WorldWideScience

Sample records for project increased services

  1. Increasing the Number of Outpatients Receiving Spiritual Assessment: A Pain and Palliative Care Service Quality Improvement Project.

    Science.gov (United States)

    Gomez-Castillo, Blanca J; Hirsch, Rosemarie; Groninger, Hunter; Baker, Karen; Cheng, M Jennifer; Phillips, Jayne; Pollack, John; Berger, Ann M

    2015-11-01

    Spirituality is a patient need that requires special attention from the Pain and Palliative Care Service team. This quality improvement project aimed to provide spiritual assessment for all new outpatients with serious life-altering illnesses. Percentage of new outpatients receiving spiritual assessment (Faith, Importance/Influence, Community, Address/Action in care, psychosocial evaluation, chaplain consults) at baseline and postinterventions. Interventions included encouraging clinicians to incorporate adequate spiritual assessment into patient care and implementing chaplain covisits for all initial outpatient visits. The quality improvement interventions increased spiritual assessment (baseline vs. postinterventions): chaplain covisits (25.5% vs. 50%), Faith, Importance/Influence, Community, Address/Action in care completion (49% vs. 72%), and psychosocial evaluation (89% vs. 94%). Improved spiritual assessment in an outpatient palliative care clinic setting can occur with a multidisciplinary approach. This project also identifies data collection and documentation processes that can be targeted for improvement. Published by Elsevier Inc.

  2. Increasing student success in STEM through geosciences based GIS curriculum, interdisciplinary project based learning, and specialized STEM student services

    Science.gov (United States)

    Cheung, W.

    2012-12-01

    Under the auspices of the National Science Foundation's Advanced Technological Education Grant and the Department of Education's Title V/HSI Grant, Palomar College students from a variety of disciplines have not only been exposed to the high growth field of geospatial technologies, but have also been exposed to the geosciences and regional environmental issues in their GIS courses. By integrating introductory Physical Geography topics such as liquefaction, subsidence, ozone depletion, plate tectonics, and coastal processes in the introductory GIS curriculum, GIS students from fields ranging from Archaeology to Zoology were exposed to basic geosciences theories in a series of hands-on interactive exercises, while gaining competency in geospatial technologies. Additionally, as students undertake interdisciplinary service learning projects under the supervision of experts in the private, governmental, and nonprofit sectors, students were introduced to the STEM workplace, forged invaluable professional connections, applied their classroom knowledge to advance research (e.g. analyzing migration patterns of cephalopod), and analyzed regional environmental issues (e.g. distribution of invasive plants in state natural preserves). In order to further the retention and completion of students in GIS, Earth Science, and other STEM courses, a STEM Student Learning Center was constructed, whereby students can receive services such as supplemental instruction, walk-in tutoring, STEM counseling and transfer advising, as well as faculty and peer mentoring.

  3. Does SSP Plus Increase Employment? The Effect of Adding Services to the Self-Sufficiency Project's Financial Incentives.

    Science.gov (United States)

    Quets, Gail; Robins, Philip K.; Pan, Elsie C.; Michalopoulos, Charles; Card, David

    In 1992, Human Resources Development Canada launched the Self-Sufficiency Project (SSP), which was a research and demonstration effort involving long-term, single-parent Income Assistance (IA) recipients in New Brunswick and British Columbia. Under SSP, IA recipients who left IA and worked at least 30 hours per week were offered a generous but…

  4. Increasing use of mental health services in remote areas using mobile technology: a pre-post evaluation of the SMART Mental Health project in rural India.

    Science.gov (United States)

    Maulik, Pallab K; Kallakuri, Sudha; Devarapalli, Siddhardha; Vadlamani, Vamsi Krishna; Jha, Vivekanand; Patel, Anushka

    2017-06-01

    About 25% of the Indian population experience common mental disorders (CMD) but only 15-25% of them receive any mental health care. Stigma, lack of adequate mental health professionals and mental health services account for this treatment gap, which is worse in rural areas. Our project evaluated task shifting and mobile-technology based electronic decision support systems to enhance the ability of primary care health workers to provide evidence-based mental health care for stress, depression, and suicidal risk in 30 remote villages in the state of Andhra Pradesh, India. The Systematic Medical Appraisal Referral and Treatment (SMART) Mental Health project between May 2014 and April 2016 trained lay village health workers (Accredited Social Health Activists - ASHAs) and primary care doctors to screen, diagnose and manage individuals with common mental disorders using an electronic decision support system. An anti-stigma campaign using multi-media approaches was conducted across the villages at the outset of the project. A pre-post evaluation using mixed methods assessed the change in mental health service utilization by screen positive individuals. This paper reports on the quantitative aspects of that evaluation. Training was imparted to 21 ASHAs and 2 primary care doctors. 5007 of 5167 eligible individuals were screened, and 238 were identified as being positive for common mental disorders and referred to the primary care doctors for further management. Out of them, 2 (0.8%) had previously utilized mental health services. During the intervention period, 30 (12.6%) visited the primary care doctor for further diagnosis and treatment, as advised. There was a significant reduction in the depression and anxiety scores between start and end of the intervention among those who had screened positive at the beginning. Stigma and mental health awareness in the broader community improved during the project. The intervention led to individuals being screened for common mental

  5. Increasing use of mental health services in remote areas using mobile technology: a pre–post evaluation of the SMART Mental Health project in rural India

    Science.gov (United States)

    Maulik, Pallab K; Kallakuri, Sudha; Devarapalli, Siddhardha; Vadlamani, Vamsi Krishna; Jha, Vivekanand; Patel, Anushka

    2017-01-01

    Background About 25% of the Indian population experience common mental disorders (CMD) but only 15–25% of them receive any mental health care. Stigma, lack of adequate mental health professionals and mental health services account for this treatment gap, which is worse in rural areas. Our project evaluated task shifting and mobile–technology based electronic decision support systems to enhance the ability of primary care health workers to provide evidence–based mental health care for stress, depression, and suicidal risk in 30 remote villages in the state of Andhra Pradesh, India. Methods The Systematic Medical Appraisal Referral and Treatment (SMART) Mental Health project between May 2014 and April 2016 trained lay village health workers (Accredited Social Health Activists – ASHAs) and primary care doctors to screen, diagnose and manage individuals with common mental disorders using an electronic decision support system. An anti–stigma campaign using multi–media approaches was conducted across the villages at the outset of the project. A pre–post evaluation using mixed methods assessed the change in mental health service utilization by screen positive individuals. This paper reports on the quantitative aspects of that evaluation. Results Training was imparted to 21 ASHAs and 2 primary care doctors. 5007 of 5167 eligible individuals were screened, and 238 were identified as being positive for common mental disorders and referred to the primary care doctors for further management. Out of them, 2 (0.8%) had previously utilized mental health services. During the intervention period, 30 (12.6%) visited the primary care doctor for further diagnosis and treatment, as advised. There was a significant reduction in the depression and anxiety scores between start and end of the intervention among those who had screened positive at the beginning. Stigma and mental health awareness in the broader community improved during the project. Conclusions The intervention

  6. Increasing use of mental health services in remote areas using mobile technology: a pre-post evaluation of the SMART Mental Health project in rural India.

    OpenAIRE

    Maulik, PK; Kallakuri, S; Devarapalli, S; Vadlamani, VK; Jha, V; Patel, A

    2017-01-01

    BACKGROUND: About 25% of the Indian population experience common mental disorders (CMD) but only 15-25% of them receive any mental health care. Stigma, lack of adequate mental health professionals and mental health services account for this treatment gap, which is worse in rural areas. Our project evaluated task shifting and mobile-technology based electronic decision support systems to enhance the ability of primary care health workers to provide evidence-based mental health care for stress,...

  7. Marketing Industrial Project-Related Services

    DEFF Research Database (Denmark)

    Cova, Bernard; Skaates, Maria Anne

    2002-01-01

    Services are a growing part of projects in the context of the international trend toward solution buying and selling on B2B markets. Services are also often a key source of competitive advantage in project business. Therefore the aim of this paper is to critically scrutinise the intuitive...... hypothesis that the marketing of project-related services lies somewhere at the crossroads between services marketing and project marketing....

  8. Project management: a new service delivery paradigm

    Directory of Open Access Journals (Sweden)

    G. van der Walt

    2007-07-01

    Full Text Available In line with international trends in governance, the South African Government’s initial focus on the development of policy frameworks, structures and systems in order to give effect to the values and principles of the Constitution, shifted to the most critical issue, namely service delivery. The Government became increasingly aware that a significant expansion in the scope and quality of service provision was not possible with traditional delivery settings and approaches. There is growing evidence that there is a need for a significant departure from conventional approaches and that a leap into a new service delivery paradigm is necessary. Increasingly this new paradigm highlights the need to further develop the government’s project management skills and applications with a view to achieving improved delivery capability. In this article the focus will be placed on the changing service delivery paradigm – from an “old” traditional model through the transition to a “new” paradigm. This paradigm is shaped by international and national trends and events in government. The contribution and advantages of project management applications for effective governance are highlighted and the article concludes with an explanation of project management organisational arrangements necessary to support the new paradigm.

  9. The international marketing of professional service projects

    DEFF Research Database (Denmark)

    Skaates, Maria Anne; Tikkanen, Henrikki; Alajoutsijärvi, Kimmo

    2003-01-01

    Many types of commercial professional services are commonly sold as projects. Therefore this article draws on the project marketing literature to elucidate the international marketing of professional service projects. After an initial literature review, the project marketing milieu concept......, and representations to another national milieu with similarly well-developed norms, rules, and representations, yet that there also exist global milieux. Managerial implications concerning professional service firms' preparation for entering a foreign milieu as well as subsidiary or office establishment abroad...

  10. Implementing Climate Services in Peru: CLIMANDES Project

    Science.gov (United States)

    Lavado-Casimiro, Waldo; Mauchle, Fabian; Diaz, Amelia; Seiz, Gabriela; Rubli, Alex; Rossa, Andrea; Rosas, Gabriela; Ita, Niceforo; Calle, Victoria; Villegas, Esequiel; Ambrosetti, Paolo; Brönnimann, Stefan; Hunziker, Stefan; Jacques, Martin; Croci-Maspoli, Mischa; Konzelmann, Thomas; Gubler, Stefanie; Rohrer, Mario

    2014-05-01

    The climate variability and change will have increasing influence on the economic and social development of all countries and regions, such as the Andes in Latin America. The CLIMANDES project (Climate services to support decision-making in the Andean Region) will address these issues in Peru. CLIMANDES supports the WMO Regional Training Centre (RTC) in Lima, which is responsible for the training of specialized human resources in meteorology and climatology in the South American Andes (Module 1). Furthermore, CLIMANDES will provide high-quality climate services to inform policy makers in the Andean region (Module 2). It is coordinated by the World Meteorological Organization (WMO) and constitutes a pilot project under the umbrella of the WMO-led Global Framework for Climate Services (GFCS). The project is funded by the Swiss Agency for Development and Cooperation (SDC) and runs from August 2012 - July 2015. Module 1 focuses on restructuring the curricula of Meteorology at the La Molina Agraria University (UNALM) and applied training of meteorologists of the Peruvian National Service of Meteorology and Hydrology (SENAMHI). In Module 2, the skills will be shared and developed in the production and delivery of high-quality climate products and services tailored to the needs of the decision makers in the pilot regions Cusco and Junín. Such services will benefit numerous sectors including agriculture, education, health, tourism, energy, transport and others. The goals of the modules 1 and 2 will be achieved through the collaboration of the UNALM, SENAMHI and the Federal Office of Meteorology and Climatology MeteoSwiss, with the support of the University of Bern (UNIBE), Meteodat and WMO.

  11. Project Management in Real Time: A Service-Learning Project

    Science.gov (United States)

    Larson, Erik; Drexler, John A., Jr.

    2010-01-01

    This article describes a service-learning assignment for a project management course. It is designed to facilitate hands-on student learning of both the technical and the interpersonal aspects of project management, and it involves student engagement with real customers and real stakeholders in the creation of real events with real outcomes. As…

  12. Serviceability of passenger trains during acquisition projects

    NARCIS (Netherlands)

    Parada Puig, J.E.

    2015-01-01

    Acquiring assets that can be serviced cost effectively is a fundamental goal during large acquisition projects at NS, the largest railway company in the Netherlands. Buying passenger trains and providing their required services requires important strategic decisions involving both the trains and

  13. Evaluating the Peruvian Rural Communication Services Project.

    Science.gov (United States)

    Mayo, John

    1988-01-01

    Reviews the Peruvian Rural Communication Services (PRCS) Project and outlines selected findings. Topics discussed include a brief description of Peru's economic and social conditions; satellite communication systems; audio teleconferencing; telephone service; planning and administration; research design features; data collection; and project…

  14. Family Health Services project: the way forward.

    Science.gov (United States)

    Dabiri, O M

    1993-01-01

    Nigerians did not readily accept family planning when Family Health Services (FHS) began in 1988. FHS has made much headway in training, IEC (information, education, and communication), and constituency building and advocacy. Its staff have identified obstacles to implementation, especially program sustainability and management structure. Key limits to sustainability of IEC efforts were inadequately trained personnel and inability of trained personnel to apply what they learned at work stations. The Federal Ministry and Social Services' role in the FHS project was not clearly defined. Some private sector factors contributing to a confused management structure were inadequate method mix, high contraceptive cost, poor monitoring of quality of care, and no coordination of family planning training with the public factor. FHS has since decided to focus its efforts on increasing the demand for and availability of modern contraceptives and improving the quality of family planning services of both the public and private sectors. FHS hopes that accomplishing these activities will reduce fertility, morbidity, and mortality. Strategic plans include a regional focus, quality of care, a variety of methods offered, intensification, hospital and clinics, a management information system, contraceptive logistics, distribution regulations, and addressing social, cultural, and behavioral factors. To effectively implement the strategy, USAID and the Federal Ministry held a workshop in 1993 to effect full integration of Nigerian experience in the 2nd phase of the project (FHS II). Participants reviewed the strengths and weaknesses of the first phase and agreed on implementation. For example, nongovernmental organizations should implement FHS II. FHS II includes training, IEC, and commodities/logistics.

  15. Analysis of the project parameters of the fixed price projects in the IT services delivery organization

    Directory of Open Access Journals (Sweden)

    Miroslav Kral

    2012-04-01

    Full Text Available The success rate of IS/IT projects is low. Thus, in response, a large variety of methods and approaches to managing IS/IT projects has been developed over the years. The purpose of this paper is to analyse the relationships between the project parameters of fixed-price projects that take place within an IT service delivery organization. There is some evidence that simply using traditional project parameters (such as project duration, costs, reserves, and so on isn't enough to increase the success of projects; rather, new approaches and methods, including our applied systems approach, should also be considered. This paper aims to highlight issues from the perspective of an IT services delivery organization from the CEE region. The output of the paper should be a contribution to the project management of IS/IT projects and to systems research, as well.

  16. Caching web service for TICF project

    International Nuclear Information System (INIS)

    Pais, V.F.; Stancalie, V.

    2008-01-01

    A caching web service was developed to allow caching of any object to a network cache, presented in the form of a web service. This application was used to increase the speed of previously implemented web services and for new ones. Various tests were conducted to determine the impact of using this caching web service in the existing network environment and where it should be placed in order to achieve the greatest increase in performance. Since the cache is presented to applications as a web service, it can also be used for remote access to stored data and data sharing between applications

  17. Project management in interior design services

    OpenAIRE

    Şahinoglu, Alp

    1997-01-01

    Ankara : Bilkent University, Department of Interior Architecture and Environmental Design and Institute of Fine Arts, 1997. Thesis (Master's) -- Bilkent University, 1997. Includes bibliographical references. In this study, the concept of project management is analyzed within the framework of interior design services. Project management has been defined as the managing and coordination of all human and physical resources, in order to accomplish the predetermined goals (aim of the proj...

  18. New developments in Generator Services project

    International Nuclear Information System (INIS)

    Karneyeu, A; Kirsanov, M; Konstantinov, D; Ryabov, A; Zenin, O; Pokorski, W; Ribon, A

    2011-01-01

    The LOG Generator Services project provides validated, LOG compliant Monte Carlo generators code for both the theoretical and experimental communities at the LHC. In this paper we present the recent developments and the future plans of the project. We report on the current status of the generators repository, the new Autotools-based build system, as well as the new installation tools to create mirrors of the repository. We discuss new developments in testing and physics validation procedures in particular the use of HepMC Analysis Tool, as well as the Rivet validation tool. We also present a new activity, enlarging the scope of the Generator Services project, it is the involvement in the tuning of the Monte Carlo generators. This work, being essential for the understanding of the future LHC data, is now starting with the involvement of all the LHC experiments.

  19. Residual services and power increases for components

    International Nuclear Information System (INIS)

    Pauli, W.

    1991-01-01

    As part of the moratorium in Switzerland work in nuclear power stations has been concentrating more on increasing capacity, reducing radiation levels to which personnel is exposed and extending the service life of existing plants. This has meant the requalification, repair or replacement of components and systems some of which have been in operation for more than 20 years. In addition to the classic role of manufacturer, the industry which acts as both supplier and manufacturer of these components also has to be the expertise holder, documentation pool and analysts. The examples described in this article show that close cooperation with operators leads to solutions which fully ensure the safe and successful operation of the plants, even in the second section of their service life. 4 refs

  20. ECO2, Emissions Trading Services, development project

    International Nuclear Information System (INIS)

    Ruokonen, A.

    2006-01-01

    Emissions Trading started within EU at the beginning of 2005. It caused substantial changes to the business environment of energy companies and energy intensive industry. The planning of Emissions Trading is a complicated process and companies will need consulting, IT systems and other services. Emissions Trading introduces a new factor of production emission allowances, which are tradable commodities. In future, Emissions Trading emissions, emission allowances and the prices of emission allowances have to be considered during the fuel purchasing and the energy production planning. And the best possible knowledge of the own emissions balance and market situation has a monetary value when trading emission allowances. Allocation of emission allowances has done in each country according to National Allocation Plan (NAP), accepted by EU. Finland itself and thus also the Finnish companies will be net buyers of emission allowances in long run. That means commonly that the Finnish companies have to buy more allowances meaning some extra costs to the companies. That's why it is very important to develop and provide to the companies an innovatory emissions planning, follow-up, management and reporting systems. With good emission balance management the extra costs of Emissions Trading will be as low as possible. In ECO2 project, Empower together with Power-Deriva, developed Expert services, Emissions Balance Management and Reporting services and Risk Management services for Emissions Trading and needed software and tools for these services. (orig.)

  1. INCREASING THE QUALITY OF SERVICE : Case Service Desk

    OpenAIRE

    Åhlgren, Niklas

    2014-01-01

    The topic of this thesis was to study how service quality is formed and to use this outcome to improve the quality of an IT service desk. The goal was to bring value to the customers and to the company by orienting the service desk personnel towards better service quality. By giving the service desk personnel a better understanding of the business process, customer relationship management and service quality the employees would gain more insight in to their own importance when it comes to imp...

  2. Quality of educational services in the field of Project management

    Directory of Open Access Journals (Sweden)

    Zlatko Barilović

    2013-12-01

    Full Text Available The growth and development of any business system depends on effectively and successfully implemented projects. Considering that the number of projects worldwide has been constantly increasing, developing project skills in individuals which will be involved in a project is of crucial importance. In the Republic of Croatia, the number of institutions offering education programmes in project management has been steadily growing. Each of these institutions will have to build its competitiveness on the marketing concept. Lately, the quality of educational services has been recognized as an increasingly important element of marketing. One of the education programmes in the field of project management in Croatia is the Specialist Graduate Professional Study Programme in Project Management offered at the Baltazar Adam Krčelić College of Business and Management in Zaprešić. In this paper the authors examine the competitiveness of the above education programme through a survey on the quality of educational service conducted in 2012 with a sample of 202 students with the aim of further defining the guidelines for improvement of its market competitiveness

  3. Improve services project -- Republic of the Marshall Islands.

    Science.gov (United States)

    Langidrik, J

    1995-01-01

    The Republic of the Marshall Islands has 60 dispensary sites, each staffed by 1 health assistant, to cover 80-800 people/site on 34 atolls. Until the spring of 1994, only curative services were available on a regular basis, and preventive services were provided by traveling health teams from the urban centers. In 1994, the health assistants in selected outer islands were trained to administer immunizations from vaccines which are sent regularly by air. Additional project sites are being selected. In 1993, 2 dispensaries initiated a project to 1) increase the number of women with access to prenatal care during the first trimester, 2) increase immunization levels, 3) improve access to preventive services, and 4) improve reporting and record-keeping systems. This project includes an important training component for the health assistant, the wife of the health assistant, the traditional birth attendant, the youth peer educator, community leaders, and a member of the local council. By 1994, this project was expanded to 13 dispensaries on 2 atolls. In 1995, 18 more dispensaries on 4 more atolls will be able to offer these additional services.

  4. Disrupting Faculty Service: Using Technology to Increase Academic Service Productivity

    Science.gov (United States)

    Burnett, Perry; Shemroske, Kenneth; Khayum, Mohammed

    2014-01-01

    Scholarly attention regarding faculty involvement has primarily focused on faculty opinions of shared governance and faculty influence on institutional decision-making. There has been limited attention given to academic service productivity and the effectiveness of traditional approaches toward the accomplishment of faculty service requirements.…

  5. Exploiting rules and processes for increasing flexibility in service composition

    NARCIS (Netherlands)

    Sapkota, Brahmananda; van Sinderen, Marten J.

    2010-01-01

    Recent trends in the use of service oriented architecture for designing, developing, managing, and using distributed applications have resulted in an increasing number of independently developed and physically distributed services. These services can be discovered, selected and composed to develop

  6. LYNX community advocacy & service engagement (CASE) project final report.

    Science.gov (United States)

    2009-05-14

    This report is a final assessment of the Community Advocacy & Service Engagement (CASE) project, a LYNX-FTA research project designed : to study transit education and public engagement methods in Central Florida. In the Orlando area, as in other part...

  7. On Services for Collaborative Project Management

    Science.gov (United States)

    Ollus, Martin; Jansson, Kim; Karvonen, Iris; Uoti, Mikko; Riikonen, Heli

    This paper presents an approach for collaborative project management. The focus is on the support of collaboration, communication and trust. Several project management tools exist for monitoring and control the performance of project tasks. However, support of important intangible assets is more difficult to find. In the paper a leadership approach is identified as a management means and the use of new IT technology, especially social media for support of leadership in project management is discussed.

  8. Benefits of co-design in service design projects

    NARCIS (Netherlands)

    Steen, M.; Manschot, M.A.J.; De Koning, N.

    2011-01-01

    In many service design projects, co-design is seen as critical to success and a range of benefits are attributed to co-design. In this paper, we present an overview of benefits of co-design in service design projects, in order to help the people involved to articulate more precisely and

  9. Benefits of Co-design in Service Design Projects

    NARCIS (Netherlands)

    Steen, M.G.D.; Manschot, M.; Koning, N. de

    2011-01-01

    In many service design projects, co-design is seen as critical to success and a range of benefits are attributed to co-design. In this paper, we present an overview of benefits of co-design in service design projects, in order to help the people involved to articulate more precisely and

  10. Service Learning in Medical Education: Project Description and Evaluation

    Science.gov (United States)

    Borges, Nicole J.; Hartung, Paul J.

    2007-01-01

    Although medical education has long recognized the importance of community service, most medical schools have not formally nor fully incorporated service learning into their curricula. To address this problem, we describe the initial design, development, implementation, and evaluation of a service-learning project within a first-year medical…

  11. Development and Assessment of Service Learning Projects in General Biology

    Science.gov (United States)

    Felzien, Lisa; Salem, Laura

    2008-01-01

    Service learning involves providing service to the community while requiring students to meet learning goals in a specific course. A service learning project was implemented in a general biology course at Rockhurst University to involve students in promoting scientific education in conjunction with community partner educators. Students were…

  12. Outsourcing to increase service capacity in a New Zealand hospital.

    Science.gov (United States)

    Renner, C; Palmer, E

    1999-01-01

    Service firms manage variability using both demand-side tactics (levelling customer demand), and supply-side tactics (increasing available capacity). One popular way of increasing available capacity is the outsourcing of non-core services. This article uses a case study to examine the impact of an outsourced non-core service on a hospital's overall service system. Findings show that the outsourced service provides access to more sophisticated technology, increases in-house capacity and saves capital expenditure. However, the outsourcing also increases the scheduling problems that the hospital faces. These problems are largely due to communication delays from the involvement of more than one organisation. These delays decrease the response time available to match changes in demand for the outsourced service. Given the obvious benefits of such outsourcing, the article concludes that management should pay close attention to the communication pathways between organisations, in order to minimise the end effects identified in this study.

  13. Increase in competitiveness of housing-and-communal services

    Science.gov (United States)

    Skripnik, Oksana

    2017-10-01

    The problems, interfering effective activity of housing-and-communal complex are considered in the article. Some factors of the increase in competitiveness and the importance of transactional expenses are revealed. The assessment of competitiveness of the organizations of the sphere of housing-and-communal services is considered as the set of the following basic elements organizational and administrative, marketing, financial, production, indicators of quality, indicators of development, labor indicators interconnected with processes of the organization. The author proves that the increase in competitiveness is possible by carrying out organizational and administrative, innovative, technological, economic transformations, increasing quality of services, reducing costs for production and realization of services, providing new services.

  14. Towards a project-based service delivery approach : Uncovering organisational tensions

    OpenAIRE

    12330841 - Van der Waldt, Gerrit

    2009-01-01

    In line with the modernizing, re-inventing and alternative service delivery paradigm, governments increasingly utilise project-based methodologies to improve service delivery. There is general agreement that projects are becoming increasingly important for government institutions to operationalise strategic objectives and policy programmes. This approach is commonly known as ‗Management-by-Projects‘. To adopt this approach requires of public institutions to adjust their existing structures...

  15. Service Learning: An Auditing Project Study

    Science.gov (United States)

    Laing, Gregory Kenneth

    2013-01-01

    There is a growing demand in higher education for universities to introduce teaching methods that achieve the learning outcomes of vocational education. The need for vocational educational outcomes was met in this study involving a service learning activity designed to provide basic professional auditing competencies. The details of the design and…

  16. Usability: A Teaching and School Service Project

    Science.gov (United States)

    Snyder, Johnny

    2009-01-01

    Your next usability project could be waiting for you in the college library, registration office, or online admissions process that your college or university utilizes in their daily transactions. As an added bonus, these exercises supplement the IS2002 curriculum model, benefit the instructor's institution, build inter-departmental collaboration,…

  17. Towards implementing climate services in Peru – The project CLIMANDES

    Directory of Open Access Journals (Sweden)

    G. Rosas

    2016-12-01

    The efforts accomplished within CLIMANDES improved the quality of the climate services provided by SENAMHI. The project hence contributed successfully to higher awareness and higher confidence in the climate information by SENAMHI.

  18. Generic Lean Six Sigma project definitions in financial services

    NARCIS (Netherlands)

    de Koning, H.; de Mast, J.; Does, R.J.M.M.; Vermaat, T.; Simons, S.

    2008-01-01

    Lean Six Sigma (LSS) is applied in financial service organizations to improve operational efficiency and effectiveness. LSS prescribes that these improvements are designed and implemented by projects. The purpose of this article is to facilitate the process of defining LSS projects in finance,

  19. Using Pamphlets to Teach Biochemistry: A Service-Learning Project

    Science.gov (United States)

    Harrison, Melinda A.; Dunbar, David; Lopatto, David

    2013-01-01

    A service-learning project appropriate for a biochemistry or advanced biochemistry course was designed and implemented. The project involved students partnering with a homeless shelter to design informational pamphlets to be displayed at the shelter for the clients' use. The pamphlet topics were based on diseases studied within the course.…

  20. Evaluation of Service Station Attendant-Auto Care Project.

    Science.gov (United States)

    Cress, Ronald J.

    The project described offers an approach to providing occupational skills to socially and educationally handicapped youth, specifically the skills necessary for a service station attendant in driveway salesmanship and auto care. The 10-page evaluation report presents project goals and objectives with evaluation data (represented graphically) and…

  1. WEB 2.0 SERVICES AS A TECHNOLOGICAL FOUNDATION OF A NETWORK PROJECT

    Directory of Open Access Journals (Sweden)

    Tatiana Ivanovna Kanyanina

    2015-02-01

    Full Text Available In the light of the requirements of the federal state educational standard increases the value of the network design based on the use of Web 2.0 services. The article outlines the range of technological challenges faced by the developer of the network project, such as the choice of the network platform of the project, design tools and tools for project results placement, project coordination and organization of communication lines, the choice of instruments for the promotion of the project on the Internet. The main attention is focused on the examples of network services that address these challenges, and describe their features. The authors rely on the specific network projects implemented in Nizhny Novgorod region. The paper analyzes the possible project’s network sites (network environment. The article gives a general description of each environment, marks its distinctive features, advantages and disadvantages. The article presents project tasks’ examples, designed on the basis of the variety of Web 2.0 services that functionally meet the requirements of a particular task, examples of services to represent the project products and to summarize its results. Attention is paid to the organization of the lines of communication of the project participants and organizers and to the role of network services in the project promotion on the Internet.

  2. Ensuring IT service continuity in the face of increasing threats.

    Science.gov (United States)

    Nair, Vishwanath

    2014-01-01

    How is IT service continuity related to business continuity management? Is it just a glorified disaster recovery procedure? Will IT service continuity help increase the assurance of IT services from the business owner to the customer? This paper is an attempt at answering these and many such questions. It is presented as a case study of IT service continuity management implementation at Emirates Group IT, Dubai. It takes the reader through the need for the process as felt by the business, through the learning acquired during implementation, to the practices deployed for managing the process on an ongoing basis. It provides a detailed view of the kind of pitfalls that could be encountered during implementation of the IT service continuity management process in a large-scale enterprise.

  3. Petroleum service projects in the Gulf of Guinea

    Science.gov (United States)

    Ken-Worgu, Kenneth Chukwumeka

    2011-07-01

    The goal of this record of study is to examine the major facets involved in managing several petroleum service projects located in three different countries in the Gulf of Guinea simultaneously, while effectively engaging in business development activities for the Oil and Industrial Services Group (OIS). This work also furnishes adequate background on related subject matters to enable understanding of the projects presented. The petroleum services sector is the back bone of the oil and gas industry. Services companies are vital to the success of all petroleum and energy producers in the USA, the Gulf of Guinea and the world. There is a need and demand for these service companies because they play various roles such as logistics, drilling, construction, dredging, pipe laying, procurement, food supply, human resource supply, etc. The Gulf of Guinea comprises of countries from west and central Africa. This project was limited to Nigeria, Equatorial Guinea and Cameroon. This area holds the largest petroleum reserves in Africa and plays a vital role in the global supply of petroleum. The Oil and Industrial Services Group (OIS), plans to establish herself as one of the leading petroleum service companies in this gulf. To manage this expansion, I have taken the role of Gulf of Guinea manager to apply my background as a petroleum engineer as well as my business skills to build a successful division of the company. This work provides a record of study of the management of services, projects and contracts carried out by the OIS group in the gulf of Guinea. The following are the specific projects in the Gulf of Guinea that I participated in: Managing delivering, maintenance and marketing of offshore vessels, Offshore pipe laying project, Integrated pipeline maintenance project, Development a petroleum technical training facilities, Agbami pipe insulation project, Engineering lift project and Capital budgeting analysis for potential investments. The details of the specific

  4. Increasing Customer Service Behaviors Using Manager-Delivered Task Clarification and Social Praise

    Science.gov (United States)

    Rice, Anna; Austin, John; Gravina, Nicole

    2009-01-01

    This project assessed an intervention to improve employee customer service behaviors (correct greetings and closing behaviors). A combination of task clarification and manager-delivered social praise resulted in increased correct greeting from 11.5% to 66% and correct closing from 8% to 70%. The effect was maintained at a 48-week follow-up for…

  5. Increasing Shareholders Value through NPV-Negative Projects

    Directory of Open Access Journals (Sweden)

    Paweł Mielcarz

    2010-10-01

    Full Text Available The concept of Net Present Value (NPV is a widely accepted tool for verification of financial rationality of planned investment projects. Projects with positive NPV increase a company's value. Similarly, those with negative NPV lead to a decline in the value of a business. This article attempts to answer the question: are projects with negative NPV always disadvantageous in terms of maximization of shareholder value and when should an NPV-negative project be considered justified? The authors discuss the issues of project valuation depending on different conditions. First, they briefly summarize the main idea of valuation - the aim of every company is to maximize shareholder value. Contemporary professional texts say that the way to achieve this goal is through projects that can generate a positive Net Present Value. When there are no such investments within reach, the company should pay dividends to its owners. The authors claim that some circumstances justify investments with a negative Net Present Value, as they still produce maximum possible shareholder value. The three model situations where this takes place are: (1 tax on dividends; (2 shareholders' perception of risk; and (3 temporary inefficiency of the markets. Taxes on dividends reduce cashflows for shareholders from distributed dividends. Therefore, they act exactly as an investment with a negative NPV. The authors conclude that this creates an opportunity to maximize shareholder value by comparing this loss with available alternate projects with negative NPV. If the loss of worth, caused by such taxes, is bigger that the negative NPV of possible investments it will be more rational to invest instead of paying dividends. And, according to the authors, a project with a negative NPV leads to maximized shareholder value. In the second situation, the authors point out that some projects may have negative fundamental (intrinsic value when valuated by the market (diversified owners because

  6. Project U-Turn: increasing active transportation in Jackson, Michigan.

    Science.gov (United States)

    TenBrink, David S; McMunn, Randall; Panken, Sarah

    2009-12-01

    Jackson, Michigan, is a medium-sized city suffering from a bad economy and obesity-related health issues. Nearly 20% of the 36,000 residents live below the poverty line. It is a relatively young city (median age of 30 years) with a mixed ethnicity (20% black, 73% white, 4% Hispanic). The city offers many structured, active recreational opportunities, but has not integrated physical activity into daily life. Project U-Turn aimed to increase active transportation (e.g., biking, walking, and transit use) through an integrated approach to Active Living by Design's community action model and the Michigan Safe Routes to School model. Resources were focused on active living promotions and programs; partnership meetings were the source of changes in policy and physical projects. Each initiative was designed to introduce each of the 5Ps (preparation, promotion, programs, policy, and physical projects) to build support for the partnership's overall work. The partnership collected snapshot data of community walking and biking behavior, percentage of students walking to school, participation in events and programs, and new physical projects. Jackson saw a vast improvement in physical infrastructure and policy and a related increase in walking and biking in the community. The project engaged in purposeful partnership building to implement effective programs and promotions that built support for policy and physical projects. Limited resources were best used by encouraging partners to contribute and coordinate activities using existing staff, funding, and resources. Jackson has seen a shift toward awareness of the benefits of active living on community health, economic development, and environmental awareness.

  7. Understanding the usage of the Helioviewer Project clients and services

    Science.gov (United States)

    Ireland, J.; Zahniy, S.; Mueller, D.; Nicula, B.; Verstringe, F.; Bourgoignie, B.; Buchlin, E.; Alingery, P.

    2017-12-01

    The Helioviewer Project enables visual exploration of the Sun and the inner heliosphere for everyone, everywhere via intuitive interfaces and novel technology. The project mainly develops two clients, helioviewer.org and JHelioviewer, and the server-side capabilities accessed via those clients. Images from many different ground and space-based sources are currently available from multiple servers. Solar and heliospheric feature and event information, magnetic field extrapolations and important time-series can also be browsed and visualized using Helioviewer Project clients. Users of the Helioviewer Project have made over two million movies and many millions of screenshots since detailed (and anonymous) logging of Helioviewer Project usage was implemented in February 2011. These usage logs are analyzed to give a detailed breakdown on user interaction with solar and heliospheric data via Helioviewer Project clients and services. We present summary statistics on how our users are using our clients and services, which data they are interested in, and how they choose to interact with different data sources. At the poster presentation we will also be soliciting ideas from the community to improve our clients and services.

  8. Self-service for software development projects and HPC activities

    International Nuclear Information System (INIS)

    Husejko, M; Høimyr, N; Gonzalez, A; Koloventzos, G; Asbury, D; Trzcinska, A; Agtzidis, I; Botrel, G; Otto, J

    2014-01-01

    This contribution describes how CERN has implemented several essential tools for agile software development processes, ranging from version control (Git) to issue tracking (Jira) and documentation (Wikis). Running such services in a large organisation like CERN requires many administrative actions both by users and service providers, such as creating software projects, managing access rights, users and groups, and performing tool-specific customisation. Dealing with these requests manually would be a time-consuming task. Another area of our CERN computing services that has required dedicated manual support has been clusters for specific user communities with special needs. Our aim is to move all our services to a layered approach, with server infrastructure running on the internal cloud computing infrastructure at CERN. This contribution illustrates how we plan to optimise the management of our of services by means of an end-user facing platform acting as a portal into all the related services for software projects, inspired by popular portals for open-source developments such as Sourceforge, GitHub and others. Furthermore, the contribution will discuss recent activities with tests and evaluations of High Performance Computing (HPC) applications on different hardware and software stacks, and plans to offer a dynamically scalable HPC service at CERN, based on affordable hardware.

  9. The Florida Ranchlands Environmental Services Project: Field Testing a Pay-for-Environmental-Services Program

    OpenAIRE

    Lynch, S.; Shabman, L.

    2007-01-01

    The Florida Ranchlands Environmental Services Project (FRESP) was recently launched, which will field test a program to complement the existing restoration programs such as the Lake Okeechobee Protection Plan (LOPP), which uses public funding to build treatment wetlands, drill aquifer storage, and capture rainwater (to delay its arrival downstream). FRESP will pay cattle ranchers to provide environmental services that will benefit the lake. PES-1 (Payments for Environmental Services Associ...

  10. Projecting the climatic effects of increasing carbon dioxide

    Energy Technology Data Exchange (ETDEWEB)

    MacCracken, M C; Luther, F M [eds.

    1985-12-01

    This report presents the current knowns, unknowns, and uncertainties regarding the projected climate changes that might occur as a result of an increasing atmospheric CO/sub 2/ concentration. Further, the volume describes what research is required to estimate the magnitude and rate of a CO/sub 2/-induced clamate change with regional and seasonal resolution. Separate abstracts have been prepared for the individual papers. (ACR)

  11. The Service Learning Projects: Stakeholder Benefits and Potential Class Topics

    Science.gov (United States)

    Rutti, Raina M.; LaBonte, Joanne; Helms, Marilyn Michelle; Hervani, Aref Agahei; Sarkarat, Sy

    2016-01-01

    Purpose: The purpose of this paper is to summarize the benefits of including a service learning project in college classes and focusses on benefits to all stakeholders, including students, community, and faculty. Design/methodology/approach: Using a snowball approach in academic databases as well as a nominal group technique to poll faculty, key…

  12. Ecosystem services to enhance sustainable forest management in the US: moving from forest service national programmes to local projects in the Pacific Northwest

    Science.gov (United States)

    Robert L. Deal; Nikola Smith; Joe Gates

    2017-01-01

    Ecosystem services are increasingly recognized as a way of framing and describing the broad suite of benefits that people receive from forests. The USDA Forest Service has been exploring use of an ecosystem services framework to describe forest values provided by federal lands and to attract and build partnerships with stakeholders to implement projects. Recently, the...

  13. Project reconversion Service Hospital Radiation Oncology Clinics-Medical School

    International Nuclear Information System (INIS)

    Quarneti, A.; Levaggi, G.

    2004-01-01

    Introduction: The Health Sector operates within the framework of Social Policy and it is therefore one of the ways of distribution of public benefit, like Housing, Education and Social Security. While public spending on health has grown in recent years, its distribution has been uneven and the sector faces funding and management problems. The Service Hospital Radiation Oncology has reduced its health care liavility , lack technological development and unsufficient human resources and training. Aim: developing an inclusive reform bill Service Hospital Radiation Oncology .Material and Methods: This project tends to form a network institutional, introducing concepts of evidence-based medicine, risk models, cost analysis, coding systems, system implementation of quality management (ISO-9000 Standards). Proposes redefining radiotherapy centers and their potential participation in training resource development goals humanos.Promueve scientific research of national interest. Separate strictly administrative function, management and teaching. The project takes into account the characteristics of demand, the need to order it and organize around her, institutional network system and within the Hospital das Clinicas own related services related to Service Hospital Radiation Oncology , Encourages freedom of choice, and confers greater equity in care. The project would managed by the Hospital Clínicas. Conclusions: We believe this proposal identifies problems and opportunities, Service Hospital Radiation Oncology proposes the development of institutional network under one management model

  14. Increase coverage of HIV and AIDS services in Myanmar

    Directory of Open Access Journals (Sweden)

    Bühler Markus

    2008-03-01

    Full Text Available Abstract Myanmar is experiencing an HIV epidemic documented since the late 1980s. The National AIDS Programme national surveillance ante-natal clinics had already estimated in 1993 that 1.4% of pregnant women were HIV positive, and UNAIDS estimates that at end 2005 1.3% (range 0.7–2.0% of the adult population was living with HIV. While a HIV surveillance system has been in place since 1992, the programmatic response to the epidemic has been slower to emerge although short- and medium-terms plans have been formulated since 1990. These early plans focused on the health sector, omitted key population groups at risk of HIV transmission and have not been adequately funded. The public health system more generally is severely under-funded. By the beginning of the new decade, a number of organisations had begun working on HIV and AIDS, though not yet in a formally coordinated manner. The Joint Programme on AIDS in Myanmar 2003–2005 was an attempt to deliver HIV services through a planned and agreed strategic framework. Donors established the Fund for HIV/AIDS in Myanmar (FHAM, providing a pooled mechanism for funding and significantly increasing the resources available in Myanmar. By 2006 substantial advances had been made in terms of scope and diversity of service delivery, including outreach to most at risk populations to HIV. More organisations provided more services to an increased number of people. Services ranged from the provision of HIV prevention messages via mass media and through peers from high-risk groups, to the provision of care, treatment and support for people living with HIV. However, the data also show that this scaling up has not been sufficient to reach the vast majority of people in need of HIV and AIDS services. The operating environment constrains activities, but does not, in general, prohibit them. The slow rate of service expansion can be attributed to the burdens imposed by administrative measures, broader constraints on

  15. Seizing an opportunity: increasing use of cessation services following a tobacco tax increase.

    Science.gov (United States)

    Keller, Paula A; Greenseid, Lija O; Christenson, Matthew; Boyle, Raymond G; Schillo, Barbara A

    2015-04-10

    Tobacco tax increases are associated with increases in quitline calls and reductions in smoking prevalence. In 2013, ClearWay Minnesota(SM) conducted a six-week media campaign promoting QUITPLAN® Services (QUITPLAN Helpline and quitplan.com) to leverage the state's tax increase. The purpose of this study was to ascertain the association of the tax increase and media campaign on call volumes, web visits, and enrollments in QUITPLAN Services. In this observational study, call volume, web visits, enrollments, and participant characteristics were analyzed for the periods June-August 2012 and June-August 2013. Enrollment data and information about media campaigns were analyzed using multivariate regression analysis to determine the association of the tax increase on QUITPLAN Services while controlling for media. There was a 160% increase in total combined calls and web visits, and an 81% increase in enrollments in QUITPLAN Services. Helpline call volumes and enrollments declined back to prior year levels approximately six weeks after the tax increase. Visits to and enrollments in quitplan.com also declined, but increased again in mid-August. The tax increase and media explained over 70% of variation in enrollments in the QUITPLAN Helpline, with media explaining 34% of the variance and the tax increase explaining an additional 36.1% of this variance. However, media explained 64% of the variance in quitplan.com enrollments, and the tax increase explained an additional 7.6% of this variance. Since tax increases occur infrequently, these policy changes must be fully leveraged as quickly as possible to help reduce prevalence.

  16. CERN's IT Consultancy Team: a new IT project support service

    CERN Multimedia

    Ignacio Reguero, IT Department

    2016-01-01

    Newly created IT Consultancy Team provides advice on IT matters to communities at CERN starting new projects or reviewing computing activities of old.   The members of CERN's IT Consultancy Team. The consultants share their knowledge and experience to improve awareness of the IT landscape at CERN and to advise on system architecture and design to ensure best usage of existing IT services and solutions that favour, and are compatible with, the infrastructure already in place. They also help to formalise requirements and assess impact on security, software licenses and cost, especially where contacts among different services are needed and questions go beyond the current computing service offerings. For instance, the IT consultants may help answering questions like the ones below: We are starting with project X – how could we make its computing aspects compatible with the CERN IT infrastructure? E.g. if you need a web content management system favour Drupal instead of Wor...

  17. Project-service Solutions in the Yacht Industry: a Value-Chain Analysis

    Directory of Open Access Journals (Sweden)

    Davide Aloini

    2013-10-01

    economic trend, in particular throughout the delivery of integrated project-service solutions in all project life cycle stages. Innovative value offerings encompass a complex network of suppliers and subcontractors that is not stable and is arranged in a sporadic and unpredictable manner. Multiple case studies in the yacht industry were conducted to explore the configuration of project-service solutions. The research constitutes an original contribution to studies on servitization adoption in an industrial project context from an inter-organizational perspective. It emerged that SMEs reorganize themselves, in order to provide flexible on-demand solutions to customers, by including all the capabilities within their network. Newly arising professional roles are oriented to the implementation of smart networks and are focused on service infusion in order to provide increased customer value.

  18. [Managing digital medical imaging projects in healthcare services: lessons learned].

    Science.gov (United States)

    Rojas de la Escalera, D

    2013-01-01

    Medical imaging is one of the most important diagnostic instruments in clinical practice. The technological development of digital medical imaging has enabled healthcare services to undertake large scale projects that require the participation and collaboration of many professionals of varied backgrounds and interests as well as substantial investments in infrastructures. Rather than focusing on systems for dealing with digital medical images, this article deals with the management of projects for implementing these systems, reviewing various organizational, technological, and human factors that are critical to ensure the success of these projects and to guarantee the compatibility and integration of digital medical imaging systems with other health information systems. To this end, the author relates several lessons learned from a review of the literature and the author's own experience in the technical coordination of digital medical imaging projects. Copyright © 2012 SERAM. Published by Elsevier Espana. All rights reserved.

  19. Municipal services as a means of increasing the citizens’ activity

    Directory of Open Access Journals (Sweden)

    Olga Valeryevna Yakhina

    2015-06-01

    Full Text Available Objective to propose ways of increasing the activity of Russian citizens through the institution of municipal services. Methods the methodological basis of the study was a systematic and integrated approach to the analysis of the institution of municipal services. The general philosophical method was used as well as general scientific methods of cognition dialectical systemic analysis and synthesis induction and deduction and specific scientific methods comparativelegal formallegal historicallegal sociological systemicfunctional theoreticalprognostic linguolegal methods. In particular the formallegal method was used to study the problem of the legal fixation of administrative regulations statuses the theoreticalprognostic method was used in preparing recommendations to increase the activity of citizens. Results the municipal services are regarded by the author as a way to meet the needs of the population of a particular territory and as a way of interaction between local public authorities and the citizens. The issue of the functioning of emunicipalities is studied as well as the shortcomings in the legal regulation in this field. The problem is discussed of insufficient use of the Internet in the local authoritiesrsquo interaction with citizens. The author suggests ways to improve the Federal Law quotOn the organization of state and municipal servicesquot N 210FZ of July 2 2010 regarding the use of the Internet as a means of feedback between the public authorities and the population of a territory. Special attention is paid to normative legal acts regulating the procedure of municipal services provision i.e. the administrative regulations of local authorities. The emerging challenges in the legal regulation of the specified institution are identified the solutions to the identified problems are proposed. Scientific novelty in 2010 the institution of municipal services has undergone significant modernization thus the necessity to its research

  20. Federated query services provided by the Seamless SAR Archive project

    Science.gov (United States)

    Baker, S.; Bryson, G.; Buechler, B.; Meertens, C. M.; Crosby, C. J.; Fielding, E. J.; Nicoll, J.; Youn, C.; Baru, C.

