Strategies to Build Readiness in Community Mobilization Efforts for Implementation in a Multi-Year Teen Pregnancy Prevention Initiative.

Science.gov (United States)

Bhuiya, Nazmim; House, L Duane; Desmarais, Jeffrey; Fletcher, Erica; Conlin, Maeve; Perez-McAdoo, Sarah; Waggett, Jessica; Tendulkar, Shalini A

2017-03-01

This paper describes an assessment of community readiness to implement a community-wide teen pregnancy prevention initiative, Youth First, and presents strategies used to enhance this readiness as informed by the assessment. Twenty-five community stakeholder interviews were conducted to assess four domains of readiness: (1) attitudes, perception, and knowledge of teen pregnancy; (2) perceived level of readiness; (3) resources, existing and current efforts; and (4) leadership. Interview transcripts were coded and analyzed to identify key themes. Stakeholders acknowledged teen pregnancy as an issue but lacked contextual information. They also perceived the community as ready to address the issue and recognized some organizations already championing efforts. However, many key players were not involved, and ongoing data collection to assess teen pregnancy and prevention efforts was limited. Though many stakeholders were ready to engage in teen pregnancy prevention efforts, they required additional information and training to appropriately address the issue. In response to the assessment findings, several strategies were applied to address readiness and build Youth First partners' capacity to implement the community-wide initiative. Thus, to successfully implement community-wide prevention efforts, it is valuable to assess the level of community readiness to address health issues. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

A Priori Regularity of Parabolic Partial Differential Equations

KAUST Repository

Berkemeier, Francisco

2018-01-01

In this thesis, we consider parabolic partial differential equations such as the heat equation, the Fokker-Planck equation, and the porous media equation. Our aim is to develop methods that provide a priori estimates for solutions with singular

Total Evidence, Uncertainty and A Priori Beliefs

NARCIS (Netherlands)

Bewersdorf, Benjamin; Felline, Laura; Ledda, Antonio; Paoli, Francesco; Rossanese, Emanuele

2016-01-01

Defining the rational belief state of an agent in terms of her initial or a priori belief state as well as her total evidence can help to address a number of important philosophical problems. In this paper, I discuss how this strategy can be applied to cases in which evidence is uncertain. I argue

Helping organizations to address their effort toward the implementation of improvements in their software process

OpenAIRE

Muñoz-Mata, Mirna Ariadna; Mejia-Miranda, Jezreel; Valtierra-Alvarado, Claudia

2015-01-01

Due to the importance of Software Development Small and Medium Enterprises (SMEs) in the software industry, it is necessary to guarantee the quality of their products. In this context, the implementation of software process improvements offers an attractive way to achieve it. Unfortunately, the lack of knowledge on how to address the improvement effort makes the implementation of software improvements in SMEs a path full of obstacles, and most of the times impossible to achieve. In order to h...

Paradigms, Power, and PR in New York City: Assessing Two School Accountability Implementation Efforts

Science.gov (United States)

Peck, Craig

2014-01-01

This policy study critically compares two different efforts to implement an accountability system in the New York City public schools. In 1971, the New York City Board of Education contracted with the Educational Testing Service (ETS), which created a lengthy accountability plan for the district. Fitful maneuvers to execute the ETS plan fizzled…

Learning to improve medical decision making from imbalanced data without a priori cost.

Science.gov (United States)

Wan, Xiang; Liu, Jiming; Cheung, William K; Tong, Tiejun

2014-12-05

In a medical data set, data are commonly composed of a minority (positive or abnormal) group and a majority (negative or normal) group and the cost of misclassifying a minority sample as a majority sample is highly expensive. This is the so-called imbalanced classification problem. The traditional classification functions can be seriously affected by the skewed class distribution in the data. To deal with this problem, people often use a priori cost to adjust the learning process in the pursuit of optimal classification function. However, this priori cost is often unknown and hard to estimate in medical decision making. In this paper, we propose a new learning method, named RankCost, to classify imbalanced medical data without using a priori cost. Instead of focusing on improving the class-prediction accuracy, RankCost is to maximize the difference between the minority class and the majority class by using a scoring function, which translates the imbalanced classification problem into a partial ranking problem. The scoring function is learned via a non-parametric boosting algorithm. We compare RankCost to several representative approaches on four medical data sets varying in size, imbalanced ratio, and dimension. The experimental results demonstrate that unlike the currently available methods that often perform unevenly with different priori costs, RankCost shows comparable performance in a consistent manner. It is a challenging task to learn an effective classification model based on imbalanced data in medical data analysis. The traditional approaches often use a priori cost to adjust the learning of the classification function. This work presents a novel approach, namely RankCost, for learning from medical imbalanced data sets without using a priori cost. The experimental results indicate that RankCost performs very well in imbalanced data classification and can be a useful method in real-world applications of medical decision making.

Introduction of a priori information in the elastic linearized inversion of seismic data before stacking; Introduction d'informations a priori dans l'inversion linearisee elastique de donnees sismiques de surface avant sommation

Energy Technology Data Exchange (ETDEWEB)

Tonellot, Th.L.

2000-03-24

In this thesis, we propose a method which takes into account a priori information (geological, diagraphic and stratigraphic knowledge) in linearized pre-stack seismic data inversion. The approach is based on a formalism in which the a priori information is incorporated in an a priori model of elastic parameters - density, P and S impedances - and a model covariance operator which describes the uncertainties in the model. The first part of the thesis is dedicated to the study of this covariance operator and to the norm associated to its inverse. We have generalized the exponential covariance operator in order to describe the uncertainties in the a priori model elastic parameters and their correlations at each location. We give the analytical expression of the covariance operator inverse in 1-D, 2-D, and 3-D, and we discretized the associated norm with a finite element method. The second part is dedicated to synthetic and real examples. In a preliminary step, we have developed a pre-stack data well calibration method which allows the estimation of the source signal. The impact of different a priori information is then demonstrated on synthetic and real data. (author)

Intention to use a fully automated car: attitudes and a priori acceptability

OpenAIRE

PAYRE, William; CESTAC, Julien; DELHOMME, Patricia

2014-01-01

If previous research studied acceptability of partially or highly automated driving, few of them focused on fully automated driving (FAD), including the ability to master longitudinal control, lateral control and maneuvers. The present study analyzes a priori acceptability, attitudes, personality traits and intention to use a fully automated vehicle. 421 French drivers (153 males, M= 40.2 years, age range 19-73) answered an online questionnaire. 68.1% of the sample a priori accepted FAD. P...

Conventional Principles in Science: On the foundations and development of the relativized a priori

Science.gov (United States)

Ivanova, Milena; Farr, Matt

2015-11-01

The present volume consists of a collection of papers originally presented at the conference Conventional Principles in Science, held at the University of Bristol, August 2011, which featured contributions on the history and contemporary development of the notion of 'relativized a priori' principles in science, from Henri Poincaré's conventionalism to Michael Friedman's contemporary defence of the relativized a priori. In Science and Hypothesis, Poincaré assessed the problematic epistemic status of Euclidean geometry and Newton's laws of motion, famously arguing that each has the status of 'convention' in that their justification is neither analytic nor empirical in nature. In The Theory of Relativity and A Priori Knowledge, Hans Reichenbach, in light of the general theory of relativity, proposed an updated notion of the Kantian synthetic a priori to account for the dynamic inter-theoretic status of geometry and other non-empirical physical principles. Reichenbach noted that one may reject the 'necessarily true' aspect of the synthetic a priori whilst preserving the feature of being constitutive of the object of knowledge. Such constitutive principles are theory-relative, as illustrated by the privileged role of non-Euclidean geometry in general relativity theory. This idea of relativized a priori principles in spacetime physics has been analysed and developed at great length in the modern literature in the work of Michael Friedman, in particular the roles played by the light postulate and the equivalence principle - in special and general relativity respectively - in defining the central terms of their respective theories and connecting the abstract mathematical formalism of the theories with their empirical content. The papers in this volume guide the reader through the historical development of conventional and constitutive principles in science, from the foundational work of Poincaré, Reichenbach and others, to contemporary issues and applications of the

Sensitivity of the OMI ozone profile retrieval (OMO3PR) to a priori assumptions

NARCIS (Netherlands)

Mielonen, T.; De Haan, J.F.; Veefkind, J.P.

2014-01-01

We have assessed the sensitivity of the operational OMI ozone profile retrieval (OMO3PR) algorithm to a number of a priori assumptions. We studied the effect of stray light correction, surface albedo assumptions and a priori ozone profiles on the retrieved ozone profile. Then, we studied how to

Mediterranean Diet and Cardiovascular Disease: A Critical Evaluation of A Priori Dietary Indexes

Science.gov (United States)

D’Alessandro, Annunziata; De Pergola, Giovanni

2015-01-01

The aim of this paper is to analyze the a priori dietary indexes used in the studies that have evaluated the role of the Mediterranean Diet in influencing the risk of developing cardiovascular disease. All the studies show that this dietary pattern protects against cardiovascular disease, but studies show quite different effects on specific conditions such as coronary heart disease or cerebrovascular disease. A priori dietary indexes used to measure dietary exposure imply quantitative and/or qualitative divergences from the traditional Mediterranean Diet of the early 1960s, and, therefore, it is very difficult to compare the results of different studies. Based on real cultural heritage and traditions, we believe that the a priori indexes used to evaluate adherence to the Mediterranean Diet should consider classifying whole grains and refined grains, olive oil and monounsaturated fats, and wine and alcohol differently. PMID:26389950

Mediterranean Diet and Cardiovascular Disease: A Critical Evaluation of A Priori Dietary Indexes

Directory of Open Access Journals (Sweden)

Annunziata D'Alessandro

2015-09-01

Full Text Available The aim of this paper is to analyze the a priori dietary indexes used in the studies that have evaluated the role of the Mediterranean Diet in influencing the risk of developing cardiovascular disease. All the studies show that this dietary pattern protects against cardiovascular disease, but studies show quite different effects on specific conditions such as coronary heart disease or cerebrovascular disease. A priori dietary indexes used to measure dietary exposure imply quantitative and/or qualitative divergences from the traditional Mediterranean Diet of the early 1960s, and, therefore, it is very difficult to compare the results of different studies. Based on real cultural heritage and traditions, we believe that the a priori indexes used to evaluate adherence to the Mediterranean Diet should consider classifying whole grains and refined grains, olive oil and monounsaturated fats, and wine and alcohol differently.

Razonamiento a priori y argumento ontológico en Antonio Rosmini

Directory of Open Access Journals (Sweden)

Juan F. Franck

2013-11-01

Full Text Available Rosmini’s criticism of the ontological argument finds its place between those of Aquinas and of Kant. With the former he shares the denial of the evidence of God’s essence quoad nos, and with the latter, his acknowledgment of the decisive character of the nucleus of the ontological argument for all other proofs of God’s existence. Such nucleus consists for Rosmini in the possibility of developing an a priori reasoning, different from the ontological one, be it in its Anselmian, Cartesian or Leibnizian form, which would justify the validity of the other proofs and the fascination exercised by the ontological argument. Key words: A Priori Reasoning, Ontological Argument, Antonio Rosmini.

A Priori Knowledge and Heuristic Reasoning in Architectural Design.

Science.gov (United States)

Rowe, Peter G.

1982-01-01

It is proposed that the various classes of a priori knowledge incorporated in heuristic reasoning processes exert a strong influence over architectural design activity. Some design problems require exercise of some provisional set of rules, inference, or plausible strategy which requires heuristic reasoning. A case study illustrates this concept.…

Time-discrete higher order ALE formulations: a priori error analysis

KAUST Repository

Bonito, Andrea; Kyza, Irene; Nochetto, Ricardo H.

2013-01-01

We derive optimal a priori error estimates for discontinuous Galerkin (dG) time discrete schemes of any order applied to an advection-diffusion model defined on moving domains and written in the Arbitrary Lagrangian Eulerian (ALE) framework. Our

A Priori Analysis of a Compressible Flamelet Model using RANS Data for a Dual-Mode Scramjet Combustor

Science.gov (United States)

Quinlan, Jesse R.; Drozda, Tomasz G.; McDaniel, James C.; Lacaze, Guilhem; Oefelein, Joseph

2015-01-01

In an effort to make large eddy simulation of hydrocarbon-fueled scramjet combustors more computationally accessible using realistic chemical reaction mechanisms, a compressible flamelet/progress variable (FPV) model was proposed that extends current FPV model formulations to high-speed, compressible flows. Development of this model relied on observations garnered from an a priori analysis of the Reynolds-Averaged Navier-Stokes (RANS) data obtained for the Hypersonic International Flight Research and Experimentation (HI-FiRE) dual-mode scramjet combustor. The RANS data were obtained using a reduced chemical mechanism for the combustion of a JP-7 surrogate and were validated using avail- able experimental data. These RANS data were then post-processed to obtain, in an a priori fashion, the scalar fields corresponding to an FPV-based modeling approach. In the current work, in addition to the proposed compressible flamelet model, a standard incompressible FPV model was also considered. Several candidate progress variables were investigated for their ability to recover static temperature and major and minor product species. The effects of pressure and temperature on the tabulated progress variable source term were characterized, and model coupling terms embedded in the Reynolds- averaged Navier-Stokes equations were studied. Finally, results for the novel compressible flamelet/progress variable model were presented to demonstrate the improvement attained by modeling the effects of pressure and flamelet boundary conditions on the combustion.

Lost in space: Onboard star identification using CCD star tracker data without an a priori attitude

Science.gov (United States)

Ketchum, Eleanor A.; Tolson, Robert H.

1993-01-01

There are many algorithms in use today which determine spacecraft attitude by identifying stars in the field of view of a star tracker. Some methods, which date from the early 1960's, compare the angular separation between observed stars with a small catalog. In the last 10 years, several methods have been developed which speed up the process and reduce the amount of memory needed, a key element to onboard attitude determination. However, each of these methods require some a priori knowledge of the spacecraft attitude. Although the Sun and magnetic field generally provide the necessary coarse attitude information, there are occasions when a spacecraft could get lost when it is not prudent to wait for sunlight. Also, the possibility of efficient attitude determination using only the highly accurate CCD star tracker could lead to fully autonomous spacecraft attitude determination. The need for redundant coarse sensors could thus be eliminated at substantial cost reduction. Some groups have extended their algorithms to implement a computation intense full sky scan. Some require large data bases. Both storage and speed are concerns for autonomous onboard systems. Neural network technology is even being explored by some as a possible solution, but because of the limited number of patterns that can be stored and large overhead, nothing concrete has resulted from these efforts. This paper presents an algorithm which, by descretizing the sky and filtering by visual magnitude of the brightness observed star, speeds up the lost in space star identification process while reducing the amount of necessary onboard computer storage compared to existing techniques.

Incorporating a priori knowledge into initialized weights for neural classifier

NARCIS (Netherlands)

Chen, Zhe; Feng, T.J.; Feng, Tian-Jin; Houkes, Z.

2000-01-01

Artificial neural networks (ANN), especially, multilayer perceptrons (MLP) have been widely used in pattern recognition and classification. Nevertheless, how to incorporate a priori knowledge in the design of ANNs is still an open problem. The paper tries to give some insight on this topic

Methods for improving limited field-of-view radiotherapy reconstructions using imperfect a priori images

International Nuclear Information System (INIS)

Ruchala, Kenneth J.; Olivera, Gustavo H.; Kapatoes, Jeffrey M.; Reckwerdt, Paul J.; Mackie, Thomas R.

2002-01-01

There are many benefits to having an online CT imaging system for radiotherapy, as it helps identify changes in the patient's position and anatomy between the time of planning and treatment. However, many current online CT systems suffer from a limited field-of-view (LFOV) in that collected data do not encompass the patient's complete cross section. Reconstruction of these data sets can quantitatively distort the image values and introduce artifacts. This work explores the use of planning CT data as a priori information for improving these reconstructions. Methods are presented to incorporate this data by aligning the LFOV with the planning images and then merging the data sets in sinogram space. One alignment option is explicit fusion, producing fusion-aligned reprojection (FAR) images. For cases where explicit fusion is not viable, FAR can be implemented using the implicit fusion of normal setup error, referred to as normal-error-aligned reprojection (NEAR). These methods are evaluated for multiday patient images showing both internal and skin-surface anatomical variation. The iterative use of NEAR and FAR is also investigated, as are applications of NEAR and FAR to dose calculations and the compensation of LFOV online MVCT images with kVCT planning images. Results indicate that NEAR and FAR can utilize planning CT data as imperfect a priori information to reduce artifacts and quantitatively improve images. These benefits can also increase the accuracy of dose calculations and be used for augmenting CT images (e.g., MVCT) acquired at different energies than the planning CT

Psicoanálisis y filosofía: el problema del a priori de la investigación en Heidegger y Winnicott Psychoanalysis and philosophy: the problem of a priori research in Heidegger and Winnicott

Directory of Open Access Journals (Sweden)

Julieta Bareiro

2011-12-01

Full Text Available El presente trabajo intenta presentar la relación entre saber psicoanalítico y filosofía a partir de un diálogo entre Winnicott y Heidegger. Para ello se llevará a cabo dos reconstrucciones argumentativas. En primer lugar, se expondrá el modo en que Heidegger determina el carácter a priori de su investigación. En segundo lugar, se hará un recorrido por la obra de Winnicott a fin de determinar cómo concibe el vínculo entre psicoanálisis y filosofía y, fundamentalmente, para establecer si hay lugar en su pensamiento para un a priori que permita trazar un vínculo con la filosofía.This paper aims to present the relationship between psychoanalytic knowledge and philosophy through to dialogue between Winnicott and Heidegger. This will take place two reconstructions argumentative. First, it exposed the way in which Heidegger determines the a priori character of their research. Secondly, it will go through to Winnicott´s work to determine how he conceives the relationship between psychoanalysis and philosophy and, crucially, to establish if a form in their thinking to a priori that allows a link with philosophy.

A priori data-driven multi-clustered reservoir generation algorithm for echo state network.

Directory of Open Access Journals (Sweden)

Xiumin Li

Full Text Available Echo state networks (ESNs with multi-clustered reservoir topology perform better in reservoir computing and robustness than those with random reservoir topology. However, these ESNs have a complex reservoir topology, which leads to difficulties in reservoir generation. This study focuses on the reservoir generation problem when ESN is used in environments with sufficient priori data available. Accordingly, a priori data-driven multi-cluster reservoir generation algorithm is proposed. The priori data in the proposed algorithm are used to evaluate reservoirs by calculating the precision and standard deviation of ESNs. The reservoirs are produced using the clustering method; only the reservoir with a better evaluation performance takes the place of a previous one. The final reservoir is obtained when its evaluation score reaches the preset requirement. The prediction experiment results obtained using the Mackey-Glass chaotic time series show that the proposed reservoir generation algorithm provides ESNs with extra prediction precision and increases the structure complexity of the network. Further experiments also reveal the appropriate values of the number of clusters and time window size to obtain optimal performance. The information entropy of the reservoir reaches the maximum when ESN gains the greatest precision.

Monte Carlo full-waveform inversion of crosshole GPR data using multiple-point geostatistical a priori information

DEFF Research Database (Denmark)

Cordua, Knud Skou; Hansen, Thomas Mejer; Mosegaard, Klaus

2012-01-01

We present a general Monte Carlo full-waveform inversion strategy that integrates a priori information described by geostatistical algorithms with Bayesian inverse problem theory. The extended Metropolis algorithm can be used to sample the a posteriori probability density of highly nonlinear...... inverse problems, such as full-waveform inversion. Sequential Gibbs sampling is a method that allows efficient sampling of a priori probability densities described by geostatistical algorithms based on either two-point (e.g., Gaussian) or multiple-point statistics. We outline the theoretical framework......) Based on a posteriori realizations, complicated statistical questions can be answered, such as the probability of connectivity across a layer. (3) Complex a priori information can be included through geostatistical algorithms. These benefits, however, require more computing resources than traditional...

Comparative study and implementation of images re processing methods for the tomography by positrons emission: interest of taking into account a priori information; Etude comparative et implementation de methodes de reconstruction d`images pour la tomographie par emission de positons: interet de la prise en compte d`informations a priori

Energy Technology Data Exchange (ETDEWEB)

Bouchet, F.

1996-09-25

The tomography by positron emission has for aim to explore an organ by injection of a radiotracer and bidimensional representation with processing techniques. The most used in routine is the filtered retro projection that gives smoothed images. this work realizes a comparative study of new techniques. The methods of preservations of contours are studied here, the idea is to use NMR imaging as a priori information. Two techniques of images construction are viewed more particularly: the resolution by pseudo inverse and the Bayesian method. (N.C.).

Why Even Mind? -- On The A Priori Value Of “Life”

Directory of Open Access Journals (Sweden)

Amien Kacou

2008-10-01

Full Text Available span style="font-size: 12pt; font-family: Arial"span style="font-weight: normal; font-size: 12pt; text-decoration: none"font face="Times New Roman"span style="font-size: 12pt; font-family: #39;Times New Roman#39;"This article presentsnbsp;an analysis of the matter of the ldquo;meaningrdquo; of life in terms of whether it should even be lived in the first place. It begins with an attempt at defining the question as an inquiry on the ema priori/em value of attention in general, and develops into an axiological reflection distantly inspired from Martin Heideggerrsquo;s notion of ldquo;care.rdquo; The main objective of the article is (1 to ldquo;answerrdquo; the question (or to proceed as if the question could be answered objectively by ldquo;playing alongrdquo; with its naiuml;ve logicmdash;that is, by finding a basis for comparing the good that can be found ema priori/em in life (mainly, pleasure with the good that can be found ema priori/em in death (mainly, the absence of painmdash;and, then, (2 to suggest why we have no good reason to feel dissatisfied with where this leaves us (i.e., possibly facing a certain specter of ethical foundationalism: the question of the ldquo;value of valuerdquo;. Its basic conclusion is, assuming we are committed to assigning value to life emin general/em, that we should be able to say that life is good emirrespective of /emany explanation for its existence./span/font/span/span

Elimination of hidden a priori information from remotely sensed profile data

Directory of Open Access Journals (Sweden)

T. von Clarmann

2007-01-01

Full Text Available Profiles of atmospheric state variables retrieved from remote measurements often contain a priori information which causes complication in the statistical use of data and in the comparison with other measured or modeled data. For such applications it often is desirable to remove the a priori information from the data product. If the retrieval involves an ill-posed inversion problem, formal removal of the a priori information requires resampling of the data on a coarser grid, which in some sense, however, is a prior constraint in itself. The fact that the trace of the averaging kernel matrix of a retrieval is equivalent to the number of degrees of freedom of the retrieval is used to define an appropriate information-centered representation of the data where each data point represents one degree of freedom. Since regridding implies further degradation of the data and thus causes additional loss of information, a re-regularization scheme has been developed which allows resampling without additional loss of information. For a typical ClONO2 profile retrieved from spectra as measured by the Michelson Interferometer for Passive Atmospheric Sounding (MIPAS, the constrained retrieval has 9.7 degrees of freedom. After application of the proposed transformation to a coarser information-centered altitude grid, there are exactly 9 degrees of freedom left, and the averaging kernel on the coarse grid is unity. Pure resampling on the information-centered grid without re-regularization would reduce the degrees of freedom to 7.1 (6.7 for a staircase (triangular representation scheme.

New a priori estimates for mean-field games with congestion

KAUST Repository

Evangelista, David; Gomes, Diogo A.

2016-01-01

We present recent developments in crowd dynamics models (e.g. pedestrian flow problems). Our formulation is given by a mean-field game (MFG) with congestion. We start by reviewing earlier models and results. Next, we develop our model. We establish new a priori estimates that give partial regularity of the solutions. Finally, we discuss numerical results.

New a priori estimates for mean-field games with congestion

KAUST Repository

Evangelista, David

2016-01-06

We present recent developments in crowd dynamics models (e.g. pedestrian flow problems). Our formulation is given by a mean-field game (MFG) with congestion. We start by reviewing earlier models and results. Next, we develop our model. We establish new a priori estimates that give partial regularity of the solutions. Finally, we discuss numerical results.

A Frequency Matching Method for Generation of a Priori Sample Models from Training Images

DEFF Research Database (Denmark)

Lange, Katrine; Cordua, Knud Skou; Frydendall, Jan

2011-01-01

This paper presents a Frequency Matching Method (FMM) for generation of a priori sample models based on training images and illustrates its use by an example. In geostatistics, training images are used to represent a priori knowledge or expectations of models, and the FMM can be used to generate...... new images that share the same multi-point statistics as a given training image. The FMM proceeds by iteratively updating voxel values of an image until the frequency of patterns in the image matches the frequency of patterns in the training image; making the resulting image statistically...... indistinguishable from the training image....

Plasma ascorbic acid, a priori diet quality score, and incident hypertension

NARCIS (Netherlands)

Buijsse, Brian; Jacobs, D.R.; Steffen, L.M.; Kromhout, Daan; Gross, M.D.

2015-01-01

Vitamin C may reduce risk of hypertension, either in itself or by marking a healthy diet pattern. We assessed whether plasma ascorbic acid and the a priori diet quality score relate to incident hypertension and whether they explain each other's predictive abilities. Data were from 2884 black and

Improving multiple-point-based a priori models for inverse problems by combining Sequential Simulation with the Frequency Matching Method

DEFF Research Database (Denmark)

Cordua, Knud Skou; Hansen, Thomas Mejer; Lange, Katrine

In order to move beyond simplified covariance based a priori models, which are typically used for inverse problems, more complex multiple-point-based a priori models have to be considered. By means of marginal probability distributions ‘learned’ from a training image, sequential simulation has...... proven to be an efficient way of obtaining multiple realizations that honor the same multiple-point statistics as the training image. The frequency matching method provides an alternative way of formulating multiple-point-based a priori models. In this strategy the pattern frequency distributions (i.......e. marginals) of the training image and a subsurface model are matched in order to obtain a solution with the same multiple-point statistics as the training image. Sequential Gibbs sampling is a simulation strategy that provides an efficient way of applying sequential simulation based algorithms as a priori...

Importance of A Priori Vertical Ozone Profiles for TEMPO Air Quality Retrievals

Science.gov (United States)

Johnson, M. S.; Sullivan, J. T.; Liu, X.; Zoogman, P.; Newchurch, M.; Kuang, S.; McGee, T. J.; Leblanc, T.

2017-12-01

Ozone (O3) is a toxic pollutant which plays a major role in air quality. Typically, monitoring of surface air quality and O3 mixing ratios is conducted using in situ measurement networks. This is partially due to high-quality information related to air quality being limited from space-borne platforms due to coarse spatial resolution, limited temporal frequency, and minimal sensitivity to lower tropospheric and surface-level O3. The Tropospheric Emissions: Monitoring of Pollution (TEMPO) satellite is designed to address the limitations of current space-based platforms and to improve our ability to monitor North American air quality. TEMPO will provide hourly data of total column and vertical profiles of O3 with high spatial resolution to be used as a near-real-time air quality product. TEMPO O3 retrievals will apply the Smithsonian Astrophysical Observatory profile algorithm developed based on work from GOME, GOME-2, and OMI. This algorithm is suggested to use a priori O3 profile information from a climatological data-base developed from long-term ozone-sonde measurements (tropopause-based (TB-Clim) O3 climatology). This study evaluates the TB-Clim dataset and model simulated O3 profiles, which could potentially serve as a priori O3 profile information in TEMPO retrievals, from near-real-time data assimilation model products (NASA GMAO's operational GEOS-5 FP model and reanalysis data from MERRA2) and a full chemical transport model (CTM), GEOS-Chem. In this study, vertical profile products are evaluated with surface (0-2 km) and tropospheric (0-10 km) TOLNet observations and the theoretical impact of individual a priori profile sources on the accuracy of TEMPO O3 retrievals in the troposphere and at the surface are presented. Results indicate that while the TB-Clim climatological dataset can replicate seasonally-averaged tropospheric O3 profiles, model-simulated profiles from a full CTM resulted in more accurate tropospheric and surface-level O3 retrievals from

How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation.

Science.gov (United States)

Bokhour, Barbara G; Fix, Gemmae M; Mueller, Nora M; Barker, Anna M; Lavela, Sherri L; Hill, Jennifer N; Solomon, Jeffrey L; Lukas, Carol VanDeusen

2018-03-07

Healthcare organizations increasingly are focused on providing care which is patient-centered rather than disease-focused. Yet little is known about how best to transform the culture of care in these organizations. We sought to understand key organizational factors for implementing patient-centered care cultural transformation through an examination of efforts in the US Department of Veterans Affairs. We conducted multi-day site visits at four US Department of Veterans Affairs medical centers designated as leaders in providing patient-centered care. We conducted qualitative semi-structured interviews with 108 employees (22 senior leaders, 42 middle managers, 37 front-line providers and 7 staff). Transcripts of audio recordings were analyzed using a priori codes based on the Consolidated Framework for Implementation Research. We used constant comparison analysis to synthesize codes into meaningful domains. Sites described actions taken to foster patient-centered care in seven domains: 1) leadership; 2) patient and family engagement; 3) staff engagement; 4) focus on innovations; 5) alignment of staff roles and priorities; 6) organizational structures and processes; 7) environment of care. Within each domain, we identified multi-faceted strategies for implementing change. These included efforts by all levels of organizational leaders who modeled patient-centered care in their interactions and fostered willingness to try novel approaches to care amongst staff. Alignment and integration of patient centered care within the organization, particularly surrounding roles, priorities and bureaucratic rules, remained major challenges. Transforming healthcare systems to focus on patient-centered care and better serve the "whole" patient is a complex endeavor. Efforts to transform healthcare culture require robust, multi-pronged efforts at all levels of the organization; leadership is only the beginning. Challenges remain for incorporating patient-centered approaches in the

Running Head: Implementing Six Sigma Efforts

Science.gov (United States)

Lindsay, Jamie Eleaitia Mae

2005-01-01

Six Sigma is an organization wide program that provides common set of goals, language, and methodology for improving the overall quality of the processes within the organization (Davis & Heineke 2004). Six Sigma main concern is for the customer. What will the customers want? Need? Six Sigma has a model that helps Sigma get implemented DMAIC model…

Establishing cause for developing and implementing a broad-based marketing effort for the health education field.

Science.gov (United States)

Stellefson, Michael; Barry, Adam; Chaney, Beth H; Chaney, J Don; Hanik, Bruce

2011-05-01

What exactly is health education? Professionals with advanced degrees in health education have most likely encountered questions such as these either during introductory coursework or from those inquiring about the field. These queries can prove quite perplexing when asked by individuals who are unaware of the health education profession. Because the act of marketing health education is crucial to the sustainability of the field, the purpose of this article is to (a) explore the issue of describing and promoting health education, (b) establish ideas that can facilitate the provision of coordinated marketing efforts, and (c) offer marketing management and implementation principles that can assist in marketing both health education and health educators. Based on this discussion, the authors suggest building mainstream consensus in regards to marketing message development and implementation to better position health education.

Image reconstruction in electrostatic tomography using a priori knowledge from ECT

International Nuclear Information System (INIS)

Zhou Bin; Zhang Jianyong; Xu Chuanlong; Wang Shimin

2011-01-01

Research highlights: → A dual-mode sensor technique based on ECT and EST is proposed. → The interference of the charged particles to ECT can be eliminated. → A priori knowledge from ECT improves the inversion accuracy. - Abstract: In gas-solid two-phase flow, the charge distribution is a very important process parameter which is useful to the study of electrostatic adhesion. Electrostatic tomography (EST) is a relatively new non-intrusive technique which can be used to acquire charge distribution. However, due to limited measurements, the quality of image reconstruction is poor. In this paper, a dual-mode sensor technique based on electrical capacitance tomography (ECT) and EST is proposed. The theoretical analysis and the numerical simulation results reveal that the permittivity distribution obtained from ECT can provide a priori knowledge for the inversion calculation of EST, so that the accuracy of spatial sensitivity calculation in EST can be improved. This proposed technique is expected to be prospective in industrial applications and will also be beneficial to the research on the fluid dynamics of gas-solid two-phase flow.

Profile reconstruction from neutron reflectivity data and a priori knowledge

International Nuclear Information System (INIS)

Leeb, H.

2008-01-01

The problem of incomplete and noisy information in profile reconstruction from neutron reflectometry data is considered. In particular methods of Bayesian statistics in combination with modelling or inverse scattering techniques are considered in order to properly include the required a priori knowledge to obtain quantitatively reliable estimates of the reconstructed profiles. Applying Bayes theorem the results of different experiments on the same sample can be consistently included in the profile reconstruction

Full 3-D stratigraphic inversion with a priori information: a powerful way to optimize data integration

Energy Technology Data Exchange (ETDEWEB)

Grizon, L.; Leger, M.; Dequirez, P.Y.; Dumont, F.; Richard, V.

1998-12-31

Integration between seismic and geological data is crucial to ensure that a reservoir study is accurate and reliable. To reach this goal, there is used a post-stack stratigraphic inversion with a priori information. The global cost-function combines two types of constraints. One is relevant to seismic amplitudes, and the other to an a priori impedance model. This paper presents this flexible and interpretative inversion to determine acoustic impedances constrained by seismic data, log data and geologic information. 5 refs., 8 figs.

Effort estimation for enterprise resource planning implementation projects using social choice - a comparative study

Science.gov (United States)

Koch, Stefan; Mitlöhner, Johann

2010-08-01

ERP implementation projects have received enormous attention in the last years, due to their importance for organisations, as well as the costs and risks involved. The estimation of effort and costs associated with new projects therefore is an important topic. Unfortunately, there is still a lack of models that can cope with the special characteristics of these projects. As the main focus lies in adapting and customising a complex system, and even changing the organisation, traditional models like COCOMO can not easily be applied. In this article, we will apply effort estimation based on social choice in this context. Social choice deals with aggregating the preferences of a number of voters into a collective preference, and we will apply this idea by substituting the voters by project attributes. Therefore, instead of supplying numeric values for various project attributes, a new project only needs to be placed into rankings per attribute, necessitating only ordinal values, and the resulting aggregate ranking can be used to derive an estimation. We will describe the estimation process using a data set of 39 projects, and compare the results to other approaches proposed in the literature.

Drivers of redistribution of fishing and non-fishing effort after the implementation of a marine protected area network.

Science.gov (United States)

Cabral, Reniel B; Gaines, Steven D; Johnson, Brett A; Bell, Tom W; White, Crow

2017-03-01

Marine spatial planning (MSP) is increasingly utilized to sustainably manage ocean uses. Marine protected areas (MPAs), a form of spatial management in which parts of the ocean are regulated to fishing, are now a common tool in MSP for conserving marine biodiversity and managing fisheries. However, the use of MPAs in MSP often neglects, or simplifies, the redistribution of fishing and non-fishing activities inside and outside of MPAs following their implementation. This redistribution of effort can have important implications for effective MSP. Using long-term (14 yr) aerial surveys of boats at the California Channel Islands, we examined the spatial redistribution of fishing and non-fishing activities and their drivers following MPA establishment. Our data represent 6 yr of information before the implementation of an MPA network and 8 yr after implementation. Different types of boats responded in different ways to the closures, ranging from behaviors by commercial dive boats that support the hypothesis of fishing-the-line, to behaviors by urchin, sport fishing, and recreational boats that support the theory of ideal free distribution. Additionally, we found that boats engaged in recreational activities targeted areas that are sheltered from large waves and located near their home ports, while boats engaged in fishing activities also avoided high wave areas but were not constrained by the distance to their home ports. We did not observe the expected pattern of effort concentration near MPA borders for some boat types; this can be explained by the habitat preference of certain activities (for some activities, the desired habitat attributes are not inside the MPAs), species' biology (species such as urchins where the MPA benefit would likely come from larval export rather than adult spillover), or policy-infraction avoidance. The diversity of boat responses reveals variance from the usual simplified assumption that all extractive boats respond similarly to MPA

LMFBR safety criteria: cost-benefit considerations under the constraint of an a priori risk criterion

International Nuclear Information System (INIS)

Hartung, J.

1979-01-01

The role of cost-benefit considerations and a priori risk criteria as determinants of Core Disruptive Accident (CDA)-related safety criteria for large LMFBR's is explored with the aid of quantitative risk and probabilistic analysis methods. A methodology is described which allows a large number of design and siting alternatives to be traded off against each other with the goal of minimizing energy generation costs subject to the constraint of both an a priori risk criterion and a cost-benefit criterion. Application of this methodology to a specific LMFBR design project is described and the results are discussed. 5 refs

Optimization of Decision-Making for Spatial Sampling in the North China Plain, Based on Remote-Sensing a Priori Knowledge

Science.gov (United States)

Feng, J.; Bai, L.; Liu, S.; Su, X.; Hu, H.

2012-07-01

In this paper, the MODIS remote sensing data, featured with low-cost, high-timely and moderate/low spatial resolutions, in the North China Plain (NCP) as a study region were firstly used to carry out mixed-pixel spectral decomposition to extract an useful regionalized indicator parameter (RIP) (i.e., an available ratio, that is, fraction/percentage, of winter wheat planting area in each pixel as a regionalized indicator variable (RIV) of spatial sampling) from the initial selected indicators. Then, the RIV values were spatially analyzed, and the spatial structure characteristics (i.e., spatial correlation and variation) of the NCP were achieved, which were further processed to obtain the scalefitting, valid a priori knowledge or information of spatial sampling. Subsequently, founded upon an idea of rationally integrating probability-based and model-based sampling techniques and effectively utilizing the obtained a priori knowledge or information, the spatial sampling models and design schemes and their optimization and optimal selection were developed, as is a scientific basis of improving and optimizing the existing spatial sampling schemes of large-scale cropland remote sensing monitoring. Additionally, by the adaptive analysis and decision strategy the optimal local spatial prediction and gridded system of extrapolation results were able to excellently implement an adaptive report pattern of spatial sampling in accordance with report-covering units in order to satisfy the actual needs of sampling surveys.

Realism, functions, and the a priori: Ernst Cassirer's philosophy of science.

Science.gov (United States)

Heis, Jeremy

2014-12-01

This paper presents the main ideas of Cassirer's general philosophy of science, focusing on the two aspects of his thought that--in addition to being the most central ideas in his philosophy of science--have received the most attention from contemporary philosophers of science: his theory of the a priori aspects of physical theory, and his relation to scientific realism.

Diffuse optical tomography with physiological and spatial a priori constraints

International Nuclear Information System (INIS)

Intes, Xavier; Maloux, Clemence; Guven, Murat; Yazici, Birzen; Chance, Britton

2004-01-01

Diffuse optical tomography is a typical inverse problem plagued by ill-condition. To overcome this drawback, regularization or constraining techniques are incorporated in the inverse formulation. In this work, we investigate the enhancement in recovering functional parameters by using physiological and spatial a priori constraints. More accurate recovery of the two main functional parameters that are the blood volume and the relative saturation is demonstrated through simulations by using our method compared to actual techniques. (note)

An Effective, Robust And Parallel Implementation Of An Interior Point Algorithm For Limit State Optimization

DEFF Research Database (Denmark)

Dollerup, Niels; Jepsen, Michael S.; Damkilde, Lars

2013-01-01

The artide describes a robust and effective implementation of the interior point optimization algorithm. The adopted method includes a precalculation step, which reduces the number of variables by fulfilling the equilibrium equations a priori. This work presents an improved implementation of the ...

Estimation of inspection effort

International Nuclear Information System (INIS)

Mullen, M.F.; Wincek, M.A.

1979-06-01

An overview of IAEA inspection activities is presented, and the problem of evaluating the effectiveness of an inspection is discussed. Two models are described - an effort model and an effectiveness model. The effort model breaks the IAEA's inspection effort into components; the amount of effort required for each component is estimated; and the total effort is determined by summing the effort for each component. The effectiveness model quantifies the effectiveness of inspections in terms of probabilities of detection and quantities of material to be detected, if diverted over a specific period. The method is applied to a 200 metric ton per year low-enriched uranium fuel fabrication facility. A description of the model plant is presented, a safeguards approach is outlined, and sampling plans are calculated. The required inspection effort is estimated and the results are compared to IAEA estimates. Some other applications of the method are discussed briefly. Examples are presented which demonstrate how the method might be useful in formulating guidelines for inspection planning and in establishing technical criteria for safeguards implementation

Implementation strategies to promote community-engaged efforts to counter tobacco marketing at the point of sale.

Science.gov (United States)

Leeman, Jennifer; Myers, Allison; Grant, Jennifer C; Wangen, Mary; Queen, Tara L

2017-09-01

The US tobacco industry spends $8.2 billion annually on marketing at the point of sale (POS), a practice known to increase tobacco use. Evidence-based policy interventions (EBPIs) are available to reduce exposure to POS marketing, and nationwide, states are funding community-based tobacco control partnerships to promote local enactment of these EBPIs. Little is known, however, about what implementation strategies best support community partnerships' success enacting EBPI. Guided by Kingdon's theory of policy change, Counter Tools provides tools, training, and other implementation strategies to support community partnerships' performance of five core policy change processes: document local problem, formulate policy solutions, engage partners, raise awareness of problems and solutions, and persuade decision makers to enact new policy. We assessed Counter Tools' impact at 1 year on (1) partnership coordinators' self-efficacy, (2) partnerships' performance of core policy change processes, (3) community progress toward EBPI enactment, and (4) salient contextual factors. Counter Tools provided implementation strategies to 30 partnerships. Data on self-efficacy were collected using a pre-post survey. Structured interviews assessed performance of core policy change processes. Data also were collected on progress toward EBPI enactment and contextual factors. Analysis included descriptive and bivariate statistics and content analysis. Following 1-year exposure to implementation strategies, coordinators' self-efficacy increased significantly. Partnerships completed the greatest proportion of activities within the "engage partners" and "document local problem" core processes. Communities made only limited progress toward policy enactment. Findings can inform delivery of implementation strategies and tests of their effects on community-level efforts to enact EBPIs.

Approximate deconvolution model for the simulation of turbulent gas-solid flows: An a priori analysis

Science.gov (United States)

Schneiderbauer, Simon; Saeedipour, Mahdi

2018-02-01

Highly resolved two-fluid model (TFM) simulations of gas-solid flows in vertical periodic channels have been performed to study closures for the filtered drag force and the Reynolds-stress-like contribution stemming from the convective terms. An approximate deconvolution model (ADM) for the large-eddy simulation of turbulent gas-solid suspensions is detailed and subsequently used to reconstruct those unresolved contributions in an a priori manner. With such an approach, an approximation of the unfiltered solution is obtained by repeated filtering allowing the determination of the unclosed terms of the filtered equations directly. A priori filtering shows that predictions of the ADM model yield fairly good agreement with the fine grid TFM simulations for various filter sizes and different particle sizes. In particular, strong positive correlation (ρ > 0.98) is observed at intermediate filter sizes for all sub-grid terms. Additionally, our study reveals that the ADM results moderately depend on the choice of the filters, such as box and Gaussian filter, as well as the deconvolution order. The a priori test finally reveals that ADM is superior compared to isotropic functional closures proposed recently [S. Schneiderbauer, "A spatially-averaged two-fluid model for dense large-scale gas-solid flows," AIChE J. 63, 3544-3562 (2017)].

Evaluating the effectiveness of a priori information on process measures in a virtual reality inspection task

Directory of Open Access Journals (Sweden)

Shannon Raye Bowling

2010-06-01

Full Text Available 72 1024x768 Normal 0 false false false Due to the nature of the complexity of the aircraft maintenance industry, much emphasis has been placed on improving aircraft inspection performance. One proven technique for improving inspection performance is the use of training. Several strategies have been implemented for training, one of which is giving feedforward information. The use of a priori (feedforward information is known to positively affect inspection performance (Ernst and Yovits, 1972; Long and Rourke, 1989; McKernan, 1989; Gramopadhye et al., 1997.  This information can consist of knowledge about defect characteristics (types, severity/criticality, and location and the probability of occurrence. Although several studies have been conducted that demonstrate the usefulness of feedforward as a training strategy, there are certain research issues that need to be addressed. This study evaluates the effects of feedforward information on process measures in a simulated 3-dimensional environment (aircraft cargo bay by the use of virtual reality.

LandScape: a simple method to aggregate p--Values and other stochastic variables without a priori grouping

DEFF Research Database (Denmark)

Wiuf, Carsten; Pallesen, Jonatan; Foldager, Leslie

2016-01-01

variables without assuming a priori defined groups. We provide different ways to evaluate the significance of the aggregated variables based on theoretical considerations and resampling techniques, and show that under certain assumptions the FWER is controlled in the strong sense. Validity of the method...... and the results might depend on the chosen criteria. Methods that summarize, or aggregate, test statistics or p-values, without relying on a priori criteria, are therefore desirable. We present a simple method to aggregate a sequence of stochastic variables, such as test statistics or p-values, into fewer...

Evaluating A Priori Ozone Profile Information Used in TEMPO Tropospheric Ozone Retrievals

Science.gov (United States)

Johnson, Matthew S.; Sullivan, John T.; Liu, Xiong; Newchurch, Mike; Kuang, Shi; McGee, Thomas J.; Langford, Andrew O'Neil; Senff, Christoph J.; Leblanc, Thierry; Berkoff, Timothy;

Evaluating A Priori Ozone Profile Information Used in TEMPO Tropospheric Ozone Retrievals

Science.gov (United States)

Johnson, M. S.; Sullivan, J. T.; Liu, X.; Newchurch, M.; Kuang, S.; McGee, T. J.; Langford, A. O.; Senff, C. J.; Leblanc, T.; Berkoff, T.; Gronoff, G.; Chen, G.; Strawbridge, K. B.

2016-12-01

Ozone (O3) is a greenhouse gas and toxic pollutant which plays a major role in air quality. Typically, monitoring of surface air quality and O3 mixing ratios is primarily conducted using in situ measurement networks. This is partially due to high-quality information related to air quality being limited from space-borne platforms due to coarse spatial resolution, limited temporal frequency, and minimal sensitivity to lower tropospheric and surface-level O3. The Tropospheric Emissions: Monitoring of Pollution (TEMPO) satellite is designed to address these limitations of current space-based platforms and to improve our ability to monitor North American air quality. TEMPO will provide hourly data of total column and vertical profiles of O3 with high spatial resolution to be used as a near-real-time air quality product. TEMPO O3 retrievals will apply the Smithsonian Astrophysical Observatory profile algorithm developed based on work from GOME, GOME-2, and OMI. This algorithm uses a priori O3 profile information from a climatological data-base developed from long-term ozone-sonde measurements (tropopause-based (TB) O3 climatology). It has been shown that satellite O3 retrievals are sensitive to a priori O3 profiles and covariance matrices. During this work we investigate the climatological data to be used in TEMPO algorithms (TB O3) and simulated data from the NASA GMAO Goddard Earth Observing System (GEOS-5) Forward Processing (FP) near-real-time (NRT) model products. These two data products will be evaluated with ground-based lidar data from the Tropospheric Ozone Lidar Network (TOLNet) at various locations of the US. This study evaluates the TB climatology, GEOS-5 climatology, and 3-hourly GEOS-5 data compared to lower tropospheric observations to demonstrate the accuracy of a priori information to potentially be used in TEMPO O3 algorithms. Here we present our initial analysis and the theoretical impact on TEMPO retrievals in the lower troposphere.

Solution of underdetermined systems of equations with gridded a priori constraints.

Science.gov (United States)

Stiros, Stathis C; Saltogianni, Vasso

2014-01-01

The TOPINV, Topological Inversion algorithm (or TGS, Topological Grid Search) initially developed for the inversion of highly non-linear redundant systems of equations, can solve a wide range of underdetermined systems of non-linear equations. This approach is a generalization of a previous conclusion that this algorithm can be used for the solution of certain integer ambiguity problems in Geodesy. The overall approach is based on additional (a priori) information for the unknown variables. In the past, such information was used either to linearize equations around approximate solutions, or to expand systems of observation equations solved on the basis of generalized inverses. In the proposed algorithm, the a priori additional information is used in a third way, as topological constraints to the unknown n variables, leading to an R(n) grid containing an approximation of the real solution. The TOPINV algorithm does not focus on point-solutions, but exploits the structural and topological constraints in each system of underdetermined equations in order to identify an optimal closed space in the R(n) containing the real solution. The centre of gravity of the grid points defining this space corresponds to global, minimum-norm solutions. The rationale and validity of the overall approach are demonstrated on the basis of examples and case studies, including fault modelling, in comparison with SVD solutions and true (reference) values, in an accuracy-oriented approach.

The Mediterranean Diet: its definition and evaluation of a priori dietary indexes in primary cardiovascular prevention.

Science.gov (United States)

D'Alessandro, Annunziata; De Pergola, Giovanni

2018-01-18

We have analysed the definition of Mediterranean Diet in 28 studies included in six meta-analyses evaluating the relation between the Mediterranean Diet and primary prevention of cardiovascular disease. Some typical food of this dietary pattern like whole cereals, olive oil and red wine were taken into account only in a few a priori indexes, and the dietary pattern defined as Mediterranean showed many differences among the studies and compared to traditional Mediterranean Diet of the early 1960s. Altogether, the analysed studies show a protective effect of the Mediterranean Diet against cardiovascular disease but present different effects against specific conditions as cerebrovascular disease and coronary heart disease. These different effects might depend on the definition of Mediterranean Diet and the indexes of the adhesion to the same one used. To compare the effects of the Mediterranean Diet against cardiovascular disease, coronary heart disease and stroke a univocal model of Mediterranean Diet should be established as a reference, and it might be represented by the Modern Mediterranean Diet Pyramid. The a priori index to evaluate the adhesion to Mediterranean Diet might be the Mediterranean-Style Dietary Pattern Score that has some advantages in comparison to the others a priori indexes.

Geopositioning with a quadcopter: Extracted feature locations and predicted accuracy without a priori sensor attitude information

Science.gov (United States)

Dolloff, John; Hottel, Bryant; Edwards, David; Theiss, Henry; Braun, Aaron

2017-05-01

This paper presents an overview of the Full Motion Video-Geopositioning Test Bed (FMV-GTB) developed to investigate algorithm performance and issues related to the registration of motion imagery and subsequent extraction of feature locations along with predicted accuracy. A case study is included corresponding to a video taken from a quadcopter. Registration of the corresponding video frames is performed without the benefit of a priori sensor attitude (pointing) information. In particular, tie points are automatically measured between adjacent frames using standard optical flow matching techniques from computer vision, an a priori estimate of sensor attitude is then computed based on supplied GPS sensor positions contained in the video metadata and a photogrammetric/search-based structure from motion algorithm, and then a Weighted Least Squares adjustment of all a priori metadata across the frames is performed. Extraction of absolute 3D feature locations, including their predicted accuracy based on the principles of rigorous error propagation, is then performed using a subset of the registered frames. Results are compared to known locations (check points) over a test site. Throughout this entire process, no external control information (e.g. surveyed points) is used other than for evaluation of solution errors and corresponding accuracy.

A priori and a posteriori approaches in human reliability

International Nuclear Information System (INIS)

Griffon-Fouco, M.; Gagnolet, P.

1981-09-01

The French atomic energy commission (CEA) and the French supplier in electric power (EDF) have joint studies on human factors in nuclear safety. This paper deals with these studies which are a combination of two approaches: - An a posteriori approach so as to know the rate of human errors and their causes: an analysis of incident data banks and an analysis of human errors on simulator are presented. - An a priori approach so as to know the potential factors of human errors: an analysis of the control rooms design and an analysis of the writing of procedures are presented. The possibility to take into account these two approaches to prevent and quantify human errors is discussed

Verdad y apertura de mundo. El problema de los juicios sintéticos a priori tras el giro lingüístico

Directory of Open Access Journals (Sweden)

Cristina LAFONT

2009-11-01

Full Text Available RESUMEN: Este artículo analiza el impacto del giro lingüístico en la transformación de la concepción kantiana de los juicios sintéticos a priori. Se centra para ello en dos concepciones contemporáneas de los mismos, a saber, el a priori hermenéutico de Heidegger y el a priori contextual de Putnam, y saca a relucir expresamente tanto sus rasgos similares como sus importantes diferencias: mientras que la concepción heideggeriana mantiene el idealismo transcendental de Kant a través de la suposición hermenéutica de que el significado determina la referencia, la concepción de Putnam rompe por completo con la teoría kantiana de los juicios sintéticos a priori, según la cual éstos no pueden ser modificados por la sola experiencia, al tiempo que rechaza la suposición kantiana de que los juicios sintéticos a priori y aposteriori son dos clases permanentes de juicios. En contraste con Heidegger, Putnam es por eso capaz de mostrar que los juicios sintéticos apriori son modificables bajo condiciones especiales.ABSTRACT: This paper analyzes the impact of the linguistic turn in the transformation of the Kantian conception of the synthetic a priori. It focuses on two contemporary conceptions of the synthetic apriori, namely, Heidegger's hermeneutic apriori and Putnam's contextual apriori and shows their strikingly similar features as well as their important differences: whereas Heidegger's conception retains Kant's transcendental idealism via the hermeneutic assumption that meaning determines reference, Putnam's conception breaks entirely of Kant's conception fo synthetic a priori judgments, namely, that they cannot be revised by experience alone, while rejecting the Kantian assumption that synthetic apriori and aposteriori are permanent statuses of judgments. In contradistinction to Heidegger, Putnam is thus able to show that synthetic apriori judgments are revisable under special conditions.

Research and development efforts in the implementation of nuclear power programme in Indonesia

International Nuclear Information System (INIS)

Suhaemi, T.

1986-04-01

Research and development efforts in the implementation of nuclear power programme in Indonesia are presented. According to Indonesia Law, the National Atomic Energy Agency (BATAN) is an official body which is reponsible for all aspects of nuclear development. In implementing the nuclear power, BATAN together with the State Electricity Corporation (PLN) have pioneered the introduction of nuclear power plant in Indonesia by carrying out various activities, studies, seminars, workshops and report writings. A nuclear power planning study was carried out jointly with the International Atomic Energy Agency. The feasibility studies were also carried out by NIRA, an Italian consultant firm in cooperation with BATAN and PLN. To improve research and development, BATAN has established 5 research nuclear centres which function as centres of basic and applied research, isotope and radiation application, standardization and calibration and uranium exploration. Nowadays BATAN is constructing a sophisticated and multidisciplinary complex at Serpong near Jakarta. It is hoped that the participation of the national industry can be synchronized to the construction of the first nuclear power in Indonesia. To endorse the movement towards the industrial and technological future, the National Centre for Research, Science and Technology (known as PUSPITEK) has been established. There will be 12 different laboratories providing facilities for research and development of all aspects of technology. For training manpower, BATAN has established the Education and Training Centre (PUSDIKLAT). BATAN has also collaborated with universities, such as Gadjahmada University in Yogyakarta, in establishing Nuclear Engineering Division in the School of Engineering. 6 refs, 3 figs

Content analyses of a priori qualitative phantom limb pain descriptions and emerging categories in mid-southerners with limb loss.

Science.gov (United States)

Evans, Cecile B

2014-01-01

The purposes of this descriptive study were (a) to identify the relative frequencies of a priori categories of phantom limb pain (PLP) quality descriptors reported by Mid-Southerners with limb loss, (b) to analyze their descriptions for emerging categories of PLP, and (c) to identify the relative frequencies of the emerging categories. This cross-sectional descriptive verbal survey assessed PLP descriptors. A content analyses determined relative frequencies of a priori PLP descriptors as well as emerging categories that were identified. The most common a priori PLP quality descriptors reported by 52 amputees with PLP were intermittent, tingling/needles/numb, sharp, cramping, burning, and stabbing. The most common emerging categories reported were pain compared to illness/injury, electrical cyclical, and manipulated/positional. The detailed descriptions of PLP provide insight into the vivid experiences of PLP. Rehabilitation nurses can use this information with PLP assessment, patient teaching, and counseling. © 2013 Association of Rehabilitation Nurses.

A Priori Regularity of Parabolic Partial Differential Equations

KAUST Repository

Berkemeier, Francisco

2018-05-13

In this thesis, we consider parabolic partial differential equations such as the heat equation, the Fokker-Planck equation, and the porous media equation. Our aim is to develop methods that provide a priori estimates for solutions with singular initial data. These estimates are obtained by understanding the time decay of norms of solutions. First, we derive regularity results for the heat equation by estimating the decay of Lebesgue norms. Then, we apply similar methods to the Fokker-Planck equation with suitable assumptions on the advection and diffusion. Finally, we conclude by extending our techniques to the porous media equation. The sharpness of our results is confirmed by examining known solutions of these equations. The main contribution of this thesis is the use of functional inequalities to express decay of norms as differential inequalities. These are then combined with ODE methods to deduce estimates for the norms of solutions and their derivatives.

Global a priori estimates for the inhomogeneous Landau equation with moderately soft potentials

Science.gov (United States)

Cameron, Stephen; Silvestre, Luis; Snelson, Stanley

2018-05-01

We establish a priori upper bounds for solutions to the spatially inhomogeneous Landau equation in the case of moderately soft potentials, with arbitrary initial data, under the assumption that mass, energy and entropy densities stay under control. Our pointwise estimates decay polynomially in the velocity variable. We also show that if the initial data satisfies a Gaussian upper bound, this bound is propagated for all positive times.

Tomographic inversion of time-domain resistivity and chargeability data for the investigation of landfills using a priori information.

Science.gov (United States)

De Donno, Giorgio; Cardarelli, Ettore

2017-01-01

In this paper, we present a new code for the modelling and inversion of resistivity and chargeability data using a priori information to improve the accuracy of the reconstructed model for landfill. When a priori information is available in the study area, we can insert them by means of inequality constraints on the whole model or on a single layer or assigning weighting factors for enhancing anomalies elongated in the horizontal or vertical directions. However, when we have to face a multilayered scenario with numerous resistive to conductive transitions (the case of controlled landfills), the effective thickness of the layers can be biased. The presented code includes a model-tuning scheme, which is applied after the inversion of field data, where the inversion of the synthetic data is performed based on an initial guess, and the absolute difference between the field and synthetic inverted models is minimized. The reliability of the proposed approach has been supported in two real-world examples; we were able to identify an unauthorized landfill and to reconstruct the geometrical and physical layout of an old waste dump. The combined analysis of the resistivity and chargeability (normalised) models help us to remove ambiguity due to the presence of the waste mass. Nevertheless, the presence of certain layers can remain hidden without using a priori information, as demonstrated by a comparison of the constrained inversion with a standard inversion. The robustness of the above-cited method (using a priori information in combination with model tuning) has been validated with the cross-section from the construction plans, where the reconstructed model is in agreement with the original design. Copyright © 2016 Elsevier Ltd. All rights reserved.

