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.; De Schutter, B.; 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. Health Maintenance Restaurant

    Institute of Scientific and Technical Information of China (English)

    JANE SHAW

    1994-01-01

    Arestaurant named "Health Maintenance Restaurant" which serves dishes cooked with traditional Chinese medicine recently opened at Xiyuan Hotel in western Beijing. Entering the restaurant, you’ll see the god of longevity on the

  3. 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....

  4. 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....

  5. Environmental health and household demographics impacting biosand filter maintenance and diarrhea in Guatemala: an application of structural equation modeling.

    Science.gov (United States)

    Divelbiss, Daniel William; Boccelli, Dominic Louis; Succop, Paul Allan; Oerther, Daniel Barton

    2013-02-05

    In rural health development practice, engineers and scientists must recognize the complex interactions that influence individuals' contact with disease-causing pathogens and understand how household habits may impact the adoption and long-term sustainability of new technology. The goal of this study was to measure the effect of various environmental health factors and household demographics on the operation and maintenance of the Biosand filter (Centre for Affordable Water and Sanitation Technology, Calgary, Alberta, Canada) and diarrhea health burden in the region. In July and August 2010, randomized household surveys (n = 286) were completed in rural Guatemala detailing water access, sanitation availability, hygiene practice, socio-economic status, education level, filter operation and maintenance, and diarrhea health burden of the home. A hypothesized structural equation model was developed based on a review of published research and tested using the surveyed data. Model-derived parameter estimates indicated that: (a) proper personal hygiene practices significantly promote proper filter operation and maintenance; and (b) higher household education level, proper filter operation and maintenance, and improved water supply significantly reduce diarrhea health burden. Additionally, a high level of unexplained variance in diarrhea indicated the filter, though protective of health, is not the only factor influencing diarrhea.

  6. The Benefits of Health Maintenance.

    Science.gov (United States)

    Rosenstein, Alan H.

    1987-01-01

    The article focuses on the merits of a comprehensive, medically-oriented health maintenance/risk assessment program, and suggests that such conditions as heart disease, cancer, and arteriosclerosis can be prevented or postponed through proper nutrition, weight control, exercise, smoking cessation, and stress management. (Author/CB)

  7. A systematic review of health economic models of opioid agonist therapies in maintenance treatment of non-prescription opioid dependence.

    Science.gov (United States)

    Chetty, Mersha; Kenworthy, James J; Langham, Sue; Walker, Andrew; Dunlop, William C N

    2017-02-24

    Opioid dependence is a chronic condition with substantial health, economic and social costs. The study objective was to conduct a systematic review of published health-economic models of opioid agonist therapy for non-prescription opioid dependence, to review the different modelling approaches identified, and to inform future modelling studies. Literature searches were conducted in March 2015 in eight electronic databases, supplemented by hand-searching reference lists and searches on six National Health Technology Assessment Agency websites. Studies were included if they: investigated populations that were dependent on non-prescription opioids and were receiving opioid agonist or maintenance therapy; compared any pharmacological maintenance intervention with any other maintenance regimen (including placebo or no treatment); and were health-economic models of any type. A total of 18 unique models were included. These used a range of modelling approaches, including Markov models (n = 4), decision tree with Monte Carlo simulations (n = 3), decision analysis (n = 3), dynamic transmission models (n = 3), decision tree (n = 1), cohort simulation (n = 1), Bayesian (n = 1), and Monte Carlo simulations (n = 2). Time horizons ranged from 6 months to lifetime. The most common evaluation was cost-utility analysis reporting cost per quality-adjusted life-year (n = 11), followed by cost-effectiveness analysis (n = 4), budget-impact analysis/cost comparison (n = 2) and cost-benefit analysis (n = 1). Most studies took the healthcare provider's perspective. Only a few models included some wider societal costs, such as productivity loss or costs of drug-related crime, disorder and antisocial behaviour. Costs to individuals and impacts on family and social networks were not included in any model. A relatively small number of studies of varying quality were found. Strengths and weaknesses relating to model structure, inputs and approach were identified across

  8. 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.

  9. Entretian Model for Software Maintenance

    Directory of Open Access Journals (Sweden)

    Priya K Betala

    2013-10-01

    Full Text Available Maintenance refers to the act of modifying the software after putting in use in order to maintain its usability.[1]. In other words, Software maintenance can be defined as; it is the process of providing services to the customers after the delivery of the software. Despite the fact that maintaining software is very challenging, it is the most important routine that must be carried out in the development cycle. If the software is not maintained efficiently it may lead to the death of the software. Maintenance of software may be carried out in two ways. The first one is called „In-house maintenance‟ and the second one is called „Transition maintenance‟. The latter faces the drastic challenges when compared to former, as one team may not provide complete source code to the other, leading to unstructured code, lack of appropriate technique and knowledge about the functioning of the current software. There are a few aspects of software maintenance that set it apart from the other phases. Software maintenance cost comprises more than half of the total software development cost. Also, without software maintenance, it is impossible to change the problems within the product after its release, and many disasters can happen because of immature software. Recognising the importance of software maintenance, this paper proposes a model called “ENTRETIAN MODEL” (Entretian, a French word meaning Maintenance which consists of six basic steps to follow while maintaining software system. This model overcomes certain misconceptions about maintenance phase and it is highly beneficial to the Maintenance Support Team (MST to handle their maintenance activities systematically and efficiently. By employing the proposed model, the MST is able to overcome the technical and managerial issues that are faced earlier in the maintenance phase. The advantage of using “Entretian Model” is best illustrated in this paper with the help of the ERP package.

  10. Curriculum information models in health professions education in Australia: an innovative approach to efficient curriculum design, development, and maintenance.

    Science.gov (United States)

    Kruger, Estie; Tennant, Marc

    2012-03-01

    Over the last decade, there has been a significant increase in attention to the overall accountability of higher education in Australia, and this is expected to continue. Increased accountability has led to the need for more explicitly documented curricula. The curricula from ten health-related disciplines developed over the last five years in Australia were the basis of this study. Curriculum information modeling is an approach that allows for the dynamic nature of curricula since elements and their linkages can be moved about and reconnected into meaningful patterns. In addition, the models give disciplines and institutions the ability to effectively monitor curricula and draw comparisons in a more unified manner. Curriculum information models are an efficient innovation in the design and management of curricula in higher education and particularly in the health care disciplines. They rest on the principles of reusable elements and linkages independent of content that were first used in the design, construction, and maintenance of buildings. The translation of this approach to the higher education sector provides a higher level of interoperability of resources and a clearer pathway for content design within a curriculum.

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

    Science.gov (United States)

    2015-10-13

    Interactive courseware and testing  Immersive 3D simulation  Avatar/ virtual instructor  Virtual or augmented reality Live Simulation Training...Medical Informatics Association and additional papers are in preparation.  We have initiated recruitment of physicians for an influenza immunization...Targeted Medical Conditions and Health Care Providers’ Clinical Proficiency. Presented at the American Medical Informatics Association, San Francisco

  12. On Problems of Multicomponent System Maintenance Modelling

    Institute of Scientific and Technical Information of China (English)

    Tomasz Nowakowski; Sylwia Werbinka

    2009-01-01

    We present an overview of some recent developments in the area of mathematical modeling of maintenance decisions for multi-unit systems. The emphasis is on three main groups of multicomponent maintenance optimization models: the block replacement models, group maintenance models, and opportunistic maintenance models. Moreover, an example of a two-unit system maintenance process is provided in order to compare various maintenance policies.

  13. Selective Maintenance Model Considering Time Uncertainty

    OpenAIRE

    Le Chen; Zhengping Shu; Yuan Li; Xuezhi Lv

    2012-01-01

    This study proposes a selective maintenance model for weapon system during mission interval. First, it gives relevant definitions and operational process of material support system. Then, it introduces current research on selective maintenance modeling. Finally, it establishes numerical model for selecting corrective and preventive maintenance tasks, considering time uncertainty brought by unpredictability of maintenance procedure, indetermination of downtime for spares and difference of skil...

  14. Product Modelling for Model-Based Maintenance

    NARCIS (Netherlands)

    Houten, van F.J.A.M.; Tomiyama, T.; Salomons, O.W.

    1998-01-01

    The paper describes the fundamental concepts of maintenance and the role that information technology can play in the support of maintenance activities. Function-Behaviour-State modelling is used to describe faults and deterioration of mechanisms in terms of user perception and measurable quantities.

  15. Health Maintenance Organization (HMO) Plan

    Science.gov (United States)

    ... get about Medicare Lost/incorrect Medicare card Report fraud & abuse File a complaint Identity theft: protect yourself ... Medicare Covers Drug Coverage (Part D) Supplements & Other Insurance Claims & Appeals Manage Your Health Forms, Help & Resources ...

  16. GRAPHICAL MODELS OF THE AIRCRAFT MAINTENANCE PROCESS

    Directory of Open Access Journals (Sweden)

    Stanislav Vladimirovich Daletskiy

    2017-01-01

    Full Text Available The aircraft maintenance is realized by a rapid sequence of maintenance organizational and technical states, its re- search and analysis are carried out by statistical methods. The maintenance process concludes aircraft technical states con- nected with the objective patterns of technical qualities changes of the aircraft as a maintenance object and organizational states which determine the subjective organization and planning process of aircraft using. The objective maintenance pro- cess is realized in Maintenance and Repair System which does not include maintenance organization and planning and is a set of related elements: aircraft, Maintenance and Repair measures, executors and documentation that sets rules of their interaction for maintaining of the aircraft reliability and readiness for flight. The aircraft organizational and technical states are considered, their characteristics and heuristic estimates of connection in knots and arcs of graphs and of aircraft organi- zational states during regular maintenance and at technical state failure are given. It is shown that in real conditions of air- craft maintenance, planned aircraft technical state control and maintenance control through it, is only defined by Mainte- nance and Repair conditions at a given Maintenance and Repair type and form structures, and correspondingly by setting principles of Maintenance and Repair work types to the execution, due to maintenance, by aircraft and all its units mainte- nance and reconstruction strategies. The realization of planned Maintenance and Repair process determines the one of the constant maintenance component. The proposed graphical models allow to reveal quantitative correlations between graph knots to improve maintenance processes by statistical research methods, what reduces manning, timetable and expenses for providing safe civil aviation aircraft maintenance.

  17. Health maintenance facility: Dental equipment requirements

    Science.gov (United States)

    Young, John; Gosbee, John; Billica, Roger

    1991-01-01

    The objectives were to test the effectiveness of the Health Maintenance Facility (HMF) dental suction/particle containment system, which controls fluids and debris generated during simulated dental treatment, in microgravity; to test the effectiveness of fiber optic intraoral lighting systems in microgravity, while simulating dental treatment; and to evaluate the operation and function of off-the-shelf dental handheld instruments, namely a portable dental hand drill and temporary filling material, in microgravity. A description of test procedures, including test set-up, flight equipment, and the data acquisition system, is given.

  18. Modeling preventive maintenance using subjective data

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Presents the optimal preventive maintenance model establishedwith the target function given through technical economic analysis, and failure rate and delay time distribution estimated from subjective data, which describes the relationship between the total downtime and the preventive maintenance and can be used to determine the rational inspection interval and to minimize the total expected downtime per unit time.

  19. Maintenance Optimization of High Voltage Substation Model

    Directory of Open Access Journals (Sweden)

    Jan Gala

    2008-01-01

    Full Text Available The real system from practice is selected for optimization purpose in this paper. We describe the real scheme of a high voltage (HV substation in different work states. Model scheme of the HV substation 22 kV is demonstrated within the paper. The scheme serves as input model scheme for the maintenance optimization. The input reliability and cost parameters of all components are given: the preventive and corrective maintenance costs, the actual maintenance period (being optimized, the failure rate and mean time to repair - MTTR.

  20. Sexuality Talk During Adolescent Health Maintenance Visits

    Science.gov (United States)

    Alexander, Stewart C.; Fortenberry, J. Dennis; Pollak, Kathryn I.; Bravender, Terrill; Davis, J. Kelly; Østbye, Truls; Tulsky, James A.; Dolor, Rowena J.; Shields, Cleveland G.

    2015-01-01

    Importance Physicians may be important sources of sexuality information and preventive services, and one-on-one confidential time during health maintenance visits is recommended to allow discussions of sexual development, behavior, and risk reduction. However, little is known about the occurrence and characteristics of physician-adolescent discussions about sexuality. Objective To examine predictors of time spent discussing sexuality, level of adolescent participation, and physician and patient characteristics associated with sexuality discussions during health maintenance visits by early and middle adolescents. Design, Setting, and Participants Observational study of audio-recorded conversations between 253 adolescents (mean age, 14.3 years; 53% female; 40% white; 47% African American) and 49 physicians (82% pediatricians; 84% white; 65% female; mean age, 40.9 years; mean [SD] duration in practice, 11.8 [8.7] years) coded for sexuality content at 11 clinics (3 academic and 8 community-based practices) located throughout the Raleigh/Durham, North Carolina, area. Main Outcomes and Measures Total time per visit during which sexuality issues were discussed. Results One hundred sixty-five (65%) of all visits had some sexual content within it. The average time of sexuality talk was 36 seconds (35% 0 seconds; 30% 1-35 seconds; and 35% ≥36 seconds). Ordinal logistic regression (outcome of duration: 0, 1-35, or ≥36 seconds), adjusted for clustering of patients within physicians, found that female patients (odds ratio [OR] = 2.58; 95% CI, 1.53-4.36), older patients (OR = 1.37; 95% CI, 1.13-1.65), conversations with explicit confidentiality discussions (OR = 4.33; 95% CI, 2.58-7.28), African American adolescents (OR = 1.58; 95% CI, 1.01-2.48), and longer overall visit (OR = 1.07; 95% CI, 1.03-1.11) were associated with more sexuality talk, and Asian physicians were associated with less sexuality talk (OR = 0.13; 95% CI, 0.08-0.20). In addition, the same significant

  1. Sexuality talk during adolescent health maintenance visits.

    Science.gov (United States)

    Alexander, Stewart C; Fortenberry, J Dennis; Pollak, Kathryn I; Bravender, Terrill; Davis, J Kelly; Ostbye, Truls; Tulsky, James A; Dolor, Rowena J; Shields, Cleveland G

    2014-02-01

    Physicians may be important sources of sexuality information and preventive services, and one-on-one confidential time during health maintenance visits is recommended to allow discussions of sexual development, behavior, and risk reduction. However, little is known about the occurrence and characteristics of physician-adolescent discussions about sexuality. To examine predictors of time spent discussing sexuality, level of adolescent participation, and physician and patient characteristics associated with sexuality discussions during health maintenance visits by early and middle adolescents. Observational study of audio-recorded conversations between 253 adolescents (mean age, 14.3 years; 53% female; 40% white; 47% African American) and 49 physicians (82% pediatricians; 84% white; 65% female; mean age, 40.9 years; mean [SD] duration in practice, 11.8 [8.7] years) coded for sexuality content at 11 clinics (3 academic and 8 community-based practices) located throughout the Raleigh/Durham, North Carolina, area. Total time per visit during which sexuality issues were discussed. RESULTS One hundred sixty-five (65%) of all visits had some sexual content within it. The average time of sexuality talk was 36 seconds (35% 0 seconds; 30% 1-35 seconds; and 35% ≥ 36 seconds). Ordinal logistic regression (outcome of duration: 0, 1-35, or ≥ 36 seconds), adjusted for clustering of patients within physicians, found that female patients (odds ratio [OR] = 2.58; 95% CI, 1.53-4.36), older patients (OR = 1.37; 95% CI, 1.13-1.65), conversations with explicit confidentiality discussions (OR = 4.33; 95% CI, 2.58-7.28), African American adolescents (OR = 1.58; 95% CI, 1.01-2.48), and longer overall visit (OR = 1.07; 95% CI, 1.03-1.11) were associated with more sexuality talk, and Asian physicians were associated with less sexuality talk (OR = 0.13; 95% CI, 0.08-0.20). In addition, the same significant associations between adolescent, physician, and visit characteristics were

  2. 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...... 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...... 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...

  3. A model of strain-dependent glomerular basement membrane maintenance and its potential ramifications in health and disease.

    Science.gov (United States)

    Barocas, Victor H; Dorfman, Kevin D; Segal, Yoav

    2012-08-01

    A model is developed and analyzed for type IV collagen turnover in the kidney glomerular basement membrane (GBM), which is the primary structural element in the glomerular capillary wall. The model incorporates strain dependence in both deposition and removal of the GBM, leading to an equilibrium tissue strain at which deposition and removal are balanced. The GBM thickening decreases tissue strain per unit of transcapillary pressure drop according to the law of Laplace, but increases the transcapillary pressure drop required to maintain glomerular filtration. The model results are in agreement with the observed GBM alterations in Alport syndrome and thin basement membrane disease, and the model-predicted linear relation between the inverse capillary radius and inverse capillary thickness at equilibrium is consistent with published data on different mammals. In addition, the model predicts a minimum achievable strain in the GBM based on the geometry, properties, and mechanical environment; that is, an infinitely thick GBM would still experience a finite strain. Although the model assumptions would be invalid for an extremely thick GBM, the minimum achievable strain could be significant in diseases, such as Alport syndrome, characterized by focal GBM thickening. Finally, an examination of reasonable values for the model parameters suggests that the oncotic pressure drop-the osmotic pressure difference between the plasma and the filtrate due to large molecules-plays an important role in setting the GBM strain and, thus, leakage of protein into the urine may be protective against some GBM damage.

  4. Competition between health maintenance organizations and nonintegrated health insurance companies in health insurance markets.

    Science.gov (United States)

    Baranes, Edmond; Bardey, David

    2015-12-01

    This article examines a model of competition between two types of health insurer: Health Maintenance Organizations (HMOs) and nonintegrated insurers. HMOs vertically integrate health care providers and pay them at a competitive price, while nonintegrated health insurers work as indemnity plans and pay the health care providers freely chosen by policyholders at a wholesale price. Such difference is referred to as an input price effect which, at first glance, favors HMOs. Moreover, we assume that policyholders place a positive value on the provider diversity supplied by their health insurance plan and that this value increases with the probability of disease. Due to the restricted choice of health care providers in HMOs a risk segmentation occurs: policyholders who choose nonintegrated health insurers are characterized by higher risk, which also tends to favor HMOs. Our equilibrium analysis reveals that the equilibrium allocation only depends on the number of HMOs in the case of exclusivity contracts between HMOs and providers. Surprisingly, our model shows that the interplay between risk segmentation and input price effects may generate ambiguous results. More precisely, we reveal that vertical integration in health insurance markets may decrease health insurers' premiums.

  5. Analysis and modeling of rail maintenance costs

    Directory of Open Access Journals (Sweden)

    Amir Ali Bakhshi

    2012-01-01

    Full Text Available Railroad maintenance engineering plays an important role on availability of roads and reducing the cost of railroad incidents. Rail is of the most important parts of railroad industry, which needs regular maintenance since it covers a significant part of total maintenance cost. Any attempt on optimizing total cost of maintenance could substantially reduce the cost of railroad system and it can reduce total cost of the industry. The paper presents a new method to estimate the cost of rail failure using different cost components such as cost of inspection and cost of risk associated with possible accidents. The proposed model of this paper is used for a real-world case study of railroad transportation of Tehran region and the results have been analyzed.

  6. AN INFLATION-BASED MAINTENANCE SCHEDULING MODEL

    Directory of Open Access Journals (Sweden)

    S.A. Oke

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: This paper attempts to extend an original Gantt-charting model for optimal maintenance scheduling of multiple facilities in multiple periods credited to Charles- Owaba. In particular, an inflationary factor is incorporated into the period-dependent cost function element of the model. Some computational experimentation on the new model is tested. This work is perhaps the first to advance the extension of the Optimal Gantt Charting (OGC model in terms of inflation. The work presents a wealth of research opportunities and has at least the modest potential to evaluate maintenance scheduling theory into the ranks of major theories of maintenance.

    AFRIKAANSE OPSOMMING: Die artikel poog om inflasie te akkommodeer binne die raamwerk van ‘n Ganttkaartmodel vir die bepaling van optimum skedulering van instandhouding vir meervoudige fasiliteite met die verloop van tyd. Inflasie vorm dus deel van die koste-element van die model. Die model is ook op ‘n beperkte wyse gevalideer met behulp van ‘n rekenaarstudie. Die verkreë resultate toon dat addisionele navorsing gedoen kan word om sodoende die metode te vestig in die voorste rang van instandhoudingsbeplanning

  7. Fault maintenance trees: reliability centered maintenance via statistical model checking

    NARCIS (Netherlands)

    Ruijters, Enno; Guck, Dennis; Drolenga, Peter; Stoelinga, Mariëlle

    2016-01-01

    The current trend in infrastructural asset management is towards risk-based (a.k.a. reliability centered) maintenance, promising better performance at lower cost. By maintaining crucial components more intensively than less important ones, dependability increases while costs decrease. This requires

  8. Fault maintenance trees: reliability centered maintenance via statistical model checking

    NARCIS (Netherlands)

    Ruijters, Enno Jozef Johannes; Guck, Dennis; Drolenga, Peter; Stoelinga, Mariëlle Ida Antoinette

    The current trend in infrastructural asset management is towards risk-based (a.k.a. reliability centered) maintenance, promising better performance at lower cost. By maintaining crucial components more intensively than less important ones, dependability increases while costs decrease. This requires

  9. A Social Identity Maintenance Model of Groupthink.

    Science.gov (United States)

    Turner; Pratkanis

    1998-02-01

    We present a social identity maintenance model of groupthink that (a) defines groupthink as a collective attempt to maintain a positive image of the group, (b) identifies conditions under which this form of concurrence seeking is likely to occur, (c) parsimoniously explains the equivocal empirical findings on groupthink, and (d) specifies intervention tactics that can mitigate the detrimental consequences of groupthink for group decision outcomes. Copyright 1998 Academic Press.

  10. An integrated approach for modelling of aircraft maintenance processes

    Directory of Open Access Journals (Sweden)

    D. Yu. Kiselev

    2015-01-01

    Full Text Available The paper deals with modeling of the processes of maintenance and repair of aircraft. The role of information in im-proving the effectiveness of maintenance systems is described. The methodology for functional modelling of maintenance processes is given. A simulation model is used for modelling possible changes.

  11. Lack of health maintenance examinations and risk in myeloma patients.

    Science.gov (United States)

    Tariman, Joseph D; Gleason, Charise; Faiman, Beth; Doss, Deborah; Catamero, Donna; Bishop-Royse, Jessica; Katz, Mike; Kurtin, Sandra; Moran, Diane; Lonial, Sagar

    2016-07-01

    Health maintenance (HM) practices are essential to prevent illness, promote well-being, and maximize health. Patients with multiple myeloma (MM) are at increased risk for cardiovascular disease and cancers, yet, research on HM practices and preventative care of MM survivors has limited report. The study comprised a descriptive, correlational, and cross-sectional online survey design. Survey of patients with MM was carried out through the International Myeloma Foundation (IMF) and the Association of Cancer Online Resources (ACOR) e-mail list services. The members of the IMF and ACOR e-mail list services were surveyed, of which 237 patients responded. The modified Medical Expenditure Preventive Survey-Preventive Care questionnaire was used; it included items that ask patients regarding their healthcare practices that relate to dental care, cancer prevention, addiction, lifestyles, sensory screening, immunizations, cardiovascular, endocrine, psychosocial, and bone health. Descriptive statistics, Pearson's chi-square, and Spearman's rho correlation coefficient were obtained. In this study, men had statistically significant inferior global health maintenance scores than women (P = 0.002). Being employed (P = 0.054) and married or partnered (P = 0.017) were significantly correlated with better health maintenance patterns among male respondents. In contrast, no statistically significant correlations between sociodemographic factors and health maintenance patterns were found in women. Patients with MM, particularly men, require continued education and close monitoring of health maintenance practices. These findings are consistent with publications looking at gender disparities in healthcare utilization in the United States. Studies show that men, in general, are less likely to seek preventative healthcare screenings. Healthcare providers must incorporate health maintenance promotion during clinic visits.

  12. 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

  13. Modeling and Analysis of Complex Equipment Maintenance Dynamics

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    An equipment maintenance system is naturally a complex dynamical system. The effective maintenance management must be based on the knowledge of the system's intrinsic dynamics. And the structure of the maintenance system determines its behavior. This paper analyzes the basic structures and elements of a maintenance system for complex multi-components equipment. The maintenance system is considered as a dynamic system whose behavior is influenced by its structure's feedback and interaction, and the system's available resources. Building the dynamical model with Simulink, we show some results about the maintenance system's nonlinear dynamics, which are never given by stochastic process methods. The model can be used for understanding and determining maintenance system behavior, towards which operational adjustments of maintenance infrastructure, precise prediction of maintenance requirements and timely supply of maintenance resources can be made in a more informed way.

  14. Pricing health care services: applications to the health maintenance organization.

    Science.gov (United States)

    Sweeney, R E; Franklin, S P

    1986-01-01

    This article illustrates how management in one type of service industry, the health maintenance organization (HMO), have attempted to formalize pricing. This effort is complicated by both the intangibility of the service delivered and the relatively greater influence in service industries of non-cost price factors such as accessibility, psychology, and delays. The presentation describes a simple computerized approach that allows the marketing manager to formally estimate the effect of incremental changes in rates on the firm's projected patterns of enrollment growth and net revenues. The changes in turn reflect underlying variations in the mix of pricing influences including psychological and other factors. Enrollment projections are crucial to the firm's financial planning and staffing. In the past, most HMO enrollment and revenue projections of this kind were notoriously unreliable. The approach described here makes it possible for HMOs to fine-tune their pricing policies. It also provides a formal and easily understood mechanism by which management can evaluate and reach consensus on alternative scenarios for enrollment growth, staff recruitment and capacity expansion.

  15. A Novel of Hybrid Maintenance Management Models for Industrial Applications

    OpenAIRE

    Tahir, Zulkifli

    2010-01-01

    It is observed through empirical studies that the effectiveness of industrial process have been increased by a well organized of machines maintenance structure. In current research, a novel of maintenance concept has been designed by hybrid several maintenance management models with Decision Making Grid (DMG), Analytic Hierarchy Process (AHP) and Fuzzy Logic. The concept is designed for maintenance personnel to evaluate and benchmark the maintenance operations and to reveal important maintena...

  16. 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...

  17. Ground of maintenance of model of health of saving technologies of students of the special medical educational separation of physical education facilities

    Directory of Open Access Journals (Sweden)

    Prysjazhnuk S.I.

    2013-01-01

    Full Text Available The psychological pedagogical problems of physical development of students are considered with a rejection in a state of health. Experience of physical education of students of task medical force is studied. The structural functional model of process of physical education of students is developed with the use of health of saving technologies. Over 5000 students took part in researches. It is set that morphometric indexes are most closely associate. Intercommunications of indexes of level of development of physical qualities specify on insufficient differentiation in mechanisms which determine the structure of physical preparedness of students. Recommendations of model physical possibilities of students are resulted. Models are instrumental in an estimation individual potential possibility of organism. Models allow to utillize information for planning and leadthrough of a health educational educate process on physical education. Possibilities of determination of volume of the physical loading are shown taking into account a floor, nosology of diseases and state of physical preparedness of students.

  18. Modeling sRNA-Regulated Plasmid Maintenance

    Science.gov (United States)

    Klumpp, Stefan

    2017-01-01

    We study a theoretical model for the toxin-antitoxin (hok/sok) mechanism for plasmid maintenance in bacteria. Toxin-antitoxin systems enforce the maintenance of a plasmid through post-segregational killing of cells that have lost the plasmid. Key to their function is the tight regulation of expression of a protein toxin by an sRNA antitoxin. Here, we focus on the nonlinear nature of the regulatory circuit dynamics of the toxin-antitoxin mechanism. The mechanism relies on a transient increase in protein concentration rather than on the steady state of the genetic circuit. Through a systematic analysis of the parameter dependence of this transient increase, we confirm some known design features of this system and identify new ones: for an efficient toxin-antitoxin mechanism, the synthesis rate of the toxin’s mRNA template should be lower that of the sRNA antitoxin, the mRNA template should be more stable than the sRNA antitoxin, and the mRNA-sRNA complex should be more stable than the sRNA antitoxin. Moreover, a short half-life of the protein toxin is also beneficial to the function of the toxin-antitoxin system. In addition, we study a therapeutic scenario in which a competitor mRNA is introduced to sequester the sRNA antitoxin, causing the toxic protein to be expressed. PMID:28085919

  19. Modeling sRNA-regulated Plasmid Maintenance

    CERN Document Server

    Gong, Chen Chris

    2016-01-01

    We study a theoretical model for the toxin-antitoxin (hok/sok) mechanism for plasmid maintenance in bacteria. Toxin-antitoxin systems enforce the maintenance of a plasmid through post-segregational killing of cells that have lost the plasmid. Key to their function is the tight regulation of expression of a protein toxin by an sRNA antitoxin. Here, we focus on the nonlinear nature of the regulatory circuit dynamics of the toxin-antitoxin mechanism. The mechanism relies on a transient increase in protein concentration rather than on the steady state of the genetic circuit. Through a systematic analysis of the parameter dependence of this transient increase, we confirm some known design features of this system and identify new ones: for an efficient toxin-antitoxin mechanism, the synthesis rate of the toxin's mRNA template should be lower that of the sRNA antitoxin, the mRNA template should be more stable than the sRNA antitoxin, and the mRNA-sRNA complex should be more stable than the sRNA antitoxin. Moreover, ...

  20. 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...

  1. 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.

  2. 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 pla

  3. 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

  4. Applications of maintenance optimisation models: a review and analysis

    NARCIS (Netherlands)

    R. Dekker (Rommert)

    1996-01-01

    textabstractIn this paper we give an overview of applications of maintenance optimization models published so far. We analyze the role of these models in maintenance and discuss the factors which may have hampered applications. Finally, we discuss future prospects.

  5. Applying reliability models to the maintenance of Space Shuttle software

    Science.gov (United States)

    Schneidewind, Norman F.

    1992-01-01

    Software reliability models provide the software manager with a powerful tool for predicting, controlling, and assessing the reliability of software during maintenance. We show how a reliability model can be effectively employed for reliability prediction and the development of maintenance strategies using the Space Shuttle Primary Avionics Software Subsystem as an example.

  6. Model based decision support for planning of road maintenance

    NARCIS (Netherlands)

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

    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 N

  7. 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.

  8. Scale and scope economies among health maintenance organizations.

    Science.gov (United States)

    Wholey, D; Feldman, R; Christianson, J B; Engberg, J

    1996-12-01

    We examine scale and scope economics among Group and IPA Health Maintenance Organizations (HMOs) over the period 1988 to 1991 using a national sample of HMOs. We allow for the multiproduct nature of HMO production by estimating the cost of producing a member month of non-Medicare and Medicare coverage, and we examine the effect of HMO market structure on costs. We find that HMOs benefit from scale economies. There are scope diseconomies associated with providing both non-Medicare and Medicare products. Group HMOs in more competitive markets have lower costs but IPA costs are not affected by competition.

  9. 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.

  10. Advanced Ground Systems Maintenance Physics Models For Diagnostics Project

    Science.gov (United States)

    Perotti, Jose M.

    2015-01-01

    The project will use high-fidelity physics models and simulations to simulate real-time operations of cryogenic and systems and calculate the status/health of the systems. The project enables the delivery of system health advisories to ground system operators. The capability will also be used to conduct planning and analysis of cryogenic system operations. This project will develop and implement high-fidelity physics-based modeling techniques tosimulate the real-time operation of cryogenics and other fluids systems and, when compared to thereal-time operation of the actual systems, provide assessment of their state. Physics-modelcalculated measurements (called “pseudo-sensors”) will be compared to the system real-timedata. Comparison results will be utilized to provide systems operators with enhanced monitoring ofsystems' health and status, identify off-nominal trends and diagnose system/component failures.This capability can also be used to conduct planning and analysis of cryogenics and other fluidsystems designs. This capability will be interfaced with the ground operations command andcontrol system as a part of the Advanced Ground Systems Maintenance (AGSM) project to helpassure system availability and mission success. The initial capability will be developed for theLiquid Oxygen (LO2) ground loading systems.

  11. Dynamic modeling and simulation of power transformer maintenance costs

    Directory of Open Access Journals (Sweden)

    Ristić Olga

    2016-01-01

    Full Text Available The paper presents the dynamic model of maintenance costs of the power transformer functional components. Reliability is modeled combining the exponential and Weibull's distribution. The simulation was performed with the aim of corrective maintenance and installation of the continuous monitoring system of the most critical components. Simulation Dynamic System (SDS method and VENSIM PLE software was used to simulate the cost. In this way, significant savings in maintenance costs will be achieved with a small initial investment. [Projekat Ministarstva nauke Republike Srbije, br. III 41025 i br. OI 171007

  12. Optimization of maintenance policy using the proportional hazard model

    Energy Technology Data Exchange (ETDEWEB)

    Samrout, M. [Information Sciences and Technologies Institute, University of Technology of Troyes, 10000 Troyes (France)], E-mail: mohamad.el_samrout@utt.fr; Chatelet, E. [Information Sciences and Technologies Institute, University of Technology of Troyes, 10000 Troyes (France)], E-mail: chatelt@utt.fr; Kouta, R. [M3M Laboratory, University of Technology of Belfort Montbeliard (France); Chebbo, N. [Industrial Systems Laboratory, IUT, Lebanese University (Lebanon)

    2009-01-15

    The evolution of system reliability depends on its structure as well as on the evolution of its components reliability. The latter is a function of component age during a system's operating life. Component aging is strongly affected by maintenance activities performed on the system. In this work, we consider two categories of maintenance activities: corrective maintenance (CM) and preventive maintenance (PM). Maintenance actions are characterized by their ability to reduce this age. PM consists of actions applied on components while they are operating, whereas CM actions occur when the component breaks down. In this paper, we expound a new method to integrate the effect of CM while planning for the PM policy. The proportional hazard function was used as a modeling tool for that purpose. Interesting results were obtained when comparison between policies that take into consideration the CM effect and those that do not is established.

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

    Science.gov (United States)

    2010-10-13

    ... HUMAN SERVICES Office of the Secretary 45 CFR Part 162 RIN 0938-AM50 Health Insurance Reform; Announcement of Maintenance Changes to Electronic Data Transaction Standards Adopted Under the Health Insurance...: This document announces maintenance changes to some of the Health Insurance Portability and...

  15. Health and Maintenance Status Determination and Predictive Fault Diagnosis System Project

    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...

  16. FUZZY OPTIMIZATION MODEL OF MAINTENANCE DESIGN FOR PRODUCT LEVEL REUSE

    Institute of Scientific and Technical Information of China (English)

    Feng Zhen; Xu Guohua

    2004-01-01

    Most used products must be maintained before they are reused.The modeling method for maintenance design of product level reuse based on quality function deployment is presented.A fuzzy linear optimization model is developed under financial uncertainty.Objective of the model is to maximize improvement rate of customer satisfaction level.Maintenance cost constrain is fuzzy.The algorithm for solution to the model is given.Its optimized results not only give attention to satisfaction degree of cost constraint,but also maximize objective value.An illustrative example involved water bump reuse is studied and the results show that the proposed model can effectively help maintenance planner determine the better design scheme.

  17. 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.

  18. 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.

  19. Optimal oppor tunistic maintenance model of multi-unit systems

    Institute of Scientific and Technical Information of China (English)

    Zhijun Cheng; Zheng Yang; Bo Guo

    2013-01-01

    An opportunistic maintenance model is presented for a continuously deteriorating series system with economical de-pendence. The system consists of two kinds of units, which are respectively subjected to the deterioration failure described by Gamma process and the random failure described by Poisson process. A two-level opportunistic policy defined by three decision parameters is proposed to coordinate the different maintenance actions and minimize the long-run maintenance cost rate of the system. A computable expression of the average cost rate is es-tablished by using the renewal property of the stochastic process of the maintained system state. The optimal values of three deci-sion parameters are derived by an iteration approach based on the characteristic of Gamma process. The behavior of the proposed policy is il ustrated through a numerical experiment. Comparative study with the widely used corrective maintenance policy demon-strates the advantage of the proposed opportunistic maintenance method in significantly reducing the maintenance cost. Simultane-ously, the applicable area of this opportunistic model is discussed by the sensitivity analysis of the set-up cost and random failure rate.

  20. Discussion on Management Model of Medical Equipment Maintenance in Hospital

    Institute of Scientific and Technical Information of China (English)

    ZHOU Qiang; DENG Wen-yan; CAI Kui

    2016-01-01

    With the development of technology, medical equipment plays a more important role in the modern hospital. Medical equipment provides images, physiological results or other schematics of the patients to help doctors deal with the routines. It is also the major tool to the lab assistant in the clinical teaching and studies. It becomes one of a symbol of the technological level in modern hospital. The director of the hospital should establish an efficacious management pattern to manage the medical equipment, so that it will be operated in good condition to insure the safety of the patients. Since the maintenance is an important part of medical equipment management, it is significant that the hospital should establish a system to fit for itself. The study reviews the issues in hospital medical equipment maintenance management, the development of the maintenance management model and the characteristics, as well as the status at home and abroad. The research has been finished by using literature research method, questionnaire survey method and data analysis method. Then we analyze the current status of hospital medical equipment maintenance management model to find the problems. Based on the authentic and effective data from the survey, we can deduce the overview about the maintenance model in Beijing. The paper discusses the advantages and the disadvantages between the different model, and it makes suggestions on the follow aspects, such as system management, quality management, personnel management, cost management, information management perspective.

  1. 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.

  2. Integrated system health management-oriented maintenance decision-making for multi-state system based on data mining

    Science.gov (United States)

    Xu, Jiuping; Sun, Kai; Xu, Lei

    2016-10-01

    To ensure a series of missions can be completed with only finite breaks, many systems are required to guarantee system safety and mission success. Of these, maintenance decision support is vital. One widely used maintenance strategy has been selective maintenance. Most traditional selective maintenance optimisation research has focused on binary state systems, which are subject to distribution deterioration or failure. However, a majority of systems used in aerospace or industrial applications are multi-state systems with more than two states deteriorating at the same time, meaning that real-time state distribution is needed to provide more timely and effective maintenance. This paper presents a novel integrated system health management-oriented maintenance decision support methodology and framework for a multi-state system based on data mining. An aero-engine system numerical example is given to illustrate the methodology, the results of which demonstrate the significant advantages of using data mining to efficiently obtain state distribution information, and the benefits of using a robust optimal model to choose suitable strategies. This methodology, which is applicable to multi-state systems of varying sizes, has the ability to solve maintenance problems when imperfect maintenance quality is considered.

  3. 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.