    2013-12-01

    The NASA Advancing Collaborative Connections for Earth System Science (ACCESS) seamless synthetic aperture radar (SAR) archive (SSARA) project is a 2-year collaboration between UNAVCO, the Alaska Satellite Facility (ASF), the Jet Propulsion Laboratory (JPL), and OpenTopography at the San Diego Supercomputer Center (SDSC) to design and implement a seamless distributed access system for SAR data and derived data products (i.e. interferograms). A major milestone for the first year of the SSARA project was a unified application programming interface (API) for SAR data search and results at ASF and UNAVCO (WInSAR and EarthScope data archives) through the use of simple web services. A federated query service was developed using the unified APIs, providing users a single search interface for both archives (http://www.unavco.org/ws/brokered/ssara/sar/search). A command line client that utilizes this new service is provided as an open source utility for the community on GitHub (https://github.com/bakerunavco/SSARA). Further API development and enhancements added more InSAR specific keywords and quality control parameters (Doppler centroid, faraday rotation, InSAR stack size, and perpendicular baselines). To facilitate InSAR processing, the federated query service incorporated URLs for DEM (from OpenTopography) and tropospheric corrections (from the JPL OSCAR service) in addition to the URLs for SAR data. This federated query service will provide relevant QC metadata for selecting pairs of SAR data for InSAR processing and all the URLs necessary for interferogram generation. Interest from the international community has prompted an effort to incorporate other SAR data archives (the ESA Virtual Archive 4 and the DLR TerraSAR-X_SSC Geohazard Supersites and Natural Laboratories collections) into the federated query service which provide data for researchers outside the US and North America.

  1. Management of Service Projects in Support of Space Flight Research

    Science.gov (United States)

    Love, J.

    2009-01-01

    Goal:To provide human health and performance countermeasures, knowledge, technologies, and tools to enable safe, reliable, and productive human space exploration . [HRP-47051] Specific Objectives: 1) Develop capabilities, necessary countermeasures, and technologies in support of human space exploration, focusing on mitigating the highest risks to human health and performance. 2) Define and improve human spaceflight medical, environmental, and human factors standards. 3) Develop technologies that serve to reduce medical and environmental risks, to reduce human systems resource requirements (mass, volume, power, data, etc.) and to ensure effective human-system integration across exploration systems. 4) Ensure maintenance of Agency core competencies necessary to enable risk reduction in the following areas: A. Space medicine B. Physiological and behavioral effects of long duration spaceflight on the human body C. Space environmental effects, including radiation, on human health and performance D. Space "human factors" [HRP-47051]. Service projects can form integral parts of research-based project-focused programs to provide specialized functions. Traditional/classic project management methodologies and agile approaches are not mutually exclusive paradigms. Agile strategies can be combined with traditional methods and applied in the management of service projects functioning in changing environments. Creative collaborations afford a mechanism for mitigation of constrained resource limitations.

  2. The EFF Project Status and the NEA Nuclear Data Services

    International Nuclear Information System (INIS)

    Henriksson, H.; Kodeli, I.; Nordborg, C.; Forrest, R.; Batistoni, P.; Fischer, U.

    2006-01-01

    The OECD Nuclear Energy Agency (NEA) Data Bank is part of an international network of data centres in charge of the compilation and dissemination of basic nuclear data. Through its activities in the reaction data field, the NEA participates in the production of data and their distribution to its users. The NEA Data Bank administrates the collection and validation as well as the distribution of the Joint Evaluated Fusion and Fission (JEFF) library. The JEFF project has evolved from two separate projects, namely the European Fusion File (EFF) and the Joint Evaluated File (JEF), to JEFF with the latest release of the library, JEFF-3.1, in May 2005. The EFF Project is a collaborative project with work funded by the European Fusion Development Agreement (EFDA). The tasks within the project comprise new data evaluation and verification of activation and transport data, calculation methods and validation via integral experiments. The EFF project brings together all available expertise in Europe, relating to the nuclear data requirements of existing and future fusion devices. EFF contributed greatly to the successful release of the internationally recognised nuclear data library JEFF-3.1. The NEA Working Party on International Nuclear Data Evaluation Co-operation (WPEC) is established to promote the exchange of information on nuclear data evaluations, measurements, nuclear model calculations and validation. WPEC provides a framework for co-operative activities between the participating projects, such as the high priority request list that is a collection of experimental data requests of special interest in a certain project, such as JEFF or ITER. The NEA provides also computer program services for nuclear energy and radiation physics applications. Of special interest for fusion applications are the integral experiments, such as SINBAD, with radiation shielding and dosimetry experiments including many fusion neutronics shielding experiments. (author)

  3. In the Service of Learning and Activism: Service Learning, Critical Pedagogy, and the Problem Solution Project

    Science.gov (United States)

    Stenhouse, Vera L.; Jarrett, Olga S.

    2012-01-01

    To counteract disempowerment frequently experienced in education, in 2001 the authors initiated a "Problem Solution Project" (PSP) in the second year a two-year urban certification and Master's program. The PSP, designed to promote empowerment of first-year urban teachers and their students, involves both service learning. In 2004, the authors…

  4. Increasing Registered Nurse Retention Using Mentors in Critical Care Services.

    Science.gov (United States)

    Schroyer, Coreena C; Zellers, Rebecca; Abraham, Sam

    2016-01-01

    Recruiting and training 1 newly hired registered nurse can cost thousands of dollars. With a high percentage of these newly hired nurses leaving their first place of employment within their first year, the financial implications may be enormous. It is imperative that health care facilities invest in recruiting and retention programs that retain high-quality nurses. Mentorship programs in retaining and easing the transition to practice for new graduate nurses, re-entry nurses, and nurses new to a specialty area are critical in nurse retention. Discussion in this study includes the effect of implementing a mentor program into the critical care services area of a 325-bed not-for-profit community hospital in northern Indiana. Based on this study, nurses with a mentor were retained at a 25% higher rate than those not mentored. Implementation of a mentor program reduced the training cost to the facility and increased retention and morale.

  5. Oxytocin increases the influence of public service advertisements.

    Directory of Open Access Journals (Sweden)

    Pei-Ying Lin

    Full Text Available This paper presents a neurophysiologic model of effective public service advertisements (PSAs and reports two experiments that test the model. In Experiment 1, we show that after watching 16 PSAs participants who received oxytocin, compared to those given a placebo, donated to 57% more causes, donated 56% more money, and reported 17% greater concern for those in the ads. In Experiment 2, we measured adrenocorticotropin hormone (ACTH and oxytocin levels in blood before and after participants watched a PSA. As predicted by the model, donations occurred when participants had increases in both ACTH and oxytocin. Our results indicate that PSAs with social content that cause OT release will be more effective than those that do not. Our results also explain why some individuals do not respond to PSAs.

  6. Oxytocin increases the influence of public service advertisements.

    Science.gov (United States)

    Lin, Pei-Ying; Grewal, Naomi Sparks; Morin, Christophe; Johnson, Walter D; Zak, Paul J

    2013-01-01

    This paper presents a neurophysiologic model of effective public service advertisements (PSAs) and reports two experiments that test the model. In Experiment 1, we show that after watching 16 PSAs participants who received oxytocin, compared to those given a placebo, donated to 57% more causes, donated 56% more money, and reported 17% greater concern for those in the ads. In Experiment 2, we measured adrenocorticotropin hormone (ACTH) and oxytocin levels in blood before and after participants watched a PSA. As predicted by the model, donations occurred when participants had increases in both ACTH and oxytocin. Our results indicate that PSAs with social content that cause OT release will be more effective than those that do not. Our results also explain why some individuals do not respond to PSAs.

  7. Data Publishing Services in a Scientific Project Platform

    Science.gov (United States)

    Schroeder, Matthias; Stender, Vivien; Wächter, Joachim

    2014-05-01

    Data-intensive science lives from data. More and more interdisciplinary projects are aligned to mutually gain access to their data, models and results. In order to achieving this, an umbrella project GLUES is established in the context of the "Sustainable Land Management" (LAMA) initiative funded by the German Federal Ministry of Education and Research (BMBF). The GLUES (Global Assessment of Land Use Dynamics, Greenhouse Gas Emissions and Ecosystem Services) project supports several different regional projects of the LAMA initiative: Within the framework of GLUES a Spatial Data Infrastructure (SDI) is implemented to facilitate publishing, sharing and maintenance of distributed global and regional scientific data sets as well as model results. The GLUES SDI supports several OGC webservices like the Catalog Service Web (CSW) which enables it to harvest data from varying regional projects. One of these regional projects is SuMaRiO (Sustainable Management of River Oases along the Tarim River) which aims to support oasis management along the Tarim River (PR China) under conditions of climatic and societal changes. SuMaRiO itself is an interdisciplinary and spatially distributed project. Working groups from twelve German institutes and universities are collecting data and driving their research in disciplines like Hydrology, Remote Sensing, and Agricultural Sciences among others. Each working group is dependent on the results of another working group. Due to the spatial distribution of participating institutes the data distribution is solved by using the eSciDoc infrastructure at the German Research Centre for Geosciences (GFZ). Further, the metadata based data exchange platform PanMetaDocs will be used by participants collaborative. PanMetaDocs supports an OAI-PMH interface which enables an Open Source metadata portal like GeoNetwork to harvest the information. The data added in PanMetaDocs can be labeled with a DOI (Digital Object Identifier) to publish the data and to

  8. The UK Human Genome Mapping Project online computing service.

    Science.gov (United States)

    Rysavy, F R; Bishop, M J; Gibbs, G P; Williams, G W

    1992-04-01

    This paper presents an overview of computing and networking facilities developed by the Medical Research Council to provide online computing support to the Human Genome Mapping Project (HGMP) in the UK. The facility is connected to a number of other computing facilities in various centres of genetics and molecular biology research excellence, either directly via high-speed links or through national and international wide-area networks. The paper describes the design and implementation of the current system, a 'client/server' network of Sun, IBM, DEC and Apple servers, gateways and workstations. A short outline of online computing services currently delivered by this system to the UK human genetics research community is also provided. More information about the services and their availability could be obtained by a direct approach to the UK HGMP-RC.

  9. 78 FR 78342 - Extension of Autism Services Demonstration Project for TRICARE Beneficiaries Under the Extended...

    Science.gov (United States)

    2013-12-26

    ... DEPARTMENT OF DEFENSE Office of the Secretary Extension of Autism Services Demonstration Project... (the Department) Enhanced Access to Autism Services Demonstration Project (Autism Demonstration) under the Extended Care Health Option (ECHO) for beneficiaries diagnosed with an Autism Spectrum Disorder...

  10. 76 FR 80903 - Extension of Autism Services Demonstration Project for TRICARE Beneficiaries Under the Extended...

    Science.gov (United States)

    2011-12-27

    ... DEPARTMENT OF DEFENSE Office of the Secretary Extension of Autism Services Demonstration Project... Enhanced Access to Autism Services Demonstration Project under the Extended Care Health Option for beneficiaries diagnosed with an Autism Spectrum Disorder (ASD). Under the demonstration, the Department...

  11. Increased Use of Dental Services by Children in Medicaid

    Data.gov (United States)

    U.S. Department of Health & Human Services — This report analyzes the use of dental services by children enrolled in Medicaid from federal fiscal years (FFY) 2000 to 2010. The number and percent of children...

  12. Data dictionary services in XNAT and the Human Connectome Project

    Science.gov (United States)

    Herrick, Rick; McKay, Michael; Olsen, Timothy; Horton, William; Florida, Mark; Moore, Charles J.; Marcus, Daniel S.

    2014-01-01

    The XNAT informatics platform is an open source data management tool used by biomedical imaging researchers around the world. An important feature of XNAT is its highly extensible architecture: users of XNAT can add new data types to the system to capture the imaging and phenotypic data generated in their studies. Until recently, XNAT has had limited capacity to broadcast the meaning of these data extensions to users, other XNAT installations, and other software. We have implemented a data dictionary service for XNAT, which is currently being used on ConnectomeDB, the Human Connectome Project (HCP) public data sharing website. The data dictionary service provides a framework to define key relationships between data elements and structures across the XNAT installation. This includes not just core data representing medical imaging data or subject or patient evaluations, but also taxonomical structures, security relationships, subject groups, and research protocols. The data dictionary allows users to define metadata for data structures and their properties, such as value types (e.g., textual, integers, floats) and valid value templates, ranges, or field lists. The service provides compatibility and integration with other research data management services by enabling easy migration of XNAT data to standards-based formats such as the Resource Description Framework (RDF), JavaScript Object Notation (JSON), and Extensible Markup Language (XML). It also facilitates the conversion of XNAT's native data schema into standard neuroimaging vocabularies and structures. PMID:25071542

  13. Data Dictionary Services in XNAT and the Human Connectome Project

    Directory of Open Access Journals (Sweden)

    Rick eHerrick

    2014-07-01

    Full Text Available The XNAT informatics platform is an open source data management tool used by biomedical imaging researchers around the world. An important feature of XNAT is its highly extensible architecture: users of XNAT can add new data types to the system to capture the imaging and phenotypic data generated in their studies. Until recently, XNAT has had limited capacity to broadcast the meaning of these data extensions to users, other XNAT installations, and other software.We have implemented a data dictionary service for XNAT, which is currently being used on ConnectomeDB, the Human Connectome Project (HCP public data sharing website. The data dictionary service provides a framework to define key relationships between data elements and structures across the XNAT installation. This includes not just core data representing medical imaging data or subject or patient evaluations, but also taxonomical structures, security relationships, subject groups, and research protocols. The data dictionary allows users to define metadata for data structures and their properties, such as value types (e.g. textual, integers, floats and valid value templates, ranges, or field lists. The service provides compatibility and integration with other research data management services by enabling easy migration of XNAT data to standards-based formats such as RDF, JSON, and XML. It also facilitates the conversion of XNAT’s native data schema into standard neuroimaging ontology structures and provenances.

  14. The National Weather Service Ceilometer Planetary Boundary Layer Project

    Directory of Open Access Journals (Sweden)

    Hicks M.

    2016-01-01

    Full Text Available The National Weather Service (NWS is investigating the potential of utilizing the Automatic Surface Observing System’s (ASOS cloud base height indicator, the Vaisala CL31 ceilometer, to profile aerosols in the atmosphere. Field test sites of stand-alone CL31 ceilometers have been established, primarily, around the Washington DC metropolitan area, with additional systems in southwest USA and Puerto Rico. The CL31 PBL project examines the CL31 data collected for data quality, mixing height retrieval applicability, and its compliment to satellite data. This paper reviews the topics of the CL31 data quality and mixing height retrieval applicability.

  15. The EFF project status and the NEA nuclear data services

    Energy Technology Data Exchange (ETDEWEB)

    Henriksson, H. [OECD Nuclear Energy Agency, 12 Blvd des Iles, 92130 Issy-les-Moulineaux (France)], E-mail: henriksson@nea.fr; Batistoni, P. [Associazione Euratom-ENEA sulla Fusione, Via E. Fermi 45, 00044 Frascati (Italy); Fischer, U. [Association FZK-Euratom, Postfach 3640, 76021 Karlsruhe (Germany); Forrest, R. [Euratom/UKAEA Fusion Association, Culham Science Centre, Oxfordshire OX14 3DB (United Kingdom); Kodeli, I.; Nordborg, C. [OECD Nuclear Energy Agency, 12 Blvd des Iles, 92130 Issy-les-Moulineaux (France)

    2007-10-15

    The OECD Nuclear Energy Agency (NEA) Data Bank participates in the production of data and their distribution to users including the collection and validation as well as the distribution of the Joint Evaluated Fission and Fusion (JEFF) library. The JEFF project has evolved from two separate projects, namely the European Fusion File (EFF) and the Joint Evaluated File (JEF), with the release of JEFF-3.1, in May 2005. The NEA also provides tools for the EFF project, such as computer codes for nuclear energy and radiation physics applications. Of special interest for fusion applications are the integral experiments collected in the SINBAD database, with radiation shielding and dosimetry experiments including many fusion neutronics shielding experiments. In this paper an overview will be given of the NEA, and some examples of nuclear data services offered, such as the SINBAD database. JANIS, a display program evaluated and experimental data developed at the NEA will be mentioned briefly. The main emphasis will be given to the EFF project including the contents of the new JEFF-3.1 library, released in May 2005. Examples of recent work are given as well as a discussion on the forth-coming evaluation efforts among the EFF collaborators.

  16. The EFF project status and the NEA nuclear data services

    International Nuclear Information System (INIS)

    Henriksson, H.; Batistoni, P.; Fischer, U.; Forrest, R.; Kodeli, I.; Nordborg, C.

    2007-01-01

    The OECD Nuclear Energy Agency (NEA) Data Bank participates in the production of data and their distribution to users including the collection and validation as well as the distribution of the Joint Evaluated Fission and Fusion (JEFF) library. The JEFF project has evolved from two separate projects, namely the European Fusion File (EFF) and the Joint Evaluated File (JEF), with the release of JEFF-3.1, in May 2005. The NEA also provides tools for the EFF project, such as computer codes for nuclear energy and radiation physics applications. Of special interest for fusion applications are the integral experiments collected in the SINBAD database, with radiation shielding and dosimetry experiments including many fusion neutronics shielding experiments. In this paper an overview will be given of the NEA, and some examples of nuclear data services offered, such as the SINBAD database. JANIS, a display program evaluated and experimental data developed at the NEA will be mentioned briefly. The main emphasis will be given to the EFF project including the contents of the new JEFF-3.1 library, released in May 2005. Examples of recent work are given as well as a discussion on the forth-coming evaluation efforts among the EFF collaborators

  17. Marketing Industrial Project-Related Services: A Literature Review and Theoretical Synthesis

    DEFF Research Database (Denmark)

    Skaates, Maria Anne; Cova, Bernard

    2002-01-01

    Services are a growing part of projects in the context of the international trend towards solution buying and selling on business-to-business markets. Furthermore services are often a key source of competitive advantage in project business. However companies selling project-related services often...... that specifically deal with project-related services are listed as the result of a study of the English-, French-, German, Italian-, and 'Nordic'-language academic literature. They are then assessed in relation to services versus project marketing theory. The analysis shows that the project marketing concepts...

  18. 34 CFR 377.1 - What is the Demonstration Projects to Increase Client Choice Program?

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false What is the Demonstration Projects to Increase Client... PROJECTS TO INCREASE CLIENT CHOICE PROGRAM General § 377.1 What is the Demonstration Projects to Increase Client Choice Program? The Demonstration Projects to Increase Client Choice Program is designed to...

  19. Project Magnify: Increasing Reading Skills in Students with Low Vision

    Science.gov (United States)

    Farmer, Jeanie; Morse, Stephen E.

    2007-01-01

    Modeled after Project PAVE (Corn et al., 2003) in Tennessee, Project Magnify is designed to test the idea that students with low vision who use individually prescribed magnification devices for reading will perform as well as or better than students with low vision who use large-print reading materials. Sixteen students with low vision were…

  20. Increasing Cone-beam projection usage by temporal fitting

    DEFF Research Database (Denmark)

    Lyksborg, Mark; Hansen, Mads Fogtmann; Larsen, Rasmus

    2010-01-01

    A Cone-beam CT system can be used to image the lung region. The system records 2D projections which will allow 3D reconstruction however a reconstruction based on all projections will lead to a blurred reconstruction in regions were respiratory motion occur. To avoid this the projections are typi......A Cone-beam CT system can be used to image the lung region. The system records 2D projections which will allow 3D reconstruction however a reconstruction based on all projections will lead to a blurred reconstruction in regions were respiratory motion occur. To avoid this the projections...... in [6] prior knowledge of the lung deformation estimated from the planning CT could be used to include all projections into the reconstruction. It has also been attempted to estimate both the motion and 3D volume simultaneously in [4]. Problems with motion estimation are ill-posed leading to suboptimal...... motion which in return affects the reconstruction. By directly including time into the image representation the effect of suboptimal motion fields are avoided and we are still capable of using phase neighbour projections. The 4D image model is fitted by solving a statistical cost function based...

  1. Regions Competitiveness Increase by Improving Conditions for Industry and Services

    Directory of Open Access Journals (Sweden)

    Jiraskova Eliska

    2013-03-01

    Full Text Available The main field of study regarding location theories is to define location factors and to determine the optimal location assuming rational behaviour of economic entities. The issue is to find outwhat place is suitable for localization of the economic entity in order to maximize its profits in relation to its spatial orientation. In the theoretical part, location theories for industry andservices with the impact of location factors are first briefly described. Mainly their development and significance in the competitive environment is discussed because the right selection of location factors can actually help to increase the competitiveness of regions. This paper analyses the actual soft regional and local location factors in individual economic sectors and focuses on thesecondary and tertiary sector because the primary sector is affected by other than the examined factors. The aim of this paper is to identify factors that affect industry and are more important to the service sector. Identifying these factors can actually help to attract new businesses and to increase regions competitiveness. It is, therefore, necessary to determine the key factors that have stimulating effects on the development of individual regions.

  2. Project ALERT: Forging New Partnerships to Improve Earth System Science Education for Pre-Service and In-Service Teachers

    Science.gov (United States)

    Metzger, E. P.; Ambos, E. L.; Ng, E. W.; Skiles, J.; Simila, G.; Garfield, N.

    2002-05-01

    Project ALERT (Augmented Learning Environment and Renewable Teaching) was founded in 1998, with funding from NASA and the California State University (CSU), to improve earth system science education for pre-service teachers. Project ALERT has formed linkages between ten campuses of the CSU, which prepares about 60 percent of California's teachers, and two NASA centers, Ames Research Center and the Jet Propulsion Laboratory. ALERT has also fostered alliances between earth science and science education faculty. The combined expertise of Project ALERT's diverse partners has led to a wide array of activities and products, including: 1) incorporation in university classrooms of NASA-developed imagery, data, and educational resources; 2) creation and/or enhancement of several courses that bring earth systems science to pre-service teachers; 3) fellowships for CSU faculty to participate in collaborative research and education projects at the NASA Centers; 4) development of teaching modules on such varied topics as volcanoes, landslides, and paleoclimate; and 5) a central web site that highlights resources for teaching introductory Earth system science. An outgrowth of Project ALERT is the increased interest on the part of CSU earth scientists in education issues. This has catalyzed their participation in other projects, including NASA's Project NOVA, Earth System Science Education Alliance, and Sun-Earth Connection Education Forum, the Digital Library for Earth System Science Education, and the California Science Project. Project ALERT has also expanded to provide professional development opportunities for in-service teachers, as exemplified by its support of the Bay Area Earth Science Institute (BAESI) at San Jose State University. Each year, BAESI offers 10-15 full-day workshops that supply teachers and teachers-to-be with a blend of science concepts and classroom activities, free instructional materials, and the opportunity to earn inexpensive university credit. These

  3. Increasing competitiveness of service companies: developing conceptual models for implementing Lean Management in service companies

    OpenAIRE

    Damrath, Felix

    2012-01-01

    Lean management is a philosophy focused on identifying and eliminating waste throughout a product’s entire value stream. It originates from the manufacturing system of Japanese automotive manufacturer Toyota and attracted due to its tremendous success widespread attention worldwide. Lean promises significant benefits in terms of waste reduction, and increased organizational and supply chain communication and integration.Generally, in terms of operations and improvements service companies are ...

  4. Connecticut's Value-Based Insurance Plan Increased The Use Of Targeted Services And Medication Adherence.

    Science.gov (United States)

    Hirth, Richard A; Cliff, Elizabeth Q; Gibson, Teresa B; McKellar, M Richard; Fendrick, A Mark

    2016-04-01

    In 2011 Connecticut implemented the Health Enhancement Program for state employees. This voluntary program followed the principles of value-based insurance design (VBID) by lowering patient costs for certain high-value primary and chronic disease preventive services, coupled with requirements that enrollees receive these services. Nonparticipants in the program, including those removed for noncompliance with its requirements, were assessed a premium surcharge. The program was intended to curb cost growth and improve health through adherence to evidence-based preventive care. To evaluate its efficacy in doing so, we compared changes in service use and spending after implementation of the program to trends among employees of six other states. Compared to employees of other states, Connecticut employees were similar in age and sex but had a slightly higher percentage of enrollees with chronic conditions and substantially higher spending at baseline. During the program's first two years, the use of targeted services and adherence to medications for chronic conditions increased, while emergency department use decreased, relative to the situation in the comparison states. The program's impact on costs was inconclusive and requires a longer follow-up period. This novel combination of VBID principles and participation requirements may be a tool that can help plan sponsors increase the use of evidence-based preventive services. Project HOPE—The People-to-People Health Foundation, Inc.

  5. EPOS Thematic Core Service Anthropogenic Hazards for SHEER project: maintain, process and manage your project research data

    Science.gov (United States)

    Orlecka-Sikora, Beata; Lasocki, Stanislaw; Staszek, Monika; Olszewska, Dorota; Urban, Pawel; Jaroslawski, Janusz; Cielesta, Szymon; Mirek, Janusz; Wiszniowski, Jan; Picozzi, Matteo; Solaro, Giuseppe; Pringle, Jamie; Toon, Sam; Cesca, Simone; Kuehn, Daniela; Ruigrok, Elmer; Gunning, Andrew; Isherwood, Catherine

    2017-04-01

    The main objective of the "Shale gas exploration and exploitation induced risks - SHEER" project (Horizon 2020, call LCE 16-2014) is to develop a probabilistic methodology to assess and mitigate the short- and the long-term environmental risks associated with the exploration and exploitation of shale gas. To this end, the SHEER project makes use of a large amount of heterogeneous data of various types. This data, from different disciplines of science e.g. geophysical, geochemical, geological, technological, etc., must be homogenized, harmonized and made accessible exclusively for all project participants. This requires to develop an over-arching structure for high-level multidisciplinary data integration. The bespoke solution is provided by Thematic Core Service Anthropogenic Hazards (TCS AH) developed in the framework of European Plate Observing System Program (https://tcs.ah-epos.eu/, infrastructural projects IS-EPOS, POIG.02.03.00-14-090/13-00 and EPOS IP, H2020-INFRADEV-1-2015-1). TCS AH provides virtual access to a comprehensive, wide-scale and high quality research infrastructure in the field of induced seismicity and other anthropogenic hazards evoked by exploration and exploitation of geo-resources. TCS AH is designed as a functional e-research environment to ensure a researcher the maximum possible freedom for experimentation by providing a virtual laboratory flexible to create own workspace for processing streams. A data-management process promotes the use of research infrastructure in novel ways providing an access to (i) data gathered in the so-called "episodes", comprehensively describing a geophysical process, induced or triggered by human technological activity, which under certain circumstances can become hazardous for people, infrastructure and the environment, (ii) problem-oriented, specific services, with the particular attention devoted to methods analyzing correlations between technology, geophysical response and resulting hazards, (iii) the

  6. [Performance assessment of health services in Catalonia (Spain): evaluation of initial results of the Catalan healthcare service project].

    Science.gov (United States)

    García-Altés, Anna; Dalmau-Bueno, Albert; Colls, Cristina; Mendivil, Joan; Benet, Josep; Mompart, Anna; Torné, Elvira; Zara, Corinne; Borrell, Carme; Brugulat, Pilar; Guarga, Alex

    2009-01-01

    Performance assessment of healthcare services is receiving greater attention due to increasing health care expenditures, greater expectations among the population, and the need to obtain results from the invested resources. Taking advantage of the existing experience of the Agència de Salut Pública de Barcelona and the Consorci Sanitari de Barcelona, which compared the healthcare services of Barcelona and Montreal, a grant from the Agència d'Avaluació de Tecnologia i Recerca Mèdiques, and the health planning interest of the Departament de Salut, the performance assessment of the Catalan healthcare service project was started in Catalonia in 2005. This article aims to present the development of the project, to provide some examples that illustrate the kind of numerical and graphical information that could be obtained and the kind of analysis that could be performed, to provide possible explanations for the results shown, and to discuss some limitations and implications. Currently, the added value of this project is that it identifies the extent to which the healthcare system is achieving its objectives, establishes a set of homogeneous indicators that could be used in the future, and is a key tool in the development of the Central de Resultats del Departament de Salut de la Generalitat de Catalunya.

  7. Increasing your HCAHPS scores with Extreme Customer Service.

    Science.gov (United States)

    Clouarte, Joe

    2016-10-01

    Providing great customer service is extremely critical in the healthcare setting, especially when it comes to HCAHBPS (Hospital Consumer Assessment of Health care Providers and Systems) scores, the author says. While there are several service training programs within healthcare, they often require six to eight minutes of interaction with patients or guests. This works well for clinical staff, he says, but when it comes to non-clinical staff, including security officers, many times they only have fifteen or thirty seconds to create positive patient or guest experience. In this article he describes Extreme Customer Service © a program he has developed to fill that customer gap for non-clinical staff.

  8. Increasing Epilepsy Awareness in Schools: A Seizure Smart Schools Project

    Science.gov (United States)

    Brook, Heather A.; Hiltz, Cynthia M.; Kopplin, Vicki L.; Lindeke, Linda L.

    2015-01-01

    A high prevalence of epilepsy diagnoses and seizure events among students was identified at a large Midwestern school district. In partnership with the Epilepsy Foundation of Minnesota (EFMN), a quality improvement project was conducted to provide education and resources to staff caring for school children with seizures. School nurses (N = 26)…

  9. Energy Services in Sweden - Customer Relations towards Increased Sustainability

    Energy Technology Data Exchange (ETDEWEB)

    Sernhed, Kerstin

    2008-06-15

    Energy use and supply are evident issues to consider for a sustainable development, where the economic, social and environmental aspects are all important. In large grid-bound systems, the supply of energy is usually a rather invisible activity and the contacts between household customers and utilities are sometimes only represented through the energy bill. In this thesis, three particular fields are emphasized where these interactions comes into focus: Electricity peak load problems and load management in households; Energy monitoring and feedback, and; The selling of district heating to households in detached house areas. Improved customer relations in these areas can both increase the energy utilities abilities to compete on the markets and to contribute to an increased sustainable development within the energy sector. The traditional ways to handle peak load problems in the Swedish electricity system have been to build new power plants and to reinforce the electricity grid. However, there are many reasons why solutions should be sought for on the demand-side. This thesis discusses the issues of load management through technical load control of households' electric heating systems and electric water heaters, and through indirect load management with different pricing of electricity.The new Swedish law about monthly accurate billing of electricity for household customers has influenced the electricity network owners to install new automatic meter reading (AMR) systems. Hourly metering can give raise to a new set of data about household electricity use, that can be utilised to provide detailed characteristics of load demand and consumption patterns and serve as a basis for customer segmentation. This information can be useful when developing new energy services, new pricing of electricity, new load management strategies and demand response programs. In this thesis, customer preferences towards feedback on electricity use and different types of billing are

  10. Service and the Millennial Business Student: The Motivating Influence of an E-Book Class Project

    Science.gov (United States)

    Arnold, William W.

    2017-01-01

    A commitment to voluntary service that benefits others was reinforced for students who authored an e-book on service as a class project in a senior business course. The immersive experience of writing short essays that focused on service shifted students' motivations toward service and solidified their intentions to continue with service after…

  11. The Heliospheric Cataloguing, Analysis and Techniques Service (HELCATS) project

    Science.gov (United States)

    Barnes, D.; Harrison, R. A.; Davies, J. A.; Perry, C. H.; Moestl, C.; Rouillard, A.; Bothmer, V.; Rodriguez, L.; Eastwood, J. P.; Kilpua, E.; Gallagher, P.; Odstrcil, D.

    2017-12-01

    Understanding solar wind evolution is fundamental to advancing our knowledge of energy and mass transport in the solar system, whilst also being crucial to space weather and its prediction. The advent of truly wide-angle heliospheric imaging has revolutionised the study of solar wind evolution, by enabling direct and continuous observation of both transient and background components of the solar wind as they propagate from the Sun to 1 AU and beyond. The recently completed, EU-funded FP7 Heliospheric Cataloguing, Analysis and Techniques Service (HELCATS) project (1st May 2014 - 30th April 2017) combined European expertise in heliospheric imaging, built up over the last decade in particular through leadership of the Heliospheric Imager (HI) instruments aboard NASA's STEREO mission, with expertise in solar and coronal imaging as well as the interpretation of in-situ and radio diagnostic measurements of solar wind phenomena. HELCATS involved: (1) the cataloguing of transient (coronal mass ejections) and background (stream/corotating interaction regions) solar wind structures observed by the STEREO/HI instruments, including estimates of their kinematic properties based on a variety of modelling techniques; (2) the verification of these kinematic properties through comparison with solar source observations and in-situ measurements at multiple points throughout the heliosphere; (3) the assessment of the potential for initialising numerical models based on the derived kinematic properties of transient and background solar wind components; and (4) the assessment of the complementarity of radio observations (Type II radio bursts and interplanetary scintillation) in the detection and analysis of heliospheric structure in combination with heliospheric imaging observations. In this presentation, we provide an overview of the HELCATS project emphasising, in particular, the principal achievements and legacy of this unprecedented project.

  12. Improving Accessibility to Services and Increasing Efficiency Through Merger and Centralization in Québec

    Directory of Open Access Journals (Sweden)

    Amélie Quesnel-Vallée

    2018-03-01

    Full Text Available On 25 September 2014, Bill 10 was tabled to reorganize Québec’s health and social services network through the abolition of an administrative layer at the regional health authority level and institutional mergers of health and social services facilities under a new governance structure. Thus, the province’s 182 health and social services facilities were merged into 34 Centre intégré de santé et des services sociaux (CISSS / Centre intégré universitaire de santé et des services sociaux (CIUSSS. CISSS/CIUSSS are responsible for delivering a range of health and social services in a designated territory through the administrative integration of facilities including: local community health centres, generalized and specialized hospitals, psychiatric hospitals, child and youth protection centres, residential and long-term care centres, and rehabilitation centres. These mergers were operationalized notably by a new governance structure whereby the minister-appointed board of directors in each CISSS/CIUSSS reports directly to the Minister of Health and Social Services. As such, a centralization of powers was also achieved. While formal evaluations of reform performance have yet to be completed, analyses projecting potential difficulties of the reform were presented during special consultation hearings. Among the key concerns identified was whether there was evidence to support claims that administrative mergers increased efficiency by achieving economies of scale. Additionally, implicit to Bill 10 is the assumption that continuity of care will follow from administrative mergers. Strategic mergers through professional networks can promote more streamlined approaches to information sharing.

  13. P-1139 - Increased utilization of health care services after psychotherapy

    DEFF Research Database (Denmark)

    Fenger, Morten Munthe; Mortensen, Erik Lykke; Poulsen, Stig Bernt

    2012-01-01

    Background Psychotherapeutic treatment is associated with significant reduction of symptoms in patients, and it is generally assumed that treatment improves health and decreases the need for additional health care. The present study investigates the long-term changes in utilization of health care...... services for patients referred to psychotherapeutic treatment in 2004 and 2005. Method The study was a matched control study, which included 716 consecutive patients and 15,220 matched controls. Data from a comprehensive set of health care services were collected from central registries for an observation...... period of four years before intake and four years after ended treatment. Changes in utilization of health care services in eight health parameters were analyzed with t-test and with ANCOVA one and four year pre-post treatment. Results Of the 761 patients, 216 patients did not show up for treatment, while...

  14. 47 CFR 74.785 - Low power TV digital data service pilot project.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Low power TV digital data service pilot project... Power TV, TV Translator, and TV Booster Stations § 74.785 Low power TV digital data service pilot project. Low power TV stations authorized pursuant to the LPTV Digital Data Services Act (Public Law 106...

  15. Reaping the harvest: nursing student service involvement with a campus gardening project.

    Science.gov (United States)

    Ahonen, Kathleen; Lee, Carolyn; Daker, Emily

    2012-01-01

    The authors describe the development and incorporation of a multidisciplinary community garden as a service project in a baccalaureate nursing cohort in an urban university. The concepts of professional ethics and service, application of nutritional theory to a community cohort, and competencies in community health nursing are briefly discussed and applied to this service project.

  16. Increasing Medicaid Revenue Generation for Services by School Psychologists

    Science.gov (United States)

    Hybza, Megan M.; Stokes, Trevor F.; Hayman, Marilee; Schatzberg, Tracy

    2013-01-01

    We examined a performance improvement package with components of feedback, goal setting, and prompting to generate additional revenue by improving the consistency of Medicaid billing submitted by 74 school psychologists serving 102 schools. A multiple baseline design across three service areas of a county school system demonstrated the…

  17. New Commodity Services System increases gas bill for clients

    International Nuclear Information System (INIS)

    Koevoet, H.

    2003-01-01

    The Dutch company Gasunie Trade and Supply will replace the Commodity Services System (CDS, abbreviated in Dutch) January 1, 2004. This will result in a higher gas bill for almost all their clients that are expected to use more than 1 million m 3 natural gas per year. An overview is given of the principles of the old and the new pricing system [nl

  18. Model projections and policy reviews for energy saving in China's service sector

    International Nuclear Information System (INIS)

    Zhang, Lin

    2013-01-01

    Energy efficiency of buildings in the service sector is becoming increasingly important in China due to the structural shift of the economy from industry to services. This paper employs a bottom-up cohort model to simulate current energy saving policies and to make projections for future energy use and CO 2 emissions for the period 2000–2030 in the Chinese service sector. The analysis shows that energy demand in the service sector will approximately triple in 2030, far beyond the target of quadrupling GDP while only doubling energy use. However, it is feasible to achieve the target of emission reduction by 40% in 2020 even under the poor state of compliance rate of building standard. This paper also highlights four crucial aspects of designing optimal energy saving policies for China's service sector based on the model results. - Highlights: • Government energy saving target cannot realize with current policies in services. • Energy savings policies for new buildings are crucial than building retrofitting. • Cooling energy use increases significantly to reach equal weight as heating. • CO 2 tax can contribute to change in fuel mix, and thus emission reductions. • Low compliance rate limits further energy saving, hence green fund is required

  19. US service firms eye increased sales to Mexico

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This paper reports on American service supply companies which hope the pending U.S.-Mexico free trade agreement will step up their sales of goods and service to Petroleos Mexicanos. They testified at a House foreign affairs subcommittee hearing on the oil aspects of the FTA and commented on a recent General Accounting Office report. Rep. Sam Gejdenson, (D-Conn.), subcommittee chairman, has been critical of FTA negotiations because it appears they will not open the Mexican oil sector to U.S. firms. Mexico's constitution bans foreign firms from owning Mexican reserves. It has been stated that the U.S. oil industry needs the business. The industry, particularly drillers, contractors, and manufacturers of oil equipment, has been hurting for more than 10 years now. They have lost more than 356,000 jobs in this sector in the last decade more than have been lost in the entire U.S. auto industry. Access to trade and investment in Mexico's oil sector could mean the difference between profit and bankruptcy for tens of thousands of small and medium size oil service contractors

  20. Child welfare caseworkers as service brokers for youth in foster care: findings from project focus.

    Science.gov (United States)

    Dorsey, Shannon; Kerns, Suzanne E U; Trupin, Eric W; Conover, Kate L; Berliner, Lucy

    2012-02-01

    Youth in the foster care system have substantially higher rates of mental health needs compared to the general population, yet they rarely receive targeted, evidence-based practices (EBPs). Increasingly emerging in the literature on mental health services is the importance of "brokers" or "gateway providers" of services. For youth in foster care, child welfare caseworkers often play this role. This study examines caseworker-level outcomes of Project Focus, a caseworker training and consultation model designed to improve emotional and behavioral outcomes for youth in foster care through increased linkages with EBPs. Project Focus was tested through a small, randomized trial involving four child welfare offices. Caseworkers in the Project Focus intervention group demonstrated an increased awareness of EBPs and a trend toward increased ability to identify appropriate EBP referrals for particular mental health problems but did not have significantly different rates of actual referral to EBPs. Dose of consultation was associated with general awareness of EBPs. Implications for practice and outcomes for youth are discussed.

  1. Three new projects for the CERN Dosimetry Service

    CERN Multimedia

    CERN Bulletin

    2011-01-01

    The measures for the protection of personnel against ionising radiation at CERN are very strict. As soon as a new directive is issued by EURATOM, the Laboratory ensures it is adopted quickly. Since every system can be perfected, Pierre Carbonez and the Dosimetry Service team are working on three new projects aimed at improving the safety of workers exposed to ionising radiation in the course of their work on the CERN sites.       The two types of dosimeters currently in use at CERN. 4,700 people at CERN have a dosimeter. Every month, they have to have their dosimeter scanned by one of the 45 readers installed at various strategic locations around the Laboratory. Each month, the dosimetry team led by Pierre Carbonez exchanges around 450 dosimeters to recalibrate them and prepare them for further use. “These dosimeters are passive detectors which record the doses caused by beta, gamma and neutron radiation," explains Pierre Carbonez. &a...

  2. 77 FR 38796 - Alabama Power Company; Holt Hydroelectric Project; Notice of Revised Restricted Service List for...

    Science.gov (United States)

    2012-06-29

    ... Power Company; Holt Hydroelectric Project; Notice of Revised Restricted Service List for a Programmatic... Hydroelectric Project No. 2203. The programmatic agreement, when executed by the Commission, the Alabama SHPO...

  3. 50 CFR 86.61 - What process does the Service use to select projects for grants?

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false What process does the Service use to....61 What process does the Service use to select projects for grants? The Service's Division of Federal... SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION...

  4. Projections of increased and decreased dengue incidence under climate change.

    Science.gov (United States)

    Williams, C R; Mincham, G; Faddy, H; Viennet, E; Ritchie, S A; Harley, D

    2016-10-01

    Dengue is the world's most prevalent mosquito-borne disease, with more than 200 million people each year becoming infected. We used a mechanistic virus transmission model to determine whether climate warming would change dengue transmission in Australia. Using two climate models each with two carbon emission scenarios, we calculated future dengue epidemic potential for the period 2046-2064. Using the ECHAM5 model, decreased dengue transmission was predicted under the A2 carbon emission scenario, whereas some increases are likely under the B1 scenario. Dengue epidemic potential may decrease under climate warming due to mosquito breeding sites becoming drier and mosquito survivorship declining. These results contradict most previous studies that use correlative models to show increased dengue transmission under climate warming. Dengue epidemiology is determined by a complex interplay between climatic, human host, and pathogen factors. It is therefore naive to assume a simple relationship between climate and incidence, and incorrect to state that climate warming will uniformly increase dengue transmission, although in general the health impacts of climate change will be negative.

  5. International Space Station Medical Projects - Full Services to Mars

    Science.gov (United States)

    Pietrzyk, R. A.; Primeaux, L. L.; Wood, S. J.; Vessay, W. B.; Platts, S. H.

    2018-01-01

    The International Space Station Medical Projects (ISSMP) Element provides planning, integration, and implementation services for HRP research studies for both spaceflight and flight analog research. Through the implementation of these two efforts, ISSMP offers an innovative way of guiding research decisions to meet the unique challenges of understanding the human risks to space exploration. Flight services provided by ISSMP include leading informed consent briefings, developing and validating in-flight crew procedures, providing ISS crew and ground-controller training, real-time experiment monitoring, on-orbit experiment and hardware operations and facilitating data transfer to investigators. For analog studies at the NASA Human Exploration Research Analog (HERA), the ISSMP team provides subject recruitment and screening, science requirements integration, data collection schedules, data sharing agreements, mission scenarios and facilities to support investigators. The ISSMP also serves as the HRP interface to external analog providers including the :envihab bed rest facility (Cologne, Germany), NEK isolation chamber (Moscow, Russia) and the Antarctica research stations. Investigators working in either spaceflight or analog environments requires a coordinated effort between NASA and the investigators. The interdisciplinary nature of both flight and analog research requires investigators to be aware of concurrent research studies and take into account potential confounding factors that may impact their research objectives. Investigators must define clear research requirements, participate in Investigator Working Group meetings, obtain human use approvals, and provide study-specific training, sample and data collection and procedures all while adhering to schedule deadlines. These science requirements define the technical, functional and performance operations to meet the research objectives. The ISSMP maintains an expert team of professionals with the knowledge and

  6. Increasing seat belt use through state-level demonstration projects : a compendium of initial findings

    Science.gov (United States)

    2008-08-01

    This report summarizes the efforts and results from four of six State-level demonstration projects supported with cooperative agreements from the National Highway Traffic Safety Administration. The projects were intended to increase seat belt use sta...

  7. Canby Area Service Project substation and associated transmission line

    International Nuclear Information System (INIS)

    1992-02-01

    Bonneville Power Administration (BPA) provides power to Surprise Valley Electrification Corporation (SVEC) in Modoc County, California. BPA uses PacificCorp's substation and transmission facilities between Alturas and Canby, California to transfer power to SVEC's Canby Substation. In the next year, SVEC expects increased industrial, agricultural, and residential electric loads on their 69-kV transmission system south of Canby. SVEC's substation can accommodate only about 10 percent of the expected additional electric load. BPA's proposed action is intended to meet SVEC's increasing electric load. BPA proposes to meet SVEC's increasing energy load by tapping into BPA's existing BPA Malin-Warner 230-kV transmission line, and building an 7.9-mile transmission line to a new BPA substation. BPA proposes to build the new substation next to the west side of SVEC's Canby Substation (Figure 1). This new substation will allow SVEC to move the additional power over their existing transmission or distribution lines. This report is the environmental assessment of the potential impact of the proposed project. The assessment determined that no ''environmental impact statement'' is not required

  8. Integrated care services: lessons learned from the deployment of the NEXES project

    Directory of Open Access Journals (Sweden)

    Carme Hernandez

    2015-03-01

    Full Text Available Objectives: To identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The four services covered the entire spectrum of severity of illness. The project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus. Setting: One health care sector in Spain (Barcelona (n = 11.382; six municipalities in Norway (Trondheim (n = 450; and one hospital in Greece (Athens (n = 388. Method: The four services were: (i Home-based long-term maintenance of rehabilitation effects (n = 337; (ii Enhanced Care for frail patients, n = 1340; (iii Home Hospitalization and Early Discharge (n = 2404; and Support for remote diagnosis (forced spirometry testing in primary care (Support (n = 8139. Both randomized controlled trials and pragmatic study designs were combined. Two technological approaches were compared. The Model for Assessment of Telemedicine applications was adopted. Results: The project demonstrated: (i Sustainability of training effects over time in chronic patients with obstructive pulmonary disease (p < 0.01; (ii Enhanced care and fewer hospitalizations in chronic respiratory patients (p < 0.05; (iii Reduced in-hospital days for all types of patients (p < 0.001 in Home Hospitalization/Early Discharge; and (iv Increased quality of testing (p < 0.01 for patients with respiratory symptoms in Support, with marked differences among sites. Conclusions: The four integrated care services showed high potential to enhance health outcomes with cost-containment. Change management, technological approach and legal issues were major factors modulating the success of the deployment. The project generated a business plan to foster service sustainability and health innovation. Deployment strategies require site-specific adaptations.

  9. Integrated care services: lessons learned from the deployment of the NEXES project

    Directory of Open Access Journals (Sweden)

    Carme Hernandez

    2015-03-01

    Full Text Available Objectives: To identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The four services covered the entire spectrum of severity of illness. The project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus.Setting: One health care sector in Spain (Barcelona (n = 11.382; six municipalities in Norway (Trondheim (n = 450; and one hospital in Greece (Athens (n = 388.Method: The four services were: (i Home-based long-term maintenance of rehabilitation effects (n = 337; (ii Enhanced Care for frail patients, n = 1340; (iii Home Hospitalization and Early Discharge (n = 2404; and Support for remote diagnosis (forced spirometry testing in primary care (Support (n = 8139. Both randomized controlled trials and pragmatic study designs were combined. Two technological approaches were compared. The Model for Assessment of Telemedicine applications was adopted.Results: The project demonstrated: (i Sustainability of training effects over time in chronic patients with obstructive pulmonary disease (p < 0.01; (ii Enhanced care and fewer hospitalizations in chronic respiratory patients (p < 0.05; (iii Reduced in-hospital days for all types of patients (p < 0.001 in Home Hospitalization/Early Discharge; and (iv Increased quality of testing (p < 0.01 for patients with respiratory symptoms in Support, with marked differences among sites.Conclusions: The four integrated care services showed high potential to enhance health outcomes with cost-containment. Change management, technological approach and legal issues were major factors modulating the success of the deployment. The project generated a business plan to foster service sustainability and health innovation. Deployment strategies require site-specific adaptations.

  10. Medicare annual preventive care visits: use increased among fee-for-service patients, but many do not participate.

    Science.gov (United States)

    Chung, Sukyung; Lesser, Lenard I; Lauderdale, Diane S; Johns, Nicole E; Palaniappan, Latha P; Luft, Harold S

    2015-01-01

    Under the Affordable Care Act (ACA), Medicare coverage expanded in 2011 to fully cover annual preventive care visits. We assessed the impact of coverage expansion, using 2007-13 data from primary care patients of Medicare-eligible age at the Palo Alto Medical Foundation (204,388 patient-years), which serves people in four counties near San Francisco, California. We compared trends in preventive visits and recommended preventive services among Medicare fee-for-service and Medicare health maintenance organization (HMO) patients as well as non-Medicare patients ages 65-75 who were covered by private fee-for-service and private HMO plans. Among Medicare fee-for-service patients, the annual use of preventive visits rose from 1.4 percent before the implementation of the ACA to 27.5 percent afterward. This increase was significantly larger than was seen for patients in the other insurance groups. Nevertheless, rates of annual preventive care visit use among Medicare fee-for-service patients remained 10-20 percentage points lower than was the case for people with private coverage (43-44 percent) or those in a Medicare HMO (53 percent). ACA policy changes led to increased preventive service use by Medicare fee-for-service beneficiaries, which suggests that Medicare coverage expansion is an effective way to increase seniors' use of preventive services. Project HOPE—The People-to-People Health Foundation, Inc.