Analyzing and Predicting Effort Associated with Finding and Fixing Software Faults

Science.gov (United States)

Hamill, Maggie; Goseva-Popstojanova, Katerina

2016-01-01

Context: Software developers spend a significant amount of time fixing faults. However, not many papers have addressed the actual effort needed to fix software faults. Objective: The objective of this paper is twofold: (1) analysis of the effort needed to fix software faults and how it was affected by several factors and (2) prediction of the level of fix implementation effort based on the information provided in software change requests. Method: The work is based on data related to 1200 failures, extracted from the change tracking system of a large NASA mission. The analysis includes descriptive and inferential statistics. Predictions are made using three supervised machine learning algorithms and three sampling techniques aimed at addressing the imbalanced data problem. Results: Our results show that (1) 83% of the total fix implementation effort was associated with only 20% of failures. (2) Both safety critical failures and post-release failures required three times more effort to fix compared to non-critical and pre-release counterparts, respectively. (3) Failures with fixes spread across multiple components or across multiple types of software artifacts required more effort. The spread across artifacts was more costly than spread across components. (4) Surprisingly, some types of faults associated with later life-cycle activities did not require significant effort. (5) The level of fix implementation effort was predicted with 73% overall accuracy using the original, imbalanced data. Using oversampling techniques improved the overall accuracy up to 77%. More importantly, oversampling significantly improved the prediction of the high level effort, from 31% to around 85%. Conclusions: This paper shows the importance of tying software failures to changes made to fix all associated faults, in one or more software components and/or in one or more software artifacts, and the benefit of studying how the spread of faults and other factors affect the fix implementation

Time-discrete higher order ALE formulations: a priori error analysis

KAUST Repository

Bonito, Andrea

2013-03-16

We derive optimal a priori error estimates for discontinuous Galerkin (dG) time discrete schemes of any order applied to an advection-diffusion model defined on moving domains and written in the Arbitrary Lagrangian Eulerian (ALE) framework. Our estimates hold without any restrictions on the time steps for dG with exact integration or Reynolds\\' quadrature. They involve a mild restriction on the time steps for the practical Runge-Kutta-Radau methods of any order. The key ingredients are the stability results shown earlier in Bonito et al. (Time-discrete higher order ALE formulations: stability, 2013) along with a novel ALE projection. Numerical experiments illustrate and complement our theoretical results. © 2013 Springer-Verlag Berlin Heidelberg.

Brezzi-Pitkaranta stabilization and a priori error analysis for the Stokes Control

Directory of Open Access Journals (Sweden)

Aytekin Cibik

2016-12-01

Full Text Available In this study, we consider a Brezzi-Pitkaranta stabilization scheme for the optimal control problem governed by stationary Stokes equation, using a P1-P1 interpolation for velocity and pressure. We express the stabilization as extra terms added to the discrete variational form of the problem.  We first prove the stability of the finite element discretization of the problem. Then, we derive a priori error bounds for each variable and present a numerical example to show the effectiveness of the stabilization clearly.

Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts

Directory of Open Access Journals (Sweden)

Matthew Lee Smith

2017-06-01

Full Text Available Although the concepts of systems change and sustainability are not new, little is known about the factors associated with systems change sustaining multi-state, multi-level fall prevention efforts. This exploratory study focuses on three State Departments of Health (DOH that were awarded 5-year funding from the Centers for Disease Control and Prevention to simultaneously implement four separate yet related evidence-based fall prevention initiatives at the clinical, community, and policy level. The purpose of this study was to examine changes in partnerships and collaborative activities that occurred to accomplish project goals (examining changes in the context of “before funding” and “after funding was received”. Additionally, this study explored changes in State DOH perceptions about action related to sustainability indicators in the context of “during funding” and “after funding ends.” Findings from this study document the partnership and activity changes necessary to achieve defined fall prevention goals after funding is received, and that the importance of sustainability indicator documentation is seen as relevant during funding, but less so after the funding ends. Findings from this study have practice and research implications that can inform future funded efforts in terms of sector and stakeholder engagement necessary for initiating, implementing, and sustaining community- and clinical-based fall prevention interventions.

The effect of a priori probability and complexity on decision making in a supervisory control task

NARCIS (Netherlands)

Kerstholt, J.H.; Passenier, P.O.; Houttuin, K.; Schuffel, H.

1996-01-01

In the present study we investigated how monitoring and fault management in a ship control task are affected by complexity and a priori probability of disturbances. Partici-pants were required to supervise four independent shipping subsystems and to adjust the subsystems whenever deviations

Programming effort analysis of the ELLPACK language

Science.gov (United States)

Rice, J. R.

1978-01-01

ELLPACK is a problem statement language and system for elliptic partial differential equations which is implemented by a FORTRAN preprocessor. ELLPACK's principal purpose is as a tool for the performance evaluation of software. However, it is used here as an example with which to study the programming effort required for problem solving. It is obvious that problem statement languages can reduce programming effort tremendously; the goal is to quantify this somewhat. This is done by analyzing the lengths and effort (as measured by Halstead's software science technique) of various approaches to solving these problems.

Sampling informative/complex a priori probability distributions using Gibbs sampling assisted by sequential simulation

DEFF Research Database (Denmark)

Hansen, Thomas Mejer; Mosegaard, Klaus; Cordua, Knud Skou

2010-01-01

Markov chain Monte Carlo methods such as the Gibbs sampler and the Metropolis algorithm can be used to sample the solutions to non-linear inverse problems. In principle these methods allow incorporation of arbitrarily complex a priori information, but current methods allow only relatively simple...... this algorithm with the Metropolis algorithm to obtain an efficient method for sampling posterior probability densities for nonlinear inverse problems....

Using A Priori Information to Improve Atmospheric Duct Estimation

Science.gov (United States)

Zhao, X.

2017-12-01

Knowledge of refractivity condition in the marine atmospheric boundary layer (MABL) is crucial for the prediction of radar and communication systems performance at frequencies above 1 GHz on low-altitude paths. Since early this century, the `refractivity from clutter (RFC)' technique has been proved to be an effective way to estimate the MABL refractivity structure. Refractivity model is very important for RFC techniques. If prior knowledge of the local refractivity information is available (e.g., from numerical weather prediction models, atmospheric soundings, etc.), more accurate parameterized refractivity model can be constructed by the statistical method, e.g. principal analysis, which in turn can be used to improve the quality of the local refractivity retrievals. This work extends the adjoint parabolic equation approach to range-varying atmospheric duct structure inversions, in which a linear empirical reduced-dimension refractivity model constructed from the a priori refractive information is used.

Considerations about expected a posteriori estimation in adaptive testing: adaptive a priori, adaptive correction for bias, and adaptive integration interval.

Science.gov (United States)

Raiche, Gilles; Blais, Jean-Guy

2009-01-01

In a computerized adaptive test, we would like to obtain an acceptable precision of the proficiency level estimate using an optimal number of items. Unfortunately, decreasing the number of items is accompanied by a certain degree of bias when the true proficiency level differs significantly from the a priori estimate. The authors suggest that it is possible to reduced the bias, and even the standard error of the estimate, by applying to each provisional estimation one or a combination of the following strategies: adaptive correction for bias proposed by Bock and Mislevy (1982), adaptive a priori estimate, and adaptive integration interval.

A priori estimates of global solutions of superlinear parabolic systems

Directory of Open Access Journals (Sweden)

Julius Pacuta

2016-04-01

Full Text Available We consider the parabolic system $ u_{t}-\\Delta u = u^{r}v^{p}$, $v_{t}-\\Delta v = u^{q}v^{s}$ in $\\Omega\\times(0,\\infty$, complemented by the homogeneous Dirichlet boundary conditions and the initial conditions $(u,v(\\cdot,0 = (u_{0},v_{0}$ in $\\Omega$, where $\\Omega $ is a smooth bounded domain in $ \\mathbb{R}^{N} $ and $ u_{0},v_{0}\\in L^{\\infty}(\\Omega$ are nonnegative functions. We find conditions on $ p,q,r,s $ guaranteeing a priori estimates of nonnegative classical global solutions. More precisely every such solution is bounded by a constant depending on suitable norm of the initial data. Our proofs are based on bootstrap in weighted Lebesgue spaces, universal estimates of auxiliary functions and estimates of the Dirichlet heat kernel.

Parameter transferability within homogeneous regions and comparisons with predictions from a priori parameters in the eastern United States

Science.gov (United States)

Chouaib, Wafa; Alila, Younes; Caldwell, Peter V.

2018-05-01

The need for predictions of flow time-series persists at ungauged catchments, motivating the research goals of our study. By means of the Sacramento model, this paper explores the use of parameter transfer within homogeneous regions of similar climate and flow characteristics and makes comparisons with predictions from a priori parameters. We assessed the performance using the Nash-Sutcliffe (NS), bias, mean monthly hydrograph and flow duration curve (FDC). The study was conducted on a large dataset of 73 catchments within the eastern US. Two approaches to the parameter transferability were developed and evaluated; (i) the within homogeneous region parameter transfer using one donor catchment specific to each region, (ii) the parameter transfer disregarding the geographical limits of homogeneous regions, where one donor catchment was common to all regions. Comparisons between both parameter transfers enabled to assess the gain in performance from the parameter regionalization and its respective constraints and limitations. The parameter transfer within homogeneous regions outperformed the a priori parameters and led to a decrease in bias and increase in efficiency reaching a median NS of 0.77 and a NS of 0.85 at individual catchments. The use of FDC revealed the effect of bias on the inaccuracy of prediction from parameter transfer. In one specific region, of mountainous and forested catchments, the prediction accuracy of the parameter transfer was less satisfactory and equivalent to a priori parameters. In this region, the parameter transfer from the outsider catchment provided the best performance; less-biased with smaller uncertainty in medium flow percentiles (40%-60%). The large disparity of energy conditions explained the lack of performance from parameter transfer in this region. Besides, the subsurface stormflow is predominant and there is a likelihood of lateral preferential flow, which according to its specific properties further explained the reduced

O Caráter a priori das Estruturas Necessárias ao Conhecimento, Construídas segundo a Epistemologia Genética

OpenAIRE

Marçal, Vicente Eduardo Ribeiro; Tassinari, Ricardo Pereira [UNESP

2014-01-01

In this paper we discuss the question of the a priori character of the necessary structures of knowledge according to Genetic Epistemology, focusing on the notion of space in particular. We establish some relations between Jean Piaget’s Genetic Epistemology and Immanuel Kant’s Critical Philosophy, discuss the notion of the a priori according to Kant in relation to the notion of space, and discuss the construction of the notion of space by the epistemic subject according to Genetic Epistemolog...

Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact.

Science.gov (United States)

Curran, Geoffrey M; Bauer, Mark; Mittman, Brian; Pyne, Jeffrey M; Stetler, Cheryl

2012-03-01

This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful information for decision makers. This study proposes a "hybrid effectiveness-implementation" typology, describes a rationale for their use, outlines the design decisions that must be faced, and provides several real-world examples. An effectiveness-implementation hybrid design is one that takes a dual focus a priori in assessing clinical effectiveness and implementation. We propose 3 hybrid types: (1) testing effects of a clinical intervention on relevant outcomes while observing and gathering information on implementation; (2) dual testing of clinical and implementation interventions/strategies; and (3) testing of an implementation strategy while observing and gathering information on the clinical intervention's impact on relevant outcomes. The hybrid typology proposed herein must be considered a construct still in evolution. Although traditional clinical effectiveness and implementation trials are likely to remain the most common approach to moving a clinical intervention through from efficacy research to public health impact, judicious use of the proposed hybrid designs could speed the translation of research findings into routine practice.

Characteristic Investigation of Unfolded Neutron Spectra with Different Priori Information and Gamma Radiation Interference

International Nuclear Information System (INIS)

Kim, Bong Hwan

2006-01-01

Neutron field spectrometry using multi spheres such as Bonner Spheres (BS) has been almost essential in radiation protection dosimetry for a long time at workplace in spite of poor energy resolution because it is not asking the fine energy resolution but requiring easy operation and measurement performance over a wide range of energy interested. KAERI has developed and used extended BS system based on a LiI(Eu) scintillator as the representative neutron spectrometry system for workplace monitoring as well as for the quantification of neutron calibration fields such as those recommended by ISO 8529. Major topics in using BS are how close the unfolded spectra is the real one and to minimize the interference of gamma radiation in neutron/gamma mixed fields in case of active instrument such as a BS with a LiI(Eu) scintillator. The former is related with choosing a priori information when unfolding the measured data and the latter is depend on how to discriminate it in intense gamma radiation fields. Influence of a priori information in unfolding and effect of counting loss due to pile-up of signals for the KAERI BS system were investigated analyzing the spectral measurement results of Scattered Neutron Calibration Fields (SNCF)

Contribution to restoration of degraded images by a space-variant system: use of an a priori model of the image

International Nuclear Information System (INIS)

Barakat, Valerie

1998-01-01

Imaging systems often present shift-variant point spread functions which are usually approximated by shift-invariant ones, in order to simplify the restoration problem. The aim of this thesis is to show that, if this shift-variant degradation is taken into account, it may increase strongly the quality of restoration. The imaging system is a pinhole, used to acquire images of high energy beams. Three restoration methods have been studied and compared: the Tikhonov-Miller regularization, the Markov-fields and the Maximum-Entropy methods. These methods are based on the incorporation of an a priori knowledge into the restoration process, to achieve stability of the solution. An improved restoration method is proposed: this approach is based on the Tikhonov-Miller regularization, combined with an a priori model of the solution. The idea of such a model is to express local characteristics to be reconstructed. The concept of parametric models described by a set of parameters (shape of the object, amplitude values,...) is used. A parametric optimization is used to find the optimal estimation of parameters close to the correct a priori information data of the expected solution. Several criteria have been proposed to measure the restoration quality. (author) [fr

Adaptivna digitalna sita v strukturi porazdeljene aritmetike: Adaptive digital filter implementation with distributed arithmetic structure:

OpenAIRE

Babič, Rudolf; Horvat, Bogomir; Osebik, Davorin

2001-01-01

Adaptive digital filters have a wide range of applications in the area of signal processing where only minimum a priori knowledge of signal characteristics is available. In this article the adaptive FIR digital filter implementation based on the distributed arithmetic technique is described. The major problem with conventional adaptive digital filter is the need for fast multipliers. When using a hardware implementation. These multipliers take up the disproportional amount of the overall cost...

Linking customisation of ERP systems to support effort: an empirical study

Science.gov (United States)

Koch, Stefan; Mitteregger, Kurt

2016-01-01

The amount of customisation to an enterprise resource planning (ERP) system has always been a major concern in the context of the implementation. This article focuses on the phase of maintenance and presents an empirical study about the relationship between the amount of customising and the resulting support effort. We establish a structural equation modelling model that explains support effort using customisation effort, organisational characteristics and scope of implementation. The findings using data from an ERP provider show that there is a statistically significant effect: with an increasing amount of customisation, the quantity of telephone calls to support increases, as well as the duration of each call.

Practice, science and governance in interaction: European effort for the system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in Physical and Rehabilitation Medicine.

Science.gov (United States)

Stucki, Gerold; Zampolini, Mauro; Juocevicius, Alvydas; Negrini, Stefano; Christodoulou, Nicolas

2017-04-01

Since its launch in 2001, relevant international, regional and national PRM bodies have aimed to implement the International Classification of Functioning, Disability and Health (ICF) in Physical and Rehabilitation Medicine (PRM), whereby contributing to the development of suitable practical tools. These tools are available for implementing the ICF in day-to-day clinical practice, standardized reporting of functioning outcomes in quality management and research, and guiding evidence-informed policy. Educational efforts have reinforced PRM physicians' and other rehabilitation professionals' ICF knowledge, and numerous implementation projects have explored how the ICF is applied in clinical practice, research and policy. Largely lacking though is the system-wide implementation of ICF in day-to-day practice across all rehabilitation services of national health systems. In Europe, system-wide implementation of ICF requires the interaction between practice, science and governance. Considering its mandate, the UEMS PRM Section and Board have decided to lead a European effort towards system-wide ICF implementation in PRM, rehabilitation and health care at large, in interaction with governments, non-governmental actors and the private sector, and aligned with ISPRM's collaboration plan with WHO. In this paper we present the current PRM internal and external policy agenda towards system-wide ICF implementation and the corresponding implementation action plan, while highlighting priority action steps - promotion of ICF-based standardized reporting in national quality management and assurance programs, development of unambiguous rehabilitation service descriptions using the International Classification System for Service Organization in Health-related Rehabilitation, development of Clinical Assessment Schedules, qualitative linkage and quantitative mapping of data to the ICF, and the cultural adaptation of the ICF Clinical Data Collection Tool in European languages.

Has Malaysia's antidrug effort been effective?

Science.gov (United States)

Scorzelli, J F

1992-01-01

It is a common belief that a massive effort in law enforcement, preventive education and rehabilitation will result in the elimination of a country's drug problem. Based on this premise. Malaysia in 1983 implemented such a multifaceted anti-drug strategy, and the results of a 1987 study by the author suggested that Malaysia's effort had begun to contribute to a steady decrease in the number of identified drug abusers. Although the number of drug-addicted individuals declined, the country's recidivism rates were still high. Because of this high relapse rate, Malaysia expanded their rehabilitation effort and developed a community transition program. In order to determine the impact of these changes on the country's battle against drug abuse, a follow-up study was conducted in 1990. The results of this study did not clearly demonstrate that the Malaysian effort had been successful in eliminating the problem of drug abuse, and raised some questions concerning the effectiveness of the country's drug treatment programs.

Use of a priori information in incomplete data x-ray CT imaging

International Nuclear Information System (INIS)

Eberhard, J.W.; Hedengren, K.H.

1988-01-01

A new technique for utilizing a priori information is presented which uses CAD electronic part models to make use of effectively all the information which is available in the blueprint of a selected industrial part. Significant improvements in x-ray image quality are demonstrated using the technique in the image enhancement of the model of an exhaust nozzle actuation ring for the F110 aircraft. Three approaches were evaluated: a projection data approach, an iterative reconstruction approach, and an image processing and analysis approach. Results for these approaches are included. X-ray CT images of the simulated part image reconstructed with several choices of available angular range are shown

Do Haphazard Reviews Provide Sound Directions for Dissemination Efforts?

Science.gov (United States)

Gambrill, Eileen; Littell, Julia H.

2010-01-01

Comments on The dissemination and implementation of evidence-based psychological treatments: A review of current efforts by Kathryn R. McHugh and David H. Barlow. The lead article in the February-March issue by McHugh and Barlow (2010) emphasized the need for "dissemination and implementation of evidence-based psychological treatments."…

Specifying general activity clusters for ERP projects aimed at effort prediction

NARCIS (Netherlands)

Janssens, G.; Kusters, R.J.; Heemstra, F.J.; Gunasekaran, A.; Shea, T.

2010-01-01

ERP implementation projects affect large parts of an implementing organization and lead to changes in the way an organization performs its tasks. The costs needed for the effort to implement these systems are hard to estimate. Research indicates that the size of an ERP project can be a useful

Globally Stable Adaptive Backstepping Neural Network Control for Uncertain Strict-Feedback Systems With Tracking Accuracy Known a Priori.

Science.gov (United States)

Chen, Weisheng; Ge, Shuzhi Sam; Wu, Jian; Gong, Maoguo

2015-09-01

This paper addresses the problem of globally stable direct adaptive backstepping neural network (NN) tracking control design for a class of uncertain strict-feedback systems under the assumption that the accuracy of the ultimate tracking error is given a priori. In contrast to the classical adaptive backstepping NN control schemes, this paper analyzes the convergence of the tracking error using Barbalat's Lemma via some nonnegative functions rather than the positive-definite Lyapunov functions. Thus, the accuracy of the ultimate tracking error can be determined and adjusted accurately a priori, and the closed-loop system is guaranteed to be globally uniformly ultimately bounded. The main technical novelty is to construct three new n th-order continuously differentiable functions, which are used to design the control law, the virtual control variables, and the adaptive laws. Finally, two simulation examples are given to illustrate the effectiveness and advantages of the proposed control method.

Developing an A Priori Database for Passive Microwave Snow Water Retrievals Over Ocean

Science.gov (United States)

Yin, Mengtao; Liu, Guosheng

2017-12-01

A physically optimized a priori database is developed for Global Precipitation Measurement Microwave Imager (GMI) snow water retrievals over ocean. The initial snow water content profiles are derived from CloudSat Cloud Profiling Radar (CPR) measurements. A radiative transfer model in which the single-scattering properties of nonspherical snowflakes are based on the discrete dipole approximate results is employed to simulate brightness temperatures and their gradients. Snow water content profiles are then optimized through a one-dimensional variational (1D-Var) method. The standard deviations of the difference between observed and simulated brightness temperatures are in a similar magnitude to the observation errors defined for observation error covariance matrix after the 1D-Var optimization, indicating that this variational method is successful. This optimized database is applied in a Bayesian retrieval snow water algorithm. The retrieval results indicated that the 1D-Var approach has a positive impact on the GMI retrieved snow water content profiles by improving the physical consistency between snow water content profiles and observed brightness temperatures. Global distribution of snow water contents retrieved from the a priori database is compared with CloudSat CPR estimates. Results showed that the two estimates have a similar pattern of global distribution, and the difference of their global means is small. In addition, we investigate the impact of using physical parameters to subset the database on snow water retrievals. It is shown that using total precipitable water to subset the database with 1D-Var optimization is beneficial for snow water retrievals.

Determining the depth of certain gravity sources without a priori specification of their structural index

Science.gov (United States)

Zhou, Shuai; Huang, Danian

2015-11-01

We have developed a new method for the interpretation of gravity tensor data based on the generalized Tilt-depth method. Cooper (2011, 2012) extended the magnetic Tilt-depth method to gravity data. We take the gradient-ratio method of Cooper (2011, 2012) and modify it so that the source type does not need to be specified a priori. We develop the new method by generalizing the Tilt-depth method for depth estimation for different types of source bodies. The new technique uses only the three vertical tensor components of the full gravity tensor data observed or calculated at different height plane to estimate the depth of the buried bodies without a priori specification of their structural index. For severely noise-corrupted data, our method utilizes different upward continuation height data, which can effectively reduce the influence of noise. Theoretical simulations of the gravity source model with and without noise illustrate the ability of the method to provide source depth information. Additionally, the simulations demonstrate that the new method is simple, computationally fast and accurate. Finally, we apply the method using the gravity data acquired over the Humble Salt Dome in the USA as an example. The results show a good correspondence to the previous drilling and seismic interpretation results.

A priori study of subgrid-scale features in turbulent Rayleigh-Bénard convection

Science.gov (United States)

Dabbagh, F.; Trias, F. X.; Gorobets, A.; Oliva, A.

2017-10-01

At the crossroad between flow topology analysis and turbulence modeling, a priori studies are a reliable tool to understand the underlying physics of the subgrid-scale (SGS) motions in turbulent flows. In this paper, properties of the SGS features in the framework of a large-eddy simulation are studied for a turbulent Rayleigh-Bénard convection (RBC). To do so, data from direct numerical simulation (DNS) of a turbulent air-filled RBC in a rectangular cavity of aspect ratio unity and π spanwise open-ended distance are used at two Rayleigh numbers R a ∈{1 08,1 010 } [Dabbagh et al., "On the evolution of flow topology in turbulent Rayleigh-Bénard convection," Phys. Fluids 28, 115105 (2016)]. First, DNS at Ra = 108 is used to assess the performance of eddy-viscosity models such as QR, Wall-Adapting Local Eddy-viscosity (WALE), and the recent S3PQR-models proposed by Trias et al. ["Building proper invariants for eddy-viscosity subgrid-scale models," Phys. Fluids 27, 065103 (2015)]. The outcomes imply that the eddy-viscosity modeling smoothes the coarse-grained viscous straining and retrieves fairly well the effect of the kinetic unfiltered scales in order to reproduce the coherent large scales. However, these models fail to approach the exact evolution of the SGS heat flux and are incapable to reproduce well the further dominant rotational enstrophy pertaining to the buoyant production. Afterwards, the key ingredients of eddy-viscosity, νt, and eddy-diffusivity, κt, are calculated a priori and revealed positive prevalent values to maintain a turbulent wind essentially driven by the mean buoyant force at the sidewalls. The topological analysis suggests that the effective turbulent diffusion paradigm and the hypothesis of a constant turbulent Prandtl number are only applicable in the large-scale strain-dominated areas in the bulk. It is shown that the bulk-dominated rotational structures of vortex-stretching (and its synchronous viscous dissipative structures) hold

China's coastal wetlands: conservation history, implementation efforts, existing issues and strategies for future improvement.

Science.gov (United States)

Sun, Zhigao; Sun, Wenguang; Tong, Chuan; Zeng, Congsheng; Yu, Xiang; Mou, Xiaojie

2015-06-01

China has approximately 5.80×10(6)ha coastal wetlands by 2014, accounting for 10.82% of the total area of natural wetlands. Healthy coastal wetland ecosystems play an important role in guaranteeing the territory ecological security and the sustainable development of coastal zone in China. In this paper, the natural geography and the past and present status of China's coastal wetlands were introduced and the five stages (1950s-1970s, 1980s-1991, 1992-2002, 2003-2010 and 2011-present) of China's coastal wetlands conservation from the foundation of the People's Republic in 1949 to present were distinguished and reviewed. Over the past decades, China has made great efforts in coastal wetland conservation, as signified by the implementation of coastal wetland restoration projects, the construction of coastal wetland nature reserves, the practice of routine ecological monitoring and two national wetland surveys, the promulgation of local wetland conservation statutes and specific regulations, the coordination mechanism to enhance management capacity, the wide development of coastal wetland research and public participation, and the extensive communication to strengthen international cooperation. Nonetheless, six major issues recently emerged in China's coastal wetland conservation are evidently existed, including the increasing threats of pollution and human activities, the increasing adverse effects of threaten factors on ecosystem function, the increasing threats of coastal erosion and sea-level rising, the insufficient funding for coastal wetlands conservation, the imperfect legal and management system for coastal wetlands, and the insufficient education, research and international cooperation. Although the threats and pressures on coastal wetlands conservation are still apparent, the future of China's coastal wetlands looks promising since the Chinese government understands that the sustainable development in coastal zone requires new attitudes, sound policies and

Confidence building in implementation of geological disposal

International Nuclear Information System (INIS)

Umeki, Hiroyuki

2004-01-01

Long-term safety of the disposal system should be demonstrated to the satisfaction of the stakeholders. Convincing arguments are therefore required that instil in the stakeholders confidence in the safety of a particular concept for the siting and design of a geological disposal, given the uncertainties that inevitably exist in its a priori description and in its evolution. The step-wise approach associated with making safety case at each stage is a key to building confidence in the repository development programme. This paper discusses aspects and issues on confidence building in the implementation of HLW disposal in Japan. (author)

A priori tests of combustion models based on a CH{sub 4}/H{sub 2} Triple Flame

Energy Technology Data Exchange (ETDEWEB)

Dombard, J.; Naud, B.; Jimenez Sanchez, C.

2008-07-01

This document reproduces the final project of Jerome Dombard, presented on June 25, 2008, for the obtention of the Master degree MIMSE (Master Ingenierie Mathematique, Statistique et Economique) of Bordeaux University (Universite Bordeaux 1). We make an a priori study of FPI/FGM-type turbulent combustion models using a 2D DNS of a triple flame. A reduced chemical scheme of 16 species and 12 reactions is used (ARM1, proposed by J.-Y. Chen at Berkeley University). The fuel (CH4/H2 mixture) and oxidizer (air) correspond to the inlet composition of the Sydney bluff-body stabilised flame experiments (flames HM1-3). First, we compute 1D laminar premixed flames. The purpose of those calculations is twofold: 1. check the differences between different computer programs and different treatments of molecular diffusion, and 2. calibrate the 2D-DNS of the laminar triple flame (mainly decide on the grid resolution). Then, the solution of the 2D laminar triple flame is used to test a priori FPI/FGM tables. Finally, preliminary considerations on sub-grid scale modelling in the context of Large Eddy Simulation are made. (Author) 14 refs.

A priori which-way information in quantum interference with unstable particles

International Nuclear Information System (INIS)

Krause, D.E.; Fischbach, E.; Rohrbach, Z.J.

2014-01-01

If an unstable particle used in a two-path interference experiment decays before reaching a detector, which-way information becomes available that reduces the detected interference fringe visibility V. Here we argue that even when an unstable particle does not decay while in the interferometer, a priori which-way information is still available in the form of path predictability P which depends on the particle's decay rate Γ. We further demonstrate that in a matter-wave Mach–Zehnder interferometer using an excited atom with an appropriately tuned cavity, P is related to V through the duality relation P 2 +V 2 =1. - Highlights: • Even undecayed unstable particles exhibit novel interference effects. • Interference is studied in a Mach–Zehnder interferometer with a cavity. • More which-way information is available when using unstable particles. • A relation between which-way information and interference is satisfied

Rapid multi-wavelength optical assessment of circulating blood volume without a priori data

Science.gov (United States)

Loginova, Ekaterina V.; Zhidkova, Tatyana V.; Proskurnin, Mikhail A.; Zharov, Vladimir P.

2016-03-01

The measurement of circulating blood volume (CBV) is crucial in various medical conditions including surgery, iatrogenic problems, rapid fluid administration, transfusion of red blood cells, or trauma with extensive blood loss including battlefield injuries and other emergencies. Currently, available commercial techniques are invasive and time-consuming for trauma situations. Recently, we have proposed high-speed multi-wavelength photoacoustic/photothermal (PA/PT) flow cytometry for in vivo CBV assessment with multiple dyes as PA contrast agents (labels). As the first step, we have characterized the capability of this technique to monitor the clearance of three dyes (indocyanine green, methylene blue, and trypan blue) in an animal model. However, there are strong demands on improvements in PA/PT flow cytometry. As additional verification of our proof-of-concept of this technique, we performed optical photometric CBV measurements in vitro. Three label dyes—methylene blue, crystal violet and, partially, brilliant green—were selected for simultaneous photometric determination of the components of their two-dye mixtures in the circulating blood in vitro without any extra data (like hemoglobin absorption) known a priori. The tests of single dyes and their mixtures in a flow system simulating a blood transfusion system showed a negligible difference between the sensitivities of the determination of these dyes under batch and flow conditions. For individual dyes, the limits of detection of 3×10-6 M‒3×10-6 M in blood were achieved, which provided their continuous determination at a level of 10-5 M for the CBV assessment without a priori data on the matrix. The CBV assessment with errors no higher than 4% were obtained, and the possibility to apply the developed procedure for optical photometric (flow cytometry) with laser sources was shown.

Integration test effort in SAP R/3 systems

NARCIS (Netherlands)

Griend, van de P.A.; Kusters, R.J.

2012-01-01

This paper describes an experimental approach towards the definition of a metric for integration test effort based on enterprise resource planning (ERP) system logs. By nature, ERP systems are complex. After implementing an ERP-system, it is typically subjected to many, and often concurrent,

The Implementation Leadership Scale (ILS): development of a brief measure of unit level implementation leadership.

Science.gov (United States)

Aarons, Gregory A; Ehrhart, Mark G; Farahnak, Lauren R

2014-04-14

In healthcare and allied healthcare settings, leadership that supports effective implementation of evidenced-based practices (EBPs) is a critical concern. However, there are no empirically validated measures to assess implementation leadership. This paper describes the development, factor structure, and initial reliability and convergent and discriminant validity of a very brief measure of implementation leadership: the Implementation Leadership Scale (ILS). Participants were 459 mental health clinicians working in 93 different outpatient mental health programs in Southern California, USA. Initial item development was supported as part of a two United States National Institutes of Health (NIH) studies focused on developing implementation leadership training and implementation measure development. Clinician work group/team-level data were randomly assigned to be utilized for an exploratory factor analysis (n = 229; k = 46 teams) or for a confirmatory factor analysis (n = 230; k = 47 teams). The confirmatory factor analysis controlled for the multilevel, nested data structure. Reliability and validity analyses were then conducted with the full sample. The exploratory factor analysis resulted in a 12-item scale with four subscales representing proactive leadership, knowledgeable leadership, supportive leadership, and perseverant leadership. Confirmatory factor analysis supported an a priori higher order factor structure with subscales contributing to a single higher order implementation leadership factor. The scale demonstrated excellent internal consistency reliability as well as convergent and discriminant validity. The ILS is a brief and efficient measure of unit level leadership for EBP implementation. The availability of the ILS will allow researchers to assess strategic leadership for implementation in order to advance understanding of leadership as a predictor of organizational context for implementation. The ILS also holds promise as a tool for

The implementation leadership scale (ILS): development of a brief measure of unit level implementation leadership

Science.gov (United States)

2014-01-01

Background In healthcare and allied healthcare settings, leadership that supports effective implementation of evidenced-based practices (EBPs) is a critical concern. However, there are no empirically validated measures to assess implementation leadership. This paper describes the development, factor structure, and initial reliability and convergent and discriminant validity of a very brief measure of implementation leadership: the Implementation Leadership Scale (ILS). Methods Participants were 459 mental health clinicians working in 93 different outpatient mental health programs in Southern California, USA. Initial item development was supported as part of a two United States National Institutes of Health (NIH) studies focused on developing implementation leadership training and implementation measure development. Clinician work group/team-level data were randomly assigned to be utilized for an exploratory factor analysis (n = 229; k = 46 teams) or for a confirmatory factor analysis (n = 230; k = 47 teams). The confirmatory factor analysis controlled for the multilevel, nested data structure. Reliability and validity analyses were then conducted with the full sample. Results The exploratory factor analysis resulted in a 12-item scale with four subscales representing proactive leadership, knowledgeable leadership, supportive leadership, and perseverant leadership. Confirmatory factor analysis supported an a priori higher order factor structure with subscales contributing to a single higher order implementation leadership factor. The scale demonstrated excellent internal consistency reliability as well as convergent and discriminant validity. Conclusions The ILS is a brief and efficient measure of unit level leadership for EBP implementation. The availability of the ILS will allow researchers to assess strategic leadership for implementation in order to advance understanding of leadership as a predictor of organizational context for implementation

Merging Digital Surface Models Implementing Bayesian Approaches

Science.gov (United States)

Sadeq, H.; Drummond, J.; Li, Z.

2016-06-01

In this research different DSMs from different sources have been merged. The merging is based on a probabilistic model using a Bayesian Approach. The implemented data have been sourced from very high resolution satellite imagery sensors (e.g. WorldView-1 and Pleiades). It is deemed preferable to use a Bayesian Approach when the data obtained from the sensors are limited and it is difficult to obtain many measurements or it would be very costly, thus the problem of the lack of data can be solved by introducing a priori estimations of data. To infer the prior data, it is assumed that the roofs of the buildings are specified as smooth, and for that purpose local entropy has been implemented. In addition to the a priori estimations, GNSS RTK measurements have been collected in the field which are used as check points to assess the quality of the DSMs and to validate the merging result. The model has been applied in the West-End of Glasgow containing different kinds of buildings, such as flat roofed and hipped roofed buildings. Both quantitative and qualitative methods have been employed to validate the merged DSM. The validation results have shown that the model was successfully able to improve the quality of the DSMs and improving some characteristics such as the roof surfaces, which consequently led to better representations. In addition to that, the developed model has been compared with the well established Maximum Likelihood model and showed similar quantitative statistical results and better qualitative results. Although the proposed model has been applied on DSMs that were derived from satellite imagery, it can be applied to any other sourced DSMs.

MERGING DIGITAL SURFACE MODELS IMPLEMENTING BAYESIAN APPROACHES

Directory of Open Access Journals (Sweden)

H. Sadeq

2016-06-01

Full Text Available In this research different DSMs from different sources have been merged. The merging is based on a probabilistic model using a Bayesian Approach. The implemented data have been sourced from very high resolution satellite imagery sensors (e.g. WorldView-1 and Pleiades. It is deemed preferable to use a Bayesian Approach when the data obtained from the sensors are limited and it is difficult to obtain many measurements or it would be very costly, thus the problem of the lack of data can be solved by introducing a priori estimations of data. To infer the prior data, it is assumed that the roofs of the buildings are specified as smooth, and for that purpose local entropy has been implemented. In addition to the a priori estimations, GNSS RTK measurements have been collected in the field which are used as check points to assess the quality of the DSMs and to validate the merging result. The model has been applied in the West-End of Glasgow containing different kinds of buildings, such as flat roofed and hipped roofed buildings. Both quantitative and qualitative methods have been employed to validate the merged DSM. The validation results have shown that the model was successfully able to improve the quality of the DSMs and improving some characteristics such as the roof surfaces, which consequently led to better representations. In addition to that, the developed model has been compared with the well established Maximum Likelihood model and showed similar quantitative statistical results and better qualitative results. Although the proposed model has been applied on DSMs that were derived from satellite imagery, it can be applied to any other sourced DSMs.

A Priori User Acceptance and the Perceived Driving Pleasure in Semi-autonomous and Autonomous Vehicles

DEFF Research Database (Denmark)

Bjørner, Thomas

The aim of this minor pilot study is, from a sociological user perspective, to explore a priori user acceptance and the perceived driving pleasure in semi- autonomous and autonomous vehicles. The methods used were 13 in-depth interviews while having participants watch video examples within four...... different scenarios. After each scenario, two different numerical rating scales were used. There was a tendency toward positive attitudes regarding semi- autonomous driving systems, especially the use of a parking assistant and while driving in city traffic congestion. However, there were also major...

A program for the a priori evaluation of detection limits in instrumental neutron activation analysis using a SLOWPOKE II reactor

International Nuclear Information System (INIS)

Galinier, J.L.; Zikovsky, L.

1982-01-01

A program that permits the a priori calculation of detection limits in monoelemental matrices, adapted to instrumental neutron activation analysis using a SLOWPOKE II reactor, is described. A simplified model of the gamma spectra is proposed. Products of (n,p) and (n,α) reactions induced by the fast components of the neutron flux that accompanies the thermal flux at the level of internal irradiation sites in the reactor have been included in the list of interfering radionuclides. The program calculates in a systematic way the detection limits of 66 elements in an equal number of matrices using 153 intermediary radionuclides. Experimental checks carried out with silicon (for short lifetimes) and aluminum and magnesium (for intermediate lifetimes) show satisfactory agreement with the calculations. These results show in particular the importance of the contribution of the (n,p) and (n,α) reactions in the a priori evaluation of detection limits with a SLOWPOKE type reactor [fr

Regional efforts to promote forestry best management practices: a southern success story

Science.gov (United States)

Herb Nicholson; John Colberg; Hughes Simpson; Tom Gerow; Wib Owen

2016-01-01

The Southern Group of State Foresters has a long history of water resource protection efforts, providing leadership in BMP development, improvement, and implementation, enhancing state BMP programs, establishing effective partnerships, and standardizing an approach to consistently monitor implementation across the region.

RENEGOTIATION MINING CONTRACT: LEGAL PARADIGM RECONSTRUCTION EFFORTS

Directory of Open Access Journals (Sweden)

Marilang -

2014-07-01

Full Text Available Renegotiation contract mining is not a priori notion that was born but is driven by the fact that empirical Work Contract (KK and coal mining concessions of the Works Agreement (Cca that are valid for this resulted in profits which are not comparable between countries with investors (domestic and foreign. In addition, Law No. 4 of 2009 about Mineral and Coal Mining (minerba through article 169 have been injected that though the mining contracts during the validity of this, still respected until the end, however, if the implementation of these contracts give rise to distortions for the national interest, then the Government must encourage the investors to do Renegotiation against existing contracts to comply with legislation minerba forever within a period of one year since the enactment of the legislation this minerba. Renegotiation mining contracts that have been approved on the fact of the matter is simply an attempt to reconstruct the ruling paradigm, so with that paradigm shift, both parties can reach the intersection for the benefit of both parties, i.e. the parties proportionately Indonesia suffered no losses on the one hand, and the benefit of the domestic and foreign investors remain in reasonable limits on the other. 

[Public health, damage containment and the prevention of blood-borne and sexually transmitted infections: a review of the core concepts and their implementation in Brazil].

Science.gov (United States)

Elias, Lucília de Almeida; Bastos, Francisco Inacio

2011-12-01

This article assesses the historical context and the conceptual frame of setting up damage containment programs in the field of public health, with special emphasis on the Brazilian experience. The survey seeks to assess the relevance of such programs in the ongoing efforts to curb the spread of blood-borne and sexually transmitted infections, especially AIDS and hepatitis C. Findings from both the Brazilian and the international literature demonstrate that practical damage containment initiatives tend to be more effective when integrated with other public health measures based on common goals. Damage containment initiatives, aligned with the basic principles of public health do not limit themselves to a priori models or health care per se. They encompass a variety of pragmatic measures based on public policies and should be in line with the demands of the communities since the moment of their inception and implemented in the context of full partnership with such communities.

A priori analysis: an application to the estimate of the uncertainty in course grades

Science.gov (United States)

Lippi, G. L.

2014-07-01

A priori analysis (APA) is discussed as a tool to assess the reliability of grades in standard curricular courses. This unusual, but striking, application is presented when teaching the section on the data treatment of a laboratory course to illustrate the characteristics of the APA and its potential for widespread use, beyond the traditional physics curriculum. The conditions necessary for this kind of analysis are discussed, the general framework is set out and a specific example is given to illustrate its various aspects. Students are often struck by this unusual application and are more apt to remember the APA. Instructors may also benefit from some of the gathered information, as discussed in the paper.

A priori analysis: an application to the estimate of the uncertainty in course grades

International Nuclear Information System (INIS)

Lippi, G L

2014-01-01

A priori analysis (APA) is discussed as a tool to assess the reliability of grades in standard curricular courses. This unusual, but striking, application is presented when teaching the section on the data treatment of a laboratory course to illustrate the characteristics of the APA and its potential for widespread use, beyond the traditional physics curriculum. The conditions necessary for this kind of analysis are discussed, the general framework is set out and a specific example is given to illustrate its various aspects. Students are often struck by this unusual application and are more apt to remember the APA. Instructors may also benefit from some of the gathered information, as discussed in the paper. (paper)

The Effort Paradox: Effort Is Both Costly and Valued.

Science.gov (United States)

Inzlicht, Michael; Shenhav, Amitai; Olivola, Christopher Y

2018-04-01

According to prominent models in cognitive psychology, neuroscience, and economics, effort (be it physical or mental) is costly: when given a choice, humans and non-human animals alike tend to avoid effort. Here, we suggest that the opposite is also true and review extensive evidence that effort can also add value. Not only can the same outcomes be more rewarding if we apply more (not less) effort, sometimes we select options precisely because they require effort. Given the increasing recognition of effort's role in motivation, cognitive control, and value-based decision-making, considering this neglected side of effort will not only improve formal computational models, but also provide clues about how to promote sustained mental effort across time. Copyright © 2018 Elsevier Ltd. All rights reserved.

Musical Probabilities, Abductive Reasoning, and Brain Mechanisms: Extended Perspective of "A Priori" Listening to Music within the Creative Cognition Approach

Science.gov (United States)

Schmidt, Sebastian; Troge, Thomas A.; Lorrain, Denis

2013-01-01

A theory of listening to music is proposed. It suggests that, for listeners, the process of prediction is the starting point to experiencing music. This implies that perception of music starts through both a predisposed and an experience-based extrapolation into the future (this is labeled "a priori" listening). Indications for this…

Factor analysis with a priori knowledge - application in dynamic cardiac SPECT

Energy Technology Data Exchange (ETDEWEB)

Sitek, A.; Di Bella, E.V.R.; Gullberg, G.T. [Medical Imaging Research Laboratory, Department of Radiology, University of Utah, CAMT, 729 Arapeen Drive, Salt Lake City, UT 84108-1218 (United States)

2000-09-01

Two factor analysis of dynamic structures (FADS) methods for the extraction of time-activity curves (TACs) from cardiac dynamic SPECT data sequences were investigated. One method was based on a least squares (LS) approach which was subject to positivity constraints. The other method was the well known apex-seeking (AS) method. A post-processing step utilizing a priori information was employed to correct for the non-uniqueness of the FADS solution. These methods were used to extract {sup 99m}Tc-teboroxime TACs from computer simulations and from experimental canine and patient studies. In computer simulations, the LS and AS methods, which are completely different algorithms, yielded very similar and accurate results after application of the correction for non-uniqueness. FADS-obtained blood curves correlated well with curves derived from region of interest (ROI) measurements in the experimental studies. The results indicate that the factor analysis techniques can be used for semi-automatic estimation of activity curves derived from cardiac dynamic SPECT images, and that they can be used for separation of physiologically different regions in dynamic cardiac SPECT studies. (author)

Identification of parametric models with a priori knowledge of process properties

Directory of Open Access Journals (Sweden)

Janiszowski Krzysztof B.

2016-12-01

Full Text Available An approach to estimation of a parametric discrete-time model of a process in the case of some a priori knowledge of the investigated process properties is presented. The knowledge of plant properties is introduced in the form of linear bounds, which can be determined for the coefficient vector of the parametric model studied. The approach yields special biased estimation of model coefficients that preserves demanded properties. A formula for estimation of the model coefficients is derived and combined with a recursive scheme determined for minimization of the sum of absolute model errors. The estimation problem of a model with known static gains of inputs is discussed and proper formulas are derived. This approach can overcome the non-identifiability problem which has been observed during estimation based on measurements recorded in industrial closed-loop control systems. The application of the proposed approach to estimation of a model for an industrial plant (a water injector into the steam flow in a power plant is presented and discussed.

An Implementation of the Frequency Matching Method

DEFF Research Database (Denmark)

Lange, Katrine; Frydendall, Jan; Hansen, Thomas Mejer

During the last decade multiple-point statistics has become in-creasingly popular as a tool for incorporating complex prior infor-mation when solving inverse problems in geosciences. A variety of methods have been proposed but often the implementation of these is not straightforward. One of these......During the last decade multiple-point statistics has become in-creasingly popular as a tool for incorporating complex prior infor-mation when solving inverse problems in geosciences. A variety of methods have been proposed but often the implementation of these is not straightforward. One...... of these methods is the recently proposed Frequency Matching method to compute the maximum a posteriori model of an inverse problem where multiple-point statistics, learned from a training image, is used to formulate a closed form expression for an a priori probability density function. This paper discusses...... aspects of the implementation of the Fre-quency Matching method and the techniques adopted to make it com-putationally feasible also for large-scale inverse problems. The source code is publicly available at GitHub and this paper also provides an example of how to apply the Frequency Matching method...

Predicting thermal history a-priori for magnetic nanoparticle hyperthermia of internal carcinoma

Science.gov (United States)

Dhar, Purbarun; Sirisha Maganti, Lakshmi

2017-08-01

This article proposes a simplistic and realistic method where a direct analytical expression can be derived for the temperature field within a tumour during magnetic nanoparticle hyperthermia. The approximated analytical expression for thermal history within the tumour is derived based on the lumped capacitance approach and considers all therapy protocols and parameters. The present method is simplistic and provides an easy framework for estimating hyperthermia protocol parameters promptly. The model has been validated with respect to several experimental reports on animal models such as mice/rabbit/hamster and human clinical trials. It has been observed that the model is able to accurately estimate the thermal history within the carcinoma during the hyperthermia therapy. The present approach may find implications in a-priori estimation of the thermal history in internal tumours for optimizing magnetic hyperthermia treatment protocols with respect to the ablation time, tumour size, magnetic drug concentration, field strength, field frequency, nanoparticle material and size, tumour location, and so on.

Investigating industrial investigation: examining the impact of a priori knowledge and tunnel vision education.

Science.gov (United States)

Maclean, Carla L; Brimacombe, C A Elizabeth; Lindsay, D Stephen

2013-12-01

The current study addressed tunnel vision in industrial incident investigation by experimentally testing how a priori information and a human bias (generated via the fundamental attribution error or correspondence bias) affected participants' investigative behavior as well as the effectiveness of a debiasing intervention. Undergraduates and professional investigators engaged in a simulated industrial investigation exercise. We found that participants' judgments were biased by knowledge about the safety history of either a worker or piece of equipment and that a human bias was evident in participants' decision making. However, bias was successfully reduced with "tunnel vision education." Professional investigators demonstrated a greater sophistication in their investigative decision making compared to undergraduates. The similarities and differences between these two populations are discussed. (c) 2013 APA, all rights reserved

Almost half of the Danish general practitioners have negative a priori attitudes towards a mandatory accreditation programme

DEFF Research Database (Denmark)

Waldorff, Frans Boch; Nicolaisdottir, Dagny Ros; Kousgaard, Marius Brostrøm

2016-01-01

INTRODUCTION: The objective of this study was to analyse Danish general practitioners' (GPs) a priori attitudes and expectations towards a nationwide mandatory accreditation programme. METHODS: This study is based on a nationwide electronic survey comprising all Danish GPs (n = 3,403). RESULTS...... accreditation. FUNDING: The three Research Units for General Practice in Odense, Aarhus and Copenhagen initiated and funded this study. TRIAL REGISTRATION: The survey was recommended by the Danish Multipractice Committee (MPU 02-2015) and evaluated by the Danish Data Agency (2015-41-3684)....

Applying the Policy Ecology Framework to Philadelphia’s Behavioral Health Transformation Efforts

Science.gov (United States)

Powell, Byron J.; Beidas, Rinad S.; Rubin, Ronnie M.; Stewart, Rebecca E.; Wolk, Courtney Benjamin; Matlin, Samantha L.; Weaver, Shawna; Hurford, Matthew O.; Evans, Arthur C.; Hadley, Trevor R.; Mandell, David S.

2016-01-01

Raghavan et al. (2008) proposed that effective implementation of evidence-based practices requires implementation strategies deployed at multiple levels of the “policy ecology,” including the organizational, regulatory or purchaser agency, political, and social levels. However, much of implementation research and practice targets providers without accounting for contextual factors that may influence provider behavior. This paper examines Philadelphia’s efforts to work toward an evidence-based and recovery-oriented behavioral health system, and uses the policy ecology framework to illustrate how multifaceted, multilevel implementation strategies can facilitate the widespread implementation of evidence-based practices. Ongoing challenges and implications for research and practice are discussed. PMID:27032411

Lean Implementation : the significance of people and dualism

OpenAIRE

Bengt, Halling

2013-01-01

Lean, with its origins at the Toyota Motor Company, is a concept that is known to increase effectiveness in manufacturing. The Lean concept is now argued to be relevant not only in manufacturing but in service and health-care delivery as well. The reported results of Lean implementation efforts are divided. There are reports that most of the Lean implementation efforts are not reaching the goal; on the other hand, there are reports of promising results. The divided results from Lean implement...

Is overall similarity classification less effortful than single-dimension classification?

Science.gov (United States)

Wills, Andy J; Milton, Fraser; Longmore, Christopher A; Hester, Sarah; Robinson, Jo

2013-01-01

It is sometimes argued that the implementation of an overall similarity classification is less effortful than the implementation of a single-dimension classification. In the current article, we argue that the evidence securely in support of this view is limited, and report additional evidence in support of the opposite proposition--overall similarity classification is more effortful than single-dimension classification. Using a match-to-standards procedure, Experiments 1A, 1B and 2 demonstrate that concurrent load reduces the prevalence of overall similarity classification, and that this effect is robust to changes in the concurrent load task employed, the level of time pressure experienced, and the short-term memory requirements of the classification task. Experiment 3 demonstrates that participants who produced overall similarity classifications from the outset have larger working memory capacities than those who produced single-dimension classifications initially, and Experiment 4 demonstrates that instructions to respond meticulously increase the prevalence of overall similarity classification.

River routing at the continental scale: use of globally-available data and an a priori method of parameter estimation

Directory of Open Access Journals (Sweden)

P. Naden

1999-01-01

Full Text Available Two applications of a river routing model based on the observed river network and a linearised solution to the convective-diffusion equation are presented. One is an off-line application to part of the Amazon basin (catchment area 2.15 M km2 using river network data from the Digital Chart of the World and GCM-generated runoff at a grid resolution of 2.5 degrees latitude and 3.75 degrees longitude. The other application is to the Arkansas (409,000 km2 and Red River (125,500 km2 basins as an integrated component of a macro-scale hydrological model, driven by observed meteorology and operating on a 17 km grid. This second application makes use of the US EPA reach data to construct the river network. In both cases, a method of computing parameter values a priori has been applied and shows some success, although some interpretation is required to derive `correct' parameter values and further work is needed to develop guidelines for use of the method. The applications, however, do demonstrate the possibilities for applying the routing model at the continental scale, with globally-available data and a priori parameter estimation, and its value for validating GCM output against observed flows.

Practical Considerations about Expected A Posteriori Estimation in Adaptive Testing: Adaptive A Priori, Adaptive Correction for Bias, and Adaptive Integration Interval.

Science.gov (United States)

Raiche, Gilles; Blais, Jean-Guy

In a computerized adaptive test (CAT), it would be desirable to obtain an acceptable precision of the proficiency level estimate using an optimal number of items. Decreasing the number of items is accompanied, however, by a certain degree of bias when the true proficiency level differs significantly from the a priori estimate. G. Raiche (2000) has…

Important historical efforts at emergency department categorization in the United States and implications for regionalization.

Science.gov (United States)

Mehrotra, Abhishek; Sklar, David P; Tayal, Vivek S; Kocher, Keith E; Handel, Daniel A; Myles Riner, R

2010-12-01

This article is drawn from a report created for the American College of Emergency Physicians (ACEP) Emergency Department (ED) Categorization Task Force and also reflects the proceedings of a breakout session, "Beyond ED Categorization-Matching Networks to Patient Needs," at the 2010 Academic Emergency Medicine consensus conference, "Beyond Regionalization: Integrated Networks of Emergency Care." The authors describe a brief history of the significant national and state efforts at categorization and suggest reasons why many of these efforts failed to persevere or gain wider implementation. The history of efforts to categorize hospital (and ED) emergency services demonstrates recognition of the potential benefits of categorization, but reflects repeated failures to implement full categorization systems or limited excursions into categorization through licensing of EDs or designation of receiving and referral facilities. An understanding of the history of hospital and ED categorization could better inform current efforts to develop categorization schemes and processes. 2010 by the Society for Academic Emergency Medicine.

Geography of resonances and Arnold diffusion in a priori unstable Hamiltonian systems

International Nuclear Information System (INIS)

Delshams, Amadeu; Huguet, Gemma

2009-01-01

In this paper we consider the case of a general C r+2 perturbation, for r large enough, of an a priori unstable Hamiltonian system of 2 + 1/2 degrees of freedom, and we provide explicit conditions on it, which turn out to be C 2 generic and are verifiable in concrete examples, which guarantee the existence of Arnold diffusion. This is a generalization of the result in Delshams et al (2006 Mem. Am. Math. Soc.) where the case of a perturbation with a finite number of harmonics in the angular variables was considered. The method of proof is based on a careful analysis of the geography of resonances created by a generic perturbation and it contains a deep quantitative description of the invariant objects generated by the resonances therein. The scattering map is used as an essential tool to construct transition chains of objects of different topology. The combination of quantitative expressions for both the geography of resonances and the scattering map provides, in a natural way, explicit computable conditions for instability

A contextual image segmentation system using a priori information for automatic data classification in nuclear physics

International Nuclear Information System (INIS)

Benkirane, A.; Auger, G.; Chbihi, A.; Bloyet, D.; Plagnol, E.

1994-01-01

This paper presents an original approach to solve an automatic data classification problem by means of image processing techniques. The classification is achieved using image segmentation techniques for extracting the meaningful classes. Two types of information are merged for this purpose: the information contained in experimental images and a priori information derived from underlying physics (and adapted to image segmentation problem). This data fusion is widely used at different stages of the segmentation process. This approach yields interesting results in terms of segmentation performances, even in very noisy cases. Satisfactory classification results are obtained in cases where more ''classical'' automatic data classification methods fail. (authors). 25 refs., 14 figs., 1 append

A contextual image segmentation system using a priori information for automatic data classification in nuclear physics

Energy Technology Data Exchange (ETDEWEB)

Benkirane, A; Auger, G; Chbihi, A [Grand Accelerateur National d` Ions Lourds (GANIL), 14 - Caen (France); Bloyet, D [Caen Univ., 14 (France); Plagnol, E [Paris-11 Univ., 91 - Orsay (France). Inst. de Physique Nucleaire

1994-12-31

This paper presents an original approach to solve an automatic data classification problem by means of image processing techniques. The classification is achieved using image segmentation techniques for extracting the meaningful classes. Two types of information are merged for this purpose: the information contained in experimental images and a priori information derived from underlying physics (and adapted to image segmentation problem). This data fusion is widely used at different stages of the segmentation process. This approach yields interesting results in terms of segmentation performances, even in very noisy cases. Satisfactory classification results are obtained in cases where more ``classical`` automatic data classification methods fail. (authors). 25 refs., 14 figs., 1 append.

The European platform for financial education as incentive for the national efforts in implementing financial literacy programs: The case of the Association of Serbian Banks

Directory of Open Access Journals (Sweden)

Sredojević Slađana

2017-01-01

Full Text Available A sustainable financial system relies on two pillars: the functional and healthy financial institutions, as well as the financially competent customers-investors-entrepreneurs. The responsibility for the implementation of training programs and preparation for the well-informed choice does not lie only with the natural persons and legal entities. This is a shared responsibility of different stakeholders: individuals, families, small and medium enterprises, public administration, the Ministry of Education, the financial services sector, employers and representatives of trade unions and consumer protection organizations as well as other civil society initiatives. A prime example of such an integrated approach towards the same goal is the European Platform for Financial Education, an initiative launched by the European Banking Federation, the European Banking Training Network and other institutions (professional associations, in February 2017 in Brussels as an incentive for the national level efforts in implementing the respective financial literacy programs. In this paper we analyzed the importance and role of the European Platform for Financial Education in the case of the Serbian banking sector through the activities of the Association of Serbian Banks. These activities will be implemented by the Association of Banks of Serbia continuously throughout the year, and after the celebration of the European Money Week on 27-31 March 2017.

The factors affecting Nigeria's success toward implementation of global public health priorities.

Science.gov (United States)

Echebiri, Vitalis C

2015-06-01

This paper examines the challenges facing the Nigerian government toward the implementation of global public health priories. The Nigerian government recognizes the need to implement these priorities by putting in place the necessary policy framework, but political instability, poor infrastructural development and inadequate funding have remained barriers toward the achievement of success in implementing these priorities. The rest of the paper elucidates the fact that despite leadership and influence from the World Health Organization and other United Nations agencies, and some responses from the Nigerian government, tackling these public health problems requires much more fundamental reform to primary health services and a reduction in poverty. Although the government has shown enough political will to tackle these problems, it is expected that a better result will be achieved through injecting more funds into the Nigerian health sector, and deploying astute health administrators to manage the sector rather than pure health professionals without managerial acumen. © The Author(s) 2014.