  4. Aircraft Scheduled Airframe Maintenance and Downtime Integrated Cost Model

    Directory of Open Access Journals (Sweden)

    Remzi Saltoğlu

    2016-01-01

    Full Text Available Aviation industry has grown rapidly since the first scheduled commercial aviation started one hundred years ago. There is a fast growth in the number of passengers, routes, and frequencies, with high revenues and low margins, which make this industry one of the most challenging businesses in the world. Every operator aims to undertake the minimum operating cost and gain profit as much as possible. One of the significant elements of operator’s operating cost is the maintenance cost. During maintenance scheduling, operator calculates the maintenance cost that it needs to budget. Previous works show that this calculation includes only costs that are directly related to the maintenance process such as cost of labor, material, and equipment. In some cases, overhead cost is also included. Some of previous works also discuss the existence of another cost throughout aircraft downtime, which is defined as cost of revenue loss. Nevertheless, there is not any standard model that shows how to define and calculate downtime cost. For that reason, the purpose of this paper is to introduce a new model and analysis technique that can be used to calculate aircraft downtime cost due to maintenance.

  5. 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...

  6. Associations of health literacy with dialysis adherence and health resource utilization in patients receiving maintenance hemodialysis.

    Science.gov (United States)

    Green, Jamie A; Mor, Maria K; Shields, Anne Marie; Sevick, Mary Ann; Arnold, Robert M; Palevsky, Paul M; Fine, Michael J; Weisbord, Steven D

    2013-07-01

    Although limited health literacy is common in hemodialysis patients, its effects on clinical outcomes are not well understood. Observational study. 260 maintenance hemodialysis patients enrolled in a randomized clinical trial of symptom management strategies from January 2009 through April 2011. Limited health literacy. Dialysis adherence (missed and abbreviated treatments) and health resource utilization (emergency department visits and end-stage renal disease [ESRD]-related hospitalizations). We assessed health literacy using the Rapid Estimate of Adult Literacy in Medicine (REALM) and used negative binomial regression to analyze the independent associations of limited health literacy with dialysis adherence and health resource utilization over 12-24 months. 41 of 260 (16%) patients showed limited health literacy (REALM score, ≤60). There were 1,152 missed treatments, 5,127 abbreviated treatments, 552 emergency department visits, and 463 ESRD-related hospitalizations. Limited health literacy was associated independently with an increased incidence of missed dialysis treatments (missed, 0.6% vs 0.3%; adjusted incidence rate ratio [IRR], 2.14; 95% CI, 1.10-4.17), emergency department visits (annual visits, 1.7 vs 1.0; adjusted IRR, 1.37; 95% CI, 1.01-1.86), and hospitalizations related to ESRD (annual hospitalizations, 0.9 vs 0.5; adjusted IRR, 1.55; 95% CI, 1.03-2.34). Generalizability and potential for residual confounding. Patients receiving maintenance hemodialysis who have limited health literacy are more likely to miss dialysis treatments, use emergency care, and be hospitalized related to their kidney disease. These findings have important clinical practice and cost implications. Copyright © 2013 National Kidney Foundation, Inc. All rights reserved.

  7. Identifying Health Maintenance Organization membership through self-report of health plan name: ascertainment and reliability.

    Science.gov (United States)

    Clements, Karen M; Cohen, Bruce B; Brawarsky, Phyllis; Brooks, Daniel R; Mucci, Lorelei A; Wood, Phillip A

    2006-01-01

    To evaluate the feasibility and reliability of (1) identifying Health Maintenance Organization (HMO) membership by ascertaining self-reported health plan name in a telephone survey and (2) using external information to determine whether the plan was an HMO. Respondents to the 1999-2001 Massachusetts Behavioral Risk Factor Surveillance System (BRFSS) and the 1999 Massachusetts Colorectal Cancer (CRC) survey were asked to name their health plan. The authors used information from external sources to classify the plan as an HMO or a non-HMO. Test-retest reliability of reported plan name was examined overall, by demographic characteristics, and by health plan name. Reliability of HMO classification was tested with the kappa statistic. More than 88 percent of respondents with commercial health insurance provided their health plan name; 84 percent reported a plan that could be assigned as either an HMO or a non-HMO. The percentage whose HMO status could be assigned differed by demographic characteristics. Among those assigned, the distribution of specific HMOs among survey respondents was similar to the distribution reported by the Massachusetts Division of Insurance. In a subsample, 78 percent reported the same health plan during a follow-up interview. Agreement was higher for men, and differed according to the plan reported at the first time point. Kappa for HMO classification from health plan name was 0.87. Self-report of health plan name is a feasible and reliable method to ascertain health insurance information in a telephone interview.

  8. 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.

  9. 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.

  10. Probe on Network-based Collaborative Maintenance Model for After-sales Equipment

    Institute of Scientific and Technical Information of China (English)

    CHEN Xiaohui; SHENG Tianwen; YI Shuping

    2009-01-01

    In order to make equipment run safely, economically and continuously, some new maintenance models were put forward to improve the equipment after-sale maintenance service, such as E-maintenance, third-party maintenance, etc. To certain extent, the models solved the problem of the distance between the manufacturer and customer and the dispersion of the maintenance technologies, however, those resources are still widely distributed and do not collaborate efficiently. In this paper, a network-based collaborative maintenance service model was proposed for after-sales equipment to solve the problem of maintenance resources integration. Concretely, equipment designers, maintainers, spare parts suppliers and maintenance experts were grouped together to establish dynamic alliance. The leader of the alliance is the manufacturer under guaranty period or equipment user exceeding the guaranty period. The process of maintenance service was divided into three stages which are fault diagnosis, maintenance decision and maintenance implementation. The sub-alliances were established to carry out maintenance work at each stage. In addition, the business process of network-based collaborative maintenance was analyzed and collaborative business system for equipment's after-sales collaborative maintenance service was designed. In the end, an informational economics model of network-based collaborative maintenance was established to demonstrate the effectiveness of this maintenance model.

  11. 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.

  12. Modeling of preventive maintenance changes influence upon flight safety indexes

    Directory of Open Access Journals (Sweden)

    А.В. Гончаренко

    2004-03-01

    Full Text Available  It is considered a simplified model of connection between the catastrophic events flow frequency and both preventive maintenance changes periodicity and diagnosis depth of aviation equipment. It is deduced specific formulas for computing the changes and diagnostics parameters influence upon the values of both the catastrophic events flow frequency and technical-economical control factor criterion of flight safety levels.

  13. CNS development of health maintenance programs: quality improvement and cost reduction.

    Science.gov (United States)

    Mullin, M H; Opperwall, B C; White, S L

    1995-01-01

    Several outpatient health maintenance programs were developed by CNSs that resulted in quality improvement and cost savings. Common implementation strategies, barriers to implementation, marketing issues and techniques, and revenue generation issues were found. An outpatient consultation model was used to expand enterostomal therapy and diabetic teaching services. Education and support programs include a cardiac support group and community education classes on aging. Preadmission programs include physical therapy consultation for patients scheduled for elective orthopedic surgery. Outpatient programs facilitate continuity of care in a managed care format, promote cost savings, and provide unique services that encourage patients to return to our hospital, thereby increasing market share. Key barriers encountered include inconsistent or ambiguous administrative support, budgetary constraints, lack of collaboration, communication problems, facility limitations, funding considerations, resource allocation, and territoriality. The programs are consistent with the change in focus of health care from treatment to prevention.

  14. Quantifying safety benefit of winter road maintenance: accident frequency modeling.

    Science.gov (United States)

    Usman, Taimur; Fu, Liping; Miranda-Moreno, Luis F

    2010-11-01

    This research presents a modeling approach to investigate the association of the accident frequency during a snow storm event with road surface conditions, visibility and other influencing factors controlling for traffic exposure. The results have the premise to be applied for evaluating different maintenance strategies using safety as a performance measure. As part of this approach, this research introduces a road surface condition index as a surrogate measure of the commonly used friction measure to capture different road surface conditions. Data from various data sources, such as weather, road condition observations, traffic counts and accidents, are integrated and used to test three event-based models including the Negative Binomial model, the generalized NB model and the zero inflated NB model. These models are compared for their capability to explain differences in accident frequencies between individual snow storms. It was found that the generalized NB model best fits the data, and is most capable of capturing heterogeneity other than excess zeros. Among the main results, it was found that the road surface condition index was statistically significant influencing the accident occurrence. This research is the first showing the empirical relationship between safety and road surface conditions at a disaggregate level (event-based), making it feasible to quantify the safety benefits of alternative maintenance goals and methods.

  15. 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.

  16. Mathematical model of alternative mechanism of telomere length maintenance

    CERN Document Server

    Kollár, Richard; Nosek, Jozef; Tomaska, Lubomir

    2014-01-01

    Biopolymer length regulation is a complex process that involves a large number of subprocesses acting simultaneously across multiple spatial and temporal scales. An illustrative example important for genomic stability is the length regulation of telomeres---nucleo-protein structures at the ends of linear chromosomes. Maintenance of telomeres is often facilitated by the enzyme telomerase but, particularly in telomerase-free systems, the maintenance of chromosomal termini depends on alternative lengthening of telomeres (ALT) mechanisms mediated by recombination. Various linear and circular DNA structures were identified to participate in ALT, however, dynamics of the whole process is still poorly understood. We propose a chemical kinetics model of ALT with kinetic rates systematically derived from the biophysics of DNA diffusion and looping. The reaction system is reduced to a coagulation-fragmentation system by quasi-steady state approximation. The detailed treatment of kinetic rates yields explicit formulae f...

  17. Mental health in F-111 maintenance workers: the study of Health Outcomes in Aircraft Maintenance Personnel (SHOAMP) general health and medical study.

    Science.gov (United States)

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

    2006-07-01

    We sought to contrast mood disorder symptoms in F-111 aircraft Deseal/Reseal maintenance personnel with appropriate comparisons. Participants completed a comprehensive health assessment, including measures of mood disorder, self-reported mood symptom questionnaire items, and review of anxiolytic and depression medication. Multiple logistic regression was conducted for each outcome using exposure group and potential confounders as explanatory variables. There was high agreement between self-reported mood disturbance and objective tests. The exposed group was more likely to self-report previous diagnoses of depression/anxiety, had higher use of antidepressant medications, and had increased risk of diagnosis of depression/anxiety. Results were consistently strong against both comparison groups, with the exposed more likely to have mental distress and social dysfunction when compared with the Australian population. There is robust evidence for an association between F-111 Deseal/Reseal exposure and impaired mental health.

  18. Risk and performance based techniques in system health and maintenance monitoring

    Science.gov (United States)

    Hadavi, Seyed Mohammad Hadi

    Integrating the risk and reliability analysis, system topology, and database manipulation methodologies into a unified system-health and performance monitoring tool has a great potential for improving plant operation and safety. A methodology has been developed in this study to integrate three basic elements of a performance monitoring system: data, analytical models, and system relations. In this methodology, the plant topology plays the major role. It defines the relationships among plant components, systems and structures. It provides the system configurations and causal relationships needed for performing risk and performance analyses. The causal relationships modeled by the plant topology are very crucial for evaluating the plant condition, safety. Integrating performance analysis tool with plant topology and also integrating it with the various classes of information is another aspect of the methodology proposed by this research. The use of plant topology is a replacement for arrays of logics which usually construct the knowledge-base of an inference engine. The expansion of the plant topology as the basis for explaining the relationships among plant components, systems, and structures, captures the dynamics of plant condition. It is one of the major contributions of this study. In addition, a maintenance schedule optimization technique has been developed and integrated. The main objective of this optimizer, build based on the genetic algorithm methodology, has been to reduce the risk and the cost of maintenance operation. The genetic algorithm is a relatively new technology which mimics the concept of natural evolution processes. The general features of a traditional genetic algorithm have been modified in this study to better fit the requirements of maintenance activities and conditions. The impact of each potential schedule on both plant safety and economy, has been evaluated using a disvalue function. The impact of schedule lineup on plant safety is

  19. Applications of vortex gas models to tornadogenesis and maintenance

    CERN Document Server

    Bělík, Pavel; Potvin, Corey K; Scholz, Kurt; Shvartsman, Mikhail M

    2016-01-01

    Two-dimensional and three-dimensional vortex gas models are discussed and proposed in this paper as potential models for tornadogenesis and tornado maintenance. The idea of maximization of entropy is utilized which gives rise to negative-temperature systems, in such systems energy is transferred from smaller to larger scales resulting in an inverse energy cascade. In this paper, the smaller scales are represented by intense, supercritical vortices, which transfer energy to the larger-scale tornadic flows. We address the formation of these vortices as a result of the interaction of the flow with the surface and a boundary layer.

  20. Hierarchical Colored Timed Petri Nets for Maintenance Process Modeling of Civil Aircraft

    Institute of Scientific and Technical Information of China (English)

    FU Cheng-cheng; SUN You-chao; LU Zhong

    2008-01-01

    Civil aircraft maintenance process simulation model is an effective method for analyzing the maintainability of a civil aircraft. First, we present the Hierarchical Colored Timed Petri Nets for maintenance process modeling of civil aircraft. Then, we expound a general method of civil aircraft maintenance activities, determine the maintenance level for decomposition, and propose the methods of describing logic of relations between the maintenance activities based on Petri Net. Finally, a time Colored Petri multi-level network modeling and simulation procedures and steps are given with the maintenance example of the landing gear burst tire of a certain type of aircraft. The feasibility of the method is proved by the example.

  1. 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.

  2. 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.

  3. A Study of Aviation Weapon Equipment Maintenance Based on the Semi-Markov Model

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Based on the Semi-Markov mathematical description, the multiple states of maintenance processes for aviation weapon equipment are studied. Six kinds of maintenance states are determined and the Semi-Markov model of the maintenance process is given. According to maintenance characteristic, the multiple states maintenance processes are divided into the wait, use and alternate stages.Through using the mathematical model for the different stages, the probability in different states and effective index on different stages are obtained. These results are available to the maintenance practice.

  4. 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

  5. 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...

  6. Mathematical model of alternative mechanism of telomere length maintenance

    Science.gov (United States)

    Kollár, Richard; Bod'ová, Katarína; Nosek, Jozef; Tomáška, L'ubomír

    2014-03-01

    Biopolymer length regulation is a complex process that involves a large number of biological, chemical, and physical subprocesses acting simultaneously across multiple spatial and temporal scales. An illustrative example important for genomic stability is the length regulation of telomeres—nucleoprotein structures at the ends of linear chromosomes consisting of tandemly repeated DNA sequences and a specialized set of proteins. Maintenance of telomeres is often facilitated by the enzyme telomerase but, particularly in telomerase-free systems, the maintenance of chromosomal termini depends on alternative lengthening of telomeres (ALT) mechanisms mediated by recombination. Various linear and circular DNA structures were identified to participate in ALT, however, dynamics of the whole process is still poorly understood. We propose a chemical kinetics model of ALT with kinetic rates systematically derived from the biophysics of DNA diffusion and looping. The reaction system is reduced to a coagulation-fragmentation system by quasi-steady-state approximation. The detailed treatment of kinetic rates yields explicit formulas for expected size distributions of telomeres that demonstrate the key role played by the J factor, a quantitative measure of bending of polymers. The results are in agreement with experimental data and point out interesting phenomena: an appearance of very long telomeric circles if the total telomere density exceeds a critical value (excess mass) and a nonlinear response of the telomere size distributions to the amount of telomeric DNA in the system. The results can be of general importance for understanding dynamics of telomeres in telomerase-independent systems as this mode of telomere maintenance is similar to the situation in tumor cells lacking telomerase activity. Furthermore, due to its universality, the model may also serve as a prototype of an interaction between linear and circular DNA structures in various settings.

  7. 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)

  8. Design of inspection and maintenance models based on the CCC-chart

    OpenAIRE

    Chan, LY

    2003-01-01

    In this research, six maintenance models are constructed based on whether minor inspection, major inspection, minor maintenance and major maintenance are performed on a system. The system to study is a production process in which items produced can be classified as either conforming or nonconforming, and a statistical process control chart called CCC-chart (cumulative count control chart) can be applied to monitor the process. The maintenance models are analyzed quantitatively, and selection ...

  9. Risk management assessment of Health Maintenance Organisations participating in the National Health Insurance Scheme

    Science.gov (United States)

    Campbell, Princess Christina; Korie, Patrick Chukwuemeka; Nnaji, Feziechukwu Collins

    2014-01-01

    Background: The National Health Insurance Scheme (NHIS), operated majorly in Nigeria by health maintenance organisations (HMOs), took off formally in June 2005. In view of the inherent risks in the operation of any social health insurance, it is necessary to efficiently manage these risks for sustainability of the scheme. Consequently the risk-management strategies deployed by HMOs need regular assessment. This study assessed the risk management in the Nigeria social health insurance scheme among HMOs. Materials and Methods: Cross-sectional survey of 33 HMOs participating in the NHIS. Results: Utilisation of standard risk-management strategies by the HMOs was 11 (52.6%). The other risk-management strategies not utilised in the NHIS 10 (47.4%) were risk equalisation and reinsurance. As high as 11 (52.4%) of participating HMOs had a weak enrollee base (less than 30,000 and poor monthly premium and these impacted negatively on the HMOs such that a large percentage 12 (54.1%) were unable to meet up with their financial obligations. Most of the HMOs 15 (71.4%) participated in the Millennium development goal (MDG) maternal and child health insurance programme. Conclusions: Weak enrollee base and poor monthly premium predisposed the HMOs to financial risk which impacted negatively on the overall performance in service delivery in the NHIS, further worsened by the non-utilisation of risk equalisation and reinsurance as risk-management strategies in the NHIS. There is need to make the scheme compulsory and introduce risk equalisation and reinsurance. PMID:25298605

  10. Risk management assessment of Health Maintenance Organisations participating in the National Health Insurance Scheme

    Directory of Open Access Journals (Sweden)

    Princess Christina Campbell

    2014-01-01

    Full Text Available Background: The National Health Insurance Scheme (NHIS, operated majorly in Nigeria by health maintenance organisations (HMOs, took off formally in June 2005. In view of the inherent risks in the operation of any social health insurance, it is necessary to efficiently manage these risks for sustainability of the scheme. Consequently the risk-management strategies deployed by HMOs need regular assessment. This study assessed the risk management in the Nigeria social health insurance scheme among HMOs. Materials and Methods: Cross-sectional survey of 33 HMOs participating in the NHIS. Results: Utilisation of standard risk-management strategies by the HMOs was 11 (52.6%. The other risk-management strategies not utilised in the NHIS 10 (47.4% were risk equalisation and reinsurance. As high as 11 (52.4% of participating HMOs had a weak enrollee base (less than 30,000 and poor monthly premium and these impacted negatively on the HMOs such that a large percentage 12 (54.1% were unable to meet up with their financial obligations. Most of the HMOs 15 (71.4% participated in the Millennium development goal (MDG maternal and child health insurance programme. Conclusions: Weak enrollee base and poor monthly premium predisposed the HMOs to financial risk which impacted negatively on the overall performance in service delivery in the NHIS, further worsened by the non-utilisation of risk equalisation and reinsurance as risk-management strategies in the NHIS. There is need to make the scheme compulsory and introduce risk equalisation and reinsurance.

  11. 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

    2016-11-08

    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, ORu = 0.96 and 0.96, p resilience was independently associated with probable depression (ORa = 0.97, 95% CI: 0.93-0.99) and anxiety (ORa = 0.96, 95% CI: 0.94-0.99). Resilience was independently associated with depression and anxiety. As resilience is changeable, interventions targeting mental health problems of MMT users should consider resilience as an important part in the designing of such interventions.

  12. 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

  13. 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.

  14. A particle swarm model for estimating reliability and scheduling system maintenance

    Science.gov (United States)

    Puzis, Rami; Shirtz, Dov; Elovici, Yuval

    2016-05-01

    Modifying data and information system components may introduce new errors and deteriorate the reliability of the system. Reliability can be efficiently regained with reliability centred maintenance, which requires reliability estimation for maintenance scheduling. A variant of the particle swarm model is used to estimate reliability of systems implemented according to the model view controller paradigm. Simulations based on data collected from an online system of a large financial institute are used to compare three component-level maintenance policies. Results show that appropriately scheduled component-level maintenance greatly reduces the cost of upholding an acceptable level of reliability by reducing the need in system-wide maintenance.

  15. TECHNOLOGY MANAGEMENT IN THE PUBLIC HEALTH SECTOR: PROFESSIONAL VIEW FROM EQUIPMENT MAINTENANCE EXPERTS

    Directory of Open Access Journals (Sweden)

    M.O. Kachieng’a

    2012-01-01

    Full Text Available South Africa has tried various strategies to improve access, quality and cost-efficiency in the health care delivery systems. However it is clear that the optimal approach has yet to be found. It has been recognised that health technology is an important element of this transformation, and will continue to play a vital role.
    It is almost evident that the way health technology is managed in health care institutions directly affects the quality of treatment patients receive. Although strategic importance of technology in health care has been documented widely in scientific literature; technology planning, procurement and management have not received the attention they deserve in the transformation of health care services in the country.
    The survey discussed in this paper investigated health care equipment maintenance problems and associated technological constraints from point of view of health technology managers, biomedical and clinical engineers. It also provides recommendations for competitive utilisation of technology in the public health sector.

  16. Using Focus Groups to Identify Factors Affecting Healthful Weight Maintenance in Latino Immigrants

    Science.gov (United States)

    Greaney, Mary L.; Lees, Faith D.; Lynch, Breanna; Sebelia, Linda; Greene, Geoffrey W.

    2012-01-01

    Objective: To explore (1) how migration influenced physical activity and dietary behaviors among Latino immigrants and (2) participants' perception of concepts related to a Health at Every Size (HAES) approach to weight maintenance (mindful eating, taking care of oneself). Methods: Four focus groups (n = 35), homogenous by sex, were conducted in…

  17. Modelling and Simulation of Scraper Reliability for Maintenance

    Institute of Scientific and Technical Information of China (English)

    HUANG Liang-pei; LU Zhong-hai; GONG Zheng-li

    2011-01-01

    A scraper conveyor is a kind of heavy machinery which can continuously transport goods and widely used in mines, ports and store enterprises. Since scraper failure rate directly affects production costs and production capacity, the evaluation and the prediction of scraper conveyor reliability are important for these enterprises. In this paper, the reliabilities of different parts are classified and discussed according to their structural characteristics and different failure factors. Based on the component's time-to-failure density function, the reliability model of scraper chain is constructed to track the age distribution of part population and the reliability change of the scraper chain. Based on the stress-strength interference model, considering the decrease of strength due to fatigue failure, the dynamic reliability model of such component as gear, axis is developed to observe the change of the part reliability with the service time of scraper. Finally, system reliability model of the scraper is established for the maintenance to simulate and calculate the scraper reliability.

  18. Medicare health maintenance organization benefits packages and plan performance measures.

    Science.gov (United States)

    Cox, Don; Lanyi, Bettina; Strabic, Allison

    2002-01-01

    This article reports the results of an analysis of the relationship between supplemental benefits offered by Medicare+Choice (M+C) plans and their plan performance ratings. We examined two measures of plan performance: (1) plan ratings as reported in the Medicare Managed Care (MMC) Consumer Assessment of Health Care Study (CAHPS), and (2) disenrollment rates. The results of our analysis indicated that variations in plan supplemental offerings have little impact on enrollees' plan performance ratings--both overall ratings and access to care measures. Furthermore, disenrollment rates were found to be more sensitive to the availability of alternative M+C plans, either in general, or for specific benefits than to variations in benefit offerings.

  19. 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...

  20. Maintenance Optimization Model for One kind of Three-Dimensional Radar Antenna Array

    Science.gov (United States)

    Wang, Min; Yang, Jiang-ping; Wang, Yong-pan; Liu, Wei-jian

    2017-07-01

    For three-dimensional radar, maintenance cost is high and maintenance time is difficult to be determined. What’s more, model simulation computing is significantly complex. The subject of this paper is a new generation of meter wave active, phased array 3D radar. We put forth a concept that maintenance should be done after dividing into several regions to the asymmetrical distribution planar array antenna. First, a failure model of array elements is built to analyze the influence from the element to antenna. Second, the maintenance optimization model is established. Finally, computer simulations are conducted to verify the feasibility and effectiveness of the proposed model.

  1. 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.

  2. The Efficiency Analysis and A Market Decision Model on Equipment Maintenance

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    This paper presents and analyses the internal and external efficiencies of equipment maintenance, and presents that the objective of maintenance is the maximum external efficiency. It defines generalized reliability degree of equipment and deduces the correspondent calculating method. It overcomes the defect that traditional calculating method of reliability degree has, which only considers the factor of time not function, therefore we establish a market decision model of equipment maintenance based on it. This model can determine the marginal efficiency of maintenance investment and critical value of generalized reliability degree when it reaches break-even point. After combining the equipment maintenance with economical benefit of enterprise and marketing situation of products, an optimal maintenance strategy will be got. It provides a new method for scientific and rational decisions of equipment maintenance.``

  3. 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

  4. Some insights in novel risk modeling of liquefied natural gas carrier maintenance operations

    Science.gov (United States)

    Nwaoha, T. C.; John, Andrew

    2016-06-01

    This study discusses the analysis of various modeling approaches and maintenance techniques applicable to the Liquefied Natural Gas (LNG) carrier operations in the maritime environment. Various novel modeling techniques are discussed; including genetic algorithms, fuzzy logic and evidential reasoning. We also identify the usefulness of these algorithms in the LNG carrier industry in the areas of risk assessment and maintenance modeling.

  5. 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. .

  6. Preventive Maintenance Interval Prediction: a Spare Parts Inventory Cost and Lost Earning Based Model

    Directory of Open Access Journals (Sweden)

    O. A. Adebimpe

    2015-06-01

    Full Text Available In this paper, some preventive maintenance parameters in manufacturing firms were identified and used to develop cost based functions in terms of machine preventive maintenance. The proposed cost based model considers system’s reliability, cost of keeping spare parts inventory and lost earnings in deriving optimal maintenance interval. A case of a manufacturing firm in Nigeria was observed and the data was used to evaluate the model.

  7. [Hygienic problems of population health maintenance under the extremal conditions of North].

    Science.gov (United States)

    Potapov, A I; Istomin, A V; Shushkova, T S; Ustiushin, B V; Iudina, T V; Maĭmulov, V G; Raengulov, B M; Shagdarova, A N

    2005-01-01

    A range of multi-sided studies, carried out in various regions of Far North (Jamalo-Nenets autonomous region, Komi republic, Sakha republic (Yakutia)) have established the leading hygienic risk factors of population health deterioration, including those characteristic of small nationalities of North. The consideration of the obtained data, including regional alimentary status peculiarities, the condition of metabolic processes and antioxidant balance of the organism, allowed establishment of effective approaches to the maintenance of notherners' health. These approaches are based upon the optimization of nutrition as an element of population health control under extremal conditions.

  8. Prevalence and demographic and clinical associations of health literacy in patients on maintenance hemodialysis.

    Science.gov (United States)

    Green, Jamie A; Mor, Maria K; Shields, Anne Marie; Sevick, Mary Ann; Palevsky, Paul M; Fine, Michael J; Arnold, Robert M; Weisbord, Steven D

    2011-06-01

    Although limited health literacy is estimated to affect over 90 million Americans and is recognized as an important public health concern, there have been few studies examining this issue in patients with chronic kidney disease. We sought to characterize the prevalence of and associations of demographic and clinical characteristics with limited health literacy in patients receiving maintenance hemodialysis. As part of a prospective clinical trial of symptom management strategies in 288 patients treated with chronic hemodialysis, we assessed health literacy using the Rapid Estimate of Adult Literacy in Medicine (REALM). We defined limited health literacy as a REALM score ≤60 and evaluated independent associations of demographic and baseline clinical characteristics with limited health literacy using multivariable logistic regression. Of the 260 patients who completed the REALM, 41 demonstrated limited health literacy. African-American race, lower educational level, and veteran status were independently associated with limited health literacy. There was no association of limited health literacy with age, gender, serologic values, dialysis adequacy, overall symptom burden, quality of life, or depression. Limited health literacy is common among patients receiving chronic hemodialysis. African-American race and socioeconomic factors are strong independent predictors of limited health literacy. These findings can help inform the design and implementation of interventions to improve health literacy in the hemodialysis population.

  9. Sharing, caring, and surveilling: an actor-partner interdependence model examination of Facebook relational maintenance strategies.

    Science.gov (United States)

    McEwan, Bree

    2013-12-01

    Abstract Relational maintenance is connected to high quality friendships. Friendship maintenance behaviors may occur online via social networking sites. This study utilized an Actor-Partner Interdependence Model to examine how Facebook maintenance and surveillance affect friendship quality. Bryant and Marmo's (2012) Facebook maintenance scale was evaluated, revealing two factors: sharing and caring. Facebook surveillance was also measured. For friendship satisfaction and liking, significant positive actor and partner effects emerged for caring; significant negative actor, partner, and interaction effects emerged for sharing; and significant positive actor effects emerged for surveillance. For friendship closeness, significant positive actor effects emerged for caring and surveillance.

  10. Modeling of Task Establishment and Allocation for Collaborative Virtual Maintenance Training of Complex Equipment

    Directory of Open Access Journals (Sweden)

    Xiangyang Li

    2012-09-01

    Full Text Available In this study, we propose the maintenance task establishment method based on fault simulation models. Maintenance task allocation model based on Multi-Agent System and High Level Architecture is presented to manage and coordinate the dynamic task allocating process of multi operators and it can make the intelligent decision for their collaborative maintenance operation at each step. Object information template is designed with the Extensible Markup Language to perform interactive communication of the heterogeneous data and information in the different models of collaborative virtual maintenance training system, which ensures the efficient share of the data resource for the collaborative maintenance operations. Finally, the simulation research on a mechanical-electronic-hydraulic integrated subsystem in complex equipment is done and the simulation execution and results show the effectiveness of the proposed methods.

  11. 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.

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

    Institute of Scientific and Technical Information of China (English)

    Li Dawei; Zhang Zhihua; Zhong Qianghui; Zhai Yali

    2014-01-01

    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 influ-ence 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 deterio-ration 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 sys-tem expected life-cycle cost per unit time and a constraint on system survival probability for the dura-tion 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 strat-egy. 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.

  14. Modeling of engine parameters for condition-based maintenance of the MTU series 2000 diesel engine

    OpenAIRE

    Yue, Siew Peng

    2016-01-01

    Approved for public release; distribution is unlimited Condition-based maintenance (CBM) entails performing maintenance only when needed to save on resources and cost. Formulating a model that reflects the behavior of the marine diesel engine in its normal operating conditions would aid in making predictions of the behavior of a condition monitoring parameter. Modeling for CBM is a data-dependent process. Data acquisition, processing, and analysis are required for modeling the behavior of ...

  15. MAINTENANCE PERFORMANCE RESEARCH – PART 2: A REVIEW OF MODELS AND FUTURE DIRECTIONS

    Directory of Open Access Journals (Sweden)

    S.A. Oke

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: In recent years, the research scope of maintenance performance has been greatly expanded due to the pressure on maintenance organizations to deliver fruitful results in the current competitive business environment. In part 1 of this paper, treatment methods and maintenance performance models have been explored. In this concluding paper (part 2, the review further investigates maintenance performance models. The paper offers directions on future research in the area of maintenance performance.

    AFRIKAANSE OPSOMMING: As gevolg van die ondervinding van verbruikers in die jongste tyd word organisasies wat instandhouding pleeg, genoop om deel te neem aan kontemporêre navorsing, wat belofte op verbeterde vertoning inhou. Die eerste gedeelte van hierdie artikel behandel metodes en modelle wat gebruik word. Die tweede gedeelte gaan dan voort om modelle van instandhoudingsvertoning te ondersoek. Die aangebode stof word ten slotte aangevul met raadgewing oor moontlike toekomstige navorsing.

  16. Hearing impairment in F-111 maintenance workers: the study of health outcomes in aircraft maintenance personnel (SHOAMP) general health and medical study.

    Science.gov (United States)

    Guest, Maya; Boggess, May; Attia, John; D'Este, Catherine; Brown, Anthony; Gibson, Richard; Tavener, Meredith; Gardner, Ian; Harrex, Warren; Horsley, Keith; Ross, James

    2010-11-01

    We sought to examine hearing loss in a group from the Royal Australian Air Force who undertook fuel tank maintenance on F-111 aircraft, with exposure to formulations containing ototoxins, relative to two different comparison groups. Using pure-tone audiometry, hearing thresholds were assessed in 614 exposed personnel, 513 technical-trade comparisons (different base, same job), and 403 non-technical comparisons (same base, different job). We calculated percentage loss of hearing (PLH) and used regression models to examine whether there was an association between PLH and F-111 fuel tank maintenance, adjusting for possible confounders. In addition, the difference between the observed hearing thresholds and the expected thresholds based on an otologically normal population (ISO-7029-2003) was determined. The PLH ranged from nil to 96 (median 1.5, quartiles 0.3, 5.5). A logistic regression model showed no statistically significant difference in PLH among the three exposure groups (exposed vs. non-technical controls 1.1: 95% CI 0.7, 2.0 and exposed vs. technical OR 0.9: 95% CI 0.6, 1.3). The model also highlighted a number of other risk factors for PLH including age, tinnitus, smoking, depression, and use of depression medications. However, at all eight frequencies measured, all populations had lower than expected hearing thresholds based on published ISO-7029 medians. Although there was no difference in PLH between the three exposure groups, the study did reveal a high degree of hearing loss between the 3 groups and a normal population. © 2010 Wiley-Liss, Inc.

  17. New Models for Maintenance of Offshore Wind Farms

    DEFF Research Database (Denmark)

    Petersen, Kristian R.

    &M of an asset, it is important to consider three decision-making perspectives: short-term operational, medium-term tactical, and long-term strategic. However, the main focus has been on day-to-day operational issues, which leaves no room for longer-term thinking. Through three research projects, one on each...... of the O&M decision-making perspectives, this study focused on how considering the short-, medium-, and long-term perspectives can support the cost of energy reduction for the offshore wind energy industry. For the short-term operational perspective, a case study on lean and modularisation was conducted...... component that was causing a large amount of downtime were identified. Further analysis with the Reliability-Centred Maintenance concept helped determine the most appropriate maintenance strategy. In the final perspective, long-term strategic decisions were the focus. Asset Management and especially Asset...

  18. A Costing Analysis for Decision Making Grid Model in Failure-Based Maintenance

    Directory of Open Access Journals (Sweden)

    Burhanuddin M. A.

    2011-01-01

    Full Text Available Background. In current economic downturn, industries have to set good control on production cost, to maintain their profit margin. Maintenance department as an imperative unit in industries should attain all maintenance data, process information instantaneously, and subsequently transform it into a useful decision. Then act on the alternative to reduce production cost. Decision Making Grid model is used to identify strategies for maintenance decision. However, the model has limitation as it consider two factors only, that is, downtime and frequency of failures. We consider third factor, cost, in this study for failure-based maintenance. The objective of this paper is to introduce the formulae to estimate maintenance cost. Methods. Fish bone analysis conducted with Ishikawa model and Decision Making Grid methods are used in this study to reveal some underlying risk factors that delay failure-based maintenance. The goal of the study is to estimate the risk factor that is, repair cost to fit in the Decision Making Grid model. Decision Making grid model consider two variables, frequency of failure and downtime in the analysis. This paper introduces third variable, repair cost for Decision Making Grid model. This approaches give better result to categorize the machines, reduce cost, and boost the earning for the manufacturing plant. Results. We collected data from one of the food processing factories in Malaysia. From our empirical result, Machine C, Machine D, Machine F, and Machine I must be in the Decision Making Grid model even though their frequency of failures and downtime are less than Machine B and Machine N, based on the costing analysis. The case study and experimental results show that the cost analysis in Decision Making Grid model gives more promising strategies in failure-based maintenance. Conclusions. The improvement of Decision Making Grid model for decision analysis with costing analysis is our contribution in this paper for

  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. Modeling and Simulation of HVAC Faulty Operations and Performance Degradation due to Maintenance Issues

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Liping; Hong, Tianzhen

    2013-01-01

    Almost half of the total energy used in the U.S. buildings is consumed by heating, ventilation and air conditionings (HVAC) according to EIA statistics. Among various driving factors to energy performance of building, operations and maintenance play a significant role. Many researches have been done to look at design efficiencies and operational controls for improving energy performance of buildings, but very few study the impacts of HVAC systems maintenance. Different practices of HVAC system maintenance can result in substantial differences in building energy use. If a piece of HVAC equipment is not well maintained, its performance will degrade. If sensors used for control purpose are not calibrated, not only building energy usage could be dramatically increased, but also mechanical systems may not be able to satisfy indoor thermal comfort. Properly maintained HVAC systems can operate efficiently, improve occupant comfort, and prolong equipment service life. In the paper, maintenance practices for HVAC systems are presented based on literature reviews and discussions with HVAC engineers, building operators, facility managers, and commissioning agents. We categorize the maintenance practices into three levels depending on the maintenance effort and coverage: 1) proactive, performance-monitored maintenance; 2) preventive, scheduled maintenance; and 3) reactive, unplanned or no maintenance. A sampled list of maintenance issues, including cooling tower fouling, boiler/chiller fouling, refrigerant over or under charge, temperature sensor offset, outdoor air damper leakage, outdoor air screen blockage, outdoor air damper stuck at fully open position, and dirty filters are investigated in this study using field survey data and detailed simulation models. The energy impacts of both individual maintenance issue and combined scenarios for an office building with central VAV systems and central plant were evaluated by EnergyPlus simulations using three approaches: 1) direct

  1. A Maintenance Model Based on Phase Type Distribution for Equipment under Two Types of Failures

    Institute of Scientific and Technical Information of China (English)

    YIN Xiao-hu; WEN Xi-sen; YANG Yong-min; QIAN Yan-ling

    2007-01-01

    A maintenance model is put forward for equipment, which is subjected to internal and external failures. In the model, two maintenance policies-perfect minimal repair and replacement are considered. The operational time has a phase type distribution (PH distribution). Failures' arrival follows a Markovian Arrival Process (MAP). Some failures require the replacement of the system, and others minimal repairs. The performance measures-the mean number of minimal repairs and replacements are analyzed and calculated.

  2. 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.