  11. Pollination services enhanced with urbanization despite increasing pollinator parasitism

    Science.gov (United States)

    Radzevičiūtė, Rita; Murray, Tomás E.

    2016-01-01

    Animal-mediated pollination is required for the reproduction of the majority of angiosperms, and pollinators are therefore essential for ecosystem functioning and the economy. Two major threats to insect pollinators are anthropogenic land-use change and the spread of pathogens, whose effects may interact to impact pollination. Here, we investigated the relative effects on the ecosystem service of pollination of (i) land-use change brought on by agriculture and urbanization as well as (ii) the prevalence of pollinator parasites, using experimental insect pollinator-dependent plant species in natural pollinator communities. We found that pollinator habitat (i.e. availability of nesting resources for ground-nesting bees and local flower richness) was strongly related to flower visitation rates at the local scale and indirectly influenced plant pollination success. At the landscape scale, pollination was positively related to urbanization, both directly and indirectly via elevated visitation rates. Bumblebees were the most abundant pollinator group visiting experimental flowers. Prevalence of trypanosomatids, such as the common bumblebee parasite Crithidia bombi, was higher in urban compared with agricultural areas, a relationship which was mediated through higher Bombus abundance. Yet, we did not find any top-down, negative effects of bumblebee parasitism on pollination. We conclude that urban areas can be places of high transmission of both pollen and pathogens. PMID:27335419

  12. Strategic Service Analysis Pusako Hotel to Increase Occupancy Rate

    OpenAIRE

    Tyas, Anggi Fitrining; Wibowo, Satya Aditya

    2013-01-01

    The tourism industry is the fourth largest foreign exchange earner for Indonesia after oil and gas, palm oil, rubber and processed in 2011. This industry is expected to continue to grow and expand in Indonesia in line with government programs to take advantage of all the potential of tourism in Indonesia. West Sumatra, especially the Bukittinggi is one of the favorite tourist destinations in Indonesia also felt the positive effects of tourism development in Indonesia, namely the increasing nu...

  13. A Service-Learning Project Using Crowdfunding Strategy: Students' Experience and Reflection

    Science.gov (United States)

    Mat-jizat, Jessnor Elmy; Khalid, Khalizul

    2016-01-01

    The aim of this study was to explore students' experience and reflection in doing a Service Learning project as part of their course work. The Service Learning project allows the students to practice their knowledge of raising capital through crowdfunding, and at the same time situates them in an environment where they could learn from the…

  14. 75 FR 8927 - Autism Services Demonstration Project for TRICARE Beneficiaries Under the Extended Care Health...

    Science.gov (United States)

    2010-02-26

    ... DEPARTMENT OF DEFENSE Office of the Secretary Autism Services Demonstration Project for TRICARE... Access to Autism Services Demonstration Project under the Extended Care Health Option for beneficiaries diagnosed with an Autism Spectrum Disorder (ASD). Under the demonstration, the Department implemented a...

  15. 76 FR 81929 - South Carolina Public Service Authority; Notice of Workshop for Santee Cooper Hydroelectric Project

    Science.gov (United States)

    2011-12-29

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 199-205] South Carolina Public Service Authority; Notice of Workshop for Santee Cooper Hydroelectric Project On May 26 and...) and the South Carolina Public Service Authority (SCPSA), licensee for the Santee-Cooper Hydroelectric...

  16. Assessing the value of the Central Everglades Planning Project (CEPP) in Everglades restoration: an ecosystem service approach

    Science.gov (United States)

    Richardson, Leslie A.; Keefe, Kelly; Huber, Christopher C.; Racevskis, Laila; Gregg, Reynolds; Thourot, Scott; Miller, Ian

    2014-01-01

    This study identifies a full range of ecosystem services that could be affected by a restoration project in the central Everglades and monetizes the economic value of a subset of these services using existing data. Findings suggest that the project will potentially increase many ecosystem services that have considerable economic value to society. The ecosystem services monetized within the scope of this study are a subset of the difference between the future-with the Central Everglades Planning Project (CEPP) and the future-without CEPP, and they totaled ~ $1.8 billion USD at a 2.5% discount rate. Findings suggest that the use of ecosystem services in project planning and communications may require acknowledgment of the difficulty of monetizing important services and the limitations associated with using only existing data and models. Results of this study highlight the need for additional valuation efforts in this region, focused on those services that are likely to be impacted by restoration activities but were notably challenging to value in this assessment due to shortages of data.

  17. The Societe de Services Decentralises (SDD), a Franco-Dutch energy project designed to provide local energy services

    International Nuclear Information System (INIS)

    Klein, B.; Courillon, M.; Goedmakers, A-M.; Darne, D.

    1998-01-01

    The Societe de Services Decentralises (SDD) is a joint pilot project of the EDF from France and NUON from the Netherlands, designed to test the feasibility of providing electricity to the rural regions of developing countries. The concept of the SDD emerged from the 1995 Marrakech conference on rural electrification. The project is presently being tested in Mali where 80,000 people, living in 20 villages of the cotton region are being provided with basic electric services. Power is generated by small village generating stations or by solar stations. Service is limited to a few electrical lights per customer. Marketing, financing and human resource aspects are also discussed

  18. Using a Service Audit Project for Improving Student Learning in a Service-Marketing Course

    Science.gov (United States)

    Gonzalez-Padron, Tracy; Ferguson, Jeffery M.

    2015-01-01

    Service-marketing education provides students customer service skills sought by employers who recognize the relationship between service and profit. Students in service marketing benefit from active-learning activities with actual organizations to apply customer service frameworks taught in the course. The purpose of this paper is to describe an…

  19. U.S. Energy Service Company Industry: Market Size and Project Performance from 1990-2008

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, Peter; Goldman, Charles; Satchwell, Andrew

    2012-08-21

    The U.S. energy service company (ESCO) industry is an example of a private sector business model where energy savings are delivered to customers primarily through the use of performance-based contracts. This study was conceived as a snapshot of the ESCO industry prior to the economic slowdown and the introduction of federal stimulus funding mandated by enactment of the American Recovery and Reinvestment Act of 2009 (ARRA). This study utilizes two parallel analytic approaches to characterize ESCO industry and market trends in the U.S.: (1) a ?top-down? approach involving a survey of individual ESCOs to estimate aggregate industry activity and (2) a ?bottom-up? analysis of a database of ~;;3,250 projects (representing over $8B in project investment) that reports market trends including installed EE retrofit strategies, project installation costs and savings, project payback times, and benefit-cost ratios over time. Despite the onset of a severe economic recession, the U.S. ESCO industry managed to grow at about 7percent per year between 2006 and 2008. ESCO industry revenues were about $4.1 billion in 2008 and ESCOs anticipate accelerated growth through 2011 (25percent per year). We found that 2,484 ESCO projects in our database generated ~;;$4.0 billion ($2009) in net, direct economic benefits to their customers. We estimate that the ESCO project database includes about 20percent of all U.S. ESCO market activity from 1990-2008. Assuming the net benefits per project are comparable for ESCO projects that are not included in the LBNL database, this would suggest that the ESCO industry has generated ~;;$23 billion in net direct economic benefits for customers at projects installed between 1990 and 2008. There is empirical evidence confirming that the industry is evolving by installing more comprehensive and complex measures?including onsite generation and measures to address deferred maintenance?but this evolution has significant implications for customer project

  20. 78 FR 39725 - Grenada Lake Hydroelectric Project; Notice Of Proposed Restricted Service List for a Programmatic...

    Science.gov (United States)

    2013-07-02

    ...-001--Mississippi] Grenada Lake Hydroelectric Project; Notice Of Proposed Restricted Service List for a... license for the proposed Grenada Lake Hydroelectric Project No. 13702. The Programmatic Agreement, when... Grenada Lake Hydroelectric Project, the U.S. Army Corps of Engineers, the Choctaw Nation of Oklahoma, the...

  1. Problem-Based Service Learning: The Evolution of a Team Project

    Science.gov (United States)

    Connor-Greene, Patricia A.

    2002-01-01

    In this article, I describe the evolution of a problem-based service learning project in an undergraduate Abnormal Psychology course. Students worked in teams on a semester-long project to locate and evaluate information and treatment for specific psychiatric disorders. As part of the project, each team selected relevant bibliographic materials,…

  2. Preparing Hispanic Students for the Real World: Benefits of Problem-Based Service Learning Projects

    Science.gov (United States)

    West, Jean Jaymes; Simmons, Donna

    2012-01-01

    Student learning is enriched by problem-based service learning (PBSL) projects. For Hispanic students, the learning that takes place in PBSL projects may be even more significant, although the research published in academic journals about client-based projects for Hispanic students is limited. This article begins to advance an understanding of how…

  3. Redefining Project Management Information Systems with New IT Services

    Directory of Open Access Journals (Sweden)

    Luminita Hurbean

    2013-04-01

    Full Text Available Achieving successful adoption of an innovative project management information system should involve influencing the project management environment by providing useful tools, training, reusable templates, techniques, and methods that improve the project manager's ability to successfully execute. This paper suggests that project management practice, enabled by emerging IT, could more explicitly recognize, represent, and manage the interdependencies that are pervasive throughout projects, thereby fully exploiting the potential of the IT to improve overall project performance. The last few years IT&C evolution led to new approaches to application and infrastructure architecture. Breaking from the traditional procedures used by organizations, they propose a cloud operating platform that reduces complexity and improves agility and scalability by altering the approach to the way data centres are built, applications are developed, infrastructure is managed, and organizations align and collaborate. Further, the paper explores the growing impact of mobile computing, cloud delivery and social business collaboration project management information systems and proposes a shift of a Five C’s for information systems in a cloud based operating platform, driven by cooperation, teamwork and continuous improvement.The proposed shift in the cloud indicates actual tools that may be adopted for better collaboration and higher business value of the project information management.

  4. The rationale for selecting the method of calculation of project products coast (works, services

    Directory of Open Access Journals (Sweden)

    O. V. Molchanova

    2017-01-01

    Full Text Available In modern conditions of management it is necessary to develop a number of recommendations on the introduction of management accounting at state-owned enterprises that carry out revenue-generating activities or based on the right of economic management. It is necessary to apply the correct cost-accounting method for the production of products, works, services for a more rational calculation of the cost price. This will allow management personnel to receive timely objective information about their cost price, identify the feasibility of production and sales, justify the assortment, plan profits. The procedure for determining the cost price of the project products (works, services in the theory and practice of the state enterprise of the Astrakhan region “Kasprybproekt” is investigated in the work. With the existing practice of planning in design organizations, the planned cost price of design and survey works for established cost items is planned in the cost estimate for production by the design organization as a whole and by the types of work: design, survey and others, without subdividing it by orders (projects. According to this, accounting of the actual costs for work in the design organizations is based. The study showed that the state enterprise of the Astrakhan region “Kasprybproyekt” performs different projects with different execution periods; therefore, it is advisable to use one method of calculating the cost price - job (order costing method, and link it to the responsibility centers depending on the department of the performer. Based on the research of the used method to the cost price calculate of the project products (works, services in the state enterprise of the Astrakhan region “Kasprybproekt”, it was proposed to use the job (order costing method that allows to detail all the project costs without distorting the final financial result and optimize the project costs. If the calculation method is correctly determined

  5. The work and recovery project: changing organizational culture and practice in New York City outpatient services.

    Science.gov (United States)

    Pascaris, Alysia; Shields, Leslie Reed; Wolf, Jessica

    2008-01-01

    Complex and multiple barriers confront out-patient programs in promoting recovery and addressing mental health recipients' work-related goals. This article describes a focused organizational change project utilizing intensive consultation and technical assistance within five New York City outpatient psychiatric services. The project aimed to increase staff exposure to, understanding and use of work-related and recovery-based concepts to promote consumers' recovery and attainment of employment goals. Tailored assessment, curriculum delivery, and identification and implementation of change objectives were useful strategies in promoting change. This change model can serve to assist programs in their efforts to integrate new approaches and to better understand changes among leadership, staff and consumers, and changes in organizational culture and practice required to support a work and recovery-oriented service paradigm. The project experience suggests that adopting and embracing new practices takes time. Varied and incremental steps toward programmatic and operational changes can be significant and can reap authentic sustainable change occurring in the process of learning, experiencing, internalizing and adjusting to new methods of practice.

  6. Use of Psychosocial Services Increases after a Social Worker-Mediated Intervention in Gynecology Oncology Patients

    Science.gov (United States)

    Abbott, Yuko; Shah, Nina R.; Ward, Kristy K.; McHale, Michael T.; Alvarez, Edwin A.; Saenz, Cheryl C.; Plaxe, Steven C.

    2013-01-01

    The purpose of this study was to determine whether the introduction of psychosocial services to gynecologic oncology outpatients by a social worker increases service use. During the initial six weeks (phase I), patients were referred for psychosocial services by clinic staff. During the second six weeks (phase II), a nurse introduced available…

  7. Enhancing youth potential through Civic Service: ethical reflections arising from a geo-educational project

    Science.gov (United States)

    Rubbia, Giuliana

    2015-04-01

    Different forms of Civic Service are present in Europe. The National Civic Service (SCN) of Italy started, with a law, as an alternative to military service in 2001. It was conceived as an opportunity to people from 18 to 28 years, the volunteers, who intend to grow in social, civic, cultural and professional dimensions while performing experiences of social solidarity, national and international cooperation, protection and preservation of national heritage. Each accredited organization, which hosts SCN projects, signs up an ethical charter, regulating relationships between volunteers and the hosting organization. Summarizing, the organization must be aware 1)of putting into effect a law aimed to involve young generations in homeland defense with non violent means through services of social utility; 2) that the Civic Service wants young people to spend one year of their life in a critical phase in which they reach the responsibilities of adults; 3) that adopted working method is learning by doing, working with tutors having to increase skills and exploit the full potential of volunteers; 4) of recognizing the volunteers' right to work to reach the project's objectives, and not only for the benefits of the hosting organization; 5) that volunteers should work with well defined procedures, clear since the beginning; 6) of requiring from volunteers their full commitment to learn and responsibly participate to project's activities as well as to fully express and increase their expertise, skills and personal resources. Ethical implications emerged during an ongoing Earth Sciences education project funded by SCN and involving young volunteers at Istituto Nazionale di Geofisica e Vulcanologia (INGV). According to SCN's ethical charter, in this case the challenge is to welcome a group of young people in a public research organization, and to integrate them in the limited time lapse of one year. The European Charter for Researchers came as a valuable help. Its principles

  8. Quality of Security Service Costing Demonstration for the MSHN Project

    National Research Council Canada - National Science Library

    Spyropoulou, Evdoxia

    2000-01-01

    .... Each service has two costs: an initialization cost and a run-time cost. The demonstration illustrates the costs incurred as network modes and security levels are changed. High level and detailed specifications are provided.

  9. Public-private partnership role in increasing the quality of the health insurance services

    Directory of Open Access Journals (Sweden)

    Dan CONSTANTINESCU

    2012-10-01

    Full Text Available In a context in which the social politics tend to become an optimization instrument for adapting the social security system to the market’s forces, and the talk of some analysts about reinventing the European social model, the partnership between the public sector and the private one in the social domain presumes, besides a tight collaboration, a combination of advantages specific to the private sector, more competitive and efficient, with the ones from the public sector, more responsible toward the society regarding the public money spending. The existence of the private health insurances cannot be tied, causally, to a social politics failure, reason for which they don’t intend, usually, to replace the public insurances, but rather, to offer a complementary alternative for them. In such a context, the public-private partnership’s goal regards both increasing the insurant’s satisfaction and increasing his/her access degree to services, and increasing the investments profitability made by the insurant and insurer. We are facing thus a mixed competitive system that combines the peculiarities of the public and private sectors. Interesting is the fact that, although the different meanings for the quality term may generate some problems regarding implementing quality management in the two health insurance sectors, the experts in the area reckon that establishing a good relationship between public buyers and private providers of healthcare can reduce the costs of public health programs. An essential condition for operating efficiently the partnership model is defining correctly the basic medical services packet financed by the public budget. Which doesn’t exclude the possibility of administrating by the private insurers, the sums of money gathered from the employees and employers contributions to the health fund, as a recently initiated project of law intends to do in Romania.

  10. Bundling of ecosystem services to increase forestland value and enhance sustainable forest management

    Science.gov (United States)

    Robert L. Deal; Bobby Cochran; Gina. LaRocco

    2012-01-01

    There has been increasing interest in the use of market-based approaches to add value for forestland and to assist with the conservation of natural resources. While markets for ecosystem services show potential for increasing forestland value, there is concern that the lack of an integrated program will simply add to the complexity of these services without generating...

  11. [Earth and Space Sciences Project Services for NASA HPCC

    Science.gov (United States)

    Merkey, Phillip

    2002-01-01

    This grant supported the effort to characterize the problem domain of the Earth Science Technology Office's Computational Technologies Project, to engage the Beowulf Cluster Computing Community as well as the High Performance Computing Research Community so that we can predict the applicability of said technologies to the scientific community represented by the CT project and formulate long term strategies to provide the computational resources necessary to attain the anticipated scientific objectives of the CT project. Specifically, the goal of the evaluation effort is to use the information gathered over the course of the Round-3 investigations to quantify the trends in scientific expectations, the algorithmic requirements and capabilities of high-performance computers to satisfy this anticipated need.

  12. Collaborative Planning: Cooking up an Inclusive Service-Learning Project

    Science.gov (United States)

    Bonati, Michelle L.

    2018-01-01

    Collaborative planning between special education teachers and general education teachers that focuses on curriculum, instruction, and assessment can improve learning outcomes for students with and without disabilities. Service-learning is a teaching practice that can provide a flexible approach for teachers to collaboratively plan to meet the…

  13. Systematic Review Methodology for the Fatigue in Emergency Medical Services Project

    Science.gov (United States)

    2018-01-11

    Background: Guidance for managing fatigue in the Emergency Medical Services (EMS) setting is limited. The Fatigue in EMS Project sought to complete multiple systematic reviews guided by seven explicit research questions, assemble the best available e...

  14. 77 FR 20355 - Proposed Information Collection; Comment Request; Award Amendment Requests and Project Service Maps

    Science.gov (United States)

    2012-04-04

    ... collection). Affected Public: Current recipients of EDA assistance, to include (1) cities or other political... DEPARTMENT OF COMMERCE Economic Development Administration Proposed Information Collection; Comment Request; Award Amendment Requests and Project Service Maps AGENCY: Economic Development...

  15. The Iowa new practice model: Advancing technician roles to increase pharmacists' time to provide patient care services.

    Science.gov (United States)

    Andreski, Michael; Myers, Megan; Gainer, Kate; Pudlo, Anthony

    Determine the effects of an 18-month pilot project using tech-check-tech in 7 community pharmacies on 1) rate of dispensing errors not identified during refill prescription final product verification; 2) pharmacist workday task composition; and 3) amount of patient care services provided and the reimbursement status of those services. Pretest-posttest quasi-experimental study where baseline and study periods were compared. Pharmacists and pharmacy technicians in 7 community pharmacies in Iowa. The outcome measures were 1) percentage of technician verified refill prescriptions where dispensing errors were not identified on final product verification; 2) percentage of time spent by pharmacists in dispensing, management, patient care, practice development, and other activities; 3) the number of pharmacist patient care services provided per pharmacist hours worked; and 4) percentage of time that technician product verification was used. There was no significant difference in overall errors (0.2729% vs. 0.5124%, P = 0.513), patient safety errors (0.0525% vs. 0.0651%, P = 0.837), or administrative errors (0.2204% vs. 0.4784%, P = 0.411). Pharmacist's time in dispensing significantly decreased (67.3% vs. 49.06%, P = 0.005), and time in direct patient care (19.96% vs. 34.72%, P = 0.003), increased significantly. Time in other activities did not significantly change. Reimbursable services per pharmacist hour (0.11 vs. 0.30, P = 0.129), did not significantly change. Non-reimbursable services increased significantly (2.77 vs. 4.80, P = 0.042). Total services significantly increased (2.88 vs. 5.16, P = 0.044). Pharmacy technician product verification of refill prescriptions preserved dispensing safety while significantly increasing the time spent in delivery of pharmacist provided patient care services. The total number of pharmacist services provided per hour also increased significantly, driven primarily by a significant increase in the number of non

  16. An assessment of adherence to basic ecological principles by payments for ecosystem service projects.

    Science.gov (United States)

    Prager, C M; Varga, A; Olmsted, P; Ingram, J C; Cattau, M; Freund, C; Wynn-Grant, R; Naeem, S

    2016-08-01

    Programs and projects employing payments for ecosystem service (PES) interventions achieve their objectives by linking buyers and sellers of ecosystem services. Although PES projects are popular conservation and development interventions, little is known about their adherence to basic ecological principles. We conducted a quantitative assessment of the degree to which a global set of PES projects adhered to four ecological principles that are basic scientific considerations for any project focused on ecosystem management: collection of baseline data, identification of threats to an ecosystem service, monitoring, and attention to ecosystem dynamics or the formation of an adaptive management plan. We evaluated 118 PES projects in three markets-biodiversity, carbon, and water-compiled using websites of major conservation organizations; ecology, economic, and climate-change databases; and three scholarly databases (ISI Web of Knowledge, Web of Science, and Google Scholar). To assess adherence to ecological principles, we constructed two scientific indices (one additive [ASI] and one multiplicative [MSI]) based on our four ecological criteria and analyzed index scores by relevant project characteristics (e.g., sector, buyer, seller). Carbon-sector projects had higher ASI values (P < 0.05) than water-sector projects and marginally higher ASI scores (P < 0.1) than biodiversity-sector projects, demonstrating their greater adherence to ecological principles. Projects financed by public-private partnerships had significantly higher ASI values than projects financed by governments (P < 0.05) and marginally higher ASI values than those funded by private entities (P < 0.1). We did not detect differences in adherence to ecological principles based on the inclusion of cobenefits, the spatial extent of a project, or the size of a project's budget. These findings suggest, at this critical phase in the rapid growth of PES projects, that fundamental ecological principles should be

  17. Design and initial implementation of the WHO FP umbrella project- to strengthen contraceptive services in the sub Saharan Africa.

    Science.gov (United States)

    Kabra, Rita; Ali, Moazzam; Kiarie, James

    2017-06-15

    Strengthening contraceptive services in sub Saharan Africa is critical to achieve the FP 2020 goal of enabling 120 million more women and girls to access and use contraceptives by 2020 and the Sustainable Development Goals (SDG) targets of universal access to sexual and reproductive health (SRH) services including family planning by 2030. The World Health Organization (WHO) and partners have designed a multifaceted project to strengthen health systems to reduce the unmet need of contraceptive and family planning services in sub Saharan Africa. The plan leverages global, regional and national partnerships to facilitate and increase the use of evidence based WHO guidelines with a specific focus on postpartum family planning. The four key approaches undertaken are i) making WHO Guidelines adaptable & appropriate for country use ii) building capacity of WHO regional/country staff iii) providing technical support to countries and iv) strengthening partnerships for introduction and implementation of WHO guidelines. This paper describes the project design and elaborates the multifaceted approaches required in initial implementation to strengthen contraceptive services. The initial results from this project reflect that simultaneous application these approaches may strengthen contraceptive services in Sub Saharan Africa and ensure sustainability of the efforts. The lessons learned may be used to scale up and expand services in other countries.

  18. End-to-End Service Oriented Architectures (SOA) Security Project

    Science.gov (United States)

    2012-02-01

    Java 6.0 (javax.ws) platform and deployed on boston.cs.purdue.edu. TB stores all data regarding sessions and services in a MySQL database, setup on...pointcut designators. JBoss AOP [JBO2] and AspectJ [ASP1] are powerful frameworks that implement AOP for Java programs. Its pointcut designators... hibernate cglib enhanced proxies <attribute name="Ignore">*$$EnhancerByCGLIB$$*</attribute> --> <attribute name="Optimized">true</attribute

  19. Liability of German suppliers and service providers for foreign projects

    International Nuclear Information System (INIS)

    Raetzke, Christian

    2017-01-01

    Main topic is the question of the extent to which German plant constructors, suppliers, engineering consultants, experts or operators expose themselves to liability for the delivery of their products and services abroad. In principle, in almost all nuclear power countries, liability is channelled to the operator; suppliers and service providers are exempted from liability. However, there are conceivable cases in which this principle does not apply. This can occur, for example, if a major accident is assumed to have an impact on neighbouring countries of the country of destination; here, depending on the applicable law, the German supplier or service provider could be ordered to pay for damages. The risk of liability remaining in this way can be reduced if necessary by means of an exemption clause in the supply contract. The regulation of the operator's recourse to the contractor, insofar as the latter is responsible for the accident, and the - controversial -question of to what extent damage to the plant itself gives rise to claims for damages by the operator against the contractor are also discussed.

  20. Project ''OAE'' at Ganil, a project for increasing the heavy ion energies

    International Nuclear Information System (INIS)

    Ferme, J.

    1986-10-01

    GANIL is composed of three cyclotrons connected in series, with a stripper located between the last two stages. The general parameters have been chosen to fit the characteristics of the PIG ion source. With the advent of ECR sources, which can produce efficiently ions of higher charge state, an optimization of the system has been considered which will result in an increase of the energy range of medium and heavy ions. A few modifications of the machine are necessary and should be carefully prepared so as to minimize the duration of the shut-down planned at the beginning of 1989. Moreover, a systematic study of the axial injection of the first cyclotron has been undertaken in order to improve the intensity of the injected beam with respect to space charge

  1. Tackling the work-life balance challenge in Professional Service Firms: the impact of projects, organizing and service characteristics

    NARCIS (Netherlands)

    Noury, L.C.; Gand, Sébastien; Sardas, Jean-Claude

    2017-01-01

    Professional Service Firms (PSFs) are currently under considerable pressure for economic reasons (low growth, pressure on cost), but also from the emergence of individual demands for work-life balance (WLB) from professionals, which challenge traditional ways of organizing both projects and careers.

  2. An Assessment of Experiential Learning of Global Poverty Issues through International Service Projects

    Science.gov (United States)

    Le, Quan V.; Raven, Peter V.

    2015-01-01

    Service learning has been used to supplement a standard business curriculum, but not typically in an international business context. We report the results of two short-term study abroad programs in which we incorporated service learning projects, one in Cambodia and the other in Vietnam. Our objective is to assess how we organized and delivered…

  3. The Impact of Project-Based Learning on Pre-Service Teachers' Technology Attitudes and Skills

    Science.gov (United States)

    Alexander, Curby; Knezek, Gerald; Christensen, Rhonda; Tyler-Wood, Tandra; Bull, Glen

    2014-01-01

    Researchers in this study looked at the effect of content-specific, technology-rich project-based learning activities on EC-8 pre-service teachers' competencies and skills, as well as pre-service teacher's attitudes toward science, technology, engineering and mathematics (STEM). Researchers employed a quantitative design involving participants in…

  4. Developing Web Services for Technology Education. The Graphic Communication Electronic Publishing Project.

    Science.gov (United States)

    Sanders, Mark

    1999-01-01

    Graphic Communication Electronic Publishing Project supports a Web site (http://TechEd.vt.edu/gcc/) for graphic communication teachers and students, providing links to Web materials, conversion of print materials to electronic formats, and electronic products and services including job listings, resume posting service, and a listserv. (SK)

  5. Formation and Assessment of a Tool to Evaluate STEM Literacy in Service-Learning Projects

    Science.gov (United States)

    Hayford, Barbara; Blomstrom, Sally; Mumpower, Lori

    2015-01-01

    The purpose of the authors' research was to create a tool to evaluate science, technology, engineering, and mathematics (STEM) literacy in service-learning projects. The researchers posited that components of service-learning, which in this case included the deliverable and reflections, are examples of fundamental STEM literacy and thus can be…

  6. Creating International Community Service Learning Experiences in a Capstone Marketing-Projects Course

    Science.gov (United States)

    Metcalf, Lynn E.

    2010-01-01

    This article outlines the development of a project-based capstone marketing course, specifically designed to provide marketing students with an international community service learning experience. It differs significantly from previous studies, which focus on integrating service learning into existing marketing courses and on helping local…

  7. Achieving Service-Learning Goals in a Financial Accounting Class Project

    Science.gov (United States)

    Yu, Darwin D.

    2011-01-01

    Background: A financial accounting class in a Philippine university has a service-learning group project that involves setting up a simple accounting system for microenterprises. Aims: This paper examines the extent to which service-learning goals such as course learning, teamwork, civic responsibility, and impact on the client organization are…

  8. Incorporating Facebook and Twitter in a Service-Learning Project in a Business Communication Course

    Science.gov (United States)

    Crews, Tena B.; Stitt-Gohdes, Wanda L.

    2012-01-01

    Implementing real-world business writing situations and service learning into business communication courses are not new concepts. Business communication students work through a service-learning project with nonprofit organizations to create communication documents to improve the nonprofit's communication with the public. Writing for social…

  9. Service Family Support -- A Small-Scale Project of Educational Psychologists Working with Parents

    Science.gov (United States)

    Hogg, Jane; Hart, Anne; Collins, Zoe V.

    2014-01-01

    Being in a Service family can be a difficult position for children and parents alike due to high levels of mobility, parental separation, and the remaining parent's stress and emotional well-being. A Service family is defined as a family with one or both parents employed by the Ministry of Defence (MOD). The current project looked at the…

  10. Technology News; Distance Education Project: Extending Extension Programming via Telecommunications Technology; [and] Fax for Library Services.

    Science.gov (United States)

    Coyle, Larry; Spitzer, Kathleen L.

    1992-01-01

    Three articles discuss (1) the numbers of microcomputers installed in elementary and secondary schools; (2) a distance education project in the Minnesota Extension Service that used a satellite delivery system and integrated it with a computer information network; and (3) the use of facsimile machines for library services. (LRW)

  11. 34 CFR 647.4 - What activities and services may a project provide?

    Science.gov (United States)

    2010-07-01

    ... PROGRAM General § 647.4 What activities and services may a project provide? A McNair project may provide... activities designed to prepare participants for doctoral study. (d) Tutoring. (e) Academic counseling. (f... programs. (g) Mentoring programs involving faculty members or students at institutions of higher education...

  12. Fostering Experiential Learning and Service through Client Projects in Graduate Business Courses Offered Online

    Science.gov (United States)

    Hagan, Linda M.

    2012-01-01

    Undergraduate marketing and public relations capstone courses utilize client projects to allow students to apply their knowledge and encourage collaboration. Yet, at the graduate level, especially with courses offered in an online modality, experiential service learning in the form of client project assignments presents unique challenges. However,…

  13. Statistics in Action: The Story of a Successful Service-Learning Project

    Science.gov (United States)

    DeHart, Mary; Ham, Jim

    2011-01-01

    The purpose of this article is to share the stories of an Introductory Statistics service-learning project in which students from both New Jersey and Michigan design and conduct phone surveys that lead to publication in local newspapers; to discuss the pedagogical benefits and challenges of the project; and to provide information for those who…

  14. Using a Balance Scorecard Approach to Evaluate the Value of Service Learning Projects in Online Courses

    Science.gov (United States)

    Schwieger, Dana

    2015-01-01

    Service learning projects serve as a valuable tool for applying course concepts in a way to benefit both the students and community. However, they often require a significant amount of additional effort beyond that required of assigning conventional homework problems. When the projects take place in an online course setting, the level of…

  15. 77 FR 61053 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-10-05

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods... Service Methods Project Committee will be held Tuesday, November 13, 2012, at 2:00 p.m. Eastern Time via...

  16. 77 FR 47166 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-08-07

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS) Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods... Service Methods Project Committee will be held Tuesday, September 11, 2012, at 2 p.m. Eastern Time via...

  17. 77 FR 8328 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-02-14

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods... Panel Face-to-Face Service Methods Project Committee will be held Tuesday, March 13, 2012, at 2 p.m...

  18. 76 FR 78342 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2011-12-16

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of Meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods... Service Methods Project Committee will be held Tuesday, January 10, 2012, at 2 p.m. Eastern Time via...

  19. 77 FR 2611 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-01-18

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS) Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods... Service Methods Project Committee will be held Tuesday, February 14, 2012, at 2 p.m. Eastern Time via...

  20. Support services for new nuclear power plant projects

    International Nuclear Information System (INIS)

    Manrique, Alberto B.; Cazorla, Francisco

    2009-01-01

    TECNATOM is a spanish engineering company with more than 50 years of experience working for the nuclear industry all over the world. TECNATOM has worked in over 30 countries in activities related to the Operation and Maintenance of Nuclear Power Plants. It started to work in the design of new Nuclear Power Plants in the early 90s and since then has continued collaborating with different suppliers in the design and licensing of new reactors specially in the areas of plant systems design, Man-Machine Interface design, Main Control Room simulators building, training, qualification of equipment and PSI/ISI engineering services. (author)

  1. A European classification of services for long-term care—the EU-project eDESDE-LTC

    Science.gov (United States)

    Weber, Germain; Brehmer, Barbara; Zeilinger, Elisabeth; Salvador-Carulla, Luis

    2009-01-01

    Purpose and theory The eDESDE-LTC project aims at developing an operational system for coding, mapping and comparing services for long-term care (LTC) across EU. The projects strategy is to improve EU listing and access to relevant sources of healthcare information via development of SEMANTIC INTER-OPERABILITY in eHEALTH (coding and listing of services for LTC); to increase access to relevant sources of information on LTC services, and to improve linkages between national and regional websites; to foster cooperation with international organizations (OECD). Methods This operational system will include a standard classification of main types of care for persons with LTC needs and an instrument for mapping and standard description of services. These instruments are based on previous classification systems for mental health services (ESMS), disabilities services (DESDE) and ageing services (DESDAE). A Delphi panel made by seven partners developed a DESDE-LTC beta version, which was translated into six languages. The feasibility of DESDE-LTC is tested in six countries using national focal groups. Then the final version will be developed by the Delphi panel, a webpage, training material and course will be carried out. Results and conclusions The eDESDE-LTC system will be piloted in two EU countries (Spain and Bulgaria). Evaluation will focus primarily on usability and impact analysis. Discussion The added value of this project is related to the right of “having access to high-quality healthcare when and where it is needed” by EU citizens. Due to semantic variability and service complexity, existing national listings of services do not provide an adequate framework for patient mobility.

  2. In-service teachers' perceptions of project-based learning.

    Science.gov (United States)

    Habók, Anita; Nagy, Judit

    2016-01-01

    The study analyses teachers' perceptions of methods, teacher roles, success and evaluation in PBL and traditional classroom instruction. The analysis is based on empirical data collected in primary schools and vocational secondary schools. An analysis of 109 questionnaires revealed numerous differences based on degree of experience and type of school. In general, project-based methods were preferred among teachers, who mostly perceived themselves as facilitators and considered motivation and transmission of values central to their work. Teachers appeared not to capitalize on the use of ICT tools or emotions. Students actively participated in the evaluation process via oral evaluation.

  3. Experiences of unemployed clients with services offered them by the front office of the Bridge project

    OpenAIRE

    Twum, Sampson

    2010-01-01

    The purpose of this study was to examine the experiences of unemployed clients of the Bridge project to the services offered them by the front office. The Bridge project organises programs to ease immigrant’s integration. The project also aid immigrant’s integration with supervision, information and education through front office activity. This study used a qualitative research approach and the method of data collection was in-depth interviews. The participants were selected using snow b...

  4. Quality function deployment (QFD in the development of training projects: an exploratory study for service

    Directory of Open Access Journals (Sweden)

    Francisco José Dias Junior

    2012-01-01

    Full Text Available Training is important in preparing employees. The Quality Function Deployment (QFD is an effective method to systematically translate customer requirements into project specifications. This study presents the use of QFD method in development of training project. It is a qualitative research conducted in the industry services company. The results show that the use of QFD is an effective alternative for managers to develop or improve their training projects.

  5. Service and Maintenance - Lillgrund Offshore Wind Farm. Lillgrund Pilot Project

    Energy Technology Data Exchange (ETDEWEB)

    Soederberg, David; Weisbach, Henrik (Vattenfall Vindkraft AB, Stockholm (Sweden))

    2008-11-15

    This report aims to provide information of, and experiences from, service and maintenance of Lillgrund Offshore Wind Farm. The report deals with operation and maintenance (O and M) during construction, commissioning and the first three months of operation. Focus has been to describe the organization and cooperation between Vattenfall and Siemens. Experiences have been collected by interviews with representatives from Siemens and Vattenfall. The O and M strategy defined by Lillgrund's service and maintenance contract are based on a gradual take over of O and M. Siemens will be responsible for maintenance of Lillgrund during the first five years. During this five-year period, Vattenfall will build up its own maintenance organization for Lillgrund. The first three years, Vattenfall's technicians are supposed to form 30 % of the total number of maintenance technicians. The fourth and fifth year, the corresponding amount should be 50 %. During daytime, Lillgrund is operated locally. During nights and weekends, it is operated remotely by Vattenfall's operating centre in Esbjerg. The major O and M experience from Lillgrund is the need for good administrative and technical information systems. These systems should be implemented as soon as possible because of the large amounts of documentation that are created during the commissioning phase. The technical information systems must be able to present historic data of measurements in order to see trends and analyse faults

  6. Does Service-Learning Increase Student Learning?: A Meta-Analysis

    Science.gov (United States)

    Warren, Jami L.

    2012-01-01

    Research studies reflect mixed results on whether or not service-learning increases student learning outcomes. The current study seeks to reconcile these findings by extending a meta-analysis conducted by Novak, Markey, and Allen (2007) in which these authors examined service-learning and student learning outcomes. In the current study, 11…

  7. Final Report for DOE Project: Portal Web Services: Support of DOE SciDAC Collaboratories

    Energy Technology Data Exchange (ETDEWEB)

    Mary Thomas, PI; Geoffrey Fox, Co-PI; Gannon, D; Pierce, M; Moore, R; Schissel, D; Boisseau, J

    2007-10-01

    Grid portals provide the scientific community with familiar and simplified interfaces to the Grid and Grid services, and it is important to deploy grid portals onto the SciDAC grids and collaboratories. The goal of this project is the research, development and deployment of interoperable portal and web services that can be used on SciDAC National Collaboratory grids. This project has four primary task areas: development of portal systems; management of data collections; DOE science application integration; and development of web and grid services in support of the above activities.

  8. Students' perceptions of a community-based service-learning project related to aging in place.

    Science.gov (United States)

    Oakes, Claudia E; Sheehan, Nancy W

    2014-01-01

    This article describes a service-learning project that was designed to help undergraduate health professions students understand the complexities related to aging in place. The service-learning project also incorporated a research component to expose the students to the research process. Students' reflections regarding the benefits that they derived from the experience suggest that they value learning about older adults through one-on-one interactions more than they value the opportunity to participate in the research project. Implications for undergraduate health professional education are discussed.

  9. Interventions to increase use of services; Mental Health Awareness in Nigeria.

    Science.gov (United States)

    Eaton, Julian; Nwefoh, Emeka; Okafor, Godwin; Onyeonoro, Ugochukwu; Nwaubani, Kenneth; Henderson, Claire

    2017-01-01

    Mental health services in Nigeria consist mainly of large government psychiatric hospitals and there are very few mental health professionals to serve the large population of the country. However, more recently, community mental health services, which have been shown to improve access to care and clinical outcomes are beginning to develop in some locations. Despite efforts to promote more accessible services, low levels of knowledge about effective treatment of mental disorders means that even where these services are available, a very small proportion of people utilise these services. Therefore interventions to increase service use are an essential component of health system. This intervention was designed to increase use of a mental health services through the work of community-based Village Health Workers. Fifteen Village Health Workers in each Local Government Area (district) were selected and trained to create mental health awareness in communities. Their function also include identification and referral of persons with mental illness to trained mental health nurses in the clinics. Attendance data prior to and after intervention were collected and compared. The incident rate for initial period of intervention is five times higher than the baseline rate (95% CI; 3.42-7.56; p awareness raising using volunteers in communities as part of health programme implementation can increase services use by a population. Mechanisms such as informing populations of the existence of a service which they were previously lacking; explanation of causation of mental illness and achieving community leaders' support for a new service can make investment in services more efficient by increasing attendance.

  10. Post-disaster psychosocial services across Europe: The TENTS project

    DEFF Research Database (Denmark)

    Witteveen, A. B.; Bisson, J. I.; Ajdukovic, D.

    2012-01-01

    At present post-disaster activities and plans seem to vary widely. An adequate estimation of the availability of post-disaster psychosocial services across Europe is needed in order to compare them with recently developed evidence-informed psychosocial care guidelines. Here we report on the results...... of a cross-sectional web-based survey completed in 2008 by two hundred and eighty-six representatives of organizations involved in psychosocial responses to trauma and disaster from thirty-three different countries across Europe. The survey addressed planning and delivery of psychosocial care after disaster......, methods of screening and diagnosis, types of interventions used, and other aspects of psychosocial care after trauma. The findings showed that planning and delivery of psychosocial care was inconsistent across Europe. Countries in East Europe seemed to have less central coordination of the post...

  11. Articulating current service development practices: a qualitative analysis of eleven mental health projects.

    Science.gov (United States)

    Jun, Gyuchan Thomas; Morrison, Cecily; Clarkson, P John

    2014-01-17

    The utilisation of good design practices in the development of complex health services is essential to improving quality. Healthcare organisations, however, are often seriously out of step with modern design thinking and practice. As a starting point to encourage the uptake of good design practices, it is important to understand the context of their intended use. This study aims to do that by articulating current health service development practices. Eleven service development projects carried out in a large mental health service were investigated through in-depth interviews with six operation managers. The critical decision method in conjunction with diagrammatic elicitation was used to capture descriptions of these projects. Stage-gate design models were then formed to visually articulate, classify and characterise different service development practices. Projects were grouped into three categories according to design process patterns: new service introduction and service integration; service improvement; service closure. Three common design stages: problem exploration, idea generation and solution evaluation - were then compared across the design process patterns. Consistent across projects were a top-down, policy-driven approach to exploration, underexploited idea generation and implementation-based evaluation. This study provides insight into where and how good design practices can contribute to the improvement of current service development practices. Specifically, the following suggestions for future service development practices are made: genuine user needs analysis for exploration; divergent thinking and innovative culture for idea generation; and fail-safe evaluation prior to implementation. Better training for managers through partnership working with design experts and researchers could be beneficial.

  12. Disaster Relief and Emergency Medical Services Project (DREAMS TM): Clinical and Basic Science Projects

    National Research Council Canada - National Science Library

    Casscells, Ward

    1999-01-01

    DREAMS clinical and basic science projects complement the digital EMS effort by investigating the mechanisms of tissue injury in order to minimize the mortality and mortality of trauma and "natural...

  13. Increasing the Value of Research: A Comparison of the Literature on Critical Success Factors for Projects, IT Projects and Enterprise Resource Planning Projects

    Directory of Open Access Journals (Sweden)

    Annie Maddison Warren

    2016-11-01

    Full Text Available Since the beginning of modern project management in the 1960s, academic researchers have sought to identify a definitive list of Critical Success Factors (CSFs, the key things that project managers must get right in order to deliver a successful product. With the advent of Information Technology (IT projects and, more recently, projects to deliver Enterprise Resource Planning (ERP systems, attention has turned to identifying definitive lists of CSFs for these more specific project types. The purpose of this paper is to take stock of this research effort by examining how thinking about each type of project has evolved over time, before producing a consolidated list of CSFs for each as a basis for comparison. This process reveals a high degree of similarity, leading to the conclusion that the goal of identifying a generic list of CSFs for project management has been achieved. Therefore, rather than continuing to describe lists of CSFs, researchers could increase the value of their contribution by taking a step forward and focusing on why, despite this apparent knowledge of how to ensure their success, ERP projects continue to fail.

  14. Barriers to innovation within large financial services firms : An in-depth study into disruptive and radical innovation projects at a bank

    NARCIS (Netherlands)

    Das, P.A.C.; Verburg, R.M.; Verbraeck, A.; Bonebakker, Lodewijk

    2017-01-01

    Purpose - Since the 2008 financial crisis, the financial industry is in need of innovation to increase stability and improve quality of services. The purpose of this paper is to explore internal barriers that influence the effectiveness of projects within large financial services firms focussing on

  15. Service user integration into social work education: lessons learned from nordic participatory action projects.

    Science.gov (United States)

    Angelin, Anna

    2015-01-01

    Service users have lacked substantial influence, access, and participation in social work education in Norway and Sweden. In this article the author presents comparative analyses of two participatory projects that have developed and implemented practices that integrate service users into academic social work education and empower service users. The Norwegian HUSK project and the Social Work as Mobilization and Entrepreneurship course, also known as the "Mobilization course," at Lund University in Sweden demonstrate collaboration between research, social work education, and service users. The conclusions focus on the importance of the empowering processes by including recognition and dialogue, co-learning in practice, and the use of neutral venues to ensure effective user participation. The inclusion of service users in social work education can improve both practice and education.

  16. Lights! Camera! Action Projects! Engaging Psychopharmacology Students in Service-based Action Projects Focusing on Student Alcohol Abuse.

    Science.gov (United States)

    Kennedy, Susan

    2016-01-01

    Alcohol abuse continues to be an issue of major concern for the health and well-being of college students. Estimates are that over 80% of college students are involved in the campus "alcohol culture." Annually, close to 2000 students die in the United States due to alcohol-related accidents, with another 600,000 sustaining injury due to alcohol-related incidents (NIAAA, 2013). Students enrolled in a Psychopharmacology course engaged in action projects (community outreach) focused on alcohol abuse on our campus. Research has indicated that these types of projects can increase student engagement in course material and foster important skills, including working with peers and developing involvement in one's community. This paper describes the structure and requirements of five student outreach projects and the final projects designed by the students, summarizes the grading and assessment of the projects, and discusses the rewards and challenges of incorporating such projects into a course.

  17. Improving family planning services delivery and uptake: experiences from the "Reversing the Stall in Fertility Decline in Western Kenya Project".

    Science.gov (United States)

    Amo-Adjei, Joshua; Mutua, Michael; Athero, Sherine; Izugbara, Chimaraoke; Ezeh, Alex

    2017-10-10

    In this paper, we reflect on our experiences of implementing a multipronged intervention to improve sexual and reproductive health outcomes. The project used family planning as its entry point and was implemented in two high fertility counties-Busia and Siaya in Kenya. The intervention, implemented by a seven-member consortium, involved: family planning services delivery; regular training of service providers to deliver high quality services; monitoring and evaluation; strengthening of commodity chain delivery and forecasting; school-based and out-of-school based sexuality education; and advocacy and stakeholder engagements at the community, county and national levels. Over a 5-year period, the project contributed to raising demand for family planning considerably, evidenced in fertility decline. It also improved the capacity of family planning services providers, increased commitment and awareness of county government and other community stakeholders on the importance of investments in family planning. Our collaborations with organisations interested in sexual and reproductive health issues substantially enhanced the consortium's ability to increase demand for, and supply of family planning commodities. These collaborations are proving useful in the continuity and sustainability of project achievements.

  18. Project Photofly: New 3d Modeling Online Web Service (case Studies and Assessments)

    Science.gov (United States)

    Abate, D.; Furini, G.; Migliori, S.; Pierattini, S.

    2011-09-01

    During summer 2010, Autodesk has released a still ongoing project called Project Photofly, freely downloadable from AutodeskLab web site until August 1 2011. Project Photofly based on computer-vision and photogrammetric principles, exploiting the power of cloud computing, is a web service able to convert collections of photographs into 3D models. Aim of our research was to evaluate the Project Photofly, through different case studies, for 3D modeling of cultural heritage monuments and objects, mostly to identify for which goals and objects it is suitable. The automatic approach will be mainly analyzed.

  19. Further development of the spindle seal on reactor valves and development for increasing serviceability

    International Nuclear Information System (INIS)

    Zilling, H.

