to the learning, inference, and prediction algorithms. Finally, automatic model selection has been made possible using the Akaike Information Criterion. This paper describes the theoretical formalization of the model as well as several experiments performed on simulated and real data with the aim of methodology validation. In all performed experiments, the model is able to correctly estimate the current state and to effectively predict the time to a predefined event with a low overall average absolute error. As a consequence, its applicability to real world settings can be beneficial, especially where in real time the Remaining Useful Lifetime (RUL of the machine is calculated.

  8. Environmental Management Model for Road Maintenance Operation Involving Community Participation

    Science.gov (United States)

    Triyono, A. R. H.; Setyawan, A.; Sobriyah; Setiono, P.

    2017-07-01

    Public expectations of Central Java, which is very high on demand fulfillment, especially road infrastructure as outlined in the number of complaints and community expectations tweeter, Short Mail Massage (SMS), e-mail and public reports from various media, Highways Department of Central Java province requires development model of environmental management in the implementation of a routine way by involving the community in order to fulfill the conditions of a representative, may serve road users safely and comfortably. This study used survey method with SEM analysis and SWOT with Latent Independent Variable (X), namely; Public Participation in the regulation, development, construction and supervision of road (PSM); Public behavior in the utilization of the road (PMJ) Provincial Road Service (PJP); Safety in the Provincial Road (KJP); Integrated Management System (SMT) and latent dependent variable (Y) routine maintenance of the provincial road that is integrated with the environmental management system and involve the participation of the community (MML). The result showed the implementation of routine maintenance of road conditions in Central Java province has yet to implement an environmental management by involving the community; Therefore developed environmental management model with the results of H1: Community Participation (PSM) has positive influence on the Model of Environmental Management (MML); H2: Behavior Society in Jalan Utilization (PMJ) positive effect on Model Environmental Management (MML); H3: Provincial Road Service (PJP) positive effect on Model Environmental Management (MML); H4: Safety in the Provincial Road (KJP) positive effect on Model Environmental Management (MML); H5: Integrated Management System (SMT) has positive influence on the Model of Environmental Management (MML). From the analysis obtained formulation model describing the relationship / influence of the independent variables PSM, PMJ, PJP, KJP, and SMT on the dependent variable

  9. Planning and control of maintenance systems modelling and analysis

    CERN Document Server

    Duffuaa, Salih O

    2015-01-01

    Analyzing maintenance as an integrated system with objectives, strategies and processes that need to be planned, designed, engineered, and controlled using statistical and optimization techniques, the theme of this book is the strategic holistic system approach for maintenance. This approach enables maintenance decision makers to view maintenance as a provider of a competitive edge not a necessary evil. Encompassing maintenance systems; maintenance strategic and capacity planning, planned and preventive maintenance, work measurements and standards, material (spares) control, maintenance operations and control, planning and scheduling, maintenance quality, training, and others, this book gives readers an understanding of the relevant methodology and how to apply it to real-world problems in industry. Each chapter includes a number exercises and is suitable as a textbook or a reference for a professionals and practitioners whilst being of interest to industrial engineering, mechanical engineering, electrical en...

  10. Modeling a Predictive Energy Equation Specific for Maintenance Hemodialysis.

    Science.gov (United States)

    Byham-Gray, Laura D; Parrott, J Scott; Peters, Emily N; Fogerite, Susan Gould; Hand, Rosa K; Ahrens, Sean; Marcus, Andrea Fleisch; Fiutem, Justin J

    2017-03-01

    Hypermetabolism is theorized in patients diagnosed with chronic kidney disease who are receiving maintenance hemodialysis (MHD). We aimed to distinguish key disease-specific determinants of resting energy expenditure to create a predictive energy equation that more precisely establishes energy needs with the intent of preventing protein-energy wasting. For this 3-year multisite cross-sectional study (N = 116), eligible participants were diagnosed with chronic kidney disease and were receiving MHD for at least 3 months. Predictors for the model included weight, sex, age, C-reactive protein (CRP), glycosylated hemoglobin, and serum creatinine. The outcome variable was measured resting energy expenditure (mREE). Regression modeling was used to generate predictive formulas and Bland-Altman analyses to evaluate accuracy. The majority were male (60.3%), black (81.0%), and non-Hispanic (76.7%), and 23% were ≥65 years old. After screening for multicollinearity, the best predictive model of mREE ( R 2 = 0.67) included weight, age, sex, and CRP. Two alternative models with acceptable predictability ( R 2 = 0.66) were derived with glycosylated hemoglobin or serum creatinine. Based on Bland-Altman analyses, the maintenance hemodialysis equation that included CRP had the best precision, with the highest proportion of participants' predicted energy expenditure classified as accurate (61.2%) and with the lowest number of individuals with underestimation or overestimation. This study confirms disease-specific factors as key determinants of mREE in patients on MHD and provides a preliminary predictive energy equation. Further prospective research is necessary to test the reliability and validity of this equation across diverse populations of patients who are receiving MHD.

  11. Low-complexity Behavioral Model for Predictive Maintenance of Railway Turnouts

    DEFF Research Database (Denmark)

    Barkhordari, Pegah; Galeazzi, Roberto; Tejada, Alejandro de Miguel

    2017-01-01

    Maintenance of railway infrastructures represents a major cost driver for any infrastructure manager since reliability and dependability must be guaranteed at all times. Implementation of predictive maintenance policies relies on the availability of condition monitoring systems able to assess...... the infrastructure health state. The core of any condition monitoring system is the a-priori knowledge about the process to be monitored, in the form of either mathematical models of different complexity or signal features characterizing the healthy/faulty behavior. This study investigates the identification...... of a low-complexity behavioral model of a railway turnout capable of capturing the dominant dynamics due to the ballast and railpad components. Measured rail accelerations, acquired through a receptance test carried out on the switch panel of a turnout of the Danish railway network, have been utilized...

  12. Business process modeling of industrial maintenance at TRANSPETRO: integrating oil pipeline and marine terminals activities

    Energy Technology Data Exchange (ETDEWEB)

    Arruda, Daniela Mendonca; Oliveira, Italo Luiz [TRANSPETRO - PETROBRAS Transporte S.A., Rio de Janeiro, RJ (Brazil). Diretoria de Terminais e Oleodutos; Almeida, Maria Fatima Ludovico de [Pontificia Universidade Catolica do Rio de Janeiro (PUC-Rio), Rio de Janeiro, RJ (Brazil). Programa de Pos-Graduacao em Metrologia para Qualidade e Inovacao

    2009-07-01

    This paper describes the experience of TRANSPETRO in remodeling industrial maintenance activities focusing on: preparing for business process modeling (BPM); mapping and analyzing 'As-Is' process; designing 'To-Be' process; implementing remodeled process; improving process continuously. The conceptual model and results achieved will contribute to several areas within the company as: reliability engineering; human resources, including employees' selective processes, training and development, and certifications; standardization process encompassing standard and operational procedures adoption according to up-dating external normative references and legal requirements; health, safety and environment (HSE) performance improvement. These are some of potential benefits from BPM focusing on TRANSPETRO's industrial maintenance area in the search of operational excellence. (author)

  13. Optimisation of distributed maintenance: Modelling and application to the multi-factory production

    International Nuclear Information System (INIS)

    Simeu-Abazi, Zineb; Ahmad, Alali Alhouaij

    2011-01-01

    This paper concerns the modelling and the cost evaluation of maintenance activities in a distributed context. In this work we study the particular case where the maintenance activities are executed by two workshops: a central maintenance workshop (CMW) and a mobile maintenance workshop (MMW). The CMW concerns the repairing process for the corrective maintenance and the MMW executes all preventive maintenance in several factories according to a defined scheduling. The aim is to take into account the resources (spare parts in the MMW) and maintenance actions for a given operating budget. A modular approach for modelling a multi-site structure is proposed to achieve the aim of improving the availability of facilities on production sites while minimising the cost of maintenance.

  14. Enhanced Simulink Induction Motor Model for Education and Maintenance Training

    Directory of Open Access Journals (Sweden)

    Manuel Pineda-Sanchez

    2012-04-01

    Full Text Available The training of technicians in maintenance requires the use of signals produced by faulty machines in different operating conditions, which are difficult to obtain either from the industry or through destructive testing. Some tasks in electricity and control courses can also be complemented by an interactive induction machine model having a wider internal parameter configuration. This paper presents a new analytical model of induction machine under fault, which is able to simulate induction machines with rotor asymmetries and eccentricity in different load conditions, both stationary and transient states and yielding magnitudes such as currents, speed and torque. This model is faster computationally than the traditional method of simulating induction machine faults based on the Finite Element Method and also than other analytical models due to the rapid calculation of the inductances. The model is presented in Simulink by Matlab for the comprehension and interactivity with the students or lecturers and also to allow the easy combination of the effect of the fault with external influences, studying their consequences on a determined load or control system. An associated diagnosis tool is also presented.

  15. 75 FR 62684 - Health Insurance Reform; Announcement of Maintenance Changes to Electronic Data Transaction...

    Science.gov (United States)

    2010-10-13

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Part 162 [CMS-0009-N] RIN 0938-AM50 Health Insurance Reform; Announcement of Maintenance Changes to Electronic Data Transaction Standards Adopted Under the Health Insurance Portability and Accountability Act of 1996 AGENCY: Office of...

  16. Carotenoid maintenance handicap and the physiology of carotenoid-based signalisation of health

    Science.gov (United States)

    Vinkler, Michal; Albrecht, Tomáš

    2010-01-01

    Despite a reasonable scientific interest in sexual selection, the general principles of health signalisation via ornamental traits remain still unresolved in many aspects. This is also true for the mechanism preserving honesty of carotenoid-based signals. Although it is widely accepted that this type of ornamentation reflects an allocation trade-off between the physiological utilisation of carotenoids (mainly in antioxidative processes) and their deposition in ornaments, some recent evidence suggests more complex interactions. Here, we further develop the models currently proposed to explain the honesty of carotenoid-based signalisation of heath status by adding the handicap principle concept regulated by testosterone. We propose that under certain circumstances carotenoids may be dangerous for the organism because they easily transform into toxic cleavage products. When reserves of other protective antioxidants are insufficient, physiological trade-offs may exist between maintenance of carotenoids for ornament expression and their removal from the body. Furthermore, we suggest that testosterone which enhances ornamentation by increasing carotenoid bioavailability may also promote oxidative stress and hence lower antioxidant reserves. The presence of high levels of carotenoids required for high-quality ornament expression may therefore represent a handicap and only individuals in prime health could afford to produce elaborate colourful ornaments. Although further testing is needed, this ‘carotenoid maintenance handicap’ hypothesis may offer a new insight into the physiological aspects of the relationship between carotenoid function, immunity and ornamentation.

  17. Wind turbine blade life-time assessment model for preventive planning of operation and maintenance

    DEFF Research Database (Denmark)

    Florian, Mihai; Sørensen, John Dalsgaard

    2014-01-01

    of information on the blades structural health to the decision maker. Further, inspections of the blades are often performed in connection with service. In light of the obtained information, a preventive type of maintenance becomes feasible, with the potential of predicting the blades remaining life to support O......&M decisions for avoiding major failure events. The present paper presents a fracture mechanics based model for estimating the remaining life of a wind turbine blade, focusing on the crack propagation in the blades adhesive joints. A generic crack propagation model is built in Matlab based on a Paris law...

  18. Resilience associated with mental health problems among methadone maintenance treatment patients in Guangzhou, China.

    Science.gov (United States)

    Jiao, Mingxu; Gu, Jing; Xu, Huifang; Hao, Chun; Lau, Joseph T F; Mo, Phoenix; Liu, Di; Zhao, Yuteng; Zhang, Xiao; Babbitt, Andrew; Hao, Yuantao

    2017-05-01

    A considerable proportion of methadone maintenance treatment (MMT) clients have experienced mental health problems (e.g., depression and anxiety), and poor mental health status is associated with HIV-related risk behaviors and treatment drop-out. Resilience is known to be a protective factor for mental health problems but is not studied among MMT clients in China. This study aimed to explore the relationship between resilience and mental health problems (depression, anxiety and stress) among clients of community-based MMT clinics in China. A total of 208 MMT clients completed the face-to-face interview conducted at 4 of 11 MMT clinics in Guangzhou. The Chinese short version of Depression Anxiety Stress Scale (DASS-21) was used to assess the presence of depressive, anxiety and stress symptoms, and the Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience. Logistic regression models were fit in data analyses. Of all participants, 12.8%, 19.5% and 8.3% had depression, anxiety and stress, respectively. The mean resilience score was 57.6 (SD = 15.9). In the univariate analyses, resilience was negatively associated with two studied mental health problems (depression and anxiety, OR u  = 0.96 and 0.96, p mental health problems of MMT users should consider resilience as an important part in the designing of such interventions.

  19. Health Maintenance System (HMS) Hardware Research, Design, and Collaboration

    Science.gov (United States)

    Gonzalez, Stefanie M.

    2010-01-01

    The Space Life Sciences division (SLSD) concentrates on optimizing a crew member's health. Developments are translated into innovative engineering solutions, research growth, and community awareness. This internship incorporates all those areas by targeting various projects. The main project focuses on integrating clinical and biomedical engineering principles to design, develop, and test new medical kits scheduled for launch in the Spring of 2011. Additionally, items will be tagged with Radio Frequency Interference Devices (RFID) to keep track of the inventory. The tags will then be tested to optimize Radio Frequency feed and feed placement. Research growth will occur with ground based experiments designed to measure calcium encrusted deposits in the International Space Station (ISS). The tests will assess the urine calcium levels with Portable Clinical Blood Analyzer (PCBA) technology. If effective then a model for urine calcium will be developed and expanded to microgravity environments. To support collaboration amongst the subdivisions of SLSD the architecture of the Crew Healthcare Systems (CHeCS) SharePoint site has been redesigned for maximum efficiency. Community collaboration has also been established with the University of Southern California, Dept. of Aeronautical Engineering and the Food and Drug Administration (FDA). Hardware disbursements will transpire within these communities to support planetary surface exploration and to serve as an educational tool demonstrating how ground based medicine influenced the technological development of space hardware.

  20. Job analysis of maintenance-mechanic position for the nuclear power plant maintenance personnel reliability model

    International Nuclear Information System (INIS)

    Siegel, A.I.; Bartter, W.D.; Kopstein, F.F.

    1982-06-01

    The task list method of job survey was used. In collaboration with BWR and PWR personnel, a list of 107 tasks performed by maintenance mechanics was developed, grouped into: remove and install, test and repair, inspect and perform preventive maintenance, miscellaneous, communication, and report preparation. For each listed task, the questionnaire form inquired into: frequency of performance, task completion time, safety consequences of improper performance, and the amount of training required to perform the task proficiently. Scaled information was requested about seven abilities: (1) visual speed, accuracy, and recognition; (2) gross motor coordination; (3) fine manual dexterity; (4) strength and stamina; (5) cognition; (6) memory; and (7) problem solving required for function completion. Survey forms were distributed to 27 nuclear power plants. Thirty-one maintenance mechanics representing 17 plants returned the completed forms. Frequency of performing tasks was bimodally distributed: (1) between once a year and once every six months, and (2) about once a week. More than half of the tasks have potential risk consequences if improperly performed. The five tasks with the greatest risk implications in the case of inadequate performance were: (1) remove and install reactor and dry-well heads, (2) test and repair reactor system components, (3) remove and install pressurizer mechanical relief valves, (4) test and repair pressurizer relief valves, (5) remove and install core spray pumps, seals, and valves. Hierarchically, the public risk associated with the various functions was: (1) remove and install, (2) test and repair, (3) preventive maintenance, (4) miscellaneous tasks, (5) communication, and (6) report preparation

  1. Predictive maintenance of maritime systems : models and challenges

    NARCIS (Netherlands)

    Tinga, T.; Tiddens, W.W.; Amoiralis, F.; Politis, M.; Cepin, Marko; Bris, Radim

    2017-01-01

    To reduce maintenance and logistic costs and increase the asset availability, a predictive maintenance concept for maritime systems is developed. In the present paper, the physics-of-failure based prognostic methods will be introduced, but also other issues related to the development and application

  2. Performance deterioration modeling and optimal preventive maintenance strategy under scheduled servicing subject to mission time

    Directory of Open Access Journals (Sweden)

    Li Dawei

    2014-08-01

    Full Text Available Servicing is applied periodically in practice with the aim of restoring the system state and prolonging the lifetime. It is generally seen as an imperfect maintenance action which has a chief influence on the maintenance strategy. In order to model the maintenance effect of servicing, this study analyzes the deterioration characteristics of system under scheduled servicing. And then the deterioration model is established from the failure mechanism by compound Poisson process. On the basis of the system damage value and failure mechanism, the failure rate refresh factor is proposed to describe the maintenance effect of servicing. A maintenance strategy is developed which combines the benefits of scheduled servicing and preventive maintenance. Then the optimization model is given to determine the optimal servicing period and preventive maintenance time, with an objective to minimize the system expected life-cycle cost per unit time and a constraint on system survival probability for the duration of mission time. Subject to mission time, it can control the ability of accomplishing the mission at any time so as to ensure the high dependability. An example of water pump rotor relating to scheduled servicing is introduced to illustrate the failure rate refresh factor and the proposed maintenance strategy. Compared with traditional methods, the numerical results show that the failure rate refresh factor can describe the maintenance effect of servicing more intuitively and objectively. It also demonstrates that this maintenance strategy can prolong the lifetime, reduce the total lifetime maintenance cost and guarantee the dependability of system.

  3. Model-based fault diagnosis framework for effective predictive maintenance / B.B. Akindele

    OpenAIRE

    Akindele, Babatunde Babajide

    2010-01-01

    Predictive maintenance is a proactive maintenance strategy that is aimed at preventing the unexpected failure of equipment through condition monitoring of the health and performance of the equipment. Incessant equipment outage resulting in low availability of production facilities is a major issue in the Nigerian manufacturing environment. Improving equipment availability in Nigeria industry through institution of a full featured predictive maintenance has been suggested by many authors. T...

  4. Vehicle Remote Health Monitoring and Prognostic Maintenance System

    Directory of Open Access Journals (Sweden)

    Uferah Shafi

    2018-01-01

    Full Text Available In many industries inclusive of automotive vehicle industry, predictive maintenance has become more important. It is hard to diagnose failure in advance in the vehicle industry because of the limited availability of sensors and some of the designing exertions. However with the great development in automotive industry, it looks feasible today to analyze sensor’s data along with machine learning techniques for failure prediction. In this article, an approach is presented for fault prediction of four main subsystems of vehicle, fuel system, ignition system, exhaust system, and cooling system. Sensor is collected when vehicle is on the move, both in faulty condition (when any failure in specific system has occurred and in normal condition. The data is transmitted to the server which analyzes the data. Interesting patterns are learned using four classifiers, Decision Tree, Support Vector Machine, K Nearest Neighbor, and Random Forest. These patterns are later used to detect future failures in other vehicles which show the similar behavior. The approach is produced with the end goal of expanding vehicle up-time and was demonstrated on 70 vehicles of Toyota Corolla type. Accuracy comparison of all classifiers is performed on the basis of Receiver Operating Characteristics (ROC curves.

  5. Evaluation and comparison of alternative fleet-level selective maintenance models

    International Nuclear Information System (INIS)

    Schneider, Kellie; Richard Cassady, C.

    2015-01-01

    Fleet-level selective maintenance refers to the process of identifying the subset of maintenance actions to perform on a fleet of repairable systems when the maintenance resources allocated to the fleet are insufficient for performing all desirable maintenance actions. The original fleet-level selective maintenance model is designed to maximize the probability that all missions in a future set are completed successfully. We extend this model in several ways. First, we consider a cost-based optimization model and show that a special case of this model maximizes the expected value of the number of successful missions in the future set. We also consider the situation in which one or more of the future missions may be canceled. These models and the original fleet-level selective maintenance optimization models are nonlinear. Therefore, we also consider an alternative model in which the objective function can be linearized. We show that the alternative model is a good approximation to the other models. - Highlights: • Investigate nonlinear fleet-level selective maintenance optimization models. • A cost based model is used to maximize the expected number of successful missions. • Another model is allowed to cancel missions if reliability is sufficiently low. • An alternative model has an objective function that can be linearized. • We show that the alternative model is a good approximation to the other models

  6. Fleet equipment performance measurement preventive maintenance model : final report.

    Science.gov (United States)

    2014-04-01

    The concept of preventive maintenance is very important in the effective management and deployment of : vehicle fleets. The Texas Department of Transportation (TxDOT) operates a large fleet of on-road and offroad : equipment. Newer engines and vehicl...

  7. Psychiatric components of a Health Maintenance Facility (HMF) on Space Station

    Science.gov (United States)

    Santy, Patricia A.

    1987-01-01

    The operational psychiatric requirements for a comprehensive Health Maintenance Facility (HMF) on a permanently manned Space Station are examined. Consideration is given to the psychological health maintenance program designed for the diagnosis of mental distress in astronauts during flight and for prevention of mental breakdown. The types of mental disorders that can possibly affect the astronauts in flight are discussed, including various organic, psychotic, and affective mental disorders, as well as anxiety, adjustment, and somatoform/dissociative disorders. Special attention is given to therapeutic considerations for psychiatric operations on Space Station, such as restraints, psychopharmacology, psychotherapy, and psychosocial support.

  8. Calcium intake in health maintenance – a systematic review

    Directory of Open Access Journals (Sweden)

    Kirsti Uusi-Rasi

    2013-05-01

    Full Text Available Background: Calcium (Ca is an essential nutrient for the human body. Despite lively research, there is uncertainty about Ca requirements in terms of desirable health outcomes including an upper intake level above which the potential for harm increases. Objectives: The aim was to conduct a review to update requirements and desirable or harmful health effects of Ca on the current scientific evidence. Methods: We searched Medline and Swemed from January 2000 to December 2011 and included all systematic reviews that reported Ca supplementation or usual Ca intake on health outcomes. Meta-analyses, randomized clinical trials and cohort studies were included in the second search between May 2009 and March 2011 and an additional search covering studies till the end of 2011. This review concentrated on studies reporting independent effects of Ca, although a few recent trials report sole effects of Ca on health outcomes, most trials use Ca in combination with vitamin D vs. placebo. Results: In total, we reviewed 38 studies addressing the effects of Ca on bone, pregnancy-related outcomes, cancers, cardiovascular outcomes, obesity, and mortality. There was a lot of heterogeneity in the study protocols, which made it difficult to draw any strong conclusions. According to the literature, high Ca intake seems to have a small positive effect on bone mineral content (BMC or bone mineral density (BMD in children and postmenopausal women. We did not find any consistent evidence on the effects of Ca on bone health in premenopausal women or men. Also, the evidence that Ca supplementation reduces fracture incidence is scarce and inconsistent. Maternal diet may influence the peak bone mass of offspring but more studies are required. There was no overall effect of Ca intake on cancers. Ca was associated with a decreased risk of breast cancer and a slightly increased risk of prostate cancer in two of the three studies. No associations were found with other cancers. We

  9. ROLE OF SOCIOLOGY IN THE STUDY AND MAINTENANCE OF HEALTH AMONG RUSSIAN POPULATION

    Directory of Open Access Journals (Sweden)

    E. N. Novoselova

    2017-01-01

    Full Text Available The article explains sociological methods being used for health evaluation among Russian population. Together with medical, demographic and other official data make it possible fast and with minimum cost to obtain objective information about nations’ health and the factors affecting it. Major advantage of sociological methods being used to measure health, especially in comparison with traditional registration of sickness rate according to public appeals, is that larger data on sickness can be gathered. It is particulary relevant to those sicknesses for which people do not ask for medical assistance. It is an actual issue especially today when more people refuse medical assistance. Author pays attention to health research using health-centric model, which concentrates not on fighting disease but health strengthening and disease prevention. An idea is underlined that it is impossible to manage the problem of generally weak national health only with the help of medical community, joint actions of psychologists, sociologists, representatives of culture and education are needed to overcome dependent approach among people towards their health, as well as existing disparities between demand for being healthy and real efforts made to preserve and strengthen physical and psychological health. The paper touches the problem of the value of health, and the role of various institutions, especially the family, in the process of health and healthy lifestyle settings developments. Behavioral factors are also being studied which relate to maintenance and strengthening of health among Russia’s population, identify gender related specifics of health and healthy lifestyle. The paper paid much attention to the problems of interaction between family and health institutions, trust in doctors and the healthcare system as a whole, the reasons of public health care failures. The influence of education, wealth and living conditions, family

  10. Adolescent health care maintenance in a teen-friendly clinic.

    Science.gov (United States)

    Chaisson, Nicole; Shore, William B

    2014-09-01

    Adolescence is marked by complex physical, cognitive, social, and emotional development, which can be stressful for families and adolescents. Before the onset of puberty, providers should clearly lay the groundwork for clinical care and office visits during the adolescent years. This article addresses the guidelines and current legal standards for confidentiality in adolescent care, the most frequently used psychosocial screening tools, and current recommendations for preventive health services and immunizations. Through the creation of teen-friendly clinics, primary care providers are well positioned to offer guidance and support to teens and their parents during this time of transition and growth. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. An integrated production, inventory and preventive maintenance model for a multi-product production system

    International Nuclear Information System (INIS)

    Liu, Xuejuan; Wang, Wenbin; Peng, Rui

    2015-01-01

    This paper considers a production system that can produce multiple products alternately. Products go through the system in a sequence and a complete run of all products forms a production cycle. An integrated production, inventory and preventive maintenance model is constructed, which is characterized by the delay-time concept. Two different situations are studied based on whether the unqualified products and downtime caused by the failures of the system, set-up and preventive maintenance can be ignored or not. Three cases are considered for each situation, depending on the position of the preventive maintenance epochs: the first case, where preventive maintenance is carried out at the end of each production cycle; the second case, where preventive maintenance is carried out at each set-up time of the products; and the third case, where preventive maintenance is carried out at some set-up times only, since it may not always be optimal to carry out preventive maintenance at the end of the production cycle or at each set-up time. The modeling objectives are to find the optimal number of production cycles per year and the optimal position of preventive maintenance that will maximize the expected profit per unit time. Numerical examples, using real data, are presented to illustrate the model. - Highlights: • We propose an integrated economic production quantity and preventive maintenance model. • The situation that multiple products are produced on the same system alternately is studied. • Two situations are studied based on whether the downtime and the product quality can be ignored or not. • We use enumeration method and analytical method to select the optimal preventive maintenance policy, respectively. • We use the delay-time concept to model the preventive maintenance policy

  12. Smart railroad maintenance engineering with stochastic model checking

    NARCIS (Netherlands)

    Guck, Dennis; Katoen, Joost P.; Stoelinga, Mariëlle Ida Antoinette; Luiten, Ted; Romijn, Judi; Pombo, J.

    RAMS (reliability, availability, maintenance and safety) requirements are of utmost important for safety-critical systems like railroad infrastructure and signaling systems. Fault tree analysis (FTA) is a widely applied industry standard for RAMS analysis and is often one of the techniques preferred

  13. Prediction of Combine Economic Life Based on Repair and Maintenance Costs Model

    Directory of Open Access Journals (Sweden)

    A Rohani

    2014-09-01

    Full Text Available Farm machinery managers often need to make complex economic decisions on machinery replacement. Repair and maintenance costs can have significant impacts on this economic decision. The farm manager must be able to predict farm machinery repair and maintenance costs. This study aimed to identify a regression model that can adequately represent the repair and maintenance costs in terms of machine age in cumulative hours of use. The regression model has the ability to predict the repair and maintenance costs for longer time periods. Therefore, it can be used for the estimation of the economic life. The study was conducted using field data collected from 11 John-Deer 955 combine harvesters used in several western provinces of Iran. It was found that power model has a better performance for the prediction of combine repair and maintenance costs. The results showed that the optimum replacement age of John-Deer 955 combine was 54300 cumulative hours.

  14. Predicting older adults' maintenance in exercise participation using an integrated social psychological model

    NARCIS (Netherlands)

    Stiggelbout, M.; Hopman-Rock, M.; Crone, M.; Lechner, L.; Mechelen, W. van

    2006-01-01

    Little is known about the predictors of maintenance in organized exercise programmes. The aim of this study was to investigate the behavioral predictors of maintenance of exercise participation in older adults, using an integrated social psychological model. To this end, we carried out a prospective

  15. Addressing imperfect maintenance modelling uncertainty in unavailability and cost based optimization

    International Nuclear Information System (INIS)

    Sanchez, Ana; Carlos, Sofia; Martorell, Sebastian; Villanueva, Jose F.

    2009-01-01

    Optimization of testing and maintenance activities performed in the different systems of a complex industrial plant is of great interest as the plant availability and economy strongly depend on the maintenance activities planned. Traditionally, two types of models, i.e. deterministic and probabilistic, have been considered to simulate the impact of testing and maintenance activities on equipment unavailability and the cost involved. Both models present uncertainties that are often categorized as either aleatory or epistemic uncertainties. The second group applies when there is limited knowledge on the proper model to represent a problem, and/or the values associated to the model parameters, so the results of the calculation performed with them incorporate uncertainty. This paper addresses the problem of testing and maintenance optimization based on unavailability and cost criteria and considering epistemic uncertainty in the imperfect maintenance modelling. It is framed as a multiple criteria decision making problem where unavailability and cost act as uncertain and conflicting decision criteria. A tolerance interval based approach is used to address uncertainty with regard to effectiveness parameter and imperfect maintenance model embedded within a multiple-objective genetic algorithm. A case of application for a stand-by safety related system of a nuclear power plant is presented. The results obtained in this application show the importance of considering uncertainties in the modelling of imperfect maintenance, as the optimal solutions found are associated with a large uncertainty that influences the final decision making depending on, for example, if the decision maker is risk averse or risk neutral

  16. Addressing imperfect maintenance modelling uncertainty in unavailability and cost based optimization

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, Ana [Department of Statistics and Operational Research, Polytechnic University of Valencia, Camino de Vera, s/n, 46071 Valencia (Spain); Carlos, Sofia [Department of Chemical and Nuclear Engineering, Polytechnic University of Valencia, Camino de Vera, s/n, 46071 Valencia (Spain); Martorell, Sebastian [Department of Chemical and Nuclear Engineering, Polytechnic University of Valencia, Camino de Vera, s/n, 46071 Valencia (Spain)], E-mail: smartore@iqn.upv.es; Villanueva, Jose F. [Department of Chemical and Nuclear Engineering, Polytechnic University of Valencia, Camino de Vera, s/n, 46071 Valencia (Spain)

    2009-01-15

    Optimization of testing and maintenance activities performed in the different systems of a complex industrial plant is of great interest as the plant availability and economy strongly depend on the maintenance activities planned. Traditionally, two types of models, i.e. deterministic and probabilistic, have been considered to simulate the impact of testing and maintenance activities on equipment unavailability and the cost involved. Both models present uncertainties that are often categorized as either aleatory or epistemic uncertainties. The second group applies when there is limited knowledge on the proper model to represent a problem, and/or the values associated to the model parameters, so the results of the calculation performed with them incorporate uncertainty. This paper addresses the problem of testing and maintenance optimization based on unavailability and cost criteria and considering epistemic uncertainty in the imperfect maintenance modelling. It is framed as a multiple criteria decision making problem where unavailability and cost act as uncertain and conflicting decision criteria. A tolerance interval based approach is used to address uncertainty with regard to effectiveness parameter and imperfect maintenance model embedded within a multiple-objective genetic algorithm. A case of application for a stand-by safety related system of a nuclear power plant is presented. The results obtained in this application show the importance of considering uncertainties in the modelling of imperfect maintenance, as the optimal solutions found are associated with a large uncertainty that influences the final decision making depending on, for example, if the decision maker is risk averse or risk neutral.

  17. Building and integrating reliability models in a Reliability-Centered-Maintenance approach

    International Nuclear Information System (INIS)

    Verite, B.; Villain, B.; Venturini, V.; Hugonnard, S.; Bryla, P.

    1998-03-01

    Electricite de France (EDF) has recently developed its OMF-Structures method, designed to optimize preventive maintenance of passive structures such as pipes and support, based on risk. In particular, reliability performances of components need to be determined; it is a two-step process, consisting of a qualitative sort followed by a quantitative evaluation, involving two types of models. Initially, degradation models are widely used to exclude some components from the field of preventive maintenance. The reliability of the remaining components is then evaluated by means of quantitative reliability models. The results are then included in a risk indicator that is used to directly optimize preventive maintenance tasks. (author)

  18. Where does “whichever occurs first” hold for preventive maintenance modelings?

    International Nuclear Information System (INIS)

    Zhao, Xufeng; Liu, Hu-Chen; Nakagawa, Toshio

    2015-01-01

    The purpose of this paper is to observe where the classical assumption “whichever occurs first” holds for preventive maintenance (PM) modelings. We firstly take up a bivariate maintenance policy where “whichever occurs first” and the newly proposed “whichever occurs last” are respectively used. Modification of PM performance is introduced into modelings to avoid interruptions of job executions, that is, PMs are done only at the end of working cycles. From the points of performability and maintenance cost, we secondly compare the optimized “first” and “last” policies in detail and find two critical points of comparisons analytically. Further, by comparing the “first” and “last” policies with the standard maintenance, modified PM costs are obtained to observe whether it is easy to save PM cost for “whichever occurs first”. For a trivariate maintenance policy, we thirdly propose an entirely new assumption “whichever occurs middle” and give another one model that considers both assumptions of “first” and “last”. We analyze maintenance probabilities for each model and then obtain directly their expected maintenance cost rates for further studies. - Highlights: • A bivariate maintenance policy based on “whichever occurs first” is improved. • Two comparisons of “whichever occurs first and last” are made. • Modified maintenance costs are obtained to observe which policy could save more costs. • New assumption “whichever occurs middle” for the trivariate maintenances is proposed. • One policy is modeled by considering both assumptions of “first” and “last”

  19. Operation and maintenance of thermal power stations best practices and health monitoring

    CERN Document Server

    Chanda, Pradip

    2016-01-01

    This book illustrates operation and maintenance practices/guidelines for economic generation and managing health of a thermal power generator beyond its regulatory life. The book provides knowledge for professionals managing power station operations, through its unique approach to chemical analysis of water, steam, oil etc. to identify malfunctioning/defects in equipment/systems much before the physical manifestation of the problem. The book also contains a detailed procedure for conducting performance evaluation tests on different equipment, and for analyzing test results for predicting maintenance requirements, which has lent a new dimension to power systems operation and maintenance practices. A number of real life case studies also enrich the book. This book will prove particularly useful to power systems operations professionals in the developing economies, and also to researchers and students involved in studying power systems operations and control. .

  20. What Predicts Exercise Maintenance and Well-Being? Examining The Influence of Health-Related Psychographic Factors and Social Media Communication.

    Science.gov (United States)

    Zhou, Xin; Krishnan, Archana

    2018-01-26

    Habitual exercising is an important precursor to both physical and psychological well-being. There is, thus, a strong interest in identifying key factors that can best motivate individuals to sustain regular exercise regimen. In addition to the importance of psychographic factors, social media use may act as external motivator by allowing users to interact and communicate about exercise. In this study, we examined the influence of health consciousness, health-oriented beliefs, intrinsic motivation, as willingness to communicate about health on social media, social media activity on exercise, and online social support on exercise maintenance and well-being on a sample of 532 American adults. Employing structural equation modeling, we found that health-oriented beliefs mediated the effect of health consciousness on intrinsic motivation which in turn was a significant predictor of exercise maintenance. Exercise maintenance significantly predicted both physical and psychological well-being. Extrinsic motivators, as measured by willingness to communicate about health on social media, social media activity on exercise, and online social support did not however significantly influence exercise maintenance. These findings have implications for the design and implementation of exercise-promoting interventions by identifying underlying factors that influence exercise maintenance.

  1. Game-Theoretic Models for Usage-based Maintenance Contract

    Science.gov (United States)

    Husniah, H.; Wangsaputra, R.; Cakravastia, A.; Iskandar, B. P.

    2018-03-01

    A usage-based maintenance contracts with coordination and non coordination between two parties is studied in this paper. The contract is applied to a dump truck operated in a mining industry. The situation under study is that an agent offers service contract to the owner of the truck after warranty ends. This contract has only a time limit but no usage limit. If the total usage per period exceeds the maximum usage allowed in the contract, then the owner will be charged an additional cost. In general, the agent (Original Equipment Manufacturer/OEM) provides a full coverage of maintenance, which includes PM and CM under the lease contract. The decision problem for the owner is to select the best option offered that fits to its requirement, and the decision problem for the agent is to find the optimal maintenance efforts for a given price of the service option offered. We first find the optimal decisions using coordination scheme and then with non coordination scheme for both parties.

  2. Building a maintenance policy through a multi-criterion decision-making model

    Science.gov (United States)

    Faghihinia, Elahe; Mollaverdi, Naser

    2012-08-01

    A major competitive advantage of production and service systems is establishing a proper maintenance policy. Therefore, maintenance managers should make maintenance decisions that best fit their systems. Multi-criterion decision-making methods can take into account a number of aspects associated with the competitiveness factors of a system. This paper presents a multi-criterion decision-aided maintenance model with three criteria that have more influence on decision making: reliability, maintenance cost, and maintenance downtime. The Bayesian approach has been applied to confront maintenance failure data shortage. Therefore, the model seeks to make the best compromise between these three criteria and establish replacement intervals using Preference Ranking Organization Method for Enrichment Evaluation (PROMETHEE II), integrating the Bayesian approach with regard to the preference of the decision maker to the problem. Finally, using a numerical application, the model has been illustrated, and for a visual realization and an illustrative sensitivity analysis, PROMETHEE GAIA (the visual interactive module) has been used. Use of PROMETHEE II and PROMETHEE GAIA has been made with Decision Lab software. A sensitivity analysis has been made to verify the robustness of certain parameters of the model.

  3. Stress-reducing preventive maintenance model for a unit under stressful environment

    International Nuclear Information System (INIS)

    Park, J.H.; Chang, Woojin; Lie, C.H.

    2012-01-01

    We develop a preventive maintenance (PM) model for a unit operated under stressful environment. The PM model in this paper consists of a failure rate model and two cost models to determine the optimal PM scheduling which minimizes a cost rate. The assumption for the proposed model is that stressful environment accelerates the failure of the unit and periodic maintenances reduce stress from outside. The failure rate model handles the maintenance effect of PM using improvement and stress factors. The cost models are categorized into two failure recognition cases: immediate failure recognition and periodic failure detection. The optimal PM scheduling is obtained by considering the trade-off between the related cost and the lifetime of a unit in our model setting. The practical usage of our proposed model is tested through a numerical example.

  4. Developing a Predictive Model for Unscheduled Maintenance Requirements on United States Air Force Installations

    National Research Council Canada - National Science Library

    Kovich, Matthew D; Norton, J. D

    2008-01-01

    .... This paper develops one such method by using linear regression and time series analysis to develop a predictive model to forecast future year man-hour and funding requirements for unscheduled maintenance...

  5. Optimal policies for cumulative damage models with maintenance last and first

    International Nuclear Information System (INIS)

    Zhao, Xufeng; Qian, Cunhua; Nakagawa, Toshio

    2013-01-01

    From the economical viewpoint of several combined PM policies in reliability theory, this paper takes up a standard cumulative damage model in which the notion of maintenance last is applied, i.e., the unit undergoes preventive maintenances before failure at a planned time T, at a damage level Z, or at a shock number N, whichever occurs last. Expected cost rates are detailedly formulated, and optimal problems of two alternative policies which combine time-based with condition-based preventive maintenances are discussed, i.e., optimal T L ⁎ for N, Z L ⁎ for T, and N L ⁎ for T are rigorously obtained. Comparison methods between such maintenance last and conventional maintenance first are explored. It is determined theoretically and numerically which policy should be adopted, according to the different methods in different cases when the time-based or the condition-based PM policy is optimized.

  6. A framework to practical predictive maintenance modeling for multi-state systems

    International Nuclear Information System (INIS)

    Cher Ming Tan; Raghavan, Nagarajan

    2008-01-01

    A simple practical framework for predictive maintenance (PdM)-based scheduling of multi-state systems (MSS) is developed. The maintenance schedules are derived from a system-perspective using the failure times of the overall system as estimated from its performance degradation trends. The system analyzed in this work is a flow transmission water pipe system. The various factors influencing PdM-based scheduling are identified and their impact on the system reliability and performance are quantitatively studied. The estimated times to replacement of the MSS may also be derived from the developed model. The results of the model simulation demonstrate the significant impact of maintenance quality and the criteria for the call for maintenance (user demand) on the system reliability and mean performance characteristics. A slight improvement in maintenance quality is found to postpone the system replacement time by manifold. The consistency in the quality of maintenance work with minimal variance is also identified as a very important factor that enhances the system's future operational and downtime event predictability. The studies also reveal that in order to reduce the frequency of maintenance actions, it is necessary to lower the minimum user demand from the system if possible, ensuring at the same time that the system still performs its intended function effectively. The model proposed can be utilized to implement a PdM program in the industry with a few modifications to suit the individual industrial systems' needs

  7. Maintenance of the classroom health education curricula: results from the CATCH-ON study.

    Science.gov (United States)

    Johnson, Carolyn C; Li, Donglin; Galati, Todd; Pedersen, Sheryl; Smyth, Mary; Parcel, Guy S

    2003-08-01

    Maintenance of the interactive Child and Adolescent Trial for Cardiovascular Health (CATCH) third- to fifth-grade curricula was studied in the 56 original intervention schools and 20 of the original control schools 5 years postintervention in four regions of the United States. Target grade teachers completed a self-administered survey that included questions regarding use of the CATCH materials, training in CATCH or other health education, barriers and perceived support for health education, and amount of health education currently taught. Percentage of teachers who continued to teach CATCH in the classroom was low; however, percentages were significantly higher in former intervention compared with control schools, even though control schools received training and materials following the main field trial. The results of this study can provide useful information for future development of classroom health promotion materials with a higher level of sustainability.

  8. DEVELOPMENT OF MATHEMATICAL MODELS FOR OPTIMAL PREVENTIVE MAINTENANCE POLICY IN A STEEL INDUSTRY : SIX SIGMA APPROACH

    Directory of Open Access Journals (Sweden)

    N. V. R. Naidu

    2011-09-01

    Full Text Available This paper deals with a critical evaluation of the Preventive Maintenance system in steel industry. This study helps in implementing Six Sigma solutions to reduce the down time of two critical machines i.e., Electric Arc Furnace (EAF and Billet Casting Machine (BCM. It is clear from the analysis of EAF and BCM respectively that, variations in output are quite possible because the machines output not only depend on maintenance time but also on several other variables. Further, the objective is to design a preventive maintenance programme on the same equipment situated in the plant using Six Sigma. The breakdown of these equipments could very well affect the production rate. For this, the mathematical models have been developed and these models are used to obtain the optimum preventive maintenance frequency for minimizing the down time and maximizing the profits.

  9. Health care utilization and cost among children with asthma who were enrolled in a health maintenance organization.

    Science.gov (United States)

    Lozano, P; Fishman, P; VonKorff, M; Hecht, J

    1997-06-01

    To measure the impact of asthma on the use and cost of health care by children in a managed care organization. Population-based historical cohort study. A medium-sized staff model health maintenance organization in western Washington state. All 71 818 children, between age 1 to 17 years, who were enrolled and used services during 1992. Children were identified with one or more asthma diagnoses during 1992 using automated encounter data. Nonurgent outpatient visits, pharmacy fills, urgent care visits, and hospital days, as well as associated costs were measured. All services were categorized as asthma care or nonasthma care. Multivariate regression analysis was used to compute marginal cost for asthma (difference in total cost between children with asthma and other children using services, adjusted for covariates). Treated prevalence of asthma was 4.9%. Children with asthma incurred 88% more costs ($1060.32 vs $563. 81/yr), filled 2.77 times as many prescriptions (11.59 vs 4.19/yr), made 65% more nonurgent outpatient visits (5.75 vs 3.48/yr), and had twice as many inpatient days (.23 vs .11/yr) compared with the general population of children using services. Asthma care represented 37% of all health care received by children with asthma, while the remaining 63% were for nonasthma services. Almost two-thirds of asthma-related costs were attributable to nonurgent outpatient care and prescriptions; only one third was attributable to urgent care and hospitalizations. Controlling for age, sex, and comorbidities, the marginal cost of asthma was $615.17/yr (95% confidence interval $502.73, $727.61), which includes asthma as well as nonasthma services. This marginal cost represents 58% of all health care costs for children with asthma. Children with asthma use significantly more health services (and incur significantly more costs) than other children using services, attributable largely to asthma care. The majority of all health care costs for children with asthma were for

  10. Social health maintenance organizations' service use and costs, 1985-89

    Science.gov (United States)

    Harrington, Charlene; Newcomer, Robert J.

    1991-01-01

    Presented in this article are aggregate utilization and financial data from the four social health maintenance organization (SIHMO) demonstrations that were collected and analyzed as a part of the national evaluation of the SIHMO demonstration project conducted for the Health Care Financing Administration. The S/HMOs, in offering a $6,500 to $12,000 chronic care benefit in addition to the basic HMO benefit package, had higher startup costs and financial losses over the first 5 years than expected, and controlling costs continues to be a challenge to the sites and their sponsors. PMID:10113612

  11. Inequalities in maintenance of health and performance between young adult women and men in higher education.

    Science.gov (United States)

    Löve, Jesper; Dellve, Lotta; Eklöf, Mats; Hagberg, Mats

    2009-04-01

    Because of ageing populations, most high-income countries are facing an imminent scarcity of labour. Maintenance of health and performance in young adults therefore becomes a crucial prerequisite for sustainable societies. One major obstruction to this accomplishment is the striking health inequalities between young women and young men. Previously these inequalities have mainly been studied in a cross-sectional way, focusing on ill-health. In this study, we compared the prevalence of maintained health and performance between young adult women and men and the predictors for this outcome. The cohort consisted of 1266 participants from a homogenous sample of university students in Sweden. A combined assessment of self-rated 'very good' health and un-impaired performance took place at three time points (i.e. maintained health and performance). Potential predictors covered stable conditions in health-related behaviours, conditions at work/school and work-home interference. Young women had less maintained health and performance than young men. No major differences in predictors were found. However, there was a tendency for psychosocial factors to be the most important predictors, especially in women. That young women had less maintained health and performance in a homogenous sample beyond well-known differentiating factors suggests explanations other than observable structural differences between the sexes. This was also indicated by the importance attached to perceived demands, and work-home interference, especially in women. The combination of less scheduled, and more unscheduled, schoolwork (i.e. time-flexibility) negatively affected the maintenance of health and performance in our study population, suggesting a focus for future studies.

  12. Bayesian based Prognostic Model for Predictive Maintenance of Offshore Wind Farms

    DEFF Research Database (Denmark)

    Asgarpour, Masoud; Sørensen, John Dalsgaard

    2018-01-01

    monitoring, fault prediction and predictive maintenance of offshore wind components is defined. The diagnostic model defined in this paper is based on degradation, remaining useful lifetime and hybrid inspection threshold models. The defined degradation model is based on an exponential distribution......The operation and maintenance costs of offshore wind farms can be significantly reduced if existing corrective actions are performed as efficient as possible and if future corrective actions are avoided by performing sufficient preventive actions. In this paper a prognostic model for degradation...

  13. Bayesian based Prognostic Model for Predictive Maintenance of Offshore Wind Farms

    DEFF Research Database (Denmark)

    Asgarpour, Masoud

    2017-01-01

    monitoring, fault detection and predictive maintenance of offshore wind components is defined. The diagnostic model defined in this paper is based on degradation, remaining useful lifetime and hybrid inspection threshold models. The defined degradation model is based on an exponential distribution......The operation and maintenance costs of offshore wind farms can be significantly reduced if existing corrective actions are performed as efficient as possible and if future corrective actions are avoided by performing sufficient preventive actions. In this paper a prognostic model for degradation...

  14. Computer-Aided Template for Model Reuse, Development and Maintenance

    DEFF Research Database (Denmark)

    Fedorova, Marina; Sin, Gürkan; Gani, Rafiqul

    2014-01-01

    . For the particle scale, two alternative mechanisms to describe the diffusion inside catalyst pellets are available: a Fickian diffusion model and a dusty gas model . Moreover, the effects of isothermal and non-isothermal catalyst are also considered during the model development process. Thereby, any number...

  15. Modeling the reliability and maintenance costs of wind turbines using Weibull analysis

    Energy Technology Data Exchange (ETDEWEB)

    Vachon, W.A. [W.A. Vachon & Associates, Inc., Manchester, MA (United States)

    1996-12-31

    A general description is provided of the basic mathematics and use of Weibull statistical models for modeling component failures and maintenance costs as a function of time. The applicability of the model to wind turbine components and subsystems is discussed with illustrative examples of typical component reliabilities drawn from actual field experiences. Example results indicate the dominant role of key subsystems based on a combination of their failure frequency and repair/replacement costs. The value of the model is discussed as a means of defining (1) maintenance practices, (2) areas in which to focus product improvements, (3) spare parts inventory, and (4) long-term trends in maintenance costs as an important element in project cash flow projections used by developers, investors, and lenders. 6 refs., 8 figs., 3 tabs.

  16. PENGUKURAN KINERJA PERAWATAN LOKOMOTIF PT. KERETA API INDONESIA (PERSERO BERDASARKAN MODEL MAINTENANCE SCORECARD

    Directory of Open Access Journals (Sweden)

    Winnie Septiani

    2013-03-01

    Full Text Available Lokomotif memiliki peran sangat penting bagi PT.KAI (Persero sebagai  penggerak kereta dan pendukung untuk sistem kelistrikan dan sistem penumatik bagi kereta.  Penilaian  dan evaluasi kinerja perawatan lokomotif saat ini belum dilakukan secara komprehensif, hanya dilakukan berdasarkan indikator Availability dan MKBF (Mean Kilometer Between Failure.  Pada penelitian ini akan pengukuran kinerja perawatan lokomotif berdasarkan model pengukuran kinerja Maintenance Scorecard (MSc. Model yang digunakan diperoleh berdasarkan hasil penelitian sebelumnya yang terdiri dari enam perspektif yaitu productivity, Cost Effectiveness, Quality, Environment, Safety dan Learning. Pengukuran kinerja perawatan lokomotif dimulai dengan menentukan target untuk setiap KPI, menentukan skala pengukuran, menentukan bobot KPI.  Penentuan target dilakukan dengan proses FGD. Proses pembobotan dilakukan dengan metode pairwise comparison dengan bantuan software Expert Choice. Hasil pengukuran kinerja perawatan lokomotif di Dipo Jatinegara diperoleh skor 2.8 yang menunjukan kinerja perawatan lokomotif dipo jatinegara ini cukup baik. Hasil Penilaian berturut – turut pada perspektifQuality (37%, Cost Effectiveness (53%, Productivity (55%, Environtment (56%, Safety (83% dan Learning (84%. Kata kunci : kinerja perawatan, lokomotif, maintenance scorecard ABSTRACT The locomotive has a very important role for PT.KAI (Limited as a driver of the train, and support for electrical systems and systems for the railway penumatik. Assessment and evaluation of the performance of locomotive maintenance has not been done comprehensively, are solely based on indicators of Availability and MKBF (Mean Kilometer Between Failure. This research will measure the performance of locomotive maintenance by Maintenance Scorecard performance measurement model (MSc. The model used is obtained based on the results of previous studies of six perspectives, namely productivity, Cost Effectiveness, Quality

  17. A model for optimal fleet composition of vessels for offshore wind farm maintenance

    NARCIS (Netherlands)

    Alcoba, A.G.; Ortega, G.; Hendrix, E.M.T.; Halvorsen-Waere, E.E.; Haugland, Dag

    2017-01-01

    We present a discrete optimisation model that chooses an optimal fleet of vessels to support maintenance operations at Offshore Wind Farms (OFWs). The model is presented as a bi-level problem. On the first (tactical) level, decisions are made on the fleet composition for a certain time horizon. On

  18. An Adaptive Maintenance Model Oriented to Process Environment of the Manufacturing Systems

    Directory of Open Access Journals (Sweden)

    Xun Gong

    2014-01-01

    Full Text Available We explored an adaptive maintenance model of the process environment to diagnose progressive faults in manufacturing systems. Progressive faults are usually caused by deterioration of the operating environment or aging and show stochastic properties. Many researchers have reported how to detect faults on the machine body in manufacturing systems. However, little research has been conducted on the process environment which causes progressive faults. To tackle this problem, we explored an adaptive maintenance model to detect progressive faults and repair the process environment on the E-repair location. When a difference of the environmental factor state is detected, it will combine the transcription factor and the state enzyme to locate fault source. Then the comprehensive maintenance program is derived to repair the operating environment while eliminating progressive faults. For the purpose of validation, this model was implemented on the process environment of the air separation plant. And the simulation experiments validated the feasibility and effectiveness of this method.

  19. Health Maintenance in Very Old Age : Medical Conditions, Functional Outcome and Nutritional Status

    OpenAIRE

    Dong, Huan-Ji

    2014-01-01

    The overall aim of this thesis was to provide better understanding of the underlying factors related to health maintenance in very old people, with a focus on medical conditions, functional outcome and nutritional status. Data were gathered from the ELSA 85 project (Elderly in Linköping Screening Assessment). The ELSA 85 project was started in 2007 with a population-based survey of 85-year-old individuals (n = 650) residing in Linköping municipality, Sweden. During the study period from 2007 ...

  20. Operational health and physics service during the maintenance of the Australian National Medical Cyclotron

    International Nuclear Information System (INIS)

    Mukherjee, B.

    1994-01-01

    Modern Medical Cyclotrons use intense beams of high energy protons or deuterons to produce large activities of short and medium lived radionuclides. After continuous operation for prolonged periods the Cyclotron components become activated through various nuclear interactions therefore, the risk of personal radiation hazard while handling such activated cyclotron components is high. This paper describes all operational aspects of the Health Physics service evolved during the first preventative maintenance program of the Australian National Medical Cyclotron, which took place in June 1993. 5 refs., 3 tabs., 2 figs

  1. A proposed model for assessing service quality in small machining and industrial maintenance companies

    Directory of Open Access Journals (Sweden)

    Morvam dos Santos Netto

    2014-11-01

    Full Text Available Machining and industrial maintenance services include repair (corrective maintenance of equipments, activities involving the assembly-disassembly of equipments, fault diagnosis, machining operations, forming operations, welding processes, assembly and test of equipments. This article proposes a model for assessing the quality of services provided by small machining and industrial maintenance companies, since there is a gap in the literature regarding this issue and because the importance of small service companies in socio-economic development of the country. The model is an adaptation of the SERVQUAL instrument and the criteria determining the quality of services are designed according to the service cycle of a typical small machining and industrial maintenance company. In this sense, the Moments of Truth have been considered in the preparation of two separate questionnaires. The first questionnaire contains 24 statements that reflect the expectations of customers, and the second one contains 24 statements that measure perceptions of service performance. An additional item was included in each questionnaire to assess, respectively, the overall expectation about the services and the overall company performance. Therefore, it is a model that considers the interfaces of the client/supplier relationship, the peculiarities of the machining and industrial maintenance service sector and the company size.

  2. A joint spare part and maintenance inspection optimisation model using the Delay-Time concept

    International Nuclear Information System (INIS)

    Wang Wenbin

    2011-01-01

    Spare parts and maintenance are closely related logistics activities where maintenance generates the need for spare parts. When preventive maintenance is present, it may need more spare parts at one time because of the planned preventive maintenance activities. This paper considers the joint optimisation of three decision variables, e.g., the ordering quantity, ordering interval and inspection interval. The model is constructed using the well-known Delay-Time concept where the failure process is divided into a two-stage process. The objective function is the long run expected cost per unit time in terms of the three decision variables to be optimised. Here we use a block-based inspection policy where all components are inspected at the same time regardless of the ages of the components. This creates a situation that the time to failure since the immediate previous inspection is random and has to be modelled by a distribution. This time is called the forward time and a limiting but closed form of such distribution is obtained. We develop an algorithm for the optimal solution of the decision process using a combination of analytical and enumeration approaches. The model is demonstrated by a numerical example. - Highlights: → Joint optimisation of maintenance and spare part inventory. → The use of the Delay-Time concept. → Block-based inspection. → Fixed order interval but variable order quantity.

  3. A Markov deterioration model for predicting recurrent maintenance ...

    African Journals Online (AJOL)

    The parameters of the Markov chain model for predicting the condition of the road at a design · period for· the flexible pavement failures of wheel track rutting, cracks and pot holes were developed for the Niger State· road network . in Nigeria. Twelve sampled candidate roads were each subjected to standard inventory, traffic ...