  3. When a solution is not a solution: Medicaid and Health Maintenance Organizations.

    Science.gov (United States)

    Spitz, B

    1979-01-01

    Health Maintenance Organization (HMOs) are repeatedly described as a general solution to the health care crisis and a specific solution to the problems confronting Medicare and Medicaid. The potential incorporation of HMOs into Medicaid has promised to improve the states' ability to accurately budget program expenditures, simplify management, eliminate abusive practices directly linked to fee-for-service (e.g., billing for undelivered services for providing unnecessary care) and, most important, contain costs. At the same time it has promised to increase access to mainstream medicine. Experience has shown, however, that the promise has often been severely compromised by unethical HMO marketing practices, inadequacy of services and excessive administrative costs. This article examines some of the reasons: the political process which created HMOs, the rhetorical claims which exaggerated the strengths of prepaid group practice and distorted the formulation of policy, and the peculiar characteristics of the Medicaid program which have caused Medicaid HMOs to deviate considerably from theoretical expectations.

  4. Multiobjective Optimization of Aircraft Maintenance in Thailand Using Goal Programming: A Decision-Support Model

    Directory of Open Access Journals (Sweden)

    Yuttapong Pleumpirom

    2012-01-01

    Full Text Available The purpose of this paper is to develop the multiobjective optimization model in order to evaluate suppliers for aircraft maintenance tasks, using goal programming. The authors have developed a two-step process. The model will firstly be used as a decision-support tool for managing demand, by using aircraft and flight schedules to evaluate and generate aircraft-maintenance requirements, including spare-part lists. Secondly, they develop a multiobjective optimization model by minimizing cost, minimizing lead time, and maximizing the quality under various constraints in the model. Finally, the model is implemented in the actual airline's case.

  5. Satisfaction with access to and quality of health care among Medicare enrollees in a health maintenance organization.

    Science.gov (United States)

    Meng, Y Y; Jatulis, D E; McDonald, J P; Legorreta, A P

    1997-04-01

    This study was designed to determine the levels and predictors of Medicare enrollees' satisfaction with access to medical care and quality of health care in a health maintenance organization. Data collected by an instrument adapted from the Group Health Association of America's Consumer Satisfaction Survey were analyzed after being linked with administrative data. In general, Medicare enrollees reported high satisfaction with both access to and quality of health care. Most members (96%) rated skill, experience, and training of physicians and the friendliness and courtesy of the staff favorably. A lower percentage of members (77%) rated favorably the ability to contact a physician after hours. Levels of satisfaction were essentially not explained by patient characteristics such as age, sex, geographic region, medications, or utilization. Stepwise regression identified the ease of arranging appointments as the strongest predictor of satisfaction, with access to care and outcomes of medical care as the strongest predictor of overall satisfaction with quality of health care. These findings indicate that items that members rated least favorably, such as ability to contact a physician after hours, added little to the prediction of satisfaction with access to and quality of health care.

  6. 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.

  7. Developing a CD-CBM Anticipatory Approach for Cavitation - Defining a Model-Based Descriptor Consistent Across Processes, Phase 1 Final Report Context-Dependent Prognostics and Health Assessment: A New Paradigm for Condition-based Maintenance SBIR Topic No. N98-114

    Energy Technology Data Exchange (ETDEWEB)

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

    1999-06-01

    The objective of this research, and subsequent testing, was to identify specific features of cavitation that could be used as a model-based descriptor in a context-dependent condition-based maintenance (CD-CBM) anticipatory prognostic and health assessment model. This descriptor is based on the physics of the phenomena, capturing the salient features of the process dynamics. The test methodology and approach were developed to make the cavitation features the dominant effect in the process and collected signatures. This would allow the accurate characterization of the salient cavitation features at different operational states. By developing such an abstraction, these attributes can be used as a general diagnostic for a system or any of its components. In this study, the particular focus will be pumps. As many as 90% of pump failures are catastrophic. They seem to be operating normally and fail abruptly without warning. This is true whether the failure is sudden hardware damage requiring repair, such as a gasket failure, or a transition into an undesired operating mode, such as cavitation. This means that conventional diagnostic methods fail to predict 90% of incipient failures and that in addressing this problem, model-based methods can add value where it is actually needed.

  8. Compliance with national asthma management guidelines and specialty care: a health maintenance organization experience.

    Science.gov (United States)

    Legorreta, A P; Christian-Herman, J; O'Connor, R D; Hasan, M M; Evans, R; Leung, K M

    1998-03-09

    To improve asthma disease management, the National Asthma Education Program (NAEP) Expert Panel published Guidelines for the Diagnosis and Management of Asthma in 1991. To compare the current status of asthma disease management among patients in a large health maintenance organization with the NAEP guidelines and to identify the factors that may be associated with medical care (eg, emergency department visits and hospital admissions) and adherence to the guidelines. Analyses of 1996 survey data from 5580 members with asthma (age range, 14 to 65 years) covered by a major health maintenance organization in California (Health Net). In general, adherence to NAEP guidelines was poor. Seventy-two percent of respondents with severe asthma reported having a steroid inhaler, and of those, only 54% used it daily. Only 26% of respondents reported having a peak flowmeter, and of those, only 16% used it daily. Age (older), duration of asthma (longer), increasing current severity of disease, and treatment by an asthma specialist correlated with daily use of inhaled steroids. Ethnicity (African American and Hispanic) correlated negatively with inhaled steroid use but positively with emergency department visits and hospital admissions for asthma. Increasing age and treatment by an asthma specialist were also identified as common factors significantly related to the daily use of a peak flowmeter and, interestingly, to overuse of beta2-agonist metered-dose inhalers. Although the NAEP guidelines were published 7 years ago, compliance with the guidelines was low. It was especially poor for use of preventive medication and routine peak-flow measurement. Furthermore, the results showed that asthma specialists provided more thorough care than did primary care physicians in treating patients with asthma. Combining the results of the regression analyses revealed that some of the variation in rates of emergency department visits and hospitalizations among some subpopulations can be

  9. Conceptual model of communications in public health

    Directory of Open Access Journals (Sweden)

    Марія Андріївна Знаменська

    2015-07-01

    Full Text Available Actuality. The role of communications in effective reform of public health in the country is discovered in scientific literature last time. But there are no works that fully present the system of communications in public health; this fact defined actuality of the given research.Methods. The next scientific methods are used in this work: structural and logical analysis, conceptual modeling. The systematic approach became a base of research. Results. There was elaborated conceptual model of the system of communications in public health its node idea is a consistent solution of the priority problem of supply the population of the country in whole and the separate task groups of communicative impact with complex objective information in the system of public health. At constructing of the model there were separated the next groups of problems: structural construction of the system of communication; supply of the system with resources; methods and means of communication; monitoring and assessment of efficiency of communication.Conclusions. The use of this model allows at optimal costs to eliminate the organizational and administrative defects and increase an awareness of the people in organization of public health, in maintenance and improvement of personal health

  10. Development of Product Data Model for Maintenance in Concrete Highway Bridges

    Directory of Open Access Journals (Sweden)

    Satoshi Kubota

    2013-01-01

    Full Text Available The primary objective of this paper is to develop the product data models, in which systematic information is defined for accumulating, exchanging, and sharing in the maintenance of concrete highway bridges. The information requirement and existing issues and solutions were analyzed based on the life cycle and the standardization for sharing. The member data models and business data models that defined design and construction information and accumulated results information were developed. The maintenance business process in which project participants utilize the product data model was described as utilization scenario. The utilization frameworks which define information flow were developed.

  11. Somatic health among heroin addicts before and during opioid maintenance treatment: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Brekke Mette

    2008-01-01

    Full Text Available Abstract Background The long-term impact of opioid maintenance treatment (OMT on morbidity and health care utilization among heroin addicts has been insufficiently studied. The objective of this study was to investigate whether health care utilization due to somatic disease decreased during OMT, and if so, whether the reduction included all kinds of diseases and whether a reduction was related to abstinence from drug use. Methods Cohort study with retrospective registration of somatic disease incidents (health problems, acute or sub-acute, or acute problems related to chronic disease, resulting in a health care contact. Medical record data were collected from hospitals, Outpatients' Departments, emergency wards and from general practitioners (GPs and prospective data on substance use during OMT were available from 2001 onwards. The observation period was five years before and up to five years during OMT. The cohort consisted of 35 out of 40 patients who received OMT between April 1999 and January 2005 in a Norwegian district town. Statistical significance concerning changes in number of incidents and inpatient and outpatient days during OMT compared with the pre OMT period was calculated according to Wilcoxon signed rank test. Significance concerning pre/during OMT changes in disease incidents by relation to the type of health service contacts, as well as the impact of ongoing substance use during OMT on the volume of contacts, was calculated according to Pearson chi-square and Fisher's exact tests. Results 278 disease incidents were registered. There was a reduction in all incidents by 35% (p = 0.004, in substance-related incidents by 62% (p Conclusion Although as few as 35 patients were included, this study demonstrates a significant reduction in health care utilization due to somatic disease incidents during OMT. The reduction was most pronounced for incidents related to substance use and injection. Inpatient and outpatient days were reduced

  12. A Study on Maintenance Task Based Maintenance Manpower Prediction Model%基于维修任务的维修人员预测模型

    Institute of Scientific and Technical Information of China (English)

    谷玉波; 贾云献

    2013-01-01

    As the key factor of maintenance support resource,maintenance manpower is the main part of the equipment maintenance activity,which plays an important role in the equipment maintenance support task.According to the demand of the maintenance manpower allocation,this paper founds up the prediction model based on the maintenance task,aiming at optimizing the allocation of the maintenance manpower,reducing the maintenance resource resumption and improve the maintenance efficiency.At last the model is applied to a case,which proves the practicability of the model.%维修人员作为维修保障资源的关键要素,是装备维修活动中的主体,也是最积极、最活跃的因素,在装备维修保障中发挥着至关重要的作用。科学合理地制定某项维修任务的维修人员配置,对于维修保障工作具有重要的现实意义。根据维修人员配置的需求,建立了面向任务的维修人员预测模型,旨在优化维修人员的配置,减少维修资源的消耗,提高维修效率,为制定科学合理的维修决策提供理论支持。最后运用该模型进行了案例分析,验证了该模型的实用性。

  13. Software Maintenance.

    Science.gov (United States)

    Cannon, Glenn; Jobe, Holly

    Proper cleaning and storage of audiovisual aids is outlined in this brief guide. Materials and equipment needed for first line maintenance are listed, as well as maintenance procedures for records, audio and video tape, film, filmstrips, slides, realia, models, prints, graphics, maps, and overhead transparencies. A 15-item quiz on software…

  14. 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.

  15. Network-simulation modeling of interactions between maintenance and process systems

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, S.C.; Haire, M.J.; Schryver, J.C.

    1991-01-01

    Network simulation modeling is used to evaluate the adequacy of the maintenance system of a nuclear fuel processing plant. Network simulation modeling is believed to be an important new tool for reliability and maintainability (R M) assessments so the technique is described in some detail. As an example application, the interaction, between the maintenance and chemical process systems is modeled using a Monte-Carlo sampling procedure for treating failure and repair events. It is concluded in the example problem that at least two mobile manipulators (MM) and one through-the-wall manipulator (TTWM) equipment are needed to maintain a facility of this particular design. 4 refs., 1 tab.

  16. The effect of current military maintenance practices and regulations on the implementation of Integrated Vehicle Health Management technology

    OpenAIRE

    Esperon Miguez, Manuel; John, Philip; Ian K. Jennions

    2012-01-01

    Health monitoring tools can be used to diagnose failures and estimate the remaining useful life of certain components, generating information that can be used to improve the management of logistics and maintenance activities in what is known as Integrated Vehicle Health Management (IVHM). The work presented here analyzes the effect of military practices and regulations on the benefits that can be expected from installing health monitoring tools on military aircraft. The findings on the impact...

  17. A Context Maintenance and Retrieval Model of Organizational Processes in Free Recall

    Science.gov (United States)

    Polyn, Sean M.; Norman, Kenneth A.; Kahana, Michael J.

    2009-01-01

    The authors present the context maintenance and retrieval (CMR) model of memory search, a generalized version of the temporal context model of M. W. Howard and M. J. Kahana (2002a), which proposes that memory search is driven by an internally maintained context representation composed of stimulus-related and source-related features. In the CMR…

  18. A Context Maintenance and Retrieval Model of Organizational Processes in Free Recall

    Science.gov (United States)

    Polyn, Sean M.; Norman, Kenneth A.; Kahana, Michael J.

    2009-01-01

    The authors present the context maintenance and retrieval (CMR) model of memory search, a generalized version of the temporal context model of M. W. Howard and M. J. Kahana (2002a), which proposes that memory search is driven by an internally maintained context representation composed of stimulus-related and source-related features. In the CMR…

  19. 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.

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

    DEFF Research Database (Denmark)

    Fedorova, Marina; Sin, Gürkan; Gani, Rafiqul

    2014-01-01

    A template-based approach for model development is presented in this work. Based on a model decomposition technique, the computer-aided template concept has been developed. This concept is implemented as a software tool , which provides a user-friendly interface for following the workflow steps, ...

  1. Benchmark Dose Software Development and Maintenance Ten Berge Cxt Models

    Science.gov (United States)

    This report is intended to provide an overview of beta version 1.0 of the implementation of a concentration-time (CxT) model originally programmed and provided by Wil ten Berge (referred to hereafter as the ten Berge model). The recoding and development described here represent ...

  2. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Wang Wenbin, E-mail: wangwb@ustb.edu.cn [Dongling School of Economics and Management, University of Science and Technology Beijing (China)

    2011-11-15

    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.

  4. Verifiable CPD paper: factors that influence the dental attendance pattern and maintenance of oral health for people with multiple sclerosis.

    Science.gov (United States)

    Baird, W O; McGrother, C; Abrams, K R; Dugmore, C; Jackson, R J

    2007-01-13

    To determine the impact of multiple sclerosis (MS) on patient attendance at dental practices and maintenance of oral health. A cross-sectional postal questionnaire-based study. Leicestershire, United Kingdom. People with MS in Leicestershire identified from local health authority records (n = 476). Number registered at dental practice, frequency of attendance, issues and perspectives relating to attendance and maintenance of oral health. A response rate of 61% (n = 289) was obtained. When compared to the general population, a higher number of people with MS were registered with a dentist (49%:88%) and displayed more frequent practice attendance (71%:81%) in the past year. People with MS reported difficulties in attending a dentist and maintaining oral health, which were exacerbated by deterioration in general health. Problems relating to reduced personal mobility had the greatest impact on attendance. MS has a negative impact on perceived patient attendance and maintenance of oral health. Patients with a progressive disability could benefit greatly from the provision of preventive oral health care. The importance of seeking care earlier rather than later needs to be emphasised to both professionals and patients alike. Further efforts are required to increase awareness of the importance of oral health to the quality of life of people with MS and ensure that individuals with physical disabilities receive the same access to dental services as the able-bodied.

  5. A preventive maintenance and minimal repair costs model with interest rate

    Science.gov (United States)

    Lewaherilla, Norisca; Pasaribu, Udjianna S.; Husniah, Hennie; Supriantna, Asep K.

    2016-02-01

    This paper deals with minimal repair and sequential imperfect preventive maintenance (imperfect PM) for a fishing vessel. Failure that occur at random times rectified by minimal repair, result minimal repair cost. We add the downtime cost to modify the cost model previously discussed by Jiang and Murthy (2008). That cost is intended as a cost of losses when the vessel is being repaired. Because of the time value of money, each cost should be subject to interest rate. The performance measure is the minimization of the expected total maintenance cost during a certain period. The decision variables are the number of imperfect PM and the level of preventive actions. We assume the distribution of first failure rate is Weibull and follows a nonhomogeneous Poisson process (NHPP). We give the comparison of maintenance costs between the cost resulting from our model and that from the previous model. The previous model is nested in our model and the result shows that in our model a higher interest rate will increase the maintenance cost.

  6. 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...

  7. The stress of marital separation: intervention in a Health Maintenance Organization.

    Science.gov (United States)

    Wertlieb, D; Budman, S; Demby, A; Randall, M

    1982-11-01

    Relationships between life stress and illness form the basis of much current thinking and practice in psychosomatic medicine. This study examines a particular life stress, marital separation, in a controlled, prospective design. Participants are 237 Health Maintenance Organization [HMO] subscribers followed over a two-year period. Marital separation was experienced by 117 of these participants early in the two-year study period. A stratified random half of these separated individuals participated in a short-term psychoeducational group intervention, "Seminars for the Separated." Measures of psychosocial adjustment and medical utilization were analyzed to describe correlates of experiencing marital separation and to evaluate the intervention. Statistically significant increases in medical utilization by people experiencing marital separation were observed in comparisons with married control subjects. Much of this increased utilization is in the year surrounding the actual separation and is accounted for by mental health visits. Effects of the intervention were not evident until controls for baseline levels of medical utilization were introduced. Even then, intervention effects were slight. Methodological problems and implications for further study are presented.

  8. Epidemiology of hepatitis C virus infection in a large Israeli health maintenance organization.

    Science.gov (United States)

    Weil, Clara; Nwankwo, Chizoba; Friedman, Mira; Kenet, Gabriel; Chodick, Gabriel; Shalev, Varda

    2016-06-01

    Hepatitis C affects an estimated 130 million people worldwide and is a major cause of chronic liver disease. This retrospective database study aims to describe the epidemiology of HCV-infected patients in Maccabi Healthcare Services, a 2-million-member health maintenance organization in Israel. HCV was identified by cross-linking diagnoses, laboratory data, and dispensed HCV treatment (1993-2013). The point-prevalence of HCV in 2012 and annual incidence of newly-diagnosed HCV during 2003-2012 (index period) were calculated. The age-adjusted prevalence of HCV was 5.19/1,000 population (n = 10,648). The highest prevalence was found among males and in patients aged 35-54 years. Two thirds of HCV-infected patients were immigrants from the former Soviet Union (FSU). HCV genotype 1 was predominant (67%). A total of 6,150 patients were newly diagnosed with HCV infection during the index period. The age-standardized rate of newly-diagnosed HCV declined from over 50/100,000 (2003) to 15/100,000 (2012). This rate was highest in males from the FSU, particularly for birth cohorts in 1950-70. The study results suggest that the reported incidence of HCV infection in Israel is declining, while prevalence is particularly high among FSU immigrants and genotype 1 is predominant. As the HCV treatment landscape evolves, these estimates can inform future studies and health technology assessments.

  9. 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.

  10. Reason Maintenance in Product Modelling via Open Source CAD System

    Directory of Open Access Journals (Sweden)

    Z. Ibrahim

    2016-12-01

    Full Text Available The present and future challenges of a new product design, forecasting and risk management launch strategy for a new product modelling decision process. This paper intends to propose and to look towards the development of a low-cost integrated CAD-CAPP-CAD/CAM product modelling system for the design and manufacture of a proposed product. It is a mapping between several design phases like functional design, technical design and physical design. The modelling data generation process begins with the drafting of a product to be maintained using the drafting software package. From the CAD drawing, the data are transferred to be used as the product models and a CAPP software package will then prepare the operational parameters for the manufacturing of the product. These process data are relayed to a CAM software package, which will then generate the automating information-processing functions. The final stage of the function is to support design and manufacturing operations that may have reaped many benefits in terms of its initial equipment and software costs.

  11. Modeling and Optimization for Dynamic Maintenance Strategy of Maintenance Repair and Operation System%MRO系统动态维修策略的建模与优化

    Institute of Scientific and Technical Information of China (English)

    石慧; 王玉华; 曾建潮

    2012-01-01

    在MRO系统中,随着对精益维修要求的日益提高,提出一种计算设备维护维修的最小平均费用率的模型.此模型是利用接收到的监控信息确定设备退化模型,设定退化模型动态预防性维修阈值,根据维修成本最小的原则动态选择最佳的预防性维护阈值和最佳的预防性维护时间.并计算各种不同参数下符合伽玛分布的退化模型的最小平均费用率,结论证明该模型的正确性和有效性.%In the MRO system, as the requirements of the lean maintenance is improved increasingly, a model of calculating the optimal preventive maintenance average cost rate is put forward. This model is used to determine the deterioration model using received monitoring equipment information, set the deterioration model preventive maintenance threshold value as time function, dynamically choose the best preventive maintenance threshold value and time according to the principle of minimal maintenance cost cycle. The least average cost rate of various parameters with gamma distribution under the deterioration model of optimal maintenance cycle is calculated. The conclusion shows that this model is correct and effective.

  12. 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...

  13. Quality of outpatient care provided to diabetic patients. A health maintenance organization experience.

    Science.gov (United States)

    Peters, A L; Legorreta, A P; Ossorio, R C; Davidson, M B

    1996-06-01

    To document the quality of diabetes care provided to patients in a large health maintenance organization (HMO) from 1 January 1993 to 1 January 1994 and compare it to the standards of the American Diabetes Association (ADA). To meet a Health Plan and Employer Data Information Set (HEDIS) requirement, a major HMO in California identified 14,539 members with diabetes and randomly selected 384 individuals for review. Charts were available on 353 of these patients, and after obtaining the information for the HEDIS review, additional information was extracted from the charts by an outside chart reviewer. This data set was used for an analysis of the quality of diabetic care provided by the participating medical groups to these HMO members during 1 year. Documentation of follow-up and measures of glycemic and lipid control was examined both for absolute values and for the frequency of measurement over the year. These results were compared to the ADA standards of care. Although patients averaged 4.5 visits to their primary care physicians (PCPs) over the year, 21% had one or fewer visits per year. Glycated hemoglobin levels were not documented in 56% of patients (ADA recommends two to four measurements per year), and of those with a glycated hemoglobin level measured. 39% had at least one value > or = 10%. Fasting plasma glucose concentrations were not documented in 65% of patients (four to six per year recommended). Foot exams (which should be performed at each regular visit) were not documented for 94% of patients. Urine protein measurements were not performed in 52% of patients. Additionally, many patients had elevated and untreated lipid abnormalities. In spite of the frequency of PCP visits during the year for many of these patients, diabetes management was inadequate. This lack of adequate preventive care will lead to an increased risk of the development of the acute and chronic complications of diabetes, creating an even greater future burden on the health care

  14. Monitoring and modelling for dry-stone walls terracement maintenance

    Science.gov (United States)

    Preti, Federico; Errico, Alessandro; Giambastiani, Yamuna; Guastini, Enrico; Penna, Daniele

    2017-04-01

    An analysis of dry-stone walls stability in agricultural areas based on innovative monitoring and modeling is here presented The field test took place in Lamole, a terraced rural area located in the province of Florence, Tuscany, central Italy, where wine production is the most important agricultural activity business. Results show a good capability of the model to predict the time-space distribution and the intensity of stresses on the instrumented dry-stone wall and to describe the bulging of the ancient ones. We obtained significant information on how the terrace failure in Lamole resulted mainly related to the water concentration pathways at specific portions of the walls. An accurate drainage of the terraced slopes, even by means of simple ditches, could reduce the concentration factor at the critical parts of terraces strongly reducing the water pressures on the walls. The analysis of the effects caused by high return time events has been carried out by means of artificially reproduced severe rainfalls on the presented experimental area.

  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. 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

  17. Maintenance Model of Integrated Psychosocial Treatment in Pediatric Bipolar Disorder: A Pilot Feasibility Study

    Science.gov (United States)

    West, Amy E.; Henry, David B.; Pavuluri, Mani N.

    2007-01-01

    Objective: The chronic and refractory course of pediatric bipolar disorder merits the study of adjunctive psychosocial interventions designed to facilitate long-term improvements. The objective of this study is to conduct a pilot study of a maintenance model of the child- and family-focused cognitive-behavioral therapy program (CFF-CBT), which…

  18. Consistency maintenance for constraint in role-based access control model

    Institute of Scientific and Technical Information of China (English)

    韩伟力; 陈刚; 尹建伟; 董金祥

    2002-01-01

    Constraint is an important aspect of role-based access control and is sometimes argued to be the principal motivation for role-based access control (RBAC). But so far'few authors have discussed consistency maintenance for constraint in RBAC model. Based on researches of constraints among roles and types of inconsistency among constraints, this paper introduces correaponding formal rules, rulebased reasoning and corresponding methods to detect, avoid and resolve these inconsistencies. Finally,the paper introduces briefly the application of consistency maintenance in ZD-PDM, an enterprise-ori-ented product data management (PDM) system.

  19. Consistency maintenance for constraint in role-based access control model

    Institute of Scientific and Technical Information of China (English)

    韩伟力; 陈刚; 尹建伟; 董金祥

    2002-01-01

    Constraint is an important aspect of role-based access control and is sometimes argued to be the principal motivation for role-based access control (RBAC). But so far few authors have discussed consistency maintenance for constraint in RBAC model. Based on researches of constraints among roles and types of inconsistency among constraints, this paper introduces corresponding formal rules, rule-based reasoning and corresponding methods to detect, avoid and resolve these inconsistencies. Finally, the paper introduces briefly the application of consistency maintenance in ZD-PDM, an enterprise-oriented product data management (PDM) system.

  20. 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...

  1. A Computer-aided Application for Modeling and Monitoring Operational and Maintenance Information in Mining Trucks

    Science.gov (United States)

    Nikulin, Christopher; Ulloa, Andres; Carmona, Carlos; Creixell, Werner

    2016-09-01

    The combination of maintenance planning and key performance indicators are relevant to create a more holistic scenario of the mining activities. On the one hand, reliability and maintainability are system characteristics suitable for planning maintenance strategies. On the other hand, key performance indicators are suitable to analyze cost and resource consumption information about mining equipment. Nevertheless in practice, both approaches are modeled separately and frequently by different team-works of a mining company. With this in mind, a computer-aided application was conceived to drive with better efficacy the operational and maintenance strategy in a complex process where the equipment is in continuous movement such as the transportation process in an open-mine pit.

  2. 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

  3. 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)

  4. 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.

  5. 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

    2016-03-01

    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.

  6. An estimate of maintenance efficiency in Brown-Proschan imperfect repair model with bathtub failure intensity

    Directory of Open Access Journals (Sweden)

    Makram Krit

    2012-06-01

    Full Text Available Purpose: Estimate the maintenance efficiency in the Brown-Proschan model with the bathtub failure intensity.Design/methodology/approach: Empirical research through which we propose a framework to establish the characteristics of failure process and its influence on maintenance process.Findings: The main contribution of the present study is the reformulation of the Brown and Proschan model using the bathtub failure intensityPractical implications: Our model is defined by BP reformulation one using bathtub failure intensity. This form of intensity is presented like superposition of two NHPP and Homogeneous Poisson one.Originality/value: This is the follow on research on the study that employed the power-law-process type of failure intensity.

  7. Reliability and Maintainability model (RAM) user and maintenance manual. Part 2

    Science.gov (United States)

    Ebeling, Charles E.

    1995-01-01

    This report documents the procedures for utilizing and maintaining the Reliability and Maintainability Model (RAM) developed by the University of Dayton for the NASA Langley Research Center (LaRC). The RAM model predicts reliability and maintainability (R&M) parameters for conceptual space vehicles using parametric relationships between vehicle design and performance characteristics and subsystem mean time between maintenance actions (MTBM) and manhours per maintenance action (MH/MA). These parametric relationships were developed using aircraft R&M data from over thirty different military aircraft of all types. This report describes the general methodology used within the model, the execution and computational sequence, the input screens and data, the output displays and reports, and study analyses and procedures. A source listing is provided.

  8. Developing an EPQ Model with Considering Preventive Maintenance, Imperfect Product, Shortage and Work in Process Inventory

    Directory of Open Access Journals (Sweden)

    Akbar Nilipour Tabatabaei

    2013-08-01

    Full Text Available Determination of optimal production lot size has been always noticed by researchers and various models have been proposed in this area. Among the subjects, which has been less considered in these models is machine failure. Obviously, a machine may encounter random failures during its working period and this makes clear the need for applying an appropriate maintenance policy for the machinery. In this paper based on assumptions such as authorized shortage, work in process inventory and possibility of producing defective products with and without the ability to re-work, EPQ model has been investigated and developed to select Preventive Maintenance (PM policy for the machinery. In addition, by minimizing system’s total cost over a period of time, a formula has been presented for determining optimal production lot size and its application has been examined using various numerical examples.

  9. Genome-health nutrigenomics and nutrigenetics: nutritional requirements or 'nutriomes' for chromosomal stability and telomere maintenance at the individual level.

    Science.gov (United States)

    Bull, Caroline; Fenech, Michael

    2008-05-01

    It is becoming increasingly evident that (a) risk for developmental and degenerative disease increases with more DNA damage, which in turn is dependent on nutritional status, and (b) the optimal concentration of micronutrients for prevention of genome damage is also dependent on genetic polymorphisms that alter the function of genes involved directly or indirectly in the uptake and metabolism of micronutrients required for DNA repair and DNA replication. The development of dietary patterns, functional foods and supplements that are designed to improve genome-health maintenance in individuals with specific genetic backgrounds may provide an important contribution to an optimum health strategy based on the diagnosis and individualised nutritional prevention of genome damage, i.e. genome health clinics. The present review summarises some of the recent knowledge relating to micronutrients that are associated with chromosomal stability and provides some initial insights into the likely nutritional factors that may be expected to have an impact on the maintenance of telomeres. It is evident that developing effective strategies for defining nutrient doses and combinations or 'nutriomes' for genome-health maintenance at the individual level is essential for further progress in this research field.

  10. Optimization of condition-based asset management using a predictive health model

    NARCIS (Netherlands)

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

    2009-01-01

    In this paper, a model predictive framework is used to optimize the operation and maintenance actions of power system equipment based on the predicted health sate of this equipment. In particular, this framework is used to predict the health state of transformers based on their usage. The health sta

  11. 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.

  12. 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.

  13. A reliability-based maintenance technicians' workloads optimisation model with stochastic consideration

    Science.gov (United States)

    Ighravwe, D. E.; Oke, S. A.; Adebiyi, K. A.

    2016-12-01

    The growing interest in technicians' workloads research is probably associated with the recent surge in competition. This was prompted by unprecedented technological development that triggers changes in customer tastes and preferences for industrial goods. In a quest for business improvement, this worldwide intense competition in industries has stimulated theories and practical frameworks that seek to optimise performance in workplaces. In line with this drive, the present paper proposes an optimisation model which considers technicians' reliability that complements factory information obtained. The information used emerged from technicians' productivity and earned-values using the concept of multi-objective modelling approach. Since technicians are expected to carry out routine and stochastic maintenance work, we consider these workloads as constraints. The influence of training, fatigue and experiential knowledge of technicians on workload management was considered. These workloads were combined with maintenance policy in optimising reliability, productivity and earned-values using the goal programming approach. Practical datasets were utilised in studying the applicability of the proposed model in practice. It was observed that our model was able to generate information that practicing maintenance engineers can apply in making more informed decisions on technicians' management.

  14. 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.

  15. 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.

  16. Is there life after DEBI? Examining health behavior maintenance in the diffusion of effective behavioral interventions initiative.

    Science.gov (United States)

    Feldman, Matthew B; Silapaswan, Andrew; Schaefer, Nathan; Schermele, Daniel

    2014-06-01

    The evidence-based interventions that are identified, packaged, and disseminated by the Division of HIV/AIDS Prevention at the Centers for Disease Control and Prevention as part of the Diffusion of Effective Behavioral Interventions (DEBI) initiative-commonly referred to the "DEBIs"-currently represent a primary source of HIV prevention interventions for community-based providers. To date, little attention has focused on whether the intended outcomes of the DEBIs, i.e., reductions in HIV-related risk behaviors, are maintained over time. This review summarized evidence for the sustainability of the effects of the DEBIs on HIV sexual risk behavior and intravenous drug use from studies of original and adapted DEBIs. Evidence of intervention decay or a lack of any intervention effect was identified in several original and adapted versions of the DEBIs included in this review. Recommendations include modifications to current criteria for inclusion in the DEBI portfolio, in addition to the development of remediation strategies to address intervention decay. Further, theoretical models that specify the processes that underlie the maintenance of health behaviors over time should be used in developing HIV prevention interventions.

  17. Analysis and Development of the Generic Maintenance Management Process Modeling for the Preservation of Heritage School Buildings

    Directory of Open Access Journals (Sweden)

    A Z. A. Akasah

    2009-12-01

    Full Text Available Preservation of heritage school buildings requires special maintenance management practices. A thorough understanding of the maintenance management process is essential in ensuring effective maintenance practices can be instituted. The aim of this paper was to develop a generic process model that will promote the understanding of an effective management of maintenance process for heritage school buildings. A process model for the Maintenance Management of Heritage School Buildings (MMHSB was developed using the Integration Definition for Function Modeling (IDEF0 system through an iterative process. The initial MMHSB process model was submitted to a team of management experts from the Malaysian Ministry of Arts and Heritage and the Ministry of Education Malaysia for verifications. Based on their feedbacks the initial model was refined and a proposed model was developed. From the second verification, the feed back received formed the basis for the final model. The final model elucidates the items for the input, mechanism, control and output elements that are critical in the maintenance management of heritage school buildings. The model also redefines the existing scope of responsibilities of the Headmasters’ and Senior Assistants’ in the management of maintenance. The perceived effectiveness of the model by potential users was surveyed using a selected number of administrators from potentially recognized heritage schools. The results indicated that the process model is perceived as being helpful in clarifying the maintenance management process of heritage school buildings and is useful in changing the current reactive management practices to that of a more proactive practice. In conclusion, it is believed that the MMHSB Process Model is helpful in promoting the understanding of the maintenance management process which would lead to improve preservation practices of heritage school buildings.

  18. 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.

  19. THE SYSTEM APPROACH TO MEASURING CHANNEL MODELLING AS THE MECHANISM OF MAINTENANCE OF TRUST TO RESULTS OF MEASUREMENTS

    Directory of Open Access Journals (Sweden)

    P. S. Serenkov

    2012-01-01

    Full Text Available Necessity of system approach development to measurement modeling for the purpose of maintenance of the trust set level to their results is proved. The decision of a measuring problem subject to determined aim is considered as creation of models sequence: measurement process model and complex measuring channel model. As a demonstrative basis of maintenance of trust to result of measurements the complex of criteria of completeness and irredundant is formulated.

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

    OpenAIRE

    Zied Hajej; Nidhal Rezg; Ali Gharbi

    2015-01-01

    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 ...

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

    OpenAIRE

    Xun Gong; Yixiong Feng; Hao Zheng; Jianrong Tan

    2014-01-01

    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 adapt...

  2. 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.

  3. 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 captur

  4. 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

  5. Reliability and Maintainability Model (RAM): User and Maintenance Manual. Part 2; Improved Supportability Analysis

    Science.gov (United States)

    Ebeling, Charles E.

    1996-01-01

    This report documents the procedures for utilizing and maintaining the Reliability & Maintainability Model (RAM) developed by the University of Dayton for the National Aeronautics and Space Administration (NASA) Langley Research Center (LaRC). The purpose of the grant is to provide support to NASA in establishing operational and support parameters and costs of proposed space systems. As part of this research objective, the model described here was developed. This Manual updates and supersedes the 1995 RAM User and Maintenance Manual. Changes and enhancements from the 1995 version of the model are primarily a result of the addition of more recent aircraft and shuttle R&M data.

  6. 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.

  7. 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.

  8. 高压设备的维护程序模型%Modeling of HV Devices Maintenance

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The paper presents an approach to mathematical modeling of maintenance procedures. With regard to the random characteristic of states changes and damage of electrical power devices, the maintenance models of these processes based on Markov random processes theory have been proposed. Simulations based on the proposed models concern the analysis of reliability and probability of damage of electrical power devices as a function of time.

  9. 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...

  10. Warfarin Dose Model for the Prediction of Stable Maintenance Dose in Indian Patients.

    Science.gov (United States)

    Gaikwad, Tejasvita; Ghosh, Kanjaksha; Avery, Peter; Kamali, Farhad; Shetty, Shrimati

    2017-01-01

    The main aim of this study was to screen various genetic and nongenetic factors that are known to alter warfarin response and to generate a model to predict stable warfarin maintenance dose for Indian patients. The study comprised of 300 warfarin-treated patients. Followed by extensive literature review, 10 single-nucleotide polymorphisms, that is, VKORC1-1639 G>A (rs9923231), CYP2C9*2 (rs1799853), CYP2C9*3 (rs1057910), FVII R353Q (rs6046), GGCX 12970 C>G (rs11676382), CALU c.*4A>G (rs1043550), EPHX1 c.337T>C (rs1051740), GGCX: c.214+597G>A (rs12714145), GGCX: 8016G>A (rs699664), and CYP4F2 V433M (rs2108622), and 5 nongenetic factors, that is, age, gender, smoking, alcoholism, and diet, were selected to find their association with warfarin response. The univariate analysis was carried out for 15 variables (10 genetic and 5 nongenetic). Five variables, that is, VKORC1-1639 G>A, CYP2C9*2, CYP2C9*3, age, and diet, were found to be significantly associated with warfarin response in univariate analysis. These 5 variables were entered in stepwise and multiple regression analysis to generate a prediction model for stable warfarin maintenance dose. The generated model scored R(2) of .67, which indicates that this model can explain 67% of warfarin dose variability. The generated model will help in prescribing more accurate warfarin maintenance dosing in Indian patients and will also help in minimizing warfarin-induced adverse drug reactions and a better quality of life in these patients.

  11. 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

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

    Science.gov (United States)

    D'Ambruoso, Lucia

    2012-01-01

    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, observable through

  13. [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.

  14. 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.

  15. 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.

  16. Journal club for faculty or residents: a model for lifelong learning and maintenance of certification.

    Science.gov (United States)

    Pato, Michele T; Cobb, Robert T; Lusskin, Shari I; Schardt, Connie

    2013-06-01

    The journal club offers a model for lifelong learning and maintenance of certification (MOC) for residents and faculty staff. First, it sharpens participants' critical appraisal skills by providing a space to discuss relevant medical literature. Second, it motivates participants to seek new medical literature on their own using technology. Our model sets forth a four-year journal club curriculum that could be used as one continuous curriculum or in bits and pieces. In the first year, the focus is teaching residents how to read an article. The second year focuses on what is of interests to the reader. The third year applies the resident's appraisal skills to assigned articles to test whether they can determine which have reliable and valid findings and which are flawed. In the fourth year residents are asked to distinguish whether articles are well researched and referenced. Our model also motivates participants to read articles in faculty journal clubs throughout their career. In most academic settings category 1 continuing medical education (CME) credits can be awarded so journal club can have the added benefit of satisfying maintenance of certification CME credits. From journal club both residents and faculty can learn what is new and learn to apply this new information in their practice. Finally, because technology creates an overabundance of relevant medical literature, participants using our model can develop strong critical appraisal skills and methods for organizing the information they find that make this information readily available for future use and retrieval.

  17. Commune Health Workers' Methadone Maintenance Treatment (MMT) Knowledge and Perceived Difficulties Providing Decentralized MMT Services in Vietnam.