    1977-01-01

    A literature search concerning packing glands for sealing oscillating rods was marginally profitable. In order to design single-wall siphons a programme has been developed, in which by applying boundary conditions such as range, pressure, setting - the distortion tension which occur in each section of the siphon and also its life can be calculated. In the 'serviceability' project records have been kept during the installation of dampers and valves. (orig.) [de

  20. Projected increases in the annual flood pulse of the Western Amazon

    OpenAIRE

    Zulkafli, Z.; Buytaert, W.; Manz, B.; Rosas, C. V.; Willems, P.; Lavado-Casimiro, W.; Guyot, Jean-Loup; Santini, William

    2016-01-01

    The impact of a changing climate on the Amazon basin is a subject of intensive research because of its rich biodiversity and the significant role of rainforests in carbon cycling. Climate change has also a direct hydrological impact, and increasing efforts have focused on understanding the hydrological dynamics at continental and subregional scales, such as the Western Amazon. New projections from the Coupled Model Inter-comparison Project Phase 5 ensemble indicate consistent climatic warming...

  1. Controlling applied to information processing: quality management applied to IP projects and IP services; Informationsverarbeitungs-Controlling: Qualitaetsmanagement fuer IV-Projekte und fuer IV-Service

    Energy Technology Data Exchange (ETDEWEB)

    Becker, B. [Vereinigung Deutscher Elektrizitaetswerke e.V. (VDEW), Frankfurt am Main (Germany); Beckers, F. [Isar-Amperwerke AG, Muenchen (Germany); Dewald, N. [Bayernwerk AG, Muenchen (Germany); Hauffe, P. [Pfalzwerke AG, Ludwigshafen am Rhein (Germany); Hein, F. [EVS AG Stuttgart (Germany); Hoederath, M. [Vereinigte Elektrizitaetswerke Westfalen AG (VEW), Dortmund (Germany); Seyen, R. [Staedtische Werke Nuernberg GmbH (Germany)

    1998-01-12

    The working group on information processing (IP) basics (in German: `IV-Grundlagen`) has prepared this contribution dealing with controlling applied to information processing. This new report, on the one hand, takes into consideration the role of the organizational IP unit as one offering its services to all sections of a company. On the other hand, information processing as an operational infrastructure influencing all business processes becomes increasingly important with respect to the competitiveness of the EVU. Therefore, quality management applied to IP projects and IP services must support this development. (orig./RHM) [Deutsch] Der VDEW Arbeitskreis `IV-Grundlagen` hat einen Beitrag zum Controlling fuer die Informationsverarbeitung erstellt. Hier geht zum einen die Rolle der Organisationseinheit IV als Dienstleister fuer alle Unternehmensbereiche ein. Zum anderen gewinnt die Informationsverarbeitung als betriebliche Infrastruktur fuer alle Geschaeftsprozesse zunehmende Bedeutung fuer die Wettbewerbsfaehigkeit der EVU. Das Qualitaetsmanagement fuer IV-Projekte und fuer IV-Service muss dies unterstuetzen. (orig./RHM)

  2. Universal access to ambulance does not increase overall demand for ambulance services in Queensland, Australia.

    Science.gov (United States)

    Tippett, Vivienne C; Toloo, Ghasem Sam; Eeles, David; Ting, Joseph Y S; Aitken, Peter J; Fitzgerald, Gerard J

    2013-02-01

    To determine the impact of the introduction of universal access to ambulance services via the implementation of the Community Ambulance Cover (CAC) program in Queensland in 2003-04. The study involved a 10-year (2000-01 to 2009-10) retrospective analysis of routinely collected data reported by the Queensland Ambulance Service (QAS) and by the Council of Ambulance Authorities. The data were analysed for the impact of policy changes that resulted in universal access to ambulance services in Queensland. QAS is a statewide, publically funded ambulance service. In Queensland, ambulance utilisation rate (AUR) per 1000 persons grew by 41% over the decade or 3.9% per annum (10-year mean=149.8, 95% CI: 137.3-162.3). The AUR mean after CAC was significantly higher for urgent incidents than for non-urgent ones. However projection modelling demonstrates that URs after the introduction of CAC were significantly lower than the projected utilisation for the same period. The introduction of universal access under the Community Ambulance Cover program in Queensland has not had any significant independent long-term impact on demand overall. There has been a reduction in the long-term growth rate, which may have been contributed to by an 'appropriate use' public awareness program.

  3. Student experiences of the adolescent diversion project: a community-based exemplar in the pedagogy of service-learning.

    Science.gov (United States)

    Davidson, William S; Jimenez, Tiffeny R; Onifade, Eyitayo; Hankins, Sean S

    2010-12-01

    Service-learning partnerships between universities and surrounding communities striving to create systems-level change must consider an emphasis in critical community service; a community centered paradigm where students are taught to work with communities to better understand contexts surrounding a social problem, as opposed to merely volunteering to provide a service to a community. The Adolescent Diversion Project (ADP), which has been operating for over 30 years, demonstrates critical community service through the type of relationship built between students and the local community. This article describes: a qualitative study with ADP students, the historical context of ADP, what and how students learned through their involvement in ADP, and reframes the work of this project as a form of service-learning pedagogy. Inductive content analysis was employed to identify underlying themes across participants related to their personal experiences of ADP and its impact in their lives. Findings were compared with service-learning outcomes and other quantitative studies conducted with past ADP cohorts from the literature. Consistent with past studies, ADP students become more negative toward social systems involved with their youth. This finding may explain an increase in feelings of political commitment following involvement in ADP. Consistent with service-learning outcomes, results demonstrate that ADP should be further documented as not only an effective community-based program but also as an exemplar in the pedagogy of service-learning. This study highlights why service-learning opportunities for students are not just one way to teach students, they are opportunities to bridge relationships within communities, bring life to theoretical concepts, and build the foundations necessary for educated citizens that will one day take lead roles in our society.

  4. Increasing podiatry referrals for patients with inflammatory arthritis at a tertiary hospital in Singapore: A quality improvement project.

    Science.gov (United States)

    Carter, K; Cheung, P P; Rome, K; Santosa, A; Lahiri, M

    2017-06-01

    Foot disease is highly prevalent in people with inflammatory arthritis and is often under-recognized. Podiatry intervention can significantly reduce foot pain and disability, with timely access being the key factor. The aim of this study was to plan and implement a quality improvement project to identify the barriers to, and improve, uptake of podiatry services among patients with inflammatory arthritis-related foot problems seen at a tertiary hospital in Singapore. A 6-month quality improvement program was conducted by a team of key stakeholders using quality improvement tools to identify, implement and test several interventions designed to improve uptake of podiatry services. The number of patients referred for podiatry assessment was recorded on a weekly basis by an experienced podiatrist. The criterion for appropriate referral to podiatry was those patients with current or previous foot problems such as foot pain, swelling and deformity. Interventions included education initiatives, revised workflow, development of national guidelines for inflammatory arthritis, local podiatry guidelines for the management of foot and ankle problems, routine use of outcome measures, and introduction of a fully integrated rheumatology-podiatry service with reduced cost package. Referral rates increased from 8% to 11%, and were sustained beyond the study period. Complete incorporation of podiatry into the rheumatology consultation as part of the multidisciplinary team package further increased referrals to achieve the target of full uptake of the podiatry service. Through a structured quality improvement program, referrals to podiatry increased and improved the uptake and acceptance of rheumatology-podiatry services. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. INCREASING CULTURALLY COMPETENT NEUROPSYCHOLOGICAL SERVICES FOR ETHNIC MINORITY POPULATIONS: A CALL TO ACTION

    Science.gov (United States)

    Mindt, Monica Rivera; Byrd, Desiree; Saez, Pedro; Manly, Jennifer

    2010-01-01

    US demographic and sociopolitical shifts have resulted in a rapidly growing need for culturally competent neuropsychological services. However, clinical neuropsychology as a field has not kept pace with the needs of ethnic minority clients. In this discussion we review: historical precedents and the limits of universalism in neuropsychology; ethical/professional guidelines pertinent to neuropsychological practice with ethnic minority clients; critical cultural considerations in neuropsychology; current disparities germane to practice; and challenges to the provision of services to racial/ethnic minority clients. We provide a call to action for neuropsychologists and related organizations to advance multiculturalism and diversity within the field by increasing multicultural awareness and knowledge, multicultural education and training, multicultural neuropsychological research, and the provision of culturally competent neuropsychological services to racial/ethnic minority clients. Lastly, we discuss strategies for increasing the provision of culturally competent neuropsychological services, and offer several resources to meet these goals. PMID:20373222

  6. Increasing corn for biofuel production reduces biocontrol services in agricultural landscapes

    NARCIS (Netherlands)

    Landis, D.A.; Gardiner, M.M.; Werf, van der W.; Swinton, S.M.

    2008-01-01

    Increased demand for corn grain as an ethanol feedstock is altering U. S. agricultural landscapes and the ecosystem services they provide. From 2006 to 2007, corn acreage increased 19% nationally, resulting in reduced crop diversity in many areas. Biological control of insects is an ecosystem

  7. Pedagogical Strategies to Increase Pre-service Teachers’ Confidence in Computer Learning

    Directory of Open Access Journals (Sweden)

    Li-Ling Chen

    2004-07-01

    Full Text Available Pre-service teachers’ attitudes towards computers significantly influence their future adoption of integrating computer technology into their teaching. What are the pedagogical strategies that a teacher education instructor or an instructional designer can incorporate to enhance a pre-service teacher’s comfort level in using computers? In this exploratory report, the researcher synthesizes related literature, provides a comprehensive list of theory-based instructional strategies, and describes a study of the perceptions of 189 pre-service teachers regarding strategies related to increasing their comfort in using computers.

  8. 77 FR 37101 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-06-20

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee will be conducted. The Taxpayer Advocacy Panel is soliciting public comments, ideas, and...

  9. 77 FR 40411 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-07-09

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee will be conducted. The Taxpayer Advocacy Panel is soliciting public comments, ideas, and...

  10. 77 FR 21157 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-04-09

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS) Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee will be conducted. The Taxpayer Advocacy Panel is soliciting public comments, ideas, and...

  11. 77 FR 55525 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-09-10

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee will be conducted. The Taxpayer Advocacy Panel is soliciting public comments, ideas, and...

  12. Economic Analysis of Cikaso Mini Hydro Power Plant as a CDM Project for Increasing IRR

    Directory of Open Access Journals (Sweden)

    Irhan Febijanto

    2013-12-01

    Full Text Available Renewable energy fueled power generations are few developed by private sector in Indonesia. High-cost investment and low electricity selling price to PT PLN as a single buyer is main barriers for private sector to involve in the development of renewable energy fueled power generations. In this project, the economic feasibility of Mini Hydro Power Plant of Cikaso with capacity of 5.3 MW, located at Sukabumi Regency, West Java province was assessed. This project utilized revenue generated from carbon market to increase the economic feasibility. Procedure to register the project to United Nation for Climate Change Convention (UNFCCC as a Clean Development Mechanism project was explained in detail. Approved Consolidation Methodology (ACM 0002 Version 12.3.0 was used to calculate grid emission factor in Jawa-Bali-Madura the grid electricity system. It was calculated that the grid emission factor is 0.833 (t-CO2/MWh, and the carbon emission reduction generated for this project is 21,982 ton/year. From the analysis result, it can be proven that the additional revenue from carbon credit could increase the project IRR from 10.28% to 13.52%.

  13. Increasing EFL Learners’ Oral Production at a Public School Through Project-Based Learning

    Directory of Open Access Journals (Sweden)

    Ady Marcela Vaca Torres

    2017-07-01

    Full Text Available This research study examined how a group of ninth graders enhanced the speaking skill in an English as a foreign language classroom through project-based learning. Data about the experience were collected through field notes, transcripts of learners’ oral performance, and one interview. Grounded theory was implemented for data analysis, out of which three main findings emerged: (1 project-based learning encouraged students to increase oral production through lexical competence development, (2 helped them to overcome fears of speaking in L2, and (3, increased their interest in learning about their school life and community.

  14. Influence of gap length on the field increase factor β of an electrode projection (whisker)

    International Nuclear Information System (INIS)

    Miller, H.C.

    1984-01-01

    β, the increase of the macroscopic electric field at the tip of a projection, varies with the gap length. The sign and magnitude of this variation depends upon how the gap length is defined. If gap length is defined as x, the distance from the projection tip to the opposing electrode, then β is a strong function of x and may be approximated by β(x) = β/sub infinity/x/(x+h) [h = projection height] in the region where x/h>10/β/sub infinity/. If gap length is defined as d, the interelectrode distance ignoring the projection, then β is a weak function of d and may be set equal to β/sub infinity/ in the region d/h>2

  15. Undergraduate nursing students' perceptions of service-learning through a school-based community project.

    Science.gov (United States)

    Bassi, Sherry

    2011-01-01

    Service-learning (SL) is an experiential teaching method that combines instruction with community service, with the aim of enriching students' academic learning, interpersonal skills and sense of responsibility while making meaningful contributions to the community. However, measuring outcomes of service-learning projects is difficult. This article reports on the perceptions of 18 third-year undergraduate nursing students who took part in a pilot service-learning project targeting tobacco use in a local elementary school. Faculty members evaluated the program's outcomes by engaging students in structured reflection on the program about its relevance to their future careers as practicing professionals, especially in community-based settings. The students' perceptions were elicited through three sets of reflective assignments following the project. Findings from the reflective assignments suggest that the pilot program was successful in enhancing the students' academic, social, and personal development while building a partnership between the school of nursing and key players in the community, including school-based nurses, teachers, administrators, families, and community leaders. The author suggests that service-learning projects can help nursing students accomplish key developmental tasks of the college years (such as building their competence, autonomy, and integrity), while helping impart the skills and values they will need as they graduate and seek professional nursing roles.

  16. Integrating mental health services into primary HIV care for women: the Whole Life project.

    OpenAIRE

    Dodds, Sally; Nuehring, Elane M.; Blaney, Nancy T.; Blakley, Theresa; Lizzotte, Jean-Marie; Lopez, Myriam; Potter, JoNell E.; O'Sullivan, Mary J.

    2004-01-01

    The high rate of mental health problems in HIV-infected women jeopardizes the health of this vulnerable population, and constitutes a mandate for integrating mental health services into HIV primary care. The Whole Life project-a collaboration of the departments of Psychiatry and Obstetrics/Gynecology at the University of Miami School of Medicine-successfully integrated mental health services into primary HIV care for women. This article describes the conceptual framework of the integration, i...

  17. The place and role of project management in the field of sports and recreation services

    Directory of Open Access Journals (Sweden)

    Skopin Oleg Viktorovich

    2012-03-01

    Full Text Available The author notes that in Russia the greatest application in the management area of health and fitness services received target-oriented and process approaches. Task that requires immediate action, is to develop an effective system of management development sphere of physical culture and recreational services, based on methodological developments in the field of project management, taking into account the peculiarities of the industry, based on the use of appropriate management technologies.

  18. Using Service-Learning Projects to Jump Start Research at Small Institutions

    Science.gov (United States)

    Ongley, L. K.; Spigel, K.; Olin, J.

    2010-12-01

    Geoscientists at small institutions must frequently be very creative about funding and conducting research. High teaching loads, tuition-driven budgets, and a dearth of geosciences colleagues all contribute challenges to an intellectual life that includes research as a scholarship endeavor. Fortunately, service-learning can be used as a multi-purpose pedagogical technique. Unity College is a very small environmentally-focused undergraduate institution in rural Maine with a student population of less than 600 students. Our students really appreciate learning in the field and through participation in projects that impact the communities in which they live and study. Our Environmental Science (geosciences) and Environmental Analysis (chemistry) majors have been showing increasing interest in pursuing graduate school and independent projects in greater and greater depth. In the past 5 years we have had a complete turn-over in geoscience and chemistry faculty (2 persons), a shift that has brought new ideas to campus and a different idea about importance of research. Unity College has always been a big proponent of community-based projects so the extension to service learning as a pedagogical technique has been smooth. A wide variety of towns, schools, land trusts, pond associations and other groups approach Unity College with project ideas. We are best equipped to handle suggestions that relate to environmental chemistry and to lake sedimentation owing to the research interests of our geoscience faculty. We present two examples of ways to sequence student work that ultimately end in student/faculty research projects. Sophomores in the Unity College Environmental Stewardship Core curriculum may choose to take a course that introduces lake sedimentation as a tool to study environmental change. Students in the course take several sediment cores to analyze proxies of environmental change to reconstruct past environments. The final results are reported to the community

  19. Projected increases in the annual flood pulse of the western Amazon

    Science.gov (United States)

    Zulkafli, Zed; Buytaert, Wouter; Manz, Bastian; Veliz Rosas, Claudia; Willems, Patrick; Lavado-Casimiro, Waldo; Guyot, Jean-Loup; Santini, William

    2016-04-01

    The impact of a changing climate on the Amazon basin is a subject of intensive research due to its rich biodiversity and the significant role of rain forest in carbon cycling. Climate change has also direct hydrological impact, and there have been increasing efforts to understand such dynamics at continental and subregional scales such as the scale of the western Amazon. New projections from the Coupled Model Inter- comparison Project Phase 5 (CMIP5) ensemble indicate consistent climatic warming and increasing seasonality of precipitation in the Peruvian Amazon basin. Here we use a distributed land surface model to quantify the potential impact of this change in the climate on the hydrological regime of the river. Using extremes value analysis, historical and future projections of the annual minimum, mean, and maximum river flows are produced for a range of return periods between 1 and 100 years. We show that the RCP 4.5 and 8.5 scenarios of climate change project an increased severity of the wet season flood pulse (7.5% and 12% increases respectively for the 100- year return floods). These findings are in agreement with previously projected increases in high extremes under the Special Report on Emissions Scenarios (SRES) climate projections, and are important to highlight due to the potential consequences on reproductive processes of in-stream species, swamp forest ecology, and socio-economy in the floodplain, amid a growing literature that more strongly emphasises future droughts and their impact on the viability of the rain forest system over the greater Amazonia.

  20. Studying Student Benefits of Assigning a Service-Learning Project Compared to a Traditional Final Project in a Business Statistics Class

    Science.gov (United States)

    Phelps, Amy L.; Dostilio, Lina

    2008-01-01

    The present study addresses the efficacy of using service-learning methods to meet the GAISE guidelines (http://www.amstat.org/education/gaise/GAISECollege.htm) in a second business statistics course and further explores potential advantages of assigning a service-learning (SL) project as compared to the traditional statistics project assignment.…

  1. The User Community and a Multi-Mission Data Project: Services, Experiences and Directions of the Space Physics Data Facility

    Science.gov (United States)

    Fung, Shing F.; Bilitza, D.; Candey, R.; Chimiak, R.; Cooper, John; Fung, Shing; Harris, B.; Johnson R.; King, J.; Kovalick, T.; hide

    2008-01-01

    From a user's perspective, the multi-mission data and orbit services of NASA's Space Physics Data Facility (SPDF) project offer a unique range of important data and services highly complementary to other services presently available or now evolving in the international heliophysics data environment. The VSP (Virtual Space Physics Observatory) service is an active portal to a wide range of distributed data sources. CDAWeb (Coordinate Data Analysis Web) enables plots, listings and file downloads for current data cross the boundaries of missions and instrument types (and now including data from THEMIS and STEREO). SSCWeb, Helioweb and our 3D Animated Orbit Viewer (TIPSOD) provide position data and query logic for most missions currently important to heliophysics science. OMNIWeb with its new extension to 1- and 5-minute resolution provides interplanetary parameters at the Earth's bow shock as a unique value-added data product. SPDF also maintains NASA's CDF (common Data Format) standard and a range of associated tools including translation services. These capabilities are all now available through webservices-based APIs as well as through our direct user interfaces. In this paper, we will demonstrate the latest data and capabilities now supported in these multi-mission services, review the lessons we continue to learn in what science users need and value in this class of services, and discuss out current thinking to the future role and appropriate focus of the SPDF effort in the evolving and increasingly distributed heliophysics data environment.

  2. Projects for increasing job satisfaction and creating a healthy work environment.

    Science.gov (United States)

    Brunges, Michele; Foley-Brinza, Christine

    2014-12-01

    Workplace culture is one of the biggest factors driving employee commitment and engagement. Multiple studies have shown that hospitals will perform better over time if employees are committed to their jobs and engaged in what they do. By creating and implementing multiple projects during a three-year period, a team at the University of Florida Health Shands Hospital, Gainesville, increased job satisfaction. Projects included ensuring meal breaks were offered, creating a serenity area, developing the patient ambassador role, actively addressing bullying and unprofessional behavior, assigning a student mentee to work with staff members on culture change, offering regular fun activities, redesigning the unit, reorganizing schedules to reduce stress, implementing education and training initiatives, establishing a Unit Practice Council, and implementing reward and recognition programs. Survey results and anecdotal evidence suggest that these projects combined to increase employee satisfaction and employee retention rates. Copyright © 2014 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  3. SOAP based web services and their future role in VO projects

    Science.gov (United States)

    Topf, F.; Jacquey, C.; Génot, V.; Cecconi, B.; André, N.; Zhang, T. L.; Kallio, E.; Lammer, H.; Facsko, G.; Stöckler, R.; Khodachenko, M.

    2011-10-01

    Modern state-of-the-art web services are from crucial importance for the interoperability of different VO tools existing in the planetary community. SOAP based web services assure the interconnectability between different data sources and tools by providing a common protocol for communication. This paper will point out a best practice approach with the Automated Multi-Dataset Analysis Tool (AMDA) developed by CDPP, Toulouse and the provision of VEX/MAG data from a remote database located at IWF, Graz. Furthermore a new FP7 project IMPEx will be introduced with a potential usage example of AMDA web services in conjunction with simulation models.

  4. RIBA Project - Risk-Informed approach for In-Service Inspection of Nuclear Power Plant Components. Project summary

    International Nuclear Information System (INIS)

    Lidbury, D.; Smith, G.

    2001-12-01

    The need for a European review of a Risk-Informed Approach for In-Service Inspection of Nuclear Power Plant Components (RIBA) was identified in 1998. This was as a priority item in the programme of activities conducted in the framework of the Council Resolutions of 22 July 1975 and of 18 June 1992 on the Technological Problems of Nuclear Safety. The RIBA Project was established in November 1999 as a 24-month Study Contract funded by the European Commission within the frame of the former DG XI WGCS (Working Group on Codes and Standards). The Study Contract was subsequently managed for the EC by DG TREN. The participants in RIBA were Serco Assurance (project coordinator), Ringhals AB, EDF, Tecnatom SA and Westinghouse Electric Europe. The work is presented in a summary report with the detailed results contained in three companion reports as follows: main conclusions and recommendations, Review of Existing Risk-Informed Methodologies, A Comparative Study of Risk-Informed In-Service Inspection Applications, Conclusions and Recommendations for Risk-Informed in-service inspection methodology applied to Nuclear Power Plants in Europe. (author)

  5. Focused Campaign Increases Activity among Participants in "Nature's Notebook," a Citizen Science Project

    Science.gov (United States)

    Crimmins, Theresa M.; Weltzin, Jake F.; Rosemartin, Alyssa H.; Surina, Echo M.; Marsh, Lee; Denny, Ellen G.

    2014-01-01

    Science projects, which engage non-professional scientists in one or more stages of scientific research, have been gaining popularity; yet maintaining participants' activity level over time remains a challenge. The objective of this study was to evaluate the potential for a short-term, focused campaign to increase participant activity in a…

  6. Increase of Investment Appeal of Projects for Noise Control Measures in Urban Environment

    Science.gov (United States)

    Kolmakov, A. V.; Ignatyeva, V. O.

    2017-11-01

    The authors analyzed the contemporary noise pollution level in the large cities of the Russian Federation. The article identifies the factors causing the reduction of acoustically comfortable urban territories. It states the task for the increase of investment appeal of the projects aimed at noise control measures adoption.

  7. "Project ACTS": An Intervention to Increase Organ and Tissue Donation Intentions among African Americans

    Science.gov (United States)

    Arriola, Kimberly; Robinson, Dana H.; Thompson, Nancy J.; Perryman, Jennie P.

    2010-01-01

    This study sought to evaluate the effectiveness of "Project ACTS: About Choices in Transplantation and Sharing," which was developed to increase readiness for organ and tissue donation among African American adults. Nine churches (N = 425 participants) were randomly assigned to receive donation education materials currently available to consumers…

  8. Social accountability and education revives health sub-centers in India and increases access to family planning services

    Directory of Open Access Journals (Sweden)

    Susan Otchere

    2017-01-01

    Full Text Available Background: Uttar Pradesh (UP is the most populous state in India. The maternal mortality ratio, infant mortality rate, and fertility rates are all higher than the national average. Sixty percent of UP inhabitants live in rural communities. The reasons behind the poor state of health and services in many areas of UP are inadequate knowledge and availability in communities of healthy behaviors, and information on available government health services. Methods: World Vision, Inc. implemented a three-and-half year mobilizing plan for maternal and neonatal health through a birth spacing and advocacy project (MOMENT, partnering with local organizations in rural Hardoi and urban slums of Lucknow districts in UP. World Vision used print, audio, visual media, and house-to-house contacts to educate communities on timing and spacing of pregnancies; and the benefits of seeking and using maternal and child health services (MCH including immunization and family planning (FP.This paper focuses on World Vision’s social accountability strategy – Citizen Voice and Action (CVA and interface meetings – used in Hardoi that helped educate and empower Village Health Sanitation and Nutrition Committees (VHSNCs and village leaders to access government untied funds to improve community social and health services. Results: Forty VHSNCs were revived in 24 months. Nine local leaders accessed government untied funds. In addition, increased knowledge of the benefits of timing and spacing of pregnancies, maternal child health, family planning services, and access to community entitlements led the community to embrace and contribute their time to rebuild and re-open 17 non-functional Auxiliary Nurse Midwife (ANM sub-centers. Seventeen ANMs received refresher training to provide quality care. Sub-center data showed that 1,121 and 3,156 women opted for intra-uterine contraceptive device and oral pills, respectively, and 29,316 condoms were distributed. Conclusion: In Hardoi

  9. Increased utilization of health care services after psychotherapy: a register based study

    DEFF Research Database (Denmark)

    Fenger, Morten Munthe; Poulsen, Stig Bernt; Mortensen, Erik Lykke

    2012-01-01

    services for patients referred to psychotherapeutic treatment in 2004 and 2005. Method The study was a matched control study, which included 716 consecutive patients and 15,220 matched controls. Data from a comprehensive set of health care services were collected from central registries for an observation...... period of four years before intake and four years after ended treatment. Changes in utilization of health care services in eight health parameters were analyzed with t-test and with ANCOVA one and four year pre-post treatment. Results Of the 761 patients, 216 patients did not show up for treatment, while...... 545 patients completed treatment; 228 responded and 201 did not respond to treatment. Data on treatment response was missing for the remaining 116 patients. Completer patients increased their use of all health care services with 296% (ES=0.58) in the four year pre-post comparison, while the control...

  10. Access to health services in Western Newfoundland, Canada: Issues, barriers and recommendations emerging from a community-engaged research project

    Directory of Open Access Journals (Sweden)

    Janelle Hippe

    2014-06-01

    Full Text Available Research indicates that people living in rural and remote areas of Canada face challenges to accessing health services. This article reports on a community-engaged research project conducted by investigators at Memorial University of Newfoundland in collaboration with the Rural Secretariat Regional Councils and Regional Partnership Planners for the Corner Brook–Rocky Harbour and Stephenville–Port aux Basques Rural Secretariat Regions of Newfoundland and Labrador. The aim of this research was to gather information on barriers to accessing health services, to identify solutions to health services’ access issues and to inform policy advice to government on enhancing access to health services. Data was collected through: (1 targeted distribution of a survey to communities throughout the region, and (2 informal ‘kitchen table’ discussions to discuss health services’ access issues. A total of 1049 surveys were collected and 10 kitchen table discussions were held. Overall, the main barriers to care listed in the survey included long wait times, services not available in the area and services not available at time required. Other barriers noted by survey respondents included transportation problems, financial concerns, no medical insurance coverage, distance to travel and weather conditions. Some respondents reported poorer access to maternal/child health and breast and cervical screening services and a lack of access to general practitioners, pharmacy services, dentists and nurse practitioners. Recommendations that emerged from this research included improving the recruitment of rural physicians, exploring the use of nurse practitioners, assisting individuals with travel costs,  developing specialist outreach services, increasing use of telehealth services and initiating additional rural and remote health research. Keywords: rural, remote, healthcare, health services, social determinants of health

  11. FEE-SCHEDULE INCREASES IN CANADA: IMPLICATION FOR SERVICE VOLUMES AMONG FAMILY AND SPECIALIST PHYSICIANS.

    Science.gov (United States)

    Ariste, Ruolz

    2015-01-01

    Physician spending has substantially increased over the last few years in Canada to reach $27.4 billion in 2010. Total clinical payment to physicians has grown at an average annual rate of 7.6% from 2004 to 2010. The key policy question is whether or not this additional money has bought more physician services. So, the purpose of this study is to understand if we are paying more for the same amount of medical services in Canada or we are getting more bangs for our buck. At the same time, the paper attempts to find out whether or not there is a productivity difference between family physician services and surgical procedures. Using the Baumol theory and data from the National Physician Database for the period 2004-2010, the paper breaks down growth in physician remuneration into growth in unit cost and number of services, both from the physician and the payer perspectives. After removing general inflation and population growth from the 7.6% growth in total clinical payment, we found that real payment per service and volume of services per capita grew at an average annual rate of 3.2% and 1.4% respectively, suggesting that payment per service was the main cost driver of physician remuneration at the national level. Taking the payer perspective, it was found that, for the fee-for-service (FFS) scheme, volume of services per physician decreased at an average annual rate of -0.6%, which is a crude indicator that labour productivity of physicians on FFS has fallen during the period. However, the situation differs for the surgical procedures. Results also vary by province. Overall, our finding is consistent with the Baumol theory, which hypothesizes higher productivity growth in technology-driven sectors.

  12. A socioeconomic assessment of Forest Service American Recovery and Reinvestment Act projects: eight case studies

    Science.gov (United States)

    Susan Charnley; Pamela J. Jakes; John Schelhas

    2011-01-01

    The American Recovery and Reinvestment Act of 2009 aimed to create jobs and jumpstart the economy while addressing the Nation’s social and environmental needs. The U.S. Department of Agriculture, Forest Service, received $1.15 billion in recovery funding to support projects in wildland fire management, capital improvement and maintenance, and biomass utilization. This...

  13. New Media Institute – Personal Public Service Announcement Project

    Centers for Disease Control (CDC) Podcasts

    2009-05-15

    In this podcast, Erin Edgerton, CDC, and Scott Shamp, New Media Institute, University of Georgia, discuss new media and the personal public service announcement project.  Created: 5/15/2009 by National Center for Health Marketing (NCHM), Division of eHealth Marketing (DeHM).   Date Released: 2/10/2010.

  14. 75 FR 26945 - International Education Programs Service-Fulbright-Hays Group Projects Abroad Program

    Science.gov (United States)

    2010-05-13

    .... Schools and/or departments of education have a role to play in creating greater exposure since they are... DEPARTMENT OF EDUCATION International Education Programs Service--Fulbright-Hays Group Projects... Postsecondary Education, Department of Education. ACTION: Notice of proposed priorities. SUMMARY: The Assistant...

  15. 34 CFR 643.4 - What services may a project provide?

    Science.gov (United States)

    2010-07-01

    ... as cultural events, academic programs, and other sites or activities not usually available to disadvantaged youth. (h) Workshops and counseling for parents of students served. (i) Mentoring programs... provide? A Talent Search project may provide the following services: (a) Academic advice and assistance in...

  16. Integrating Project-Based Service-Learning into an Advanced Environmental Chemistry Course

    Science.gov (United States)

    Draper, Alison J.

    2004-01-01

    An active service-learning research work is conducted in the field of advanced environmental chemistry. Multiple projects are assigned to students, which promote individual learning skills, self-confidence as scientists, and a deep understanding of the environmental chemist's profession.

  17. A Service-Learning Project in Chemistry: Environmental Monitoring of a Nature Preserve

    Science.gov (United States)

    Kammler, David C.; Truong, Triet M.; VanNess, Garrett; McGowin, Audrey E.

    2012-01-01

    A collaborative environmental service-learning project was implemented between upper-level undergraduate science majors and graduate chemistry students at a large state school and first-year students at a small private liberal arts college. Students analyzed the water quality in a nature preserve by determining the quantities of 12 trace metals,…

  18. Interdisciplinary collaboration within project-level NEPA teams in the US Forest Service

    Science.gov (United States)

    James W. Freeman; Marc J. Stern; Michael Mortimer; Dale J. Blahna; Lee K. Cerveny

    2011-01-01

    Interdisciplinary teamwork has become a foundation of natural resources planning and management in the US. Yet, we know little about the degree of interdisciplinary collaboration of natural resource planning teams. We conducted 10 case studies of Forest Service NEPA (National Environmental Policy Act) teams working on projects related to the 2005 Travel Management Rule...

  19. A rural virtual health sciences library project: research findings with implications for next generation library services*

    OpenAIRE

    Richwine, Margaret (Peggy); McGowan, Julie J.

    2001-01-01

    Purpose: The Shared Hospital Electronic Library of Southern Indiana (SHELSI) research project was designed to determine whether access to a virtual health sciences library and training in its use would support medical decision making in rural southern Indiana and achieve the same level of impact seen by targeted information services provided by health sciences librarians in urban hospitals.

  20. Pre-Service Teachers' Experiences and Views on Project-Based Learning Processes

    Science.gov (United States)

    Dag, Funda; Durdu, Levent

    2017-01-01

    Project-based learning (PjBL) has been promoted as an effective and frequently used student-centered learning approach for various learning environments. To have various learning experiences with PjBL is an important requirement for pre-service teachers (PSTs). The purpose of the study was to investigate the experiences PSTs had with group work…

  1. Examining Success Factors Related to ERP Implementations in Higher Education Shared Services Projects

    Science.gov (United States)

    Stoyanoff, Dawn Galadriel Pfeiffer

    2012-01-01

    This study examined the enterprise resource planning (ERP) implementations that utilized a shared services model in higher education. The purpose of this research was to examine the critical success factors which were perceived to contribute to project success. This research employed a quantitative non-experimental correlational design and the…

  2. Concurrent increases in wet and dry extremes projected in Texas and combined effects on groundwater

    Science.gov (United States)

    Yoon, Jin-Ho; Wang, S.-Y. Simon; Lo, Min-Hui; Wu, Wen-Ying

    2018-05-01

    The US state of Texas has experienced consecutive flooding events since spring 2015 with devastating consequences, yet these happened only a few years after the record drought of 2011. Identifying the effect of climate variability on regional water cycle extremes, such as the predicted occurrence of La Niña in winter 2017–2018 and its association with drought in Texas, remains a challenge. The present analyses use large-ensemble simulations to project the future of water cycle extremes in Texas and assess their connection with the changing El Niño–Southern Oscillation (ENSO) teleconnection under global warming. Large-ensemble simulations indicate that both intense drought and excessive precipitation are projected to increase towards the middle of the 21st century, associated with a strengthened effect from ENSO. Despite the precipitation increase projected for the southern Great Plains, groundwater storage is likely to decrease in the long run with diminishing groundwater recharge; this is due to the concurrent increases and strengthening in drought offsetting the effect of added rains. This projection provides implications to short-term climate anomaly in the face of the La Niña and to long-term water resources planning.

  3. Student-Designed Service-Learning Projects in an Undergraduate Neurobiology Course

    Directory of Open Access Journals (Sweden)

    Katharine V. Northcutt

    2015-12-01

    Full Text Available One of the challenges in teaching a service-learning course is obtaining student buy-in from all students in the course. To circumvent this problem, I have let students in my undergraduate Neurobiology course design their own service-learning projects at the beginning of the semester. Although this can be chaotic because it requires last-minute planning, I have made it successful through facilitating student communication in the classroom, requiring thorough project proposals, meeting with students regularly, and monitoring group progress through written reflection papers. Most of my students have strong opinions about the types of projects that they want to carry out, and many students have used connections that they have already made with local organizations. Almost all projects that students have designed to this point involve teaching basic concepts of neurobiology to children of various ages while simultaneously sparking their interest in science. Through taking ownership of the project and designing it such that it works well with their strengths, interests, and weekly schedule, students have become more engaged in service learning and view it as a valuable experience. Despite some class time being shifted away from more traditional assignments, students have performed equally well in the course, and they are more eager to talk with others about course concepts. Furthermore, the feedback that I have received from community partners has been excellent, and some students have maintained their work with the organizations.

  4. Service-learning and learning communities: two innovative school projects that are mutually enriched

    Directory of Open Access Journals (Sweden)

    Carmen ÁLVAREZ ÁLVAREZ

    2015-12-01

    Full Text Available This article reflects on the interrelationships that exist between two educational projects of today: service-learning (ApS and learning communities (CdA. The ApS is an educational methodology applied worldwide where a single project combines a learning based on experience with the implementation of a service to the community. CdA is a school transformation project to achieve that the information society does not exclude any person, constituting a reality in more than one hundred and ninety schools in Spain and Latin America. Between the two, it is possible to show differences, especially in what refers to its theoretical substrates, but in actual teaching practice in schools there is some harmony, particularly in the so closely that they cultivate both projects with the school community. Therefore, we conclude that service-learning and learning communities can occur as two innovative and relevant today projects which can be mutually enriching: because for both the approach school-community-environment and volunteering is essential.

  5. Projecting climate change in the United States: A technical document supporting the Forest Service RPA 2010 Assessment

    Science.gov (United States)

    Linda A. Joyce; David T. Price; David P. Coulson; Daniel W. McKenney; R. Martin Siltanen; Pia Papadopol; Kevin. Lawrence

    2014-01-01

    A set of climate change projections for the United States was developed for use in the 2010 USDA Forest Service RPA Assessment. These climate projections, along with projections for population dynamics, economic growth, and land use change in the United States, comprise the RPA scenarios and are used in the RPA Assessment to project future renewable resource conditions...

  6. Examining of the Predictors of Pre-Service Teachers' Perceptions of the Quality of the Science Fair Projects in Turkey

    Science.gov (United States)

    Tortop, Hasan Said

    2014-01-01

    This study aimed at examining the predictors of quality of science fair (SF) projects in the light of pre-service teachers' evaluation of SF rubric' domains. These projects were selected by judges in A city for the A Regional Exhibition of Science and Mathematics Project Study for Primary School Students: The SF projects were evaluated by thirty…

  7. The Effects of an Experiential Service-Learning Project on Residential Interior Design Students' Attitudes toward Design and Community

    Science.gov (United States)

    Gomez-Lanier, Lilia

    2016-01-01

    This mixed research methods study explores whether project-based service-learning projects promote greater learning than standard project-based projects and whether introduced earlier into the curriculum promotes a greater student understanding of the world issues affecting their community. The present study focused on comparing sophomore and…

  8. Students Upgrading through Computer and Career Education System Services (Project SUCCESS). Final Evaluation Report 1993-94. OER Report.

    Science.gov (United States)

    Greene, Judy

    Students Upgrading through Computer and Career Education System Services (Project SUCCESS) was an Elementary and Secondary Education Act Title VII-funded project in its fourth year of operation. The project operated at two high schools in Brooklyn and one in Manhattan (New York). In the 1993-94 school year, the project served 393 students of…

  9. Procurement of Architectural and Engineering Services for Sustainable Buildings: A Guide for Federal Project Managers

    Energy Technology Data Exchange (ETDEWEB)

    2004-06-01

    This guide was prepared to be a resource for federal construction project managers and others who want to integrate the principles of sustainable design into the procurement of professional building design and consulting services. To economize on energy costs and improve the safety, comfort, and health of building occupants, building design teams can incorporate daylighting, energy efficiency, renewable energy, and passive solar design into all projects in which these elements are technically and economically feasible. The information presented here will help project leaders begin the process and manage the inclusion of sustainable design in the procurement process. The section on establishing selection criteria contains key elements to consider before selecting an architectural and engineering (A/E) firm. The section on preparing the statement of work discusses the broad spectrum of sustainable design services that an A/E firm can provide. Several helpful checklists are included.

  10. Interdisciplinary Service-Learning: Building Student Competencies through the Cross-Cultural Parent Groups Project

    Directory of Open Access Journals (Sweden)

    Michele Belliveau

    2011-03-01

    Full Text Available Changing demographics and an emphasis on competency-based social work education call for innovative approaches to the delivery of curricular content. In an effort to introduce BSW students to the socio-political issues facing the local Latino immigrant community, a service-learning project was developed in collaboration with the Spanish Language Department and a local middle school. An analysis of outcomes from social work student evaluations showed that students engaged with the community and issues in new and unexpected ways. Through their engagement in a cross-cultural group project, students developed greater cultural competency, honed their group practice skills in an unfamiliar context, provided a needed service to the community, and raised their awareness about the working conditions of new immigrants as part of a developing framework for social action. Details and implications of the project as a means to build student competencies are described.

  11. FACTORS AND REASONS THAT CAN MAKE USERS TO INCREASE THE USAGE OF SMARTPHONE SERVICES

    Directory of Open Access Journals (Sweden)

    Roman Cristina Teodora

    2013-07-01

    In this paper the conclusions related to the reasons and direction that can make users to increase the usage of smartphone services are coming both, from multiple factor regression analysis, as well as from the analysis of the sample research profile.

  12. Transformation Education: A Vehicle for Structuring Group Care Organizations to Increase Service Quality and Effectiveness

    Science.gov (United States)

    Ross, Andrew L.

    2007-01-01

    Transformation Education, an organizational philosophy and operating system, is designed to increase service quality and effectiveness of group care through aligning its organizational structure with its purpose. This alignment is achieved through creating a culture designed to dispense transformation rather than treatment. The author presents how…

  13. Using In-Service and Coaching to Increase Teachers' Accurate Use of Research-Based Strategies

    Science.gov (United States)

    Kretlow, Allison G.; Cooke, Nancy L.; Wood, Charles L.

    2012-01-01

    Increasing the accurate use of research-based practices in classrooms is a critical issue. Professional development is one of the most practical ways to provide practicing teachers with training related to research-based practices. This study examined the effects of in-service plus follow-up coaching on first grade teachers' accurate delivery of…

  14. Reliability theory for repair service organization simulation and increase of innovative attraction of industrial enterprises

    Science.gov (United States)

    Dolzhenkova, E. V.; Iurieva, L. V.

    2018-05-01

    The study presents the author's algorithm for the industrial enterprise repair service organization simulation based on the reliability theory, as well as the results of its application. The monitoring of the industrial enterprise repair service organization is proposed to perform on the basis of the enterprise's state indexes for the main resources (equipment, labour, finances, repair areas), which allows quantitative evaluation of the reliability level as a resulting summary rating of the said parameters and the ensuring of an appropriate level of the operation reliability of the serviced technical objects. Under the conditions of the tough competition, the following approach is advisable: the higher efficiency of production and a repair service itself, the higher the innovative attractiveness of an industrial enterprise. The results of the calculations show that in order to prevent inefficient losses of production and to reduce the repair costs, it is advisable to apply the reliability theory. The overall reliability rating calculated on the basis of the author's algorithm has low values. The processing of the statistical data forms the reliability characteristics for the different workshops and services of an industrial enterprise, which allows one to define the failure rates of the various units of equipment and to establish the reliability indexes necessary for the subsequent mathematical simulation. The proposed simulating algorithm contributes to an increase of the efficiency of the repair service organization and improvement of the innovative attraction of an industrial enterprise.

  15. Increasing reach by offering choices: Results from an innovative model for statewide services for smoking cessation.

    Science.gov (United States)

    Keller, Paula A; Schillo, Barbara A; Kerr, Amy N; Lien, Rebecca K; Saul, Jessie; Dreher, Marietta; Lachter, Randi B

    2016-10-01

    Although state quitlines provide free telephone counseling and often include nicotine replacement therapy (NRT), reach remains limited (1-2% in most states). More needs to be done to engage all smokers in the quitting process. A possible strategy is to offer choices of cessation services through quitlines and to reduce registration barriers. In March 2014, ClearWay Minnesota SM implemented a new model for QUITPLAN® Services, the state's population-wide cessation services. Tobacco users could choose the QUITPLAN® Helpline or one or more Individual QUITPLAN® Services (NRT starter kit, text messaging, email program, or quit guide). The program website was redesigned, online enrollment was added, and a new advertising campaign was created and launched. In 2014-2015, we evaluated whether these changes increased reach. We also assessed quit attempts, quit outcomes, predictors of 30-day abstinence, and average cost per quit via a seven-month follow-up survey. Between March 2014-February 2015, 15,861 unique tobacco users registered, which was a 169% increase over calendar year 2013. The majority of participants made a quit attempt (83.7%). Thirty-day point prevalence abstinence rates (responder rates) were 26.1% for QUITPLAN Services overall, 29.6% for the QUITPLAN Helpline, and 25.5% for Individual QUITPLAN Services. Several variables predicted quit outcomes, including receiving only one call from the Helpline and using both the Helpline and the NRT starter kit. Providing greater choice of cessation services and reducing registration barriers have the potential to engage more tobacco users, foster more quit attempts, and ultimately lead to long-term cessation and reductions in prevalence. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Developing Federated Services within Seismology: IRIS' involvement in the CoopEUS Project

    Science.gov (United States)

    Ahern, T. K.; Trabant, C. M.; Stults, M.

    2014-12-01

    As a founding member of the CoopEUS initiative, IRIS Data Services has partnered with five data centers in Europe and the UC Berkeley (NCEDC) in the US to implement internationally standardized web services to access seismological data using identical methodologies. The International Federation of Digital Seismograph Networks (FDSN) holds commission status within IASPEI/IUGG and as such is the international body that governs data exchange formats and access protocols within seismology. The CoopEUS project involves IRIS and UNAVCO as part of the EarthScope project and the European collaborators are all members of the European Plate Observing System (EPOS). CoopEUS includes one work package that attempts to coordinate data access between EarthScope and EPOS facilities. IRIS has worked with its partners in the FDSN to develop and adopt three key international service standards within seismology. These include 1) fdsn-dataselect, a service that returns time series data in a variety of standard formats, 2) fdsn-station, a service that returns related metadata about a seismic station in stationXML format, and 3) fdsn-event, a service that returns information about earthquakes and other seismic events in QuakeML format. Currently the 5 European data centers supporting these services include the ORFEUS Data Centre in the Netherlands, the GFZ German Research Centre for Geosciences in Potsdam, Germany, ETH Zurich in Switzerland, INGV in Rome, Italy, and the RESIF Data Centre in Grenoble France. Presently these seven centres can all be accessed using standardized web services with identical service calls and returns results in standardized ways. IRIS is developing an IRIS federator that will allow a client to seamlessly access information across the federated centers. Details and current status of the IRIS Federator will be presented.

  17. Budget and financing of mental health services: baseline information on 89 countries from WHO's project atlas.

    Science.gov (United States)

    Saxena, Shekhar; Sharan, Pratap; Saraceno, Benedetto

    2003-09-01

    Very little information is available on budget and financing of mental health services in the world. During year 2001, WHO collected information from all countries on resources available for mental health care as a part of Project Atlas. The present report seeks to describe the situation regarding federal budgets and financing of mental health care at the country level. It also examines the association between relative allocation of health budget to mental health and mental health policy, programme and resource indicators in 89 countries. The information was collected through a questionnaire (with an accompanying glossary) that was sent to the mental health focal point in the Ministry of Health of each country. Eighty nine countries provided information on their mental health budget as a proportion of health budget. In addition, information was obtained on policy, programme and mental health resource indicators (beds, personnel, services to special population and availability of drugs). The results showed that 32% of 191 countries did not have a specified budget for mental health. Of the 89 countries that supplied the requisite information 36% spent less than 1% of their total health budget on mental health. Many countries from Africa (79%) and the South East Asia (63%) were in this subgroup. Comparison with the Global Burden of Disease data showed a marked disparity between burden and resources. Lower income countries allocated a lesser proportion of their health budget on mental health in comparison to higher income countries. The primary method of financing mental health care in most countries was tax-based (60.2%), but many low-income countries depended on out-of-pocket expenditure (16.4%). The presence of mental health policies and programmes in general was not associated with the proportion of health budget allocated to mental health. Counties categorized based on the proportion of mental health budget to health budget, differed significantly in terms of

  18. Enhancing student perspectives of humanism in medicine: reflections from the Kalaupapa service learning project.

    Science.gov (United States)

    Lee, Winona K; Harris, Chessa C D; Mortensen, Kawika A; Long, Linsey M; Sugimoto-Matsuda, Jeanelle

    2016-05-09

    Service learning is endorsed by the Liaison Committee on Medical Education (LCME) as an integral part of U.S. medical school curricula for future physicians. Service learning has been shown to help physicians in training rediscover the altruistic reasons for pursuing medicine and has the potential to enhance students' perspectives of humanism in medicine. The Kalaupapa service learning project is a unique collaboration between disadvantaged post-baccalaureate students with an underserved rural community. This study was conducted to determine whether the Kalaupapa service learning curricula enhanced student perspectives of humanism in medicine at an early stage of their medical training. Program participants between 2008 and 2014 (n = 41) completed written reflections following the conclusion of the service learning project. Four prompts guided student responses. Reflections were thematically analyzed. Once all essays were read, team members compared their findings to condense or expand themes and assess levels of agreement. Emerging themes of resilience and unity were prominent throughout the student reflections. Students expressed respect and empathy for the patients' struggles and strengths, as well as those of their peers. The experience also reinforced students' commitment to service, particularly to populations in rural and underserved communities. Students also gained a deeper understanding of the patient experience and also of themselves as future physicians. To identify and address underserved and rural patients' health care needs, training programs must prepare an altruistic health care workforce that embraces the humanistic element of medicine. The Kalaupapa service learning project is a potential curricular model that can be used to enhance students' awareness and perspectives of humanism in medicine.