Overlapping neural systems represent cognitive effort and reward anticipation.

Science.gov (United States)

Vassena, Eliana; Silvetti, Massimo; Boehler, Carsten N; Achten, Eric; Fias, Wim; Verguts, Tom

2014-01-01

Anticipating a potential benefit and how difficult it will be to obtain it are valuable skills in a constantly changing environment. In the human brain, the anticipation of reward is encoded by the Anterior Cingulate Cortex (ACC) and Striatum. Naturally, potential rewards have an incentive quality, resulting in a motivational effect improving performance. Recently it has been proposed that an upcoming task requiring effort induces a similar anticipation mechanism as reward, relying on the same cortico-limbic network. However, this overlapping anticipatory activity for reward and effort has only been investigated in a perceptual task. Whether this generalizes to high-level cognitive tasks remains to be investigated. To this end, an fMRI experiment was designed to investigate anticipation of reward and effort in cognitive tasks. A mental arithmetic task was implemented, manipulating effort (difficulty), reward, and delay in reward delivery to control for temporal confounds. The goal was to test for the motivational effect induced by the expectation of bigger reward and higher effort. The results showed that the activation elicited by an upcoming difficult task overlapped with higher reward prospect in the ACC and in the striatum, thus highlighting a pivotal role of this circuit in sustaining motivated behavior.

A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study

Directory of Open Access Journals (Sweden)

Myrte J. Tielemans

2015-11-01

Full Text Available Abnormal gestational weight gain (GWG is associated with adverse pregnancy outcomes. We examined whether dietary patterns are associated with GWG. Participants included 3374 pregnant women from a population-based cohort in the Netherlands. Dietary intake during pregnancy was assessed with food-frequency questionnaires. Three a posteriori-derived dietary patterns were identified using principal component analysis: a “Vegetable, oil and fish”, a “Nuts, high-fiber cereals and soy”, and a “Margarine, sugar and snacks” pattern. The a priori-defined dietary pattern was based on national dietary recommendations. Weight was repeatedly measured around 13, 20 and 30 weeks of pregnancy; pre-pregnancy and maximum weight were self-reported. Normal weight women with high adherence to the “Vegetable, oil and fish” pattern had higher early-pregnancy GWG than those with low adherence (43 g/week (95% CI 16; 69 for highest vs. lowest quartile (Q. Adherence to the “Margarine, sugar and snacks” pattern was associated with a higher prevalence of excessive GWG (OR 1.45 (95% CI 1.06; 1.99 Q4 vs. Q1. Normal weight women with higher scores on the “Nuts, high-fiber cereals and soy” pattern had more moderate GWG than women with lower scores (−0.01 (95% CI −0.02; −0.00 per SD. The a priori-defined pattern was not associated with GWG. To conclude, specific dietary patterns may play a role in early pregnancy but are not consistently associated with GWG.

GNSS Precise Kinematic Positioning for Multiple Kinematic Stations Based on A Priori Distance Constraints

Science.gov (United States)

He, Kaifei; Xu, Tianhe; Förste, Christoph; Petrovic, Svetozar; Barthelmes, Franz; Jiang, Nan; Flechtner, Frank

2016-01-01

When applying the Global Navigation Satellite System (GNSS) for precise kinematic positioning in airborne and shipborne gravimetry, multiple GNSS receiving equipment is often fixed mounted on the kinematic platform carrying the gravimetry instrumentation. Thus, the distances among these GNSS antennas are known and invariant. This information can be used to improve the accuracy and reliability of the state estimates. For this purpose, the known distances between the antennas are applied as a priori constraints within the state parameters adjustment. These constraints are introduced in such a way that their accuracy is taken into account. To test this approach, GNSS data of a Baltic Sea shipborne gravimetric campaign have been used. The results of our study show that an application of distance constraints improves the accuracy of the GNSS kinematic positioning, for example, by about 4 mm for the radial component. PMID:27043580

Jump-Starting Educational Reform. Implementing British Columbia's Comprehensive School Act.

Science.gov (United States)

Goldman, Paul

An educational reform effort to implement a comprehensive school act in British Columbia (Canada) is analyzed with a focus on some sociotechnical and political aspects. An overview of the content, background, and implementation of the reform effort is followed by identification of seven contradictions inherent in the plan. Contradictions are as…

Status of 10 CFR part 61 implementation

International Nuclear Information System (INIS)

Jackson, K.C.

1984-01-01

NRC's waste management efforts in support of Part 61, ''Licensing Requirements for Land Disposal of Radioactive Wastes,'' are focused in four principal technical areas: policy and regulation development; policy and regulation implementation; licensing casework; and technical programs to support ongoing regulatory development and implementation. Part 61 implementation has proceeded well. NRC will continue to review topical reports for solidification media and containers on an as-requested basis. The major efforts needed to complete implementation are underway. These include the study engineered alternatives to shallow land burial, update of the Part 61 analysis methodology to allow improved consideration of waste exceeding Class C concentrations, and determination of any changes needed in Part 61 to resolve Resource Recovery and Conservation Act concerns. The curent schedule calls for completion of these activities during FY 1985

DOE ORDER 435.1, IMPLEMENTATION AND COMPLIANCE DECLARATION AT THE SAVANNAH RIVER SITE AND ACROSS THE DOE COMPLEX IN CONTRAST TO CURRENT PUSHBACK EFFORTS FROM THE ''TOP-TO-BOTTOM'' REVIEW

International Nuclear Information System (INIS)

GOLDSTON, WELFORD T.; SMITH, WINCHESTER IV.

2003-01-01

DOE issued Order 435.1, ''Radioactive Waste Management,'' on July 9, 1999 for immediate implementation. The requirements for Low Level Mixed, Transuranic, and High Level Waste have been completely rewritten. The entire DOE complex has been struggling with how to implement these new requirements within the one year required timeframe. This paper will chronicle the implementation strategy and actual results of the work to carry out that strategy at the Savannah River Site. DOE-SR and the site contractors worked closely together to implement each of the new requirements across the SRS, crossing many barriers and providing innovative solutions to the many problems that surfaced throughout the year. The results are that SRS declared compliance with all of the requirements of the Order within the prescribed timeframe. The challenge included all waste types in SRS facilities and programs that handle LLW, MLLW, TRU, and HLW. This paper will describe the implementation details for development of Radioactive Waste Management Basis for each facility, Identification of Wastes with No Path to Disposal, Waste Incidental to Reprocessing Determinations, Low Level Waste 90-Day Staging and One Year Limits for Storage Programs, to name a few of the requirements that were addressed by the SRS 435.1 Implementation Team. This paper will trace the implementation, problems (both technical and administrative), and the current pushback efforts associated with the DOE ''Top-to-Bottom'' review

Comparison of a priori versus provisional heparin therapy on radial artery occlusion after transradial coronary angiography and patent hemostasis (from the PHARAOH Study).

Science.gov (United States)

Pancholy, Samir B; Bertrand, Olivier F; Patel, Tejas

2012-07-15

Systemic anticoagulation decreases the risk of radial artery occlusion (RAO) after transradial catheterization and standard occlusive hemostasis. We compared the efficacy and safety of provisional heparin use only when the technique of patent hemostasis was not achievable to standard a priori heparin administration after radial sheath introduction. Patients referred for coronary angiography were randomized in 2 groups. In the a priori group, 200 patients received intravenous heparin (50 IU/kg) immediately after sheath insertion. In the provisional group, 200 patients did not receive heparin during the procedure. After sheath removal, hemostasis was obtained using a TR band (Terumo corporation, Tokyo, Japan) with a plethysmography-guided patent hemostasis technique. In the provisional group, no heparin was given if radial artery patency could be obtained and maintained. If radial patency was not achieved, a bolus of heparin (50 IU/kg) was given. Radial artery patency was evaluated at 24 hours (early RAO) and 30 days after the procedure (late RAO) by plethysmography. Patent hemostasis was obtained in 67% in the a priori group and 74% in the provisional group (p = 0.10). Incidence of RAO remained similar in the 2 groups at the early (7.5% vs 7.0%, p = 0.84) and late (4.5% vs 5.0%, p = 0.83) evaluations. Women, patients with diabetes, patients having not received heparin, and patients without radial artery patency during hemostasis had more RAO. By multivariate analysis, patent radial artery during hemostasis (odds ratio [OR] 0.03, 95% confidence interval [CI] 0.004 to 0.28, p = 0.002) and diabetes (OR 11, 95% CI 3 to 38,p patent hemostasis is maintained. Copyright © 2012 Elsevier Inc. All rights reserved.

Jumping the PBL Implementation Hurdle: Supporting the Efforts of K-12 Teachers

Science.gov (United States)

Ertmer, Peggy A.; Simons, Krista D.

2006-01-01

While problem-based learning (PBL) has a relatively long history of successful use in medical and pre-professional schools, it has yet to be widely adopted by K--12 teachers. This may be due, in part, to the numerous challenges teachers experience when implementing PBL. In this paper, we describe specific hurdles that teachers are likely to…

The neural correlates of emotion regulation by implementation intentions.

Directory of Open Access Journals (Sweden)

Glyn P Hallam

Full Text Available Several studies have investigated the neural basis of effortful emotion regulation (ER but the neural basis of automatic ER has been less comprehensively explored. The present study investigated the neural basis of automatic ER supported by 'implementation intentions'. 40 healthy participants underwent fMRI while viewing emotion-eliciting images and used either a previously-taught effortful ER strategy, in the form of a goal intention (e.g., try to take a detached perspective, or a more automatic ER strategy, in the form of an implementation intention (e.g., "If I see something disgusting, then I will think these are just pixels on the screen!", to regulate their emotional response. Whereas goal intention ER strategies were associated with activation of brain areas previously reported to be involved in effortful ER (including dorsolateral prefrontal cortex, ER strategies based on an implementation intention strategy were associated with activation of right inferior frontal gyrus and ventro-parietal cortex, which may reflect the attentional control processes automatically captured by the cue for action contained within the implementation intention. Goal intentions were also associated with less effective modulation of left amygdala, supporting the increased efficacy of ER under implementation intention instructions, which showed coupling of orbitofrontal cortex and amygdala. The findings support previous behavioural studies in suggesting that forming an implementation intention enables people to enact goal-directed responses with less effort and more efficiency.

A multi-disciplinary approach to implementation science: the NIH-PEPFAR PMTCT implementation science alliance.

Science.gov (United States)

Sturke, Rachel; Harmston, Christine; Simonds, R J; Mofenson, Lynne M; Siberry, George K; Watts, D Heather; McIntyre, James; Anand, Nalini; Guay, Laura; Castor, Delivette; Brouwers, Pim; Nagel, Joan D

2014-11-01

In resource-limited countries, interventions to prevent mother-to-child HIV transmission (PMTCT) have not yet realized their full potential health impact, illustrating the common gap between the scientific proof of an intervention's efficacy and effectiveness and its successful implementation at scale into routine health services. For PMTCT, this gap results, in part, from inadequate adaptation of PMTCT interventions to the realities of the implementation environment, including client and health care worker behaviors and preferences, health care policies and systems, and infrastructure and resource constraints. Elimination of mother-to-child HIV transmission can only be achieved through understanding of key implementation barriers and successful adaptation of scientifically proven interventions to the local environment. Central to such efforts is implementation science (IS), which aims to investigate and address major bottlenecks that impede effective implementation and to test new approaches to identifying, understanding, and overcoming barriers to the adoption, adaptation, integration, scale-up, and sustainability of evidence-based interventions. Advancing IS will require deliberate and strategic efforts to facilitate collaboration, communication, and relationship-building among researchers, implementers, and policy-makers. To speed the translation of effective PMTCT interventions into practice and advance IS more broadly, the US National Institutes of Health, in collaboration with the President's Emergency Plan for AIDS Relief launched the National Institutes of Health/President's Emergency Plan for AIDS Relief PMTCT IS Alliance, comprised of IS researchers, PMTCT program implementers, and policy-makers as an innovative platform for interaction and coordination.

Organizational theory for dissemination and implementation research.

Science.gov (United States)

Birken, Sarah A; Bunger, Alicia C; Powell, Byron J; Turner, Kea; Clary, Alecia S; Klaman, Stacey L; Yu, Yan; Whitaker, Daniel J; Self, Shannon R; Rostad, Whitney L; Chatham, Jenelle R Shanley; Kirk, M Alexis; Shea, Christopher M; Haines, Emily; Weiner, Bryan J

2017-05-12

Even under optimal internal organizational conditions, implementation can be undermined by changes in organizations' external environments, such as fluctuations in funding, adjustments in contracting practices, new technology, new legislation, changes in clinical practice guidelines and recommendations, or other environmental shifts. Internal organizational conditions are increasingly reflected in implementation frameworks, but nuanced explanations of how organizations' external environments influence implementation success are lacking in implementation research. Organizational theories offer implementation researchers a host of existing, highly relevant, and heretofore largely untapped explanations of the complex interaction between organizations and their environment. In this paper, we demonstrate the utility of organizational theories for implementation research. We applied four well-known organizational theories (institutional theory, transaction cost economics, contingency theories, and resource dependency theory) to published descriptions of efforts to implement SafeCare, an evidence-based practice for preventing child abuse and neglect. Transaction cost economics theory explained how frequent, uncertain processes for contracting for SafeCare may have generated inefficiencies and thus compromised implementation among private child welfare organizations. Institutional theory explained how child welfare systems may have been motivated to implement SafeCare because doing so aligned with expectations of key stakeholders within child welfare systems' professional communities. Contingency theories explained how efforts such as interagency collaborative teams promoted SafeCare implementation by facilitating adaptation to child welfare agencies' internal and external contexts. Resource dependency theory (RDT) explained how interagency relationships, supported by contracts, memoranda of understanding, and negotiations, facilitated SafeCare implementation by balancing

A Global Review of Sustainable Construction Project Financing: Policies, Practices, and Research Efforts

Directory of Open Access Journals (Sweden)

Ming Shan

2017-12-01

Full Text Available Despite the increasing investment in sustainable development over the past decade, a systematic review of sustainable construction project financing is lacking. The objectives of this paper are to conduct a systematic review to examine the policies, practices, and research efforts in the area of sustainable construction project financing, and to explore the potential opportunities for the future research. To achieve these goals, this paper first reviewed the sustainable construction project financing practices implemented by four representative developed economies including the United Kingdom, the United States, Singapore, and Australia. Then, this paper reviewed the efforts and initiatives launched by three international organizations including the United Nations, the Organization for Economic Co-operation and Development, and International Finance Corporation. After that, this paper reviewed the research efforts of sustainable construction project financing published in peer-review journals and books. This paper identified four major research themes within this area, which are the review of financial stakeholders and market of sustainable construction, benefits and barriers to sustainable construction project financing, financial vehicles for sustainable construction projects, innovative models and mechanisms for sustainable construction project financing. Additionally, this paper revealed five directions for the future research of sustainable construction project financing, which are the identification of financial issues in sustainable construction projects, the investigation of financial vehicles for sustainable construction projects in terms of their strengths, limitations, and performances, the examination of critical drivers for implementing sustainable construction project financing, the development of a knowledge-based decision support system for implementing sustainable construction financing, and the development of best practices for

APS Education and Diversity Efforts

Science.gov (United States)

Prestridge, Katherine; Hodapp, Theodore

2015-11-01

American Physical Society (APS) has a wide range of education and diversity programs and activities, including programs that improve physics education, increase diversity, provide outreach to the public, and impact public policy. We present the latest programs spearheaded by the Committee on the Status of Women in Physics (CSWP), with highlights from other diversity and education efforts. The CSWP is working to increase the fraction of women in physics, understand and implement solutions for gender-specific issues, enhance professional development opportunities for women in physics, and remedy issues that impact gender inequality in physics. The Conferences for Undergraduate Women in Physics, Professional Skills Development Workshops, and our new Professional Skills program for students and postdocs are all working towards meeting these goals. The CSWP also has site visit and conversation visit programs, where department chairs request that the APS assess the climate for women in their departments or facilitate climate discussions. APS also has two significant programs to increase participation by underrepresented minorities (URM). The newest program, the APS National Mentoring Community, is working to provide mentoring to URM undergraduates, and the APS Bridge Program is an established effort that is dramatically increasing the number of URM PhDs in physics.

On Evaluation of Recharge Model Uncertainty: a Priori and a Posteriori

International Nuclear Information System (INIS)

Ming Ye; Karl Pohlmann; Jenny Chapman; David Shafer

2006-01-01

Hydrologic environments are open and complex, rendering them prone to multiple interpretations and mathematical descriptions. Hydrologic analyses typically rely on a single conceptual-mathematical model, which ignores conceptual model uncertainty and may result in bias in predictions and under-estimation of predictive uncertainty. This study is to assess conceptual model uncertainty residing in five recharge models developed to date by different researchers based on different theories for Nevada and Death Valley area, CA. A recently developed statistical method, Maximum Likelihood Bayesian Model Averaging (MLBMA), is utilized for this analysis. In a Bayesian framework, the recharge model uncertainty is assessed, a priori, using expert judgments collected through an expert elicitation in the form of prior probabilities of the models. The uncertainty is then evaluated, a posteriori, by updating the prior probabilities to estimate posterior model probability. The updating is conducted through maximum likelihood inverse modeling by calibrating the Death Valley Regional Flow System (DVRFS) model corresponding to each recharge model against observations of head and flow. Calibration results of DVRFS for the five recharge models are used to estimate three information criteria (AIC, BIC, and KIC) used to rank and discriminate these models. Posterior probabilities of the five recharge models, evaluated using KIC, are used as weights to average head predictions, which gives posterior mean and variance. The posterior quantities incorporate both parametric and conceptual model uncertainties

Sizing ERP implementation projects: an activity-based approach

NARCIS (Netherlands)

Janssens, G.; Kusters, R.J.; Heemstra, F.J.

2008-01-01

ERP implementation projects affect large parts of an implementing organization and lead to changes in the way an organization performs its tasks. The costs needed for the effort to implement these systems are hard to estimate. Research indicates that the size of an ERP project can be a useful

Results of German support programme to implement the UN FCCC

Energy Technology Data Exchange (ETDEWEB)

Liptow, H. [GTZ, Eschborn (Germany)

1996-12-31

This paper presents a summary of German efforts in support of implementing the Framework Convention on Climate Change (FCCC). Following the Rio conference, the task of supporting outreach efforts was given to the GTZ since that is its general function, and within the context of German Technical Co-operation (TC), a program was implemented. Their initial effort was directed at helping implement inventory studies in target countries, including studies of options for reducing emissions. Once a level of information and factual knowledge was in place, they presented the type of technical support which Germany could offer in meeting the needs envisioned to achieve reduced emissions, in the form of technical co-operation. Experiences are discussed for the cases of a number of different participating countries.

Termination of prehospital resuscitative efforts

DEFF Research Database (Denmark)

Mikkelsen, Søren; Schaffalitzky de Muckadell, Caroline; Binderup, Lars Grassmé

2017-01-01

-and-death decision-making in the patient's medical records is required. We suggest that a template be implemented in the prehospital medical records describing the basis for any ethical decisions. This template should contain information regarding the persons involved in the deliberations and notes on ethical......BACKGROUND: Discussions on ethical aspects of life-and-death decisions within the hospital are often made in plenary. The prehospital physician, however, may be faced with ethical dilemmas in life-and-death decisions when time-critical decisions to initiate or refrain from resuscitative efforts...... need to be taken without the possibility to discuss matters with colleagues. Little is known whether these considerations regarding ethical issues in crucial life-and-death decisions are documented prehospitally. This is a review of the ethical considerations documented in the prehospital medical...

Creating an effort tracking tool to improve therapeutic cancer clinical trials workload management and budgeting.

Science.gov (United States)

James, Pam; Bebee, Patty; Beekman, Linda; Browning, David; Innes, Mathew; Kain, Jeannie; Royce-Westcott, Theresa; Waldinger, Marcy

2011-11-01

Quantifying data management and regulatory workload for clinical research is a difficult task that would benefit from a robust tool to assess and allocate effort. As in most clinical research environments, The University of Michigan Comprehensive Cancer Center (UMCCC) Clinical Trials Office (CTO) struggled to effectively allocate data management and regulatory time with frequently inaccurate estimates of how much time was required to complete the specific tasks performed by each role. In a dynamic clinical research environment in which volume and intensity of work ebbs and flows, determining requisite effort to meet study objectives was challenging. In addition, a data-driven understanding of how much staff time was required to complete a clinical trial was desired to ensure accurate trial budget development and effective cost recovery. Accordingly, the UMCCC CTO developed and implemented a Web-based effort-tracking application with the goal of determining the true costs of data management and regulatory staff effort in clinical trials. This tool was developed, implemented, and refined over a 3-year period. This article describes the process improvement and subsequent leveling of workload within data management and regulatory that enhanced the efficiency of UMCCC's clinical trials operation.

U.S., Russia join efforts to clean up nuclear sites

International Nuclear Information System (INIS)

Richard Seltzer.

1993-01-01

U.S. and Russian scientists are stepping up their cooperative efforts to deal with a vexing and controversial problem in both nations--cleanup of radioactive wastes at former nuclear weapons production sites. Last month, a top-level delegation of Russian officials and scientists came to the U.S. for two weeks. They visited Washington, D.C., and the Department of Energy's (DOE) Hanford site in Washington State, studying U.S. cleanup activities and providing information on Russian problems and efforts. The visit was part of a program of exchanges in the areas of environmental restoration and waste management called for by a 1990 memorandum of cooperation between DOE and the Russian Ministry of Atomic Energy. The memo helps implement a U.S.-Russian collaborative agreement on peaceful uses of atomic energy. Currently, cooperation under the memo exists in four areas: vitrification, waste separation, contaminant transport modeling, and student-scientist exchanges. The paper summarizes the visit to the Hanford Reservation and describes the cleanup efforts there

Tax Planning Implementation on Income Tax, Article 23 as A Legal Effort To Minimize Tax Expense Payable

Directory of Open Access Journals (Sweden)

Achmad Daengs GS

2017-03-01

Full Text Available An effort to minimize tax burden can be done in various ways start from inside the scope of taxation regulation to violate the taxation regulation. This research focuses on related Laws with the efforts to minimize Income tax. In general tax planning referred to engineered the business process and tax payer transaction. The aim is tax payable in minimal number but under taxation regulation scope. The outline of this study focus on planning effort of Tax Income Article 23 to minimize tax expense payable run in PT. TRIPERKASA AMININDAH Surabaya. Tax planning that done in this company refer to provision  in accordance with  Directorate General of Tax Decision Number : Kep-305/PJ/2001 on the estimates of nett income. Tax planning had done by this company in addition to refer the regulation also based on the condition of this company which experiencing poor performance. Then the aim that will be reached from that tax planning to reach minimal expense over the Income Tax Article 23 it can be done with gross up method. From the analysis result on the alternative it can draw a conclusion that PT. TRIPERKASA AMININDAH  Surabaya  has made adjustments on the regulation above, calculation of Income Tax Article 23 with gross up method in fact be able to saving the tax then suitable with the tax planning aim that is effort to minimize tax expense payable.

Implementing Cleaner Production as an Environmental Management Efforts in Small Industries of Cassava Chips

Directory of Open Access Journals (Sweden)

Rahmadyanti Erina

2016-01-01

Full Text Available Small and Medium Enterprises (SMEs is one of the major driving factors for Indonesian economy, especially in food processing industries. The cassava-based industry is one type of food and beverage industry with chips as its major product. The limitations of knowledge caused their activities to only aim at pursuing economic benefits and ignoring the environmental balance. The most appropriate preventive method used, according to the characteristics of SMEs in Indonesia, is Cleaner Production. This study aims to reduce the risk of environmental pollution caused by the waste production of small chips industries by implementing cleaner production. The method used in this study is quick scanning by analyzing mass balance, energy, and utilities that aim to find an inefficient process to minimize losses. Implementation of cleaner production may include good housekeeping, reducing, and reusing. Based on the assessment of alternative eligibility criteria, the equipment modifications are the main factor in implementing cleaner production that drives the profits by providing efficiency of cutting as much as 80 percent and optimizes the profits into 57.62 kg in a month or 691.44 kg in a year. If the price of cassava chips is IDR 40,000 in a kg, then it would save IDR 27,657,600 in a year.

Optimizing and joining future safeguards efforts by 'remote inspections'

International Nuclear Information System (INIS)

Zendel, M.; Khlebnikov, N.

2009-01-01

Full-text: Remote inspections have a large potential to save inspection effort in future routine safeguards implementation. Such inspections involve remote activities based on the analysis of data acquired in the field without the physical presence of an inspector, shifting the inspectors' priorities further toward unannounced inspections, complementary access activities and data evaluation. Large, automated and complex facilities require facility resident and specific safeguards equipment systems with features for unattended and remotely controlled operation as well as being integrated in the nuclear process. In many instances the use of such equipment jointly with the SSAC/RSAC and the operator is foreseen to achieve affordable effectiveness with a minimum level of intrusiveness to the facility operation. Where it becomes possible to achieve independent conclusions by this approach, the IAEA would make full use of the SSAC/RSAC, involving State inspectors and/or facility operators to operate inspection systems under remotely controlled IAEA mechanisms. These mechanisms would include documented procedures for routine joint-use, defining arrangements for data sharing, physical security and authentication mechanisms, recalibration and use of standards and software, maintenance, repair, storage and transportation. The level of cooperation and willingness of a State to implement such measures requested and properly justified by the IAEA will demonstrate its commitment to full transparency in its nuclear activities. Examples of existing remote inspection activities, including joint-use activities will be discussed. The future potential of remote inspections will be assessed considering technical developments and increased needs for process monitoring. Enhanced cooperation with SSAC/RSAC within the framework of remote inspections could further optimize the IAEA's inspection efforts while at the same time maintaining effective safeguards implementation. (author)

Implementation Issues for Departure Planning Systems

Science.gov (United States)

Hansman, R. John; Feron, Eric; Clarke, John-Paul; Odoni, Amedeo

1999-01-01

The objective of the proposed effort is to investigate issues associated with the design and implementation of decision aiding tools to assist in improving the departure process at congested airports. This effort follows a preliminary investigation of potential Departure Planning approaches and strategies, which identified potential benefits in departure efficiency, and also in reducing the environmental impact of aircraft in the departure queue. The preliminary study bas based, in large part, on observations and analysis of departure processes at Boston, Logan airport. The objective of this follow-on effort is to address key implementation issues and to expand the observational base to include airports with different constraints and traffic demand. Specifically, the objectives of this research are to: (1) Expand the observational base to include airports with different underlying operational dynamics. (2) Develop prototype decision aiding algorithms/approaches and assess potential benefits. and (3) Investigate Human Machine Integration (HMI) issues associated with decision aids in tower environments.

Engineering youth service system infrastructure: Hawaii's continued efforts at large-scale implementation through knowledge management strategies.

Science.gov (United States)

Nakamura, Brad J; Mueller, Charles W; Higa-McMillan, Charmaine; Okamura, Kelsie H; Chang, Jaime P; Slavin, Lesley; Shimabukuro, Scott

2014-01-01

Hawaii's Child and Adolescent Mental Health Division provides a unique illustration of a youth public mental health system with a long and successful history of large-scale quality improvement initiatives. Many advances are linked to flexibly organizing and applying knowledge gained from the scientific literature and move beyond installing a limited number of brand-named treatment approaches that might be directly relevant only to a small handful of system youth. This article takes a knowledge-to-action perspective and outlines five knowledge management strategies currently under way in Hawaii. Each strategy represents one component of a larger coordinated effort at engineering a service system focused on delivering both brand-named treatment approaches and complimentary strategies informed by the evidence base. The five knowledge management examples are (a) a set of modular-based professional training activities for currently practicing therapists, (b) an outreach initiative for supporting youth evidence-based practices training at Hawaii's mental health-related professional programs, (c) an effort to increase consumer knowledge of and demand for youth evidence-based practices, (d) a practice and progress agency performance feedback system, and (e) a sampling of system-level research studies focused on understanding treatment as usual. We end by outlining a small set of lessons learned and a longer term vision for embedding these efforts into the system's infrastructure.

Understanding middle managers' influence in implementing patient safety culture.

Science.gov (United States)

Gutberg, Jennifer; Berta, Whitney

2017-08-22

The past fifteen years have been marked by large-scale change efforts undertaken by healthcare organizations to improve patient safety and patient-centered care. Despite substantial investment of effort and resources, many of these large-scale or "radical change" initiatives, like those in other industries, have enjoyed limited success - with practice and behavioural changes neither fully adopted nor ultimately sustained - which has in large part been ascribed to inadequate implementation efforts. Culture change to "patient safety culture" (PSC) is among these radical change initiatives, where results to date have been mixed at best. This paper responds to calls for research that focus on explicating factors that affect efforts to implement radical change in healthcare contexts, and focuses on PSC as the radical change implementation. Specifically, this paper offers a novel conceptual model based on Organizational Learning Theory to explain the ability of middle managers in healthcare organizations to influence patient safety culture change. We propose that middle managers can capitalize on their unique position between upper and lower levels in the organization and engage in 'ambidextrous' learning that is critical to implementing and sustaining radical change. This organizational learning perspective offers an innovative way of framing the mid-level managers' role, through both explorative and exploitative activities, which further considers the necessary organizational context in which they operate.

Glass Property Models and Constraints for Estimating the Glass to be Produced at Hanford by Implementing Current Advanced Glass Formulation Efforts

Energy Technology Data Exchange (ETDEWEB)

Vienna, John D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Kim, Dong-Sang [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Skorski, Daniel C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Matyas, Josef [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2013-07-01

Recent glass formulation and melter testing data have suggested that significant increases in waste loading in HLW and LAW glasses are possible over current system planning estimates. The data (although limited in some cases) were evaluated to determine a set of constraints and models that could be used to estimate the maximum loading of specific waste compositions in glass. It is recommended that these models and constraints be used to estimate the likely HLW and LAW glass volumes that would result if the current glass formulation studies are successfully completed. It is recognized that some of the models are preliminary in nature and will change in the coming years. Plus the models do not currently address the prediction uncertainties that would be needed before they could be used in plant operations. The models and constraints are only meant to give an indication of rough glass volumes and are not intended to be used in plant operation or waste form qualification activities. A current research program is in place to develop the data, models, and uncertainty descriptions for that purpose. A fundamental tenet underlying the research reported in this document is to try to be less conservative than previous studies when developing constraints for estimating the glass to be produced by implementing current advanced glass formulation efforts. The less conservative approach documented herein should allow for the estimate of glass masses that may be realized if the current efforts in advanced glass formulations are completed over the coming years and are as successful as early indications suggest they may be. Because of this approach there is an unquantifiable uncertainty in the ultimate glass volume projections due to model prediction uncertainties that has to be considered along with other system uncertainties such as waste compositions and amounts to be immobilized, split factors between LAW and HLW, etc.

Marginal socio-economic effects of an employer's efforts to improve the work environment.

Science.gov (United States)

Rezagholi, Mahmoud

2018-01-01

Workplace health promotion (WHP) strongly requires the employer's efforts to improve the psychosocial, ergonomic, and physical environments of the workplace. There are many studies discussing the socio-economic advantage of WHP intervention programmes and thus the internal and external factors motivating employers to implement and integrate such programmes. However, the socio-economic impacts of the employer's multifactorial efforts to improve the work environment need to be adequately assessed. Data were collected from Swedish company Sandvik Materials Technology (SMT) through a work environment survey in April 2014. Different regression equations were analysed to assess marginal effects of the employer's efforts on overall labour effectiveness (OLE), informal work impairments (IWI), lost working hours (LWH), and labour productivity loss (LPL) in terms of money. The employer's multifactorial efforts resulted in increasing OLE, decreasing IWI and illness-related LWH, and cost savings in terms of decreasing LPL. Environmental factors at the workplace are the important determinant factor for OLE, and the latter is where socio-economic impacts of the employer's efforts primarily manifest.

The use of a priori information in ICA-based techniques for real-time fMRI: an evaluation of static/dynamic and spatial/temporal characteristics

Directory of Open Access Journals (Sweden)

Nicola eSoldati

2013-03-01

Full Text Available Real-time brain functional MRI (rt-fMRI allows in-vivo non-invasive monitoring of neural networks. The use of multivariate data-driven analysis methods such as independent component analysis (ICA offers an attractive trade-off between data interpretability and information extraction, and can be used during both task-based and rest experiments. The purpose of this study was to assess the effectiveness of different ICA-based procedures to monitor in real-time a target IC defined from a functional localizer which also used ICA. Four novel methods were implemented to monitor ongoing brain activity in a sliding window approach. The methods differed in the ways in which a priori information, derived from ICA algorithms, was used to monitora target independent component (IC. We implemented four different algorithms, all based on ICA. One Back-projection method used ICA to derive static spatial information from the functional localizer, off line, which was then back-projected dynamically during the real-time acquisition. The other three methods used real-time ICA algorithms that dynamically exploited temporal, spatial, or spatial-temporal priors during the real-time acquisition. The methods were evaluated by simulating a rt-fMRI experiment that used real fMRI data. The performance of each method was characterized by the spatial and/or temporal correlation with the target IC component monitored, computation time and intrinsic stochastic variability of the algorithms. In this study the Back-projection method, which could monitor more than one IC of interest, outperformed the other methods. These results are consistent with a functional task that gives stable target ICs over time. The dynamic adaptation possibilities offered by the other ICA methods proposed may offer better performance than the Back-projection in conditions where the functional activation shows higher spatial and/or temporal variability.

On possible a-priori "imprinting" of General Relativity itself on the performed Lense-Thirring tests with LAGEOS satellites

Science.gov (United States)

Iorio, Lorenzo

2010-02-01

The impact of possible a-priori "imprinting" effects of general relativity itself on recent attempts to measure the general relativistic Lense-Thirring effect with the LAGEOS satellites orbiting the Earth and the terrestrial geopotential models from the dedicated mission GRACE is investigated. It is analytically shown that general relativity, not explicitly solved for in the GRACE-based models, may "imprint" their even zonal harmonic coefficients of low degrees J_l at a non-negligible level, given the present-day accuracy in recovering them. This translates into a bias of the LAGEOS-based relativistic tests as large as the Lense-Thirring effect itself. Further analyses should include general relativity itself in the GRACE data processing by explicitly solving for it.

Comparison of cardiovascular response to combined static-dynamic effort, postprandial dynamic effort and dynamic effort alone in patients with chronic ischemic heart disease

International Nuclear Information System (INIS)

Hung, J.; McKillip, J.; Savin, W.; Magder, S.; Kraus, R.; Houston, N.; Goris, M.; Haskell, W.; DeBusk, R.

1982-01-01

The cardiovascular responses to combined static-dynamic effort, postprandial dynamic effort and dynamic effort alone were evaluated by upright bicycle ergometry during equilibrium-gated blood pool scintigraphy in 24 men, mean age 59 +/- 8 years, with chronic ischemic heart disease. Combined static-dynamic effort and the postprandial state elicited a peak cardiovascular response similar to that of dynamic effort alone. Heart rate, intraarterial systolic and diastolic pressures, rate-pressure product and ejection fraction were similar for the three test conditions at the onset of ischemia and at peak effort. The prevalence and extent of exercise-induced ischemic left ventricular dysfunction, ST-segment depression, angina pectoris and ventricular ectopic activity were also similar during the three test conditions. Direct and indirect measurements of systolic and diastolic blood pressure were highly correlated. The onset of ischemic ST-segment depression and angina pectoris correlated as strongly with heart rate alone as with the rate-pressure product during all three test conditions. The cardiovascular response to combined static-dynamic effort and to postprandial dynamic effort becomes more similar to that of dynamic effort alone as dynamic effort reaches a symptom limit. If significant ischemic and arrhythmic abnormalities are absent during symptom-limited dynamic exercise testing, they are unlikely to appear during combined static-dynamic or postprandial dynamic effort

Double absorbing boundaries for finite-difference time-domain electromagnetics

Energy Technology Data Exchange (ETDEWEB)

LaGrone, John, E-mail: jlagrone@smu.edu; Hagstrom, Thomas, E-mail: thagstrom@smu.edu

2016-12-01

We describe the implementation of optimal local radiation boundary condition sequences for second order finite difference approximations to Maxwell's equations and the scalar wave equation using the double absorbing boundary formulation. Numerical experiments are presented which demonstrate that the design accuracy of the boundary conditions is achieved and, for comparable effort, exceeds that of a convolution perfectly matched layer with reasonably chosen parameters. An advantage of the proposed approach is that parameters can be chosen using an accurate a priori error bound.

Effort in Multitasking: Local and Global Assessment of Effort.

Science.gov (United States)

Kiesel, Andrea; Dignath, David

2017-01-01

When performing multiple tasks in succession, self-organization of task order might be superior compared to external-controlled task schedules, because self-organization allows optimizing processing modes and thus reduces switch costs, and it increases commitment to task goals. However, self-organization is an additional executive control process that is not required if task order is externally specified and as such it is considered as time-consuming and effortful. To compare self-organized and externally controlled task scheduling, we suggest assessing global subjective and objectives measures of effort in addition to local performance measures. In our new experimental approach, we combined characteristics of dual tasking settings and task switching settings and compared local and global measures of effort in a condition with free choice of task sequence and a condition with cued task sequence. In a multi-tasking environment, participants chose the task order while the task requirement of the not-yet-performed task remained the same. This task preview allowed participants to work on the previously non-chosen items in parallel and resulted in faster responses and fewer errors in task switch trials than in task repetition trials. The free-choice group profited more from this task preview than the cued group when considering local performance measures. Nevertheless, the free-choice group invested more effort than the cued group when considering global measures. Thus, self-organization in task scheduling seems to be effortful even in conditions in which it is beneficiary for task processing. In a second experiment, we reduced the possibility of task preview for the not-yet-performed tasks in order to hinder efficient self-organization. Here neither local nor global measures revealed substantial differences between the free-choice and a cued task sequence condition. Based on the results of both experiments, we suggest that global assessment of effort in addition to

A Sand Cone Model of Lean Implementation

OpenAIRE

Yestemessov, Azamat

2011-01-01

Over the past 20 years Lean Production system has been a focus of researches by different academicians. A numerous works have been written in the field of Lean implementation in manufacturing companies. However, as shown, most of the academic topics relate to the issues of implementing Lean tools and techniques. Critical Success Factors have been also described widely; however, no efforts in systematization have been made. Only several works have a focus on integration of Lean implementation ...

Priori mask guided image reconstruction (p-MGIR) for ultra-low dose cone-beam computed tomography

Science.gov (United States)

Park, Justin C.; Zhang, Hao; Chen, Yunmei; Fan, Qiyong; Kahler, Darren L.; Liu, Chihray; Lu, Bo

2015-11-01

Recently, the compressed sensing (CS) based iterative reconstruction method has received attention because of its ability to reconstruct cone beam computed tomography (CBCT) images with good quality using sparsely sampled or noisy projections, thus enabling dose reduction. However, some challenges remain. In particular, there is always a tradeoff between image resolution and noise/streak artifact reduction based on the amount of regularization weighting that is applied uniformly across the CBCT volume. The purpose of this study is to develop a novel low-dose CBCT reconstruction algorithm framework called priori mask guided image reconstruction (p-MGIR) that allows reconstruction of high-quality low-dose CBCT images while preserving the image resolution. In p-MGIR, the unknown CBCT volume was mathematically modeled as a combination of two regions: (1) where anatomical structures are complex, and (2) where intensities are relatively uniform. The priori mask, which is the key concept of the p-MGIR algorithm, was defined as the matrix that distinguishes between the two separate CBCT regions where the resolution needs to be preserved and where streak or noise needs to be suppressed. We then alternately updated each part of image by solving two sub-minimization problems iteratively, where one minimization was focused on preserving the edge information of the first part while the other concentrated on the removal of noise/artifacts from the latter part. To evaluate the performance of the p-MGIR algorithm, a numerical head-and-neck phantom, a Catphan 600 physical phantom, and a clinical head-and-neck cancer case were used for analysis. The results were compared with the standard Feldkamp-Davis-Kress as well as conventional CS-based algorithms. Examination of the p-MGIR algorithm showed that high-quality low-dose CBCT images can be reconstructed without compromising the image resolution. For both phantom and the patient cases, the p-MGIR is able to achieve a clinically

Digital transceiver implementation for wavelet packet modulation

Science.gov (United States)

Lindsey, Alan R.; Dill, Jeffrey C.

1998-03-01

Current transceiver designs for wavelet-based communication systems are typically reliant on analog waveform synthesis, however, digital processing is an important part of the eventual success of these techniques. In this paper, a transceiver implementation is introduced for the recently introduced wavelet packet modulation scheme which moves the analog processing as far as possible toward the antenna. The transceiver is based on the discrete wavelet packet transform which incorporates level and node parameters for generalized computation of wavelet packets. In this transform no particular structure is imposed on the filter bank save dyadic branching, and a maximum level which is specified a priori and dependent mainly on speed and/or cost considerations. The transmitter/receiver structure takes a binary sequence as input and, based on the desired time- frequency partitioning, processes the signal through demultiplexing, synthesis, analysis, multiplexing and data determination completely in the digital domain - with exception of conversion in and out of the analog domain for transmission.

The village/commune safety policy and HIV prevention efforts among key affected populations in Cambodia: finding a balance

Directory of Open Access Journals (Sweden)

Thomson Nick

2012-07-01

Full Text Available Abstract The Village/Commune Safety Policy was launched by the Ministry of Interior of the Kingdom of Cambodia in 2010 and, due to a priority focus on “cleaning the streets”, has created difficulties for HIV prevention programs attempting to implement programs that work with key affected populations including female sex workers and people who inject drugs. The implementation of the policy has forced HIV program implementers, the UN and various government counterparts to explore and develop collaborative ways of delivering HIV prevention services within this difficult environment. The following case study explores some of these efforts and highlights the promising development of a Police Community Partnership Initiative that it is hoped will find a meaningful balance between the Village/Commune Safety Policy and HIV prevention efforts with key affected populations in Cambodia.

Implementation of Text-Messaging and Social Media Strategies in a Multilevel Childhood Obesity Prevention Intervention: Process Evaluation Results.

Science.gov (United States)

Loh, Ivory H; Schwendler, Teresa; Trude, Angela C B; Anderson Steeves, Elizabeth T; Cheskin, Lawrence J; Lange, Sarah; Gittelsohn, Joel

2018-01-01

Social media and text messaging show promise as public health interventions, but little evaluation of implementation exists. The B'more Healthy Communities for Kids (BHCK) was a multilevel, multicomponent (wholesalers, food stores, recreation centers) childhood obesity prevention trial that included social media and text-messaging components. The BHCK was implemented in 28 low-income areas of Baltimore City, Maryland, in 2 waves. The texting intervention targeted 241 low-income African American caregivers (of 283), who received 3 texts/week reinforcing key messages, providing nutrition information, and weekly goals. Regular posting on social media platforms (Facebook, Instagram, Twitter) targeted community members and local stakeholders. High implementation standards were set a priori (57 for social media, 11 for texting), with low implementation defined as social media implementation improved from low-moderate to high reach, dose delivered, and fidelity. Text messaging increased from moderate to high in reach and dose delivered, fidelity decreased from high to moderate. Data were used to monitor and revise the BHCK intervention throughout implementation. Our model for evaluating text messaging-based and social media-based interventions may be applicable to other settings.

Implementation and de-implementation: two sides of the same coin?

Science.gov (United States)

van Bodegom-Vos, Leti; Davidoff, Frank; Marang-van de Mheen, Perla J

2017-06-01

Avoiding low value care received increasing attention in many countries, as with the Choosing Wisely campaign and other initiatives to abandon care that wastes resources or delivers no benefit to patients. While an extensive literature characterises approaches to implementing evidence-based care, we have limited understanding of the process of de-implementation, such as abandoning existing low value practices. To learn more about the differences between implementation and de-implementation, we explored the literature and analysed data from two published studies (one implementation and one de-implementation) by the same orthopaedic surgeons. We defined 'leaders' as those orthopaedic surgeons who implemented, or de-implemented, the target processes of care and laggards as those who did not. Our findings suggest that leaders in implementation share some characteristics with leaders in de-implementation when comparing them with laggards, such as more open to new evidence, younger and less time in clinical practice. However, leaders in de-implementation and implementation differed in some other characteristics and were not the same persons. Thus, leading in implementation or de-implementation may depend to some degree on the type of intervention rather than entirely reflecting personal characteristics. De-implementation seemed to be hampered by motivational factors such as department priorities, and economic and political factors such as cost-benefit considerations in care delivery, whereas organisational factors were associated only with implementation. The only barrier or facilitator common to both implementation and de-implementation consisted of outcome expectancy (ie, the perceived net benefit to patients). Future studies need to test the hypotheses generated from this study and improve our understanding of differences between the processes of implementation and de-implementation in the people who are most likely to lead (or resist) these efforts. Published by the

Implementing New Ways of Working

DEFF Research Database (Denmark)

Granlien, Maren Sander; Hertzum, Morten

2009-01-01

Successful deployment of information technology (IT) involves implementation of new ways of working. Under-recognition of this organizational element of implementation entails considerable risk of not attaining the benefits that motivated deployment, yet knowledge of how to work systematically...... were devised and performed as part of the study, significantly lowered the number of records that violated the procedure. This positive effect was, however, not achieved until multiple interventions had been employed, and there is some indication that the effect may be wearing off after...... the interventions have ended. We discuss the implications of these results for efforts to work systematically with the organizational implementation of IT systems....

Measuring progress of collaborative action in a community health effort

Directory of Open Access Journals (Sweden)

Vicki L. Collie-Akers

2013-12-01

Full Text Available OBJECTIVE: To measure the progress made by the collaborative actions of multisectorial partners in a community health effort using a systematic method to document and evaluate community/system changes over time. METHODS: This was a community-based participatory research project engaging community partners of the Latino Health for All Coalition, which based on the Health for All model, addresses health inequity in a low-income neighborhood in Kansas City, Kansas, United States of America. Guided by three research questions regarding the extent to which the Coalition catalyzed change, intensity of change, and how to visually display change, data were collected on community/system changes implemented by the community partners from 2009-2012. These changes were characterized and rated according to intensity (event duration, population reach, and strategy and by other categories, such as social determinant of health mechanism and sector. RESULTS: During the 4-year study period, the Coalition implemented 64 community/system changes. These changes were aligned with the Coalition's primary goals of healthy nutrition, physical activity, and access to health screenings. Community/system efforts improved over time, becoming longer in duration and reaching more of the population. CONCLUSIONS: Although evidence of its predictive validity awaits further research, this method for documenting and characterizing community/system changes enables community partners to see progress made by their health initiatives.

Effortful echolalia.

Science.gov (United States)

Hadano, K; Nakamura, H; Hamanaka, T

1998-02-01

We report three cases of effortful echolalia in patients with cerebral infarction. The clinical picture of speech disturbance is associated with Type 1 Transcortical Motor Aphasia (TCMA, Goldstein, 1915). The patients always spoke nonfluently with loss of speech initiative, dysarthria, dysprosody, agrammatism, and increased effort and were unable to repeat sentences longer than those containing four or six words. In conversation, they first repeated a few words spoken to them, and then produced self initiated speech. The initial repetition as well as the subsequent self initiated speech, which were realized equally laboriously, can be regarded as mitigated echolalia (Pick, 1924). They were always aware of their own echolalia and tried to control it without effect. These cases demonstrate that neither the ability to repeat nor fluent speech are always necessary for echolalia. The possibility that a lesion in the left medial frontal lobe, including the supplementary motor area, plays an important role in effortful echolalia is discussed.

PENGARUH KOMITMEN ORGANISASI, ORIENTASI BERP RESTASI DAN EFFORT PADA KINERJA JABATAN DAN KEPUASAN KERJA

Directory of Open Access Journals (Sweden)

Siti Nurchasanah,

2015-10-01

Full Text Available The objective of this study is to analyze the influence of organizational commitment, achievement orientation and effort on job performance and job satisfaction. The total sample of 80 employees of PT Perkebunan Nusantara V (Persero with purposive sampling. Based on the data analysis can be concluded that organizational commitment influences the job performance, as well as achievement orientation, achievement orientation influences the job performance. Meanwhile, the Effort does not have significantly on the job performance. This is because at that time of the study of human resource management system associated with the consequence of Effort which has not been implemented. This condition is also influenced by individual effort which has not reflected the effort from all job performances, remembering job performance results obtained from group performance subvention. Organizational commitment significantly has greater significantly on job performance than achievement orientation. This study also found that job performance has influence on job satisfaction and job satisfaction has influence on organizational commitment.

GPFS HPSS Integration: Implementation Experience

Energy Technology Data Exchange (ETDEWEB)

Hazen, Damian; Hick, Jason

2008-08-12

In 2005 NERSC and IBM Global Services Federal began work to develop an integrated HSM solution using the GPFS file system and the HPSS hierarchical storage system. It was foreseen that this solution would play a key role in data management at NERSC, and fill a market niche for IBM. As with many large and complex software projects, there were a number of unforeseen difficulties encountered during implementation. As the effort progressed, it became apparent that DMAPI alone could not be used to tie two distributed, high performance systems together without serious impact on performance. This document discusses the evolution of the development effort, from one which attempted to synchronize the GPFS and HPSS name spaces relying solely on GPFS?s implementation of the DMAPI specification, to one with a more traditional HSM functionality that had no synchronized namespace in HPSS, and finally to an effort, still underway, which will provide traditional HSM functionality, but requires features from the GPFS Information Lifecycle Management (ILM) to fully achieve this goal in a way which is scalable and meets the needs of sites with aggressive performance requirements. The last approach makes concessions to portability by using file system features such as ILM and snapshotting in order to achieve a scalable design.

Development and Implementation of a Model-Driven Envelope Protection System for In-Flight Ice Contamination

Science.gov (United States)

Gingras, David R.; Barnhart, Billy P.; Martos, Borja; Ratvasky, Thomas P.; Morelli, Eugene

2011-01-01

Fatal loss-of-control (LOC) accidents have been directly related to in-flight airframe icing. The prototype system presented in this paper directly addresses the need for real-time onboard envelope protection in icing conditions. The combinations of a-priori information and realtime aerodynamic estimations are shown to provide sufficient input for determining safe limits of the flight envelope during in-flight icing encounters. The Icing Contamination Envelope Protection (ICEPro) system has been designed and implemented to identify degradations in airplane performance and flying qualities resulting from ice contamination and provide safe flight-envelope cues to the pilot. Components of ICEPro are described and results from preliminary tests are presented.

BPA efforts to protect salmon and supply energy

International Nuclear Information System (INIS)

Geiselman, J.; Schiewe, R.

1993-01-01

The Bonneville Power Administration has sought to increase numbers of anadromous fish in the Columbia River for many years. In spite of these efforts, numbers of some species have continued to decline while others increased. As a result, several species of Salmon from the Snake River portion of the Columbia River basin have been listed as threatened or endangered under the Endangered Species Act. This presentation will identify analytical tools used to assess fish mitigation measures and the changes in power production and marketing expected from implementation of the National Marine Fisheries Service Recovery Plan and the Northwest Power Planning Council's Fish and Wildlife Program

Peru continues to press privitization efforts

International Nuclear Information System (INIS)

Anon.

1992-01-01

This paper reports that Peru has again extended the deadline for bids on a 30 year operating contract for state owned Petromar SA's offshore Block Z-2b. The tender is key to efforts to privatize Petromar, a subsidiary of state oil company Petroleos del Peru. The committee charged with implementing Petromar privatization extended the deadline for bids another 70 days Oct. 30, following a 60 day extension made in September. The latest deadline for bids is Feb. 10, with the contract expected to be awarded Feb. 26. A bid package on Block Z-2b is available from Petroperu's Lima headquarters for $20,000. Petromar operates the former Belco Petroleum Corp. offshore assets Peru's government expropriated in 1985. It currently produces 17,600 b/d, compared with 27,000 b/d at the time of expropriation

An overview of the V&V of Flight-Critical Systems effort at NASA

Science.gov (United States)

Brat, Guillaume P.

2011-01-01

As the US is getting ready for the Next Generation (NextGen) of Air Traffic System, there is a growing concern that the current techniques for verification and validation will not be adequate for the changes to come. The JPDO (in charge of implementing NextGen) has given NASA a mandate to address the problem and it resulted in the formulation of the V&V of Flight-Critical Systems effort. This research effort is divided into four themes: argument-based safety assurance, distributed systems, authority and autonomy, and, software intensive systems. This paper presents an overview of the technologies that will address the problem.

Maximum effort in the minimum-effort game

Czech Academy of Sciences Publication Activity Database

Engelmann, Dirk; Normann, H.-T.

2010-01-01

Roč. 13, č. 3 (2010), s. 249-259 ISSN 1386-4157 Institutional research plan: CEZ:AV0Z70850503 Keywords : minimum-effort game * coordination game * experiments * social capital Subject RIV: AH - Economics Impact factor: 1.868, year: 2010

A Concept Mapping Approach to Guide and Understand Dissemination and Implementation

OpenAIRE

Green, Amy E.; Fettes, Danielle L.; Aarons, Gregory A.

2012-01-01

Many efforts to implement evidence-based programs do not reach their full potential or fail due to the variety of challenges inherent in dissemination and implementation. This article describes the use of concept mapping—a mixed method strategy—to study implementation of behavioral health innovations and evidence-based practice (EBP). The application of concept mapping to implementation research represents a practical and concise way to identify and quantify factors affecting implementation, ...

78 FR 32554 - Privacy Act; Implementation

Science.gov (United States)

2013-05-31

..., or intelligence efforts by putting the subject of an investigation, study or analysis on notice of...] Privacy Act; Implementation AGENCY: National Geospatial-Intelligence Agency (NGA), DoD. ACTION: Direct final rule. SUMMARY: National Geospatial-Intelligence Agency (NGA) is proposing to update the NGA...

A content analysis of dissemination and implementation science resource initiatives: what types of resources do they offer to advance the field?

Science.gov (United States)

Darnell, Doyanne; Dorsey, Caitlin N; Melvin, Abigail; Chi, Jonathan; Lyon, Aaron R; Lewis, Cara C

2017-11-21

The recent growth in organized efforts to advance dissemination and implementation (D & I) science suggests a rapidly expanding community focused on the adoption and sustainment of evidence-based practices (EBPs). Although promising for the D & I of EBPs, the proliferation of initiatives is difficult for any one individual to navigate and summarize. Such proliferation may also result in redundant efforts or missed opportunities for participation and advancement. A review of existing D & I science resource initiatives and their unique merits would be a significant step for the field. The present study aimed to describe the global landscape of these organized efforts to advance D & I science. We conducted a content analysis between October 2015 and March 2016 to examine resources and characteristics of D & I science resource initiatives using public, web-based information. Included resource initiatives must have engaged in multiple efforts to advance D & I science beyond conferences, offered D & I science resources, and provided content in English. The sampling method included an Internet search using D & I terms and inquiry among internationally representative D & I science experts. Using a coding scheme based on a priori and grounded approaches, two authors consensus coded website information including interactive and non-interactive resources and information regarding accessibility (membership, cost, competitive application, and location). The vast majority (83%) of resource initiatives offered at least one of seven interactive resources (consultation/technical assistance, mentorship, workshops, workgroups, networking, conferences, and social media) and one of six non-interactive resources (resource library, news and updates from the field, archived talks or slides, links pages, grant writing resources, and funding opportunities). Non-interactive resources were most common, with some appearing frequently across resource initiatives (e.g., news and updates from the

Participatory System Dynamics Modeling: Increasing Stakeholder Engagement and Precision to Improve Implementation Planning in Systems.

Science.gov (United States)

Zimmerman, Lindsey; Lounsbury, David W; Rosen, Craig S; Kimerling, Rachel; Trafton, Jodie A; Lindley, Steven E

2016-11-01

Implementation planning typically incorporates stakeholder input. Quality improvement efforts provide data-based feedback regarding progress. Participatory system dynamics modeling (PSD) triangulates stakeholder expertise, data and simulation of implementation plans prior to attempting change. Frontline staff in one VA outpatient mental health system used PSD to examine policy and procedural "mechanisms" they believe underlie local capacity to implement evidence-based psychotherapies (EBPs) for PTSD and depression. We piloted the PSD process, simulating implementation plans to improve EBP reach. Findings indicate PSD is a feasible, useful strategy for building stakeholder consensus, and may save time and effort as compared to trial-and-error EBP implementation planning.

Energy-Efficient Implementation of ECDH Key Exchange for Wireless Sensor Networks

Science.gov (United States)

Lederer, Christian; Mader, Roland; Koschuch, Manuel; Großschädl, Johann; Szekely, Alexander; Tillich, Stefan

Wireless Sensor Networks (WSNs) are playing a vital role in an ever-growing number of applications ranging from environmental surveillance over medical monitoring to home automation. Since WSNs are often deployed in unattended or even hostile environments, they can be subject to various malicious attacks, including the manipulation and capture of nodes. The establishment of a shared secret key between two or more individual nodes is one of the most important security services needed to guarantee the proper functioning of a sensor network. Despite some recent advances in this field, the efficient implementation of cryptographic key establishment for WSNs remains a challenge due to the resource constraints of small sensor nodes such as the MICAz mote. In this paper we present a lightweight implementation of the elliptic curve Diffie-Hellman (ECDH) key exchange for ZigBee-compliant sensor nodes equipped with an ATmega128 processor running the TinyOS operating system. Our implementation uses a 192-bit prime field specified by the NIST as underlying algebraic structure and requires only 5.20 ·106 clock cycles to compute a scalar multiplication if the base point is fixed and known a priori. A scalar multiplication using a random base point takes about 12.33 ·106 cycles. Our results show that a full ECDH key exchange between two MICAz motes consumes an energy of 57.33 mJ (including radio communication), which is significantly better than most previously reported ECDH implementations on comparable platforms.

Department of Energy Efforts to Promote Universal Adherence to the IAEA Additional Protocol

International Nuclear Information System (INIS)

Killinger, Mark H.; Hansen, Linda H.; Kovacic, Don N.; VanSickle, Matthew; Apt, Kenneth E.