  4. Maintenance overtime policies in reliability theory models with random working cycles

    CERN Document Server

    Nakagawa, Toshio

    2015-01-01

    This book introduces a new concept of replacement in maintenance and reliability theory. Replacement overtime, where replacement occurs at the first completion of a working cycle over a planned time, is a new research topic in maintenance theory and also serves to provide a fresh optimization technique in reliability engineering. In comparing replacement overtime with standard and random replacement techniques theoretically and numerically, 'Maintenance Overtime Policies in Reliability Theory' highlights the key benefits to be gained by adopting this new approach and shows how they can be applied to inspection policies, parallel systems and cumulative damage models. Utilizing the latest research in replacement overtime by internationally recognized experts, readers are introduced to new topics and methods, and learn how to practically apply this knowledge to actual reliability models. This book will serve as an essential guide to a new subject of study for graduate students and researchers and also provides a...

  5. Context-Dependent Prognostics and Health Assessment: A Condition-Based Maintenance Approach That Supports Mission Compliance

    Energy Technology Data Exchange (ETDEWEB)

    Allgood, G.O.; Kercel, S.W.

    1999-04-19

    In today's manufacturing environment, plants, systems, and equipment are being asked to perform at levels not thought possible a decade ago. The intent is to improve process operations and equipment reliability, availability, and maintainability without costly upgrades. Of course these gains must be achieved without impacting operational performance. Downsizing is also taking its toll on operations. Loss of personnel, particularly those who represent the corporate history, is depleting US industries of their valuable experiential base which has been relied on so heavily in the past. These realizations are causing companies to rethink their condition-based maintenance policies by moving away from reacting to equipment problems to taking a proactive approach by anticipating needs based on market and customer requirements. This paper describes a different approach to condition-based maintenance-context-dependent prognostics and health assessment. This diagnostic capability is developed around a context-dependent model that provides a capability to anticipate impending failures and determine machine performance over a protracted period of time. This prognostic capability links operational requirements to an economic performance model. In this context, a system may provide 100% operability with less than 100% functionality. This paradigm is used to facilitate optimal logistic supply and support.

  6. Risk calculators predict failures of knee and hip arthroplasties: findings from a large health maintenance organization.

    Science.gov (United States)

    Paxton, Elizabeth W; Inacio, Maria C S; Khatod, Monti; Yue, Eric; Funahashi, Tadashi; Barber, Thomas

    2015-12-01

    Considering the cost and risk associated with revision Total knee arthroplasty (TKAs) and Total hip arthroplasty (THAs), steps to prevent these operations will help patients and reduce healthcare costs. Revision risk calculators for patients may reduce revision surgery by supporting clinical decision-making at the point of care. We sought to develop a TKA and THA revision risk calculator using data from a large health-maintenance organization's arthroplasty registry and determine the best set of predictors for the revision risk calculator. Revision risk calculators for THAs and TKAs were developed using a patient cohort from a total joint replacement registry and data from a large US integrated healthcare system. The cohort included all patients who had primary procedures performed in our healthcare system between April 2001 and July 2008 and were followed until January 2014 (TKAs, n = 41,750; THAs, n = 22,721), During the study period, 9% of patients (TKA = 3066/34,686; THA=1898/20,285) were lost to followup and 7% died (TKA= 2350/41,750; THA=1419/20,285). The outcome of interest was revision surgery and was defined as replacement of any component for any reason within 5 years postoperatively. Candidate predictors for the revision risk calculator were limited to preoperative patient demographics, comorbidities, and procedure diagnoses. Logistic regression models were used to identify predictors and the Hosmer-Lemeshow goodness-of-fit test and c-statistic were used to choose final models for the revision risk calculator. The best predictors for the TKA revision risk calculator were age (odds ratio [OR], 0.96; 95% CI, 0.95-0.97; p calculator were sex (OR, 1.24; 95% CI, 1.05-1.46; p = 0.010), age (OR, 0.98; 95% CI, 0.98-0.99; p calculators. Surgeons can enter personalized patient data in the risk calculators for identification of risk of revision which can be used for clinical decision making at the point of care. Future prospective studies will be needed to validate

  7. An Enhanced Preventive Maintenance Optimization Model Based on a Three-Stage Failure Process

    Directory of Open Access Journals (Sweden)

    Ruifeng Yang

    2015-01-01

    Full Text Available Nuclear power plants are highly complex systems and the issues related to their safety are of primary importance. Probabilistic safety assessment is regarded as the most widespread methodology for studying the safety of nuclear power plants. As maintenance is one of the most important factors for affecting the reliability and safety, an enhanced preventive maintenance optimization model based on a three-stage failure process is proposed. Preventive maintenance is still a dominant maintenance policy due to its easy implementation. In order to correspond to the three-color scheme commonly used in practice, the lifetime of system before failure is divided into three stages, namely, normal, minor defective, and severe defective stages. When the minor defective stage is identified, two measures are considered for comparison: one is that halving the inspection interval only when the minor defective stage is identified at the first time; the other one is that if only identifying the minor defective stage, the subsequent inspection interval is halved. Maintenance is implemented immediately once the severe defective stage is identified. Minimizing the expected cost per unit time is our objective function to optimize the inspection interval. Finally, a numerical example is presented to illustrate the effectiveness of the proposed models.

  8. Spreadsheet modeling of optimal maintenance schedule for components in wear-out phase

    International Nuclear Information System (INIS)

    Artana, K.B.; Ishida, K.

    2002-01-01

    This paper addresses a method for determining the optimum maintenance schedule for components in the wear-out phase. The interval between maintenance for the components is optimized by minimizing the total cost. This consists of maintenance cost, operational cost, downtime cost and penalty cost. A decision to replace a component must also be taken when a component cannot attain the minimum reliability and availability index requirement. Premium solver platform, a spreadsheet-modeling tool, is utilized to model the optimization problem. Constraints, which are the considerations to be fulfilled, become the director of this process. A minimum and a maximum value are set on each constraint so as to give the working area of the optimization process. The optimization process investigates n-equally spaced maintenance at an interval of Tr. The increase in operational and maintenance costs due to the deterioration of the components is taken into account. This paper also performs a case study and sensitivity analysis on a liquid ring primer of a ship's bilge system

  9. A continuum mathematical model of endothelial layer maintenance and senescence

    Directory of Open Access Journals (Sweden)

    Friedman Avner

    2007-08-01

    Full Text Available Abstract Background The monolayer of endothelial cells (ECs lining the inner wall of blood vessels deteriorates as a person ages due to a complex interplay of a variety of causes including cell death arising from shear stress of blood flow and cellular oxidative stress, cellular senescence, and decreased rate of replacement of dead ECs by progenitor stem cells. Results A continuum mathematical model is developed to describe the dynamics of large EC populations of the endothelium using a system of differential equations for the number densities of cells of different generations starting from endothelial progenitors to senescent cells, as well as the densities of dead cells and the holes created upon clearing dead cells. Aging of cells is manifested in three ways, namely, losing the ability to divide when the Hayflick limit of 50 generations is reached, decreasing replication rate parameters and increasing death rate parameters as cells divide; due to the dependence of these rate parameters on cell generation, the model predicts a narrow distribution of cell densities peaking at a particular cell generation. As the chronological age of a person advances, the peak of the distribution – corresponding to the age of the endothelium – moves towards senescence correspondingly. However, computer simulations also demonstrate that sustained and enhanced stem cell homing can halt the aging process of the endothelium by maintaining a stationary cell density distribution that peaks well before the Hayflick limit. The healing rates of damaged endothelia for young, middle-aged, and old persons are compared and are found to be particularly sensitive to the stem cell homing parameter. Conclusion The proposed model describes the aging of the endothelium as being driven by cellular senescence, with a rate that does not necessarily correspond to the chronological aging of a person. It is shown that the age of the endothelium depends sensitively on the homing

  10. Human cognitive task distribution model for maintenance support system of a nuclear power plant

    International Nuclear Information System (INIS)

    Park, Young Ho

    2007-02-01

    In human factors research, more attention has been devoted to the operation of nuclear power plants (NPPs) than to their maintenance. However, human error related to maintenance is 45% among the total human errors from 1990 to 2005 in Korean nuclear power plants. Therefore, it is necessary to study human factors in the maintenance of an NPP. There is a current trend toward introducing digital technology into both safety and non-safety systems in NPPs. A variety of information about plant conditions can be used digitally. In the future, maintenance support systems will be developed based on an information-oriented NPP. In this context, it is necessary to study the cognitive tasks of the personnel involved in maintenance and the interaction between the personnel and maintenance support systems. The fundamental purpose of this work is how to distribute the cognitive tasks of the personnel involved in the maintenance in order to develop a maintenance support system that considers human factors. The second purpose is to find the causes of errors due to engineers or maintainers and propose system functions that are countermeasures to reduce these errors. In this paper, a cognitive task distribution model of the personnel involved in maintenance is proposed using Rasmussen's decision making model. First, the personnel were divided into three groups: the operators (inspectors), engineers, and maintainers. Second, human cognitive tasks related to maintenance were distributed based on these groups. The operators' cognitive tasks are detection and observation; the engineers' cognitive tasks are identification, evaluation, target state, select target, and procedure: and the maintainers' cognitive task is execution. The case study is an analysis of failure reports related to human error in maintenance over a period of 15years. By using error classification based on the information processing approach, the human errors involved in maintenance were classified

  11. A model for determining condition-based maintenance policies for deteriorating multi-component systems

    NARCIS (Netherlands)

    Hontelez, J.A.M.; Wijnmalen, D.J.D.

    1993-01-01

    We discuss a method to determine strategies for preventive maintenance of systems consisting of gradually deteriorating components. A model has been developed to compute not only the range of conditions inducing a repair action, but also inspection moments based on the last known condition value so

  12. Automotive Maintenance Data Base for Model Years 1976-1979. Part I

    Science.gov (United States)

    1980-12-01

    An update of the existing data base was developed to include life cycle maintenance costs of representative vehicles for the model years 1976-1979. Repair costs as a function of time are also developed for a passenger car in each of the compact, subc...

  13. Automotive Maintenance Data Base for Model Years 1976-1979. Part II : Appendix E and F

    Science.gov (United States)

    1980-12-01

    An update of the existing data base was developed to include life cycle maintenance costs of representative vehicles for the model years 1976-1979. Repair costs as a function of time are also developed for a passenger car in each of the compact, subc...

  14. Interpretive Structural Model of Key Performance Indicators for Sustainable Maintenance Evaluatian in Rubber Industry

    Science.gov (United States)

    Amrina, E.; Yulianto, A.

    2018-03-01

    Sustainable maintenance is a new challenge for manufacturing companies to realize sustainable development. In this paper, an interpretive structural model is developed to evaluate sustainable maintenance in the rubber industry. The initial key performance indicators (KPIs) is identified and derived from literature and then validated by academic and industry experts. As a result, three factors of economic, social, and environmental dividing into a total of thirteen indicators are proposed as the KPIs for sustainable maintenance evaluation in rubber industry. Interpretive structural modeling (ISM) methodology is applied to develop a network structure model of the KPIs consisting of three levels. The results show the economic factor is regarded as the basic factor, the social factor as the intermediate factor, while the environmental factor indicated to be the leading factor. Two indicators of social factor i.e. labor relationship, and training and education have both high driver and dependence power, thus categorized as the unstable indicators which need further attention. All the indicators of environmental factor and one indicator of social factor are indicated as the most influencing indicator. The interpretive structural model hoped can aid the rubber companies in evaluating sustainable maintenance performance.

  15. Development of predictive models for estimating warfarin maintenance dose based on genetic and clinical factors.

    Science.gov (United States)

    Yang, Lu; Linder, Mark W

    2013-01-01

    In this chapter, we use calculation of estimated warfarin maintenance dosage as an example to illustrate how to develop a multiple linear regression model to quantify the relationship between several independent variables (e.g., patients' genotype information) and a dependent variable (e.g., measureable clinical outcome).

  16. Stochastic reliability and maintenance modeling essays in honor of Professor Shunji Osaki on his 70th birthday

    CERN Document Server

    Nakagawa, Toshio

    2013-01-01

    In honor of the work of Professor Shunji Osaki, Stochastic Reliability and Maintenance Modeling provides a comprehensive study of the legacy of and ongoing research in stochastic reliability and maintenance modeling. Including associated application areas such as dependable computing, performance evaluation, software engineering, communication engineering, distinguished researchers review and build on the contributions over the last four decades by Professor Shunji Osaki. Fundamental yet significant research results are presented and discussed clearly alongside new ideas and topics on stochastic reliability and maintenance modeling to inspire future research. Across 15 chapters readers gain the knowledge and understanding to apply reliability and maintenance theory to computer and communication systems. Stochastic Reliability and Maintenance Modeling is ideal for graduate students and researchers in reliability engineering, and workers, managers and engineers engaged in computer, maintenance and management wo...

  17. Primary health care models

    Science.gov (United States)

    Brown, Judith Belle; French, Reta; McCulloch, Amy; Clendinning, Eric

    2012-01-01

    Abstract Objective To explore the knowledge and perceptions of fourth-year medical students regarding the new models of primary health care (PHC) and to ascertain whether that knowledge influenced their decisions to pursue careers in family medicine. Design Qualitative study using semistructured interviews. Setting The Schulich School of Medicine and Dentistry at The University of Western Ontario in London. Participants Fourth-year medical students graduating in 2009 who indicated family medicine as a possible career choice on their Canadian Residency Matching Service applications. Methods Eleven semistructured interviews were conducted between January and April of 2009. Data were analyzed using an iterative and interpretive approach. The analysis strategy of immersion and crystallization assisted in synthesizing the data to provide a comprehensive view of key themes and overarching concepts. Main findings Four key themes were identified: the level of students’ knowledge regarding PHC models varied; the knowledge was generally obtained from practical experiences rather than classroom learning; students could identify both advantages and disadvantages of working within the new PHC models; and although students regarded the new PHC models positively, these models did not influence their decisions to pursue careers in family medicine. Conclusion Knowledge of the new PHC models varies among fourth-year students, indicating a need for improved education strategies in the years before clinical training. Being able to identify advantages and disadvantages of the PHC models was not enough to influence participants’ choice of specialty. Educators and health care policy makers need to determine the best methods to promote and facilitate knowledge transfer about these PHC models. PMID:22518904

  18. Final report of MoReMO 2011-2012. Modelling resilience for maintenance and outage

    Energy Technology Data Exchange (ETDEWEB)

    Gotcheva, N.; Macchi, L.; Oedewald, P. [Technical Research Centre of Finland (VTT), Espoo (Finland); Eitrheim, M.H.R. [Institute for Energy Technology (IFE) (Norway); Axelsson, C.; Reiman, T.; Pietikaeinen, E. [Ringhals AB (NPP), Vattenfall AB (Sweden)

    2013-04-15

    The project Modelling Resilience for Maintenance and Outage (MoReMO) represents a two-year joint effort by VTT Technical Research Centre of Finland, Institute for Energy Technology (IFE, Norway) and Vattenfall (Sweden) to develop and test new approaches for safety management. The overall goal of the project was to present concepts on how resilience can be operationalized and built in a safety critical and socio-technical context. Furthermore, the project also aimed at providing guidance for other organizations that strive to develop and improve their safety performance in a business driven industry. We have applied four approaches in different case studies: Organisational Core Task modelling (OCT), Functional Resonance Analysis Method (FRAM), Efficiency Thoroughness Trade-Off (ETTO) analysis, and Work Practice and Culture Characterisation. During 2011 and 2012 the MoReMO project team has collected data through field observations, interviews, workshops, and document analysis on the work practices and adjustments in maintenance and outage in Nordic NPPs. The project consisted of two sub-studies, one focused on identifying and assessing adjustments and supporting resilient work practices in maintenance activities, while the other focused on handling performance trade-offs in maintenance and outage, as follows: A. Adjustments in maintenance work in Nordic nuclear power plants (VTT and Vattenfall). B. Handling performance trade-offs - the support of adaptive capacities (IFE and Vattenfall). The historical perspective of maintenance and outage management (Chapter 1.1) was provided by Vattenfall. Together, the two sub-studies have provided valuable insights for understanding the rationale behind work practices and adjustments, their effects on resilience, promoting flexibility and balancing between flexibility and reliability. (Author)

  19. Final report of MoReMO 2011-2012. Modelling resilience for maintenance and outage

    International Nuclear Information System (INIS)

    Gotcheva, N.; Macchi, L.; Oedewald, P.; Eitrheim, M.H.R.; Axelsson, C.; Reiman, T.; Pietikaeinen, E.

    2013-04-01

    The project Modelling Resilience for Maintenance and Outage (MoReMO) represents a two-year joint effort by VTT Technical Research Centre of Finland, Institute for Energy Technology (IFE, Norway) and Vattenfall (Sweden) to develop and test new approaches for safety management. The overall goal of the project was to present concepts on how resilience can be operationalized and built in a safety critical and socio-technical context. Furthermore, the project also aimed at providing guidance for other organizations that strive to develop and improve their safety performance in a business driven industry. We have applied four approaches in different case studies: Organisational Core Task modelling (OCT), Functional Resonance Analysis Method (FRAM), Efficiency Thoroughness Trade-Off (ETTO) analysis, and Work Practice and Culture Characterisation. During 2011 and 2012 the MoReMO project team has collected data through field observations, interviews, workshops, and document analysis on the work practices and adjustments in maintenance and outage in Nordic NPPs. The project consisted of two sub-studies, one focused on identifying and assessing adjustments and supporting resilient work practices in maintenance activities, while the other focused on handling performance trade-offs in maintenance and outage, as follows: A. Adjustments in maintenance work in Nordic nuclear power plants (VTT and Vattenfall). B. Handling performance trade-offs - the support of adaptive capacities (IFE and Vattenfall). The historical perspective of maintenance and outage management (Chapter 1.1) was provided by Vattenfall. Together, the two sub-studies have provided valuable insights for understanding the rationale behind work practices and adjustments, their effects on resilience, promoting flexibility and balancing between flexibility and reliability. (Author)

  20. Analysis of the possibility of applying a condition-based maintenance model on an example of tank weapons

    Directory of Open Access Journals (Sweden)

    Igor J. Epler

    2013-12-01

    Full Text Available For any modern army it is very important to continuously maintain a high degree of operational (combat readiness (availability in order to maximize the effectiveness of the use of technical systems. Since determination and prediction of technical states and failures of technical systems in engineering, especially in armament, are difficult due to the impossibility of continuous condition monitoring with appropriate measuring equipment there is a need for a maintenance model that would be most helpful in taking timely action maintenance. In this paper, the subject of research is a model of maintenance of the M-84 tank  weapoons systems.   IntroductionThe M-84 tank is one of the most promising technical systems in the Serbian Army. Its use and modifications are foreseen in the next ten years. The  M-84 is characterized by good tactical and technical characteristics. It has a powerful 125 mm cannon, coupled 7.62 mm machine gun and 12.7 mm anti-aircraft machine gun. The M-84 tank has an automatic battery charger and a fire control system. The fire control system enables fast target tracking and stabilization of the cannon barrel, which is a prerequisite for timely and favorable effect on the target. There are certain ambiguities in the existing model of maintenance of tank weapons.   Technical diagnostics Technical diagnostics, as a part of the process of condition-based maintenance, should determine technical conditions of components or technical systems with certain accuracy at a point in time.   Maintenance strategy A maintenance strategy can be defined as a variant of a maintenance system determined by a concept, organization and character of maintenance procedures, as well as the relationship between the various levels at which maintenance is performed. It is defined for technical system parts, individual technical systems and for system maintenance as a whole. The basic maintenance strategies implemented today are: -      corrective

  1. Degradation Modelling for Health Monitoring Systems

    International Nuclear Information System (INIS)

    Stetter, R; Witczak, M

    2014-01-01

    Condition-monitoring plays an increasingly important role for technical processes in order to improve reliability, availability, maintenance and lifetime of equipment. With increasing demands for efficiency and product quality, plus progress in the integration of automatic control systems in high-cost mechatronic and critical safety processes, the field of health monitoring is gaining interest. A similar research field is concerned with an estimation of the remaining useful life. A central question in these fields is the modelling of degradation; degradation is a process of a gradual and irreversible accumulation of damage which will finally result in a failure of the system. This paper is based on a current research project and explores various degradation modelling techniques. These results are explained on the basis of an industrial product – a system for the generation of health status information for pump systems. The result of this fuzzy-logic based system is a single number indicating the current health of a pump system

  2. Pragmatic Trials in Maintenance Dialysis: Perspectives from the Kidney Health Initiative.

    Science.gov (United States)

    Dember, Laura M; Archdeacon, Patrick; Krishnan, Mahesh; Lacson, Eduardo; Ling, Shari M; Roy-Chaudhury, Prabir; Smith, Kimberly A; Flessner, Michael F

    2016-10-01

    Pragmatic clinical trials are conducted under the real-world conditions of clinical care delivery. As a result, these trials yield findings that are highly generalizable to the nonresearch setting, identify interventions that are readily translatable into clinical practice, and cost less than trials that require extensive research infrastructures. Maintenance dialysis is a setting especially well suited for pragmatic trials because of inherently frequent and predictable patient encounters, highly granular and uniform data collection, use of electronic data systems, and delivery of care by a small number of provider organizations to approximately 90% of patients nationally. Recognizing the potential for pragmatic trials to generate much needed evidence to guide the care of patients receiving maintenance dialysis, the Kidney Health Initiative assembled a group of individuals with relevant expertise from academia, industry, and government to provide the nephrology community with information about the design and conduct of such trials, with a specific focus on the dialysis setting. Here, we review this information, and where applicable, use experience from the ongoing Time to Reduce Mortality in End Stage Renal Disease Trial, a large cluster-randomized, pragmatic trial evaluating hemodialysis session duration, to illustrate challenges and solutions to operational, ethical, and regulatory issues. Copyright © 2016 by the American Society of Nephrology.

  3. Possible Implications of a Vortex Gas Model and Self-Similarity for Tornadogenesis and Maintenance

    OpenAIRE

    Dokken, Douglas P.; Scholz, Kurt; Shvartsman, Mikhail M.; Bělík, Pavel; Potvin, Corey; Dahl, Brittany; McGovern, Amy

    2014-01-01

    We describe tornadogenesis and maintenance using the 3-dimensional vortex gas model presented in Chorin (1994) and developed further in Flandoli and Gubinelli (2002). We suggest that high-energy, super-critical vortices in the sense of Benjamin (1962), that have been studied by Fiedler and Rotunno (1986), have negative temperature in the sense of Onsager (1949) play an important role in the model. We speculate that the formation of high-temperature vortices is related to the helicity inherite...

  4. COSYMA: Health effects models

    International Nuclear Information System (INIS)

    Ehrhardt, J.

    1995-02-01

    As one of the main objectives of the MARIA project (''Methods for Assessing the Radiological Impact of Accidents'') initiated by the Commission of the European Communities the program package COSYMA (''COde SYstem from MARIA'') for assessing the radiological and economic off-site consequences of accidental releases of radioactive material to the atmosphere has been jointly developed by the Kernforschungszentrum Karlsruhe (KfK), FRG, and the National Radiological Protection Board (NRPB), UK. COSYMA includes models and data for assessing a broad spectrum of accident consequences, and they are implemented in independent modules. The subject of this report are those modules, which incorporate models and data for assessing individual and collective risks for deterministic and stochastic health effects. It describes the models implemented, the mathematical algorithms and the required data. Examples are given and explained for the input and output part of the modules. (orig.)

  5. Criteria and model for assessing and improving information technology maturity within maintenance

    International Nuclear Information System (INIS)

    Kans, M; Ehsanifard, K; Moniri, A

    2012-01-01

    Maintenance optimization and decision-making processes have been both influenced considerably by Information Technology (IT) developments mainly by increasing data availability. The decision-making process in its turn has affected systems trustworthiness positively. Therefore, theoretically speaking it could be said that Maintenance Management Information technology (MMIT) has the potential to provide applicable solutions for many of the maintenance management problems. Nevertheless, this potential has been hardly experienced in practice because of the mismatch between the level of IT maturity in the organizations and their selected MMIT solutions. To fill this gap this paper suggests a number of criteria which are crucial in decision making for selecting a MMIT application. The criteria are formed based on previous findings utilising an extensive literature review. A model is further developed for this purpose which is also tested on a case company active in power generation in Sweden. The model proved to be helpful when taking further improvement steps for reaching high utilization of IT in maintenance.

  6. Quantified Risk Ranking Model for Condition-Based Risk and Reliability Centered Maintenance

    Science.gov (United States)

    Chattopadhyaya, Pradip Kumar; Basu, Sushil Kumar; Majumdar, Manik Chandra

    2017-06-01

    In the recent past, risk and reliability centered maintenance (RRCM) framework is introduced with a shift in the methodological focus from reliability and probabilities (expected values) to reliability, uncertainty and risk. In this paper authors explain a novel methodology for risk quantification and ranking the critical items for prioritizing the maintenance actions on the basis of condition-based risk and reliability centered maintenance (CBRRCM). The critical items are identified through criticality analysis of RPN values of items of a system and the maintenance significant precipitating factors (MSPF) of items are evaluated. The criticality of risk is assessed using three risk coefficients. The likelihood risk coefficient treats the probability as a fuzzy number. The abstract risk coefficient deduces risk influenced by uncertainty, sensitivity besides other factors. The third risk coefficient is called hazardous risk coefficient, which is due to anticipated hazards which may occur in the future and the risk is deduced from criteria of consequences on safety, environment, maintenance and economic risks with corresponding cost for consequences. The characteristic values of all the three risk coefficients are obtained with a particular test. With few more tests on the system, the values may change significantly within controlling range of each coefficient, hence `random number simulation' is resorted to obtain one distinctive value for each coefficient. The risk coefficients are statistically added to obtain final risk coefficient of each critical item and then the final rankings of critical items are estimated. The prioritization in ranking of critical items using the developed mathematical model for risk assessment shall be useful in optimization of financial losses and timing of maintenance actions.

  7. An economically designed, integrated quality and maintenance model using an adaptive Shewhart chart

    International Nuclear Information System (INIS)

    Panagiotidou, Sofia; Nenes, George

    2009-01-01

    This paper proposes a model for the economic design of a variable-parameter (Vp) Shewhart control chart used to monitor the mean in a process, where, apart from quality shifts, failures may also occur. Quality shifts result in poorer quality outcome, higher operational cost and higher failure rate. Thus, removal of such quality shifts, besides improving the quality of the outcome and reducing the quality cost, is also a preventive maintenance (PM) action since it reduces the probability of a failure and improves the equipment reliability. The proposed model allows the determination of the scheme parameters that minimize the total expected quality and maintenance cost of the procedure. The monitoring mechanism of the process employs an adaptive Vp-Shewhart control chart. To evaluate the effectiveness of the proposed model, its optimal expected cost is compared against the optimum cost of a fixed-parameter (Fp) chart

  8. The political management of managed care: explaining variations in state health maintenance organization regulations.

    Science.gov (United States)

    Gray, Virginia; Lowery, David; Godwin, Erik K

    2007-06-01

    In the 1990s, strong incentives for managed care organizations to control costs, once regarded as a fortuitous confluence of interests, came to be seen as antithetical to consumers' interests in quality of care. In response to this change in political climate, many states have greatly increased their regulatory control of managed care organizations since the mid-1990s. This activity is surprising in an era when public policy on health care issues is usually described as frozen, gridlocked, and/or stalemated as a result of intense activity on the part of organized interests. We take advantage of the variation in state regulations of health maintenance organizations (HMOs) to discover why some governments are able to address policy problems that are often perceived as intractable in a political if not in a true policy sense. From the history of HMOs, the backlash against managed care, and state responses to that backlash, we first extract a number of hypotheses about state regulatory activity. We then test these hypotheses with data on regulatory adoptions by states during the late 1990s and the early 2000s. Last, we discuss the findings with special attention to the role of politics in health care.

  9. Towards an Information Model of Consistency Maintenance in Distributed Interactive Applications

    Directory of Open Access Journals (Sweden)

    Xin Zhang

    2008-01-01

    Full Text Available A novel framework to model and explore predictive contract mechanisms in distributed interactive applications (DIAs using information theory is proposed. In our model, the entity state update scheme is modelled as an information generation, encoding, and reconstruction process. Such a perspective facilitates a quantitative measurement of state fidelity loss as a result of the distribution protocol. Results from an experimental study on a first-person shooter game are used to illustrate the utility of this measurement process. We contend that our proposed model is a starting point to reframe and analyse consistency maintenance in DIAs as a problem in distributed interactive media compression.

  10. A MAINTENANCE STRATEGY MODEL FOR STATIC EQUIPMENT USING INSPECTION METHODOLOGIES AND RISK MANAGEMENT

    Directory of Open Access Journals (Sweden)

    J.K. Visser

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Mechanical equipment used on process plants can be categorised into two main types, namely static and rotating equipment. A brief survey at a number of chemical process plants indicated that a number of maintenance strategies exist and are used for rotating equipment. However, some of these strategies are not directly applicable to static equipment, although the risk-based inspection (RBI methodology has been developed for pressure vessels. A generalised risk-based maintenance strategy for all types of static equipment does not currently exist. This paper describes the development of an optimised model of inspection methodologies, maintenance strategies, and risk management principles that are generically applicable for static equipment. It enables maintenance managers and engineers to select an applicable maintenance strategy and inspection methodology, based on the operational and business risks posed by the individual pieces of equipment.

    AFRIKAANSE OPSOMMING: Meganiese toerusting wat op prosesaanlegte gebruik word kan in twee kategorieë verdeel word, naamlik statiese en roterende toerusting. 'n Bondige ondersoek by 'n aantal chemiese prosesaanlegte het aangedui dat 'n aantal strategieë vir instandhouding van roterende toerusting gebruik word, terwyl die risikogebaseerde inspeksiemetodologie wel vir drukvate gebruik word. 'n Algemene risikogebaseerde instandhoudingstrategie vir alle tipes statiese toerusting is egter nie tans beskikbaar nie. Hierdie artikel beskryf die ontwikkeling van 'n geoptimeerde model van inspeksiemetodologieë, instandhoudingstrategieë, en risikobestuursbeginsels wat algemeen gebruik kan word vir statiese toerusting. Dit stel die instandhouding-bestuurders en -ingenieurs in staat om 'n instandhoudingstrategie en inspeksie-metodologie te kies, gebaseer op die operasionele en besigheidsrisiko's van die individuele toerusting.

  11. Molecular constraints on synaptic tagging and maintenance of long-term potentiation: a predictive model.

    Directory of Open Access Journals (Sweden)

    Paul Smolen

    Full Text Available Protein synthesis-dependent, late long-term potentiation (LTP and depression (LTD at glutamatergic hippocampal synapses are well characterized examples of long-term synaptic plasticity. Persistent increased activity of protein kinase M ζ (PKMζ is thought essential for maintaining LTP. Additional spatial and temporal features that govern LTP and LTD induction are embodied in the synaptic tagging and capture (STC and cross capture hypotheses. Only synapses that have been "tagged" by a stimulus sufficient for LTP and learning can "capture" PKMζ. A model was developed to simulate the dynamics of key molecules required for LTP and LTD. The model concisely represents relationships between tagging, capture, LTD, and LTP maintenance. The model successfully simulated LTP maintained by persistent synaptic PKMζ, STC, LTD, and cross capture, and makes testable predictions concerning the dynamics of PKMζ. The maintenance of LTP, and consequently of at least some forms of long-term memory, is predicted to require continual positive feedback in which PKMζ enhances its own synthesis only at potentiated synapses. This feedback underlies bistability in the activity of PKMζ. Second, cross capture requires the induction of LTD to induce dendritic PKMζ synthesis, although this may require tagging of a nearby synapse for LTP. The model also simulates the effects of PKMζ inhibition, and makes additional predictions for the dynamics of CaM kinases. Experiments testing the above predictions would significantly advance the understanding of memory maintenance.

  12. Molecular constraints on synaptic tagging and maintenance of long-term potentiation: a predictive model.

    Science.gov (United States)

    Smolen, Paul; Baxter, Douglas A; Byrne, John H

    2012-01-01

    Protein synthesis-dependent, late long-term potentiation (LTP) and depression (LTD) at glutamatergic hippocampal synapses are well characterized examples of long-term synaptic plasticity. Persistent increased activity of protein kinase M ζ (PKMζ) is thought essential for maintaining LTP. Additional spatial and temporal features that govern LTP and LTD induction are embodied in the synaptic tagging and capture (STC) and cross capture hypotheses. Only synapses that have been "tagged" by a stimulus sufficient for LTP and learning can "capture" PKMζ. A model was developed to simulate the dynamics of key molecules required for LTP and LTD. The model concisely represents relationships between tagging, capture, LTD, and LTP maintenance. The model successfully simulated LTP maintained by persistent synaptic PKMζ, STC, LTD, and cross capture, and makes testable predictions concerning the dynamics of PKMζ. The maintenance of LTP, and consequently of at least some forms of long-term memory, is predicted to require continual positive feedback in which PKMζ enhances its own synthesis only at potentiated synapses. This feedback underlies bistability in the activity of PKMζ. Second, cross capture requires the induction of LTD to induce dendritic PKMζ synthesis, although this may require tagging of a nearby synapse for LTP. The model also simulates the effects of PKMζ inhibition, and makes additional predictions for the dynamics of CaM kinases. Experiments testing the above predictions would significantly advance the understanding of memory maintenance.

  13. Maintenance care: health promotion services administered to US chiropractic patients aged 65 and older, part II.

    Science.gov (United States)

    Rupert, R L; Manello, D; Sandefur, R

    2000-01-01

    Health promotion and prevention services provided by the chiropractic profession historically have been referred to as maintenance care (MC). The primary objective of this investigation was to obtain information regarding multiple health issues of patients age 65 years and over who have had a long-term regimen of chiropractic health promotion and preventive care. The study also sought to explore the nature of the interventions and methods that were most commonly used by chiropractors when administering MC and to determine whether there were differences between patients who have had long-term exposure to these preventive services versus those who have not. This descriptive study was accomplished by selecting chiropractic patients (age 65 years and over) who had received health-promotion and prevention services for at least 5 years, with a minimum of 4 visits per year. To enhance the probability of securing a more representative patient sample, selection was made through the participation of chiropractors from 6 diverse geographic locations across the United States. Doctors were asked to enroll the first 10 consenting patients who met the inclusion criteria. A battery of diverse assessment instruments were completed by each patient to provide a patient health profile. Information related to each patient included answers to the SF-36D survey, patient health habits, expenditures of health services, frequency of use of health providers, and perceived value of chiropractic prevention and health promotion services. A total of 73 chiropractors participated in this investigation from the 6 study sites. In addition to an average 1.9 manual procedures used per patient, it was common to recommend stretching exercises (68.2%), aerobic exercises (55.6%), dietary advice (45.3%), and a host of other prevention strategies, including vitamins and relaxation. The patients investigated in this study reported making only half the annual number of visits to medical providers (4

  14. Health maintenance organizations: critical issues raised by restructuring delivery for health systems reform.

    Science.gov (United States)

    Gold, M

    1993-10-01

    In sum, the potential that managed care will grow under health systems reform creates an opportunity for the HMO industry but also serves as a challenge and a threat. Faced with greater scrutiny and growing demands, HMOs increasingly are being forced to demonstrate their potential and live up to their expectation. At the same time, the changing nature of the health care system creates a challenge for HMOs. Cost pressures create needs to review the entire delivery system, including the ambulatory component, with a focus on enhancing cost-effectiveness. Greater visibility also creates demands; growing market penetration argues for the creation of a new paradigm to define an appropriate structure for public accountability and management. Finally, the transformation of an HMO industry into a managed care industry is not without its risks as HMO performance becomes evaluated not only against itself but as part of the performance of the broader managed care industry in which HMOs have become embedded.

  15. Development of Pavement Maintenance Management System (PMMS of Urban Road Network Using HDM-4 Model

    Directory of Open Access Journals (Sweden)

    Tanuj Chopra

    2017-04-01

    Full Text Available The aim of the study is to develop Pavement Maintenance Management System (PMMS for four road sections of urban road network (Patiala, Punjab, India using Highway Development and Management (HDM-4 model. The HDM-4 provides a deterministic approach in data input and process data of existing road condition, traffic volume and pavement composition to predict road deterioration as per the urban road conditions in terms of International Roughness Index (IRI value. This study presents the use of HDM-4 model for the computation of optimum Maintenance and Rehabilitation (M&R strategy for each road section and comparative study of scheduled and condition responsive M&R strategies. The results of present study will be useful for gaining better support for decision-makers for adequate and timely fund allocations for preservation of the urban road network.

  16. Extended warranties, maintenance service and lease contracts modeling and analysis for decision-making

    CERN Document Server

    Murthy, D N Prabhakar

    2014-01-01

    Serving to unify the existing literature on extended warranties, maintenance service contracts and lease contracts, this book also presents a unique perspective on the topic focussed on cost analysis and decision-making from the perspectives of the parties involved. Using a game theoretic approach together with mathematical modelling, results are presented in an integrated manner with key topics that require further research highlighted in order to serve as a starting point for researchers (engineers and statisticians) who are interested in doing further work in these areas. Designed to assist practitioners (managers, engineers, applied statisticians) who are involved with extended warranties, maintenance service contracts and lease contracts, the book provides them with the models and techniques needed for proper cost analysis and effective decision-making. The book is also suitable for use as a reference text in industrial engineering, applied statistics, operations research and management.

  17. Condition-based maintenance effectiveness for series–parallel power generation system—A combined Markovian simulation model

    International Nuclear Information System (INIS)

    Azadeh, A.; Asadzadeh, S.M.; Salehi, N.; Firoozi, M.

    2015-01-01

    Condition-based maintenance (CBM) is an increasingly applicable policy in the competitive marketplace as a means of improving equipment reliability and efficiency. Not only has maintenance a close relationship with safety but its costs also make it even more attractive issue for researchers. This study proposes a model to evaluate the effectiveness of CBM policy compared to two other maintenance policies: Corrective Maintenance (CM) and Preventive Maintenance (PM). Maintenance policies are compared through two system performance indicators: reliability and cost. To estimate the reliability and costs of the system, the proposed Markovian discrete-event simulation model is developed under each of these policies. The applicability and usefulness of the proposed Markovian simulation model is illustrated for a series–parallel power generation system. The simulated characteristics of CBM system include its prognostics efficiency to estimate remaining useful life of the equipment. Results show that with an efficient prognostics, CBM policy is an effective strategy compared to other maintenance strategies. - Highlights: • A model is developed to evaluate the effectiveness of CBM policy. • Maintenance policies are compared through reliability and cost. • A Markovian simulation model is developed. • A series–parallel power generation system is considered. • CBM is an effective strategy compared to others

  18. Developing a theoretical maintenance model for disordered eating in Type 1 diabetes.

    Science.gov (United States)

    Treasure, J; Kan, C; Stephenson, L; Warren, E; Smith, E; Heller, S; Ismail, K

    2015-12-01

    According to the literature, eating disorders are an increasing problem for more than a quarter of people with Type 1 diabetes and they are associated with accentuated diabetic complications. The clinical outcomes in this group when given standard eating disorder treatments are disappointing. The Medical Research Council guidelines for developing complex interventions suggest that the first step is to develop a theoretical model. To review existing literature to build a theoretical maintenance model for disordered eating in people with Type 1 diabetes. The literature in diabetes relating to models of eating disorder (Fairburn's transdiagnostic model and the dual pathway model) and food addiction was examined and assimilated. The elements common to all eating disorder models include weight/shape concern and problems with mood regulation. The predisposing traits of perfectionism, low self-esteem and low body esteem and the interpersonal difficulties from the transdiagnostic model are also relevant to diabetes. The differences include the use of insulin mismanagement to compensate for breaking eating rules and the consequential wide variations in plasma glucose that may predispose to 'food addiction'. Eating disorder symptoms elicit emotionally driven reactions and behaviours from others close to the individual affected and these are accentuated in the context of diabetes. The next stage is to test the assumptions within the maintenance model with experimental medicine studies to facilitate the development of new technologies aimed at increasing inhibitory processes and moderating environmental triggers. © 2015 The Authors. Diabetic Medicine © 2015 Diabetes UK.

  19. The Development and Application of a Value-Driven Aircraft Maintenance Operations Performance Assessment Model combined with Real Options Analysis

    NARCIS (Netherlands)

    Goossens, H.G.; Beelaerts van Blokland, W.W.A.; Curran, R.

    2011-01-01

    This research paper presents the results from the development of an Aircraft Maintenance Operations Performance Assessment Model (AMOPAM). The AMOPAM is able to assess the differences in performance in between two different states or scenarios of aircraft maintenance operations and is able to

  20. Condition Based Maintenance of Space Exploration Vehicles Using Structural Health Monitoring, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — Acellent Technologies proposes to develop an autonomous and automated diagnostic system for condition based maintenance (CBM) of safety critical structures for space...

  1. Condition Based Maintenance of Space Exploration Vehicles Using Structural Health Monitoring Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Acellent Technologies proposes to develop an autonomous and automated diagnostic system for condition based maintenance (CBM) of safety critical structures for space...

  2. A Decision Optimization Model for Leased Manufacturing Equipment with Warranty under Forecasting Production/Maintenance Problem

    Directory of Open Access Journals (Sweden)

    Zied Hajej

    2015-01-01

    Full Text Available Due to the expensive production equipment, many manufacturers usually lease production equipment with a warranty period during a finite leasing horizon, rather than purchasing them. The lease contract contains the possibility of obtaining an extended warranty for a given additional cost. In this paper, based on the forecasting production/maintenance optimization problem, we develop a mathematical model to study the lease contract with basic and extended warranty based on win-win relationship between the lessee and the lessor. The influence of the production rates in the equipment degradation consequently on the total cost by each side during the finite leasing horizon is stated in order to determine a theoretical condition under which a compromise-pricing zone exists under different possibilities of maintenance policies.

  3. Drug addiction stigma in relation to methadone maintenance treatment by different service delivery models in Vietnam.

    Science.gov (United States)

    Tran, Bach Xuan; Vu, Phuong Bich; Nguyen, Long Hoang; Latkin, Sophia Knowlton; Nguyen, Cuong Tat; Phan, Huong Thu Thi; Latkin, Carl A

    2016-03-08

    The rapid expansion of methadone maintenance treatment (MMT) services has significantly improved health status and quality of life of patients. However, little is known about its impacts on addiction-related stigma and associated factors. A cross-sectional survey was conducted in 2013 in Vietnam's capital, Hanoi, and Nam Dinh province among 1016 methadone maintenance patients; 26.6 % at provincial AIDS centers (PAC) and 73.4 % at district health centers (DHC), respectively. Drug addiction history and related stigma, health status, MMT-related covariates, and sociodemographic characteristics were interviewed. More than one-sixth of the sample reported experiencing felt or enacted stigma, including Blame or Judgement (17.2 %), Shame (19.9 %), or Others' fear of HIV transmission (17.1 %). These proportions were higher in PACs than in DHCs, which are integrated with other HIV or general health care services. Very few patients reported being discriminated at the workplace (2.5 %) or at health care services (1.7 %); however, 15.6 % of patients at PACs and 10.6 % of patients at DHCs reported discrimination in their communities. Drug users taking MMT for longer periods were less likely to report felt stigma. Other factors associated with stigma against MMT patients included the lack of comprehensive services, higher education, presence of pain/discomfort, and anxiety/depression, self-reported HIV positive, and number of previous drug rehabilitation episodes. The study shows a high level of stigma against MMT patients and emphasizes the necessity to integrate MMT with comprehensive health and support services. Mass communication campaigns to reduce stigma against people with drug addiction and HIV/AIDS, as well as vocational trainings and jobs referrals for MMT patients, are needed to maximize the benefits of MMT programs in Vietnam.

  4. Drug addiction stigma in relation to methadone maintenance treatment by different service delivery models in Vietnam

    Directory of Open Access Journals (Sweden)

    Bach Xuan Tran

    2016-03-01

    Full Text Available Abstract Background The rapid expansion of methadone maintenance treatment (MMT services has significantly improved health status and quality of life of patients. However, little is known about its impacts on addiction-related stigma and associated factors. Methods A cross-sectional survey was conducted in 2013 in Vietnam’s capital, Hanoi, and Nam Dinh province among 1016 methadone maintenance patients; 26.6 % at provincial AIDS centers (PAC and 73.4 % at district health centers (DHC, respectively. Drug addiction history and related stigma, health status, MMT-related covariates, and sociodemographic characteristics were interviewed. Results More than one-sixth of the sample reported experiencing felt or enacted stigma, including Blame or Judgement (17.2 %, Shame (19.9 %, or Others’ fear of HIV transmission (17.1 %. These proportions were higher in PACs than in DHCs, which are integrated with other HIV or general health care services. Very few patients reported being discriminated at the workplace (2.5 % or at health care services (1.7 %; however, 15.6 % of patients at PACs and 10.6 % of patients at DHCs reported discrimination in their communities. Drug users taking MMT for longer periods were less likely to report felt stigma. Other factors associated with stigma against MMT patients included the lack of comprehensive services, higher education, presence of pain/discomfort, and anxiety/depression, self-reported HIV positive, and number of previous drug rehabilitation episodes. Conclusion The study shows a high level of stigma against MMT patients and emphasizes the necessity to integrate MMT with comprehensive health and support services. Mass communication campaigns to reduce stigma against people with drug addiction and HIV/AIDS, as well as vocational trainings and jobs referrals for MMT patients, are needed to maximize the benefits of MMT programs in Vietnam.

  5. Phased mission modelling of systems with maintenance-free operating periods using simulated Petri nets

    Energy Technology Data Exchange (ETDEWEB)

    Chew, S.P.; Dunnett, S.J. [Department of Aeronautical and Automotive Engineering, Loughborough University, Loughborough, Leics (United Kingdom); Andrews, J.D. [Department of Aeronautical and Automotive Engineering, Loughborough University, Loughborough, Leics (United Kingdom)], E-mail: j.d.andrews@lboro.ac.uk

    2008-07-15

    A common scenario in engineering is that of a system which operates throughout several sequential and distinct periods of time, during which the modes and consequences of failure differ from one another. This type of operation is known as a phased mission, and for the mission to be a success the system must successfully operate throughout all of the phases. Examples include a rocket launch and an aeroplane flight. Component or sub-system failures may occur at any time during the mission, yet not affect the system performance until the phase in which their condition is critical. This may mean that the transition from one phase to the next is a critical event that leads to phase and mission failure, with the root cause being a component failure in a previous phase. A series of phased missions with no maintenance may be considered as a maintenance-free operating period (MFOP). This paper describes the use of a Petri net (PN) to model the reliability of the MFOP and phased missions scenario. The model uses Monte-Carlo simulation to obtain its results, and due to the modelling power of PNs, can consider complexities such as component failure rate interdependencies and mission abandonment. The model operates three different types of PN which interact to provide the overall system reliability modelling. The model is demonstrated and validated by considering two simple examples that can be solved analytically.

  6. Phased mission modelling of systems with maintenance-free operating periods using simulated Petri nets

    International Nuclear Information System (INIS)

    Chew, S.P.; Dunnett, S.J.; Andrews, J.D.

    2008-01-01

    A common scenario in engineering is that of a system which operates throughout several sequential and distinct periods of time, during which the modes and consequences of failure differ from one another. This type of operation is known as a phased mission, and for the mission to be a success the system must successfully operate throughout all of the phases. Examples include a rocket launch and an aeroplane flight. Component or sub-system failures may occur at any time during the mission, yet not affect the system performance until the phase in which their condition is critical. This may mean that the transition from one phase to the next is a critical event that leads to phase and mission failure, with the root cause being a component failure in a previous phase. A series of phased missions with no maintenance may be considered as a maintenance-free operating period (MFOP). This paper describes the use of a Petri net (PN) to model the reliability of the MFOP and phased missions scenario. The model uses Monte-Carlo simulation to obtain its results, and due to the modelling power of PNs, can consider complexities such as component failure rate interdependencies and mission abandonment. The model operates three different types of PN which interact to provide the overall system reliability modelling. The model is demonstrated and validated by considering two simple examples that can be solved analytically

  7. Application prototype of a model-based expert system to the maintenance of a MAN

    Science.gov (United States)

    Hopfmueller, Heinrich; Kehl, Walter; Schapeler, Gottfried

    1993-10-01

    This paper describes the work done and results achieved in implementing a fault management prototype for a Metropolitan Area Network (MAN) switching system, the GMAN (GMS Fault Management Prototype for a MAN). The GMAN is implemented using the Generic Maintenance System (GMS) which has been developed by the RACE project AIM (R1006). The GMS is a model based expert system toolset (`2nd generation XPS') comprising components for knowledge acquisition, knowledge representation, model based reasoning, human machine interface, and dialogue design. The GMS supports automatic fault management from receiving and treating fault events to guiding an operator through a repair procedure.

  8. A new modeling approach to the safety evaluation of N-modular redundant computer systems in presence of imperfect maintenance

    International Nuclear Information System (INIS)

    Flammini, Francesco; Marrone, Stefano; Mazzocca, Nicola; Vittorini, Valeria

    2009-01-01

    A large number of safety-critical control systems are based on N-modular redundant architectures, using majority voters on the outputs of independent computation units. In order to assess the compliance of these architectures with international safety standards, the frequency of hazardous failures must be analyzed by developing and solving proper formal models. Furthermore, the impact of maintenance faults has to be considered, since imperfect maintenance may degrade the safety integrity level of the system. In this paper, we present both a failure model for voting architectures based on Bayesian networks and a maintenance model based on continuous time Markov chains, and we propose to combine them according to a compositional multiformalism modeling approach in order to analyze the impact of imperfect maintenance on the system safety. We also show how the proposed approach promotes the reuse and the interchange of models as well the interchange of solving tools.

  9. Integrated Systems Health Management as an Enabler for Condition Based Maintenance and Autonomic Logistics

    Science.gov (United States)

    2015-09-17

    uptime + downtime) definition of Eq. (3), but the definition is slightly different. o OT ST A OT ST TPM TCM TALDT       (4) Where OT is the...operational time, ST is the standby time, TPM is the total preventive maintenance time, TCM is the total corrective maintenance time, and TALDT is the

  10. Health risk air-conditioning system; Insufficient maintenance increases the risk of illness. Gesundheitsrisiko Klimaanlagen; Unzureichende Wartung erhoeht das Erkrankungsrisiko

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1994-01-01

    In Germany every fifth employee who works in air-conditioned rooms complains about headache, an increased proneness to colds and influenza infections as well as allergic reactions. These troubles are often caused by the insufficient maintenance of air-conditioning systems. At present only 15% of the estimated annual demand for maintenance of space hvac-systems is actually carried out. Problematic in case of air-conditioning systems are the so-called air washers used for air humidification which can become an ideal cultur medium for microorganisms. A second problematic area are the often very dirty filters. But health risks can be avoided with regular expert maintenance alone. As first step an analysis of the causes of faults is proposed. (BWI)

  11. A review of a priori regression models for warfarin maintenance dose prediction.

    Directory of Open Access Journals (Sweden)

    Ben Francis

    Full Text Available A number of a priori warfarin dosing algorithms, derived using linear regression methods, have been proposed. Although these dosing algorithms may have been validated using patients derived from the same centre, rarely have they been validated using a patient cohort recruited from another centre. In order to undertake external validation, two cohorts were utilised. One cohort formed by patients from a prospective trial and the second formed by patients in the control arm of the EU-PACT trial. Of these, 641 patients were identified as having attained stable dosing and formed the dataset used for validation. Predicted maintenance doses from six criterion fulfilling regression models were then compared to individual patient stable warfarin dose. Predictive ability was assessed with reference to several statistics including the R-square and mean absolute error. The six regression models explained different amounts of variability in the stable maintenance warfarin dose requirements of the patients in the two validation cohorts; adjusted R-squared values ranged from 24.2% to 68.6%. An overview of the summary statistics demonstrated that no one dosing algorithm could be considered optimal. The larger validation cohort from the prospective trial produced more consistent statistics across the six dosing algorithms. The study found that all the regression models performed worse in the validation cohort when compared to the derivation cohort. Further, there was little difference between regression models that contained pharmacogenetic coefficients and algorithms containing just non-pharmacogenetic coefficients. The inconsistency of results between the validation cohorts suggests that unaccounted population specific factors cause variability in dosing algorithm performance. Better methods for dosing that take into account inter- and intra-individual variability, at the initiation and maintenance phases of warfarin treatment, are needed.

  12. A review of a priori regression models for warfarin maintenance dose prediction.

    Science.gov (United States)

    Francis, Ben; Lane, Steven; Pirmohamed, Munir; Jorgensen, Andrea

    2014-01-01

    A number of a priori warfarin dosing algorithms, derived using linear regression methods, have been proposed. Although these dosing algorithms may have been validated using patients derived from the same centre, rarely have they been validated using a patient cohort recruited from another centre. In order to undertake external validation, two cohorts were utilised. One cohort formed by patients from a prospective trial and the second formed by patients in the control arm of the EU-PACT trial. Of these, 641 patients were identified as having attained stable dosing and formed the dataset used for validation. Predicted maintenance doses from six criterion fulfilling regression models were then compared to individual patient stable warfarin dose. Predictive ability was assessed with reference to several statistics including the R-square and mean absolute error. The six regression models explained different amounts of variability in the stable maintenance warfarin dose requirements of the patients in the two validation cohorts; adjusted R-squared values ranged from 24.2% to 68.6%. An overview of the summary statistics demonstrated that no one dosing algorithm could be considered optimal. The larger validation cohort from the prospective trial produced more consistent statistics across the six dosing algorithms. The study found that all the regression models performed worse in the validation cohort when compared to the derivation cohort. Further, there was little difference between regression models that contained pharmacogenetic coefficients and algorithms containing just non-pharmacogenetic coefficients. The inconsistency of results between the validation cohorts suggests that unaccounted population specific factors cause variability in dosing algorithm performance. Better methods for dosing that take into account inter- and intra-individual variability, at the initiation and maintenance phases of warfarin treatment, are needed.

  13. Bayesian Based Diagnostic Model for Condition Based Maintenance of Offshore Wind Farms

    Directory of Open Access Journals (Sweden)

    Masoud Asgarpour

    2018-01-01

    Full Text Available Operation and maintenance costs are a major contributor to the Levelized Cost of Energy for electricity produced by offshore wind and can be significantly reduced if existing corrective actions are performed as efficiently as possible and if future corrective actions are avoided by performing sufficient preventive actions. This paper presents an applied and generic diagnostic model for fault detection and condition based maintenance of offshore wind components. The diagnostic model is based on two probabilistic matrices; first, a confidence matrix, representing the probability of detection using each fault detection method, and second, a diagnosis matrix, representing the individual outcome of each fault detection method. Once the confidence and diagnosis matrices of a component are defined, the individual diagnoses of each fault detection method are combined into a final verdict on the fault state of that component. Furthermore, this paper introduces a Bayesian updating model based on observations collected by inspections to decrease the uncertainty of initial confidence matrix. The framework and implementation of the presented diagnostic model are further explained within a case study for a wind turbine component based on vibration, temperature, and oil particle fault detection methods. The last part of the paper will have a discussion of the case study results and present conclusions.

  14. Bidirectional relationships between retention and health-related quality of life in Chinese mainland patients receiving methadone maintenance treatment.

    Directory of Open Access Journals (Sweden)

    Kaina Zhou

    Full Text Available This study aimed to explore the bidirectional relationships between retention and health-related quality of life (HRQoL in patients from mainland China receiving methadone maintenance treatment (MMT. This prospective cohort study recruited 1,212 eligible MMT patients from the two largest MMT clinics (one privately and another publicly funded in Xi'an. This study started in March 2012 with a 2-year follow-up until March 2014. Retention was assessed by repeated terminations, past treatment duration, premature terminations, and follow-up treatment duration. HRQoL was evaluated using the Chinese (simple short-form 36 health survey version 2 (SF-36v2 and the quality of life scale for drug addicts (QOL-DAv2.0. Linear and Cox regression analyses were used to explore relationships between retention and HRQoL. A general linear model was used to further examine the global effect of past treatment duration on HRQoL. Multivariate analyses showed that repeated terminations had no significant impact on HRQoL scores in MMT patients; however, past treatment time (year influenced the SF-36v2PCS (P = 0.004: treatment for ≥4 years showed a lower SF-36v2PCS score (regression coefficient: -2.39; 95% confidence interval [CI]: -3.80, -0.97; P = 0.001 than treatment for 49 (hazard ratio: 0.83; 95% CI: 0.69, 0.98; P = 0.03 were 17% less likely to terminate MMT than those with scores of ≤49. In conclusion, retention and HRQoL tended to have a bidirectional relationship, which should be considered in the development of retention and health-management programs for patients with MMT.