    Science.gov (United States)

    Lin, Chunqing; Tuan, Nguyen Anh; Li, Li

    2017-07-13

    With the initial establishment of countrywide methadone maintenance therapy (MMT) system, Vietnam is in the process of expanding and decentralizing the MMT program to community-based healthcare settings. The study aimed to measure the MMT-related knowledge and perceived difficulties in treating patient who use drugs (PWUD) among community-based healthcare providers, e.g., commune health workers (CHW), and examine its correlated factors. A total of 300 CHW from 60 communes in two provinces of Vietnam completed a survey using Audio Computer-Assisted Self-Interview (ACASI) method. Twelve true-or-false questions were used to assess the CHW's MMT-related knowledge. The CHW's background characteristics and perceived difficulties treating PWUD were recorded. The mean MMT knowledge score was 8.2 (SD = 1.2; range: 5-11). Misconceptions toward the benefits, procedure, and side effects of MMT were prevalent. The participants perceived varying degrees of difficulties in recruiting, engaging, and communicating with PWUD. With all covariates holding constant, younger age (standardized ẞ = -0.166; p = 0.0078) was associated with less MMT-related knowledge. Number of PWUD seen in a month and MMT-related knowledge was associated with less perceived difficulties treating PWUD. Conclusions/importance: The finding shed lights on the CHW's knowledge gap, which need to be addressed to facilitate the decentralization of MMT services in Vietnam. In preparation for a decentralized MMT service delivery model, specially designed training is warranted to equip CHW with knowledge and confidence to provide MMT-related services to PWUD.

  18. 幼儿教师心理健康维护%The Psychological Health Maintenance of Kindergarten Teachers

    Institute of Scientific and Technical Information of China (English)

    罗海萍

    2014-01-01

    Mental illness is universal. Occupation burnout is major performance of teachers’ psychological disease,the mental health status of preschool teachers isn’t optimistic. It analyzes the main factors influencing the mental health of the preschool teachers, and puts forward the maintenance strategy of preschool teachers’ psychological health.%心理疾病具有普遍性。职业倦怠是教师心理疾病的主要表现,幼儿教师的心理健康状况不容乐观。分析了影响幼儿教师心理健康的主要因素,并提出了幼儿教师心理健康的维护策略。

  19. A software cost model with maintenance and risk costs for safety-critical systems

    Institute of Scientific and Technical Information of China (English)

    LIU Hong-wei; YANG Xiao-zong; QU Feng; DONG Jian

    2006-01-01

    According to the consequences of software failures, software faults remaining in safety-critical systems can be classified into two sets: common faults and fatal faults. Common faults cause slight loss when they are activated. A fatal fault can lead to significant loss, and even damage the safety-critical system entirely when it is activated. A software reliability growth model for safety-critical systems is developed based on G-O model. And a software cost model is proposed too. The cost model considers maintenance and risk costs due to software failures. The optimal release policies are discussed to minimize the total software cost. A numerical example is provided to illustrate how to use the results we obtained.

  20. Effect of precipitation inhibitors on indomethacin supersaturation maintenance: mechanisms and modeling.

    Science.gov (United States)

    Patel, Dhaval D; Anderson, Bradley D

    2014-05-05

    This study quantitatively explores the mechanisms underpinning the effects of model pharmaceutical polymeric precipitation inhibitors (PPIs) on the crystal growth and, in turn, maintenance of supersaturation of indomethacin, a model poorly water-soluble drug. A recently developed second-derivative UV spectroscopy method and a first-order empirical crystal growth model were used to determine indomethacin crystal growth rates in the presence of model PPIs. All three model PPIs including HP-β-CD, PVP, and HPMC inhibited indomethacin crystal growth at both high and low degrees of supersaturation (S). The bulk viscosity changes in the presence of model PPIs could not explain their crystal growth inhibitory effects. At 0.05% w/w, PVP (133-fold) and HPMC (28-fold) were better crystal growth inhibitors than HP-β-CD at high S. The inhibitory effect of HP-β-CD on the bulk diffusion-controlled indomethacin crystal growth at high S was successfully modeled using reactive diffusion layer theory, which assumes reversible complexation in the diffusion layer. Although HP-β-CD only modestly inhibited indomethacin crystal growth at either high S (∼15%) or low S (∼2-fold), the crystal growth inhibitory effects of PVP and HPMC were more dramatic, particularly at high S (0.05% w/w). The superior crystal growth inhibitory effects of PVP and HPMC as compared with HP-β-CD at high S were attributed to a change in the indomethacin crystal growth rate-limiting step from bulk diffusion to surface integration. Indomethacin crystal growth inhibitory effects of all three model PPIs at low S were attributed to retardation of the rate of surface integration of indomethacin, a phenomenon that may reflect the adsorption of PPIs onto the growing crystal surface. The quantitative approaches outlined in this study should be useful in future studies to develop tools to predict supersaturation maintenance effects of PPIs.

  1. Modeling framework based on SysML and AltaRica data flow languages for developing models to support complex maintenance program quantification

    OpenAIRE

    Ruin, Thomas; Levrat, Eric; Iung, Benoît

    2012-01-01

    International audience; With the financial crisis attacking every industry and the new sustainability requirements such as the extension of a system operation time subject to ageing life (i.e. nuclear power plant), the importance of maintenance being effective and efficient is one of the top priorities for any industrial company. This challenge cannot be achieved only through conventional maintenance optimization models focusing mainly on few components but through maintenance programs based ...

  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. Multi criteria Decision model (MCDM for the evaluation of maintenance practices and Implementation of Total Productive Maintenance(TPM in Indian Industries

    Directory of Open Access Journals (Sweden)

    Subhash Chandra

    2015-09-01

    Full Text Available The perceptible impact of Total Productive Maintenance (TPM lies in raising productivity standards, gaining profitability, and improving the quality besides cutting down the non value added costs greatly. This paper is an attempt to provide a frame work and pragmatic approach in implementation of TPM. A number of novel success factors or practices that are responsible for the decisive role to overture the process are identified. These practices are interchangeably called as sub-attributes. These practices must have evolved from different strategies. The sub-attributes are quantified using least square multi attribute decision model (LSMADM for three alternatives strategies viz. corrective maintenance, reliability centered maintenance(RCM, and TPM. Any sub-attribute irrespective of its own high or low relative score among the number of sub attributes is evaluated over three alternative strategies. To implement any sub-attribute, an investigation of its highest relative score for given alternatives will guide the managers to opt the best alternative. The best practices must come from different strategies to get most optimal results. The priorities established using LSMADM will act as base line to implement the industrial activities in a more systematic and balanced way to gain far-reaching optimized productivity and quality standards. The higher priority task will be given higher consideration in terms of committing the resources vis a vis less priority task. This will aid in orienting the collective efforts for optimal outcomes.

  4. 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.

  5. 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

  6. Markov Models in health care

    Directory of Open Access Journals (Sweden)

    Renato Cesar Sato

    2010-09-01

    Full Text Available Markov Chains provide support for problems involving decision on uncertainties through a continuous period of time. The greater availability and access to processing power through computers allow that these models can be used more often to represent clinical structures. Markov models consider the patients in a discrete state of health, and the events represent the transition from one state to another. The possibility of modeling repetitive events and time dependence of probabilities and utilities associated permits a more accurate representation of the evaluated clinical structure. These templates can be used for economic evaluation in health care taking into account the evaluation of costs and clinical outcomes, especially for evaluation of chronic diseases. This article provides a review of the use of modeling within the clinical context and the advantages of the possibility of including time for this type of study.

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

    CERN Document Server

    Dokken, Doug; Shvartsman, Misha; Běl\\'\\ik, Pavel; Potvin, Corey; Dahl, Brittany; McGover, Amy

    2014-01-01

    We describe tornado genesis and maintenance using the 3-dimensional vortex gas model presented in Chorin (1994). High-energy vortices with 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 inherited as they form or tilt into the vertical. We also exploit the notion of self-similarity to justify power laws derived from observations of weak and strong tornadoes presented in Cai (2005), Wurman and Gill (2000), and Wurman and Alexander (2005). Analysis of a Bryan Cloud Model (CM1) simulation of a tornadic supercell reveals scaling consistent with the observational studies.

  8. Models for Repair and Maintenance Costs of Rice Mills in Southeastern States of Nigeria

    Directory of Open Access Journals (Sweden)

    2016-11-01

    Full Text Available This paper reports on various factors that contribute to the ownership costs of rice mills in Southeastern Nigeria. The machinery costs were monitored for ten years under two management systems of Private sector and Farmers\\' Cooperative ownerships systems. The management systems used in the study are Farmers Co-operative System (FCMS and the Private Ownership Management Systems (POMS. In each of the management systems, the costs of two commonly available rice mills were investigated and compared. The results indicate that the average unit cost per hour for operating the rice mills were N37.20 and N33.75 for POMS and FCMS respectively. The FCMS recorded more hours of usage of 576 hours while POMS recorded 521 hours per annum. Analysis of the data obtained indicates that the average correlation coefficient of determination of the Rice Mills were 0.99 (99% with the regression coefficient of 16 and 0.228 for parameters A and B respectively. A mathematical model for the total accumulated use in hours (TAUH and total accumulated repair and maintenance costs (TARMC were developed and expressed as TARM = 16TAUHO.228. The model will serve as a guide to rice mill owners for anticipated repairs and maintenance costs versus total hours of usage as well as for replacement decisions and general farm budgeting.

  9. A Reynolds-averaged turbulence modeling approach to the maintenance of the Venus superrotation

    CERN Document Server

    Yoshizawa, Akira; Sugimoto, Norihiko; Yokoi, Nobumitsu; Shimomura, Yutaka

    2013-01-01

    A maintenance mechanism of an approximately linear velocity profile of the Venus zonal flow or superrotation is explored, with the aid of a Reynolds-averaged turbulence modeling approach. The basic framework is similar to that of Gierasch (1975) in the sense that the mechanism is examined under a given meridional circulation. The profile mimicking the observations of the flow is initially assumed, and its maintenance mechanism in the presence of turbulence effects is investigated from a viewpoint of the suppression of energy cascade. In the present work, the turbulent viscosity is regarded as an indicator of the intensity of the cascade. A novelty of this formalism is the use of the isotropic turbulent viscosity based on a nonlocal time scale linked to a large-scale flow structure. The mechanism is first discussed qualitatively. On the basis of these discussions, the two-dimensional numerical simulation of the proposed model is performed, with an initially assumed superrotation, and the fast zonal flow is sho...

  10. 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.

  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...

  12. Effects of a Mandatory Health Screening and Physical Maintenance Program for Law Enforcement Officers.

    Science.gov (United States)

    Superko, H. Robert; And Others

    1988-01-01

    California Highway Patrol members (N=4,480) showed improvements in several health and fitness parameters after an 18-month program of health assessment, performance testing, and remedial training was established. (JD)

  13. Reactivity evaluation of PICC comprehensive maintenance model and ward maintenance model for malignant tumor patients%恶性肿瘤患者PICC综合维护模式与病区维护模式的反应性评价比较

    Institute of Scientific and Technical Information of China (English)

    林玉珍; 黄静; 梁素芳; 罗小燕; 谭美仲; 廖瑞梅; 谭凤秀; 司徒雪华

    2016-01-01

    目的:通过对 PICC 综合维护模式和病区维护模式反应性的评价,比较两者之间反应性的差距,以选择具有优势的维护模式,提高 PICC 维护管理模式的服务水平。方法随机抽取 PICC 带管患者450例,340例患者接受综合维护模式,即 PICC 门诊为主结合网点进行维护;110例患者接受病区维护模式,即回病区进行维护,均统一发放 WHO 制定的卫生系统反应性调查表,并对有效问卷结果进行统计分析和比较。结果收集有效问卷429例,其中接受综合维护模式患者326例,病区维护模式103例。综合维护模式在保密、交流、自主权、及时性、基础设施及选择性维度的反应性评价明显高于病区维护模式,差异有统计学意义(P <0.05);尊严和社会支持维度的反应性评价差异无统计学意义(P >0.05)。结论综合维护模式的卫生系统反应性水平的评价较高,能让患者享受及时、便捷的 PICC 维护服务,有效地满足患者的期望和需求。%Objective The reactivity of the PICC comprehensive maintenance model and the ward maintenance model was evaluated.The differences between these two models were compared so that the better maintenance model could be chosen for improving the service of the PICC comprehensive maintenance model. Methods Four hundred and fifty patients with the PICC catheter were chosen randomly.Three hundred and forty patients received the PICC comprehensive maintenance model (mainly in the out-patient department and combined with the network maintenance ).One hundred and ten patients received the ward maintenance model (mainly in the in-patient ward).The WHO reactivity questionnaires of health system were provided.The results of the valid questionnaires were calculated and analyzed.Results Four hundred and twenty-nine questionnaires (326 for the comprehensive maintenance model and 1 03 for the ward maintenance model

  14. Dynamic Action of Carotenoids in Cardioprotection and Maintenance of Cardiac Health

    Directory of Open Access Journals (Sweden)

    Dipak K. Das

    2012-04-01

    Full Text Available Oxidative stress has been considered universally and undeniably implicated in the pathogenesis of all major diseases, including those of the cardiovascular system. Oxidative stress activate transcriptional messengers, such as nuclear factor—κB, tangibly contributing to endothelial dysfunction, the initiation and progression of atherosclerosis, irreversible damage after ischemic reperfusion, and even arrhythmia, such as atrial fibrillation. Evidence is rapidly accumulating to support the role of reactive oxygen species (ROS and reactive nitrogen species (RNS as intracellular signaling molecules. Despite this connection between oxidative stress and cardiovascular disease (CVD, there are currently no recognized therapeutic interventions to address this important unmet need. Antioxidants that provide a broad, “upstream” approach via ROS/RNS quenching or free radical chain breaking seem an appropriate therapeutic option based on epidemiologic, dietary, and in vivo animal model data. Short-term dietary intervention trials suggest that diets rich in fruit and vegetable intake lead to improvements in coronary risk factors and reduce cardiovascular mortality. Carotenoids are such abundant, plant-derived, fat-soluble pigments that functions as antioxidants. They are stored in the liver or adipose tissue, and are lipid soluble by becoming incorporated into plasma lipoprotein particles during transport. For these reasons, carotenoids may represent one plausible mechanism by which fruits and vegetables reduce the risk of chronic diseases as cardiovascular disease (CVD. This review paper outlines the role of carotenoids in maintaining cardiac health and cardioprotection mediated by several mechanisms including redox signaling.

  15. [Structural equation model in the study of risk factors in the maintenance of binge eating].

    Science.gov (United States)

    Bastianelli, A; Vicentini, M; Spoto, A; Vidotto, G

    2007-01-01

    This study investigated, in a sample of 483 adolescent girls, a number of risk factors associated with Binge Eating (BE) disorder, i.e. negative feelings, dieting behaviour, social influence and body dissatisfaction. Participants completed the following questionnaires: Bulimia Test, Depression Questionnaire, Dieting Self-Efficacy Measure, Dieting Success, Dieting Status Measure, Dutch Eating Behavior Questionnaire, Eating Disorder Inventory, Positive and Negative Affect Scale Revised, Rosenberg Self-Esteem Scale and Socio-cultural Attitudes Towards Appearance Questionnaire. Structural equation modeling was used in the data analysis to verify the hypothesized relations among the variables, with the aim of identifying the main predictors of BE. This methodology explains the correlation between the considered variables, and determines, using quantitative good fit indexes, both the strength of the correlations and the plausibility of the causal links between the hypothesized factors. Our findings confirm that negative feelings (Negative Affect) are the primary predictor for the maintenance of BE and highlight the significant role played by Social Influence. While Dieting Behaviour is not a primary predictor for the maintenance of BE it appears to influence it through its link with Negative Affect.

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

    Directory of Open Access Journals (Sweden)

    Deli Nirmala

    2015-10-01

    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.

  17. 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.

  18. Selective Maintenance Model Considering Cannibalization and Multiple Maintenance Actions%考虑拼修与多种维修活动的维修任务选择模型

    Institute of Scientific and Technical Information of China (English)

    吕学志; 于永利; 张柳; 曲长征

    2012-01-01

    选择维修策略与拼件维修策略是2种重要的装备群维修策略.将二者结合,给出了一种考虑拼件维修与多种维修活动的维修任务选择模型,此外在系统定义、任务定义、维修资源等方面都对维修任务选择模型进行了拓展.先给出模型的假设条件,针对考虑拼件维修策略与多种维修活动的维修任务选择问题,建立一种非线性的0-1规划模型,得出基于智能算法的分解算法框架,并通过具体实例证明了模型的有效性.该模型适用于管理人员在考虑拼件维修策略与多种维修活动情况下做出合理的维修任务选择决策.%Selective maintenance strategy and cannibalization maintenance strategy are two very important equipment maintenance strategies. The paper develops a selective maintenance model considering cannibalization and multiple maintenance actions, moreover it extends the selective maintenance model at system definition, mission definition and maintenance resource. Firstly, it expounds on the model assumption. Then, it establishes a non-linear, 0-1 programming model to resolve the selective maintenance problem considering cannibalization and multiple maintenance actions. Next, the paper presents a algorithm framework based on metaheuristics. Finally, it provides an example to verify the validity and feasibility of the model. The model suits manager to make reasonable decision considering cannibalization and multiple maintenance actions.

  19. [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.

  20. 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.

  1. Population pharmacokinetic-pharmacodynamic modeling and dosing simulation of propofol maintenance anesthesia in severely obese adolescents.

    Science.gov (United States)

    Chidambaran, Vidya; Venkatasubramanian, Raja; Sadhasivam, Senthilkumar; Esslinger, Hope; Cox, Shareen; Diepstraten, Jeroen; Fukuda, Tsuyoshi; Inge, Thomas; Knibbe, Catherijne A J; Vinks, Alexander A

    2015-09-01

    Optimal dosing of propofol to maintain appropriate anesthetic depth is challenging in severely obese (SO) adolescents. We previously reported that total body weight (TBW) is predictive of propofol clearance. This study was aimed at characterizing pharmacokinetics (PK) and pharmacodynamics (PD) of propofol in SO adolescents, using bispectral index (BIS), and toward developing PK/PD model-based dosing guidelines. A prospective PK/PD study was conducted in 26 SO children and adolescents aged 9-18 years (body mass index 31-69 kg·m(-2)), undergoing surgery with intravenous propofol anesthesia clinically titrated by providers blinded to BIS. BIS data and propofol infusion schemes were recorded. Venous blood samples collected during and after propofol infusion were assayed for propofol concentrations. A propofol PK/PD model was developed using NONMEM and model-based simulations were performed to determine propofol dosing regimens targeting BIS of 50 ± 10. A three-compartment PK model linked to a sigmoidal inhibitory Emax PD model by a first-order rate constant, adequately described the propofol concentration (n = 375) and BIS (n = 3334) data. TBW was the most predictive covariate for propofol clearance [CL (l·min(-1) ) = 1.65 × (TBW/70)(0.75)]. An effect-site propofol concentration of 3.19 μg·ml(-1) was estimated for half-maximal effect, with no identifiable predictive covariates. The proposed maintenance dosing regimen targeted to a BIS of 50 ± 10, based on our PK/PD model, was able to predict desired propofol concentrations and BIS in a representative obese teen when used in conjunction with accepted PK/PD models for children/obese adults (PK:Eleveld/PD: Cortinez), further supporting evidence for the dosing based on TBW. This is the first study to describe the PK/PD of propofol in SO adolescents. The proposed maintenance dosing regimen for propofol uses TBW in an allometric function as a dosing scalar, with an exponent of 0.75. Our results suggest no relevant

  2. Modelling filovirus maintenance in nature by experimental transmission of Marburg virus between Egyptian rousette bats

    Science.gov (United States)

    Schuh, Amy J.; Amman, Brian R.; Jones, Megan E. B.; Sealy, Tara K.; Uebelhoer, Luke S.; Spengler, Jessica R.; Martin, Brock E.; Coleman-McCray, Jo Ann D.; Nichol, Stuart T.; Towner, Jonathan S.

    2017-01-01

    The Egyptian rousette bat (ERB) is a natural reservoir host for Marburg virus (MARV); however, the mechanisms by which MARV is transmitted bat-to-bat and to other animals are unclear. Here we co-house MARV-inoculated donor ERBs with naive contact ERBs. MARV shedding is detected in oral, rectal and urine specimens from inoculated bats from 5–19 days post infection. Simultaneously, MARV is detected in oral specimens from contact bats, indicating oral exposure to the virus. In the late study phase, we provide evidence that MARV can be horizontally transmitted from inoculated to contact ERBs by finding MARV RNA in blood and oral specimens from contact bats, followed by MARV IgG antibodies in these same bats. This study demonstrates that MARV can be horizontally transmitted from inoculated to contact ERBs, thereby providing a model for filovirus maintenance in its natural reservoir host and a potential mechanism for virus spillover to other animals. PMID:28194016

  3. System Dynamics Modelling of the Processes Involving the Maintenance of the Naive T Cell Repertoire

    CERN Document Server

    Figueredo, Grazziela P; Whitbrook, Amanda

    2010-01-01

    The study of immune system aging, i.e. immunosenescence, is a relatively new research topic. It deals with understanding the processes of immunodegradation that indicate signs of functionality loss possibly leading to death. Even though it is not possible to prevent immunosenescence, there is great benefit in comprehending its causes, which may help to reverse some of the damage done and thus improve life expectancy. One of the main factors influencing the process of immunosenescence is the number and phenotypical variety of naive T cells in an individual. This work presents a review of immunosenescence, proposes system dynamics modelling of the processes involving the maintenance of the naive T cell repertoire and presents some preliminary results.

  4. Autonomus I&C Maintenance and Health Monitoring System for Fission Surface Power Project

    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...

  5. Autonomus I&C Maintenance and Health Monitoring System for Fission Surface Power Project

    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...

  6. 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.

  7. 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.

  8. Maslach Burnout Inventory: factor structures for pharmacists in health maintenance organizations and comparison with normative data for USA pharmacists.

    Science.gov (United States)

    Gupchup, G V; Lively, B T; Holiday-Goodman, M; Siganga, W W; Black, C D

    1994-06-01

    This study compared the factor structure and burnout scores obtained on the Maslach Burnout Inventory from 84 pharmacists in Health Maintenance Organizations (HMO) with the normative data for USA pharmacists. Results provided empirical support for the reliability and validity of the inventory to measure burnout within the profession of pharmacy. Values of Cronbach coefficient alpha for subscales of Emotional Exhaustion, Depersonalization, and Personal Accomplishment were similar to those obtained with the normative sample. Factor analysis was conducted to yield the best three-factor solution. Derived factor loadings matched the three hypothesized subscales. On Personal Accomplishment the mean subscale score for HMO pharmacists was significantly higher than the normative score. Given limitations of the small sample, research is indicated to substantiate use of the inventory among HMO pharmacists.

  9. Economic outcomes of maintenance gefitinib for locally advanced/metastatic non-small-cell lung cancer with unknown EGFR mutations: a semi-Markov model analysis.

    Directory of Open Access Journals (Sweden)

    Xiaohui Zeng

    Full Text Available BACKGROUND: Maintenance gefitinib significantly prolonged progression-free survival (PFS compared with placebo in patients from eastern Asian with locally advanced/metastatic non-small-cell lung cancer (NSCLC after four chemotherapeutic cycles (21 days per cycle of first-line platinum-based combination chemotherapy without disease progression. The objective of the current study was to evaluate the cost-effectiveness of maintenance gefitinib therapy after four chemotherapeutic cycle's stand first-line platinum-based chemotherapy for patients with locally advanced or metastatic NSCLC with unknown EGFR mutations, from a Chinese health care system perspective. METHODS AND FINDINGS: A semi-Markov model was designed to evaluate cost-effectiveness of the maintenance gefitinib treatment. Two-parametric Weibull and Log-logistic distribution were fitted to PFS and overall survival curves independently. One-way and probabilistic sensitivity analyses were conducted to assess the stability of the model designed. The model base-case analysis suggested that maintenance gefitinib would increase benefits in a 1, 3, 6 or 10-year time horizon, with incremental $184,829, $19,214, $19,328, and $21,308 per quality-adjusted life-year (QALY gained, respectively. The most sensitive influential variable in the cost-effectiveness analysis was utility of PFS plus rash, followed by utility of PFS plus diarrhoea, utility of progressed disease, price of gefitinib, cost of follow-up treatment in progressed survival state, and utility of PFS on oral therapy. The price of gefitinib is the most significant parameter that could reduce the incremental cost per QALY. Probabilistic sensitivity analysis indicated that the cost-effective probability of maintenance gefitinib was zero under the willingness-to-pay (WTP threshold of $16,349 (3 × per-capita gross domestic product of China. The sensitivity analyses all suggested that the model was robust. CONCLUSIONS: Maintenance gefitinib

  10. Integrated internist - addiction medicine - hepatology model for hepatitis C management for individuals on methadone maintenance.

    Science.gov (United States)

    Martinez, A D; Dimova, R; Marks, K M; Beeder, A B; Zeremski, M; Kreek, M J; Talal, A H

    2012-01-01

    Despite a high prevalence of hepatitis C virus (HCV) among drug users, HCV evaluation and treatment acceptance are extremely low among these patients when referred from drug treatment facilities for HCV management. We sought to increase HCV treatment effectiveness among patients from a methadone maintenance treatment program (MMTP) by maintaining continuity of care. We developed, instituted and retrospectively assessed the effectiveness of an integrated, co-localized care model in which an internist-addiction medicine specialist from MMTP was embedded in the hepatitis clinic. Methadone maintenance treatment program patients were referred, evaluated by the internist and hepatologist in hepatitis clinic and provided HCV treatment with integration between both sites. Of 401 evaluated patients, anti-HCV antibody was detected in 257, 86% of whom were older than 40 years. Hepatitis C virus RNA levels were measured in 222 patients, 65 of whom were aviremic. Of 157 patients with detectable HCV RNA, 125 were eligible for referral to the hepatitis clinic, 76 (61%) of whom accepted and adhered with the referral. Men engaged in MMTP <36 months were significantly less likely to be seen in hepatitis clinic than men in MMTP more than 36 months (odds ratio = 7.7; 95% confidence interval 2.6-22.9) or women. We evaluated liver histology in 63 patients, and 83% had moderate to advanced liver disease. Twenty-four patients initiated treatment with 19 completing and 13 (54%) achieving sustained response. In conclusion, integrated care between the MMTP and the hepatitis clinic improves adherence with HCV evaluation and treatment compared to standard referral practices. © 2010 Blackwell Publishing Ltd.

  11. [Hygienic maintenance of public health in the Republic of Belarus in the design of facilities].

    Science.gov (United States)

    Naumenko, T E; Sokolov, C M; Shevchuk, L M; Gritsenko, T D; Pshegroda, A E; Pershin, I G

    2012-01-01

    A number of sanitary norms, rules and hygienic standards governing the sizes of the sanitary protection zone for a safety to human health from the harmful (chemical, biological, physical) effects of objects has been upgraded and improved. The harmonization of ambient air quality standards with international guidelines and obligations of the Republic of Belarus on international conventions has been performed. To assess the risk to public health from the impacts of a planned activity the project of instruction for the use and the algorithm of computer software for the risk assessment have been delivered.

  12. Lin28b is sufficient to drive liver cancer and necessary for its maintenance in murine models.

    Science.gov (United States)

    Nguyen, Liem H; Robinton, Daisy A; Seligson, Marc T; Wu, Linwei; Li, Lin; Rakheja, Dinesh; Comerford, Sarah A; Ramezani, Saleh; Sun, Xiankai; Parikh, Monisha S; Yang, Erin H; Powers, John T; Shinoda, Gen; Shah, Samar P; Hammer, Robert E; Daley, George Q; Zhu, Hao

    2014-08-11

    Lin28a/b are RNA-binding proteins that influence stem cell maintenance, metabolism, and oncogenesis. Poorly differentiated, aggressive cancers often overexpress Lin28, but its role in tumor initiation or maintenance has not been definitively addressed. We report that LIN28B overexpression is sufficient to initiate hepatoblastoma and hepatocellular carcinoma in murine models. We also detected Lin28b overexpression in MYC-driven hepatoblastomas, and liver-specific deletion of Lin28a/b reduced tumor burden, extended latency, and prolonged survival. Both intravenous siRNA against Lin28b and conditional Lin28b deletion reduced tumor burden and prolonged survival. Igf2bp proteins are upregulated, and Igf2bp3 is required in the context of LIN28B overexpression to promote growth. Therefore, multiple murine models demonstrate that Lin28b is both sufficient to initiate liver cancer and necessary for its maintenance. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. 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)

  14. Application of multiregressive linear models, dynamic kriging models and neural network models to predictive maintenance of hydroelectric power systems

    Energy Technology Data Exchange (ETDEWEB)

    Lucifredi, A.; Rossi, M. [University of Genova (Italy). DIMEC; Mazzieri, C. [ANSALDO RICERCHE, Genova (Italy)

    2000-07-01

    Since the operational conditions of a hydroelectric unit can vary within a wide range, the monitoring system must be able to distinguish between the variations of the monitored variable caused by variations of the operation conditions and those due to arising and progressing of failures and misoperations. The paper aims to identify the best technique to be adopted for the monitoring system. Three different methods have been implemented and compared. Two of them use statistical techniques: the first, the linear multiple regression, expresses the monitored variable as a linear function of the process parameters (independent variables), while the second, the dynamic kriging technique, is a modified technique of multiple linear regression representing the monitored variable as a linear combination of the process variables in such a way as to minimize the variance of the estimate error. The third is based on neural networks. Tests have shown that the monitoring system based on the kriging technique is not affected by some problems common to the other two models e.g. the requirement of a large amount of data for their tuning, both for training the neural network and defining the optimum plane for the multiple regression, not only in the system starting phase but also after a trivial operation of maintenance involving the substitution of machinery components having a direct impact on the observed variable. Or, in addition, the necessity of different models to describe in a satisfactory way the different ranges of operation of the plant. The monitoring system based on the kriging statistical technique overrides the previous difficulties: it does not require a large amount of data to be tuned and is immediately operational: given two points, the third can be immediately estimated; in addition the model follows the system without adapting itself to it. The results of the experimentation performed seem to indicate that a model based on a neural network or on a linear multiple

  15. Optimization Maintenance of Wind Turbines Based on Opportunistic Maintenance Model%基于机会维修模型的风电机组优化维修

    Institute of Scientific and Technical Information of China (English)

    赵洪山; 鄢盛腾; 刘景青

    2012-01-01

    Given that the maintenance cost of a wind turbine accounts for a high proportion of the whole cost, the study on the effective maintenance strategy is of great significance. As the wind turbine is a multi-component complex system, this paper uses the opportunistic maintenance strategy to optimize the preventive maintenance age and opportunistic maintenance age for the main components of the wind turbine. This strategy organically integrates the maintenance work of the key components to share the high basic maintenance costs. The simulation analysis of this strategy suggests that the opportunistic maintenance strategy costs less than the traditional maintenance strategy, verifying the scientific value of the opportunistic maintenance.%风机维修费用占其总成本比例很高,因此,研究有效的维修策略意义重大.风电机组是一个多部件复杂系统,提出采用机会维修策略优化风机关键部件的预防维修役龄和机会维修役龄,将风机关键部件的维修有机结合起来,实现分摊高额的固定维修成本.通过仿真分析,机会维修策略比传统的维修策略节省成本,从而验证了机会维修的科学性.

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

    Science.gov (United States)

    2015-09-17

    inspections reveal faults that require correction or if there is an in flight emergency (IFE). Following the identification of faults, the aircraft...An overview of structural health monitoring for steel bridges. Practice Periodical on Structural Design and Construction. Nelms, D. (2008, August 1

  17. 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.

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

    Science.gov (United States)

    Ncho, Claudette D; Wright, Susan C D

    2013-01-01

    The socio-economic status of people has a profound influence on health, as higher rates of morbidity and mortality are reported for individuals with lower socio-economic status. Due to the increased burden of disease, research exploring how families maintain their health in a low socio-economic situation is an urgent priority. The objective of the study was to gain an understanding of the reality families are confronted with in terms of their health due to their socio-economic status. The study was contextual, qualitative and exploratory using purposive sampling methods. The sample size was governed by data saturation and realised as 17 families (n=17). The participants for the study were families residing in Soshanguve Extension 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 open coding. Five themes based on the theoretical basis of the study, including age, sex and genetic constitution, individual lifestyle factors, social and community networks, living and working conditions and general socio-economic status were used. Maintaining the health of people living in a physically and psychosocially disadvantaged position requires a different approach from registered professional nurses. No community-specific intervention can be planned and implemented to reduce the burden of communicable and non-communicable disease in the community without evidence based on a family perspective.

  19. 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.

  20. 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...

  1. 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

    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...

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

    DEFF Research Database (Denmark)

    Florian, Mihai; Sørensen, John Dalsgaard

    2015-01-01

    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...

  3. Numerical modelling to assess maintenance strategy management options for a small tidal inlet

    Science.gov (United States)

    Shaeri, Saeed; Tomlinson, Rodger; Etemad-Shahidi, Amir; Strauss, Darrell

    2017-03-01

    Small tidal inlets are found to be more sensitive to anthropogenic alteration than their larger counterparts. Such alterations, although typically supported by technical design reports, sometimes require amendments or modification. One of the most suitable tools to conduct the necessary studies in this regard is numerical modelling, since the behaviour of the inlet system in response to proposed remedial actions, can easily be identified. In this paper, various alternative proposals are investigated to determine the most practical and viable option to mitigate the need for ongoing maintenance at a typical small, jettied tidal inlet. The main tool to investigate the alternatives is the hydro-sedimentological modelling of the inlet system, which was performed using the Delft3D software package. The proposed alternative entrance modifications were based upon structural alterations of the inlet system (such as a jetty extension or submerged weir) and non-structural scenarios (such as a change of the time of the dredging campaign or the deposition location of the dredged material). It was concluded that whilst a detailed study is inevitable in order to achieve a comprehensive design plan, based upon the results of this study the construction of a submerged weir at the entrance channel can satisfy the needs of most of the stakeholders, with justifiable costs over a longer period.

  4. Multiple Servers - Queue Model for Agent Based Technology in Cache Consistence Maintenance of Mobile Environment

    Directory of Open Access Journals (Sweden)

    G.Shanmugarathinam

    2013-01-01

    Full Text Available Caching is one of the important techniques in mobile computing. In caching, frequently accessed data is stored in mobile clients to avoid network traffic and improve the performance in mobile computing. In a mobile computing environment, the number of mobile users increases and requests the server for any updation, but most of the time the server is busy and the client has to wait for a long time. The cache consistency maintenance is difficult for both client and the server. This paper is proposes a technique using a queuing system consisting of one or more servers that provide services of some sort to arrive mobile hosts using agent based technology. This services mechanism of a queuing system is specified by the number of servers each server having its own queue, Agent based technology will maintain the cache consistency between the client and the server .This model saves wireless bandwidth, reduces network traffic and reduces the workload on the server. The simulation result was analyzed with previous technique and the proposed model shows significantly better performance than the earlier approach.

  5. A test of genetic models for the evolutionary maintenance of same-sex sexual behaviour.

    Science.gov (United States)

    Hoskins, Jessica L; Ritchie, Michael G; Bailey, Nathan W

    2015-06-22

    The evolutionary maintenance of same-sex sexual behaviour (SSB) has received increasing attention because it is perceived to be an evolutionary paradox. The genetic basis of SSB is almost wholly unknown in non-human animals, though this is key to understanding its persistence. Recent theoretical work has yielded broadly applicable predictions centred on two genetic models for SSB: overdominance and sexual antagonism. Using Drosophila melanogaster, we assayed natural genetic variation for male SSB and empirically tested predictions about the mode of inheritance and fitness consequences of alleles influencing its expression. We screened 50 inbred lines derived from a wild population for male-male courtship and copulation behaviour, and examined crosses between the lines for evidence of overdominance and antagonistic fecundity selection. Consistent variation among lines revealed heritable genetic variation for SSB, but the nature of the genetic variation was complex. Phenotypic and fitness variation was consistent with expectations under overdominance, although predictions of the sexual antagonism model were also supported. We found an unexpected and strong paternal effect on the expression of SSB, suggesting possible Y-linkage of the trait. Our results inform evolutionary genetic mechanisms that might maintain low but persistently observed levels of male SSB in D. melanogaster, but highlight a need for broader taxonomic representation in studies of its evolutionary causes. © 2015 The Author(s) Published by the Royal Society. All rights reserved.

  6. 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.

  7. Application of Health Promotion Theories and Models for Environmental Health

    Science.gov (United States)

    Parker, Edith A.; Baldwin, Grant T.; Israel, Barbara; Salinas, Maria A.

    2004-01-01

    The field of environmental health promotion gained new prominence in recent years as awareness of physical environmental stressors and exposures increased in communities across the country and the world. Although many theories and conceptual models are used routinely to guide health promotion and health education interventions, they are rarely…

  8. A proposed health model: a step before model confirmation.

    Science.gov (United States)

    Gauff, J F

    1992-01-01

    Health marketers have devoted extensive conceptual and empirical effort toward explaining and predicting individuals' health-related decisions. This paper proposes a health behavior model by combining the health belief model and the theory of planned behavior model. Recent modifications of the Fishbein and Ajzen (1975) model are discussed and an extension is introduced to better explain goal pursuit. These revisions (Bagozzi and Warshaw 1990) are incorporated in the proposed model.

  9. Effect of the Army Oral Health Maintenance Program on the Dental Health Status of Army Personnel (AOHMP Evaluation) Executive Summary

    Science.gov (United States)

    1979-06-01

    16 3. Percent Distribution of Dental Clasification at Time of Examination and Pour Months after ExZmination by Officer Rank...decay, %lising and filled (P/DW) and the decayed to decayed, miseing, &d filled (D/WW) dental caries Indices will be used as criteria for oral health

  10. A Simulation Model for Machine Efficiency Improvement Using Reliability Centered Maintenance: Case Study of Semiconductor Factory

    Directory of Open Access Journals (Sweden)

    Srisawat Supsomboon

    2014-01-01

    Full Text Available The purpose of this study was to increase the quality of product by focusing on the machine efficiency improvement. The principle of the reliability centered maintenance (RCM was applied to increase the machine reliability. The objective was to create preventive maintenance plan under reliability centered maintenance method and to reduce defects. The study target was set to reduce the Lead PPM for a test machine by simulating the proposed preventive maintenance plan. The simulation optimization approach based on evolutionary algorithms was employed for the preventive maintenance technique selection process to select the PM interval that gave the best total cost and Lead PPM values. The research methodology includes procedures such as following the priority of critical components in test machine, analyzing the damage and risk level by using Failure Mode and Effects Analysis (FMEA, calculating the suitable replacement period through reliability estimation, and optimizing the preventive maintenance plan. From the result of the study it is shown that the Lead PPM of test machine can be reduced. The cost of preventive maintenance, cost of good product, and cost of lost product were decreased.