2009-01-01

Entry-into-force of the U.S. Additional Protocol (AP) in January 2009 continues to demonstrate the ongoing commitment by the United States to promote universal adherence to the AP. The AP is a critical tool for improving the International Atomic Energy Agency's (IAEA) capabilities to detect undeclared activities that indicate a clandestine nuclear weapons program. This is because States Parties are required to provide information about, and access to, nuclear fuel cycle activities beyond their traditional safeguards reporting requirements. As part of the U.S. AP Implementation Act and Senate Resolution of Ratification, the Administration is required to report annually to Congress on measures taken to achieve the adoption of the AP in non-nuclear weapon states, as well as assistance to the IAEA to promote the effective implementation of APs in those states. A key U.S. effort in this area is being managed by the International Nuclear Safeguards and Engagement Program (INSEP) of the U.S. Department of Energy (DOE). Through new and existing bilateral cooperation agreements, INSEP has initiated technical assistance projects for AP implementation with selected non-weapon states. States with which INSEP is currently cooperating include Vietnam and Thailand, with Indonesia, Algeria, Morocco, and other countries as possible future collaborators in the area of AP implementation. The INSEP collaborative model begins with a joint assessment with our partners to identify specific needs they may have regarding entering the AP into force and any impediments to successful implementation. An action plan is then developed detailing and prioritizing the necessary joint activities. Such assistance may include: advice on developing legal frameworks and regulatory documents; workshops to promote understanding of AP requirements; training to determine possible declarable activities; assistance in developing a system to collect and submit declarations; performing industry outreach to

Direct-to-Consumer Marketing: A Complementary Approach to Traditional Dissemination and implementation Efforts for Mental Health and Substance Abuse Interventions.

Science.gov (United States)

Becker, Sara J

2015-03-01

The overall chasm between those who need treatment for mental health and substance abuse (M/SU) and those who receive effective treatment consists of two, interrelated gaps: the research-to-practice gap and the treatment gap. Prior efforts to disseminate evidence-based practice (EBP) for M/SU have predominantly targeted the research-to-practice gap, by focusing efforts toward treatment providers. This article introduces direct-to-consumer (DTC) marketing that targets patients and caregivers as a complementary approach to existing dissemination efforts. Specific issues discussed include: rationale for DTC marketing based on the concept of push versus pull marketing; overview of key stakeholders involved in DTC marketing; and description of the Marketing Mix planning framework. The applicability of these issues to the dissemination of EBP for M/SU is discussed.

Direct-to-Consumer Marketing: A Complementary Approach to Traditional Dissemination and implementation Efforts for Mental Health and Substance Abuse Interventions

Science.gov (United States)

Becker, Sara J.

2014-01-01

The overall chasm between those who need treatment for mental health and substance abuse (M/SU) and those who receive effective treatment consists of two, interrelated gaps: the research-to-practice gap and the treatment gap. Prior efforts to disseminate evidence-based practice (EBP) for M/SU have predominantly targeted the research-to-practice gap, by focusing efforts toward treatment providers. This article introduces direct-to-consumer (DTC) marketing that targets patients and caregivers as a complementary approach to existing dissemination efforts. Specific issues discussed include: rationale for DTC marketing based on the concept of push versus pull marketing; overview of key stakeholders involved in DTC marketing; and description of the Marketing Mix planning framework. The applicability of these issues to the dissemination of EBP for M/SU is discussed. PMID:25937710

Environmental protection implementation plan

International Nuclear Information System (INIS)

Holland, R.C.

1998-03-01

This Environmental Protection Implementation Plan is intended to ensure that the environmental program objectives of Department of Energy Order 5400.1 are achieved at SNL/California. This document states SNL/California's commitment to conduct its operations in an environmentally safe and responsible manner. The Environmental Protection Implementation Plan helps management and staff comply with applicable environmental responsibilities. SNL is committed to operating in full compliance with the letter and spirit of applicable environmental laws, regulations, and standards. Furthermore, SNL/California strives to go beyond compliance with legal requirements by making every effort practical to reduce impacts to the environment to levels as low as reasonably achievable

EURATOM achievements and challenges in facilitating Pan-European infrastructure collaborative efforts

International Nuclear Information System (INIS)

Garbil, Roger

2017-01-01

The European Atomic Energy Community (Euratom) Research and Training framework programmes are benefiting from a consistent success in pursuing excellence in research and facilitating Pan European collaborative efforts across a broad range of nuclear science and technologies, nuclear fission and radiation protection. To fulfil Euratom R and D programmes keys objectives of maintaining high levels of nuclear knowledge and building a more dynamic and competitive European industry, promotion of Pan-European mobility of researchers are implemented by co-financing transnational access to research infrastructures (RIs) and joint research activities. 'Euratom Achievements and Challenges' show the benefits of research efforts in key fields, of building an effective 'critical mass', of promoting the creation of 'centres of excellence' with an increased support for 'open access to key research infrastructures', exploitation of research results, management of knowledge, dissemination and sharing of learning outcomes.

A priori motion models for four-dimensional reconstruction in gated cardiac SPECT

International Nuclear Information System (INIS)

Lalush, D.S.; Tsui, B.M.W.; Cui, Lin

1996-01-01

We investigate the benefit of incorporating a priori assumptions about cardiac motion in a fully four-dimensional (4D) reconstruction algorithm for gated cardiac SPECT. Previous work has shown that non-motion-specific 4D Gibbs priors enforcing smoothing in time and space can control noise while preserving resolution. In this paper, we evaluate methods for incorporating known heart motion in the Gibbs prior model. The new model is derived by assigning motion vectors to each 4D voxel, defining the movement of that volume of activity into the neighboring time frames. Weights for the Gibbs cliques are computed based on these open-quotes most likelyclose quotes motion vectors. To evaluate, we employ the mathematical cardiac-torso (MCAT) phantom with a new dynamic heart model that simulates the beating and twisting motion of the heart. Sixteen realistically-simulated gated datasets were generated, with noise simulated to emulate a real Tl-201 gated SPECT study. Reconstructions were performed using several different reconstruction algorithms, all modeling nonuniform attenuation and three-dimensional detector response. These include ML-EM with 4D filtering, 4D MAP-EM without prior motion assumption, and 4D MAP-EM with prior motion assumptions. The prior motion assumptions included both the correct motion model and incorrect models. Results show that reconstructions using the 4D prior model can smooth noise and preserve time-domain resolution more effectively than 4D linear filters. We conclude that modeling of motion in 4D reconstruction algorithms can be a powerful tool for smoothing noise and preserving temporal resolution in gated cardiac studies

Design and Implementation of Data Collection Instruments for Neonatology Research

Directory of Open Access Journals (Sweden)

Monica G. HĂŞMĂŞANU

2014-12-01

Full Text Available im: The aim of our research was to design and implement data collection instruments to be use in context of an observational prospective clinical study with follow-up conducted on new born with intrauterine growth restriction. Methods: The structure of the data collection forms (paper based and electronic based was first identified and for each variable the best type to accomplish the research aim was established. The code for categorical variables has also been decided as well as the units of measurements for quantitative variables. In respect of good practice, a set of confounding factors (as gender, date of birth, etc. have also been identified and integrated in data collection instruments. Data-entry validation rules were implemented for each variable to reduce data input errors when the electronic data collection instrument was created. Results: Two data collection instruments have been developed and successfully implemented: a paper-based form and an electronic data collection instrument. The developed forms included demographics, neonatal complications (as hypoglycemia, hypocalcemia, etc., biochemical data at birth and follow-up, immunological data, as well as basal and follow-up echocardiographic data. Data-entry validation criteria have been implemented in electronic data collection instrument to assure validity and precision when paper-based data are translated in electronic form. Furthermore, to assure subject’s confidentiality a careful attention was given to HIPPA identifiers when electronic data collection instrument was developed. Conclusion: Data collection instruments were successfully developed and implemented as an a priori step in a clinical research for assisting data collection and management in a case of an observational prospective study with follow-up visits.

Implementation of quality management systems: the role of hospital (management) boards.

NARCIS (Netherlands)

Botje, D.; Klazinga, N.S.; Suñol, R.; Wagner, C.

2013-01-01

Objectives: Hospitals are putting tremendous efforts in implementing evidence-based management systems and organisational innovations for patient-centred care. Having a hospital quality management system is a prerequisite to successfully implement these innovations. Previous studies showed that the

FCTC followed by accelerated implementation of tobacco advertising bans.

Science.gov (United States)

Hiilamo, Heikki; Glantz, Stanton

2017-07-01

We sought to evaluate changes in countries' enacting advertising bans after the effect of ratifying the WHO Framework Convention on Tobacco Control (FCTC). We compared adoption of advertising bans on five areas (TV and radio, print media, billboards, point-of-sale, sponsorship) in countries that did versus did not ratify the FCTC, accounting for years since the ratification of the Convention. On average, passage of complete advertising bans accelerated after FCTC ratification. The development was strongest among lower middle-income countries. Lack of state capacity was associated with lower likelihood of countries implementing complete advertising bans. Implementation of complete advertising bans slowed after 2007. Implementation of FCTC Article 13 was followed by increased progress towards complete advertising bans, but progress is incomplete, especially among low-income countries. Low-income countries need comprehensive support to implement FCTC as part of a broad effort to reinvigorate progress on global implementation of the FCTC. Enforcing complete bans requires constant monitoring and attacking of tobacco industry efforts to circumvent them. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Impact of modellers' decisions on hydrological a priori predictions

Science.gov (United States)

Holländer, H. M.; Bormann, H.; Blume, T.; Buytaert, W.; Chirico, G. B.; Exbrayat, J.-F.; Gustafsson, D.; Hölzel, H.; Krauße, T.; Kraft, P.; Stoll, S.; Blöschl, G.; Flühler, H.

2014-06-01

In practice, the catchment hydrologist is often confronted with the task of predicting discharge without having the needed records for calibration. Here, we report the discharge predictions of 10 modellers - using the model of their choice - for the man-made Chicken Creek catchment (6 ha, northeast Germany, Gerwin et al., 2009b) and we analyse how well they improved their prediction in three steps based on adding information prior to each following step. The modellers predicted the catchment's hydrological response in its initial phase without having access to the observed records. They used conceptually different physically based models and their modelling experience differed largely. Hence, they encountered two problems: (i) to simulate discharge for an ungauged catchment and (ii) using models that were developed for catchments, which are not in a state of landscape transformation. The prediction exercise was organized in three steps: (1) for the first prediction the modellers received a basic data set describing the catchment to a degree somewhat more complete than usually available for a priori predictions of ungauged catchments; they did not obtain information on stream flow, soil moisture, nor groundwater response and had therefore to guess the initial conditions; (2) before the second prediction they inspected the catchment on-site and discussed their first prediction attempt; (3) for their third prediction they were offered additional data by charging them pro forma with the costs for obtaining this additional information. Holländer et al. (2009) discussed the range of predictions obtained in step (1). Here, we detail the modeller's assumptions and decisions in accounting for the various processes. We document the prediction progress as well as the learning process resulting from the availability of added information. For the second and third steps, the progress in prediction quality is evaluated in relation to individual modelling experience and costs of

The importance of addressing gender inequality in efforts to end vertical transmission of HIV.

Science.gov (United States)

Ghanotakis, Elena; Peacock, Dean; Wilcher, Rose

2012-07-11

The recently launched "Global Plan towards the Elimination of New HIV Infections among Children by 2015 and Keeping their Mothers Alive" sets forth ambitious targets that will require more widespread implementation of comprehensive prevention of vertical HIV transmission (PMTCT) programmes. As PMTCT policymakers and implementers work toward these new goals, increased attention must be paid to the role that gender inequality plays in limiting PMTCT programmatic progress. A growing body of evidence suggests that gender inequality, including gender-based violence, is a key obstacle to better outcomes related to all four components of a comprehensive PMTCT programme. Gender inequality affects the ability of women and girls to protect themselves from HIV, prevent unintended pregnancies and access and continue to use HIV prevention, care and treatment services. In light of this evidence, global health donors and international bodies increasingly recognize that it is critical to address the gender disparities that put women and children at increased risk of HIV and impede their access to care. The current policy environment provides unprecedented opportunities for PMTCT implementers to integrate efforts to address gender inequality with efforts to expand access to clinical interventions for preventing vertical HIV transmission. Effective community- and facility-based strategies to transform harmful gender norms and mitigate the impacts of gender inequality on HIV-related outcomes are emerging. PMTCT programmes must embrace these strategies and expand beyond the traditional focus of delivering ARV prophylaxis to pregnant women living with HIV. Without greater implementation of comprehensive, gender transformative PMTCT programmes, elimination of vertical transmission of HIV will remain elusive.

Supporting Students as Scientists: One Mission's Efforts

Science.gov (United States)

Taylor, J.; Chambers, L. H.; Trepte, C. R.

2012-12-01

NASA's CALIPSO satellite mission provides an array of opportunities for teachers, students, and the general public. In developing our latest plan for education and public outreach, CALIPSO focused on efforts that would support students as scientists. CALIPSO EPO activities are aimed at inspiring young scientists through multiple avenues of potential contact, including: educator professional development, student-scientist mentoring, curriculum resource development, and public outreach through collaborative mission efforts. In this session, we will explore how these avenues complement one another and take a closer look at the development of the educator professional development activities. As part of CALIPSO's EPO efforts, we have developed the GLOBE Atmosphere Investigations Programs (AIP). The program encourages students to engage in authentic science through research on the atmosphere. The National Research Council (NRC) has emphasized the importance of teaching scientific inquiry in the National Science Education Standards (1996, 2000) and scientific practice in the recent Framework for K-12 Science Education (2011). In order to encourage student-centered science inquiry, teacher training utilizing GLOBE Atmosphere Investigations and GLOBE's Student Research Process are provided to middle and high school teachers to assist them in incorporating real scientific investigations into their classroom. Through participation in the program, teachers become a part of GLOBE (Global Learning and Observations to Benefit the Environment) - an international community of teachers, students, and scientists studying environmental science in over 24,000 schools around the world. The program uses NASA's satellites and the collection of atmosphere data by students to provide an engaging science learning experience for the students, and teachers. The GLOBE Atmosphere Investigations program offers year-long support to both teachers and students through direct involvement with NASA

Respiratory effort from the photoplethysmogram.

Science.gov (United States)

Addison, Paul S

2017-03-01

The potential for a simple, non-invasive measure of respiratory effort based on the pulse oximeter signal - the photoplethysmogram or 'pleth' - was investigated in a pilot study. Several parameters were developed based on a variety of manifestations of respiratory effort in the signal, including modulation changes in amplitude, baseline, frequency and pulse transit times, as well as distinct baseline signal shifts. Thirteen candidate parameters were investigated using data from healthy volunteers. Each volunteer underwent a series of controlled respiratory effort maneuvers at various set flow resistances and respiratory rates. Six oximeter probes were tested at various body sites. In all, over three thousand pleth-based effort-airway pressure (EP) curves were generated across the various airway constrictions, respiratory efforts, respiratory rates, subjects, probe sites, and the candidate parameters considered. Regression analysis was performed to determine the existence of positive monotonic relationships between the respiratory effort parameters and resulting airway pressures. Six of the candidate parameters investigated exhibited a distinct positive relationship (poximeter probe and an ECG (P2E-Effort) and the other using two pulse oximeter probes placed at different peripheral body sites (P2-Effort); and baseline shifts in heart rate, (BL-HR-Effort). In conclusion, a clear monotonic relationship was found between several pleth-based parameters and imposed respiratory loadings at the mouth across a range of respiratory rates and flow constrictions. The results suggest that the pleth may provide a measure of changing upper airway dynamics indicative of the effort to breathe. Copyright © 2017 The Author. Published by Elsevier Ltd.. All rights reserved.

Evaluation of a compliance device in a subgroup of adult patients receiving specific immunotherapy with grass allergen tablets (GRAZAX) in a randomized, open-label, controlled study: an a priori subgroup analysis.

NARCIS (Netherlands)

Jansen, A.P.H.; Andersen, K.F.; Bruning, H.

2009-01-01

OBJECTIVES: This a priori subgroup analysis was conducted to assess patients' experience with a compliance device for the administration of sublingual specific immunotherapy for grass pollen-induced rhinoconjunctivitis. METHODS: The present paper reports the results of a subgroup analysis of a

Joint implementation: methodology and policy considerations

International Nuclear Information System (INIS)

Illum, Klaus; Meyer, N.I.

2004-01-01

The focus of the present paper is on joint implementation (JI) projects between countries in Western and Eastern Europe and especially on the problems of constructing credible references (baselines). A number of the present EU countries are anticipated to have severe problems in meeting their greenhouse gas reduction commitments and they have already announced that they shall take advantage of JI in this connection. As stated in the Kyoto Protocol, JI emission reductions must be real and measurable. However, in most cases the reductions obtained by a JI project do not occur at the project site but elsewhere in the energy system. Therefore, when a number of JI projects are implemented concurrently and other changes in the energy system take place over time, there is no way to measure the reductions obtained by individual projects. Because the emission reduction obtained is a property of the entire energy system, it cannot be estimated a priori on the basis of a project baseline alone. A baseline must refer to the national energy system of which the project is a part. It is argued in this paper that baselines should be derived from national energy systems databases and models, which serve to ensure that JI projects effectively contribute to the fulfillment of the Kyoto Protocol objectives. In addition, they should provide governments with comprehensive energy information systems needed to address long-term climate mitigation and energy demand and supply issues in a rational, least-cost manner. Compared to other climate mitigation costs and the costs of failure to meet the Kyoto commitments the costs involved in the preparation of the databases needed and the implementation of systems analysis and documentation programs will be small. If these costs are carried by national governments, the investors in JI projects will benefit from lower transaction costs

Determination of effective effort on hake Merluccius merluccius in a Mediterranean trawl fishery

Directory of Open Access Journals (Sweden)

Francisco Alemany

2003-12-01

Full Text Available The direct control of fishing effort as a management tool is of special interest in the Mediterranean, where the lack of effective international management systems and the high diversity of the catches significantly increases the complexity of implementing TAC´s as an indirect control of fishing effort. However, its enforcement should be based on the precise knowledge of the relationship between the fishing effort and its corresponding fishing mortality. In this sense, the general aim of this study was to develop an approach for analysing this relationship. In order to estimate the annual effective fishing effort on hake, a relational data base including daily landings by vessel and species of trawl fleet based on the port of Palma, Mallorca island (western Mediterranean during the period 1983-1991 was built. Fishing mortalities were available from VPA. Fishing effort and fishing mortality were split by subfleets or métiers which were identified by cluster analysis. Significant linear relationships between the two parameters were obtained when fishing effort was considered as the number of days in which hake catch was higher than 10 kg multiplied by GRT of correspondent vessels. These CPUE values are mainly obtained when trawlers operate in the muddy bottoms of the shelf and on the upper slope, where hake populations are mostly distributed. On the other hand, no clear trends in catchability by métier were found during the period analysed.

Statistical parameters as a means to a priori assess the accuracy of solar forecasting models

International Nuclear Information System (INIS)

Voyant, Cyril; Soubdhan, Ted; Lauret, Philippe; David, Mathieu; Muselli, Marc

2015-01-01

In this paper we propose to determinate and to test a set of 20 statistical parameters in order to estimate the short term predictability of the global horizontal irradiation time series and thereby to propose a new prospective tool indicating the expected error regardless the forecasting methods used. The mean absolute log return, which is a tool usually used in econometrics but never in global radiation prediction, proves to be a very good estimator. Some examples of the use of this tool are exposed, showing the interest of this statistical parameter in concrete cases of predictions or optimizations. This study gives a judgment for engineers and researchers on the installation or management of solar plants and could help in minimizing the energy crisis allowing to improve the renewable energy part of the energy mix. - Highlights: • Use of statistical parameter never used for the global radiation forecasting. • A priori index allowing to optimize easily and quickly a clear sky model. • New methodology allowing to quantify the prediction error regardless the predictor used. • The prediction error depends more on the location and the time series type than the machine Learning method used.

Implementing Cleaner Printed Wiring Board Technologies: Surface Finishes

Science.gov (United States)

This document describes the problems, solutions, and time and effort involved in implementing alternative surface finish technologies, and this guide is produced as part of the DfE Printed Wiring Board Project

Cognitive effort: A neuroeconomic approach

Science.gov (United States)

Braver, Todd S.

2015-01-01

Cognitive effort has been implicated in numerous theories regarding normal and aberrant behavior and the physiological response to engagement with demanding tasks. Yet, despite broad interest, no unifying, operational definition of cognitive effort itself has been proposed. Here, we argue that the most intuitive and epistemologically valuable treatment is in terms of effort-based decision-making, and advocate a neuroeconomics-focused research strategy. We first outline psychological and neuroscientific theories of cognitive effort. Then we describe the benefits of a neuroeconomic research strategy, highlighting how it affords greater inferential traction than do traditional markers of cognitive effort, including self-reports and physiologic markers of autonomic arousal. Finally, we sketch a future series of studies that can leverage the full potential of the neuroeconomic approach toward understanding the cognitive and neural mechanisms that give rise to phenomenal, subjective cognitive effort. PMID:25673005

Enhancing implementation security of QKD

Science.gov (United States)

Tamaki, Kiyoshi

2017-10-01

Quantum key distribution (QKD) can achieve information-theoretic security, which is a provable security against any eavesdropping, given that all the devices the sender and the receiver employ operate exactly as the theory of security requires. Unfortunately, however, it is difficult for practical devices to meet all such requirements, and therefore more works have to be done toward guaranteeing information-theoretic security in practice, i.e., implementation security. In this paper, we review our recent efforts to enhance implementation security. We also have a brief look at a flaw in security proofs and present how to fix it.

Waste generator services implementation plan

Energy Technology Data Exchange (ETDEWEB)

Mousseau, J.; Magleby, M.; Litus, M.

1998-04-01

Recurring waste management noncompliance problems have spurred a fundamental site-wide process revision to characterize and disposition wastes at the Idaho National Engineering and Environmental Laboratory. The reengineered method, termed Waste Generator Services, will streamline the waste acceptance process and provide waste generators comprehensive waste management services through a single, accountable organization to manage and disposition wastes in a timely, cost-effective, and compliant manner. This report outlines the strategy for implementing Waste Generator Services across the INEEL. It documents the culmination of efforts worked by the LMITCO Environmental Management Compliance Reengineering project team since October 1997. These efforts have included defining problems associated with the INEEL waste management process; identifying commercial best management practices; completing a review of DOE Complex-wide waste management training requirements; and involving others through an Integrated Process Team approach to provide recommendations on process flow, funding/charging mechanisms, and WGS organization. The report defines the work that will be performed by Waste Generator Services, the organization and resources, the waste acceptance process flow, the funding approach, methods for measuring performance, and the implementation schedule and approach. Field deployment will occur first at the Idaho Chemical Processing Plant in June 1998. Beginning in Fiscal Year 1999, Waste Generator Services will be deployed at the other major INEEL facilities in a phased approach, with implementation completed by March 1999.

Waste generator services implementation plan

International Nuclear Information System (INIS)

Mousseau, J.; Magleby, M.; Litus, M.

1998-04-01

Recurring waste management noncompliance problems have spurred a fundamental site-wide process revision to characterize and disposition wastes at the Idaho National Engineering and Environmental Laboratory. The reengineered method, termed Waste Generator Services, will streamline the waste acceptance process and provide waste generators comprehensive waste management services through a single, accountable organization to manage and disposition wastes in a timely, cost-effective, and compliant manner. This report outlines the strategy for implementing Waste Generator Services across the INEEL. It documents the culmination of efforts worked by the LMITCO Environmental Management Compliance Reengineering project team since October 1997. These efforts have included defining problems associated with the INEEL waste management process; identifying commercial best management practices; completing a review of DOE Complex-wide waste management training requirements; and involving others through an Integrated Process Team approach to provide recommendations on process flow, funding/charging mechanisms, and WGS organization. The report defines the work that will be performed by Waste Generator Services, the organization and resources, the waste acceptance process flow, the funding approach, methods for measuring performance, and the implementation schedule and approach. Field deployment will occur first at the Idaho Chemical Processing Plant in June 1998. Beginning in Fiscal Year 1999, Waste Generator Services will be deployed at the other major INEEL facilities in a phased approach, with implementation completed by March 1999

EURATOM achievements and challenges in facilitating Pan-European infrastructure collaborative efforts

Energy Technology Data Exchange (ETDEWEB)

Garbil, Roger [European Commission, Brussels (Belgium). DG Research and Innovation, Euratom Fission

2017-10-15

The European Atomic Energy Community (Euratom) Research and Training framework programmes are benefiting from a consistent success in pursuing excellence in research and facilitating Pan European collaborative efforts across a broad range of nuclear science and technologies, nuclear fission and radiation protection. To fulfil Euratom R and D programmes keys objectives of maintaining high levels of nuclear knowledge and building a more dynamic and competitive European industry, promotion of Pan-European mobility of researchers are implemented by co-financing transnational access to research infrastructures (RIs) and joint research activities. 'Euratom Achievements and Challenges' show the benefits of research efforts in key fields, of building an effective 'critical mass', of promoting the creation of 'centres of excellence' with an increased support for 'open access to key research infrastructures', exploitation of research results, management of knowledge, dissemination and sharing of learning outcomes.

Orchestrating Lean Implementation

DEFF Research Database (Denmark)

Riis, Jens Ove; Mikkelsen, Hans; Andersen, Jesper Rank

2008-01-01

The notion of Lean Manufacturing is not merely confined to a set of well defined techniques, but represents a broad approach to managing a company. Working with lean entails many aspects, such as production planning and control, production engineering, product development, supply chain......, and organizational issues. To become effective, many functional areas and departments must be involved. At the same time companies are embedded in a dynamic environment. The aim of the paper is to propose a comprehensive approach to better implementation of lean initiatives, based on two empirical studies. The paper...... will discuss how a concerted effort can be staged taking into account the interdependencies among individual improvement initiatives. The notion of orchestration will be introduced, and several means for orchestration will be presented. Critical behavioral issues for lean implementation will be discussed....

Effort rights-based management

DEFF Research Database (Denmark)

Squires, Dale; Maunder, Mark; Allen, Robin

2017-01-01

Effort rights-based fisheries management (RBM) is less widely used than catch rights, whether for groups or individuals. Because RBM on catch or effort necessarily requires a total allowable catch (TAC) or total allowable effort (TAE), RBM is discussed in conjunction with issues in assessing fish...... populations and providing TACs or TAEs. Both approaches have advantages and disadvantages, and there are trade-offs between the two approaches. In a narrow economic sense, catch rights are superior because of the type of incentives created, but once the costs of research to improve stock assessments...

Implementing Prehospital Evidence-Based Guidelines: A Systematic Literature Review.

Science.gov (United States)

Fishe, Jennifer N; Crowe, Remle P; Cash, Rebecca E; Nudell, Nikiah G; Martin-Gill, Christian; Richards, Christopher T

2018-01-19

As prehospital research advances, more evidence-based guidelines (EBGs) are implemented into emergency medical services (EMS) practice. However, incomplete or suboptimal prehospital EBG implementation may hinder improvement in patient outcomes. To inform future efforts, this study's objective was to review existing evidence pertaining to prehospital EBG implementation methods. This study was a systematic literature review and evaluation following the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology. PubMed, EMBASE, Scopus, and Google Advanced Search were searched without language or publication date filters for articles addressing prehospital EBG implementation. Conference proceedings, textbooks, and non-English articles were excluded. GRADE was applied to the remaining articles independently by three of five study investigators. Study characteristics and salient findings from the included articles are reported. The systematic literature review identified 1,367 articles, with 41 meeting inclusion criteria. Most articles described prehospital EBG implementation (n = 24, 59%), or implementation barriers (n = 13, 32%). Common study designs were statement documents (n = 12, 29%), retrospective cohort studies (n = 12, 29%), and cross-sectional studies (n = 9, 22%). Using GRADE, evidence quality was rated low (n = 18, 44%), or very low (n = 23, 56%). Salient findings from the articles included: (i) EBG adherence and patient outcomes depend upon successful implementation, (ii) published studies generally lack detailed implementation methods, (iii) EBG implementation takes longer than planned (mostly for EMS education), (iv) EMS systems' heterogeneity affects EBG implementation, and (v) multiple barriers limit successful implementation (e.g., financial constraints, equipment purchasing, coordination with hospitals, and regulatory agencies). This review found no direct evidence for best prehospital EBG implementation practices. There

Local digital control of power electronic converters in a dc microgrid based on a-priori derivation of switching surfaces

Science.gov (United States)

Banerjee, Bibaswan

In power electronic basedmicrogrids, the computational requirements needed to implement an optimized online control strategy can be prohibitive. The work presented in this dissertation proposes a generalized method of derivation of geometric manifolds in a dc microgrid that is based on the a-priori computation of the optimal reactions and trajectories for classes of events in a dc microgrid. The proposed states are the stored energies in all the energy storage elements of the dc microgrid and power flowing into them. It is anticipated that calculating a large enough set of dissimilar transient scenarios will also span many scenarios not specifically used to develop the surface. These geometric manifolds will then be used as reference surfaces in any type of controller, such as a sliding mode hysteretic controller. The presence of switched power converters in microgrids involve different control actions for different system events. The control of the switch states of the converters is essential for steady state and transient operations. A digital memory look-up based controller that uses a hysteretic sliding mode control strategy is an effective technique to generate the proper switch states for the converters. An example dcmicrogrid with three dc-dc boost converters and resistive loads is considered for this work. The geometric manifolds are successfully generated for transient events, such as step changes in the loads and the sources. The surfaces corresponding to a specific case of step change in the loads are then used as reference surfaces in an EEPROM for experimentally validating the control strategy. The required switch states corresponding to this specific transient scenario are programmed in the EEPROM as a memory table. This controls the switching of the dc-dc boost converters and drives the system states to the reference manifold. In this work, it is shown that this strategy effectively controls the system for a transient condition such as step changes

Implementation of Strategies to Leverage Public and Private Resources for National Security Workforce Development

Energy Technology Data Exchange (ETDEWEB)

None

2009-04-01

This report documents implementation strategies to leverage public and private resources for the development of an adequate national security workforce as part of the National Security Preparedness Project (NSPP), being performed under a U.S. Department of Energy (DOE)/National Nuclear Security Administration (NNSA) grant. There are numerous efforts across the United States to develop a properly skilled and trained national security workforce. Some of these efforts are the result of the leveraging of public and private dollars. As budget dollars decrease and the demand for a properly skilled and trained national security workforce increases, it will become even more important to leverage every education and training dollar. This report details some of the efforts that have been implemented to leverage public and private resources, as well as implementation strategies to further leverage public and private resources.

The importance of addressing gender inequality in efforts to end vertical transmission of HIV

Science.gov (United States)

Ghanotakis, Elena; Peacock, Dean; Wilcher, Rose

2012-01-01

Issues The recently launched “Global Plan towards the Elimination of New HIV Infections among Children by 2015 and Keeping their Mothers Alive” sets forth ambitious targets that will require more widespread implementation of comprehensive prevention of vertical HIV transmission (PMTCT) programmes. As PMTCT policymakers and implementers work toward these new goals, increased attention must be paid to the role that gender inequality plays in limiting PMTCT programmatic progress. Description A growing body of evidence suggests that gender inequality, including gender-based violence, is a key obstacle to better outcomes related to all four components of a comprehensive PMTCT programme. Gender inequality affects the ability of women and girls to protect themselves from HIV, prevent unintended pregnancies and access and continue to use HIV prevention, care and treatment services. Lessons Learned In light of this evidence, global health donors and international bodies increasingly recognize that it is critical to address the gender disparities that put women and children at increased risk of HIV and impede their access to care. The current policy environment provides unprecedented opportunities for PMTCT implementers to integrate efforts to address gender inequality with efforts to expand access to clinical interventions for preventing vertical HIV transmission. Effective community- and facility-based strategies to transform harmful gender norms and mitigate the impacts of gender inequality on HIV-related outcomes are emerging. PMTCT programmes must embrace these strategies and expand beyond the traditional focus of delivering ARV prophylaxis to pregnant women living with HIV. Without greater implementation of comprehensive, gender transformative PMTCT programmes, elimination of vertical transmission of HIV will remain elusive. PMID:22789642

Temporal Dynamics of Sensorimotor Networks in Effort-Based Cost-Benefit Valuation: Early Emergence and Late Net Value Integration.

Science.gov (United States)

Harris, Alison; Lim, Seung-Lark

2016-07-06

Although physical effort can impose significant costs on decision-making, when and how effort cost information is incorporated into choice remains contested, reflecting a larger debate over the role of sensorimotor networks in specifying behavior. Serial information processing models, in which motor circuits simply implement the output of cognitive systems, hypothesize that effort cost factors into decisions relatively late, via integration with stimulus values into net (combined) value signals in dorsomedial frontal cortex (dmFC). In contrast, ethology-inspired approaches suggest a more active role for the dorsal sensorimotor stream, with effort cost signals emerging rapidly after stimulus onset. Here we investigated the time course of effort cost integration using event-related potentials in hungry human subjects while they made decisions about expending physical effort for appetitive foods. Consistent with the ethological perspective, we found that effort cost was represented from as early as 100-250 ms after stimulus onset, localized to dorsal sensorimotor regions including middle cingulate, somatosensory, and motor/premotor cortices. However, examining the same data time-locked to motor output revealed net value signals combining stimulus value and effort cost approximately -400 ms before response, originating from sensorimotor areas including dmFC, precuneus, and posterior parietal cortex. Granger causal connectivity analysis of the motor effector signal in the time leading to response showed interactions between these sensorimotor regions and ventrolateral prefrontal cortex, a structure associated with adjusting behavior-response mappings. These results suggest that rapid activation of sensorimotor regions interacts with cognitive valuation systems, producing a net value signal reflecting both physical effort and reward contingencies. Although physical effort imposes a cost on choice, when and how effort cost influences neural correlates of decision

Modeling Impact and Cost-Effectiveness of Increased Efforts to Attract Voluntary Medical Male Circumcision Clients Ages 20-29 in Zimbabwe.

Directory of Open Access Journals (Sweden)

Katharine Kripke

Full Text Available Zimbabwe aims to increase circumcision coverage to 80% among 13- to 29-year-olds. However, implementation data suggest that high coverage among men ages 20 and older may not be achievable without efforts specifically targeted to these men, incurring additional costs per circumcision. Scale-up scenarios were created based on trends in implementation data in Zimbabwe, and the cost-effectiveness of increasing efforts to recruit clients ages 20-29 was examined.Zimbabwe voluntary medical male circumcision (VMMC program data were used to project trends in male circumcision coverage by age into the future. The projection informed a base scenario in which, by 2018, the country achieves 80% circumcision coverage among males ages 10-19 and lower levels of coverage among men above age 20. The Zimbabwe DMPPT 2.0 model was used to project costs and impacts, assuming a US$109 VMMC unit cost in the base scenario and a 3% discount rate. Two other scenarios assumed that the program could increase coverage among clients ages 20-29 with a corresponding increase in unit cost for these age groups.When circumcision coverage among men ages 20-29 is increased compared with a base scenario reflecting current implementation trends, fewer VMMCs are required to avert one infection. If more than 50% additional effort (reflected as multiplying the unit cost by >1.5 is required to double the increase in coverage among this age group compared with the base scenario, the cost per HIV infection averted is higher than in the base scenario.Although increased investment in recruiting VMMC clients ages 20-29 may lead to greater overall impact if recruitment efforts are successful, it may also lead to lower cost-effectiveness, depending on the cost of increasing recruitment. Programs should measure the relationship between increased effort and increased ability to attract this age group.

Session II-H. Regulatory implementation

International Nuclear Information System (INIS)

Farzin, M.H.

1981-01-01

During FY 1981, the program concepts for implementing the NRC and EPA regulations were formed. These concepts consist of: review and critique of proposed rules; interpretation of rules into practical performance objectives; and planning to achieve compliance of total system performance with the rules. Although still flexible because of the lack of final rules, notable advances in implementation of these concepts were achieved in FY 1981. Technically, proposed and draft rules were evaluated and resulting radionuclide release limits were compared for consistency. For issue identification and resolution activity, six LTR's were initiated, and other topics were identified. In activities leading to total system compliance with regulations, planning and implementation efforts were more clearly defined and integrated. Papers reported in this session are: (1) regulatory implementation concepts and program overview; (2) licensing issue resolution; (3) status of NEPA activities in the NNWSI Program; (4) status of NEPA activities in the ONWI Program; (5) NWTS approach to site characterization reporting; and (6) quality assurance perspectives relative to licensing needs

Effects of social factors on fishing effort: The case of the Philippine tuna purse seine fishery

NARCIS (Netherlands)

Libre, S.V.D.; Voorn, van G.A.K.; Broeke, Ten G.A.; Bailey, M.L.; Berentsen, P.B.M.; Bush, S.R.

2015-01-01

High fishing effort remains in many of the world’s fisheries despite a variety of policies that have been implemented to reduce it. These policies have predominantly focused on models of cause and effect that ignore the possibility that the intended outcomes are altered by social behavior and

Trends in Point-of-Sale Tobacco Marketing around College Campuses: Opportunities for Enhanced Tobacco Control Efforts

Science.gov (United States)

Wagoner, Kimberly G.; Sutfin, Erin L.; Song, Eunyoung Y.; King, Jessica L.; Egan, Kathleen L.; Reboussin, Beth; Debinski, Beata; Spangler, John; Wolfson, Mark

2018-01-01

Objective: Colleges have implemented policies to limit tobacco use on-campus; however, the off-campus environment is often overlooked in tobacco control efforts. We assessed availability, marketing, and promotion of cigarettes, snus, and traditional smokeless tobacco (SLT) in a sample of communities surrounding 11 college campuses in North…

Working conditions and effort-reward imbalance of German physicians in Sweden respective Germany: a comparative study.

Science.gov (United States)

Ohlander, Johan; Weigl, Matthias; Petru, Raluca; Angerer, Peter; Radon, Katja

2015-05-01

Work stress among physicians is a growing concern in various countries and has led to migration. We compared the working conditions and the work stress between a migrated population of German physicians in Sweden and a population of physicians based in Germany. Additionally, specific risk factors for work stress were examined country wise. Using a cross-sectional design, 85 German physicians employed in Sweden were surveyed on working conditions and effort-reward imbalance and compared with corresponding data on 561 physicians working in Germany. Multiple linear regression analyses were applied on both populations separately to model the associations between working conditions and effort-reward ratio (ERR), adjusted for a priori confounders. German physicians in Sweden had a significantly lower ERR than physicians in Germany: mean (M) = 0.47, standard deviation (SD) = 0.24 vs. M = 0.80, SD = 0.35. Physicians in Sweden worked on average 8 h less per week and reported higher work support and responsibility. Multivariate analyses showed in both populations a negative association between work support and the ERR (β = -0.148, 95% CI -0.215 to (-0.081) for physicians in Sweden and β = -0.174, 95% CI -0.240 to (-0.106) for physicians in Germany). Further significant associations with the ERR were found among physicians in Sweden for daily breaks (β = -0.002, 95% CI -0.004 to (-0.001)) and among physicians in Germany for working hours per week (β = 0.006, 95% CI 0.002-0.009). Our findings show substantial differences in work stress and working conditions in favor of migrated German physicians in Sweden. To confirm our results and to explain demonstrated differences in physicians' work stress, longitudinal studies are recommended.

Biomechanical Comparison of Three Perceived Effort Set Shots in Team Handball Players.

Science.gov (United States)

Plummer, Hillary A; Gascon, Sarah S; Oliver, Gretchen D

2017-01-01

Plummer, HA, Gascon, SS, and Oliver, GD. Biomechanical comparison of three perceived effort set shots in team handball players. J Strength Cond Res 31(1): 80-87, 2017-Shoulder injuries are prevalent in the sport of team handball; however, no guidelines currently exist in the implementation of an interval throwing protocol for players returning from an upper extremity injury. These guidelines exist for the sport of baseball, but team handball may present additional challenges due to greater ball mass that must be accounted for. The purpose of this study was to examine kinematic differences in the team handball set shot at 50, 75, and 100% effort which are common throwing intensities in throwing protocols. Eleven male team handball players (23.09 ± 3.05 years; 185.12 ± 8.33 cm; 89.65 ± 12.17 kg) volunteered. An electromagnetic tracking system was used to collect kinematic data at the pelvis, trunk, scapula, and shoulder. Kinematic differences at the shoulder, trunk, and pelvis were observed across effort levels throughout the set shot with most occurring at ball release and maximum internal rotation. Significant differences in ball speed were observed between all 3 effort level shots (p handball players are able to gauge the effort at which they shoot; however, it cannot be assumed that these speeds will be at a certain percentage of their maximum. The results of this study provide valuable evidence that can be used to prepare a team handball player to return to throwing activities.

Translating infection control guidelines into practice: implementation process within a health care institution.

Science.gov (United States)

Raveis, Victoria H; Conway, Laurie J; Uchida, Mayuko; Pogorzelska-Maziarz, Monika; Larson, Elaine L; Stone, Patricia W

2014-04-01

Health-care-associated infections (HAIs) remain a major patient safety problem even as policy and programmatic efforts designed to reduce HAIs have increased. Although information on implementing effective infection control (IC) efforts has steadily grown, knowledge gaps remain regarding the organizational elements that improve bedside practice and accommodate variations in clinical care settings. We conducted in-depth, semistructured interviews in 11 hospitals across the United States with a range of hospital personnel involved in IC (n = 116). We examined the collective nature of IC and the organizational elements that can enable disparate groups to work together to prevent HAIs. Our content analysis of participants' narratives yielded a rich description of the organizational process of implementing adherence to IC. Findings document the dynamic, fluid, interactional, and reactive nature of this process. Three themes emerged: implementing adherence efforts institution-wide, promoting an institutional culture to sustain adherence, and contending with opposition to the IC mandate.

Supporting Analogy-based Effort Estimation with the Use of Ontologies

Directory of Open Access Journals (Sweden)

Joanna Kowalska

2014-06-01

Full Text Available The paper concerns effort estimation of software development projects, in particular, at the level of product delivery stages. It proposes a new approach to model project data to support expert-supervised analogy-based effort estimation. The data is modeled using Semantic Web technologies, such as Resource Description Framework (RDF and Ontology Language for the Web (OWL. Moreover, in the paper, we define a method of supervised case-based reasoning. The method enables to search for similar projects’ tasks at different levels of abstraction. For instance, instead of searching for a task performed by a specific person, one could look for tasks performed by people with similar capabilities. The proposed method relies on ontology that defines the core concepts and relationships. However, it is possible to introduce new classes and relationships, without the need of altering the search mechanisms. Finally, we implemented a prototype tool that was used to preliminary validate the proposed approach. We observed that the proposed approach could potentially help experts in estimating non-trivial tasks that are often underestimated.

An a priori analysis of how solar energy production will affect the balance of payment account in one developing Latin American country

Energy Technology Data Exchange (ETDEWEB)

Stavy, Michael [Chicago, Illinois (United States)

2000-07-01

This paper studies a model developing Latin American country (hypotheria) with a weak currency (the hypo is the monetary unit), a trade deficit (including being a net importer of fossil fuels) and a sensitive balance of payments situation. There is an a priori analysis of the effect of domestic solar energy production on Hypotheria's positive effect is the BoP Value of domestic solar energy. Many forms of solar energy are not cost competitive with fossil fuels. Because solar energy production does not emit greenhouse Value and the BoP Value of solar energy should be used to reduce the cost of solar energy projects in Hypotheria and to make the solar energy cost competitive with fossil fuels. [Spanish] Este articulo estudia un modelo de un pais Latinoamericano en desarrollo (Hypoteria) con moneda debil (el hypo es la unidad monetaria), un deficit comercial (incluyendo el ser un importador neto de combustibles fosiles) y un balance precario en la situacion de pagos. Existe un analisis a priori sobre el efecto de la produccion domestica de energia solar en un efecto positivo de Hypoteria que es el Valor de la Balanza de Pagos (BoP) de la energia solar domestica. Muchas formas de energia solar no son competitivas en costo con los combustibles fosiles debido a que la produccion de energia solar no emite un Valor de invernadero, y el Valor de la Balanza de Pagos, debe ser utilizado para reducir los costos de los proyectos de energia solar en Hypoteria y asi hacer el costo de la energia solar competitiva con los combustibles fosiles.

Implementation Science: Why It Matters for the Future of Social Work

Science.gov (United States)

Cabassa, Leopoldo J.

2016-01-01

Bridging the gap between research and practice is a critical frontier for the future of social work. Integrating implementation science into social work can advance our profession's effort to bring research and practice closer together. Implementation science examines the factors, processes, and strategies that influence the uptake, use, and…

Aum Shinrikyo’s Nuclear and Chemical Weapons Development Efforts

Directory of Open Access Journals (Sweden)

Andrea A. Nehorayoff

2016-03-01

Full Text Available This article details the terrorist activities of the Japanese cult, Aum Shinrikyo, from the perspective of its complex engineering efforts aimed at producing nuclear and chemical weapons. The experience of this millenarian organization illustrates that even violent non-state actors with considerable wealth and resources at their disposal face numerous obstacles to realizing their destructive aspirations. Specifically, Aum’s attempts at complex engineering were stymied by a combination of unchecked fantastical thinking, self-imposed ideological constraints, and a capricious leadership. The chapter highlights each of these mechanisms, as well as the specific ways in which they constrained the decision-making process and the implementation of the complex engineering tasks associated with their unconventional weapons development.

How active resisters and organizational constipators affect health care-acquired infection prevention efforts.

Science.gov (United States)

Saint, Sanjay; Kowalski, Christine P; Banaszak-Holl, Jane; Forman, Jane; Damschroder, Laura; Krein, Sarah L

2009-05-01

As of October 2008, hospitals in the United States no longer receive Medicare reimbursement for certain types of health care-associated infection (HAI), thereby heightening the need for effective prevention efforts. The mere existence of evidence-based practices, however, does not always result in the use of such practices because of the complexities inherent in translating evidence into practice. A qualitative study was conducted to determine the barriers to implementing evidence-based practices to prevent HAI, with a specific focus on the role played by hospital personnel. In-depth phone and in-person interviews were conducted between October 2006 and September 2007 with 86 participants (31 physicians) including chief executive officers, chiefs of staff, hospital epidemiologists, infection control professionals, intensive care unit directors, nurse managers, and frontline physicians and nurses, in 14 hospitals. Active resistance to evidence-based practice change was pervasive. Successful efforts to overcome active resisters included benchmarking infection rates, identifying effective champions, and participating in collaborative efforts. Organizational constipators-mid- to high-level executives who act as insidious barriers to change-also increased the difficulty in implementing change. Recognizing the presence of constipators is often the first step in addressing the problem but can be followed with including the organizational constipator early in group discussions to improve communication and obtain buy-in, working around the individual, and terminating the constipator's employment. Two types of personnel-active resistors and organizational constipators-impeded HAI prevention activities, and several approaches were used to overcome those barriers. Hospital administrators and patient safety leaders can use the findings to more successfully structure activities that prevent HAI in their hospitals.

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.

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.

Clustering ERP implementation project activities: a foundation for project size definition

NARCIS (Netherlands)

Janssens, G.; Kusters, R.J.; Heemstra, F.J.; Sadiq, A.; Reichert, M.; Schultz, K.; Trienekens, J.J.M.; Moller, C.; Kusters, R.J.

2007-01-01

The size of an ERP project can be a useful measurement for predicting the effort needed to complete an ERP implementation project. Because this measurement does not exist, research is needed to find a set of variables which can define the size of an ERP implementation project. This paper shows 21

Dopamine and Effort-Based Decision Making

Directory of Open Access Journals (Sweden)

Irma Triasih Kurniawan

2011-06-01

Full Text Available Motivational theories of choice focus on the influence of goal values and strength of reinforcement to explain behavior. By contrast relatively little is known concerning how the cost of an action, such as effort expended, contributes to a decision to act. Effort-based decision making addresses how we make an action choice based on an integration of action and goal values. Here we review behavioral and neurobiological data regarding the representation of effort as action cost, and how this impacts on decision making. Although organisms expend effort to obtain a desired reward there is a striking sensitivity to the amount of effort required, such that the net preference for an action decreases as effort cost increases. We discuss the contribution of the neurotransmitter dopamine (DA towards overcoming response costs and in enhancing an animal’s motivation towards effortful actions. We also consider the contribution of brain structures, including the basal ganglia (BG and anterior cingulate cortex (ACC, in the internal generation of action involving a translation of reward expectation into effortful action.

Reconstruction of Consistent 3d CAD Models from Point Cloud Data Using a Priori CAD Models

Science.gov (United States)

Bey, A.; Chaine, R.; Marc, R.; Thibault, G.; Akkouche, S.

2011-09-01

We address the reconstruction of 3D CAD models from point cloud data acquired in industrial environments, using a pre-existing 3D model as an initial estimate of the scene to be processed. Indeed, this prior knowledge can be used to drive the reconstruction so as to generate an accurate 3D model matching the point cloud. We more particularly focus our work on the cylindrical parts of the 3D models. We propose to state the problem in a probabilistic framework: we have to search for the 3D model which maximizes some probability taking several constraints into account, such as the relevancy with respect to the point cloud and the a priori 3D model, and the consistency of the reconstructed model. The resulting optimization problem can then be handled using a stochastic exploration of the solution space, based on the random insertion of elements in the configuration under construction, coupled with a greedy management of the conflicts which efficiently improves the configuration at each step. We show that this approach provides reliable reconstructed 3D models by presenting some results on industrial data sets.

Assessment of a tool for measuring non-profit advocacy efforts in India, Uganda and Yemen.

Science.gov (United States)

Lalwani, Tanya; Rajaratnam, Julie Knoll; McOwen, Jordan; Gordis, Deborah J; Bowen, Lisa A; Bernson, Jeff

2016-03-01

To improve maternal and child health, the White Ribbon Alliance for Safe Motherhood (WRA) implemented an innovative policy advocacy project in India, Uganda and Yemen from 2009 to 2011. PATH assisted WRA in designing an approach to measure the short- and long-term results of WRA's advocacy efforts.Expert rating instruments have been widely used since 1970s to track country-level program efforts focusing on family planning, maternal and neonatal health, and HIV/AIDS. This article assesses and establishes the strength and applicability of an expert rating tool, the Maternal Health Policy Score (MHPS), in measuring and guiding a non-profit's advocacy efforts.The tool was assessed using five criteria: validity of results, reproducibility of results, acceptability to respondents, internal consistency and cost. The tool proved effective for measuring improvements in the policy environment at both the national and subnational levels that the non-profit intended to effect and useful for identifying strong and weak policy domains. The results are reproducible, though ensuring fidelity in implementation during different rounds of data collection may be difficult. The acceptability of the tool was high among respondents, and also among users of the information.MHPS provides a quick, low-cost method to measure overall changes in the policy environment, giving advocacy organizations and grant makers timely information to gauge the influence of their work and take corrective action. WRA demonstrated the use of MHPS at multiple points in the project: at the onset of a project to identify and strategize around policy domains that need attention, during and at the end of the project to monitor progress made and redirect efforts. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Status of Activities to Implement a Sustainable System of MC&A Equipment and Methodological Support at Rosatom Facilities

Energy Technology Data Exchange (ETDEWEB)

J.D. Sanders

2010-07-01

Under the U.S.-Russian Material Protection, Control and Accounting (MPC&A) Program, the Material Control and Accounting Measurements (MCAM) Project has supported a joint U.S.-Russian effort to coordinate improvements of the Russian MC&A measurement system. These efforts have resulted in the development of a MC&A Equipment and Methodological Support (MEMS) Strategic Plan (SP), developed by the Russian MEM Working Group. The MEMS SP covers implementation of MC&A measurement equipment, as well as the development, attestation and implementation of measurement methodologies and reference materials at the facility and industry levels. This paper provides an overview of the activities conducted under the MEMS SP, as well as a status on current efforts to develop reference materials, implement destructive and nondestructive assay measurement methodologies, and implement sample exchange, scrap and holdup measurement programs across Russian nuclear facilities.

THE EFFECTIVENESS OF THE SUPERVISION OF PERPETRATORS OF EFFORT IN PRODUCING QUALITY PRODUCTS AND ITS IMPLICATIONS FOR CONSUMER PROTECTION

Directory of Open Access Journals (Sweden)

Abd Haris

2005-07-01

Full Text Available The purpose of this research was explain how the substance of the law against the perpetrators of the oversight arrangements of effort in producing quality products contained in the legislation in the field of consumer protection, explain how the implementation of surveillance against perpetrators of effort in producing quality products, explain how the form of the application of the sanctions for the perpetrators of the attempt that violates the provisions of the legislation in making products that are not qualified. Research conducted in the framework of this dissertation outlines is of type socio-juridical, because in addition to researching the secondary legal materials in the form of regulations, manual and electronic law library, relevant research results in the field of law of particular problems in the field of consumer protection and other written materials, as well as researching various legal facts about the implementation of surveillance against perpetrators of effort in producing quality products and its implications for consumer protection This is the case, the form of the application sanctions. The results showed that 1. The substance of the law against the perpetrators of the oversight arrangements of effort in producing quality products that are found in a wide range of legislation in the field of consumer protection is basically adequate. 2. surveillance of implementation against the perpetrators of the work done by the three main pillars of supervision: the Government, communities and non-governmental Consumer Protection Agency (LPKSM is not yet effective due to still having a lot of constraints. 3. The form of the application of the sanctions for the perpetrators of the attempt that violated regulations in making a quality product, it is still better to put forward sanctions administrative compared to criminal sanctions and civil penalties.

First attempt to assess the viability of bluefin tuna spawning events in offshore cages located in an a priori favourable larval habitat

Directory of Open Access Journals (Sweden)

Patricia Reglero

2013-10-01

Full Text Available Most of the Atlantic bluefin tuna caught by the purse-seine fleet in the Mediterranean Sea are transferred alive into transport cages and towed to coastal facilities where they are fattened. This major fishery is targeting aggregations of reproductive bluefin tuna that continue spawning within the transport cages. Our study is the first attempt to assess the viability of the spawning events within transport cages placed offshore in a priori favourable locations for larval survival. The study was conducted in June 2010 in the Balearic Sea, a main spawning area for bluefin tuna in the Mediterranean. The location of two transport cages, one with wild and one with captive tuna, coincide with the situation of the chlorophyll front using satellite imagery as a proxy for the salinity front between resident surface waters and those of recent Atlantic origin. The results showed that bluefin tuna eggs were spawned almost every day within the two cages but few or no larvae were found. The expected larval densities estimated after applying mortality curves to the daily egg densities observed in the cages were higher than the sampled larval densities. The trajectories of the eggs after hatching estimated from a particle tracking model based on observed geostrophic currents and a drifter deployed adjacent to the cage suggest that larvae were likely to be caught close to the cages within the sampling dates. Spawning events in captive tuna in transport cages may hatch into larvae though they may experience higher mortality rates than expected in natural populations. The causes of the larval mortality are further discussed in the text. Such studies should be repeated in other spawning areas in the Mediterranean if spawning in cages located offshore in areas favourable a priori for larval survival is likely to be considered a management measurement to minimize the impact of purse-seine fishing on tuna.

A content analysis of dissemination and implementation science resource initiatives: what types of resources do they offer to advance the field?

Directory of Open Access Journals (Sweden)

Doyanne Darnell

2017-11-01

Full Text Available Abstract Background The recent growth in organized efforts to advance dissemination and implementation (D & I science suggests a rapidly expanding community focused on the adoption and sustainment of evidence-based practices (EBPs. Although promising for the D & I of EBPs, the proliferation of initiatives is difficult for any one individual to navigate and summarize. Such proliferation may also result in redundant efforts or missed opportunities for participation and advancement. A review of existing D & I science resource initiatives and their unique merits would be a significant step for the field. The present study aimed to describe the global landscape of these organized efforts to advance D & I science. Methods We conducted a content analysis between October 2015 and March 2016 to examine resources and characteristics of D & I science resource initiatives using public, web-based information. Included resource initiatives must have engaged in multiple efforts to advance D & I science beyond conferences, offered D & I science resources, and provided content in English. The sampling method included an Internet search using D & I terms and inquiry among internationally representative D & I science experts. Using a coding scheme based on a priori and grounded approaches, two authors consensus coded website information including interactive and non-interactive resources and information regarding accessibility (membership, cost, competitive application, and location. Results The vast majority (83% of resource initiatives offered at least one of seven interactive resources (consultation/technical assistance, mentorship, workshops, workgroups, networking, conferences, and social media and one of six non-interactive resources (resource library, news and updates from the field, archived talks or slides, links pages, grant writing resources, and funding opportunities. Non-interactive resources were most common, with some appearing frequently across

Mixed methods for implementation research: application to evidence-based practice implementation and staff turnover in community-based organizations providing child welfare services.

Science.gov (United States)

Aarons, Gregory A; Fettes, Danielle L; Sommerfeld, David H; Palinkas, Lawrence A

2012-02-01

Many public sector service systems and provider organizations are in some phase of learning about or implementing evidence-based interventions. Child welfare service systems represent a context where implementation spans system, management, and organizational concerns. Research utilizing mixed methods that combine qualitative and quantitative design, data collection, and analytic approaches are particularly well suited to understanding both the process and outcomes of dissemination and implementation efforts in child welfare systems. This article describes the process of using mixed methods in implementation research and provides an applied example of an examination of factors impacting staff retention during an evidence-based intervention implementation in a statewide child welfare system. The authors integrate qualitative data with previously published quantitative analyses of job autonomy and staff turnover during this statewide implementation project in order to illustrate the utility of mixed method approaches in providing a more comprehensive understanding of opportunities and challenges in implementation research.

EURATOM Success Stories in Facilitating Pan-European E&T Collaborative Efforts

International Nuclear Information System (INIS)

Garbil, R.

2016-01-01

Full text: The European Atomic Energy Community (Euratom) Research and Training framework programmes are benefiting from a consistent success in pursuing excellence in research and facilitating Pan-European collaborative efforts across a broad range of nuclear science and technologies, nuclear fission and radiation protection. To fulfil Euratom R&D programmes keys objectives of maintaining high levels of nuclear knowledge and building a more dynamic and competitive European industry, promotion of Pan-European mobility of researchers are implemented by co-financing transnational access to research infrastructures and joint research activities through to research and innovation and coordination and support actions funding schemes. Establishment by the research community of European technology platforms are being capitalized. Mapping of research infrastructures and E&T capabilities is allowing a closer cooperation within the European Union and beyond, benefiting from multilateral international agreements and from closer cooperation between Euratom, OECD/NEA and IAEA and international fora. “Euratom success stories” in facilitating Pan-European E&T collaborative efforts through research and training framework programmes show the benefits of research efforts in key fields, of building an effective “critical mass”, of promoting the creation of “centres of excellence” with an increased support for “open access to key research infrastructures”, exploitation of research results, management of knowledge, dissemination and sharing of learning outcomes. (author

Synergies Between Grace and Regional Atmospheric Modeling Efforts

Science.gov (United States)

Kusche, J.; Springer, A.; Ohlwein, C.; Hartung, K.; Longuevergne, L.; Kollet, S. J.; Keune, J.; Dobslaw, H.; Forootan, E.; Eicker, A.