  15. A holistic framework of degradation modeling for reliability analysis and maintenance optimization of nuclear safety systems

    International Nuclear Information System (INIS)

    Lin, Yanhui

    2016-01-01

    Components of nuclear safety systems are in general highly reliable, which leads to a difficulty in modeling their degradation and failure behaviors due to the limited amount of data available. Besides, the complexity of such modeling task is increased by the fact that these systems are often subject to multiple competing degradation processes and that these can be dependent under certain circumstances, and influenced by a number of external factors (e.g. temperature, stress, mechanical shocks, etc.). In this complicated problem setting, this PhD work aims to develop a holistic framework of models and computational methods for the reliability-based analysis and maintenance optimization of nuclear safety systems taking into account the available knowledge on the systems, degradation and failure behaviors, their dependencies, the external influencing factors and the associated uncertainties.The original scientific contributions of the work are: (1) For single components, we integrate random shocks into multi-state physics models for component reliability analysis, considering general dependencies between the degradation and two types of random shocks. (2) For multi-component systems (with a limited number of components):(a) a piecewise-deterministic Markov process modeling framework is developed to treat degradation dependency in a system whose degradation processes are modeled by physics-based models and multi-state models; (b) epistemic uncertainty due to incomplete or imprecise knowledge is considered and a finite-volume scheme is extended to assess the (fuzzy) system reliability; (c) the mean absolute deviation importance measures are extended for components with multiple dependent competing degradation processes and subject to maintenance; (d) the optimal maintenance policy considering epistemic uncertainty and degradation dependency is derived by combining finite-volume scheme, differential evolution and non-dominated sorting differential evolution; (e) the

  16. Control software architecture and operating modes of the Model M-2 maintenance system

    International Nuclear Information System (INIS)

    Satterlee, P.E. Jr.; Martin, H.L.; Herndon, J.N.

    1984-04-01

    The Model M-2 maintenance system is the first completely digitally controlled servomanipulator. The M-2 system allows dexterous operations to be performed remotely using bilateral force-reflecting master/slave techniques, and its integrated operator interface takes advantage of touch-screen-driven menus to allow selection of all possible operating modes. The control system hardware for this system has been described previously. This paper describes the architecture of the overall control system. The system's various modes of operation are identified, the software implementation of each is described, system diagnostic routines are described, and highlights of the computer-augmented operator interface are discussed. 3 references, 5 figures

  17. Control software architecture and operating modes of the Model M-2 maintenance system

    Energy Technology Data Exchange (ETDEWEB)

    Satterlee, P.E. Jr.; Martin, H.L.; Herndon, J.N.

    1984-04-01

    The Model M-2 maintenance system is the first completely digitally controlled servomanipulator. The M-2 system allows dexterous operations to be performed remotely using bilateral force-reflecting master/slave techniques, and its integrated operator interface takes advantage of touch-screen-driven menus to allow selection of all possible operating modes. The control system hardware for this system has been described previously. This paper describes the architecture of the overall control system. The system's various modes of operation are identified, the software implementation of each is described, system diagnostic routines are described, and highlights of the computer-augmented operator interface are discussed. 3 references, 5 figures.

  18. Expanding co-payment for methadone maintenance services in Vietnam: the importance of addressing health and socioeconomic inequalities.

    Science.gov (United States)

    Tran, Bach Xuan; Nguyen, Quyen Le; Nguyen, Long Hoang; Phan, Huong Thu Thi; Le, Huong Thi; Tran, Tho Dinh; Vu, Thuc Thi Minh; Latkin, Carl A

    2017-07-12

    Ensuring high enrollment while mobilizing resources through co-payment services is critical to the success of the methadone maintenance treatment (MMT) program in Vietnam. This study assessed the willingness of patients to pay (WTP) for different MMT services delivery models and determined its associated factors. A facility based survey was conducted among 1016 MMT patients (98.7% male, 42% aged 35 or less, and 67% living with spouse) in five MMT clinics in Hanoi and Nam Dinh province in 2013. Socioeconomic, HIV and health status, history of drug use and rehabilitation, and MMT experience were interviewed. WTP was assessed using contingent valuation method, including a set of double-bounded binary questions and a follow-up open-ended question. Point and interval data models were used to estimate maximum willingness to pay. 95.5% patients were willing to pay for MMT at the monthly mean price of US$ 32 (95%CI = 28-35). Higher WTP was associated with higher level of educational attainment, higher income, male sex, and had high expenses on opiates prior to MMT. Patients who reported having any problem in Pain/ Discomfort, and who did not have outpatient care last year were willing to pay less for MMT than others. High level of WTP supports the co-payment policies as a strategy to mobilize resources for the MMT program in Vietnam. However, it is necessary to ensure equalities across patient groups by acknowledging socioeconomic status of different settings and providing financial supports for disadvantaged patients with severe health status.

  19. Safety constraints applied to an adaptive Bayesian condition-based maintenance optimization model

    International Nuclear Information System (INIS)

    Flage, Roger; Coit, David W.; Luxhøj, James T.; Aven, Terje

    2012-01-01

    A model is described that determines an optimal inspection and maintenance scheme for a deteriorating unit with a stochastic degradation process with independent and stationary increments and for which the parameters are uncertain. This model and resulting maintenance plans offers some distinct benefits compared to prior research because the uncertainty of the degradation process is accommodated by a Bayesian approach and two new safety constraints have been applied to the problem: (1) with a given subjective probability (degree of belief), the limiting relative frequency of one or more failures during a fixed time interval is bounded; or (2) the subjective probability of one or more failures during a fixed time interval is bounded. In the model, the parameter(s) of a condition-based inspection scheduling function and a preventive replacement threshold are jointly optimized upon each replacement and inspection such as to minimize the expected long run cost per unit of time, but also considering one of the specified safety constraints. A numerical example is included to illustrate the effect of imposing each of the two different safety constraints.

  20. Organizational Culture Influence On Total Productive Maintenance (TPM and Operational Performance Using RASCH Model Analysis

    Directory of Open Access Journals (Sweden)

    Mohd Norhasni Mohd Asaad

    2014-02-01

    Full Text Available Abstract. Market globalization, competitive product and services, high economic crises are the most critical factors that influence the success of the manufacturing companies in global market. Therefore it is critical to the manufacturing companies to be efficient in production and lean tool may used to achieve that.  The most frequently used is the Total Preventive Maintenance (TPM, even though there are many studies have been conducted in relation to the TPM but there is limited research in investigating the effects of the TPM on operational performance. However, the result of the studies was not consistent, where TPM practice may have positive and negative impact on operational performance. Among the reason is the culture of the organization that influenced the implementation of TPM and operational performance. Due to that this study attempts to investigate the influence of organizational culture on the TPM implementation and operational performance.  Rasch model is used in this study due to its ability in interpreting and analyzing the ability of respondents in performing the difficult items. The online questionnaires were distributed to 63 randomly selected automotive companies located at Northern Region of Malaysia.  Results of the study revealed that the organizational culture has influenced on the successful implementation of TPM and operational performance. Therefore by the implementation of TPM in outstanding organizational culture can improve operational performance.   Keyword: Total Preventive Maintenance (TPM, Lean manufacturing, Operational performance, Organizational culture, Rasch modeldoi:10.12695/ajtm.2013.6.2.2How to cite this article:Mohd Asaad, M.N and Yusoff, R.Z. (2013. Organizational Culture Influence On Total Productive Maintenance (TPM and Operational Performance Using RASCH Model Analysis . The Asian Journal of Technology Management 6 (2: 72-81. Print ISSN: 1978-6956; Online ISSN: 2089-791X.  doi:10.12695/ajtm

  1. Maintenance service contract model for heavy equipment in mining industry using principal agent theory

    Science.gov (United States)

    Pakpahan, Eka K. A.; Iskandar, Bermawi P.

    2015-12-01

    Mining industry is characterized by a high operational revenue, and hence high availability of heavy equipment used in mining industry is a critical factor to ensure the revenue target. To maintain high avaliability of the heavy equipment, the equipment's owner hires an agent to perform maintenance action. Contract is then used to control the relationship between the two parties involved. The traditional contracts such as fixed price, cost plus or penalty based contract studied is unable to push agent's performance to exceed target, and this in turn would lead to a sub-optimal result (revenue). This research deals with designing maintenance contract compensation schemes. The scheme should induce agent to select the highest possible maintenance effort level, thereby pushing agent's performance and achieve maximum utility for both parties involved. Principal agent theory is used as a modeling approach due to its ability to simultaneously modeled owner and agent decision making process. Compensation schemes considered in this research includes fixed price, cost sharing and revenue sharing. The optimal decision is obtained using a numerical method. The results show that if both parties are risk neutral, then there are infinite combination of fixed price, cost sharing and revenue sharing produced the same optimal solution. The combination of fixed price and cost sharing contract results in the optimal solution when the agent is risk averse, while the optimal combination of fixed price and revenue sharing contract is obtained when agent is risk averse. When both parties are risk averse, the optimal compensation scheme is a combination of fixed price, cost sharing and revenue sharing.

  2. Asset Management Business Model for Design, Realization, and Maintenance of Fibre Reinforced Polymer Bridges

    Directory of Open Access Journals (Sweden)

    Rizal Sebastian

    2013-01-01

    Full Text Available This paper particularly addresses the market implementation of Fibre Reinforced Polymer (FRP for bridges. It presents the concept of demand and supply chain innovation as being investigated within two ongoing European collaborative research projects (FP7 titled Trans-IND and PANTURA. FRP has emerged as a real alternative structural material based on various sustainability considerations, among others the reduced life-cycle cost due to less maintenance needs, longer lifetime, and easiness to repair, replace, or recycle the components. The Trans-IND research project aims to develop and demonstrate new industrialized processes to use FRP for civil infrastructure projects at a large scale. In order to be cost effective, a new value-chain strategy for the design, realization, and maintenance of FRP bridges is required to replace the fragmented supply chain and the one-off approach to a construction project. This paper focuses on the development of new business models based on asset management strategy, which covers the entire demand and supply chains. Research on new business models is supported by the insight into the market and regulatory frameworks in different EU countries. This is based on field surveys across the EU that have been carried out as a part of the Trans-IND and PANTURA collaborative research projects.

  3. Maintenance of algal endosymbionts in Paramecium bursaria: a simple model based on population dynamics.

    Science.gov (United States)

    Iwai, Sosuke; Fujiwara, Kenji; Tamura, Takuro

    2016-09-01

    Algal endosymbiosis is widely distributed in eukaryotes including many protists and metazoans, and plays important roles in aquatic ecosystems, combining phagotrophy and phototrophy. To maintain a stable symbiotic relationship, endosymbiont population size in the host must be properly regulated and maintained at a constant level; however, the mechanisms underlying the maintenance of algal endosymbionts are still largely unknown. Here we investigate the population dynamics of the unicellular ciliate Paramecium bursaria and its Chlorella-like algal endosymbiont under various experimental conditions in a simple culture system. Our results suggest that endosymbiont population size in P. bursaria was not regulated by active processes such as cell division coupling between the two organisms, or partitioning of the endosymbionts at host cell division. Regardless, endosymbiont population size was eventually adjusted to a nearly constant level once cells were grown with light and nutrients. To explain this apparent regulation of population size, we propose a simple mechanism based on the different growth properties (specifically the nutrient requirements) of the two organisms, and based from this develop a mathematical model to describe the population dynamics of host and endosymbiont. The proposed mechanism and model may provide a basis for understanding the maintenance of algal endosymbionts. © 2015 Society for Applied Microbiology and John Wiley & Sons Ltd.

  4. The Prevalence of Overweight and Obesity in Children at a Health Maintenance Organization in Hawai‘i

    OpenAIRE

    Stark, MariaIliana J; Niederhauser, Victoria P; Camacho, Janet M; Shirai, Lance

    2011-01-01

    In the past 20–30 years, the number of overweight children in the United States has doubled.1 Overweight children are acquiring conditions such as hypertension, type II diabetes, hypercholesterolemia, sleep apnea, and orthopedic problems. The purpose of this study was to explore the prevalence of and factors associated with at risk and overweight in children 2–10 years of age in a Health Maintenance Organization (HMO) in Hawai‘i. This quantitative, retrospective cross-sectional study included...

  5. An investigation of an open-access model for scaling up methadone maintenance treatment.

    Science.gov (United States)

    Madden, Lynn M; Farnum, Scott O; Eggert, Kathryn F; Quanbeck, Andrew R; Freeman, Robert M; Ball, Samuel A; Schottenfeld, Richard S; Shi, Julia M; Savage, Mary Ellen; Barry, Declan T

    2018-02-17

    To examine retrospectively patient and programmatic outcomes following the development and implementation of an 'open-access' model in which prospective patients were enrolled rapidly in methadone maintenance treatment, irrespective of ability to pay, and provided real-time access to multiple voluntary treatment options. Medical and administrative records were abstracted to compare data for 1 year before and 9 years after initiating the implementation of an open-access treatment model in May 2007. Methadone maintenance treatment center in Connecticut, USA. Individuals with opioid use disorder entering treatment between July 2006 and June 2015. In June 2015, 64% (n = 2594) of the sample were men and 80% (n = 3133) reported that they were white. The Network for the Improvement of Addiction Treatment-informed open-access treatment model uses process improvement strategies to improve treatment access and capacity. Census, waiting time, retention, non-medical opioid use, patient mortality and financial sustainability (net income and state-block grants as proportions of revenue). In the 9 years following the initial implementation of the open-access model, patient census increased by 183% from 1431 to 4051, and average waiting-time days decreased from 21 to 0.3 (same day) without apparent deleterious effects on rates of retention, non-medical opioid use or mortality. Between fiscal years (FY) 06 and FY 15, net operating margin rose from 2 to 10%, while state-block grant revenues declined 14% and the proportion of total revenue from state-block grant revenue decreased from 49 to 24%. An open-access model for rapid enrolment of people with opioid use disorder in methadone treatment appears to improve treatment access, capacity, and financial sustainability without evidence of deleterious effects on treatment outcomes. © 2018 Society for the Study of Addiction.

  6. Predictive modeling for corrective maintenance of imaging devices from machine logs.

    Science.gov (United States)

    Patil, Ravindra B; Patil, Meru A; Ravi, Vidya; Naik, Sarif

    2017-07-01

    In the cost sensitive healthcare industry, an unplanned downtime of diagnostic and therapy imaging devices can be a burden on the financials of both the hospitals as well as the original equipment manufacturers (OEMs). In the current era of connectivity, it is easier to get these devices connected to a standard monitoring station. Once the system is connected, OEMs can monitor the health of these devices remotely and take corrective actions by providing preventive maintenance thereby avoiding major unplanned downtime. In this article, we present an overall methodology of predicting failure of these devices well before customer experiences it. We use data-driven approach based on machine learning to predict failures in turn resulting in reduced machine downtime, improved customer satisfaction and cost savings for the OEMs. One of the use-case of predicting component failure of PHILIPS iXR system is explained in this article.

  7. JAVANESE CULTURAL WORDS IN LOCAL NEWSPAPERS IN CENTRAL JAVA AS A LANGUAGE MAINTENANCE MODEL

    Directory of Open Access Journals (Sweden)

    Deli Nirmala

    2016-04-01

    Full Text Available Javanese cultural words are the linguistic units which are very specific to Javanese culture and society. This article aims at describing what Javanese cultural words that are found in the local newspapers, what they represent, and why they are used in the local newspapers in Central Java. Non-participant observation is used to present the data for analysis, continued with page-filing and note-taking techniques. Referential, reflective-introspective, and abductive inferential methods are used to analyze the data. The result indicates that the Javanese cultural words found in the local newspapers represent festivals, rituals, Javanese ways of life, social activities, actions, feelings, thoughts, behavior, and experiences. The words become the indicators that the journalists of the local newspapers in Cental Java have positive attitudes toward Javanese words. This becomes a model for language maintenance of Javanese. This implies that the words are stored in the long-term memory, that become mental image, which are used when needed by the user for communication. The existence of the concepts residing in the mind will make the Javanese language maintenance possible, which is supported by the attitudes of the Javanese.

  8. Modeling the impact of thermal effects on luminous flux maintenance for SSL luminaires

    Energy Technology Data Exchange (ETDEWEB)

    Davis, Lynn [RTI International, Research Triangle Park, NC (United States); Mills, Karmann [RTI International, Research Triangle Park, NC (United States); Lamvik, Michael [RTI International, Research Triangle Park, NC (United States); Solano, Eric [RTI International, Research Triangle Park, NC (United States); Bobashev, Georgiy [RTI International, Research Triangle Park, NC (United States); Perkins, Curtis [RTI International, Research Triangle Park, NC (United States)

    2017-05-30

    Meeting the longevity requirements of solid-state lighting (SSL) devices places extreme demands on the materials and designs that are used in SSL luminaires. Therefore, understanding the aging characteristics of lens, reflectors, and other materials is essential to projecting the long-term performance of LED-based lighting systems. Overlooking these factors at either the design or product specification stage can result in premature failure of the device due to poor luminous flux maintenance and/or excessive chromaticity shifts. This paper describes a methodology for performing accelerated stress testing (AST) on materials intended for use in SSL luminaires. This test methodology, which consists of elevated temperature and humidity conditions, produces accelerated aging data that can be correlated to expected performance under normal luminaire operating conditions. The correlations can then be leveraged to produce models of the changes in the optical properties of key materials including transmittance versus wavelength of lenses and reflectance versus wavelength for housings and other reflectors. This information has been collected into a lumen maintenance decision support tool (LM-DST) and together with user supplied inputs (e.g., expected operation conditions) can provide guidance on lifetime expectations of SSL luminaires. This approach has been applied to a variety of materials commonly found in SSL luminaires including acrylics, polycarbonates, and silicones used for lenses and paints, coatings, films, and composites used for reflectors.

  9. Linking mathematical modeling with human neuroimaging to segregate verbal working memory maintenance processes from stimulus encoding.

    Science.gov (United States)

    McKenna, Benjamin S; Brown, Gregory G; Drummond, Sean P A; Turner, Travis H; Mano, Quintino R

    2013-03-01

    A fundamental dissociation for most working memory (WM) theories involves the separation of sensory-perceptual encoding of stimulus information from the maintenance of this information. The present paper reports tests of this separability hypothesis for visually presented pseudowords at both mathematical and neuroimaging levels of analysis. Levels of analysis were linked by two experimental manipulations-visual degradation and pseudoword length variation-that coupled findings from a mathematical modeling study of WM performed in a separate sample to findings from an event-related functional MRI (fMRI) study reported in the present paper. Results from the mathematical modeling study generated parametric signatures of stimulus encoding and WM rehearsal and displacement. These signatures led to specific predictions about neurophysiological responses to study manipulations in a priori regions of interest (ROI). Results demonstrated predicted dissociations of activation signatures in several ROIs. Significant patterns of brain response mirroring the encode signature were observed only during the task encode interval and only in the visual cortex and posterior fusiform gyrus. In contrast, significant brain response mirroring the rehearsal/displacement signature was observed only in the dorsolateral prefrontal cortex, inferior frontal gyrus, and supramarginal gyrus. Present findings support the separability hypothesis insofar as brain regions that underlie sensory-perceptual processes demonstrated encode signatures whereas brain regions that support WM maintenance demonstrated the rehearsal/displacement signature. These results also provide evidence for the utility of combining mathematical modeling with fMRI to integrate information across cognitive and neural levels of analysis. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  10. Optimal fund assignment and allocation models for pipe repair maintenance in leaky water distribution networks

    Science.gov (United States)

    Bach, Nguyen Luong; Fujiwara, Okitsugu; Luong, Huynh Trung

    2000-05-01

    In pipe repair maintenance operations for leaky water distribution networks in cities, it is usually the practice that whenever pipe leaks are detected, repair actions are undertaken until the funds assigned are exhausted. The allocation of limited repair funds to different pipe sections is normally done without careful quantitative analysis but according to an intuitive rule, whereby the section of the larger leak volume receives the larger share of funds. This paper proposes a new modeling approach to determine optimal repair fund allocation to different sections of a city. A basic periodic-review stochastic demand inventory model is first applied to ascertain the optimal funds to be assigned to a city under an assumption of no fund limitation. The model is then extended to determine the optimal allocation of the limited funds to different sections of a city. The models minimize the expected total system cost composed of repair cost, storage cost (of spare parts and materials), and penalty cost for water loss due to lack of funds. Numerical experiments are then conducted to illustrate the applicability of the proposed models, and the characteristics of the optimal solutions with regard to parameter variations are investigated. Data used in the numerical example are taken from actual data of the secondary network of Ho Chi Minh City in Vietnam.

  11. Prediction of L70 lumen maintenance and chromaticity for LEDs using extended Kalman filter models

    Energy Technology Data Exchange (ETDEWEB)

    Lall, Pradeep; Wei, Junchao; Davis, Lynn

    2013-09-30

    Solid-state lighting (SSL) luminaires containing light emitting diodes (LEDs) have the potential of seeing excessive temperatures when being transported across country or being stored in non-climate controlled warehouses. They are also being used in outdoor applications in desert environments that see little or no humidity but will experience extremely high temperatures during the day. This makes it important to increase our understanding of what effects high temperature exposure for a prolonged period of time will have on the usability and survivability of these devices. Traditional light sources “burn out” at end-of-life. For an incandescent bulb, the lamp life is defined by B50 life. However, the LEDs have no filament to “burn”. The LEDs continually degrade and the light output decreases eventually below useful levels causing failure. Presently, the TM-21 test standard is used to predict the L70 life of LEDs from LM-80 test data. Several failure mechanisms may be active in a LED at a single time causing lumen depreciation. The underlying TM-21 Model may not capture the failure physics in presence of multiple failure mechanisms. Correlation of lumen maintenance with underlying physics of degradation at system-level is needed. In this paper, Kalman Filter (KF) and Extended Kalman Filters (EKF) have been used to develop a 70-percent Lumen Maintenance Life Prediction Model for LEDs used in SSL luminaires. Ten-thousand hour LM-80 test data for various LEDs have been used for model development. System state at each future time has been computed based on the state space at preceding time step, system dynamics matrix, control vector, control matrix, measurement matrix, measured vector, process noise and measurement noise. The future state of the lumen depreciation has been estimated based on a second order Kalman Filter model and a Bayesian Framework. The measured state variable has been related to the underlying damage using physics-based models. Life

  12. Relating the construction and maintenance of maternal ill-health in rural Indonesia

    Directory of Open Access Journals (Sweden)

    Lucia D'Ambruoso

    2012-08-01

    Full Text Available Estimates suggest that over 350,000 deaths and more than 20 million severe disabilities result from the complications of pregnancy, childbirth or its management each year. Death and disability occur predominately among disadvantaged women in resource-poor settings and are largely preventable with adequate delivery care. This paper presents the substantive findings and policy implications from a programme of PhD research, of which the overarching objective was to assess quality of, and access to, care in obstetric emergencies. Three critical incident audits were conducted in two rural districts on Java, Indonesia: a confidential enquiry, a verbal autopsy survey, and a community-based review. The studies examined cases of maternal mortality and severe morbidity from the perspectives of local service users and health providers. A range of inter-related determining factors was identified. When unexpected delivery complications occurred, women and families were often uninformed, unprepared, found care unavailable, unaffordable, and many relied on traditional providers. Midwives in villages made important contributions by stabilising women and facilitating referrals but were often scarce in remote areas and lacked sufficient clinical competencies and payment incentives to treat the poor. Emergency transport was often unavailable and private transport was unreliable and incurred costs. In facilities, there was a reluctance to admit poorer women and those accepted were often admitted to ill-equipped, under-staffed wards. As a result, referrals between hospitals were also common. Otherwise, social health insurance, designed to reduce financial barriers, was particularly problematic, constraining quality and access within and outside facilities. Health workers and service users provided rich and explicit assessments of care and outcomes. These were used to develop a conceptual model in which quality and access are conceived of as social processes

  13. Associations of short-term particle and noise exposures with markers of cardiovascular and respiratory health among highway maintenance workers.

    Science.gov (United States)

    Meier, Reto; Cascio, Wayne E; Ghio, Andrew J; Wild, Pascal; Danuser, Brigitta; Riediker, Michael

    2014-07-01

    Highway maintenance workers are constantly and simultaneously exposed to traffic-related particle and noise emissions, both of which have been linked to increased cardiovascular morbidity and mortality in population-based epidemiology studies. We aimed to investigate short-term health effects related to particle and noise exposure. We monitored 18 maintenance workers, during as many as five 24-hr periods from a total of 50 observation days. We measured their exposure to fine particulate matter (diameter ≤ 2.5 μm; PM2.5), ultrafine particles, and noise, and the cardiopulmonary health end points: blood pressure, proinflammatory and prothrombotic markers in the blood, lung function, and fractional exhaled nitric oxide (FeNO) measured approximately 15 hr after work. Heart rate variability was assessed during a sleep period approximately 10 hr after work. PM2.5 exposure was significantly associated with C-reactive protein and serum amyloid A, and was negatively associated with tumor necrosis factor α. None of the particle metrics were significantly associated with von Willebrand factor or tissue factor expression. PM2.5 and work noise were associated with markers of increased heart rate variability, and with increased high-frequency and low-frequency power. Systolic and diastolic blood pressure on the following morning were significantly associated with noise exposure after work, and nonsignificantly associated with PM2.5. We observed no significant associations between any of the exposures and lung function or FeNO. Our findings suggest that exposure to particles and noise during highway maintenance work might pose a cardiovascular health risk. Actions to reduce these exposures could lead to better health for this population of workers.

  14. Health disparities, politics, and the maintenance of the status quo: A new theory of inequality.

    Science.gov (United States)

    Rodriguez, Javier M

    2018-03-01

    Individuals participate in politics to influence the politicians that prescribe the policies and programs that distribute the public goods and services that shape the social determinants of health. But the opportunity to participate in politics is conditional on survival, and in the U.S., the haves enjoy a significant survival advantage over the have-nots. This process can be detected looking at the relationship between age and participation: It is inflated by the fact that, as time progresses, a higher proportion of low-SES, low-level participation individuals die and are therefore excluded from the available pool of participants faster than high-SES, high-level participation individuals. We analyze this mechanism applying propensity scores matching and multivariate regressions on data from MIDUS I (Midlife in the United States: A National Study of Health and Well-being) and its 10-year mortality follow-up. Results show that health differences between 10-year survivors and non-survivors explain 56% of their differences in socio-political participation. Survivors participate at higher levels than non-survivors across all age groups and SES levels; without detrimental differences in health, individuals would participate 28% more as they age. The same disadvantaged individuals whose increased participation would pressure for redistributive policies are those who die off from the available pool of participants at much higher rates than socioeconomically advantaged individuals. The proposed conceptual model helps to explain how, through the early disappearance of the poor, continuing socio-political participation of high-SES survivors helps to perpetuate inequality in the status quo. Copyright © 2018 Elsevier Ltd. All rights reserved.

  15. Using adaptive model predictive control to customize maintenance therapy chemotherapeutic dosing for childhood acute lymphoblastic leukemia.

    Science.gov (United States)

    Noble, Sarah L; Sherer, Eric; Hannemann, Robert E; Ramkrishna, Doraiswami; Vik, Terry; Rundell, Ann E

    2010-06-07

    Acute lymphoblastic leukemia (ALL) is a common childhood cancer in which nearly one-quarter of patients experience a disease relapse. However, it has been shown that individualizing therapy for childhood ALL patients by adjusting doses based on the blood concentration of active drug metabolite could significantly improve treatment outcome. An adaptive model predictive control (MPC) strategy is presented in which maintenance therapy for childhood ALL is personalized using routine patient measurements of red blood cell mean corpuscular volume as a surrogate for the active drug metabolite concentration. A clinically relevant mathematical model is developed and used to describe the patient response to the chemotherapeutic drug 6-mercaptopurine, with some model parameters being patient-specific. During the course of treatment, the patient-specific parameters are adaptively identified using recurrent complete blood count measurements, which sufficiently constrain the patient parameter uncertainty to support customized adjustments of the drug dose. While this work represents only a first step toward a quantitative tool for clinical use, the simulated treatment results indicate that the proposed mathematical model and adaptive MPC approach could serve as valuable resources to the oncologist toward creating a personalized treatment strategy that is both safe and effective. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

  16. Communication models in environmental health.

    Science.gov (United States)

    Guidotti, Tee L

    2013-01-01

    Communication models common in environmental health are not well represented in the literature on health communication. Risk communication is a systematic approach to conveying essential information about a specific environmental issue and a framework for thinking about community risk and the alternatives for dealing with it. Crisis communication is intended to provide essential information to people facing an emergency in order to mitigate its effects and to enable them to make appropriate decisions, and it is primarily used in emergency management. Corporate communication is intended to achieve a change in attitude or perception of an organization, and its role in environmental health is usually public relations or to rehabilitate a damaged reputation. Environmental health education is a more didactic approach to science education with respect to health and the environment. Social marketing uses conventional marketing methods to achieve a socially desirable purpose but is more heavily used in health promotion generally. Communication models and styles in environmental health are specialized to serve the needs of the field in communicating with the community. They are highly structured and executed in different ways but have in common a relative lack of emphasis on changing personal or lifestyle behavior compared with health promotion and public health in general and a tendency to emphasize content on specific environmental issues and decision frameworks for protecting oneself or the community through collective action.

  17. Health insurance basic actuarial models

    CERN Document Server

    Pitacco, Ermanno

    2014-01-01

    Health Insurance aims at filling a gap in actuarial literature, attempting to solve the frequent misunderstanding in regards to both the purpose and the contents of health insurance products (and ‘protection products’, more generally) on the one hand, and the relevant actuarial structures on the other. In order to cover the basic principles regarding health insurance techniques, the first few chapters in this book are mainly devoted to the need for health insurance and a description of insurance products in this area (sickness insurance, accident insurance, critical illness covers, income protection, long-term care insurance, health-related benefits as riders to life insurance policies). An introduction to general actuarial and risk-management issues follows. Basic actuarial models are presented for sickness insurance and income protection (i.e. disability annuities). Several numerical examples help the reader understand the main features of pricing and reserving in the health insurance area. A short int...

  18. [A preliminary evaluation of mental status and an investigation of occupational health knowledge demand in operating and maintenance personnel in wind power plants].

    Science.gov (United States)

    Hu, S Q; Zhang, Q; Zhu, X H; Sun, K; Chen, S Z; Liu, A G; Luo, G L; Huang, W

    2016-10-20

    Objective: To investigate the mental status, level of occupational health knowledge, health behaviors, and occupational health knowledge demand in operating and maintenance personnel in wind power plants, and to provide a basis for formulating protective measures of occupational health for operating and maintenance personnel in wind power plants. Methods: A cluster sampling was performed in regionally representative wind power plants in the wind power industry from May 2014 to June 2015, and the Symptom Checklist-90 (SCL-90) and a self-made evaluation questionnaire were used to investigate the general status, mental health, and occupational health knowledge demand in 160 operating and maintenance workers. Results: Of all respondents, 26.9% had mental health issues. The awareness rate of infectious disease knowledge and preventive measures was 11.9%. Of all workers, 96.5% wanted to know the occupational hazard factors in the workplace, and 96.3% wanted to get the knowledge of the prevention of related diseases. Conclusion: Mental health issues in operating and maintenance personnel in wind power plants cannot be neglected and there is a high demand for occupational health services and related knowledge. Comprehensive intervention measures for health promotion in the workplace should be adopted to improve working environment, enhance individual mental health education, increase the level of occupational health management, and protect the health of workers.

  19. PENERAPAN MODEL PREVENTIVE MAINTENANCE SMITH DAN DEKKER DI PD. INDUSTRI UNIT INKABA

    Directory of Open Access Journals (Sweden)

    Hari Adianto

    2005-01-01

    Full Text Available The globalization era along with fast development of technology%2C industries must try to increase the quantity and quality of products that they have produced. The development of industrial products which have been increase continually need support from fluency of production process. In this case the industrial companies want a high availability system. PD Industri Unit Inkaba is one of the companies that moves in sector rubber technique industry. The company wants the production process go smoothly so that the company can keeps the existence and increases the product’s quality with cost efficiency and can competes with foreign markets. The smoothness of production process needs support from machines or production’s tools that have good condition. To keep the machines in good condition so that they will in the optimal condition when used%2C then the machines need to be maintained. M.A.J. Smith dan R. Dekker develop a model that combine availability model and preventive maintenance and consider the expected uptime and downtime of the system. This model is a 1 out of n system model%2C which has one operating machine and support by (n – 1 unit machine reserves. A 1 out of n system is also applicable to replaceable components. Smith and Dekker’s model gives the expected uptime and downtime of the system approximation that can gives good approximation of long term average operating cost. The results from decision of component preventive replacement age and optimal number of component reserve are expected to be able to keep the reliability system and be able to avoid the decease of availability system because of maintenance activity. Abstract in Bahasa Indonesia : Dalam era persaingan industri yang semakin global disertai perkembangan teknologi yang pesat%2C industri-industri terus berusaha meningkatkan kuantitas dan kualitas produk yang dihasilkannya. Perkembangan hasil industri yang semakin meningkat secara terus-menerus memerlukan dukungan

  20. Intermediate report of MoReMo. Modelling resilience for maintenance and outage

    International Nuclear Information System (INIS)

    Oedewald, P.; Macchi, L.; Axelsson, C.; Eitrheim, M.H.R.

    2012-02-01

    Resilience Engineering (RE) is a new approach to safety that helps organisations and individuals adapt to unforeseen events and long-term changes. Such an approach is needed by nuclear power plants (NPPs) as they face demanding modification projects, high staff turnover and increased pressures to maintain and improve safety. The goal of the Modelling Resilience for Maintenance and Outage (MoReMO) project is to develop and test models and methods to identify and analyse resilience in safety-critical activities in natural everyday settings. In 2011, we have applied four approaches in different case studies: Organisational Core Task modelling (OCT), Functional Resonance Analysis Method (FRAM), Efficiency Thoroughness Trade-Off (ETTO) analysis, and Work Practice and Culture Characterisation. The project has collected data through observations, interviews and document reviews at two NPPs. Together, the four approaches have provided valuable insights for understanding the rationale behind work practices, their effects on safety, and the support of flexibility and adaptability. In 2012, the MoReMO project will complete the data collection and integrate results on how resilience can be operationalized in practical safety management tools for the companies. (Author)

  1. Intermediate report of MoReMo. Modelling resilience for maintenance and outage

    Energy Technology Data Exchange (ETDEWEB)

    Oedewald, P.; Macchi, L. (VTT Technical Research Centre of Finland (Finland)); Axelsson, C. (Ringhals AB, Vattenfall AB (Sweden)); Eitrheim, M.H.R. (Institute for Energy Technology (Norway))

    2012-02-15

    Resilience Engineering (RE) is a new approach to safety that helps organisations and individuals adapt to unforeseen events and long-term changes. Such an approach is needed by nuclear power plants (NPPs) as they face demanding modification projects, high staff turnover and increased pressures to maintain and improve safety. The goal of the Modelling Resilience for Maintenance and Outage (MoReMO) project is to develop and test models and methods to identify and analyse resilience in safety-critical activities in natural everyday settings. In 2011, we have applied four approaches in different case studies: Organisational Core Task modelling (OCT), Functional Resonance Analysis Method (FRAM), Efficiency Thoroughness Trade-Off (ETTO) analysis, and Work Practice and Culture Characterisation. The project has collected data through observations, interviews and document reviews at two NPPs. Together, the four approaches have provided valuable insights for understanding the rationale behind work practices, their effects on safety, and the support of flexibility and adaptability. In 2012, the MoReMO project will complete the data collection and integrate results on how resilience can be operationalized in practical safety management tools for the companies. (Author)

  2. Economies of scale and scope as an explanation of merger and output diversification activities in the health maintenance organization industry.

    Science.gov (United States)

    Given, R S

    1996-12-01

    This paper tests for the existence and magnitude of economies of scale and scope as possible explanations for the recent observed trends in increasing health maintenance organization (HMO) scale (through merger and acquisition) and scope (through greater participation in public enrollee markets) using firm level data from a sample of California HMOs for the time period 1986-1992. The results suggest that economies of scale provide a strong justification for mergers only in the case of relatively small HMOs (i.e. those with fewer than 115,000 enrollees), and economies of scope do not explain the increasing HMO enrollment of public enrollees.

  3. Two fuzzy possibilistic bi-objective zero-one programming models for outsourcing the equipment maintenance problem

    Science.gov (United States)

    Vahdani, Behnam; Jolai, Fariborz; Tavakkoli-Moghaddam, Reza; Meysam Mousavi, S.

    2012-07-01

    Maintenance outsourcing can be regarded as a strategic weapon to increase productivity and customer satisfaction in many companies, and this critical activity can be performed in a more efficient and effective way. This article presents two novel fuzzy possibilistic bi-objective zero-one programming (FPBOZOP) models for outsourcing of the equipment maintenance. In these models, cost parameters, including outsourcing cost, risk cost, time operations for performing the equipment maintenance and reliability level, as well as other influential parameters are considered through the outsourcing process. Moreover, the presented models can measure the capability of the company in doing different activities, unlike previous studies, in order to see the possibility of maintenance in-house, and can lead to make a best decision on the basis of the models' results. Both models are developed under uncertainty, which bring top managers the possibility of assigning more than one equipment or project to the supplier so that the profit is maximized, and the cost is minimized by considering bi-objectives concurrently. Then, a new fuzzy mathematical programming based possibilistic approach is introduced as a solution methodology from the recent literature to solve the proposed bi-objective zero-one programming (BOZOP) models and to reach a preferred compromise solution. Furthermore, a real-case study is utilized to demonstrate and to validate the effectiveness of the presented models. The computational results revealed that the models can be implemented in variety of problems in the domain of the equipment maintenance outsourcing and project outsourcing either from theory or application perspectives.

  4. Application of physical failure models to enable usage and load based maintenance

    NARCIS (Netherlands)

    Tinga, Tiedo

    2010-01-01

    The efficiency of a preventive maintenance process largely depends on the ability to predict the replacement intervals of components. Considering the actual usage of the system increases the accuracy of this prediction. The present paper proposes two new maintenance concepts, that combine the

  5. Model for cost economic analysis in the maintenance of distribution networks

    International Nuclear Information System (INIS)

    Flores, N.; Leite, O.C.; Abe, R.Y.; Violante, R.A.

    1989-01-01

    A methodology for evaluating the costs from aerial distribution networks maintenance is described, aiming give a tool for the planning decisions, with the purpose to keeping the system operating in equilibrium conditions between the resources invested on the preventive and corrective maintenance. (C.G.C.)

  6. A Delphi Study of Aviation Maintenance Experts' Recommendations for a Model School Curriculum

    Science.gov (United States)

    Dyen, Fred D.

    2017-01-01

    The program described in this paper is the essential first step in reviving and reinitiating the delivery of aviation maintenance technology instruction. The demand for aviation maintenance technicians (AMTs) is rapidly increasing and there is a need to provide as many as 679,000 AMTs over the next 20 years (Boeing, 2016). Given the high cost of…

  7. Socio-cultural Parameters: Contribution to the Maintenance of Optimum State of Health

    OpenAIRE

    Shrivastava, Saurabh RamBihariLal; Shrivastava, Prateek Saurabh; Ramasamy, Jegadeesh

    2014-01-01

    AbstractThe World Health Organization has defined health as a state of complete physical, mental and social wellbeing and not mere absence of disease or impairment. This essentially reflects that all the three determinants have a crucial role in the preservation of health or etiology of a disease. However, from a public health point of view, the program managers have realized that in order to implement any health promoting strategy successfully, it is of crucial importance to address the soci...

  8. Thyroid hormone role on cerebellar development and maintenance: a perspective based on transgenic mouse models

    Directory of Open Access Journals (Sweden)

    Larissa Costa Faustino

    2014-05-01

    Full Text Available Cerebellum development is sensitive to thyroid hormone (TH levels, as THs regulate neuronal migration, differentiation and myelination. Most effects of THs are mediated by the TH receptor (TR isoforms TRb1, TRb2 and TRa1. Studies aimed at identifying TH target genes during cerebellum development have only achieved partial success, as some of these genes do not possess classical TH-responsive elements, and those that do are likely to be temporally and spatially regulated by THs. THs may also affect neurodevelopment by regulating transcription factors that control particular groups of genes. Furthermore, TH action can also be affected by TH transport, which is mediated mainly by monocarboxylate transporter family members. Studies involving transgenic animal models and genome-wide expression analyses have helped to address the unanswered questions regarding the role of TH in cerebellar development. Recently, a growing body of evidence has begun to clarify the molecular, cellular and functional aspects of THs in the developing cerebellum. This review describes the current findings concerning the effects of THs on cerebellar development and maintenance as well as advances in the genetic animal models used in this field.

  9. The limiting conditional probability distribution in a stochastic model of T cell repertoire maintenance.

    Science.gov (United States)

    Stirk, Emily R; Lythe, Grant; van den Berg, Hugo A; Hurst, Gareth A D; Molina-París, Carmen

    2010-04-01

    The limiting conditional probability distribution (LCD) has been much studied in the field of mathematical biology, particularly in the context of epidemiology and the persistence of epidemics. However, it has not yet been applied to the immune system. One of the characteristic features of the T cell repertoire is its diversity. This diversity declines in old age, whence the concepts of extinction and persistence are also relevant to the immune system. In this paper we model T cell repertoire maintenance by means of a continuous-time birth and death process on the positive integers, where the origin is an absorbing state. We show that eventual extinction is guaranteed. The late-time behaviour of the process before extinction takes place is modelled by the LCD, which we prove always exists for the process studied here. In most cases, analytic expressions for the LCD cannot be computed but the probability distribution may be approximated by means of the stationary probability distributions of two related processes. We show how these approximations are related to the LCD of the original process and use them to study the LCD in two special cases. We also make use of the large N expansion to derive a further approximation to the LCD. The accuracy of the various approximations is then analysed. (c) 2009 Elsevier Inc. All rights reserved.

  10. A new model for evaluating maintenance energy requirements in dogs: allometric equation from 319 pet dogs.

    Science.gov (United States)

    Divol, Guilhem; Priymenko, Nathalie

    2017-01-01

    Reports concerning maintenance energy requirements (MER) in dogs are common but most of the data cover laboratory or utility dogs. This study establishes those of healthy adult pet dogs and the factors which cause these energy requirements to vary. Within the framework of a nutrition teaching exercise, each student followed a pet from his entourage and gathered accurate records of its feeding habits. Data have been restricted to healthy adult dogs with an ideal body weight (BW) which did not vary more than 5 % during the study period. A total of 319 eligible records were analysed using multiple linear regression. Variation factors such as ownership, breed, sex and neutered status, bedding location, temperament and feeding habits were then analysed individually using a non-parametric model. Two models result from this study, one excluding age ( r 2 0·813) and a more accurate one which takes into consideration the age in years ( r 2 0·816). The second model was assessed with the main variation factors and shows that: MER (kcal) = k 1 × k 2 × k 3 × k 4 × k 5 × 128 × BW 0·740 × age -0·050 /d ( r 2 0·836), with k 1 the effect of the breed, k 2 the effect of sex and neutered status, k 3 the effect of bedding location, k 4 the effect of temperament and k 5 the effect of the type of feed. The resulting model is very similar to the recommendations made by the National Research Council (2006) but a greater accuracy was obtained using age raised to a negative power, as demonstrated in human nutrition.

  11. Operation and maintenance manual: ELECTROMAGNETIC PUMP, Model 18 EPA 38A01-14,500 GPM. [LMFBR

    Energy Technology Data Exchange (ETDEWEB)

    1976-12-31

    This manual is a serialized document issued by General Electric, Fast Breeder Reactor Department, EM Pump Engineering. The manual contains information and requirements relevant to the installation, operation, and maintenance of General Electric ELECTROMAGNETIC PUMP Model 18EPA28A01 at the Liquid Metal Engineering Center, Santa Susana, California.

  12. Random maintenance policies

    CERN Document Server

    Nakagawa, Toshio

    2014-01-01

    Exploring random maintenance models, this book provides an introduction to the implementation of random maintenance, and it is one of the first books to be written on this subject.  It aims to help readers learn new techniques for applying random policies to actual reliability models, and it provides new theoretical analyses of various models including classical replacement, preventive maintenance and inspection policies. These policies are applied to scheduling problems, backup policies of database systems, maintenance policies of cumulative damage models, and reliability of random redundant systems. Reliability theory is a major concern for engineers and managers, and in light of Japan’s recent earthquake, the reliability of large-scale systems has increased in importance. This also highlights the need for a new notion of maintenance and reliability theory, and how this can practically be applied to systems. Providing an essential guide for engineers and managers specializing in reliability maintenance a...

  13. A reliability centered maintenance model applied to the auxiliary feedwater system of a nuclear power plant

    International Nuclear Information System (INIS)

    Araujo, Jefferson Borges

    1998-01-01

    The main objective of maintenance in a nuclear power plant is to assure that structures, systems and components will perform their design functions with reliability and availability in order to obtain a safety and economic electric power generation. Reliability Centered Maintenance (RCM) is a method of systematic review to develop or optimize Preventive Maintenance Programs. This study presents the objectives, concepts, organization and methods used in the development of RCM application to nuclear power plants. Some examples of this application are included, considering the Auxiliary Feedwater System of a generic two loops PWR nuclear power plant of Westinghouse design. (author)

  14. Rodent model for long-term maintenance and development of the viable cysticerci of Taenia saginata asiatica.

    Science.gov (United States)

    Wang, I C; Chung, W C; Lu, S C; Fan, P C

    2000-12-01

    Although oncospheres of Taenia saginata asiatica can develop into cysticerci in immunodeficiency, immunosuppressed, and normal mice, no detailed information on the development features of these cysticerci from SCID mice is available. In the present study, the tumor-like cyst was found in the subcutaneous tissues of each of 10 SCID mice after 38-244 days inoculation with 39,000 oncospheres of T. s. asiatica. These cysts weighed 2.0-9.6 gm and were 1.5-4.3 cm in diameter. The number of cysticerci were collected from these cysts ranged from 125 to 1,794 and the cysticercus recovery rate from 0.3% to 4.6%. All cysticerci were viable with a diameter of 1-6 mm and 9 abnormal ones each with 2 evaginated protoscoleces were also found. The mean length and width of scolex, protoscolex, and bladder were 477 x 558, 756 x 727, and 1,586 x 1,615 microns, respectively. The diameters of suckers and rostellum were 220 microns and 70 microns, respectively. All cysticerci had two rows of rostellar hooks. These findings suggest that the SCID mouse model can be employed as a tool for long-term maintenance of the biological materials for advanced studies of immunodiagnosis, vaccine development, and evaluation of cestocidal drugs which would be most benefit for the good health of the livestocks.

  15. Conditional mouse models demonstrate oncogene-dependent differences in tumor maintenance and recurrence

    International Nuclear Information System (INIS)

    Tilli, Maddalena T; Furth, Priscilla A

    2003-01-01

    Diversity in the pathophysiology of breast cancer frustrates therapeutic progress. We need to understand how mechanisms activated by specific combinations of oncogenes, tumor suppressors, and hormonal signaling pathways govern response to therapy and prognosis. A recent series of investigations conducted by Chodosh and colleagues offers new insights into the similarities and differences between specific oncogenic pathways. Expression of three oncogenes relevant to pathways activated in human breast cancers (c-myc, activated neu and Wnt1) were targeted to murine mammary epithelial cells using the same transgenic tetracycline-responsive conditional gene expression system. While the individual transgenic lines demonstrate similarly high rates of tumor penetrance, rates of oncogene-independent tumor maintenance and recurrence following initial regression are significantly different, and are modifiable by mutations in specific cooperating oncogenes or loss of tumor suppressor gene expression. The experiments make three notable contributions. First, they illustrate that rates of tumor regression and recurrence following initial regression are dependent upon the pathways activated by the initiating oncogene. The experiments also demonstrate that altered expression or mutation of specific cooperating oncogenes or tumor suppressor genes results in different rates of tumor regression and recurrence. Finally, they exemplify the power of conditional mouse models for elucidating how specific molecular mechanisms give rise to the complexity of human cancer

  16. MODELING A COMPUTER APPLICATION FOR MANAGEMENT OF MAINTENANCE ACTIVITIES OF UNPAVED ROADS

    Directory of Open Access Journals (Sweden)

    Ludmília de Souza Dias

    2015-08-01

    Full Text Available ABSTRACTThis study presents a contribution to the modeling of a computer application employing a method of serviceability performance for unpaved roads, aiming the management of maintenance/restoration activities of the primary surface layer. The proposed methodology consisted of field inspections during dry (April to September and rainy (October to March periods, during which objective evaluations were performed to survey of defects and their densities and degrees of severity. To aid the functional classification of analyzed road sections and the determination of the defect with major influence on the serviceability of these roads, the method of serviceability performance proposed by Silva (2009was implemented in the Visual Basic for Applications (VBA language in Microsoft Excel software. With the use of the computer application proposed it was possible to identify among the defects analyzed in field, through the index of serviceability of the sampling unit per defect type (ISUdef, which one had the greatest influence on determining the relative serviceability index per road section (IST. The results allow us to conclude that the computer application Road achieved satisfactory results, since the objective evaluation criteria applied to road sections denotes consistency regarding their serviceability.

  17. A New Biobjective Model to Optimize Integrated Redundancy Allocation and Reliability-Centered Maintenance Problems in a System Using Metaheuristics

    Directory of Open Access Journals (Sweden)

    Shima MohammadZadeh Dogahe

    2015-01-01

    Full Text Available A novel integrated model is proposed to optimize the redundancy allocation problem (RAP and the reliability-centered maintenance (RCM simultaneously. A system of both repairable and nonrepairable components has been considered. In this system, electronic components are nonrepairable while mechanical components are mostly repairable. For nonrepairable components, a redundancy allocation problem is dealt with to determine optimal redundancy strategy and number of redundant components to be implemented in each subsystem. In addition, a maintenance scheduling problem is considered for repairable components in order to identify the best maintenance policy and optimize system reliability. Both active and cold standby redundancy strategies have been taken into account for electronic components. Also, net present value of the secondary cost including operational and maintenance costs has been calculated. The problem is formulated as a biobjective mathematical programming model aiming to reach a tradeoff between system reliability and cost. Three metaheuristic algorithms are employed to solve the proposed model: Nondominated Sorting Genetic Algorithm (NSGA-II, Multiobjective Particle Swarm Optimization (MOPSO, and Multiobjective Firefly Algorithm (MOFA. Several test problems are solved using the mentioned algorithms to test efficiency and effectiveness of the solution approaches and obtained results are analyzed.

  18. [Does good oral hygiene guarantee the maintenance of a health periodontium?].

    Science.gov (United States)

    Temmerman, A; Dekeyser, C; Quirynen, M

    2010-01-01

    On the last European Workshop for Periodontology, it was accepted that the prevalence of periodontitis in certain regions of Europe and USA has decreased. It remains difficult to phrase a decision concerning the prevalence of periodontitis in general. This article wants to highlight the need of a good oral hygiene and different forms of prevention (primary, secondary & tertiary) in the maintenance of a healthy periodontium. The relationship between gingivitis and tooth loss is pointed out. The prevention is described in the complexity of the periodontitis proces and it's modifying factors. When dealing with different forms of periodontitis (refractory, necrotising gingivitis and periodontitis, agressive periodontitis) prevention needs to be adjusted to the etiology and specific situation. This is also the case in peri-implantitis. This article tends to find a scientific background for oral hygiene and prevention in periodontal disease.

  19. Metabolic modeling of Chlamydomonas reinhardtii: energy requirements for photoautotrophic growth and maintenance

    NARCIS (Netherlands)

    Kliphuis, A.M.J.; Klok, A.J.; Martens, D.E.; Lamers, P.P.; Janssen, M.G.J.; Wijffels, R.H.

    2012-01-01

    In this study, a metabolic network describing the primary metabolism of Chlamydomonas reinhardtii was constructed. By performing chemostat experiments at different growth rates, energy parameters for maintenance and biomass formation were determined. The chemostats were run at low irradiances

  20. Modeling of Engine Parameters for Condition-Based Maintenance of the MTU Series 2000 Diesel Engine

    Science.gov (United States)

    2016-09-01

    temperature and combined B exhaust temperature. Combined A exhaust temperature measures exhaust gas temperature of cylinders located on the left side of the...engine, and combined B exhaust temperature measures exhaust gas temperature of cylinders on the right side of the engine. For our analysis, the...exhaust gas temperature. 59 V. CONCLUSION AND FUTURE WORK Condition-based maintenance (CBM) is a preventive maintenance method that predicts the onset

  1. Implementation and maintenance of patient navigation programs linking primary care with community-based health and social services: a scoping literature review.

    Science.gov (United States)

    Valaitis, Ruta K; Carter, Nancy; Lam, Annie; Nicholl, Jennifer; Feather, Janice; Cleghorn, Laura

    2017-02-06

    Since the early 90s, patient navigation programs were introduced in the United States to address inequitable access to cancer care. Programs have since expanded internationally and in scope. The goals of patient navigation programs are to: a) link patients and families to primary care services, specialist care, and community-based health and social services (CBHSS); b) provide more holistic patient-centred care; and, c) identify and resolve patient barriers to care. This paper fills a gap in knowledge to reveal what is known about motivators and factors influencing implementation and maintenance of patient navigation programs in primary care that link patients to CBHSS. It also reports on outcomes from these studies to help identify gaps in research that can inform future studies. This scoping literature review involved: i) electronic database searches; ii) a web site search; iii) a search of reference lists from literature reviews; and, iv) author follow up. It included papers from Canada, the United States, the United Kingdom, Australia, New Zealand, and/or Western Europe published between January 1990 and June 2013 if they discussed navigators or navigation programs in primary care settings that linked patients to CBHSS. Of 34 papers, most originated in the United States (n = 29) while the remainder were from the United Kingdom, Canada and Australia. Motivators for initiating navigation programs were to: a) improve delivery of health and social care services; b) support and manage specific health needs or specific population needs, and; c) improve quality of life and wellbeing of patients. Eleven factors were found to influence implementation and maintenance of these patient navigation programs. These factors closely aligned with the Diffusion of Innovation in Service Organizations model, thus providing a theoretical foundation to support them. Various positive outcomes were reported for patients, providers and navigators, as well as the health and social

  2. A Proactive Aging/Asset Management Model to Optimize Equipment Maintenance Resources Over Plant Lifetime

    International Nuclear Information System (INIS)

    Meyer, Theodore A.; Perdue, Robert K.; Woodcock, Joel; Elder, G. Gary

    2002-01-01

    Experience has shown that proactive aging/asset management can best be defined as an ongoing process. Station goals directly supported by such a process include reducing Unplanned Capability Loss Factor and gaining the optimum value from maintenance and aging management budgets. An effective aging/asset management process must meet evolving and sometimes conflicting requirements for efficient and reliable nuclear power plant operation. The process should identify most likely contributors before they fail, and develop cost-effective contingencies. Current trends indicate the need for focused tools that give quantitative input to decision-making. Opposing goals, such as increasing availability while optimizing aging management budgets, must be balanced. Recognizing the importance of experience in reducing the uncertainty inherent in predicting equipment degradation rates, nuclear industry demographics suggest the need to capture existing expert knowledge in a usable form. The Proactive Aging/Asset Management Process has been developed to address these needs. The proactive approach is a process supported by tools. The process identifies goals and develops criteria - including safety, costs, and power production - that are used to prioritize systems and equipment across the plant. The process then draws upon tools to most effectively meet the plant's goals. The Proactive Aging/Asset Management Model TM is one software-enabled tool designed for mathematical optimization. Results assist a plant in developing a plant-wide plan of aging management activities. This paper describes the proactive aging/asset management process and provides an overview of the methodology that has been incorporated in a model to perform a plant-wide optimization of aging management activities. (authors)

  3. Growth of health maintenance organisations in Nigeria and the potential for a role in promoting universal coverage efforts.

    Science.gov (United States)

    Onoka, Chima A; Hanson, Kara; Mills, Anne

    2016-08-01

    There has been growing interest in the potential for private health insurance (PHI) and private organisations to contribute to universal health coverage (UHC). Yet evidence from low and middle income countries remains very thin. This paper examines the evolution of health maintenance organisations (HMOs) in Nigeria, the nature of the PHI plans and social health insurance (SHI) programmes and their performance, and the implications of their business practices for providing PHI and UHC-related SHI programmes. An embedded case study design was used with multiple subunits of analysis (individual HMOs and the HMO industry) and mixed (qualitative and quantitative) methods, and the study was guided by the structure-conduct-performance paradigm that has its roots in the neo-classical theory of the firm. Quantitative data collection and 35 in-depth interviews were carried out between October 2012 to July 2013. Although HMOs first emerged in Nigeria to supply PHI, their expansion was driven by their role as purchasers in the government's national health insurance scheme that finances SHI programmes, and facilitated by a weak accreditation system. HMOs' characteristics distinguish the market they operate in as monopolistically competitive, and HMOs as multiproduct firms operating multiple risk pools through parallel administrative systems. The considerable product differentiation and consequent risk selection by private insurers promote inefficiencies. Where HMOs and similar private organisations play roles in health financing systems, effective regulatory institutions and mandates must be established to guide their behaviours towards attainment of public health goals and to identify and control undesirable business practices. Lessons are drawn for policy makers and programme implementers especially in those low and middle-income countries considering the use of private organisations in their health financing systems. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Maintenance of behaviour change after a 12-week mHealth lifestyle programme for young adults.