  19. Potential increase in floods in California's Sierra Nevada under future climate projections

    Science.gov (United States)

    Das, T.; Dettinger, M.D.; Cayan, D.R.; Hidalgo, H.G.

    2011-01-01

    California's mountainous topography, exposure to occasional heavily moisture-laden storm systems, and varied communities and infrastructures in low lying areas make it highly vulnerable to floods. An important question facing the state-in terms of protecting the public and formulating water management responses to climate change-is "how might future climate changes affect flood characteristics in California?" To help address this, we simulate floods on the western slopes of the Sierra Nevada Mountains, the state's primary catchment, based on downscaled daily precipitation and temperature projections from three General Circulation Models (GCMs). These climate projections are fed into the Variable Infiltration Capacity (VIC) hydrologic model, and the VIC-simulated streamflows and hydrologic conditions, from historical and from projected climate change runs, allow us to evaluate possible changes in annual maximum 3-day flood magnitudes and frequencies of floods. By the end of the 21st Century, all projections yield larger-than-historical floods, for both the Northern Sierra Nevada (NSN) and for the Southern Sierra Nevada (SSN). The increases in flood magnitude are statistically significant (at p models, while under the third scenario, GFDL CM2. 1, frequencies remain constant or decline slightly, owing to an overall drying trend. These increases appear to derive jointly from increases in heavy precipitation amount, storm frequencies, and days with more precipitation falling as rain and less as snow. Increases in antecedent winter soil moisture also play a role in some areas. Thus, a complex, as-yet unpredictable interplay of several different climatic influences threatens to cause increased flood hazards in California's complex western Sierra landscapes. ?? 2011 Springer Science+Business Media B.V.

  20. Integrating Project-Based Service-Learning into an Advanced Environmental Chemistry Course

    Science.gov (United States)

    Draper, Alison J.

    2004-02-01

    In an advanced environmental chemistry course, the inclusion of semester-long scientific service projects successfully integrated the research process with course content. Each project involved a unique community-based environmental analysis in which students assessed an aspect of environmental health. The projects were due in small pieces at even intervals, and students worked independently or in pairs. Initially, students wrote a project proposal in which they chose and justified a project. Following a literature review of their topic, they drafted sampling and analysis plans using methods in the literature. Samples were collected and analyzed, and all students assembled scientific posters describing the results of their study. In the last week of the semester, the class traveled to a regional professional meeting to present the posters. In all, students found the experience valuable. They learned to be professional environmental chemists and learned the value of the discipline to community health. Students not only learned about their own project in depth, but they were inspired to learn textbook material, not for an exam, but because it helped them understand their own project. Finally, having a community to answer to at the end of the project motivated students to do careful work.

  1. Evolution of the U.S. Energy Service Company Industry: Market Size and Project Performance from 1990-2008

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Goldman, Charles A. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Satchwell, Andrew [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-05-08

    The U.S. energy service company (ESCO) industry is an example of a private sector business model where energy savings are delivered to customers primarily through the use of performance-based contracts. This study was conceived as a snapshot of the ESCO industry prior to the economic slowdown and the introduction of federal stimulus funding mandated by enactment of the American Recovery and Reinvestment Act of 2009 (ARRA). This study utilizes two parallel analytic approaches to characterize ESCO industry and market trends in the U.S.: (1) a “top-down” approach involving a survey of individual ESCOs to estimate aggregate industry activity and (2) a “bottom-up” analysis of a database of -3,265 projects (representing over $8B in project investment) that reports market trends including installed EE retrofit strategies, project installation costs and savings, project payback times, and benefit-cost ratios over time. Despite the onset of an economic recession, the U.S. ESCO industry managed to grow at about 7% per year between 2006 and 2008. ESCO industry revenues are relatively small compared to total U.S. energy expenditures (about $4.1 billion in 2008), but ESCOs anticipated accelerated growth through 2011 (25% per year). We found that 2,484 ESCO projects in our database generated -$4.0 billion ($2009) in net, direct economic benefits to their customers. We estimate that the ESCO project database includes about 20% of all U.S. ESCO market activity from 1990-2008. Assuming the net benefits per project are comparable for ESCO projects that are not included in the LBNL database, this would suggest that the ESCO industry has generated -$23 billion in net direct economic benefits for customers at projects installed between 1990 and 2008. We found that nearly 85% of all public and institutional projects met or exceeded the guaranteed level of savings. We estimated that a typical ESCO project generated $1.5 dollars of direct benefits for every dollar of customer

  2. Improved gas installations and services. Phase 1: Analysis project. Part report

    International Nuclear Information System (INIS)

    Nielsen, K.J.

    1996-05-01

    As Danish gas companies receive a large number of complaints related to the installation and operation of gas installations it was suggested that a course for personnel should be established in order to raise the standard of services and installation requirements. The first phase of the described project was to evaluate the quality of the gas installers' services so as to determine which aspects of installation and services should be emphasized during such a course. Interviews were carried out and questionnaires (illustrated within the document) sent out to installaters etc. Recommendations include that the level of information given to customers should be raised, also in relation to maintenance, and that installation should be improved. Analyses of the degree of customers' satisfaction, of the nature of the quality of services etc. expected, subjects for further training in this area and details of the training system are dealt with

  3. Skew Projection of Echo-Detected EPR Spectra for Increased Sensitivity and Resolution

    Science.gov (United States)

    Bowman, Michael K.; Krzyaniak, Matthew D.; Cruce, Alex A.; Weber, Ralph T.

    2013-01-01

    The measurement of EPR spectra during pulsed EPR experiments is commonly accomplished by recording the integral of the electron spin echo as the applied magnetic field is stepped through the spectrum. This approach to echo-detected EPR spectral measurement (ED-EPR) limits sensitivity and spectral resolution and can cause gross distortions in the resulting spectra because some of the information present in the electron spin echo is discarded in such measurements. However, Fourier Transformation of echo shapes measured at a series of magnetic field values followed by skew projection onto either a magnetic field or resonance frequency axis can increase both spectral resolution and sensitivity without the need to trade one against the other. Examples of skew-projected spectra with single crystals, glasses and powders show resolution improvements as large as a factor of seven with sensitivity increases of as much as a factor of five. PMID:23644351

  4. Managing Projects with the Public, -bringing Partnering, Contracts and Financing together in Building Public Services

    DEFF Research Database (Denmark)

    Koch, Christian

    2004-01-01

    of opportunity shows that on the operational level the contractual, financial and skill basis for the project has to be mobilized, negotiated, partly stabilized and renegotiated. The participating actors thus have to develop a new set of skills in dealing with municipalities and managing operations in PPPs....... of projects have had trouble to develop. The paper views PPP as an interaction between an emergent governance frame and operational activities in the project. PPP is an element of a networked public sector and the paper takes a network and political process approach to the shaping of PPP in Denmark....... It is analysed how the governance frame for these type of projects constituted a window of opportunity in the late nineties for “sale and lease back” arrangements, combined with partnering and more traditional design-build contracts. A case of a municipality renewing its school services, exploiting this window...

  5. Integrated care services: lessons learned from the deployment of the NEXES project.

    Science.gov (United States)

    Hernández, Carme; Alonso, Albert; Garcia-Aymerich, Judith; Grimsmo, Anders; Vontetsianos, Theodore; García Cuyàs, Francesc; Altes, Anna Garcia; Vogiatzis, Ioannis; Garåsen, Helge; Pellise, Laura; Wienhofen, Leendert; Cano, Isaac; Meya, Montserrat; Moharra, Montserrat; Martinez, Joan Ignasi; Escarrabill, Juan; Roca, Josep

    2015-01-01

    To identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The four services covered the entire spectrum of severity of illness. The project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus. One health care sector in Spain (Barcelona) (n = 11.382); six municipalities in Norway (Trondheim) (n = 450); and one hospital in Greece (Athens) (n = 388). The four services were: (i) Home-based long-term maintenance of rehabilitation effects (n = 337); (ii) Enhanced Care for frail patients, n = 1340); (iii) Home Hospitalization and Early Discharge (n = 2404); and Support for remote diagnosis (forced spirometry testing) in primary care (Support) (n = 8139). Both randomized controlled trials and pragmatic study designs were combined. Two technological approaches were compared. The Model for Assessment of Telemedicine applications was adopted. The project demonstrated: (i) Sustainability of training effects over time in chronic patients with obstructive pulmonary disease (p management, technological approach and legal issues were major factors modulating the success of the deployment. The project generated a business plan to foster service sustainability and health innovation. Deployment strategies require site-specific adaptations.

  6. Evaluation system of Research and Development projects and services from ININ

    International Nuclear Information System (INIS)

    Reglero, R.

    1994-01-01

    To make a plan for a project is one thing; to control it are a hundred things at the same time. Because of this fact, the enterprises and Research and Development Institutions have searched better ways to manage this activities. The management system of Research and Development projects and services from ININ, is used as a recording, evaluation tracking, information and control of result instrument for these activities. The need to have update information of different activities in the working areas of ININ, such as: Projects, technical or technological services either internal or external; diffusion programs and human resources training programs; and departmental activities, has taken to the development of uniform methods of recording, evaluation tracking and control of events, which allow the standardization, compilation, analysis and reporting of the results in an easy and quick way. The elaboration of an original scheme for the evaluation system of assessment for Research and Development projects and services was started in July 1988, and the data acquisition was manual. The use of Personal Computers began at 1992. (Author)

  7. SEL2 servicing: increased science return via on-orbit propellant replenishment

    Science.gov (United States)

    Reed, Benjamin B.; DeWeese, Keith; Kienlen, Michael; Aranyos, Thomas; Pellegrino, Joseph; Bacon, Charles; Qureshi, Atif

    2016-07-01

    Spacecraft designers are driving observatories to the distant Sun-Earth Lagrange Point 2 (SEL2) to meet ever-increasing science requirements. The mass fraction dedicated to propellant for these observatories to reach and operate at SEL2 will be allocated with the upmost care, as it comes at the expense of optics and instrument masses. As such, these observatories could benefit from on-orbit refueling, allowing greater dry-to-wet mass ratio at launch and/or longer mission life. NASA is developing technologies, capabilities and integrated mission designs for multiple servicing applications in low Earth orbit (LEO), geosynchronous Earth orbit (GEO) and cisluner locations. Restore-L, a mission officially in formulation, will launch a free-flying robotic servicer to refuel a government-owned satellite in LEO by mid 2020. This paper will detail the results of a point design mission study to extend Restore-L servicing technologies from LEO to SEL2. This SEL2 mission would launch an autonomous, robotic servicer spacecraft equipped to extend the life of two space assets through refueling. Two space platforms were chosen to 1) drive the requirements for achieving SEL2 orbit and rendezvous with a spacecraft, and 2) to drive the requirements to translate within SEL2 to conduct a follow-on servicing mission. Two fuels, xenon and hydrazine, were selected to assess a multiple delivery system. This paper will address key mission drivers, such as servicer autonomy (necessitated due to communications latency at L2). Also discussed will be the value of adding cooperative servicing elements to the client observatories to reduce mission risk.

  8. Increased Use of Dental Services by Children Covered by Medicaid: 2000–2010

    Science.gov (United States)

    Ku, Leighton; Sharac, Jessica; Bruen, Brian; Thomas, Megan; Norris, Laurie

    2013-01-01

    This report analyzes the use of dental services by children enrolled in Medicaid from federal fiscal years (FFY) 2000 to 2010. The number and percent of children receiving dental services under Medicaid climbed continuously over the decade. In FFY 2000, 6.3 million children ages 1 to 20 were reported to receive some form of dental care (either preventive or treatment); the number more than doubled to 15.4 million by FFY 2010. Part of the increase was because the overall number of children covered by Medicaid rose by 12 million (50%), but the percentage of children who received dental care climbed appreciably from 29.3% in FFY 2000 to 46.4% in FFY 2010. In that same time period, the number of children ages 1 to 20 receiving preventive dental services climbed from a reported 5.0 million to 13.6 million, while the percentage of children receiving preventive dental services rose from 23.2% to 40.8%. For children ages 1 to 20 who received dental treatment services, the reported number rose from 3.3 million in FFY 2000 to 7.6 million in FFY 2010. The percentage of children who obtained dental treatment services increased from 15.3% to 22.9%. In FFY 2010, about one sixth of children covered by Medicaid (15.7%) ages 6-14 had a dental sealant placed on a permanent molar. While most states have made steady progress in improving children's access to dental care in Medicaid over the past decade, there is still substantial variation across states and more remains to be done. PMID:24753975

  9. Increased use of dental services by children covered by Medicaid: 2000-2010.

    Science.gov (United States)

    Ku, Leighton; Sharac, Jessica; Bruen, Brian; Thomas, Megan; Norris, Laurie

    2013-01-01

    This report analyzes the use of dental services by children enrolled in Medicaid from federal fiscal years (FFY) 2000 to 2010. The number and percent of children receiving dental services under Medicaid climbed continuously over the decade. In FFY 2000, 6.3 million children ages 1 to 20 were reported to receive some form of dental care (either preventive or treatment); the number more than doubled to 15.4 million by FFY 2010. Part of the increase was because the overall number of children covered by Medicaid rose by 12 million (50%), but the percentage of children who received dental care climbed appreciably from 29.3% in FFY 2000 to 46.4% in FFY 2010. In that same time period, the number of children ages 1 to 20 receiving preventive dental services climbed from a reported 5.0 million to 13.6 million, while the percentage of children receiving preventive dental services rose from 23.2% to 40.8%. For children ages 1 to 20 who received dental treatment services, the reported number rose from 3.3 million in FFY 2000 to 7.6 million in FFY 2010. The percentage of children who obtained dental treatment services increased from 15.3% to 22.9%. In FFY 2010, about one sixth of children covered by Medicaid (15.7%) ages 6-14 had a dental sealant placed on a permanent molar. While most states have made steady progress in improving children's access to dental care in Medicaid over the past decade, there is still substantial variation across states and more remains to be done.

  10. Increasing off-service resident productivity while on their emergency department rotation using shift cards.

    Science.gov (United States)

    Chakravarthy, Bharath; Posadas, Emerson; Ibrahim, Deena; McArthur, Kurt; Osborn, Megan; Hoonpongsimanont, Wirachin; Wong, Andrew; Lotfipour, Shahram

    2015-04-01

    Differences in productivity between off-service residents rotating in the emergency department (ED) and their emergency medicine (EM) resident counterparts have never been directly quantified. We sought to quantify the difference between off-service residents rotating in the ED and their EM resident counterparts. We also sought to find whether shift cards could be used to increase the productivity of off-service residents rotating in the ED. This is a prospective cohort study conducted at an urban, tertiary, Level I trauma center. We implemented the use of shift cards for off-service residents during their EM rotation. Completion of the shift card involved recording patients seen and their dispositions, procedures done, and documenting a learned bedside teaching point from their shift that day. Productivity was measured in terms of patients seen per hour (PPH) and relative value units per hour (RVU/h). Off-service residents showed a productivity of 0.529 PPH (95% confidence interval [CI] 0.493-0.566) and 1.40 RVU/h (95% CI 1.28-1.53) prior to implementation of shift cards. With the introduction of shift cards, productivity increased to 0.623 PPH (95% CI 0.584-0.663, p = 0.001) and 1.77 RVU/h (95% CI 1.64-1.91, p = 0.001). In comparison, first year EM resident productivity was 0.970 PPH (95% CI 0.918-1.02) and 3.01 RVU/h (95% CI 2.83-3.19). Shift cards can be used to foster motivation for off-service residents rotating in the ED, and is a simple and cost-effective method to improve system-based practices and utilization of resources. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Child welfare caseworkers as brokers of mental health services: a pilot evaluation of Project Focus Colorado.

    Science.gov (United States)

    Fitzgerald, Monica M; Torres, Marcela M; Shipman, Kimberly; Gorrono, Jessica; Kerns, Suzanne E U; Dorsey, Shannon

    2015-02-01

    Youth in the child welfare system (CWS) have substantially higher rates of mental health needs compared to the general population, yet they rarely receive targeted, evidence-based practices (EBPs). Caseworkers play the critically important role of "service broker" for CWS youth and families. This study examines preliminary caseworker-level outcomes of Project Focus Colorado (PF-C), a training and consultation program designed to improve access to EBPs for CWS youth. PF-C evaluation occurred in four child welfare offices (two intervention [n = 16 caseworkers] vs. two practice-as-usual, wait-list control [WLC; n = 12 caseworkers]). Receipt of PF-C was associated with significantly increased caseworker knowledge of (a) EBPs, (b) child mental health problems, (c) evidence-based treatment components targeting mental health problem areas, and (d) mental health screening instruments, compared to WLC. Dose of training and consultation was associated with greater ability to correctly classify mental health problems and match them to EBPs. These preliminary results suggest that targeted training and consultation help to improve caseworker knowledge of children's mental health needs, EBPs for mental health, and mental health screening instruments. © The Author(s) 2014.

  12. Landslide risk impact management and web services for improving resilience: the LIFE+IMAGINE project approach

    Science.gov (United States)

    Congi, Maria Pia; Campo, Valentina; Cipolloni, Carlo; Delmonaco, Giuseppe; Guerrieri, Luca; Iadanza, Carla; Spizzichino, Daniele; Trigila, Alessandro

    2014-05-01

    The increasing damage caused by natural disasters in the last decades points out the need for interoperable added-value services to support environmental safety and human protection, by reducing vulnerability of exposed elements as well as improving the resilience of the involved communities. For this reason, to provide access to harmonized and customized data is only one of several steps towards delivering adequate support to risk assessment, reduction and management. Scope of the present work is to illustrate a methodology under development for analysis of potential impacts in areas prone to landslide hazard in the framework of the EC project LIFE+IMAGINE. The project aims to implement an infrastructure based on web services for environmental analysis, that integrates in its own architecture specifications and results from INSPIRE, SEIS and GMES. Existing web services will be customized during the project to provide functionalities for supporting the environmental integrated management. The implemented infrastructure will be applied to landslide risk scenarios, to be developed in selected pilot areas, aiming at: i) application of standard procedures to implement a landslide risk analysis; ii) definition of a procedure for assessment of potential environmental impacts, based on a set of indicators to estimate the different exposed elements with their specific vulnerability in the pilot area. More in detail, the landslide pilot will be aimed at providing a landslide risk scenario through the implementation and analysis of: 1) a landslide inventory from available historical databases and maps; 2) landslide susceptibility and hazard maps; 3) assessment of exposure and vulnerability on selected typologies of elements at risk; 4) implementation of a landslide risk scenario for different sets of exposed elements (e.g. population, road network, residential area, cultural heritage). The pilot will be implemented in Liguria, Italy, in two different catchment areas located

  13. Room Service Improves Nutritional Intake and Increases Patient Satisfaction While Decreasing Food Waste and Cost.

    Science.gov (United States)

    McCray, Sally; Maunder, Kirsty; Krikowa, Renee; MacKenzie-Shalders, Kristen

    2018-02-01

    Room service is a foodservice model that has been increasingly implemented across health care facilities in an effort to improve patient satisfaction and reduce food waste. In 2013, Mater Private Hospital Brisbane, Australia, was the first hospital in Australia to implement room service, with the aim of improving patient nutrition care and reducing costs. The aim of this study was to comprehensively evaluate the nutritional intake, plate waste, patient satisfaction, and patient meal costs of room service compared to a traditional foodservice model. A retrospective analysis of quality-assurance data audits was undertaken to assess patient nutritional intake between a facility utilizing a traditional foodservice model and a facility utilizing room service and in a pre-post study design to assess plate waste, patient satisfaction, and patient meal costs before and after the room service implementation. Audit data were collected for eligible adult inpatients in Mater Private Hospital Brisbane and Mater Hospital Brisbane, Australia, between July 2012 and May 2015. The primary outcome measures were nutritional intake, plate waste, patient satisfaction, and patient meal costs. Independent samples t-tests and χ 2 analyses were conducted between pre and post data for continuous data and categorical data, respectively. Pearson χ 2 analysis of count data for sex and reasons for plate waste for data with counts more than five was used to determine asymptotic (two-sided) significance and n-1 χ 2 used for the plate waste analysis. Significance was assessed at P<0.05. This study reported an increased nutritional intake, improved patient satisfaction, and reduced plate waste and patient meal costs with room service compared to a traditional foodservice model. Comparison of nutritional intake between a traditional foodservice model (n=85) and room service (n=63) showed statistically significant increases with room service in both energy (1,306 kcal/day vs 1,588 kcal/day; P=0

  14. One more thing: Faculty response to increased emphasis on project teams in undergraduate engineering education

    Science.gov (United States)

    Hunter, Jane

    Tenured and tenure-track faculty members at institutions of higher education, especially those at Research I institutions, are being asked to do more than ever before. With rapidly changing technology, significant decreases in public funding, the shift toward privately funded research, and the ever increasing expectations of students for an education that adequately prepares them for professional careers, engineering faculty are particularly challenged by the escalating demands on their time. In 1996, the primary accreditation organization for engineering programs (ABET) adopted new criteria that required, among other things, engineering programs to teach students to function on multidisciplinary teams and to communicate effectively. In response, most engineering programs utilize project teams as a strategy for teaching these skills. The purpose of this qualitative study of tenured and tenure track engineering faculty at a Research I institution in the southwestern United States was to explore the variety of ways in which the engineering faculty responded to the demands placed upon them as a result of the increased emphasis on project teams in undergraduate engineering education. Social role theory and organizational climate theory guided the study. Some faculty viewed project teams as an opportunity for students to learn important professional skills and to benefit from collaborative learning but many questioned the importance and feasibility of teaching teamwork skills and had concerns about taking time away from other essential fundamental material such as mathematics, basic sciences and engineering sciences. Although the administration of the College of Engineering articulated strong support for the use of project teams in undergraduate education, the prevailing climate did little to promote significant efforts related to effective utilization of project teams. Too often, faculty were unwilling to commit sufficient time or effort to make project teamwork a

  15. Integration of academic learning and service development through guided projects for rural practitioners in India.

    Science.gov (United States)

    Vyas, Rashmi; Zachariah, Anand; Swamidasan, Isobel; Doris, Priya; Harris, Ilene

    2011-01-01

    Christian Medical College Vellore (CMC) aspired through its Fellowship in Secondary Hospital Medicine (FSHM), a 1-year distance-learning program, to integrate academic learning and service development through guided projects for junior doctors working in small rural hospitals. The purpose of this article is to report the evaluation of the effectiveness of the project work in the FSHM program. Mixed method evaluation was done using focus group discussion with students, written surveys for students and faculty, and telephone interviews with students and medical superintendents. Evidence for validity was gathered for the written survey. Criteria for trustworthiness were applied for the qualitative data analysis. The major strengths of the project work identified were that students became aware of local health problems and how to deal with them, learned to work as a team, and had a sense of doing something useful. Recommendations for improvement were to have more interactions between guides and students. The benefits of projects to the hospital were providing improved clinical care, improved health systems, cost effective care management and benefits to the community. Service learning through guided project work should be incorporated into distance-learning educational programs for junior doctors working in rural hospitals.

  16. Preventing Elder Abuse: The Texas Plan for a Coordinated Service Delivery System. Collaborative Elder Abuse Prevention Project.

    Science.gov (United States)

    McDaniel, Garry L.

    The Texas Department of Human Services, in collaboration with 13 other public and private organizations, co-sponsored a statewide Collaborative Elder Abuse Prevention project. The goal of this project is to develop a comprehensive, long-range plan for the prevention of elder abuse, a method for achieving a coordinated service delivery system for…

  17. Professional Service innovations at Consulting Engineering - how change stay flat in project Organisations

    DEFF Research Database (Denmark)

    Koch, Christian; Bendixen, Mads

    understood through a practicebased theory approach using predominantly Actor Network Theory (Latour 2005). The paper focus on attempts to innovate service products, within projects and the remaining organisation. A seven-year cooperation with a consulting engineering, now employing the one of the authors has...... production. One relates to the formation of a building envelope group and a design of a building with a double glass facade, the other to client counselling on realising a public private partnership, a 30 year contract of a public service, where the initial programming was followed. The analysis follows...

  18. Wireless and wireline service convergence in next generation optical access networks - the FP7 WISCON project

    DEFF Research Database (Denmark)

    Vegas Olmos, Juan José; Pang, Xiaodan; Lebedev, Alexander

    2014-01-01

    The next generation of information technology demands both high capacity and mobility for applications such as high speed wireless access capable of supporting broadband services. The transport of wireless and wireline signals is converging into a common telecommunication infrastructure....... In this paper, we will present the Marie Curie Framework Program 7 project “Wireless and wireline service convergence in next generation optical access networks” (WISCON), which focuses on the conception and study of novel architectures for wavelength-division-multiplexing (WDM) optical multi-modulation format...

  19. Blind test results - measure of incessant progress in personnel monitoring services at Kudankulam Nuclear Power Project

    International Nuclear Information System (INIS)

    Jashi, K.B.; Ashok Kumar, A.; Pandaram, P.

    2018-01-01

    Personnel Monitoring Services (PMS) at Thermoluminescent Dosimeter (TLD) laboratory, Kudankulam Nuclear Power Project (KKNPP) involve monitoring of about 1500 radiation workers of KKNPP for external radiation exposure on monthly basis. Quality assurance in PMS provides an overall estimate of accuracy which depends not only upon the dosimeter quality and reader performance but also on data interpretation, applicable software and the system. Therefore it measures the effectiveness of quality control mechanism. Blind test is an effective tool to check the performance of the processor without their knowledge during routine processing of the service cards

  20. Predicting fatigue service life extension of RC bridges with externally bonded CFRP repairs : [project brief].

    Science.gov (United States)

    2015-12-01

    Externally bonded carbon fiber reinforced polymer composites (CFRPs) are increasingly used to : repair concrete bridges. CFRP design techniques are a proven approach for enhancing the strength : of existing structures. This project investigated the d...

  1. The CAMI Project - Weather and Climate Services for Caribbean Food Security

    Science.gov (United States)

    Trotman, Adrian; Van Meerbeeck, Cedric

    2013-04-01

    Food security is major focus of Caribbean governments, with production being of particular concern. For the past three decades, Caribbean agriculture has been declining in relative importance, both in terms of its contribution to GDP and its share of the labour force. One of the problems Caribbean agriculture faces is the destructive impacts from weather and climate extremes. These include flood, drought, extreme temperatures, and strong winds from tropical cyclones. Other potential disasters, such as from pests and diseases attacks, are also weather and climate driven. These make weather and climate information critically important to decision-making in agriculture in the Caribbean region. In an effort to help reduce weather and climate related risks to the food security sector, The Caribbean Institute for Meteorology and Hydrology, along with its partners the Caribbean Agricultural Research and Development Institute, the World Meteorological Organization (WMO) and ten National Meteorological Services from within the Caribbean Community launched and implemented the Caribbean Agrometeorological Initiative (CAMI). From 2010 to 2013, CAMI set out to provide relevant information to farmers, and the industry in general, for decision and policy making. The project is funded by the European Union through the Science and Technology Programme of the African, Caribbean and Pacific Group of Countries' (ACP). The overarching objective of CAMI was to increase and sustain agricultural productivity at the farm level in the Caribbean region through improved applications of weather and climate information, using an integrated and coordinated approach. Currently, this is done through (i) provision of relevant climate information appropriately disseminated, (ii) predictions on seasonal rainfall and temperature, (iii) support for improved irrigation management, (iv) the development of strategically selected weather-driven pest and disease models, (v) use of crop simulation models

  2. Merkel cell carcinoma: Current US incidence and projected increases based on changing demographics.

    Science.gov (United States)

    Paulson, Kelly G; Park, Song Youn; Vandeven, Natalie A; Lachance, Kristina; Thomas, Hannah; Chapuis, Aude G; Harms, Kelly L; Thompson, John A; Bhatia, Shailender; Stang, Andreas; Nghiem, Paul

    2018-03-01

    Merkel cell carcinoma (MCC) incidence rates are rising and strongly age-associated, relevant for an aging population. Determine MCC incidence in the United States and project incident cases through the year 2025. Registry data were obtained from the SEER-18 Database, containing 6600 MCC cases. Age- and sex-adjusted projections were generated using US census data. During 2000-2013, the number of reported solid cancer cases increased 15%, melanoma cases increased 57%, and MCC cases increased 95%. In 2013, the MCC incidence rate was 0.7 cases/100,000 person-years in the United States, corresponding to 2488 cases/year. MCC incidence increased exponentially with age, from 0.1 to 1.0 to 9.8 (per 100,000 person-years) among age groups 40-44 years, 60-64 years, and ≥85 years, respectively. Due to aging of the Baby Boomer generation, US MCC incident cases are predicted to climb to 2835 cases/year in 2020 and 3284 cases/year in 2025. We assumed that the age-adjusted incidence rate would stabilize, and thus, the number of incident cases we projected might be an underestimate. An aging population is driving brisk increases in the number of new MCC cases in the United States. This growing impact combined with the rapidly evolving therapeutic landscape warrants expanded awareness of MCC diagnosis and management. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  3. Using provider performance incentives to increase HIV testing and counseling services in Rwanda.

    Science.gov (United States)

    de Walque, Damien; Gertler, Paul J; Bautista-Arredondo, Sergio; Kwan, Ada; Vermeersch, Christel; de Dieu Bizimana, Jean; Binagwaho, Agnès; Condo, Jeanine

    2015-03-01

    Paying for performance provides financial rewards to medical care providers for improvements in performance measured by utilization and quality of care indicators. In 2006, Rwanda began a pay for performance scheme to improve health services delivery, including HIV/AIDS services. Using a prospective quasi-experimental design, this study examines the scheme's impact on individual and couples HIV testing. We find a positive impact of pay for performance on HIV testing among married individuals (10.2 percentage points increase). Paying for performance also increased testing by both partners by 14.7 percentage point among discordant couples in which only one of the partners is an AIDS patient. Copyright © 2014. Published by Elsevier B.V.

  4. Increased demand for E-mail health consultation service: analysis of a Web survey.

    Science.gov (United States)

    Klinar, Ivana; Balazin, Ana; Basić, Martina; Plantas, Igor; Biskupić, Kresimir

    2010-06-01

    The aim of the study was to explore characteristics of the users of the Interactive Service "Your Questions" that is based on E-mail health consultations. We wanted to find out what motivated users to use it, were they satisfied with it and what were its impacts on their health behavior. Therefore, we developed a Web survey and invited 2,747 users to take part in it. 919 (33.5%) of users responded. Results showed that the majority of respondents were women (79.1%) and that most hold at least a college degree (52.4%). The Service was mostly used for obtaining information about certain medical symptoms or medical conditions (50.1%), for a second opinion on a diagnosis (18.6%) and for more information about medical treatment (14.4%). In terms of Service features, it was used because of its convenience with regard to time (38.7%) and a sense of privacy (25.7%). Before posting a question to the Service, 93.2% of the respondents searched for health articles on the PLIVAzdravlje portal while 90% of them read the Questions and Answers database. Over half of them (61.8%) posted their question after they already visited their physicians on that particular issue. Nevertheless, 48% of them were encouraged to visit their physicians after they received the answer. The results show an important trend of increased demand for e-mail health consultation and the need for reliable medical information, with one thousand questions submitted to the Service in the observed period of 40 days. If the source of medical information is reliable, as in case of our Service as well as other forms of e-mail health consultations, it can have positive impact on valuable physician-patient communication based on knowledge and mutual understanding.

  5. Becoming a client of the Danish social service system increases stress in parents of disabled infants.

    Science.gov (United States)

    Graungaard, Anette Hauskov; Skov, Liselotte; Andersen, John Sahl

    2011-06-01

    Parents of a young child with severe disabilities are facing a large range of new challenges; furthermore, most of these families have extended social needs regarding information, financial support, day care facilities, disability aids, etc. Many parents with disabled children have been found to be dissatisfied with social services. This study explores parents' experiences with Danish social services during their transition to a new daily life after the birth of a severely disabled child. Repeated qualitative interviews were performed individually with 16 parents of a severely disabled young child during the first two years after the diagnosis of the child's disabilities. Data were analysed using grounded theory. We found that the encounter with the social services increased stress in the families. Parental expectations were not met, especially regarding information; parents felt clientized, and obtaining social support was very resource consuming. Parents' needs regarding practical support and empathic case-working were not met and they spent much time and effort due to lacking continuity between sectors. Parents have specific needs when becoming clients in the social service system whose organisation of social services needs improvement. Health care professionals are advised to identify problems and support cooperation between the parents and the social service system, as well as to report the health-related consequences of prolonged and inefficient case-working for the child and its parents. was received from Socialministeriet, Landsforeningen LEV, Ronald McDonalds Børnefond, Susie og Peter Robinsohns fond, Rosalie Petersens fond, PLU-fonden, Ville Heises fond, Sygesikringens forskningsfond, Helsefonden, Elsass fonden. not relevant.

  6. Supporting UK adaptation: building services for the next set of UK climate projections

    Science.gov (United States)

    Fung, Fai; Lowe, Jason

    2016-04-01

    As part of the Climate Change Act 2008, the UK Government sets out a national adaptation programme to address the risks and opportunities identified in a national climate change risk assessment (CCRA) every five years. The last risk assessment in 2012 was based on the probabilistic projections for the UK published in 2009 (UKCP09). The second risk assessment will also use information from UKCP09 alongside other evidence on climate projections. However, developments in the science of climate projeciton, and evolving user needs (based partly on what has been learnt about the diverse user requirements of the UK adaptation community from the seven years of delivering and managing UKCP09 products, market research and the peer-reviewed literature) suggest now is an appropriate time to update the projections and how they are delivered. A new set of UK climate projections are now being produced to upgrade UKCP09 to reflect the latest developments in climate science, the first phase of which will be delivered in 2018 to support the third CCRA. A major component of the work is the building of a tailored service to support users of the new projections during their development and to involve users in key decisions so that the projections are of most use. We will set out the plan for the new climate projections that seek to address the evolving user need. We will also present a framework which aims to (i) facilitate the dialogue between users, boundary organisations and producers, reflecting their different decision-making roles (ii) produce scientifically robust, user-relevant climate information (iii) provide the building blocks for developing further climate services to support adaptation activities in the UK.

  7. Experiences of Social Inclusion and Employment of Mental Health Service Users in a European Union Project

    DEFF Research Database (Denmark)

    Nieminen, Irja; Ramon, Shulamit; Dawson, Ian

    2012-01-01

    users experienced improvement in their social life. Employment and participation in meaningful activities continued to improve to the end of the EMILIA project, although at a slower pace. In addition, users were motivated for work and actively searched for employment. Having a mental illness, stigma......, and discrimination were reported to be obstacles to social inclusion. The difficulties identified in social relationships continued to exist. Conclusions: Train- ing intervention impact positively on mental health service users’ social inclusion and employment. However stigma, discrimination, and having a mental......ABSTRACT: Aims: The aim of this study is to describe how the mental health service users experienced social inclusion and employment in the EU EMILIA project. Methods: The study design is an intervention group follow-up study, with data collection at three points: baseline (T0), at 10-month follow...

  8. Organising Sustainable Transition: Understanding the Product, Project and Service Domain of the Built Environment

    DEFF Research Database (Denmark)

    Thuesen, Christian; Koch-Ørvad, Nina; Maslesa, Esmir

    2016-01-01

    of three generic domains - the Project, Product and Service domain - with widely different markets, companies, business models and regulation. Besides identifying the characteristics of the different domains, the findings show that these domains are interdependent, but largely live their own lives......Sustainable transition of the built environment con struction industry is challenging the existing construction practices and business models. This article presents a framework for understanding and facilitating sustainable transition in the built environment. The framework was developed through...

  9. Managing Service Development (SaaS) as a project: business process modeling

    OpenAIRE

    Iliadi, Vasiliki; Ηλιάδη, Βασιλική

    2017-01-01

    In the context of the present thesis, we will be studying core principles of Business Process Management, and how we can take advantage of them in combination with Project Management Methodologies and modeling tools in the context of Software as a Service businesses and their development. Initially we provide the reader with an introduction to Business Process Management, how it can be used, and how the life cycle is structured. We further define the first three phases of the life cycle to...

  10. Increasing awareness about antibiotic use and resistance: a hands-on project for high school students.

    Science.gov (United States)

    Fonseca, Maria João; Santos, Catarina L; Costa, Patrício; Lencastre, Leonor; Tavares, Fernando

    2012-01-01

    Health-promoting education is essential to foster an informed society able to make decisions about socio-scientific issues based on scientifically sustained criteria. Antibiotic resistance is currently a major public health issue. Considering that irrational antibiotic use has been associated with the development and widespread of antibiotic resistant bacteria, educational interventions to promote prudent antibiotic consumption are required. This study focuses on the outcomes of an interventional program implemented at the University of Porto, Portugal, to promote awareness about antibiotic resistance at high school levels (15-17 year old). The project Microbiology recipes: antibiotics à la carte articulates a set of wet and dry lab activities designed to promote the participants' understanding of concepts and processes underlying antibiotics' production and activity, such as the notion of mechanisms of action of antibiotics. Following a mix-method approach based on a pre-/post design, the effectiveness of this project was assessed by gathering data from surveys, direct observation and analysis of artifacts of 42 high school students (aged 15 and 16 years). The results indicate that the participants developed a more comprehensive picture of antibiotic resistance. The project was shown to promote more sophisticated conceptualizations of bacteria and antibiotics, increased awareness about the perils of antibiotic resistance, and enhanced consciousness towards measures that can be undertaken to mitigate the problem. The participants regarded their experiences as enjoyable and useful, and believed that the project contributed to improve their understanding and raise their interest about the issues discussed. Furthermore, there were also improvements in their procedural skills concerning the laboratory techniques performed. This study evidences the possibility of increasing high school students' awareness about the consequences of antibiotic resistance and the

  11. Examination of in-service risk management at the level of the draft project for Cigeo

    International Nuclear Information System (INIS)

    2014-01-01

    This document reports the opinion of the IRSN on the issue of in-service risk management as it appears in the draft project of Cigeo. After having recalled the general context of the ASN request for this opinion, and presented the ANDRA file on in-service risk-management of the draft project for Cigeo, this report describes the underground installation and the different flows during the exploitation phase, and recalls the various evolutions of Cigeo general design from the 2009 file to the draft project. The next part reports the examination by the IRSN of the relevance of the in-service safety approach by the ANDRA. The next chapter reports the examination of the risk analysis made by the ANDRA on radioactive material dissemination, fire (protection measures, ventilation control, case of exothermal reactions), explosion, handling, co-activity, as well as ageing and maintenance of storage components, intervention in accidental and incidental situation and possibility of retrieval of waste packages

  12. Building a partnership to evaluate school-linked health services: the Cincinnati School Health Demonstration Project.

    Science.gov (United States)

    Rose, Barbara L; Mansour, Mona; Kohake, Kelli

    2005-12-01

    The Cincinnati School Health Demonstration Project was a 3-year collaboration that evaluated school-linked health services in 6 urban elementary (kindergarten to eighth grade) schools. Partners from the Cincinnati Health Department, Cincinnati Public Schools, Cincinnati Children's Hospital Medical Center, and The Health Foundation of Greater Cincinnati wanted to determine if levels of school-linked care made a difference in student quality of life, school connectedness, attendance, emergency department use, and volume of referrals to health care specialists. School nurses, principals and school staff, parents and students, upper-level managers, and health service researchers worked together over a 2.5-year period to learn about and use new technology to collect information on student health, well-being, and outcome measures. Varying levels of school health care intervention models were instituted and evaluated. A standard model of care was compared with 2 models of enhanced care and service. The information collected from students, parents, nurses, and the school system provided a rich database on the health of urban children. School facilities, staffing, and computer technology, relationship building among stakeholders, extensive communication, and high student mobility were factors that influenced success and findings of the project. Funding for district-wide computerization and addition of school health staff was not secured by the end of the demonstration project; however, relationships among the partners endured and paved the way for future collaborations designed to better serve urban school children in Cincinnati.

  13. Implementation of Service Learning and Civic Engagement for Computer Information Systems Students through a Course Project at the Hashemite University

    Science.gov (United States)

    Al-Khasawneh, Ahmad; Hammad, Bashar K.

    2013-01-01

    Service learning methodologies provide information systems students with the opportunity to create and implement systems in real-world, public service-oriented social contexts. This paper presents a case study of integrating a service learning project into an undergraduate Computer Information Systems course titled "Information Systems"…

  14. Performance-based financing to increase utilization of maternal health services: Evidence from Burkina Faso

    Directory of Open Access Journals (Sweden)

    Maria Steenland

    2017-12-01

    Full Text Available Performance-based financing (PBF programs are increasingly implemented in low and middle-income countries to improve health service quality and utilization. In April 2011, a PBF pilot program was launched in Boulsa, Leo and Titao districts in Burkina Faso with the objective of increasing the provision and quality of maternal health services. We evaluate the impact of this program using facility-level administrative data from the national health management information system (HMIS. Primary outcomes were the number of antenatal care visits, the proportion of antenatal care visits that occurred during the first trimester of pregnancy, the number of institutional deliveries and the number of postnatal care visits. To assess program impact we use a difference-in-differences approach, comparing changes in health service provision post-introduction with changes in matched comparison areas. All models were estimated using ordinary least squares (OLS regression models with standard errors clustered at the facility level. On average, PBF facilities had 2.3 more antenatal care visits (95% CI [0.446–4.225], 2.1 more deliveries (95% CI [0.034–4.069] and 9.5 more postnatal care visits (95% CI [6.099, 12.903] each month after the introduction of PBF. Compared to the service provision levels prior to the interventions, this implies a relative increase of 27.7 percent for ANC, of 9.2 percent for deliveries, and of 118.7 percent for postnatal care. Given the positive results observed during the pre-pilot period and the limited resources available in the health sector, the PBF program in Burkina Faso may be a low-cost, high impact intervention to improve maternal and child health.

  15. The EVNATURB project: toward an operational platform to assess Blue Green Solutions eco-systemic services in urban environment

    Science.gov (United States)

    Schertzer, D. J. M.; Versini, P. A.; Tchiguirinskaia, I.

    2017-12-01

    Urban areas are facing an expected increase in intensity and frequency of extreme weather events due to climate change. Combined with unsustainable urbanization, this should exacerbate the environmental consequences related to the water cycle as stormwater management issues, urban heat island increase and biodiversity degradation. Blue Green Solutions (BGS), such as green roofs, vegetated swales or urban ponds, appear to be particularly efficient to reduce the potential impact of new and existing urban developments with respect to these issues. Based on this statement, the French ANR EVNATURB project aims to develop a platform to assess the eco-systemic services provided by BGS and related with the previously mentioned issues. By proposing a multi-disciplinary consortium coupling monitoring, modelling and prospecting, it attempts to tackle several scientific issues currently limiting BGS wide implementation. Based on high resolution monitored sites and modelling tools, space-time variability of the related physical processes will be studied over a wide range of scales (from the material to the district scale), as well as local social-environmental stakes and constraints, to better consider the complexity of the urban environment. The EVNATURB platform developed during the project is intended for every stakeholder involved in urban development projects (planners, architects, engineering and environmental certification companies…) and will help them to implement BGS and evaluate which ones are the most appropriate for a particular project depending on its environmental objectives and constraints, and particularly for obtaining environmental certification.

  16. Increasing demand for service: WTS create new jobs and extend their services; Immer mehr Service ist notwendig: WTS schafft neue Arbeitsplaetze und erweitert das Angebot

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2001-07-01

    There is increasing demand for fast, reliable servicing of wind power systems. WTS, an Ibbenbueren-based organisation, offer retrofitting of secondary flow filter systems for lubricating oils, alarm signals for aircraft traffic, the SOBO soft braking system for medium-sized plants, and complete assembly both nationally and internationally (rotors, gearing, offshore systems). [German] Die Nachfrage nach einem schnellen, zuverlaessigen Service rund um die Wind Kraft Anlagen steigt. WTS aus Ibbenbuehren, bisher sehr erfolgreich in der Nachruestung von Nebenstromfilteranlagen fuer Getriebeoele, in der Ausruestung mit Gefahrfeuern fuer die Flugsicherung, in der Nachruestung mittelgrosser Anlagen mit dem SOBO Softbremssystem zur Schonung der wertvollen Bauteile, sowie in der kompletten Anlagenmontage national und international, erweitert das Angebot (fuer den Rotor; das Getriebe und die Planung im Offshore Markt). (orig./AKF)

  17. Implementing service improvement projects within pre-registration nursing education: a multi-method case study evaluation.

    Science.gov (United States)

    Baillie, Lesley; Bromley, Barbara; Walker, Moira; Jones, Rebecca; Mhlanga, Fortune

    2014-01-01

    Preparing healthcare students for quality and service improvement is important internationally. A United Kingdom (UK) initiative aims to embed service improvement in pre-registration education. A UK university implemented service improvement teaching for all nursing students. In addition, the degree pathway students conducted service improvement projects as the basis for their dissertations. The study aimed to evaluate the implementation of service improvement projects within a pre-registration nursing curriculum. A multi-method case study was conducted, using student questionnaires, focus groups with students and academic staff, and observation of action learning sets. Questionnaire data were analysed using SPSS v19. Qualitative data were analysed using Ritchie and Spencer's (1994) Framework Approach. Students were very positive about service improvement. The degree students, who conducted service improvement projects in practice, felt more knowledgeable than advanced diploma students. Selecting the project focus was a key issue and students encountered some challenges in practice. Support for student service improvement projects came from action learning sets, placement staff, and academic staff. Service improvement projects had a positive effect on students' learning. An effective partnership between the university and partner healthcare organisations, and support for students in practice, is essential. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. Students Upgrading through Computer and Career Education System Services (Project SUCCESS). Final Evaluation Report 1992-93. OER Report.

    Science.gov (United States)

    New York City Board of Education, Brooklyn, NY. Office of Educational Research.

    Student Upgrading through Computer and Career Education System Services (Project SUCCESS) was an Elementary and Secondary Education Act Title VII-funded project in its third year of operation. Project SUCCESS served 460 students of limited English proficiency at two high schools in Brooklyn and one high school in Manhattan (New York City).…

  19. Bilingual Enrichment Services and Training (Project BEST): Community School District 2, Manhattan. Final Evaluation Report, 1992-93. OER Report.

    Science.gov (United States)

    Musante, Patricia

    This report presents an evaluation of Bilingual Enrichment Services and Training (Project BEST), an Elementary and Secondary Education Act Title VII-funded project in its third year of operation at four schools in Manhattan. The project served 266 Cantonese-, Fukienese, and Mandarin-speaking gifted students of limited English proficiency.…

  20. Operational Space-Assisted Irrigation Advisory Services: Overview Of And Lessons Learned From The Project DEMETER

    Science.gov (United States)

    Osann Jochum, M. A.; Demeter Partners

    2006-08-01

    The project DEMETER (DEMonstration of Earth observation TEchnologies in Routine irrigation advisory services) was dedicated to assessing and demonstrating improvements introduced by Earth observation (EO) and Information and Communication Technologies (ICT) in farm and Irrigation Advisory Service (IAS) day-to-day operations. The DEMETER concept of near-real-time delivery of EO-based irrigation scheduling information to IAS and farmers has proven to be valid. The operationality of the space segment was demonstrated for Landsat 5-TM in the Barrax pilot zone during the 2004 and 2005 irrigation campaigns. Extra-fast image delivery and quality controlled operational processing make the EO-based crop coefficient maps available at the same speed and quality as ground-based data (point samples), while significantly extending the spatial coverage and reducing service cost. Leading-edge online analysis and visualization tools provide easy, intuitive access to the information and personalized service to users. First feedback of users at IAS and farmer level is encouraging. The paper gives an overview of the project and its main achievements.