2014-12-01

In the meteorological community, efforts converge towards implementation of high-resolution (precipitation, evapotranspiration and runoff data; confirming that the model does favorably at representing observations. We show that after GRACE-derived bias correction, basin-average hydrological conditions prior to 2002 can be reconstructed better than before. Next, comparing GRACE with CLM forced by EURO-CORDEX simulations allows identifying processes needing improvement in the model. Finally, we compare COSMO-EU atmospheric pressure, a proxy for mass corrections in satellite gravimetry, with ERA-Interim over Europe at timescales shorter/longer than 1 month, and spatial scales below/above ERA resolution. We find differences between regional and global model more pronounced at high frequencies, with magnitude at sub-grid scale and larger scale corresponding to 1-3 hPa (1-3 cm EWH); relevant for the assessment of post-GRACE concepts.

Implementation and the delicate question of context

DEFF Research Database (Denmark)

Vohnsen, Nina Holm

This paper argues against classic views that portray implementation-gone-wrong as resulting from bad planning, resistance amongst front-staff ultimately charged with implementation, miscommunication, or stake-holder resistance. Rather it places the source of distortion inside the organization whe...... a competing frame of goals and values....... marked by various other projects, efforts, and goals that compete for implementers’ attention. The paper therefore argues that the main reason policies fail are the policy-makers’ tendency to project their sites of intervention as blank slates or ‘ground zeros’ on which they can ‘build’ from scratch...... wish nothing more than to implement it but that implementers are usually placed in complex bureaucratic set-ups which are already bursting with goals (such as other legislation, local directives, other projects, result-contracts, etc.) all of which rely on their compliance to be fulfilled...

Implementation of a research prototype onboard fault monitoring and diagnosis system

Science.gov (United States)

Palmer, Michael T.; Abbott, Kathy H.; Schutte, Paul C.; Ricks, Wendell R.

1987-01-01

Due to the dynamic and complex nature of in-flight fault monitoring and diagnosis, a research effort was undertaken at NASA Langley Research Center to investigate the application of artificial intelligence techniques for improved situational awareness. Under this research effort, concepts were developed and a software architecture was designed to address the complexities of onboard monitoring and diagnosis. This paper describes the implementation of these concepts in a computer program called FaultFinder. The implementation of the monitoring, diagnosis, and interface functions as separate modules is discussed, as well as the blackboard designed for the communication of these modules. Some related issues concerning the future installation of FaultFinder in an aircraft are also discussed.

Health Promotion Efforts as Predictors of Physical Activity in Schools: An Application of the Diffusion of Innovations Model

Science.gov (United States)

Glowacki, Elizabeth M.; Centeio, Erin E.; Van Dongen, Daniel J.; Carson, Russell L.; Castelli, Darla M.

2016-01-01

Background: Implementing a comprehensive school physical activity program (CSPAP) effectively addresses public health issues by providing opportunities for physical activity (PA). Grounded in the Diffusion of Innovations model, the purpose of this study was to identify how health promotion efforts facilitate opportunities for PA. Methods: Physical…

Designing, Implementing, and Evaluating Secure Web Browsers

Science.gov (United States)

Grier, Christopher L.

2009-01-01

Web browsers are plagued with vulnerabilities, providing hackers with easy access to computer systems using browser-based attacks. Efforts that retrofit existing browsers have had limited success since modern browsers are not designed to withstand attack. To enable more secure web browsing, we design and implement new web browsers from the ground…

Incentive Design and Mis-Allocated Effort

OpenAIRE

Schnedler, Wendelin

2013-01-01

Incentives often distort behavior: they induce agents to exert effort but this effort is not employed optimally. This paper proposes a theory of incentive design allowing for such distorted behavior. At the heart of the theory is a trade-off between getting the agent to exert effort and ensuring that this effort is used well. The theory covers various moral-hazard models, ranging from traditional single-task to multi-task models. It also provides -for the first time- a formalization and proof...

Are labour-intensive efforts to prevent pressure ulcers cost-effective?

Science.gov (United States)

Mathiesen, Anne Sofie Mølbak; Nørgaard, Kamilla; Andersen, Marie Frederikke Bruun; Møller, Klaus Meyer; Ehlers, Lars Holger

2013-10-01

Pressure ulcers are a major problem in Danish healthcare with a prevalence of 13-43% among hospitalized patients. The associated costs to the Danish Health Care Sector are estimated to be €174.5 million annually. In 2010, The Danish Society for Patient Safety introduced the Pressure Ulcer Bundle (PUB) in order to reduce hospital-acquired pressure ulcers by a minimum of 50% in five hospitals. The PUB consists of evidence-based preventive initiatives implemented by ward staff using the Model for Improvement. To investigate the cost-effectiveness of labour-intensive efforts to reduce pressure ulcers in the Danish Health Care Sector, comparing the PUB with standard care. A decision analytic model was constructed to assess the costs and consequences of hospital-acquired pressure ulcers during an average hospital admission in Denmark. The model inputs were based on a systematic review of clinical efficacy data combined with local cost and effectiveness data from the Thy-Mors Hospital, Denmark. A probabilistic sensitivity analysis (PSA) was conducted to assess the uncertainty. Prevention of hospital-acquired pressure ulcers by implementing labour-intensive effects according to the PUB was cost-saving and resulted in an improved effect compared to standard care. The incremental cost of the PUB was -€38.62. The incremental effects were a reduction of 9.3% prevented pressure ulcers and 0.47% prevented deaths. The PSAs confirmed the incremental cost-effectiveness ratio (ICER)'s dominance for both prevented pressure ulcers and saved lives with the PUB. This study shows that labour-intensive efforts to reduce pressure ulcers on hospital wards can be cost-effective and lead to savings in total costs of hospital and social care. The data included in the study regarding costs and effects of the PUB in Denmark were based on preliminary findings from a pilot study at Thy-Mors Hospital and literature.

Parent Management Training-Oregon Model (PMTO™) in Mexico City: Integrating Cultural Adaptation Activities in an Implementation Model.

Science.gov (United States)

Baumann, Ana A; Domenech Rodríguez, Melanie M; Amador, Nancy G; Forgatch, Marion S; Parra-Cardona, J Rubén

2014-03-01

This article describes the process of cultural adaptation at the start of the implementation of the Parent Management Training intervention-Oregon model (PMTO) in Mexico City. The implementation process was guided by the model, and the cultural adaptation of PMTO was theoretically guided by the cultural adaptation process (CAP) model. During the process of the adaptation, we uncovered the potential for the CAP to be embedded in the implementation process, taking into account broader training and economic challenges and opportunities. We discuss how cultural adaptation and implementation processes are inextricably linked and iterative and how maintaining a collaborative relationship with the treatment developer has guided our work and has helped expand our research efforts, and how building human capital to implement PMTO in Mexico supported the implementation efforts of PMTO in other places in the United States.

Safety enhancement efforts after Fukushima accident in Korea

Energy Technology Data Exchange (ETDEWEB)

Lee, U.C., E-mail: uclee@nssc.go.kr [Nuclear Safety & Security Commission, Seoul (Korea, Republic of)

2014-07-01

On March 11 of 2011, a massive earthquake and powerful tsunami hit the north-eastern region of Japan and the Fukushima Daiichi Nuclear Power Plant was massively damaged. Korea which is located closest to Japan was not directly affected, however, its people were shocked. They were concerned over the possibility of being exposed to radiation as well as for the safety of domestic nuclear power plants. The Korean government recognized the need to take prompt and immediate actions to alleviate these concerns. The Korean government immediately implemented special safety inspection and derived 50 long and short-term improvement action items to ensure safety of NPPs under extreme hazard conditions. At present, stage 3 of implementation strategy is being implemented, with completion of 22 items including ASTS (Automatic Seismic Trip System) as well as revision of 14 items including suitability review of action measures taken for investigation and research of maximum earthquake at NPP sites. The IAEA Integrated Regulatory Review Service (IRRS) mission was conducted for two weeks during July 10 and 22, 2011, which happened to be the very first review mission to be carried out since the Fukushima disaster. A module on the policy issues related to the actions taken after the Fukushima accident was newly added to the mission. The mission highlighted positive aspects of Korea's safety regulatory program, praising its technical competence and effectiveness. Additionally it concluded that Korea has been responding to the accident in a timely and an effective manner. The follow-up review mission is scheduled in December of this year, expanding the scope to include radiation safety as well. The most noteworthy change in Korea since the Fukushima accident is independence of the regulatory body. Not only to enhance effectiveness and independence of the regulatory body but to secure nuclear safety, the Nuclear Safety and Security Commission (NSSC) was established on October 26

Maximizing DOE R and D efforts in tru waste management learning from international programs

International Nuclear Information System (INIS)

Saxman, P.A.; Loughead, J.S.C.

1990-01-01

Through the International Technology Exchange Program, Department of Energy (DOE) technical specialists maintain a formal dialogue with research and Development (R and D) specialists from nuclear programs in other countries. The objective of these exchanges is to seek innovative waste management solutions, maximize progress for ongoing R and D activities, and minimize the development time required for implementation of transuranic (TRU) waste processing technologies and waste assay developments. Based on information provided by PNC during the exchange, DOE specialists evaluated PNC's efforts to implement technologies and techniques from their R and D program activities. This paper presents several projects with particular potential for DOE operations, and suggests several ways that these concepts could be used to advantage by DOE or commercial programs

Estimation of total Effort and Effort Elapsed in Each Step of Software Development Using Optimal Bayesian Belief Network

Directory of Open Access Journals (Sweden)

Fatemeh Zare Baghiabad

2017-09-01

Full Text Available Accuracy in estimating the needed effort for software development caused software effort estimation to be a challenging issue. Beside estimation of total effort, determining the effort elapsed in each software development step is very important because any mistakes in enterprise resource planning can lead to project failure. In this paper, a Bayesian belief network was proposed based on effective components and software development process. In this model, the feedback loops are considered between development steps provided that the return rates are different for each project. Different return rates help us determine the percentages of the elapsed effort in each software development step, distinctively. Moreover, the error measurement resulted from optimized effort estimation and the optimal coefficients to modify the model are sought. The results of the comparison between the proposed model and other models showed that the model has the capability to highly accurately estimate the total effort (with the marginal error of about 0.114 and to estimate the effort elapsed in each software development step.

A systematic review of instruments that assess the implementation of hospital quality management systems.

NARCIS (Netherlands)

Groene, O.; Botje, D.; Suñol, R.; Lopez, M.A.; Wagner, C.

2013-01-01

Purpose: Health-care providers invest substantial resources to establish and implement hospital quality management systems. Nevertheless, few tools are available to assess implementation efforts and their effect on quality and safety outcomes. This review aims to (i) identify instruments to assess

Mixed Methods for Implementation Research: Application to Evidence-Based Practice Implementation and Staff Turnover in Community Based Organizations Providing Child Welfare Services

Science.gov (United States)

Aarons, Gregory A.; Fettes, Danielle L.; Sommerfeld, David H.; Palinkas, Lawrence

2013-01-01

Many public sector services systems and provider organizations are in some phase of learning about or implementing evidence-based interventions. Child welfare service systems represent a context where implementation spans system, management, and organizational concerns. Research utilizing mixed methods that combine qualitative and quantitative design, data collection, and analytic approaches are particularly well-suited to understanding both the process and outcomes of dissemination and implementation efforts in child welfare systems. This paper describes the process of using mixed methods in implementation research and provides an applied example of an examination of factors impacting staff retention during an evidence-based intervention implementation in a statewide child welfare system. We integrate qualitative data with previously published quantitative analyses of job autonomy and staff turnover during this statewide implementation project in order to illustrate the utility of mixed method approaches in providing a more comprehensive understanding of opportunities and challenges in implementation research. PMID:22146861

Building capability throughout a change effort: leading the transformation of a police agency to community policing.

Science.gov (United States)

Ford, J Kevin

2007-06-01

This case describes a change effort to move a police agency to become a community policing organization. The community policing effort was seen as a means to make a transformational change to become a learning organization with the goal of improving the delivery of police services. The case describes the steps taken to meet the new vision of community policing as well as the steps taken to deal with the challenges or realities of trying to make change happen. The lens for this case is the leadership role across the stages of change (exploration, planning, implementation, monitoring and institutionalization) in building capacity within the organization to sustain the change effort. The capacity building focused on incorporating systems thinking into the mindset of the members of the organization, breaking down the command and control mindset by building a new norm around high involvement of committed teams, and developing skill sets to support continuous learning and improvement in order to align organizational systems. A key lesson learned is that effective leaders do not just prepare an organization prior to a change effort. They must have the patience to constantly build the capacity for change among organizational members throughout the various stages of the change effort.

The economics, financing and implementation of HIV treatment as ...

African Journals Online (AJOL)

... coverage efforts, demand creation, improved ART retention and adherence strategies, the use of incentives to improve HIV treatment outcomes and reduce unit costs, continued operational research and tapping into technological innovations. Keywords: ART, cost-effectiveness, impact, implementation, investment, TasP

Incorporating Implementation of ITS Technologies into Local Planning Processes

Science.gov (United States)

1998-09-16

In this paper, the author discusses the barriers to implementing intelligent : transportation systems (ITS) at the local level. Chief among these is the need t : o education the public. At the same time, this educational effort must be : tailored for...

Challenges of implementation and implementation research: Learning from an intervention study designed to improve tumor registry reporting

Directory of Open Access Journals (Sweden)

Ann Scheck McAlearney

2016-08-01

Full Text Available Objectives: Implementation of interventions designed to improve the quality of medical care often proceeds differently from what is planned. Improving existing conceptual models to better understand the sources of these differences can help future projects avoid these pitfalls and achieve desired effectiveness. To inform an adaptation of an existing theoretical model, we examined unanticipated changes that occurred in an intervention designed to improve reporting of adjuvant therapies for breast cancer patients at a large, urban academic medical center. Methods: Guided by the complex innovation implementation conceptual framework, our study team observed and evaluated the implementation of an intervention designed to improve reporting to a tumor registry. Findings were assessed against the conceptual framework to identify boundary conditions and modifications that could improve implementation effectiveness. Results: The intervention successfully increased identification of the managing medical oncologist and treatment reporting. During implementation, however, unexpected external challenges including hospital acquisitions of community practices and practices’ responses to government incentives to purchase electronic medical record systems led to unanticipated changes and associated threats to implementation. We present a revised conceptual model that incorporates the sources of these unanticipated challenges. Conclusion: This report of our experience highlights the importance of monitoring implementation over time and accounting for changes that affect both implementation and measurement of intervention impact. In this article, we use our study to examine the challenges of implementation research in health care, and our experience can help future implementation efforts.

A concept mapping approach to guide and understand dissemination and implementation.

Science.gov (United States)

Green, Amy E; Fettes, Danielle L; Aarons, Gregory A

2012-10-01

Many efforts to implement evidence-based programs do not reach their full potential or fail due to the variety of challenges inherent in dissemination and implementation. This article describes the use of concept mapping-a mixed method strategy-to study implementation of behavioral health innovations and evidence-based practice (EBP). The application of concept mapping to implementation research represents a practical and concise way to identify and quantify factors affecting implementation, develop conceptual models of implementation, target areas to address as part of implementation readiness and active implementation, and foster communication among stakeholders. Concept mapping is described and a case example is provided to illustrate its use in an implementation study. Implications for the use of concept mapping methods in both research and applied settings towards the dissemination and implementation of behavioral health services are discussed.

Next Generation Surveillance System (NGSS): Field Implementation & Associated Developments

International Nuclear Information System (INIS)

Hadfi, G.; John, M.; Liguori, C.; Moeslinger, M.; Murray, J.; Rocchi, S.

2015-01-01

The NGSS is the product of more than five years of development between the IAEA, other Inspectorates, Member State Support Programmes, and commercial vendors. The product of these efforts has now matured into the field implementation stage. This paper details the goals, achievements and challenges experienced during the implementation phase and associated developments of the project. NGSS procurement was subject to the IAEA's stringent procurement policies involving independent third party assessments to assure supplier reliability and competitive pricing controls. More than 1200 surveillance cameras currently installed in facilities worldwide will be replaced by NGSS within the next 4 to 5 years. Joint use procedures have been established taking advantage of the technical capabilities integrated within the design of the NGSS which allow for multiple inspectorates and States to securely and independently share and review data. Utilization of outdated facility infrastructure poses many challenges to implementation efforts; these were met with innovative technical solutions to take advantage of cost benefits allowed in its re-utilization. New partnerships were established with Member States, regulatory bodies and nuclear power plant operators for new nuclear facilities under construction, to address infrastructural requirements spanning the next half century. The utilization of the IAEA's well-established PKI infrastructure enhances data security features and usability with regard to data sharing, key management and joint use of the NGSS system data. Embedded inventory reporting capability aids electronic inventory verification of safeguards equipment, simplifying accountability, configuration control and troubleshooting of installed systems. Current developments ongoing within the project include the design of hardware and software components for use of the system in special applications (e.g., underwater and outdoor installations, mechanism to

Formal semantic specifications as implementation blueprints for real-time programming languages

Science.gov (United States)

Feyock, S.

1981-01-01

Formal definitions of language and system semantics provide highly desirable checks on the correctness of implementations of programming languages and their runtime support systems. If these definitions can give concrete guidance to the implementor, major increases in implementation accuracy and decreases in implementation effort can be achieved. It is shown that of the wide variety of available methods the Hgraph (hypergraph) definitional technique (Pratt, 1975), is best suited to serve as such an implementation blueprint. A discussion and example of the Hgraph technique is presented, as well as an overview of the growing body of implementation experience of real-time languages based on Hgraph semantic definitions.

Mental and physical effort affect vigilance differently

NARCIS (Netherlands)

Smit, A.S.; Eling, P.A.T.M.; Hopman, M.T.E.; Coenen, A.M.L.

2005-01-01

Both physical and mental effort are thought to affect vigilance. Mental effort is known for its vigilance declining effects, but the effects of physical effort are less clear. This study investigated whether these two forms of effort affect the EEG and subjective alertness differently. Participants

Mental and physical effort affect vigilance differently.

NARCIS (Netherlands)

Smit, A.S.; Eling, P.A.T.M.; Hopman, M.T.E.; Coenen, A.M.L.

2005-01-01

Both physical and mental effort are thought to affect vigilance. Mental effort is known for its vigilance declining effects, but the effects of physical effort are less clear. This study investigated whether these two forms of effort affect the EEG and subjective alertness differently. Participants

Low-effort thought promotes political conservatism.

Science.gov (United States)

Eidelman, Scott; Crandall, Christian S; Goodman, Jeffrey A; Blanchar, John C

2012-06-01

The authors test the hypothesis that low-effort thought promotes political conservatism. In Study 1, alcohol intoxication was measured among bar patrons; as blood alcohol level increased, so did political conservatism (controlling for sex, education, and political identification). In Study 2, participants under cognitive load reported more conservative attitudes than their no-load counterparts. In Study 3, time pressure increased participants' endorsement of conservative terms. In Study 4, participants considering political terms in a cursory manner endorsed conservative terms more than those asked to cogitate; an indicator of effortful thought (recognition memory) partially mediated the relationship between processing effort and conservatism. Together these data suggest that political conservatism may be a process consequence of low-effort thought; when effortful, deliberate thought is disengaged, endorsement of conservative ideology increases.

Status of Activities to Implement a Sustainable System of MC and A Equipment and Methodological Support at Rosatom Facilities

International Nuclear Information System (INIS)

Sanders, J.D.

2010-01-01

Under the U.S.-Russian Material Protection, Control and Accounting (MPC and A) Program, the Material Control and Accounting Measurements (MCAM) Project has supported a joint U.S.-Russian effort to coordinate improvements of the Russian MC and A measurement system. These efforts have resulted in the development of a MC and A Equipment and Methodological Support (MEMS) Strategic Plan (SP), developed by the Russian MEM Working Group. The MEMS SP covers implementation of MC and A measurement equipment, as well as the development, attestation and implementation of measurement methodologies and reference materials at the facility and industry levels. This paper provides an overview of the activities conducted under the MEMS SP, as well as a status on current efforts to develop reference materials, implement destructive and nondestructive assay measurement methodologies, and implement sample exchange, scrap and holdup measurement programs across Russian nuclear facilities.

How to audit a business process excellence implementation?

DEFF Research Database (Denmark)

Rytter, Niels; Knudby, Torben; Tan, K.H.

2011-01-01

. To address the gap, this paper presents a new, integrative BPEX audit method which organizations can use to benchmark their ongoing implementation efforts and results, evaluate progress, and identify specific actions to be done with the aim of developing not only a short term impact, but also long term...

Providers' perceptions of the implementation of a performance ...

African Journals Online (AJOL)

2 Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, South Africa ... system, known as the Service Quality Measures (SQM) initiative, to monitor the quality of treatment and assess efforts to improve quality ..... computers to implement an electronic version of the SQM system.

'Aussie normals': an a priori study to develop clinical chemistry reference intervals in a healthy Australian population.

Science.gov (United States)

Koerbin, G; Cavanaugh, J A; Potter, J M; Abhayaratna, W P; West, N P; Glasgow, N; Hawkins, C; Armbruster, D; Oakman, C; Hickman, P E

2015-02-01

Development of reference intervals is difficult, time consuming, expensive and beyond the scope of most laboratories. The Aussie Normals study is a direct a priori study to determine reference intervals in healthy Australian adults. All volunteers completed a health and lifestyle questionnaire and exclusion was based on conditions such as pregnancy, diabetes, renal or cardiovascular disease. Up to 91 biochemical analyses were undertaken on a variety of analytical platforms using serum samples collected from 1856 volunteers. We report on our findings for 40 of these analytes and two calculated parameters performed on the Abbott ARCHITECTci8200/ci16200 analysers. Not all samples were analysed for all assays due to volume requirements or assay/instrument availability. Results with elevated interference indices and those deemed unsuitable after clinical evaluation were removed from the database. Reference intervals were partitioned based on the method of Harris and Boyd into three scenarios, combined gender, males and females and age and gender. We have performed a detailed reference interval study on a healthy Australian population considering the effects of sex, age and body mass. These reference intervals may be adapted to other manufacturer's analytical methods using method transference.

A priori estimation of accuracy and of the number of wells to be employed in limiting dilution assays

Directory of Open Access Journals (Sweden)

J.G. Chaui-Berlinck

2000-08-01

Full Text Available The use of limiting dilution assay (LDA for assessing the frequency of responders in a cell population is a method extensively used by immunologists. A series of studies addressing the statistical method of choice in an LDA have been published. However, none of these studies has addressed the point of how many wells should be employed in a given assay. The objective of this study was to demonstrate how a researcher can predict the number of wells that should be employed in order to obtain results with a given accuracy, and, therefore, to help in choosing a better experimental design to fulfill one's expectations. We present the rationale underlying the expected relative error computation based on simple binomial distributions. A series of simulated in machina experiments were performed to test the validity of the a priori computation of expected errors, thus confirming the predictions. The step-by-step procedure of the relative error estimation is given. We also discuss the constraints under which an LDA must be performed.

Effort, anhedonia, and function in schizophrenia: reduced effort allocation predicts amotivation and functional impairment.

Science.gov (United States)

Barch, Deanna M; Treadway, Michael T; Schoen, Nathan

2014-05-01

One of the most debilitating aspects of schizophrenia is an apparent interest in or ability to exert effort for rewards. Such "negative symptoms" may prevent individuals from obtaining potentially beneficial outcomes in educational, occupational, or social domains. In animal models, dopamine abnormalities decrease willingness to work for rewards, implicating dopamine (DA) function as a candidate substrate for negative symptoms given that schizophrenia involves dysregulation of the dopamine system. We used the effort-expenditure for rewards task (EEfRT) to assess the degree to which individuals with schizophrenia were wiling to exert increased effort for either larger magnitude rewards or for rewards that were more probable. Fifty-nine individuals with schizophrenia and 39 demographically similar controls performed the EEfRT task, which involves making choices between "easy" and "hard" tasks to earn potential rewards. Individuals with schizophrenia showed less of an increase in effort allocation as either reward magnitude or probability increased. In controls, the frequency of choosing the hard task in high reward magnitude and probability conditions was negatively correlated with depression severity and anhedonia. In schizophrenia, fewer hard task choices were associated with more severe negative symptoms and worse community and work function as assessed by a caretaker. Consistent with patterns of disrupted dopamine functioning observed in animal models of schizophrenia, these results suggest that 1 mechanism contributing to impaired function and motivational drive in schizophrenia may be a reduced allocation of greater effort for higher magnitude or higher probability rewards.

Quality-oriented efforts in IPD, - a framework

DEFF Research Database (Denmark)

Andreasen, Mogens Myrup

1998-01-01

It is generally expected that modern quality efforts like TQM and ISO9000 should deliver a sufficient framework for quality efforts in industrial companies. Our findings in Danish industry shows a fragmented picture of islands of efforts and a weak understanding of basic quality concepts between...... designers. The paper propose a framework for quality efforts, illustrated by simple metaphors....

Automated Energy Distribution and Reliability System: Validation Integration - Results of Future Architecture Implementation

Energy Technology Data Exchange (ETDEWEB)

Buche, D. L.

2008-06-01

This report describes Northern Indiana Public Service Co. project efforts to develop an automated energy distribution and reliability system. The purpose of this project was to implement a database-driven GIS solution that would manage all of the company's gas, electric, and landbase objects. This report is second in a series of reports detailing this effort.

Commentary: Learning from Variations in Fidelity of Implementation

Science.gov (United States)

Balu, Rekha; Doolittle, Fred

2016-01-01

The articles in this special issue discuss efforts to improve academic reading outcomes for students and ways to achieve high implementation fidelity of promising strategies. At times the authors discuss if--and how--strong fidelity is associated with strong outcomes and potentially even impacts (the difference between program and control group…

Learning Environment and Student Effort

Science.gov (United States)

Hopland, Arnt O.; Nyhus, Ole Henning

2016-01-01

Purpose: The purpose of this paper is to explore the relationship between satisfaction with learning environment and student effort, both in class and with homework assignments. Design/methodology/approach: The authors use data from a nationwide and compulsory survey to analyze the relationship between learning environment and student effort. The…

Implementing new product development: A study of personal characteristics among managers

DEFF Research Database (Denmark)

Jespersen, Kristina Risom; Bysted, Rune

2016-01-01

Strategy implementation is an important aspect of innovation, as only 30% of planned strategies are matched by realised innovation outcomes. The present study investigates this in a setting of strategic implementation of New Product Development (NPD). In the implementation process, the managers...... strategic intentions create information overload in the NPD process, which decreases the new product novelty. In contrast, realisation of defensive strategic intentions makes experienced NPD managers focus on known NPD competences, thereby decreasing the new product novelty of NPD efforts. The study...

Economic evaluation of an implementation strategy for the management of low back pain in general practice.

Science.gov (United States)

Jensen, Cathrine Elgaard; Riis, Allan; Petersen, Karin Dam; Jensen, Martin Bach; Pedersen, Kjeld Møller

2017-05-01

In connection with the publication of a clinical practice guideline on the management of low back pain (LBP) in general practice in Denmark, a cluster randomised controlled trial was conducted. In this trial, a multifaceted guideline implementation strategy to improve general practitioners' treatment of patients with LBP was compared with a usual implementation strategy. The aim was to determine whether the multifaceted strategy was cost effective, as compared with the usual implementation strategy. The economic evaluation was conducted as a cost-utility analysis where cost collected from a societal perspective and quality-adjusted life years were used as outcome measures. The analysis was conducted as a within-trial analysis with a 12-month time horizon consistent with the follow-up period of the clinical trial. To adjust for a priori selected covariates, generalised linear models with a gamma family were used to estimate incremental costs and quality-adjusted life years. Furthermore, both deterministic and probabilistic sensitivity analyses were conducted. Results showed that costs associated with primary health care were higher, whereas secondary health care costs were lower for the intervention group when compared with the control group. When adjusting for covariates, the intervention was less costly, and there was no significant difference in effect between the 2 groups. Sensitivity analyses showed that results were sensitive to uncertainty. In conclusion, the multifaceted implementation strategy was cost saving when compared with the usual strategy for implementing LBP clinical practice guidelines in general practice. Furthermore, there was no significant difference in effect, and the estimate was sensitive to uncertainty.

Identifying and overcoming barriers to technology implementation

International Nuclear Information System (INIS)

Bailey, M.; Warren, S.; McCune, M.

1996-01-01

In a recent General Accounting Office report, the Department of Energy's (DOE) Office of Environmental Management was found to be ineffective in integrating their environmental technology development efforts with the cleanup actions. As a result of these findings, a study of remediation documents was performed by the Technology Applications Team within DOE's Office of Environmental Restoration (EM-40) to validate this finding and to understand why it was occurring. A second initiative built on the foundation of the remediation document study and evaluated solutions to the ineffective implementation of improved technologies. The Technology Applications Team examined over 50 remediation documents (17 projects) which included nearly 600 proposed remediation technologies. It was determined that very few technologies are reaching the Records of Decision documents. In fact, most are eliminated in the early stages of consideration. These observations stem from regulators' and stakeholders' uncertainties in cost and performance of the technology and the inability of the technology to meet site specific conditions. The Technology Applications Team also set out to identify and evaluate solutions to barriers to implementing innovative technology into the DOE's environmental management activities. Through the combined efforts of DOE and the Hazardous Waste Action Coalition (HWAC), a full day workshop was conducted at the annual HWAC meeting in June 1995 to solve barriers to innovative technology implementation. Three barriers were identified as widespread throughout the DOE complex and industry. Identified barriers included a lack of verified or certified cost and performance data for innovative technologies; risk of failure to reach cleanup goals using innovative technologies; and communication barriers that are present at virtually every stage of the characterization/remediation process from development through implementation

Effort-Based Decision-Making in Schizophrenia.

Science.gov (United States)

Culbreth, Adam J; Moran, Erin K; Barch, Deanna M

2018-08-01

Motivational impairment has long been associated with schizophrenia but the underlying mechanisms are not clearly understood. Recently, a small but growing literature has suggested that aberrant effort-based decision-making may be a potential contributory mechanism for motivational impairments in psychosis. Specifically, multiple reports have consistently demonstrated that individuals with schizophrenia are less willing than healthy controls to expend effort to obtain rewards. Further, this effort-based decision-making deficit has been shown to correlate with severity of negative symptoms and level of functioning, in many but not all studies. In the current review, we summarize this literature and discuss several factors that may underlie aberrant effort-based decision-making in schizophrenia.

Effort Estimation in BPMS Migration

Directory of Open Access Journals (Sweden)

Christopher Drews

2018-04-01

Full Text Available Usually Business Process Management Systems (BPMS are highly integrated in the IT of organizations and are at the core of their business. Thus, migrating from one BPMS solution to another is not a common task. However, there are forces that are pushing organizations to perform this step, e.g. maintenance costs of legacy BPMS or the need for additional functionality. Before the actual migration, the risk and the effort must be evaluated. This work provides a framework for effort estimation regarding the technical aspects of BPMS migration. The framework provides questions for BPMS comparison and an effort evaluation schema. The applicability of the framework is evaluated based on a simplified BPMS migration scenario.

Public health efforts to build a surveillance system for child maltreatment mortality: lessons learned for stakeholder engagement.

Science.gov (United States)

Smith, Lucia Rojas; Gibbs, Deborah; Wetterhall, Scott; Schnitzer, Patricia G; Farris, Tonya; Crosby, Alex E; Leeb, Rebecca T

2011-01-01

Reducing the number of largely preventable and tragic deaths due to child maltreatment (CM) requires an understanding of the magnitude of and risk factors for fatal CM and targeted research, policy, and prevention efforts. Public health surveillance offers an opportunity to improve our understanding of the problem of CM. In 2006, the Centers for Disease Control and Prevention (CDC) funded state public health agencies in California, Michigan, and Oregon to implement a model approach for routine and sustainable CM surveillance and evaluated the experience of those efforts. We describe the experiences of 3 state health agencies in building collaborations and partnerships with multiple stakeholders for CM surveillance. Qualitative, structured key informant interviews were carried out during site visits as part of an evaluation of a CDC-funded project to implement a model approach to CM surveillance. Key informants included system stakeholders from state health agencies, law enforcement, child protective services, the medical community, and child welfare advocacy groups in the 3 funded states. Factors that facilitated stakeholder engagement for CM surveillance included the following: streamlining and coordinating the work of Child Death Review Teams (CDRTs); demonstrating the value of surveillance to non-public health partners; codifying relationships with participating agencies; and securing the commitment of decision-makers. Legislative mandates were helpful in bringing key stakeholders together, but it was not sufficient to ensure sustained engagement. The engagement process yielded multiple benefits for the stakeholders including a deeper appreciation of the complexity of defining CM; a greater understanding of risk factors for CM; and enhanced guidance for prevention and control efforts. States considering or currently undertaking CM surveillance can glean useful insights from the experiences of these 3 states and apply them to their own efforts to engage

Dopamine, behavioral economics, and effort

Directory of Open Access Journals (Sweden)

John D Salamone

2009-09-01

Full Text Available Abstract. There are numerous problems with the hypothesis that brain dopamine (DA systems, particularly in the nucleus accumbens, directly mediate the rewarding or primary motivational characteristics of natural stimuli such as food. Research and theory related to the functions of mesolimbic DA are undergoing a substantial conceptual restructuring, with the traditional emphasis on hedonia and primary reward yielding to other concepts and lines of inquiry. The present review is focused upon the involvement of nucleus accumbens DA in behavioral activation and effort-related processes. Viewed from the framework of behavioral economics, the effects of accumbens DA depletions and antagonism on food-reinforced behavior are highly dependent upon the work requirements of the instrumental task, and DA depleted rats are more sensitive to increases in response costs (i.e., ratio requirements. Moreover, interference with accumbens DA transmission exerts a powerful influence over effort-related choice behavior. Rats with accumbens DA depletions or antagonism reallocate their instrumental behavior away from food-reinforced tasks that have high response requirements, and instead these rats select a less-effortful type of food-seeking behavior. Nucleus accumbens DA and adenosine interact in the regulation of effort-related functions, and other brain structures (anterior cingulate cortex, amygdala, ventral pallidum also are involved. Studies of the brain systems regulating effort-based processes may have implications for understanding drug abuse, as well as energy-related disorders such as psychomotor slowing, fatigue or anergia in depression and other neurological disorders.

What makes a reach movement effortful? Physical effort discounting supports common minimization principles in decision making and motor control.

Directory of Open Access Journals (Sweden)

Pierre Morel

2017-06-01

Full Text Available When deciding between alternative options, a rational agent chooses on the basis of the desirability of each outcome, including associated costs. As different options typically result in different actions, the effort associated with each action is an essential cost parameter. How do humans discount physical effort when deciding between movements? We used an action-selection task to characterize how subjective effort depends on the parameters of arm transport movements and controlled for potential confounding factors such as delay discounting and performance. First, by repeatedly asking subjects to choose between 2 arm movements of different amplitudes or durations, performed against different levels of force, we identified parameter combinations that subjects experienced as identical in effort (isoeffort curves. Movements with a long duration were judged more effortful than short-duration movements against the same force, while movement amplitudes did not influence effort. Biomechanics of the movements also affected effort, as movements towards the body midline were preferred to movements away from it. Second, by introducing movement repetitions, we further determined that the cost function for choosing between effortful movements had a quadratic relationship with force, while choices were made on the basis of the logarithm of these costs. Our results show that effort-based action selection during reaching cannot easily be explained by metabolic costs. Instead, force-loaded reaches, a widely occurring natural behavior, imposed an effort cost for decision making similar to cost functions in motor control. Our results thereby support the idea that motor control and economic choice are governed by partly overlapping optimization principles.

"I put in effort, therefore I am passionate": Investigating the path from effort to passion in entrepreneurship

OpenAIRE

Gielnik, Michael Marcus; Spitzmuller, Matthias; Schmitt, Antje; Klemann, Katharina; Frese, Michael

2015-01-01

Most theoretical frameworks in entrepreneurship emphasize that entrepreneurial passion drives entrepreneurial effort. We hypothesize that the reverse effect is also true, and investigate changes in passion as an outcome of effort. Based on theories of self-regulation and self-perception, we hypothesize that making new venture progress and free choice are two factors that help to explain why and under which conditions entrepreneurial effort affects entrepreneurial passion. We undertook two stu...

Case study of open-source enterprise resource planning implementation in a small business

Science.gov (United States)

Olson, David L.; Staley, Jesse

2012-02-01

Enterprise resource planning (ERP) systems have been recognised as offering great benefit to some organisations, although they are expensive and problematic to implement. The cost and risk make well-developed proprietorial systems unaffordable to small businesses. Open-source software (OSS) has become a viable means of producing ERP system products. The question this paper addresses is the feasibility of OSS ERP systems for small businesses. A case is reported involving two efforts to implement freely distributed ERP software products in a small US make-to-order engineering firm. The case emphasises the potential of freely distributed ERP systems, as well as some of the hurdles involved in their implementation. The paper briefly reviews highlights of OSS ERP systems, with the primary focus on reporting the case experiences for efforts to implement ERPLite software and xTuple software. While both systems worked from a technical perspective, both failed due to economic factors. While these economic conditions led to imperfect results, the case demonstrates the feasibility of OSS ERP for small businesses. Both experiences are evaluated in terms of risk dimension.

Multidisciplinary Efforts Driving Translational Theranostics

Science.gov (United States)

Hu, Tony Y.

2014-01-01

This themed issue summarizes significant efforts aimed at using “biological language” to discern between “friends” and “foes” in the context of theranostics for true clinical application. It is expected that the success of theranostics depends on multidisciplinary efforts, combined to expedite our understanding of host responses to “customized” theranostic agents and formulating individualized therapies. PMID:25285169

Implementation of proteomic biomarkers: making it work

Science.gov (United States)

Mischak, Harald; Ioannidis, John PA; Argiles, Angel; Attwood, Teresa K; Bongcam-Rudloff, Erik; Broenstrup, Mark; Charonis, Aristidis; Chrousos, George P; Delles, Christian; Dominiczak, Anna; Dylag, Tomasz; Ehrich, Jochen; Egido, Jesus; Findeisen, Peter; Jankowski, Joachim; Johnson, Robert W; Julien, Bruce A; Lankisch, Tim; Leung, Hing Y; Maahs, David; Magni, Fulvio; Manns, Michael P; Manolis, Efthymios; Mayer, Gert; Navis, Gerjan; Novak, Jan; Ortiz, Alberto; Persson, Frederik; Peter, Karlheinz; Riese, Hans H; Rossing, Peter; Sattar, Naveed; Spasovski, Goce; Thongboonkerd, Visith; Vanholder, Raymond; Schanstra, Joost P; Vlahou, Antonia

2012-01-01

While large numbers of proteomic biomarkers have been described, they are generally not implemented in medical practice. We have investigated the reasons for this shortcoming, focusing on hurdles downstream of biomarker verification, and describe major obstacles and possible solutions to ease valid biomarker implementation. Some of the problems lie in suboptimal biomarker discovery and validation, especially lack of validated platforms with well-described performance characteristics to support biomarker qualification. These issues have been acknowledged and are being addressed, raising the hope that valid biomarkers may start accumulating in the foreseeable future. However, successful biomarker discovery and qualification alone does not suffice for successful implementation. Additional challenges include, among others, limited access to appropriate specimens and insufficient funding, the need to validate new biomarker utility in interventional trials, and large communication gaps between the parties involved in implementation. To address this problem, we propose an implementation roadmap. The implementation effort needs to involve a wide variety of stakeholders (clinicians, statisticians, health economists, and representatives of patient groups, health insurance, pharmaceutical companies, biobanks, and regulatory agencies). Knowledgeable panels with adequate representation of all these stakeholders may facilitate biomarker evaluation and guide implementation for the specific context of use. This approach may avoid unwarranted delays or failure to implement potentially useful biomarkers, and may expedite meaningful contributions of the biomarker community to healthcare. PMID:22519700

IAEA's Implementation of the State-Level Concept

International Nuclear Information System (INIS)

Trimble, D.; Ballenger, J.; Levis, G.

2015-01-01

The International Atomic Energy Agency (IAEA) has taken several steps over the years to strengthen its safeguards program, including successfully encouraging more countries to bring an Additional Protocol into force, increasing the number of countries that are subject to a broader range of safeguards measures, and upgrading its safeguards analytical laboratories. IAEA's latest strategy to further improve the effectiveness and efficiency of the safeguards programme is to expand implementation of the 'state-level concept' to all countries with safeguards agreements. The state-level concept is an approach in which IAEA considers a broad range of information about a country's nuclear capabilities and tailors its safeguards activities in each country accordingly. IAEA officials have stated that broader implementation of this approach will allow the agency to better allocate resources by reducing safeguards activities where there is no indication of undeclared nuclear activities and to focus its efforts on any issues of safeguards concern. Several member countries, including the United States, support IAEA's plans to broaden implementation of the state- level concept, but other member countries - including some countries with significant nuclear activities - have raised concerns that the agency has not clearly defined and communicated how the state-level concept will be implemented or how it will stay within bounds of the agency's existing legal authorities. In September 2012, the General Conference passed a resolution that included a request for IAEA's Secretariat to report to the Board of Governors on the conceptualization and development of the state-level concept. In August 2013, IAEA released that report to the Board of Governors and started briefing member states on its content. Our paper will discuss (1) IAEA's efforts to clearly define and communicate how IAEA will implement the state-level concept and (2) the status of its

Effort levels of the partners in networked manufacturing

Science.gov (United States)

Chai, G. R.; Cai, Z.; Su, Y. N.; Zong, S. L.; Zhai, G. Y.; Jia, J. H.

2017-08-01

Compared with traditional manufacturing mode, could networked manufacturing improve effort levels of the partners? What factors will affect effort level of the partners? How to encourage the partners to improve their effort levels? To answer these questions, we introduce network effect coefficient to build effort level model of the partners in networked manufacturing. The results show that (1) with the increase of the network effect in networked manufacturing, the actual effort level can go beyond the ideal level of traditional manufacturing. (2) Profit allocation based on marginal contribution rate would help improve effort levels of the partners in networked manufacturing. (3) The partners in networked manufacturing who wishes to have a larger distribution ratio must make a higher effort level, and enterprises with insufficient effort should be terminated in networked manufacturing.

Filling potholes on the implementation highway: Evaluating the implementation of Parent-Child Interaction Therapy in Los Angeles County.

Science.gov (United States)

Timmer, Susan G; Urquiza, Anthony J; Boys, Deanna K; Forte, Lindsay A; Quick-Abdullah, Daphne; Chan, Sam; Gould, William

2016-03-01

In October 2012, first 5 LA funded a unique collaboration between Los Angeles County Department of Mental Health (DMH) and UC Davis PCIT Training Center (UCD PCIT) to train county-contracted agencies to provide Parent-Child Interaction Therapy (PCIT). This $20 million dollar, 5-year grant represented the largest implementation effort of an empirically based treatment to date. The purpose of this paper was to describe the first 2 years of the implementation process of this project, beginning with project start up and pre-implementation phases, and to present agency training and client performance outcomes from our first year of training. Results presented in this evaluation suggest that it is possible to train LA County providers in PCIT, and that PCIT is an effective intervention for DMH-contracted providers in LA County. This evaluation also discusses challenges to successful implementation. Barriers to progress included unanticipated delays building county infrastructure, trainee attrition, and insufficient client referrals. We discuss the results of the current implementation with respect to theory, research, and others' training models, with the aim of evaluating and prioritizing different implementation drivers, noting the ongoing competition between knowing what to do and the need for action. Copyright © 2015 Elsevier Ltd. All rights reserved.

Implementing Indigenous community control in health care: lessons from Canada.

Science.gov (United States)

Lavoie, Josée G; Dwyer, Judith

2016-09-01

Objective Over past decades, Australian and Canadian Indigenous primary healthcare policies have focused on supporting community controlled Indigenous health organisations. After more than 20 years of sustained effort, over 89% of eligible communities in Canada are currently engaged in the planning, management and provision of community controlled health services. In Australia, policy commitment to community control has also been in place for more than 25 years, but implementation has been complicated by unrealistic timelines, underdeveloped change management processes, inflexible funding agreements and distrust. This paper discusses the lessons from the Canadian experience to inform the continuing efforts to achieve the implementation of community control in Australia. Methods We reviewed Canadian policy and evaluation grey literature documents, and assessed lessons and recommendations for relevance to the Australian context. Results Our analysis yielded three broad lessons. First, implementing community control takes time. It took Canada 20 years to achieve 89% implementation. To succeed, Australia will need to make a firm long term commitment to this objective. Second, implementing community control is complex. Communities require adequate resources to support change management. And third, accountability frameworks must be tailored to the Indigenous primary health care context to be meaningful. Conclusions We conclude that although the Canadian experience is based on a different context, the processes and tools created to implement community control in Canada can help inform the Australian context. What is known about the topic? Although Australia has promoted Indigenous control over primary healthcare (PHC) services, implementation remains incomplete. Enduring barriers to the transfer of PHC services to community control have not been addressed in the largely sporadic attention to this challenge to date, despite significant recent efforts in some jurisdictions

LEAN THINKING IN HEALTHCARE: REVIEW OF IMPLEMENTATION RESULTS

Directory of Open Access Journals (Sweden)

Marija Kovacevic

2016-03-01

Full Text Available For over decade, automotive industry originated lean concept has been successfully implemented in healthcare systems as a management method and philosophy with main focus on elimination of all types of wastes and looses in all tasks and processes so that time, materials, resources and medical procedures could be realized as effectively as it is possible. As main result lean concept implementation ensured to healthcare organizations to focus on their main core function and dedicate more time and efforts to patients without additional costs for them or healthcare system. However, lean implementation in healthcare could be much more difficult than in standard industrial environment and there are significant number of examples of lean in healthcare projects that failed to gain any measurable results and sustainable benefits from it. This paper presents review of some of the most successful implementations of lean tools and principles in healthcare organizations.

Measuring collections effort improves cash performance.

Science.gov (United States)

Shutts, Joe

2009-09-01

Having a satisfied work force can lead to an improved collections effort. Hiring the right people and training them ensures employee engagement. Measuring collections effort and offering incentives is key to revenue cycle success.

Critical Aspects regarding the Implementation of Managerial Accounting Systems

Directory of Open Access Journals (Sweden)

Guinea Flavius-Andrei

2017-01-01

This implementation is a genuine organisational revolution that includes the managerial systemused. Any implementation process should take into account the scope of the change in mentalityand culture that the people involved should undergo. The implementation should not be made byimposing hierarchically adopted decisions, but focus on the daily contribution of each andeveryone. A new system which has not been properly internalised and accepted is doomed todisappear. The training effort should be oriented more towards the change of mentality than on thepresentation of the techniques. Within this context, putting the decisions into practice becomesextremely important, especially when it comes to studying the impact on the organisation of theleaders’ attempt to impose their vision.

Visual cues and listening effort: individual variability.

Science.gov (United States)

Picou, Erin M; Ricketts, Todd A; Hornsby, Benjamin W Y

2011-10-01

To investigate the effect of visual cues on listening effort as well as whether predictive variables such as working memory capacity (WMC) and lipreading ability affect the magnitude of listening effort. Twenty participants with normal hearing were tested using a paired-associates recall task in 2 conditions (quiet and noise) and 2 presentation modalities (audio only [AO] and auditory-visual [AV]). Signal-to-noise ratios were adjusted to provide matched speech recognition across audio-only and AV noise conditions. Also measured were subjective perceptions of listening effort and 2 predictive variables: (a) lipreading ability and (b) WMC. Objective and subjective results indicated that listening effort increased in the presence of noise, but on average the addition of visual cues did not significantly affect the magnitude of listening effort. Although there was substantial individual variability, on average participants who were better lipreaders or had larger WMCs demonstrated reduced listening effort in noise in AV conditions. Overall, the results support the hypothesis that integrating auditory and visual cues requires cognitive resources in some participants. The data indicate that low lipreading ability or low WMC is associated with relatively effortful integration of auditory and visual information in noise.

Assessing implementation of evidence-based childhood obesity prevention strategies in schools

Directory of Open Access Journals (Sweden)

Christine M.W. Totura

2015-01-01

Conclusion: Obesity prevention strategy implementation relies on the supportiveness and structure of school climates. Barriers to prevention can impede efforts despite school commitment toward prevention, while stakeholder collaboration can enhance the likelihood that practices are in place.

Numerical aspects of drift kinetic turbulence: Ill-posedness, regularization and a priori estimates of sub-grid-scale terms

KAUST Repository

Samtaney, Ravi

2012-01-01

We present a numerical method based on an Eulerian approach to solve the Vlasov-Poisson system for 4D drift kinetic turbulence. Our numerical approach uses a conservative formulation with high-order (fourth and higher) evaluation of the numerical fluxes coupled with a fourth-order accurate Poisson solver. The fluxes are computed using a low-dissipation high-order upwind differencing method or a tuned high-resolution finite difference method with no numerical dissipation. Numerical results are presented for the case of imposed ion temperature and density gradients. Different forms of controlled regularization to achieve a well-posed system are used to obtain convergent resolved simulations. The regularization of the equations is achieved by means of a simple collisional model, by inclusion of an ad-hoc hyperviscosity or artificial viscosity term or by implicit dissipation in upwind schemes. Comparisons between the various methods and regularizations are presented. We apply a filtering formalism to the Vlasov equation and derive sub-grid-scale (SGS) terms analogous to the Reynolds stress terms in hydrodynamic turbulence. We present a priori quantifications of these SGS terms in resolved simulations of drift-kinetic turbulence by applying a sharp filter. © 2012 IOP Publishing Ltd.

Numerical aspects of drift kinetic turbulence: ill-posedness, regularization and a priori estimates of sub-grid-scale terms

International Nuclear Information System (INIS)

Samtaney, Ravi

2012-01-01

We present a numerical method based on an Eulerian approach to solve the Vlasov-Poisson system for 4D drift kinetic turbulence. Our numerical approach uses a conservative formulation with high-order (fourth and higher) evaluation of the numerical fluxes coupled with a fourth-order accurate Poisson solver. The fluxes are computed using a low-dissipation high-order upwind differencing method or a tuned high-resolution finite difference method with no numerical dissipation. Numerical results are presented for the case of imposed ion temperature and density gradients. Different forms of controlled regularization to achieve a well-posed system are used to obtain convergent resolved simulations. The regularization of the equations is achieved by means of a simple collisional model, by inclusion of an ad-hoc hyperviscosity or artificial viscosity term or by implicit dissipation in upwind schemes. Comparisons between the various methods and regularizations are presented. We apply a filtering formalism to the Vlasov equation and derive sub-grid-scale (SGS) terms analogous to the Reynolds stress terms in hydrodynamic turbulence. We present a priori quantifications of these SGS terms in resolved simulations of drift-kinetic turbulence by applying a sharp filter.

A comparative study of amplitude calibrations for the East Asia VLBI Network: A priori and template spectrum methods

Science.gov (United States)

Cho, Ilje; Jung, Taehyun; Zhao, Guang-Yao; Akiyama, Kazunori; Sawada-Satoh, Satoko; Kino, Motoki; Byun, Do-Young; Sohn, Bong Won; Shibata, Katsunori M.; Hirota, Tomoya; Niinuma, Kotaro; Yonekura, Yoshinori; Fujisawa, Kenta; Oyama, Tomoaki

2017-12-01

We present the results of a comparative study of amplitude calibrations for the East Asia VLBI Network (EAVN) at 22 and 43 GHz using two different methods of an "a priori" and a "template spectrum", particularly on lower declination sources. Using observational data sets of early EAVN observations, we investigated the elevation-dependence of the gain values at seven stations of the KaVA (KVN and VERA Array) and three additional telescopes in Japan (Takahagi 32 m, Yamaguchi 32 m, and Nobeyama 45 m). By comparing the independently obtained gain values based on these two methods, we found that the gain values from each method were consistent within 10% at elevations higher than 10°. We also found that the total flux densities of two images produced from the different amplitude calibrations were in agreement within 10% at both 22 and 43 GHz. By using the template spectrum method, furthermore, the additional radio telescopes can participate in KaVA (i.e., EAVN), giving a notable sensitivity increase. Therefore, our results will constrain the detailed conditions in order to measure the VLBI amplitude reliably using EAVN, and discuss the potential of possible expansion to telescopes comprising EAVN.

IAEA safeguards instrumentation: Development, implementation and control

International Nuclear Information System (INIS)

Rundquist, D.E.

1983-01-01

Extensive development efforts over the last 5 years have produced a number of new instruments to help the IAEA meet its safeguards obligations. Implementation of these new instruments is proceeding at a necessarily slower pace. To optimize the performance and reliability of the instrumentation systems when used in safeguards applications, increasing attention is needed to be spent on performance monitoring and control of the instruments. (author)

Safeguards Implementation at KAERI

Energy Technology Data Exchange (ETDEWEB)

Jung, Juang; Lee, Sung Ho; Lee, Byung-Doo; Kim, Hyun-Sook [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2015-05-15

The main objective of the safeguards implementation activities is to assure that there are no diversions of declared nuclear material and/or no undeclared activity. The purpose of safeguards implementation activities is the assistance facility operators to meet the safeguards criteria set forth by the Atomic Energy Safety Acts and Regulations. In addition, the nuclear material and technology control team has acted as a contact point for domestic and international safeguards inspection activities and for the relevant safeguards cooperation. Domestic inspections were successfully carried out at the KAERI nuclear facilities pursuant to the domestic laws and regulations in parallel with the IAEA safeguards inspections. It is expected that safeguards work will be increased due to the pyro-related facilities such as PRIDE, ACPF and DUPIC, for which the IAEA is making an effort to establish safeguards approach. KAERI will actively cope with the plan of the NSSC by changing its domestic inspection regulations on the accounting and control of nuclear materials.

Computer-implemented method and apparatus for autonomous position determination using magnetic field data

Science.gov (United States)

Ketchum, Eleanor A. (Inventor)

2000-01-01

A computer-implemented method and apparatus for determining position of a vehicle within 100 km autonomously from magnetic field measurements and attitude data without a priori knowledge of position. An inverted dipole solution of two possible position solutions for each measurement of magnetic field data are deterministically calculated by a program controlled processor solving the inverted first order spherical harmonic representation of the geomagnetic field for two unit position vectors 180 degrees apart and a vehicle distance from the center of the earth. Correction schemes such as a successive substitutions and a Newton-Raphson method are applied to each dipole. The two position solutions for each measurement are saved separately. Velocity vectors for the position solutions are calculated so that a total energy difference for each of the two resultant position paths is computed. The position path with the smaller absolute total energy difference is chosen as the true position path of the vehicle.

A mire of highly subjective and ineffective voluntary guidelines: tobacco industry efforts to thwart tobacco control in Malaysia.

Science.gov (United States)

Assunta, M; Chapman, S

2004-12-01

To describe tobacco industry efforts in Malaysia to thwart government efforts to regulate tobacco promotion and health warnings. Systematic keyword and opportunistic website searches of formerly private tobacco industry internal documents made available through the Master Settlement Agreement and secondary websites; relevant information from news articles and financial reports. Commencing in the 1970s, the industry began to systematically thwart government tobacco control. Guidelines were successfully promoted in the place of legislation for over two decades. Even when the government succeeded in implementing regulations such as health warnings and advertising bans they were compromised and acted effectively to retard further progress for years to come. Counter-measures to delay or thwart government efforts to regulate tobacco were initiated by the industry. Though not unique to Malaysia, the main difference lies in the degree to which strategies were used to successfully counter stringent tobacco control measures between 1970 and 1995.

An Efficient Implementation of Generalized Delayed Signal Cancellation PLL

DEFF Research Database (Denmark)

Golestan, Saeed; Fernandez, Francisco Daniel Freijedo; Vidal, Ana

2016-01-01

voltage quantities, an efficient and low-cost implementation of the GDSCPLL is suggested in this paper. The proposed structure, which is called the enhanced GDSC-PLL (EGDSC-PLL), uses a nonadaptive GDSC operator as its prefiltering stage, and compensates the phase-shift and amplitude scaling caused...... stability under all circumstances; 2) adapting the GDSC to grid frequency variations increases the implementation complexity and computational effort, particularly when the interpolation techniques are used for this purpose. To avoid these problems while maintaining high accuracy in the extraction of grid...

Electronic Chemotherapy Order Entry: A Major Cancer Center's Implementation.

Science.gov (United States)

Sklarin, Nancy T; Granovsky, Svetlana; O'Reilly, Eileen M; Zelenetz, Andrew D

2011-07-01

Implementation of a computerized provider order entry system for complex chemotherapy regimens at a large cancer center required intense effort from a multidisciplinary team of clinical and systems experts with experience in all facets of the chemotherapy process. The online tools had to resemble the paper forms used at the time and parallel the successful established process as well as add new functionality. Close collaboration between the institution and the vendor was necessary. This article summarizes the institutional efforts, challenges, and collaborative processes that facilitated universal chemotherapy computerized electronic order entry across multiple sites during a period of several years.

Greater effort increases perceived value in an invertebrate.

Science.gov (United States)

Czaczkes, Tomer J; Brandstetter, Birgit; di Stefano, Isabella; Heinze, Jürgen

2018-05-01

Expending effort is generally considered to be undesirable. However, both humans and vertebrates will work for a reward they could also get for free. Moreover, cues associated with high-effort rewards are preferred to low-effort associated cues. Many explanations for these counterintuitive findings have been suggested, including cognitive dissonance (self-justification) or a greater contrast in state (e.g., energy or frustration level) before and after an effort-linked reward. Here, we test whether effort expenditure also increases perceived value in ants, using both classical cue-association methods and pheromone deposition, which correlates with perceived value. In 2 separate experimental setups, we show that pheromone deposition is higher toward the reward that requires more effort: 47% more pheromone deposition was performed for rewards reached via a vertical runway (high effort) compared with ones reached via a horizontal runway (low effort), and deposition rates were 28% higher on rough (high effort) versus smooth (low effort) runways. Using traditional cue-association methods, 63% of ants trained on different surface roughness, and 70% of ants trained on different runway elevations, preferred the high-effort related cues on a Y maze. Finally, pheromone deposition to feeders requiring memorization of one path bifurcation was up to 29% higher than to an identical feeder requiring no learning. Our results suggest that effort affects value perception in ants. This effect may stem from a cognitive process, which monitors the change in a generalized hedonic state before and after reward. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Implementation Plan for Chemical Industry R&D Roadmap for Nanomaterials by Design

Energy Technology Data Exchange (ETDEWEB)

none,

2006-04-01

The purpose of this effort is to develop an implementation plan to realize the vision and goals identified in the Chemical Industry R&D Roadmap for Nanomaterials By Design: From Fundamentals to Function.

Reporting on the Strategies Needed to Implement Proven Interventions: An Example From a "Real-World" Cross-Setting Implementation Study.