    Directory of Open Access Journals (Sweden)

    Margaret Allman-Farinelli

    2015-09-01

    Conclusions: Young adulthood is a period of rapid weight gain but this group are hard to reach for health promotion. Despite the relatively low intensity of the TXT2BFiT programme, behaviours were maintained during the six months following the intervention. mHealth shows promise to deliver intervention with wide reach and low cost.

  5. Maintenance and ways of maintainance and strengthening of health of students of institutes of higher

    Directory of Open Access Journals (Sweden)

    Leyfa A.V.

    2009-10-01

    Full Text Available The aim of given study was the basing of substance and experimental testing economy of health by students. The developed substance is built on a base of the rules and foundations general system of sanitary physical training in combination with subsidiary and additional resources. Results of pedagogical experiment testify to effectiveness of developed substance in the economy of health by students.

  6. Analysis and Maintenance of Mental Health of Female Teachers in Colleges of China

    Science.gov (United States)

    Zhang, Yin-ling; Cao, Bao-hua; Miao, Dan-min

    2006-01-01

    Mental health has received increasing attention over the past few years as a common problem with serious consequences for the health and well-being of the people. But there is little attention paid to the problem for the special group of population, female teachers in China's colleges. Most of them are in a dilemma of how to perform and harmonize…

  7. Modeling Boston: A workflow for the efficient generation and maintenance of urban building energy models from existing geospatial datasets

    International Nuclear Information System (INIS)

    Cerezo Davila, Carlos; Reinhart, Christoph F.; Bemis, Jamie L.

    2016-01-01

    City governments and energy utilities are increasingly focusing on the development of energy efficiency strategies for buildings as a key component in emission reduction plans and energy supply strategies. To support these diverse needs, a new generation of Urban Building Energy Models (UBEM) is currently being developed and validated to estimate citywide hourly energy demands at the building level. However, in order for cities to rely on UBEMs, effective model generation and maintenance workflows are needed based on existing urban data structures. Within this context, the authors collaborated with the Boston Redevelopment Authority to develop a citywide UBEM based on official GIS datasets and a custom building archetype library. Energy models for 83,541 buildings were generated and assigned one of 52 use/age archetypes, within the CAD modelling environment Rhinoceros3D. The buildings were then simulated using the US DOE EnergyPlus simulation program, and results for buildings of the same archetype were crosschecked against data from the US national energy consumption surveys. A district-level intervention combining photovoltaics with demand side management is presented to demonstrate the ability of UBEM to provide actionable information. Lack of widely available archetype templates and metered energy data, were identified as key barriers within existing workflows that may impede cities from effectively applying UBEM to guide energy policy. - Highlights: • Data requirements for Urban Building Energy Models are reviewed. • A workflow for UBEM generation from available GIS datasets is developed. • A citywide demand simulation model for Boston is generated and tested. • Limitations for UBEM in current urban data systems are identified and discussed. • Model application for energy management policy is shown in an urban PV scenario.

  8. Analysis of maintenance strategies

    International Nuclear Information System (INIS)

    Laakso, K.; Simola, K.

    1998-01-01

    The main topics of the presentation include: (1) an analysis model and methods to evaluate maintenance action programs and the support decision to make changes in them and (2) to understand the maintenance strategies in a systems perspective as a basis for future developments. The subproject showed how systematic models for maintenance analysis and decision support, utilising computerised and statistical tool packages, can be taken into use for evaluation and optimisation of maintenance of active systems from the safety and economic point of view

  9. Adoption, reach, implementation, and maintenance of a behavioral and mental health assessment in primary care.

    Science.gov (United States)

    Krist, Alex H; Phillips, Siobhan M; Sabo, Roy T; Balasubramanian, Bijal A; Heurtin-Roberts, Suzanne; Ory, Marcia G; Johnson, Sallie Beth; Sheinfeld-Gorin, Sherri N; Estabrooks, Paul A; Ritzwoller, Debra P; Glasgow, Russell E

    2014-01-01

    Guidelines recommend screening patients for unhealthy behaviors and mental health concerns. Health risk assessments can systematically identify patient needs and trigger care. This study seeks to evaluate whether primary care practices can routinely implement such assessments into routine care. As part of a cluster-randomized pragmatic trial, 9 diverse primary care practices implemented My Own Health Report (MOHR)-an electronic or paper-based health behavior and mental health assessment and feedback system paired with counseling and goal setting. We observed how practices integrated MOHR into their workflows, what additional practice staff time it required, and what percentage of patients completed a MOHR assessment (Reach). Most practices approached (60%) agreed to adopt MOHR. How they implemented MOHR depended on practice resources, informatics capacity, and patient characteristics. Three practices mailed patients invitations to complete MOHR on the Web, 1 called patients and completed MOHR over the telephone, 1 had patients complete MOHR on paper in the office, and 4 had staff help patients complete MOHR on the Web in the office. Overall, 3,591 patients were approached and 1,782 completed MOHR (Reach = 49.6%). Reach varied by implementation strategy with higher reach when MOHR was completed by staff than by patients (71.2% vs 30.2%, P Primary care practices can implement health behavior and mental health assessments, but counseling patients effectively requires effort. Practices will need more support to implement and sustain assessments. © 2014 Annals of Family Medicine, Inc.

  10. Roadside maintenance

    Science.gov (United States)

    2010-01-01

    Roadside Maintenance is a unique element within the highway maintenance program because much of the work involves caring for and/or controlling vegetation. Roadside vegetation, if managed properly, can become more naturally self-sustaining over time ...

  11. Autonomus I&C Maintenance and Health Monitoring System for Fission Surface Power, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — There currently exists no end-to-end reactor/power conversion monitoring system that can provide both autonomous health monitoring, but also in-situ sensor...

  12. Webinar: A Proactive Approach to IAQ: Saving Money and Protecting Health With Preventive Maintenance

    Science.gov (United States)

    A page to register to view the June 22, 2017, webinar in the IAQ Knowledge-to-Action Professional Training Webinar Series: Green Cleaning for Improved Health: The Return on Investment of Green Cleaning in Schools

  13. Autonomus I&C Maintenance and Health Monitoring System for Fission Surface Power, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — The primary goal of this project is to design and develop an autonomous instrumentation and control (I&C) health monitoring system for space nuclear power...

  14. Evolution of portal hypertension and mechanisms involved in its maintenance in a rat model

    International Nuclear Information System (INIS)

    Sikuler, E.; Kravetz, D.; Groszmann, R.J.

    1985-01-01

    In rats with portal hypertension induced by partial ligation of the portal vein, the authors have recently demonstrated an increased portal venous inflow that becomes an important factor in the maintenance of portal hypertension. The sequence of events that leads into this circulatory disarray is unknown. The authors evaluated chronologically the chain of hemodynamic changes that occurred after portal hypertension was induced by partial ligation of the portal vein. In this model it is possible to follow, from the initiation of the portal-hypertensive state, the interaction between blood flow and resistance in the portal system as well as the relation between the development of portal-systemic shunting and the elevated portal venous inflow. The study was performed in 45 portal-hypertensive rats and in 29 sham-operated rats. Blood flow and portal-systemic shunting were measured by radioactive microsphere techniques. The constriction of the portal vein was immediately followed by a resistance-induced portal hypertension characterized by increased portal resistance (9.78 +/- 0.89 vs. 4.18 +/- 0.71 dyn X s X cm-5 X 10(4), mean +/- SE, P less than 0.01), increased portal pressure (17.7 +/- 0.9 vs. 9.5 +/- 0.6 mmHg, P less than 0.001), and decreased portal venous inflow (3.93 +/- 0.26 vs. 6.82 +/- 0.49 ml X min-1 X 100 g body wt-1, P less than 0.001)

  15. THE ROLE OF NUTRITION IN CARIES PREVENTION AND MAINTENANCE OF ORAL HEALTH DURING PREGNANCY.

    Science.gov (United States)

    Jevtić, Marija; Pantelinaci, Jelena; Jovanović Ilić, Tatjana; Petrović, Vasa; Grgić, Olja; Blazić, Larisa

    2015-01-01

    Pregnancy may pose an increased risk for the development of caries and other oral health problems. Continuous screening of oral health status, implementing appropriate preventive measures (particularly oral hygiene, healthy diet plans and education) is of paramount importance not only for oral health but also for the general health status of the future mother and her offspring. EFFECTS OF FOOD ON CARIES DEVELOPMENT: Caries prevention through healthy diet implicates the reduction in frequency and amount of intake of cariogenic food, above all ofrefined carbohydrates, i.e. sugars and sweets. Foods known to have caries-prophylactic effects should predominate in healthy diet plans. They mainly include solid foods, which have mechanical effects on teeth cleaning, as well as foods providing sufficient amounts of vitamins (A, C, D) and a variety of elements and compounds (calcium, phosphates, fluorides) favoring the preservation and remineralization of tooth structures. EDUCATION OF PREGNANT WOMEN ON HEALHY DEIT: In accomplishing these goals, education and direct positive communication between the educator and the pregnant woman play a crucial role. Educative approach is always individual and determined by the patient's specific cultural and socioeconomic features and status, as well as her habits, motivation and willingness to accept relevant recommendations. Accomplishing the aforementioned goals requires the appropriate organization and professional competence within the preventive dental service and its close cooperation with the relevant medical institutions and social support in the framework of public health protection. Preserving of oral health during pregnancy is predominantly influenced by the following factors: 1) healthy diet, 2) oral hygiene, 3) patients' education, 4) regular control of oral health, 5) appropriate organization of dental services and 6) community engagement.

  16. Software evolution and maintenance

    CERN Document Server

    Tripathy, Priyadarshi

    2014-01-01

    Software Evolution and Maintenance: A Practitioner's Approach is an accessible textbook for students and professionals, which collates the advances in software development and provides the most current models and techniques in maintenance.Explains two maintenance standards: IEEE/EIA 1219 and ISO/IEC14764Discusses several commercial reverse and domain engineering toolkitsSlides for instructors are available onlineInformation is based on the IEEE SWEBOK (Software Engineering Body of Knowledge)

  17. Modelling And Dynamic Analysis Of Catenary Maintenance Vehicle By AdamsVI-Rail

    Directory of Open Access Journals (Sweden)

    Damla Vural Cavusoglu

    2017-06-01

    Full Text Available The railway transportation network which is become quite important in the recent times in our country and in the world is forced to make new investments by developing technology. Old trains give place to high-speed trains in consequence of the railway catenary lines and the rail systems enter into a mass renovation study. During the renovation studies it is needed the catenary maintenance vehicles which are responded the need fast with wide working area. Until this time while it is continuing the needs of these maintenance vehicles which are gained by import for our country sizeable amount of currency is exported. Thanks to this research in our country it is manufactured the catenary maintenance vehicle for the first time and while the national capital is lying within the national borders it is thought that it will be shaped a new work portfolio.

  18. Demand-based maintenance and operators support based on process models; Behovsstyrt underhaall och operatoersstoed baserat paa process modeller

    Energy Technology Data Exchange (ETDEWEB)

    Dahlquist, Erik; Widarsson, Bjoern; Tomas-Aparicio, Elena

    2012-02-15

    There is a strong demand for systems that can give early warnings on upcoming problems in process performance or sensor measurements. In this project we have developed and implemented such a system on-line. The goal with the system is to give warnings about both faults needing urgent actions, as well giving advice on roughly when service may be needed for specific functions. The use of process simulation models on-line can offer a significant tool for operators and process engineers to analyse the performance of the process and make the most correct and fastest decision when problems arise. In this project physical simulation models are used in combination with decision support tools. By using a physical model it is possible to compare the measured data to the data obtained from the simulation and give these deviations as input to a decision support tool with Bayesian Networks (BN) that will result in information about the probability for wrong measurement in the instruments, process problems and maintenance needs. The application has been implemented in a CFB boiler at Maelarenergi AB. After tuning the model the system has been used online during September - October 2010 and May - October 2011, showing that the system is working on-line with respect to running the simulation model but with batch runs with respect to the BN. Examples have been made for several variables where trends of the deviation between simulation results and measured data have been used as input to a BN, where the probability for different faults has been calculated. Combustion up in the separator/cyclones has been detected several times, problems with fuel feed on both sides of the boiler as well. A moisture sensor not functioning as it should and suspected malfunctioning temperature meters as well. Deeper investigations of the true cause of problems have been used as input to tune the BN

  19. Maintenance methods

    International Nuclear Information System (INIS)

    Sanchis, H.; Aucher, P.

    1990-01-01

    The maintenance method applied at the Hague is summarized. The method was developed in order to solve problems relating to: the different specialist fields, the need for homogeneity in the maintenance work, the equipment diversity, the increase of the materials used at the Hague's new facilities. The aim of the method is to create a knowhow formalism, to facilitate maintenance, to ensure the running of the operations and to improve the estimation of the maintenance cost. One of the method's difficulties is the demonstration of the profitability of the maintenance operations [fr

  20. Combination of maintenance hemodialysis with hemoperfusion: a safe and effective model of artificial kidney.

    Science.gov (United States)

    Chen, Shun-Jie; Jiang, Geng-Ru; Shan, Jian-Ping; Lu, Wei; Huang, Hai-Dong; Ji, Gang; Wu, Ping; Wu, Gu-Feng; Wang, Wei; Zhu, Chun; Bian, Fan

    2011-04-01

    To investigate whether the combination of maintenance hemodialysis (MHD) with hemoperfusion (HP) could improve the clearance rate of middle and large molecule uremic toxins so as to improve the quality of life of MHD patients and reduce their mortality rate. This study was a prospective, randomized, controlled clinical trial. 100 MHD patients were selected and then randomly divided into two groups after four weeks of run-in period. Group 1 received HD alone 2 times a week and the combined treatment of HD with HP (HD+HP) once a week, whereas Group 2 was given HD alone 3 times a week. This study was followed up for a mean of 2 years. The primary outcome was the death of patients. Secondary end points included normal clinical data, leptin, high sensitive C-reactive protein (hsCRP), interleukin-6 (IL-6), ß(2) microglobulin (ß(2)-MG), immunoreactive parathyroid hormone (iPTH), tumor necrosis factor-α (TNF-α) and the index of dimensions of Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36 Chinese Edition ). At the end of the two-year observation, the serum concentration of leptin, hsCRP, iPTH, IL-6, ß(2)-MG and TNF-α, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), cardiothoracic ratio, left ventricular mass index (LVMI), the EPO doses and the types of antihypertensive drugs used were lower with Group 1 than with Group 2 (p0.05). Besides, the SF-36 indicated that the total score of overall dimentions of Group 1 was higher than Group 2 (p<0.05) and the quality of life of Group 1 was evidently better than Group 2. The Kaplan-Meier Survival Curves for the 2-year observation period showed that patients in Group 1 had obvious survival advantage while Log-rank test results showed p<0.05. No serious adverse incidents occurred during the HD+HP treatment. HD+HP was superior to HD in regularly eliminating middle and large molecule uremic toxins accumulated in the body. These findings suggest a potential role for HD+HP in the

  1. EXPERIMENTAL VALIDATION FOR THE TRAINING METHOD AND MATHEMATICAL MODEL OF THE PILOT SKILL FORMATION IN MAINTENANCE OF ATTITUDE ORIENTATION

    Directory of Open Access Journals (Sweden)

    Maksim BARABANOV

    2017-12-01

    Full Text Available In order to overcome the drawbacks in artificial horizon indicator (HI of inside-in type (a view from an aircraft (A/C, where pilots produce mistakes in maintenance of attitude orientation most of all, the authors offer a novel training method. The method is based on the hypothesis that the manipulative ability of a human visual system can be trained. A mathematical model for the data accumulation during the corresponding training procedure has been proposed. Construction, design and results of the model evaluation are presented in the article. The experimental results revealed the increase of the probability of faultless operation by the test group of up to 0,892, whereas the faultless operation probability of a control group was 0,726. Thus, the trainee-students have statistically increased the reliability for the maintenance of attitude orientation thanks to the proposed method, and the hypothesis was confirmed.

  2. Oil pulling and importance of traditional medicine in oral health maintenance.

    Science.gov (United States)

    Naseem, Mustafa; Khiyani, Muhammad Faheem; Nauman, Hiba; Zafar, Muhammad Sohail; Shah, Altaf H; Khalil, Hesham S

    2017-01-01

    Dental diseases have detrimental effects on the functionality and quality of life of individuals. In addition, a strong relationship has been established between various oral and systemic diseases. In fact, the prevention and treatment of dental caries and periodontal disease have been shown to reduce the risk of diabetes and heart disease significantly. This goes beyond the role of oral health as a means to identify early manifestations of systemic diseases in the oral cavity. It highlights the necessity of maintaining an optimal oral hygiene to significantly modify the risk factors for serious systemic diseases. The use of oil pulling can be frequently found in ancient medical text and is supported by recent studies for its efficacy and long-term use for maintaining and improving oral health. This article provides an overview on the concept of oil pulling or oil swishing, its mechanism of action and a summary of the evidence available, which highlights the role of oil pulling in specific oral diseases. The goal of this review is to highlight the ancient procedure that has the potential to be used as an adjunct to conventional chemical means of dental plaque control, such as mouth rinses. Incorporating oil swishing as a component of daily oral hygiene can significantly improve oral and general health, specifically in lower socioeconomic groups and rural communities that may have interrupted access to health-care services and dental products such as dentifrices and mouth washes due to various factors; availability and affordability being the most important.

  3. Health maintenance and low socio-economic status: A family perspective

    Directory of Open Access Journals (Sweden)

    Claudette D. Ncho

    2013-01-01

    Full Text Available The socio-economic status of people has a profound influence on health, as higher rates ofmorbidity and mortality are reported for individuals with lower socio-economic status. Dueto the increased burden of disease, research exploring how families maintain their health ina low socio-economic situation is an urgent priority. The objective of the study was to gainan understanding of the reality families are confronted with in terms of their health due totheir socio-economic status. The study was contextual, qualitative and exploratory usingpurposive sampling methods. The sample size was governed by data saturation and realisedas 17 families (n = 17. The participants for the study were families residing in SoshanguveExtension 12 and 13, South Africa. The data collection method was self-report using a semi-structured interview. Content analysis was done according to Tesch’s approach using opencoding. Five themes based on the theoretical basis of the study, including age, sex and geneticconstitution, individual lifestyle factors, social and community networks, living and workingconditions and general socio-economic status were used. Maintaining the health of peopleliving in a physically and psychosocially disadvantaged position requires a different approachfrom registered professional nurses. No community-specific intervention can be planned andimplemented to reduce the burden of communicable and non-communicable disease in thecommunity without evidence based on a family perspective.

  4. Bayesian based Diagnostic Model for Condition based Maintenance of Offshore Wind Farms

    DEFF Research Database (Denmark)

    Asgarpour, Masoud; Sørensen, John Dalsgaard

    2018-01-01

    Operation and maintenance costs are a major contributor to the Levelized Cost of Energy for electricity produced by offshore wind and can be significantly reduced if existing corrective actions are performed as efficiently as possible and if future corrective actions are avoided by performing suf...

  5. A risk-based model for maintenance decision support of civil structures using RAMS

    NARCIS (Netherlands)

    Viana Da Rocha, T. C.; Stipanovic, I.; Hartmann, A.; Bakker, J.

    2017-01-01

    As a cornerstone of transportation asset management, risk-based approaches have been used to support maintenance decisions of civil structures. However, ambiguous and subjective risk criteria and inconsistency on the use of risk-based approaches can lead to a fuzzy understanding of the risks

  6. Operations and maintenance manual, atmospheric contaminant sensor. Addendum 1: Carbon monoxide monitor model 204

    Science.gov (United States)

    1972-01-01

    An instrument for monitoring the carbon monoxide content of the ambient atmosphere is described. The subjects discussed are: (1) theory of operation, (2) system features, (3) controls and monitors, (4) operational procedures, and (5) maintenance and troubleshooting. Block drawings and circuit diagrams are included to clarify the text.

  7. Problems in maintenance of herd health associated with acid forming emissions

    International Nuclear Information System (INIS)

    Kostuch, M.

    1992-01-01

    The effects of sour gas plant emissions on dairy herds are described. A veterinarian establishing a practice in Rocky Mountain House, Alberta, found that dairy herds in that area suffered from a disproportionately higher occurrence of health problems than Minnesota herds with similar types of management. These problems are postulated to result from acid-forming emissions from two large sour gas plants in the area (the Ram River and Gulf Strachan plants). Health problems found in dairy cattle in the Rocky Mountain House area were: unthriftiness, increased susceptibility to infectious diseases, reproductive problems, and 'downer' animals (cows unable to stand up unassisted). Problems related to the reproductive organs were the most apparent. Clinical observations of problems in dairy herds are described. Since the levels of emissions from the plants have decreased, incidence of problems in dairy herds has also decreased. 1 ref., 2 figs

  8. A two-stage preventive maintenance optimization model incorporating two-dimensional extended warranty

    International Nuclear Information System (INIS)

    Su, Chun; Wang, Xiaolin

    2016-01-01

    In practice, customers can decide whether to buy an extended warranty or not, at the time of item sale or at the end of the basic warranty. In this paper, by taking into account the moments of customers purchasing two-dimensional extended warranty, the optimization of imperfect preventive maintenance for repairable items is investigated from the manufacturer's perspective. A two-dimensional preventive maintenance strategy is proposed, under which the item is preventively maintained according to a specified age interval or usage interval, whichever occurs first. It is highlighted that when the extended warranty is purchased upon the expiration of the basic warranty, the manufacturer faces a two-stage preventive maintenance optimization problem. Moreover, in the second stage, the possibility of reducing the servicing cost over the extended warranty period is explored by classifying customers on the basis of their usage rates and then providing them with customized preventive maintenance programs. Numerical examples show that offering customized preventive maintenance programs can reduce the manufacturer's warranty cost, while a larger saving in warranty cost comes from encouraging customers to buy the extended warranty at the time of item sale. - Highlights: • A two-dimensional PM strategy is investigated. • Imperfect PM strategy is optimized by considering both two-dimensional BW and EW. • Customers are categorized based on their usage rates throughout the BW period. • Servicing cost of the EW is reduced by offering customized PM programs. • Customers buying the EW at the time of sale is preferred for the manufacturer.

  9. Oil pulling and importance of traditional medicine in oral health maintenance

    OpenAIRE

    Naseem, Mustafa; Khiyani, Muhammad Faheem; Nauman, Hiba; Zafar, Muhammad Sohail; Shah, Altaf H; Khalil, Hesham S

    2017-01-01

    Dental diseases have detrimental effects on the functionality and quality of life of individuals. In addition, a strong relationship has been established between various oral and systemic diseases. In fact, the prevention and treatment of dental caries and periodontal disease have been shown to reduce the risk of diabetes and heart disease significantly. This goes beyond the role of oral health as a means to identify early manifestations of systemic diseases in the oral cavity. It highlights ...

  10. The use of hormone therapy for the maintenance of urogynecological and sexual health post WHI.

    Science.gov (United States)

    Nappi, R E; Davis, S R

    2012-06-01

    The loss of estrogen at menopause and the gradual decline in testosterone with age are associated with urogenital atrophy and, as a result, urogenital tract symptoms, including lower urinary tract symptoms and dyspareunia. These symptoms will persist unless treated. To review the prevalence of urogenital tract symptoms and sexual health problems associated with menopause and the role in the use of hormone therapy for the treatment of symptomatic women, with a specific focus on what has been learned since the first publication of the Women's Health Initiative (WHI) estrogen and estrogen + progestin studies. Studies support the use of local estrogen therapy, but not systemic estrogen therapy, for the treatment of urge urinary incontinence, overactive bladder and to reduce the number of urinary tract infections. The current evidence does not favor a beneficial effect on stress urinary incontinence. Local estrogen therapy is effective for the treatment of dyspareunia caused by vulvovaginal atrophy. Preliminary studies suggest a potential role for both intravaginal dehydroepiandrosterone and testosterone in the treatment of dyspareunia secondary to vulvovaginal atrophy, however, confirmatory studies are required before either therapy can be recommended. Post WHI, there is a need for medical practitioners to proactively raise the topic of urogynecological and sexual health in order to discuss the most suitable treatment option.

  11. Effectiveness of various interventions on maintenance of gingival health during 1 year - a randomized clinical trial.

    Science.gov (United States)

    Van Leeuwen, Mpc; Rosema, Nam; Versteeg, P A; Slot, D E; Hennequin-Hoenderdos, N L; Van der Weijden, G A

    2017-11-01

    Rinsing with the combined use of an oxygenating-agent (OA) and chlorhexidine (CHX) in addition to mechanical oral hygiene could improve and/or maintain good gingival health over a long period. This study had an examiner-blinded, randomized, six-group parallel design consisting of two-phases: a 3-week treatment phase and a subsequent 12-month experimental phase. A total of 267 subjects in good general health (≥18 years), without periodontitis, with at least five teeth per quadrant, and with moderate to advanced gingivitis were enrolled. A 3-week treatment phase was initiated to improve gingival health. Subjects were assigned to one of the six groups: two basic oral hygiene groups (Control I & II), one professional oral hygiene instruction group (OHI), one professional prophylaxis group (PP), an OA&CHX rinse group and a group receiving a combination of all regimens (COMBI group), being OHI + PP + OA&CHX. Dental plaque, gingival bleeding and staining assessments were performed at the start of the treatment phase, at baseline and at 4, 7, 10, and 12 months. There was a significant reduction in dental plaque-scores for the OA&CHX and COMBI-group (0.51 [SD = 0.37], 0.38 [SD = 0.33] respectively) and a significant reduction in gingivitis scores for the OA&CHX and COMBI group (6.9% [SD = 14.0], 13.4% [SD = 13.4] respectively) from the start of the treatment phase to baseline. No clinically relevant changes were observed for the other four groups. After baseline, bleeding and plaque-scores increased back to a non-significant level between groups, and this level remained throughout the study. OA&CHX and COMBI-group showed a clinically relevant improvement after the treatment phase in terms of dental plaque and gingival bleeding levels. At the 4-month clinical assessment, there was no longer a significant difference between groups. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Health maintenance in school-aged children: Part I. History, physical examination, screening, and immunizations.

    Science.gov (United States)

    Riley, Margaret; Locke, Amy B; Skye, Eric P

    2011-03-15

    The goals of the well-child examination in school-aged children (kindergarten through early adolescence) are promoting health, detecting disease, and counseling to prevent injury and future health problems. A complete history should address any concerns from the patient and family and screen for lifestyle habits, including diet, physical activity, daily screen time (e.g., television, computer, video games), hours of sleep per night, dental care, and safety habits. School performance can be used for developmental surveillance. A full physical examination should be performed; however, the U.S. Preventive Services Task Force recommends against routine scoliosis screening and testicular examination. Children should be screened for obesity, which is defined as a body mass index at or above the 95th percentile for age and sex, and resources for comprehensive, intensive behavioral interventions should be provided to children with obesity. Although the evidence is mixed regarding screening for hypertension before 18 years of age, many experts recommend checking blood pressure annually beginning at three years of age. The American Academy of Pediatrics recommends vision and hearing screening annually or every two years in school-aged children. There is insufficient evidence to recommend screening for dyslipidemia in children of any age, or screening for depression before 12 years of age. All children should receive at least 400 IU of vitamin D daily, with higher doses indicated in children with vitamin D deficiency. Children who live in areas with inadequate fluoride in the water (less than 0.6 ppm) should receive a daily fluoride supplement. Age-appropriate immunizations should be given, as well as any missed immunizations.

  13. Organizational Culture Influence On Total Productive Maintenance (TPM) and Operational Performance Using RASCH Model Analysis

    OpenAIRE

    Mohd Norhasni Mohd Asaad; Rushami Zien Yusoff

    2014-01-01

    Abstract. Market globalization, competitive product and services, high economic crises are the most critical factors that influence the success of the manufacturing companies in global market. Therefore it is critical to the manufacturing companies to be efficient in production and lean tool may used to achieve that.  The most frequently used is the Total Preventive Maintenance (TPM), even though there are many studies have been conducted in relation to the TPM but there is limited research i...

  14. Maintenance: organizational modes, activities and health and safety. Use of a French national survey and in-situ analyses.

    Science.gov (United States)

    Grusenmeyer, Corinne

    2014-12-01

    Maintenance activities are identified as critical both to operator safety and to systems safety and reliability. However, it is still difficult to identify maintenance workers in French occupational accident and disease statistics. Moreover, few analyses of these activities and of organizational changes in this field have been conducted. This paper presents two different approaches to this same issue. Analyses were aimed firstly at identifying the occupational exposures of these operators and at comparing them with occupational exposures of production staff and, secondly at developing understanding of normal real maintenance activities, i.e. maintenance activities that are normally actually carried out, while taking into account the socio-technical system and maintenance organization within which they lie. The use of the French SUMER 2003 survey shows that occupational exposures of maintenance staff to various constraints are more frequent than occupational exposures of their production colleagues. However, maintenance staff appear to have greater independence. Analyses were also conducted in a subcontracting urban public transport company, who outsources some maintenance work. Those analyses highlight a complex network of companies involved in maintenance activities, a substantial number of work interruptions and a significant fragmentation of the internal technicians' activities that can be cognitively costly, reduce anticipation possibilities and lead to incidents or accidents. Above all they underline internal technicians' contributions to the completion of outsourced interventions and interdependent relationships between the activities of the internal and the external technicians. Outsourcing maintenance interventions thus raises the question of risks associated with the interdependence of actual work activities undertaken by the different types of staff, since they contribute to the same maintenance intervention. This study therefore pinpoints the need to

  15. The impact of preventive maintenance practices on manufacturing performance: A proposed model for SMEs in Malaysia

    Science.gov (United States)

    Lazim, Halim Mad; Taib, Che Azlan; Lamsali, Hendrik; Saleh, Mohamed Najib; Subramaniam, Chandrakantan

    2016-08-01

    Preventive maintenance (PM) plays important role to avoid or mitigate potential stoppages and disruptions of equipment or machinery from occurring in daily operations. PM emphasized total employee involvement and it is important for companies as well as Small and Medium Sized Enterprises (SMEs). SME sectors contribution to the Malaysian economy makes up 95% of the total manufacturers, however PM remain relatively lacking. The ability, reliability and effective maintenance management is highly important in order to achieve desired manufacturing performance. Therefore, organizational capability in planning, controlling, implementing and monitoring PM activities is important. Furthermore, empirical evidence on the potential impact of PM practices towards manufacturing performance with organizational capability as a moderating effect is still limited and indecisive. Henceforth, this paper aims to explore and investigate potential relationships between PM practices and manufacturing performance moderated by organizational capability in the contact of Malaysian SMEs in the manufacturing sector. Correspondently, the study intends to propose a new research framework and hypotheses to examine the abovementioned relationships. The proposed framework includes PM team, PM strategy and planned maintenance as the determinants, while organizational capability serves as the moderating variable. Manufacturing performance will be viewed in terms of innovation and financial factors. Proposed research direction and conclusion are discussed at the end of the study.

  16. Effects of a Physical Education-Based Programme on Health-Related Physical Fitness and Its Maintenance in High School Students: A Cluster-Randomized Controlled Trial

    Science.gov (United States)

    Mayorga-Vega, Daniel; Montoro-Escaño, Jorge; Merino-Marban, Rafael; Viciana, Jesús

    2016-01-01

    The purpose of this study was to examine the effects of a physical education-based development and maintenance programme on objective and perceived health-related physical fitness in high school students. A sample of 111 students aged 12-14 years old from six classes were cluster-randomly assigned to an experimental group (n = 54) or a control…

  17. Prevalence of Childhood Obesity among Young Multiethnic Children from a Health Maintenance Organization in Hawaii.

    Science.gov (United States)

    Novotny, Rachel; Oshiro, Caryn Etsuko Shima; Wilkens, Lynne Ross

    2013-02-01

    Pacific Islander, Asian, and mixed-ethnicity children are not described in national nutrition and health surveys. Data on BMI values of 4608 5- to 8-year-old children available from Kaiser Permanente Hawaii electronic medical records in 2010 were analyzed for prevalence of overweight and obesity and for ethnic differences in BMI and risk for overweight and obesity, controlling for age, sex, neighborhood education level, and on a subset (n=2169) that further controlled for maternal education and maternal age. Kaiser Permanente data allow for reporting of multiple ethnicities. Data revealed that 33% of this child population was of mixed ethnic ancestry. Prevalence of overweight and obesity was 32.6% (12.9% overweight and 19.7% obese). However, Samoan children and children of Native Hawaiian, Filipino, and mixed ethnic ancestries had higher levels of overweight and obesity than whites or Asians. Higher neighborhood education level, higher maternal education level, and older maternal age were associated with decreased risk of overweight and obesity, except for children whose mothers were between 21 and 30 years old, who had a higher risk for obesity than those whose mothers were under 20 years of age (odds ratio=1.34). Populations of mixed ethnicities in the Pacific region deserve further study related to healthy body size and acculturation to environment and lifestyle.

  18. Newspaper advertising by health maintenance organizations during the reform of healthcare services in Israel.

    Science.gov (United States)

    Reuveni, H; Shvarts, S; Meyer, J; Elhayany, A; Greenberg, D

    2001-06-01

    On 1 January 1995 a new mandatory National Health Insurance Law was enacted in Israel. The new law fostered competition among the four major Israeli healthcare providers (HMOs or sick funds) already operating in the market due to the possibility that an unlimited number of patients and the relative budget share would shift among the HMOs. This led them to launch advertising campaigns to attract new members. To examine newspaper advertising activities during the early stages of healthcare market reform in Israel. Advertising efforts were reviewed during a study period of 24 months (July 1994 to June 1996). Advertisements were analyzed in terms of marketing strategy, costs and quality of information. During the study period 412 newspaper advertisements were collected. The total advertising costs by all HMOs was approximately US$4 million in 1996 prices. Differences were found in marketing strategy, relative advertising costs, contents and priorities among the HMOs. The content of HMOs' newspaper advertising was consistent with their marketing strategy. The messages met the criteria of persuasive advertising in that they cultivated interest in the HMOs but did not provide meaningful information about them. Future developments in this area should include consensus guidelines for advertising activities of HMOs in Israel, instruction concerning the content of messages, and standardization of criteria to report on HMO performance.

  19. Pender's health promotion model in medical research.

    Science.gov (United States)

    Heydari, Abbas; Khorashadizadeh, Fatemeh

    2014-09-01

    This review shows how researchers use pander's health promotion model. We included all articles in which Pender's health promotion has been used for theoretical framework. Eligible articles were selected according to review of abstracts. Search was conducted using the electronic database from 1990 to 2012. Based on our search, 74 articles with various methodologies were relevant for review. Their aims of these studies were to predict effective factors/barriers in health promotion behaviours, to detect effects of intervention programme for improving health promotion behaviours, test the model, identify quality of life and health promotion behaviour, predict stage of change in related factors that affect health promotion behaviour, prevent the events that interfere with health promotion behaviour, develop another model similar to this model, compare this model with another model, determine the relationship of variables associated to health promotion behaviours.

  20. Assessing cognitive processes related to insomnia: A review and measurement guide for Harvey's cognitive model for the maintenance of insomnia.

    Science.gov (United States)

    Hiller, Rachel M; Johnston, Anna; Dohnt, Hayley; Lovato, Nicole; Gradisar, Michael

    2015-10-01

    Cognitive processes play an important role in the maintenance, and treatment of sleep difficulties, including insomnia. In 2002, a comprehensive model was proposed by Harvey. Since its inception the model has received >300 citations, and provided researchers and clinicians with a framework for understanding and treating insomnia. The aim of this review is two-fold. First, we review the current literature investigating each factor proposed in Harvey's cognitive model of insomnia. Second, we summarise the psychometric properties of key measures used to assess the model's factors and mechanisms. From these aims, we demonstrate both strengths and limitations of the current knowledge of appropriate measurements associated with the model. This review aims to stimulate and guide future research in this area; and provide an understanding of the resources available to measure, target, and resolve cognitive factors that may maintain chronic insomnia. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Application of T2 Control Charts and Hidden Markov Models in Condition-Based Maintenance at Thermoelectric Power Plants

    Directory of Open Access Journals (Sweden)

    Emilija Kisić

    2015-01-01

    Full Text Available An innovative approach to condition-based maintenance of coal grinding subsystems at thermoelectric power plants is proposed in the paper. Coal mill grinding tables become worn over time and need to be replaced through time-based maintenance, after a certain number of service hours. At times such replacement is necessary earlier or later than prescribed, depending on the quality of the coal and of the grinding table itself. Considerable financial losses are incurred when the entire coal grinding subsystem is shut down and the grinding table found to not actually require replacement. The only way to determine whether replacement is necessary is to shut down and open the entire subsystem for visual inspection. The proposed algorithm supports condition-based maintenance and involves the application of T2 control charts to distinct acoustic signal parameters in the frequency domain and the construction of Hidden Markov Models whose observations are coded samples from the control charts. In the present research, the acoustic signals were collected by coal mill monitoring at the thermoelectric power plant “Kostolac” in Serbia. The proposed approach provides information about the current condition of the grinding table.

  2. [Maintenance and health promotion of adolescent--pledge of sustainable development of society and state (current status of the issue)].

    Science.gov (United States)

    Baranov, A A; Namazova-Baranova, L S; Il'in, A G

    2014-01-01

    The article presents submitted data of population dynamics of adolescent (10-17 years old) in Russian Federation over the period of 1995-2012 In the presence of reduction by 8.2 million of adolescent population the top-priority task of adolescent health and life maintenance was declared. The article deals with physical growth and development statistics of schoolchildren of 15-19 years old: as opposed to peers of 80-es increase of length, body weight and circumference of chest as well as reduction of muscle strength is observed. On the ground of the data analysis of authoritative statistical reporting the increase of morbidity rate by factor of 1.4 was detected over the last 10 years. It has been established that the true morbidity level is above the authoritative by the factor of 1.5. The number of adolescent at the age of 10-15 referred to 1st and 2nd health groups decreased almost on 20%, at the same time pathological processes become chronic. The reproductive and mental health of adolescent at the age of 15-17 years was analyzed over the last 10 years. The rate of mental health disorders in adolescent living in country is more than in the peers living in cities by the factor of 1.2-1.4. The rate of period disorders, salpingitis and oothecitis increased in girls under 10 years and ones at the age of 15-17. The rate and structure of child disability was analyzed. It was fixed that leading causes of adolescent disability are mental disorders, diseases of nervous system, congenital anomalies. The most commonly encountered seed of physical dysfunction is capacity to study. It is demonstrated that there is misreporting on both child disability in totally and adolescent disability in Russian Federation. After the analysis of particular provisions of legislation concerning medical and social issues of child disability the week points were detected. The morbidity rate of adolescent was studied: primary cause of death in adolescent is extrinsic factor (more than 70%), the

  3. Maintenance of scientific instruments

    International Nuclear Information System (INIS)

    Lucero, E.

    1986-01-01

    During the last years Colombia has increased the use of nuclear techniques, instruments and equipment in ambitious health programs, as well as in research centers, industry and education; this has resulted in numerous maintenance problems. As an alternative solution IAN has established a Central Maintenance Laboratory for nuclear instruments within an International Atomic Energy Agency program for eight Latin American and nine Asian Countries. Established strategies and some results are detailed in this writing

  4. Modeling and Control of Industrial ROV's for Semi-Autonomous Subsea Maintenance Services

    DEFF Research Database (Denmark)

    Mai, Christian; Pedersen, Simon; Hansen, Leif

    2017-01-01

    Remotely Operated Vechicles (ROV's) takes a big part in the installation, maintenance and inspection of offshore subsea energy activities, such as inspections of Oil Gas and wind energy pipelines and cables. By improving the ROV automation the operational cost can be significantly decreased as well...... an acceptable physical design but that the automation could potentially be improved by adding a MIMO control scheme such as the proposed LQR controller. (C) 2017, IFAC (International Federation of Automatic Control) Hosting by Elsevier Ltd. All rights reserved....

  5. [Maintenance of exclusive breastfeeding after three months postpartum: An experience in a health department of a Valencian Community].

    Science.gov (United States)

    Vila-Candel, Rafael; Soriano-Vidal, Francisco J; Murillo-Llorente, Mayte; Pérez-Bermejo, Marcelino; Castro-Sánchez, Enrique

    2018-02-14

    To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation. Observational, retrospective study. Health department of La Ribera, Valencia, Spain. Newborns between December 2012 to January 2017. Pregnant women were interviewed at postpartum and at 3 months regarding variables associated with breastfeeding initiation and continuation, matched with socio-demographic and obstetric-neonatal information. Prevalence of breastfeeding at discharge and exclusive breastfeeding at 3 months. Reasons for interrupt exclusive breastfeeding. Chi-square determination between qualitative variables. One thousand three hundred and thirty-eighth women were recruited. EBF at discharge was 68.2% (913) and at 3 months 46.7% (625). EBF duration was 68.7±32.7 days (95% CI: 66.9-71.2). We found statistically significant differences between the type of breastfeeding and the variables, year of study, country of origin and parity (P<0.001, P=0.005 and P=0.05 respectively). Hypogalactia (21.8%) and lower than recommended increase in newborn weight gain (14.9%) were most frequent factors for discontinuation. The prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  6. Limited agreement exists between rationale and practice in athletes' supplement use for maintenance of health: a retrospective study

    Directory of Open Access Journals (Sweden)

    Mazanov Jason

    2007-10-01

    Full Text Available Abstract Background The widespread use of nutritional supplements among athletes is poorly understood. The prevalence of supplement intake and users' knowledge have been researched independently leading to useful, but disconnected, information on supplement use. Methods The 'UK Sport 2005 Drug Free Survey' data (n = 874 were re-analysed using association [χ2] and 'strength of association' tests [φ], to discover observed incongruencies between self-reported supplement use and the underlying motives. Results are given for test pairs between 'motive for use' [doctor's advice, avoiding sickness, overcoming injuries and enhancement of diet] and each supplement used and these were categorized as strong (φ > .7, intermediate (7 φ > .3 and weak (φ Results The use of selected supplements varied widely as follows: multivitamin (72.7%, vitamin C (70.4%, echinacea (30.8%, iron (29.8%, magnesium (11.0% and ginseng (8.3%. Associations with motive were found in 8 of the 10 test pairs which were expected from literature precedents, however only weak associations exist. Of these, four were associated with avoidance of sickness [iron (χ2 = 11.94, p χ2 = 6.43, p φ = .11, p = .011, vitamin C (χ2 = 54.67, p φ = .32, p χ2 = 40.34, p φ = .28, p χ2 = 7.64, p = .006; φ = .12, p = .006 and multivitamin (χ2 = 9.103, p = .003; φ = .13, p = .003; overcoming injuries with magnesium (χ2 = 6.99, p = .008; φ = .11, p = .008; doctors' advice and iron (χ2 = 35.00, p φ = .25, p = .001. Conclusion These results suggest a lack of understanding regarding supplements and health maintenance, except for vitamin C and echinacea. Furthermore, supplement use is apparently independent of physicians/dieticians' advice, except for iron. This may suggest a widespread circumvention of expert advice in the growing area of supplement use and therefore should be addressed to underscore potential health risks.

  7. Depression and self-care maintenance in patients with heart failure: A moderated mediation model of self-care confidence and resilience.

    Science.gov (United States)

    Chang, Ling-Yin; Wu, Shan-Ying; Chiang, Chern-En; Tsai, Pei-Shan

    2017-06-01

    Despite the recognition of the negative effects of depressive symptoms on self-care confidence and self-care maintenance in patients with heart failure, little is known about the moderating role of resilience underlying these relations. To explore whether depressive symptoms affect self-care maintenance through self-care confidence and whether this mediating process was moderated by resilience. The sample comprised 201 community-dwelling and medically stable patients with echocardiographically documented heart failure. A moderated mediation model was conducted to test whether self-care confidence mediated the association between depressive symptoms and self-care maintenance, and whether resilience moderated the direct and indirect effects of depressive symptoms after adjustment for covariates. Depressive symptoms reduced self-care maintenance indirectly by decreasing self-care confidence (indirect effect: -0.22, 95% confidence interval: -0.36, -0.11), and this pathway was only significant for patients with moderate and high levels and not with low levels of resilience. Resilience also moderated the direct effects of depressive symptoms on self-care maintenance such that the negative association between depressive symptoms and self-care maintenance was reversed by the existence of high resilience. Resilience moderated the direct and indirect effects of depressive symptoms through self-care confidence on self-care maintenance in heart failure patients. Efforts to improve self-care maintenance by targeting depressive symptoms may be more effective when considering self-care confidence in patients with moderate to high levels of resilience.

  8. Reinforcing Spirals Model: Conceptualizing the Relationship Between Media Content Exposure and the Development and Maintenance of Attitudes

    Science.gov (United States)

    Slater, Michael D.

    2014-01-01

    The Reinforcing Spirals Model (RSM, Citation Withheld) has two primary purposes. First, the RSM provides a general framework for conceptualizing media use as part of a dynamic, endogenous process combining selective exposure and media effects that may be drawn on by theorists concerned with a variety of social processes and effects. Second, the RSM utilizes a systems-theory perspective to describe how patterns of mediated and interpersonal communication contribute to the development and maintenance of social identities and ideology as well as more transient attitudes and related behaviors, and how those outcomes may influence subsequent media use. The RSM suggests contingencies that may lead to homeostasis or encourage certain individuals or groups to extreme polarization of such attitudes. In addition, the RSM proposes social cognitive mechanisms that may be responsible for attitude maintenance and reinforcement. This article discusses empirical progress in testing the model, addresses misconceptions that have arisen, and provides elaborated illustrations of the model. The article also identifies potentially fruitful directions for further conceptual development and empirical testing of the RSM. PMID:26366124

  9. Reinforcing Spirals Model: Conceptualizing the Relationship Between Media Content Exposure and the Development and Maintenance of Attitudes.

    Science.gov (United States)

    Slater, Michael D

    2015-07-01

    The Reinforcing Spirals Model (RSM, Citation Withheld) has two primary purposes. First, the RSM provides a general framework for conceptualizing media use as part of a dynamic, endogenous process combining selective exposure and media effects that may be drawn on by theorists concerned with a variety of social processes and effects. Second, the RSM utilizes a systems-theory perspective to describe how patterns of mediated and interpersonal communication contribute to the development and maintenance of social identities and ideology as well as more transient attitudes and related behaviors, and how those outcomes may influence subsequent media use. The RSM suggests contingencies that may lead to homeostasis or encourage certain individuals or groups to extreme polarization of such attitudes. In addition, the RSM proposes social cognitive mechanisms that may be responsible for attitude maintenance and reinforcement. This article discusses empirical progress in testing the model, addresses misconceptions that have arisen, and provides elaborated illustrations of the model. The article also identifies potentially fruitful directions for further conceptual development and empirical testing of the RSM.

  10. Modeling Per Capita State Health Expenditure Variat...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Modeling Per Capita State Health Expenditure Variation State-Level Characteristics Matter, published in Volume 3, Issue 4, of the Medicare and Medicaid Research...

  11. Multipurpose expert-robot system model for control, diagnosis, maintenance, and repairs at the steam generators of the NPP

    International Nuclear Information System (INIS)

    Popa, I.

    1994-01-01

    The paper presents the model concept for a multipurpose expert-robot system for control, diagnosis, forecast, maintenance, and repairs at the steam generators of CANDU type nuclear power plants. The system has two separate parts: the expert system and the robot (manipulator) system. These parts compose a hierarchic structure with the expert system on the upper level. The expert system has a blackboard architecture, to which tree interfaces with the robot system, with the control system of the NPP and with the methods and techniques of control, maintenance and repairs system of the steam generator are added. Due to complex nature of its activities the expert-robot system model combines the deterministic type reasons with probabilistic, fuzzy, and neural-networks type ones. The information that enter the expert system comes from the robot system, from process, from user, and human expert. The information that enter robot system comes from the expert system, from the human operator (when connected) and from process. Control maintenance and repair operations take place by means of the robot system that can be monitored either directly by the expert system or by the human operator who follows its activity. All these activities are performed in parallel with the adequate information of the expert system directly, by the human operator, about the status parameters and, possibly, operating parameters of the steam generator components. The expert-robot system can work independently, but it can be connected and integrated in the control system of NPP, to take over and develop some of its functions. The activities concerning diagnosis and characterization of the state of steam generator components subsequent to control, as well as the forecast of their future behavior, are performed by means of the expert system. Due to these characteristics the expert-robot system can be used successfully in personnel training activities. (Author)

  12. Filling Gaps in the Acculturation Gap-Distress Model: Heritage Cultural Maintenance and Adjustment in Mexican-American Families.

    Science.gov (United States)

    Telzer, Eva H; Yuen, Cynthia; Gonzales, Nancy; Fuligni, Andrew J

    2016-07-01

    The acculturation gap-distress model purports that immigrant children acculturate faster than do their parents, resulting in an acculturation gap that leads to family and youth maladjustment. However, empirical support for the acculturation gap-distress model has been inconclusive. In the current study, 428 Mexican-American adolescents (50.2 % female) and their primary caregivers independently completed questionnaires assessing their levels of American and Mexican cultural orientation, family functioning, and youth adjustment. Contrary to the acculturation gap-distress model, acculturation gaps were not associated with poorer family or youth functioning. Rather, adolescents with higher levels of Mexican cultural orientations showed positive outcomes, regardless of their parents' orientations to either American or Mexican cultures. Findings suggest that youths' heritage cultural maintenance may be most important for their adjustment.

  13. A survey of practice patterns and the health promotion and prevention attitudes of US chiropractors. Maintenance care: part I.

    Science.gov (United States)

    Rupert, R L

    2000-01-01

    To investigate the primary care, health promotion activities associated with what has historically been called "maintenance care" (MC) as used in the practice of chiropractic in the United States. This includes issues such as investigating the purpose of MC, what conditions and patient populations it best serves, how frequently it is required, what therapeutic interventions constitute MC, how often it is recommended, and what percent of patient visits are for prevention and health promotion services. It also investigates the economic impact of these services. Postal survey of a randomized sample of practicing US chiropractors. The questionnaire was structured with a 5-point ordinal Likert scale (28 questions) and brief fill-in questionnaire (12 questions). The 40-question survey was mailed to 1500 chiropractors selected at random from a pool of chiropractors with active practices in the United States. The National Directory of Chiropractic database was the source of actively practicing chiropractors from which doctor selection was made. The sample was derived by using the last numbers composing the zip codes assigned by the US Postal Service. This sampling method assured potential inclusion of chiropractors from all 50 states, from rural areas and large cities, and assured a sample weighting based on population density that might not have been afforded by a simple random sample. Six hundred and fifty-eight (44%) of the questionnaires were completed and returned. US chiropractors agreed or strongly agreed that the purpose of MC was to optimize health (90%), prevent conditions from developing (88%), provide palliative care (86%), and minimize recurrence or exacerbations (95%). MC was viewed as helpful in preventing both musculoskeletal and visceral health problems. There was strong agreement that the therapeutic composition of MC placed virtually equal weight on exercise (96%) and adjustments/manipulation (97%) and that other interventions, including dietary

  14. Maintenance Mentor

    National Research Council Canada - National Science Library

    Jacobs, John

    2003-01-01

    Maintenance Mentor (MXM) is a research effort conducted by a joint AFRL/HESR and Northrop Grumman Information Technology team to identify the basic, high-level requirements necessary for improving flight line diagnostic capabilities...

  15. Maintenance Process Strategic Analysis

    Science.gov (United States)

    Jasiulewicz-Kaczmarek, M.; Stachowiak, A.

    2016-08-01

    The performance and competitiveness of manufacturing companies is dependent on the availability, reliability and productivity of their production facilities. Low productivity, downtime, and poor machine performance is often linked to inadequate plant maintenance, which in turn can lead to reduced production levels, increasing costs, lost market opportunities, and lower profits. These pressures have given firms worldwide the motivation to explore and embrace proactive maintenance strategies over the traditional reactive firefighting methods. The traditional view of maintenance has shifted into one of an overall view that encompasses Overall Equipment Efficiency, Stakeholders Management and Life Cycle assessment. From practical point of view it requires changes in approach to maintenance represented by managers and changes in actions performed within maintenance area. Managers have to understand that maintenance is not only about repairs and conservations of machines and devices, but also actions striving for more efficient resources management and care for safety and health of employees. The purpose of the work is to present strategic analysis based on SWOT analysis to identify the opportunities and strengths of maintenance process, to benefit from them as much as possible, as well as to identify weaknesses and threats, so that they could be eliminated or minimized.

  16. Interval of Routine Maintenance and Maintenance Performance: A Literature Review

    Directory of Open Access Journals (Sweden)

    Au-Yong Cheong Peng

    2016-01-01

    Full Text Available In high-rise residential buildings, the quality of facilities management services is significant to the normal operation of the facilities. Unfortunately, lack of concern towards building maintenance, especially preventive maintenance, happens in domestic housing industry in Malaysia. Majority of the maintenance operations of condominiums suffer from lack of planning, lack of proactive maintenance plan, and lack of proper implementation. Thus, this paper reviews the implementation of preventive maintenance strategy, routine maintenance in specific. An extensive review of literature published in 1987 to 2014 is performed for the purpose of this research. The publications are sourced from journal articles, conference proceedings and books. The literature analysis confirms that the routine maintenance of facilities and building services is vital and it can be influential towards the maintenance performance. Subsequently, a theoretical framework is developed, which shows the relationship between routine maintenance of building facilities & services and maintenance performance. The building facilities & services are divided into two categories. They are essential facilities & services that ensure the safety, health, habitability, and operability of buildings; while value-added facilities & services deal with property value, return on investment, and quality living of buildings. Based on the findings, a future research is proposed, which aims to identify the appropriate routine of maintenance for the facilities and services in high-rise residential buildings to improve the maintenance performance.

  17. Incorrect modeling of the failure process of minimally repaired systems under random conditions: The effect on the maintenance costs

    International Nuclear Information System (INIS)

    Pulcini, Gianpaolo

    2015-01-01

    This note investigates the effect of the incorrect modeling of the failure process of minimally repaired systems that operates under random environmental conditions on the costs of a periodic replacement maintenance. The motivation of this paper is given by a recently published paper, where a wrong formulation of the expected cost for unit time under a periodic replacement policy is obtained. This wrong formulation is due to the incorrect assumption that the intensity function of minimally repaired systems that operate under random conditions has the same functional form as the failure rate of the first failure time. This produced an incorrect optimization of the replacement maintenance. Thus, in this note the conceptual differences between the intensity function and the failure rate of the first failure time are first highlighted. Then, the correct expressions of the expected cost and of the optimal replacement period are provided. Finally, a real application is used to measure how severe can be the economical consequences caused by the incorrect modeling of the failure process.

  18. Maintenance and Expansion: Modeling Material Stocks and Flows for Residential Buildings and Transportation Networks in the EU25.

    Science.gov (United States)

    Wiedenhofer, Dominik; Steinberger, Julia K; Eisenmenger, Nina; Haas, Willi

    2015-08-01

    Material stocks are an important part of the social metabolism. Owing to long service lifetimes of stocks, they not only shape resource flows during construction, but also during use, maintenance, and at the end of their useful lifetime. This makes them an important topic for sustainable development. In this work, a model of stocks and flows for nonmetallic minerals in residential buildings, roads, and railways in the EU25, from 2004 to 2009 is presented. The changing material composition of the stock is modeled using a typology of 72 residential buildings, four road and two railway types, throughout the EU25. This allows for estimating the amounts of materials in in-use stocks of residential buildings and transportation networks, as well as input and output flows. We compare the magnitude of material demands for expansion versus those for maintenance of existing stock. Then, recycling potentials are quantitatively explored by comparing the magnitude of estimated input, waste, and recycling flows from 2004 to 2009 and in a business-as-usual scenario for 2020. Thereby, we assess the potential impacts of the European Waste Framework Directive, which strives for a significant increase in recycling. We find that in the EU25, consisting of highly industrialized countries, a large share of material inputs are directed at maintaining existing stocks. Proper management of existing transportation networks and residential buildings is therefore crucial for the future size of flows of nonmetallic minerals.