  1. Project Management Support and Services for the Environmental Restoration and Waste Management. Final report

    International Nuclear Information System (INIS)

    1995-01-01

    The Los Alamos National Laboratory (LANL) Environmental Restoration Technical Support Office (ERTSO) contracted Project Time ampersand Cost, Inc. (PT ampersand C) on 16 November 1992 to provide support services to the US Department of Energy (DOE). ERTSO had traditionally supported the DOE Albuquerque office in the Environmental Restoration and Waste Management Programs and had also supported the Office of Waste Management (EM-30) at DOE Headquarters in Germantown, Maryland. PT ampersand C was requested to provide project management and support services for the DOE as well as liaison and coordination of responses and efforts between various agencies. The primary objective of this work was to continue LANL's technical support role to EM-30 and assist in the development of the COE Cost and Schedule Estimating (CASE) Guide for EM-30. PT ampersand C's objectives, as specified in Section B of the contract, were well met during the duration of the project through the review and comment of various draft documents, trips to DOE sites providing program management support and participating in the training for the EM-30 Cost and Schedule Estimating Guide, drafting memos and scheduling future projects, attending numerous meetings with LANL, DOE and other subcontractors, and providing written observations and recommendations.he results obtained were determined to be satisfactory by both the LANL ERTSO and DOE EM-30 organizations. The objective to further the support from LANL and their associated subcontractor (PT ampersand C) was met. The contract concluded with no outstanding issues

  2. Methodology Proposal for Increasing Swift Trust within Virtual Teams in the Inception Phase of a Project Life-Cycle: Project Manager’s Perspective

    Directory of Open Access Journals (Sweden)

    Milovanović Bojan Morić

    2015-12-01

    Full Text Available This paper proposes team building methodology for project managers in virtual teams as means to develop swift trust between new team members in the inception phase of the project life cycle. Proposed methodology encompasses activities within the first three days after the team formation and proposes the measuring tools for monitoring and managing trust development within the project team. Aim of this paper is to provide new insights to various decision makers potentially interested in increasing the performance of project teams operating in virtual environment, such as: investors, business owners and project managers working in virtual environment.

  3. RandAgiamo™, a Pilot Project Increasing Adoptability of Shelter Dogs in the Umbria Region (Italy)

    Science.gov (United States)

    Menchetti, Laura; Mancini, Stefania; Catalani, Maria Chiara; Boccini, Beatrice; Diverio, Silvana

    2015-01-01

    Simple Summary In Italy, dog shelters are overcrowded because the rate of dog adoption is lower than that of abandonment. A project called “RandAgiamo” was implemented in a rescue shelter in central Italy. RandAgiamo provides training, socialization and advertising of adult shelter dogs. Official data of the Umbria regional health authorities from the year 2014 showed a higher rate of adoption in shelters involved in the project. RandAgiamo dogs had triple odds of being adopted compared to others housed in shelters of the same province. The increase in adoption rate can be beneficial for both dog welfare and shelter management. Abstract Current Italian legislation does not permit euthanasia of dogs, unless they are ill or dangerous. Despite good intentions and ethical benefits, this “no-kill policy” has caused a progressive overpopulation of dogs in shelters, due to abandonment rates being higher than adoption rates. Shelter overcrowding has negative implications for dog welfare and increases public costs. The aim of this paper is to describe the pilot project “RandAgiamo” implemented in a rescue shelter in the Umbria Region and to evaluate its effectiveness on the rate of dog adoption using official data. RandAgiamo aimed to increase adult shelter dogs’ adoptability by a standard training and socialization programme. It also promoted dogs’ visibility by publicizing them through social media and participation in events. We analysed the official data of the Umbria regional health authorities regarding dog shelters of the Perugia province of the year 2014. In the RandAgiamo shelter, the dog adoption rate was 27.5% higher than that of dogs housed in other shelters located in the same geographical area (p dogs’ welfare, owner satisfaction, shelter management, and public perception of shelter dogs. However, staff were required to provide dog training and related activities. PMID:26479385

  4. Integrated project for increasing the capacity of spent fuel pools at Cofrentes NPP

    International Nuclear Information System (INIS)

    Rebollo Garcia, C.; Arana, S.

    1996-01-01

    The current storage capacity of the Cofrentes NPP will have reached its limit by the end of its 15th cycle, in the year 2005. The works performed by Empresarios Agrupados for IBERDROLA show that it is possible to increase this capacity in successive phases, so as to make the Power Plant self-sufficient for 16 more years (up to 2021) in the case of compact storage, or for 50 more years (2055) in the case of consolidated storage or second level storage. Optimisation of the management of high-activity wastes goes with a series of tasks which come under the group referred to as Integrated Project for Increasing the Capacity of Spent Fuel Pools. The main activities of the project can be summarised under the following three items: increase of storage capacity (feasibility study, specification for the purchase of racks, manufacture, assembly and tests), improvement of the capacity of the pool cooling system and modification of the components and accessories located inside the pools which interfere with the new racks. Another series of activities with less technical and economic impact are: modification of fuel handling machines, management of generated radwaste, licensing and modification of plant documentation (seismic analysis, radiation areas, as-built drawings and verification of the validation of purification and HVAC systems). (Author)

  5. Evolution of the U.S. energy service company industry: Market size and project performance from 1990–2008

    International Nuclear Information System (INIS)

    Larsen, Peter H.; Goldman, Charles A.; Satchwell, Andrew

    2012-01-01

    The U.S. energy service company (ESCO) industry is an example of a private sector business model where energy savings are delivered to customers primarily through the use of performance-based contracts. This study was conceived as a snapshot of the ESCO industry prior to the economic slowdown and the introduction of federal stimulus funding mandated by enactment of the American Recovery and Reinvestment Act of 2009 (ARRA). This study utilizes two parallel analytic approaches to characterize ESCO industry and market trends in the U.S.: (1) a “top-down” approach involving a survey of individual ESCOs to estimate aggregate industry activity and (2) a “bottom-up” analysis of a database of ∼3250 projects (representing over $8B in project investment) that reports market trends including installed EE retrofit strategies, project installation costs and savings, project payback times, and benefit-cost ratios over time. Despite the onset of a severe economic recession, the U.S. ESCO industry managed to grow at about 7% per year between 2006 and 2008. ESCO industry revenues were about $4.1 billion in 2008 and ESCOs anticipate accelerated growth through 2011 (25% per year). We found that 2484 ESCO projects in our database generated ∼$4.0 billion ($2009) in net, direct economic benefits to their customers. We estimate that the ESCO project database includes about 20% of all U.S. ESCO market activity from 1990–2008. Assuming the net benefits per project are comparable for ESCO projects that are not included in the LBNL database, this would suggest that the ESCO industry has generated ∼$23 billion in net direct economic benefits for customers at projects installed between 1990 and 2008. There is empirical evidence confirming that the industry is evolving by installing more comprehensive and complex measures—including onsite generation and measures to address deferred maintenance—but this evolution has significant implications for customer project economics

  6. A case for increased private sector involvement in Ireland's national animal health services.

    Science.gov (United States)

    More, Simon J

    2008-02-01

    Non-regulatory animal health issues, such as Johne's disease, infectious bovine rhinotracheitis (IBR) and mastitis will become increasing important, with ongoing globalisation of markets in animals and animal products. In response, Ireland may need to broaden the scope of its national animal health services. However, there have been concerns about the respective roles and responsibilities (both financial and otherwise) of government and industry in any such moves. This paper argues the case for increased private sector involvement in Ireland's national animal health services, based both on theoretical considerations and country case studies (the Netherlands and Australia). The Dutch and Australian case studies present examples of successful partnerships between government and industry, including systems and processes to address non-regulatory animal health issues. In each case, the roles and responsibilities of government are clear, as are the principles underpinning government involvement. Furthermore, the roles and responsibilities (financial and otherwise) of the Dutch and Australian industry are determined through enabling legislation, providing both legitimacy and accountability. There are constraints on the use of EU and national government funds to support non-regulatory animal health services in EU member states (such as Ireland and the Netherlands).

  7. A case for increased private sector involvement in ireland's national animal health services

    Directory of Open Access Journals (Sweden)

    More Simon J

    2008-02-01

    Full Text Available Abstract Non-regulatory animal health issues, such as Johne's disease, infectious bovine rhinotracheitis (IBR and mastitis will become increasing important, with ongoing globalisation of markets in animals and animal products. In response, Ireland may need to broaden the scope of its national animal health services. However, there have been concerns about the respective roles and responsibilities (both financial and otherwise of government and industry in any such moves. This paper argues the case for increased private sector involvement in Ireland's national animal health services, based both on theoretical considerations and country case studies (the Netherlands and Australia. The Dutch and Australian case studies present examples of successful partnerships between government and industry, including systems and processes to address non-regulatory animal health issues. In each case, the roles and responsibilities of government are clear, as are the principles underpinning government involvement. Furthermore, the roles and responsibilities (financial and otherwise of the Dutch and Australian industry are determined through enabling legislation, providing both legitimacy and accountability. There are constraints on the use of EU and national government funds to support non-regulatory animal health services in EU member states (such as Ireland and the Netherlands.

  8. Best practice in the management of clinical coding services: Insights from a project in the Republic of Ireland, Part 2.

    Science.gov (United States)

    Reid, Beth A; Ridoutt, Lee; O'Connor, Paul; Murphy, Deirdre

    2017-09-01

    This is the second of two articles about best practice in the management of coding services. The best practice project was part of a year-long project conducted in the Republic of Ireland to review the quality of the Hospital Inpatient Enquiry data for its use in activity-based funding. The four methods used to address the best practice aspect of the project were described in detail in Part 1. The results included in this article are those relating to the coding manager's background, preparation and style, clinical coder (CC) workforce adequacy, the CC workforce structure and career pathway, and the physical and psychological work environment for the clinical coding service. Examples of best practice were found in the study hospitals but there were also areas for improvement. Coding managers would benefit from greater support in the form of increased opportunities for management training and a better method for calculating CC workforce numbers. A career pathway is needed for CCs to progress from entry to expert CC, mentor, manager and quality controller. Most hospitals could benefit from investment in infrastructure that places CCs in a physical environment that tells them they are an important part of the hospital and their work is valued.

  9. STEM-related, Student-led Service Learning / Community Engagement Projects: Examples and Benefits

    Science.gov (United States)

    Swap, R. J.; Wayland, K.

    2015-12-01

    Field-based, STEM-related service learning / community engagement projects present an opportunity for undergraduate students to demonstrate proficiencies related to the process of inquiry. These proficiencies include: appreciation of the larger project context, articulation of an informed question/hypothesis, project proposal development, interdisciplinary collaboration, project management (including planning, implementation reconfiguration and synthesis) and lastly the generation and handing off of acquired knowledge. Calls for these types of proficiencies have been expressed by governmental, non-governmental as well as the private sector. Accordingly, institutions of higher learning have viewed such activities as opportunities for enriching the learning experience for undergraduate students and for making such students more marketable, especially those from STEM-related fields. This institutional interest has provided an opportunity to support and expand field-based learning. Here we present examples of student-led/faculty-mentored international service learning and community engagement projects along the arc of preparation, implementation and post-field process. Representative examples that draw upon environmental science and engineering knowledge have been selected from more than 20 international undergraduate student projects over past decade and include: slow-sand water filtration, rainwater harvesting, methane biodigesters, water reticulation schemes and development and implementation of rocket stoves for communal cooking. We discuss these efforts in terms of the development of the aforementioned proficiencies, the utility of such proficiencies to the larger enterprise of STEM and the potential for transformative student learning outcomes. We share these experiences and lessons learned with the hope that others may intelligently borrow from our approach in a manner appropriate for their particular context.

  10. Linking an agency strategic review to increase knowledge management: San Francisco County Human Service Agency.

    Science.gov (United States)

    Harrison, Lindsay

    2012-01-01

    Led by the agency director, the agency engaged in a Strategic Review, based on a comprehensive assessment of agency performance that identified strategies to improve organizational effectiveness through increased data-informed practice and knowledge management. The Strategic Review gathered information on staff perceptions, perceptions of external stakeholders, changing citywide and neighborhood demographics, policy mandates, and budget and workload issues. The need for the review was based upon multiple, substantial changes not addressed in the 2000 Strategic Plan, including the 2004 merger of the Department of Human Services and the Department of Aging and Adult Services, changes among the executive management team, transitions among key political entities, new policy mandates and changing budget allocations. This case study describes the Strategic Review process and content, summarizing key challenges and lessons related to addressing workload demands, fostering positive staff attitudes, balancing internal and external information needs, and integrating data use and planning processes across the agency. Copyright © Taylor & Francis Group, LLC

  11. Transitioning a home telehealth project into a sustainable, large-scale service: a qualitative study.

    Science.gov (United States)

    Wade, Victoria A; Taylor, Alan D; Kidd, Michael R; Carati, Colin

    2016-05-16

    This study was a component of the Flinders Telehealth in the Home project, which tested adding home telehealth to existing rehabilitation, palliative care and geriatric outreach services. Due to the known difficulty of transitioning telehealth projects services, a qualitative study was conducted to produce a preferred implementation approach for sustainable and large-scale operations, and a process model that offers practical advice for achieving this goal. Initially, semi-structured interviews were conducted with senior clinicians, health service managers and policy makers, and a thematic analysis of the interview transcripts was undertaken to identify the range of options for ongoing operations, plus the factors affecting sustainability. Subsequently, the interviewees and other decision makers attended a deliberative forum in which participants were asked to select a preferred model for future implementation. Finally, all data from the study was synthesised by the researchers to produce a process model. 19 interviews with senior clinicians, managers, and service development staff were conducted, finding strong support for home telehealth but a wide diversity of views on governance, models of clinical care, technical infrastructure operations, and data management. The deliberative forum worked through these options and recommended a collaborative consortium approach for large-scale implementation. The process model proposes that the key factor for large-scale implementation is leadership support, which is enabled by 1) showing solutions to the problems of service demand, budgetary pressure and the relationship between hospital and primary care, 2) demonstrating how home telehealth aligns with health service policies, and 3) achieving clinician acceptance through providing evidence of benefit and developing new models of clinical care. Two key actions to enable change were marketing telehealth to patients, clinicians and policy-makers, and building a community of

  12. Changing characteristics of land use and ecological service value in the water source region of the Middle Route of South-to-North Water Transfer Project

    Science.gov (United States)

    Tang, Jian; Zhai, Wenliang; Cao, Huiqun

    2017-08-01

    Research on changing characteristics of land use and ecological service value (ESV) can guide the regional land use planning and promote the rational use of environmental resources. On the basis of four phases of land-use data (2000, 2005, 2010 and 2015), this research analysed the changing characteristics of land use and ESV in the water source region of the Middle Route of South-to-North Water Transfer Project (SRMRP). The results showed that forest, grassland and cultivated land were the major land-use types in the SRMRP. During 2000∼2015, forest, grassland, farmland and wetland decreased. Construction land and bare land had increased, and the annual increase rates reached 3.6% and 8%, respectively. After the implementation of the water transfer project in 2003, water area was also increasing. The total ESV in the SRMRP is about 196 billion CNY, and mainly comes from the contributions of forest, grassland and farmland. During 2000∼2015, farmland shrinks leaded to the declines in value from supply service. With increasing in water and construction land, value from entertainment and cultural service increased. During the early stage of the water transfer project, value from regulation and support services increased due to the increase in water. With the decreasing in wetland and the increasing in construction land, the negative effects on the regulation and support services were increasing, and value from regulation and support services were therefore decreasing. During the process of resource exploitation and management, more attentions should be paid to the total control of construction land and wetland protection in the SRMRP.

  13. Large projected increases in rain-on-snow flood potential over western North America

    Science.gov (United States)

    Musselman, K. N.; Ikeda, K.; Barlage, M. J.; Lehner, F.; Liu, C.; Newman, A. J.; Prein, A. F.; Mizukami, N.; Gutmann, E. D.; Clark, M. P.; Rasmussen, R.

    2017-12-01

    In the western US and Canada, some of the largest annual flood events occur when warm storm systems drop substantial rainfall on extensive snow-cover. For example, last winter's Oroville dam crisis in California was exacerbated by rapid snowmelt during a rain-on-snow (ROS) event. We present an analysis of ROS events with flood-generating potential over western North America simulated at high-resolution by the Weather Research and Forecasting (WRF) model run for both a 13-year control time period and re-run with a `business-as-usual' future (2071-2100) climate scenario. Daily ROS with flood-generating potential is defined as rainfall of at least 10 mm per day falling on snowpack of at least 10 mm water equivalent, where the sum of rainfall and snowmelt contains at least 20% snowmelt. In a warmer climate, ROS is less frequent in regions where it is historically common, and more frequent elsewhere. This is evidenced by large simulated reductions in snow-cover and ROS frequency at lower elevations, particularly in warmer, coastal regions, and greater ROS frequency at middle elevations and in inland regions. The same trend is reflected in the annual-average ROS runoff volume (rainfall + snowmelt) aggregated to major watersheds; large reductions of 25-75% are projected for much of the U.S. Pacific Northwest, while large increases are simulated for the Colorado River basin, western Canada, and the higher elevations of the Sierra Nevada. In the warmer climate, snowmelt contributes substantially less to ROS runoff per unit rainfall, particularly in inland regions. The reduction in snowmelt contribution is due to a shift in ROS timing from warm spring events to cooler winter conditions and/or from warm, lower elevations to cool, higher elevations. However, the slower snowmelt is offset by an increase in rainfall intensity, maintaining the flood potential of ROS at or above historical levels. In fact, we report large projected increases in the intensity of extreme ROS events

  14. RandAgiamo™, a Pilot Project Increasing Adoptability of Shelter Dogs in the Umbria Region (Italy).

    Science.gov (United States)

    Menchetti, Laura; Mancini, Stefania; Catalani, Maria Chiara; Boccini, Beatrice; Diverio, Silvana

    2015-08-14

    Current Italian legislation does not permit euthanasia of dogs, unless they are ill or dangerous. Despite good intentions and ethical benefits, this 'no-kill policy' has caused a progressive overpopulation of dogs in shelters, due to abandonment rates being higher than adoption rates. Shelter overcrowding has negative implications for dog welfare and increases public costs. The aim of this paper is to describe the pilot project "RandAgiamo" implemented in a rescue shelter in the Umbria Region and to evaluate its effectiveness on the rate of dog adoption using official data. RandAgiamo aimed to increase adult shelter dogs' adoptability by a standard training and socialization programme. It also promoted dogs' visibility by publicizing them through social media and participation in events. We analysed the official data of the Umbria regional health authorities regarding dog shelters of the Perugia province of the year 2014. In the RandAgiamo shelter, the dog adoption rate was 27.5% higher than that of dogs housed in other shelters located in the same geographical area (P < 0.001). The RandAgiamo project could be beneficial for the dogs' welfare, owner satisfaction, shelter management, and public perception of shelter dogs. However, staff were required to provide dog training and related activities.

  15. RandAgiamo™, a Pilot Project Increasing Adoptability of Shelter Dogs in the Umbria Region (Italy

    Directory of Open Access Journals (Sweden)

    Laura Menchetti

    2015-08-01

    Full Text Available Current Italian legislation does not permit euthanasia of dogs, unless they are ill or dangerous. Despite good intentions and ethical benefits, this ‘no-kill policy’ has caused a progressive overpopulation of dogs in shelters, due to abandonment rates being higher than adoption rates. Shelter overcrowding has negative implications for dog welfare and increases public costs. The aim of this paper is to describe the pilot project “RandAgiamo” implemented in a rescue shelter in the Umbria Region and to evaluate its effectiveness on the rate of dog adoption using official data. RandAgiamo aimed to increase adult shelter dogs’ adoptability by a standard training and socialization programme. It also promoted dogs’ visibility by publicizing them through social media and participation in events. We analysed the official data of the Umbria regional health authorities regarding dog shelters of the Perugia province of the year 2014. In the RandAgiamo shelter, the dog adoption rate was 27.5% higher than that of dogs housed in other shelters located in the same geographical area (P < 0.001. The RandAgiamo project could be beneficial for the dogs’ welfare, owner satisfaction, shelter management, and public perception of shelter dogs. However, staff were required to provide dog training and related activities.

  16. Focused campaign increases activity among participants in Nature's Notebook, a citizen science project

    Science.gov (United States)

    Crimmins, Theresa M.; Weltzin, Jake F.; Rosemartin, Alyssa H.; Surina, Echo M.; Marsh, Lee; Denny, Ellen G.

    2014-01-01

    Citizen science projects, which engage non-professional scientists in one or more stages of scientific research, have been gaining popularity; yet maintaining participants’ activity level over time remains a challenge. The objective of this study was to evaluate the potential for a short-term, focused campaign to increase participant activity in a national-scale citizen science program. The campaign that we implemented was designed to answer a compelling scientific question. We invited participants in the phenology-observing program, Nature’s Notebook, to track trees throughout the spring of 2012, to ascertain whether the season arrived as early as the anomalous spring of 2010. Consisting of a series of six electronic newsletters and costing our office slightly more than 1 week of staff resources, our effort was successful; compared with previous years, the number of observations collected in the region where the campaign was run increased by 184%, the number of participants submitting observations increased by 116%, and the number of trees registered increased by 110%. In comparison, these respective metrics grew by 25, 55, and 44%, over previous years, in the southeastern quadrant of the United States, where no such campaign was carried out. The campaign approach we describe here is a model that could be adapted by a wide variety of programs to increase engagement and thereby positively influence participant retention.

  17. Impact assessment of a maternal health project in a megacity, Nigeria: toward a future with more demand for maternal health services.

    Science.gov (United States)

    Matsuoka, Sadatoshi; Koga, Sumiko; Suzui, Emiko; Tsukada, Yoshiko; Ohashi, Kazutomo; Johnson, Taiwo

    2017-10-01

    To improve the quantity and quality of maternal health services in Lagos State, Nigeria having a maternal mortality ratio of 555 per 100 000 live births, a four-year project was implemented since February 2010. The major activity of the project was training for both the service supply and demand sides. This study aimed to examine the impact of the project on coverages and quality of the services in target areas, and guide statewide policies. The Cochran-Armitage test for trend was applied to understand trends in the service coverages during 2009-2013. The same test was performed to analyse trends in the proportions of perineal conditions (i.e. intact or tear) and to evaluate variations in midwives' snkill during 2011-2013. The paired t-test was used to analyse changes in midwives' knowledge. The project interventions contributed to a significant increase in the overall service coverages, including improvements in midwifery knowledge and possibly in their skills. However, the service coverage was still limited as of the termination of the project. To instal the interventions and maximise the effect of them state-wide, it is recommended to undertake five tasks: (i) establishment of public primary health centres offering 24-h maternal health services; (ii) redeployment and recruitment of public health personnel; (iii) expansion of midwifery trainings and continuous education by the local trainers; (iv) review of grass-roots level activities; and (v) scrutiny of barriers to maternal health services. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  18. ANALYSIS OF MARKETING TOOLS AND ACTIVITIES WITHIN EDUCATIONAL SERVICES ORGANIZATIONS, IN ORDER TO INCREASE THEIR EFFICIENCY

    Directory of Open Access Journals (Sweden)

    Barbu Andreea Mihaela

    2012-07-01

    Full Text Available Romanian education, which is an important pillar for human resource forming process and the basis for economic development, suffered a lot of changes in the last decades. The main factors that have influenced the undergraduate and university training programs are the political and social-cultural ones. Educational services organizations are facing various challenges as: creating and maintaining a good institutional image, managing all types of resources efficiently, motivating the academic personnel, satisfying the community needs and supporting the public policy. The marketing tools and activities help these entities to improve the educational programs and adapt them to the individual needs of the clients, to keep under control the production costs, which are limited by the small public budget and to perform and promote these services efficiently, leading to an increased organizational performance. The paper begins by presenting the current situation of higher education in Romania, underlining the fierce competition among the universities, the increased market potential and the financing sources. It continues by mentioning the advantages of strategic marketing planning for universities, as superior results and effectiveness, improved decision making and multiple benefits for the people involved. The paper reveals also the characteristics of segmenting and positioning on higher education market and the specific of marketing mix. Thereby, educational product is more easily adapted to customer needs when it is designed in collaboration with existing and future students, their parents, with other universities in the field or even with graduates. Students themselves can contribute to the increase the quality of their education. Price may be a factor of choice when future student chooses to pursue a university course, especially in those situations where the price does not include only the payment of annual fees for education. Distribution takes into

  19. Increasing Access to Tuberculosis Services in Ethiopia: Findings From a Patient-Pathway Analysis.

    Science.gov (United States)

    Fekadu, Lelisa; Hanson, Christy; Osberg, Mike; Makayova, Julia; Mingkwan, Pia; Chin, Daniel

    2017-11-06

    In Ethiopia, extensive scale-up of the availability of health extension workers (HEWs) at the community level has been credited with increased identification and referral of patients with presumptive tuberculosis, which has contributed to increased tuberculosis case notification and better treatment outcomes. However, nearly 30% of Ethiopia's estimated 191000 patients with tuberculosis remained unnotified in 2015. A better understanding of patient care-seeking practices may inform future government action to reach all patients with tuberculosis. A patient-pathway analysis was completed to assess the alignment between patient care initiation and the availability of diagnostic and treatment services at the national level. More than one third of patients initiated care with HEWs, who refer patients to health centers for diagnosis. An additional one third of patients initiated care at health centers. Of those health centers, >80% had microscopy services, but few had access to Xpert. Despite an extensive microscopy and radiography network at middle levels of the health system, a quarter of all notified patients with tuberculosis had no bacteriological confirmation of disease. While 30% of patients reported receiving some form of care from the private sector, private-sector facilities, especially pharmacies, were not widely accessed for tuberculosis diagnosis. The availability of HEWs can increase access to tuberculosis diagnostic and treatment support services, particularly for rural populations. Continued strengthening of referral systems from HEWs and health posts are needed to enable consistent and timely access to Xpert as an initial diagnostic test and to drug resistance screening. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  20. Increasing positive attitudes toward individuals with disabilities through community service learning.

    Science.gov (United States)

    Lawson, Janelle E; Cruz, Rebecca A; Knollman, Gregory A

    2017-10-01

    Providing equal-status contact between those with and without disabilities can improve attitudes and reduce discrimination toward individuals with disabilities. This study investigated community service learning as a means by which to provide college students with equal-status contact with individuals with disabilities and increase their positive attitudes toward those with disabilities. A total of 166 college students in one university in the United States enrolled in an Introduction to Disability course received content on disability in society and participated in community service involving 20h of direct contact with individuals with disabilities. Findings indicated that college students who had prior contact with individuals with disabilities had more positive attitudes toward individuals with disabilities than college students who did not have prior contact at the start of the course. For the college students who did not have any prior contact, their attitudes toward individuals with disabilities became significantly more positive at the end of the community service learning course. Implications and suggestions for future research are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. The Future Impact of Healthcare Services Digitalization on Health Workforce: The Increasing Role of Medical Informatics.

    Science.gov (United States)

    Lapão, Luís Velez

    2016-01-01

    The digital revolution is gradually transforming our society. What about the effects of digitalization and Internet of Things in healthcare? Among researchers two ideas are dominating, opposing each other. These arguments will be explored and analyzed. A mix-method approach combining literature review with the results from a focus group on eHealth impact on employment is used. Several experts from the WHO and from Health Professional Associations contributed for this analysis. Depending on the type of service it will entail reductions or more need of healthcare workers, yet whatever the scenario medical informatics will play an increasing role.

  2. Becoming a client of the Danish social service system increases stress in parents of disabled infants

    DEFF Research Database (Denmark)

    Graungaard, Anette Hauskov; Skov, Lotte; Andersen, John Sahl

    2011-01-01

    parents of a severely disabled young child during the first two years after the diagnosis of the child's disabilities. Data were analysed using grounded theory. RESULTS: We found that the encounter with the social services increased stress in the families. Parental expectations were not met, especially......INTRODUCTION: Parents of a young child with severe disabilities are facing a large range of new challenges; furthermore, most of these families have extended social needs regarding information, financial support, day care facilities, disability aids, etc. Many parents with disabled children have...

  3. Designing and Implementing Service Learning Projects in an Introductory Oceanography Course Using the ``8-Block Model''

    Science.gov (United States)

    Laine, E. P.; Field, C.

    2010-12-01

    The Campus Compact for New Hampshire (Gordon, 2003) introduced a practical model for designing service-learning exercises or components for new or existing courses. They divided the design and implementation process into eight concrete areas, the “8-Block Model”. Their goal was to demystify the design process of service learning courses by breaking it down into interconnected components. These components include: project design, community partner relations, the problem statement, building community in the classroom, building student capacity, project management, assessment of learning, and reflection and connections. The project design component of the “8-Block Model” asks that the service performed be consistent with the learning goals of the course. For science courses students carry out their work as a way of learning science and the process of science, not solely for the sake of service. Their work supports the goals of a community partner and the community partner poses research problems for the class in a letter on their letterhead. Linking student work to important problems in the community effectively engages students and encourages them to work at more sophisticated levels than usually seen in introductory science classes. Using team-building techniques, the classroom becomes a safe, secure learning environment that encourages sharing and experimentation. Targeted lectures, labs, and demonstrations build the capacity of students to do their research. Behind the scenes project management ensures student success. Learning is assessed using a variety of tools, including graded classroom presentations, poster sessions, and presentations and reports to community partners. Finally, students reflect upon their work and make connections between their research and its importance to the well being of the community. Over the past 10 years, we have used this approach to design and continually modify an introductory oceanography course for majors and non

  4. In Madagascar, Use Of Health Care Services Increased When Fees Were Removed: Lessons For Universal Health Coverage.

    Science.gov (United States)

    Garchitorena, Andres; Miller, Ann C; Cordier, Laura F; Ramananjato, Ranto; Rabeza, Victor R; Murray, Megan; Cripps, Amber; Hall, Laura; Farmer, Paul; Rich, Michael; Orlan, Arthur Velo; Rabemampionona, Alexandre; Rakotozafy, Germain; Randriantsimaniry, Damoela; Gikic, Djordje; Bonds, Matthew H

    2017-08-01

    Despite overwhelming burdens of disease, health care access in most developing countries is extremely low. As governments work toward achieving universal health coverage, evidence on appropriate interventions to expand access in rural populations is critical for informing policies. Using a combination of population and health system data, we evaluated the impact of two pilot fee exemption interventions in a rural area of Madagascar. We found that fewer than one-third of people in need of health care accessed treatment when point-of-service fees were in place. However, when fee exemptions were introduced for targeted medicines and services, the use of health care increased by 65 percent for all patients, 52 percent for children under age five, and over 25 percent for maternity consultations. These effects were sustained at an average direct cost of US$0.60 per patient. The pilot interventions can become a key element of universal health care in Madagascar with the support of external donors. Project HOPE—The People-to-People Health Foundation, Inc.

  5. Reorienting health services with capacity building: a case study of the Core Skills in Health Promotion Project.

    Science.gov (United States)

    Yeatman, H R; Nove, T

    2002-12-01

    This paper presents a case study of the application of a framework for capacity building [Hawe, P., King, L., Noort, M., Jordens, C. and Lloyd, B. (2000) Indicators to Help with Capacity Building in Health Promotion. NSW Health, Sydney] to describe actions aimed at building organizational support for health promotion within an area health service in New South Wales, Australia. The Core Skills in Health Promotion Project (CSHPP) arose from an investigation which reported that participants of a health promotion training course had increased health promotion skills but that they lacked the support to apply their skills in the workplace. The project was action-research based. It investigated and facilitated the implementation of a range of initiatives to support community health staff to apply a more preventive approach in their practice and it contributed to the establishment of new organizational structures for health promotion. An evaluation was undertaken 4 years after the CSHPP was established, and 2 years after it had submitted its final report. Interviews with senior managers, document analysis of written reports, and focus groups with middle managers and service delivery staff were undertaken. Change was achieved in the three dimensions of health infrastructure, program maintenance and problem solving capacity of the organization. It was identified that the critically important elements in achieving the aims of the project-partnership, leadership and commitment-were also key elements of the capacity building framework. This case study provides a practical example of the usefulness of the capacity building framework in orienting health services to be supportive of health promotion.

  6. Doula Services Within a Healthy Start Program: Increasing Access for an Underserved Population.

    Science.gov (United States)

    Thomas, Mary-Powel; Ammann, Gabriela; Brazier, Ellen; Noyes, Philip; Maybank, Aletha

    2017-12-01

    Women of color in the United States, particularly in high-poverty neighborhoods, experience high rates of poor birth outcomes, including cesarean section, preterm birth, low birthweight, and infant mortality. Doula care has been linked to improvements in many perinatal outcomes, but women of color and low-income women often face barriers in accessing doula support. To address this issue, the New York City Department of Health and Mental Hygiene's Healthy Start Brooklyn introduced the By My Side Birth Support Program in 2010. The goal was to complement other maternal home-visiting programs by providing doula support during labor and birth, along with prenatal and postpartum visits. Between 2010 and 2015, 489 infants were born to women enrolled in the program. Data indicate that By My Side is a promising model of support for Healthy Start projects nationwide. Compared to the project area, program participants had lower rates of preterm birth (6.3 vs. 12.4%, p < 0.001) and low birthweight (6.5 vs. 11.1%, p = 0.001); however, rates of cesarean birth did not differ significantly (33.5 vs. 36.9%, p = 0.122). Further research is needed to explore possible reasons for this finding, and to examine the influence of doula support on birth outcomes among populations with high rates of chronic disease and stressors such as poverty, racism, and exposure to violence. However, feedback from participants indicates that doula support is highly valued and helps give women a voice in consequential childbirth decisions. Available evidence suggests that doula services may be an important component of an effort to address birth inequities.

  7. Balancing Academic Teaching, Research, and Service: a Paradigm Emerging from NSF-TUES Sponsored Project Experiences

    Science.gov (United States)

    De Paor, D. G.

    2012-12-01

    As every academic administrator stresses in interviews with new faculty, the role of a professor today involves balancing three areas - teaching, research, and service. Few institutions can afford the old policy of promoting and tenuring faculty based solely on research output and grantsmanship, whilst ignoring poor teaching outcomes. Outreach activities involving parents and the extramural community are increasingly important as expensive universities and four-year colleges seek to demonstrate their relevance in the age of much less expensive community colleges and distance education. Nevertheless, many faculty complain that teaching and outreach duties compete for their valuable research time. Some fields of research have such broad impacts that they merit the dedicated time of our best scientists. However, other research projects constitute little more than publicly funded professorial hobbies. The challenge is to reliably identify and prioritize the research questions that merit investigation. IN ODU's geospatial visualization group, we instituted a policy requiring Ph.D. theses to include a component (at least one chapter) dedicated to the development and testing of learning resources. TAs test visualizations in their lab sections in tandem with their research studies. They must incorporate original geophysical mapping, modeling, and/or analysis in order to justify a degree in the Physics Department (the traditional home of Geophysics at our institution) rather than, say, the College of Education. Geospatial graduate students also train to offer planetarium presentations to the public using digital full-dome projection technology that can be used with a wide range of geoscience and planetary science topics. Thus they tackle the three aspects of academic work from the outset. In contrast, students in other programs frequently serve as TAs in their first and then switch to grant-supported RA work, resulting in a steady stream of new TAs with little or no

  8. Developing Road Infrastructure Route Planning: Increasing Feasibility of Toll Road Project

    Directory of Open Access Journals (Sweden)

    Mohammed Ali Berawi

    2016-12-01

    Full Text Available Indonesian government attempts to improve connectivity and to increase regional activities in SumateraIsland through the development of Trans Sumatera Toll Road (TSTR.However, despite its benefits to local economic development in Sumatera, the project shows low feasibility due to a low amount of investment. It can be attributed from the lack of planning in the initial phase to produce a comprehensive route that considers the various potentials of the regions. Thus, this research aims to investigate alternative routeplanning of Trans Sumatera Toll Road particularly in this paper for Central Sumatera by studying Gross Regional Domestic Product (GRDP, population and other significant factors. This research exposes cities and districts in Riau, West Sumatera, and Jambi which potentially contribute to the regional economy. Each selected towns and districts will be integrated with the intermodal system and connected to other functions to establish the Trans Sumatera Toll Roadproject in Central Sumatera. Compared to existing estimation of investment from public records, this alternative route has generated a competitive cost of investment which is estimated around 118,053,400,074,696 rupiahs. The research findings are expected to become the basis to improve other similar infrastructure toll road project development.

  9. Charging conditions research to increase the initial projected velocity at different initial charge temperatures

    Science.gov (United States)

    Ishchenko, Aleksandr; Burkin, Viktor; Kasimov, Vladimir; Samorokova, Nina; Zykova, Angelica; Diachkovskii, Alexei

    2017-11-01

    The problems of the defense industry occupy the most important place in the constantly developing modern world. The daily development of defense technology does not stop, nor do studies on internal ballistics. The scientists of the whole world are faced with the task of managing the main characteristics of a ballistic experiment. The main characteristics of the ballistic experiment are the maximum pressure in the combustion chamber Pmax and the projected velocity at the time of barrel leaving UM. During the work the combustion law of the new high-energy fuel was determined in a ballistic experiment for different initial temperatures. This combustion law was used for a parametric study of depending Pmax and UM from a powder charge mass and a traveling charge was carried out. The optimal conditions for loading were obtained for improving the initial velocity at pressures up to 600 MPa for different initial temperatures. In this paper, one of the most promising schemes of throwing is considered, as well as a method for increasing the muzzle velocity of a projected element to 3317 m/s.

  10. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

    Science.gov (United States)

    Harding, Andrew D

    2012-01-01

    The use of infusion pumps that incorporate "smart" technology (smart pumps) can reduce the risks associated with receiving IV therapies. Smart pump technology incorporates safeguards such as a list of high-alert medications, soft and hard dosage limits, and a drug library that can be tailored to specific patient care areas. Its use can help to improve patient safety and to avoid potentially catastrophic harm associated with medication errors. But when one independent community hospital in Massachusetts switched from older mechanical pumps to smart pumps, it neglected to assign an "owner" to oversee the implementation process. One result was that nurses were using the smart pump library for only 37% of all infusions.To increase pump library usage percentage-thereby reducing the risks associated with infusion and improving patient safety-the hospital undertook a continuous quality improvement project over a four-month period in 2009. With the involvement of direct care nurses, and using quantitative data available from the smart pump software, the nursing quality and pharmacy quality teams identified ways to improve pump and pump library use. A secondary goal was to calculate the hospital's return on investment for the purchase of the smart pumps. Several interventions were developed and, on the first of each month, implemented. By the end of the project, pump library usage had nearly doubled; and the hospital had completely recouped its initial investment.

  11. Project risk and appeals in U.S. Forest Service planning

    International Nuclear Information System (INIS)

    Stern, Marc J.; Predmore, S. Andrew; Morse, Wayde C.; Seesholtz, David N.

    2013-01-01

    The National Environmental Policy Act (NEPA) requires U.S. Forest Service planning processes to be conducted by interdisciplinary teams of resource specialists to analyze and disclose the likely environmental impacts of proposed natural resource management actions on Forest Service lands. Multiple challenges associated with these processes have been a source of frustration for the agency. One of these challenges involves administrative appeals through which public entities can challenge a Forest Service decision following a NEPA process. These appeals instigate an internal review process and can result in an affirmation of the Forest Service decision, a reversal of that decision, or additional work that re-initiates all or part of the NEPA process. We examine the best predictors of appeals and their outcomes on a representative sample of 489 Forest Service NEPA processes that were decided between 2007 and 2009. While certain factors associated with pre-existing social contexts (such as a history of controversy) or pre-determined elements of a proposed action (such as the extraction of forest products) predispose certain processes to a higher risk of appeals, other practices and process-related strategies within the control of the agency also appear to bear meaningful influence on the occurrence of appeals and their outcomes. Appeals and their outcomes were most strongly related to programmatic, structural (turnover of personnel in particular), and relationship risks (both internal and external) within the processes, suggesting the need for greater focus within the agency on cultivating positive internal and external relationships to manage the risk of appeals. -- Highlights: ► We examined appeals and their outcomes on 489 U.S. Forest Service NEPA processes. ► Project type, context, team turnover, and personal relationships predicted appeals. ► External relationship management and staff turnover best predicted appeal outcomes. ► Positive internal and

  12. Project risk and appeals in U.S. Forest Service planning

    Energy Technology Data Exchange (ETDEWEB)

    Stern, Marc J., E-mail: mjstern@vt.edu [Department of Forest Resources and Environmental Conservation, Virginia Tech, 304 Cheatham Hall (0324), Blacksburg, VA 24061 (United States); Predmore, S. Andrew, E-mail: spred2@uis.edu [Department of Environmental Studies, University of Illinois-Springfield, Public Affairs Center, Room 314, Springfield, IL 62703 (United States); Morse, Wayde C., E-mail: morsewc@auburn.edu [School of Forestry and Wildlife Sciences, Auburn University, 3301 Forestry and Wildlife Bldg., Auburn, AL 36849 (United States); Seesholtz, David N., E-mail: dseesholtz@fs.fed.us [Focused Science Delivery Program, Pacific Northwest Research Station, USDA Forest Service, 1249S Vinnell Way, Suite 200, Boise, ID 83709 (United States)

    2013-09-15

    The National Environmental Policy Act (NEPA) requires U.S. Forest Service planning processes to be conducted by interdisciplinary teams of resource specialists to analyze and disclose the likely environmental impacts of proposed natural resource management actions on Forest Service lands. Multiple challenges associated with these processes have been a source of frustration for the agency. One of these challenges involves administrative appeals through which public entities can challenge a Forest Service decision following a NEPA process. These appeals instigate an internal review process and can result in an affirmation of the Forest Service decision, a reversal of that decision, or additional work that re-initiates all or part of the NEPA process. We examine the best predictors of appeals and their outcomes on a representative sample of 489 Forest Service NEPA processes that were decided between 2007 and 2009. While certain factors associated with pre-existing social contexts (such as a history of controversy) or pre-determined elements of a proposed action (such as the extraction of forest products) predispose certain processes to a higher risk of appeals, other practices and process-related strategies within the control of the agency also appear to bear meaningful influence on the occurrence of appeals and their outcomes. Appeals and their outcomes were most strongly related to programmatic, structural (turnover of personnel in particular), and relationship risks (both internal and external) within the processes, suggesting the need for greater focus within the agency on cultivating positive internal and external relationships to manage the risk of appeals. -- Highlights: ► We examined appeals and their outcomes on 489 U.S. Forest Service NEPA processes. ► Project type, context, team turnover, and personal relationships predicted appeals. ► External relationship management and staff turnover best predicted appeal outcomes. ► Positive internal and

  13. The impact of increased weekend physiotherapy service provision in critical care: a mixed methods study.

    Science.gov (United States)

    Duncan, Catharine; Hudson, Megan; Heck, Carol

    2015-01-01

    At the hospital studied, weekend physiotherapy (WEPT) is routinely provided and in 2013 WEPT was increased from one (PRE) to three (POST) physiotherapists (PTs) to cover intensive care and ward patients. (1) To evaluate the impact of increased WEPT on patient volumes, treatments provided and conditions treated in critical care and wards; and (2) to understand the PTs' perspectives on the new coverage model. A mixed methods design was utilized. The quantitative component consisted of retrospective document reviews of all weekend patients treated January 1-May 5 (PRE) and May 11-December 31 (POST). The qualitative component used a questionnaire to collect staff feedback. PRE-POST comparisons were conducted using χ(2) or Mann-Whitney U tests. Significant (p = 0.00) increases POST were seen in number of patients treated, number of mobility treatments provided and number of post-surgical patients seen in both clinical areas. The majority of survey respondents reported feeling adequately trained, but had concerns regarding the impact of increased WEPT on work-life balance. PTs perceived enhanced service was beneficial for continuity of weekday care and improved patient function. Future studies need to focus on measuring the effect of increased weekend provision on outcomes, preventing complications and length of stay.

  14. Pre-service proof pressure and leak rate tests for the Qinshan CANDU project reactor buildings

    International Nuclear Information System (INIS)

    Petrunik, K.J.; Khan, A.; Ricciuti, R.; Ivanov, A.; Chen, S.

    2003-01-01

    The Qinshan CANDU Project Reactor Buildings (Units 1 and 2) have been successfully tested for the Pre-Service Proof Pressure and Integrated Leak Rate Tests. The Unit 1 tests took place from May 3 to May 9, 2002 and from May 22 to May 25, 2002, and the Unit 2 tests took place from January 21 to January 27, 2003. This paper discusses the significant steps taken at minimum cost on the Qinshan CANDU Project, which has resulted in a) very good leak rate (0.21%) for Unit 1 and excellent leak rate (0.130%) for Unit 2; b) continuous monitoring of the structural behaviour during the Proof Pressure Test, thus eliminating any repeat of the structural test due to lack of data; and c) significant schedule reduction achieved for these tests in Unit 2. (author)

  15. Understanding the Influence of knowledge-sharing in Project Portfolio Management in professional services

    DEFF Research Database (Denmark)

    Møller, Mads Lyngsø; Horsager, Betina; Tambo, Torben

    2016-01-01

    that combine the entire project-, program and portfolio life-cycle. The information processing must facilitate controlled knowledge flows and learnings, while helping the project managers to reduce non-productive knowledge acquisition. This is accomplished with a balance between the need for knowledge....... As critical findings of the paper are observations, characterization of knowledge-sharing and -management processes between clients, consultants, consultants-as-a-community, and senior management with information systems often in a retrospective position according to the immediate needs of PPM....... As such there is found knowledge-based deficit in the precision of the PPM system. The originality of this paper relates to knowledge management studies in small professional services organization at the tipping point where KM changes from person-based to be institutionalized in information systems with having...

  16. Project FIND: a profile of a community-based senior services agency.

    Science.gov (United States)

    Lockwood, Andrée

    2007-01-01

    Project FIND has been providing innovative supportive housing, nutrition, and social support to homeless and low- and moderate-income seniors on New York City's West Side since 1967. This article profiles this nonprofit, community-based agency, which was established to meet the needs of the frail and isolated elderly, and has continued to grow and evolve in response to changing demographics, neighborhood gentrification, and needs of both the homeless as well as the active "younger old." The article describes creative programming that has distinguished Project FIND's response to seniors' needs beyond basic housing and nutrition. It also explores what it takes to successfully provide senior services using limited resources and examines challenges for the future both nationally and for the agency.

  17. Identifying pollination service hotspots and coldspots using citizen science data from the Great Sunflower Project

    Science.gov (United States)

    LeBuhn, G.; Schmucki, R.

    2016-12-01

    Identifying the spatial patterns of pollinator visitation rates is key to identifying the drivers of differences in pollination service and the areas where pollinator conservation will provide the highest return on investment. However, gathering pollinator abundance data at the appropriate regional and national scales is untenable. As a surrogate, habitat models have been developed to identify areas of pollinator losses but these models have been developed using expert opinion based on foraging and nesting requirements. Thousands of citizen scientists across the United States participating in The Great Sunflower Project (www.GreatSunflower.org) contribute timed counts of pollinator visits to a focal sunflower variety planted in local gardens and green spaces. While these data provide a more direct measure of pollination service to a standardized plant and include a measure of effort, the data are complicated. Each location is sampled at different dates, times and frequencies as well as different points across the local flight season. To overcome this complication, we have used a generalized additive model to generate regional flight curves to calibrate each individual data point and to attain better estimates of pollination service at each site. Using these flight season corrected data, we identify hotspots and cold spots in pollinator service across the United States, evaluate the drivers shaping the spatial patterns and observe how these data align with the results obtained from predictive models that are based on expert knowledge on foraging and nesting habitats.

  18. Increase plant safety and reduce cost by implementing risk-informed in-service inspection programs

    International Nuclear Information System (INIS)

    Billington, A.; Monette, P.

    2001-01-01

    The idea behind the program is that it is possible to 'inspect less, but inspect better'. In other words, the risk-informed In-Service Inspection (ISI) process is used to improve the effectiveness of examination of piping components, i.e. concentrate inspection resources and enhance inspection strategies on high safety significant locations, and reduce inspection requirements on others. The Westinghouse Owners Group (WOG) risk-informed ISI process has already been applied for full scope (Millstone 3, Surry 1) and limited scope (Beznau, Ringhals 4, Asco, Turkey Point 3). By examining the high safety significant piping segments for the different fluid piping systems, the total piping core damage frequency is reduced. In addition, more than 80% of the risk associated with potential pressure boundary failures is addressed with the WOG risk-informed ISI process, while typically less that 50% of this same risk is addressed by the current inspection programs. The risk-informed ISI processes are used to improve the effectiveness of inspecting safety-significant piping components, to reduce inspection requirements on other piping components, to evaluate improvements to plant availability and enhanced safety measures, including reduction of personnel radiation exposure, and to reduce overall Operation and Maintenance (O and M) costs while maintaining regulatory compliance. A description of the process as well as benefits from past projects is presented, since the methodology is applicable for WWER plant design. (author)

  19. Increase plant safety and reduce cost by implementing risk-informed In-Service Inspection programs

    International Nuclear Information System (INIS)

    Billington, A.; Monette, P.; Doumont, C.