Science.gov (United States)

Gold, Rachel; Bunce, Arwen E; Cohen, Deborah J; Hollombe, Celine; Nelson, Christine A; Proctor, Enola K; Pope, Jill A; DeVoe, Jennifer E

2016-08-01

The objective of this study was to empirically demonstrate the use of a new framework for describing the strategies used to implement quality improvement interventions and provide an example that others may follow. Implementation strategies are the specific approaches, methods, structures, and resources used to introduce and encourage uptake of a given intervention's components. Such strategies have not been regularly reported in descriptions of interventions' effectiveness, or in assessments of how proven interventions are implemented in new settings. This lack of reporting may hinder efforts to successfully translate effective interventions into "real-world" practice. A recently published framework was designed to standardize reporting on implementation strategies in the implementation science literature. We applied this framework to describe the strategies used to implement a single intervention in its original commercial care setting, and when implemented in community health centers from September 2010 through May 2015. Per this framework, the target (clinic staff) and outcome (prescribing rates) remained the same across settings; the actor, action, temporality, and dose were adapted to fit local context. The framework proved helpful in articulating which of the implementation strategies were kept constant and which were tailored to fit diverse settings, and simplified our reporting of their effects. Researchers should consider consistently reporting this information, which could be crucial to the success or failure of implementing proven interventions effectively across diverse care settings. clinicaltrials.gov Identifier: NCT02299791. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

IMPLEMENTING THE COMPUTER-BASED NATIONAL EXAMINATION IN INDONESIAN SCHOOLS: THE CHALLENGES AND STRATEGIES

Directory of Open Access Journals (Sweden)

Heri Retnawati

2017-12-01

Full Text Available In line with technological development, the computer-based national examination (CBNE has become an urgent matter as its implementation faces various challenges, especially in developing countries. Strategies in implementing CBNE are thus needed to face the challenges. The aim of this research was to analyse the challenges and strategies of Indonesian schools in implementing CBNE. This research was qualitative phenomenological in nature. The data were collected through a questionnaire and a focus group discussion. The research participants were teachers who were test supervisors and technicians at junior high schools and senior high schools (i.e. Level 1 and 2 and vocational high schools implementing CBNE in Yogyakarta, Indonesia. The data were analysed using the Bogdan and Biklen model. The results indicate that (1 in implementing CBNE, the schools should initially make efforts to provide the electronic equipment supporting it; (2 the implementation of CBNE is challenged by problems concerning the Internet and the electricity supply; (3 the test supervisors have to learn their duties by themselves and (4 the students are not yet familiar with the beneficial use of information technology. To deal with such challenges, the schools employed strategies by making efforts to provide the standard electronic equipment through collaboration with the students’ parents and improving the curriculum content by adding information technology as a school subject.

Impact of a school district's science reform effort on the achievement and attitudes of third- and fourth-grade students

Science.gov (United States)

Shymansky, James A.; Yore, Larry D.; Anderson, John O.

2004-10-01

This article is about one school district's effort to reform its elementary science curriculum through a program of professional development called Science, Parents, Activities and Literature (Science PALs). The differential exposure of the district's K-6 teachers to Science PALs and differences in how well teachers implemented Science PALs-type inquiry strategies allowed us to conduct a quasi-experimental study of the impact of Science PALs on student achievement and attitudes. We measured achievement with an instrument based on items taken from the Third International Mathematics and Science Study (TIMSS; International Association for the Evaluation of Educational Achievement, [1997]) and selected attitudes about science with the Student Perceptions of Classroom Climate (SPOCC; Yore et al., [1998]), an instrument that we designed. Our analyses of student attitude scores as a function of years of teacher participation in Science PALs and supervisor's rating of a teacher's implementation of the project's instructional approaches showed a significant overall positive impact on student attitudes toward school science. Student TIMSS scores on multiple-choice items or constructed-response items did not improve significantly when analyzed by the number of years a student's teacher was involved in the Science PALs effort or by the supervisor's rating of that implementation. We found no significant differences in attitude or achievement scores among students taught by a series of teachers rated high, medium, or low in quality of implementation by the district's science supervisor. We discuss possible explanations for the lack of clear and positive connections between Science PALs and student performance in light of the increased focus on accountability in reform projects.

Listening Effort With Cochlear Implant Simulations

NARCIS (Netherlands)

Pals, Carina; Sarampalis, Anastasios; Başkent, Deniz

2013-01-01

Purpose: Fitting a cochlear implant (CI) for optimal speech perception does not necessarily optimize listening effort. This study aimed to show that listening effort may change between CI processing conditions for which speech intelligibility remains constant. Method: Nineteen normal-hearing

The Implementation Effort Islamic Law Norms in Activities for Overcoming Pornography and Pornoaction on Mass Media

Directory of Open Access Journals (Sweden)

Ramlani Lina Sinaulan

2017-02-01

Full Text Available This paper discusses the effort Islamic Law norms in activities for overcoming pornography and porno-action on mass media. By using normative legal research, the result found that the concept of Islamic law, behave based on sharia, shows the importance of shaping the personality traits of Islam (syakhsiyya Islāmiyya and based on the devotion and faith. Because of the relation to the formulation of the rule of law against pornography behavior, it can not be designed, prepared and formulated based on social values. Based on the facts of society, as a result of the moral decadence that led to a permissive attitude towards their cultural infiltration, the social values in assessing the behavior may become more permissive toward behavior. However, the use of religious norms which have universal properties will not change, and even capable of elastic with the times.

Barriers to Implementing Person-Centered Recovery Planning in Public Mental Health Organizations in Texas: Results from Nine Focus Groups.

Science.gov (United States)

Lodge, Amy C; Kaufman, Laura; Stevens Manser, Stacey

2017-05-01

Despite being an established practice in the disabilities service systems, person-centered planning is a relatively new practice in the behavioral health system. As a result, little is known about the barriers that mental health organizations face in implementing person-centered recovery planning (PCRP). To fill this gap, results are presented from a qualitative analysis of nine focus groups at three public mental health organizations in Texas that have been implementing PCRP for at least 2 years. Findings suggest that organizations experienced 12 distinct barriers to PCRP implementation which were categorized into the Consolidated Framework for Implementation Research domains of intervention characteristics, the outer setting, the inner setting, characteristics of individuals, and the implementation process. Half of these 12 barriers fell within the inner setting domain, suggesting that implementation efforts should be flexible and adaptable to organizational culture and context. One-quarter of the barriers fell into the domain of characteristics of individuals involved in the intervention, which further suggests implementation efforts should assess the impact that both staff and consumers have on implementation success.

Measuring the success of public participation efforts associated with the U.S. Department of energy's environmental management activities

International Nuclear Information System (INIS)

Schweitzer, M.; Carnes, S.A.; Peelle, E.B.; Wolfe, A.K.; Munro, J.F.

1996-01-01

For the last several years, US DOE's Office of Environmental Restoration and Waste Management (EM) has actively pursued a policy of involving local stakeholders in the planning and implementation of environmental management activities at contaminated sites throughout the DOE complex. An ongoing ORNL study is focusing on how to measure the success of the public participation efforts. Five DOE facilities were selected for intensive site visits; 4 or 5 additional sites were covered by telephone interviews. Key stakeholder groups were interviewed. Based on the data collection and preliminary analysis, 17 definitions of success were developed for public participation programs. Objective and subjective indicators of the success of the public participation efforts are discussed

STAR Infrastructure Database: An effort to know each other

Energy Technology Data Exchange (ETDEWEB)

Mora, J.C.; Real, Almudena [Centro de Investigaciones Energeticas, Medioambientales y Tecnologicas - CIEMAT (Spain); Vesterbacka, Pia; Outola, Iisa [STUK - Radiation and Nuclear Safety Authority (Finland); Barnett, Catherine; Beresford, Nick [Natural Environment Research Council - NERC-CEH (United Kingdom); Bradshaw, Clare [Stockholm University (Sweden); Skipperud, Lindis [Norwegian University of Life Sciences - UMB (Norway); Wilrodt, Christine; Steiner, Martin [Federal Office for Radiation Protection - BfS (Germany); Vanhoudt, Nathalie [Belgian Nuclear Research Centre SCK-CEN (Belgium); Komperoed, Mari [Norwegian Radiation Protection Authority - NRPA (Norway); Gurriaran, Rodolfo; Gilbin, Rodolphe; Hinton, Thomas [Institut de Radioprotection et de Surete Nucleaire - IRSN (France)

2014-07-01

Effort over the last decade to make radioecology stronger and sustainable within Europe crystallized in the creation of the European Radioecology Alliance. The first step for this integrative effort was the establishment of a network of excellence (NoE) under the EU FP7 Strategy for Allied Radioecology (STAR www.star-radioecology.org) project which commenced in 2011. One of the project objectives was to share knowledge of European radioecological capabilities. To help achieve this, a register of these capabilities at each of the STAR laboratories has been created. An Infrastructure Database was designed and programmed using web 2.0 technologies on a 'wiki' platform. Its intended use was to identify what assets were held and where improvements could be made. Information collated includes an inventory of the radioanalytical or conventional equipment and methods, bio-informatics equipment and methods, sample and data archives held, and models and codes used. It also provides a summary of the radioecological expertise of the 170 radio-ecologists at STAR institutes whose knowledge is wide-ranging and encompasses: atmospheric dispersion, dosimetry, ecology, ecotoxicology, environmental radiation protection, environmental surveillance, foodstuffs, terrestrial, freshwater and marine radioecology, modelling, radiobiology and radionuclide analyses, emergency preparedness, education and training, amongst others. In 2013, the EU FP7 Coordination and implementation of a pan-European instrument for radioecology (COMET, www.comet-radioecology.org) project, involving the STAR partners and additionally one Japanese and two Ukrainian research institutes, was initiated. The capabilities of these additional partners will be added to the database in 2014. The aim of the database was to gather information to: - avoid duplication of effort and thereby increase efficiency, - improve synergy and collaboration between the STAR project partners and others involved in

Implementation Measurement for Evidence-Based Violence Prevention Programs in Communities.

Science.gov (United States)

Massetti, Greta M; Holland, Kristin M; Gorman-Smith, Deborah

2016-08-01

Increasing attention to the evaluation, dissemination, and implementation of evidence-based programs (EBPs) has led to significant advancements in the science of community-based violence prevention. One of the prevailing challenges in moving from science to community involves implementing EBPs and strategies with quality. The CDC-funded National Centers of Excellence in Youth Violence Prevention (YVPCs) partner with communities to implement a comprehensive community-based strategy to prevent violence and to evaluate that strategy for impact on community-wide rates of violence. As part of their implementation approach, YVPCs document implementation of and fidelity to the components of the comprehensive youth violence prevention strategy. We describe the strategies and methods used by the six YVPCs to assess implementation and to use implementation data to inform program improvement efforts. The information presented describes the approach and measurement strategies employed by each center and for each program implemented in the partner communities. YVPCs employ both established and innovative strategies for measurement and tracking of implementation across a broad range of programs, practices, and strategies. The work of the YVPCs highlights the need to use data to understand the relationship between implementation of EBPs and youth violence outcomes.

THE IMPLEMENTATION OF FINDINGS PUBLISHED IN SCHOLARLY ARTICLES

Directory of Open Access Journals (Sweden)

Martin A. Hubbe

2010-07-01

Full Text Available Articles published in scholarly journals, such as this one, tend to be mainly addressed to researchers at universities. Industrial follow-up and implementation of results from a scholarly article appears to be the exception, rather than the rule. Research grant specifications, as well as university policies, favor the generation of new knowledge, rather than the implementation of good ideas. But without patent protection, corporations have low motivation to expend the considerable effort to reduce ideas to practice after they have been openly published. The author speculates that the situation could be much more dynamic if there were a system of priority of implementation. According to such a system, the first company to successfully implement an idea that first appears in a peer-reviewed journal article, as validated by its debut in the marketplace, would have a grace period during which competitors would have to pay them a fee to sell a generic version of the same thing.

Anything but engaged: user involvement in the context of a national electronic health record implementation.

Science.gov (United States)

Cresswell, Kathrin; Morrison, Zoe; Crowe, Sarah; Robertson, Ann; Sheikh, Aziz

2011-01-01

The absence of meaningful end user engagement has repeatedly been highlighted as a key factor contributing to 'failed' implementations of electronic health records (EHRs), but achieving this is particularly challenging in the context of national scale initiatives. In 2002, the National Health Service (NHS) embarked on a so-called 'top-down' national implementation strategy aimed at introducing commercial, centrally procured, EHRs into hospitals throughout England. We aimed to examine approaches to, and experiences of, user engagement in the context of a large-scale EHR implementation across purposefully selected hospital care providers implementing early versions of nationally procured software. We conducted a qualitative, case-study based, socio-technically informed, longitudinal investigation, purposefully sampling and collecting data from four hospitals. Our data comprised a total of 123 semi-structured interviews with users and managers, 15 interviews with additional stakeholders, 43 hours of non-participant observations of meetings and system use, and relevant organisation-specific documents from each case study site. Analysis was thematic, building on an existing model of user engagement that was originally developed in the context of studying the implementation of relatively simple technologies in commercial settings. NVivo8 software was used to facilitate coding. Despite an enduring commitment to the vision of shared EHRs and an appreciation of their potential benefits, meaningful end user engagement was never achieved. Hospital staff were not consulted in systems choice, leading to frustration; they were then further alienated by the implementation of systems that they perceived as inadequately customised. Various efforts to achieve local engagement were attempted, but these were in effect risk mitigation strategies. We found the role of clinical champions to be important in these engagement efforts, but progress was hampered by the hierarchical structures

A new combined strategy to implement a community occupational therapy intervention: designing a cluster randomized controlled trial

NARCIS (Netherlands)

Dopp, C.M.E.; Graff, M.J.L.; Teerenstra, S.; Adang, E.M.M.; Nijhuis-Van der Sanden, R.; Olde Rikkert, M.G.M.; Vernooij-Dassen, M.J.F.J.

2011-01-01

BACKGROUND: Even effective interventions for people with dementia and their caregivers require specific implementation efforts. A pilot study showed that the highly effective community occupational therapy in dementia (COTiD) program was not implemented optimally due to various barriers. To decrease

Planning and Implementing a Public Health Professional Distance Learning Program

Science.gov (United States)

Escoffery, Cam; Leppke, Allison M.; Robinson, Kara B.; Mettler, Erik P.; Miner, Kathleen R.; Smith, Iris

2005-01-01

Training of public health professionals through web-based technology is rapidly increasing. This article describes one school of public health's effort to establish an online Master's program that serves students nationally and internationally. It examines the critical components in the design and implementation of distance education, including…

Implementation of proteomic biomarkers: making it work.

Science.gov (United States)

Mischak, Harald; Ioannidis, John P A; Argiles, Angel; Attwood, Teresa K; Bongcam-Rudloff, Erik; Broenstrup, Mark; Charonis, Aristidis; Chrousos, George P; Delles, Christian; Dominiczak, Anna; Dylag, Tomasz; Ehrich, Jochen; Egido, Jesus; Findeisen, Peter; Jankowski, Joachim; Johnson, Robert W; Julien, Bruce A; Lankisch, Tim; Leung, Hing Y; Maahs, David; Magni, Fulvio; Manns, Michael P; Manolis, Efthymios; Mayer, Gert; Navis, Gerjan; Novak, Jan; Ortiz, Alberto; Persson, Frederik; Peter, Karlheinz; Riese, Hans H; Rossing, Peter; Sattar, Naveed; Spasovski, Goce; Thongboonkerd, Visith; Vanholder, Raymond; Schanstra, Joost P; Vlahou, Antonia

2012-09-01

While large numbers of proteomic biomarkers have been described, they are generally not implemented in medical practice. We have investigated the reasons for this shortcoming, focusing on hurdles downstream of biomarker verification, and describe major obstacles and possible solutions to ease valid biomarker implementation. Some of the problems lie in suboptimal biomarker discovery and validation, especially lack of validated platforms with well-described performance characteristics to support biomarker qualification. These issues have been acknowledged and are being addressed, raising the hope that valid biomarkers may start accumulating in the foreseeable future. However, successful biomarker discovery and qualification alone does not suffice for successful implementation. Additional challenges include, among others, limited access to appropriate specimens and insufficient funding, the need to validate new biomarker utility in interventional trials, and large communication gaps between the parties involved in implementation. To address this problem, we propose an implementation roadmap. The implementation effort needs to involve a wide variety of stakeholders (clinicians, statisticians, health economists, and representatives of patient groups, health insurance, pharmaceutical companies, biobanks, and regulatory agencies). Knowledgeable panels with adequate representation of all these stakeholders may facilitate biomarker evaluation and guide implementation for the specific context of use. This approach may avoid unwarranted delays or failure to implement potentially useful biomarkers, and may expedite meaningful contributions of the biomarker community to healthcare. © 2012 The Authors. European Journal of Clinical Investigation © 2012 Stichting European Society for Clinical Investigation Journal Foundation.

German Language and Culture: 9-Year Program Guide to Implementation, Grades 4-5-6

Science.gov (United States)

Alberta Education, 2008

2008-01-01

This implementation guide is intended to support the Grade 4 to Grade 6 portion of the German Language and Culture Nine-year Program (the program of studies). It was developed primarily for teachers, yet it includes information that may be useful for administrators and other stakeholders in their efforts to plan for and implement the new Chinese…

Punjabi Language and Culture: 9-Year Program Guide to Implementation, Grades 4-5-6

Science.gov (United States)

Alberta Education, 2008

2008-01-01

This implementation guide is intended to support the Grade 4 to Grade 6 portion of the Punjabi Language and Culture Nine-Year Program (the program of studies.) It was developed primarily for teachers, yet it includes information that may be useful for administrators and other stakeholders in their efforts to plan for and implement the new Punjabi…

[Security of hospital infusion practices: From an a priori risk analysis to an improvement action plan].

Science.gov (United States)

Pignard, J; Cosserant, S; Traore, O; Souweine, B; Sautou, V

2016-03-01

Infusion in care units, and all the more in intensive care units, is a complex process which can be the source of many risks for the patient. Under cover of an institutional approach for the improvement of the quality and safety of patient healthcare, a risk mapping infusion practices was performed. The analysis was focused on intravenous infusion situations in adults, the a priori risk assessment methodology was applied and a multidisciplinary work group established. Forty-three risks were identified for the infusion process (prescription, preparation and administration). The risks' assessment and the existing means of control showed that 48% of them would have a highly critical patient security impact. Recommendations were developed for 20 risks considered to be most critical, to limit their occurrence and severity, and improve their control level. An institutional action plan was developed and validated in the Drug and Sterile Medical Devices Commission. This mapping allowed the realization of an exhaustive inventory of potential risks associated with the infusion. At the end of this work, multidisciplinary groups were set up to work on different themes and regular quarterly meetings were established to follow the progress of various projects. Risk mapping will be performed in pediatric and oncology unit where the risks associated with the handling of toxic products is omnipresent. Copyright © 2015 Académie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved.

Tomographic image via background subtraction using an x-ray projection image and a priori computed tomography

International Nuclear Information System (INIS)

Zhang Jin; Yi Byongyong; Lasio, Giovanni; Suntharalingam, Mohan; Yu, Cedric

2009-01-01

Kilovoltage x-ray projection images (kV images for brevity) are increasingly available in image guided radiotherapy (IGRT) for patient positioning. These images are two-dimensional (2D) projections of a three-dimensional (3D) object along the x-ray beam direction. Projecting a 3D object onto a plane may lead to ambiguities in the identification of anatomical structures and to poor contrast in kV images. Therefore, the use of kV images in IGRT is mainly limited to bony landmark alignments. This work proposes a novel subtraction technique that isolates a slice of interest (SOI) from a kV image with the assistance of a priori information from a previous CT scan. The method separates structural information within a preselected SOI by suppressing contributions to the unprocessed projection from out-of-SOI-plane structures. Up to a five-fold increase in the contrast-to-noise ratios (CNRs) was observed in selected regions of the isolated SOI, when compared to the original unprocessed kV image. The tomographic image via background subtraction (TIBS) technique aims to provide a quick snapshot of the slice of interest with greatly enhanced image contrast over conventional kV x-ray projections for fast and accurate image guidance of radiation therapy. With further refinements, TIBS could, in principle, provide real-time tumor localization using gantry-mounted x-ray imaging systems without the need for implanted markers.

Interests, Effort, Achievement and Vocational Preference.

Science.gov (United States)

Sjoberg, L.

1984-01-01

Relationships between interest in natural sciences and technology and perceived ability, success, and invested effort were studied in Swedish secondary school students. Interests were accounted for by logical orientation and practical value. Interests and grades were strongly correlated, but correlations between interests and effort and vocational…

Smokefree implementation in Colombia: Monitoring, outside funding, and business support

Directory of Open Access Journals (Sweden)

Randy Uang

2017-03-01

Full Text Available Objective. To analyze successful national smokefree policy implementation in Colombia, a middle income country. Materials and methods. Key informants at the national and local levels were interviewed and news sources and government ministry resolutions were reviewed. Results.Colombia’s Ministry of Health coordinated local implementation practices, which were strongest in larger cities with supportive leadership. Nongovernmental organizations provided technical assistance and highlighted noncompliance. Organizations outside Colombia funded some of these efforts. The bar owners’ association provided concerted education campaigns. Tobacco interests did not openly challenge implementation. Conclusions. Health organization monitoring, external funding, and hospitality industry support contributed to effective implementation, and could be cultivated in other low and middle income countries.

Séparation des ondes P et S à l'aide de la matrice spectrale avec informations à priori The Separation of P and S Waves Using the Spectral Matrix with a Priori Information

Directory of Open Access Journals (Sweden)

Mari J. L.

2006-11-01

Full Text Available Classiquement, la technique de filtrage utilisant la matrice spectrale proposée par Mermoz ne permet une séparation automatique des ondes au sens des indicatrices sismiques que dans certains cas particuliers, à savoir lorsque les ondes à séparer sont naturellement alignées sur les vecteurs propres de la matrice spectrale. Dans les autres cas, nous montrons que l'introduction d'information a priori sur la vitesse apparente de quelques ondes et une limitation de la durée temporelle de ces dernières permettent d'estimer leurs vecteurs d'ondes. L'utilisation de ces vecteurs et une technique de projection au sens des moindres carrés conduit à une extraction optimale de ces ondes, sans dégrader les autres ondes. La technique de filtrage proposée a été appliquée sur des données sismiques de type PSV (profil sismique vertical déporté. Le PSV a été enregistré dans un puits entre les cotes 1050 m et 1755 m; la source est déportée de 654 m par rapport à la tête de puits. L'outil utilisé est un géophone de puits à trois composantes. Le puits traverse une structure géologique complexe. Le traitement réalisé a mis en évidence des réflexions sismiques d'ondes de compression et de cisaillement, associées à des marqueurs fortement pentés (10 à 25°. Après estimation des champs de vitesse et des pendages à l'aide d'abaques, la migration en profondeur des horizons temps pointés a permis d'obtenir un modèle structural faillé. Detailed structural analysis can be achieved by using 3-component vertical seismic profiling method which gives structural information at several hundred meters from the wellhead. The use of an offset VSP on the Auzance structure has led to obtain a structural model composed by faulted dipping reflectors. This is due to the robust nature of the wave separation method which is based on the spectral matrix and uses an a priori information. This method preserves the true amplitude and the local apparent

Theoretical Aspects Regarding the Optimal Taxation of Effort With More Conditions

Directory of Open Access Journals (Sweden)

Prof. Dumitru MARIN PhD

2017-09-01

and demonstrate the implementation condition that is equivalent to the assertion that the plurality of admissible solutions is unclear gives a solution perspective applicable in most cases. The authors propose, by synthesizing, conditions (sentences that demonstrate that the model used is one that must be considered and can be successfully used in optimal taxation of the multi-state effort. In the explanatory approach, it is also appreciated that the combination of the Kuhn-Tucker multipliers of the two constructions can determine the Lagrange function. This feature built by all Kuhn-Tucker multipliers is strictly positive and the level of effort is optimal given by a series of equalities that imply a final aspect of its use.

SRS ES and H Standards Compliance Program Implementation Plan

International Nuclear Information System (INIS)

Hearn, W.H.

1993-01-01

On March 8, 1990, the Defense Nuclear Facilities Safety Board (DNFSB) issued Recommendation 90-2 to the Secretary of Energy. This recommendation, based upon the DNFSB's initial review and evaluation of the content and implementation of standards relating to the design, construction, operations, and decommissioning of defense nuclear facilities of the U.S. Department of Energy (DOE), called for three actions: identification of specific standards that apply to design, construction, operation and decommissioning of DOE facilities; assessment of the adequacy of those standards for protecting public health and safety; and determination of the extent to which they have and are being implemented. The purpose of this Implementation Plan is to define the single program for all sitewide and facility 90-2 ES and H Standards Compliance efforts, which will satisfy the HQ Implementation Plan, avoid duplicate efforts, be as simple and achievable as possible, include cost-saving innovations, use a graded approach based on facility hazards and future needs of facilities, and support configuration control for facility requirements. The Defense Waste Processing Facility (DWPF) has been designated a pilot facility for the 90-2 program and has progressed with their facility program ahead of the site-level program. The DWPF, and other Government-Owned Contractor-Operated (GOCO) facilities that progress on an enhanced schedule, will serve as pilot facilities for the site-level program. The lessons learned with their requirement identifications, and their assessments of the adequacy of and their compliance with these requirements will be used to improve the efficiency of the site-level and subsequent programs

The Strengthening Nuclear Security Implementation initiative: evolution, status and next steps

NARCIS (Netherlands)

Dal, B.; Herbach, J.; Luongo, K.N.

2015-01-01

The "Strengthening Nuclear Security Implementation" initiative broke new ground at the 2014 Nuclear Security Summit in the effort to harmonize and strengthen the global nuclear security regime. This report discusses the significance of the initiative, the importance of expanding its signatories, and

Effort Estimation in BPMS Migration

OpenAIRE

Drews, Christopher; Lantow, Birger

2018-01-01

Usually Business Process Management Systems (BPMS) are highly integrated in the IT of organizations and are at the core of their business. Thus, migrating from one BPMS solution to another is not a common task. However, there are forces that are pushing organizations to perform this step, e.g. maintenance costs of legacy BPMS or the need for additional functionality. Before the actual migration, the risk and the effort must be evaluated. This work provides a framework for effort estimation re...

iLead-a transformational leadership intervention to train healthcare managers' implementation leadership.

Science.gov (United States)

Richter, Anne; von Thiele Schwarz, Ulrica; Lornudd, Caroline; Lundmark, Robert; Mosson, Rebecca; Hasson, Henna

2016-07-29

Leadership is a key feature in implementation efforts, which is highlighted in most implementation frameworks. However, in studying leadership and implementation, only few studies rely on established leadership theory, which makes it difficult to draw conclusions regarding what kinds of leadership managers should perform and under what circumstances. In industrial and organizational psychology, transformational leadership and contingent reward have been identified as effective leadership styles for facilitating change processes, and these styles map well onto the behaviors identified in implementation research. However, it has been questioned whether these general leadership styles are sufficient to foster specific results; it has therefore been suggested that the leadership should be specific to the domain of interest, e.g., implementation. To this end, an intervention specifically involving leadership, which we call implementation leadership, is developed and tested in this project. The aim of the intervention is to increase healthcare managers' generic implementation leadership skills, which they can use for any implementation efforts in the future. The intervention is conducted in healthcare in Stockholm County, Sweden, where first- and second-line managers were invited to participate. Two intervention groups are included, including 52 managers. Intervention group 1 consists of individual managers, and group 2 of managers from one division. A control group of 39 managers is additionally included. The intervention consists of five half-day workshops aiming at increasing the managers' implementation leadership, which is the primary outcome of this intervention. The intervention will be evaluated through a mixed-methods approach. A pre- and post-design applying questionnaires at three time points (pre-, directly after the intervention, and 6 months post-intervention) will be used, in addition to process evaluation questionnaires related to each workshop. In

Implementing the patient-centered medical home in complex adaptive systems: Becoming a relationship-centered patient-centered medical home.

Science.gov (United States)

Flieger, Signe Peterson

This study explores the implementation experience of nine primary care practices becoming patient-centered medical homes (PCMH) as part of the New Hampshire Citizens Health Initiative Multi-Stakeholder Medical Home Pilot. The purpose of this study is to apply complex adaptive systems theory and relationship-centered organizations theory to explore how nine diverse primary care practices in New Hampshire implemented the PCMH model and to offer insights for how primary care practices can move from a structural PCMH to a relationship-centered PCMH. Eighty-three interviews were conducted with administrative and clinical staff at the nine pilot practices, payers, and conveners of the pilot between November and December 2011. The interviews were transcribed, coded, and analyzed using both a priori and emergent themes. Although there is value in the structural components of the PCMH (e.g., disease registries), these structures are not enough. Becoming a relationship-centered PCMH requires attention to reflection, sensemaking, learning, and collaboration. This can be facilitated by settings aside time for communication and relationship building through structured meetings about PCMH components as well as the implementation process itself. Moreover, team-based care offers a robust opportunity to move beyond the structures to focus on relationships and collaboration. (a) Recognize that PCMH implementation is not a linear process. (b) Implementing the PCMH from a structural perspective is not enough. Although the National Committee for Quality Assurance or other guidelines can offer guidance on the structural components of PCMH implementation, this should serve only as a starting point. (c) During implementation, set aside structured time for reflection and sensemaking. (d) Use team-based care as a cornerstone of transformation. Reflect on team structures and also interactions of the team members. Taking the time to reflect will facilitate greater sensemaking and learning and

Teen Pregnancy Prevention: Implementation of a Multicomponent, Community-Wide Approach.

Science.gov (United States)

Mueller, Trisha; Tevendale, Heather D; Fuller, Taleria R; House, L Duane; Romero, Lisa M; Brittain, Anna; Varanasi, Bala

2017-03-01

This article provides an overview and description of implementation activities of the multicomponent, community-wide initiatives of the Teenage Pregnancy Prevention Program initiated in 2010 by the Office of Adolescent Health and the Centers for Disease Control and Prevention. The community-wide initiatives applied the Interactive Systems Framework for dissemination and implementation through training and technical assistance on the key elements of the initiative: implementation of evidence-based teen pregnancy prevention (TPP) interventions; enhancing quality of and access to youth-friendly reproductive health services; educating stakeholders about TPP; working with youth in communities most at risk of teen pregnancy; and mobilizing the community to garner support. Of nearly 12,000 hours of training and technical assistance provided, the majority was for selecting, implementing, and evaluating an evidence-based TPP program. Real-world implementation of a community-wide approach to TPP takes time and effort. This report describes implementation within each of the components and shares lessons learned during planning and implementation phases of the initiative. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Implementing and measuring safety goals and safety culture. 2. Extensive Efforts to Learn Lessons from Overseas Nuclear Power Plants

International Nuclear Information System (INIS)

Maki, Nobuo

2001-01-01

with lessons learned from foreign NPPs as a quarterly report. Also, the evaluated results are accumulated in the Nuclear Information Database to allow the utilities to refer to overseas NPP events and to learn necessary corrective actions for each plant. In KEPCO, the information is transferred to its NPPs as well as related groups via the Nuclear Quality Assurance Group of the Wakasa District Office. The necessary corrective actions are implemented at each plant after the reevaluation of the group. The implementation at each plant can be followed up using the database. The lessons learned including human performance are also incorporated in educational materials of MTC and transferred to trainees through practical training. In an extensive effort to learn lessons from incidents and accidents that have occurred at overseas NPPs, two organizations were set up by KEPCO. MTC has the function of training maintenance personnel using mockups to transfer knowledge and experiences obtained through the operation and the maintenance of NPPs. INSS has the function of investigating social and technical issues from a broad perspective in cooperation with other research institutes in Japan and abroad. Information analysis of operating experiences of overseas NPPs is performed by the Nuclear Power Information project of INSS. Through the activities of the project, useful lessons learned from overseas events have been provided to the utilities to prevent the recurrence of incidents and accidents. (author)

ASME Code Efforts Supporting HTGRs

Energy Technology Data Exchange (ETDEWEB)

D.K. Morton

2012-09-01

In 1999, an international collaborative initiative for the development of advanced (Generation IV) reactors was started. The idea behind this effort was to bring nuclear energy closer to the needs of sustainability, to increase proliferation resistance, and to support concepts able to produce energy (both electricity and process heat) at competitive costs. The U.S. Department of Energy has supported this effort by pursuing the development of the Next Generation Nuclear Plant, a high temperature gas-cooled reactor. This support has included research and development of pertinent data, initial regulatory discussions, and engineering support of various codes and standards development. This report discusses the various applicable American Society of Mechanical Engineers (ASME) codes and standards that are being developed to support these high temperature gascooled reactors during construction and operation. ASME is aggressively pursuing these codes and standards to support an international effort to build the next generation of advanced reactors so that all can benefit.

ASME Code Efforts Supporting HTGRs

Energy Technology Data Exchange (ETDEWEB)

D.K. Morton

2011-09-01

In 1999, an international collaborative initiative for the development of advanced (Generation IV) reactors was started. The idea behind this effort was to bring nuclear energy closer to the needs of sustainability, to increase proliferation resistance, and to support concepts able to produce energy (both electricity and process heat) at competitive costs. The U.S. Department of Energy has supported this effort by pursuing the development of the Next Generation Nuclear Plant, a high temperature gas-cooled reactor. This support has included research and development of pertinent data, initial regulatory discussions, and engineering support of various codes and standards development. This report discusses the various applicable American Society of Mechanical Engineers (ASME) codes and standards that are being developed to support these high temperature gascooled reactors during construction and operation. ASME is aggressively pursuing these codes and standards to support an international effort to build the next generation of advanced reactors so that all can benefit.

Implementation of a protein profiling platform developed as an academic-pharmaceutical industry collaborative effort.

Science.gov (United States)

Végvári, Akos; Magnusson, Mattias; Wallman, Lars; Ekström, Simon; Bolmsjö, Gunnar; Nilsson, Johan; Miliotis, Tasso; Ostling, Jörgen; Kjellström, Sven; Ottervald, Jan; Franzén, Bo; Hultberg, Hans; Marko-Varga, György; Laurell, Thomas

2008-06-01

As much attention has devoted to the proteome research during the last few years, biomarker discovery has become an increasingly hot area, potentially enabling the development of new assays for diagnosis and prognosis of severe diseases. This is the field of research interest where efforts originating from both academic and industrial groups should jointly work on solutions. In this paper, we would like to demonstrate the fruitful combination of both research domains where the scientific crossroads sprout fresh ideas from the basic research domain and how these are refined and tethered to industrial standards. We will present an approach that is based on novel microfluidic devices, utilizing their benefits in processing small-volume samples. Our biomarker discovery strategy, built around this platform, involves optimized samples processing (based on SPE and sample enrichment) and fast MALDI-MS readout. The identification of novel biomarkers at low-abundance level has been achieved by the utilization of a miniaturized sample handling platform, which offers clean-up and enrichment of proteins in one step. Complete automation has been realized in the form of a unique robotic instrumentation that is able to extract and transfer 96 samples onto standard MALDI target plates with high throughput. The developed platform was operated with a 60 sample turnaround per hour allowing sensitivities in femtomol regions of medium- and low-abundant target proteins from clinical studies on samples of multiple sclerosis and gastroesophageal reflux disease. Several proteins have been identified as new biomarkers from cerebrospinal fluid and esophagus epithelial cells.

Pocket money and child effort at school

OpenAIRE

François-Charles Wolff; Christine Barnet-Verzat

2008-01-01

In this paper, we study the relationship between the provision of parental pocket and the level of effort undertaken by the child at school. Under altruism, an increased amount of parental transfer should reduce the child's effort. Our empirical analysis is based on a French data set including about 1,400 parent-child pairs. We find that children do not undertake less effort when their parents are more generous.

Partnering Against Cancer Today: A Blueprint for Coordinating Efforts Through Communication Science

Science.gov (United States)

2013-01-01

One of the hallmarks of the communication revolution over the past decade has been its support for participation, whether that be in the active engagement of patients searching the Web for answers to vital health questions, or in the collective energies of self-organizing communities through social media. At the same time, some of the major obstacles to achieving a full and equitable reach of evidence-based cancer control knowledge have been traced back to discontinuities in communication either within clinical care or the broader public awareness system. Communication scientists from the National Cancer Institute, the Centers for Disease Control and Prevention, and the American Cancer Society joined forces in 2010 to investigate ways in which communication science can be used to improve coordination and enhance participation in cancer control for the nation. From 2010 to 2013, the three organizations worked together in 1) convening two meetings designed to assess the status of funded research in communication science, 2) completing a systematic review of literature published over the previous 10 years, and 3) authoring a blueprint for coordinated efforts using the implications of communication science. The blueprint consists of three major goals: first, to identify high-yield targets of opportunity using the health impact pyramid articulated by Centers for Disease Control and Prevention Director, Thomas Frieden; second, to leverage opportunities within the new communication environment, including the opportunities catalyzed by national efforts to create an infrastructure for evidence implementation through health information technology; and third, to assist in coordinating efforts across collaborative entities through participative media. PMID:24395998

Systems engineering implementation plan for the liquid effluents services program

International Nuclear Information System (INIS)

Lowe, S.S.

1995-01-01

A graded approach is being taken by the Liquid Effluents Services Program in implementing systems engineering because of the advanced state of the program. The approach is cost-effective and takes credit for related work already completed, yet retains the benefits of systems engineering. This plan describes how the Liquid Effluents Services Program will implement systems engineering so there is a common understanding. Systems engineering work to be performed and the products of that work are identified. The relation to the current planning process and integration with the sitewide systems engineering effort is described

Implementation and Evaluation of Linked Parenting Models in a Large Urban Child Welfare System

Science.gov (United States)

Feldman, Sara Wolf; Wulczyn, Fred; Saldana, Lisa; Forgatch, Marion

2015-01-01

During the past decade, there have been increased efforts to implement evidence-based practices into child welfare systems to improve outcomes for children in foster care and their families. In this paper, the implementation and evaluation of a policy-driven large system-initiated reform is described. Over 250 caseworkers and supervisors were trained and supported to implement two evidence-based parent focused interventions in five private agencies serving over 2,000 children and families. At the request of child welfare system leaders, a third intervention was developed and implemented to train the social work workforce to use evidence-based principles in everyday interactions with caregivers (including foster, relative, adoptive, and biological parents). In this paper, we describe the policy context and the targeted outcomes of the reform. We discuss the theory of the interventions and the logistics of how they were linked to create consistency and synergy. Training and ongoing consultation strategies used are described as are some of the barriers and opportunities that arose during the implementation. The strategy for creating a path to sustainability is also discussed. The reform effort was evaluated using both qualitative and quantitative methods; the evaluation design, research questions and preliminary results are provided. PMID:26602831

Randomized clinical trials in orthodontics are rarely registered a priori and often published late or not at all.

Science.gov (United States)

Papageorgiou, Spyridon N; Antonoglou, Georgios N; Sándor, George K; Eliades, Theodore

2017-01-01

A priori registration of randomized clinical trials is crucial to the transparency and credibility of their findings. Aim of this study was to assess the frequency with which registered and completed randomized trials in orthodontics are published. We searched ClinicalTrials.gov and ISRCTN for registered randomized clinical trials in orthodontics that had been completed up to January 2017 and judged the publication status and date of registered trials using a systematic protocol. Statistical analysis included descriptive statistics, chi-square or Fisher exact tests, and Kaplan-Meier survival estimates. From the 266 orthodontic trials registered up to January 2017, 80 trials had been completed and included in the present study. Among these 80 included trials, the majority (76%) were registered retrospectively, while only 33 (41%) were published at the time. The median time from completion to publication was 20.1 months (interquartile range: 9.1 to 31.6 months), while survival analysis indicated that less than 10% of the trials were published after 5 years from their completion. Finally, 22 (28%) of completed trials remain unpublished even after 5 years from their completion. Publication rates of registered randomized trials in orthodontics remained low, even 5 years after their completion date.

Evaluation Methodologies for Estimating the Likelihood of Program Implementation Failure

Science.gov (United States)

Durand, Roger; Decker, Phillip J.; Kirkman, Dorothy M.

2014-01-01

Despite our best efforts as evaluators, program implementation failures abound. A wide variety of valuable methodologies have been adopted to explain and evaluate the "why" of these failures. Yet, typically these methodologies have been employed concurrently (e.g., project monitoring) or to the post-hoc assessment of program activities.…

Impact of nonlinearity on changing the a priori of trace gas profile estimates from the Tropospheric Emission Spectrometer (TES

Directory of Open Access Journals (Sweden)

S. S. Kulawik

2008-06-01

Full Text Available Non-linear maximum a posteriori (MAP estimates of atmospheric profiles from the Tropospheric Emission Spectrometer (TES contains a priori information that may vary geographically, which is a confounding factor in the analysis and physical interpretation of an ensemble of profiles. One mitigation strategy is to transform profile estimates to a common prior using a linear operation thereby facilitating the interpretation of profile variability. However, this operation is dependent on the assumption of not worse than moderate non-linearity near the solution of the non-linear estimate. The robustness of this assumption is tested by comparing atmospheric retrievals from the Tropospheric Emission Spectrometer processed with a uniform prior with those processed with a variable prior and converted to a uniform prior following the non-linear retrieval. Linearly converting the prior following a non-linear retrieval is shown to have a minor effect on the results as compared to a non-linear retrieval using a uniform prior when compared to the expected total error, with less than 10% of the change in the prior ending up as unbiased fluctuations in the profile estimate results.

Enhancing the performance of model-based elastography by incorporating additional a priori information in the modulus image reconstruction process

International Nuclear Information System (INIS)

Doyley, Marvin M; Srinivasan, Seshadri; Dimidenko, Eugene; Soni, Nirmal; Ophir, Jonathan

2006-01-01

Model-based elastography is fraught with problems owing to the ill-posed nature of the inverse elasticity problem. To overcome this limitation, we have recently developed a novel inversion scheme that incorporates a priori information concerning the mechanical properties of the underlying tissue structures, and the variance incurred during displacement estimation in the modulus image reconstruction process. The information was procured by employing standard strain imaging methodology, and introduced in the reconstruction process through the generalized Tikhonov approach. In this paper, we report the results of experiments conducted on gelatin phantoms to evaluate the performance of modulus elastograms computed with the generalized Tikhonov (GTK) estimation criterion relative to those computed by employing the un-weighted least-squares estimation criterion, the weighted least-squares estimation criterion and the standard Tikhonov method (i.e., the generalized Tikhonov method with no modulus prior). The results indicate that modulus elastograms computed with the generalized Tikhonov approach had superior elastographic contrast discrimination and contrast recovery. In addition, image reconstruction was more resilient to structural decorrelation noise when additional constraints were imposed on the reconstruction process through the GTK method

Stretch-sensitive paresis and effort perception in hemiparesis.

Science.gov (United States)

Vinti, Maria; Bayle, Nicolas; Hutin, Emilie; Burke, David; Gracies, Jean-Michel

2015-08-01

In spastic paresis, stretch applied to the antagonist increases its inappropriate recruitment during agonist command (spastic co-contraction). It is unknown whether antagonist stretch: (1) also affects agonist recruitment; (2) alters effort perception. We quantified voluntary activation of ankle dorsiflexors, effort perception, and plantar flexor co-contraction during graded dorsiflexion efforts at two gastrocnemius lengths. Eighteen healthy (age 41 ± 13) and 18 hemiparetic (age 54 ± 12) subjects performed light, medium and maximal isometric dorsiflexion efforts with the knee flexed or extended. We determined dorsiflexor torque, Root Mean Square EMG and Agonist Recruitment/Co-contraction Indices (ARI/CCI) from the 500 ms peak voluntary agonist recruitment in a 5-s maximal isometric effort in tibialis anterior, soleus and medial gastrocnemius. Subjects retrospectively reported effort perception on a 10-point visual analog scale. During gastrocnemius stretch in hemiparetic subjects, we observed: (1) a 25 ± 7 % reduction of tibialis anterior voluntary activation (maximum reduction 98 %; knee extended vs knee flexed; p = 0.007, ANOVA); (2) an increase in dorsiflexion effort perception (p = 0.03, ANCOVA). Such changes did not occur in healthy subjects. Effort perception depended on tibialis anterior recruitment only (βARI(TA) = 0.61, p hemiparesis, voluntary ability to recruit agonist motoneurones is impaired--sometimes abolished--by antagonist stretch, a phenomenon defined here as stretch-sensitive paresis. In addition, spastic co-contraction increases effort perception, an additional incentive to evaluate and treat this phenomenon.

Beyond "implementation strategies": classifying the full range of strategies used in implementation science and practice.

Science.gov (United States)

Leeman, Jennifer; Birken, Sarah A; Powell, Byron J; Rohweder, Catherine; Shea, Christopher M

2017-11-03

assess strategy effectiveness. We illustrate how each class would apply to efforts to improve colorectal cancer screening rates in Federally Qualified Health Centers. Structuring strategies into classes will aid reporting of implementation research findings, alignment of strategies with relevant theories, synthesis of findings across studies, and identification of potential gaps in current strategy listings. Organizing strategies into classes also will assist users in locating the strategies that best match their needs.

Effort-Based Career Opportunities and Working Time

OpenAIRE

Bratti, M.; Staffolani, S.

2005-01-01

The authors evaluate the economic effects of the hypothesis of effort-based career opportunities, described as a situation in which a firm creates incentives for employees to work longer hours than bargained (or desired), by making career prospects depend on relative working hours. Firms' personnel management policies may tend to increase working time (or workers' effort) in order to maximize profits. Effort-based career opportunities raise working time, production and output per worker, and ...

Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals.

Science.gov (United States)

Ward, Marcia M; Baloh, Jure; Zhu, Xi; Stewart, Greg L

A particularly useful model for examining implementation of quality improvement interventions in health care settings is the PARIHS (Promoting Action on Research Implementation in Health Services) framework developed by Kitson and colleagues. The PARIHS framework proposes three elements (evidence, context, and facilitation) that are related to successful implementation. An evidence-based program focused on quality enhancement in health care, termed TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), has been widely promoted by the Agency for Healthcare Research and Quality, but research is needed to better understand its implementation. We apply the PARIHS framework in studying TeamSTEPPS implementation to identify elements that are most closely related to successful implementation. Quarterly interviews were conducted over a 9-month period in 13 small rural hospitals that implemented TeamSTEPPS. Interview quotes that were related to each of the PARIHS elements were identified using directed content analysis. Transcripts were also scored quantitatively, and bivariate regression analysis was employed to explore relationships between PARIHS elements and successful implementation related to planning activities. The current findings provide support for the PARIHS framework and identified two of the three PARIHS elements (context and facilitation) as important contributors to successful implementation. This study applies the PARIHS framework to TeamSTEPPS, a widely used quality initiative focused on improving health care quality and patient safety. By focusing on small rural hospitals that undertook this quality improvement activity of their own accord, our findings represent effectiveness research in an understudied segment of the health care delivery system. By identifying context and facilitation as the most important contributors to successful implementation, these analyses provide a focus for efficient and effective sustainment of Team

Efforts to Overcome Child Commercial Sexual Exploitation Victims in City Tourism Area, Manado

Directory of Open Access Journals (Sweden)

Rahmat Hidayat

2017-09-01

Full Text Available The tourism sector has a significant contribution to the economy of Manado City, North Sulawesi Province. However, on the other hand, it has a negative effect on the increase in the number of child commercial sexual exploitation victims and makes children into commercial sex workers. Despite not effective, the Local Government of Manado City, North Sulawesi Province, has made efforts to cope with the child commercial sexual exploitation victims. In connection with the case, this study is designed to analyze the causes of ineffectiveness of Local Government efforts in tackling child commercial sexual exploitation victims. The study was conducted in tourism area of Manado City, North Sulawesi Province. The informants involved in this study were divided into two types: experts and non-experts. The informants were determined by using Opportunistic Sampling, and the sampling is using Snowball Sampling. The results of the study showed that the development of tourism sector has negative effect on children in the communities. Efforts made to cope with child commercial sexual exploitation victims by the local government and relevant parties have not been effective due to limited allocation of budgets and skilled, quality human resources, the lack of harmonious understanding between police with judges and public prosecutors as law apparatus, supervision, and protection of victims in solving the cases of child commercial sexual exploitation victims, the implementation of action committee’s duties and responsibility have been not effect, the number of obstacles facing them.

Health information technology and implementation science: partners in progress in the VHA.

Science.gov (United States)

Hynes, Denise M; Whittier, Erika R; Owens, Arika

2013-03-01

The Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) has demonstrated how implementation science can enhance the quality of health care. During this time an increasing number of implementation research projects have developed or utilized health information technology (HIT) innovations to leverage the VA's electronic health record and information systems. To describe the HIT approaches used and to characterize the facilitators and barriers to progress within implementation research projects in the VA QUERI program. Nine case studies were selected from among 88 projects and represented 8 of 14 HIT categories identified. Each case study included key informants whose roles on the project were principal investigator, implementation science and informatics development. We conducted documentation analysis and semistructured in-person interviews with key informants for each of the 9 case studies. We used qualitative analysis software to identify and thematically code information and interview responses. : Thematic analyses revealed 3 domains or pathways critical to progression through the QUERI steps. These pathways addressed: (1) compliance and collaboration with information technology policies and procedures; (2) operating within organizational policies and building collaborations with end users, clinicians, and administrators; and (3) obtaining and maintaining research resources and approvals. Sustained efforts in HIT innovation and in implementation science in the Veterans Health Administration demonstrates the interdependencies of these initiatives and the critical pathways that can contribute to progress. Other health care quality improvement efforts that rely on HIT can learn from the Veterans Health Administration experience.

The interplay of contextual elements in implementation: an ethnographic case study.

Science.gov (United States)

McCullough, Megan B; Chou, Ann F; Solomon, Jeffrey L; Petrakis, Beth Ann; Kim, Bo; Park, Angela M; Benedict, Ashley J; Hamilton, Alison B; Rose, Adam J

2015-02-14

Contextual elements have significant impact on uptake of health care innovations. While existing conceptual frameworks in implementation science suggest contextual elements interact with each other, little research has described how this might look in practice. To bridge this gap, this study identifies the interconnected patterns among contextual elements that influence uptake of an anticoagulation clinic improvement initiative. We completed 51 semi-structured interviews and ethnographic observations across five case study sites involved in an evidence-based practice (EBP) quality improvement initiative. We analyzed data in NVivo 10 using an a priori approach based on the Promoting Action on Research Implementation in Health Services (PARIHS) model and an emergent thematic analysis. Key contextual elements, such as leadership, teamwork, and communication, interacted with each other in contributing to site-level uptake of the EBP, often yielding results that could not be predicted by looking at just one of these elements alone. Sites with context conducive to change in these areas predictably had high uptake, while sites with uniformly weak contextual elements had low uptake. Most sites presented a mixed picture, with contextual elements being strongly supportive of change in some areas and weak or moderate in others. In some cases, we found that sites with strong context in at least one area only needed to have adequate context in other areas to yield high uptake. At other sites, weak context in just one area had the potential to contribute to low uptake, despite countervailing strengths. Even a site with positive views of EBPs could not succeed when context was weak. Interrelationships among different contextual elements can act as barriers to uptake at some sites and as facilitators at others. Accounting for interconnections among elements enables PARIHS to more fully describe the determinants of successful implementation as they operate in real-world settings.

Characterising Extrinsic Challenges Linked to the Design and Implementation of Inquiry-Based Practical Work

Science.gov (United States)

Akuma, Fru Vitalis; Callaghan, Ronel

2017-11-01

Inquiry-based science education has been incorporated in science curricula internationally. In this regard, however, many teachers encounter challenges. The challenges have been characterised into those linked to the personal characteristics of these teachers (intrinsic challenges) and others associated with contextual factors (extrinsic challenges). However, this level of characterisation is inadequate in terms of appreciating the complexity of the challenges, tracking of their development, and discovering knowledge within specific categories. Against this background, the purpose of the research presented here was to characterise extrinsic challenges linked to the design and implementation of inquiry-based practical work. In order to do so, we used a conceptual framework of teaching challenges based on Bronfenbrenner's ecological theory of human development. The data gathered using a multi-method case study of practical work in two South African high schools, was analysed by combining the data-driven inductive approach and the deductive a priori template of codes approach in thematic analysis. On this basis, the extrinsic challenges linked to the design and implementation of inquiry-based practical work that participants are confronted with, were found to consist of macrosystem challenges (such as a restrictive curriculum) and microsystem challenges. At the latter level, the challenges are material-related (e.g., lack of science education equipment and materials) or non-material-related (such as time constraints and the lack of access to interactive computer simulations). We have discussed the theory-, practice- and research-based implications of these results in relation to the design and implementation of inquiry-based practical work in South Africa and internationally.

The Philippine Department of Education: Challenges of Policy Implementation amidst Corruption

Science.gov (United States)

Reyes, Vicente Chua

2010-01-01

This inquiry interrogates the experiences of local implementation actors of the Philippine Department of Education as they navigate through reform efforts within systemic corruption. Departing from dominant analytical paradigms centred on patron-client frameworks, the article introduces the typology of complex linkages where local actors play…

Trust and Reciprocity: Are Effort and Money Equivalent?

Science.gov (United States)

Vilares, Iris; Dam, Gregory; Kording, Konrad

2011-01-01

Trust and reciprocity facilitate cooperation and are relevant to virtually all human interactions. They are typically studied using trust games: one subject gives (entrusts) money to another subject, which may return some of the proceeds (reciprocate). Currently, however, it is unclear whether trust and reciprocity in monetary transactions are similar in other settings, such as physical effort. Trust and reciprocity of physical effort are important as many everyday decisions imply an exchange of physical effort, and such exchange is central to labor relations. Here we studied a trust game based on physical effort and compared the results with those of a computationally equivalent monetary trust game. We found no significant difference between effort and money conditions in both the amount trusted and the quantity reciprocated. Moreover, there is a high positive correlation in subjects' behavior across conditions. This suggests that trust and reciprocity may be character traits: subjects that are trustful/trustworthy in monetary settings behave similarly during exchanges of physical effort. Our results validate the use of trust games to study exchanges in physical effort and to characterize inter-subject differences in trust and reciprocity, and also suggest a new behavioral paradigm to study these differences. PMID:21364931

Perceived effort for motor control and decision-making.

Directory of Open Access Journals (Sweden)

Ignasi Cos

2017-08-01

Full Text Available How effort is internally quantified and how it influences both movement generation and decisions between potential movements are 2 difficult questions to answer. Physical costs are known to influence motor control and decision-making, yet we lack a general, principled characterization of how the perception of effort operates across tasks and conditions. Morel and colleagues introduce an insightful approach to that end, assessing effort indifference points and presenting a quadratic law between perceived effort and force production.

Commercial implementation of food irradiation

International Nuclear Information System (INIS)

Welt, M.A.

1985-01-01

Recent positive developments in regulatory matters involving food irradiation appear to be opening the door to commercial implementation of the technology. Experience gained over five years in operating multi-purpose food irradiation facilities in the United States have demonstrated the technical and economic feasibility of the radiation preservation of food for a wide variety of purposes. Public education regarding food irradiation has been intensified especially with the growing favorable involvement of food trade associations, the USDA, and the American Medical Association. After 41 years of development effort, food irradiation will become a commercial reality in 1985. (author)

Implementation guidelines for seismic PSA

International Nuclear Information System (INIS)

Coman, Ovidiu; Samaddar, Sujit; Hibino, Kenta; )

2014-01-01

The presentation was devoted to development of guidelines for implementation of a seismic PSA. If successful, these guidelines can close an important gap. ASME/ANS PRA standards and the related IAEA Safety Guide (IAEA NS-G-2.13) describe capability requirements for seismic PSA in order to support risk-informed applications. However, practical guidance on how to meet these requirements is limited. Such guidelines could significantly contribute to improving risk-informed safety demonstration, safety management and decision making. Extensions of this effort to further PSA areas, particularly to PSA for other external hazards, can enhance risk-informed applications

Phillips-Tikhonov regularization with a priori information for neutron emission tomographic reconstruction on Joint European Torus

Energy Technology Data Exchange (ETDEWEB)

Bielecki, J.; Scholz, M.; Drozdowicz, K. [Institute of Nuclear Physics, Polish Academy of Sciences, PL-31342 Krakow (Poland); Giacomelli, L. [CCFE, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Istituto di Fisica del Plasma “P. Caldirola,” Milano (Italy); Kiptily, V.; Kempenaars, M. [CCFE, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Conroy, S. [CCFE, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Department of Physics and Astronomy, Uppsala University (Sweden); Craciunescu, T. [IAP, National Institute for Laser Plasma and Radiation Physics, Bucharest (Romania); Collaboration: EUROfusion Consortium, JET, Culham Science Centre, Abingdon OX14 3DB (United Kingdom)

2015-09-15

A method of tomographic reconstruction of the neutron emissivity in the poloidal cross section of the Joint European Torus (JET, Culham, UK) tokamak was developed. Due to very limited data set (two projection angles, 19 lines of sight only) provided by the neutron emission profile monitor (KN3 neutron camera), the reconstruction is an ill-posed inverse problem. The aim of this work consists in making a contribution to the development of reliable plasma tomography reconstruction methods that could be routinely used at JET tokamak. The proposed method is based on Phillips-Tikhonov regularization and incorporates a priori knowledge of the shape of normalized neutron emissivity profile. For the purpose of the optimal selection of the regularization parameters, the shape of normalized neutron emissivity profile is approximated by the shape of normalized electron density profile measured by LIDAR or high resolution Thomson scattering JET diagnostics. In contrast with some previously developed methods of ill-posed plasma tomography reconstruction problem, the developed algorithms do not include any post-processing of the obtained solution and the physical constrains on the solution are imposed during the regularization process. The accuracy of the method is at first evaluated by several tests with synthetic data based on various plasma neutron emissivity models (phantoms). Then, the method is applied to the neutron emissivity reconstruction for JET D plasma discharge #85100. It is demonstrated that this method shows good performance and reliability and it can be routinely used for plasma neutron emissivity reconstruction on JET.