  11. Self-care/health maintenance and contraceptive use, information needs, and knowledge of a selected group of university women.

    Science.gov (United States)

    Hawkins, J W; Fahey, M; Kurien, M; Roberto, D; Simon, R

    1981-01-01

    The self care/health maintenance/contraceptive information needs and knowledge of women utilizing the women's health clinic at a large New England university were investigated. The investigation was designed to elicit information about the level of knowledge, expressed learning needs, contraceptive use, satisfaction, and self health care needs of the clients. A questionnaire was devised to elicit data about self health care information needs and contraceptive use, information, and needs of the population of women who seek health care or attend educational sessions offered by women's health clinics. The information (knowledge) portion of the questionnaire was readministered after the educational sessions as a posttest at the time women came for their clinic appointments. Women utilizing the services of the women's clinic were, for the most part, resident students. More women making a 1st visit to the clinic were 20 years old or younger; women returning for care were more likely to be 20 or older. Use of a contraceptive method at the time of completing a questionnaire was indicated by 82.6% of respondents. Of the new clients using contraception, most were using oral contraceptives (OCs), condoms, or withdrawal. Of the returning clients, 93% were using OCs, diaphragm, condoms, or cream/jelly. The majority of new clients expressed dissatisfaction with their present method; the majority of returning clients were satisfied. The outstanding reasons for both groups were fear of pregnancy and inconvenience. Repeat clients also indicated worry about side effects. Nearly 62% of the respondents reported that they had used another method. Most common reasons for a change to present method included fear of pregnancy, fear of dangers, and side effects. Of the clients who indicated they had a problem with a method, side effects, pregnancy, and pain or discomfort were prevalent. Although women who had become pregnant in the past were, for the most part, using a contraceptive method

  12. Assessment of a maintenance model for a multi-deteriorating mode system

    Energy Technology Data Exchange (ETDEWEB)

    Ponchet, Amelie, E-mail: amelie.ponchet@utt.f [Institut Charles Delaunay, Universite de technologie de Troyes, UMR CNRS 6279 STMR, 12 rue Marie Curie, 10010 Troyes (France); Fouladirad, Mitra [Institut Charles Delaunay, Universite de technologie de Troyes, UMR CNRS 6279 STMR, 12 rue Marie Curie, 10010 Troyes (France); Grall, Antoine, E-mail: antoine.grall@utt.f [Institut Charles Delaunay, Universite de technologie de Troyes, UMR CNRS 6279 STMR, 12 rue Marie Curie, 10010 Troyes (France)

    2010-11-15

    This paper deals with maintenance policies for stochastically deteriorating systems which are subject to sudden changes in their degradation processes. The main aim is to assess the interest of using change mode monitoring information from a maintenance decision making point of view. Two condition-based maintenance policies are considered and compared, each of them adapted to a specific level of available information, with or without change mode monitoring. Numerical examples show that the time distribution of the change of deterioration rate and the difference between the two possible deterioration rates strongly influence the choice of the best decision rule structure.

  13. 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…

  14. 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…

  15. 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.

  16. Comparative dynamics in a health investment model.

    Science.gov (United States)

    Eisenring, C

    1999-10-01

    The method of comparative dynamics fully exploits the inter-temporal structure of optimal control models. I derive comparative dynamic results in a simplified demand for health model. The effect of a change in the depreciation rate on the optimal paths for health capital and investment in health is studied by use of a phase diagram.

  17. Long-term effects of methadone maintenance treatment with different psychosocial intervention models.

    Directory of Open Access Journals (Sweden)

    Lirong Wang

    Full Text Available This study evaluated the long-term effects of different psychosocial intervention models in methadone maintenance treatment (MMT in Xi'an China. Patients from five MMT clinics were divided into three groups receiving MMT only, MMT with counseling psychology (CP or MMT with contingency management (CM. A five-year follow-up was carried out with daily records of medication, monthly random urine morphine tests, and tests for anti-HIV and anti-HCV every six months. Drug use behavior was recorded six months after initial recruitment using a survey. Adjusted RRs and their 95% confidence intervals (CIs were estimated using an unconditional logistic regression model or a Cox proportional hazard model. A total of 2662 patients were recruited with 797 in MMT, 985 in MMT with CP, and 880 in MMT with CM. Following six months of treatment, the injection rates of MMT with CP and MMT with CM groups were significantly lower than that of MMT (5.1% and 6.9% vs. 16.3%, x²  =  47.093 and 29.908, respectively; P<0.05. HIV incidences for MMT, MMT with CP and MMT with CM at the five year follow-up were 20.09, 0.00 and 10.02 per ten thousand person-years, respectively. HCV incidences were 18.35, 4.42 and 6.61 per hundred person-years, respectively, demonstrating that CP and CM were protective factors for HCV incidence (RR  =  0.209 and 0.414, with range of 0.146-0.300 and 0.298-0.574, respectively. MMT supplemented with CP or CM can reduce heroin use and related risk behaviors, thereby reducing the incidence of HIV and HCV.

  18. Cocoa Bioactive Compounds: Significance and Potential for the Maintenance of Skin Health

    Directory of Open Access Journals (Sweden)

    Giovanni Scapagnini

    2014-08-01

    Full Text Available Cocoa has a rich history in human use. Skin is prone to the development of several diseases, and the mechanisms in the pathogenesis of aged skin are still poorly understood. However, a growing body of evidence from clinical and bench research has begun to provide scientific validation for the use of cocoa-derived phytochemicals as an effective approach for skin protection. Although the specific molecular and cellular mechanisms of the beneficial actions of cocoa phytochemicals remain to be elucidated, this review will provide an overview of the current literature emphasizing potential cytoprotective pathways modulated by cocoa and its polyphenolic components. Moreover, we will summarize in vivo studies showing that bioactive compounds of cocoa may have a positive impact on skin health.

  19. 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.

  20. Maintenance of polygenic sex determination in a fluctuating environment: An individual-based model.

    Science.gov (United States)

    Bateman, Andrew W; Anholt, Bradley R

    2017-02-10

    R. A. Fisher predicted that individuals should invest equally in offspring of both sexes, and that the proportion of males and females produced (the primary sex ratio) should evolve towards 1:1 when unconstrained. For many species, sex determination is dependent on sex chromosomes, creating a strong tendency for balanced sex ratios, but in other cases multiple autosomal genes interact to determine sex. In such cases, the maintenance of multiple sex-determining alleles at multiple loci and the consequent between-family variability in sex ratios presents a puzzle, as theory predicts that such systems should be unstable. Theory also predicts that environmental influences on sex can complicate outcomes of genetic sex determination, and that population structure may play a role. Tigriopus californicus, a copepod that lives in splash-pool metapopulations and exhibits polygenic and environment-dependent sex determination, presents a test case for relevant theory. We use this species as a model for parameterizing an individual-based simulation to investigate conditions that could maintain polygenic sex determination. We find that metapopulation structure can delay the degradation of polygenic sex determination and that periods of alternating frequency-dependent selection, imposed by seasonal fluctuations in environmental conditions, can maintain polygenic sex determination indefinitely. This article is protected by copyright. All rights reserved.

  1. Developing a United States Marine Corps Organizational and Intermediate Level Maintenance Performance Cost Model

    Science.gov (United States)

    2009-12-01

    Marine Corps Integrated Maintenance Management System MIPR Military Interdepartmental Purchase Request MLG Marine Corps Logistics Unit MOSIS ...D. (1997). An examination of the Marine Operating and Support Information System ( MOSIS ) as a mechanism for linking resources to readiness for

  2. Thought and Practice Pattern of Health Maintenance in Buddhist Culture%论佛教文化中的养生思想与修行方式

    Institute of Scientific and Technical Information of China (English)

    陈昱; 任秀琪

    2012-01-01

    "养生"一词的起源,大约可追溯至春秋战国时期,在《吕氏春秋.二孟冬纪》有"养生"一词:"知生也者,不以害生,养生之谓也"。一直以来,佛教被一些人认为是一个注重来世、重死不重生的宗教,与养生没什么密切关系,甚至有人将佛教划为专门"事死"的宗教。但在佛教的思想理论、生活方式以及一些修行方式中,都与养生密不可分。%The origin of the word "health maintenance" can be roughly traced back to the Spring and Autumn and Warring States Period, "health maintenance" was found in Lv Shi Chun Qiu Er Meng Dong Ji, saying that "health maintenance" refers to that people should keep healthy by developing a healthy lifestyle instead of doing harm to others. Some regard Buddhism as a religion that focuses much on afterlife, too much on death and less on life, hav- ing nothing to do with "health maintenance" ; others take it as a religion laying much emphasis on death. However, from the perspective of its thought and theory, life style and some practice patterns, Buddhism is inseparable from "health maintenance".

  3. 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...

  4. 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

  5. Importance of a balanced omega 6/omega 3 ratio for the maintenance of health: Nutritional recommendations

    Directory of Open Access Journals (Sweden)

    C. Gómez Candela

    Full Text Available The modification of dietary patterns has led to a change in fatty acid consumption, with an increase in the consumption of ω-6 fatty acids and a markerd reduction in the consumption of ω-3 fatty acids. This in turn has given rise to an imbalance in the ω-6/ω-3 ratio, which is now very different from the original 1:1 ratio of humans in the past. Given the involvement of ω-6 and ω-3 essential fatty acids in disease processes, the present article examines changes in dietary patterns that have led to the present reduction in the consumption of ω-3 essential fatty acids, and to study the importance of the ω-6/ω-3 balance in maintaining good health. In addition, an assese-ment is made of the established recommendations for preventing a poor intake of ω-3 essential fatty acids, and the possible options for compensating the lack of these fatty acids in the diet.

  6. Prevalence and factors associated with resistant hypertension in a large health maintenance organization in Israel.

    Science.gov (United States)

    Weitzman, Dahlia; Chodick, Gabriel; Shalev, Varda; Grossman, Chagai; Grossman, Ehud

    2014-09-01

    Previous assessments of the prevalence of resistant hypertension (RH) in uncontrolled blood pressure (BP) have ranged from 3% to 30%. Using real-world data, our aim was to estimate the prevalence of RH in patients belonging to the Maccabi Healthcare Services, a 2-million-member health organization in Israel. From 2010 to 2011, all hypertensive patients with ≥2 recorded BP measurements during a minimum period of 6 months were identified. Patients were considered uncontrolled if their most recent BP during the study period and their mean systolic BP or diastolic BP during a preceding period of ≥6months were systolic BP ≥140 mm Hg or diastolic BP ≥90 mm Hg, or systolic BP ≥130 mm Hg or diastolic BP ≥80 mm Hg in chronic kidney disease or diabetes mellitus. Uncontrolled patients taking diuretics and ≥2 antihypertensive therapy classes at their maximal recommended dose were regarded as resistant hypertensives. A total of 172 432 patients were eligible for the study. Uncontrolled BP was found in 35.9% (n=65 710). Overall, 2.2% of the uncontrolled patients (n=1487) were resistant hypertensives. Patients with RH were characterized by a significantly (Phypertension receiving equivalent treatment. The results of this large population-based study indicate a substantially lower prevalence of RH than previously reported. Most patients with uncontrolled BP took less than the maximal recommended antihypertensive treatment.

  7. Ascl3 knockout and cell ablation models reveal complexity of salivary gland maintenance and regeneration.

    Science.gov (United States)

    Arany, Szilvia; Catalán, Marcelo A; Roztocil, Elisa; Ovitt, Catherine E

    2011-05-15

    Expression of the transcription factor, Ascl3, marks a population of adult progenitor cells, which can give rise to both acinar and duct cell types in the murine salivary glands. Using a previously reported Ascl3(EGFP-Cre/+) knock-in strain, we demonstrate that Ascl3-expressing cells represent a molecularly distinct, and proliferating population of progenitor cells located in salivary gland ducts. To investigate both the role of the Ascl3 transcription factor, and the role of the cells in which it is expressed, we generated knockout and cell-specific ablation models. Ascl3 knockout mice develop smaller salivary glands than wild type littermates, but secrete saliva normally. They display a lower level of cell proliferation, consistent with their smaller size. In the absence of Ascl3, the cells maintain their progenitor function and continue to generate both acinar and duct cells. To directly test the role of the progenitor cells, themselves, in salivary gland development and regeneration, we used Cre-activated expression of diphtheria toxin (DTA) in the Ascl3-expressing (Ascl3+) cell population, resulting in specific cell ablation of Ascl3+ cells. In the absence of the Ascl3+ progenitor cells, the mice developed morphologically normal, albeit smaller, salivary glands able to secrete saliva. Furthermore, in a ductal ligation model of salivary gland injury, the glands of these mice were able to regenerate acinar cells. Our results indicate that Ascl3+ cells are active proliferating progenitors, but they are not the only precursors for salivary gland development or regeneration. We conclude that maintenance of tissue homeostasis in the salivary gland must involve more than one progenitor cell population.

  8. 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)

  9. [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

  10. Condition based maintenance decision of deteriorating systems and modeling of maintenance actions%退化系统状态维修决策与维修活动建模

    Institute of Scientific and Technical Information of China (English)

    葛小凯; 胡剑波; 张博锋

    2013-01-01

    研究退化系统的状态维修决策问题,考虑经济性、可用性后,给出两个通用维修决策优化模型,用gamma过程对系统退化进行建模,用监测数据估计退化模型参数.在退化过程基础上,基于历史维修信息和状态数据对决策模型中的变量进行确定;对维修活动中主要的影响——维修效果和维修时间进行分析,认为维修效果和维修时间是系统状态和维修次数的随机变量,分别给出了不考虑人为因素和考虑人为因素的维修效果几何分布模型,用插值方法建立维修时间分布函数.最后以某控制系统为例,对比理想状态和考虑维修效果与维修时间下的仿真结果,验证了模型的有效性和实用性.%The condition based maintenance decision modeling of deteriorating systems is focused on. Consi-dering the economic factors and system availability, two general maintenance optimization models are given. The gamma distribution is used to model the system degradation, and monitoring data are used to estimate the parameters. Then based on the deteriorating model, historical maintenance information and monitoring data are used to make certain variables in decision models. For the maintenance effects and maintenance time of the main impacts in maintenance actions, geometric distribution models are given to model maintenance effects with and without human factors respectively, which is considered as the random variable of system condition and mainte-nance numbers, and an interpolation method is used to construct the distribution function of maintenance time. Finally, the decision model is applied to a control system, and the comparison results of the decision model be-tween ideal and random variable situation demonstrate the efficiency and practicability of the proposed models.

  11. Diabetes and disenrollment in a health maintenance organization setting: a 4-year longitudinal study with a matched cohort.

    Science.gov (United States)

    Legorreta, A P; Meng, Y Y; Leung, K M; Lin, Z; Davidson, M B

    1999-09-01

    The increasing enrollment of Medicare beneficiaries in health maintenance organizations (HMOs) in recent years has caused concern about whether HMOs and their providers have created an unfavorable environment for members who are chronically ill. This study was designed to examine whether there are any differences in disenrollment rates among enrollees with diabetes and enrollees without diabetes. This was a 4-year longitudinal follow-up study with a matched cohort. Medicare beneficiaries (aged > or =65 years) with diabetes identified through pharmacy records in 1994 were matched with a comparison group according to age, sex, comorbidities, and type of provider groups in an HMO in California. The overall distribution of the characteristics of members in the diabetic and matched nondiabetic group is almost identical. The matched-pair chi2 tests indicated that there were no statistical differences in disenrollment rates between diabetic and nondiabetic members during all three follow-up periods (P = 0.16-0.85). We found that the HMO members with diabetes did not disenroll from the HMO at a higher rate than those without diabetes. The findings should alleviate some of the concern that HMOs and their contracted providers have created an unattractive environment for members who have chronic diseases such as diabetes.

  12. Serum sickness in children after antibiotic exposure: estimates of occurrence and morbidity in a health maintenance organization population.

    Science.gov (United States)

    Heckbert, S R; Stryker, W S; Coltin, K L; Manson, J E; Platt, R

    1990-08-01

    The computerized outpatient records of the Harvard Community Health Plan, a 230,000-member health maintenance organization, were used to determine the frequency with which serum sickness is recognized in the practice setting after exposure to antibiotics. The medical records of 3,487 children who had been prescribed cefaclor or amoxicillin were searched in December 1986 for coded diagnoses of serum sickness and related conditions. Diagnoses were validated by blinded review of dictated and written office notes. There were 12 cases of serum sickness in 11,523 child-years. During this time, these children were prescribed 13,487 courses of amoxicillin, 5,597 courses of trimethoprim-sulfamethoxazole (TMP-SMZ), 3,553 courses of cefaclor, and 2,325 courses of penicillin V. Serum sickness was considered to be antibiotic-related if it occurred within 20 days of initiation of antibiotic therapy. Five cases were temporally associated with cefaclor, one with both amoxicillin and TMP-SMZ, four with TMP-SMZ alone, and one with penicillin V alone. One case was not associated with any antibiotic exposure. All antibiotic-related cases occurred in children under age 6 years who were treated for otitis media or streptococcal pharyngitis, and most cases began 7-11 days after initiation of antibiotic. All but one of the antibiotic-related cases occurred in children who had relatively heavy lifetime antibiotic exposure. The risk of serum sickness was significantly elevated after cefaclor compared with amoxicillin, even among the most heavily exposed children (relative risk = 14.8, p = 0.01, 95% confidence interval 2.0-352.0). Most cases prompted several physician visits, but none required hospitalization.

  13. 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.

  14. Simulation modeling of health care policy.

    Science.gov (United States)

    Glied, Sherry; Tilipman, Nicholas

    2010-01-01

    Simulation modeling of health reform is a standard part of policy development and, in the United States, a required element in enacting health reform legislation. Modelers use three types of basic structures to build models of the health system: microsimulation, individual choice, and cell-based. These frameworks are filled in with data on baseline characteristics of the system and parameters describing individual behavior. Available data on baseline characteristics are imprecise, and estimates of key empirical parameters vary widely. A comparison of estimated and realized consequences of several health reform proposals suggests that models provided reasonably accurate estimates, with confidence bounds of approximately 30%.

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

    OpenAIRE

    Ariane Alves Barros; Maria Vilaní Cavalcante Guedes; Denizielle de Jesus Moreira Moura; Luciana Catunda Gomes de Menezes; Letícia Lima Aguiar; Gleudson Alves Xavier

    2014-01-01

    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 struct...

  16. PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec.

    Science.gov (United States)

    MacAdam, Margaret

    2015-01-01

    The Program of Research to Integrate the Services for the Maintenance of Autonomy (PRISMA) began in Quebec in 1999. Evaluation results indicated that the PRISMA Project improved the system of care for the frail elderly at no additional cost. In 2001, the Quebec Ministry of Health and Social Services made implementing the six features of the PRISMA approach a province-wide goal in the programme now known as RSIPA (French acronym). Extensive Province-wide progress has been made since then, but ongoing challenges include reducing unmet need for case management and home care services, creating incentives for increased physician participation in care planning and improving the computerized client chart, among others. PRISMA is the only evaluated international model of a coordination approach to integration and one of the few, if not the only, integration model to have been adopted at the system level by policy-makers.

  17. PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec

    Directory of Open Access Journals (Sweden)

    Margaret MacAdam

    2015-09-01

    Full Text Available The Program of Research to Integrate the Services for the Maintenance of Autonomy (PRISMA began in Quebec in 1999. Evaluation results indicated that the PRISMA Project improved the system of care for the frail elderly at no additional cost. In 2001, the Quebec Ministry of Health and Social Services made implementing the six features of the PRISMA approach a province-wide goal in the programme now known as RSIPA (French acronym. Extensive Province-wide progress has been made since then, but ongoing challenges include reducing unmet need for case management and home care services, creating incentives for increased physician participation in care planning and improving the computerized client chart, among others. PRISMA is the only evaluated international model of a coordination approach to integration and one of the few, if not the only, integration model to have been adopted at the system level by policy-makers.

  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. The Consumer Health Information System Adoption Model.

    Science.gov (United States)

    Monkman, Helen; Kushniruk, Andre W

    2015-01-01

    Derived from overlapping concepts in consumer health, a consumer health information system refers to any of the broad range of applications, tools, and educational resources developed to empower consumers with knowledge, techniques, and strategies, to manage their own health. As consumer health information systems become increasingly popular, it is important to explore the factors that impact their adoption and success. Accumulating evidence indicates a relationship between usability and consumers' eHealth Literacy skills and the demands consumer HISs place on their skills. Here, we present a new model called the Consumer Health Information System Adoption Model, which depicts both consumer eHealth literacy skills and system demands on eHealth literacy as moderators with the potential to affect the strength of relationship between usefulness and usability (predictors of usage) and adoption, value, and successful use (actual usage outcomes). Strategies for aligning these two moderating factors are described.

  20. Testing and preventive maintenance scheduling optimization for aging systems modeled by generalized renewal process

    Directory of Open Access Journals (Sweden)

    Vinícius Correa Damaso

    2009-12-01

    Full Text Available The use of stochastic point processes to model the reliability of repairable systems has been a regular approach to establish survival measures in failure versus repair scenarios. However, the traditional processes do not consider the actual state in which an item returns to operational condition. The traditional renewal process considers an "as-good-as-new" philosophy, while a non-homogeneous Poisson process is based on the minimal repair concept. In this work, an approach based on the concept of Generalized Renewal Process (GRP is presented, which is a generalization of the renewal process and the non-homogeneous Poisson process. A stochastic modeling is presented for systems availability analysis, including testing and/or preventive maintenances scheduling. To validate the proposed approach, it was performed a case study of a hypothetical auxiliary feed-water system of a nuclear power plant, using genetic algorithm as optimization tool.O uso de processos estocásticos pontuais para modelar a confiabilidade de sistemas reparáveis tem sido constante para estabelecer medidas de sobrevivência em cenários de falha versus reparo. Entretanto, os processos tradicionais não consideram o real estado no qual um item retorna à condição operacional. O processo de renovação tradicional considera uma filosofia de "tão-bom-quanto-novo", enquanto um processo não-homogêneo de Poisson é baseado no conceito de reparo mínimo. Neste trabalho, é apresentada uma abordagem baseada no conceito de Processo de Renovação Generalizado (PRG, que é uma generalização de processo de renovação e de processo não-homogêneo de Poisson. Uma modelagem estocástica será apresentada para análise de disponibilidade de sistemas, incluindo planejamento de testes e/ou manutenção preventiva. Para validar a abordagem proposta, um estudo de caso foi desenvolvido para um hipotético sistema auxiliar de água de alimentação de uma usina nuclear, usando algoritmo

  1. 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.

  2. A Hierarchical Model for Language Maintenance and Language Shift: Focus on the Malaysian Chinese Community

    Science.gov (United States)

    Wang, Xiaomei; Chong, Siew Ling

    2011-01-01

    Social factors involved in language maintenance and language shift (LMLS) have been the focus of LMLS studies. Previous studies provide fundamental support for the theoretical development of this research branch. However, there is no discussion regarding the hierarchical order of these social factors, i.e. the degree of importance of various…

  3. Prescribing patterns for thiazide diuretics in a large health maintenance organization: relationship to participation as an ALLHAT clinical center.

    Science.gov (United States)

    Petitti, Diana B; Xie, Fagen; Barzilay, Joshua I

    2006-10-01

    The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) published its main findings in December, 2002. It recommended thiazide diuretics as a first-line treatment of hypertension. The current study describes the prescribing patterns of thiazide diuretics in four regions of Kaiser Permanente, a large national United States Health Maintenance Organization--two regions that had an ALLHAT clinical center and two that did not. We tested the hypothesis that participation in a clinical trial leads to quicker and greater adoption of study recommendations than non-participation in a trial. The relative percentage of filled outpatient prescriptions for the period 2 or 3 years before the ALLHAT main publication through December 31, 2004 was calculated by region for thiazide-type diuretics and for calcium channel blockers (CCBs), beta-blockers, central alpha-blockers, angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs) and other antihypertensive diuretics. In the 2 years after publication of the ALLHAT trial findings, the percentage of all prescriptions for thiazide diuretics increased from 11.2% to 12.4% in the two regions with an ALLHAT clinical site and from 8.9% to 10.1% in the two regions without an ALLHAT clinical site (p > 0.05). The percentage of new prescriptions for thiazide diuretics increased from 13.7% to 16.6% in the two regions with an ALLHAT clinical site and from 10.8% to 13.0% in the two regions without an ALLHAT clinical site (p > 0.05). Participation in a clinical hypertension study does not appear to accelerate adoption of study recommendations.

  4. Increasing incidence of multiple sclerosis among women in Buenos Aires: a 22 year health maintenance organization based study.

    Science.gov (United States)

    Cristiano, E; Patrucco, L; Miguez, J; Giunta, D; Peroni, J; Rojas, J I

    2016-10-01

    Studies in multiple sclerosis (MS) suggest a trend of increasing disease prevalence and incidence, and especially, a disproportional increase in the incidence of multiple sclerosis in women. The objective of this study was to evaluate the incidence of MS over 22 years and to determine the ratio in incidence of men to women in a health maintenance organization from Buenos Aires, Argentina. The population was made up of all members of a hospital-based HMO affiliated between January 1992 and December 2013. Each person was followed contributing time at risk. Cases with definite diagnosis of MS were included. Incidence density was calculated with 95 % confidence intervals and compared between women and men. 165,456 subjects were followed for a total of 1,488,575 person-years, of whom 42 developed MS. Incidence density was 3/100,000 person-years (95 % CI 2.1-3.5/100,000 person-years). During this period (1992-2013), the incidence rate in women increased from 1/100,000 (95 % CI 0.8-1.6) to 4.9/100,000 (95 % CI 4.1-5.4) (p incidence ranged from 1.4/100,000 (95 % CI 1-1.7) to 1.8 (1.3-2.1) (p = 0.16). Incidence density during the study period increased significantly in women but not in men. This is the first report of this phenomenon in Latin America region.

  5. [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.

  6. Association between imposition of a Maintenance of Certification requirement and ambulatory care-sensitive hospitalizations and health care costs.

    Science.gov (United States)

    Gray, Bradley M; Vandergrift, Jonathan L; Johnston, Mary M; Reschovsky, James D; Lynn, Lorna A; Holmboe, Eric S; McCullough, Jeffrey S; Lipner, Rebecca S

    2014-12-10

    In 1990, the American Board of Internal Medicine (ABIM) ended lifelong certification by initiating a 10-year Maintenance of Certification (MOC) program that first took effect in 2000. Despite the importance of this change, there has been limited research examining associations between the MOC requirement and patient outcomes. To measure associations between the original ABIM MOC requirement and outcomes of care. Quasi-experimental comparison between outcomes for Medicare beneficiaries treated in 2001 by 2 groups of ABIM-certified internal medicine physicians (general internists). One group (n = 956), initially certified in 1991, was required to fulfill the MOC program in 2001 (MOC-required) and treated 84 215 beneficiaries in the sample; the other group (n = 974), initially certified in 1989, was grandfathered out of the MOC requirement (MOC-grandfathered) and treated 69 830 similar beneficiaries in the sample. We compared differences in outcomes for the beneficiary cohort treated by the MOC-required general internists before (1999-2000) and after (2002-2005) they were required to complete MOC, using the beneficiary cohort treated by the MOC-grandfathered general internists as the control. Quality measures were ambulatory care-sensitive hospitalizations (ACSHs), measured using prevention quality indicators. Ambulatory care-sensitive hospitalizations are hospitalizations triggered by conditions thought to be potentially preventable through better access to and quality of outpatient care. Other outcomes included health care cost measures (adjusted to 2013 dollars). Annual incidence of ACSHs (per 1000 beneficiaries) increased from the pre-MOC period (37.9 for MOC-required beneficiaries vs 37.0 for MOC-grandfathered beneficiaries) to the post-MOC period (61.8 for MOC-required beneficiaries vs 61.4 for MOC-grandfathered beneficiaries) for both cohorts, as did annual per-beneficiary health care costs (pre-MOC period, $5157 for MOC-required beneficiaries vs

  7. 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.

  8. 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.

  9. Process-Modeling in Virtual Maintenance Based on Petri Net%基于Petri网的虚拟维修过程建模

    Institute of Scientific and Technical Information of China (English)

    黄东坡; 曹继平; 宋建社; 杨檬

    2011-01-01

    针对维修过程中复杂的活动关系,提出一种基于状态机Petri网的虚拟维修过程建模方法.对维修过程中的约束关系进行描述分析,建立了维修过程逻辑网模型,表达出整个维修操作过程,并结合示例验证模型的合理性.该方法解决了装备复杂维修过程的建模问题,可为实际维修提供技术支持.%Aiming at the complicated relationships in the maintenance process, proposed a virtual maintenance process modeling method based on State Petri net. The paper analyzed the constrained relationships between the maintenance processes, and constructed the maintenance process logical model. The model could express the maintenance process;finally the paper verified the rationality of the model with an example. This method solved the problem of complex maintenance process modeling and provided technical support for the real maintenance.

  10. The Implications of Death for Health: A Terror Management Health Model for Behavioral Health Promotion

    Science.gov (United States)

    Goldenberg, Jamie L.; Arndt, Jamie

    2008-01-01

    This article introduces a terror management health model (TMHM). The model integrates disparate health and social psychology literatures to elucidate how the conscious and nonconscious awareness of death can influence the motivational orientation that is most operative in the context of health decisions. Three formal propositions are presented.…

  11. Dynamic Evaluation Model and Application Methods for Engineering Machine Maintenance Quality

    Institute of Scientific and Technical Information of China (English)

    WANG Jian; WANG Yan-feng; DAI Ling; WANG Xi

    2012-01-01

    It is an important content of equipment management to keep the engineering machine well. Based on the theory of component technology and grey related algorithm arithmetic, the requirements and procedures of engineering machine maintenance predicting process are analyzed, and a support object evaluation system is provided. The qualitative and quantitative indexes of evaluating process are fully taken into consideration to provide scientific methods and ways for proper evaluation and decision.

  12. Link and Effect Model – Part II:Methods for Measuring Maintenance Performance of Rail Infrastructure

    OpenAIRE

    Stenström, Christer

    2016-01-01

    Congestion of roads and sky, increasing energy costs and a demand to reduce emissions, have created a need to shift transportation from road and air to rail. Consequently, rail utilisation is increasing, adding stress to the rail infrastructure and time constraints to maintenance. At the same time, the performance and capacity of rail infrastructure are expected to be preserved or even improved. Railway performance and capacity can be enhanced by: expanding infrastructure; introducing better ...

  13. A model for preventive maintenance scheduling of power plants minimizing cost

    OpenAIRE

    Perez-Canto, Salvador

    2014-01-01

    This paper presents an approach to preventive maintenance scheduling of power plants for electric systems. The problem under study is an optimization problem and has been formulated with a cost-based criterion. The main aim is to know which power plants must stop their operation of elec-tricity production for periodic inspection over a time horizon. The management of this problem has a considerable impact on power system performance because an unexpected failure in a power plant may cause a g...

  14. 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.

  15. 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

    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......, glycaemic carbohydrates, which is the subject of the health claims, is sufficiently characterised in relation to the claimed effect. Maintenance of normal brain function is a beneficial physiological effect. A claim on glycaemic carbohydrates and maintenance of normal brain function has already been...

  16. Lenalidomide, melphalan, and prednisone, followed by lenalidomide maintenance, improves health-related quality of life in newly diagnosed multiple myeloma patients aged 65 years or older: results of a randomized phase III trial.

    Science.gov (United States)

    Dimopoulos, Meletios A; Delforge, Michel; Hájek, Roman; Kropff, Martin; Petrucci, Maria T; Lewis, Philip; Nixon, Annabel; Zhang, Jingshan; Mei, Jay; Palumbo, Antonio

    2013-05-01

    The MM-015 trial assessed the effect of lenalidomide-based therapy on health-related quality of life. Patients (n=459) with newly diagnosed multiple myeloma aged 65 years or over were randomized 1:1:1 to nine 4-week cycles of lenalidomide, melphalan, and prednisone, followed by lenalidomide maintenance; or lenalidomide, melphalan, and prednisone, or melphalan and prednisone, with no maintenance therapy. Patients completed health-related quality of life questionnaires at baseline, after every third treatment cycle, and at treatment end. Health-related quality of life improved in all treatment groups during induction therapy. Patients receiving lenalidomide maintenance had the most pronounced improvements, Global Health Status/Quality of Life (Plife domains. More patients receiving lenalidomide maintenance achieved minimal important differences (Pimproves health-related quality of life in patients with newly diagnosed multiple myeloma. (Clinicaltrials.gov identifier NCT00405756).

  17. 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.

  18. CONTEXT DRIVEN MAINTENANCE: AN eMAINTENANCE APPROACH

    Directory of Open Access Journals (Sweden)

    Diego GALAR

    2014-07-01

    Full Text Available All assets necessarily suffer wear and tear during operation. Prognostics can assess the current health of a system and predict its remaining life based on features capturing the gradual degradation of its operational capabilities. Prognostics are critical to improve safety, plan successful work, schedule maintenance, and reduce maintenance costs and down time. Prognosis is a relatively new area but has become an important part of Condition‐based Maintenance (CBM of systems. As there are many prognostic techniques, usage must be attuned to particular applications. Broadly stated, prognostic methods are either data‐driven, rule based, or model‐based. Each approach has advantages and disadvantages; consequently, they are often combined in hybrid applications. A hybrid model can combine some or all model types; thus, more complete information can be gathered, leading to more accurate recognition of the fault state. This approach is especially relevant in systems where the maintainer and operator know some of the failure mechanisms, but the sheer complexity of the assets precludes the development of a complete model‐based approach. The paper addresses the process of data aggregation into a contextual awareness hybrid model to get RUL values within logical confidence intervals so that the life cycle of assets can be managed and optimised.

  19. 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.

  20. 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.

  1. 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.

  2. Psychosocial environment: a health promotion model.

    Science.gov (United States)

    Kar, S B

    1983-01-01

    This article presents a multidimensional model of psychosocial determinants of health behavior for health promotion research and policy analysis. Frequently, health promotion focuses almost exclusively on intrapsychic determinants and on individual level behavior. Based upon Field Theory and attitude theories, this proposed model holds that in populations with comparable sociodemographic and biological status (exogenous variables) a health behavior is a function of direct and interaction effects of five key intrapsychic and external variables. These are: behavioral intentions, social support, accessibility of means for action, personal autonomy, and action situation. Empirical tests with cross-cultural studies in Venezuela, Kenya, and the Philippines provide substantial support for the model. The findings suggest that while health promotion strategies should deal with intrapsychic determinants of behavior, key extrapsychic factors (such as social support, quality and accessibility of health care measures, and situational factors) all have direct and independent effects on health behavior as well. Health promotion research and interventions which aim exclusively at intrapsychic determinants would thus have rather limited overall value. The article discusses key research and policy implications of the model presented.

  3. The role of information in a lifetime process - a model of weight maintenance by women over long time periods

    Directory of Open Access Journals (Sweden)

    Judit Bar-Ilan

    2006-01-01

    Full Text Available Introduction. This paper proposes a model of information behaviour of women during their life-long struggle to maintain normal weight. Method. The model is integrative and contextual, built on existing models in information science and several other disciplines, and the life stories of about fifty Israeli women aged 25-55 and interviews with professionals. Analysis. The life stories of the participating women were analyzed qualitatively, major themes and phases were identified. Results. Weight loss and/or maintenance behaviour is a lifetime process in which distinctive stages were identified. In most cases the weight gain - weight loss - maintenance cycle is a recurring cycle. Information is a major resource during the process: several roles of information were defined: enabling, motivating, reinforcing, providing background information related to weight problems and creating the internal cognitive schema related to food and weight. Information behaviour and the roles of information vary with the different stages. Information needs are also influenced by the specific stage of the process. Information gathered at previous cycles is reused, and information gained through previous experience effects behaviour in the current cycle. Conclusion. The model has both theoretical and practical implications.

  4. 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

  5. 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.

  6. Parameter Estimation of a Multistate Model for an Aging Piece of Equipment under Condition-Based Maintenance

    Directory of Open Access Journals (Sweden)

    Qihong Duan

    2012-01-01

    Full Text Available We study a multistate model for an aging piece of equipment under condition-based maintenance and apply an expectation maximization algorithm to obtain maximum likelihood estimates of the model parameters. Because of the monitoring discontinuity, we cannot observe any state's duration. The observation consists of the equipment's state at an inspection or right after a repair. Based on a proper construction of stochastic processes involved in the model, calculation of some probabilities and expectations becomes tractable. Using these probabilities and expectations, we can apply an expectation maximization algorithm to estimate the parameters in the model. We carry out simulation studies to test the accuracy and the efficiency of the algorithm.

  7. Psychoneuroimmunology and health psychology: an integrative model.

    Science.gov (United States)

    Lutgendorf, Susan K; Costanzo, Erin S

    2003-08-01

    The biopsychosocial model describes interactions between psychosocial and biological factors in the etiology and progression of disease. How an individual interprets and responds to the environment determines responses to stress, influences health behaviors, contributes to the neuroendocrine and immune response, and may ultimately affect health outcomes. Health psychology interventions are designed to modulate the stress response and improve health behaviors by teaching individuals more adaptive methods of interpreting life challenges and more effective coping responses. These interactions are discussed in the context of aging.

  8. Comparison of Family Clinic Community Health Service Model with State-owned Community Health Service Model

    Institute of Scientific and Technical Information of China (English)

    万方荣; 卢祖洵; 张金隆

    2002-01-01

    Summary: Based on a survey of community health service organization in several cities, communi-ty health service model based on the family clinic was compared with state-owned communityhealth service model, and status quo, advantages and problems of family community health serviceorganization were analyzed. Furthermore, policies for the management of community health ser-vice organization based on the family clinic were put forward.

  9. 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.

  10. 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

  11. A disaggregate model for quantifying the safety effects of winter road maintenance activities at an operational level.

    Science.gov (United States)

    Usman, Taimur; Fu, Liping; Miranda-Moreno, Luis F

    2012-09-01

    This research presents a disaggregated modeling approach for investigating the link between winter road collision occurrence, weather, road surface conditions, traffic exposure, temporal trends and site-specific effects. This approach is unique as it allows for quantification of the safety effects of different winter road maintenance activities at an operational level. Different collision frequency models are calibrated using hourly data collected from 31 different highway routes across Ontario, Canada. It is found that factors such as visibility, precipitation intensity, air temperature, wind speed, exposure, month of the winter season, and storm hour have statistically significant effects on winter road safety. Most importantly, road surface conditions are identified as one of the major contributing factors, representing the first contribution showing the empirical relationship between safety and road surface conditions at such a disaggregate level. The applicability of the modeling framework is demonstrated using several examples, such as quantification of the benefits of alternative maintenance operations and evaluation of the effects of different service standards using safety as a performance measure.