  19. Total Productive Maintenance And Role Of Interpretive Structural Modeling And Structural Equation Modeling In Analyzing Barriers In Its Implementation A Literature Review

    Directory of Open Access Journals (Sweden)

    Prasanth S. Poduval

    2015-08-01

    Full Text Available Abstract - The aim of the authors is to present a review of literature of Total Productive Maintenance and the barriers in implementation of Total Productive Maintenance TPM. The paper begins with a brief description of TPM and the barriers in implementation of TPM. Interpretive Structural Modeling ISM and its role in analyzing the barriers in TPM implementation is explained in brief. Applications of ISM in analyzing issues in various fields are highlighted with special emphasis on TPM. The paper moves on to introduction to Structural Equation Modeling SEM and its role in validating ISM in analyzing barriers in implementation of TPM. The paper concludes with a gap analysis from the current literature research that can be carried out and expected outcomes from the proposed research.

  20. Performance-based maintenance of gas turbines for reliable control of degraded power systems

    Science.gov (United States)

    Mo, Huadong; Sansavini, Giovanni; Xie, Min

    2018-03-01

    Maintenance actions are necessary for ensuring proper operations of control systems under component degradation. However, current condition-based maintenance (CBM) models based on component health indices are not suitable for degraded control systems. Indeed, failures of control systems are only determined by the controller outputs, and the feedback mechanism compensates the control performance loss caused by the component deterioration. Thus, control systems may still operate normally even if the component health indices exceed failure thresholds. This work investigates the CBM model of control systems and employs the reduced control performance as a direct degradation measure for deciding maintenance activities. The reduced control performance depends on the underlying component degradation modelled as a Wiener process and the feedback mechanism. To this aim, the controller features are quantified by developing a dynamic and stochastic control block diagram-based simulation model, consisting of the degraded components and the control mechanism. At each inspection, the system receives a maintenance action if the control performance deterioration exceeds its preventive-maintenance or failure thresholds. Inspired by realistic cases, the component degradation model considers random start time and unit-to-unit variability. The cost analysis of maintenance model is conducted via Monte Carlo simulation. Optimal maintenance strategies are investigated to minimize the expected maintenance costs, which is a direct consequence of the control performance. The proposed framework is able to design preventive maintenance actions on a gas power plant, to ensuring required load frequency control performance against a sudden load increase. The optimization results identify the trade-off between system downtime and maintenance costs as a function of preventive maintenance thresholds and inspection frequency. Finally, the control performance-based maintenance model can reduce

  1. Data management in maintenance outsourcing

    International Nuclear Information System (INIS)

    Murthy, D.N.P.; Karim, M.R.; Ahmadi, A.

    2015-01-01

    Most businesses view maintenance as tasks carried out by technicians and the data collected is mostly cost related. There is a growing trend towards outsourcing of maintenance and the data collection issues are not addressed properly in most maintenance service contracts. Effective maintenance management requires proper data management - data collection and analysis for decision-making. This requires a proper framework and when maintenance is outsourced it raises several issues and challenges. The paper develops a framework for data management when maintenance is outsourced and looks at a real case study that highlights the need for proper data management. - Highlights: • Framework for data management in maintenance outsourcing. • Black-box to grey-box approaches for modelling. • Improvements to maintenance decision-making. • Case study to illustrate the approaches and the shortcomings in data collection

  2. Late-stage, primary open-angle glaucoma in Europe: social and health care maintenance costs and quality of life of patients from 4 countries

    DEFF Research Database (Denmark)

    Thygesen, J.; Aagren, M.; Arnavielle, S.

    2008-01-01

    OBJECTIVE: The purpose of this study was to estimate costs and quality of life (QoL) of late-stage glaucoma patients in 4 European countries. METHODS: Retrospective review of medical charts of patients with POAG who were followed in a low-vision or vision rehabilitation center in one of 4 countries...... maintenance costs of late-stage glaucoma amounted to euro830 (+/-445) on average. Average home help costs were more than 3 times higher. QoL, on average, was 0.65 (+/-0.28). QoL was positively correlated with the level of visual acuity in the patients' best eye. On the other hand, visual acuity was also...... positively correlated to health care costs, but negatively correlated to costs of home help. CONCLUSIONS: The study was limited by its observational, uncontrolled design. The finding that late-stage glaucoma is associated with higher home help costs than health care maintenance costs suggests that potential...

  3. Lactitol and the maintenance of normal defecation: evaluation of a health claim pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Sjödin, Anders Mikael

    2015-01-01

    substantiation of a health claim related to lactitol and the maintenance of normal defecation. The food constituent that is the subject of the claim is lactitol. The Panel considers that the food constituent lactitol, which is the subject of the claim, is sufficiently characterised. The Panel considers...... that the maintenance of normal defecation is a beneficial physiological effect. A total of 15 human intervention studies were identified as pertinent to the health claim. Twelve studies with various methodological limitations consistently showed that consumption of at least 10 g/day lactitol increases stool frequency......; five out of six studies found that lactitol softens stool consistency; and two studies showed that lactitol increases stool bulk. The Panel also acknowledges the plausible mechanisms of action by which lactitol could exert the claimed effect. The dose of 10 g/day lactitol does not induce diarrhoea...

  4. An off-line dual maximum resource bin packing model for solving the maintenance problem in the aviation industry

    Directory of Open Access Journals (Sweden)

    George Cristian Gruia

    2013-05-01

    Full Text Available In the aviation industry, propeller motor engines have a lifecycle of several thousand hours of flight and the maintenance is an important part of their lifecycle. The present article considers a multi-resource, priority-based case scheduling problem, which is applied in a Romanian manufacturing company, that repairs and maintains helicopter and airplane engines at a certain quality level imposed by the aviation standards. Given a reduced budget constraint, the management’s goal is to maximize the utilization of their resources (financial, material, space, workers, by maintaining a prior known priority rule. An Off-Line Dual Maximum Resource Bin Packing model, based on a Mixed Integer Programming model is thus presented. The obtained results show an increase with approx. 25% of the Just in Time shipping of the engines to the customers and approx. 12,5% increase in the utilization of the working area.

  5. Health service marketing: a suggested model.

    Science.gov (United States)

    Zaltman, G; Vertinsky, I

    1971-07-01

    Focus is on social marketing in a health context, and attention is directed to the development of a psychosocial model of health-related behavior with emphasis on developing countries. Each component of the model is identified and defined, with some of the interactions among its components noted. There are both advantages and limitations to using the model in a social marketing context. The model's primary contribution at this stage of its development is in structuring and organizing diverse sources of knowledge and data. New relationships are suggested which were not previously considered in the literature. The relationship between risk-taking and perceived susceptibility is 1 example. The model also provides a basis for simulating health processes, providing a testing ground for health policies before their actual implementation. The model's perspective is uniquely appropriate for the development of social marketing strategies, and it promises to encompass health market behavior in various cultural settings.

  6. Framework for ensuring appropriate maintenance of baseline PSA and risk monitor models in a nuclear power plant

    International Nuclear Information System (INIS)

    Vrbanic, I.; Sorman, J.

    2005-01-01

    The necessity of observing both long term and short term risk changes many times imposes the need for a nuclear power plant to have a baseline PSA model to produce an estimate of long term averaged risk and a risk monitor to produce a time-dependent risk curve and/or safety functions status at points in time or over a shorter time period of interest. By nature, a baseline PSA reflects plant systems and operation in terms of average conditions and provides time-invariant quantitative risk metrics. Risk monitor, on the other hand, requires condition-specific modeling to produce a quantitative and/or qualitative estimate of plant's condition-specific risk metrics. While risk monitor is used for computing condition-specific risk metrics over time, a baseline PSA model is needed for variety of other risk oriented applications, such as assessments of proposed design modifications or risk ranking of equipment. Having in mind their importance and roles, it is essential that both models, i.e. baseline PSA model and risk monitor are maintained in the way that they represent, as accurately as practically achievable, the actual plant status (e.g. systems' design and plant's procedures in effect) and its history (e.g. numbers of equipment failures and demands that influence relevant PSA parameters). Paper discusses the requirements for appropriate maintenance of plant's baseline PSA model and risk monitor model and presents the framework for plant's engineering and administrative procedures that would ensure they are met. (author)

  7. Use of Just in Time Maintenance of Reinforced Concrete Bridge Structures based on Real Historical Data Deterioration Models

    Directory of Open Access Journals (Sweden)

    Abu-Tair A.

    2016-01-01

    Full Text Available Concrete is the backbone of any developed economy. Concrete can suffer from a large number of deleterious effects including physical, chemical and biological causes. Large owning bridge structures organizations are facing very serious questions when asking for maintenance budgets. The questions range from needing to justify the need for the work, its urgency, to also have to predict or show the consequences of delayed rehabilitation of a particular structure. There is therefore a need for a probabilistic model that can estimate the range of service lives of bridge populations and also the likelihood of level of deteriorations it can reached for every incremental time interval. A model was developed for such estimation based on statistical data from actual inspection records of a large reinforced concrete bridge portfolio. The method used both deterministic and stochastic methods to predict the service life of a bridge, using these service lives in combination with the just in time (JIT principle of management would enable maintenance managers to justify the need for action and the budgets needed, to intervene at the optimum time in the life of the structure and that of the deterioration. The paper will report on the model which is based on a large database of deterioration records of concrete bridges covering a period of over 60 years and include data from over 400 bridge structures. The paper will also illustrate how the service life model was developed and how these service lives combined with the JIT can be used to effectively allocate resources and use them to keep a major infrastructure asset moving with little disruption to the transport system and its users.

  8. Effect on health-related quality of life of ongoing feedback during a 12-month maintenance walking programme in patients with COPD: a randomized controlled trial.

    Science.gov (United States)

    Wootton, Sally L; McKeough, Zoe; Ng, Cindy L W; Jenkins, Sue; Hill, Kylie; Eastwood, Peter R; Hillman, David; Jenkins, Christine; Cecins, Nola; Spencer, Lissa; Alison, Jennifer

    2018-01-01

    In patients with COPD, this study evaluated the effect on health-related quality of life (HRQoL) of adding ongoing feedback to a 12-month unsupervised maintenance walking programme. Participants were randomized to either an intervention group (IG) or control group (CG). Both groups completed the same 2-month supervised, walking training programme followed by a 12-month unsupervised maintenance walking programme. During the maintenance programme, the IG received ongoing feedback (telephone calls, biofeedback and progressive goal setting) and the CG received no feedback. A total of 75 participants completed the study (mean (SD): age 69 (8) years; forced expiratory volume in 1 s (FEV 1 ) 43 (15) % predicted). There was no between-group differences in the magnitude of change in HRQoL when data collected on completion of the 12-month maintenance programme were compared with that collected either before the 2-month supervised programme (mean between-group difference (MD) in total St George's Respiratory Questionnaire change scores: 1 point, 95% CI: -9 to 7) or on completion of the 2-month supervised programme (MD: 4 points, 95% CI -2 to 10). Following a 2-month supervised walking training programme, ongoing feedback was no more effective than no feedback in maintaining HRQoL during a 12-month unsupervised walking programme. © 2017 Asian Pacific Society of Respirology.

  9. Presenting a model of repair and preventing maintenance of Bushehr nuclear power plants analyzing the data of similar nuclear power plants

    International Nuclear Information System (INIS)

    Parikhan, Hammidreza

    1997-01-01

    Due to the increase application of nuclear energy for producing electricity, special attention must be paid to their maintenance activities in general and preventive maintenance in particular. It has been shown that a well established preventive maintenance programme will enhance the reliability and availability of nuclear power plants. A model of preventive maintenance for Buhehr nuclear power plant which is due to be completed by 2001 is developed. The prescribed model is based on past experiences of VVER nuclear power plants around the world. The utilized data is provided by International Atomic Energy Agency (IAEA) in Vienna, Austria. The data and past experiences reveal such important information as availability, energy loss, types of failures, duration of failure, etc. A strategy for designing a database is established. These data are then analyzed by statistical methods such as Pareto analysis, t-test, K-S test, analysis of variance, etc. The results of our analysis reveal important information in regard to establishment of a well-defined preventive maintenance programme in Buhshehr nuclear power plant. The results show that certain equipment such turbo-generator and control-rods play an important role in the maintenance of a VVER nuclear power plant. Other findings are discussed in great detail

  10. Global Health Innovation Technology Models

    Directory of Open Access Journals (Sweden)

    Kimberly Harding

    2016-04-01

    Full Text Available Chronic technology and business process disparities between High Income, Low Middle Income and Low Income (HIC, LMIC, LIC research collaborators directly prevent the growth of sustainable Global Health innovation for infectious and rare diseases. There is a need for an Open Source-Open Science Architecture Framework to bridge this divide. We are proposing such a framework for consideration by the Global Health community, by utilizing a hybrid approach of integrating agnostic Open Source technology and healthcare interoperability standards and Total Quality Management principles. We will validate this architecture framework through our programme called Project Orchid. Project Orchid is a conceptual Clinical Intelligence Exchange and Virtual Innovation platform utilizing this approach to support clinical innovation efforts for multi-national collaboration that can be locally sustainable for LIC and LMIC research cohorts. The goal is to enable LIC and LMIC research organizations to accelerate their clinical trial process maturity in the field of drug discovery, population health innovation initiatives and public domain knowledge networks. When sponsored, this concept will be tested by 12 confirmed clinical research and public health organizations in six countries. The potential impact of this platform is reduced drug discovery and public health innovation lag time and improved clinical trial interventions, due to reliable clinical intelligence and bio-surveillance across all phases of the clinical innovation process.

  11. Global Health Innovation Technology Models

    Directory of Open Access Journals (Sweden)

    Kimberly Harding

    2016-04-01

    Full Text Available Chronic technology and business process disparities between High Income, Low Middle Income and Low Income (HIC, LMIC, LIC research collaborators directly prevent the growth of sustainable Global Health innova‐ tion for infectious and rare diseases. There is a need for an Open Source-Open Science Architecture Framework to bridge this divide. We are proposing such a framework for consideration by the Global Health community, by utiliz‐ ing a hybrid approach of integrating agnostic Open Source technology and healthcare interoperability standards and Total Quality Management principles. We will validate this architecture framework through our programme called Project Orchid. Project Orchid is a conceptual Clinical Intelligence Exchange and Virtual Innovation platform utilizing this approach to support clinical innovation efforts for multi-national collaboration that can be locally sustainable for LIC and LMIC research cohorts. The goal is to enable LIC and LMIC research organizations to acceler‐ ate their clinical trial process maturity in the field of drug discovery, population health innovation initiatives and public domain knowledge networks. When sponsored, this concept will be tested by 12 confirmed clinical research and public health organizations in six countries. The potential impact of this platform is reduced drug discovery and public health innovation lag time and improved clinical trial interventions, due to reliable clinical intelligence and bio-surveillance across all phases of the clinical innovation process.

  12. Health behaviors of people with hypertension: health belief model

    Directory of Open Access Journals (Sweden)

    Ariane Alves Barros

    2014-09-01

    Full Text Available This study aimed to identify the lifestyle of hypertensive patients, focusing on their health behaviors in light of the Health Belief Model. This is a descriptive cross-sectional study with a sample of 133 patients over 18 years old, with hypertension, registered in the Clinical Management System for Hypertension and Diabetes Mellitus in Primary Care, and monitored in five health centers in Fortaleza, CE, Brazil, chosen randomly and probabilistically. Data collection happened through a structured interview that was designed based on the Health Belief Model, from March to December 2013. Participants perceived the disease’s severity and felt susceptible to develop complications from hypertension. They reported receiving treatment correctly; however, the values ​​of blood pressure, waist-hip ratio, and body mass index were high. Thus, it is necessary that health professionals implement strategies that favor hypertensive patients who are undergoing treatment to have healthy behavior.

  13. [Evaluation model for municipal health planning management].

    Science.gov (United States)

    Berretta, Isabel Quint; Lacerda, Josimari Telino de; Calvo, Maria Cristina Marino

    2011-11-01

    This article presents an evaluation model for municipal health planning management. The basis was a methodological study using the health planning theoretical framework to construct the evaluation matrix, in addition to an understanding of the organization and functioning designed by the Planning System of the Unified National Health System (PlanejaSUS) and definition of responsibilities for the municipal level under the Health Management Pact. The indicators and measures were validated using the consensus technique with specialists in planning and evaluation. The applicability was tested in 271 municipalities (counties) in the State of Santa Catarina, Brazil, based on population size. The proposed model features two evaluative dimensions which reflect the municipal health administrator's commitment to planning: the guarantee of resources and the internal and external relations needed for developing the activities. The data were analyzed using indicators, sub-dimensions, and dimensions. The study concludes that the model is feasible and appropriate for evaluating municipal performance in health planning management.

  14. Modeling sediment transport after ditch network maintenance of a forested peatland

    Science.gov (United States)

    Haahti, K.; Marttila, H.; Warsta, L.; Kokkonen, T.; Finér, L.; Koivusalo, H.

    2016-11-01

    Elevated suspended sediment (SS) loads released from peatlands after drainage operations and the resulting negative effect on the ecological status of the receiving water bodies have been widely recognized. Understanding the processes controlling erosion and sediment transport within the ditch network forms a prerequisite for adequate sediment control. While numerous experimental studies have been reported in this field, model based assessments are rare. This study presents a modeling approach to investigate sediment transport in a peatland ditch network. The transport model describes bed erosion, rain-induced bank erosion, floc deposition, and consolidation of the bed. Coupled to a distributed hydrological model, sediment transport was simulated in a 5.2 ha forestry-drained peatland catchment for 2 years after ditch cleaning. Comparing simulation results to measured SS concentrations suggested that the loose peat material, produced during excavation, contributed markedly to elevated SS concentrations immediately after ditch cleaning. Both snowmelt and summer rainstorms contributed critically to annual loads. Springtime peat erosion during snowmelt was driven by ditch flow whereas during summer rainfalls, bank erosion by raindrop impact was identified as an important process. Relating modeling results to observed spatial topographic changes in the ditch network was challenging and the results were difficult to verify. Nevertheless, the model has potential to identify risk areas for erosion. The results demonstrate that modeling is effective in separating the importance of different processes and complements pure experimental approaches. Modeling results can aid planning and designing efficient sediment control measures and guide the focus of experimental studies.

  15. Applying business management models in health care.

    Science.gov (United States)

    Trisolini, Michael G

    2002-01-01

    Most health care management training programmes and textbooks focus on only one or two models or conceptual frameworks, but the increasing complexity of health care organizations and their environments worldwide means that a broader perspective is needed. This paper reviews five management models developed for business organizations and analyses issues related to their application in health care. Three older, more 'traditional' models are first presented. These include the functional areas model, the tasks model and the roles model. Each is shown to provide a valuable perspective, but to have limitations if used in isolation. Two newer, more 'innovative' models are next discussed. These include total quality management (TQM) and reengineering. They have shown potential for enabling dramatic improvements in quality and cost, but have also been found to be more difficult to implement. A series of 'lessons learned' are presented to illustrate key success factors for applying them in health care organizations. In sum, each of the five models is shown to provide a useful perspective for health care management. Health care managers should gain experience and training with a broader set of business management models.

  16. Multi-metric model-based structural health monitoring

    Science.gov (United States)

    Jo, Hongki; Spencer, B. F.

    2014-04-01

    ABSTRACT The inspection and maintenance of bridges of all types is critical to the public safety and often critical to the economy of a region. Recent advanced sensor technologies provide accurate and easy-to-deploy means for structural health monitoring and, if the critical locations are known a priori, can be monitored by direct measurements. However, for today's complex civil infrastructure, the critical locations are numerous and often difficult to identify. This paper presents an innovative framework for structural monitoring at arbitrary locations on the structure combining computational models and limited physical sensor information. The use of multi-metric measurements is advocated to improve the accuracy of the approach. A numerical example is provided to illustrate the proposed hybrid monitoring framework, particularly focusing on fatigue life assessment of steel structures.

  17. Modeling and simulation of orlistat to predict weight loss and weight maintenance in obesity patients.

    Science.gov (United States)

    Nakai, Kiyohiko; Wada, Russell; Iida, Satofumi; Kawanishi, Takehiko; Matsumoto, Yoshiaki

    2014-01-01

    Orlistat is used clinically worldwide as anti-obesity drug. It is a chemically synthesized hydrogenated derivative of lipstatin and is an inhibitor of gastric and pancreatic lipases. It has been found to reduce the absorption of dietary fat in the gastrointestinal tract. Modeling and simulation based on pharmacokinetic/pharmacodynamic analysis is becoming increasingly used in the design of clinical trials to assure that the trials are of high quality and are conducted efficiently. We developed a clinical trial simulation model for orlistat based on Phase III clinical study data. This innovative weight loss model includes the relationships between orlistat dose, changes in fecal fat excretion, and weight loss, and also incorporates a dropout function. The model guided the dose-finding strategy and allowed simulation of long-term clinical outcomes of orlistat.

  18. Modeling Health Care Expenditures and Use.

    Science.gov (United States)

    Deb, Partha; Norton, Edward C

    2018-04-01

    Health care expenditures and use are challenging to model because these dependent variables typically have distributions that are skewed with a large mass at zero. In this article, we describe estimation and interpretation of the effects of a natural experiment using two classes of nonlinear statistical models: one for health care expenditures and the other for counts of health care use. We extend prior analyses to test the effect of the ACA's young adult expansion on three different outcomes: total health care expenditures, office-based visits, and emergency department visits. Modeling the outcomes with a two-part or hurdle model, instead of a single-equation model, reveals that the ACA policy increased the number of office-based visits but decreased emergency department visits and overall spending.

  19. Literacy for health: an interdisciplinary model.

    Science.gov (United States)

    Watters, Elisa K

    2003-01-01

    Traditionally, many literacy and health education programs have had difficulty in significantly affecting vulnerable priority populations. The materials used were largely generalized for one language, one level of literacy, and one culture. A multidiscipline review of literature discusses the relationship between literacy, health, and culture and provides rationale for the interdisciplinary literacy for health model. The model's synthesis of anthropology, linguistics, literacy, nursing, and community partnership guides development of culturally and linguistically appropriate materials for successful adoption and diffusion within a priority population. In Nepal, the model is being used in the Mugom first-language literacy project among a group of remote Tibetan Buddhist peoples.

  20. Game Maturity Model for Health Care.

    Science.gov (United States)

    de Boer, Jan C; Adriani, Paul; van Houwelingen, Jan Willem; Geerts, A

    2016-04-01

    This article introduces the Game Maturity Model for the healthcare industry as an extension to the general Game Maturity Model and describes the usage by two case studies of applied health games. The Game Maturity Model for healthcare provides a practical and value-adding method to assess existing games and to determine strategic considerations for application of applied health games. Our forecast is that within 5 years the use and development of applied games will have a role in our daily lives and the way we organize health care that will be similar to the role social media has today.

  1. HEALTH CARE MODELS AND SOCIAL CONTROL STRATEGIES

    Directory of Open Access Journals (Sweden)

    Aline Vieira Simões

    2011-06-01

    Full Text Available This study aimed to understand the context of health care models and the social control strategies. It is a bibliographic review of critical and reflexive nature based of the references by technical texts, scientific publications and official documents related to public health policies, assisting in the preparation of candidates in the exam for knowledge. It has been selected eleven books and five articles. The material was categorized into three approaches: Historical Context of Public Health Policies, Health Care Models and Social Control Strategies. The results analysis and discussion subsidized the understanding of public health policies, since the implementation of SUS, and regulates health care; however a large country like Brazil, a single model of health care would not be able to meet the demands of health services, which justifies the implementation of various proposals. And, for social control it was possible to understand its influence on public policy changes, where we have identified the health councils and conferences as social control strategies, involving social actors in a critical and constructive role in the process of changing models of care.

  2. Case management of the elderly in a health maintenance organization: the implications for program administration under managed care.

    Science.gov (United States)

    Marshall, B S; Long, M J; Voss, J; Demma, K; Skerl, K P

    1999-01-01

    Kaiser Permanente initiated a two-year demonstration ambulatory case management program in its Ohio region to evaluate five outcomes: perceived health status, functional status, and satisfaction with care, service use, and service costs. Expected results were not consistently obtained for the five outcome measures. Treatment group members did not, however, experience the functional status impairments or decline in health status perceptions reported by the control group during the study period. The unexpected finding that costs were not affected may be attributed to the type of case management intervention used in the demonstration program. This study is broadly applicable to managed care settings facing the challenge of developing programs to minimize the risk for bearing the costs of the Medicare beneficiaries' overall health when all services are not covered. Managed care administrators should be favorably disposed to implementing a case management model with the potential for affecting functional status, the most significant predictor of expensive continuing care for this cohort of Medicare beneficiaries, while working to develop more effective protocols and resource control strategies.

  3. Improving plasma shaping accuracy through consolidation of control model maintenance, diagnostic calibration, and hardware change control

    International Nuclear Information System (INIS)

    Baggest, D.S.; Rothweil, D.A.; Pang, S.

    1995-12-01

    With the advent of more sophisticated techniques for control of tokamak plasmas comes the requirement for increasingly more accurate models of plasma processes and tokamak systems. Development of accurate models for DIII-D power systems, vessel, and poloidal coils is already complete, while work continues in development of general plasma response modeling techniques. Increased accuracy in estimates of parameters to be controlled is also required. It is important to ensure that errors in supporting systems such as diagnostic and command circuits do not limit the accuracy of plasma parameter estimates or inhibit the ability to derive accurate plasma/tokamak system models. To address this issue, we have developed more formal power systems change control and power system/magnetic diagnostics calibration procedures. This paper discusses our approach to consolidating the tasks in these closely related areas. This includes, for example, defining criteria for when diagnostics should be re-calibrated along with required calibration tolerances, and implementing methods for tracking power systems hardware modifications and the resultant changes to control models

  4. Modelling the role of the Hsp70/Hsp90 system in the maintenance of protein homeostasis.

    Science.gov (United States)

    Proctor, Carole J; Lorimer, Ian A J

    2011-01-01

    Neurodegeneration is an age-related disorder which is characterised by the accumulation of aggregated protein and neuronal cell death. There are many different neurodegenerative diseases which are classified according to the specific proteins involved and the regions of the brain which are affected. Despite individual differences, there are common mechanisms at the sub-cellular level leading to loss of protein homeostasis. The two central systems in protein homeostasis are the chaperone system, which promotes correct protein folding, and the cellular proteolytic system, which degrades misfolded or damaged proteins. Since these systems and their interactions are very complex, we use mathematical modelling to aid understanding of the processes involved. The model developed in this study focuses on the role of Hsp70 (IPR00103) and Hsp90 (IPR001404) chaperones in preventing both protein aggregation and cell death. Simulations were performed under three different conditions: no stress; transient stress due to an increase in reactive oxygen species; and high stress due to sustained increases in reactive oxygen species. The model predicts that protein homeostasis can be maintained during short periods of stress. However, under long periods of stress, the chaperone system becomes overwhelmed and the probability of cell death pathways being activated increases. Simulations were also run in which cell death mediated by the JNK (P45983) and p38 (Q16539) pathways was inhibited. The model predicts that inhibiting either or both of these pathways may delay cell death but does not stop the aggregation process and that eventually cells die due to aggregated protein inhibiting proteasomal function. This problem can be overcome if the sequestration of aggregated protein into inclusion bodies is enhanced. This model predicts responses to reactive oxygen species-mediated stress that are consistent with currently available experimental data. The model can be used to assess specific

  5. Modelling the role of the Hsp70/Hsp90 system in the maintenance of protein homeostasis.

    Directory of Open Access Journals (Sweden)

    Carole J Proctor

    Full Text Available Neurodegeneration is an age-related disorder which is characterised by the accumulation of aggregated protein and neuronal cell death. There are many different neurodegenerative diseases which are classified according to the specific proteins involved and the regions of the brain which are affected. Despite individual differences, there are common mechanisms at the sub-cellular level leading to loss of protein homeostasis. The two central systems in protein homeostasis are the chaperone system, which promotes correct protein folding, and the cellular proteolytic system, which degrades misfolded or damaged proteins. Since these systems and their interactions are very complex, we use mathematical modelling to aid understanding of the processes involved. The model developed in this study focuses on the role of Hsp70 (IPR00103 and Hsp90 (IPR001404 chaperones in preventing both protein aggregation and cell death. Simulations were performed under three different conditions: no stress; transient stress due to an increase in reactive oxygen species; and high stress due to sustained increases in reactive oxygen species. The model predicts that protein homeostasis can be maintained during short periods of stress. However, under long periods of stress, the chaperone system becomes overwhelmed and the probability of cell death pathways being activated increases. Simulations were also run in which cell death mediated by the JNK (P45983 and p38 (Q16539 pathways was inhibited. The model predicts that inhibiting either or both of these pathways may delay cell death but does not stop the aggregation process and that eventually cells die due to aggregated protein inhibiting proteasomal function. This problem can be overcome if the sequestration of aggregated protein into inclusion bodies is enhanced. This model predicts responses to reactive oxygen species-mediated stress that are consistent with currently available experimental data. The model can be used to

  6. PTEN phosphatase-independent maintenance of glandular morphology in a predictive colorectal cancer model system.

    Science.gov (United States)

    Jagan, Ishaan C; Deevi, Ravi K; Fatehullah, Aliya; Topley, Rebecca; Eves, Joshua; Stevenson, Michael; Loughrey, Maurice; Arthur, Kenneth; Campbell, Frederick Charles

    2013-11-01

    Organotypic models may provide mechanistic insight into colorectal cancer (CRC) morphology. Three-dimensional (3D) colorectal gland formation is regulated by phosphatase and tensin homologue deleted on chromosome 10 (PTEN) coupling of cell division cycle 42 (cdc42) to atypical protein kinase C (aPKC). This study investigated PTEN phosphatase-dependent and phosphatase-independent morphogenic functions in 3D models and assessed translational relevance in human studies. Isogenic PTEN-expressing or PTEN-deficient 3D colorectal cultures were used. In translational studies, apical aPKC activity readout was assessed against apical membrane (AM) orientation and gland morphology in 3D models and human CRC. We found that catalytically active or inactive PTEN constructs containing an intact C2 domain enhanced cdc42 activity, whereas mutants of the C2 domain calcium binding region 3 membrane-binding loop (M-CBR3) were ineffective. The isolated PTEN C2 domain (C2) accumulated in membrane fractions, but C2 M-CBR3 remained in cytosol. Transfection of C2 but not C2 M-CBR3 rescued defective AM orientation and 3D morphogenesis of PTEN-deficient Caco-2 cultures. The signal intensity of apical phospho-aPKC correlated with that of Na(+)/H(+) exchanger regulatory factor-1 (NHERF-1) in the 3D model. Apical NHERF-1 intensity thus provided readout of apical aPKC activity and associated with glandular morphology in the model system and human colon. Low apical NHERF-1 intensity in CRC associated with disruption of glandular architecture, high cancer grade, and metastatic dissemination. We conclude that the membrane-binding function of the catalytically inert PTEN C2 domain influences cdc42/aPKC-dependent AM dynamics and gland formation in a highly relevant 3D CRC morphogenesis model system.

  7. PTEN Phosphatase-Independent Maintenance of Glandular Morphology in a Predictive Colorectal Cancer Model System

    Directory of Open Access Journals (Sweden)

    Ishaan C. Jagan

    2013-11-01

    Full Text Available Organotypic models may provide mechanistic insight into colorectal cancer (CRC morphology. Three-dimensional (3D colorectal gland formation is regulated by phosphatase and tensin homologue deleted on chromosome 10 (PTEN coupling of cell division cycle 42 (cdc42 to atypical protein kinase C (aPKC. This study investigated PTEN phosphatase-dependent and phosphatase-independent morphogenic functions in 3D models and assessed translational relevance in human studies. Isogenic PTEN-expressing or PTEN-deficient 3D colorectal cultures were used. In translational studies, apical aPKC activity readout was assessed against apical membrane (AM orientation and gland morphology in 3D models and human CRC. We found that catalytically active or inactive PTEN constructs containing an intact C2 domain enhanced cdc42 activity, whereas mutants of the C2 domain calcium binding region 3 membrane-binding loop (M-CBR3 were ineffective. The isolated PTEN C2 domain (C2 accumulated in membrane fractions, but C2 M-CBR3 remained in cytosol. Transfection of C2 but not C2 M-CBR3 rescued defective AM orientation and 3D morphogenesis of PTEN-deficient Caco-2 cultures. The signal intensity of apical phospho-aPKC correlated with that of Na+/H+ exchanger regulatory factor-1 (NHERF-1 in the 3D model. Apical NHERF-1 intensity thus provided readout of apical aPKC activity and associated with glandular morphology in the model system and human colon. Low apical NHERF-1 intensity in CRC associated with disruption of glandular architecture, high cancer grade, and metastatic dissemination. We conclude that the membrane-binding function of the catalytically inert PTEN C2 domain influences cdc42/aPKC-dependent AM dynamics and gland formation in a highly relevant 3D CRC morphogenesis model system.

  8. Sleep disorders, depressive symptoms and health-related quality of life--a cross-sectional comparison between kidney transplant recipients and waitlisted patients on maintenance dialysis.

    Science.gov (United States)

    Kovacs, Agnes Zsofia; Molnar, Miklos Zsolt; Szeifert, Lilla; Ambrus, Csaba; Molnar-Varga, Marta; Szentkiralyi, Andras; Mucsi, Istvan; Novak, Marta

    2011-03-01

    Kidney transplantation is believed to improve health-related quality of life (HRQoL) of patients requiring renal replacement therapy (RRT). Recent studies suggested that the observed difference in HRQoL between kidney transplant recipients (Tx) vs patients treated with dialysis may reflect differences in patient characteristics. We tested if Tx patients have better HRQoL compared to waitlisted (WL) patients treated with dialysis after extensive adjustment for covariables. Eight hundred and eighty-eight prevalent Tx patients followed at a single outpatient transplant clinic and 187 WL patients treated with maintenance dialysis in nine dialysis centres were enrolled in this observational cross-sectional study. Data about socio-demographic and clinical parameters, self-reported depressive symptoms and the most frequent sleep disorders assessed by self-reported questionnaires were collected at enrollment. HRQoL was assessed by the Kidney Disease Quality of Life Questionnaire. Patient characteristics were similar in the Tx vs WL groups: the proportion of males (58 vs 60%), mean ± SD age (49 ± 13 vs 49 ± 12) and proportion of diabetics (17 vs 18%), respectively, were all similar. Tx patients had significantly better HRQoL scores compared to the WL group both in generic (Physical function, General health perceptions, Energy/fatigue, Emotional well-being) and in kidney disease-specific domains (Symptoms/problems, Effect- and Burden of kidney disease and Sleep). In multivariate regression models adjusting for clinical and socio-demographic characteristics, sleep disorders and depressive symptoms, the modality of RRT (WL vs Tx) remained independently associated with three (General health perceptions, Effect- and Burden of kidney disease) out of the eight HRQoL dimensions analysed. Kidney Tx recipients have significantly better HRQoL compared to WL dialysis patients in some, but not all, dimensions of quality of life after accounting for differences in patient

  9. Acquired thymic tolerance: role of CTLA4 in the initiation and maintenance of tolerance in a clinically relevant autoimmune disease model

    DEFF Research Database (Denmark)

    Issazadeh-Navikas, Shohreh; Zhang, M; Sayegh, M H

    1999-01-01

    Injection of Ag into the thymus of adult animals induces specific systemic tolerance. The mechanisms of acquired thymic tolerance include anergy and the deletion of Ag-specific T cells. Here, we report that anergy to nominal Ag induced via acquired thymic tolerance requires CTL-associated Ag 4...... (CTLA4) engagement. The role of CTLA4 in the induction and maintenance of tolerance was then investigated in the murine experimental autoimmune encephalomyelitis model. CTLA4 blockade abrogated the induction but not the maintenance phase of acquired thymic tolerance induced by intrathymic injection...... for the maintenance of acquired thymic tolerance. This is the first report documenting the role of a CTLA4 negative signaling pathway in the induction of tolerance in an autoimmune disease model....

  10. The health care home model: primary health care meeting public health goals.

    Science.gov (United States)

    Grant, Roy; Greene, Danielle

    2012-06-01

    In November 2010, the American Public Health Association endorsed the health care home model as an important way that primary care may contribute to meeting the public health goals of increasing access to care, reducing health disparities, and better integrating health care with public health systems. Here we summarize the elements of the health care home (also called the medical home) model, evidence for its clinical and public health efficacy, and its place within the context of health care reform legislation. The model also has limitations, especially with regard to its degree of involvement with the communities in which care is delivered. Several actions could be undertaken to further develop, implement, and sustain the health care home.

  11. A multi state simulation model of the maintenance for a power generating station

    International Nuclear Information System (INIS)

    Karlsson, B.O.

    1980-09-01

    A multistate simulation model for a thermal power generating station is described. The performance is modelled as a function of the system structure, the component reliability, the number of repair crews, the repair times and the availability of spare parts. Each component can be in either of four states: failed, working, postponed, or standby. A component will be in the postponed state, if due to failures in other components it is turned off. Two different types of failures are assumed: minor and severe. Evaluation of the system state is performed by repeated use of four elementary system functions: series, parallel, k-out-of-n, and standby k/l/n. Numerical results for a case study are presented. (author)

  12. Heritage House Maintenance Using 3d City Model Application Domain Extension Approach

    Science.gov (United States)

    Mohd, Z. H.; Ujang, U.; Liat Choon, T.

    2017-11-01

    Heritage house is part of the architectural heritage of Malaysia that highly valued. Many efforts by the Department of Heritage to preserve this heritage house such as monitoring the damage problems of heritage house. The damage problems of heritage house might be caused by wooden decay, roof leakage and exfoliation of wall. One of the initiatives for maintaining and documenting this heritage house is through Three-dimensional (3D) of technology. 3D city models are widely used now and much used by researchers for management and analysis. CityGML is a standard tool that usually used by researchers to exchange, storing and managing virtual 3D city models either geometric and semantic information. Moreover, it also represent multi-scale of 3D model in five level of details (LoDs) whereby each of level give a distinctive functions. The extension of CityGML was recently introduced and can be used for problems monitoring and the number of habitants of a house.

  13. HERITAGE HOUSE MAINTENANCE USING 3D CITY MODEL APPLICATION DOMAIN EXTENSION APPROACH

    Directory of Open Access Journals (Sweden)

    Z. H. Mohd

    2017-11-01

    Full Text Available Heritage house is part of the architectural heritage of Malaysia that highly valued. Many efforts by the Department of Heritage to preserve this heritage house such as monitoring the damage problems of heritage house. The damage problems of heritage house might be caused by wooden decay, roof leakage and exfoliation of wall. One of the initiatives for maintaining and documenting this heritage house is through Three-dimensional (3D of technology. 3D city models are widely used now and much used by researchers for management and analysis. CityGML is a standard tool that usually used by researchers to exchange, storing and managing virtual 3D city models either geometric and semantic information. Moreover, it also represent multi-scale of 3D model in five level of details (LoDs whereby each of level give a distinctive functions. The extension of CityGML was recently introduced and can be used for problems monitoring and the number of habitants of a house.

  14. Models of energy homeostasis in response to maintenance of reduced body weight

    Science.gov (United States)

    Rosenbaum, Michael; Leibel, Rudolph L.

    2016-01-01

    Objective To test 3 proposed models for adaptive thermogenesis in compartments of energy expenditure following different degrees of weight loss. Specifically, 1.) There is no adaptive thermogenesis (constant relationship of energy expenditure (EE) to metabolic mass). 2.) There is a fixed degree of adaptive thermogenesis once fat stores are below a “threshold”. 3.) The degree of adaptive thermogenesis is proportional to weight loss. Methods The relationship between weight loss and EE was examined in seventeen weight stable in-patient subjects with obesity studied at usual weight and again following a 10% and a 20% weight loss. Results Following initial weight loss (10%), resting (REE) and non-resting (NREE) EE were significantly below those predicted on the basis of the amount and composition of weight lost. Further reductions below predicted values of NREE but not REE occurred following an additional 10% weight loss. Changes in body weight, composition, and/or energy stores were significantly correlated with changes in EE. Conclusion All models are applicable to the decline in EE following weight loss. The disproportionate decline in REE is consistent with a threshold model (no change with further weight loss) while the disproportionate decline in NREE is largely reflective of the degree of weight loss. PMID:27460711

  15. The transtheoretical model, health belief model, and breast cancer screening among Iranian women with a family history of breast cancer.

    Science.gov (United States)

    Farajzadegan, Ziba; Fathollahi-Dehkordi, Fariba; Hematti, Simin; Sirous, Reza; Tavakoli, Neda; Rouzbahani, Reza

    2016-01-01

    Participation of Iranian women with a family history of breast cancer in breast cancer screening programs is low. This study evaluates the compliance of women having a family history of breast cancer with clinical breast exam (CBE) according to the stage of transtheoretical model (TTM) and health belief model (HBM). In this cross-sectional study, we used Persian version of champion's HBM scale to collect factors associated with TTM stages applied to screening from women over 20 years and older. The obtained data were analyzed by SPSS, using descriptive statistics, Chi-square test, independent t -test, and analysis of covariance. Final sample size was 162 women. Thirty-three percent were in action/maintenance stage. Older women, family history of breast cancer in first-degree relatives, personal history of breast disease, insurance coverage, and a history of breast self-examination were associated with action/maintenance stage. Furthermore, women in action/maintenance stages had significantly fewer perceived barriers in terms of CBE in comparison to women in other stages ( P 0.05). The finding indicates that the rate of women in action/maintenance stage of CBE is low. Moreover, results show a strong association between perceived barriers and having a regular CBE. These clarify the necessity of promoting national target programs for breast cancer screening, which should be considered as the first preference for reducing CBE barriers.

  16. Modeled Tradeoffs between Developed Land Protection and Tidal Habitat Maintenance during Rising Sea Levels.

    Science.gov (United States)

    Cadol, Daniel; Elmore, Andrew J; Guinn, Steven M; Engelhardt, Katharina A M; Sanders, Geoffrey

    2016-01-01

    Tidal habitats host a diversity of species and provide hydrological services such as shoreline protection and nutrient attenuation. Accretion of sediment and biomass enables tidal marshes and swamps to grow vertically, providing a degree of resilience to rising sea levels. Even if accelerating sea level rise overcomes this vertical resilience, tidal habitats have the potential to migrate inland as they continue to occupy land that falls within the new tide range elevations. The existence of developed land inland of tidal habitats, however, may prevent this migration as efforts are often made to dyke and protect developments. To test the importance of inland migration to maintaining tidal habitat abundance under a range of potential rates of sea level rise, we developed a spatially explicit elevation tracking and habitat switching model, dubbed the Marsh Accretion and Inundation Model (MAIM), which incorporates elevation-dependent net land surface elevation gain functions. We applied the model to the metropolitan Washington, DC region, finding that the abundance of small National Park Service units and other public open space along the tidal Potomac River system provides a refuge to which tidal habitats may retreat to maintain total habitat area even under moderate sea level rise scenarios (0.7 m and 1.1 m rise by 2100). Under a severe sea level rise scenario associated with ice sheet collapse (1.7 m by 2100) habitat area is maintained only if no development is protected from rising water. If all existing development is protected, then 5%, 10%, and 40% of the total tidal habitat area is lost by 2100 for the three sea level rise scenarios tested.

  17. Modeled Tradeoffs between Developed Land Protection and Tidal Habitat Maintenance during Rising Sea Levels.

    Directory of Open Access Journals (Sweden)

    Daniel Cadol

    Full Text Available Tidal habitats host a diversity of species and provide hydrological services such as shoreline protection and nutrient attenuation. Accretion of sediment and biomass enables tidal marshes and swamps to grow vertically, providing a degree of resilience to rising sea levels. Even if accelerating sea level rise overcomes this vertical resilience, tidal habitats have the potential to migrate inland as they continue to occupy land that falls within the new tide range elevations. The existence of developed land inland of tidal habitats, however, may prevent this migration as efforts are often made to dyke and protect developments. To test the importance of inland migration to maintaining tidal habitat abundance under a range of potential rates of sea level rise, we developed a spatially explicit elevation tracking and habitat switching model, dubbed the Marsh Accretion and Inundation Model (MAIM, which incorporates elevation-dependent net land surface elevation gain functions. We applied the model to the metropolitan Washington, DC region, finding that the abundance of small National Park Service units and other public open space along the tidal Potomac River system provides a refuge to which tidal habitats may retreat to maintain total habitat area even under moderate sea level rise scenarios (0.7 m and 1.1 m rise by 2100. Under a severe sea level rise scenario associated with ice sheet collapse (1.7 m by 2100 habitat area is maintained only if no development is protected from rising water. If all existing development is protected, then 5%, 10%, and 40% of the total tidal habitat area is lost by 2100 for the three sea level rise scenarios tested.

  18. Franchising - a partnership model for efficient water services operation and maintenance

    CSIR Research Space (South Africa)

    Wall, K

    2007-05-01

    Full Text Available . These, the prospect of profits/dividends/surplus on the one hand, and on the other hand the model that can be copied and the reduced risk to the franchisee thanks to the support of the franchisor, are the twin driving 4.3D Under the franchise ‘brand... to the franchisor as a royalty payment Franchising – a business methodology, based on the duplication of success, between two or more separate legal business entities operating under the same brand name. Figure 1: Franchising overview 869Proceedings of 4th IWA...

  19. Simulation modeling for the health care manager.

    Science.gov (United States)

    Kennedy, Michael H

    2009-01-01

    This article addresses the use of simulation software to solve administrative problems faced by health care managers. Spreadsheet add-ins, process simulation software, and discrete event simulation software are available at a range of costs and complexity. All use the Monte Carlo method to realistically integrate probability distributions into models of the health care environment. Problems typically addressed by health care simulation modeling are facility planning, resource allocation, staffing, patient flow and wait time, routing and transportation, supply chain management, and process improvement.

  20. Development of hardware system using temperature and vibration maintenance models integration concepts for conventional machines monitoring: a case study

    Science.gov (United States)

    Adeyeri, Michael Kanisuru; Mpofu, Khumbulani; Kareem, Buliaminu

    2016-12-01

    This article describes the integration of temperature and vibration models for maintenance monitoring of conventional machinery parts in which their optimal and best functionalities are affected by abnormal changes in temperature and vibration values thereby resulting in machine failures, machines breakdown, poor quality of products, inability to meeting customers' demand, poor inventory control and just to mention a few. The work entails the use of temperature and vibration sensors as monitoring probes programmed in microcontroller using C language. The developed hardware consists of vibration sensor of ADXL345, temperature sensor of AD594/595 of type K thermocouple, microcontroller, graphic liquid crystal display, real time clock, etc. The hardware is divided into two: one is based at the workstation (majorly meant to monitor machines behaviour) and the other at the base station (meant to receive transmission of machines information sent from the workstation), working cooperatively for effective functionalities. The resulting hardware built was calibrated, tested using model verification and validated through principles pivoted on least square and regression analysis approach using data read from the gear boxes of extruding and cutting machines used for polyethylene bag production. The results got therein confirmed related correlation existing between time, vibration and temperature, which are reflections of effective formulation of the developed concept.

  1. Effects of Methadone Maintenance Treatment on Decision-Making Processes in Heroin-Abusers: A Cognitive Modeling Analysis

    Directory of Open Access Journals (Sweden)

    Arash Khodadadi

    2010-05-01

    Full Text Available A B S T R A C TIntroduction: Although decision-making processes have become a principal target of study among addiction researchers, few researches are published according to effects of different treatment methods on the cognitive processes underlying decision making up to now. Utilizing cognitive modeling method, in this paper we examine the effects of Methadone maintenance treatment (MMT on cognitive processes underlying decision-making disorders in heroin-abusers. Methods: For this purpose, for the first time, we use the balloon analog risk task (BART to assess the decision-making ability of heroin-abusers before and after treatment and compare it to the non heroin-dependent subjects. Results: Results demonstrate that heroin-abusers show more risky behavior than other groups. But, there is no difference between the performance of heroin-abusers after 6 months of MMT and control group. Modeling subjects’ behavior in BART reveals that poor performance in heroin-abusers is due to reward-dependency and insensitivity to evaluation. Discussion: Results show that 6 months of MMT decreases reward-dependency and increases sensitivity to evaluation.

  2. Black tea and maintenance of normal endotheliumdependent vasodilation: evaluation of a health claim pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Sjödin, Anders Mikael

    2018-01-01

    on the scientific substantiation of a health claim related to black tea and maintenance of normal endotheliumdependent vasodilation. The scope of the application was proposed to fall under a health claim based on newly developed scientific evidence. The food proposed by the applicant as the subject of the health...... claim is black tea beverages, either freshly prepared or reconstituted from water extract powders of black tea, characterised by the content of flavanols (expressed as catechins plus theaflavins) of at least 30 mg per 200 mL serving. The Panel considers that black tea characterised by the content....... Of the five human intervention studies provided on the chronic effect of black tea consumption on endothelium-dependent vasodilation, two investigated the effect after regular consumption of black tea for a sufficiently long time period (i.e. at least 4 weeks). These two studies did not allow an effect...

  3. Integrating Health Belief Model and Technology Acceptance Model: An Investigation of Health-Related Internet Use

    Science.gov (United States)

    2015-01-01

    Background Today, people use the Internet to satisfy health-related information and communication needs. In Malaysia, Internet use for health management has become increasingly significant due to the increase in the incidence of chronic diseases, in particular among urban women and their desire to stay healthy. Past studies adopted the Technology Acceptance Model (TAM) and Health Belief Model (HBM) independently to explain Internet use for health-related purposes. Although both the TAM and HBM have their own merits, independently they lack the ability to explain the cognition and the related mechanism in which individuals use the Internet for health purposes. Objective This study aimed to examine the influence of perceived health risk and health consciousness on health-related Internet use based on the HBM. Drawing on the TAM, it also tested the mediating effects of perceived usefulness of the Internet for health information and attitude toward Internet use for health purposes for the relationship between health-related factors, namely perceived health risk and health consciousness on health-related Internet use. Methods Data obtained for the current study were collected using purposive sampling; the sample consisted of women in Malaysia who had Internet access. The partial least squares structural equation modeling method was used to test the research hypotheses developed. Results Perceived health risk (β=.135, t 1999=2.676) and health consciousness (β=.447, t 1999=9.168) had a positive influence on health-related Internet use. Moreover, perceived usefulness of the Internet and attitude toward Internet use for health-related purposes partially mediated the influence of health consciousness on health-related Internet use (β=.025, t 1999=3.234), whereas the effect of perceived health risk on health-related Internet use was fully mediated by perceived usefulness of the Internet and attitude (β=.029, t 1999=3.609). These results suggest the central role of

  4. Oral Health Status and Oral Health Care Model in China.

    Science.gov (United States)

    Liu, Jian; Zhang, Shan Shan; Zheng, Shu Guo; Xu, Tao; Si, Yan

    To review the current oral health status and oral health care models in China in an effort to provide recommendations for the future implementation of these models. A systematic literature review was conducted. The Medline, EMBASE, CNKI and Wanfang databases were searched for English and Chinese articles reporting relevant data from 1949 to the present. Data from three national oral health epidemiology surveys, Chinese government reports and national statistics yearbooks from 2011 to 2015 were also included. The oral health status of preschool children were significantly improved over the past 10 years, while caries experience among 35 to 45-year-old and 65 to 74-year-old groups showed an increase in 2005. The status of poor oral hygiene was observed for both adolescent and elderly groups. The ratio of dentist-to-population in China was reported as 1:10,000 in 2009, which was much lower than that of developed countries. The workforce of the dental service is distributed unevenly and remains insufficient for such a highly populated country. Although the need for dental treatment was perceived as high, the true demand for dental service in China was relatively low and not seen as critical. This situation clearly did not reflect so well with true oral disease conditions. There are several basic social medical insurance systems available in China, which covered most of the population's need for medical attention, but seldom covered dental treatment. National oral health policy in China should emphasise oral health promotion, especially in school education for children and young adults, to further strengthen daily toothbrushing, use of fluoride toothpaste and dental floss, and actively promote annual oral health examination. Oral health management should focus on cost-effective primary and secondary prevention with the long-term goal of maintaining oral health.

  5. Long-term effects of 1-year maintenance training on physical functioning and health status in patients with COPD: A randomized controlled study

    DEFF Research Database (Denmark)

    Ringbaek, Thomas; Brondum, Eva; Martinez, Gerd

    2010-01-01

    PURPOSE: To examine whether maintenance training (MT) for 1 year improved the long-term effects of a 7-week chronic obstructive pulmonary disease (COPD) rehabilitation program. METHODS: After a 7-week outpatient rehabilitation program, 96 patients with COPD were randomized to either an MT group (n...... study period. Primary effect parameters were Endurance Shuttle Walk Test (ESWT) time and health status (St. George's Respiratory Questionnaire, SGRQ). Secondary effect parameters were adherence to supervised training, dropout rates, and hospitalization. RESULTS: Compared with the control group, the MT...... or hospital admissions, compared with unsupervised daily training at home. The effect of the MT was closely related to adherence to the program....

  6. Evaluation of prototype Advanced Life Support (ALS) pack for use by the Health Maintenance Facility (HMF) on Space Station Freedom (SSF)

    Science.gov (United States)

    Krupa, Debra T.; Gosbee, John; Murphy, Linda; Kizzee, Victor D.

    1991-01-01

    The purpose is to evaluate the prototype Advanced Life Support (ALS) Pack which was developed for the Health Maintenance Facility (HMF). This pack will enable the Crew Medical Officer (CMO) to have ready access to advanced life support supplies and equipment for time critical responses to any situation within the Space Station Freedom. The objectives are: (1) to evaluate the design of the pack; and (2) to collect comments for revision to the design of the pack. The in-flight test procedures and other aspects of the KC-135 parabolic test flight to simulate weightlessness are presented.

  7. Opportune maintenance and predictive maintenance decision support

    OpenAIRE

    Thomas , Edouard; Levrat , Eric; Iung , Benoît; Cocheteux , Pierre

    2009-01-01

    International audience; Conventional maintenance strategies on a single component are being phased out in favour of more predictive maintenance actions. These new kinds of actions are performed in order to control the global performances of the whole industrial system. They are anticipative in nature, which allows a maintenance expert to consider non-already-planned maintenance actions. Two questions naturally emerge: when to perform a predictive maintenance action; how a maintenance expert c...

  8. Integrating Models of Diffusion and Behavior to Predict Innovation Adoption, Maintenance, and Social Diffusion.

    Science.gov (United States)

    Smith, Rachel A; Kim, Youllee; Zhu, Xun; Doudou, Dimi Théodore; Sternberg, Eleanore D; Thomas, Matthew B

    2018-01-01

    This study documents an investigation into the adoption and diffusion of eave tubes, a novel mosquito vector control, during a large-scale scientific field trial in West Africa. The diffusion of innovations (DOI) and the integrated model of behavior (IMB) were integrated (i.e., innovation attributes with attitudes and social pressures with norms) to predict participants' (N = 329) diffusion intentions. The findings showed that positive attitudes about the innovation's attributes were a consistent positive predictor of diffusion intentions: adopting it, maintaining it, and talking with others about it. As expected by the DOI and the IMB, the social pressure created by a descriptive norm positively predicted intentions to adopt and maintain the innovation. Drawing upon sharing research, we argued that the descriptive norm may dampen future talk about the innovation, because it may no longer be seen as a novel, useful topic to discuss. As predicted, the results showed that as the descriptive norm increased, the intention to talk about the innovation decreased. These results provide broad support for integrating the DOI and the IMB to predict diffusion and for efforts to draw on other research to understand motivations for social diffusion.

  9. Network maintenance

    CERN Multimedia

    GS Department

    2009-01-01

    A site-wide network maintenance operation has been scheduled for Saturday 28 February. Most of the network devices of the general purpose network will be upgraded to a newer software version, in order to improve our network monitoring capabilities. This will result in a series of short (2-5 minutes) random interruptions everywhere on the CERN sites throughout the day. This upgrade will not affect the Computer Centre itself, Building 613, the Technical Network and the LHC experiments, dedicated networks at the pits. For further details of this intervention, please contact Netops by phone 74927 or e-mail mailto:Netops@cern.ch. IT/CS Group

  10. Network maintenance

    CERN Multimedia

    IT Department

    2009-01-01

    A site wide network maintenance has been scheduled for Saturday 28 February. Most of the network devices of the General Purpose network will be upgraded to a newer software version, in order to improve our network monitoring capabilities. This will result in a series of short (2-5 minutes) random interruptions everywhere on the CERN sites along this day. This upgrade will not affect: the Computer centre itself, building 613, the Technical Network and the LHC experiments dedicated networks at the pits. Should you need more details on this intervention, please contact Netops by phone 74927 or email mailto:Netops@cern.ch. IT/CS Group

  11. Diesel Vehicle Maintenance Competencies.

    Science.gov (United States)

    Braswell, Robert; And Others

    Designed to provide a model set of competencies, this manual presents tasks which were identified by employers, employees, and teachers as important in a postsecondary diesel vehicle maintenance curriculum. The tasks are divided into seven major component areas of instruction: chassis and suspension, diesel engines, diesel fuel, electrical,…

  12. System model network for adipose tissue signatures related to weight changes in response to calorie restriction and subsequent weight maintenance.