Phase transitions in least-effort communications

International Nuclear Information System (INIS)

Prokopenko, Mikhail; Ay, Nihat; Obst, Oliver; Polani, Daniel

2010-01-01

We critically examine a model that attempts to explain the emergence of power laws (e.g., Zipf's law) in human language. The model is based on the principle of least effort in communications—specifically, the overall effort is balanced between the speaker effort and listener effort, with some trade-off. It has been shown that an information-theoretic interpretation of this principle is sufficiently rich to explain the emergence of Zipf's law in the vicinity of the transition between referentially useless systems (one signal for all referable objects) and indexical reference systems (one signal per object). The phase transition is defined in the space of communication accuracy (information content) expressed in terms of the trade-off parameter. Our study explicitly solves the continuous optimization problem, subsuming a recent, more specific result obtained within a discrete space. The obtained results contrast Zipf's law found by heuristic search (that attained only local minima) in the vicinity of the transition between referentially useless systems and indexical reference systems, with an inverse-factorial (sub-logarithmic) law found at the transition that corresponds to global minima. The inverse-factorial law is observed to be the most representative frequency distribution among optimal solutions

Men's Work Efforts and the Transition to Fatherhood.

Science.gov (United States)

Astone, Nan Marie; Dariotis, Jacinda; Sonenstein, Freya; Pleck, Joseph H; Hynes, Kathryn

2010-03-01

In this paper we tested three hypotheses: (a) the transition to fatherhood is associated with an increase in work effort; (b) the positive association (if any) between the transition to fatherhood and work effort is greater for fathers who are married at the time of the transition; and (c) the association (if any) is greater for men who make the transition at younger ages. The data are from the National Longitudinal Survey of Youth 1979 Cohort. The transition to fatherhood was associated with an increase in work effort among young unmarried men, but not for married men. Among married men who were on-time fathers, work effort decreased. Among childless men, the marriage transition was associated with increased work effort.

Dissociating variability and effort as determinants of coordination.

Directory of Open Access Journals (Sweden)

Ian O'Sullivan

2009-04-01

Full Text Available When coordinating movements, the nervous system often has to decide how to distribute work across a number of redundant effectors. Here, we show that humans solve this problem by trying to minimize both the variability of motor output and the effort involved. In previous studies that investigated the temporal shape of movements, these two selective pressures, despite having very different theoretical implications, could not be distinguished; because noise in the motor system increases with the motor commands, minimization of effort or variability leads to very similar predictions. When multiple effectors with different noise and effort characteristics have to be combined, however, these two cost terms can be dissociated. Here, we measure the importance of variability and effort in coordination by studying how humans share force production between two fingers. To capture variability, we identified the coefficient of variation of the index and little fingers. For effort, we used the sum of squared forces and the sum of squared forces normalized by the maximum strength of each effector. These terms were then used to predict the optimal force distribution for a task in which participants had to produce a target total force of 4-16 N, by pressing onto two isometric transducers using different combinations of fingers. By comparing the predicted distribution across fingers to the actual distribution chosen by participants, we were able to estimate the relative importance of variability and effort of 1:7, with the unnormalized effort being most important. Our results indicate that the nervous system uses multi-effector redundancy to minimize both the variability of the produced output and effort, although effort costs clearly outweighed variability costs.

Comprehensive Metric Education Project: Implementing Metrics at a District Level Administrative Guide.

Science.gov (United States)

Borelli, Michael L.

This document details the administrative issues associated with guiding a school district through its metrication efforts. Issues regarding staff development, curriculum development, and the acquisition of instructional resources are considered. Alternative solutions are offered. Finally, an overall implementation strategy is discussed with…

Implementing Case Tools in the Inteligent Telecommunication Systems

OpenAIRE

Bahador Ghahramani; Azad Azadmanesh

2003-01-01

This paper discusses an intelligent and Internet-based Telecommunication System Specification Model (TSSM) using Computer Aided Systems Engineering tools (CASE tools). TSSM implements CASE tools to mechanize its lifecycle development maintenance and integration process. This model is developed to improve the system analysts (SA) efforts in their design and development of major software and hardware initiatives. This model also improves the SA effectiveness by guiding them through the system's...

Community characteristics and implementation factors associated with effective systems of care.

Science.gov (United States)

Lunn, Laurel M; Heflinger, Craig Anne; Wang, Wei; Greenbaum, Paul E; Kutash, Krista; Boothroyd, Roger A; Friedman, Robert M

2011-07-01

How are characteristics of communities associated with the implementation of the principles of systems of care (SOC)? This study uses multilevel modeling with a stratified random sample (N = 225) of US counties to explore community-level predictors of the implementation factors of the System of Care Implementation Survey. A model composed of community-level social indicators fits well with 5 of 14 factors identified as relevant for effective SOCs. As hypothesized, community disadvantage was negatively and residential stability positively associated with the implementation of SOC principles. Designation as a mental health professional shortage area was positively related to some implementation scores, as was the percentage of minority residents, while rurality was not significantly associated with any of the factors. Given the limitations of the study, the results should be interpreted with caution, but suggest that further research is merited to clarify these relationships that could inform efforts directed at promoting SOCs.

Not all effort is equal: the role of the anterior cingulate cortex in different forms of effort-reward decisions

Directory of Open Access Journals (Sweden)

Victoria eHolec

2014-01-01

Full Text Available The rat anterior cingulate cortex (ACC mediates effort-based decision making when the task requires the physical effort of climbing a ramp. Normal rats will readily climb a barrier leading to high reward whereas rats with ACC lesions will opt instead for an easily obtained small reward. The present study explored whether the role of ACC in cost-benefit decisions extends beyond climbing by testing its role in ramp climbing as well as two novel cost-benefit decision tasks, one involving the physical effort of lifting weights and the other the emotional cost of overcoming fear (i.e., courage. As expected, rats with extensive ACC lesions tested on a ramp-climbing task were less likely to choose a high-reward/high-effort arm than sham controls. However, during the first few trials, lesioned rats were as likely as controls to initially turn into the high-reward arm but far less likely to actually climb the barrier, suggesting that the role of the ACC is not in deciding which course of action to pursue, but rather in maintaining a course of action in the face of countervailing forces. In the effort-reward decision task involving weight lifting, some lesion animals behaved like controls while others avoided the high reward arm. However, the results were not statistically significant and a follow-up study using incremental increasing effort failed to show any difference between lesion and control groups. The results suggest that the ACC is not needed for effort-reward decisions involving weight lifting but may affect motor abilities. Finally, a courage task explored the willingness of rats to overcome the fear of crossing an open, exposed arm to obtain a high reward. Both sham and ACC-lesioned animals exhibited equal tendencies to enter the open arm. However, whereas sham animals gradually improved on the task, ACC-lesioned rats did not. Taken together, the results suggest that the role of the ACC in effort-reward decisions may be limited to certain

An Implementation Research Approach to Evaluating Health Insurance Programs: Insights from India

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Krishna D. Rao

2016-05-01

Full Text Available One of the distinguishing features of implementation research is the importance given to involve implementers in all aspects of research, and as users of research. We report on a recent implementation research effort in India, in which researchers worked together with program implementers from one of the longest serving government funded insurance schemes in India, the Rajiv Aarogyasri Scheme (RAS in the state of undivided Andhra Pradesh, that covers around 70 million people. This paper aims to both inform on the process of the collaborative research, as well as, how the nature of questions that emerged out of the collaborative exercise differed in scope from those typically asked of insurance program evaluations. Starting in 2012, and over the course of a year, staff from the Aarogyasri Health Care Trust (AHCT, and researchers held a series of meetings to identify research questions that could serve as a guide for an evaluation of the RAS. The research questions were derived from the application of a Logical Framework Approach (“log frame” to the RAS. The types of questions that emerged from this collaborative effort were compared with those seen in the published literature on evaluations of insurance programs in low- and middle-income countries (LMICs. In the published literature, 60% of the questions pertained to output/outcome of the program and the remaining 40%, relate to processes and inputs. In contrast, questions generated from the RAS participatory research process between implementers and researchers had a remarkably different distribution – 81% of questions looked at program input/processes, and 19% on outputs and outcomes. An implementation research approach can lead to a substantively different emphasis of research questions. While there are several challenges in collaborative research between implementers and researchers, an implementation research approach can lead to incorporating tacit knowledge of program implementers

Tools and data services registry: a community effort to document bioinformatics resources

Science.gov (United States)

Ison, Jon; Rapacki, Kristoffer; Ménager, Hervé; Kalaš, Matúš; Rydza, Emil; Chmura, Piotr; Anthon, Christian; Beard, Niall; Berka, Karel; Bolser, Dan; Booth, Tim; Bretaudeau, Anthony; Brezovsky, Jan; Casadio, Rita; Cesareni, Gianni; Coppens, Frederik; Cornell, Michael; Cuccuru, Gianmauro; Davidsen, Kristian; Vedova, Gianluca Della; Dogan, Tunca; Doppelt-Azeroual, Olivia; Emery, Laura; Gasteiger, Elisabeth; Gatter, Thomas; Goldberg, Tatyana; Grosjean, Marie; Grüning, Björn; Helmer-Citterich, Manuela; Ienasescu, Hans; Ioannidis, Vassilios; Jespersen, Martin Closter; Jimenez, Rafael; Juty, Nick; Juvan, Peter; Koch, Maximilian; Laibe, Camille; Li, Jing-Woei; Licata, Luana; Mareuil, Fabien; Mičetić, Ivan; Friborg, Rune Møllegaard; Moretti, Sebastien; Morris, Chris; Möller, Steffen; Nenadic, Aleksandra; Peterson, Hedi; Profiti, Giuseppe; Rice, Peter; Romano, Paolo; Roncaglia, Paola; Saidi, Rabie; Schafferhans, Andrea; Schwämmle, Veit; Smith, Callum; Sperotto, Maria Maddalena; Stockinger, Heinz; Vařeková, Radka Svobodová; Tosatto, Silvio C.E.; de la Torre, Victor; Uva, Paolo; Via, Allegra; Yachdav, Guy; Zambelli, Federico; Vriend, Gert; Rost, Burkhard; Parkinson, Helen; Løngreen, Peter; Brunak, Søren

2016-01-01

Life sciences are yielding huge data sets that underpin scientific discoveries fundamental to improvement in human health, agriculture and the environment. In support of these discoveries, a plethora of databases and tools are deployed, in technically complex and diverse implementations, across a spectrum of scientific disciplines. The corpus of documentation of these resources is fragmented across the Web, with much redundancy, and has lacked a common standard of information. The outcome is that scientists must often struggle to find, understand, compare and use the best resources for the task at hand. Here we present a community-driven curation effort, supported by ELIXIR—the European infrastructure for biological information—that aspires to a comprehensive and consistent registry of information about bioinformatics resources. The sustainable upkeep of this Tools and Data Services Registry is assured by a curation effort driven by and tailored to local needs, and shared amongst a network of engaged partners. As of November 2015, the registry includes 1785 resources, with depositions from 126 individual registrations including 52 institutional providers and 74 individuals. With community support, the registry can become a standard for dissemination of information about bioinformatics resources: we welcome everyone to join us in this common endeavour. The registry is freely available at https://bio.tools. PMID:26538599

Understanding the Role of Culture and Communication in Implementing Planned Organizational Change: The Case of Compstat in Police Organizations

Science.gov (United States)

Yuksel, Yusuf

2013-01-01

Despite the popularity of planned change efforts, the failure rates of implementation are as high as 50 to 70 percent (Lewis & Seibold, 1998). While these efforts are affected by technical issues, the organizations' approach to change, structure, technological capabilities, and organizational culture and communication practices are…

Beyond “implementation strategies”: classifying the full range of strategies used in implementation science and practice

Directory of Open Access Journals (Sweden)

Jennifer Leeman

2017-11-01

determinants targeted (action targets, and outcomes used to assess strategy effectiveness. We illustrate how each class would apply to efforts to improve colorectal cancer screening rates in Federally Qualified Health Centers. Conclusions Structuring strategies into classes will aid reporting of implementation research findings, alignment of strategies with relevant theories, synthesis of findings across studies, and identification of potential gaps in current strategy listings. Organizing strategies into classes also will assist users in locating the strategies that best match their needs.

Web-based child pornography: The global impact of deterrence efforts and its consumption on mobile platforms.

Science.gov (United States)

Steel, Chad M S

2015-06-01

Our study is the first to look at mobile device use for child sexual exploitation material (CSEM) consumption, and at the global impact of deterrence efforts by search providers. We used data from Google, Bing, and Yandex to assess how web searches for CSEM are being conducted, both at present and historically. Our findings show that the blocking efforts by Google and Microsoft have resulted in a 67% drop in the past year in web-based searches for CSEM. Additionally, our findings show that mobile devices are a substantial platform for web-based consumption of CSEM, with tablets and smartphones representing 32% of all queries associated with CSEM conducted on Bing. Further, our findings show that a major search engine not located in the United States, Yandex, did not undertake blocking efforts similar to those implemented by Google and Microsoft and has seen no commensurate drop in CSEM searches and continues to profit from ad revenue on these queries. While the efforts by Google and Microsoft have had a deterrence effect in the United States, searchers from Russia and other locations where child pornography possession is not criminalized have continued to use these services. Additionally, the same lax enforcement environment has allowed searchers from the United States to utilize Yandex with little fear of detection or referral to United States law enforcement from the Russian authorities. Copyright © 2015 Elsevier Ltd. All rights reserved.

Sandia's experience in designing and implementing integrated high security physical protection systems

International Nuclear Information System (INIS)

Caskey, D.L.

1986-01-01

As DOE's lead laboratory for physical security, Sandia National Laboratories has had a major physical security program for over ten years. Activities have ranged from component development and evaluation, to full scale system design and implementation. This paper presents some of the lessons learned in designing and implementing state-of-the-art high security physical protection systems for a number of government facilities. A generic system design is discussed for illustration purposes. Sandia efforts to transfer technology to industry are described

Implementing diversity dozens of practical tips for leading the change effort, 12 classic mistakes most organizations make and how to avoid them

CERN Document Server

Loden, Marilyn

1996-01-01

This practical and provocative guide provides the strategies and tactics used by organizations committed to implementing diversity from the top down. Focusing on the necessity for a strategic change initiative, Loden discusses: how to position diversity initiatives for maximum buy-in and support; proven strategies for managing resistance to this important change; the 12 classic mistakes made when implementing diversity initiatives - and how to avoid them.

Motivation and effort in individuals with social anhedonia.

Science.gov (United States)

McCarthy, Julie M; Treadway, Michael T; Blanchard, Jack J

2015-06-01

It has been proposed that anhedonia may, in part, reflect difficulties in reward processing and effortful decision making. The current study aimed to replicate previous findings of effortful decision making deficits associated with elevated anhedonia and expand upon these findings by investigating whether these decision making deficits are specific to elevated social anhedonia or are also associated with elevated positive schizotypy characteristics. The current study compared controls (n=40) to individuals elevated on social anhedonia (n=30), and individuals elevated on perceptual aberration/magical ideation (n=30) on the Effort Expenditure for Rewards Task (EEfRT). Across groups, participants chose a higher proportion of hard tasks with increasing probability of reward and reward magnitude, demonstrating sensitivity to probability and reward values. Contrary to our expectations, when the probability of reward was most uncertain (50% probability), at low and medium reward values, the social anhedonia group demonstrated more effortful decision making than either individuals high in positive schizotypy or controls. The positive schizotypy group only differed from controls (making less effortful choices than controls) when reward probability was lowest (12%) and the magnitude of reward was the smallest. Our results suggest that social anhedonia is related to intact motivation and effort for monetary rewards, but that individuals with this characteristic display a unique and perhaps inefficient pattern of effort allocation when the probability of reward is most uncertain. Future research is needed to better understand effortful decision making and the processing of reward across a range of individual difference characteristics. Copyright © 2015 Elsevier B.V. All rights reserved.

Towards a CPN-Based Modelling Approach for Reconciling Verification and Implementation of Protocol Models

DEFF Research Database (Denmark)

Simonsen, Kent Inge; Kristensen, Lars Michael

2013-01-01

Formal modelling of protocols is often aimed at one specific purpose such as verification or automatically generating an implementation. This leads to models that are useful for one purpose, but not for others. Being able to derive models for verification and implementation from a single model...... is beneficial both in terms of reduced total modelling effort and confidence that the verification results are valid also for the implementation model. In this paper we introduce the concept of a descriptive specification model and an approach based on refining a descriptive model to target both verification...... how this model can be refined to target both verification and implementation....

A Qualitative Examination of the Implementation of a Community-Academic Coalition

Science.gov (United States)

Boydell, Katherine M.; Volpe, Tiziana

2004-01-01

Many recent grant initiatives have mandated coalition building as a key component of their health promotion efforts. Health service leaders are increasingly representing their organizations on coalitions and need to better understand the complexities involved in their creation and management. In this paper we focus on the implementation of a…

Time preferences, study effort, and academic performance

NARCIS (Netherlands)

Non, J.A.; Tempelaar, D.T.

2014-01-01

We analyze the relation between time preferences, study effort, and academic performance among first-year Business and Economics students. Time preferences are measured by stated preferences for an immediate payment over larger delayed payments. Data on study efforts are derived from an electronic

Effort problem of chemical pipelines

Energy Technology Data Exchange (ETDEWEB)

Okrajni, J.; Ciesla, M.; Mutwil, K. [Silesian Technical University, Katowice (Poland)

1998-12-31

The problem of the technical state assessment of the chemical pipelines working under mechanical and thermal loading has been shown in the paper. The pipelines effort after the long time operating period has been analysed. Material geometrical and loading conditions of the crack initiation and crack growth process in the chosen object has been discussed. Areas of the maximal effort have been determined. The material structure charges after the long time operating period have been described. Mechanisms of the crack initiation and crack growth in the pipeline elements have been analysed and mutual relations between the chemical and mechanical influences have been shown. (orig.) 16 refs.

Going above and beyond for implementation: the development and validity testing of the Implementation Citizenship Behavior Scale (ICBS).

Science.gov (United States)

Ehrhart, Mark G; Aarons, Gregory A; Farahnak, Lauren R

2015-05-07

related to EBP and implementation efforts. The ICBS can be used by researchers to better understand the outcomes of improved organizational support for implementation (i.e., implementation climate) and the proximal predictors of implementation effectiveness. The ICBS can also provide insight for organizations, practitioners, and managers by focusing on key employee behaviors that should increase the probability of implementation success.

Monitoring and evaluation of disaster response efforts undertaken by local health departments: a rapid realist review.

Science.gov (United States)

Gossip, Kate; Gouda, Hebe; Lee, Yong Yi; Firth, Sonja; Bermejo, Raoul; Zeck, Willibald; Jimenez Soto, Eliana

2017-06-29

Local health departments are often at the forefront of a disaster response, attending to the immediate trauma inflicted by the disaster and also the long term health consequences. As the frequency and severity of disasters are projected to rise, monitoring and evaluation (M&E) efforts are critical to help local health departments consolidate past experiences and improve future response efforts. Local health departments often conduct M&E work post disaster, however, many of these efforts fail to improve response procedures. We undertook a rapid realist review (RRR) to examine why M&E efforts undertaken by local health departments do not always result in improved disaster response efforts. We aimed to complement existing frameworks by focusing on the most basic and pragmatic steps of a M&E cycle targeted towards continuous system improvements. For these purposes, we developed a theoretical framework that draws on the quality improvement literature to 'frame' the steps in the M&E cycle. This framework encompassed a M&E cycle involving three stages (i.e., document and assess, disseminate and implement) that must be sequentially completed to learn from past experiences and improve future disaster response efforts. We used this framework to guide our examination of the literature and to identify any context-mechanism-outcome (CMO) configurations which describe how M&E may be constrained or enabled at each stage of the M&E cycle. This RRR found a number of explanatory CMO configurations that provide valuable insights into some of the considerations that should be made when using M&E to improve future disaster response efforts. Firstly, to support the accurate documentation and assessment of a disaster response, local health departments should consider how they can: establish a culture of learning within health departments; use embedded training methods; or facilitate external partnerships. Secondly, to enhance the widespread dissemination of lessons learned and facilitate

Identification of dietary patterns associated with obesity in a nationally representative survey of Canadian adults: application of a priori, hybrid, and simplified dietary pattern techniques.

Science.gov (United States)

Jessri, Mahsa; Wolfinger, Russell D; Lou, Wendy Y; L'Abbé, Mary R

2017-03-01

Background: Analyzing the effects of dietary patterns is an important approach for examining the complex role of nutrition in the etiology of obesity and chronic diseases. Objectives: The objectives of this study were to characterize the dietary patterns of Canadians with the use of a priori, hybrid, and simplified dietary pattern techniques, and to compare the associations of these patterns with obesity risk in individuals with and without chronic diseases (unhealthy and healthy obesity). Design: Dietary recalls from 11,748 participants (≥18 y of age) in the cross-sectional, nationally representative Canadian Community Health Survey 2.2 were used. A priori dietary pattern was characterized with the use of the previously validated 2015 Dietary Guidelines for Americans Adherence Index (DGAI). Weighted partial least squares (hybrid method) was used to derive an energy-dense (ED), high-fat (HF), low-fiber density (LFD) dietary pattern with the use of 38 food groups. The associations of derived dietary patterns with disease outcomes were then tested with the use of multinomial logistic regression. Results: An ED, HF, and LFD dietary pattern had high positive loadings for fast foods, carbonated drinks, and refined grains, and high negative loadings for whole fruits and vegetables (≥|0.17|). Food groups with a high loading were summed to form a simplified dietary pattern score. Moving from the first (healthiest) to the fourth (least healthy) quartiles of the ED, HF, and LFD pattern and the simplified dietary pattern scores was associated with increasingly elevated ORs for unhealthy obesity, with individuals in quartile 4 having an OR of 2.57 (95% CI: 1.75, 3.76) and 2.73 (95% CI: 1.88, 3.98), respectively ( P -trend obesity ( P -trend dietary patterns with healthy obesity and unhealthy nonobesity were weaker, albeit significant. Conclusions: Consuming an ED, HF, and LFD dietary pattern and lack of adherence to the recommendations of the 2015 DGAI were associated with

Implications of the 2015 World Health Organization isoniazid preventive therapy recommendations on tuberculosis prevention efforts in Namibia.

Science.gov (United States)

Oloo, Stella Anne

2016-07-01

The World Health Organization recently released guidelines recommending 36-month use of isoniazid preventive therapy in adults and adolescents living with HIV in resource-limited settings. Namibia continues to grapple with one of the highest incidences of tuberculosis (TB) worldwide. Implementation of these guidelines requires considerations of TB epidemiology, health infrastructure, programmatic priorities and patient adherence. This article explores the challenges Namibia currently faces in its fight against TB and the implications of the new guidelines on Namibian TB prevention efforts.

A fast implementation of the incremental backprojection algorithms for parallel beam geometries

International Nuclear Information System (INIS)

Chen, C.M.; Wang, C.Y.; Cho, Z.H.

1996-01-01

Filtered-backprojection algorithms are the most widely used approaches for reconstruction of computed tomographic (CT) images, such as X-ray CT and positron emission tomographic (PET) images. The Incremental backprojection algorithm is a fast backprojection approach based on restructuring the Shepp and Logan algorithm. By exploiting interdependency (position and values) of adjacent pixels, the Incremental algorithm requires only O(N) and O(N 2 ) multiplications in contrast to O(N 2 ) and O(N 3 ) multiplications for the Shepp and Logan algorithm in two-dimensional (2-D) and three-dimensional (3-D) backprojections, respectively, for each view, where N is the size of the image in each dimension. In addition, it may reduce the number of additions for each pixel computation. The improvement achieved by the Incremental algorithm in practice was not, however, as significant as expected. One of the main reasons is due to inevitably visiting pixels outside the beam in the searching flow scheme originally developed for the Incremental algorithm. To optimize implementation of the Incremental algorithm, an efficient scheme, namely, coded searching flow scheme, is proposed in this paper to minimize the overhead caused by searching for all pixels in a beam. The key idea of this scheme is to encode the searching flow for all pixels inside each beam. While backprojecting, all pixels may be visited without any overhead due to using the coded searching flow as the a priori information. The proposed coded searching flow scheme has been implemented on a Sun Sparc 10 and a Sun Sparc 20 workstations. The implementation results show that the proposed scheme is 1.45--2.0 times faster than the original searching flow scheme for most cases tested

Implementation of SAP-IV on a minicomputer disc operating system

International Nuclear Information System (INIS)

Spencer, R.B.; Howard, G.E.

1977-01-01

The objective of the described effort was the implementation of a linear elastic finite element structural analysis program version on a minicomputer operating system while maintaining (as much as possible) the general features of the original program. SAP-IV has been successfully implemented on a minicomputer operating system as one component in a portable vibration testing, data acquisition and processing, parameter identification and design optimization system for field work. The primary features in SAP-IV facilitating conversion and implementation on a minicomputer are: (1) the calculational procedures of SAP-IV are well documented and the subroutine structure easy to follow; (2) SAP-IV is organized in a highly modular fashion; (3) it is versatile with respect to its calculational options; and (4) the element library can be readily expanded. (Auth.)

A System View on Iterative MIMO Detection: Dynamic Sphere Detection versus Fixed Effort List Detection

Directory of Open Access Journals (Sweden)

Christina Gimmler-Dumont

2012-01-01

reliability information is fed back from the channel decoder to the MIMO detector. In this paper, we derive a basic framework to compare different soft-input soft-output MIMO detectors in open- and closed-loop systems. Within this framework, we analyze a depth-first sphere detector and a breadth-first fixed effort detector for different application scenarios and their effects on area and energy efficiency on the whole system. We present all system components under open- and closed-loop system aspects and determine the overall implementation cost for changing an open-loop system in a closed-loop system.

Military efforts in nanosensors, 3D printing, and imaging detection

Science.gov (United States)

Edwards, Eugene; Booth, Janice C.; Roberts, J. Keith; Brantley, Christina L.; Crutcher, Sihon H.; Whitley, Michael; Kranz, Michael; Seif, Mohamed; Ruffin, Paul

2017-04-01

A team of researchers and support organizations, affiliated with the Army Aviation and Missile Research, Development, and Engineering Center (AMRDEC), has initiated multidiscipline efforts to develop nano-based structures and components for advanced weaponry, aviation, and autonomous air/ground systems applications. The main objective of this research is to exploit unique phenomena for the development of novel technology to enhance warfighter capabilities and produce precision weaponry. The key technology areas that the authors are exploring include nano-based sensors, analysis of 3D printing constituents, and nano-based components for imaging detection. By integrating nano-based devices, structures, and materials into weaponry, the Army can revolutionize existing (and future) weaponry systems by significantly reducing the size, weight, and cost. The major research thrust areas include the development of carbon nanotube sensors to detect rocket motor off-gassing; the application of current methodologies to assess materials used for 3D printing; and the assessment of components to improve imaging seekers. The status of current activities, associated with these key areas and their implementation into AMRDEC's research, is outlined in this paper. Section #2 outlines output data, graphs, and overall evaluations of carbon nanotube sensors placed on a 16 element chip and exposed to various environmental conditions. Section #3 summarizes the experimental results of testing various materials and resulting components that are supplementary to additive manufacturing/fused deposition modeling (FDM). Section #4 recapitulates a preliminary assessment of the optical and electromechanical components of seekers in an effort to propose components and materials that can work more effectively.

Anticipation of a mentally effortful task recruits Dorsolateral Prefrontal Cortex: An fNIRS validation study.

Science.gov (United States)

Vassena, Eliana; Gerrits, Robin; Demanet, Jelle; Verguts, Tom; Siugzdaite, Roma

2018-04-26

Preparing for a mentally demanding task calls upon cognitive and motivational resources. The underlying neural implementation of these mechanisms is receiving growing attention because of its implications for professional, social, and medical contexts. While several fMRI studies converge in assigning a crucial role to a cortico-subcortical network including Anterior Cigulate Cortex (ACC) and striatum, the involvement of Dorsolateral Prefrontal Cortex (DLPFC) during mental effort anticipation has yet to be replicated. This study was designed to target DLPFC contribution to anticipation of a difficult task using functional Near Infrared Spectroscopy (fNIRS), as a more cost-effective tool measuring cortical hemodynamics. We adapted a validated mental effort task, where participants performed easy and difficult mental calculation, and measured DLPFC activity during the anticipation phase. As hypothesized, DLPFC activity increased during anticipation of a hard task as compared to an easy task. Besides replicating previous fMRI work, these results establish fNIRS as an effective tool to investigate cortical contributions to anticipation of effortful behavior. This is especially useful if one requires testing large samples (e.g., to target individual differences), populations with contraindication for functional MRI (e.g., infants or patients with metal implants), or subjects in more naturalistic environments (e.g., work or sport). Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

15 CFR 930.114 - Secretarial mediation efforts.

Science.gov (United States)

2010-01-01

... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Secretarial mediation efforts. 930.114... MANAGEMENT FEDERAL CONSISTENCY WITH APPROVED COASTAL MANAGEMENT PROGRAMS Secretarial Mediation § 930.114 Secretarial mediation efforts. (a) Following the close of the hearing, the hearing officer shall transmit the...

Effort and Selection Effects of Incentive Contracts

NARCIS (Netherlands)

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

2003-01-01

We show that the improved effort of employees associated with incentive contracts depends on the properties of the performance measures used in the contract.We also find that the power of incentives in the contract is only indirectly related to any improved employee effort.High powered incentive

Stochastic evolutionary dynamics in minimum-effort coordination games

Science.gov (United States)

Li, Kun; Cong, Rui; Wang, Long

2016-08-01

The minimum-effort coordination game draws recently more attention for the fact that human behavior in this social dilemma is often inconsistent with the predictions of classical game theory. Here, we combine evolutionary game theory and coalescence theory to investigate this game in finite populations. Both analytic results and individual-based simulations show that effort costs play a key role in the evolution of contribution levels, which is in good agreement with those observed experimentally. Besides well-mixed populations, set structured populations have also been taken into consideration. Therein we find that large number of sets and moderate migration rate greatly promote effort levels, especially for high effort costs.

An algorithm for finding biologically significant features in microarray data based on a priori manifold learning.

Directory of Open Access Journals (Sweden)

Zena M Hira

Full Text Available Microarray databases are a large source of genetic data, which, upon proper analysis, could enhance our understanding of biology and medicine. Many microarray experiments have been designed to investigate the genetic mechanisms of cancer, and analytical approaches have been applied in order to classify different types of cancer or distinguish between cancerous and non-cancerous tissue. However, microarrays are high-dimensional datasets with high levels of noise and this causes problems when using machine learning methods. A popular approach to this problem is to search for a set of features that will simplify the structure and to some degree remove the noise from the data. The most widely used approach to feature extraction is principal component analysis (PCA which assumes a multivariate Gaussian model of the data. More recently, non-linear methods have been investigated. Among these, manifold learning algorithms, for example Isomap, aim to project the data from a higher dimensional space onto a lower dimension one. We have proposed a priori manifold learning for finding a manifold in which a representative set of microarray data is fused with relevant data taken from the KEGG pathway database. Once the manifold has been constructed the raw microarray data is projected onto it and clustering and classification can take place. In contrast to earlier fusion based methods, the prior knowledge from the KEGG databases is not used in, and does not bias the classification process--it merely acts as an aid to find the best space in which to search the data. In our experiments we have found that using our new manifold method gives better classification results than using either PCA or conventional Isomap.

Worldwide effort against smoking.

Science.gov (United States)

1986-07-01

The 39th World Health Assembly, which met in May 1986, recognized the escalating health problem of smoking-related diseases and affirmed that tobacco smoking and its use in other forms are incompatible with the attainment of "Health for All by the Year 2000." If properly implemented, antismoking campaigns can decrease the prevalence of smoking. Nations as a whole must work toward changing smoking habits, and governments must support these efforts by officially stating their stand against smoking. Over 60 countries have introduced legislation affecting smoking. The variety of policies range from adopting a health education program designed to increase peoples' awareness of its dangers to increasing taxes to deter smoking by increasing tobacco prices. Each country must adopt an antismoking campaign which works most effectively within the cultural parameters of the society. Other smoking policies include: printed warnings on cigarette packages; health messages via radio, television, mobile teams, pamphlets, health workers, clinic walls, and newspapers; prohibition of smoking in public areas and transportation; prohibition of all advertisement of cigarettes and tobacco; and the establishment of upper limits of tar and nicotine content in cigarettes. The tobacco industry spends about $2000 million annually on worldwide advertising. According to the World Health Organization (WHO), controlling this overabundance of tobacco advertisements is a major priority in preventing the spread of smoking. Cigarette and tobacco advertising can be controlled to varying degrees, e.g., over a dozen countries have enacted a total ban on advertising on television or radio, a mandatory health warning must accompany advertisements in other countries, and tobacco companies often are prohibited from sponsoring sports events. Imposing a substantial tax on cigarettes is one of the most effective means to deter smoking. However, raising taxes and banning advertisements is not enough because

Explaining implementation behaviour of the National Incident Management System (NIMS).

Science.gov (United States)

Jensen, Jessica; Youngs, George

2015-04-01

This paper explains the perceived implementation behaviour of counties in the United States with respect to the National Incident Management System (NIMS). The system represents a massive and historic policy mandate designed to restructure, standardise and thereby unify the efforts of a wide variety of emergency management entities. Specifically, this study examined variables identified in the NIMS and policy literature that might influence the behavioural intentions and actual behaviour of counties. It found that three key factors limit or promote how counties intend to implement NIMS and how they actually implement the system: policy characteristics related to NIMS, implementer views and a measure of local capacity. One additional variable-inter-organisational characteristics-was found to influence only actual behaviour. This study's findings suggest that the purpose underlying NIMS may not be fulfilled and confirm what disaster research has long suggested: the potential for standardisation in emergency management is limited. © 2015 The Author(s). Disasters © Overseas Development Institute, 2015.

Identifying and overcoming implementation challenges: Experience of 59 noninstitutional long-term services and support pilot programs in the Veterans Health Administration.

Science.gov (United States)

Sullivan, Jennifer L; Adjognon, Omonyêlé L; Engle, Ryann L; Shin, Marlena H; Afable, Melissa K; Rudin, Whitney; White, Bert; Shay, Kenneth; Lukas, Carol VanDeusen

From 2010 to 2013, the Department of Veterans Affairs (VA) funded a large pilot initiative to implement noninstitutional long-term services and supports (LTSS) programs to support aging Veterans. Our team evaluated implementation of 59 VA noninstitutional LTSS programs. The specific objectives of this study are to (a) examine the challenges influencing program implementation comparing active sites that remained open and inactive sites that closed during the funding period and (b) identify ways that active sites overcame the challenges they experienced. Key informant semistructured interviews occurred between 2011 and 2013. We conducted 217 telephone interviews over four time points. Content analysis was used to identify emergent themes. The study team met regularly to define each challenge, review all codes, and discuss discrepancies. For each follow-up interview with the sites, the list of established challenges was used as a priori themes. Emergent data were also coded. The challenges affecting implementation included human resources and staffing issues, infrastructure, resources allocation and geography, referrals and marketing, leadership support, and team dynamics and processes. Programs were able to overcome challenges by communicating with team members and other areas in the organization, utilizing information technology solutions, creative use of staff and flexible schedules, and obtaining additional resources. This study highlights several common challenges programs can address during the program implementation. The most often mentioned strategy was effective communication. Strategies also targeted several components of the organization including organizational functions and processes (e.g., importance of coordination within a team and across disciplines to provide good care), infrastructure (e.g., information technology and human resources), and program fit with priorities in the organization (e.g., leadership support). Anticipating potential pitfalls of

Developing and Implementing Effective Communications Systems: Improving SEA Communication with LEAs, Partners/Vendors, and the Public. Benchmark. No. 2

Science.gov (United States)

Brasiel, S.; Nafziger, D.

2013-01-01

State education agencies (SEAs) are central players in initiating and leading new reform efforts and in supporting and implementing Federal initiatives. Traditional approaches to providing public information are not adequate for producing public awareness and support and in supporting program implementation at the local level. With limited…

Development, Validation, and Evaluation of Literacy 3D: A Package Supporting Tier 1 Preschool Literacy Instruction Implementation and Intervention

Science.gov (United States)

Greenwood, Charles R.; Abbott, Mary; Beecher, Constance; Atwater, Jane; Petersen, Sarah

2017-01-01

Increasingly, prekindergarten programs with literacy outcome goals are seeking to implement evidence-based practices to improve results. Such efforts require instructional intervention strategies to engage children as well as strategies to support teacher implementation. Reported is the iterative development of Literacy 3D, an enhanced support…

Systematic Assessment of Neutron and Gamma Backgrounds Relevant to Operational Modeling and Detection Technology Implementation

Energy Technology Data Exchange (ETDEWEB)

Archer, Daniel E. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Hornback, Donald Eric [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Johnson, Jeffrey O. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Nicholson, Andrew D. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Patton, Bruce W. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Peplow, Douglas E. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Miller, Thomas Martin [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Ayaz-Maierhafer, Birsen [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

2015-01-01

This report summarizes the findings of a two year effort to systematically assess neutron and gamma backgrounds relevant to operational modeling and detection technology implementation. The first year effort focused on reviewing the origins of background sources and their impact on measured rates in operational scenarios of interest. The second year has focused on the assessment of detector and algorithm performance as they pertain to operational requirements against the various background sources and background levels.

Global health goals: lessons from the worldwide effort to eradicate poliomyelitis.

Science.gov (United States)

Aylward, R Bruce; Acharya, Arnab; England, Sarah; Agocs, Mary; Linkins, Jennifer

2003-09-13

The Global Polio Eradication Initiative was launched in 1988. Assessment of the politics, production, financing, and economics of this international effort has suggested six lessons that might be pertinent to the pursuit of other global health goals. First, such goals should be based on technically sound strategies with proven operational feasibility in a large geographical area. Second, before launching an initiative, an informed collective decision must be negotiated and agreed in an appropriate international forum to keep to a minimum long-term risks in financing and implementation. Third, if substantial community engagement is envisaged, efficient deployment of sufficient resources at that level necessitates a defined, time-limited input by the community within a properly managed partnership. Fourth, although the so-called fair-share concept is arguably the best way to finance such goals, its limitations must be recognised early and alternative strategies developed for settings where it does not work. Fifth, international health goals must be designed and pursued within existing health systems if they are to secure and sustain broad support. Finally, countries, regions, or populations most likely to delay the achievement of a global health goal should be identified at the outset to ensure provision of sufficient resources and attention. The greatest threats to poliomyelitis eradication are a financing gap of US 210 million dollars and difficulties in strategy implementation in at most five countries.

Structural and Community Change Outcomes of the Connect-to-Protect Coalitions: Trials and Triumphs Securing Adolescent Access to HIV Prevention, Testing, and Medical Care.

Science.gov (United States)

Miller, Robin Lin; Reed, Sarah J; Chiaramonte, Danielle; Strzyzykowski, Trevor; Spring, Hannah; Acevedo-Polakovich, Ignacio D; Chutuape, Kate; Cooper-Walker, Bendu; Boyer, Cherrie B; Ellen, Jonathan M

2017-09-01

Connect to Protect (C2P), a 10-year community mobilization effort, pursued the dual aims of creating communities competent to address youth's HIV-related risks and removing structural barriers to youth health. We used Community Coalition Action Theory (CCAT) to examine the perceived contributions and accomplishments of 14 C2P coalitions. We interviewed 318 key informants, including youth and community leaders, to identify the features of coalitions' context and operation that facilitated and undermined their ability to achieve structural change and build communities' capability to manage their local adolescent HIV epidemic effectively. We coded the interviews using an a priori coding scheme informed by CCAT and scholarship on AIDS-competent communities. We found community mobilization efforts like C2P can contribute to addressing the structural factors that promote HIV-risk among youth and to community development. We describe how coalition leadership, collaborative synergy, capacity building, and local community context influence coalitions' ability to successfully implement HIV-related structural change, demonstrating empirical support for many of CCAT's propositions. We discuss implications for how community mobilization efforts might succeed in laying the foundation for an AIDS-competent community. © Society for Community Research and Action 2017.

IAEA's Safeguards Implementation Practices Guides

International Nuclear Information System (INIS)

Mathews, C.; Sahar, S.; Cisar, V.

2015-01-01

Implementation of IAEA safeguards benefits greatly from effective cooperation among the IAEA, State or regional authorities (SRAs), and operators of facilities and other locations. To improve such cooperation, the IAEA has produced numerous safeguards guidance documents in its Services Series publications. The IAEA also provides assistance, training and advisory services that are based on the published guidance. The foundation of the IAEA's safeguards guidance is the Guidance for States Implementing Comprehensive Safeguards Agreements and Additional Protocols (IAEA Services Series 21) published in March of 2012. The large majority of States have concluded CSAs and therefore will benefit from this guidance. Many States with CSAs also have concluded small quantities protocols (SQPs) to their CSAs. In April of 2013, the IAEA published the Safeguards Implementation Guide for States with SQPs (IAEA Services Series 22). Other guidance focuses on specific topics such as preparing additional protocol declarations and nuclear material accounting. This paper will describe a recent effort to produce a ''Safeguards Implementation Practices'' (SIP) series of guides that will provide additional explanatory information about safeguards implementation, and share the practical experiences and lessons learned of States and the IAEA over the many decades of implementing safeguards. The topics to be addressed in four SIP guides include: 1) Facilitating IAEA Verification Activities; 2) Establishing and Maintaining State Safeguards Infrastructure; 3) Provision of Information to the IAEA; and 4) Collaborative Approaches to Safeguards Implementation. The SIP Guides build upon the content of IAEA Services Series 21. Because the SIP Guides are intended to share implementation practices and lessons learned of States, a number of experienced State experts have participated in the development of the documents, through a joint Member State Support Programme task

Assessing DOE's success in implementing the FFC Act: A federal and state partnership to develop treatment plans

International Nuclear Information System (INIS)

Letourneau, M.J.; Bubar, P.M.

1995-01-01

Implementation of the Federal Facility Compliance Act (FFCAct) required total cooperation among the Department of Energy (DOE), the involved States and interested stakeholders. Although the effort was time consuming, tedious and (at times) trying, the results obtained [Site Treatment Plans (STP)] were an unprecedented success. Through long-range planning, attention to details and organization of effort, a coordinated, cohesive, focused team was developed that included the DOE Headquarters, the Environmental Protection Agency (EPA), 40 DOE sites, 20 states and multiple interested stakeholders. The efforts of the FFCAct team resulted in the preparation of 37 STPs which outline the methods, locations and schedules for the treatment and disposal of DOE's mixed wastes. The Plans provided a strong foundation upon which consent orders were prepared and approved. The FFCAct approach also resulted in the development of working relationships that will prove not only useful but vital to the planning and implementation necessary to the successful clean-up and disposal DOE's mixed wastes

Heuristics Made Easy: An Effort-Reduction Framework

Science.gov (United States)

Shah, Anuj K.; Oppenheimer, Daniel M.

2008-01-01

In this article, the authors propose a new framework for understanding and studying heuristics. The authors posit that heuristics primarily serve the purpose of reducing the effort associated with a task. As such, the authors propose that heuristics can be classified according to a small set of effort-reduction principles. The authors use this…

An Analysis of Earned Value Management Implementation Within the F-22 System Program Office's Software Development

National Research Council Canada - National Science Library

Dibert, John C; Velez, John C

2006-01-01

.... Acquisition Category ID programs like the US Air Force F-22 fighter program use EVM to manage their software development efforts, but has the program's implementation of EVM followed the industry...

Three Hundred Sixty Degree Feedback: program implementation in a local health department.

Science.gov (United States)

Swain, Geoffrey R; Schubot, David B; Thomas, Virginia; Baker, Bevan K; Foldy, Seth L; Greaves, William W; Monteagudo, Maria

2004-01-01

Three Hundred Sixty Degree Feedback systems, while popular in business, have been less commonly implemented in local public health agencies. At the same time, they are effective methods of improving employee morale, work performance, organizational culture, and attainment of desired organizational outcomes. These systems can be purchased "off-the-shelf," or custom applications can be developed for a better fit with unique organizational needs. We describe the City of Milwaukee Health Department's successful experience customizing and implementing a 360-degree feedback system in the context of its ongoing total quality improvement efforts.

Product integration rules at Clenshaw-Curtis and related points: A robust implementation

International Nuclear Information System (INIS)

Adam, G.; Nobile, A.

1989-12-01

Product integration rules generalizing the Fejer, Clenshaw-Curtis and Filippi quadrature rules respectively are derived for integrals with trigonometric and hyperbolic weight factors. The study puts in evidence the existence of well-conditioned fully analytic solutions, in terms of hypergeometric functions 0 F 1 . An a priori error estimator is discussed which is shown both to avoid wasteful invocation of the integration rule and to increase significantly the robustness of the automatic quadrature procedure. Then, specializing to extended Clenshaw-Curtis (ECC) rules, three types of a posteriori error estimates are considered and the existence of a great risk of their failure is put into evidence by large scale validation tests. An empirical error estimator, superseding them at slowly varying integrands, is found to result in a spectacular increase in the output reliability. Finally, enhancements in the control of the interval subdivision strategy aiming at increasing code robustness is discussed. Comparison with the code DQAWO of QUADPACK, extending over a statistics of about hundred thousand solved integrals, is illustrative for the increased robustness and error estimate reliability of our computer code implementation of the ECC rules. (author). 19 refs, 8 tabs

Environment Biological and Health Care Efforts Influenced of Lymfatic Filariasis Incidence, Sarmi Distric

Directory of Open Access Journals (Sweden)

Mina Sipayung

2014-05-01

District Sarmi is the most endemic area of filariasis in Papua which has rate of microfilaria (mf (47.06% up to the year 2012. In the Province Papua filarial worm is Wuchereria bancrofti and is transmitted through the bite of a mosquito vectors. Lymphatic filariasis does not cause death, but in chronic cases it causes disability, psychosocial problems, stigma, and decreased productivity. This study was aimed to analyze environment biological and health care efforts that influence the incidence of lymphatic filariasis. This study used case-control method. Samples comprised 32 case samples (mf + and 32 control samples (mf-. Primary data were collected through interviews and observation. Data were analyzed using Chi-Square and continued with multivariate Logistic Regression. Statistical analysis obtained indicated two variables on the incidence of lymphatic filariasis limfatik in District Sarmi (health care efforts pvalue = 0.002, OR: 7.779, as well as the biological environment pvalue= 0.008, OR: 5.841. Significant variables were health services with sub-variables promotion, prevention and the environmental biology. Suggestion: Mosquito bites should be avoided, the vector should be controlled through mutual cooperation and health promotion should be implemented. Keywords: Wuchereria bancrofti, lymphatic filariasis, vector, health care,                         Sarmi Distric

The Effect of Age on Listening Effort

Science.gov (United States)

Degeest, Sofie; Keppler, Hannah; Corthals, Paul

2015-01-01

Purpose: The objective of this study was to investigate the effect of age on listening effort. Method: A dual-task paradigm was used to evaluate listening effort in different conditions of background noise. Sixty adults ranging in age from 20 to 77 years were included. A primary speech-recognition task and a secondary memory task were performed…

The implementation of vessel-sinking policy as an effort to protect indonesian fishery resources and territorial waters

Science.gov (United States)

Nurdin; Ikaningtyas; Kurniaty, Rika

2018-04-01

This study aims to analysis the effectiveness of foreign ship sinking policies to eradicate illegal, unreported, and unregulated (IUU) fishing. There are many foreign fishing vessels were detained due to IUU fishing in Indonesia`s exclusive economic zone (EEZ) waters, particularly in the Natuna and Anambas region. In combating illegal fishing, the government of the Republic of Indonesia take concrete actions in protecting marine potentials by sinking foreign vessel policies. In the last three years more than 300 foreign ships are drowned by Indonesian government. This study revealed that regulations concerning the act of sinking the vessel have been in existence since 2009 but lack of socialization. The Indonesian government’s policy regarding foreign-flagged vessel carrying out IUU fishing is regulated under Law Number 45 of 2009 on Fisheries, and internationally permitted with certain restrictions on conditions set forth in article 73 paragraph (3) of UNCLOS 1982. These policy is part of an effort to improve the deterrence effect of regional offenses that could harm and threaten the sovereignty of the state.

Context awareness and sensitivity in SEA implementation

International Nuclear Information System (INIS)

Hilding-Rydevik, Tuija; Bjarnadottir, Holmfridur

2007-01-01

The Impact Assessment research community repeatedly asserts that the implementation of Strategic Environmental Assessment (SEA) should take the issue of context into consideration. The primary aim of this paper then is to attempt to give substance to the concept of 'context' in relation to the implementation of SEA. The second aim is to discuss the relevance of context consciousness and sensitivity in relation to one of the main aims given to SEA implementation i.e. to contribute to the 'integration' of environmental perspectives in planning processes. Context must be defined in relation to a certain question. In this paper the question in focus is the assumption that SEA implementation will contribute to integration of environmental issues in planning processes. Research results relating to the use of environmental tools, like for example SEA, and experiences of integration efforts, strongly indicate that the use of a single tool like SEA is not enough to achieve this integration. The current 'context free' normative and procedural assumptions concerning the aim of SEA implementation and 'best practice' in term of SEA can be criticised on the same grounds as normative and procedural planning theories, as being context free. The assumptions behind the current formulations of the aim and best practice of SEA need to be revisited. A firm empirical and theoretical knowledge and discussion is needed, especially in relation to the issue of context and integration. This paper provides a starting point in this direction

Clinical pharmacogenetics implementation: approaches, successes, and challenges.

Science.gov (United States)

Weitzel, Kristin W; Elsey, Amanda R; Langaee, Taimour Y; Burkley, Benjamin; Nessl, David R; Obeng, Aniwaa Owusu; Staley, Benjamin J; Dong, Hui-Jia; Allan, Robert W; Liu, J Felix; Cooper-Dehoff, Rhonda M; Anderson, R David; Conlon, Michael; Clare-Salzler, Michael J; Nelson, David R; Johnson, Julie A

2014-03-01

Current challenges exist to widespread clinical implementation of genomic medicine and pharmacogenetics. The University of Florida (UF) Health Personalized Medicine Program (PMP) is a pharmacist-led, multidisciplinary initiative created in 2011 within the UF Clinical Translational Science Institute. Initial efforts focused on pharmacogenetics, with long-term goals to include expansion to disease-risk prediction and disease stratification. Herein we describe the processes for development of the program, the challenges that were encountered and the clinical acceptance by clinicians of the genomic medicine implementation. The initial clinical implementation of the UF PMP began in June 2012 and targeted clopidogrel use and the CYP2C19 genotype in patients undergoing left heart catheterization and percutaneous-coronary intervention (PCI). After 1 year, 1,097 patients undergoing left heart catheterization were genotyped preemptively, and 291 of those underwent subsequent PCI. Genotype results were reported to the medical record for 100% of genotyped patients. Eighty patients who underwent PCI had an actionable genotype, with drug therapy changes implemented in 56 individuals. Average turnaround time from blood draw to genotype result entry in the medical record was 3.5 business days. Seven different third party payors, including Medicare, reimbursed for the test during the first month of billing, with an 85% reimbursement rate for outpatient claims that were submitted in the first month. These data highlight multiple levels of success in clinical implementation of genomic medicine. © 2014 Wiley Periodicals, Inc.

Toward a Rational and Mechanistic Account of Mental Effort.

Science.gov (United States)

Shenhav, Amitai; Musslick, Sebastian; Lieder, Falk; Kool, Wouter; Griffiths, Thomas L; Cohen, Jonathan D; Botvinick, Matthew M

2017-07-25

In spite of its familiar phenomenology, the mechanistic basis for mental effort remains poorly understood. Although most researchers agree that mental effort is aversive and stems from limitations in our capacity to exercise cognitive control, it is unclear what gives rise to those limitations and why they result in an experience of control as costly. The presence of these control costs also raises further questions regarding how best to allocate mental effort to minimize those costs and maximize the attendant benefits. This review explores recent advances in computational modeling and empirical research aimed at addressing these questions at the level of psychological process and neural mechanism, examining both the limitations to mental effort exertion and how we manage those limited cognitive resources. We conclude by identifying remaining challenges for theoretical accounts of mental effort as well as possible applications of the available findings to understanding the causes of and potential solutions for apparent failures to exert the mental effort required of us.

Design and Implementation of Business Process Management Curriculum: A Case in Dutch Higher Education

OpenAIRE

Ravesteyn , Pascal; Versendaal , Johan

2010-01-01

International audience; This paper describes a joint effort by two educational and scientific institutes, the HU University of Applied Sciences and Utrecht University, in designing a BPM course that not only transfers theoretical knowledge but lets students also experience real life BPM-systems and implementation issues. We also describe the implementation of the developed module with an indication of its success: it is now running for the fifth time, and although there continue to be points ...

Implementation and Sustainability of the Russian Federation Ministry of Defense Nuclear Personnel Reliability Program

International Nuclear Information System (INIS)

Lata, Vasiliy; Coates, Cameron W.

2010-01-01

Through a cooperative effort between the US Department of Energy and the Russian Federation (RF) Ministry of Defense (MOD) a Personnel Reliability Program (PRP) for the nuclear handlers within the RF MOD is at the stage of implementation. Sustaining the program is of major significance for long term success. This paper will discuss the elements of the RF PRP and the equipment needs for implementation. Program requirements, documentation needs, training, and assurances of appropriate equipment use will be addressed.

Faster implementation of the hierarchical search algorithm for detection of gravitational waves from inspiraling compact binaries

International Nuclear Information System (INIS)

Sengupta, Anand S.; Dhurandhar, Sanjeev; Lazzarini, Albert

2003-01-01

The first scientific runs of kilometer scale laser interferometric detectors such as LIGO are under way. Data from these detectors will be used to look for signatures of gravitational waves from astrophysical objects such as inspiraling neutron-star-black-hole binaries using matched filtering. The computational resources required for online flat-search implementation of the matched filtering are large if searches are carried out for a small total mass. A flat search is implemented by constructing a single discrete grid of densely populated template waveforms spanning the dynamical parameters--masses, spins--which are correlated with the interferometer data. The correlations over the kinematical parameters can be maximized a priori without constructing a template bank over them. Mohanty and Dhurandhar showed that a significant reduction in computational resources can be accomplished by using a hierarchy of such template banks where candidate events triggered by a sparsely populated grid are followed up by the regular, dense flat-search grid. The estimated speedup in this method was a factor ∼25 over the flat search. In this paper we report an improved implementation of the hierarchical search, wherein we extend the domain of hierarchy to an extra dimension--namely, the time of arrival of the signal in the bandwidth of the interferometer. This is accomplished by lowering the Nyquist sampling rate of the signal in the trigger stage. We show that this leads to further improvement in the efficiency of data analysis and speeds up the online computation by a factor of ∼65-70 over the flat search. We also take into account and discuss issues related to template placement, trigger thresholds, and other peculiar problems that do not arise in earlier implementation schemes of the hierarchical search. We present simulation results for 2PN waveforms embedded in the noise expected for initial LIGO detectors

The Role of Cognitive Effort in Framing Effects

OpenAIRE

Krzysztof Przybyszewski; Dorota Rutkowska

2013-01-01

Framing effects are a common bias in people making risky decisions. The account for this bias is found in the loss aversion derived from Prospect Theory. Most often in the decision making literature this is the effortful processes that are claimed to reduce framing effects in risky choice tasks i.e. investing of mental effort should de-bias the decision makers. However, in goal framing studies, effortful mental processes may produce those effects. In our experiment participants were primed wi...

Dopamine does double duty in motivating cognitive effort

Science.gov (United States)

Westbrook, Andrew; Braver, Todd S.

2015-01-01

Cognitive control is subjectively costly, suggesting that engagement is modulated in relationship to incentive state. Dopamine appears to play key roles. In particular, dopamine may mediate cognitive effort by two broad classes of functions: 1) modulating the functional parameters of working memory circuits subserving effortful cognition, and 2) mediating value-learning and decision-making about effortful cognitive action. Here we tie together these two lines of research, proposing how dopamine serves “double duty”, translating incentive information into cognitive motivation. PMID:26889810

Systems Engineering in the Development and Implementation of the Savannah River Site Transuranic Waste Disposition Program

International Nuclear Information System (INIS)

Fayfich, R.R.

1999-01-01

The use of systems engineering facilitated the strategic planning and implementation of the Savannah River Site (SRS) transuranic waste disposal program. This application represented the first SRS use of systems engineering in the pre-program planning stages during the development of a comprehensive strategic plan for the disposal of transuranic waste at the Department of Energy Waste Isolation Pilot Plant (WIPP) in Carlsbad, New Mexico. The use of systems engineering focused the efforts of the technical experts to devise a three initiative plan for the disposal of transuranic waste where previous efforts failed. Continued application of systems engineering facilitated the further development and implementation of the first initiative outlined in the strategic plan, i.e., set-up the program and process to begin to characterize and ship waste to the WIPP.This application of systems engineering to the transuranic waste program represented the first opportunity at the SRS for a comprehensive usage of systems engineering at all program levels. The application was initiated at the earliest possible point in the program development, i.e., strategic planning, and successively was used in detailed development and implementation of the program. Systems engineering successfully focused efforts to produce a comprehensive plan for the disposal of SRS transuranic waste at the WIPP, and facilitated development of the SRS capability and infrastructure to characterize, certify, and ship waste

STEM Teachers' Planned and Enacted Attempts at Implementing Engineering Design-Based Instruction

Science.gov (United States)

Capobianco, Brenda M.; Rupp, Madeline

2014-01-01

This study investigates grades 5 and 6 science, technology, engineering, and mathematics (STEM) teachers' planned and actualized engineering design-based instruction, the instruments used to characterize their efforts, and the implications this work has for teachers' implementations of an integrated approach to STEM education.…

Cognitive Load and Listening Effort: Concepts and Age-Related Considerations.

Science.gov (United States)

Lemke, Ulrike; Besser, Jana

2016-01-01

Listening effort has been recognized as an important dimension of everyday listening, especially with regard to the comprehension of spoken language. At constant levels of comprehension performance, the level of effort exerted and perceived during listening can differ considerably across listeners and situations. In this article, listening effort is used as an umbrella term for two different types of effort that can arise during listening. One of these types is processing effort, which is used to denote the utilization of "extra" mental processing resources in listening conditions that are adverse for an individual. A conceptual description is introduced how processing effort could be defined in terms of situational influences, the listener's auditory and cognitive resources, and the listener's personal state. Also, the proposed relationship between processing effort and subjectively perceived listening effort is discussed. Notably, previous research has shown that the availability of mental resources, as well as the ability to use them efficiently, changes over the course of adult aging. These common age-related changes in cognitive abilities and their neurocognitive organization are discussed in the context of the presented concept, especially regarding situations in which listening effort may be increased for older people.

Worldwide governmental efforts to locate and destroy chemical weapons and weapons materials: minimizing risk in transport and destruction.