  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. Implementing condition-based maintenance using modeling and simulation: a case study of a permanent magnet synchronous motor

    Directory of Open Access Journals (Sweden)

    Jabid Quiroga Méndez

    2011-05-01

    Full Text Available  This paper introduces condition-based maintenance (CBM architecture regarding an electrical application. Appropriate and efficient fault detection constitutes one of the major challenges associated with CBM and a model-based approach constitutes the way to achieve it. A case study using a permanent magnet synchronous motor (PMSM is presented to illustrate implementing CBM using a neural network motor model. CBM may be implemented in real time using Matlab and dSpace. The difference between line currents' negative sequence components, predicted by a multilayer neural network, and the current values acquired from the motor is used as fault indicator. Experimental results have shown the efficiency of the proposed model in detecting several stator winding short faults in differing load conditions and fault severity, obtaining up to 95% reliability. 

  14. Modeling the Hybrid Flow Shop Scheduling Problem Followed by an Assembly Stage Considering Aging Effects and Preventive Maintenance Activities

    Directory of Open Access Journals (Sweden)

    Seyyed Mohammad Hassan Hosseini

    2016-05-01

    Full Text Available Scheduling problem for the hybrid flow shop scheduling problem (HFSP followed by an assembly stage considering aging effects additional preventive and maintenance activities is studied in this paper. In this production system, a number of products of different kinds are produced. Each product is assembled with a set of several parts. The first stage is a hybrid flow shop to produce parts. All machines can process all kinds of parts in this stage but each machine can process only one part at the same time. The second stage is a single assembly machine or a single assembly team of workers. The aim is to schedule the parts on the machines and assembly sequence and also determine when the preventive maintenance activities get done in order to minimize the completion time of all products (makespan. A mathematical modeling is presented and its validation is shown by solving an example in small scale. Since this problem has been proved strongly NP-hard, in order to solve the problem in medium and large scale, four heuristic algorithms is proposed based on the Johnson’s algorithm. The numerical experiments are used to run the mathematical model and evaluate the performance of the proposed algorithms.

  15. Development of a process maturity model for engineering, construction and maintenance projects in the oil and gas industry

    Energy Technology Data Exchange (ETDEWEB)

    Veldman, J.; Klingenberg, W. [Faculty of Management and Organization, University of Groningen, PO BOX 800, 9700 AV Groningen (Netherlands)

    2006-07-01

    Process improvement is a topic gaining considerable attention in literature. For the processes of Engineering, Procurement, Construction and Maintenance (i.e. EPCM) projects in the oil and gas industry, no frameworks exist that can guide these firms in the management of these processes. Using a detailed gap analysis we map the typical processes of EPCM-organisations onto the Capability Maturity Model Integrated (CMMI), a stepwise process improvement model that is widely used in the software industry. Our main contribution is the conclusion that CMMI can benefit the management of EPCM-processes to a large degree, since it gives direction to the improvement of a considerable set of processes within EPCM-projects. Additional insight is given into the scientifically neglected area of learning between projects and the relationship between an organisation's goals and targeted areas of process improvement. These issues are absent in CMMI so further research is needed to develop framework support for, amongst others, downstream processes (construction and maintenance), learning between projects and goal driven process improvement.

  16. 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.

  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. 机载设备视情维修及其决策建模分析%Analysis of on condition maintenance and decision modeling for airborne equipment

    Institute of Scientific and Technical Information of China (English)

    吴明辉; 阮永贵; 韩海舰

    2015-01-01

    Because of “inadequate maintenance” or “excessive maintenance” , traditional maintenance mode inevitably cause problems ,such as security risk and wasteful investment ;Firstly ,introduced the background and implementation basis of on condition maintenance ,and analyzed the characteristic of on condition maintenance .Then ,to facilitate on condition maintenance modeling for airborne equipment ,defined the content and objectives of on condition maintenance decision .At last ,from the perspective of airborne equipment’s deterioration model ,researched and analyzed the com‐mon methods of on condition maintenance decision modeling ,such as proportional hazards model ,shock model ,delay time model ,stochastic process model and so on .The research has a certain theoretical value for on condition maintenance mode in application to airborne equipment .%针对传统维修方式因“维修不足”或“维修过度”而不可避免地造成安全风险和投入浪费等问题。首先,介绍了视情维修产生的背景及视情维修的实施依据,并分析了视情维修的特点;然后,为方便机载设备视情维修决策建模,明确了视情维修决策的内容及目标;最后,从机载设备劣化模型的角度,研究并分析了比例危险模型、冲击模型、延迟时间模型及随机过程模型等常用的视情维修决策建模方法。研究对视情维修方式在机载设备中的应用具有一定的理论价值。

  19. 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...

  20. Exploring Behavioral Markers of Long-Term Physical Activity Maintenance: A Case Study of System Identification Modeling within a Behavioral Intervention

    Science.gov (United States)

    Hekler, Eric B.; Buman, Matthew P.; Poothakandiyil, Nikhil; Rivera, Daniel E.; Dzierzewski, Joseph M.; Aiken Morgan, Adrienne; McCrae, Christina S.; Roberts, Beverly L.; Marsiske, Michael; Giacobbi, Peter R., Jr.

    2013-01-01

    Efficacious interventions to promote long-term maintenance of physical activity are not well understood. Engineers have developed methods to create dynamical system models for modeling idiographic (i.e., within-person) relationships within systems. In behavioral research, dynamical systems modeling may assist in decomposing intervention effects…

  1. 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.

  2. Monks' Health: Holistic Health Care Model by Community Participation

    Directory of Open Access Journals (Sweden)

    Decha Buates

    2010-01-01

    Full Text Available Problem statement: Monks’ health tended to be a continuous increased problem. They were groups who had limitations to access health services due to their monastic disciplines and their most importance for Buddhist institution. Without urgent solution, their normal way of life would have been affected. Approach: This research aimed to study current conditions and to develop monks’ holistic health care models by community participation in central region of Thailand. The study was a qualitative research conducted in 9 temples; 3 temples in urban area, 3 in semi-urban area and 3 in rural area. Samples were 224 persons; consisted of monks, public health officers from Department of Religious Affairs, local administrative organizations and people; selected by purposive sampling method. Observation form, survey form, interview form, focus group discussion and workshop were used as research tools while data was analyzed by descriptive research. Results: The result founded that in former time culture of monks’ health care was leaned on community, social, culture and tradition. People spoke in style of central Thai language and were in agricultural sector as well as had their belief in merit, sin and elder respect. Relation in communities was in form of generosity and living as similar as relatives. When some monk got sick, they would visit, take care and give foods and medicines. Most of medicines were household remedy and Thai herbal medicine that bought from drug stores in local market or grocery stores in village and monks were sent to hospital in case of severe illness. Temple was a part of community, so they had close relation. Nowadays people increasingly worked in manufactories that caused conflicts and alienations among them. Monks leaned on local markets for receiving foods offering and most of foods were cooked from flour, sugar, coconut milk and fat. These caused three-fourth of monks having chronic disease as diabetes

  3. 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.

  4. RENEW - MAINTENANCE ESTIMATION SIMULATION MODEL FOR SPACE STATION FREEDOM PROGRAM, VERSION 3.2

    Science.gov (United States)

    Bream, B. L.

    1994-01-01

    RENEW is a maintenance event estimation simulation program developed in support of the Space Station Freedom Program (SSFP) Work Package 4 at NASA Lewis Research Center. This simulation uses reliability and maintainability (R&M) data as well as logistics data to estimate both average and time dependent maintenance demands. RENEW uses Monte Carlo techniques to generate failure and repair times as a function of the R&M and logistics parameters. The estimates are generated for a single type of orbital replacement unit (ORU). The RENEW simulation gives closer estimates of performance than steady-state average calculations since it uses a time dependent approach and depicts more factors affecting ORU failure and repair. RENEW gives both average and time dependent demand values, and generates graphs of both failures over the mission period and yearly failure occurrences. The average demand rate for the ORU over the mission period is also calculated. While RENEW displays the results in graphs, the results are also available in data tables. The process of using RENEW starts with keyboard entry of the R&M and operational data. Once entered, the data may be saved in a data file for later retrieval, and the parameters may be viewed and changed. The simulation program runs the number of Monte Carlo simulations requested by the operator. Plots and tables of the results can be viewed on the screen or sent to a printer. The results of the simulation are saved along with the input data. Help screens are provided with each menu and data entry screen. RENEW is written in BASIC and assembly language for IBM PC series and compatible computers running MS-DOS. Microsoft's QuickBasic Professional Development System and Crescent Software's QuickPak Professional are required to compile the source code. A CGA or VGA monitor is required. A sample executable is provided on the distribution media. The standard distribution medium for this program is one 5.25 inch 360K MS-DOS format diskette

  5. Using Reliability Block Diagrams and Fault Tree circuits, to develop a Condition Based Maintenance Model for a Vessel’s Main Propulsion System and Related Subsystems

    Directory of Open Access Journals (Sweden)

    Mohan Anantharaman

    2013-09-01

    Full Text Available Merchant shipping has undergone a great transformation over the past three decades. The shipping market is highly competitive, which coupled with high crewing and fuel costs, leads to high operational costs. One of the paramount factor involved in vessel operation is the Maintenance cost and there is a dire need to keep this cost to a minimum. Fortunately the earlier policy of repair only maintenance in commercial shipping has been done away with, and was replaced by the policy of preventive maintenance. Planned Maintenance System was introduced by ship management companies in the early 90’s. Planned Maintenance offered benefits over the repair only policy, but has its own demerits. Many a time machinery equipment is opened up for routine maintenance after a specified time interval, irrespective of the need. This could lead to potential failures, which is explained by the fact that preventive maintenance resulted in meddling of a well set piece of machinery equipment, leading to its subsequent failure. This is where Condition based maintenance or CBM steps into prominence. CBM monitors the health of the machinery equipment, analyses the condition and helps you in decision making. The Main Propulsion system forms the heart of a vessel and we need to ensure its reliability, together with the reliability of its associated sub-systems. The entire system can be represented by reliability block diagrams, to show the interdependence of various components comprising the system. This helps in the decision making process of CBM whereby ship’s engineer may decide to stop the running machinery equipment, open and overhaul the same, else postpone the overhaul for a later safe date.

  6. 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.

  7. Maintenance Therapy in IBD

    Science.gov (United States)

    ... Help Center Home > Resources > Maintenance Therapy Go Back Maintenance Therapy Email Print + Share The term "maintenance therapy" ... are referred to as "maintenance therapies." Why is Maintenance Therapy Needed in IBD? Both Crohn's disease and ...

  8. Maintenance Therapy in IBD

    Science.gov (United States)

    ... Help Center Home > Resources > Maintenance Therapy Go Back Maintenance Therapy Email Print + Share The term "maintenance therapy" ... are referred to as "maintenance therapies." Why is Maintenance Therapy Needed in IBD? Both Crohn's disease and ...

  9. 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.

  10. Health Insurance: principles, models and the Nigerian National ...

    African Journals Online (AJOL)

    Open Access DOWNLOAD FULL TEXT ... In addition, they all have different modes of operation. ... Key words: Health insurance, Health insurance models, market failure, Nigerian Health Insurance Scheme, Community Based Health ...

  11. 42 CFR 476.72 - Review of the quality of care of risk-basis health maintenance organizations and competitive...

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Review of the quality of care of risk-basis health... Quality Improvement Organizations (QIOs) General Provisions § 476.72 Review of the quality of care of risk... MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) QUALITY...

  12. On the impact of optimization models in maintenance decision making: the state of the art

    NARCIS (Netherlands)

    R. Dekker (Rommert); P.A. Scarf

    1997-01-01

    textabstractIn this note we present a general framework for optimization of replacement times. It covers a number of models, including various age and block replacement models, and allows a uniform analysis for all these models. A relation to the marginal cost concept is described.

  13. A novel hypothesis of blood-brain barrier (BBB development and in vitro BBB model: neural stem cell is the driver of BBB formation and maintenance

    Directory of Open Access Journals (Sweden)

    Jian Lu

    2012-02-01

    Full Text Available There is an ongoing effort to develop in vitro models for the blood-brain barrier (BBB research and the central nervous system (CNS drug screening. But the phenotypes of the existing in vitro models are still very remote from those found in vivo. The trouble in establishing in vitro BBB models comes from the unclear mechanism of the BBB formation and maintenance. The astrocytes have been found to be responsible for the maintenance of the BBB, but the studies of the CNS development have shown that the BBB formation starts largely before the gliogenesis. We hypothesize here that the neural stem cell is the real driver of the BBB formation, development and maintenance. The formation of the BBB is initiated by the neural stem cells during the earliest stage of CNS angiogenesis. The maintenance of the BBB is driven by the soluble signals produced by the neural stem cells which exist in the dentate gyrus of the hippocampus and the subventricular zone throughout the life. The brain microvascular endothelial cells (BMEC-pericyte complex is the anatomical basis of the BBB. Based on our hypothesis we suggest using the neural stem cells to induce the BMEC-pericyte complex to establish in vitro BBB models. The further research on the role of the neural stem cells in the BBB formation and maintenance may elucidate the mechanism of the BBB development. [J Exp Integr Med 2012; 2(1.000: 39-43

  14. 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

  15. Multilevel modelling and public health policy

    NARCIS (Netherlands)

    Leyland, Alastair H.; Groenewegen, Peter P.

    2003-01-01

    Background: Multilevel modelling is a statistical technique that extends ordinary regression analysis to the situation where the data are hierarchical. Such data form an increasingly common evidence base for public health policy, and as such it is important that policy makers should be aware of this

  16. Multilevel modelling and public health policy.

    NARCIS (Netherlands)

    Leyland, A.H.; Groenewegen, P.P.

    2003-01-01

    BACKGROUND: Multilevel modelling is a statistical technique that extends ordinary regression analysis to the situation where the data are hierarchical. Such data form an increasingly common evidence base for public health policy, and as such it is important that policy makers should be aware of this

  17. A maintenance model for k-out-of-n subsystems aboard a fleet of advanced commercial aircraft

    Science.gov (United States)

    Miller, D. R.

    1978-01-01

    Proposed highly reliable fault-tolerant reconfigurable digital control systems for a future generation of commercial aircraft consist of several k-out-of-n subsystems. Each of these flight-critical subsystems will consist of n identical components, k of which must be functioning properly in order for the aircraft to be dispatched. Failed components are recoverable; they are repaired in a shop. Spares are inventoried at a main base where they may be substituted for failed components on planes during layovers. Penalties are assessed when failure of a k-out-of-n subsystem causes a dispatch cancellation or delay. A maintenance model for a fleet of aircraft with such control systems is presented. The goals are to demonstrate economic feasibility and to optimize.

  18. ATP Maintenance via Two Types of ATP Regulators Mitigates Pathological Phenotypes in Mouse Models of Parkinson's Disease

    Directory of Open Access Journals (Sweden)

    Masaki Nakano

    2017-08-01

    Full Text Available Parkinson's disease is assumed to be caused by mitochondrial dysfunction in the affected dopaminergic neurons in the brain. We have recently created small chemicals, KUSs (Kyoto University Substances, which can reduce cellular ATP consumption. By contrast, agonistic ligands of ERRs (estrogen receptor-related receptors are expected to raise cellular ATP levels via enhancing ATP production. Here, we show that esculetin functions as an ERR agonist, and its addition to culture media enhances glycolysis and mitochondrial respiration, leading to elevated cellular ATP levels. Subsequently, we show the neuroprotective efficacies of KUSs, esculetin, and GSK4716 (an ERRγ agonist against cell death in Parkinson's disease models. In the surviving neurons, ATP levels and expression levels of α-synuclein and CHOP (an ER stress-mediated cell death executor were all rectified. We propose that maintenance of ATP levels, by inhibiting ATP consumption or enhancing ATP production, or both, would be a promising therapeutic strategy for Parkinson's disease.

  19. TEC MAX System. Operation and Maintenance Manual for the TEC Model 4005 MAX (Miniature Apparatus for X-Ray Diffraction System)

    Science.gov (United States)

    2005-03-31

    Model 4005) TEC has found that residual stress measurements can be made through thin layers of paint on steel surfaces (but not lead-based paints ...indicator lamp Operation and Maintenance Manual 5-11 TEC MAX System (Model 4005) 4005-OM-01 Revision 0, March 31, 2005 XRay Tube Status @ 0 20 40 60

  20. 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.

  1. Optimization model and algorithm for maintenance scheduling of power supply equipments%供电设备检修计划优化模型和算法

    Institute of Scientific and Technical Information of China (English)

    林灵兵; 刘宪林; 韩源

    2012-01-01

    研究了供电设备检修计划优化模型和算法.模型以供电售电损失最小为优化目标,售电损失计算中引入供电回路电价,体现电力市场环境下差别化供电对检修优化结果的影响.在检修约束方面,采用检修资源占用量表示不同设备检修对资源占用的差异,使检修资源约束描述符合现场实际;新增节假日约束,可避免或减少检修占用工人正常休息日.采用改进的遗传算法进行供电设备检修计划优化,以保证优化质量.算例结果表明了模型和算法的有效性.%The optimization model and algorithm for the maintenance scheduling of power supply equipments are studied. The optimization model takes the minimal sale loss as its objective. The power supply circuit price is introduced in the calculation of electricity sale loss to show the influence of different power supply modes in power market environment on the maintenance optimization results. The maintenance resource occupation is adopted in the terms of maintenance constraints to show the difference of resource occupation by different equipments in maintenance, making maintenance resource constraint accord with field practice. The holiday constraint is set to avoid or reduce the work in rest days. The improved genetic algorithm is applied in the equipment maintenance optimization to ensure its high quality. Case study shows the effectiveness of the introduced model and algorithm.

  2. 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.

  3. 基于可靠度和效用的预维修模型%Preventive Maintenance Model Based on Reliability and Effectiveness

    Institute of Scientific and Technical Information of China (English)

    齐俊德; 李山; 陈冰

    2013-01-01

    针对设备的预维修策略问题,提出了一种基于可靠度和效用的方法.方法考虑了设备使用过程中的质量问题,引入质量损失函数,建立了设备维修总成本函数.在此基础上,结合引入的失效率递增因子,建立了设备最佳可靠度模型,求解得到最佳维修周期;结合引入的可靠度恢复函数,建立了设备维修的效费比函数,求解得到设备的最佳维修方式.运用Matlab编程仿真求解出满足设备可靠性和效费比要求的预维修计划.%Aiming at the problem of preventive maintenance strategy, a method based on reliability and effectiveness was came up with. Taking the quantity into consideration, the method built the total cost function of maintenance by using the quanlity lose-function. Combining with the failure rate increase factor, the best reliability model was built and the best maintenance period was obtained. Combining with reliability renew function, the costeffect-iveness ratio function was built and the best maintenance method was obtained. A plan of maintenance that meets the requirement of reliability and cost-effectiveness ratio was obtained by the simulation in Matlab program. The result shows that the maintenance period shows a tendency of decline. The cost-effectiveness ratio of normal maintenance continues to decline and finally becomes lower than that of replacement. The method is suitable for the practical situation and can provide support for the preventive maintenance.

  4. Health Maintenance Organizations and the Elderly: Promises, Problems, and Prospects. Hearing before the Select Committee on Aging. House of Representatives, Ninety-Eighth Congress, Second Session (Boca Raton, Florida).

    Science.gov (United States)

    Congress of the U.S., Washington, DC. House Select Committee on Aging.

    This document contains the transcripts of witness testimony and prepared statements from the Congressional hearing called to explore the impact of the Health Maintenance Organization (HMO) on the health care system and on the elderly in particular. Opening statements are given from Representatives Dan Mica, Matthew Rinaldo, and Lawrence Smith.…

  5. 基于DELMIA的虚拟维修过程建模及应用%Virtual Maintenance Process Modeling and Application Based on DELMIA

    Institute of Scientific and Technical Information of China (English)

    王小强; 王金利; 冯恒

    2014-01-01

    为了实现基于DELMIA的虚拟维修过程建模,通过在传统的维修过程分解体系中加入维修动作层,构建了包含四个层次的维修过程分解体系,利用PERT图实现了虚拟维修过程建模,给出了作业时间的预计方法,并以某型飞机发动机拆卸过程为例,验证了方法的可行性。%For achieving virtual maintenance process modeling based on DELMIA, a new decomposition system consisting of four levels for maintenance process was constructed through adding maintenance activity level. Then a modeling method of virtual maintenance process was achieved using PERT chart in DLEMIA. Based on this process model, a method of predicting maintenance time was set up. Finally, took the engine disassembling process of a aircraft as an example, the feasibility of this method was validated.

  6. On the maintenance of genetic variation: global analysis of Kimura's continuum-of-alleles model.

    Science.gov (United States)

    Bürger, R

    1986-01-01

    Methods of functional analysis are applied to provide an exact mathematical analysis of Kimura's continuum-of-alleles model. By an approximate analysis, Kimura obtained the result that the equilibrium distribution of allelic effects determining a quantitative character is Gaussian if fitness decreases quadratically from the optimum and if production of new mutants follows a Gaussian density. Lande extended this model considerably and proposed that high levels of genetic variation can be maintained by mutation even when there is strong stabilizing selection. This hypothesis has been questioned recently by Turelli, who published analyses and computer simulations of some multiallele models, approximating the continuum-of-alleles model, and reviewed relevant data. He found that the Kimura and Lande predictions overestimate the amount of equilibrium variance considerably if selection is not extremely weak or mutation rate not extremely high. The present analysis provides the first proof that in Kimura's model an equilibrium in fact exists and, moreover, that it is globally stable. Finally, using methods from quantum mechanics, estimates of the exact equilibrium variance are derived which are in best accordance with Turelli's results. This shows that continuum-of-alleles models may be excellent approximations to multiallele models, if analysed appropriately.

  7. 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...

  8. Mechanism of murine epidermal maintenance: Cell division and the Voter Model

    CERN Document Server

    Klein, Allon M; Jones, Philip H; Simons, Benjamin D

    2007-01-01

    This paper presents an interesting experimental example of voter-model statistics in biology. In recent work on mouse tail-skin, where proliferating cells are confined to a two-dimensional layer, we showed that cells proliferate and differentiate according to a simple stochastic model of cell division involving just one type of proliferating cell that may divide both symmetrically and asymmetrically. Curiously, these simple rules provide excellent predictions of the cell population dynamics without having to address their spatial distribution. Yet, if the spatial behaviour of cells is addressed by allowing cells to diffuse at random, one deduces that density fluctuations destroy tissue confluence, implying some hidden degree of spatial regulation in the physical system. To infer the mechanism of spatial regulation, we consider a two-dimensional model of cell fate that preserves the overall population dynamics. By identifying the resulting behaviour with a three-species variation of the "Voter" model, we predi...

  9. 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.

  10. Integrated internist — addiction medicine — hepatology model for hepatitis C management for individuals on methadone maintenance

    Science.gov (United States)

    Martinez, A. D.; Dimova, R.; Marks, K. M.; Beeder, A. B.; Zeremski, M.; Kreek, M. J.; Talal, A. H.

    2013-01-01

    SUMMARY Despite a high prevalence of hepatitis C virus (HCV) among drug users, HCV evaluation and treatment acceptance are extremely low among these patients when referred from drug treatment facilities for HCV management. We sought to increase HCV treatment effectiveness among patients from a methadone maintenance treatment program (MMTP) by maintaining continuity of care. We developed, instituted and retrospectively assessed the effectiveness of an integrated, co-localized care model in which an internist-addiction medicine specialist from MMTP was embedded in the hepatitis clinic. Methadone maintenance treatment program patients were referred, evaluated by the internist and hepatologist in hepatitis clinic and provided HCV treatment with integration between both sites. Of 401 evaluated patients, anti-HCV antibody was detected in 257, 86% of whom were older than 40 years. Hepatitis C virus RNA levels were measured in 222 patients, 65 of whom were aviremic. Of 157 patients with detectable HCV RNA, 125 were eligible for referral to the hepatitis clinic, 76 (61%) of whom accepted and adhered with the referral. Men engaged in MMTP <36 months were significantly less likely to be seen in hepatitis clinic than men in MMTP more than 36 months (odds ratio = 7.7; 95% confidence interval 2.6-22.9) or women. We evaluated liver histology in 63 patients, and 83% had moderate to advanced liver disease. Twenty-four patients initiated treatment with 19 completing and 13 (54%) achieving sustained response. In conclusion, integrated care between the MMTP and the hepatitis clinic improves adherence with HCV evaluation and treatment compared to standard referral practices. PMID:21129131

  11. Modeling Maintenance of Long-Term Potentiation in Clustered Synapses: Long-Term Memory without Bistability

    Directory of Open Access Journals (Sweden)

    Paul Smolen

    2015-01-01

    Full Text Available Memories are stored, at least partly, as patterns of strong synapses. Given molecular turnover, how can synapses maintain strong for the years that memories can persist? Some models postulate that biochemical bistability maintains strong synapses. However, bistability should give a bimodal distribution of synaptic strength or weight, whereas current data show unimodal distributions for weights and for a correlated variable, dendritic spine volume. Thus it is important for models to simulate both unimodal distributions and long-term memory persistence. Here a model is developed that connects ongoing, competing processes of synaptic growth and weakening to stochastic processes of receptor insertion and removal in dendritic spines. The model simulates long-term (>1 yr persistence of groups of strong synapses. A unimodal weight distribution results. For stability of this distribution it proved essential to incorporate resource competition between synapses organized into small clusters. With competition, these clusters are stable for years. These simulations concur with recent data to support the “clustered plasticity hypothesis” which suggests clusters, rather than single synaptic contacts, may be a fundamental unit for storage of long-term memory. The model makes empirical predictions and may provide a framework to investigate mechanisms maintaining the balance between synaptic plasticity and stability of memory.

  12. The role of tooth-grinding in the maintenance of myofascial face pain: a test of alternate models.

    Science.gov (United States)

    Janal, Malvin N; Raphael, Karen G; Klausner, Jack; Teaford, Mark

    2007-09-01

    While mechanisms of myofascial face pain are poorly understood, bruxism has been implicated in the maintenance of this painful disorder. This study evaluates whether evidence of one aspect of bruxism, tooth-grinding, is positively associated with pain severity, as predicted by a psychophysiological model, or negatively associated, as predicted by an adaptation model of face pain. Participants were 51 women who met Research Diagnostic Criteria for the myofascial subtype of temporomandibular disorder. Tooth-grinding was quantified by changes in microwear features of the molar teeth over 2 weeks. Palpated pain severity was quantified on an 11-point scale in response to palpation of the skin overlying the masseter and temporalis muscles bilaterally. Other measures included validated scales of spontaneous pain severity, stress, distress, and psychological symptoms. Association was quantified as Pearson correlation coefficients. Data showed an inverse correlation (r = -0.37, P pain severity and the index of tooth wear, supporting the adaptation model. This correlation provided a weighted average of a strong effect (r = -0.80, P pain only the right side of their face with an effect that approximated zero in those reporting bilateral pain. Tooth wear measures were negatively associated with ratings of pain severity only over the right masseter. While these data do not address the role of clenching, they cast serious doubt on the theory that myofascial face pain is maintained by tooth-grinding.

  13. 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...

  14. 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.

  15. 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.

  16. [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.

  17. Community College Students' Health Insurance Enrollment, Maintenance, and Talking With Parents Intentions: An Application of the Reasoned Action Approach.

    Science.gov (United States)

    Huhman, Marian; Quick, Brian L; Payne, Laura

    2016-05-01

    A primary objective of health care reform is to provide affordable and quality health insurance to individuals. Currently, promotional efforts have been moderately successful in registering older, more mature adults yet comparatively less successful in registering younger adults. With this challenge in mind, we conducted extensive formative research to better understand the attitudes, subjective norms, and perceived behavioral control of community college students. More specifically, we examined how each relates to their intentions to enroll in a health insurance plan, maintain their current health insurance plan, and talk with their parents about their parents having health insurance. In doing so, we relied on the revised reasoned action approach advanced by Fishbein and his associates (Fishbein & Ajzen, 2010; Yzer, 2012, 2013). Results showed that the constructs predicted intentions to enroll in health insurance for those with no insurance and for those with government-sponsored insurance and intentions to maintain insurance for those currently insured. Our study demonstrates the applicability of the revised reasoned action framework within this context and is discussed with an emphasis on the practical and theoretical contributions.

  18. Maintenance performance improvement with System Dynamics: A Corrective Maintenance showcase

    NARCIS (Netherlands)

    Deenen, R.E.M.; Van Daalen, C.E.; Koene, E.G.C.

    2008-01-01

    This paper presents a case study of an analysis of a Corrective Maintenance process to realize performance improvement. The Corrective Maintenance process is supported by SAP, which has indicated the performance realisation problem. System Dynamics is used in a Group Model Building process to

  19. A New Helicopter Transmission Model for Condition-Based Maintenance Technologies Using First Principles

    Science.gov (United States)

    2009-09-01

    torque vector, the spiral-bevel gear -mesh harmonics, and the spiral-bevel sideband harmonics, respectively. The ellipsis in equation 2 8...that all gear teeth have undergone wear. This decreases the model complexity substantially. The normal loading pattern of figure 7 is found using a...conditions. (3) 12 Equation 3 represents the periodic loading of the gear teeth at harmonics of the spiral-bevel, gear -mesh frequency

  20. An Application of the Job Characteristics Model to Selected Strategic Air Command Aircraft Maintenance Career Fields.

    Science.gov (United States)

    1983-09-01

    these experiments "led to increased employee motivation , efficiency and productivity, and reduced turnover." The most extensive application of job...believed a more important set of factors dealing with the work itself held the key to employee motivation . Herzberg formalized this concept of employee...The implications of this model of employee motivation are clear. Motivation can be increased througqh 4 basic changes in the nature of an employee’s

  1. Experimental study on the establishment and maintenance of brain death model with pigs

    Institute of Scientific and Technical Information of China (English)

    ZHANG Shuijun; SHI Jihua; ZHAI Wenlong; SONG Yan; CHEN Shi

    2007-01-01

    It remains controversial that after the transplantation of using grafts from brain-dead donors,organs injury and rejection can influence the effects of transplantation.This study sought to explore methods of establishing a stable brain death(BD)model using Bama mini pigs and to maintain the brain-dead state for a comparatively long period to provide a model for investigating changes in brain death.Sixteen anesthetized Bama mini pigs were randomized into a control group(n=5)and a BD group(n=11).Intracranial pressure (ICP)was increased in a modified,slow,and intermittent way to establish BD.Respiration and circulation were sustained during the brain-dead state.Hemodynamic changes were monitored during the experiment.In the BD group,10 pigs met the requirements for brain death and 1 died of cardiopulmonary complications following an increase in ICP.Brain death was maintained for more than 48 hours with artificial life support.During the experiment,the heart rate and blood pressure showed characteristic changes due to increased ICP.Prior to BD being established,a"tic reaction"inevitably occurred.We used an improved method of increasing ICP to establish a stable BD model.The BD state could be maintained for more than 48 hours with effective respiratory and circulatory support.Disappearance of the tic reaction was considered to be one of the verified indexes for BD via encephalic pressure increase.

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

    Science.gov (United States)

    Rosenbaum, Michael; Leibel, Rudolph L

    2016-08-01

    To test three 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. The relationship between weight loss and EE was examined in 17 inpatient subjects with stable weight and obesity studied at usual weight and again following a 10% and a 20% weight loss. 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. 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. © 2016 The Obesity Society.

  3. A risk and maintenance model for bulimia nervosa: From impulsive action to compulsive behavior.

    Science.gov (United States)

    Pearson, Carolyn M; Wonderlich, Stephen A; Smith, Gregory T

    2015-07-01

    This article offers a new model for bulimia nervosa (BN) that explains both the initial impulsive nature of binge eating and purging, as well as the compulsive quality of the fully developed disorder. The model is based on a review of advances in research on BN and advances in relevant basic psychological science. It integrates transdiagnostic personality risk, eating-disorder-specific risk, reinforcement theory, cognitive neuroscience, and theory drawn from the drug addiction literature. We identify both a state-based and a trait-based risk pathway, and we then propose possible state-by-trait interaction risk processes. The state-based pathway emphasizes depletion of self-control. The trait-based pathway emphasizes transactions between the trait of negative urgency (the tendency to act rashly when distressed) and high-risk psychosocial learning. We then describe a process by which initially impulsive BN behaviors become compulsive over time, and we consider the clinical implications of our model. (PsycINFO Database Record

  4. 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

  5. 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

  6. PROACTIVE STRATEGY MAINTENANCE

    Directory of Open Access Journals (Sweden)

    Stanisław RADKOWSKI

    2014-03-01

    Full Text Available Given challenging competition of today service providers are required to be more proactive in satisfying the environmental conditions and customer needs. Proactive maintenance should start at the design stage with establishing the functions, functional failures and failure modes. The understanding the failure behavior, especially the relationship between potential failures, functional failures and diagnostic parameters is the most important task. In the next step the designer have to explore the maintenance activities as they have to apply to the design criteria. The models and frameworks have been presented in the paper also a comprehensive review of literature and some results of laboratory investigations.

  7. Improving Global Health Education: Development of a Global Health Competency Model

    Science.gov (United States)

    Ablah, Elizabeth; Biberman, Dorothy A.; Weist, Elizabeth M.; Buekens, Pierre; Bentley, Margaret E.; Burke, Donald; Finnegan, John R.; Flahault, Antoine; Frenk, Julio; Gotsch, Audrey R.; Klag, Michael J.; Lopez, Mario Henry Rodriguez; Nasca, Philip; Shortell, Stephen; Spencer, Harrison C.

    2014-01-01

    Although global health is a recommended content area for the future of education in public health, no standardized global health competency model existed for master-level public health students. Without such a competency model, academic institutions are challenged to ensure that students are able to demonstrate the knowledge, skills, and attitudes (KSAs) needed for successful performance in today's global health workforce. The Association of Schools of Public Health (ASPH) sought to address this need by facilitating the development of a global health competency model through a multistage modified-Delphi process. Practitioners and academic global health experts provided leadership and guidance throughout the competency development process. The resulting product, the Global Health Competency Model 1.1, includes seven domains and 36 competencies. The Global Health Competency Model 1.1 provides a platform for engaging educators, students, and global health employers in discussion of the KSAs needed to improve human health on a global scale. PMID:24445206

  8. 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.

  9. 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.

  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

    OpenAIRE

    Tetens, Inge

    2015-01-01

    Following applications from Dextro Energy GmbH & Co. KG, submitted for the authorisation of health claims pursuant to Article 13(5) of Regulation (EC) No 1924/2006 via the Competent Authority of Germany, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) was asked to deliver 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...

  11. 可修部件运营维护模型分析%Analysis on operating maintenance model of repairable devices

    Institute of Scientific and Technical Information of China (English)

    苏宏升

    2011-01-01

    为改善多部件系统运营的管理水平和经济效益,基于可修部件检查率的动态控制策略,提出一种主动维护方案.基于独立性原理,分别建立了多部件系统在主动维护、被动维护和冗余备用维护管理下的数学模型,分析了可修部件在主动维护、被动维护和冗余管理模型下的可靠性及平均无故障工作时间(MTTF),以及部件在稳态运行时的期望维修费用和需求量.计算结果表明:基于主动维护的管理模型投资回收期最短,被动维护次之,冗余维护最差.在多部件系统运行维护管理中,基于检查率动态控制策略的主动维护方案是行之有效的手段.%In order to improve the management levels and economic benefits of multi-component system operation, a novel proactive maintenance scheme is proposed based on the dynamic control strategy of the check rate of the repairable components. Based on the dependability principle, the mathematical models are established under the conditions of the proactive maintenance, the passive maintenance, and the redundant maintenance, respectively. And then the reliability and mean time to failure (MTTF) are discussed under three kinds of models for repairable components, as well as the expected maintenance cost and quantity demanded. The computation results show that the investment recovery period is the shortest applying the proactive maintenance scheme, and the one of the passive maintenance scheme is the inferior, and the one of the redundant maintenance scheme is the worst. The research shows that the proactive maintenance scheme using the dynamic control strategy for the check rate is an effective management measure in the multi-component system.

  12. Modeling the probability of giving birth at health institutions among ...

    African Journals Online (AJOL)

    2014-06-02

    Jun 2, 2014 ... and predict health behaviors in terms of health beliefs. .... Current pregnancy planned (yes*/no). -0.59. 0.49 .... that the last model's overall explanatory strength was .... Health Education: Theory, Research and Practice-3rd.

  13. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2014. Scientific Opinion on the substantiation of a health claim related to a combination of diosmin, troxerutin and hesperidin and maintenance of normal venous-capillary permeability pursuant to Article 13(5) of Regulation

    DEFF Research Database (Denmark)

    Tetens, Inge

    claim related to a combination of diosmin, troxerutin and hesperidin and maintenance of normal venous-capillary permeability. The food that is a subject of the health claim, a combination of diosmin, troxerutin and hesperidin, is sufficiently characterised. The claimed effect, maintenance of normal...... the consumption of a combination of diosmin, troxerutin and hesperidin and the maintenance of normal venous-capillary permeability....

  14. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2014. Scientific Opinion on the substantiation of a health claim related to a combination of diosmin, troxerutin and hesperidin and maintenance of normal venous tone pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    claim related to a combination of diosmin, troxerutin and hesperidin and maintenance of normal venous tone. The food that is a subject of the health claim, a combination of diosmin, troxerutin and hesperidin, is sufficiently characterised. The claimed effect, maintenance of normal venous tone...... of diosmin, troxerutin and hesperidin and the maintenance of normal venous tone....

  15. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Scientific Opinion on the substantiation of a health claim related to glucosamine and maintenance of normal joint cartilage pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    claim related to glucosamine, formulated as glucosamine sulphate or hydrochloride, and maintenance of normal joint cartilage. Glucosamine is sufficiently characterised. The claimed effect is “contributes to the maintenance of normal joint cartilage”. The target population as proposed by the applicant...... to studies in patients with osteoarthritis, in healthy subjects, in animals and in vitro as being pertinent to the health claim. In weighing the evidence, the Panel took into account that no human studies were provided from which conclusions could be drawn on the effect of dietary glucosamine...... on the maintenance of cartilage in individuals without osteoarthritis, and that the evidence provided in the in vitro and animal studies in support of the biological plausibility for a possible contribution of dietary glucosamine to the maintenance of joint cartilage in humans is weak. The Panel concludes...