    Directory of Open Access Journals (Sweden)

    Emilie Montastier

    2015-01-01

    Full Text Available Nutrigenomics investigates relationships between nutrients and all genome-encoded molecular entities. This holistic approach requires systems biology to scrutinize the effects of diet on tissue biology. To decipher the adipose tissue (AT response to diet induced weight changes we focused on key molecular (lipids and transcripts AT species during a longitudinal dietary intervention. To obtain a systems model, a network approach was used to combine all sets of variables (bio-clinical, fatty acids and mRNA levels and get an overview of their interactions. AT fatty acids and mRNA levels were quantified in 135 obese women at baseline, after an 8-week low calorie diet (LCD and after 6 months of ad libitum weight maintenance diet (WMD. After LCD, individuals were stratified a posteriori according to weight change during WMD. A 3 steps approach was used to infer a global model involving the 3 sets of variables. It consisted in inferring intra-omic networks with sparse partial correlations and inter-omic networks with regularized canonical correlation analysis and finally combining the obtained omic-specific network in a single global model. The resulting networks were analyzed using node clustering, systematic important node extraction and cluster comparisons. Overall, AT showed both constant and phase-specific biological signatures in response to dietary intervention. AT from women regaining weight displayed growth factors, angiogenesis and proliferation signaling signatures, suggesting unfavorable tissue hyperplasia. By contrast, after LCD a strong positive relationship between AT myristoleic acid (a fatty acid with low AT level content and de novo lipogenesis mRNAs was found. This relationship was also observed, after WMD, in the group of women that continued to lose weight. This original system biology approach provides novel insight in the AT response to weight control by highlighting the central role of myristoleic acid that may account for the

  13. System Model Network for Adipose Tissue Signatures Related to Weight Changes in Response to Calorie Restriction and Subsequent Weight Maintenance

    Science.gov (United States)

    Montastier, Emilie; Villa-Vialaneix, Nathalie; Caspar-Bauguil, Sylvie; Hlavaty, Petr; Tvrzicka, Eva; Gonzalez, Ignacio; Saris, Wim H. M.; Langin, Dominique; Kunesova, Marie; Viguerie, Nathalie

    2015-01-01

    Nutrigenomics investigates relationships between nutrients and all genome-encoded molecular entities. This holistic approach requires systems biology to scrutinize the effects of diet on tissue biology. To decipher the adipose tissue (AT) response to diet induced weight changes we focused on key molecular (lipids and transcripts) AT species during a longitudinal dietary intervention. To obtain a systems model, a network approach was used to combine all sets of variables (bio-clinical, fatty acids and mRNA levels) and get an overview of their interactions. AT fatty acids and mRNA levels were quantified in 135 obese women at baseline, after an 8-week low calorie diet (LCD) and after 6 months of ad libitum weight maintenance diet (WMD). After LCD, individuals were stratified a posteriori according to weight change during WMD. A 3 steps approach was used to infer a global model involving the 3 sets of variables. It consisted in inferring intra-omic networks with sparse partial correlations and inter-omic networks with regularized canonical correlation analysis and finally combining the obtained omic-specific network in a single global model. The resulting networks were analyzed using node clustering, systematic important node extraction and cluster comparisons. Overall, AT showed both constant and phase-specific biological signatures in response to dietary intervention. AT from women regaining weight displayed growth factors, angiogenesis and proliferation signaling signatures, suggesting unfavorable tissue hyperplasia. By contrast, after LCD a strong positive relationship between AT myristoleic acid (a fatty acid with low AT level) content and de novo lipogenesis mRNAs was found. This relationship was also observed, after WMD, in the group of women that continued to lose weight. This original system biology approach provides novel insight in the AT response to weight control by highlighting the central role of myristoleic acid that may account for the beneficial

  14. CXCL10 is critical for the progression and maintenance of depigmentation in a mouse model of vitiligo

    Science.gov (United States)

    Rashighi, Mehdi; Agarwal, Priti; Richmond, Jillian M; Harris, Tajie H; Dresser, Karen; Su, Mingwan; Zhou, Youwen; Deng, April; Hunter, Chris A; Luster, Andrew D; Harris, John E

    2014-01-01

    Vitiligo is an autoimmune disease of the skin that results in disfiguring white spots. There are no FDA-approved treatments for vitiligo, and most off-label treatments yield unsatisfactory results. Vitiligo patients have increased numbers of autoreactive, melanocyte-specific CD8+ T cells in the skin and blood, which are directly responsible for melanocyte destruction. Here we report that gene expression in lesional skin from vitiligo patients reveals an IFN-γ-specific signature, including the chemokine CXCL10. CXCL10 is elevated in both vitiligo patient skin and serum and CXCR3, its receptor, is expressed on pathogenic T cells. To address the function of CXCL10 in vitiligo, we employed a mouse model of disease that also exhibits an IFN-γ-specific gene signature, expression of CXCL10 in the skin, and upregulation of CXCR3 on antigen-specific T cells. Mice that receive Cxcr3−/− T cells develop minimal depigmentation, as do mice lacking Cxcl10 or treated with CXCL10 neutralizing antibody. CXCL9 promotes autoreactive T cell global recruitment to the skin but not effector function while, in contrast, CXCL10 is required for effector function and localization within the skin. Surprisingly, CXCL10 neutralization in mice with established, widespread depigmentation induces reversal of disease, evidenced by repigmentation. These data identify a critical role for CXCL10 in both the progression and maintenance of vitiligo, and thereby support inhibiting CXCL10 as a targeted treatment strategy. PMID:24523323

  15. Modelo de gerenciamento da manutenção de equipamentos de radiologia convencional Maintenance management model for conventional radiology equipments

    Directory of Open Access Journals (Sweden)

    Nelson Fraga do Couto

    2003-12-01

    Full Text Available Foi elaborado um modelo de gerenciamento da manutenção dos equipamentos convencionais de raios X no Hospital Universitário Clementino Fraga Filho. O modelo foi implementado em várias etapas, que incluíram visitas a centros hospitalares que gerenciam seus equipamentos, linha de colaboração com a Fundação Oswaldo Cruz para realização de cursos e treinamento de técnicos de eletrônica do hospital, montagem de uma esquemateca dos equipamentos em uso, criação de um programa de gerenciamento utilizando um banco de dados na plataforma Microsoft Windows 98-Access, levantamento operacional e condições de funcionamento dos equipamentos. A criação de uma nova rotina nas manutenções vai ao encontro das necessidades de reduzir o tempo de atendimento, custos, e de melhoria na qualidade da imagem em um serviço de radiodiagnóstico, atendendo também às exigências da Portaria 453/98 do Ministério da Saúde.We developed a management model for maintenance of hospital radiological X-ray equipment. The model was implemented in several steps including visits to other hospitals where equipment management is also done, collaboration work with "Fundação Oswaldo Cruz" for the realization of courses and a training program for the hospital electronic technicians, organization of a small library with the schemes of the radiological equipment in use at "Hospital Universitário Clementino Fraga Filho", Rio de Janeiro, Brazil, development of a management software using a database from Access (Microsoft Windows and evaluation of the performance of the radiological equipment. The implementation of a new routine for equipment maintenance fulfils the need for reducing repair delay and costs, improving image quality in radiodiagnosis services, and complying with resolution 453/98 of the Brazilian Ministry of Health.

  16. Maintenance training for laparoscopic suturing: the quest for the perfect timing and training model: a randomized trial

    NARCIS (Netherlands)

    van Bruwaene, Siska; Schijven, Marlies P.; Miserez, Marc

    2013-01-01

    Although excellent training programs exist for acquiring the challenging skill required in laparoscopic suturing, without subsequent reinforcement, performance is prone to decay. Therefore, maintenance training is proposed to ensure better skill retention. This study aimed to elucidate the ideal

  17. [Health for refugees - the Bremen model].

    Science.gov (United States)

    Mohammadzadeh, Zahra; Jung, Felicitas; Lelgemann, Monika

    2016-05-01

    The Bremen model recognizes that refugee health care has to go beyond merely checking for the prevalence of contagious diseases. Elementary health care offered in the reception centre and transitory facilities is based on voluntary acceptance by the refugees. At the same time, legal requirements for the medical reception of refugees are observed. In addition, doctors performing the initial medical examination are enabled to cover acute care on the spot. During the preliminary phase of immigration refugees are allowed to see a doctor in their facility repeatedly. After a certain time, they are provided with a health card permitting limited access to regular care outside of their facility. The current rise of refugee numbers affects the situation of Bremen health care for adult as well as juvenile refugees. In spite of the increase, health care standards are maintained by means of the health card. From 2011 to 2014, "Factors influencing health status and contact with health services" averaged 29.6 % in the health check data. Diseases of the respiratory system (18.1 %) and "symptoms, signs and abnormal findings not elsewhere classified" (16.9 %) ranked second and third, respectively. Diseases of the digestive system (6.1 %) of the musculoskeletal system (6 %) and of the skin and subcutaneous tissue (3.6 %) followed. Infectious diseases such as HIV infections, hepatitis or tuberculosis were seldom.

  18. Vibigaba (germinated brown rice) and maintenance of normal blood pressure: evaluation of a health claim pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Sjödin, Anders Mikael

    2017-01-01

    on the scientific substantiation of a health claim related to Vibigaba (germinated brown rice) and contribution to the maintenance of normal blood pressure. The scope of the application was proposed to fall under a health claim based on newly developed scientific evidence. The food proposed by the applicant...... is a beneficial physiological effect. The Panel notes that the applicant did not perform a comprehensive literature search to identify human intervention studies which could be pertinent to the claim. The applicant did not reply to a specific request from EFSA to provide this information. The applicant identified...... is insufficient for a complete scientific evaluation. The Panel considers that no conclusions can be drawn from this study for the scientific substantiation of the claim. The Panel concludes that a cause and effect relationship has not been established between the consumption of Vibigaba (germinated brown rice...

  19. Toward a humanistic model in health communication.

    Science.gov (United States)

    Werder, Olaf

    2017-03-01

    Since the key to effective health communication lies in its ability to communicate well, some of its core problems are those that relate to the sharing of meaning between communicators. In elaborating on these problems, this paper offers two key propositions: one, health communication has to pass through the filter of a particular world view that creates a discrepancy between expected and actual message reception and response. Two, the assumption of a rational human actor made implicitly by most health psychological models is a contestable issue, as many times message recipients do not follow a cognitive judgment process. The phenomenon of resisting health messages by reasonable people asks the question whether we ought to rethink our adherence to a particular vision of human health as many times the adverse reaction to behaviour modification occurs as the result of a particular dialogical or discursive situation. At the same time, most motivational decisions in people's daily routines are automatic and use a concept known as self-identity to give stability to their behaviour patterns. Finally, health communication as part of organised government practices adheres to predominant value perspectives within health promotion practice that affect the manner in which health issues become problematised. This paper proposes a humanistic model that aims to pay attention to the intricacies of human communication by addressing all of the above problems in turn. It interprets the sharing of meaning element in human communication and addresses the question of how the idea of health is created through discourse. As such, it offers a complementary and constructive paradigm and set of approaches to understand health, its meanings and communication.

  20. Understanding Business Models in Health Care.

    Science.gov (United States)

    Sharan, Alok D; Schroeder, Gregory D; West, Michael E; Vaccaro, Alexander R

    2016-05-01

    The increasing focus on the costs of care is forcing health care organizations to critically look at their basic set of processes and activities, to determine what type of value they can deliver. A business model describes the resources, processes, and cost assumptions that an organization makes that will lead to the delivery of a unique value proposition to a customer. As health care organizations are beginning to transform their structure in preparation for a value-based delivery system, understanding business model theory can help in the redesign process.

  1. Harm reduction, methadone maintenance treatment and the root causes of health and social inequities: An intersectional lens in the Canadian context.

    Science.gov (United States)

    Smye, Victoria; Browne, Annette J; Varcoe, Colleen; Josewski, Viviane

    2011-06-30

    Using our research findings, we explore Harm Reduction and Methadone Maintenance Treatment (MMT) using an intersectional lens to provide a more complex understanding of Harm Reduction and MMT, particularly how Harm Reduction and MMT are experienced differently by people dependent on how they are positioned. Using the lens of intersectionality, we refine the notion of Harm Reduction by specifying the conditions in which both harm and benefit arise and how experiences of harm are continuous with wider experiences of domination and oppression; A qualitative design that uses ethnographic methods of in-depth individual and focus group interviews and naturalistic observation was conducted in a large city in Canada. Participants included Aboriginal clients accessing mainstream mental health and addictions care and primary health care settings and healthcare providers; All client-participants had profound histories of abuse and violence, most often connected to the legacy of colonialism (e.g., residential schooling) and ongoing colonial practices (e.g., stigma & everyday racism). Participants lived with co-occurring illness (e.g., HIV/AIDS, Hepatitis C, PTSD, depression, diabetes and substance use) and most lived in poverty. Many participants expressed mistrust with the healthcare system due to everyday experiences both within and outside the system that further marginalize them. In this paper, we focus on three intersecting issues that impact access to MMT: stigma and prejudice, social and structural constraints influencing enactment of peoples' agency, and homelessness; Harm reduction must move beyond a narrow concern with the harms directly related to drugs and drug use practices to address the harms associated with the determinants of drug use and drug and health policy. An intersectional lens elucidates the need for harm reduction approaches that reflect an understanding of and commitment to addressing the historical, socio-cultural and political forces that shape

  2. Harm reduction, methadone maintenance treatment and the root causes of health and social inequities: An intersectional lens in the Canadian context

    Directory of Open Access Journals (Sweden)

    Varcoe Colleen

    2011-06-01

    Full Text Available Abstract Background Using our research findings, we explore Harm Reduction and Methadone Maintenance Treatment (MMT using an intersectional lens to provide a more complex understanding of Harm Reduction and MMT, particularly how Harm Reduction and MMT are experienced differently by people dependent on how they are positioned. Using the lens of intersectionality, we refine the notion of Harm Reduction by specifying the conditions in which both harm and benefit arise and how experiences of harm are continuous with wider experiences of domination and oppression; Methods A qualitative design that uses ethnographic methods of in-depth individual and focus group interviews and naturalistic observation was conducted in a large city in Canada. Participants included Aboriginal clients accessing mainstream mental health and addictions care and primary health care settings and healthcare providers; Results All client-participants had profound histories of abuse and violence, most often connected to the legacy of colonialism (e.g., residential schooling and ongoing colonial practices (e.g., stigma & everyday racism. Participants lived with co-occurring illness (e.g., HIV/AIDS, Hepatitis C, PTSD, depression, diabetes and substance use and most lived in poverty. Many participants expressed mistrust with the healthcare system due to everyday experiences both within and outside the system that further marginalize them. In this paper, we focus on three intersecting issues that impact access to MMT: stigma and prejudice, social and structural constraints influencing enactment of peoples' agency, and homelessness; Conclusions Harm reduction must move beyond a narrow concern with the harms directly related to drugs and drug use practices to address the harms associated with the determinants of drug use and drug and health policy. An intersectional lens elucidates the need for harm reduction approaches that reflect an understanding of and commitment to addressing

  3. Prediction of warfarin maintenance dose in Han Chinese patients using a mechanistic model based on genetic and non-genetic factors.

    Science.gov (United States)

    Lu, Yuan; Yang, Jinbo; Zhang, Haiyan; Yang, Jin

    2013-07-01

    Many attempts have been made to predict the warfarin maintenance dose in patients beginning warfarin therapy using a descriptive model based on multiple linear regression. Here we report the first attempt to develop a comprehensive mechanistic model integrating in vitro-in vivo extrapolation (IVIVE) with a pharmacokinetic-pharmacodynamic model to predict the warfarin maintenance dose in Han Chinese patients. The model incorporates demographic factors [sex, age, body weight (BW)] and the genetic polymorphisms of cytochrome P450 (CYP) 2C9 (CYP2C9) and vitamin K epoxide reductase complex subunit 1 (VKORC1). Information on the various factors, mean warfarin daily dose and International Normalized Ratio (INR) was available for a cohort of 197 Han Chinese patients. Based on in vitro enzyme kinetic parameters for S-warfarin metabolism, demographic data for Han Chinese and some scaling factors, the S-warfarin clearance (CL) was predicted for patients in the cohort with different CYP2C9 genotypes using IVIVE. The plasma concentration of S-warfarin after a single oral dose was simulated using a one-compartment pharmacokinetic model with first-order absorption and a lag time and was combined with a mechanistic coagulation model to simulate the INR response. The warfarin maintenance dose was then predicted based on the demographic data and genotypes of CYP2C9 and VKORC1 for each patient and using the observed steady-state INR (INRss) as a target value. Finally, sensitivity analysis was carried out to determine which factor(s) affect the warfarin maintenance dose most strongly. The predictive performance of this mechanistic model is not inferior to that of our previous descriptive model. There were significant differences in the mean warfarin daily dose in patients with different CYP2C9 and VKORC1 genotypes. Using IVIVE, the predicted mean CL of S-warfarin for patients with CYP2C9*1/*3 (0.092 l/h, n = 11) was 57 % less than for those with wild-type *1/*1 (0.215 l/h, n

  4. Optimizing preventive maintenance with maintenance templates

    International Nuclear Information System (INIS)

    Dozier, I.J.

    1996-01-01

    Rising operating costs has caused maintenance professionals to rethink their strategy for preventive maintenance (PM) programs. Maintenance Templates are pre-engineered PM task recommendations for a component type based on application of the component. Development of the maintenance template considers the dominant failure cause of the component and the type of preventive maintenance that can predict or prevent the failure from occurring. Maintenance template development also attempts to replace fixed frequency tasks with condition monitoring tasks such as vibration analysis or thermography. For those components that have fixed frequency PM intervals, consideration is given to the maintenance drivers such as criticality, environment and usage. This helps to maximize the PM frequency intervals and maximize the component availability. Maintenance Templates have been used at PECO Energy's Limerick Generating Station during the Reliability Centered Maintenance (RCM) Process to optimize their PM program. This paper describes the development and uses of the maintenance templates

  5. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Scientific Opinion on the substantiation of health claims related to formulated palm and oat oil emulsion and contribution to the maintenance or achievement of a normal body weight (ID 577) and maintenance of body weight after weight

    DEFF Research Database (Denmark)

    Tetens, Inge

    claims in relation to formulated palm and oat oil emulsion and contribution to the maintenance or achievement of a normal body weight and maintenance of body weight after weight loss. The scientific substantiation is based on the information provided by the Member States in the consolidated list...... of Article 13 health claims and references that EFSA has received from Member States or directly from stakeholders. The food constituent that is the subject of the health claims is formulated palm and oat oil emulsion. The Panel considers that formulated palm and oat oil emulsion is sufficiently...

  6. Tele-facilities for medicine, imaging, quality controls and maintenance services in the health sector for the developing countries and its present and future scope in Bangladesh

    International Nuclear Information System (INIS)

    Jahangir, Saleh Mahmud; Xie, Y.; Uddin, Rokon Md.; Haque, Mohammod Abu Sayid; Hoq, Mahbubul; Mawla, Yasmeen; Morium, Tasnim

    2002-01-01

    The information revolution is transforming health technology itself. With the development of international fiberoptic networks, satellite communications and the ever expanding Internet, technology is now going from revolutionary to routine, from unimaginable to indispensable. There has been little practical experience with telemedicine of a direct clinical kind in the developing world which contains 80% of the world's population. In the 45 poorest countries, it is estimated that only 50% of the population have access to health services. Arguably, it is those same countries that stand to gain most from a simple and cheap telemedicine system, on the principle that it could improve access to health care specialists and enhance research and the education of local health care workers. The work of the Swinfen Charitable trust demonstrates, useful clinical and educational results can be achieved using low cost telemedicine methods. As with the rest of telemedicine, the guiding principle seems to be that it is important to be clear about what problem we are trying to solve. Bangladesh has already entered the age of telemedicine. Under the umbrella of the IAEA TC Project on tele-nuclear medicine and tele-maintenance of nuclear medical equipment it will gradually step forward to reach its desired goal. What role telemedicine will play in the developing countries is yet to be determined. In terms of global health care the relevancy of telemedicine can only be ascertained after successful implementation of these projects

  7. A physics-based model for maintenance of the pH gradient in the gastric mucus layer.

    Science.gov (United States)

    Lewis, Owen L; Keener, James P; Fogelson, Aaron L

    2017-12-01

    It is generally accepted that the gastric mucus layer provides a protective barrier between the lumen and the mucosa, shielding the mucosa from acid and digestive enzymes and preventing autodigestion of the stomach epithelium. However, the precise mechanisms that contribute to this protective function are still up for debate. In particular, it is not clear what physical processes are responsible for transporting hydrogen protons, secreted within the gastric pits, across the mucus layer to the lumen without acidifying the environment adjacent to the epithelium. One hypothesis is that hydrogen may be bound to the mucin polymers themselves as they are convected away from the mucosal surface and eventually degraded in the stomach lumen. It is also not clear what mechanisms prevent hydrogen from diffusing back toward the mucosal surface, thereby lowering the local pH. In this work we investigate a physics-based model of ion transport within the mucosal layer based on a Nernst-Planck-like equation. Analysis of this model shows that the mechanism of transporting protons bound to the mucus gel is capable of reproducing the trans-mucus pH gradients reported in the literature. Furthermore, when coupled with ion exchange at the epithelial surface, our analysis shows that bicarbonate secretion alone is capable of neutralizing the epithelial pH, even in the face of enormous diffusive gradients of hydrogen. Maintenance of the pH gradient is found to be robust to a wide array of perturbations in both physiological and phenomenological model parameters, suggesting a robust physiological control mechanism. NEW & NOTEWORTHY This work combines modeling techniques based on physical principles, as well as novel numerical simulations to test the plausibility of one hypothesized mechanism for proton transport across the gastric mucus layer. Results show that this mechanism is able to maintain the extreme pH gradient seen in in vivo experiments and suggests a highly robust regulation

  8. Interest in use of mHealth technology in HIV prevention and associated factors among high-risk drug users enrolled in methadone maintenance program.

    Science.gov (United States)

    Shrestha, Roman; Karki, Pramila; Copenhaver, Michael

    2017-09-01

    The adoption of mobile technologies for health (mHealth) in healthcare has grown considerably in recent years, but systematic assessment of interest in the use of mHealth in HIV prevention efforts among people who use drugs (PWUD) is lacking. We therefore examined interest in use of mHealth technology in HIV prevention and associated individual-level factors among high-risk PWUD enrolled in methadone maintenance program. A total of 400 HIV-negative PWUD, who reported drug- and/or sex-related risk behaviors completed a standardized assessment using audio computer assisted self-interview (ACASI). Results revealed significant interest in using mHealth-based approaches for specific purposes, including: to receive medication reminders (72.3%), to receive information about HIV risk reduction (65.8%), and to assess HIV risk behaviors (76.5%). Multivariate analysis showed that interest in receiving medication reminders was associated with currently taking medication and being neurocognitively impaired, whereas interest in receiving HIV-risk reduction information was associated with being non-white, married, and perceiving the person was at high-risk for contracting HIV. Similarly, participants' interested in using mHealth for HIV risk behavior assessment was associated with having recently visited a healthcare provider and exhibiting depressive symptoms. Overall, this study demonstrated that high-risk PWUD are interested in using mHealth-based tools as a key part of an HIV prevention approach within a common type of drug treatment settings. Thus, formative research on preferences for design and functionality of mHealth-based HIV prevention tools are now needed, followed by practical development, implementation, and evaluation of these new intervention strategies.

  9. APRN expertise: the Collaborative Health Management Model.

    Science.gov (United States)

    Matthews, Sarah W; Brown, Marie Annette

    2013-01-10

    The Collaborative Health Management Model fosters teamwork between nurse practitioners and physicians based on an egalitarian partnership. It serves to operationalize the "Future of Nursing's" call for Advanced Practice Registered Nurses to deliver high-quality chronic disease management using their full abilities: a unique professional lens, expertise in team-based care, and patient partnerships.

  10. Scientific Opinion on the substantiation of health claims related to glycaemic carbohydrates and maintenance of normal brain function pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    2015-01-01

    an opinion on the scientific substantiation of health claims related to glycaemic carbohydrates and maintenance of normal brain function. The scope of the applications was proposed to fall under health claims based on newly developed scientific evidence. The Panel considers that the food constituent...

  11. Hybrid Modeling Improves Health and Performance Monitoring

    Science.gov (United States)

    2007-01-01

    Scientific Monitoring Inc. was awarded a Phase I Small Business Innovation Research (SBIR) project by NASA's Dryden Flight Research Center to create a new, simplified health-monitoring approach for flight vehicles and flight equipment. The project developed a hybrid physical model concept that provided a structured approach to simplifying complex design models for use in health monitoring, allowing the output or performance of the equipment to be compared to what the design models predicted, so that deterioration or impending failure could be detected before there would be an impact on the equipment's operational capability. Based on the original modeling technology, Scientific Monitoring released I-Trend, a commercial health- and performance-monitoring software product named for its intelligent trending, diagnostics, and prognostics capabilities, as part of the company's complete ICEMS (Intelligent Condition-based Equipment Management System) suite of monitoring and advanced alerting software. I-Trend uses the hybrid physical model to better characterize the nature of health or performance alarms that result in "no fault found" false alarms. Additionally, the use of physical principles helps I-Trend identify problems sooner. I-Trend technology is currently in use in several commercial aviation programs, and the U.S. Air Force recently tapped Scientific Monitoring to develop next-generation engine health-management software for monitoring its fleet of jet engines. Scientific Monitoring has continued the original NASA work, this time under a Phase III SBIR contract with a joint NASA-Pratt & Whitney aviation security program on propulsion-controlled aircraft under missile-damaged aircraft conditions.

  12. Maintenance of health care providers clinical proficiency: Transdisciplinary analysis, modeling and intervention

    Science.gov (United States)

    2015-10-13

    wide variety of reasons that have been explained in previous quarterly and annual progress reports. We have discussed with Mr. Tony Story our...in systematic reviews of educational intervention studies. Annals of Internal Medicine, 1080-1089. Roshanov, P. S., Fernandes , N., Wilczynski, J. M

  13. Maintenance in sustainable manufacturing

    Directory of Open Access Journals (Sweden)

    Vladimir Stuchly

    2014-09-01

    Full Text Available Background: Sustainable development is about reaching a balance between economic, social, and environmental goals, as well as people's participation in the planning process in order to gain their input and support. For a company, sustainable development means adoption of such business strategy and actions that contribute to satisfying present needs of company and stakeholders, as well as simultaneous protection, maintenance and strengthening of human and environmental potential which will be needed in the future. This new approach forces manufacturing companies to change their previous management paradigms. New management paradigm should include new issues and develop innovative methods, practices and technologies striving for solving problem of shortages of resources, softening environment overload and enabling development of environment-friendly lifecycle of products. Hence, its realization requires updating existing production models as they are based on previously accepted paradigm of unlimited resources and unlimited regeneration capabilities. Maintenance plays a crucial role because of its impact on availability, reliability, quality and life cycle cost, thus it should be one of the main pillars of new business running model.  Material and methods: The following paper is a result of research on the literature and observation of practices undertaken by a company within maintenance area. Results and conclusions: The main message is that considering sustainable manufacturing requires considerable expanding range of analysis and focusing on supporting processes. Maintenance offers numerous opportunities of decreasing influence of business processes on natural environment and more efficient resources utilization. The goal of maintenance processes realizing sustainable development strategy is increased profitability of exploitation and optimization of total lifecycle cost without disturbing safety and environmental issues. 

  14. Applying the Health Belief Model to college students' health behavior

    Science.gov (United States)

    Kim, Hak-Seon; Ahn, Joo

    2012-01-01

    The purpose of this research was to investigate how university students' nutrition beliefs influence their health behavioral intention. This study used an online survey engine (Qulatrics.com) to collect data from college students. Out of 253 questionnaires collected, 251 questionnaires (99.2%) were used for the statistical analysis. Confirmatory Factor Analysis (CFA) revealed that six dimensions, "Nutrition Confidence," "Susceptibility," "Severity," "Barrier," "Benefit," "Behavioral Intention to Eat Healthy Food," and "Behavioral Intention to do Physical Activity," had construct validity; Cronbach's alpha coefficient and composite reliabilities were tested for item reliability. The results validate that objective nutrition knowledge was a good predictor of college students' nutrition confidence. The results also clearly showed that two direct measures were significant predictors of behavioral intentions as hypothesized. Perceived benefit of eating healthy food and perceived barrier for eat healthy food to had significant effects on Behavioral Intentions and was a valid measurement to use to determine Behavioral Intentions. These findings can enhance the extant literature on the universal applicability of the model and serve as useful references for further investigations of the validity of the model within other health care or foodservice settings and for other health behavioral categories. PMID:23346306

  15. OOMM--Object-Oriented Matrix Modelling: an instrument for the integration of the Brasilia Regional Health Information System.

    Science.gov (United States)

    Cammarota, M; Huppes, V; Gaia, S; Degoulet, P

    1998-01-01

    The development of Health Information Systems is widely determined by the establishment of the underlying information models. An Object-Oriented Matrix Model (OOMM) is described which target is to facilitate the integration of the overall health system. The model is based on information modules named micro-databases that are structured in a three-dimensional network: planning, health structures and information systems. The modelling tool has been developed as a layer on top of a relational database system. A visual browser facilitates the development and maintenance of the information model. The modelling approach has been applied to the Brasilia University Hospital since 1991. The extension of the modelling approach to the Brasilia regional health system is considered.

  16. Estimating the impact of enterprise resource planning project management decisions on post-implementation maintenance costs: a case study using simulation modelling

    Science.gov (United States)

    Fryling, Meg

    2010-11-01

    Organisations often make implementation decisions with little consideration for the maintenance phase of an enterprise resource planning (ERP) system, resulting in significant recurring maintenance costs. Poor cost estimations are likely related to the lack of an appropriate framework for enterprise-wide pre-packaged software maintenance, which requires an ongoing relationship with the software vendor (Markus, M.L., Tanis, C., and Fenema, P.C., 2000. Multisite ERP implementation. CACM, 43 (4), 42-46). The end result is that critical project decisions are made with little empirical data, resulting in substantial long-term cost impacts. The product of this research is a formal dynamic simulation model that enables theory testing, scenario exploration and policy analysis. The simulation model ERPMAINT1 was developed by combining and extending existing frameworks in several research domains, and by incorporating quantitative and qualitative case study data. The ERPMAINT1 model evaluates tradeoffs between different ERP project management decisions and their impact on post-implementation total cost of ownership (TCO). Through model simulations a variety of dynamic insights were revealed that could assist ERP project managers. Major findings from the simulation show that upfront investments in mentoring and system exposure translate to long-term cost savings. The findings also indicate that in addition to customisations, add-ons have a significant impact on TCO.

  17. Methodology for Detecting Malfunctions and Evaluating the Maintenance Effectiveness in Wind Turbine Generator Bearings Using Generic versus Specific Models from SCADA Data

    Directory of Open Access Journals (Sweden)

    Miguel A. Rodríguez-López

    2018-03-01

    Full Text Available This article offers reasons to defend the use of generic behavior models as opposed to specific models in applications to determine component degradation. The term generic models refers to models based on operating data from various units, whereas specific models are calculated using operating data taken from a single unit. Moreover, generic models, used in combination with a status indicator, show excellent capacity for detecting anomalies in the equipment and for evaluating the effectiveness of the maintenance actions, resulting in lower development and maintenance costs for the operating firm. Artificial neural networks and moving means were used to calculate the degradation indicators, based on the remainders in the model. The models were developed from operating data from fourteen wind turbines monitored over several years, and applied to the detection of faults in the bearings on the non-drive end of the generator. The use of generic models may not be recommendable for detecting faults in all cases, and the suitability will depend greatly on the context of the methodology developed to detect each type of fault, according to the element causing the fault and the fault mode, since each methodology requires a greater or lesser degree of precision in the model.

  18. Perceived benefits and barriers to exercise among persons with physical disabilities or chronic health conditions within action or maintenance stages of exercise.

    Science.gov (United States)

    Malone, Laurie A; Barfield, J P; Brasher, Joel D

    2012-10-01

    Information regarding factors that affect the initial step to exercise behavior change among persons with physical disabilities or chronic health conditions is available in the literature but much less is known regarding perceived benefits and barriers to exercise among those who are regularly active. The purpose of this study was to examine the perceived benefits and barriers to exercise among persons with physical disabilities or chronic health conditions within action or maintenance stages of exercise. Participants (n = 152) completed the Exercise Benefits and Barriers Scale (EBBS). For data analyses, disabilities and health conditions were grouped as neuromuscular, orthopedic, cardiovascular/pulmonary, or multiple conditions. Multivariate analysis of variance (MANOVA) was conducted to determine if mean differences on EBBS benefits and barriers scores existed among disability types, between sexes, among age groups, and between physical activity levels. Sum scores were computed to determine the strongest benefit and barrier responses. No significant mean differences in EBBS scores were found between disability types, sexes, age groups, or physical activity levels (p > 0.05). Strongest benefit responses varied by group. Strongest barrier responses were the same for all demographic groups: "Exercise tires me," "Exercise is hard work for me," and "I am fatigued by exercise." EBBS scores were similar across disability/health condition, sex, age, and physical activity level. Primary benefits reported were in the areas of improved physical performance and psychological outlook whereas the primary barriers were in the area of physical exertion. Copyright © 2012 Elsevier Inc. All rights reserved.

  19. The methods, models and information support on administrative decisions on medico-sanitary maintenance of population of Ukraine in the after Chernobyl accident period

    International Nuclear Information System (INIS)

    Torbin, V.; Babich, A.; Onopchuk, J.

    1996-01-01

    The liquidation of serious consequences of Chernobyl accident, taking into consideration their character and scale, requires the huge material and human resources. The complexity and plural of factors, affecting on planning and management of measures on medical-sanitarian maintenance of damaged population, requires the processing during acceptance of decisions, large files of information, containing parameters of healths condition of damaged population, information about the level of complex medical-sanitarian maintenance, dynamics of investments and compensation and etc. The instability of economic situation in Ukraine, connected with transition to new forms of managing and formation of political system does not permit to increase the resources on decisions the problems of liquidation of Chernobyl accident, requires the increasing the effectiveness, efficiency and qualities of accepted decisions on control and management of forming situation. (author)

  20. Health care during reactor shut down for maintenance, inspection and repair of nuclear power plants in the Netherlands

    International Nuclear Information System (INIS)

    Wijker, H.

    1975-01-01

    The health care for workers in power plants has medical-biological aspects and physical-technical ones. It requires a close collaboration between the medical doctor and the health physicist. A combination of prevention, supervision and checks provides an optimumhealth care. It includes plant design, medical examination, whole body counting, radiological passports, dose reserve calculations, dose measurements, radiation supervision services, physical and medical checks. The discussion of the subjects comprises organization and experience in the Netherlands

  1. Ontological modeling of electronic health information exchange.

    Science.gov (United States)

    McMurray, J; Zhu, L; McKillop, I; Chen, H

    2015-08-01

    Investments of resources to purposively improve the movement of information between health system providers are currently made with imperfect information. No inventories of system-level electronic health information flows currently exist, nor do measures of inter-organizational electronic information exchange. Using Protégé 4, an open-source OWL Web ontology language editor and knowledge-based framework, we formalized a model that decomposes inter-organizational electronic health information flow into derivative concepts such as diversity, breadth, volume, structure, standardization and connectivity. The ontology was populated with data from a regional health system and the flows were measured. Individual instance's properties were inferred from their class associations as determined by their data and object property rules. It was also possible to visualize interoperability activity for regional analysis and planning purposes. A property called Impact was created from the total number of patients or clients that a health entity in the region served in a year, and the total number of health service providers or organizations with whom it exchanged information in support of clinical decision-making, diagnosis or treatment. Identifying providers with a high Impact but low Interoperability score could assist planners and policy-makers to optimize technology investments intended to electronically share patient information across the continuum of care. Finally, we demonstrated how linked ontologies were used to identify logical inconsistencies in self-reported data for the study. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Long-term effects of 1-year maintenance training on physical functioning and health status in patients with COPD: A randomized controlled study

    DEFF Research Database (Denmark)

    Ringbaek, Thomas; Brondum, Eva; Martinez, Gerd

    2010-01-01

    PURPOSE: To examine whether maintenance training (MT) for 1 year improved the long-term effects of a 7-week chronic obstructive pulmonary disease (COPD) rehabilitation program. METHODS: After a 7-week outpatient rehabilitation program, 96 patients with COPD were randomized to either an MT group (n...... group had significantly better ESWT times at 3 and 6 months (+43.9 seconds; P= .03, and +75.1 seconds; P= .02) and insignificantly higher ESWT time at 12 months (+66.6 seconds; P= .40). SGRQ total score declined gradually after the 7-week program with no difference between the 2 groups, and after 18...... months, the score was 1.7 units (95% confidence interval: -0.7 to 4.1) worse than at randomization. There was no difference between the 2 groups regarding dropout rates or hospitalization. DISCUSSION: Weekly MT for 12 months improved walking time but had no influence on health-related quality of life...

  3. Current models of positive mental health

    Directory of Open Access Journals (Sweden)

    Stanojević Dragana Z.

    2012-01-01

    Full Text Available The concept of positive mental health represents not merely the absence of mental disease but presence of high level of happiness and well-being. In this paper we mentioned shortly the earliest concept of mental health, presented by Marie Jahoda in the mid-twentieth century. After that, we described two traditions in understanding and researching of subjective well-being: hedonic and eudaimonic approach. First approach focuses on investigation of positive affects and happiness as emotional and life satisfaction as cognitive component of subjective well-being. Second tradition emphasizes potentials and competences that person develops to the highest level, in personal and social area. Both psychological and social well-being are core concept of positive mental health psychology, designated together as positive functioning. The psychological well-being comprises six dimensions: self-acceptance, positive relations with others, environmental mastery, autonomy, purpose of life and personal growth. Social well-being consists of five dimensions: social integration, social acceptance, social contribution, social actualization and social coherence. By integrating hedonic and eudaimonic well-being as well as absence of mental disease, Corey Keyes introduced concept of complete mental health. People with complete mental health have reported absence of disease during past year and presence of high level of emotional, psychological and social well-being (flourishing. People with incomplete mental health have also reported absence of mental disease but low level of positive functioning (languishing. Keyes thought there are people with complete and incomplete mental illness; both groups report presence of mental disease, but second group has high level of positive functioning. Models of positive mental health are widely used in research studies as well as in programs for prevention and promotion of mental health. .

  4. Training tomorrow's global health leaders: applying a transtheoretical model to identify behavior change stages within an intervention for health leadership development.

    Science.gov (United States)

    Daniels, Joseph; Farquhar, Carey; Nathanson, Neal; Mashalla, Yohana; Petracca, Frances; Desmond, Michelle; Green, Wendy; Davies, Luke; O'Malley, Gabrielle

    2014-12-01

    Training health professionals in leadership and management skills is a key component of health systems strengthening in low-resource settings. The importance of evaluating the effectiveness of these programs has received increased attention over the past several years, although such evaluations continue to pose significant challenges. This article presents evaluation data from the pilot year of the Afya Bora Fellowship, an African-based training program to increase the leadership capacity of health professionals. Firstly, we describe the goals of the Afya Bora Fellowship. Then, we present an adaptation of the transtheoretical model for behavior change called the Health Leadership Development Model, as an analytical lens to identify and describe evidence of individual leadership behavior change among training participants during and shortly after the pilot year of the program. The Health Leadership Development Model includes the following: pre-contemplation (status quo), contemplation (testing and internalizing leadership), preparation - (moving toward leadership), action (leadership in action), and maintenance (effecting organizational change). We used data from surveys, in-depth interviews, journal entries and course evaluations as data points to populate the Health Leadership Development Model. In the short term, fellows demonstrated increased leadership development during and shortly after the intervention and reflected the contemplation, preparation and action stages of the Health Leadership Development Model. However, expanded interventions and/or additional time may be needed to support behavior change toward the maintenance stages. We conclude that the Health Leadership Development Model is useful for informing health leadership training design and evaluation to contribute to sustainable health organizational change. © The Author(s) 2014.

  5. 40 CFR 86.1725-99 - Maintenance.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 19 2010-07-01 2010-07-01 false Maintenance. 86.1725-99 Section 86....1725-99 Maintenance. The provisions of § 86.094-25 and subsequent model year provisions apply to this... are subject to the applicable Otto-cycle or diesel engine maintenance requirements of § 86.094-25 (b...

  6. Probabilistic risk analysis of aging components which fail on demand. A Bayesian model. Application to maintenance optimization of Diesel engine linings

    International Nuclear Information System (INIS)

    Procaccia, H.; Lannoy, A.; Clarotti, C.A.

    1997-01-01

    The optimization of preventive maintenance of aging materials can be well modelled through the application of the two-parameters Weibull law. Unfortunately there is no theoretical model describing the aging of components implied in emergency interventions which may fail in very moment of demand. These components are relevant to the safety of Nuclear Power Plants and the main problem with them is the optimization of the maintenance and the test schedule. Indeed the effect of any test is twofold, namely: the test reveals failures which otherwise would occur when the Power Plant would need urgent intervention but at the same time it causes the aging process to step up. The aging process is suspected to affect certain safeguard equipment, but it does not exist a theoretical model of component aging in function of demands. Sections 2.1 and 2.2 of the paper are devoted to the description of a Bayesian model of discrete aging, deriving the likelihood function of the model (data modelling) and to selecting 'the best prior' (Analyst knowledge) that can be associated to the likelihood, respectively. The aspects of numerical integration relative to assessing the predictive reliability of the aging components are discussed in Section 2.3. Section 3 reports a Reliability Centered Maintenance application of the model to cylinders of emergency electrical generators of the NPP nuclear sectors. These components are subjected to an annual endoscopic checking and to a systematical replacement at every 5 years. The statistical Bayesian decision theory was applied to determine an optimal period of cylinder replacement based on the aging model presented in this paper. It is shown that the optimal value is between 10 to 12 years. (author)

  7. Model of Management (Mo.Ma) for the patient with schizophrenia: crisis control, maintenance, relapse prevention, and recovery with long-acting injectable antipsychotics (LAIs).

    Science.gov (United States)

    Brugnoli, Roberto; Rapinesi, Chiara; Kotzalidis, Georgios D; Marcellusi, Andrea; Mennini, Francesco S; De Filippis, Sergio; Carrus, Dario; Ballerini, Andrea; Francomano, Antonio; Ducci, Giuseppe; Del Casale, Antonio; Girardi, Paolo

    2016-01-01

    Schizophrenia is a severe mental disease that affects approximately 1% of the population with a relevant chronic impact on social and occupational functioning and daily activities. People with schizophrenia are 2-2.5 times more likely to die early than the general population. Non-adherence to antipsychotic medications, both in chronic and first episode schizophrenia, is one of the most important risk factors for relapse and hospitalization, that consequently contributes to increased costs due to psychiatric hospitalization. Atypical long-acting injectable (LAI) antipsychotics can improve treatment adherence and decrease re-hospitalization rates in patients with schizophrenia since its onset. The primary goals in the management of schizophrenia are directed not only at symptom reduction in the short and long term, but also at maintaining physical and mental functioning, improving quality of life, and promoting patient recovery. To propose a scientific evidence-based integrated model that provides an algorithm for recovery of patients with schizophrenia and to investigate the effectiveness and safety of antipsychotics LAI in the treatment, maintenance, relapse prevention, and recovery of schizophrenia. After an accurate literature review we identified, collected and analyzed the crucial points in taking care schizophrenia patients, through which we defined the steps described in the model of management and the choice of the better treatment option. Results. In the management model we propose, the choice of a second generation long acting antipsychotic, could allow from the earliest stages of illness better patient management, especially for young individuals with schizophrenia onset, a better recovery and significant reductions of relapse and health care costs. LAI formulations of antipsychotics are valuable, because they help patients to remain adherent to their medication through regular contact with healthcare professionals and to prevent covert non-adherence. The

  8. Propuesta de un modelo de gestión de mantenimiento y sus principales herramientas de apoyo Proposal of a maintenance management model and its main support tools

    Directory of Open Access Journals (Sweden)

    Pablo Viveros

    2013-04-01

    Full Text Available Este artículo presenta un modelo para la gestión integral del mantenimiento, teniendo en consideración la característica de mejora continua en el tiempo. A modo de introducción y contextualización, se explica la importancia que tiene la alineación de objetivos a todo nivel organizacional para lograr la integración y correcta gestión de la unidad de mantenimiento. El modelo a presentar se compone de siete principales etapas, las cuales deben desarrollarse progresivamente según el escenario actual de la organización, haciendo énfasis en la gestión y optimización sostenida en el tiempo de procesos asociados a la planificación, programación y ejecución del mantenimiento. Adicionalmente, el modelo presentado complementa herramientas de apoyo para el desarrollo e implementación de las etapas, y características operacionales reales, las cuales podrían afectar el desempeño de la unidad de mantenimiento. Finalmente, se presentan algunas consideraciones generales y respectivas conclusiones.This paper presents a model for the integrated management of maintenance, taking into account features of continuous improvement over time. As an introduction and contextualization, it explains the importance of aligning organizational goals at all levels in order to achieve proper integration and management of the maintenance unit. The present model consists of seven main stages, which must be progressively implemented depending on the current scenario of the organization, focusing on management and sustained over time optimization of processes related to planning, programming and maintenance execution. Additionally, the model presented is supported by tools to develop and implement the stages, and provides a real operational context of the industrial maintenance management; which may affect performance. Finally, we present some general considerations and conclusions.

  9. [The humanistic partnership model in health care].

    Science.gov (United States)

    Lecocq, Dan; Lefebvre, Hélène; Néron, André; Van Cutsem, Chantal; Bustillo, Aurélia; Laloux, Martine

    2017-06-01

    The humanistic partnership model in health care has been jointly developed by nursing professionals and partner patients. In line with the evolution of our society and nursing thinking, it provides a new implementation of the discipline's core concepts and invites professionals and partner patients to "move together towards" a co-constructed future which is recorded in the patient's life project. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  10. Assessing maintenance contracts when preventive maintenance is outsourced

    International Nuclear Information System (INIS)

    Wu Shaomin

    2012-01-01

    In some companies, corrective maintenance is conducted in-house but preventive maintenance might be outsourced. This raises a need to optimise some parameters such as the number of contracts from a perspective of the equipment owner. This paper considers a maintenance policy for such a situation, analyses the roles of the parameters in a PM model, proposes approaches to defining bonus functions, and finally discusses special cases of both the PM policy and the bonus function. Numerical examples are also given to explore the impact of parameters on the expected lifecycle cost rate.

  11. Maintenance Business Plans.

    Science.gov (United States)

    Adams, Matt

    2002-01-01

    Discusses maintenance business plans, statements which provide accountability for facilities maintenance organizations' considerable budgets. Discusses the plan's components: statement of plan objectives, macro and detailed description of the facility assets, maintenance function descriptions, description of key performance indicators, milestone…

  12. 26 CFR 1.420-1 - Significant reduction in retiree health coverage during the cost maintenance period.

    Science.gov (United States)

    2010-04-01

    ... sale or other transfer in connection with which the employees of a trade or business of the employer... of the trade or business. (d) Examples. The following examples illustrate the application of this... individuals died in Year 2. During Year 3, Employer W amends its health plan to eliminate coverage for 5...

  13. Health problems and help-seeking activities of methadone maintenance clients at Auckland Methadone Service (AMS): potential for community pharmacy service expansion?

    Science.gov (United States)

    Sheridan, Janie; Wheeler, Amanda; Walters, Carina

    2005-01-01

    Background In general the health of methadone clients has been found to be poorer than that of the general population. In New Zealand specialist drug services are not funded to provide primary healthcare services. Many health conditions could potentially be managed by community pharmacists who have frequent contact with this client group. This study sought to explore the health problems suffered by methadone clients, who they sought help from, and the potential for greater involvement of pharmacists. Methods Self-completion questionnaire of methadone maintenance clients managed in specialist care in Auckland, New Zealand. Results The most common health problem experienced by these clients in the past three months was sweating (70.0%), and more than half of the respondents also reported experiencing headache, fatigue and depression. The least frequently experienced conditions were hay fever (12.9%) and abscesses (12.1%). Respondents indicated that the top three choices from whom they would seek help were GP (56.7%), the client's partner (31.6%) and community pharmacists (27.9%). Barriers to seeking help from pharmacists included issues around cost, perceptions of pharmacist knowledge and skills, privacy and confidentiality. Conclusion Methadone clients in this study indicated that they suffered a number of general health problems, and in many cases were likely to seek help from a GP or their own partner, before seeking help from pharmacists. However, for over one quarter of respondents the pharmacist was in the top three from whom they would seek advice. Any barriers towards consulting pharmacists, in the main seem to be resolvable. PMID:16283944

  14. Assessing the co-benefits of greenhouse gas reduction: Health benefits of particulate matter related inspection and maintenance programs in Bangkok, Thailand

    International Nuclear Information System (INIS)

    Li, Ying; Crawford-Brown, Douglas J.

    2011-01-01

    the expenditures on policy implementation. - Research Highlights: → Health benefits are important co-benefits of greenhouse gas reduction. → We quantify the health benefits of inspection and maintenance programs in Bangkok. → The programs could yield substantial health benefits relative to business-as-usual. → The benefits considerably outweigh the expenditures on policy implementation.

  15. EDUCATIONAL MODELS: A CHALLENGE FOR HEALTH EDUCATION

    Directory of Open Access Journals (Sweden)

    Ginne Ussi Guadalupe Apodaca-Orozco

    2017-07-01

    Full Text Available The actual society is undergoing major changes in all its fields; the globalization and liberation of the economy, competitiveness but also international collaboration in capital, goods and services, has led to the need to modify the traditionalist model towards a modern model, where the teacher has to make a synthesis of different theories and new pedagogical approaches that guide the construction of quality study programs that allow to improve the teaching- learning process. Regarding the educational model for the development of human resources in health, it should consider the scientific, technological and humanistic competences, instilling a strong social commitment, whose paradigm is the formation of professionals prepared for the social demand in an integral, competent way, with scientific preparation to accept the challenges of modern society and with a humanistic broad development to live in the society of this time and to serve it with simplicity and modesty, with values as a fundamental pillar of its development.

  16. EFSA Panel on Dietetic Products, Nutrition and Allergies; Scientific Opinion on the substantiation of a health claim related to collagen hydrolysate and maintenance of joints pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following an application from Gelita AG, submitted via the Competent Authority of Germany, the Panel on Dietetic Products, Nutrition and Allergies was asked to deliver an opinion on the scientific substantiation of a health claim related to collagen hydrolysate and maintenance of joint health...... hydrolysate is sufficiently characterised. The claimed effect is “maintenance of joint health”. The target population as proposed by the applicant is physically active people. The Panel considers that the maintenance of joints is a beneficial physiological effect. The applicant provided one narrative review...... significance levels were adjusted for multiple comparisons. In weighing the evidence, the Panel took into account that one study in physically active humans did not show an effect of collagen hydrolysate on joint discomfort, and that studies in animals and in vitro do not predict an effect of collagen...

  17. Software Maintenance Management Evaluation and Continuous Improvement

    CERN Document Server

    April, Alain

    2008-01-01

    This book explores the domain of software maintenance management and provides road maps for improving software maintenance organizations. It describes full maintenance maturity models organized by levels 1, 2, and 3, which allow for benchmarking and continuous improvement paths. Goals for each key practice area are also provided, and the model presented is fully aligned with the architecture and framework of software development maturity models of CMMI and ISO 15504. It is complete with case studies, figures, tables, and graphs.

  18. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Scientific Opinion on the substantiation of health claims related to policosanols from sugar cane wax and maintenance of normal blood LDL-cholesterol concentrations (ID 1747, 1748, 1864, 1951, 1954, 4693) and maintenance of normal blood HDL-cholesterol concentrations (ID 1747, 1748, 1864, 1951, 1954, 4693) pursuant to Article 13(1) of Regulation (EC) No 1924/2006

    OpenAIRE

    Tetens, Inge

    2011-01-01

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies was asked to provide a scientific opinion on a list of health claims pursuant to Article 13 of Regulation (EC) No 1924/2006. This opinion addresses the scientific substantiation of health claims in relation to policosanols from sugar cane wax and maintenance of normal blood LDL-cholesterol concentrations and maintenance of normal blood HDL-cholesterol concentrations. The scientific substa...

  19. A practical procedure for the selection of time-to-failure models based on the assessment of trends in maintenance data

    Energy Technology Data Exchange (ETDEWEB)

    Louit, D.M. [Komatsu Chile, Av. Americo Vespucio 0631, Quilicura, Santiago (Chile)], E-mail: rpascual@ing.puc.cl; Pascual, R. [Centro de Mineria, Pontificia Universidad Catolica de Chile, Av. Vicuna Mackenna 4860, Santiago (Chile); Jardine, A.K.S. [Department of Mechanical and Industrial Engineering, University of Toronto, 5 King' s College Road, Toronto, Ont., M5S 3G8 (Canada)

    2009-10-15

    Many times, reliability studies rely on false premises such as independent and identically distributed time between failures assumption (renewal process). This can lead to erroneous model selection for the time to failure of a particular component or system, which can in turn lead to wrong conclusions and decisions. A strong statistical focus, a lack of a systematic approach and sometimes inadequate theoretical background seem to have made it difficult for maintenance analysts to adopt the necessary stage of data testing before the selection of a suitable model. In this paper, a framework for model selection to represent the failure process for a component or system is presented, based on a review of available trend tests. The paper focuses only on single-time-variable models and is primarily directed to analysts responsible for reliability analyses in an industrial maintenance environment. The model selection framework is directed towards the discrimination between the use of statistical distributions to represent the time to failure ('renewal approach'); and the use of stochastic point processes ('repairable systems approach'), when there may be the presence of system ageing or reliability growth. An illustrative example based on failure data from a fleet of backhoes is included.

  20. A multi-objective optimization model for energy-efficiency building envelope retrofitting plan with rooftop PV system installation and maintenance

    International Nuclear Information System (INIS)

    Fan, Yuling; Xia, Xiaohua

    2017-01-01

    Highlights: • A multi-objective optimization model for building envelope retrofit is presented. • Facility performance degradation and maintenance is built into the model. • A rooftop PV system is introduced to produce electricity. • Economic factors including net present value and payback period are considered. - Abstract: Retrofitting existing buildings with energy-efficient facilities is an effective method to improve their energy efficiency, especially for old buildings. A multi-objective optimization model for building envelope retrofitting is presented. Envelope components including windows, external walls and roofs are considered to be retrofitted. Installation of a rooftop solar panel system is also taken into consideration in this study. Rooftop solar panels are modeled with their degradation and a maintenance scheme is studied for sustainability of energy and its long-term effect on the retrofitting plan. The purpose is to make the best use of financial investment to maximize energy savings and economic benefits. In particular, net present value, the payback period and energy savings are taken as the main performance indicators of the retrofitting plan. The multi-objective optimization problem is formulated as a non-linear integer programming problem and solved by a weighted sum method. Results of applying the designed retrofitting plan to a 50-year-old building consisting of 66 apartments demonstrated the effectiveness of the proposed model.

  1. Views of policy makers and health promotion professionals on factors facilitating implementation and maintenance of interventions and policies promoting physical activity and healthy eating: results of the DEDIPAC project.

    Science.gov (United States)

    Muellmann, Saskia; Steenbock, Berit; De Cocker, Katrien; De Craemer, Marieke; Hayes, Catherine; O'Shea, Miriam P; Horodyska, Karolina; Bell, Justyna; Luszczynska, Aleksandra; Roos, Gun; Langøien, Lars Jørun; Rugseth, Gro; Terragni, Laura; De Bourdeaudhuij, Ilse; Brug, Johannes; Pischke, Claudia R

    2017-12-06

    The uptake, implementation, and maintenance of effective interventions promoting physical activity (PA) and a healthy diet and the implementation of policies targeting these behaviors are processes not well understood. We aimed to gain a better understanding of what health promotion professionals and policy makers think are important factors facilitating adoption, implementation, and maintenance of multi-level interventions and policies promoting healthy eating and PA in Belgium, Germany, Ireland, Norway, and Poland. Six interventions and six policies were identified based on pre-defined criteria. Forty semi-structured interviews were conducted with stakeholders from various sectors to elicit information on factors impacting adoption, implementation, and maintenance of these interventions and policies. All interview transcripts were coded in NVivo, using a common categorization matrix. Coding in the respective countries was done by one researcher and validated by a second researcher. Active involvement of relevant stakeholders and good communication between coordinating organizations were described as important factors contributing to successful adoption and implementation of both interventions and policies. Additional facilitating factors included sufficient training of staff and tailoring of materials to match needs of various target groups. The respondents indicated that maintenance of implemented interventions/policies depended on whether they were embedded in existing or newly created organizational structures in different settings and whether continued funding was secured. Despite considerable heterogeneity of interventions and health policies in the five countries, stakeholders across these countries identify similar factors facilitating adoption, implementation, and maintenance of these interventions and policies.