    2000-01-01

    The idea behind the program is that it is possible to 'inspect less, but inspect better'. In other words, the risk-informed In-Service Inspection (ISI) process is used to improve the effectiveness of examination of piping components, i.e. concentrate inspection resources and enhance inspection strategies on high safety significant locations, and reduce inspection requirements on others. The Westinghouse Owners Group (WOG) risk-informed ISI process has already been applied for full scope (Millstone 3, Surry 1) and limited scope (Beznau, Ringhals 4, Asco, Turkey Point 3). By examining the high safety significant piping segments for the different fluid piping systems, the total piping core damage frequency is reduced. In addition, more than 80% of the risk associated with potential pressure boundary failures is addressed with the WOG risk-informed ISI process, while typically less than 50% of this same risk is addressed by the current inspection programs. The risk-informed ISI processes are used: to improve the effectiveness of inspecting safety-significant piping components; to reduce inspection requirements on other piping components; to evaluate improvements to plant availability and enhanced safety measures, including reduction of personnel radiation exposure; and to reduce overall Operation and Maintenance (O and M) costs while maintaining regulatory compliance. A description of the process as well as benefits of past projects is presented, since the methodology is applicable for VVER plant design. (author)

  20. Temperature and Snowfall in Western Queen Maud Land Increasing Faster Than Climate Model Projections

    Science.gov (United States)

    Medley, B.; McConnell, J. R.; Neumann, T. A.; Reijmer, C. H.; Chellman, N.; Sigl, M.; Kipfstuhl, S.

    2018-02-01

    East Antarctic Ice Sheet (EAIS) mass balance is largely driven by snowfall. Recently, increased snowfall in Queen Maud Land led to years of EAIS mass gain. It is difficult to determine whether these years of enhanced snowfall are anomalous or part of a longer-term trend, reducing our ability to assess the mitigating impact of snowfall on sea level rise. We determine that the recent snowfall increases in western Queen Maud Land (QML) are part of a long-term trend (+5.2 ± 3.7% decade-1) and are unprecedented over the past two millennia. Warming between 1998 and 2016 is significant and rapid (+1.1 ± 0.7°C decade-1). Using these observations, we determine that the current accumulation and temperature increases in QML from an ensemble of global climate simulations are too low, which suggests that projections of the QML contribution to sea level rise are potentially overestimated with a reduced mitigating impact of enhanced snowfall in a warming world.

  1. EnviroAtlas - Ecosystem Service Market and Project Locations, U.S., 2015, Forest Trends' Ecosystem Marketplace

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset contains points depicting the location of market-based programs, referred to herein as markets, and projects addressing ecosystem services...

  2. An increase of efficiency of projects of partnership is at the level of city

    Directory of Open Access Journals (Sweden)

    S. A. Zaporozhec

    2015-03-01

    Full Text Available On the basis of analysis of scientific sources certainly necessity of the use of mechanisms of partnership for a management a city, the problems of introduction of mechanisms of partnership are analysed at the level of city. Certainly basic factors which influence on efficiency of the use of mechanisms of partnership at the level of city, namely: absence of effective possibilities for valuable and system control from the side of society after activity of local advice, shortage of information on maintenance of decisions which are accepted city advices, complication of control process after implementation of policy in town, imperfect accounting about activity of organs of local government, opaque budgetary processes, absence of the co-ordinated and corrected policy of partnership, imperfection of legislative base of partner relations; unclear determination of role and status of participants of partnership; underestimation by the organs of local government at the level of city of human capital; absence of the proper propaganda of positive examples of partner co-operation; absence of the adjusted connections which would be instrumental in the exchange of realization of social and business projects experience; absence of financial base. It predetermines the necessity of scientific research of essence and maintenance of partnership as forms of balance of interests of organs of local government and public and business space, modern mechanisms of their cooperation, as to the instrument of the investment-innovative providing of development of cities. By an important purpose any of forms of partnership there is bringing in of investments for the decision of set social-economic tasks, important for a grant public services and upgrading life, in town. Keywords: local government, management, partnership, in public private partnership, control the system by partnership, adaptive case, problem frame, a city, by partnership, society.

  3. Plant Responses to Increased UV-B Radiation: A Research Project

    Science.gov (United States)

    DAntoni, H. L.; Skiles, J. W.; Armstrong, R.; Coughlan, J.; Daleo, G.; Mayoral, A.; Lawless, James G. (Technical Monitor)

    1994-01-01

    Ozone decrease implies more ultraviolet-B (UV-B) radiation reaching the surface of the Earth. Increased UV-B radiation triggers responses by living organisms. Despite the large potential impacts on vegetation, little is known about UV-B effects on terrestrial ecosystems. Long-term ecological studies are needed to quantify the effects of increased UV radiation on terrestrial ecosystems, asses the risks, and produce reliable data for prediction. Screening pigments are part of one of the protective mechanism in plants. Higher concentrations of screening pigments in leaves may be interpreted as a response to increased UV radiation. If the screening effect is not sufficient, important molecules will be disturbed by incoming radiation. Thus, genetics, photosynthesis, growth, plant and leaf shape and size, and pollen grains may be affected. This will have an impact on ecosystem dynamics, structure and productivity. It is necessary to monitor selected terrestrial ecosystems to permit detection and interpretation of changes attributable to global climate change and depleted ozone shield. The objectives of this project are: (1) To identify and measure indicators of the effects of increased solar UV-B radiation on terrestrial plants; (2) to select indicators with the greatest responses to UV-B exposure; (3) to test, adapt or create ecosystem models that use the information gathered by this project for prediction and to enhance our understanding of the effects of increased UV-B radiation on terrestrial ecosystems. As a first step to achieve these objectives we propose a three-year study of forest and steppe vegetation on the North slope of the Brooks Range (within the Arctic circle, in Alaska), in the Saguaro National Monument (near Tucson, Arizona) and in the forests and steppes of Patagonia (Argentina). We selected (1) vegetation north of the Polar Circle because at 70N there is 8% risk of plant damage due to increased UV-B radiation; (2) the foothills of Catalina Mountains

  4. Scientific Value and Educational Goals: Balancing Priorities and Increasing Adult Engagement in a Citizen Science Project

    Science.gov (United States)

    Sickler, Jessica; Cherry, Tammy Messick; Allee, Leslie; Smyth, Rebecca Rice; Losey, John

    2014-01-01

    The Lost Ladybug Project is a citizen science project that engages individuals and groups in research and learning about ladybug population dynamics. With a dual purpose of advancing scientists' research about ladybug populations and achieving learning outcomes with participants, the project's summative evaluation led to critical reflection on the…

  5. Innovative approach for increasing physical activity among breast cancer survivors: protocol for Project MOVE, a quasi-experimental study.

    Science.gov (United States)

    Caperchione, Cristina M; Sabiston, Catherine M; Clark, Marianne I; Bottorff, Joan L; Toxopeus, Renee; Campbell, Kristin L; Eves, Neil D; Ellard, Susan L; Gotay, Carolyn

    2016-08-16

    Physical activity is a cost-effective and non-pharmaceutical strategy that can help mitigate the physical and psychological health challenges associated with breast cancer survivorship. However, up to 70% of women breast cancer survivors are not meeting minimum recommended physical activity guidelines. Project MOVE is an innovative approach to increase physical activity among breast cancer survivors through the use of Action Grants, a combination of microgrants (small amounts of money awarded to groups of individuals to support a physical activity initiative) and financial incentives. The purpose of this paper is to describe the rationale and protocol of Project MOVE. A quasi-experimental pre-post design will be used. Twelve groups of 8-12 adult women who are breast cancer survivors (N=132) were recruited for the study via face-to-face meetings with breast cancer-related stakeholders, local print and radio media, social media, and pamphlets and posters at community organisations and medical clinics. Each group submitted a microgrant application outlining their proposed physical activity initiative. Successful applicants were determined by a grant review panel and informed of a financial incentive on meeting their physical activity goals. An evaluation of feasibility will be guided by the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework and assessed through focus groups, interviews and project-related reports. Physical activity will be assessed through accelerometry and by self-report. Quality of life, motivation to exercise and social connection will also be assessed through self-report. Assessments will occur at baseline, 6 months and 1 year. Ethical approval was obtained from the University of British Columbia's Behavioural Research Ethics Board (#H14-02502) and has been funded by the Canadian Cancer Society Research Institute (project number #702913). Study findings will be disseminated widely through peer-reviewed publications

  6. Public Health Investment in Team Care: Increasing Access to Clinical Preventive Services in Los Angeles County

    Directory of Open Access Journals (Sweden)

    Tony Kuo

    2018-02-01

    Full Text Available As part of federal and local efforts to increase access to high quality, clinical preventive services (CPS in underserved populations, the Los Angeles County Department of Public Health (DPH partnered with six local health system and community organization partners to promote the use of team care for CPS delivery. Although these partners were at different stages of organizational capacity, post-program review suggests that each organization advanced team care in their clinical or community environments, potentially affecting >250,000 client visits per year. Despite existing infrastructure and DPH’s funding support of CPS integration, partner efforts faced several challenges. They included lack of sustainable funding for prevention services; limited access to community resources that support disease prevention; and difficulties in changing health-care provider behavior. Although team care can serve as a catalyst or vehicle for delivering CPS, downstream sustainability of this model of practice requires further state and national policy changes that prioritize prevention. Public health is well positioned to facilitate these policy discussions and to assist health system and community organizations in strengthening CPS integration.

  7. Focusing Conservation Efforts on Ecosystem Service Supply May Increase Vulnerability of Socio-Ecological Systems.

    Directory of Open Access Journals (Sweden)

    Pedro Laterra

    Full Text Available Growing concern about the loss of ecosystem services (ES promotes their spatial representation as a key tool for the internalization of the ES framework into land use policies. Paradoxically, mapping approaches meant to inform policy decisions focus on the magnitude and spatial distribution of the biophysical supply of ES, largely ignoring the social mechanisms by which these services influence human wellbeing. If social mechanisms affecting ES demand, enhancing it or reducing it, are taken more into account, then policies are more effective. By developing and applying a new mapping routine to two distinct socio-ecological systems, we show a strong spatial uncoupling between ES supply and socio-ecological vulnerability to the loss of ES, under scenarios of land use and cover change. Public policies based on ES supply might not only fail at detecting priority conservation areas for the wellbeing of human societies, but may also increase their vulnerability by neglecting areas of currently low, but highly valued ES supply.

  8. SERVICES OF FULL-TEXT SEARCHING IN A DISTRIBUTED INFORMATION ENVIRONMENT (PROJECT HUMANITARIANA

    Directory of Open Access Journals (Sweden)

    S. K. Lyapin

    2015-01-01

    Full Text Available Problem statement. We justify the possibility of full-text search services application in both universal and specialized (in terms of resource base digital libraries for the extraction and analysis of the context knowledge in the humanities. The architecture and services of virtual information and resource center for extracting knowledge from the humanitarian texts generated by «Humanitariana» project are described. The functional integration of the resources and services for a full-text search in a distributed decentralized environment, organized in the Internet / Intranet architecture under the control of the client (user browser accessing a variety of independent servers. An algorithm for a distributed full-text query implementation is described. Methods. Method of combining requency-ranked and paragraph-oriented full-text queries is used: the first are used for the preliminary analysis of the subject area or a combination product (explication of "vertical" context, or macro context, the second - for the explication of "horizontal" context, or micro context within copyright paragraph. The results of the frequency-ranked queries are used to compile paragraph-oriented queries. Results. The results of textual research are shown on the topics "The question of fact in Russian philosophy", "The question of loneliness in Russian philosophy and culture". About 50 pieces of context knowledge on the total resource base of about 2,500 full-text resources have been explicated and briefly described to their further expert investigating. Practical significance. The proposed technology (advanced full-text searching services in a distributed information environment can be used for the information support of humanitarian studies and education in the humanities, for functional integration of resources and services of various organizations, for carrying out interdisciplinary research.

  9. 77 FR 30591 - Open Meeting of the Taxpayer Advocacy Panel Face-to-Face Service Methods Project Committee

    Science.gov (United States)

    2012-05-23

    ... Face-to-Face Service Methods Project Committee AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of meeting. SUMMARY: An open meeting of the Taxpayer Advocacy Panel Face-to-Face [[Page 30592... meeting will be held Thursday, June 7 from 8:00 a.m.-5:00 p.m. Eastern Time and Friday, June 8 from 8:00 a...

  10. The CASE Project: Evaluation of Case-Based Approaches to Learning and Teaching in Statistics Service Courses

    Science.gov (United States)

    Fawcett, Lee

    2017-01-01

    The CASE project (Case-based Approaches to Statistics Education; see www.mas.ncl.ac.uk/~nlf8/innovation) was established to investigate how the use of real-life, discipline-specific case study material in Statistics service courses could improve student engagement, motivation, and confidence. Ultimately, the project aims to promote deep learning…

  11. Tree cover and aridity projections to 2060: a technical document supporting the Forest Service 2010 RPA assessment

    Science.gov (United States)

    Eric J. Greenfield; David J. Nowak

    2013-01-01

    Future projections of tree cover and climate change are useful to natural resource managers as they illustrate potential changes to our natural resources and the ecosystem services they provide. This report a) details three projections of tree cover change across the conterminous United States based on predicted land-use changes from 2000 to 2060; b) evaluates nine...

  12. The Forest Service, Rocky Mountain Research Station's Southwestern Borderlands Ecosystem Management Project: building on ten years of success [Abstract

    Science.gov (United States)

    Gerald J. Gottfried; Carleton B. Edminster

    2005-01-01

    The USDA Forest Service initiated the Southwestern Borderlands Ecosystem Management Project in 1994. The Project concentrates on the unique, relatively unfragmented landscape of exceptional biological diversity in southeastern Arizona and southwestern New Mexico. Its mission is to: "Contribute to the scientific basis for developing and implementing a comprehensive...

  13. The Students Upgrading through Computer and Career Education Systems Services (Project SUCCESS). 1990-91 Final Evaluation Profile. OREA Report.

    Science.gov (United States)

    New York City Board of Education, Brooklyn, NY. Office of Research, Evaluation, and Assessment.

    An evaluation was done of the New York City Public Schools' Student Upgrading through Computer and Career Education Systems Services Program (Project SUCCESS). Project SUCCESS operated at 3 high schools in Brooklyn and Manhattan (Murry Bergtraum High School, Edward R. Murrow High School, and John Dewey High School). It enrolled limited English…

  14. A Project-Based Learning Approach to Teaching Physics for Pre-Service Elementary School Teacher Education Students

    Science.gov (United States)

    Goldstein, Olzan

    2016-01-01

    This paper describes the impact of the project-based learning (PBL) approach on learning and teaching physics from the perspective of pre-service elementary school teacher education students and an instructor. This approach promoted meaningful learning (mainly in the scope of projects), higher motivation, and active involvement of students in…

  15. Science in Action: How Middle School Students Are Changing Their World through STEM Service-Learning Projects

    Science.gov (United States)

    Newman, Jane L.; Dantzler, John; Coleman, April N.

    2015-01-01

    The purpose of Science in Action (SIA) was to examine the relationship between implementing quality science, technology, engineering, and math (STEM) service-learning (SL) projects and the effect on students' academic engagement in middle school science, civic responsibility, and resilience to at-risk behaviors. The innovative project funded by…

  16. Give Water a Hand. School Site Action Guide. Organizing Water Conservation and Pollution Prevention Service Projects in Your Community.

    Science.gov (United States)

    Wisconsin Univ., Madison. Coll. of Agricultural and Life Sciences.

    Students grades 4-8 can use this guide to explore the topics of water, and water conservation at a school site, while conducting an environmental community service project. Youth groups, led by a group leader, work with local experts from business, government, or environmental organizations to complete the project. Nine activity sections involve…

  17. Give Water a Hand. Community Site Action Guide. Organizing Water Conservation and Pollution Prevention Service Projects in Your Community.

    Science.gov (United States)

    Wisconsin Univ., Madison. Coll. of Agricultural and Life Sciences.

    Students grades 4-8 can use this guide to explore the topics of water, and water conservation within a community, while conducting an environmental community service project. Youth groups, led by a group leader, work with local experts from business, government, or environmental organizations to complete the project. Nine activity sections involve…

  18. Give Water a Hand. Home Site Action Guide. Organizing Water Conservation and Pollution Prevention Service Projects in Your Community.

    Science.gov (United States)

    Wisconsin Univ., Madison. Coll. of Agricultural and Life Sciences.

    Students grades 4-8 can use this guide to explore the topics of water and water conservation within the home while conducting an environmental community service project. Youth groups, led by a group leader, work with local experts from business, government, or environmental organizations to complete the project. Nine activity sections involve…

  19. An educational video program to increase aging services technology awareness among older adults.

    Science.gov (United States)

    Tam, Joyce W; Van Son, Catherine; Dyck, Dennis; Schmitter-Edgecombe, Maureen

    2017-08-01

    Aging services technologies (ASTs), health technology that meets the needs of seniors, are being underutilized due to a lack of awareness. This study evaluated a video-based educational program to increase AST awareness. Two hundred and thirty-one older adults completed AST measures pre- and post-program. Participants endorsed significantly improved AST knowledge and attitude and a lower level of perceived stigma post-program. Hierarchical regression analyses showed that a greater reduction in stigma post-program and a higher number of physical/cognitive needs supported by ASTs at baseline were significant predictors of a greater increase in expressed intention to use ASTs following the video program. Furthermore, individuals living in their own homes, with a lower level of education, fewer physical and/or cognitive needs supported by ASTs at baseline, and greater functional limitations were found to be more likely to report a significant reduction in perceived stigma post-program. Four-week follow-up data from 75 individuals showed stable program gains. Program feedback was positive. The current findings provide support for the utility of the AST videos. The educational materials used in this study can be used clinically or for public health education to increase awareness and adoption of ASTs. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. From Adopt-a-Project to Permanent Services: The Evolution of Water For People’s Approach to Rural Water Supply in Bolivia

    Directory of Open Access Journals (Sweden)

    Kate Fogelberg

    2013-10-01

    Full Text Available The dominant paradigm in rural water provision in Bolivia has focused on the provision of infrastructure, whether by government agencies or international cooperation groups. However, the investment in infrastructure has led neither to universal access for all Bolivians nor to consistently high levels of services for those who do have access to a water system. This paper will describe the transition of one international non-profit organisation, Water For People, from supporting dispersed water projects throughout the country towards targeted support of water services at the municipal level, aiming to support permanent universal services. The institutional evolution – including changes in governance, implementation strategy, donor base, and indicators of success – that allowed field programmes to shift from projects to services provides the context for the change of approach in Bolivia. A discussion of the various aspects that have changed in the organisation’s operations in seven municipalities in Bolivia, from the scale of intervention, to municipal-wide planning information and tools, to support to service providers and service authorities, and an increased focus on post-construction monitoring, demonstrates how the Everyone, Forever approach is resulting in a more service- delivery-oriented approach in Bolivia.

  1. The Choice Project: Peer Workers Promoting Shared Decision Making at a Youth Mental Health Service.

    Science.gov (United States)

    Simmons, Magenta Bender; Batchelor, Samantha; Dimopoulos-Bick, Tara; Howe, Deb

    2017-08-01

    In youth mental health services, consumer participation is essential, but few implementation strategies exist to engage young consumers. This project evaluated an intervention implemented in an Australian youth mental health service that utilized peer workers to promote shared decision making via an online tool. All new clients ages 16-25 were invited to participate in this nonrandomized comparative study, which used a historical comparison group (N=80). Intervention participants (N=149) engaged with a peer worker and used the online tool before and during their intake assessment. Pre- and postintake data were collected for both groups; measures included decisional conflict, perceived shared decision making, and satisfaction. A series of paired t tests, analyses of variance, and multiple regressions were conducted to assess differences in scores across intervention and comparison groups and pre- and postintake assessments. Ratings of perceived shared decision making with intake workers were higher in the intervention group than in the comparison group (p=.015). In both groups, decisional conflict scores were significantly lower after the intake assessment (pdecision making and lower decisional conflict were associated with satisfaction (pdecision making reported feeling more involved in their assessment. Feeling involved and having lower decisional conflict after seeing an intake worker were important for client satisfaction. These findings demonstrate the importance of both peer work and shared decision making for promoting optimal outcomes in youth mental health services.

  2. Scientific advances of the MyOcean projects underpinning the transition towards the Marine Copernicus service

    Science.gov (United States)

    Brasseur, Pierre

    2015-04-01

    The MyOcean projects supported by the European Commission period have been developed during the 2008-2015 period to build an operational service of ocean physical state and ecosystem information to intermediate and downstream users in the areas of marine safety, marine resources, marine and coastal environment and weather, climate and seasonal forecasting. The "core" information provided to users is obtained through the combination of satellite and in situ observations, eddy-resolving modelling of the global ocean and regional european seas, biochemistry, ecosystem and sea-ice modelling, and data assimilation for global to basin scale circulation. A comprehensive R&D plan was established in 2010 to ensure the collection and provision of information of best possible quality for daily estimates of the ocean state (real-time), its short-term evolution, and its history over the past (reanalyses). A service validation methodology was further developed to ensure proper scientific evaluation and routine monitoring of the accuracy of MyOcean products. In this presentation, we will present an overview of the main scientific advances achieved in MyOcean using the NEMO modelling platform, ensemble-based assimilation schemes, coupled circulation-ecosystem, sea-ice assimilative models and probabilistic methodologies for ensemble validation. We will further highlight the key areas that will require additional innovation effort to support the Marine Copernicus service evolution.

  3. More Job Services--Better Employment Outcomes: Increasing Job Attainment for People with IDD

    Science.gov (United States)

    Nord, Derek

    2016-01-01

    Job search, job placement, and on-the-job supports are valuable services provided to many people with intellectual and developmental disabilities (IDD) to obtain work in the community. Investigating those who were unemployed at the time of service entry, this study seeks to extend understanding about the effect of services. Using extant data, a…

  4. Dynamics of participation and supply of services in the Hood River Conservation Project

    Energy Technology Data Exchange (ETDEWEB)

    Hirst, E.; Goeltz, R.

    1986-07-01

    The Hood River Conservation Project (HRCP) is a major residential retrofit demonstration project. HRCP is funded by the Bonneville Power Administration (BPA) and run by Pacific Power and Light Company. The project was conducted in the community of Hood River, Oregon, will cost $21 million, and will last for three years (mid-1983 through 1986). Installation of applicable retrofit measures was completed by the end of 1985; data collection, analysis, and report writing will continue through 1986. This report documents the extent to which households participated in HRCP. Differences between participants and eligible nonparticipants are examined. Similarly, differences among participants as a function of when they signed up for HRCP are analyzed. The report also examines the dynamics of program services (i.e., times between audit requests and audit, and between audit and installation of measures). These analyses are based on data from the roughly 3500 Hood River homes eligible for HRCP, 3189 of which received free home energy audits and 2988 of which received HRCP-financed retrofit measures.

  5. The Value of Modern Decision-Making Support Services to Fusion Projects

    International Nuclear Information System (INIS)

    Pascal, C.

    2006-01-01

    Whatever the power generation process ( fission or fusion), a nuclear plant is a complex system made of thousands of components and equipment. It is also submitted to the most strength requirements in terms of safety, environmental impact, schedule and economical competitiveness. Even the fission process is well known and managed, achieving successfully a nuclear facility construction project nowadays requires a mastery in integration and project management. The feedback of recent test and propulsion reactor projects designed and built by AREVA TA (more than 10 reactors from 4 different designs in the last 12 years) and the recent erected Asian NPPs and under process Okiluoto AREVA NP EPR construction project highlight the real interest of most modern engineering method utilization. These methods, satisfying the project management standards issued in the last five years, are based on a global approach and on the continuous improvement of the process. They offer a real minimization of risks for the client, for the public and the environment. Achieving a new fusion power plant project implies a change in the order of magnitude of the scientific and technical complexity. Naturally the feedback of previous scientific machines projects is strongly limited specially in the field of nuclear facility integration, nuclear safety culture, human factor, Integrated Logistic Support, nuclear operation and decommissioning requirements at the design and construction stages. The paper presents how can fusion community take advantages from best engineering practices of nuclear companies. The examples issued from AREVA group's experience show the versatility of the engineering approach and present some successful adaptations of these methods, even if the engineering responsibility is limited and the technical domain is different. These methods, initially developed for core activities (nuclear propulsion reactor engineering) have been successfully used in the field of scientific

  6. INCREASING THE AIRCRAFT AIRWORTHINESS MAINTENANCE EFICIENCY BASED ON THE PROJECT MANAGEMENT METHODOLOGY

    Directory of Open Access Journals (Sweden)

    Alexander Abramovich Itskovich

    2017-01-01

    Full Text Available The interrelation between aircraft airworthiness maintenance process (AAMP and the process of project man- agement methodology application is demonstrated.A project portfolio can be formed based on the strategic objectives. The projects with the highest priority are car- ried out, including those which strive to improve the efficiency of AAMP. The proposed approach allows to find the priori- ties of specific projects realization, which are included in the airline project portfolio.The project aimed to improve the efficiency of the AAMP of AN-124-100 of "Volga-Dnepr Airlines" is presented as an example. The statistical data analysis of failures of AN-124-100 fleet has demonstrated that wing components most frequently fail, especially spoiler sections, which are subjected to honeycomb skin mass exfoliation and need to be modi- fied. One of the expected project results should be the К1000 reduction of the wing spoilers not less than for 40 % and, respectively, the plane in total - not less than for 4 %.The work is executed in full compliance with the standards of project management. The passport of the project is given, which contains all the necessary information about the project: its goals, outcomes, results, timelines, action plan, budget and participants. A special attention is paid to the risks of the project, their probability assessment and the actions for overcoming possible consequences. It is shown that the implementation of the project "Introduction of aircraft AN-124-100 spoilers technology modi- fication" allows to improve a number of production and technical efficiency indicators, with material, financial and organi- zational resources optimization.

  7. Increasing Prediction the Original Final Year Project of Student Using Genetic Algorithm

    Science.gov (United States)

    Saragih, Rijois Iboy Erwin; Turnip, Mardi; Sitanggang, Delima; Aritonang, Mendarissan; Harianja, Eva

    2018-04-01

    Final year project is very important forgraduation study of a student. Unfortunately, many students are not seriouslydidtheir final projects. Many of studentsask for someone to do it for them. In this paper, an application of genetic algorithms to predict the original final year project of a studentis proposed. In the simulation, the data of the final project for the last 5 years is collected. The genetic algorithm has several operators namely population, selection, crossover, and mutation. The result suggest that genetic algorithm can do better prediction than other comparable model. Experimental results of predicting showed that 70% was more accurate than the previous researched.

  8. Patterns of contribution to citizen science biodiversity projects increase understanding of volunteers' recording behaviour.

    Science.gov (United States)

    Boakes, Elizabeth H; Gliozzo, Gianfranco; Seymour, Valentine; Harvey, Martin; Smith, Chloë; Roy, David B; Haklay, Muki

    2016-09-13

    The often opportunistic nature of biological recording via citizen science leads to taxonomic, spatial and temporal biases which add uncertainty to biodiversity estimates. However, such biases may also give valuable insight into volunteers' recording behaviour. Using Greater London as a case-study we examined the composition of three citizen science datasets - from Greenspace Information for Greater London CIC, iSpot and iRecord - with respect to recorder contribution and spatial and taxonomic biases, i.e. when, where and what volunteers record. We found most volunteers contributed few records and were active for just one day. Each dataset had its own taxonomic and spatial signature suggesting that volunteers' personal recording preferences may attract them towards particular schemes. There were also patterns across datasets: species' abundance and ease of identification were positively associated with number of records, as was plant height. We found clear hotspots of recording activity, the 10 most popular sites containing open water. We note that biases are accrued as part of the recording process (e.g. species' detectability) as well as from volunteer preferences. An increased understanding of volunteer behaviour gained from analysing the composition of records could thus enhance the fit between volunteers' interests and the needs of scientific projects.

  9. Increasing women's leadership in academic medicine: report of the AAMC Project Implementation Committee.

    Science.gov (United States)

    Bickel, Janet; Wara, Diane; Atkinson, Barbara F; Cohen, Lawrence S; Dunn, Michael; Hostler, Sharon; Johnson, Timothy R B; Morahan, Page; Rubenstein, Arthur H; Sheldon, George F; Stokes, Emma

    2002-10-01

    The AAMC's Increasing Women's Leadership Project Implementation Committee examined four years of data on the advancement of women in academic medicine. With women comprising only 14% of tenured faculty and 12% of full professors, the committee concludes that the progress achieved is inadequate. Because academic medicine needs all the leaders it can develop to address accelerating institutional and societal needs, the waste of most women's potential is of growing importance. Only institutions able to recruit and retain women will be likely to maintain the best housestaff and faculty. The long-term success of academic health centers is thus inextricably linked to the development of women leaders. The committee therefore recommends that medical schools, teaching hospitals, and academic societies (1) emphasize faculty diversity in departmental reviews, evaluating department chairs on their development of women faculty; (2) target women's professional development needs within the context of helping all faculty maximize their faculty appointments, including helping men become more effective mentors of women; (3) assess which institutional practices tend to favor men's over women's professional development, such as defining "academic success" as largely an independent act and rewarding unrestricted availability to work (i.e., neglect of personal life); (4) enhance the effectiveness of search committees to attract women candidates, including assessment of group process and of how candidates' qualifications are defined and evaluated; and (5) financially support institutional Women in Medicine programs and the AAMC Women Liaison Officer and regularly monitor the representation of women at senior ranks.

  10. Increasing Weldability of Service-Aged Reformer Tubes by Partial Solution Annealing

    Science.gov (United States)

    Mostafaei, M.; Shamanian, M.; Purmohamad, H.; Amini, M.

    2016-04-01

    A dissimilar joint of 25Cr-35Ni/30Cr-48Ni (HP/HV) heat-resistant steels was evaluated. The investigations indicated that the as-cast HP alloy contained M7C3, M23C6, and NbC carbides and HV alloy with 5 wt.% tungsten, contained M23C6 and M6C carbides embedded in an austenitic matrix. After 8 years of ex-service aging at 1050 °C, the ductility of HP/HV reformer tubes was decreased dramatically, and thus, the repair welding of the aged HP/HV dissimilar joint was at a risk. In order to repair the aged reformer tubes and increase weldability properties, a new partial solution annealing treatment was designed. Mechanical testing results showed that partial solution annealing at 1200 °C for 6 h increased the elongation and toughness of the aged HP and HV alloys drastically. Also, a mechanism for constitutional liquation cracking in the heat-affected zones (HAZ) of the HP/HV dissimilar joint was proposed. In the HAZ of the aged HP/HV welded joint, the cracks around the locally melted carbides were initiated and propagated during carbides solidification at the cooling cycle of welding associated with the decrease in the ductility of the aged HP and HV alloys. In addition, Varestraint weldability test showed that the susceptibility to hot cracking was decreased with partial solution annealing.

  11. Increased ICU resource needs for an academic emergency general surgery service*.

    Science.gov (United States)

    Lissauer, Matthew E; Galvagno, Samuel M; Rock, Peter; Narayan, Mayur; Shah, Paulesh; Spencer, Heather; Hong, Caron; Diaz, Jose J

    2014-04-01

    ICU needs of nontrauma emergency general surgery patients are poorly described. This study was designed to compare ICU utilization of emergency general surgery patients admitted to an acute care emergency surgery service with other general surgery patients. Our hypothesis is that tertiary care emergency general surgery patients utilize more ICU resources than other general surgical patients. Retrospective database review. Academic, tertiary care, nontrauma surgical ICU. All patients admitted to the surgical ICU over age 18 between March 2004 and June 2012. None. Six thousand ninety-eight patients were evaluated: 1,053 acute care emergency surgery, 1,964 general surgery, 1,491 transplant surgery, 995 facial surgery/otolaryngology, and 595 neurosurgery. Acute care emergency surgery patients had statistically significantly longer ICU lengths of stay than other groups: acute care emergency surgery (13.5 ± 17.4 d) versus general surgery (8.7 ± 12.9), transplant (7.8 ± 11.6), oral-maxillofacial surgery (5.5 ± 4.2), and neurosurgery (4.47 ± 9.8) (all psurgery patients: acute care emergency surgery 73.4% versus general surgery 64.9%, transplant 63.3%, oral-maxillofacial surgery 58.4%, and neurosurgery 53.1% (all p surgery patients: acute care emergency surgery 10.8% versus general surgery 4.3%, transplant 6.6%, oral-maxillofacial surgery 0%, and neurosurgery 0.5% (all p surgery patients were more likely interhospital transfers for tertiary care services than general surgery or transplant (24.5% vs 15.5% and 8.3% respectively, p surgery (13.7% vs 6.7% and 3.5%, all p surgery and general surgery, whereas transplant had fewer. Emergency general surgery patients have increased ICU needs in terms of length of stay, ventilator usage, and continuous renal replacement therapy usage compared with other services, perhaps due to the higher percentage of transfers and emergent surgery required. These patients represent a distinct population. Understanding their resource needs

  12. Collaborative service innovation : A study on the collaboration between designers and service providers in dervice disigne projects

    NARCIS (Netherlands)

    Berit Kari Godfroij

    2011-01-01

    Designers move more and more in the direction of Service Design, in which frequently a participatory or co-design approach is used to involve service providers in the design process. The designerprovider relationship in such Service Design processes differs in four aspects from

  13. Implementation of a Project-Based Engineering School: Increasing Student Motivation and Relevant Learning

    Science.gov (United States)

    Terrón-López, María-José; García-García, María-José; Velasco-Quintana, Paloma-Julia; Ocampo, Jared; Vigil Montaño, María-Reyes; Gaya-López, María-Cruz

    2017-01-01

    The School of Engineering at Universidad Europea de Madrid (UEM) implemented, starting in the 2012-2013 period, a unified academic model based on project-based learning as the methodology used throughout the entire School. This model expects that every year, in each grade, all the students should participate in a capstone project integrating the…

  14. Anesthesia Service Use During Outpatient Gastroenterology Procedures Continued to Increase From 2010 to 2013 and Potentially Discretionary Spending Remained High.

    Science.gov (United States)

    Predmore, Zachary; Nie, Xiaoyu; Main, Regan; Mattke, Soeren; Liu, Hangsheng

    2017-02-01

    Previous studies have identified an increasing number of gastroenterology (GI) procedures using anesthesia services to provide sedation, with a majority of these services delivered to low-risk patients. The aim of this study was to update these trends with the most recent years of data. We used Medicare and commercial claims data from 2010 to 2013 to identify GI procedures and anesthesia services based on CPT codes, which were linked together using patient identifiers and dates of service. We defined low-risk patients as those who were classified as ASA (American Society of Anesthesiologists) physical status class I or II. For those patients without an ASA class listed on the claim, we used a prediction algorithm to impute an ASA physical status. Over 6.6 million patients in our sample had a GI procedure between 2010 and 2013. GI procedures involving anesthesia service accounted for 33.7% in 2010 and 47.6% in 2013 in Medicare patients, and 38.3% in 2010 and 53.0% in 2013 in commercially insured patients. Overall, as more patients used anesthesia services, total anesthesia service use in low-risk patients increased 14%, from 27,191 to 33,181 per million Medicare enrollees. Similarly, we observed a nearly identical uptick in commercially insured patients from 15,871 to 22,247 per million, an increase of almost 15%. During 2010-2013, spending associated with anesthesia services in low-risk patients increased from US$3.14 million to US$3.45 million per million Medicare enrollees and from US$7.69 million to US$10.66 million per million commercially insured patients. During 2010 to 2013, anesthesia service use in GI procedures continued to increase and the proportion of these services rendered for low-risk patients remained high.

  15. Outsourcing cleaning services increases MRSA incidence: Evidence from 126 English Acute Trusts

    OpenAIRE

    Toffolutti, V; Reeves, A; McKee, M; Stuckler, D

    2016-01-01

    : There has been extensive outsourcing of hospital cleaning services in the NHS in England, in part because of the potential to reduce costs. Yet some argue that this leads to lower hygiene standards and more infections, such as MRSA and, perhaps because of this, the Scottish, Welsh, and Northern Irish health services have rejected outsourcing. This study evaluates whether contracting out cleaning services in English acute hospital Trusts (legal authorities that run one or more hospitals) is ...

  16. Peer-based education and the integration of HIV and Sexual and Reproductive Health services for young people in Vietnam: evidence from a project evaluation.

    Science.gov (United States)

    Ngo, Anh D; Ha, Toan H; Rule, John; Dang, Chinh V

    2013-01-01

    This paper reports changes in behavioral outcomes related to the use of HIV testing service of a project that employed peer-based education strategies and integration of HIV voluntary counseling and testing (VCT) and Sexual and Reproductive Health (SRH) services targeting young people aged 15-24 across 5 provinces in Vietnam. A pre-test/post-test, non-experimental evaluation design was used. Data were collected from cross-sectional surveys of youth and client exit interviews at project supported SRH clinics conducted at baseline and again at 24 months following implementation. The baseline samples consisted of 813 youth and 399 exit clients. The end line samples included 501 youths and 399 exit clients. Z test was used to assess changes in behavioral outcomes. Results show that there was a significant increase (p<0.05) in the percentage of youth who wanted to obtain a HIV test (from 33% to 51%), who had ever had a test (from 7.5% to 15%), and who had a repeat test in the last 12 months (from 54.5% to 67.5%). Exit client interviews found a nearly five-fold increase in the percentage of clients seeking HIV VCT in their current visit (5.0% vs. 24.5%) and almost two-fold increase in the percentage of those having their last test at a project supported clinic (9.3% vs. 17.8%). There were also positive changes in some aspects of youth HIV/AIDS knowledge, attitudes, and risk perceptions. This study provides preliminary evidence regarding the benefits of the integration of HIV VCT-SRH services in terms of increased access to HIV services and testing in Vietnam. Benefits of peer-based education regarding increased HIV knowledge were also identified. Further investigations, including experimental studies with assessment of health outcomes and the uptake of HIV testing services, are required to better elucidate the effectiveness and challenges of this intervention model in Vietnam.

  17. Service innovation methodologies I : what can we learn from service innovation and new service development research? : report no 1 from the TIPVIS-project

    OpenAIRE

    Nysveen, Herbjørn; Pedersen, Per E.

    2007-01-01

    This report presents a review of service innovation and service development literature. The main purpose of the review is to identify normative implications for service innovation methodologies. Three separate reviews are conducted and reported; an open search review based on specific search terms of relevance to service innovation methodologies, a review of articles in four of the most influential journals on service innovation/service development, and a review focusing contri...

  18. A Customer’s Possibilities to Increase the Performance of a Service Provider by Adding Value and Deepening the Partnership in Facility Management Service

    Directory of Open Access Journals (Sweden)

    Sillanpää Elina

    2016-06-01

    Full Text Available Reliable and good suppliers are an important competitive advantage for a customer and that is why the development of suppliers, improvement of performance and enhancement of customership are also in the interest of the customer. The purpose of this study is to clarify a customer’s possibilities to increase the performance of a service provider and to develop the service process in FM services and thus help to improve partnership development. This research is a qualitative research. The research complements the existing generic model of supplier development towards partnership development by customer and clarifies the special features that facility management services bring to this model. The data has been gathered from interviews of customers and service providers in the facility management service sector. The result is a model of customers’ possibilities to develop the performance of service providers from the viewpoint of value addition and relationship development and in that way ensure added value to the customer and the development of a long-term relationship. The results can be beneficial to customers when they develop the cooperation between the customer and the service provider toward being more strategic and more partnership focused.

  19. Increasing Students’ Interest by Encouraging them to Create Original Lab Projects

    Directory of Open Access Journals (Sweden)

    Petre Lucian Ogrutan

    2017-11-01

    Full Text Available Sometimes traditional lab projects based on standard kits and modules fail to stimulate students’ interest and creativity. This paper presents a novel laboratory concept which allows students to develop their own lab projects using open-source resources. The lab experiment includes competition aspects allowing every student to come up with ideas of which the best are selected. The lab projects include both hard and software components using Arduino-compatible systems and interfaces. Before starting the practical activities as well as after the completion of the lab session, the students were asked to fill in an anonymous questionnaire.

  20. Using Roadside Billboard Posters to Increase Admission Rates to Problem Gambling Services: Reflections on Failure.

    Science.gov (United States)

    Calderwood, Kimberly A; Wellington, William J

    2015-07-01

    Based on the stimulus-response model of advertising, this study sought to increase admission rates to a local problem gambling service (PGS) in Windsor, Ontario, Canada, by adding a series of locally based 10 foot by 20 foot roadside billboard posters to PGS's existing communications tools for a 24-week period. Using proof of performance reports, a pre-post survey of new callers to PGS, a website visit counter, and a media awareness survey, the findings showed that at least some individuals were influenced by billboard exposure, but admission rates continued to decline during the billboard campaign period. While one possible explanation for the communications failure was that the whole PGS communications campaign was below the minimal threshold for communications perception, another possible explanation is that the stimulus-response model of advertising used may not have been appropriate for such advertising that targets behavior change. Reflections on using an information-processing model instead of a stimulus-response model, and considerations of a two-step flow of communication, are provided. Recommendations are made regarding matching communications messages to stages of behavior change, use of online promotion, and strategies for future research. © 2015 Society for Public Health Education.

  1. Overcoming Barriers and Increasing Independence – Service Robots for Elderly and Disabled People

    Directory of Open Access Journals (Sweden)

    Marion Hersh

    2015-08-01

    Full Text Available The paper discusses the potential of assistive service robots to support disabled and elderly people. It shows that they have considerable untapped potential in this area, but also that inappropriate implementations could increase isolation, reduce independence and lead to users feeling as though they are under surveillance. The main body of the paper presents an overview of existing applications and discusses their benefits and potential problems. This is organized by an extension of the common classification into socially and physically assistive robots by the two categories of sensory assistive and mixed assistance robots. Another more detailed classification is also presented. This discussion is introduced by an overview of many of the technological components of smart mobile robots. It is followed by a discussion of user acceptance. The problems of existing models based on either solely positive or solely negative factors are noted and a model containing both types of factors is proposed. The need for continuing research is noted and various proposals are made.

  2. Implementation of a project-based engineering school: increasing student motivation and relevant learning

    Science.gov (United States)

    Terrón-López, María-José; García-García, María-José; Velasco-Quintana, Paloma-Julia; Ocampo, Jared; Vigil Montaño, María-Reyes; Gaya-López, María-Cruz

    2017-11-01

    The School of Engineering at Universidad Europea de Madrid (UEM) implemented, starting in the 2012-2013 period, a unified academic model based on project-based learning as the methodology used throughout the entire School. This model expects that every year, in each grade, all the students should participate in a capstone project integrating the contents and competencies of several courses. This paper presents the academic context under which this experience has been implemented, and a summary of the work done to design and implement the Project-Based Engineering School at the UEM. The steps followed, the structure used, some sample projects, as well as the difficulties and benefits of implementing the programme are discussed in this paper. The results are encouraging as students are more motivated and the initial set objectives were accomplished.

  3. General practitioners in Styria - who is willing to take part in research projects and why? : A survey by the Institute of General Practice and Health Services Research.

    Science.gov (United States)

    Poggenburg, Stephanie; Reinisch, Manuel; Höfler, Reinhild; Stigler, Florian; Avian, Alexander; Siebenhofer, Andrea

    2017-11-01

    Increasing recognition of general practice is reflected in the growing number of university institutes devoted to the subject and Health Services Research (HSR) is flourishing as a result. In May 2015 the Institute of General Practice and Evidence-based Health Services Research, Medical University of Graz, initiated a survey of Styrian GPs. The aim of the survey was to determine the willingness to take part in HSR projects, to collect sociodemographic data from GPs who were interested and to identify factors affecting participation in research projects. Of the 1015 GPs who received the questionnaire, 142 (14%) responded and 135 (13%) were included in the analysis. Overall 106 (10%) GPs indicated their willingness to take part in research projects. Factors inhibiting participation were lack of time, administrative workload, and lack of assistance. Overall, 10% of Styrian GPs were willing to participate in research projects. Knowledge about the circumstances under which family doctors are prepared to participate in HSR projects will help in the planning of future projects.

  4. Services in support of promoting territorial tourism and culture: the living lab project EPULIA

    Directory of Open Access Journals (Sweden)

    Domenica Suma

    2014-12-01

    Full Text Available The project “Enjoy Puglia using Ubiquitous technology in Landscape Interactive Adventures” (EPULIA is aimed at the development of a platform populated by innovative and technological applications in which users can enjoy entertainment and educational contents in an interactive way, by means of multimedia and mobile technology. The platform, through the support of the skills of SMEs (LifeResult, Info.Sist and Cedimpresa and the Research Laboratory (Consortium CETMA in terms of research and experimentation, aims to provide services for supporting the promotion of the cultural tourism of Apulia, and provides information and contents of interest for tourists, including routes and itineraries, with the definition of real interactive and geo-referenced maps and information on available accommodation. The platform will provide tourists with added value in information retrieval: using modern devices, equipped with GPS, the multi-channel services will offer and unify contents that might otherwise be disseminated using Internet sites and portals.

  5. Nurturing social responsibility through community service-learning: Lessons learned from a pilot project.

    Science.gov (United States)

    Dharamsi, Shafik; Espinoza, Nancy; Cramer, Carl; Amin, Maryam; Bainbridge, Lesley; Poole, Gary

    2010-01-01

    Community service-learning (CSL) has been proposed as one way to enrich medical and dental students' sense of social responsibility toward people who are marginalized in society. We developed and implemented a new CSL option in the integrated medical/dental curriculum and assessed its educational impact. Focus groups, individual open-ended interviews, and a survey were used to assess dental students', faculty tutors' and community partners' experiences with CSL. CSL enabled a deeper appreciation for the vulnerabilities that people who are marginalized experience; students gained a greater insight into the social determinants of health and the related importance of community engagement; and they developed useful skills in health promotion project planning, implementation and evaluation. Community partners and faculty tutors indicated that equal partnership, greater collaboration, and a participatory approach to course development are essential to sustainability in CSL. CSL can play an important role in nurturing a purposeful sense of social responsibility among future practitioners. Our study enabled the implementation of an innovative longitudinal course (professionalism and community service) in all 4 years of the dental curriculum.

  6. Economic Analysis of Cikaso Mini Hydro Power Plant as a CDM Project for Increasing IRR

    OpenAIRE

    Febijanto, Irhan

    2013-01-01

    Renewable energy fueled power generations are few developed by private sector in Indonesia. High-cost investment and low electricity selling price to PT PLN as a single buyer is main barriers for private sector to involve in the development of renewable energy fueled power generations. In this project, the economic feasibility of Mini Hydro Power Plant of Cikaso with capacity of 5.3 MW, located at Sukabumi Regency, West Java province was assessed. This project utilized revenue generated from ...

  7. Examination of corticothalamic fiber projections in United States service members with mild traumatic brain injury

    Science.gov (United States)

    Rashid, Faisal M.; Dennis, Emily L.; Villalon-Reina, Julio E.; Jin, Yan; Lewis, Jeffrey D.; York, Gerald E.; Thompson, Paul M.; Tate, David F.

    2017-11-01

    Mild traumatic brain injury (mTBI) is characterized clinically by a closed head injury involving differential or rotational movement of the brain inside the skull. Over 3 million mTBIs occur annually in the United States alone. Many of the individuals who sustain an mTBI go on to recover fully, but around 20% experience persistent symptoms. These symptoms often last for many weeks to several months. The thalamus, a structure known to serve as a global networking or relay system for the rest of the brain, may play a critical role in neurorehabiliation and its integrity and connectivity after injury may also affect cognitive outcomes. To examine the thalamus, conventional tractography methods to map corticothalamic pathways with diffusion-weighted MRI (DWI) lead to sparse reconstructions that may contain false positive fibers that are anatomically inaccurate. Using a specialized method to zero in on corticothalamic pathways with greater robustness, we noninvasively examined corticothalamic fiber projections using DWI, in 68 service members. We found significantly lower fractional anisotropy (FA), a measure of white matter microstructural integrity, in pathways projecting to the left pre- and postcentral gyri - consistent with sensorimotor deficits often found post-mTBI. Mapping of neural circuitry in mTBI may help to further our understanding of mechanisms underlying recovery post-TBI.