  16. The Politics of Model Maintenance: The Murray Darling and Brantas River Basins Compared

    Directory of Open Access Journals (Sweden)

    Anjali Bhat

    2008-10-01

    Full Text Available This paper explores river basin management in two highly developed basins whose basin governance arrangements are currently undergoing transition: the Murray-Darling basin of Australia and the Brantas basin of Indonesia. Though basin-scale management has been longstanding in both of these cases and the respective models for carrying out integrated river basin management have been considered noteworthy for other countries looking to develop basin institutions, these basin-level arrangements are under flux. This paper indicates some of the difficulties that exist for even widely favoured 'textbook' cases to maintain institutional efficacy within their given shifting contexts. This paper explores drivers behind policy reform and change in scale at which authority is held, concluding with a discussion of the nature of institutional transition given political realities in these basins.

  17. Assessing the co-benefits of greenhouse gas reduction: Health benefits of particulate matter related inspection and maintenance programs in Bangkok, Thailand

    Energy Technology Data Exchange (ETDEWEB)

    Li, Ying, E-mail: liying@email.unc.edu [Department of Public Policy, University of North Carolina at Chapel Hill, Chapel Hill, NC (United States); Crawford-Brown, Douglas J. [Cambridge Centre for Climate Change Mitigation Research, University of Cambridge, Cambridge (United Kingdom)

    2011-04-15

    outweigh the expenditures on policy implementation. - Research Highlights: {yields} Health benefits are important co-benefits of greenhouse gas reduction. {yields} We quantify the health benefits of inspection and maintenance programs in Bangkok. {yields} The programs could yield substantial health benefits relative to business-as-usual. {yields} The benefits considerably outweigh the expenditures on policy implementation.

  18. Naval Sea Systems Command Occupational Safety and Health Record Keeping System. Hazardous Materials Control Module. Program Maintenance Manual

    Science.gov (United States)

    1987-06-01

    terms and abbreviations are used in this manual: • CAS ( Chemical Abstract Service) Number: A unique identification number given to chemical substances...by the Chemical Abstract Service. * Code 106: The Occupational Safety and Health (OSH) Office at the shipyard. " Document Number: The number used by

  19. Identification of DNA motifs implicated in maintenance of bacterial core genomes by predictive modeling.

    Science.gov (United States)

    Halpern, David; Chiapello, Hélène; Schbath, Sophie; Robin, Stéphane; Hennequet-Antier, Christelle; Gruss, Alexandra; El Karoui, Meriem

    2007-09-01

    Bacterial biodiversity at the species level, in terms of gene acquisition or loss, is so immense that it raises the question of how essential chromosomal regions are spared from uncontrolled rearrangements. Protection of the genome likely depends on specific DNA motifs that impose limits on the regions that undergo recombination. Although most such motifs remain unidentified, they are theoretically predictable based on their genomic distribution properties. We examined the distribution of the "crossover hotspot instigator," or Chi, in Escherichia coli, and found that its exceptional distribution is restricted to the core genome common to three strains. We then formulated a set of criteria that were incorporated in a statistical model to search core genomes for motifs potentially involved in genome stability in other species. Our strategy led us to identify and biologically validate two distinct heptamers that possess Chi properties, one in Staphylococcus aureus, and the other in several streptococci. This strategy paves the way for wide-scale discovery of other important functional noncoding motifs that distinguish core genomes from the strain-variable regions.

  20. Identification of DNA motifs implicated in maintenance of bacterial core genomes by predictive modeling.

    Directory of Open Access Journals (Sweden)

    David Halpern

    2007-09-01

    Full Text Available Bacterial biodiversity at the species level, in terms of gene acquisition or loss, is so immense that it raises the question of how essential chromosomal regions are spared from uncontrolled rearrangements. Protection of the genome likely depends on specific DNA motifs that impose limits on the regions that undergo recombination. Although most such motifs remain unidentified, they are theoretically predictable based on their genomic distribution properties. We examined the distribution of the "crossover hotspot instigator," or Chi, in Escherichia coli, and found that its exceptional distribution is restricted to the core genome common to three strains. We then formulated a set of criteria that were incorporated in a statistical model to search core genomes for motifs potentially involved in genome stability in other species. Our strategy led us to identify and biologically validate two distinct heptamers that possess Chi properties, one in Staphylococcus aureus, and the other in several streptococci. This strategy paves the way for wide-scale discovery of other important functional noncoding motifs that distinguish core genomes from the strain-variable regions.

  1. [A transdisciplinary model for public health research].

    Science.gov (United States)

    Betancourt, José Aureliano

    2013-11-01

    Human resources education for health workers has been predominantly discipline-oriented and fragmented, influencing research design and, in turn, scientific output. Several authors argue that university education should transition from disciplinarity to transdisciplinarity. To gather the theoretical underpinnings for this subject of international interest, a literature search was conducted in the PubMed, EBSCO, and SciELO databases in 2012, using the terms "transdisciplinary and translational research" in Spanish and English. The majority of authors believe that identifying problems from different perspectives by specialists and community members and leaders will be conducive to more effective intersectoral interventions. They suggest undertaking organizational change to reshape reshaping work styles and self-organizational forms of scientific activity. Finally, a transdisciplinary model for public health research has been proposed that is based on traditional project design tools, but with variations borrowed from a complex systems approach.

  2. 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

  3. Latino children's health and the family-community health promotion model.

    OpenAIRE

    Mendoza, F S; Fuentes-Afflick, E.

    1999-01-01

    A majority of Latino children in the US live in poverty. However, unlike other poor children, Latino children do not seem to have a consistent association between poverty and poor health. Instead, many poor Latino children have unexpectedly good health outcomes. This has been labeled an epidemiologic paradox. This paper proposes a new model of health, the family-community health promotion model, to account for this paradox. The family-community health promotion model emphasizes the family-com...

  4. The role of midwives and health visitors in promoting intergenerational language maintenance in the bilingual setting: perceptions of parents and health professionals.

    Science.gov (United States)

    Tranter, Siobhan; Irvine, Fiona; Roberts, Gwerfyl; Spencer, Llinos; Jones, Peter

    2011-01-01

    The increasing status and regard of indigenous minority languages across Europe, means the advantages of bilingualism for individuals and communities are now well established. We set out to elicit parents' and health professionals' views of the role of health visitors and midwives in promoting bilingualism in the family and to consider whether health professionals acknowledge the contribution that bilingualism makes to public health. A three-year study was completed to measure the impact of a language transmission initiative which depends on the input of midwives and health visitors with new parents and how its effect could be improved. This paper reports on one element of that study. A qualitative approach was used. Six focus group interviews were conducted with health visitors and midwives and 33 postnatal interviews were completed with parents across four counties in Wales. Thematic content analysis was undertaken by two researchers, a third trailed decision processes and scrutinised categories and themes. Findings suggest that health visitors and midwives perceive their roles relating to the promotion of bilingualism differently. Influences on their involvement include their language profile, contact with parents, personal experience, timing of the interaction and time in their workload. The relationship between promoting bilingualism and public health was accepted by some and denied by others. Data from the interviews with parents suggested that few health professionals discuss issues of language transmission with new parents. Some individual health visitors and midwives are willing to promote bilingualism with parents. However, there are challenges in enlisting the support of health visitors and midwives to discuss language transmission and bilingualism with parents. These findings challenge practitioners to consider their role in promoting bilingualism and its effect on public health and suggest the need for more defined responsibilities. © 2010 Blackwell

  5. Application of two-phase flow modeling as a basis for scheduling corrosion maintenance activities in wet sour gas pipelines

    Energy Technology Data Exchange (ETDEWEB)

    Richardson, D. [NeoCorr Engineering Ltd., Calgary, Alberta (Canada); Bich, N.N. [Shell Canada Ltd., Calgary, Alberta (Canada)

    1997-08-01

    Pipeline failures attributed to internal corrosion in the oil and gas producing industry have not been decreasing despite the many corrosion mitigation, monitoring and inspection programs implemented. This paper describes how preliminary investigations for evaluating the susceptibility of internal corrosion for wet sour gas pipelines have been based on integrating the latest knowledge in fluid flow and sour gas corrosion mechanisms. It is anticipated future efforts to correlate the onset of slug flow regime with historical corrosion and inspection data may lead to development of an improved criteria for predicting the onset of corrosive water traps and for triggering appropriate maintenance activities. This paper provides details of two corrosion failure Case Studies where application of flow modeling has improved the understanding of the operating hazards that contributed to the formation of a corrosive environment leading to high-rate initiation and growth of localized pitting corrosion. Preliminary analysis indicates slug flow pattern, and long water residence time of water within stagnant traps increases the likelihood of pitting corrosion.

  6. [A PARADIGM SHIFT IN THE PERCEPTION OF HEALTH MAINTENANCE FROM INCREASING PHYSICAL ACTIVITY TO DECREASING PHYSICAL INACTIVITY].

    Science.gov (United States)

    Rotman, Dani; Constantini, Naama

    2016-06-01

    Modern man spends most of his waking hours (50-70%) in one form or another of sedentary behavior, defined as activity conducted in a sitting or reclining position involving low energy expenditure. The remaining waking hours are spent performing low intensity physical activity (25-45%) and medium-high intensity physical activity (less than 5%): Despite this distribution, medical research has focused on the impact of increasing medium-high intensity physical activity and many health organizations' recommendations are in accordance. In recent years, research conducted has begun to examine the effect inactivity has on health and has shown that excess sedentary behaviour is an independent risk factor for a wide range of medical problems such as obesity, metabolic syndrome, poor cardiovascular health profile, diabetes mellitus, and possibly cancer. Although the higher risk brought on by sedentary behaviour is partially reduced by increasing medium-high intensity physical activity, it is not completely neutralized. One way to diminish the harm caused by long hours of sitting is to take short breaks during periods of prolonged sitting in order to walk. According to these findings, it is worthwhile to recommend reducing the hours spent in sedentary behaviour, or at least to take frequent short breaks ("activity snacks") during periods of prolonged sitting to get up and walk around.

  7. Scientific Opinion on the substantiation of a health claim related to a combination of diosmin, troxerutin and hesperidin and maintenance of normal venous-capillary permeability pursuant to Article 13(5 of Regulation (EC No 1924/2006

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2014-01-01

    Full Text Available Following an application from Omikron Italia S.r.l., submitted pursuant to Article 13.5 of Regulation (EC No 1924/2006 via the Competent Authority of Italy, the Panel on Dietetic Products, Nutrition and Allergies (NDA was asked to deliver an opinion on the scientific substantiation of a health claim related to a combination of diosmin, troxerutin and hesperidin and maintenance of normal venous-capillary permeability. The food that is a subject of the health claim, a combination of diosmin, troxerutin and hesperidin, is sufficiently characterised. The claimed effect, maintenance of normal venous-capillary permeability, is a beneficial physiological effect. No human intervention studies from which conclusions could be drawn for the scientific substantiation of the claim were provided by the applicant. The Panel concludes that a cause and effect relationship has not been established between the consumption of a combination of diosmin, troxerutin and hesperidin and the maintenance of normal venous-capillary permeability.

  8. Scientific Opinion on the substantiation of a health claim related to a combination of diosmin, troxerutin and hesperidin and maintenance of normal venous tone pursuant to Article 13(5 of Regulation (EC No 1924/2006

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2014-01-01

    Full Text Available Following an application from Omikron Italia S.r.l., submitted pursuant to Article 13.5 of Regulation (EC No 1924/2006 via the Competent Authority of Italy, the Panel on Dietetic Products, Nutrition and Allergies (NDA was asked to deliver an opinion on the scientific substantiation of a health claim related to a combination of diosmin, troxerutin and hesperidin and maintenance of normal venous tone. The food that is a subject of the health claim, a combination of diosmin, troxerutin and hesperidin, is sufficiently characterised. The claimed effect, maintenance of normal venous tone, is a beneficial physiological effect. No human intervention studies from which conclusions could be drawn for the scientific substantiation of the claim were provided by the applicant. The Panel concludes that a cause and effect relationship has not been established between the consumption of a combination of diosmin, troxerutin and hesperidin and the maintenance of normal venous tone.

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

    Directory of Open Access Journals (Sweden)

    Ziba Farajzadegan

    2016-01-01

    Full Text Available Background: 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. Materials and Methods: 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. Results: 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. There was no significant difference in other HBM subscales scores between various stages of CBE screening behavior (P < 0.05. Conclusion: 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.

  10. Program Models for Mental Health Treatment of Refugees.

    Science.gov (United States)

    Jaranson, James M.; Bamford, Pauline

    This paper presents the approach used by the Technical Assistance Center (TAC) of the University of Minnesota's Refugee Assistance Program in Mental Health for identifying successful and culturally sensitive mental health service delivery models. It divides these into four categories: the psychiatric model; the community mental health model; the…

  11. APPLICATION OF LINEAR PROGRAMMING TO FACILITY MAINTENANCE PROBLEMS IN THE NAVY SHORE ESTABLISHMENT.

    Science.gov (United States)

    LINEAR PROGRAMMING ), (*NAVAL SHORE FACILITIES, MAINTENANCE), (*MAINTENANCE, COSTS, MATHEMATICAL MODELS, MANAGEMENT PLANNING AND CONTROL, MANPOWER, FEASIBILITY STUDIES, OPTIMIZATION, MANAGEMENT ENGINEERING.

  12. Gastrointestinal tract modelling in health and disease

    Institute of Scientific and Technical Information of China (English)

    Dong-Hua Liao; Jing-Bo Zhao; Hans Gregersen

    2009-01-01

    The gastrointestinal (GI) tract is the system of organs within multi-cellular animals that takes in food, digests it to extract energy and nutrients, and expels the remaining waste. The various patterns of GI tract function are generated by the integrated behaviour of multiple tissues and cell types. A thorough study of the GI tract requires understanding of the interactions between cells, tissues and gastrointestinal organs in health and disease. This depends on knowledge, not only of numerous cellular ionic current mechanisms and signal transduction pathways, but also of large scale GI tissue structures and the special distribution of the nervous network. A unique way of coping with this explosion in complexity is mathematical and computational modelling; providing a computational framework for the multilevel modelling and simulation of the human gastrointestinal anatomy and physiology. The aim of this review is to describe the current status of biomechanical modelling work of the GI tract in humans and animals, which can be further used to integrate the physiological, anatomical and medical knowledge of the GI system. Such modelling will aid research and ensure that medical professionals benefit, through the provision of relevant and precise information about the patient's condition and GI remodelling in animal disease models. It will also improve the accuracy and efficiency of medical procedures, which could result in reduced cost for diagnosis and treatment.

  13. 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…

  14. 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…

  15. Model Organisms Fact Sheet: Using Model Organisms to Study Health and Disease

    Science.gov (United States)

    ... Model Organisms to Study Health and Disease Using Model Organisms to Study Health and Disease Tagline (Optional) ... and treating disease in humans. What is a model? The word model has many meanings, but in ...

  16. [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.

  17. Cultural factors related to the maintenance of health behaviours in Algonquin women with a history of gestational diabetes.

    Science.gov (United States)

    Gaudreau, S; Michaud, C

    2012-06-01

    Though the cultural factors that may contribute to the diabetes epidemic in First Nations are frequently discussed, little is known about the factors that may help prevent it. In this ethnonursing study, we explore the cultural factors that help maintain health behaviours in Algonquin women who had received a diagnosis of gestational diabetes 2 to 10 years before this study. The data were collected in two Algonquin communities through semi-structured interviews with key informants (n = 7) and general informants (n = 8) and through cultural immersion, with detailed observations being recorded into logbooks. The cultural factors that are likely to affect the prevention of diabetes are the importance of family and social ties, the possibility of preserving cultural values, the opportunity to learn behaviours through educational resources adapted to needs and culture, the chance of saving money through better diet and access to blood sugar data as a means of control. In the long term, these cultural factors could influence health behaviours and thus help prevent type 2 diabetes.

  18. Structural Equation Model of Health Promoting Behaviors for Health Information Seekers with Mobile.

    Science.gov (United States)

    Choi, Hanna; Kim, Jeongeun; Byun, Ahjung

    2016-01-01

    This study was conducted on verifying whether variables such as prior health related behaviors, health literacy, interpersonal influence, perceived ease of use and usefulness of health information, and behavioral intention could predict actual health promoting behaviors of consumers using health information with mobile in the future. The research model was based on Technology Acceptance Model. Data were collected from 199 mobile health information seekers. Participants' actual health promoting behaviors were checked after 3 months from pre-data collection. The final modified model had good fit indices.

  19. 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

  20. A situated-Information Motivation Behavioral Skills Model of Care Initiation and Maintenance (sIMB-CIM): an IMB model based approach to understanding and intervening in engagement in care for chronic medical conditions.

    Science.gov (United States)

    Rivet Amico, K

    2011-10-01

    A sizable portion of adults living with chronic medical conditions (CMCs) delay initiation of care or maintain it inconsistently, which has tremendous personal and public costs. However, few explanatory models with high yield for intervention development and implementation have been proposed to date that would help to characterize and support care use for CMCs. A situated Information, Motivation, Behavioral Skills model of Care Initiation and Maintenance (sIMB-CIM) is presented here as an application of the IMB model to medical care use for CMCs. An example of a sIMB model for characterizing and intervening to support maintenance in HIV-care is provided.

  1. 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. 

  2. Group Maintenance Model of Automatic Production Line and Its Application%自动生产线的同步维修模型及实例研究

    Institute of Scientific and Technical Information of China (English)

    郑睿; 吕文元

    2011-01-01

    自动生产线故障停机时间长、停机费用高,其原因在于:设备种类多且相关联,存在各设备协同维修的难题.首先,寻求生产线故障时间和检查时间之间的平衡点,建立检查周期与总停机时间之间关系的目标函数.其次,借鉴同步维修的"对故障隐患集中式批处理,减少分散维修的停机时间"思想,以及时间延迟维修理论,建立生产线的同步维修模型,该模型利用生产线每天停机次数、每次停机时间及检查时发现的缺陷数,计算出合理的生产线检查周期,并以此为依据制定维修计划,实现"提高维修批量,减少生产线停机时间"的目标.最后,实例研究,收集某生产线近十年的故障记录数据,在分析生产流程、设备布局、各设备停机影响的基础上,提出对策指导生产线维修管理.%To solve the problem of long downtime and high cost of automatic production line, group maintenance model is put forward.Firstly, the target function is given, which describes the relation between inspection cycle and total downtime.Secondly, according to the delay time maintenance theory and the idea of group maintenance, namely reducing the total downtime by the means of batch maintenance, group maintenance model is established.Using data such as failure number occurred in production line, and the number of defects identified in PM, the established model can calculate the reasonable inspection cycle.Only with the calculated inspection cycle, the maintenance plan can be outlined, and the target of reducing total downtime by the means of maintenance batch will be realized.Finally, a case study is given.Failures record data in the past decade are collected.Some advices are presented, which is based on the analysis ofproduction flow, equipment layout, and the effect of equipments downtime as well.

  3. 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.

  4. Health literacy and public health: A systematic review and integration of definitions and models

    Directory of Open Access Journals (Sweden)

    Sørensen Kristine

    2012-01-01

    Full Text Available 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.

  5. Screening and monitoring of main diseases a modern strategy of health maintenance in personnel of radiation dangerous plants

    Energy Technology Data Exchange (ETDEWEB)

    Takhauov, R. M.; Karpov, A. B.; Kubat, I. I.; Maslyuk, A. I.; Semenova, Y. V.; Freidin, M. B.; Trivozhenko, A. B.; Litvinenko, T. M.

    2004-07-01

    Population health is greatly determined by social factors, mode of life, ecological situation, amount and quality of medical assistance. The analysis of reasons of health troubles increase in population should be done taking into account the above aspects. Main consideration should be given to the development of measures aimed at the highest possible decrease of technogenic and anthropogenic factors influence on a human. Thereupon a complex programme of main diseases screening and monitoring in the personnel of the Siberian Group of Chemical enterprises (SGCE) to be the biggest one among Russian atomic plants has been developed. The purpose of the present paper is to determine main diseases at the earliest stage, the decrease of death rate, as well as the complex estimation of technogenic factor influence on the personnel of radiation dangerous plants nand their offsprings. In this case a long-term effect of low doses seems to be the main risk factor. Taking into account the structure of death rate causes of the population of industrialized countries as well as the spectrum of stochastic effects of ionizing radiation, the screening of cardiac ischemia and arterial hypertension, localization of cancer and congenital malformations have been chosen as the program priorities. Algorithm of instrumental laboratory screening of a particular disease includes modern diagnostic tests. Groups ar risk are formed taking into account a complex of exogenous and endogenous risk factors (age, chronic diseases, bad habits, length of service at a radiation dangerous plant, dose loads, hereditary factors) and on the basis of the screening examination results. The information obtained is entered in the list of database of the Regional Medico dosimetric Register of the SGCE personnel and Seversk residents followed by analysis and monitoring of groups ar risk. (Author) 4 refs.

  6. 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...

  7. 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.

  8. 社会支持对美沙酮维持治疗者心理健康的影响%SOCIAL SUPPORT EFFECT ON THE MENTAL HEALTH OF METHADONE MAINTENANCE TREATMEN OUTPATIENT

    Institute of Scientific and Technical Information of China (English)

    杨玲; 许琼英; 李世峰; 李欣娜

    2013-01-01

    目的:考察美沙酮维持治疗对毒品依赖者社会支持和心理健康水平的影响,探析美沙酮维持治疗者社会支持和心理健康的关系.方法:采用症状自评量表(SCL-90)和社会支持量表对374例美沙酮维持治疗者进行调查分析.结果:美沙酮维持治疗者除了躯体化、人际敏感、抑郁和敌对因子以外,SCL-90的总分和各因子在治疗时间上差异显著;社会支持总分、主观支持和客观支持的得分随服药时间的增长而增加;社会支持与心理健康的性别差异显著;社会支持和心理健康存在部分相关.结论:美沙酮维持治疗将有效的改善美沙酮维持治疗者的心理健康水平和社会支持状况,美沙酮维持治疗者的社会支持状况对心理健康产生影响.%To investigate the methadone maintenance treatment influence on social support and psychological health level of drug dependent patients. To explore the relationship between social support and mental health among the methadone maintenance treatment outpatient. Methods-. The Symptom Checklist 90 ( SCL - 90 ) and Social Support Scale were investigated among 374 methadone maintenance treatment outpatient. Results-. Except the scores of somatization, interpersonal sensitivity, depression and hostility factor, the methadone maintenance treatment outpatient' Symptom Checklist 90 ( SCL - 90) factors showed significant difference on treatment time. With the treatment prolonged, social support total score, subjective support and objective support growth too. There was also significant gender differences in the scores of social support and mental health. There was significant correlation between social support and mental health. Conclusion-. Methadone maintenance treatment will effectively improve methadone maintenance treatment dependent mental health level and the social support status. The social support of methadone maintenance treatment had positive impact on mental health.

  9. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Scientific Opinion on the substantiation of a health claim related to glucosamine and maintenance of joints pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    claim based on newly developed scientific evidence related to glucosamine and maintenance of joints. The food constituent that is the subject of the health claim is glucosamine, which is sufficiently characterised. The claimed effect is “contributes to the protection of joint cartilage exposed...... periods of three months can predict net changes in collagen type II in joint cartilage. The Panel concludes that a cause and effect relationship has not been established between the consumption of glucosamine and maintenance of joints. © European Food Safety Authority, 2011...

  10. 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...

  11. The Healthy Ageing Model: health behaviour change for older adults.

    Science.gov (United States)

    Potempa, Kathleen M; Butterworth, Susan W; Flaherty-Robb, Marna K; Gaynor, William L

    2010-01-01

    Proposed is a model of primary care for older adults with chronic health conditions that focuses on active engagement in health care. The Healthy Ageing Model is anchored in established theory on motivation and health behaviour change. The model draws on empirical and applied clinical underpinnings in such diverse areas as health promotion and education, treatment of addictions or obesity, management of chronic diseases, goal-setting, and coaching techniques. The conceptual foundation for the Healthy Ageing Model is described first, followed by a brief description of the key characteristics of the model. In conclusion, suggestions are offered for the clinical application and for further developing the model.

  12. The link between health governance models and global health innovation: an exploration of OECD nations.

    Science.gov (United States)

    Schnarr, Karin; Snowdon, Anne; Cramm, Heidi; Cohen, Jason; Alessi, Charles

    2015-01-01

    While there is established research that explores individual innovations across countries or developments in a specific health area, there is less work that attempts to match national innovations to specific systems of health governance to uncover themes across nations. We used a cross-comparison design that employed content analysis of health governance models and innovation patterns in eight OECD nations (Australia, Britain, Canada, France, Germany, The Netherlands, Switzerland, and the United States). Country-level model of health governance may impact the focus of health innovation within the eight jurisdictions studied. Innovation across all governance models has targeted consumer engagement in health systems, the integration of health services across the continuum of care, access to care in the community, and financial models that drive competition. Improving our understanding of the linkage between health governance and innovation in health systems may heighten awareness of potential enablers and barriers to innovation success.

  13. Availability of Aircraft Subject to Imperfect Preventive Maintenance

    Science.gov (United States)

    1990-09-01

    maintenance model for determining an improved preventive maintenance policy, and the strength of simulating the operating environment when determining... preventive maintenance schedule and the use of simulation as a driver for the model. For those systems that are subject to preventive maintenance, the model...decrease in effectiveness. It further looks at the feasibility of using an imperfect preventive maintenance model for determining an improved

  14. AIRCRAFT MAINTENANCE HANGAR

    National Research Council Canada - National Science Library

    GEAMBASU Gabriel George

    2017-01-01

    .... The first part of research describes the aircraft maintenance process that has to be done after an updated maintenance manual according with aircraft type, followed by a short introduction about maintenance hangar...

  15. 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…

  16. An Ontology Evolution and Maintenance Model in Web Environment%一种网络环境中的本体演化和维护模型

    Institute of Scientific and Technical Information of China (English)

    王进; 陈恩红; 林乐

    2003-01-01

    With the rapid development of Internet, Knowledge web will be one of development directions of the next generation of Internet. The applications of ontology will bring new opportunities and challenges to it. In this paper, we propose an ontology evolution and maintenance model in the Web environment to solve the conflicts and inconsistencies between domain ontologies and knowledge caused by the changes of the knowledge sources in the Web environment by extracting and analyzing the meta-data of the data sources.

  17. 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 (C...... 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....

  18. Brh2 and Rad51 promote telomere maintenance in Ustilago maydis, a new model system of DNA repair proteins at telomeres.

    Science.gov (United States)

    Yu, Eun Young; Kojic, Milorad; Holloman, William K; Lue, Neal F

    2013-07-01

    Recent studies implicate a number of DNA repair proteins in mammalian telomere maintenance. However, because several key repair proteins in mammals are missing from the well-studied budding and fission yeast, their roles at telomeres cannot be modeled in standard fungi. In this report, we explored the dimorphic fungus Ustilago maydis as an alternative model for telomere research. This fungus, which belongs to the phylum Basidiomycota, has a telomere repeat unit that is identical to the mammalian repeat, as well as a constellation of DNA repair proteins that more closely mimic the mammalian collection. We showed that the two core components of homology-directed repair (HDR) in U. maydis, namely Brh2 and Rad51, both promote telomere maintenance in telomerase positive cells, just like in mammals. In addition, we found that Brh2 is localized to telomeres in vivo, suggesting that it acts directly at chromosome ends. We surveyed a series of mutants with DNA repair defects, and found many of them to have short telomeres. Our results indicate that factors involved in DNA repair are probably also needed for optimal telomere maintenance in U. maydis, and that this fungus is a useful alternative model system for telomere research.

  19. A Study on Maintenance Management and Maintenance Decision-Making Methods

    Institute of Scientific and Technical Information of China (English)

    ZHAO Song-zheng; XIAO Wei

    2004-01-01

    By comparing the advantages and disadvantages of the main popular maintenance modes,this paper analyses the relationship between maintenance modes, and gives a model of maintenance decision-making. The model can be used in enterprises to minimize life cycle cost (LCC).

  20. Towards a model for effective asset life cycle management control - a case study in rolling stock maintenance

    NARCIS (Netherlands)

    Ruitenburg, Richard Jacob; Braaksma, Anne Johannes Jan; van Dongen, Leonardus Adriana Maria

    2015-01-01

    The maintenance of physical assets is indispensable for sustainable competitiveness. The discipline of Asset Life Cycle Management (ALCM) shows that assets should be managed in a multidisciplinary way over their complete life cycle. This paper asks how these assets can be managed effectively. The

  1. VT Maintenance District Boundaries

    Data.gov (United States)

    Vermont Center for Geographic Information — Vermont has eight transportation maintenance districts which are responsible for all maintenance activities on state highways, and for providing technical assistance...

  2. 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.

  3. 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....

  4. 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....

  5. A Critique of Grossman's Canonical Model of Health Capital.

    Science.gov (United States)

    Sepehri, Ardeshir

    2015-01-01

    In the health economics literature, the demand for health and market health inputs is dominated by adaptations of Grossman's health capital model. The model has been widely used to explore a wide range of issues related to health, socioeconomic inequalities in health, demand for medical care, health preventions, occupational choice, and retirement decisions. The commodity of health is viewed as a durable capital stock that yields a flow of healthy time or illness-free time, that depreciates with age, and that can be augmented with the help of market health inputs and own time. The purpose of this article is to provide a comprehensive critical review of the model. Underlying Grossman's model are a faulty conceptual framework and assumptions that tend to exaggerate the degree of control consumers/patients may have over their state of health and survival. The assumption of full information about one's state of health and the efficacy of various health inputs abstracts away from the problems posed by the agency relationship under uncertainty and informational asymmetry. Grossman's individualistic and mechanistic view of health strips health capital and its production of much of their biological/physiological content and their interactions with the individual's social and physical environment.

  6. Enhanced slow wave sleep and improved sleep maintenance after gaboxadol administration during seven nights of exposure to a traffic noise model of transient insomnia.

    Science.gov (United States)

    Dijk, D-J; Stanley, N; Lundahl, J; Groeger, J A; Legters, A; Trap Huusom, A K; Deacon, S

    2012-08-01

    Slow wave sleep (SWS) has been reported to correlate with sleep maintenance, but whether pharmacological enhancement of SWS also leads to improved sleep maintenance is not known. Here we evaluate the time-course of the effects of gaboxadol, an extra-synaptic gamma-aminobutyric acid (GABA) agonist, on SWS, sleep maintenance, and other sleep measures in a traffic noise model of transient insomnia. After a placebo run-in, 101 healthy subjects (20-78 y) were randomized to gaboxadol (n = 50; 15 mg in subjects <65 y and 10 mg in subjects ≥65 y) or placebo (n = 51) for 7 nights (N1-N7). The model caused some disruption of sleep initiation and maintenance, with greatest effects on N1. Compared with placebo, gaboxadol increased SWS and slow wave activity throughout N1 to N7 (p < 0.05). Gaboxadol reduced latency to persistent sleep overall (N1-N7) by 4.5 min and on N1 by 11 min (both p < 0.05). Gaboxadol increased total sleep time (TST) overall by 16 min (p < 0.001) and on N1 by 38 min (p < 0.0001). Under gaboxadol, wakefulness after sleep onset was reduced by 11 min overall (p < 0.01) and by 29 min on N1 (p < 0.0001), and poly-somnographic awakenings were reduced on N1 (p < 0.05). Gaboxadol reduced self-reported sleep onset latency overall and on N1 (both p < 0.05) and increased self-reported TST overall (p < 0.05) and on N1 (p < 0.01). Subjective sleep quality improved overall (p < 0.01) and on N1 (p < 0.0001). Increases in SWS correlated with objective and subjective measures of sleep maintenance and subjective sleep quality under placebo and gaboxadol (p < 0.05). Gaboxadol enhanced SWS and reduced the disruptive effects of noise on sleep initiation and maintenance.

  7. Preventive Maintenance Strategy Optimization Model Based on Fault Prediction%基于故障预测的预防性维修策略优化模型

    Institute of Scientific and Technical Information of China (English)

    魏永合; 刘雪丽; 牛保国

    2015-01-01

    Aiming at a single-unit system subject to condition monitoring and its degradation state distribu-tion function is unknown, the fault prediction technology is introduced into the practice of preventive mainte-nance, puts forward a preventive maintenance strategy based on failure prediction. First, according to the re-maining life prediction results which are obtained by detecting state information, the residual life of preven-tive maintenance as threshold to draft preventive maintenance strategy. Then, according to the theory of re-newal process, establish an optimization model with preventive maintenance threshold and the prediction in-terval as optimization variables, the minimum average maintenance cost and maximum availability of equip-ment as optimization target function. By using Seeker Optimization Algorithm ( SOA) , the optimal preven-tive maintenance threshold and maintenance prediction intervals were obtained. Finally, using the known predicted results, the example is given to simulate optimization and get the best forecast cycle, in the guar-antee availability at the same time, get the minimum average maintenance cost of the equipment, verify the feasibility and effectiveness of the model.%针对具有状态检测且退化分布未知的单部件系统,把故障预测技术引入到预防性维修的实践中,提出一种基于故障预测的预防性维修策略。首先,根据由状态检测信息得到的剩余寿命的预测结果,以预防性维修时的剩余寿命为阀值制定预防性维修策略。然后,根据更新过程理论,建立以设备的预防性维修阀值和预测间隔期为优化变量,以设备平均维修费用最小和设备可用度最大为优化目标的预防性维修优化模型。采用人群搜索算法进行优化求解,得到系统最佳的预防性维修阀值和维修预测间隔期。最后,通过引入算例,对所建模型优化仿真求解,得到设备最佳的预测周期,在保证设

  8. 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.

  9. 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…

  10. 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.

  11. Design of the System of Maintenance Operations Occupational Safety and Health Database Application of Nuclear Power Station%核电站维修作业职业安全健康数据库应用系统设计

    Institute of Scientific and Technical Information of China (English)

    王学洪; 李向阳; 叶勇军

    2011-01-01

    Based on the KKS code of building equipment in nuclear power station,this paper introduces the method of establishing the system of maintenance operation occupational safety and health database application. Through the application system of maintenance occupational safety and health database, it can summarize systematically all kinds of maintenance operation dangerous factor of nuclear power station,and make a convenience for staff to learn the maintenance operation dangerous factors and the prevention measures,so that it can achieve the management concept of "precaution crucial,continuous improvement"that advocated by OSHMS.%以核电站厂房设备KKS编码等为基础,建立维修作业职业安全健康数据库应用系统.通过维修作业职业安全数据库应用系统,可以系统地归纳核电站各类维修作业危险危害因素,方便员工在作业前查询学习维修作业危险危害因素及防范措施;达到OSHMS所倡导的“预防为主、持续改进”的管理理念.

  12. Towards a Unified Theory of Health-Disease: I. Health as a complex model-object

    Directory of Open Access Journals (Sweden)

    Naomar Almeida-Filho

    2013-06-01

    Full Text Available Theory building is one of the most crucial challenges faced by basic, clinical and population research, which form the scientific foundations of health practices in contemporary societies. The objective of the study is to propose a Unified Theory of Health-Disease as a conceptual tool for modeling health-disease-care in the light of complexity approaches. With this aim, the epistemological basis of theoretical work in the health field and concepts related to complexity theory as concerned to health problems are discussed. Secondly, the concepts of model-object, multi-planes of occurrence, modes of health and disease-illness-sickness complex are introduced and integrated into a unified theoretical framework. Finally, in the light of recent epistemological developments, the concept of Health-Disease-Care Integrals is updated as a complex reference object fit for modeling health-related processes and phenomena.

  13. Towards a unified theory of health-disease: I. Health as a complex model-object.

    Science.gov (United States)

    Almeida-Filho, Naomar

    2013-06-01

    Theory building is one of the most crucial challenges faced by basic, clinical and population research, which form the scientific foundations of health practices in contemporary societies. The objective of the study is to propose a Unified Theory of Health-Disease as a conceptual tool for modeling health-disease-care in the light of complexity approaches. With this aim, the epistemological basis of theoretical work in the health field and concepts related to complexity theory as concerned to health problems are discussed. Secondly, the concepts of model-object, multi-planes of occurrence, modes of health and disease-illness-sickness complex are introduced and integrated into a unified theoretical framework. Finally, in the light of recent epistemological developments, the concept of Health-Disease-Care Integrals is updated as a complex reference object fit for modeling health-related processes and phenomena.

  14. 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.

  15. Development of a health information technology acceptance model using consumers' health behavior intention.

    Science.gov (United States)

    Kim, Jeongeun; Park, Hyeoun-Ae

    2012-10-01

    For effective health promotion using health information technology (HIT), it is mandatory that health consumers have the behavioral intention to measure, store, and manage their own health data. Understanding health consumers' intention and behavior is needed to develop and implement effective and efficient strategies. To develop and verify the extended Technology Acceptance Model (TAM) in health care by describing health consumers' behavioral intention of using HIT. This study used a cross-sectional descriptive correlational design. We extended TAM by adding more antecedents and mediating variables to enhance the model's explanatory power and to make it more applicable to health consumers' behavioral intention. Additional antecedents and mediating variables were added to the hypothetical model, based on their theoretical relevance, from the Health Belief Model and theory of planned behavior, along with the TAM. We undertook structural equation analysis to examine the specific nature of the relationship involved in understanding consumers' use of HIT. Study participants were 728 members recruited from three Internet health portals in Korea. Data were collected by a Web-based survey using a structured self-administered questionnaire. The overall fitness indices for the model developed in this study indicated an acceptable fit of the model. All path coefficients were statistically significant. This study showed that perceived threat, perceived usefulness, and perceived ease of use significantly affected health consumers' attitude and behavioral intention. Health consumers' health status, health belief and concerns, subjective norm, HIT characteristics, and HIT self-efficacy had a strong indirect impact on attitude and behavioral intention through the mediators of perceived threat, perceived usefulness, and perceived ease of use. An extended TAM in the HIT arena was found to be valid to describe health consumers' behavioral intention. We categorized the concepts in

  16. Maintenance and Condition-Based Maintenance

    Institute of Scientific and Technical Information of China (English)

    DING Jin-hua; WANG Xue-Jun; ZHOU Rong; LIN Min; Olsson Erland

    2005-01-01

    The evolution of maintenance management is briefly introduced in this paper, from corrective maintenance to preventive maintenance. First, a range of condition monitoring and fault diagnosis techniques developed in different industries are surveyed; Second, many methods of condition monitoring are presented; Third, mathematical methods used in condition monitoring are given; Then the merits and shortcomings are discussed.Efficient maintenance policies are of fundamental importance in system engineering because of their fallbacks into the safety and economics of plant operation. Applying condition-based maintenance to a system can reduce the cost and extend the availability of facilities. With the advent of personal computers as fast and cost effective machines for data acquisition and processing of multiple signals some shortcomings mentioned in condition monitoring could be solved or reduced to some extent. These PCs can be a solution as a condition monitoring based maintenance system.