  2. Susquehanna SES maintenance supervisor training and certification

    International Nuclear Information System (INIS)

    Deckman, M.

    1991-01-01

    Susquehanna's program targets all Supervisors, Supervisor Candidates, and Temporary Supervisors that are responsible for in-plant maintenance or maintenance support activities, including: mechanical maintenance; electrical maintenance; maintenance support (labor support, radwaste, etc.); mobile construction support (mechanical and electrical); chemistry; health physics; maintenance planning; and instrument and controls. The program integrates the three major areas of direct Supervisory responsibilities: (1) Leadership and Management - Skills that require interpersonal activities that are typically humanistic and subjective; such as coaching, motivating, communications, etc. (2) Technical and Administrative - Knowledge that is directly related to the job of Supervising from the production, regulatory, accountability perspective. These topics are very objective and include training on topics such as workpackages, plant chemistry parameters, radiological concerns, etc. (3) Technical Skills - Ensure each Supervisor is technically competent in the plant systems, components, or equipment he/she is tasked with maintaining or overseeing. Typical skills found in this area are, circuit breaker maintenance, primary system sampling, or overhauling pumps

  3. Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomised trial

    Directory of Open Access Journals (Sweden)

    Paul Jansons

    2017-07-01

    Trial registration: ACTRN12610001035011. [Jansons P, Robins L, O’Brien L, Haines T (2017 Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomised trial. Journal of Physiotherapy 63: 154–160

  4. [Antecedents of the Catalan health model].

    Science.gov (United States)

    Sabaté i Casellas, Ferran

    2015-11-01

    The Catalan healthcare model is a particular way of addressing public health contingencies of the population as a whole, based on an organizational tradition that brings together stakeholders, such as the civil society, local government, the church, mutual care societies, public and private foundations, which for centuries have worked in coordination and complemented each other to provide quality public healthcare, far and beyond merely catering to the poor or those passing through. This model is based on a selfless, public spirited concept of society, achieved through a vocation to form social agreements, preserved in Catalan civil law. During the 3 periods of self-government Catalonia has enjoyed throughout the twentieth century, it has adapted to the economic, social, and scientific conditions, which define modern society, without sacrificing its fundamental features, thereby achieving a remarkable level of efficiency together with significant social consensus. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  5. Maintenance of Fish Health in Aquaculture: Review of Epidemiological Approaches for Prevention and Control of Infectious Disease of Fish

    Directory of Open Access Journals (Sweden)

    Ayalew Assefa

    2018-01-01

    Full Text Available Aquaculture is rapidly growing part of agriculture worldwide. It makes up around 44 percent of total fish production globally. This increased growth of production is achieved despite facing many challenges in the aquaculture environment. Among production limiting challenges, the infectious disease takes the lion share by causing multibillion-dollar loss annually. To reduce the impact of the fish disease, it is necessary to address health constraints based on scientifically proven and recommended ways. This review aims at pointing out some of the best approaches to prevention and control of infectious disease in aquaculture. Among the effective prevention and control strategies, vaccination is one of the key practices. Types of vaccines for use in fish include killed vaccines, attenuated vaccines, DNA vaccines, recombinant technology vaccines, and synthetic peptide vaccines. Administration techniques of vaccines in fish include oral, injection, or immersion methods. Antibiotics are also in use in aquaculture despite their side effects in the development of drug resistance by microorganisms. Biological and chemical disease control strategies such as using probiotics, prebiotics, and medicinal plants are widely in use. Biosecurity measures in aquaculture can keep the safety of a facility from certain disease-causing agents that are absent in particular system. Farm-level biosecurity measures include strict quarantine measures, egg disinfection, traffic control, water treatments, clean feed, and disposal of mortalities. In conclusion, rather than trying to treat every disease case, it advisable to follow a preventive approach before the event of any disease outbreaks.

  6. Relationships between received and perceived social support and health-related quality of life among patients receiving methadone maintenance treatment in Mainland China.

    Science.gov (United States)

    Zhou, Kaina; Li, Hengxin; Wei, Xiaoli; Yin, Juan; Liang, Peifeng; Zhang, Hongmei; Kou, Lingling; Hao, Mengmeng; You, Lijuan; Li, Xiaomei; Zhuang, Guihua

    2017-06-26

    Social support has been considered one of the most important factors of health-related quality of life (HRQoL) evaluations among different populations; however, few studies have explored the relationships of both received and perceived social support to HRQoL among patients undergoing methadone maintenance treatment (MMT). Thus, the purpose of this cross-sectional study was to clarify these relationships. Participants were patients admitted at the two largest privately and publicly funded MMT clinics in Xi'an. The main explanatory variable was social support, both received (i.e., social network support and professional support services) and perceived (Multidimensional Scale of Perceived Social Support). The outcome was HRQoL, which was evaluated using the Short-Form 36 Health Survey version 2 (SF-36v2) and the Quality of Life Scale for Drug Addicts (QOL-DAv2.0). We carried out independent samples t-tests and multiple linear regression analysis to examine the relationships between received and perceived social support and HRQoL. The study findings revealed that patients with good social support had significantly higher scores on the SF-36v2 and QOL-DAv2.0 (p < 0.05). After controlling for individual characteristics, the significant factors predicting HRQoL were good family relationships, usually communicating with others, a convenient service time, appropriate treatment charges, and good perceived social support (p < 0.05). Our results suggest that received and perceived social support influences HRQoL among individuals receiving MMT. Thus, these variables should be considered during health management efforts and interventions directed at this patient population.

  7. An Innovative School Health Education Model Designed for Student Achievement.

    Science.gov (United States)

    Rohwer, John; Wandberg, Bob

    New threats to the health of American children, often psychosocial in nature due to societal changes, must be addressed. The Minnesota School Health Education Model is based on the integration of four primary components: (1) school health education goals aimed at health promotion, disease prevention, and long-term positive health effects on…

  8. Cryogenics maintenance strategy

    Science.gov (United States)

    Cruzat, Fabiola

    2012-09-01

    ALMA is an interferometer composed of 66 independent systems, with specific maintenance requirements for each subsystem. To optimize the observation time and reduce downtime maintenance, requirements are very demanding. One subsystem with high maintenance efforts is cryogenics and vacuum. To organize the maintenance, the Cryogenic and Vacuum department is using and implementing different tools. These are monitoring and problem reporting systems and CMMS. This leads to different maintenance approaches: Preventive Maintenance, Corrective Maintenance and Condition Based Maintenance. In order to coordinate activities with other departments the preventive maintenance schedule is kept as flexible as systems allow. To cope with unavoidable failures, the team has to be prepared to work under any condition with the spares on time. Computerized maintenance management system (CMMS) will help to manage inventory control for reliable spare part handling, the correct record of work orders and traceability of maintenance activities. For an optimized approach the department is currently evaluating where preventive or condition based maintenance applies to comply with the individual system demand. Considering the change from maintenance contracts to in-house maintenance will help to minimize costs and increase availability of parts. Due to increased number of system and tasks the cryo team needs to grow. Training of all staff members is mandatory, in depth knowledge must be built up by doing complex maintenance activities in the Cryo group, use of advanced computerized metrology systems.

  9. Health promotion in adolescents: a review of Pender's health promotion model.

    Science.gov (United States)

    Srof, Brenda J; Velsor-Friedrich, Barbara

    2006-10-01

    Adolescents have unique health considerations as they transition from parent-managed healthcare to personal responsibility for health behavior. One question to consider is the goodness-of-fit of available theoretical models for explaining and predicting adolescent health-promoting behavior. This integrative review explored Pender's health promotion model in relation to adolescent health. Specifically, this review summarizes the components of Pender's model and the supporting theoretical underpinnings based in the social cognitive theory. Research literature related to the health promotion model and various aspects of teen health is explored. Recommendations for further research and theory development are discussed.

  10. The Insight for Initiation and Maintenance of Areca nut chewing Habit and its Effects on Oral Health Status among School Age Population in Western Rajasthan, India

    Science.gov (United States)

    Singhvi, Abhishek; Bagul, Neeta; Bhatia, Sanya; Singh, Gurdeep; Gupta, Rajkumari

    2016-01-01

    Introduction Areca nut is highly carcinogenic according to International Agency for Research on Cancer (IARC). Its usage is continuously increasing in children and adolescents in India. Aim The aim of the study was to understand the reasons for the development of the areca nut chewing habit at early age. Materials and Methods A total of 2846 subjects were surveyed from rural government schools between ages of 4 to18 years in Western Rajasthan, India. A structured questionnaire was designed to record the factors associated with initiation and continuation of areca nut chewing habits. A systemic oral examination was done to access current oral health status in these users. Students were divided into two groups viz. Group 1 and 2, comprising of students from 4 to 10 years and 11 to18 years respectively. Results Total 34.5% children in Group 1 and 72.8% in Group 2, were indulged with the habit of chewing areca nut. Study revealed that social environment and secondarily stimulating effect of areca nut have association with initiation and maintenance of habits. A total of 55 subjects were diagnosed at various clinical stages of Oral Submucous Fibrosis (OSMF). Conclusion Areca nut cessation programs should be initiated on the primary education level for the prevention of this habit in Western Rajasthan, India. PMID:28050496

  11. Effect of individualized exercise during maintenance haemodialysis on exercise capacity and health-related quality of life in patients with uraemia.

    Science.gov (United States)

    Wu, Yongyao; He, Qiang; Yin, Xiaohong; He, Qien; Cao, Shengsheng; Ying, Guanghui

    2014-06-01

    To investigate the effect of individualized exercise on exercise capacity and health-related quality of life (HRQoL) in uraemic patients during maintenance haemodialysis (MHD). Patients receiving MHD were divided randomly into a test group, who underwent recumbent cycling exercise during dialysis, and a control group, who performed simple stretching exercises. The same dialysis protocol was used for all study participants. At study start and after 12 weeks, exercise capacity was measured using tests of physical ability; HRQoL was measured using the kidney disease quality of life score (KDQOL-SF™). A total of 65 patients were included in the study: 33 in the control group and 32 in the test group. There were no significant differences in patient characteristics between the two groups at baseline. After 12 weeks, there were significant improvements in exercise capacity and in many of the items of the KDQOL-SF™ in the test group compared with the control group. Individualized exercise during MHD significantly improved the exercise capacity and HRQoL for uraemic patients within a short time period, and could therefore be used as a simple, cost-effective therapeutic approach. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  12. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Scientific Opinion on the substantiation of a health claim related to “Femilub” and maintenance of vaginal moisture pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    on a health claim related to “Femilub®” and maintenance of vaginal moisture. The food that is the subject of the health claim, “Femilub®”, which is a combination of macadamia oil, borage oil, perilla oil, d‑α‑tocopherol and biotin, is sufficiently characterised. The claimed effect, maintenance of vaginal...

  13. Research on large equipment maintenance system in life cycle

    Science.gov (United States)

    Xu, Xiaowei; Wang, Hongxia; Liu, Zhenxing; Zhang, Nan

    2017-06-01

    In order to change the current disadvantages of traditional large equipment maintenance concept, this article plans to apply the technical method of prognostics and health management to optimize equipment maintenance strategy and develop large equipment maintenance system. Combined with the maintenance procedures of various phases in life cycle, it concluded the formulation methods of maintenance program and implement plans of maintenance work. In the meantime, it takes account into the example of the dredger power system of the Waterway Bureau to establish the auxiliary platform of ship maintenance system in life cycle.

  14. Towards an integrative model of visual short-term memory maintenance: Evidence from the effects of attentional control, load, decay, and their interactions in childhood.

    Science.gov (United States)

    Shimi, Andria; Scerif, Gaia

    2017-12-01

    Over the past decades there has been a surge of research aiming to shed light on the nature of capacity limits to visual short-term memory (VSTM). However, an integrative account of this evidence is currently missing. We argue that investigating parameters constraining VSTM in childhood suggests a novel integrative model of VSTM maintenance, and that this in turn informs mechanisms of VSTM maintenance in adulthood. Over 3 experiments with 7-year-olds and young adults (total N=206), we provide evidence for multiple cognitive processes interacting to constrain VSTM performance. While age-related increases in storage capacity are undisputable, we replicate the finding that attentional processes control what information will be encoded and maintained in VSTM in the face of increased competition. Therefore, a central process to the current model is attentional refreshment, a mechanism that it is thought to reactivate and strengthen the signal of the visual representations. Critically, here we also show that attentional influences on VSTM are further constrained by additional factors, traditionally studied to the exclusion of each other, such as memory load and temporal decay. We propose that these processes work synergistically in an elegant manner to capture the adult-end state, whereas their less refined efficiency and modulations in childhood account for the smaller VSTM capacity that 7-year-olds demonstrate compared to older individuals. We conclude that going beyond the investigation of single cognitive mechanisms, to their interactions, holds the promise to understand both developing and fully developed maintenance in VSTM. Copyright © 2017 Elsevier B.V. All rights reserved.

  15. A Bayesian Model and Stochastic Exposure (Dose) Estimation for Relative Exposure Risk Comparison Involving Asbestos-Containing Dropped Ceiling Panel Installation and Maintenance Tasks.

    Science.gov (United States)

    Boelter, Fred W; Xia, Yulin; Persky, Jacob D

    2017-09-01

    Assessing exposures to hazards in order to characterize risk is at the core of occupational hygiene. Our study examined dropped ceiling systems commonly used in schools and commercial buildings and lay-in ceiling panels that may have contained asbestos prior to the mid to late 1970s. However, most ceiling panels and tiles do not contain asbestos. Since asbestos risk relates to dose, we estimated the distribution of eight-hour TWA concentrations and one-year exposures (a one-year dose equivalent) to asbestos fibers (asbestos f/cc-years) for five groups of workers who may encounter dropped ceilings: specialists, generalists, maintenance workers, nonprofessional do-it-yourself (DIY) persons, and other tradespersons who are bystanders to ceiling work. Concentration data (asbestos f/cc) were obtained through two exposure assessment studies in the field and one chamber study. Bayesian and stochastic models were applied to estimate distributions of eight-hour TWAs and annual exposures (dose). The eight-hour TWAs for all work categories were below current and historic occupational exposure limits (OELs). Exposures to asbestos fibers from dropped ceiling work would be categorized as "highly controlled" for maintenance workers and "well controlled" for remaining work categories, according to the American Industrial Hygiene Association exposure control rating system. Annual exposures (dose) were found to be greatest for specialists, followed by maintenance workers, generalists, bystanders, and DIY. On a comparative basis, modeled dose and thus risk from dropped ceilings for all work categories were orders of magnitude lower than published exposures for other sources of banned friable asbestos-containing building material commonly encountered in construction trades. © 2016 The Authors Risk Analysis published by Wiley Periodicals, Inc. on behalf of Society for Risk Analysis.

  16. The role of sugar, xylitol, toothbrushing frequency, and use of fluoride toothpaste in maintenance of adults' dental health: findings from the Finnish National Health 2000 Survey.

    Science.gov (United States)

    Tseveenjav, Battsetseg; Suominen, Anna L; Hausen, Hannu; Vehkalahti, Miira M

    2011-02-01

    We assessed the effect of certain oral health-related behaviours on adults' dental health. As part of the Finnish nationwide Health 2000 Survey, dentate subjects, 30-64 yr of age, reported their frequency of consumption of eight sugar- and xylitol-containing products, together with toothbrushing frequency and use of fluoride toothpaste, and underwent clinical oral examination (n = 4,361). The mean number of teeth present (NoT) was 24.2 and the mean numbers of sound teeth (ST), filled teeth (FT), and decayed teeth (DT) were 10.8, 12.1, and 1.1 for men and 9.6, 13.8, and 0.5 for women, respectively. Consumption of sugar-sweetened beverages was more frequent than that of other sugar-containing products, and greater in men than in women. Daily use of xylitol chewing gum was reported by 13% of the men and by 22% of the women. Toothbrushing at least twice daily was reported by 47% of the men and by 79% of the women; 86% and 96%, respectively, reported daily use of fluoride toothpaste. The frequency of consumption of sugar- and xylitol-containing products and of toothbrushing, as well as use of fluoride toothpaste, play a role in the dental health of dentate adults, with the impact being weak on NoT, ST, and FT, but stronger on DT, especially concerning toothbrushing frequency (relative risk = 1.5) and use of fluoride toothpaste (relative risk = 1.8). Understanding the impact of certain oral health-related behaviours on dental health in adults would facilitate better targeting of oral self-care messages. © 2011 Eur J Oral Sci.

  17. A Concept of Modeling a Health Manpower Educational System

    OpenAIRE

    Bojanczyk, M.; Rokicki, W.

    1982-01-01

    The paper presents some mathematical concepts of modeling a health manpower educational system. The importance of manpower resources, i.e., doctors, nurses, and other supporting staff, in the health services delivery process is widely recognized. Therefore, the research on resource supply models analyzing health manpower education was undertaken. First, the general structure of the health manpower educational system (HMES) was presented. Next the adapted methodology of modeling was descr...

  18. Health Insurance, Medical Care, and Health Outcomes: A Model of Elderly Health Dynamics

    Science.gov (United States)

    Yang, Zhou; Gilleskie, Donna B.; Norton, Edward C.

    2009-01-01

    Prescription drug coverage creates a change in medical care consumption, beyond standard moral hazard, arising both from the differential cost-sharing and the relative effectiveness of different types of care. We model the dynamic supplemental health insurance decisions of Medicare beneficiaries, their medical care demand, and subsequent health…

  19. Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study.

    Science.gov (United States)

    Dakanalis, Antonios; Carrà, Giuseppe; Calogero, Rachel; Zanetti, Maria Assunta; Gaudio, Santino; Caccialanza, Riccardo; Riva, Giuseppe; Clerici, Massimo

    2015-12-01

    The original cognitive-behavioural (CB) model of bulimia nervosa, which provided the basis for the widely used CB therapy, proposed that specific dysfunctional cognitions and behaviours maintain the disorder. However, amongst treatment completers, only 40-50 % have a full and lasting response. The enhanced CB model (CB-E), upon which the enhanced version of the CB treatment was based, extended the original approach by including four additional maintenance factors. This study evaluated and compared both CB models in a large clinical treatment seeking sample (N = 679), applying both DSM-IV and DSM-5 criteria for bulimic-type eating disorders. Application of the DSM-5 criteria reduced the number of cases of DSM-IV bulimic-type eating disorders not otherwise specified to 29.6 %. Structural equation modelling analysis indicated that (a) although both models provided a good fit to the data, the CB-E model accounted for a greater proportion of variance in eating-disordered behaviours than the original one, (b) interpersonal problems, clinical perfectionism and low self-esteem were indirectly associated with dietary restraint through over-evaluation of shape and weight, (c) interpersonal problems and mood intolerance were directly linked to binge eating, whereas restraint only indirectly affected binge eating through mood intolerance, suggesting that factors other than restraint may play a more critical role in the maintenance of binge eating. In terms of strength of the associations, differences across DSM-5 bulimic-type eating disorder diagnostic groups were not observed. The results are discussed with reference to theory and research, including neurobiological findings and recent hypotheses.

  20. 30 CFR 56.9313 - Roadway maintenance.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Roadway maintenance. 56.9313 Section 56.9313 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... § 56.9313 Roadway maintenance. Water, debris, or spilled material on roadways which creates hazards to...

  1. 30 CFR 57.9313 - Roadway maintenance.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Roadway maintenance. 57.9313 Section 57.9313 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... § 57.9313 Roadway maintenance. Water, debris, or spilled material on roadways which creates hazards to...

  2. 21 CFR 211.58 - Maintenance.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Maintenance. 211.58 Section 211.58 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL... Maintenance. Any building used in the manufacture, processing, packing, or holding of a drug product shall be...

  3. Towards automated traceability maintenance.

    Science.gov (United States)

    Mäder, Patrick; Gotel, Orlena

    2012-10-01

    Traceability relations support stakeholders in understanding the dependencies between artifacts created during the development of a software system and thus enable many development-related tasks. To ensure that the anticipated benefits of these tasks can be realized, it is necessary to have an up-to-date set of traceability relations between the established artifacts. This goal requires the creation of traceability relations during the initial development process. Furthermore, the goal also requires the maintenance of traceability relations over time as the software system evolves in order to prevent their decay. In this paper, an approach is discussed that supports the (semi-) automated update of traceability relations between requirements, analysis and design models of software systems expressed in the UML. This is made possible by analyzing change events that have been captured while working within a third-party UML modeling tool. Within the captured flow of events, development activities comprised of several events are recognized. These are matched with predefined rules that direct the update of impacted traceability relations. The overall approach is supported by a prototype tool and empirical results on the effectiveness of tool-supported traceability maintenance are provided.

  4. Maintenance Costs, Obsolescence, and Endogenous Growth

    NARCIS (Netherlands)

    K.G. Berden (Koen); J.G.M. van Marrewijk (Charles)

    2001-01-01

    textabstractWe analyze the impact of obsolescence of economic inventions by incorporating maintenance costs in the endogenous growth model of expanding product varieties. This contrasts with the existing literature, which ignores maintenance costs and uses the model of quality improvements to

  5. VEHICLE REPAIR AND MAINTENANCE COSTS IN NIGERIA ...

    African Journals Online (AJOL)

    A standard model was established for the prediction of repair and maintenance costs of vehicles in a non-profit making government parastatal. The model was derived based on data collected over a ten year period from a non-profit making government parastatal, and it predicts repair and maintenance costs as a linear ...

  6. Organisational challenges of maintenance work at NPPs

    International Nuclear Information System (INIS)

    Reiman, T.; Oedewald, P.

    2004-01-01

    The proper working of the machinery is critical to NPP safety and productivity. Because maintenance routines and plant modifications are the activities that intervene most with the machinery, they are also the dominant sources of faults. Most of the human factor studies have relied on this fact. Due to the diversity, the temporal and spatial separation of the maintenance tasks, and the numerous competence requirements, focusing on a single task, special situation or a single psychological problem can only partially explain the requirements of maintenance work and the organisational challenges of effective maintenance. We have applied a cultural approach to maintenance work. Our aim has been to model the maintenance task and its psychological requirements and to characterise the features of organisational cultures in three NPP maintenance units. Results imply similarities and differences in the cultures and in the emphasis on the maintenance task. Maintenance activities have been under various restructuring initiatives. These changes have been experienced as stressful among the personnel. The effect of changes on the reliability of maintenance should be considered. A challenge for maintenance is to be able to build organisational structures and practices that would facilitate the fulfilment of the psychological work characteristics. (orig.)

  7. Health literacy and public health: A systematic review and integration of definitions and models

    Science.gov (United States)

    2012-01-01

    Background Health literacy concerns the knowledge and competences of persons to meet the complex demands of health in modern society. Although its importance is increasingly recognised, there is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The aim of the study is to review definitions and models on health literacy to develop an integrated definition and conceptual model capturing the most comprehensive evidence-based dimensions of health literacy. Methods A systematic literature review was performed to identify definitions and conceptual frameworks of health literacy. A content analysis of the definitions and conceptual frameworks was carried out to identify the central dimensions of health literacy and develop an integrated model. Results The review resulted in 17 definitions of health literacy and 12 conceptual models. Based on the content analysis, an integrative conceptual model was developed containing 12 dimensions referring to the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information within the healthcare, disease prevention and health promotion setting, respectively. Conclusions Based upon this review, a model is proposed integrating medical and public health views of health literacy. The model can serve as a basis for developing health literacy enhancing interventions and provide a conceptual basis for the development and validation of measurement tools, capturing the different dimensions of health literacy within the healthcare, disease prevention and health promotion settings. PMID:22276600

  8. Health literacy and public health: A systematic review and integration of definitions and models

    LENUS (Irish Health Repository)

    Sorensen, Kristine

    2012-01-25

    Abstract Background Health literacy concerns the knowledge and competences of persons to meet the complex demands of health in modern society. Although its importance is increasingly recognised, there is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The aim of the study is to review definitions and models on health literacy to develop an integrated definition and conceptual model capturing the most comprehensive evidence-based dimensions of health literacy. Methods A systematic literature review was performed to identify definitions and conceptual frameworks of health literacy. A content analysis of the definitions and conceptual frameworks was carried out to identify the central dimensions of health literacy and develop an integrated model. Results The review resulted in 17 definitions of health literacy and 12 conceptual models. Based on the content analysis, an integrative conceptual model was developed containing 12 dimensions referring to the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information within the healthcare, disease prevention and health promotion setting, respectively. Conclusions Based upon this review, a model is proposed integrating medical and public health views of health literacy. The model can serve as a basis for developing health literacy enhancing interventions and provide a conceptual basis for the development and validation of measurement tools, capturing the different dimensions of health literacy within the healthcare, disease prevention and health promotion settings.

  9. A proactive condition-based maintenance strategy with both perfect and imperfect maintenance actions

    International Nuclear Information System (INIS)

    Do, Phuc; Voisin, Alexandre; Levrat, Eric; Iung, Benoit

    2015-01-01

    This paper deals with a proactive condition-based maintenance (CBM) considering both perfect and imperfect maintenance actions for a deteriorating system. Perfect maintenance actions restore completely the system to the ‘as good as new’ state. Their related cost are however often high. The first objective of the paper is to investigate the impacts of imperfect maintenance actions. In fact, both positive and negative impacts are considered. Positive impact means that the imperfect maintenance cost is usually low. Negative impact implies that (i) the imperfect maintenance restores a system to a state between good-as-new and bad-as-old and (ii) each imperfect preventive action may accelerate the speed of the system's deterioration process. The second objective of the paper is to propose an adaptive maintenance policy which can help to select optimally maintenance actions (perfect or imperfect actions), if needed, at each inspection time. Moreover, the time interval between two successive inspection points is determined according to a remaining useful life (RUL) based-inspection policy. To illustrate the use of the proposed maintenance policy, a numerical example finally is introduced. - Highlights: • A new imperfect maintenance model for deterioration system is proposed. • Both positive and negative impacts of an imperfect maintenance action are investigated. • An adaptive condition-based maintenance policy is introduced. • The optimal number of useful imperfect maintenance actions for each life cycle is optimally provided

  10. Unsurfaced Road Maintenance Management

    Science.gov (United States)

    1992-12-01

    This draft manual describes an unsurfaced road maintenance management system for use on military installations. This system is available in either a manual or computerized mode (Micro PAVER). The maintenance standards prescribed should protect Govern...

  11. Winter maintenance performance measure.

    Science.gov (United States)

    2016-01-01

    The Winter Performance Index is a method of quantifying winter storm events and the DOTs response to them. : It is a valuable tool for evaluating the States maintenance practices, performing post-storm analysis, training : maintenance personnel...

  12. Movable bridge maintenance monitoring.

    Science.gov (United States)

    2013-10-01

    Movable bridges have particular maintenance issues, which cost considerably more than those of fixed bridges, : mostly because of the complex interaction of the mechanical, electrical and structural components. In order to track : maintenance and ope...

  13. Operation and maintenance manual addendum to Westinghouse OMM-051-00-005 for intermediate-size inducer pump (ISIP) Model 266

    International Nuclear Information System (INIS)

    1979-01-01

    This Addendum A to the Westinghouse Operation and Maintenance Manual OMM-051-00-005 contains additions, changes and deletions that modify data for the Liquid Metal Coolant Pump, Model LMP-1 to data applicable to the Rockwell International Intermediate-Size Inducer Pump (ISIP), Model 266. The major modifications on the ISIP are the new impeller/inducer assembly, diffuser vanes and new securing hardware. The paragraphs affected by Addendum A use the numbering system used in OMM-051-00-005 except each paragraph number is prefixed with an A preceding the paragraph number signifying that the paragraph is changed to conform with the ISIP configuration. Paragraphs within OMM-051-00-005 not identified in Addendum A remain unchanged with the data still valid and useable

  14. CAME-Computer Aided Maintenance Engineering: a new methodology to reduce maintenance life cycle cost pipelines (repair level, spares, preventive/scheduled/inspection and resources) by modeling, analysis and optimization

    Energy Technology Data Exchange (ETDEWEB)

    Bot, Yizhak [BQR Reliability Engineering Ltd. (Israel)

    2005-07-01

    In today's insecure and uncertain climate in the high-tech industry, where money is less accessible, companies are constantly searching for ways to cut expenses. Two important financial factors to consider are maintenance and down time when the equipment/system/processes are not functioning/operating. In this paper we shall describe a new technology, which will help designers and operators of complex systems to improve the reliability of the products and to reduce the maintenance cost, when they are used in field. These set of tools are interfaced to exist CAD/CAE and ERP/CMMS systems concurrently. (author)

  15. Optimization of surface maintenance

    International Nuclear Information System (INIS)

    Oeverland, E.

    1990-01-01

    The present conference paper deals with methods of optimizing the surface maintenance of steel-made offshore installations. The paper aims at identifying important approaches to the problems regarding the long-range planning of an economical and cost effective maintenance program. The methods of optimization are based on the obtained experiences from the maintenance of installations on the Norwegian continental shelf. 3 figs

  16. Adult thymic epithelial cell (TEC) progenitors and TEC stem cells: Models and mechanisms for TEC development and maintenance.

    Science.gov (United States)

    Hamazaki, Yoko

    2015-11-01

    The thymus is the primary lymphoid organ for generating self-restricted and self-tolerant functional T cells. Its two distinct anatomical regions, the cortex and the medulla, are involved in positive and negative selection, respectively. Thymic epithelial cells (TECs) constitute the framework of this tissue and function as major stromal components. Extensive studies for more than a decade have revealed how TECs are generated during organogenesis; progenitors specific for medullary TECs (mTECs) and cortical TECs (cTECs) as well as bipotent progenitors for both lineages have been identified, and the signaling pathways required for the development and maturation of mTECs have been elucidated. However, little is known about the initial commitment of mTECs and cTECs during ontogeny, and how regeneration of both lineages is sustained in the postnatal/adult thymus. Recently, stem cell activities in TECs have been demonstrated, and TEC progenitors have been identified in the postnatal thymus. In this review, recent advances in studying the development and maintenance of TECs are summarized, and the possible mechanisms of thymic regeneration and involution are discussed. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  17. Climate change and health modeling: horses for courses

    Directory of Open Access Journals (Sweden)

    Kristie L. Ebi

    2014-05-01

    Full Text Available Mathematical and statistical models are needed to understand the extent to which weather, climate variability, and climate change are affecting current and may affect future health burdens in the context of other risk factors and a range of possible development pathways, and the temporal and spatial patterns of any changes. Such understanding is needed to guide the design and the implementation of adaptation and mitigation measures. Because each model projection captures only a narrow range of possible futures, and because models serve different purposes, multiple models are needed for each health outcome (‘horses for courses’. Multiple modeling results can be used to bracket the ranges of when, where, and with what intensity negative health consequences could arise. This commentary explores some climate change and health modeling issues, particularly modeling exposure-response relationships, developing early warning systems, projecting health risks over coming decades, and modeling to inform decision-making. Research needs are also suggested.

  18. Model of a Nuclear Security Naval Agency for radiation control of the Industrial Complex of of Submarine Construction and Maintenance Ship with Nuclear Propulsion

    International Nuclear Information System (INIS)

    Lins Junior, Amilton de Sousa

    2017-01-01

    Due to the construction, by Brazilian Navy, of a Submarine Construction and Maintenance Ship with Nuclear Propulsion, where, among other activities, the commissioning and exchange of the fuel elements of the reactor in the future Nuclear Submarine, and of a Naval Base where the Nuclear Submarine and the Conventional Submarines, it is necessary the establishment of a Nuclear Security Naval Agency to monitor activities involving ionizing radiation sources and nuclear materials aimed at the radiological protection of exposed occupationally individuals (IOE), the general public and the environment. It should be noted that nuclear and radioactive material will be present only in a part of the yard called Radiological Complex. Therefore, the development of a structure for the control of the Radiological Complex is fundamental, considering that the future licensing process will be unprecedented in Brazil and will face several difficulties. This work presents a model of a structure for the radiological control of the industrial complex for the construction and maintenance of the submarine with nuclear propulsion, as well as the fundamental concepts of the activities, such as inspection, regulations and authorizations, to be carried out by the various component sectors of the Nuclear Security Naval Agency. (author)

  19. The Development of a Secondary School Health Assessment Model

    Science.gov (United States)

    Sriring, Srinual; Erawan, Prawit; Sriwarom, Monoon

    2015-01-01

    The objective of this research was to: 1) involved a survey of information relating to secondary school health, 2) involved the construction of a model of health assessment and a handbook for using the model in secondary school, 3) develop an assessment model for secondary school. The research included 3 phases. (1) involved a survey of…

  20. Modelling and implementing electronic health records in Denmark

    DEFF Research Database (Denmark)

    Bernstein, Knut; Rasmussen, Morten Bruun; Vingtoft, Søren

    2003-01-01

    The Danish Health IT strategy points out that integration between electronic health records (EHR) systems has a high priority. This paper reporst reports new tendencies in modelling and integration platforms globally and how this is reflected in the natinal development.......The Danish Health IT strategy points out that integration between electronic health records (EHR) systems has a high priority. This paper reporst reports new tendencies in modelling and integration platforms globally and how this is reflected in the natinal development....

  1. Empowered Consumers and the Health Care Team: A Dynamic Model of Health Informatics.

    Science.gov (United States)

    Mancuso, Peggy J; Myneni, Sahiti

    2016-01-01

    This article presents a dynamic new model of health informatics. Within the model, the focus of health informatics changes from the provider to the consumer and incorporates the dynamic relationship of technological change to health care. Bioinformatics is the scientific discipline that is translated into care through the practice of health informatics. The loci of health informatics practices are the consumer (consumer informatics), the patient (clinical informatics), and the community (public health informatics). The continuum from individual to community interacts with and contributes to health care technology, which is represented as a constantly changing progressive wave.

  2. Modern electronic maintenance principles

    CERN Document Server

    Garland, DJ

    2013-01-01

    Modern Electronic Maintenance Principles reviews the principles of maintaining modern, complex electronic equipment, with emphasis on preventive and corrective maintenance. Unfamiliar subjects such as the half-split method of fault location, functional diagrams, and fault finding guides are explained. This book consists of 12 chapters and begins by stressing the need for maintenance principles and discussing the problem of complexity as well as the requirements for a maintenance technician. The next chapter deals with the connection between reliability and maintenance and defines the terms fai

  3. EPR design for maintenance

    International Nuclear Information System (INIS)

    Krugmann, U.

    1998-01-01

    Preventive maintenance is very important in achieving high plant availability. For the European Pressurized Reactor (EPR) preventive maintenance has been carefully addressed in the design stage. This is particularly necessary because of the traditionally different maintenance strategies employed in France and Germany. This paper emphasizes the following features introduced in the ERP design to minimize the duration of the refueling outage: (1) containment accessibility during power operation; (2) overall plant layout to facilitate inspections and maintenances within the containment; and (3) safety system design for enabling preventive maintenance during power operation. (author)

  4. The virtual maintenance system: a computer-based support tool for robust design, product monitoring, fault diagnosis and maintenance planning

    NARCIS (Netherlands)

    van Houten, Frederikus J.A.M.; Kimura, F.

    2000-01-01

    Digital (geometric) product models can be used for maintainability analysis and maintenance planning. It is not feasible to build digital product models for maintenance purposes only, but if a digital product model is available, it may be used to support many maintenance-related engineering tasks.

  5. Overcoming Barriers to Rural Children's Mental Health: An Interconnected Systems Public Health Model

    Science.gov (United States)

    Huber, Brenda J.; Austen, Julie M.; Tobin, Renée M.; Meyers, Adena B.; Shelvin, Kristal H.; Wells, Michael

    2016-01-01

    A large, Midwestern county implemented a four-tiered public health model of children's mental health with an interconnected systems approach involving education, health care, juvenile justice and community mental health sectors. The community sought to promote protective factors in the lives of all youth, while improving the capacity,…

  6. Maintenance management systems

    International Nuclear Information System (INIS)

    Rohan, M. de

    1989-01-01

    This paper is concerned principally with Maintenance Management systems and their effective introduction into organisations. Maintenance improvement is basically a problem of managing the maintenance department in the broadest sense. Improvement does not only lie in the area of special techniques, systems or procedures; although they are valuable tools, but rather in a balanced attack, carefully guided by management. Over recent years, maintenance systems have received the major emphasis and in many instances the selection of the system has become a pre-occupation, whereas the importance of each maintenance function must be recognised and good management practices applied to all maintenance activities. The ingredients for success in the implementation of maintenance management systems are summarised as: having a management committee, clear objectives, project approach using project management techniques and an enthusiastic leader, user managed and data processing supported project, realistic budget and an understanding of the financial audit requirements. (author)

  7. Knowledge based maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Sturm, A. [Hamburgische Electacitaets-Werke AG Hamburg (Germany)

    1997-12-31

    The establishment of maintenance strategies is of crucial significance for the reliability of a plant and the economic efficiency of maintenance measures. Knowledge about the condition of components and plants from the technical and business management point of view therefore becomes one of the fundamental questions and the key to efficient management and maintenance. A new way to determine the maintenance strategy can be called: Knowledge Based Maintenance. A simple method for determining strategies while taking the technical condition of the components of the production process into account to the greatest possible degree which can be shown. A software with an algorithm for Knowledge Based Maintenance leads the user during complex work to the determination of maintenance strategies for this complex plant components. (orig.)

  8. Assessment of the Health IT Usability Evaluation Model (Health-ITUEM) for evaluating mobile health (mHealth) technology.

    Science.gov (United States)

    Brown, William; Yen, Po-Yin; Rojas, Marlene; Schnall, Rebecca

    2013-12-01

    Over two decades of research has been conducted using mobile devices for health related behaviors yet many of these studies lack rigor. There are few evaluation frameworks for assessing the usability of mHealth, which is critical as the use of this technology proliferates. As the development of interventions using mobile technology increase, future work in this domain necessitates the use of a rigorous usability evaluation framework. We used two exemplars to assess the appropriateness of the Health IT Usability Evaluation Model (Health-ITUEM) for evaluating the usability of mHealth technology. In the first exemplar, we conducted 6 focus group sessions to explore adolescents' use of mobile technology for meeting their health Information needs. In the second exemplar, we conducted 4 focus group sessions following an Ecological Momentary Assessment study in which 60 adolescents were given a smartphone with pre-installed health-related applications (apps). We coded the focus group data using the 9 concepts of the Health-ITUEM: Error prevention, Completeness, Memorability, Information needs, Flexibility/Customizability, Learnability, Performance speed, Competency, Other outcomes. To develop a finer granularity of analysis, the nine concepts were broken into positive, negative, and neutral codes. A total of 27 codes were created. Two raters (R1 and R2) initially coded all text and a third rater (R3) reconciled coding discordance between raters R1 and R2. A total of 133 codes were applied to Exemplar 1. In Exemplar 2 there were a total of 286 codes applied to 195 excerpts. Performance speed, Other outcomes, and Information needs were among the most frequently occurring codes. Our two exemplars demonstrated the appropriateness and usefulness of the Health-ITUEM in evaluating mobile health technology. Further assessment of this framework with other study populations should consider whether Memorability and Error prevention are necessary to include when evaluating mHealth

  9. Electrical Mechanical Maintenance. Instructor's Guide.

    Science.gov (United States)

    Santa Clara County Superintendent of Schools, San Jose, CA.

    This instructor's guide describes the development of a sixteen-week postsecondary course in electrical mechanical maintenance. Following introductory sections that provide background information and a course summary, the third section describes the instructional model used in the course. Section 4 presents an overview of instructional media used…

  10. Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomised trial.

    Science.gov (United States)

    Jansons, Paul; Robins, Lauren; O'Brien, Lisa; Haines, Terry

    2017-07-01

    What is the effectiveness of gym-based exercise versus home-based exercise with telephone follow-up amongst adults with chronic conditions who have completed a short-term exercise program supervised by a health professional? A randomised, controlled trial with concealed allocation, intention-to-treat analysis, and blinded outcome assessment at baseline and 3, 6, 9 and 12 months. The participants were recruited following a 6-week exercise program at a community health service. One group of participants received a gym-based exercise program for 12 months (gym group). The other group received a home-based exercise program for 12 months with telephone follow-up for the first 10 weeks (home group). Outcome measures included European Quality of Life Instrument (EQ-5D), the Friendship Scale, the Hospital and Anxiety and Depression Scale, Phone-FITT, 6-minute walk test, body mass index and 15-second sit-to-stand test. There was no significant difference between study groups in the primary outcome (EQ-5D visual analogue scale, 0 to 100) across the 12-month intervention period, with an estimate (adjusted regression coefficient) of the difference in effects of 0 (95% CI -5 to 4). The gym group demonstrated slightly fewer symptoms of depression over the 12-month period compared to the home group (mean difference 0.8 points on a 21-point scale, 95% CI 0.1 to 1.6). Similar long-term clinical outcomes and long-term exercise adherence are achieved with the two approaches examined in this study. Participation in gym-based group exercise may improve mental health outcomes slightly more, although the mechanisms for this are unclear because there was no change in the selected measure of social isolation or other measures of health and wellbeing. This finding may also be a Type 1 error. Further research to reproduce these results and that investigates the economic efficiency of these models of care is indicated. ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2017) Gym

  11. An economic-mathematical model for optimization of the electrical equipment maintenance parameters of the Bobov Dol mine power supply system

    International Nuclear Information System (INIS)

    Shishov, S.

    1990-01-01

    The model proposed helps to ground the quantitative evaluation of the maintenance parameters of the electrical equipment of the coal mine. In the process of simulation an assumption is made that no additional capital investments are needed - only the existing situation of the electric supply system is considered and the effect of the measures taken to increase its reliability. The model takes into account the annual operating expenses, the downtime costs, the power not supplied to the user due to breakdowns, the average total outage duration; the breakdowns intensity, the average time for serviceability restoration. The model is based on the statistical data from the equipment operation for a period of 3 years, as well as on the economical standards acting in this mine. The outage expenses calculations of two units of the Bobov Dol mine are presented as an illustrative example of the model testing. The model is realized as a software product written on PL-1. It can also simulate the effect of the personnel number as well as the annual reserves of spare parts of various equipment's makes. 2 tabs, 6 refs

  12. Maintenance evaluation using risk based criteria

    International Nuclear Information System (INIS)

    Torres Valle, A.

    1996-01-01

    The maintenance evaluation is currently performed by using economic and, in some case, technical equipment failure criteria, however this is done to a specific equipment level. In general, when statistics are used the analysis for maintenance optimization are made isolated and whit a post mortem character; The integration provided by mean of Probabilistic Safety assessment (PSA) together with the possibilities of its applications, allow for evaluation of maintenance on the basis of broader scope criteria in regard to those traditionally used. The evaluate maintenance using risk based criteria, is necessary to follow a dynamic and systematic approach, in studying the maintenance strategy, to allow for updating the initial probabilistic models, for including operational changes that often take place during operation of complex facilities. This paper proposes a dynamic evaluation system of maintenance task. The system is illustrated by means of a practical example

  13. Prevalence and associated factors of hepatitis C virus infection among renal disease patients on maintenance hemodialysis in three health centers in Aden, Yemen: a cross sectional study.

    Science.gov (United States)

    Aman, Khadija; Al-Dubai, Sami AbdoRadman; Aman, Reema; Hawash, Aamenah; Alshagga, Mustafa; Kassim, Saba

    2015-03-01

    We aimed to assess the prevalence and factors associated with positive anti-hepatitis C virus (HCV) antibodies among patients on maintenance hemodialysis (HD) in three centers in Aden, Yemen. The data from 219 patients and their records over the period between 2000-2013, was extracted and analyzed. The mean ± SD age of the patients was 47.08 ± 13.9 years; 74.4% of them were married and 14.6% were employed. The prevalence of validated anti-HCV-positive cases was 40.2% (95%CI 33.64%-46.73%). The mean ± SD duration on HD of all the patients was 35.09 ± 38 months. On bivariate analysis, the duration on HD and attending more than one center for HD associated significantly with anti-HCV positivity (P <0.05). On multivariate fully adjusted Poisson regression modelling, controlled for age, Patients attending more than one center and those who underwent HD for longer durations were more likely to be positive for anti- HCV antibodies [P = 0.004, adjusted prevalence rate ratio (APRR) = 1.87, 95% confidence interval (CI): 1.22-2.88; P = 0.0005, APRR = 1.01, 95% CI: 1.00-1.02. In this study sample, the prevalence of HCV was significant. Patients attending more than one center and those who underwent HD for longer durations were found to be more likely to contract HCV. Enhancing existing infection control measures and allocating more resources to HD centers therefore warrants consideration.

  14. Prevalence and associated factors of hepatitis C virus infection among renal disease patients on maintenance hemodialysis in three health centers in Aden, Yemen: A cross sectional study

    Directory of Open Access Journals (Sweden)

    Khadija Aman

    2015-01-01

    Full Text Available We aimed to assess the prevalence and factors associated with positive anti-hepatitis C virus (HCV antibodies among patients on maintenance hemodialysis (HD in three centers in Aden, Yemen. The data from 219 patients and their records over the period between 2000-2013, was extracted and analyzed. The mean ± SD age of the patients was 47.08 ± 13.9 years; 74.4% of them were married and 14.6% were employed. The prevalence of validated anti-HCV-positive cases was 40.2% (95%CI 33.64%-46.73%. The mean ± SD duration on HD of all the patients was 35.09 ± 38 months. On bivariate analysis, the duration on HD and attending more than one center for HD associated significantly with anti-HCV positivity (P <0.05. On multivariate fully adjusted Poisson regression modelling, controlled for age, Patients attending more than one center and those who underwent HD for longer durations were more likely to be positive for anti- HCV antibodies [P = 0.004, adjusted prevalence rate ratio (APRR = 1.87, 95% confidence interval (CI: 1.22-2.88; P = 0.0005, APRR = 1.01, 95% CI: 1.00-1.02. In this study sample, the prevalence of HCV was significant. Patients attending more than one center and those who underwent HD for longer durations were found to be more likely to contract HCV. Enhancing existing infection control measures and allocating more resources to HD centers therefore warrants consideration.

  15. Primary Health Care Models Addressing Health Equity for Immigrants: A Systematic Scoping Review.

    Science.gov (United States)

    Batista, Ricardo; Pottie, Kevin; Bouchard, Louise; Ng, Edward; Tanuseputro, Peter; Tugwell, Peter

    2018-02-01

    To examine two healthcare models, specifically "Primary Medical Care" (PMC) and "Primary Health Care" (PHC) in the context of immigrant populations' health needs. We conducted a systematic scoping review of studies that examined primary care provided to immigrants. We categorized studies into two models, PMC and PHC. We used subjects of access barriers and preventive interventions to analyze the potential of PMC/PHC to address healthcare inequities. From 1385 articles, 39 relevant studies were identified. In the context of immigrant populations, the PMC model was found to be more oriented to implement strategies that improve quality of care of the acute and chronically ill, while PHC models focused more on health promotion and strategies to address cultural and access barriers to care, and preventive strategies to address social determinants of health. Primary Health Care models may be better equipped to address social determinants of health, and thus have more potential to reduce immigrant populations' health inequities.

  16. Maintenance for the Millennium: Another Approach

    International Nuclear Information System (INIS)

    Sculthorpe, Barruy R.

    2002-01-01

    Nuclear units nationwide are struggling to increase plant reliability and availability while at the same time reduce their operating and maintenance costs. Some very costly investments have been made in programs such as Reliability Centered Maintenance [RCM]. Florida Power and Light's approach at the St. Lucie Nuclear Plant has taken a slightly different approach. Building on our knowledge of the RCM process and an already existing 'World Class' Predictive Maintenance Program, a 'Condition-Based' Maintenance Program that takes advantage of the RCM philosophy and our toolbox full of advanced and highly successful predictive maintenance technologies. These tools currently consist of vibration analysis, lubricant analysis (both physical property and wear metals analysis, thermographic analysis, motor current signature analysis, tribology and process parameter trending. All employed with the intent to evaluate a machines health. This machine health check allows the forecasting of future preventative maintenance [PM's] tasks and the revision of existing PM's to maximize machine performance and eliminate 'no-value-added' maintenance activities/costs. Within the last year, the Condition-Based Maintenance Program has produced a cost saving of approximately $1.5 million dollars. As the program matures, these cost savings will accumulate well into the millennium. (authors)

  17. Asbestos exposure of building maintenance personnel.

    Science.gov (United States)

    Mlynarek, S; Corn, M; Blake, C

    1996-06-01

    The exposures of building maintenance personnel and occupants to airborne asbestos fibers, and the effects of operations and maintenance programs on those exposures, continue to be an important public health issue. The subject of this investigation was a large metropolitan county with numerous public buildings which routinely conducted air sampling for asbestos. A total of 302 personal air samples in nine task categories collected during maintenance worker activities in proximity to asbestos-containing materials were analyzed; 102 environmental air samples in four task categories were also analyzed. The arithmetic means of the 8-hr time weighted average exposures for personal sampling for each task category were all below the Occupational Safety and Health Administration permissible exposure level of 0.1 fibers (f)/cc > 5 microm. The highest mean 8-hr time weighted average exposure was 0.030 f/cc > 5 microm for ceiling tile replacement. The maximum asbestos concentration during sample collection for environmental samples was 0.027 f/cc > 5 microm. All asbestos-related maintenance work was done within the framework of an Operations and Maintenance Program (OMP) which utilized both personal protective equipment and controls against fiber release/dispersion. Results are presented in association with specific OMP procedures or controls. These results support the effectiveness of using Operations and Maintenance Programs to manage asbestos in buildings without incurring unacceptable risk to maintenance workers performing maintenance tasks.

  18. Health care models guiding mental health policy in Kenya 1965 - 1997

    Directory of Open Access Journals (Sweden)

    Jenkins Rachel

    2010-04-01

    Full Text Available Abstract Background Mental health policy is needed to set the strategy and direction for the provision of mental health services in a country. Policy formulation does not occur in a vacuum, however, but is influenced by local and international factors in the health sector and other sectors. Methods This study was carried out in 1997 to examine the evolution of mental health policy in Kenya between 1965 and 1997 in the context of changing international concepts of health and development. Qualitative content analysis of policy documents was combined with interviews of key policy makers. Results The study showed that during the period 1965-1997 the generic health policy in Kenya changed from one based on the Medical Model in the 1960s and 1970s to one based on the Primary Health Care Model in the late 1970s and the 1980s and finally to one based on the Market Model of health care in the 1990s. The mental health policy, on the other hand, evolved from one based on the Medical Model in the 1960s to one based on the Primary Health Care Model in the 1990s, but did not embrace the Market Model of health care. This resulted in a situation in the 1990s where the mental health policy was rooted in a different conceptual model from that of the generic health policy under which it was supposed to be implemented. This "Model Muddlement" may have impeded the implementation of the mental health policy in Kenya. Conclusions Integration of the national mental health policy with the general health policy and other sector policies would be appropriate and is now underway.

  19. Inspection of licensee - Maintenance programme and activities

    International Nuclear Information System (INIS)

    2013-01-01

    An effective maintenance programme is critical to sustained safe and reliable operation of nuclear power plants. The Working Group on Inspection Practices (WGIP) concluded that when a licensee has an effective maintenance programme, the overall operating safety of the plant is improved and the protection of public health and safety enhanced. All Regulatory Bodies (RB) consider maintenance to be an important area for oversight. Although a variety of inspection practices are being used; RB are actively monitoring licensee performance. Specifically the following conclusions were reached and commendable practices identified: - Maintenance oversight by regulators appears to be in a stable continuous improvement state. Most regulators are executing inspection oversight based on an existing regulatory framework. - The performance of a licensee's maintenance programme is recognized as important part of maintaining nuclear safety. The result of the maintenance program assessment is included in the overall performance assessment of a license. - Maintenance inspection activities are recognized as an important part of the regulatory oversight process. Inspection activities are based on the safety significance and nature of work being performed by the licensee. - The effectiveness of the maintenance inspection activities is recognized to rely on properly qualified inspectors; who are adequately supported by specialists. Training and qualification of inspectors should be based on how the RB reviews and inspects licensee maintenance programmes. - Reporting requirements are identified to provide information on the licensees maintenance programme, and to help guide inspection activities. - Performance Indicators are recognized as a useful tool for helping focus regulatory activities. Basic PI are identified and tracked by the RB, and use of PI by the licensee is monitored. - Inspections are designed to confirm that the licensee is planning and scheduling maintenance with due

  20. Is physical activity maintenance from adolescence to young adulthood associated with reduced CVD risk factors, improved mental health and satisfaction with life: the HUNT Study, Norway.

    Science.gov (United States)

    Rangul, Vegar; Bauman, Adrian; Holmen, Turid Lingaas; Midthjell, Kristian

    2012-12-14

    Little is known about the effect maintaining physical activity throughout adolescence has on cardiovascular risk factors and health status in early adulthood. This ten-year prospective longitudinal study investigated whether differences in physical activity patterns from adolescence to young-adulthood showed different associations with subsequent cardio-metabolic risk factors and mental health in young-adulthood. Based on the second and third Norwegian Nord-Trøndelag Health Surveys (HUNT2 and 3), we included 1869 individuals (838 males) participating in Young-HUNT (1995-97), aged 13-19 years and followed-up at HUNT3 (2006-08), aged 23-31. Self-reported physical activity (PA), mental health and perceived health were recorded, along with measurements of body mass index (BMI), waist circumference (WC), total cholesterol (TC), HDL cholesterol, glucose, triglycerides, resting heart rate (HR) and blood pressure. We used separate linear regressions models to investigate associations between physical activity and each CVD risk factor, and logistic regression analysis to examine PA patterns and subsequent mental health. Physically active maintainers were compared to inactive maintainers. Adopters (inactive as adolescents and physically active as young adults) were compared to inactive maintainers and to those who discontinued activity (relapsers). Active maintainers had significantly lower HR, compared to all other PA patterns. Active maintaining men had significantly lower WC than relapsers and inactive maintainers. When adjusted for age and gender, WC, BMI, HR, diastolic blood pressure and HDL-C showed significant differences comparing active maintaining to other PA patterns. Comparing inactive maintainers against adopters, only HR was significantly lower. Male adopters did not differ significantly in CVD risk compared to inactive maintainers and relapsers. Among females adopting was associated with lower HR and TC compared to inactive maintainers. Active maintainers

  1. An exploration of Pender's Health Promotion Model using LISREL.

    Science.gov (United States)

    Johnson, J L; Ratner, P A; Bottorff, J L; Hayduk, L A

    1993-01-01

    A causal model based on Pender's (1987) Health Promotion Model was tested to evaluate Pender's hypothesis that demographic and biological characteristics affect health-promoting behaviors indirectly through three mediating cognitive-perceptual variables. A sample of 3,025 noninstitutionalized adults completed a telephone survey from which indicators of the conceptual variables were selected. Initial tests of the causal model using the LISREL 7 program indicated that the basic model did not fit the data. Therefore, the model was modified so that the exogenous variables--sex, age, income, martial status, education, and body mass index--had direct effects on select health-promoting behaviors. Further, the variables of self-actualization and interpersonal support were required to share common indicators as were health responsibility and interpersonal support. Though the modified model fit the data, little of the variance in health-promoting behaviors was explained, since all significant effects were weak.

  2. Review of health effects models for Level 3 PSA

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Seung Hee; Kim, Ju Youl [FNC Technology Co., Yongin (Korea, Republic of); Han, Seok Jung [KAERI, Daejeon (Korea, Republic of)

    2016-05-15

    Many international organizations have developed health risk models. Especially, as radiation-induced cancer is an important part among health effects, development has been focused on cancer risk model. This paper reviewed the cancer risk models of international agencies; United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), National Academy of Sciences (NAS) and International Commission on Radiological Protection (ICRP). Moreover, as pre-research for improving the health risk model in Korea, this paper analyzed the three methodologies and specific details in modeling. International agencies have developed radiation-induced cancer risk model reflecting the recent A-bomb survivor LSS data. This paper reviewed the recent cancer risk model of UNSCEAR, NAS and ICRP. All three models were based on ERR and EAR model in the form of a multiplication of dose-response model and modification function. Lifetime risk was calculated as a function of exposure age and gender.