Science.gov (United States)

Trapp, Ralf

2006-09-01

The article gives an overview on worldwide efforts to eliminate chemical weapons and facilities for their production in the context of the implementation of the 1997 Chemical Weapons Convention (CWC). It highlights the objectives of the Organisation for the Prohibition of Chemical Weapons (OPCW), the international agency set up in The Hague to implement the CWC, and provides an overview of the present status of implementation of the CWC requirements with respect to chemical weapons (CW) destruction under strict international verification. It addresses new requirements that result from an increased threat that terrorists might attempt to acquire or manufacture CW or related materials. The article provides an overview of risks associated with CW and their elimination, from storage or recovery to destruction. It differentiates between CW in stockpile and old/abandoned CW, and gives an overview on the factors and key processes that risk assessment, management, and communication need to address. This discussion is set in the overall context of the CWC that requires the completion of the destruction of all declared CW stockpiles by 2012 at the latest.

Beyond the Initiatives: Developing instructional leadership in school principals as a system-wide effort to improve the quality of classroom instruction.

OpenAIRE

Aguilera, Sondra Denise

2016-01-01

This design research effort implemented a series of intervention activities designed to support a small group of elementary school principals improve their instructional leadership practices. The purpose of this research was to improve the skills of principals to lead instructional improvements identified through classroom observations, work with their school-level Instructional Leadership Team (ILT) to create teacher professional development that addresses the instructional improvement, and ...

Bodily Effort Enhances Learning and Metacognition: Investigating the Relation Between Physical Effort and Cognition Using Dual-Process Models of Embodiment.

Science.gov (United States)

Skulmowski, Alexander; Rey, Günter Daniel

2017-01-01

Recent embodiment research revealed that cognitive processes can be influenced by bodily cues. Some of these cues were found to elicit disparate effects on cognition. For instance, weight sensations can inhibit problem-solving performance, but were shown to increase judgments regarding recall probability (judgments of learning; JOLs) in memory tasks. We investigated the effects of physical effort on learning and metacognition by conducting two studies in which we varied whether a backpack was worn or not while 20 nouns were to be learned. Participants entered a JOL for each word and completed a recall test. Experiment 1 ( N = 18) revealed that exerting physical effort by wearing a backpack led to higher JOLs for easy nouns, without a notable effect on difficult nouns. Participants who wore a backpack reached higher recall scores. Therefore, physical effort may act as a form of desirable difficulty during learning. In Experiment 2 ( N = 30), the influence of physical effort on JOL s and learning disappeared when more difficult nouns were to be learned, implying that a high cognitive load may diminish bodily effects. These findings suggest that physical effort mainly influences superficial modes of thought and raise doubts concerning the explanatory power of metaphor-centered accounts of embodiment for higher-level cognition.

Pandemic Influenza: Domestic Preparedness Efforts

National Research Council Canada - National Science Library

Lister, Sarah A

2005-01-01

.... Though influenza pandemics occur with some regularity, and the United States has been involved in specific planning efforts since the early 1990s, the H5N1 situation has created a sense of urgency...

A Generalized Framework for Modeling Next Generation 911 Implementations.

Energy Technology Data Exchange (ETDEWEB)

Kelic, Andjelka; Aamir, Munaf Syed; Kelic, Andjelka; Jrad, Ahmad M.; Mitchell, Roger

2018-02-01

This document summarizes the current state of Sandia 911 modeling capabilities and then addresses key aspects of Next Generation 911 (NG911) architectures for expansion of existing models. Analysis of three NG911 implementations was used to inform heuristics , associated key data requirements , and assumptions needed to capture NG911 architectures in the existing models . Modeling of NG911 necessitates careful consideration of its complexity and the diversity of implementations. Draft heuristics for constructing NG911 models are pres ented based on the analysis along with a summary of current challenges and ways to improve future NG911 modeling efforts . We found that NG911 relies on E nhanced 911 (E911) assets such as 911 selective routers to route calls originating from traditional tel ephony service which are a majority of 911 calls . We also found that the diversity and transitional nature of NG911 implementations necessitates significant and frequent data collection to ensure that adequate model s are available for crisis action support .

Gender-Specific Covariations between Competencies, Interest and Effort during Science Learning in Virtual Environments.

Science.gov (United States)

Christophel, Eva; Schnotz, Wolfgang

2017-01-01

they had more strategic competences. On the other hand, female learners' mental effort increased if they had more arithmetic-operative competences. All in all, female learners seem to be more sensitive to differences in their strategic and arithmetic-operative competences regarding their mental effort. These results imply that the implementation of separate women's engineering courses could be an interesting approach.

Did States Use Implementation Discretion to Reduce the Stringency of NCLB? Evidence from a Database of State Regulations

Science.gov (United States)

Wong, Vivian C.; Wing, Coady; Martin, David; Krishnamachari, Anandita

2018-01-01

When No Child Left Behind (NCLB) became law in 2002, it was viewed as an effort to create uniform standards for students and schools across the country. More than a decade later, we know surprisingly little about how states actually implemented NCLB and the extent to which state implementation decisions managed to undo the centralizing objectives…

Assessing DOE`s success in implementing the FFC Act: A federal and state partnership to develop treatment plans

Energy Technology Data Exchange (ETDEWEB)

Letourneau, M.J.; Bubar, P.M. [Dept. of Energy, Germantown, MD (United States)

1995-12-31

Implementation of the Federal Facility Compliance Act (FFCAct) required total cooperation among the Department of Energy (DOE), the involved States and interested stakeholders. Although the effort was time consuming, tedious and (at times) trying, the results obtained [Site Treatment Plans (STP)] were an unprecedented success. Through long-range planning, attention to details and organization of effort, a coordinated, cohesive, focused team was developed that included the DOE Headquarters, the Environmental Protection Agency (EPA), 40 DOE sites, 20 states and multiple interested stakeholders. The efforts of the FFCAct team resulted in the preparation of 37 STPs which outline the methods, locations and schedules for the treatment and disposal of DOE`s mixed wastes. The Plans provided a strong foundation upon which consent orders were prepared and approved. The FFCAct approach also resulted in the development of working relationships that will prove not only useful but vital to the planning and implementation necessary to the successful clean-up and disposal DOE`s mixed wastes.

Nuclear Knowledge Loss Risk Management (Lessons Learned, Implementation Experiences)

International Nuclear Information System (INIS)

Květoňová, Romana

2014-01-01

In the years 2007/2008 the Knowledge Management has emerged as one of the prime concerns in our HRM system. Based on the KM best practice data gathering, surveys and analyses, the detailed concept has been proposed and implemented primarily in our nuclear production units. Main objectives: • To identify, maintain and develop the unique knowledge; • To share the critical knowledge and the best practices; • To save the organization from critical capabilities and minimize the duplication effort; • To set up the succession planning system for the knowledge holders with potential knowledge loss; • To create effective system for the knowledge record sharing and its updating; • Further implementation of KM within production division as well as extension into another divisions

Job Satisfaction, Effort, and Performance: A Reasoned Action Perspective

Directory of Open Access Journals (Sweden)

Icek Ajzen

2011-12-01

Full Text Available In this article the author takes issue with the recurrent reliance on job satisfaction to explain job-related effort and performance.  The disappointing findings in this tradition are explained by lack of compatibility between job satisfaction–-a very broad attitude–-and the more specific effort and performance criteria.  Moreover, attempts to apply the expectancy-value model of attitude to explore the determinants of effort and performance suffer from reliance on unrepresentative sets of beliefs about the likely consequences of these behaviors.  The theory of planned behavior (Ajzen, 1991, 2012, with its emphasis on the proximal antecedents of job effort and performance, is offered as an alternative.  According to the theory, intentions to exert effort and to attain a certain performance level are determined by attitudes, subjective norms, and perceptions of control in relation to these behaviors; and these variables, in turn, are a function of readily accessible beliefs about the likely outcomes of effort and performance, about the normative expectations of important others, and about factors that facilitate or hinder effective performance.

US initiative on joint implementation: An overview

Energy Technology Data Exchange (ETDEWEB)

Dixon, R.K. [Initiative on Joint Implementation, Washington, DC (United States)

1996-12-31

More than 150 countries are now Party to United Nations Framework Convention on Climate Change, which seeks as its ultimate objective, to stabilize atmospheric concentrations of greenhouse gases at a level that would prevent dangerous human interference with the global climate system. As a step towards that goal, all Parties are to take measures to mitigate greenhouse gas emissions and to promote cooperation in the development and diffusion of technologies and practices that control or reduce emissions and enhance sinks of greenhouse gases. In the U.S. view, efforts between countries or entities within them to reduce net greenhouse gas emissions undertaken cooperatively, termed joint implementation (JI), holds significant potential both for reducing the threat of global climate change and for promoting sustainable development. To develop and operationalize the JI concept, the U.S. launched its Initiative on Joint Implementation (IJI) in October, 1993, and designed a program to attract private sector resources and to encourage the diffusion of innovative technologies to mitigate greenhouse gas emissions. The goals of U.S. IJI complement the principles of Decision 5, First Conference of the FCCC Parties, establishing an Activities Implemented Jointly pilot phase.

How to Disable Mortal Loops of Enterprise Resource Planning (ERP Implementation: A System Dynamics Analysis

Directory of Open Access Journals (Sweden)

Kaveh M. Cyrus

2018-01-01

Full Text Available Successful Enterprise Resource Planning (ERP implementation depends upon various factors known as critical success factors (CSFs. This study developed a system dynamics model of ERP implementation based on CSFs to discuss ERP implementation complexities, which identifies the effect of CSF interrelations on different aspects of ERP project failure. Based on the model hypothesis, CSF interrelations include many causal loop dependencies. Some of these causal loops are called mortal loops, because they may cause the failure of risk reduction efforts to a more severe failure in effect of lack of system thinking on CSFs interrelations. This study discusses how system thinking works as a leverage point for overcoming ERP implementation challenges.

Implementing and Evaluating a Multicomponent Inpatient Diabetes Management Program: Putting Research into Practice

Science.gov (United States)

Munoz, Miguel; Pronovost, Peter; Dintzis, Joanne; Kemmerer, Theresa; Wang, Nae-Yuh; Chang, Yi-Ting; Efird, Leigh; Berenholtz, Sean M.; Golden, Sherita Hill

2013-01-01

Background Strategies for successful implementation of hospitalwide glucose control efforts were addressed in a conceptual model for the development and implementation of an institutional inpatient glucose management program. Conceptual Model Components The Glucose Steering Committee incrementally developed and implemented hospitalwide glucose policies, coupled with targeted education and clinical decision support to facilitate policy acceptance and uptake by staff while incorporating process and outcome measures to objectively assess the effectiveness of quality improvement efforts. The model includes four components: (1) engaging staff and hospital executives in the importance of inpatient glycemic management, (2) educating staff involved in the care of patients with diabetes through structured knowledge dissemination, (3) executing evidence-based inpatient glucose management through development of policies and clinical decision aids, and (4) evaluating intervention effectiveness through assessing process measures, intermediary glucometric outcomes, and clinical and economic outcomes. An educational curriculum for nursing, provider, and pharmacist diabetes education programs and current glucometrics were also developed. Outcomes Overall the average patient-day–weighted mean blood glucose (PDWMBG) was below the currently recommended maximum of 180 mg/dL in patients with diabetes and hyperglycemia, with a significant decrease in PDWMBG of 7.8 mg/dL in patients with hyperglycemia. The program resulted in an 18.8% reduction in hypoglycemia event rates, which was sustained. Conclusion Inpatient glucose management remains an important area for patient safety, quality improvement, and clinical research, and the implementation model should guide other hospitals in their glucose management initiatives. PMID:22649859

Bankruptcy Prevention: New Effort to Reflect on Legal and Social Changes.

Science.gov (United States)

Kliestik, Tomas; Misankova, Maria; Valaskova, Katarina; Svabova, Lucia

2018-04-01

Every corporation has an economic and moral responsibility to its stockholders to perform well financially. However, the number of bankruptcies in Slovakia has been growing for several years without an apparent macroeconomic cause. To prevent a rapid denigration and to prevent the outflow of foreign capital, various efforts are being zealously implemented. Robust analysis using conventional bankruptcy prediction tools revealed that the existing models are adaptable to local conditions, particularly local legislation. Furthermore, it was confirmed that most of these outdated tools have sufficient capability to warn of impending financial problems several years in advance. A novel bankruptcy prediction tool that outperforms the conventional models was developed. However, it is increasingly challenging to predict bankruptcy risk as corporations have become more global and more complex and as they have developed sophisticated schemes to hide their actual situations under the guise of "optimization" for tax authorities. Nevertheless, scepticism remains because economic engineers have established bankruptcy as a strategy to limit the liability resulting from court-imposed penalties.

Study protocol for "Study of Practices Enabling Implementation and Adaptation in the Safety Net (SPREAD-NET)": a pragmatic trial comparing implementation strategies.

Science.gov (United States)

Gold, Rachel; Hollombe, Celine; Bunce, Arwen; Nelson, Christine; Davis, James V; Cowburn, Stuart; Perrin, Nancy; DeVoe, Jennifer; Mossman, Ned; Boles, Bruce; Horberg, Michael; Dearing, James W; Jaworski, Victoria; Cohen, Deborah; Smith, David

2015-10-16

strategies support implementation efforts could positively impact the field of implementation science, by comparing practical, generalizable methods for implementing clinical innovations in community health centers. Bridging this gap in the literature is a critical step towards the national long-term goal of effectively disseminating and implementing effective interventions into community health centers. ClinicalTrials.gov, NCT02325531.

Lessons for Implementation from the World's Most Successful Programme: The Global Eradication of Smallpox.

Science.gov (United States)

Pratt, David

1999-01-01

Focuses on lessons educators might learn from the Intensified Campaign for the Global Eradication of Smallpox. Outlines the history of smallpox eradication. Discusses the eradication effort's obstacles, campaign, and costs and benefits. Considers five factors relevant to the successful implementation of educational programs. (CMK)

78 FR 50030 - Implementation of New Gulf Coast Ecosystem Restoration Science, Observation, Monitoring, and...

Science.gov (United States)

2013-08-16

... NGOs, and develop new partnerships as appropriate; 4. Working within a management and policy framework... efforts supported and implemented collaboratively, and address in an integrated and holistic manner the critical knowledge needed for Gulf of Mexico ecosystem restoration and management. The Focus areas do not...

Best-effort Support for a Virtual Seminar Room

DEFF Research Database (Denmark)

Sharp, Robin; Todirica, Edward Alexandru

2002-01-01

This paper describes the RTMM Virtual Seminar Room, an interactive distributed multimedia application based on a platform with a simple middleware architecture, using best effort scheduling and a best effort network service. Emphasis has been placed on achieving low latency in all parts...

76 FR 16358 - Approval and Promulgation of Air Quality Implementation Plans; Connecticut, Maine, New Hampshire...

Science.gov (United States)

2011-03-23

... enforceable emission limits on ozone precursors; any judgment about whether those emission limits discharge... attainment demonstration modeling efforts conducted by the Ozone Transport Commission. Connecticut, Maine... Implementation Plans; Connecticut, Maine, New Hampshire and Rhode Island; Infrastructure SIPs for the 1997 Ozone...

77 FR 36043 - Approval and Promulgation of State Implementation Plans; New Mexico; Regional Haze Rule...

Science.gov (United States)

2012-06-15

... Preserve and Expand Energy Conservation Efforts 4. Potential for Renewable Energy 5. Projections of Renewable Energy Goals, Energy Efficiency, and Pollution Prevention Activities 6. Programs To Achieve GCVTC Renewable Energy Goal K. Additional Recommendations L. Periodic Implementation Plan Revisions M. Interstate...

Implementing a Real-Time Suggestion Service in a Library Discovery Layer

Directory of Open Access Journals (Sweden)

Benjamin Pennell

2010-06-01

Full Text Available As part of an effort to improve user interactions with authority data in its online catalog, the UNC Chapel Hill Libraries have developed and implemented a system for providing real-time query suggestions from records found within its catalog. The system takes user input as it is typed to predict likely title, author, or subject matches in a manner functionally similar to the systems found on commercial websites such as google.com or amazon.com. This paper discusses the technologies, decisions and methodologies that went into the implementation of this feature, as well as analysis of its impact on user search behaviors.

Implementing Temperature Supervision for the ALICE CRU Card Using the Onboard Microcontroller

CERN Document Server

Perez Bernabeu, Ruben

2017-01-01

We report on the first implementation of the thermal supervisory firmware for the onboard microcontroller on the ALICE CRU card. The Common Readout Unit (CRU) is a custom PCI Express FPGA card developed by “Centre Physique des Particules de Marseille” in collaboration of LHCb and ALICE. While the main effort has been focused on the development of the FPGA firmware that implements all the communication needs, there are several independent design tasks identified to ensure the safe operation of the CRU card under all possible conditions. One such task is to implement a robust local (on-board) temperature monitoring and safeguarding subsystem based on ATmega128 microcontroller. It will autonomously prevent the thermal damage of the card even if the remote HW monitoring and controlling functions (integrated in DCS) failed for any reason. Consequently, our main goal in this project will be implementing the temperature supervision using the onboard microcontroller.

Towards Formal Implementation of PUS Standard

Science.gov (United States)

Ilić, D.

2009-05-01

As an effort to promote the reuse of on-board and ground systems ESA developed a standard for packet telemetry and telecommand - PUS. It defines a set of standard service models with the corresponding structures of the associated telemetry and telecommand packets. Various missions then can choose to implement those standard PUS services that best conform to their specific requirements. In this paper we propose a formal development (based on the Event-B method) of reusable service patterns, which can be instantiated for concrete application. Our formal models allow us to formally express and verify specific service properties including various telecommand and telemetry packet structure validation.

Implementation of the Millennium Development Goals in Nigeria through Non-Formal Education Curriculum

Science.gov (United States)

Akpama, Simon Ibor; Asor, Love Joseph; Erim, Costly M.; Adekola, G.

2012-01-01

Nigeria is a signatory to the Millennium Development Goals (MDGs) declaration but till now she has not made any significant milestones in actualizing these human development goals. In spite of the coordinated efforts towards mobilizing those in the formal education system to partially address its implementation challenges, serious gaps still exit…

Developing and Implementing a Simple, Affordable Hydrogen Fuel Cell Laboratory in Introductory Chemistry

Science.gov (United States)

Klara, Kristina; Hou, Ning; Lawman, Allison; Wu, Liheng; Morrill, Drew; Tente, Alfred; Wang, Li-Qiong

2014-01-01

A simple, affordable hydrogen proton exchange membrane (PEM) fuel cell laboratory was developed through a collaborative effort between faculty and undergraduate students at Brown University. It has been incorporated into the introductory chemistry curriculum and successfully implemented in a class of over 500 students per academic year for over 3…

Inpo/industry job and task analysis efforts

International Nuclear Information System (INIS)

Wigley, W.W.

1985-01-01

One of the goals of INPO is to develop and coordinate industrywide programs to improve the education, training and qualification of nuclear utility personnel. To accomplish this goal, INPO's Training and Education Division: conducts periodic evaluations of industry training programs; provides assistance to the industry in developing training programs; manages the accreditation of utility training programs. These efforts are aimed at satisfying the need for training programs for nuclear utility personnel to be performance-based. Performance-based means that training programs provide an incumbent with the skills and knowledge required to safely perform the job. One of the ways that INPO has provided assistance to the industry is through the industrywide job and task analysis effort. I will discuss the job analysis and task analysis processes, the current status of JTA efforts, JTA products and JTA lessons learned

Implementation of optimal Galerkin and Collocation approximations of PDEs with Random Coefficients

KAUST Repository

Beck, Joakim; Nobile, F.; Tamellini, L.; Tempone, Raul

2011-01-01

We consider then the Stochastic Collocation method, and use the previous estimates to introduce a new effective class of Sparse Grids, based on the idea of selecting a priori the most profitable hierarchical surpluses, that, again, features better convergence properties compared to standard Smolyak or tensor product grids.

Anything but engaged: user involvement in the context of a national electronic health record implementation

Directory of Open Access Journals (Sweden)

Kathrin Cresswell

2011-07-01

Conclusions This work has allowed us to further develop an existing model of user engagement from the commercial sector and adapt it to inform user engagement in the context of large-scale eHealth implementations. By identifying key points of possible engagement, disengagement and re-engagement, this model will we hope both help those planning similar large-scale EHR implementation efforts and act as a much needed catalyst to further research in this neglected field of enquiry.

Operationalizing Social Work Science through Research-Practice Partnerships: Lessons from Implementation Science

Science.gov (United States)

Palinkas, Lawrence A.; He, Amy S.; Choy-Brown, Mimi; Hertel, Amy Locklear

2017-01-01

Recent efforts to identify and promote a distinct science for the discipline of social work have led to an ongoing debate regarding the nature and function of such a science. Central to this debate is a lack of consensus as to how to operationalize a social work science. Drawing from the field of implementation science and its application in…

Implementation of emergency department transfer communication measures in Minnesota critical access hospitals.

Science.gov (United States)

Klingner, Jill; Moscovice, Ira; Casey, Michelle; McEllistrem Evenson, Alex

2015-01-01

Previously published findings based on field tests indicated that emergency department patient transfer communication measures are feasible and worthwhile to implement in rural hospitals. This study aims to expand those findings by focusing on the wide-scale implementation of these measures in the 79 Critical Access Hospitals (CAHs) in Minnesota from 2011 to 2013. Information was obtained from interviews with key informants involved in implementing the emergency department patient transfer communication measures in Minnesota as part of required statewide quality reporting. The first set of interviews targeted state-level organizations regarding their experiences working with providers. A second set of interviews targeted quality and administrative staff from CAHs regarding their experiences implementing measures. Implementing the measures in Minnesota CAHs proved to be successful in a number of respects, but informants also faced new challenges. Our recommendations, addressed to those seeking to successfully implement these measures in other states, take these challenges into account. Field-testing new quality measure implementations with volunteers may not be indicative of a full-scale implementation that requires facilities to participate. The implementation team's composition, communication efforts, prior relationships with facilities and providers, and experience with data collection and abstraction tools are critical factors in successfully implementing required reporting of quality measures on a wide scale. © 2014 National Rural Health Association.

Money Laundering and International Efforts to Fight It

OpenAIRE

David Scott

1996-01-01

According to one estimate, US$300 billion to US$500 billion in proceeds from serious crime is laundered each year. Left unchecked, money laundering could criminalize the financial system and undermine development efforts in emerging markets. The author reviews efforts by international bodies to fight it.

Japanese Language and Culture: 10-3Y, 20-3Y, 30-3Y. 3-Year Program Guide to Implementation

Science.gov (United States)

Alberta Education, 2009

2009-01-01

This guide to implementation is intended to support the Japanese Language and Culture 10-3Y, 20-3Y, 30-3Y Program of Studies. It was developed primarily for teachers, yet it includes information that may be useful for administrators and other stakeholders in their efforts to plan for and implement the new Japanese program of studies. Familiarity…

Implementing 'Continuous Improvement' in the U.S. Nuclear Regulatory Commission's Decommissioning Program

International Nuclear Information System (INIS)

Orlando, D. A.; Buckley, J. T.; Johnson, R. L.; Gillen, D. M.

2006-01-01

The United States Nuclear Regulatory Commission's (US NRC's) comprehensive decommissioning program encompasses the decommissioning of all US NRC licensed facilities, ranging from the termination of routine licenses for sealed sources, to the closure of complex materials sites and nuclear power reactor facilities. Of the approximately 200 materials licenses that are terminated each year, most are routine and require little, if any, remediation to meet the US NRC unrestricted release criteria. However, some present technical and policy challenges that require large expenditures of resources, including a few complex materials sites that have requested license termination under the restricted-use provisions of 10 CFR 20.1403. Fiscal constraints to reduce budgeted resources in the decommissioning program, as well as concerns over the time to complete the decommissioning process have led to actions to improve the program and use resources more efficiently. In addition, the US NRC's Strategic Plan requires efforts to identify and implement improvements to US NRC programs in order to improve efficiency, effectiveness, timeliness, and openness, of the US NRC's activities, while maintaining the necessary focus on safety. Decommissioning regulations, and more recently the analysis of several issues associated with implementing those regulations, also have been significant catalysts for improvements in the decommissioning program. Actions in response to these catalysts have resulted in a program focused on the management of complex sites in a comprehensive, consistent, and risk-informed manner, as opposed to the past practice of focusing on sites deemed to be problematic. This paper describes the current status of the decommissioning of US NRC-licensed nuclear facilities, including an overview of recent decommissioning project completion efforts. It provides a detailed summary of past, current, and future improvements in the US NRC decommissioning program including the

Economic effort management in multispecies fisheries: the FcubEcon model

DEFF Research Database (Denmark)

Hoff, Ayoe; Frost, Hans; Ulrich, Clara

2010-01-01

in the development of management tools based on fleets, fisheries, and areas, rather than on unit fish stocks. A natural consequence of this has been to consider effort rather than quota management, a final effort decision being based on fleet-harvest potential and fish-stock-preservation considerations. Effort...... allocation between fleets should not be based on biological considerations alone, but also on the economic behaviour of fishers, because fisheries management has a significant impact on human behaviour as well as on ecosystem development. The FcubEcon management framework for effort allocation between fleets...... the past decade, increased focus on this issue has resulted in the development of management tools based on fleets, fisheries, and areas, rather than on unit fish stocks. A natural consequence of this has been to consider effort rather than quota management, a final effort decision being based on fleet...

Scalable Nonlinear Compact Schemes

Energy Technology Data Exchange (ETDEWEB)

Ghosh, Debojyoti [Argonne National Lab. (ANL), Argonne, IL (United States); Constantinescu, Emil M. [Univ. of Chicago, IL (United States); Brown, Jed [Univ. of Colorado, Boulder, CO (United States)

2014-04-01

In this work, we focus on compact schemes resulting in tridiagonal systems of equations, specifically the fifth-order CRWENO scheme. We propose a scalable implementation of the nonlinear compact schemes by implementing a parallel tridiagonal solver based on the partitioning/substructuring approach. We use an iterative solver for the reduced system of equations; however, we solve this system to machine zero accuracy to ensure that no parallelization errors are introduced. It is possible to achieve machine-zero convergence with few iterations because of the diagonal dominance of the system. The number of iterations is specified a priori instead of a norm-based exit criterion, and collective communications are avoided. The overall algorithm thus involves only point-to-point communication between neighboring processors. Our implementation of the tridiagonal solver differs from and avoids the drawbacks of past efforts in the following ways: it introduces no parallelization-related approximations (multiprocessor solutions are exactly identical to uniprocessor ones), it involves minimal communication, the mathematical complexity is similar to that of the Thomas algorithm on a single processor, and it does not require any communication and computation scheduling.

Implementing Physical Protection Education for an Enhanced Nuclear Security Culture

Energy Technology Data Exchange (ETDEWEB)

Lee, Jeong Ho; Kim, Hyun Chul; Shin, Ick Hyun; Lee, Hyung Kyung; Choe, Kwan Kyoo [KINAC, Daejeon (Korea, Republic of)

2013-10-15

In this paper, we are going to outline our efforts and experiences at implementing physical protection education. KINAC (as the only designated educational institute) places great effort in delivering an effective and a high-quality education program for physical protection. We have also provided a way for nuclear operators to share the lessons they have gained through their own experiences. We made physical protection education an important communication channel, not only among nuclear operators but also between operators and a regulatory body. There is growing attention given to education and training on the subject of physical protection in order to enhance the nuclear security culture. The IAEA recommends that all personnel in organizations directly involved with the nuclear industry receive regularly education in physical protection according to the recently revised INFCIRC/225/Rev.5. The Korea Institute of Nuclear Nonproliferation and Control (KINAC) and the Nuclear Safety and Security Commission (NSSC), which are mainly responsible for the national nuclear security regime, have already recognized the importance of education and training in physical protection. The NSSC enacted its decree on physical protection education and training in 2010. KINAC was designated as the first educational institute in 2011 and implemented physical protection education as mandatory from 2012.

Implementing Physical Protection Education for an Enhanced Nuclear Security Culture

International Nuclear Information System (INIS)

Lee, Jeong Ho; Kim, Hyun Chul; Shin, Ick Hyun; Lee, Hyung Kyung; Choe, Kwan Kyoo

2013-01-01

In this paper, we are going to outline our efforts and experiences at implementing physical protection education. KINAC (as the only designated educational institute) places great effort in delivering an effective and a high-quality education program for physical protection. We have also provided a way for nuclear operators to share the lessons they have gained through their own experiences. We made physical protection education an important communication channel, not only among nuclear operators but also between operators and a regulatory body. There is growing attention given to education and training on the subject of physical protection in order to enhance the nuclear security culture. The IAEA recommends that all personnel in organizations directly involved with the nuclear industry receive regularly education in physical protection according to the recently revised INFCIRC/225/Rev.5. The Korea Institute of Nuclear Nonproliferation and Control (KINAC) and the Nuclear Safety and Security Commission (NSSC), which are mainly responsible for the national nuclear security regime, have already recognized the importance of education and training in physical protection. The NSSC enacted its decree on physical protection education and training in 2010. KINAC was designated as the first educational institute in 2011 and implemented physical protection education as mandatory from 2012

Reproductive effort in viscous populations

NARCIS (Netherlands)

Pen, Ido

Here I study a kin selection model of reproductive effort, the allocation of resources to fecundity versus survival, in a patch-structured population. Breeding females remain in the same patch for life. Offspring have costly, partial long-distance dispersal and compete for breeding sites, which

Safety culture enhancement through the implementation of IAEA guidelines

International Nuclear Information System (INIS)

Mengolini, A.; Debarberis, L.

2007-01-01

This paper presents the methodology applied and the results achieved in adapting and implementing the IAEA guidelines on safety culture to a research reactor as a step towards supporting its Life Management Program. The background is presented together with the effort undertaken to develop awareness on safety culture and the enhancement programme hereafter developed. The present study shows how issues of safety culture, management awareness and commitment deserve attention and can be of fundamental relevance also for research reactors. The study presents how guidelines developed specifically for nuclear power installations (NPPs) can be adapted to meet the needs and peculiarities of other nuclear installations. Moreover, the difficulties met during the implementation of the guidelines are discussed and important information and lessons can be learnt for the nuclear industry in general

Quantifying commercial catch and effort of monkfish Lophius ...

African Journals Online (AJOL)

Catch-per-unit-effort (cpue) data of vessels targeting monkfish and sole (the two ... analysed using two different methods to construct indices of abundance. ... in Namibia to all tail-weight classes is not appropriate for the current fishery and needs ... Keywords: catch per unit effort, Generalized Linear Model, Lophius vaillanti, ...

Implementation of repeat HIV testing during pregnancy in Kenya: a qualitative study.

Science.gov (United States)

Rogers, Anna Joy; Weke, Elly; Kwena, Zachary; Bukusi, Elizabeth A; Oyaro, Patrick; Cohen, Craig R; Turan, Janet M

2016-07-11

Repeat HIV testing in late pregnancy has the potential to decrease rates of mother-to-child transmission of HIV by identifying mothers who seroconvert after having tested negative for HIV in early pregnancy. Despite being national policy in Kenya, the available data suggest that implementation rates are low. We conducted 20 in-depth semi-structured interviews with healthcare providers and managers to explore barriers and enablers to implementation of repeat HIV testing guidelines for pregnant women. Participants were from the Nyanza region of Kenya and were purposively selected to provide variation in socio-demographics and job characteristics. Interview transcripts were coded and analyzed in Dedoose software using a thematic analysis approach. Four themes were identified a priori using Ferlie and Shortell's Framework for Change and additional themes were allowed to emerge from the data. Participants identified barriers and enablers at the client, provider, facility, and health system levels. Key barriers at the client level from the perspective of providers included late initial presentation to antenatal care and low proportions of women completing the recommended four antenatal visits. Barriers to offering repeat HIV testing for providers included heavy workloads, time limitations, and failing to remember to check for retest eligibility. At the facility level, inconsistent volume of clients and lack of space required for confidential HIV retesting were cited as barriers. Finally, at the health system level, there were challenges relating to the HIV test kit supply chain and the design of nationally standardized antenatal patient registers. Enablers to improving the implementation of repeat HIV testing included client dissemination of the benefits of antenatal care through word-of-mouth, provider cooperation and task shifting, and it was suggested that use of an electronic health record system could provide automatic reminders for retest eligibility. This study

Indonesia and the BRICS: Implementing the BEPS Action Plan

Directory of Open Access Journals (Sweden)

Andrey Shelepov

2017-12-01

Full Text Available Tax base erosion and profit shifting (BEPS is a global problem. Finding solutions is a challenge for most countries. The global economic crisis led to a new environment and requirements for doing business. These requirements have been developed by two key international institutions: the Organisation for Economic Cooperation and Development (OECD and the Group of 20 (G20. This approach has engaged the developed and developing countries that are members of these institutions, as well as a significant number of partner countries. As a result, more than 100 countries have confirmed their commitment to the BEPS Action Plan. This article assesses the level of implementation of the BEPS Plan in Indonesia and in the BRICS countries of Brazil, Russia, India, China and South Africa. The author monitored their activities for 13 of the 15 actions (excluding Actions 11 and 15 and identifies several best practices that can be used by Russia. Monitoring considered implemented and planned actions, primarily amendments to and new norms in relevant national legislation, as well as the expected implementation time for all BEPS actions. In addition, the author assessed institutional environments created to implement the provisions of the Action Plan, consultation processes and mechanisms for informing stakeholders. Analysis shows that approaches to implementing the BEPS Action Plan differ among the six countries. Although several lag behind in terms of their implementation schedule, each country has demonstrated some efforts that can be considered best practices. Russia has succeeded the most in implementing the Action Plan

Identification of efforts required for continued safe operation of KANUPP

International Nuclear Information System (INIS)

Ghafoor, M.A.; Hashmi, J.A.; Siddiqui, Z.H.

1991-01-01

are committed to upgrade the safety as far as possible, towards current standards and criteria. We are already modernizing our operational safety practices. We also intend to update our safety analysis, to confirm the current standards and criteria which are applicable in the context of the original plant design, and implement corresponding equipment upgrades where feasible, or special procedures to compensate where possible. This paper identifies the diverse upgrading efforts required in these three major areas, i.e. obsolescence, ageing and safety. A cost-benefit criterion is envisaged to prioritize their implementation with the available resources, to keep Kanupp operating safely, even beyond its originally intended lifespan. (author)

Identification of efforts required for continued safe operation of KANUPP

Energy Technology Data Exchange (ETDEWEB)

Ghafoor, M A; Hashmi, J A; Siddiqui, Z H [Karachi Nuclear Power Plant, Karachi (Pakistan)

1991-04-01

are committed to upgrade the safety as far as possible, towards current standards and criteria. We are already modernizing our operational safety practices. We also intend to update our safety analysis, to confirm the current standards and criteria which are applicable in the context of the original plant design, and implement corresponding equipment upgrades where feasible, or special procedures to compensate where possible. This paper identifies the diverse upgrading efforts required in these three major areas, i.e. obsolescence, ageing and safety. A cost-benefit criterion is envisaged to prioritize their implementation with the available resources, to keep Kanupp operating safely, even beyond its originally intended lifespan. (author)

Acoustic correlate of vocal effort in spasmodic dysphonia.

Science.gov (United States)

Eadie, Tanya L; Stepp, Cara E

2013-03-01

This study characterized the relationship between relative fundamental frequency (RFF) and listeners' perceptions of vocal effort and overall spasmodic dysphonia severity in the voices of 19 individuals with adductor spasmodic dysphonia. Twenty inexperienced listeners evaluated the vocal effort and overall severity of voices using visual analog scales. The squared correlation coefficients (R2) between average vocal effort and overall severity and RFF measures were calculated as a function of the number of acoustic instances used for the RFF estimate (from 1 to 9, of a total of 9 voiced-voiceless-voiced instances). Increases in the number of acoustic instances used for the RFF average led to increases in the variance predicted by the RFF at the first cycle of voicing onset (onset RFF) in the perceptual measures; the use of 6 or more instances resulted in a stable estimate. The variance predicted by the onset RFF for vocal effort (R2 range, 0.06 to 0.43) was higher than that for overall severity (R2 range, 0.06 to 0.35). The offset RFF was not related to the perceptual measures, irrespective of the sample size. This study indicates that onset RFF measures are related to perceived vocal effort in patients with adductor spasmodic dysphonia. These results have implications for measuring outcomes in this population.

The Implementation and Impact of Evidence-Based Mathematics Reforms in High-Poverty Middle Schools: A Multi-Site, Multi-Year Study

Science.gov (United States)

Balfanz, Robert; Mac Iver, Douglas J.; Byrnes, Vaughan

2006-01-01

This article reports on the first 4 years of an effort to develop comprehensive and sustainable mathematics education reforms in high poverty middle schools. In four related analyses, we examine the levels of implementation achieved and impact of the reforms on various measures of achievement in the first 3 schools to implement the Talent…

Implementing Case Tools in the Inteligent Telecommunication Systems

Directory of Open Access Journals (Sweden)

Bahador Ghahramani

2003-02-01

Full Text Available This paper discusses an intelligent and Internet-based Telecommunication System Specification Model (TSSM using Computer Aided Systems Engineering tools (CASE tools. TSSM implements CASE tools to mechanize its lifecycle development maintenance and integration process. This model is developed to improve the system analysts (SA efforts in their design and development of major software and hardware initiatives. This model also improves the SA effectiveness by guiding them through the system's Lifecycle Development Process (LDP. The CASE tools are used to support, integrate, and monitor all LDP functions of the system.

Summary of achievements in safeguards implementation at the Nukem plant

International Nuclear Information System (INIS)

Bigliocca, C.

1983-01-01

This document reviews the achievements in safeguards development studies and in safeguards implementation in a highly enriched uranium fuel fabrication plant. The study was performed at the Nukem plant of Wolfgang-Hanau (Federal Republic of Germany). The report is the result of the combined efforts of the Joint Research Centre (Ispra Establishment, Safeguards and fissile material management project) and the Safegards Directorate of Euratom, with the continuous collaboration of the operator of the plant

Effortful semantic decision-making boosts memory performance in older adults.

Science.gov (United States)

Fu, Li; Maes, Joseph H R; Varma, Samarth; Kessels, Roy P C; Daselaar, Sander M

2017-04-01

A major concern in age-related cognitive decline is episodic memory (EM). Previous studies indicate that both resource and binding deficits contribute to EM decline. Environmental support by task manipulations encouraging stronger cognitive effort and deeper levels of processing may facilitate compensation for these two deficits. To clarify factors that can counteract age-related EM decline, we assessed effects of cognitive effort (four levels) and level of processing (LoP, shallow/deep) during encoding on subsequent retrieval. Young (YAs, N = 23) and older (OAs, N = 23) adults performed two incidental encoding tasks, deep/semantic and shallow/perceptual. Cognitive effort was manipulated by varying decision-making demands. EM performance, indexed by d-prime, was later tested using a recognition task. Results showed that regardless of LoP, increased cognitive effort caused higher d-primes in both age groups. Compared to YAs, OAs showed a lower d-prime after shallow encoding across all cognitive effort levels, and after deep encoding with low cognitive effort. Deep encoding with higher levels of cognitive effort completely eliminated these age differences. Our findings support an environmental-compensatory account of cognitive ageing and can have important therapeutic implications.

Brain and effort: brain activation and effort-related working memory in healthy participants and patients with working memory deficits

Directory of Open Access Journals (Sweden)

Maria eEngstrom

2013-04-01

Full Text Available Despite the interest in the neuroimaging of working memory, little is still known about the neurobiology of complex working memory in tasks that require simultaneous manipulation and storage of information. In addition to the central executive network, we assumed that the recently described salience network (involving the anterior insular cortex and the anterior cingulate cortex might be of particular importance to working memory tasks that require complex, effortful processing. Method: Healthy participants (n=26 and participants suffering from working memory problems related to the Kleine-Levin syndrome (a specific form of periodic idiopathic hypersomnia; n=18 participated in the study. Participants were further divided into a high and low capacity group, according to performance on a working memory task (listening span. In a functional Magnetic Resonance Imaging (fMRI study, participants were administered the reading span complex working memory task tapping cognitive effort. Principal findings: The fMRI-derived blood oxygen level dependent (BOLD signal was modulated by 1 effort in both the central executive and the salience network and 2 capacity in the salience network in that high performers evidenced a weaker BOLD signal than low performers. In the salience network there was a dichotomy between the left and the right hemisphere; the right hemisphere elicited a steeper increase of the BOLD signal as a function of increasing effort. There was also a stronger functional connectivity within the central executive network because of increased task difficulty. Conclusion: The ability to allocate cognitive effort in complex working memory is contingent upon focused resources in the executive and in particular the salience network. Individual capacity during the complex working memory task is related to activity in the salience (but not the executive network so that high-capacity participants evidence a lower signal and possibly hence a larger

Implementation of Adaptive Digital Controllers on Programmable Logic Devices

Science.gov (United States)

Gwaltney, David A.; King, Kenneth D.; Smith, Keary J.; Monenegro, Justino (Technical Monitor)

2002-01-01

Much has been made of the capabilities of FPGA's (Field Programmable Gate Arrays) in the hardware implementation of fast digital signal processing. Such capability also makes an FPGA a suitable platform for the digital implementation of closed loop controllers. Other researchers have implemented a variety of closed-loop digital controllers on FPGA's. Some of these controllers include the widely used proportional-integral-derivative (PID) controller, state space controllers, neural network and fuzzy logic based controllers. There are myriad advantages to utilizing an FPGA for discrete-time control functions which include the capability for reconfiguration when SRAM-based FPGA's are employed, fast parallel implementation of multiple control loops and implementations that can meet space level radiation tolerance requirements in a compact form-factor. Generally, a software implementation on a DSP (Digital Signal Processor) or microcontroller is used to implement digital controllers. At Marshall Space Flight Center, the Control Electronics Group has been studying adaptive discrete-time control of motor driven actuator systems using digital signal processor (DSP) devices. While small form factor, commercial DSP devices are now available with event capture, data conversion, pulse width modulated (PWM) outputs and communication peripherals, these devices are not currently available in designs and packages which meet space level radiation requirements. In general, very few DSP devices are produced that are designed to meet any level of radiation tolerance or hardness. The goal of this effort is to create a fully digital, flight ready controller design that utilizes an FPGA for implementation of signal conditioning for control feedback signals, generation of commands to the controlled system, and hardware insertion of adaptive control algorithm approaches. An alternative is required for compact implementation of such functionality to withstand the harsh environment

Systematic model for lean product development implementation in an automotive related company

Directory of Open Access Journals (Sweden)

Daniel Osezua Aikhuele

2017-07-01

Full Text Available Lean product development is a major innovative business strategy that employs sets of practices to achieve an efficient, innovative and a sustainable product development. Despite the many benefits and high hopes in the lean strategy, many companies are still struggling, and unable to either achieve or sustain substantial positive results with their lean implementation efforts. However, as the first step towards addressing this issue, this paper seeks to propose a systematic model that considers the administrative and implementation limitations of lean thinking practices in the product development process. The model which is based on the integration of fuzzy Shannon’s entropy and Modified Technique for Order Preference by Similarity to the Ideal Solution (M-TOPSIS model for the lean product development practices implementation with respective to different criteria including management and leadership, financial capabilities, skills and expertise and organization culture, provides a guide or roadmap for product development managers on the lean implementation route.

Vicarious Effort-Based Decision-Making in Autism Spectrum Disorders.

Science.gov (United States)

Mosner, Maya G; Kinard, Jessica L; McWeeny, Sean; Shah, Jasmine S; Markiewitz, Nathan D; Damiano-Goodwin, Cara R; Burchinal, Margaret R; Rutherford, Helena J V; Greene, Rachel K; Treadway, Michael T; Dichter, Gabriel S

2017-10-01

This study investigated vicarious effort-based decision-making in 50 adolescents with autism spectrum disorders (ASD) compared to 32 controls using the Effort Expenditure for Rewards Task. Participants made choices to win money for themselves or for another person. When choosing for themselves, the ASD group exhibited relatively similar patterns of effort-based decision-making across reward parameters. However, when choosing for another person, the ASD group demonstrated relatively decreased sensitivity to reward magnitude, particularly in the high magnitude condition. Finally, patterns of responding in the ASD group were related to individual differences in consummatory pleasure capacity. These findings indicate atypical vicarious effort-based decision-making in ASD and more broadly add to the growing body of literature addressing social reward processing deficits in ASD.

Dopamine, Effort-Based Choice, and Behavioral Economics: Basic and Translational Research.

Science.gov (United States)

Salamone, John D; Correa, Merce; Yang, Jen-Hau; Rotolo, Renee; Presby, Rose

2018-01-01

Operant behavior is not only regulated by factors related to the quality or quantity of reinforcement, but also by the work requirements inherent in performing instrumental actions. Moreover, organisms often make effort-related decisions involving economic choices such as cost/benefit analyses. Effort-based decision making is studied using behavioral procedures that offer choices between high-effort options leading to relatively preferred reinforcers vs. low effort/low reward choices. Several neural systems, including the mesolimbic dopamine (DA) system and other brain circuits, are involved in regulating effort-related aspects of motivation. Considerable evidence indicates that mesolimbic DA transmission exerts a bi-directional control over exertion of effort on instrumental behavior tasks. Interference with DA transmission produces a low-effort bias in animals tested on effort-based choice tasks, while increasing DA transmission with drugs such as DA transport blockers tends to enhance selection of high-effort options. The results from these pharmacology studies are corroborated by the findings from recent articles using optogenetic, chemogenetic and physiological techniques. In addition to providing important information about the neural regulation of motivated behavior, effort-based choice tasks are useful for developing animal models of some of the motivational symptoms that are seen in people with various psychiatric and neurological disorders (e.g., depression, schizophrenia, Parkinson's disease). Studies of effort-based decision making may ultimately contribute to the development of novel drug treatments for motivational dysfunction.

Dopamine, Effort-Based Choice, and Behavioral Economics: Basic and Translational Research

Directory of Open Access Journals (Sweden)

John D. Salamone

2018-03-01

Full Text Available Operant behavior is not only regulated by factors related to the quality or quantity of reinforcement, but also by the work requirements inherent in performing instrumental actions. Moreover, organisms often make effort-related decisions involving economic choices such as cost/benefit analyses. Effort-based decision making is studied using behavioral procedures that offer choices between high-effort options leading to relatively preferred reinforcers vs. low effort/low reward choices. Several neural systems, including the mesolimbic dopamine (DA system and other brain circuits, are involved in regulating effort-related aspects of motivation. Considerable evidence indicates that mesolimbic DA transmission exerts a bi-directional control over exertion of effort on instrumental behavior tasks. Interference with DA transmission produces a low-effort bias in animals tested on effort-based choice tasks, while increasing DA transmission with drugs such as DA transport blockers tends to enhance selection of high-effort options. The results from these pharmacology studies are corroborated by the findings from recent articles using optogenetic, chemogenetic and physiological techniques. In addition to providing important information about the neural regulation of motivated behavior, effort-based choice tasks are useful for developing animal models of some of the motivational symptoms that are seen in people with various psychiatric and neurological disorders (e.g., depression, schizophrenia, Parkinson’s disease. Studies of effort-based decision making may ultimately contribute to the development of novel drug treatments for motivational dysfunction.

The power of engagement: implementation of a career ladder program.

Science.gov (United States)

Bourgeault, Robert; Newmark, Jason

2012-01-01

At Baystate Health in Massachusetts, the development and implementation of a career ladder program was implemented to reduce turnover and to improve employee satisfaction, morale, and recruitment efforts. There was significant initial expenditure in the program, as a result of promoting the large number of employees with significant experience and seniority. A smaller number of staff are expected to apply for advancement during successive cycles, allowing for decreased incremental expense going forward. Critical to the success of the program was understanding the time commitment, getting senior organizational support and staff buy-in, and justifying the associated expenses. The development and initiation of the program has done much to support a positive work environment with increased morale and higher performance among significant numbers of staff at all levels.

Aircraft LTO emissions regulations and implementations at European airports

Science.gov (United States)

Yunos, Siti Nur Mariani Mohd; Ghafir, Mohammad Fahmi Abdul; Wahab, Abas Ab

2017-04-01

Aviation affects the environment via the emission of pollutants from aircraft, impacting human health and ecosystem. Impacts of aircraft operations at lower ground towards local air quality have been recognized. Consequently, various standards and regulations have been introduced to address the related emissions. This paper discussed both environmental regulations by focusing more on the implementations of LTO emissions charges, an incentive-based regulation introduced in Europe as an effort to fill the gap in addressing the environmental issues related to aviation.

Effect of social influence on effort-allocation for monetary rewards.

Science.gov (United States)

Gilman, Jodi M; Treadway, Michael T; Curran, Max T; Calderon, Vanessa; Evins, A Eden

2015-01-01

Though decades of research have shown that people are highly influenced by peers, few studies have directly assessed how the value of social conformity is weighed against other types of costs and benefits. Using an effort-based decision-making paradigm with a novel social influence manipulation, we measured how social influence affected individuals' decisions to allocate effort for monetary rewards during trials with either high or low probability of receiving a reward. We found that information about the effort-allocation of peers modulated participant choices, specifically during conditions of low probability of obtaining a reward. This suggests that peer influence affects effort-based choices to obtain rewards especially under conditions of risk. This study provides evidence that people value social conformity in addition to other costs and benefits when allocating effort, and suggests that neuroeconomic studies that assess trade-offs between effort and reward should consider social environment as a factor that can influence decision-making.

Effect of social influence on effort-allocation for monetary rewards.

Directory of Open Access Journals (Sweden)

Jodi M Gilman

Full Text Available Though decades of research have shown that people are highly influenced by peers, few studies have directly assessed how the value of social conformity is weighed against other types of costs and benefits. Using an effort-based decision-making paradigm with a novel social influence manipulation, we measured how social influence affected individuals' decisions to allocate effort for monetary rewards during trials with either high or low probability of receiving a reward. We found that information about the effort-allocation of peers modulated participant choices, specifically during conditions of low probability of obtaining a reward. This suggests that peer influence affects effort-based choices to obtain rewards especially under conditions of risk. This study provides evidence that people value social conformity in addition to other costs and benefits when allocating effort, and suggests that neuroeconomic studies that assess trade-offs between effort and reward should consider social environment as a factor that can influence decision-making.

Observações aos prolegômenos da teoria kantiana dos juízos jurídicos a priori em Rechtslehre

Directory of Open Access Journals (Sweden)

Fábio César Scherer

2010-12-01

Full Text Available In this article the kantian Rechtslehre is interpreted as a critical juridical doctrine, understandable under the critical project – started in Kritik der reinen Vernunft and adapted to the practical field in Kritik der praktischen Vernunft. In particular, it is aimed to highlight, besides the apriority, the systematic character and the search for the completeness of the juridical principles, the use of the solubility of problems theory of the reasoning in general in the prolegomenon of Rechtslehre. The study of this preliminary part is justified in presenting the supreme division of the system according to principals, where it is derived a division of the law doctrine, which determines the object (Gegenstand and, therefore, the field of this particular science and the discussion of the research procedure. Such a priori frame of the Law doctrine is the basis of the following Kantian theory of private law and public law. In a bigger picture, this article can be understood as a renouncement to the idea that the Kantian Rechtslehre does not follow the requirements of the critical philosophy – created by Hermann Cohen (Ethik des reinen Willens, 1904 and detailed by Christian Ritter (Der Rechtsgedanke Kants nach den frühen Quellen, 1971.

Implementation Factors and Faculty Perceptions of Electronic Textbooks on the iPad

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Rogers-Estable, Michelle Dawn

2018-01-01

A federally managed university in the United Arab Emirates implemented a one-to-one iPad program. In an effort to increase access to interactive digital learning resources on the iPads, they next transitioned from paperbased textbooks (pTexts) to electronic textbooks (eTexts) on the iPad for all course delivery formats. The goal of this study was…

Breaking the Double-Edged Sword of Effort/Trying Hard: Developmental Equilibrium and Longitudinal Relations among Effort, Achievement, and Academic Self-Concept

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Marsh, Herbert W.; Pekrun, Reinhard; Lichtenfeld, Stephanie; Guo, Jiesi; Arens, A. Katrin; Murayama, Kou

2016-01-01

Ever since the classic research of Nicholls (1976) and others, effort has been recognized as a double-edged sword: while it might enhance achievement, it undermines academic self-concept (ASC). However, there has not been a thorough evaluation of the longitudinal reciprocal effects of effort, ASC, and achievement, in the context of modern…

Implementing real-time robotic systems using CHIMERA II

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Stewart, David B.; Schmitz, Donald E.; Khosla, Pradeep K.

1990-01-01

A description is given of the CHIMERA II programming environment and operating system, which was developed for implementing real-time robotic systems. Sensor-based robotic systems contain both general- and special-purpose hardware, and thus the development of applications tends to be a time-consuming task. The CHIMERA II environment is designed to reduce the development time by providing a convenient software interface between the hardware and the user. CHIMERA II supports flexible hardware configurations which are based on one or more VME-backplanes. All communication across multiple processors is transparent to the user through an extensive set of interprocessor communication primitives. CHIMERA II also provides a high-performance real-time kernel which supports both deadline and highest-priority-first scheduling. The flexibility of CHIMERA II allows hierarchical models for robot control, such as NASREM, to be implemented with minimal programming time and effort.

Men’s Work Efforts and the Transition to Fatherhood1

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Astone, Nan Marie; Dariotis, Jacinda; Sonenstein, Freya; Pleck, Joseph H.; Hynes, Kathryn

2010-01-01

In this paper we tested three hypotheses: (a) the transition to fatherhood is associated with an increase in work effort; (b) the positive association (if any) between the transition to fatherhood and work effort is greater for fathers who are married at the time of the transition; and (c) the association (if any) is greater for men who make the transition at younger ages. The data are from the National Longitudinal Survey of Youth 1979 Cohort. The transition to fatherhood was associated with an increase in work effort among young unmarried men, but not for married men. Among married men who were on-time fathers, work effort decreased. Among childless men, the marriage transition was associated with increased work effort. PMID:20221306

Perception of effort in Exercise Science: Definition, measurement and perspectives.

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Pageaux, Benjamin

2016-11-01

Perception of effort, also known as perceived exertion or sense of effort, can be described as a cognitive feeling of work associated with voluntary actions. The aim of the present review is to provide an overview of what is perception of effort in Exercise Science. Due to the addition of sensations other than effort in its definition, the neurophysiology of perceived exertion remains poorly understood. As humans have the ability to dissociate effort from other sensations related to physical exercise, the need to use a narrower definition is emphasised. Consequently, a definition and some brief guidelines for its measurement are provided. Finally, an overview of the models present in the literature aiming to explain its neurophysiology, and some perspectives for future research are offered.

The RBANS Effort Index: base rates in geriatric samples.

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Duff, Kevin; Spering, Cynthia C; O'Bryant, Sid E; Beglinger, Leigh J; Moser, David J; Bayless, John D; Culp, Kennith R; Mold, James W; Adams, Russell L; Scott, James G

2011-01-01

The Effort Index (EI) of the RBANS was developed to assist clinicians in discriminating patients who demonstrate good effort from those with poor effort. However, there are concerns that older adults might be unfairly penalized by this index, which uses uncorrected raw scores. Using five independent samples of geriatric patients with a broad range of cognitive functioning (e.g., cognitively intact, nursing home residents, probable Alzheimer's disease), base rates of failure on the EI were calculated. In cognitively intact and mildly impaired samples, few older individuals were classified as demonstrating poor effort (e.g., 3% in cognitively intact). However, in the more severely impaired geriatric patients, over one third had EI scores that fell above suggested cutoff scores (e.g., 37% in nursing home residents, 33% in probable Alzheimer's disease). In the cognitively intact sample, older and less educated patients were more likely to have scores suggestive of poor effort. Education effects were observed in three of the four clinical samples. Overall cognitive functioning was significantly correlated with EI scores, with poorer cognition being associated with greater suspicion of low effort. The current results suggest that age, education, and level of cognitive functioning should be taken into consideration when interpreting EI results and that significant caution is warranted when examining EI scores in elders suspected of having dementia.

Policies and Programmatic Efforts Pertaining to Fatherhood: Commentary

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Raikes, Helen; Bellotti, Jeanne

2007-01-01

The articles in this section focus attention on (1) the historical shift in policies that affect the young men of this nation (2) how fatherhood policies and programmatic efforts are expanding and (3) how fatherhood practices and policies could and perhaps should be expanded and elaborated further. These efforts are linked to a growing body of…

The value of advocacy in promoting social change: implementing the new Domestic Violence Act in South Africa.

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Usdin, S; Christofides, N; Malepe, L; Maker, A

2000-11-01

South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper describes an advocacy campaign conducted by the Soul City Institute for Health and Development Communication in partnership with the National Network on Violence against Women, to ensure the effective implementation of the DVA. Lessons from the campaign stress the importance of coalition building to draw on diverse strengths, and the use of a combination of advocacy tools, including lobbying, media advocacy and social mobilisation to achieve campaign goals. Given the critical role NGOs dealing with victims/survivors of domestic violence and the justice system played in lobbying for change and drafting the new law, their exclusion from the implementation process was ironic. While many advocacy efforts focus on the development of policy and legislation, ongoing efforts are needed to ensure effective implementation, the commitment of adequate resources and monitoring to identify gaps and propose new solutions. Our experience highlights the important role of policy advocates in connecting the multiple streams at play in the policy and legislative arena.

Climate Change and Implications for Prevention. California's Efforts to Provide Leadership.

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Balmes, John R

2018-04-01

The atmospheric concentration of carbon dioxide (CO 2 ) and the temperature of the earth's surface have been rising in parallel for decades, with the former recently reaching 400 parts per million, consistent with a 1.5°C increase in global warming. Climate change models predict that a "business as usual" approach, that is, no effort to control CO 2 emissions from combustion of fossil fuels, will result in a more than 2°C increase in annual average surface temperature by approximately 2034. With atmospheric warming comes increased air pollution. The concept of a "climate gap" in air quality control captures the decreased effectiveness of regulatory policies to reduce pollution with a hotter climate. Sources of greenhouse gases and climate-forcing aerosols ("black carbon") are the same sources of air pollutants that harm health. California has adopted robust climate change mitigation policies that are also designed to achieve public health cobenefits by improving air quality. These policies include advanced clean car standards, renewable energy, a sustainable communities strategy to limit suburban sprawl, a low carbon fuel standard, and energy efficiency. A market-based mechanism to put a price on CO 2 emissions is the cap-and-trade program that allows capped facilities to trade state-issued greenhouse gas emissions allowances. The "cap" limits total greenhouse gas emissions from all covered sources, and declines over time to progressively reduce emissions. An alternative approach is a carbon tax. California's leadership on air quality and climate change mitigation is increasingly important, given the efforts to slow or even reverse implementation of such policies at the U.S. national level.

Goal Setting and Expectancy Theory Predictions of Effort and Performance.

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Dossett, Dennis L.; Luce, Helen E.