  17. Association of Weight Loss Maintenance and Weight Regain on 4-Year Changes in CVD Risk Factors: the Action for Health in Diabetes (Look AHEAD) Clinical Trial

    Science.gov (United States)

    2016-01-01

    OBJECTIVE Short-term weight loss improves cardiovascular disease (CVD) risk factors. We sought to determine the longer-term effects of maintaining weight loss or, conversely, regaining weight. RESEARCH DESIGN AND METHODS We used data from Action for Health in Diabetes (Look AHEAD), a randomized trial of intensive lifestyle intervention (ILI) compared to a control condition in overweight/obese individuals with type 2 diabetes. ILI participants were grouped according to weight change patterns, as follows: 1) no weight loss (±3% at years 1 and 4); 2) moderate weight loss (3–8% at years 1 and 4); 3) large weight loss (8–20% at years 1 and 4); 4) moderate loss/full regain (3–8% at year 1/±3% at year 4); 5) large loss/full regain (8–20% at year 1/± 3% year 4); and 6) large loss/partial regain (8–20% at year 1/3–8% at year 4) and changes in CVD risk factors were compared. RESULTS Adjusting for baseline differences and medication use, larger weight losses produced greater improvements in HbA1c, systolic blood pressure, HDL cholesterol, and triglycerides at years 1 and 4 (all P ≤ 0.02). Despite maintenance of weight loss, HbA1c levels worsened between years 1 and 4, and remained below baseline only in those with large weight losses. We found no negative associations of losing and regaining weight relative to not having lost weight. Moreover, those who had large initial weight loss but full regain of weight had greater improvements in HbA1c levels at year 4 than those with smaller or no initial weight loss. CONCLUSIONS Larger initial weight loss should be encouraged in individuals with type 2 diabetes, despite the possibility of regain. PMID:27271190

  18. The Humanistic Approach: A Model For Dental Health Curriculums.

    Science.gov (United States)

    Beall, Sue; Hurley, Robert S.

    1982-01-01

    A special dental health curriculum, called the Tattletooth Curriculum, demonstrates the use of the humanistic model in health education and its concern for the learner as a total person. The main concept in the development of this curriculum is that the prospect for changing behavior is unlikely unless the health information is personally…

  19. A systematic review of health manpower forecasting models.

    NARCIS (Netherlands)

    Martins-Coelho, G.; Greuningen, M. van; Barros, H.; Batenburg, R.

    2011-01-01

    Context: Health manpower planning (HMP) aims at matching health manpower (HM) supply to the population’s health requirements. To achieve this, HMP needs information on future HM supply and requirement (S&R). This is estimated by several different forecasting models (FMs). In this paper, we review

  20. Application of Workshop Model in Deep Venous Catheter Maintenance Training for Nurses%工作坊模式在护士静脉导管维护培训中的应用

    Institute of Scientific and Technical Information of China (English)

    金瑛; 苏琴; 陈霞君; 吴玉琴

    2016-01-01

    目的探讨以工作坊模式对新护士行深静脉导管维护培训,提高新护士操作规范性和熟练性。方法2014年8月至2015年9月,分别对98名新入职护士应用工作坊模式进行培训,采用深静脉导管维护考核评分表分别在其培训前及培训后一月进行更换肝素帽、冲封管、更换敷贴、用物准备及健康教育评估考核。结果更换肝素帽、冲封管、更换敷贴及宣教较工作坊培训前比较均有统计学意义(Z值分别为-8.55;-8.49;-8.42;-6.50;P<0.001)。通过工作坊的培训模式,新护士深静脉导管维护考核总分较培训前有明显提高,差异具有统计学意义(Z值为-8.60,P<0.001)。结论应用工作坊的培训模式,既能提高新入职护士深静脉导管维护的规范性及操作的熟练性,又能有效地提高新护士学习的主观能动性,提高了培训效果。%Objective To discuss the deep venous catheter maintenance training on new nurses with workshop model to improve their skill normalization and proficiency.Methods From August 2014 to September 2015, 98 new nurses were trained for deep venous catheter maintenance with workshop model. They were evaluated in terms of the replacement of heparin cap, hep-lock cannula and application, stuff preparations and health education with deep venous catheter maintenance assessment sheet before and after one month training.Results Compared with before, the replacement of heparin cap, hep-lock cannula and application and health education after workshop training was of statistical significance (Z=-8.55; -8.49; -8.42 respectively; -6.50; P<0.001 ). Through workshop training model, the scores of deep venous catheter maintenance for new nurses has been significantly improved with statistical difference (Z=-8.60, P<0.001).Conclusion Workshop training model can improve the normalization and proficiency of deep venous catheter maintenance for new nurses. It can effectively improve

  1. 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.

  2. Integrating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: An Interaction of Person-Affect-Cognition-Execution (I-PACE) model.

    Science.gov (United States)

    Brand, Matthias; Young, Kimberly S; Laier, Christian; Wölfling, Klaus; Potenza, Marc N

    2016-12-01

    Within the last two decades, many studies have addressed the clinical phenomenon of Internet-use disorders, with a particular focus on Internet-gaming disorder. Based on previous theoretical considerations and empirical findings, we suggest an Interaction of Person-Affect-Cognition-Execution (I-PACE) model of specific Internet-use disorders. The I-PACE model is a theoretical framework for the processes underlying the development and maintenance of an addictive use of certain Internet applications or sites promoting gaming, gambling, pornography viewing, shopping, or communication. The model is composed as a process model. Specific Internet-use disorders are considered to be the consequence of interactions between predisposing factors, such as neurobiological and psychological constitutions, moderators, such as coping styles and Internet-related cognitive biases, and mediators, such as affective and cognitive responses to situational triggers in combination with reduced executive functioning. Conditioning processes may strengthen these associations within an addiction process. Although the hypotheses regarding the mechanisms underlying the development and maintenance of specific Internet-use disorders, summarized in the I-PACE model, must be further tested empirically, implications for treatment interventions are suggested. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  3. 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...

  4. 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...

  5. 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...

  6. Designing a health equity audit model for Iran in 2010

    Directory of Open Access Journals (Sweden)

    Saeed Karimi

    2011-01-01

    Full Text Available Background: Health equity audit, as an alternative solution, is a process by which local partners systematically review inequalities in the patients` health, their access to appropriate services and health system outputs. Then, necessary activities needed in order to have more equitable services are agreed on and these concurrences become the executive scheme and action initiates. Therefore, it is pivotal for health care organizations to pay special attention to this important topic. The objective of the current study was to review the health equity audit model in different countries to gather viewpoints of various involved groups in health sector, particularly health experts, and to offer a practical and appropriate model for health equity audit in Iran. Methods: This study adopted applied research approach in two phases. In the first step, this study conducted theoretical health equity audit models in the texts; the experiences of other countries were studied and the most appropriate model for Iranian health system was selected. In the second step, this study employed the Delphi technique. According to the Delphi technique the questionnaire applied in order to gather data and then, the final model was extracted. Results: Agreeable topics, performing agencies, 6 equity audit stages, and equity indicators under 3 main parts with 16 sub-sections were elaborated and viewpoints of Iranian experts in the above fields were gathered and presented as the proposed health equity audit model for Iran. Conclusions: This study reviewed the model of health equity audit for UK and provided a comparative model for health system of Iran with respect to the opinions of academic experts.

  7. [Citizen constitution and social representations: reflecting about health care models].

    Science.gov (United States)

    da Silva, Sílvio Eder Dias; Ramos, Flávia Regina Souza; Martins, Cleusa Rios; Padilha, Maria Itayra; Vasconcelos, Esleane Vilela

    2010-12-01

    This article presents a reflection on the meaning of the terms citizenship and health, addressing the Theory of Social Representations as a strategy for implementing and evaluating health care models in Brazil. First, a brief history about the concept of citizenship is presented; then the article addresses the principles of freedom and equality according to Kant; the third section of the article shows that health is as a right of the citizen and a duty of the state. Finally, the Theory of Social Representations is emphasized as a strategy to evaluate and implement the health services provided to citizens by the current health care models in Brazil.

  8. Scientific Opinion on the substantiation of a health claim related to cocoa flavanols and maintenance of normal endothelium-dependent vasodilation pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    OpenAIRE

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA)

    2012-01-01

    Following an application from Barry Callebaut Belgium nv, submitted pursuant to Article 13(5) of Regulation (EC) No 1924/2006 via the Competent Authority of Belgium, the Panel on Dietetic Products, Nutrition and Allergies (NDA) was asked to deliver an opinion on the scientific substantiation of a health claim related to cocoa flavanols and maintenance of normal endothelium-dependent vasodilation. Cocoa flavanols are sufficiently characterised. The claimed effect is “help maintain end...

  9. Scientific Opinion on the substantiation of a health claim related to cocoa flavanols and maintenance of normal endothelium-dependent vasodilation pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    OpenAIRE

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA)

    2012-01-01

    Following an application from Barry Callebaut Belgium nv, submitted pursuant to Article 13(5) of Regulation (EC) No 1924/2006 via the Competent Authority of Belgium, the Panel on Dietetic Products, Nutrition and Allergies (NDA) was asked to deliver an opinion on the scientific substantiation of a health claim related to cocoa flavanols and maintenance of normal endothelium-dependent vasodilation. Cocoa flavanols are sufficiently characterised. The claimed effect is “help maintain end...

  10. 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

  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. A survey of financial planning models for health care organizations.

    Science.gov (United States)

    Coleman, J R; Kaminsky, F C; McGee, F

    1978-01-01

    This paper describes "what if?" financial planning models developed for health care administrators and financial managers to study and evaluate the economic impact of changes in a health care organization's charge structure, operating policies, reimbursement plans, and services and resources. Models for inpatient and outpatient care systems are presented. The models are described in terms of input, output, and application. An assessment of the state of the art of financial planning and prospects for the future of what if?models are given.

  13. 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

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2012-09-01

    Full Text Available

    Following an application from Nutrilinks Sarl submitted for authorisation of a health claim pursuant to Article 13(5 of Regulation (EC No 1924/2006 via the Competent Authority of Belgium, the Panel on Dietetic Products, Nutrition and Allergies (NDA was asked to provide a scientific opinion 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 moisture, is a beneficial physiological effect. No human intervention studies were provided from which conclusions could be drawn for the scientific substantiation of the claim. A cause and effect relationship has not been established between the consumption of “Femilub®” and maintenance of vaginal moisture.

  14. Scientific Opinion on the substantiation of a health claim related to OptiEFAX™ and maintenance of normal blood concentrations of triglycerides pursuant to Article 13(5 of Regulation (EC No 1924/2006

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies

    2012-07-01

    Full Text Available

    Following an application from Nutrilinks Sarl, submitted for authorisation of a health claim pursuant to Article 13(5 of Regulation (EC No 1924/2006 via the Competent Authority of Belgium, the Panel on Dietetic Products, Nutrition and Allergies (NDA was asked to deliver an opinion on the scientific substantiation of a health claim related to OptiEFAX™ and maintenance of normal blood concentrations of triglycerides. The food that is the subject of the health claim, OptiEFAX™, which is standardised pure krill oil, is sufficiently characterised in relation to the claimed effect. The claimed effect, maintenance of normal blood concentrations of triglycerides, is a beneficial physiological effect. The target population proposed by the applicant is the general population. No human studies have been provided from which conclusions could be drawn for the scientific substantiation of the claim. A cause and effect relationship has not been established between the consumption of OptiEFAX™ and maintenance of normal blood concentrations of triglycerides.

  15. Scientific Opinion on the substantiation of a health claim related to cytidine 5-diphosphocholine and maintenance of normal vision pursuant to Article 13(5 of Regulation (EC No 1924/2006

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2014-02-01

    Full Text Available Following an application from Omikron Italia S.r.l. submitted for authorisation of a health claim pursuant to Article 13(5 of Regulation (EC No 1924/2006 via the Competent Authority of Italy, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA was asked to deliver an opinion on the scientific substantiation of a health claim related to cytidine 5-diphosphocholine and maintenance of normal vision. The Panel considers that the food constituent cytidine 5-diphosphocholine (CDP-choline or citicoline, which is the subject of the health claim, is sufficiently characterised. The claimed effect, maintenance of normal vision, is a beneficial physiological effect. The Panel considers that no conclusions can be drawn from the three narrative reviews and the eight human intervention studies provided by the applicant for the scientific substantiation of the claim. The Panel concludes that a cause and effect relationship has not been established between the consumption of CDP-choline and maintenance of normal vision.

  16. 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

  17. 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.

  18. 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.

  19. Transtheoretical Model of Health Behavior Change Applied to Voice Therapy

    OpenAIRE

    2007-01-01

    Studies of patient adherence to health behavior programs, such as physical exercise, smoking cessation, and diet, have resulted in the formulation and validation of the Transtheoretical Model (TTM) of behavior change. Although widely accepted as a guide for the development of health behavior interventions, this model has not been applied to vocal rehabilitation. Because resolution of vocal difficulties frequently depends on a patient’s ability to make changes in vocal and health behaviors, th...

  20. Standard Model of Particle Physics--a health physics perspective.

    Science.gov (United States)

    Bevelacqua, J J

    2010-11-01

    The Standard Model of Particle Physics is reviewed with an emphasis on its relationship to the physics supporting the health physics profession. Concepts important to health physics are emphasized and specific applications are presented. The capability of the Standard Model to provide health physics relevant information is illustrated with application of conservation laws to neutron and muon decay and in the calculation of the neutron mean lifetime.

  1. 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

    Directory of Open Access Journals (Sweden)

    Rangul Vegar

    2012-12-01

    Full Text Available Abstract Background 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. Methods 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. Results 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

  2. Developing of National Accreditation Model for Rural Health Centers in Iran Health System.

    Directory of Open Access Journals (Sweden)

    Jafar Sadegh Tabrizi

    2013-12-01

    Full Text Available 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.

  3. The Research State and Problems Needing Study of Green Maintenance

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    According with the request of sustainable development for asset maintenance, in this paper the research state of China and other countries are indexed, then the contents of green maintenance were described and a system model of green maintenance was established. This paper discussed in brief the problems needing research, key techniques and adoptable methods of green maintenance.``

  4. Tailored Educational Approaches for Consumer Health (TEACH): a model system for addressing health communication.

    Science.gov (United States)

    Cohn, Wendy F; Pannone, Aaron; Schubart, Jane; Lyman, Jason; Kinzie, Mable; Broshek, Donna K; Guterbock, Thomas M; Hartman, David; Mick, David; Bolmey, Armando; Garson, Arthur T

    2006-01-01

    The Consumer Health Education Institute (CHEDI) has developed a model system to improve the quality and effectiveness of patient education and health communication. Through assessment of characteristics and preferences, segmentation into groups and matching with the appropriate materials, we have demonstrated that patients and health consumers have different health information needs and preferences which show promise as a basis for selecting or designing the most appropriate materials or programs.

  5. 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.

  6. 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.

  7. Positioning embedded software maintenance within industrial maintenance

    OpenAIRE

    Karim, Ramin; Kajko-Mattsson, Mira; Söderholm, Peter; Candell, Olov; Tyrbern, Tommy; Öhlund, Hans; Johansson, Jan

    2008-01-01

    Little is known about of how software embedded in complex industrial technical systems is maintained. In this paper, we identify industrial maintenance process steps and position software maintenance activities within them. We do this in the context of JAS 39 Gripen, a multi-role combat aircraft developed by Saab.

  8. Comparison of maintenance scheme effects on power transformer reliability performance

    Directory of Open Access Journals (Sweden)

    I. C. Durán

    2015-11-01

    Full Text Available Power transformer failures have a significant impact on electrical systems reliability, as they compromise the electricity delivery. Failures impact the operational cost of electric utilities as they endanger the accomplishment of power commitments. Power transformer failure rate can be modeled from its health condition, which is determined from different condition parameters. This paper is aimed to compare different maintenance schemes that allow the asset to be available the longest possible time. The power transformer operation is represented considering actual electric load profiles and temperature. Electrical and thermal transformer parameters are taken from manufacturer tests and technical standards. An electrical-thermal model is employed to estimate the life span reduction and temperature changes. From life span and loading, the health condition is determined, so as the effects of different maintenance schemes. The failure rates are calculated for unmaintained conditions and different maintained schemes, allowing to determine their effects on transformer reliability. Optimal maintenance schemes are determined and the expected benefits in failure rate reduction, asset reliability and life span extension are presented. As a result, it was found that certain time-based maintenance schemes provide better transformer reliability performance in comparison to condition based schemes, allowing to reduce the interruptions and extending the life of the transformer.

  9. Mental health triage: towards a model for nursing practice.

    Science.gov (United States)

    Sands, N

    2007-05-01

    Mental health triage/duty services play a pivotal role in the current framework for mental health service delivery in Victoria and other states of Australia. Australia is not alone in its increasing reliance on mental health triage as a model of psychiatric service provision; at a global level, there appears to be an emerging trend to utilize mental health triage services staffed by nurses as a cost-effective means of providing mental health care to large populations. At present, nurses comprise the greater proportion of the mental health triage workforce in Victoria and, as such, are performing the majority of point-of-entry mental health assessment across the state. Although mental health triage/duty services have been operational for nearly a decade in some regional healthcare sectors of Victoria, there is little local or international research on the topic, and therefore a paucity of established theory to inform and guide mental health triage practice and professional development. The discussion in this paper draws on the findings and recommendations of PhD research into mental health triage nursing in Victoria, to raise discussion on the need to develop theoretical models to inform and guide nursing practice. The paper concludes by presenting a provisional model for mental health triage nursing practice.

  10. Hodges' Health Career Model and its role and potential application in forensic mental health nursing.

    Science.gov (United States)

    Doyle, M; Jones, P

    2013-09-01

    Forensic mental health nursing is increasingly recognized as a speciality of mental health nursing. Despite this, there are limited examples of theoretical models to underpin this specialism. This paper describes a conceptual framework known as the Hodges' Health Career - Care Domains - Model, hereafter referred to as the Health Career Model (HCM). Readers will learn of the model's origins, development, structure and content together with its application in forensic mental health nursing. Created in the 1980s, the model was developed in the North West of England by Brian E. Hodges. Overall, the purpose of the paper is to demonstrate the model's potential in forensic mental health nursing, its flexibility, adaptability and its increasing relevance to the problems of 21st century health, social care and well-being. Forensic nursing is discussed and the rationale for a nursing model is made. Hodges' model is introduced by explaining its original purposes, structure, its four knowledge (care) domains, its current status, publications and resources. The model's relevance and application in forensic nursing is explored, in particular the demands and unique constraints of this care environment as exercised upon service users, the multidisciplinary team, families, carers and other stakeholders. Future implications for research and recovery-orientated practice are discussed.

  11. Prediction model of the maintenance interval of long and medium repairing%高速公路大中修间隔年限的预测模型

    Institute of Scientific and Technical Information of China (English)

    王首绪; 刘雯; 甘国融

    2015-01-01

    Based on analyzing the various factors of the large and medium repairing of expre-ssway,the principal component analysis is made to reduce the dimension of original data which would eliminate the correlation.At last,using the BP neural network prediction model method,a prediction model of expressway’s large and medium repairs was estab-lished.The examples show that the results of the model predicted is accurate.It has practical significance.A scientific prediction method is going to be used in highway maintenance de-partments and promote the development of cost management in maintenance and engineer-ing.%基于高速公路大中修的各种影响因素分析,首先运用主成分分析法对原始数据进行降维处理,消除数据间的相关性,再运用 BP 神经网络进行预测,从而建立高速公路大中修间隔年限的预测模型。实例应用表明,该模型的预测结果较精确,为公路养护部门提供了一种科学的预测方法。

  12. 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.

  13. Leadership models in health care - a case for servant leadership.

    Science.gov (United States)

    Trastek, Victor F; Hamilton, Neil W; Niles, Emily E

    2014-03-01

    Our current health care system is broken and unsustainable. Patients desire the highest quality care, and it needs to cost less. To regain public trust, the health care system must change and adapt to the current needs of patients. The diverse group of stakeholders in the health care system creates challenges for improving the value of care. Health care providers are in the best position to determine effective ways of improving the value of care. To create change, health care providers must learn how to effectively lead patients, those within health care organizations, and other stakeholders. This article presents servant leadership as the best model for health care organizations because it focuses on the strength of the team, developing trust and serving the needs of patients. As servant leaders, health care providers may be best equipped to make changes in the organization and in the provider-patient relationship to improve the value of care for patients.

  14. The shifting landscape of health care: toward a model of health care empowerment.

    Science.gov (United States)

    Johnson, Mallory O

    2011-02-01

    In a rapidly changing world of health care information access and patients' rights, there is limited conceptual infrastructure available to understand how people approach and engage in treatment of medical conditions. The construct of health care empowerment is defined as the process and state of being engaged, informed, collaborative, committed, and tolerant of uncertainty regarding health care. I present a model in which health care empowerment is influenced by an interplay of cultural, social, and environmental factors; personal resources; and intrapersonal factors. The model offers a framework to understand patient and provider roles in facilitating health care empowerment and presents opportunities for investigation into the role of health care empowerment in multiple outcomes across populations and settings, including inquiries into the sources and consequences of health disparities.

  15. 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

  16. The Relationship between Spiritual Health and other Dimensions of Health: Presentation of a Model

    Directory of Open Access Journals (Sweden)

    Akram Heidari

    2016-06-01

    Full Text Available Attitudes to humankind will have different effects on health service delivery. Health might used to be intended to provide physical health in the past; today, however, many researchers and clinicians consider the concept health to be beyond physical health. In support of this claim, it is enough to indicate that the bio-psycho-social model has for years been held by scientific communities to be a fully admitted model. However, the missing ring in this model, as suggested by many, is the spiritual health. In recent years, the relationship between spirituality and clinical interventions with a comprehensive focus on health has been under increasing scrutiny. Although different models have been presented for investigation of the relationship between spiritual health and other dimensions, the fundamental challenge in this regard is the actual place of spiritual health compared with other dimensions. In this article, attempts are made to address the position and weight of spiritual health from the Islam’s point of view.

  17. 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

  18. 基于机会维修模型的风电机组变桨系统优化维修%Optimized Maintenance of the Wind Turbine Variable Pitch System Based on an Opportunistic Maintenance Model

    Institute of Scientific and Technical Information of China (English)

    陈玉晶; 徐学渊; 马慧民

    2015-01-01

    风机变浆系统故障高发,通过对风机变浆系统故障的研究,发现由电气滑环引起的通讯故障频率最高,且维修费用占总运行成本比例较高,因此,针对通讯故障和电器滑环两部件系统,提出机会维修策略,以经济性为目标,优化了机会维修役龄和预防性维修役龄,实现了高额停机费用的分摊和成本的节约。通过仿真结果分析,机会维修策略比传统役龄维修策略和优化役龄维修策略更好地实现了成本的节约,具有较高的实际应用价值。%Faced with high fault rate of wind turbine variable pitch system,this paper studies such faults and finds out most of them are communication faults caused by the electric slip ring and their maintenance cost accounts for a high proportion of the total operational cost.Therefore,with respect to communication fault and the electric slip ring,this paper presents an opportunist maintenance strategy in which the economical efficiency is taken as the aim to optimize the opportunistic maintenance age and preventive maintenance age and realize sharing of high shutdown expense and cost saving.As shown in the analysis on the simulation result,the opportunistic maintenance strategy costs less than the traditional age maintenance strategy and optimized age maintenance strategy,and has better application value.

  19. The Health Equity Promotion Model: Reconceptualization of Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Disparities

    Science.gov (United States)

    Fredriksen-Goldsen, Karen I.; Simoni, Jane M.; Kim, Hyun-Jun; Lehavot, Keren; Walters, Karina L.; Yang, Joyce; Hoy-Ellis, Charles P.

    2015-01-01

    National health initiatives emphasize the importance of eliminating health disparities among historically disadvantaged populations. Yet, few studies have examined the range of health outcomes among lesbian, gay, bisexual, and transgender (LGBT) people. To stimulate more inclusive research in the area, we present the Health Equity Promotion Model—a framework oriented toward LGBT people reaching their full mental and physical health potential that considers both positive and adverse health-related circumstances. The model highlights (a) heterogeneity and intersectionality within LGBT communities; (b) the influence of structural and environmental context; and (c) both health-promoting and adverse pathways that encompass behavioral, social, psychological, and biological processes. It also expands upon earlier conceptualizations of sexual minority health by integrating a life course development perspective within the health-promotion model. By explicating the important role of agency and resilience as well as the deleterious effect of social structures on health outcomes, it supports policy and social justice to advance health and well-being in these communities. Important directions for future research as well as implications for health-promotion interventions and policies are offered. PMID:25545433

  20. Scientific Opinion on the substantiation of a health claim related to KF2BL20 and maintenance of normal hair pursuant to Article 13(5 of Regulation (EC No 1924/2006

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies

    2012-07-01

    Full Text Available

    Following an application from Nutrilinks Sarl, submitted pursuant to Article 13(5 of Regulation (EC No 1924/2006 via the Competent Authority of Belgium, the Panel on Dietetic Products, Nutrition and Allergies (NDA was asked to deliver an opinion on the scientific substantiation of a health claim related to KF2BL20, which is a combination of keratin, copper, zinc, niacin, pantothenic acid, pyridoxine and D-biotin, and maintenance of normal hair. The Panel considers that KF2BL20 is sufficiently characterised. The claimed effect is “helps to reinforce hair strength and normal hair function and contributes to reduce hair loss”. The target population proposed by the applicant is healthy adults in the general population. The Panel considers that maintenance of normal hair is a beneficial physiological effect. The applicant identified one single arm study as being pertinent to the health claim. The Panel notes that this study was uncontrolled and 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 KF2BL20 and maintenance of normal hair.

  1. Scientific Opinion on the substantiation of a health claim related to Lactobacillus rhamnosus GG and maintenance of normal defecation during antibiotic treatment pursuant to Article 13(5 of Regulation (EC No 1924/2006

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2013-06-01

    Full Text Available Following an application from Fuko Pharma Ltd, submitted pursuant to Article 13(5 of Regulation (EC No 1924/2006 via the Competent Authority of Finland, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA was asked to deliver an opinion on the scientific substantiation of a health claim related to Lactobacillus rhamnosus GG and maintenance of normal defecation during antibiotic treatment. The food constituent, Lactobacillus rhamnosus GG, which is the subject of the health claim, is sufficiently characterised. The claimed effect proposed by the applicant is “help to maintain normal defecation during antibiotic treatment” and the target population proposed by the applicant is “healthy outpatient adults and children on oral antibiotic treatment”. Maintenance of normal defecation during antibiotic treatment is a beneficial physiological effect. The Panel notes that the information submitted from five out of seven human intervention studies is insufficient to allow a full scientific evaluation, and that these studies have important methodological limitations. No conclusions could be drawn from these studies for the scientific substantiation of the claim. The remaining two human intervention studies, from which conclusions could be drawn for the scientific substantiation of the claim, did not show an effect of Lactobacillus rhamnosus GG on the incidence of diarrhoea resulting from antibiotic treatment. The Panel concludes that a cause and effect relationship has not been established between the consumption of Lactobacillus rhamnosus GG and maintenance of normal defecation during antibiotic treatment.

  2. Scientific Opinion on the substantiation of a health claim related to krill oil and maintenance of joint comfort pursuant to Article 13(5 of Regulation (EC No 1924/2006

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2012-12-01

    Full Text Available Following an application from Nutrilinks Sarl, submitted pursuant to Article 13(5 of Regulation (EC No 1924/2006 via the Competent Authority of Belgium, the Panel on Dietetic Products, Nutrition and Allergies was asked to deliver an opinion on the scientific substantiation of a health claim related to krill oil and maintenance of joint comfort. The Panel considers that krill oil is sufficiently characterised. The claimed effect proposed by the applicant is “helps to improve the comfort of sensitive joints”. The Panel considers that maintenance of joint comfort is a beneficial physiological effect. The applicant identified one human intervention study as being pertinent to the health claim. The Panel notes that chronic inflammation was an inclusion criterion of the study, that a significant number of the patients recruited were reported to have confirmed diagnosis of osteoarthritis, rheumatoid arthritis, or of both cardiovascular disease and osteoarthritis, and that the WOMAC osteoarthritis questionnaire was administered only to patients with arthritic disease (osteoarthritis or rheumatoid arthritis. The Panel also notes that no evidence which could justify the extrapolation of the results, obtained in patients with joint diseases characterised by chronic inflammation, to the target population, subjects without chronic joint diseases, was provided by the applicant. 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 krill oil and maintenance of joint comfort.

  3. Where Health and Death Intersect: Insights from a Terror Management Health Model.

    Science.gov (United States)

    Arndt, Jamie; Goldenberg, Jamie L

    2017-01-01

    This paper offers an integrative understanding of the intersection between "health" and "death" from the perspective of the terror management health model. After highlighting the potential for health-related situations to elicit concerns about mortality, we turn to the question, how do thoughts of death influence health decision-making? Across varied health domains, the answer depends on whether these cognitions are in conscious awareness or not. When mortality concerns are conscious, people engage in healthy intentions and behavior if efficacy and coping resources are present. In contrast, when contending with accessible but non-conscious thoughts of death, health relevant decisions are guided more by esteem implications of the behavior. Lastly, we present research suggesting how these processes can be leveraged to facilitate health promotion and reduce health risk.

  4. [Human resources for health in Ecuador's new model of care].

    Science.gov (United States)

    Espinosa, Verónica; de la Torre, Daniel; Acuña, Cecilia; Cadena, Cristina

    2017-06-08

    Describe strategies implemented by Ecuador's Ministry of Public Health (MPH) to strengthen human resources for health leadership and respond to the new model of care, as a part of the reform process in the period 2012-2015. A documentary review was carried out of primary and secondary sources on development of human resources for health before and after the reform. In the study period, Ecuador developed a new institutional and regulatory framework for developing human resources for health to respond to the requirements of a model of care based on primary health care. The MPH consolidated its steering role by forging strategic partnerships, implementing human resources planning methods, and making an unprecedented investment in health worker training, hiring, and wage increases. These elements constitute the initial core for development of human resources for health policy and a health-services study program consistent with the reform's objectives. Within the framework of the reform carried out from 2012 to 2015, intersectoral work by the MPH has led to considerable achievements in development of human resources for health. Notable achievements include strengthening of the steering role, development and implementation of standards and regulatory instruments, creation of new professional profiles, and hiring of professionals to implement the comprehensive health care model, which helped to solve problems carried over from the years prior to the reform.

  5. Rural road maintenance management

    OpenAIRE

    Johannessen, B.

    1999-01-01

    This manual summarizes relevant Cambodian government policies regarding rural road maintenance. Chapter 2 defines the various components of road maintenance and describes an effective strategy and organization which addresses the maintenance requirements of rural roads in Cambodia. Chapter 3 is a brief description of the planning, implementation and reporting cycle required in an effective road maintenance management system. Chapter 4 summarizes the contracts management procedures, and finall...

  6. FORUM Models for increasing the health workforce

    African Journals Online (AJOL)

    The global context. A stable human resource base in the health sector is critical to .... Africa than in its benchmarked countries, including Brazil, Russia,. India and ... person in terms of the Companies Act of 1973, proof of financial viability and ...

  7. Asphalt in Pavement Maintenance.

    Science.gov (United States)

    Asphalt Inst., College Park, MD.

    Maintenance methods that can be used equally well in all regions of the country have been developed for the use of asphalt in pavement maintenance. Specific information covering methods, equipment and terminology that applies to the use of asphalt in the maintenance of all types of pavement structures, including shoulders, is provided. In many…

  8. A gandhian model of health: Looking at Alzheimer's disease.

    Science.gov (United States)

    Weaver, R C

    1987-03-01

    Mahatma Gandhi was often criticized for mixing religion, politics, economics, and health. However, it was his very insistence on the fundamental interrelationship of all aspects of life that gives his ideas such relevance for today's problems. This paper focuses on his views on health and attempts to develop a Gandhian model of health that has relevance for us today. This model is then specifically applied to the vexing problem of Alzheimer's disease, and an ongoing therapeutic trial that is based on this model is described.

  9. Business model framework applications in health care: A systematic review.

    Science.gov (United States)

    Fredriksson, Jens Jacob; Mazzocato, Pamela; Muhammed, Rafiq; Savage, Carl

    2017-01-01

    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.

  10. [Empowering the family-center health model: the toy library as a health promotion platform].

    Science.gov (United States)

    Huang, Yu-Chu; Tsai, Yen-Chih

    2011-02-01

    Facing the lowest birth rates in its history, Taiwan is increasingly recognizing the centrality of children's healthcare needs to effective family care. The World Health Organization's goal of health for all emphasizes health promotion. However, little research attention has been given to how families actively promote personal health in everyday life. This article considers 'family-centric' healthcare, with a particular emphasis on children's health and well-being and the mother health promotion model. Authors employ a 'toy library' as the health promotion platform to build community interaction and empower the health enhancement process. Results suggested the following: 1. The fixed-point type toy library may be an effective tool in a health promotion strategy; 2. A model may be developed for rural institution agencies; 3. Cooperation may be facilitated using a medical service vehicle; 4. The love bag program can serve extended purposes. The authors found that the empowerment and growth of tribal mothers is a key element to facilitate the successful development of their children. Based on findings, the implementation of a toy library as the platform to build community-based health promotion model is suggested.

  11. Discovering health topics in social media using topic models.

    Directory of Open Access Journals (Sweden)

    Michael J Paul

    Full Text Available By aggregating self-reported health statuses across millions of users, we seek to characterize the variety of health information discussed in Twitter. We describe a topic modeling framework for discovering health topics in Twitter, a social media website. This is an exploratory approach with the goal of understanding what health topics are commonly discussed in social media. This paper describes in detail a statistical topic model created for this purpose, the Ailment Topic Aspect Model (ATAM, as well as our system for filtering general Twitter data based on health keywords and supervised classification. We show how ATAM and other topic models can automatically infer health topics in 144 million Twitter messages from 2011 to 2013. ATAM discovered 13 coherent clusters of Twitter messages, some of which correlate with seasonal influenza (r = 0.689 and allergies (r = 0.810 temporal surveillance data, as well as exercise (r =  .534 and obesity (r =  -.631 related geographic survey data in the United States. These results demonstrate that it is possible to automatically discover topics that attain statistically significant correlations with ground truth data, despite using minimal human supervision and no historical data to train the model, in contrast to prior work. Additionally, these results demonstrate that a single general-purpose model can identify many different health topics in social media.

  12. Discovering health topics in social media using topic models.

    Science.gov (United States)

    Paul, Michael J; Dredze, Mark

    2014-01-01

    By aggregating self-reported health statuses across millions of users, we seek to characterize the variety of health information discussed in Twitter. We describe a topic modeling framework for discovering health topics in Twitter, a social media website. This is an exploratory approach with the goal of understanding what health topics are commonly discussed in social media. This paper describes in detail a statistical topic model created for this purpose, the Ailment Topic Aspect Model (ATAM), as well as our system for filtering general Twitter data based on health keywords and supervised classification. We show how ATAM and other topic models can automatically infer health topics in 144 million Twitter messages from 2011 to 2013. ATAM discovered 13 coherent clusters of Twitter messages, some of which correlate with seasonal influenza (r = 0.689) and allergies (r = 0.810) temporal surveillance data, as well as exercise (r =  .534) and obesity (r =  -.631) related geographic survey data in the United States. These results demonstrate that it is possible to automatically discover topics that attain statistically significant correlations with ground truth data, despite using minimal human supervision and no historical data to train the model, in contrast to prior work. Additionally, these results demonstrate that a single general-purpose model can identify many different health topics in social media.

  13. Models of education in medicine, public health, and engineering.

    Science.gov (United States)

    Garcia, Patricia; Armstrong, Robert; Zaman, Muhammad H

    2014-09-12

    Discussion on global health in both the academic and the public domain has focused largely on research, capacity building, and service delivery. Although these efforts along with financial commitments from public and private partners have contributed to a broader appreciation and understanding of global health challenges, the reflection of global health in academic training has largely been lacking. However, integrative models are beginning to appear.

  14. 29 CFR 1926.431 - Maintenance of equipment.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Electrical Safety-Related Maintenance and Environmental Considerations § 1926.431 Maintenance of equipment. The employer shall ensure that all wiring... 29 Labor 8 2010-07-01 2010-07-01 false Maintenance of equipment. 1926.431 Section 1926.431...

  15. 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 (...

  16. A new model for health care delivery

    Directory of Open Access Journals (Sweden)

    Kepros John P

    2009-04-01

    Full Text Available Abstract Background The health care delivery system in the United States is facing cost and quality pressures that will require fundamental changes to remain viable. The optimal structures of the relationships between the hospital, medical school, and physicians have not been determined but are likely to have a large impact on the future of healthcare delivery. Because it is generally agreed that academic medical centers will play a role in the sustainability of this future system, a fundamental understanding of the relative contributions of the stakeholders is important as well as creativity in developing novel strategies to achieve a shared vision. Discussion Core competencies of each of the stakeholders (the hospital, the medical school and the physicians must complement the others and should act synergistically. At the same time, the stakeholders should determine the common core values and should be able to make a meaningful contribution to the delivery of health care. Summary Health care needs to achieve higher quality and lower cost. Therefore, in order for physicians, medical schools, and hospitals to serve the needs of society in a gratifying way, there will need to be change. There needs to be more scientific and social advances. It is obvious that there is a real and urgent need for relationship building among the professionals whose duty it is to provide these services.

  17. 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

  18. AIRCRAFT MAINTENANCE HANGAR

    Directory of Open Access Journals (Sweden)

    GEAMBASU Gabriel George

    2017-05-01

    Full Text Available The paper presents the maintenance process that is done on an airplane, at a certain period of time, or after a number of flight hours or cycles and describes the checks performed behind each inspection. The first part of research describes the aircraft maintenance process that has to be done after an updated maintenance manual according with aircraft type, followed by a short introduction about maintenance hangar. The second part of the paper presents a hangar design with a foldable roof and walls, which can be folded or extended, over an airplane when a maintenance process is done, or depending on weather condition.

  19. 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

  20. Dental Health Care Models of Southwest Cultures. Final Report.

    Science.gov (United States)

    Pettibone, Timothy J.; Solis, Enrique, Jr.

    The major goal of this research was the development and validation of cultural models of dental health practices. The specific objectives were to determine if 3 cultural groups (American Indians, Mexican Americans, and Anglo Americans) differ in the dental health hygiene indices, characteristics, psychological factors, or social factors; to…