  3. Remote chemotherapy supervision model for rural cancer care: perspectives of health professionals.

    Science.gov (United States)

    Jhaveri, D; Larkins, S; Kelly, J; Sabesan, S

    2016-01-01

    Townsville Cancer Centre (TCC), a tertiary cancer centre in North Queensland, Australia, provides chemotherapy services to surrounding small rural towns using the Queensland Remote Chemotherapy Supervision model (QReCS). Under this model, selected chemotherapy regimens are administered in rural hospitals by rural based generalist doctors and nurses, under the supervision of TCC-based medical oncologists and chemotherapy competent nurses through videoconferencing. We sought to explore the perspectives of health professionals participating in QReCS. This qualitative study used semi-structured interviews with 19 participants, including nine nurses, eight doctors, one rural pharmacist and one administration officer. The interviews were recorded and transcribed. Transcripts were examined using iterative thematic analysis. Four major themes were identified from the data: (1) benefits of the model, (2) enablers of implementation, (3) operational requirements for optimal functioning and (4) disadvantages of the model. The reported benefits of the model were patient convenience, inter-professional communication across health district borders, expanded scope of practice, continuity of care and maintenance of patient safety and compliance with guidelines while delivering chemotherapy. Further improvements in the quality of training for rural nurses, coordination between urban and rural sites and between health professionals and documentation of clinical encounters would optimise the operation of the model. QReCS appears to provide many benefits to patients and health professionals and a framework for safe administration of chemotherapy in rural areas. Coordination of care, the quality of training for rural nurses as well as clinical documentation needs to improve to optimise the operation of the model. © 2015 John Wiley & Sons Ltd.

  4. Medicare and state health care programs: fraud and abuse, civil money penalties and intermediate sanctions for certain violations by health maintenance organizations and competitive medical plans--HHS. Final rule.

    Science.gov (United States)

    1994-07-15

    This final rule implements sections 9312(c)(2), 9312(f), and 9434(b) of Public Law 99-509, section 7 of Public Law 100-93, section 4014 of Public Law 100-203, sections 224 and 411(k)(12) of Public Law 100-360, and section 6411(d)(3) of Public Law 101-239. These provisions broaden the Secretary's authority to impose intermediate sanctions and civil money penalties on health maintenance organizations (HMOs), competitive medical plans, and other prepaid health plans contracting under Medicare or Medicaid that (1) substantially fail to provide an enrolled individual with required medically necessary items and services; (2) engage in certain marketing, enrollment, reporting, or claims payment abuses; or (3) in the case of Medicare risk-contracting plans, employ or contract with, either directly or indirectly, an individual or entity excluded from participation in Medicare. The provisions also condition Federal financial participation in certain State payments on the State's exclusion of certain prohibited entities from participation in HMO contracts and waiver programs. This final rule is intended to significantly enhance the protections for Medicare beneficiaries and Medicaid recipients enrolled in a HMO, competitive medical plan, or other contracting organization under titles XVIII and XIX of the Social Security Act.

  5. Architecture and Key Techniques of Augmented Reality Maintenance Guiding System for Civil Aircrafts

    Science.gov (United States)

    hong, Zhou; Wenhua, Lu

    2017-01-01

    Augmented reality technology is introduced into the maintenance related field for strengthened information in real-world scenarios through integration of virtual assistant maintenance information with real-world scenarios. This can lower the difficulty of maintenance, reduce maintenance errors, and improve the maintenance efficiency and quality of civil aviation crews. Architecture of augmented reality virtual maintenance guiding system is proposed on the basis of introducing the definition of augmented reality and analyzing the characteristics of augmented reality virtual maintenance. Key techniques involved, such as standardization and organization of maintenance data, 3D registration, modeling of maintenance guidance information and virtual maintenance man-machine interaction, are elaborated emphatically, and solutions are given.

  6. Innovation for maintenance technology improvements

    Science.gov (United States)

    Shives, T. R. (Editor); Willard, W. A. (Editor)

    1982-01-01

    A group of 34 submitted entries (32 papers and 2 abstracts) from the 33rd meeting of the Mechanical Failures Prevention Group whose subject was maintenance technology improvement through innovation. Areas of special emphasis included maintenance concepts, maintenance analysis systems, improved maintenance processes, innovative maintenance diagnostics and maintenance indicators, and technology improvements for power plant applications.

  7. Validation of a non-linear model of health.

    Science.gov (United States)

    Topolski, Stefan; Sturmberg, Joachim

    2014-12-01

    The purpose of this study was to evaluate the veracity of a theoretically derived model of health that describes a non-linear trajectory of health from birth to death with available population data sets. The distribution of mortality by age is directly related to health at that age, thus health approximates 1/mortality. The inverse of available all-cause mortality data from various time periods and populations was used as proxy data to compare with the theoretically derived non-linear health model predictions, using both qualitative approaches and quantitative one-sample Kolmogorov-Smirnov analysis with Monte Carlo simulation. The mortality data's inverse resembles a log-normal distribution as predicted by the proposed health model. The curves have identical slopes from birth and follow a logarithmic decline from peak health in young adulthood. A majority of the sampled populations had a good to excellent quantitative fit to a log-normal distribution, supporting the underlying model assumptions. Post hoc manipulation showed the model predictions to be stable. This is a first theory of health to be validated by proxy data, namely the inverse of all-cause mortality. This non-linear model, derived from the notion of the interaction of physical, environmental, mental, emotional, social and sense-making domains of health, gives physicians a more rigorous basis to direct health care services and resources away from disease-focused elder care towards broad-based biopsychosocial interventions earlier in life. © 2014 John Wiley & Sons, Ltd.

  8. Employing Organizational Modeling and Simulation to Reduce F/A-18E/F F414 Engine Maintenance Time

    National Research Council Canada - National Science Library

    Hagan, Joel J; Slack, William G

    2006-01-01

    ...) at Naval Air Station (NAS) Lemoore, California. To achieve this goal, organizational modeling was employed to evaluate how changes to the organizational structure of the Lemoore AIMD affected engine throughput time...

  9. Novel calibration model maintenance strategy for solving the signal instability in quantitative liquid chromatography-mass spectrometry.

    Science.gov (United States)

    Du, Hai-Li; Chen, Zeng-Ping; Song, Mi; Chen, Yao; Yu, Ru-Qin

    2014-04-18

    In this contribution, a multiplicative effects model with a parameter accounting for the variations in overall sensitivity over time was proposed to reduce the effects of signal instability on quantitative results of LC-MS/MS. This method allows the use of calibration models constructed from large standard sets without having to repeat their measurement even though variations occur in sensitivity and baseline signal intensity. The performance of the proposed method was tested on two proof-of-concept model systems: the determination of the target peptide in two sets of peptide digests mixtures and the quantification of melamine and metronidazole in two sets of milk powder samples. Experimental results confirmed that multiplicative effects model could provide quite satisfactory concentration predictions for both systems with average relative predictive error values far lower than the corresponding values of various models investigated in this paper. Considering its capability in solving the problem of signal instability across samples and over time in LC-MS/MS assays and its implementation simplicity, it is expected that the multiplicative effects model can be developed and extended in many application areas such as the quantification of specific protein in cells and human plasma and other complex systems. Copyright © 2014 Elsevier B.V. All rights reserved.

  10. Simulation Models for Socioeconomic Inequalities in Health: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Niko Speybroeck

    2013-11-01

    Full Text Available Background: The emergence and evolution of socioeconomic inequalities in health involves multiple factors interacting with each other at different levels. Simulation models are suitable for studying such complex and dynamic systems and have the ability to test the impact of policy interventions in silico. Objective: To explore how simulation models were used in the field of socioeconomic inequalities in health. Methods: An electronic search of studies assessing socioeconomic inequalities in health using a simulation model was conducted. Characteristics of the simulation models were extracted and distinct simulation approaches were identified. As an illustration, a simple agent-based model of the emergence of socioeconomic differences in alcohol abuse was developed. Results: We found 61 studies published between 1989 and 2013. Ten different simulation approaches were identified. The agent-based model illustration showed that multilevel, reciprocal and indirect effects of social determinants on health can be modeled flexibly. Discussion and Conclusions: Based on the review, we discuss the utility of using simulation models for studying health inequalities, and refer to good modeling practices for developing such models. The review and the simulation model example suggest that the use of simulation models may enhance the understanding and debate about existing and new socioeconomic inequalities of health frameworks.

  11. Air Pollution Exposure Modeling for Health Studies | Science ...

    Science.gov (United States)

    Dr. Michael Breen is leading the development of air pollution exposure models, integrated with novel personal sensor technologies, to improve exposure and risk assessments for individuals in health studies. He is co-investigator for multiple health studies assessing the exposure and effects of air pollutants. These health studies include participants with asthma, diabetes, and coronary artery disease living in various U.S. cities. He has developed, evaluated, and applied novel exposure modeling and time-activity tools, which includes the Exposure Model for Individuals (EMI), GPS-based Microenvironment Tracker (MicroTrac) and Exposure Tracker models. At this seminar, Dr. Breen will present the development and application of these models to predict individual-level personal exposures to particulate matter (PM) for two health studies in central North Carolina. These health studies examine the association between PM and adverse health outcomes for susceptible individuals. During Dr. Breen’s visit, he will also have the opportunity to establish additional collaborations with researchers at Harvard University that may benefit from the use of exposure models for cohort health studies. These research projects that link air pollution exposure with adverse health outcomes benefit EPA by developing model-predicted exposure-dose metrics for individuals in health studies to improve the understanding of exposure-response behavior of air pollutants, and to reduce participant

  12. Salmeterol/fluticasone stable-dose treatment compared with formoterol/budesonide adjustable maintenance dosing: impact on health-related quality of life

    Directory of Open Access Journals (Sweden)

    Williams Angela E

    2007-07-01

    Full Text Available Abstract Background Improving patients' health-related quality of life (HRQoL is recognized as a fundamental part of asthma management. The aims of this study were to evaluate the long-term efficacy (including symptom-free days and exacerbations and impact on HRQoL of a stable-dose regimen of salmeterol/fluticasone propionate (SAL/FP and an adjustable maintenance dosing (AMD regimen of formoterol/budesonide (FOR/BUD where treatment is adjusted based on symptoms [SAM40056]. Methods A total of 688 outpatients with asthma receiving regular low-dose inhaled corticosteroids (ICS plus a long-acting β2-agonist, or medium dose ICS alone participated in this randomized, double-blind, double-dummy, parallel-group, 1-year trial, which was conducted in 91 centers in 15 countries. Patients were randomized to receive 1 inhalation of SAL/FP 50/250 μg BID or 2 inhalations of FOR/BUD 6/200 μg BID during Weeks 1–4. For Weeks 5–52, patients meeting strict continuation criteria for stable asthma at Week 4 received AMD with FOR/BUD or stable-dose SAL/FP. Results The percentage of symptom-free days was significantly greater (58.8% vs 52.1%; p = 0.034 and the annual exacerbation rate was significantly lower (47%; p = 0.008 with stable-dose SAL/FP compared with FOR/BUD AMD. A total of 568 patients completed the Asthma Quality of Life Questionnaire (AQLQ at least once during the study. The mean change from baseline in AQLQ overall score was numerically greater with SAL/FP than FOR/BUD at week 28 and week 52, but did not reach statistical significance (p = 0.121 at Week 52. However, in a post hoc logistic regression analyses for any AQLQ improvement, significant benefits with SAL/FP were seen at both time points (p = 0.038 and p = 0.009, respectively. The minimally important difference of ≥ 0.5-point improvement in AQLQ overall score was achieved by a significantly greater number of patients receiving SAL/FP at Week 28 (68% vs 60%; p = 0.049; a trend for this

  13. Health effects models for nuclear power plant accident consequence analysis

    International Nuclear Information System (INIS)

    Abrahamson, S.; Bender, M.A.; Boecker, B.B.; Scott, B.R.

    1993-05-01

    The Nuclear Regulatory Commission (NRC) has sponsored several studies to identify and quantify, through the use of models, the potential health effects of accidental releases of radionuclides from nuclear power plants. The Reactor Safety Study provided the basis for most of the earlier estimates related to these health effects. Subsequent efforts by NRC-supported groups resulted in improved health effects models that were published in the report entitled open-quotes Health Effects Models for Nuclear Power Plant Consequence Analysisclose quotes, NUREG/CR-4214, 1985 and revised further in the 1989 report NUREG/CR-4214, Rev. 1, Part 2. The health effects models presented in the 1989 NUREG/CR-4214 report were developed for exposure to low-linear energy transfer (LET) (beta and gamma) radiation based on the best scientific information available at that time. Since the 1989 report was published, two addenda to that report have been prepared to (1) incorporate other scientific information related to low-LET health effects models and (2) extend the models to consider the possible health consequences of the addition of alpha-emitting radionuclides to the exposure source term. The first addendum report, entitled open-quotes Health Effects Models for Nuclear Power Plant Accident Consequence Analysis, Modifications of Models Resulting from Recent Reports on Health Effects of Ionizing Radiation, Low LET Radiation, Part 2: Scientific Bases for Health Effects Models,close quotes was published in 1991 as NUREG/CR-4214, Rev. 1, Part 2, Addendum 1. This second addendum addresses the possibility that some fraction of the accident source term from an operating nuclear power plant comprises alpha-emitting radionuclides. Consideration of chronic high-LET exposure from alpha radiation as well as acute and chronic exposure to low-LET beta and gamma radiations is a reasonable extension of the health effects model

  14. National Built Environment Health Impact Assessment Model ...

    Science.gov (United States)

    Behavioral (activity, diet, social interaction) and exposure (air pollution, traffic injury, and noise) related health impacts of land use and transportation investment decisions are becoming better understood and quantified. Research has shown relationships between density, mix, street connectivity, access to parks, shops, transit, presence of sidewalks and bikeways, and healthy food with physical activity, obesity, cardiovascular disease, type II diabetes, and some mental health outcomes. This session demonstrates successful integration of health impact assessment into multiple scenario planning tool platforms. Detailed evidence on chronic disease and related costs associated with contrasting land use and transportation investments are built into a general-purpose module that can be accessed by multiple platforms. Funders, researchers, and end users of the tool will present a detailed description of the key elements of the approach, how it has been applied, and how will evolve. A critical focus will be placed on equity and social justice inherent within the assessment of health disparities that will be featured in the session. Health impacts of community design have significant cost benefit implications. Recent research is now extending relationships between community design features and chronic disease to health care costs. This session will demonstrate the recent application of this evidence on health impacts to the newly adopted Los Angeles Regional Transpo

  15. Women's Studies: A Model for a Specialty in Women's Health.

    Science.gov (United States)

    Rosser, Sue V.

    1993-01-01

    A five-phase model for integrating women's issues into the traditional college curriculum is outlined, with examples from five disciplines. The model is then applied to the medical curriculum, as a means of creating a curriculum for a specialty in women's health or including women's health in general medicine/medical specialties. (MSE)

  16. Identification of differences in health impact modelling of salt reduction

    NARCIS (Netherlands)

    M.A.H. Hendriksen (Marieke); J.M. Geleijnse (Marianne); Van Raaij, J.M.A. (Joop M. A.); F.P. Cappuccio (Francesco); Cobiac, L.C. (Linda C.); Scarborough, P. (Peter); W.J. Nusselder (Wilma); Jaccard, A. (Abbygail); H.C. Boshuizen (Hendriek)

    2017-01-01

    textabstractWe examined whether specific input data and assumptions explain outcome differences in otherwise comparable health impact assessment models. Seven population health models estimating the impact of salt reduction on morbidity and mortality in western populations were compared on four sets

  17. Identification of differences in health impact modelling of salt reduction

    NARCIS (Netherlands)

    Hendriksen, Marieke A.H.; Geleijnse, Johanna M.; Raaij, Van Joop M.A.; Cappuccio, Francesco P.; Cobiac, Linda C.; Scarborough, Peter; Nusselder, Wilma J.; Jaccard, Abbygail; Boshuizen, Hendriek C.

    2017-01-01

    We examined whether specific input data and assumptions explain outcome differences in otherwise comparable health impact assessment models. Seven population health models estimating the impact of salt reduction on morbidity and mortality in western populations were compared on four sets of key

  18. Identification of differences in health impact modelling of salt reduction.

    NARCIS (Netherlands)

    Hendriksen, Marieke A H; Geleijnse, Johanna M; van Raaij, Joop M A; Cappuccio, Francesco P; Cobiac, Linda C; Scarborough, Peter; Nusselder, Wilma J; Jaccard, Abbygail; Boshuizen, Hendriek C

    2017-01-01

    We examined whether specific input data and assumptions explain outcome differences in otherwise comparable health impact assessment models. Seven population health models estimating the impact of salt reduction on morbidity and mortality in western populations were compared on four sets of key

  19. Revised health and safety compliance model for the Ghanaian ...

    African Journals Online (AJOL)

    The purpose of the paper was to present the revised health and safety (H&S) compliance model for the ... Keywords: Compliance, exploratory factor analysis, Ghana, health and safety, model .... Radiation Protection Instrument LI 1559 of 1993, (vi) The Environmental Protection Agency Act 1994 (Act 490), and (vii) The.

  20. Optimization of Installation, Operation and Maintenance at Offshore Wind Projects in the U.S.: Review and Modeling of Existing and Emerging Approaches

    Energy Technology Data Exchange (ETDEWEB)

    Baldock, Nick [Garrad Hassan & Partners Ltd, Glasgow (United Kingdom); Sevilla, Fernando [Garrad Hassan & Partners Ltd, Glasgow (United Kingdom); Redfern, Robin [Garrad Hassan & Partners Ltd, Glasgow (United Kingdom); Storey, Alexis [Garrad Hassan & Partners Ltd, Glasgow (United Kingdom); Kempenaar, Anton [Garrad Hassan & Partners Ltd, Glasgow (United Kingdom); Elkinton, Chris [Garrad Hassan America, Inc., San Diego, CA (United States)

    2014-12-19

    The United States Department of Energy (DOE) awarded a grant to GL Garrad Hassan (GL GH) to investigate the logistics, opportunities, and costs associated with existing and emerging installation and operation and maintenance (O&M) activities at offshore wind projects as part of the DOE’s program to reduce barriers facing offshore wind project development in the United States (U.S.). This report (the Report) forms part of Subtopic 5.3 “Optimized Installation, Operation and Maintenance Strategies Study” which in turn is part of the “Removing Market Barriers in U.S. Offshore Wind” set of projects for the DOE. The purpose of Subtopic 5.3 is to aid and facilitate informed decision-making regarding installation and O&M during the development, installation, and operation of offshore wind projects in order to increase efficiency and reduce the levelized cost of energy (LCoE). Given the large area of U.S. territorial waters, the generally higher mean wind speeds offshore, and the proximity to the coast of many large U.S. cities, offshore wind power has the potential to become a significant contributor of energy to U.S. markets. However, for the U.S. to ensure that the development of offshore wind energy projects is carried out in an efficient and cost-effective manner, it is important to be cognizant of the current and emerging practices in both the domestic and international offshore wind energy industries. The U.S. can harness the experience gained globally and combine this with the skills and assets of an already sizeable onshore wind industry, as well as the resources of a mature offshore oil and gas industry, to develop a strong offshore wind sector. The work detailed in this report is aimed at assisting with that learning curve, particularly in terms of offshore specific installation and O&M activities. This Report and the Installation and O&M LCoE Analysis Tool, which were developed together by GL GH as part of this study, allow readers to identify, model

  1. Reliability-Centered Maintenance

    Science.gov (United States)

    1978-12-29

    C. Mentzer, who directed khe pioneering studies of maintenance policy at United Airlines, and to the Federal Aviation Administration for creating...ANALYSIS 425 D-3 INFORMATION SCIENCi AND DECISION ANALYSIS 427 D-4 MAINTENANCE THEORY AND PHILOSOPHY 430 D-5 MAINTENANCE APPLUCATIONS 436 D-6 A GUIDE...occupants N Operational consequences, which involve an indirect economic loss as well as the direct cost of repair l Nonoperational consequences, which

  2. Status of fusion maintenance

    International Nuclear Information System (INIS)

    Fuller, G.M.

    1984-01-01

    Effective maintenance will be an essential ingredient in determining fusion system productivity. This level of productivity will result only after close attention is paid to the entire system as an entity and appropriate integration of the elements is made. The status of fusion maintenance is reviewed in the context of the entire system. While there are many challenging developmental tasks ahead in fusion maintenance, the required technologies are available in several high-technology industries, including nuclear fission

  3. Interactive videodisc in maintenance

    International Nuclear Information System (INIS)

    Zwingelstein, G.; Nguyen Van Nghi, B.

    1986-01-01

    After a recall of the videodisc characteristics, this paper presents its utilization by Electricite de France in the framework of training and maintenance. The SICMA (Interactive Communication System in Maintenance) developed and tested by Electricte de France is presented as also its utilization. It has been tested on the sites of Dampierre and Paluel in the cases of training and maintenance (deconnexion of drive rods of control elements); the conclusions of this experimentation are finally given. 4 refs [fr

  4. Turbine maintenance and modernization

    Energy Technology Data Exchange (ETDEWEB)

    Unga, E. [Teollisuuden Voima Oy, Olkiluoto (Finland)

    1998-12-31

    The disturbance-free operation of the turbine plant plays an important role in reaching good production results. In the turbine maintenance of the Olkiluoto nuclear power plant the lifetime and efficiency of turbine components and the lifetime costs are taken into account in determining the turbine maintenance and modernization/improvement program. The turbine maintenance program and improvement/modernization measures taken in the plant units are described in this presentation. (orig.)

  5. Importance of brood maintenance terms in simple models of the honeybee - Varroa destructor - acute bee paralysis virus complex

    Directory of Open Access Journals (Sweden)

    Hermann J. Eberl

    2010-09-01

    Full Text Available We present a simple mathematical model of the infestation of a honeybee colony by the Acute Paralysis Virus, which is carried by parasitic varroa mites (Varroa destructor. This is a system of nonlinear ordinary differential equations for the dependent variables: number of mites that carry the virus, number of healthy bees and number of sick bees. We study this model with a mix of analytical and computational techniques. Our results indicate that, depending on model parameters and initial data, bee colonies in which the virus is present can, over years, function seemingly like healthy colonies before they decline and disappear rapidly (e.g. Colony Collapse Disorder, wintering losses. This is a consequence of the fact that a certain number of worker bees is required in a colony to maintain and care for the brood, in order to ensure continued production of new bees.

  6. Army Maintenance System Transformation

    National Research Council Canada - National Science Library

    Gilbertson, Frank V

    2006-01-01

    .... Used in conjunction with pertinent historical data and developed with Army transformation goals in mind, General Systems thinking can provide the framework for guiding maintenance transformation...

  7. Industrial Maintenance Strategies

    International Nuclear Information System (INIS)

    Sajjad Akbar

    2006-01-01

    Industrial plants have become more complex due to technological advancement. This has made the task of maintenance more difficult. The maintenance costs in terms of resources and downtime loss are so high that maintenance function has become a critical factor in a plant's profitability. Industry should devote as much forethought to the management of maintenance function as to production. Maintenance has grown from an art to a precise, technical engineering science. Planning, organizing scheduling and control of maintenance using modern techniques pays dividends in the form of reduced costs and increased reliability. The magnitude and the dimension of maintenance have multiplied due to development in the engineering technologies. Production cost and capacities are directly affected by the breakdown time. Total operating cost including the maintenance cost plays an important role in replacement dimension. The integrated system approach would bring forth the desired results of high maintenance standards. The standards once achieved and sustained, would add to the reliability of the plan and relieve heavy stresses and strains on the engineering logistic support. (author)

  8. Remote Maintenance Monitoring System -

    Data.gov (United States)

    Department of Transportation — The Remote Maintenance and Monitoring System (RMMS) is a collection of subsystems that includes telecommunication components, hardware, and software, which serve to...

  9. E-health stakeholders experiences with clinical modelling and standardizations.

    Science.gov (United States)

    Gøeg, Kirstine Rosenbeck; Elberg, Pia Britt; Højen, Anne Randorff

    2015-01-01

    Stakeholders in e-health such as governance officials, health IT-implementers and vendors have to co-operate to achieve the goal of a future-proof interoperable e-health infrastructure. Co-operation requires knowledge on the responsibility and competences of stakeholder groups. To increase awareness on clinical modeling and standardization we conducted a workshop for Danish and a few Norwegian e-health stakeholders' and made them discuss their views on different aspects of clinical modeling using a theoretical model as a point of departure. Based on the model, we traced stakeholders' experiences. Our results showed there was a tendency that stakeholders were more familiar with e-health requirements than with design methods, clinical information models and clinical terminology as they are described in the scientific literature. The workshop made it possible for stakeholders to discuss their roles and expectations to each other.

  10. Domain analysis and modeling to improve comparability of health statistics.

    Science.gov (United States)

    Okada, M; Hashimoto, H; Ohida, T

    2001-01-01

    Health statistics is an essential element to improve the ability of managers of health institutions, healthcare researchers, policy makers, and health professionals to formulate appropriate course of reactions and to make decisions based on evidence. To ensure adequate health statistics, standards are of critical importance. A study on healthcare statistics domain analysis is underway in an effort to improve usability and comparability of health statistics. The ongoing study focuses on structuring the domain knowledge and making the knowledge explicit with a data element dictionary being the core. Supplemental to the dictionary are a domain term list, a terminology dictionary, and a data model to help organize the concepts constituting the health statistics domain.

  11. Good practice models for public workplace health promotion projects in Austria: promoting mental health.

    Science.gov (United States)

    Burkert, Nathalie T; Muckenhuber, Johanna; Großschädl, Franziska; Sprenger, Martin; Rohrauer-Näf, Gerlinde; Ropin, Klaus; Martinel, Evelyn; Dorner, Thomas

    2014-04-01

    Promoting mental health is a central public health issue since the Jakarta statement in 1997. In Austria, the nationwide organisation for health promotion is the 'Fonds Gesundes Österreich' (FGÖ), which has been established in 1998. The FGÖ funds and supports workplace health promotion projects; therefore, it co-operates with the Austrian Network on Workplace Health Promotion. In 2011, among others, two Austrian companies were honoured as best practice models for promoting mental health in the project 'Work. In tune with life. Move Europe'. One of their central key success factors are the provision of equal opportunities, engagement, their focus on overall health as well as the implementation of behavioural and environmental preventive measures. Since mental health problems in the population are still rising, public health promotion projects which orientate on the best practice models have to be established in Austria.

  12. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Scientific Opinion on the substantiation of a health claim related to iron and maintenance of normal hair growth pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    of a health claim based on newly developed scientific evidence related to iron and maintenance of normal hair growth. Iron is sufficiently characterised. The claimed effect is “reduction of excessive hair loss”. The target population proposed by the applicant is non-menopausal women, aged between 19 and 49...... years, presenting with excessive hair loss. The Panel considers that maintenance of normal hair growth is a beneficial physiological effect. The applicant identified a total of five observational studies and one review as pertinent to the claim. The narrative review contained no primary data. In two...... notes that these studies were not controlled for environmental and physiological factors which might have influenced iron status besides iron intake, or for factors other than iron status which might have influenced hair loss. The Panel concludes that a cause and effect relationship has not been...

  13. Clinical usefulness and economic implications of continuation/maintenance electroconvulsive therapy in a Spanish National Health System public hospital: A case series.

    Science.gov (United States)

    Rodriguez-Jimenez, Roberto; Bagney, Alexandra; Torio, Iosune; Caballero, Montserrat; Ruiz, Pedro; Rivas, Francisco de Paula Jose; Jimenez-Arriero, Miguel Angel

    2015-01-01

    Continuation/maintenance electroconvulsive therapy has been shown to be effective for prevention of relapse in affective and psychotic disorders. However, there is a limited nubber of studies that investigate clinical management, associated costs, and perceived quality variables. A series of 8 cases included during the first 18 months of the Continuation/Maintenance Electroconvulsive Therapy Program of the Psychiatry Department at 12 de Octubre University Hospital is presented. Clinical variables (Clinical Global Impression-Improvement Scale, length of hospitalization, number of Emergency Department visits, number of urgent admissions) before and after inclusion in the continuation/maintenance electroconvulsive therapy program were compared for each patient, as well as associated costs and perceived quality. After inclusion in the program, 50.0% of patients reported feeling « much better » and 37.5% « moderately better » in the Clinical Global Impression-Improvement Scale. In addition, after inclusion in the continuation/maintenance electroconvulsive therapy program, patients were hospitalized for a total of 349 days, visited the Emergency Department on 3 occasions, and had 2 urgent admissions, compared to 690 days of hospitalization (P = .012), 26 Emergency Department visits (P = .011) and 22 urgent admissions (P = .010) during the same period before inclusion in the program. Associated direct costs per day of admission were reduced to 50.6% of the previous costs, and costs associated with Emergency Department visits were reduced to 11.5% of the previous costs. As regards perceived quality, 87.5% of patients assessed the care and treatment received as being « very satisfactory », and 12.5% as « satisfactory ». This continuation/maintenance electroconvulsive therapy program has shown to be clinically useful and to have a favourable economic impact, as well as high perceived quality. Copyright © 2014 SEP y SEPB. Published by Elsevier España. All rights

  14. A hybrid feature selection and health indicator construction scheme for delay-time-based degradation modelling of rolling element bearings

    Science.gov (United States)

    Zhang, Bin; Deng, Congying; Zhang, Yi

    2018-03-01

    Rolling element bearings are mechanical components used frequently in most rotating machinery and they are also vulnerable links representing the main source of failures in such systems. Thus, health condition monitoring and fault diagnosis of rolling element bearings have long been studied to improve operational reliability and maintenance efficiency of rotatory machines. Over the past decade, prognosis that enables forewarning of failure and estimation of residual life attracted increasing attention. To accurately and efficiently predict failure of the rolling element bearing, the degradation requires to be well represented and modelled. For this purpose, degradation of the rolling element bearing is analysed with the delay-time-based model in this paper. Also, a hybrid feature selection and health indicator construction scheme is proposed for extraction of the bearing health relevant information from condition monitoring sensor data. Effectiveness of the presented approach is validated through case studies on rolling element bearing run-to-failure experiments.

  15. A Methodology for Modeling Nuclear Power Plant Passive Component Aging in Probabilistic Risk Assessment under the Impact of Operating Conditions, Surveillance and Maintenance Activities

    Science.gov (United States)

    Guler Yigitoglu, Askin

    In the context of long operation of nuclear power plants (NPPs) (i.e., 60-80 years, and beyond), investigation of the aging of passive systems, structures and components (SSCs) is important to assess safety margins and to decide on reactor life extension as indicated within the U.S. Department of Energy (DOE) Light Water Reactor Sustainability (LWRS) Program. In the traditional probabilistic risk assessment (PRA) methodology, evaluating the potential significance of aging of passive SSCs on plant risk is challenging. Although passive SSC failure rates can be added as initiating event frequencies or basic event failure rates in the traditional event-tree/fault-tree methodology, these failure rates are generally based on generic plant failure data which means that the true state of a specific plant is not reflected in a realistic manner on aging effects. Dynamic PRA methodologies have gained attention recently due to their capability to account for the plant state and thus address the difficulties in the traditional PRA modeling of aging effects of passive components using physics-based models (and also in the modeling of digital instrumentation and control systems). Physics-based models can capture the impact of complex aging processes (e.g., fatigue, stress corrosion cracking, flow-accelerated corrosion, etc.) on SSCs and can be utilized to estimate passive SSC failure rates using realistic NPP data from reactor simulation, as well as considering effects of surveillance and maintenance activities. The objectives of this dissertation are twofold: The development of a methodology for the incorporation of aging modeling of passive SSC into a reactor simulation environment to provide a framework for evaluation of their risk contribution in both the dynamic and traditional PRA; and the demonstration of the methodology through its application to pressurizer surge line pipe weld and steam generator tubes in commercial nuclear power plants. In the proposed methodology, a

  16. Common and Critical Components Among Community Health Assessment and Community Health Improvement Planning Models.

    Science.gov (United States)

    Pennel, Cara L; Burdine, James N; Prochaska, John D; McLeroy, Kenneth R

    Community health assessment and community health improvement planning are continuous, systematic processes for assessing and addressing health needs in a community. Since there are different models to guide assessment and planning, as well as a variety of organizations and agencies that carry out these activities, there may be confusion in choosing among approaches. By examining the various components of the different assessment and planning models, we are able to identify areas for coordination, ways to maximize collaboration, and strategies to further improve community health. We identified 11 common assessment and planning components across 18 models and requirements, with a particular focus on health department, health system, and hospital models and requirements. These common components included preplanning; developing partnerships; developing vision and scope; collecting, analyzing, and interpreting data; identifying community assets; identifying priorities; developing and implementing an intervention plan; developing and implementing an evaluation plan; communicating and receiving feedback on the assessment findings and/or the plan; planning for sustainability; and celebrating success. Within several of these components, we discuss characteristics that are critical to improving community health. Practice implications include better understanding of different models and requirements by health departments, hospitals, and others involved in assessment and planning to improve cross-sector collaboration, collective impact, and community health. In addition, federal and state policy and accreditation requirements may be revised or implemented to better facilitate assessment and planning collaboration between health departments, hospitals, and others for the purpose of improving community health.

  17. AUTOMOTIVE DIESEL MAINTENANCE 1. UNIT XXV, I--CATERPILLAR DIESEL ENGINE COOLING SYSTEM D-8 AND 824 MODELS, II--TIRES AND TIRE HARDWARE.

    Science.gov (United States)

    Minnesota State Dept. of Education, St. Paul. Div. of Vocational and Technical Education.

    THIS MODULE OF A 30-MODULE COURSE IS DESIGNED TO DEVELOP AN UNDERSTANDING OF THE OPERATION AND MAINTENANCE OF THE DIESEL ENGINE COOLING SYSTEM AND TO PROVIDE A DESCRIPTION OF HEAVY TIRES AND WHEELS USED ON DIESEL POWERED VEHICLES. TOPICS ARE (1) THEORY OF THE COOLING SYSTEM, (2) COOLING SYSTEM COMPONENTS, (3) MAINTENANCE TIPS (COOLING SYSTEM), (4)…

  18. Community Building Services Training Program: A Model Training Program to Provide Technical Training for Minority Adults in Construction, Building Maintenance,and Property Management. Final Report.

    Science.gov (United States)

    Community Building Maintenance Corp., Chicago, IL.

    A demonstration program, administered by a community based building maintenance, management, and construction corporation, was developed to provide technical training for minority adults in construction, building maintenance, and property management in the Chicago area. The program was concerned with seeking solutions to the lack of housing, job…

  19. Costs of health care across primary care models in Ontario.

    Science.gov (United States)

    Laberge, Maude; Wodchis, Walter P; Barnsley, Jan; Laporte, Audrey

    2017-08-01

    The purpose of this study is to analyze the relationship between newly introduced primary care models in Ontario, Canada, and patients' primary care and total health care costs. A specific focus is on the payment mechanisms for primary care physicians, i.e. fee-for-service (FFS), enhanced-FFS, and blended capitation, and whether providers practiced as part of a multidisciplinary team. Utilization data for a one year period was measured using administrative databases for a 10% sample selected at random from the Ontario adult population. Primary care and total health care costs were calculated at the individual level and included costs from physician services, hospital visits and admissions, long term care, drugs, home care, lab tests, and visits to non-medical health care providers. Generalized linear model regressions were conducted to assess the differences in costs between primary care models. Patients not enrolled with a primary care physicians were younger, more likely to be males and of lower socio-economic status. Patients in blended capitation models were healthier and wealthier than FFS and enhanced-FFS patients. Primary care and total health care costs were significantly different across Ontario primary care models. Using the traditional FFS as the reference, we found that patients in the enhanced-FFS models had the lowest total health care costs, and also the lowest primary care costs. Patients in the blended capitation models had higher primary care costs but lower total health care costs. Patients that were in multidisciplinary teams (FHT), where physicians are also paid on a blended capitation basis, had higher total health care costs than non-FHT patients but still lower than the FFS reference group. Primary care and total health care costs increased with patients' age, morbidity, and lower income quintile across all primary care payment types. The new primary care models were associated with lower total health care costs for patients compared to the

  20. Developing of National Accreditation Model for Rural Health Centers in Iran Health System.

    Science.gov (United States)

    Tabrizi, Jafar Sadegh; Gharibi, Farid; Pirahary, Samereh

    2013-12-01

    The primary health care has notable effects on community health and accreditation is one of the appropriate evaluation methods that led to health system performance improvement, therefore, this study aims to developing of national accreditation model for rural health centers in Iran Health System. Firstly the suitable accreditation models selected to benchmarking worldwide via systematic review, the related books and medical university's web site surveyed and some interviews hold with experts. Then the obtain standards surveyed from the experts' perspectives via Delphi technique. Finally, the obtainedmodel assessedvia the experts' perspective and pilot study. The researchers identified JCAHO and CCHSA as the most excellent models. The obtained standards and their quality accepted from experts' perspective and pilot study, and finally the number of 55 standards acquired. The designed model has standards with acceptable quality and quantity, and researchers' hopeful that its application in rural health centers led to continues quality improvement.

  1. Reviewing model application to support animal health decision making.

    Science.gov (United States)

    Singer, Alexander; Salman, Mo; Thulke, Hans-Hermann

    2011-04-01

    Animal health is of societal importance as it affects human welfare, and anthropogenic interests shape decision making to assure animal health. Scientific advice to support decision making is manifold. Modelling, as one piece of the scientific toolbox, is appreciated for its ability to describe and structure data, to give insight in complex processes and to predict future outcome. In this paper we study the application of scientific modelling to support practical animal health decisions. We reviewed the 35 animal health related scientific opinions adopted by the Animal Health and Animal Welfare Panel of the European Food Safety Authority (EFSA). Thirteen of these documents were based on the application of models. The review took two viewpoints, the decision maker's need and the modeller's approach. In the reviewed material three types of modelling questions were addressed by four specific model types. The correspondence between tasks and models underpinned the importance of the modelling question in triggering the modelling approach. End point quantifications were the dominating request from decision makers, implying that prediction of risk is a major need. However, due to knowledge gaps corresponding modelling studies often shed away from providing exact numbers. Instead, comparative scenario analyses were performed, furthering the understanding of the decision problem and effects of alternative management options. In conclusion, the most adequate scientific support for decision making - including available modelling capacity - might be expected if the required advice is clearly stated. Copyright © 2011 Elsevier B.V. All rights reserved.

  2. Improving Legacy Aircraft Systems Through Condition-Based Maintenance: An H-60 Case Study

    Science.gov (United States)

    2014-09-01

    Multifunction Display MMP Monthly Maintenance Plan MOP measure of performance MRC Maintenance Requirement Card MTBM Mean Time Between Maintenance NAE ...Model/Series TD technical directive TM Type Maintenance Code VGA Value Gap Analysis VIB-100 Vibration Analysis Manual (ATABS) xv VIB-200...preventive maintenance. (This includes on-equipment repair, removal, and replacement of defective components.) e. Incorporation of TDs , less SE

  3. A multilevel model of organizational health culture and the effectiveness of health promotion.

    Science.gov (United States)

    Lin, Yea-Wen; Lin, Yueh-Ysen

    2014-01-01

    Organizational health culture is a health-oriented core characteristic of the organization that is shared by all members. It is effective in regulating health-related behavior for employees and could therefore influence the effectiveness of health promotion efforts among organizations and employees. This study applied a multilevel analysis to verify the effects of organizational health culture on the organizational and individual effectiveness of health promotion. At the organizational level, we investigated the effect of organizational health culture on the organizational effectiveness of health promotion. At the individual level, we adopted a cross-level analysis to determine if organizational health culture affects employee effectiveness through the mediating effect of employee health behavior. The study setting consisted of the workplaces of various enterprises. We selected 54 enterprises in Taiwan and surveyed 20 full-time employees from each organization, for a total sample of 1011 employees. We developed the Organizational Health Culture Scale to measure employee perceptions and aggregated the individual data to formulate organization-level data. Organizational effectiveness of health promotion included four dimensions: planning effectiveness, production, outcome, and quality, which were measured by scale or objective indicators. The Health Promotion Lifestyle Scale was adopted for the measurement of health behavior. Employee effectiveness was measured subjectively in three dimensions: self-evaluated performance, altruism, and happiness. Following the calculation of descriptive statistics, hierarchical linear modeling (HLM) was used to test the multilevel hypotheses. Organizational health culture had a significant effect on the planning effectiveness (β = .356, p organizational health culture on three dimensions of employee effectiveness were completely mediated by health behavior. The construct connections established in this multilevel model will help in

  4. THE WAYS AND METHODS OF MAINTENANCE OF ECONOMIC STABILITY OF BUILDING ENTERPRISE BY CAUSE OF DYNAMIC MODEL

    Directory of Open Access Journals (Sweden)

    A.M. Platonov

    2008-12-01

    Full Text Available It is considered in work what exactly is main base for construction of dynamic model of stability of the building enterprise. There are submitted normative requirements which provide economic stability and also normative parities of dynamics of the parameters that correspond to these requirements. The technique of providing of economic stability is submitted on examples of two building enterprises of Ekaterinburg in view of results of their work in years of 2005-2006. There are determined the ways of providing of economic stability on the results of the carried out calculation. There are also revealed reserves of the enterprises for growth of efficiency of their activity.

  5. Automating Contextualized Maintenance Documentation

    NARCIS (Netherlands)

    Koornneef, H.; Verhagen, W.J.C.; Curran, Ricky; Borsato, M.; Wognum, N.; Peruzzini, M.; Stjepandić, J.; Verhagen, W.J.C.

    2016-01-01

    Currently, task support information in aircraft maintenance is mostly provided using paper-based solutions, which are burdensome, slow and prone to error. Aircraft maintenance documentation contains vast amounts of information irrelevant for the task at hand and even for the simplest tasks multiple

  6. Maintenance optimization with AREVA

    Energy Technology Data Exchange (ETDEWEB)

    Kostroun, Frank; Herzing, Karl-Heinz; Buschart, Rufus [AREVA NP GmbH, Erlangen (Germany)

    2009-04-15

    Driven by the economic expectations of an energy market that becomes increasingly unregulated, the optimization of the maintenance in a nuclear power plant is a more demand practice. This paper describes on three exemplary product lines of AREVA, how AREVA can support its customers optimizing its maintenance.

  7. Maintenance Trades Guidelines

    Science.gov (United States)

    Weidner, Theodore J.

    2008-01-01

    In 2002, APPA published "Maintenance Staffing Guidelines for Educational Facilities," the first building maintenance trades staffing guideline designed to assist educational facilities professionals with their staffing needs. addresses how facilities professionals can determine the appropriate size and mix of their organization. Contents…

  8. Models of consumer value cocreation in health care.

    Science.gov (United States)

    Nambisan, Priya; Nambisan, Satish

    2009-01-01

    In recent years, consumer participation in health care has gained critical importance as health care organizations (HCOs) seek varied avenues to enhance the quality and the value of their offerings. Many large HCOs have established online health communities where health care consumers (patients) can interact with one another to share knowledge and offer emotional support in disease management and care. Importantly, the focus of consumer participation in health care has moved beyond such personal health care management as the potential for consumers to participate in innovation and value creation in varied areas of the health care industry becomes increasingly evident. Realizing such potential, however, will require HCOs to develop a better understanding of the varied types of consumer value cocreation that are enabled by new information and communication technologies such as online health communities and Web 2.0 (social media) technologies. This article seeks to contribute toward such an understanding by offering a concise and coherent theoretical framework to analyze consumer value cocreation in health care. We identify four alternate models of consumer value cocreation-the partnership model, the open-source model, the support-group model, and the diffusion model-and discuss their implications for HCOs. We develop our theoretical framework by drawing on theories and concepts in knowledge creation, innovation management, and online communities. A set of propositions are developed by combining theoretical insights from these areas with real-world examples of consumer value cocreation in health care. The theoretical framework offered here informs on the potential impact of the different models of consumer value cocreation on important organizational variables such as innovation cost and time, service quality, and consumer perceptions of HCO. An understanding of the four models of consumer value cocreation can help HCOs adopt appropriate strategies and practices to

  9. Maintenance improvement program

    International Nuclear Information System (INIS)

    Derbonne, D.R.; Plunkett, T.F.; Simpson, J.R.

    1989-01-01

    During fuel cycle 1 at River Bend station, considerable effort was expended to reduce corrective maintenance work orders (MWOs) to <1,000. This was done by complementing the plant staff with costly contract personnel. Coming out of the first refueling outage, most contract personnel were released. The change in MWO backlog started a steady rise. It became readily apparent that to avoid costly contract staff time, a maintenance improvement program (MIP) was necessary. The MIP Was primarily directed at two areas: crew efficiency improvements and improved preplanned MWO packages. The overall effect of the MIP was to achieve significant productivity improvements with reduced operation and maintenance cost by providing frequent accountability to all levels of maintenance supervision. The MIP also produced a feeling of pride among the maintenance department employees that had not really existed before. This was the best benefit of all

  10. An Integrated Model of Decision-Making in Health Contexts: The Role of Science Education in Health Education

    Science.gov (United States)

    Arnold, Julia C.

    2018-01-01

    Health education is to foster health literacy, informed decision-making and to promote health behaviour. To date, there are several models that seek to explain health behaviour (e.g. the Theory of Planned Behaviour or the Health Belief Model). These models include motivational factors (expectancies and values) that play a role in decision-making…

  11. Model to Estimate Monthly Time Horizons for Application of DEA in Selection of Stock Portfolio and for Maintenance of the Selected Portfolio

    Directory of Open Access Journals (Sweden)

    José Claudio Isaias

    2015-01-01

    Full Text Available In the selecting of stock portfolios, one type of analysis that has shown good results is Data Envelopment Analysis (DEA. It, however, has been shown to have gaps regarding its estimates of monthly time horizons of data collection for the selection of stock portfolios and of monthly time horizons for the maintenance of a selected portfolio. To better estimate these horizons, this study proposes a model of mathematical programming binary of minimization of square errors. This model is the paper’s main contribution. The model’s results are validated by simulating the estimated annual return indexes of a portfolio that uses both horizons estimated and of other portfolios that do not use these horizons. The simulation shows that portfolios with both horizons estimated have higher indexes, on average 6.99% per year. The hypothesis tests confirm the statistically significant superiority of the results of the proposed mathematical model’s indexes. The model’s indexes are also compared with portfolios that use just one of the horizons estimated; here the indexes of the dual-horizon portfolios outperform the single-horizon portfolios, though with a decrease in percentage of statistically significant superiority.

  12. Cognitive-Behavioral Determinants of Oral Health in students: an Application of Pender's Health Promotion Model

    OpenAIRE

    Mortezai Banaye Jedd; Towhid Babazadeh; Zahra Hashemian; Fatemeh Moradi; Zeinab Ghavami

    2016-01-01

    Background and Objectives: Identifying the effective factors on oral health behaviors could have an important role in promotion of oral health in diabetic patients. Therefore, the aim of the present study was the assessment of cognitive-behavioral determinants of oral health in students using Pender's Health Promotion Model. Materials and Methods: In this cross-sectional study, 251 subjects were selected from Azad University, Payame Noor University and Sarab Faculty of Medical Sciences by...

  13. Business model framework applications in health care: A systematic review.

    Science.gov (United States)

    Fredriksson, Jens Jacob; Mazzocato, Pamela; Muhammed, Rafiq; Savage, Carl

    2017-11-01

    It has proven to be a challenge for health care organizations to achieve the Triple Aim. In the business literature, business model frameworks have been used to understand how organizations are aligned to achieve their goals. We conducted a systematic literature review with an explanatory synthesis approach to understand how business model frameworks have been applied in health care. We found a large increase in applications of business model frameworks during the last decade. E-health was the most common context of application. We identified six applications of business model frameworks: business model description, financial assessment, classification based on pre-defined typologies, business model analysis, development, and evaluation. Our synthesis suggests that the choice of business model framework and constituent elements should be informed by the intent and context of application. We see a need for harmonization in the choice of elements in order to increase generalizability, simplify application, and help organizations realize the Triple Aim.

  14. A Piecewise Deterministic Markov Toy Model for Traffic/Maintenance and Associated Hamilton–Jacobi Integrodifferential Systems on Networks

    Energy Technology Data Exchange (ETDEWEB)

    Goreac, Dan, E-mail: Dan.Goreac@u-pem.fr; Kobylanski, Magdalena, E-mail: Magdalena.Kobylanski@u-pem.fr; Martinez, Miguel, E-mail: Miguel.Martinez@u-pem.fr [Université Paris-Est, LAMA (UMR 8050), UPEMLV, UPEC, CNRS (France)

    2016-10-15

    We study optimal control problems in infinite horizon whxen the dynamics belong to a specific class of piecewise deterministic Markov processes constrained to star-shaped networks (corresponding to a toy traffic model). We adapt the results in Soner (SIAM J Control Optim 24(6):1110–1122, 1986) to prove the regularity of the value function and the dynamic programming principle. Extending the networks and Krylov’s “shaking the coefficients” method, we prove that the value function can be seen as the solution to a linearized optimization problem set on a convenient set of probability measures. The approach relies entirely on viscosity arguments. As a by-product, the dual formulation guarantees that the value function is the pointwise supremum over regular subsolutions of the associated Hamilton–Jacobi integrodifferential system. This ensures that the value function satisfies Perron’s preconization for the (unique) candidate to viscosity solution.

  15. Automated System Checkout to Support Predictive Maintenance for the Reusable Launch Vehicle

    Science.gov (United States)

    Patterson-Hine, Ann; Deb, Somnath; Kulkarni, Deepak; Wang, Yao; Lau, Sonie (Technical Monitor)

    1998-01-01

    The Propulsion Checkout and Control System (PCCS) is a predictive maintenance software system. The real-time checkout procedures and diagnostics are designed to detect components that need maintenance based on their condition, rather than using more conventional approaches such as scheduled or reliability centered maintenance. Predictive maintenance can reduce turn-around time and cost and increase safety as compared to conventional maintenance approaches. Real-time sensor validation, limit checking, statistical anomaly detection, and failure prediction based on simulation models are employed. Multi-signal models, useful for testability analysis during system design, are used during the operational phase to detect and isolate degraded or failed components. The TEAMS-RT real-time diagnostic engine was developed to utilize the multi-signal models by Qualtech Systems, Inc. Capability of predicting the maintenance condition was successfully demonstrated with a variety of data, from simulation to actual operation on the Integrated Propulsion Technology Demonstrator (IPTD) at Marshall Space Flight Center (MSFC). Playback of IPTD valve actuations for feature recognition updates identified an otherwise undetectable Main Propulsion System 12 inch prevalve degradation. The algorithms were loaded into the Propulsion Checkout and Control System for further development and are the first known application of predictive Integrated Vehicle Health Management to an operational cryogenic testbed. The software performed successfully in real-time, meeting the required performance goal of 1 second cycle time.

  16. Entrepreneurship management in health services: an integrative model.

    Science.gov (United States)

    Guo, Kristina L

    2006-01-01

    This research develops an integrated systems model of entrepreneurship management as a method for achieving health care organizational survival and growth. Specifically, it analyzes current health care environment challenges, identifies roles of managers and discusses organizational theories that are relevant to the health care environment, outlines the role of entrepreneurship in health care, and describes the entrepreneurial manager in the entrepreneurial management process to produce desirable organizational outcomes. The study concludes that as current health care environment continues to show intense competition, entrepreneurial managers are responsible for creating innovations, managing change, investing in resources, and recognizing opportunities in the environment to increase organizational viability.

  17. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Scientific Opinion on the substantiation of a health claim related to monacolin K in SYLVAN BIO red yeast rice and maintenance of normal blood LDL - cholesterol concentrations pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    on the scientific substantiation of a health claim related to monacolin K in SYLVAN BIO red yeast rice and maintenance of normal blood LDL-cholesterol concentrations. The food, monacolin K in SYLVAN BIO red yeast rice, that is the subject of the health claim is sufficiently characterised. The claimed effect......, maintenance of normal blood LDL-cholesterol concentrations, is a beneficial physiological effect. A claim on monacolin K from red yeast rice and maintenance of normal blood LDL-cholesterol concentrations has already been assessed with a favourable outcome at daily intakes of 10 mg monacolin K from any red...... on blood LDL-cholesterol concentrations. © European Food Safety Authority, 2013...

  18. Maintenance of pulmonary vasculature tone by blood derived from the inferior vena cava in a rabbit model of cavopulmonary shunt.

    Science.gov (United States)

    Ikai, Akio; Shirai, Mikiyasu; Nishimura, Kazunobu; Ikeda, Tadashi; Kameyama, Takayuki; Ueyama, Koji; Komeda, Masashi

    2005-01-01

    After cavopulmonary shunt in which the superior vena cava is anastomosed to the right pulmonary artery, the right lung is in a unique condition without flow pulsatility and hepatic venous effluent. In a previous study, we reported that hypoxic pulmonary vasoconstriction disappeared in the pulmonary circulation after cavopulmonary shunt. In this study, however, to investigate the influence of pulsatility and hepatic venous effluent on hypoxic pulmonary vasoconstriction in the pulmonary circulation, we developed an alternative cavopulmonary shunt rabbit model that included hepatic venous effluent in the pulmonary circulation and reduced the pulsatility of the pulmonary arterial blood flow. We then observed the physiologic characteristics of the peripheral pulmonary artery after cavopulmonary shunt, specifically the disappearance of hypoxic pulmonary vasoconstriction. Sixteen Japanese white rabbits (12-16 weeks old) were used in this study. With general anesthesia, a cavopulmonary shunt was established by anastomosing the right superior vena cava to the right pulmonary artery in an end-to-side fashion. Of the 16 rabbits for the study, the proximal right pulmonary artery was completely ligated in 5 (atresia group) and partially ligated in 6 (stenosis group). Sham operation was performed in the remaining 5 rabbits. Two weeks later, we analyzed the response of the pulmonary artery (which was divided into three categories: segmental, lobular, and acinar level artery) to hypoxia (8% oxygen inhalation) with a specially designed video radiographic system. Morphometric analysis of the resistance pulmonary artery was done in each group after angiography. Mean pressure and pulse pressure in the right pulmonary artery were not significantly different between the atresia and stenosis groups. The mean pulmonary artery pressures in the atresia and stenosis groups were 8 and 11 mm Hg, respectively. However, the pulse pressure was less than 2 mm Hg in both groups. The baseline

  19. Introduction on KPS's maintenance experience of the swirl vane assemblies of primary separators for SG model F in Korea

    International Nuclear Information System (INIS)

    Kim, Yong tae

    2003-01-01

    Recently, we had experienced to replace the Swirl Vane Assemblies of primary moisture separator for SG model F in Korea because of serious degradation (Thinning) in carbon steel swirl vane blades and carbon steel separator barrel wall adjacent to swirl vane blades. When the symptom was observed by us at the first time on the swirl vane assemblies, there were small or a bit clear erosion / or corrosion marks on the edge regions of the blades but within 3 cycles of operation, we found that those marks became holes which penetrated the most of swirl vane assemblies and even more seriously, some parts of the assemblies were worn-out. Therefore, we concluded that the speed of degradation would be very rapid and serious from the beginning stage. It had been assumed that these kinds of thinning problems would be due to FAC(Flow Accelerated Corrosion) because the plants having these problems are using a highly concentrated hydrazine for the water treatment of secondary side which lead to reduce the oxygen and pH in the water. What are more serious reasons will be that the swirl vane assemblies are very weak to FAC because they were made by a low concentrated chromium carbon steel and the assemblies would have to be under the operation conditions of the highly turbulent steam-water mixed fluid with the operating temperature of higher than 280 .deg. C. Potentially, the damaged swirl vane assemblies of the primary moisture separator may create bad influences for the plant operation because it may cause the rupture of SG Tubes and over-exceed fluid influx onto the turbine and etc. KPS had successfully performed the replacement of the degraded swirl vane assemblies through our own planning and preparation. This was the unique case in all over the world and I would like to introduce you about our unique repair experience to prepare an expected future situation as we see the similar problems in other model F SGs operating in Korea

  20. Sri Lanka's Health Unit Program: A Model of "Selective" Primary Health Care

    Directory of Open Access Journals (Sweden)

    Soma Hewa

    2011-12-01

    Full Text Available This paper argues that the health unit program developed in Sri Lanka in the early twentieth century was an earlier model of selective primary health care promoted by the Rockefeller Foundation in the 1980s in opposition to comprehensive primary health care advocated by the Alma-Ata Declaration of the World Health Organization. A key strategy of the health unit program was to identify the most common and serious infectious diseases in each health unit area and control them through improved sanitation, health education, immunization and treatment with the help of local communities. The health unit program was later introduced to other countries in South and Southeast Asia as part of the Rockefeller Foundation's global campaign to promote public health.