  8. A rural virtual health sciences library project: research findings with implications for next generation library services.

    Science.gov (United States)

    Richwine, M P; McGowan, J J

    2001-01-01

    The Shared Hospital Electronic Library of Southern Indiana (SHELSI) research project was designed to determine whether access to a virtual health sciences library and training in its use would support medical decision making in rural southern Indiana and achieve the same level of impact seen by targeted information services provided by health sciences librarians in urban hospitals. Based on the results of a needs assessment, a virtual medical library was created; various levels of training were provided. Virtual library users were asked to complete a Likert-type survey, which included questions on intent of use and impact of use. At the conclusion of the project period, structured interviews were conducted. Impact of the virtual health sciences library showed a strong correlation with the impact of information provided by health sciences librarians. Both interventions resulted in avoidance of adverse health events. Data collected from the structured interviews confirmed the perceived value of the virtual library. While librarians continue to hold a strong position in supporting information access for health care providers, their roles in the information age must begin to move away from providing information toward selecting and organizing knowledge resources and instruction in their use.

  9. A rural virtual health sciences library project: research findings with implications for next generation library services*

    Science.gov (United States)

    Richwine, Margaret (Peggy); McGowan, Julie J.

    2001-01-01

    Purpose: The Shared Hospital Electronic Library of Southern Indiana (SHELSI) research project was designed to determine whether access to a virtual health sciences library and training in its use would support medical decision making in rural southern Indiana and achieve the same level of impact seen by targeted information services provided by health sciences librarians in urban hospitals. Methods: Based on the results of a needs assessment, a virtual medical library was created; various levels of training were provided. Virtual library users were asked to complete a Likert-type survey, which included questions on intent of use and impact of use. At the conclusion of the project period, structured interviews were conducted. Results: Impact of the virtual health sciences library showed a strong correlation with the impact of information provided by health sciences librarians. Both interventions resulted in avoidance of adverse health events. Data collected from the structured interviews confirmed the perceived value of the virtual library. Conclusion: While librarians continue to hold a strong position in supporting information access for health care providers, their roles in the information age must begin to move away from providing information toward selecting and organizing knowledge resources and instruction in their use. PMID:11209799

  10. Increasing reliability and availability in smart spaces : a novel architecture for resource and service management

    NARCIS (Netherlands)

    Bhardwaj, S.; Ozcelebi, T.; Ozunlu, O.; Lukkien, J.J.

    2012-01-01

    Smart spaces are physical spaces where services provided by Consumer Electronics (CE) devices with varying resource availabilities work together to realize user-specific automated scenarios. These scenarios may be interrupted in case one of the services making up the scenario stops, e.g. due to lack

  11. Increasing reliability and availability in smart spaces : a novel architecture for resource and service management

    NARCIS (Netherlands)

    Bhardwaj, S.; Ozcelebi, T.; Syed, Aly; Ozunlu, O.; Lukkien, J.J.

    2012-01-01

    Smart spaces are physical spaces where services provided by Consumer Electronics (CE) devices with varying resource availabilities work together to realize user-specific automated scenarios. These scenarios may be interrupted in case one of the services making up the scenario stops working, e.g. due

  12. Teacher Preparation for Movement Education: Increasing Pre-Service Teachers' Competence for Working with Young Children

    Science.gov (United States)

    Sevimli-Celik, Serap; Johnson, James E.

    2016-01-01

    This study explores pre-service teachers' perceptions of movement education, the benefits they perceive from participating in a 12-week movement education module in a course on play, and the module's effects on their confidence and competence in regard to incorporating movement into a curriculum. Findings suggest that the pre-service teachers…

  13. Thematic Blogs: Tools to Increase Interaction, Collaboration and Autonomy among Pre-Service Foreign Language Teachers

    Science.gov (United States)

    Savas, Perihan

    2013-01-01

    This paper reports a study that is done in an English Language Teaching (ELT) pre-service teacher undergraduate course at a university in Turkey. Seventy six EFL pre-service teachers were asked to create Thematic Blogs in groups by using WordPress. Each group was assigned a specific topic

  14. Giving credit where credit is due: increasing landowner compensation for ecosystem services

    Science.gov (United States)

    Gina L. LaRocco; Robert L. Deal

    2011-01-01

    Conservation of biodiversity serves a number of human needs, including maintenance of ecosystem services that are critical to the sustainability of all life. Effective biodiversity conservation will require better landowner incentives for restoration and protection of ecosystems. Many services produced from healthy, functioning landscapes are not well recognized in...

  15. Application of isotopes and radiation to increasing agricultural production - Phase 2. Indonesia. Project findings and recommendations

    International Nuclear Information System (INIS)

    1992-01-01

    This Phase 2 Project was primarily aimed at consolidating the advances made during the previous phase, formulating practical agricultural technologies which can be adopted by farmers, disseminating and applying these technologies, and enhancing the capability of the Centre for Application of Isotopes and Radiation (CAIR) to conduct agricultural research using nuclear and related techniques. Outputs generated by this project were generally in accordance with those anticipated in the Project Document. Some outputs have been transferred to the target beneficiaries (farmers) through existing systems of extension, in co-operation with the main implementing agency (BATAN). Other outputs have potential for further assessment, and may lead to practical applications in future. The rest remain as important contributions to scientific knowledge. The project has been managed to assure sustainability after project termination. A strong indication of such sustainability is evident in the on-going research and development work at CAIR and the adoption of transferred technologies by the end-users. To keep up with rapid global advancements in bio-science and technology, a new project on application of nuclear and related techniques in agricultural bio-science and technology would be needed in relation to the second long-term phase of the national development programmes. (author)

  16. The value of modern decision-making support services to fusion projects

    International Nuclear Information System (INIS)

    Pascal, Claude; Blanchet, Christian; Ollivier, Jean-Marc

    2007-01-01

    Regardless of the power generation process, whether fission or fusion, a nuclear power plant (NPP) is a complex system of thousands of components and equipment. It is also subject to stringent requirements in terms of safety, environmental impacts, schedule and cost-competitiveness. Operating experience from test and propulsion reactors recently designed and built by AREVA TA - more than 10 reactors with 4 different designs in the past 12 years - and from NPPs recently built in Asia and the AREVA NP EPR under construction at the Okiluoto site in Finland highlight the added value of the latest engineering methods. These methods meet project management standards issued in the past five years and are based on a global approach and continuous improvement of the process. They significantly minimize risk for the customer, the public and the environment. The scientific and technical complexities are significantly higher in the case of a new fusion power plant project. There is very little operating experience from previous scientific machine projects, especially in the fields of nuclear facility integration, nuclear safety culture, human factors, integrated logistics support, nuclear operations and decommissioning requirements to be factored in at the design and construction stages. Examples are provided from AREVA group experience to show the versatility of the engineering approach and present some successful adaptations of these methods in a variety of technical fields with varying levels of engineering responsibility. This paper focus on decision-making support services in the following areas: performance management, interface management (including physical as well as functional interfaces) and integration management. The contribution of CAD and PDM (Product Data Management) is discussed. This paper describes how the fusion community can benefit from the best engineering practices of nuclear companies

  17. Cost-benefit of the telecardiology service in the state of Minas Gerais: Minas Telecardio Project.

    Science.gov (United States)

    Andrade, Mônica Viegas; Maia, Ana Carolina; Cardoso, Clareci Silva; Alkmim, Maria Beatriz; Ribeiro, Antônio Luiz Pinho

    2011-10-01

    Telecardiology is a tool that can aid in cardiovascular care, mainly in towns located in remote areas. However, economic assessments on this subject are scarce and have yielded controversial results. To evaluate the cost-benefit of implementing a Telecardiology service in remote, small towns in the state of Minas Gerais, Brazil. The study used the database from the Minas Telecardio (MTC) Project, developed from June 2006 to November 2008, in 82 towns in the countryside of the state. Each municipality received a microcomputer with a digital electrocardiograph, with the possibility of transmitting ECG tracings and communicating with the on-duty cardiologist at the University hospital. The cost-benefit analysis was carried out by comparing the cost of performing an ECG in the project versus the cost of performing it by patient referral to another city. The average cost of an ECG in the MTC project was R$ 28.92, decomposed into R$ 8.08 for the cost of implementation and R$ 20.84 for maintenance. The cost simulation of the ECG with referral ranged from R$ 30.91 to R$ 54.58, with the cost-benefit ratio being always favorable to the MTC program, regardless of the type of calculation used for referral distance. The simulations considered the financial sponsor's and society's points-of-view. The sensitivity analysis with variation of calibration parameters confirmed these results. The implementation of a Telecardiology system as support to primary care in small Brazilian towns is feasible and economically beneficial, and can be used as a regular program within the Brazilian public health system.

  18. Service Innovation Methodologies II : How can new product development methodologies be applied to service innovation and new service development? : Report no 2 from the TIPVIS-project

    OpenAIRE

    Nysveen, Herbjørn; Pedersen, Per E.; Aas, Tor Helge

    2007-01-01

    This report presents various methodologies used in new product development and product innovation and discusses the relevance of these methodologies for service development and service innovation. The service innovation relevance for all of the methodologies presented is evaluated along several service specific dimensions, like intangibility, inseparability, heterogeneity, perishability, information intensity, and co-creation. The methodologies discussed are mainly collect...

  19. Risk management of the North Anna Power Station Service Water System Preservation Project using the IPE model

    International Nuclear Information System (INIS)

    Afzali, A.; Donovan, M.D.; Sartain, M.D.; Bankley, A.V.

    1993-01-01

    This paper discusses the application of the North Anna Power Station Individual Plant Examination (IPE) models in PRA study of the Service Water System Preservation Project (SWSPP). The service water project involves repair and restoration of the Service Water System (SWS) piping and will require excavation of the buried SWS lines in addition to temporarily removing one of the two redundant SWS loops from operation. The SWSPP will be carried out with one or both units in normal operation. The objective of the PRA study was to quantify the risk impact (as measured by the change in Core Damage Frequency (ΔCDF)) of the SWSPP and to identify and evaluate countermeasures to reduce the risk impact of the project activities. The study concluded that the ΔCDF would be acceptable by undertaking preventative measures and by providing additional accident mitigating measures during performance of the SWSPP activities

  20. AmI and deployment considerations in AAL services provision for elderly independent living: the MonAMI project.

    Science.gov (United States)

    Falcó, Jorge L; Vaquerizo, Esteban; Lain, Luis; Artigas, Jose Ignacio; Ibarz, Alejandro

    2013-07-12

    The MonAMI project aims to investigate the feasibility of the deployment of open platforms for Ambient Assisted Living (AAL) services provision based on Ambient Intelligence (AmI) and to test user acceptance and the usability of the services. Services were designed to provide support in the areas of environmental control, security, well-being and leisure. These services were installed and evaluated in a Spanish geriatric residence. The participants included elderly persons with disabilities, nursing home care givers and informal carers. The concept of the open platform proved to be satisfactory for the provision of the services in a context aware framework. Furthermore, the usability of the technology was viewed positively and the overall results indicate that this system has the potential to prolong independent living at home for elderly people with disabilities. Deployment was proven successful and awareness of open-platform AAL service delivery was raised in local communities throughout Europe.

  1. AmI and Deployment Considerations in AAL Services Provision for Elderly Independent Living: The MonAMI Project

    Directory of Open Access Journals (Sweden)

    Alejandro Ibarz

    2013-07-01

    Full Text Available The MonAMI project aims to investigate the feasibility of the deployment of open platforms for Ambient Assisted Living (AAL services provision based on Ambient Intelligence (AmI and to test user acceptance and the usability of the services. Services were designed to provide support in the areas of environmental control, security, well-being and leisure. These services were installed and evaluated in a Spanish geriatric residence. The participants included elderly persons with disabilities, nursing home care givers and informal carers. The concept of the open platform proved to be satisfactory for the provision of the services in a context aware framework. Furthermore, the usability of the technology was viewed positively and the overall results indicate that this system has the potential to prolong independent living at home for elderly people with disabilities. Deployment was proven successful and awareness of open-platform AAL service delivery was raised in local communities throughout Europe.

  2. Determining the directions of increasing the innovative potential of the region by developing innovative technologies and competences when preparing and implementing large investment projects

    Directory of Open Access Journals (Sweden)

    Timur V. Kramin

    2015-12-01

    Full Text Available Objective to determine the directions of increasing the innovative potential of a region through the development of innovative technologies and competences in the process of preparation and implementation of large investment projects in the Republic of Tatarstan. Methods methodology of project management institutional approach. Results it is proved that the main largescale directions of innovative potential development in the Republic of Tatarstan as a result of preparation and implementing of Universiade 2013 in Kazan are knowledge management information technologies risk management. It is shown that in the framework of the considered innovative areas a complete system was formed of competences of employees and managers in the fields of education trade hospitality and service. Scientific novelty the key directions were defined of increasing the innovative potential of a region through the development of innovative technologies and competences in the process of preparation and implementation of large investment projects by the example of the World Summer Student Games in Kazan in 2013. Practical significance on the basis of specific examples the authors illustrate the practiceoriented mechanism of innovative potential development of a region as a result of implementation of large investment projects. nbsp

  3. The Arnot capacity increase project - An integrated boiler and turbine retrofit by Alstom - Implementation and operational experience

    Energy Technology Data Exchange (ETDEWEB)

    Davies, Mike; Stephen, Don; Rich, Glyn; Mills, Jeff; Allen, Steve

    2010-09-15

    In cooperation with South African utility giant Eskom, Alstom has undertaken an ambitious project to upgrade the six-unit Arnot Power Station. The objective was to retrofit major plant components in a cost effective manner in order to extend plant life and increase output. This paper will consider the implementation of the project, the challenges overcome and the operational experience subsequently gained. Lessons learned will be identified. Conclusions will be drawn concerning the effectiveness of a comprehensive feasibility study prior to project implementation and the ability of modern design and manufacturing techniques to retrofit older machines, thus releasing latent potential.

  4. Using cultural-historical activity theory to analyze social service practices evolving from the Norwegian HUSK projects.

    Science.gov (United States)

    Foot, Kirsten

    2015-01-01

    The HUSK projects catalyzed innovation in the practices of providing social services that could yield useful insights both within and outside of Norway if analyzed in these two ways: (a) retrospective analysis of the development of individual HUSK projects in light of their cultural-historical contexts, and (b) comparative analysis of the efforts to advance multi-sector collaboration in some of the HUSK projects. Such analyses require a practice-based research approach that takes into account culture and history. In this article the author explains how cultural-historical activity theory provides such an approach, illustrated via several HUSK cases. The author suggests five questions for future analyses of the HUSK projects and argues that insights gleaned from such analyses could contribute significantly to research on-and the provision of-social services.

  5. A generally applicable lightweight method for calculating a value structure for tools and services in bioinformatics infrastructure projects.

    Science.gov (United States)

    Mayer, Gerhard; Quast, Christian; Felden, Janine; Lange, Matthias; Prinz, Manuel; Pühler, Alfred; Lawerenz, Chris; Scholz, Uwe; Glöckner, Frank Oliver; Müller, Wolfgang; Marcus, Katrin; Eisenacher, Martin

    2017-10-30

    Sustainable noncommercial bioinformatics infrastructures are a prerequisite to use and take advantage of the potential of big data analysis for research and economy. Consequently, funders, universities and institutes as well as users ask for a transparent value model for the tools and services offered. In this article, a generally applicable lightweight method is described by which bioinformatics infrastructure projects can estimate the value of tools and services offered without determining exactly the total costs of ownership. Five representative scenarios for value estimation from a rough estimation to a detailed breakdown of costs are presented. To account for the diversity in bioinformatics applications and services, the notion of service-specific 'service provision units' is introduced together with the factors influencing them and the main underlying assumptions for these 'value influencing factors'. Special attention is given on how to handle personnel costs and indirect costs such as electricity. Four examples are presented for the calculation of the value of tools and services provided by the German Network for Bioinformatics Infrastructure (de.NBI): one for tool usage, one for (Web-based) database analyses, one for consulting services and one for bioinformatics training events. Finally, from the discussed values, the costs of direct funding and the costs of payment of services by funded projects are calculated and compared. © The Author 2017. Published by Oxford University Press.

  6. Increasing innovation capability:of product-service systems through collaborative networks

    OpenAIRE

    Wallin, Johanna

    2011-01-01

    Many manufacturing industries are undergoing a transition from manufacturing of products towards integrating more services into the traditional product concepts and provide product-service systems (PSS). Development of PSS changes the focus from the product to the functionality of the product; hence it can be referred to as functional product development. PSS also puts focus on the value of the knowledge-intensive solution. This change in focus challenges the way companies innovate. When deve...

  7. Strategies for Increased Integration of Online and In - Branch Services of Banks in Canada

    OpenAIRE

    Jason Dong; Michael Bliemel,

    2008-01-01

    Over the last decade there has been rapid growth of Online Banking. This research examines the benefits of Online Banking and how Canadian Banks accommodate various financial activates through different service channels, including Online, telephone, ABM and in - branch. A Framework is introduced for categorizing the most common activities by their need for physical interaction and assistance and to align activities with their ideal service channel. This research is ...

  8. Project W-519 CDR supplement: Raw water and electrical services for privatization contractor, AP tank farm operations

    International Nuclear Information System (INIS)

    Parazin, R.J.

    1998-01-01

    This supplement to the Project W-519 Conceptual Design will identify a means to provide RW and Electrical services to serve the needs of the TWRS Privatization Contractor (PC) at AP Tank Farm as directed by DOE-RL. The RW will serve the fire suppression and untreated process water requirements for the PC. The purpose of this CDR supplement is to identify Raw Water (RW) and Electrical service line routes to the TWRS Privatization Contractor (PC) feed delivery tanks, AP-106 and/or AP-108, and establish associated cost impacts to the Project W-519 baseline

  9. [A documentation procedure for community social psychiatry services--a pilot project in Bielefeld and Minden].

    Science.gov (United States)

    Hellmeier, W; Genin, G; Klewe-Niemann, S

    1996-04-01

    The status of health reporting (on community levels) has improved considerably during recent years. It is being increasingly used as an instrument for planning, controlling and evaluating political processes. In addition to individual studies the statistics within the departments of the health authorities are an important factor for meaningful health reporting on a local level. The IDIS (from Jan. 1st, 1995 LOGD) and the social psychiatric services on the Minden-Lübbecke district and the city of Bielefeld have developed a programme for automation-aided management of the statistics for social psychiatric services on a local level. Details on the personal situation and illnesses of the clients as well as on the activities of the services staff are recorded and analysed. Based on the WHO programme EPI-info 6.01 the documentation programme SPD-STAT was developed. This programme is menudriven and, in addition to the functions for the statistical data input and retrieval of fixed table sets, also offers the possibility of processing data with the full functionality of the ANALYSIS-module of EPI-Info. Thus interactive ad-hoc evaluations for current questions are made possible. Using SPD-STAT in as many local regions in NRW as possible may be a big step forward for health reporting on local levels as well as for health reporting on a state level.

  10. The PERFORM project: using performing arts to increase engagement and understanding of science.

    Science.gov (United States)

    James, Jon

    2017-04-01

    This commentary describes some of the current challenges for science education in the UK and how an EU educational project (PERFORM) is seeking to use performing arts to engage young people with science, its values and the processes of research. © FEMS 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Army Corps of Engineers: Cost Increases in Flood Control Projects and Improving Communication with Nonfederal Sponsors

    Science.gov (United States)

    2013-12-01

    such poor condition that it had to have major rehabilitation work performed. Work to fix the deteriorated tunnel cost $10 million more than had...originally been estimated.19 Corps officials on the Little Calumet project said during construction they encountered a former landfill along one portion

  12. Increasing EFL Learners' Oral Production at a Public School through Project-Based Learning

    Science.gov (United States)

    Vaca Torres, Ady Marcela; Gómez Rodríguez, Luis Fernando

    2017-01-01

    This research study examined how a group of ninth graders enhanced the speaking skill in an English as a foreign language classroom through project-based learning. Data about the experience were collected through field notes, transcripts of learners' oral performance, and one interview. Grounded theory was implemented for data analysis, out of…

  13. Increase Student Engagement through Project-Based Learning. Best Practices Newsletter

    Science.gov (United States)

    Southern Regional Education Board (SREB), 2015

    2015-01-01

    We learn by doing. This simple philosophy is at the heart of project-based learning in the 21st-century classroom. It is grounded in the belief that the stand and lecture approach to teaching, worksheets and rote memorization are not enough to move students down a path to the deep learning necessary for success in college and careers. Essential…

  14. Nitrogen Cycling from Increased Soil Organic Carbon Contributes Both Positively and Negatively to Ecosystem Services in Wheat Agro-Ecosystems

    Directory of Open Access Journals (Sweden)

    Jeda Palmer

    2017-05-01

    Full Text Available Soil organic carbon (SOC is an important and manageable property of soils that impacts on multiple ecosystem services through its effect on soil processes such as nitrogen (N cycling and soil physical properties. There is considerable interest in increasing SOC concentration in agro-ecosystems worldwide. In some agro-ecosystems, increased SOC has been found to enhance the provision of ecosystem services such as the provision of food. However, increased SOC may increase the environmental footprint of some agro-ecosystems, for example by increasing nitrous oxide emissions. Given this uncertainty, progress is needed in quantifying the impact of increased SOC concentration on agro-ecosystems. Increased SOC concentration affects both N cycling and soil physical properties (i.e., water holding capacity. Thus, the aim of this study was to quantify the contribution, both positive and negative, of increased SOC concentration on ecosystem services provided by wheat agro-ecosystems. We used the Agricultural Production Systems sIMulator (APSIM to represent the effect of increased SOC concentration on N cycling and soil physical properties, and used model outputs as proxies for multiple ecosystem services from wheat production agro-ecosystems at seven locations around the world. Under increased SOC, we found that N cycling had a larger effect on a range of ecosystem services (food provision, filtering of N, and nitrous oxide regulation than soil physical properties. We predicted that food provision in these agro-ecosystems could be significantly increased by increased SOC concentration when N supply is limiting. Conversely, we predicted no significant benefit to food production from increasing SOC when soil N supply (from fertiliser and soil N stocks is not limiting. The effect of increasing SOC on N cycling also led to significantly higher nitrous oxide emissions, although the relative increase was small. We also found that N losses via deep drainage were

  15. Nitrogen Cycling from Increased Soil Organic Carbon Contributes Both Positively and Negatively to Ecosystem Services in Wheat Agro-Ecosystems.

    Science.gov (United States)

    Palmer, Jeda; Thorburn, Peter J; Biggs, Jody S; Dominati, Estelle J; Probert, Merv E; Meier, Elizabeth A; Huth, Neil I; Dodd, Mike; Snow, Val; Larsen, Joshua R; Parton, William J

    2017-01-01

    Soil organic carbon (SOC) is an important and manageable property of soils that impacts on multiple ecosystem services through its effect on soil processes such as nitrogen (N) cycling and soil physical properties. There is considerable interest in increasing SOC concentration in agro-ecosystems worldwide. In some agro-ecosystems, increased SOC has been found to enhance the provision of ecosystem services such as the provision of food. However, increased SOC may increase the environmental footprint of some agro-ecosystems, for example by increasing nitrous oxide emissions. Given this uncertainty, progress is needed in quantifying the impact of increased SOC concentration on agro-ecosystems. Increased SOC concentration affects both N cycling and soil physical properties (i.e., water holding capacity). Thus, the aim of this study was to quantify the contribution, both positive and negative, of increased SOC concentration on ecosystem services provided by wheat agro-ecosystems. We used the Agricultural Production Systems sIMulator (APSIM) to represent the effect of increased SOC concentration on N cycling and soil physical properties, and used model outputs as proxies for multiple ecosystem services from wheat production agro-ecosystems at seven locations around the world. Under increased SOC, we found that N cycling had a larger effect on a range of ecosystem services (food provision, filtering of N, and nitrous oxide regulation) than soil physical properties. We predicted that food provision in these agro-ecosystems could be significantly increased by increased SOC concentration when N supply is limiting. Conversely, we predicted no significant benefit to food production from increasing SOC when soil N supply (from fertiliser and soil N stocks) is not limiting. The effect of increasing SOC on N cycling also led to significantly higher nitrous oxide emissions, although the relative increase was small. We also found that N losses via deep drainage were minimally

  16. The increasing efficiency of financial resources management at implementation of goods’ purchase, works, services for the state and municipal needs

    Directory of Open Access Journals (Sweden)

    Proskurnja Dar'ja Vladimirovna

    2016-02-01

    Full Text Available The article is devoted to the review of the existing problems in the field of financial resources management at implementation of goods’ purchase, works, services for the state and municipal needs. Determination of the limit prices of purchases is revealed as the most important problem of the increasing efficiency of financial resources management at implementation of goods’ purchase, works, services for the state and municipal needs. The range of problems of determination of the limit prices of purchases is systematized.

  17. Applying a Total Market Lens: Increased IUD Service Delivery Through Complementary Public- and Private-Sector Interventions in 4 Countries

    Science.gov (United States)

    White, Julia N; Corker, Jamaica

    2016-01-01

    ABSTRACT Increasing access to the intrauterine device (IUD), as part of a comprehensive method mix, is a key strategy for reducing unintended pregnancy and maternal mortality in low-income countries. To expand access to IUDs within the framework of informed choice, Population Services International (PSI) has historically supported increased IUD service delivery through private providers. In applying a total market lens to better understand the family planning market and address major market gaps, PSI identified a lack of high-quality public provision of IUDs. In 2013, PSI started a pilot in 4 countries (Guatemala, Laos, Mali, and Uganda) to grow public-provider IUD service delivery through increased public-sector engagement while maintaining its ongoing focus on private providers. In collaboration with country governments, PSI affiliates carried out family planning market analyses in the 4 pilot countries to identify gaps in IUD service delivery and create sustainable strategies for scaling up IUD services in the public sector. Country-specific interventions to increase service delivery were implemented across all levels of the public health system, including targeted advocacy at the national level to promote government ownership and program sustainability. Mechanisms to ensure government ownership were built into the program design, including a proof-of-concept approach to convince governments of the feasibility and value of taking over and scaling up interventions. In the first 2 years of the pilot (2013–2014), 102,055 IUD services were provided to women at 417 targeted public-sector facilities. These preliminary results suggest that there is untapped demand for IUD service delivery in the public sector that can be met in part through greater participation of the public sector in family planning and IUD provision. PMID:27540122

  18. Applying a Total Market Lens: Increased IUD Service Delivery Through Complementary Public- and Private-Sector Interventions in 4 Countries.

    Science.gov (United States)

    White, Julia N; Corker, Jamaica

    2016-08-11

    Increasing access to the intrauterine device (IUD), as part of a comprehensive method mix, is a key strategy for reducing unintended pregnancy and maternal mortality in low-income countries. To expand access to IUDs within the framework of informed choice, Population Services International (PSI) has historically supported increased IUD service delivery through private providers. In applying a total market lens to better understand the family planning market and address major market gaps, PSI identified a lack of high-quality public provision of IUDs. In 2013, PSI started a pilot in 4 countries (Guatemala, Laos, Mali, and Uganda) to grow public-provider IUD service delivery through increased public-sector engagement while maintaining its ongoing focus on private providers. In collaboration with country governments, PSI affiliates carried out family planning market analyses in the 4 pilot countries to identify gaps in IUD service delivery and create sustainable strategies for scaling up IUD services in the public sector. Country-specific interventions to increase service delivery were implemented across all levels of the public health system, including targeted advocacy at the national level to promote government ownership and program sustainability. Mechanisms to ensure government ownership were built into the program design, including a proof-of-concept approach to convince governments of the feasibility and value of taking over and scaling up interventions. In the first 2 years of the pilot (2013-2014), 102,055 IUD services were provided to women at 417 targeted public-sector facilities. These preliminary results suggest that there is untapped demand for IUD service delivery in the public sector that can be met in part through greater participation of the public sector in family planning and IUD provision. © White et al.

  19. Interventions to increase tuberculosis case detection at primary healthcare or community-level services.

    Science.gov (United States)

    Mhimbira, Francis A; Cuevas, Luis E; Dacombe, Russell; Mkopi, Abdallah; Sinclair, David

    2017-11-28

    Pulmonary tuberculosis is usually diagnosed when symptomatic individuals seek care at healthcare facilities, and healthcare workers have a minimal role in promoting the health-seeking behaviour. However, some policy specialists believe the healthcare system could be more active in tuberculosis diagnosis to increase tuberculosis case detection. To evaluate the effectiveness of different strategies to increase tuberculosis case detection through improving access (geographical, financial, educational) to tuberculosis diagnosis at primary healthcare or community-level services. We searched the following databases for relevant studies up to 19 December 2016: the Cochrane Infectious Disease Group Specialized Register; the Cochrane Central Register of Controlled Trials (CENTRAL), published in the Cochrane Library, Issue 12, 2016; MEDLINE; Embase; Science Citation Index Expanded, Social Sciences Citation Index; BIOSIS Previews; and Scopus. We also searched the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), ClinicalTrials.gov, and the metaRegister of Controlled Trials (mRCT) for ongoing trials. Randomized and non-randomized controlled studies comparing any intervention that aims to improve access to a tuberculosis diagnosis, with no intervention or an alternative intervention. Two review authors independently assessed trials for eligibility and risk of bias, and extracted data. We compared interventions using risk ratios (RR) and 95% confidence intervals (CI). We assessed the certainty of the evidence using the GRADE approach. We included nine cluster-randomized trials, one individual randomized trial, and seven non-randomized controlled studies. Nine studies were conducted in sub-Saharan Africa (Ethiopia, Nigeria, South Africa, Zambia, and Zimbabwe), six in Asia (Bangladesh, Cambodia, India, Nepal, and Pakistan), and two in South America (Brazil and Colombia); which are all high tuberculosis prevalence areas.Tuberculosis outreach

  20. The perceptions of pre-service and in-service teachers regarding a project-based STEM approach to teaching science.

    Science.gov (United States)

    Siew, Nyet Moi; Amir, Nazir; Chong, Chin Lu

    2015-01-01

    Whilst much attention has focused on project-based approaches to teaching Science, Technology, Engineering and Mathematics (STEM) subjects, little has been reported on the views of South-East Asian science teachers on project-based STEM approaches. Such knowledge could provide relevant information for education training institutions on how to influence innovative teaching of STEM subjects in schools. This article reports on a study that investigated the perceptions of 25 pre-service and 21 in-service Malaysian science teachers in adopting an interdisciplinary project-based STEM approach to teaching science. The teachers undertook an eight hour workshop which exposed them to different science-based STEM projects suitable for presenting science content in the Malaysian high school science syllabus. Data on teachers' perceptions were captured through surveys, interviews, open-ended questions and classroom discussion before and at the end of the workshop. Study findings showed that STEM professional development workshops can provide insights into the support required for teachers to adopt innovative, effective, project-based STEM approaches to teaching science in their schools.

  1. Towards the use of knotworking for increasing innovation in construction projects

    DEFF Research Database (Denmark)

    Klitgaard, Anne; Beck, Frederikke; Andersen, Michael

    2017-01-01

    Knotworking is an emerging collaboration form in the built environment, which promises to encourage innovation at Construction project level. This study of knotworking processes is part of a larger research program about collaboration in the built environment. In this study of Knotworking......, the focus has been on how the participating organizations and professionals can learn how to participate in knotworking. A facilitator was introduced to establish how facilitators can assist the participating organizations in a construction project to learn to produce knowledge and innovation through...... knotworking. The theoretical foundation is Activity Theory, the data collection method derives from applied ethnomethodology using a blend of video recording and participant observation. The data has been collected in a series of planning meetings and one workshop about building a new kindergarten...

  2. Do expanded seven-day NHS services improve clinical outcomes? Analysis of comparative institutional performance from the ?NHS Services, Seven Days a Week? project 2013?2016

    OpenAIRE

    Gan, Hoong-Wei; Wong, Danny Jon Nian; Dean, Benjamin John Floyd; Hall, Alistair Scott

    2017-01-01

    Background The cause of adverse weekend clinical outcomes remains unknown. In 2013, the ?NHS Services, Seven Days a Week? project was initiated to improve access to services across the seven-day week. Three years on, we sought to analyse the impact of such changes across the English NHS. Methods Aggregated trust-level data on crude mortality rates, Summary Hospital-Level Mortality Indicator (SHMI), mean length of stay (LOS), A&E admission and four-hour breach rates were obtained from national...

  3. Do expanded seven-day NHS services improve clinical outcomes? Analysis of comparative institutional performance from the "NHS Services, Seven Days a Week" project 2013-2016

    OpenAIRE

    Gan, H-W; Wong, D. J. N.; Dean, B. J. F.; Hall, A. S.

    2017-01-01

    Background: The cause of adverse weekend clinical outcomes remains unknown. In 2013, the “NHS Services, Seven Days a Week” project was initiated to improve access to services across the seven-day week. Three years on, we sought to analyse the impact of such changes across the English NHS. Methods: Aggregated trust-level data on crude mortality rates, Summary Hospital-Level Mortality Indicator (SHMI), mean length of stay (LOS), A&E admission and four-hour breach rates were obtained f...

  4. Strengthening Medicare: Will increasing the bulk-billing rate and supply of general practitioners increase access to Medicare-funded general practitioner services and does rurality matter?

    Science.gov (United States)

    Day, Susan E; Alford, Katrina; Dunt, David; Peacock, Stuart; Gurrin, Lyle; Voaklander, Don

    2005-01-01

    Background Recent increases in the bulk-billing rate have been taken as an indication that the Federal government's Strengthening Medicare initiative, and particularly the bulk-billing incentives, are 'working'. Given the enduring geographic differences in the supply of general practitioners (GPs) it is timely to reconsider the impact that this increase in the provision of 'free care' will have on access to Medicare-funded GP services in rural and urban areas of Australia. Utilisation has been modelled as two different stochastic processes: the decision to consult and the frequency of consultation. Results In the decision to consult model the supply of FFS GPs is a more important predictor of utilisation than the bulk-billing rate. Paradoxically the modelling predicts that ceteris paribus increases in either GP supply or the bulk-billing rate appear to have perverse effects in some areas by decreasing utilisation. In the frequency of consultation model, GP density is not a predictor and increasing the bulk-billing rate will unambiguously increase the frequency of consultation across all areas. In both models, the positive impacts associated with changes in supply and cost are constrained outside the inner metropolitan area by reduced geographic accessibility to Medicare-funded GP services. The modelling also shows that people are more likely to consult a GP in areas of high socioeconomic disadvantage, although socioeconomic status is not a predictor of frequency of consultation. Conclusion Bulk-billing rates and the supply of FFS GPs are important features of the Australian health care system that are, potentially, amenable to policy manipulation. The implications of this research are that government policies designed to achieve similarity in these characteristics across geographic areas will not result in equity of access because they fail to address problems caused by geographic inaccessibility in rural and remote areas. Attempting to increase bulk-billing rates

  5. Projected national impact of colorectal cancer screening on clinical and economic outcomes and health services demand.

    Science.gov (United States)

    Ladabaum, Uri; Song, Kenneth

    2005-10-01

    Colorectal cancer (CRC) screening is effective and cost-effective, but the potential national impact of widespread screening is uncertain. It is controversial whether screening colonoscopy can be offered widely and how emerging tests may impact health services demand. Our aim was to produce integrated, comprehensive estimates of the impact of widespread screening on national clinical and economic outcomes and health services demand. We used a Markov model and census data to estimate the national consequences of screening 75% of the US population with conventional and emerging strategies. Screening decreased CRC incidence by 17%-54% to as few as 66,000 cases per year and CRC mortality by 28%-60% to as few as 23,000 deaths per year. With no screening, total annual national CRC-related expenditures were 8.4 US billion dollars. With screening, expenditures for CRC care decreased by 1.5-4.4 US billion dollars but total expenditures increased to 9.2-15.4 US billion dollars. Screening colonoscopy every 10 years required 8.1 million colonoscopies per year including surveillance, with other strategies requiring 17%-58% as many colonoscopies. With improved screening uptake, total colonoscopy demand increased in general, even assuming substantial use of virtual colonoscopy. Despite savings in CRC care, widespread screening is unlikely to be cost saving and may increase national expenditures by 0.8-2.8 US billion dollars per year with conventional tests. The current national endoscopic capacity, as recently estimated, may be adequate to support widespread use of screening colonoscopy in the steady state. The impact of emerging tests on colonoscopy demand will depend on the extent to which they replace screening colonoscopy or increase screening uptake in the population.

  6. Employee assistance program services for alcohol and other drug problems: implications for increased identification and engagement in treatment.

    Science.gov (United States)

    Jacobson, Jodi M; Sacco, Paul

    2012-01-01

    Fourteen million U.S. workers meet the diagnostic criteria for substance dependence, costing millions in lost productivity. Prior research suggests that employees who follow through with their Employee Assistance Program's (EAP) recommendations are more likely to participate and remain engaged in alcohol and other drug (AOD) treatment programs. This study identified rates of lifetime EAP service use for AOD problems and compared adults who reported using EAP services for AOD problems with those who used services other than EAP. Researchers analyzed a subset of participants from the National Epidemiologic Survey of Alcohol and Related Conditions who reported having received help for an AOD problem (NESARC, 2001-2002). Statistical analyses tested for differences in sociodemographic variables, lifetime mental health and substance abuse disorders, and health disability between EAP services users and users of other types of services. Among adults who sought services for AOD problems (n= 2,272), 7.58% (n= 166) reported using EAP services for these problems at some point during their lives. Major depressive disorder (lifetime), a drug use disorder (lifetime), and Black race/ethnicity were associated with a greater likelihood that someone would seek EAP services for help with their AOD problem. Results provide a foundation for researchers to understand who uses EAP services for AOD problems. Health and mental health professionals should increase their knowledge of EAP services to improve continuity of care for employees with AOD problems. EAPs are in a unique position to reach out to vulnerable employees in the workplace and engage them in treatment. Copyright © American Academy of Addiction Psychiatry.

  7. Acceptability and satisfaction of project MOVE: A pragmatic feasibility trial aimed at increasing physical activity in female breast cancer survivors.

    Science.gov (United States)

    Pullen, Tanya; Sharp, Paul; Bottorff, Joan L; Sabiston, Catherine M; Campbell, Kristin L; Ellard, Susan L; Gotay, Carolyn; Fitzpatrick, Kayla; Caperchione, Cristina M

    2018-04-01

    Despite the physical and psychological health benefits associated with physical activity (PA) for breast cancer (BC) survivors, up to 70% of female BC survivors are not meeting minimum recommended PA guidelines. The objective of this study was to evaluate acceptability and satisfaction with Project MOVE, an innovative approach to increase PA among BC survivors through the combination of microgrants and financial incentives. A mixed-methods design was used. Participants were BC survivors and support individuals with a mean age of 58.5 years. At 6-month follow-up, participants completed a program evaluation questionnaire (n = 72) and participated in focus groups (n = 52) to explore their experience with Project MOVE. Participants reported that they were satisfied with Project MOVE (86.6%) and that the program was appropriate for BC survivors (96.3%). Four main themes emerged from focus groups: (1) acceptability and satisfaction of Project MOVE, detailing the value of the model in developing tailored group-base PA programs; (2) the importance of Project MOVE leaders, highlighting the value of a leader that was organized and a good communicator; (3) breaking down barriers with Project MOVE, describing how the program helped to address common BC related barriers; and (4) motivation to MOVE, outlining how the microgrants enabled survivors to be active, while the financial incentive motivated them to increase and maintain their PA. The findings provide support for the acceptability of Project MOVE as a strategy for increasing PA among BC survivors. © 2018 The Authors. Psycho-Oncology Published by John Wiley & Sons Ltd.

  8. The QuakeSim Project: Web Services for Managing Geophysical Data and Applications

    Science.gov (United States)

    Pierce, Marlon E.; Fox, Geoffrey C.; Aktas, Mehmet S.; Aydin, Galip; Gadgil, Harshawardhan; Qi, Zhigang; Sayar, Ahmet

    2008-04-01

    We describe our distributed systems research efforts to build the “cyberinfrastructure” components that constitute a geophysical Grid, or more accurately, a Grid of Grids. Service-oriented computing principles are used to build a distributed infrastructure of Web accessible components for accessing data and scientific applications. Our data services fall into two major categories: Archival, database-backed services based around Geographical Information System (GIS) standards from the Open Geospatial Consortium, and streaming services that can be used to filter and route real-time data sources such as Global Positioning System data streams. Execution support services include application execution management services and services for transferring remote files. These data and execution service families are bound together through metadata information and workflow services for service orchestration. Users may access the system through the QuakeSim scientific Web portal, which is built using a portlet component approach.

  9. Outsourcing cleaning services increases MRSA incidence: Evidence from 126 english acute trusts.

    Science.gov (United States)

    Toffolutti, Veronica; Reeves, Aaron; McKee, Martin; Stuckler, David

    2017-02-01

    There has been extensive outsourcing of hospital cleaning services in the NHS in England, in part because of the potential to reduce costs. Yet some argue that this leads to lower hygiene standards and more infections, such as MRSA and, perhaps because of this, the Scottish, Welsh, and Northern Irish health services have rejected outsourcing. This study evaluates whether contracting out cleaning services in English acute hospital Trusts (legal authorities that run one or more hospitals) is associated with risks of hospital-borne MRSA infection and lower economic costs. By linking data on MRSA incidence per 100,000 hospital bed-days with surveys of cleanliness among patient and staff in 126 English acute hospital Trusts during 2010-2014, we find that outsourcing cleaning services was associated with greater incidence of MRSA, fewer cleaning staff per hospital bed, worse patient perceptions of cleanliness and staff perceptions of availability of handwashing facilities. However, outsourcing was also associated with lower economic costs (without accounting for additional costs associated with treatment of hospital acquired infections). Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  10. Increasing Treatment Seeking Among At-Risk Service Members Returning from Warzones

    Science.gov (United States)

    2017-03-01

    intervention improves attitudes toward behavioral health treatment and initiation of treatment. Advertisements are used to recruit service members...involve guns, cutting, car accidents, and carbon monoxide poisoning. We have had four participants die during the trial. One participant died from

  11. Developing European conservation and mitigation tools for pollination services: approaches of the STEP (Status and Trends of European Pollinators) project

    NARCIS (Netherlands)

    Potts, S.G.; Biesmeijer, J.C.; Bommarco, R.; Felicioli, A.; Fischer, M.; Jokinen, P.; Kleijn, D.; Klein, A.M.; Kunin, W.E.; Neumann, P.; Penev, L.D.; Petanidou, T.; Rasmont, P.; Roberts, S.P.M.; Smith, H.G.; Sorensen, P.B.; Steffan-Dewenter, I.; Vaissiere, B.E.; Vila, M.; Vujic, A.; Woyciechowski, M.; Zobel, M.; Settele, J.; Schweiger, O.

    2011-01-01

    Pollinating insects form a key component of European biodiversity, and provide a vital ecosystem service to crops and wild plants. There is growing evidence of declines in both wild and domesticated pollinators, and parallel declines in plants relying upon them. The STEP project (Status and Trends

  12. Project Amistad (Friendship), a Joint Venture between DHS and Family Outreach. Final Report: Innovations in Protective Services.

    Science.gov (United States)

    Dennis-Small, Lucretia

    Conducted by the Texas Department of Human Services (DHS), Project Amistad (Friendship) originally set out to recruit and train Black and Hispanic volunteers to conduct lay therapy sessions with Black and Hispanic families in which abuse and neglect of children had occurred. Start-up was significantly delayed due to personnel changes; as a result,…

  13. "Everybody Kind of Looked at Me Like I Was from Mars:" Preparing Educators through Qualitative Service-Research Projects

    Science.gov (United States)

    Dorner, Lisa M.; Kim, Sujin; Floros, Alice; Mujanovic, Midheta

    2017-01-01

    Skills developed through qualitative research and community partnerships can be essential for developing education students' cultural competency and understandings about diverse student populations. Toward this end, we developed a qualitative "service-research" project in a teacher education course focused on child development, whereby…

  14. More Questions than Answers: Assessing the Impact of Online Social Networking on a Service-Learning Project

    Science.gov (United States)

    Moeller, Mary R.; Nagy, Dianne

    2013-01-01

    This article details the evolution and results of a service-learning project designed to extend cross-cultural relationships via online social networking between students at a U.S. Bureau of Indian Education boarding school and teacher candidates in a required diversity course. The goals for the partnership included helping Native American…

  15. Health Advocacy Project: Evaluating the Benefits of Service Learning to Nursing Students and Low Income Individuals Involved in a Community-Based Mental Health Promotion Project.

    Science.gov (United States)

    Samuels-Dennis, Joan; Xia, Liudi; Secord, Sandra; Raiger, Amelia

    2016-10-08

    Poverty, along with other factors such as unemployment, work and life stressors, interpersonal violence, and lack of access to high quality health and/or social services all play a role in determining who develops a mental illness and for whom those symptoms persist or worsen. Senior nursing student preparing to enter the field and working in a service learning capacity may be able to influence early recovery and symptom abatement among those most vulnerable to mental illness. A consortium of community stakeholders and researchers collaboratively designed a 10-week mental health promotion project called the Health Advocacy Project (HAP). The project combines case management and system navigation support delivered by trained and highly supervised nursing students to individuals experiencing major depressive disorder (MDD) and/or post-traumatic stress disorder (PTSD). In this article, we present the findings of a qualitative fidelity evaluation that examines the effectiveness of nursing students in delivering the health advocacy intervention at the level and with the intensity originally intended. The findings demonstrate how the services of senior nursing students may be optimized to benefit our healthcare system and populations most at risk for developing MDD and PTSD.

  16. EnviroAtlas - Ecosystem Service Market and Project Locations, U.S., 2015, Forest Trends' Ecosystem Marketplace

    Science.gov (United States)

    This EnviroAtlas dataset contains points depicting the location of market-based programs, referred to herein as markets, and projects addressing ecosystem services protection in the United States. The data were collected via surveys and desk research conducted by Forest Trends' Ecosystem Marketplace from 2008 to 2016 on biodiversity (i.e., imperiled species/habitats; wetlands and streams), carbon, and water markets. Additional biodiversity data were obtained from the Regulatory In-lieu Fee and Bank Information Tracking System (RIBITS) database in 2015. Points represent the centroids (i.e., center points) of market coverage areas, project footprints, or project primary impact areas in which ecosystem service markets or projects operate. National-level markets are an exception to this norm with points representing administrative headquarters locations. Attribute data include information regarding the methodology, design, and development of biodiversity, carbon, and water markets and projects. This dataset was produced by Forest Trends' Ecosystem Marketplace for EnviroAtlas in order to support public access to and use of information related to environmental markets. EnviroAtlas (https://www.epa.gov/enviroatlas) allows the user to interact with a web-based, easy-to-use, mapping application to view and analyze multiple ecosystem services for the contiguous United States. The dataset is available as downloadable data (https://edg.epa.gov/data/Public/ORD/EnviroAtlas) o

  17. Increased healthcare service utilizations for patients with dementia: a population-based study.

    Directory of Open Access Journals (Sweden)

    Shiu-Dong Chung

    Full Text Available BACKGROUND: The majority of previous studies investigating the health care utilization of people with dementia were conducted in Western societies. There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database. METHODS: This study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services. RESULTS: As for utilization of psychiatric services, subjects with a dementia diagnosis had significantly more outpatient visits (2.2 vs. 0.3, p<0.001 and significantly higher outpatient costs (US$124 vs. US$16, p<0.001 than comparison subjects. For non-psychiatric services, subjects with a dementia diagnosis also had significantly more outpatient visits (34.4 vs. 31.6, p<0.001 and significantly higher outpatient costs (US$1754 vs. US$1322, p<0.001 than comparison subjects. For all healthcare services, subjects with a dementia diagnosis had significantly more outpatient visits (36.7 vs. 32.0, p<0.001 and significantly higher outpatient costs (US$1878 vs. US$1338, p<0.001 than comparison subjects. Furthermore, the total cost was about 2-fold greater for subjects with a dementia diagnosis than for comparison subjects (US$3997 vs. US$2409, p<0.001. CONCLUSIONS: We concluded that subjects who had received a clinical dementia diagnosis had

  18. Letter of Intent for River Protection Project (RPP) Characterization Program: Process Engineering and Hanford Analytical Services and Characterization Project Operations and Quality Assurance

    International Nuclear Information System (INIS)

    ADAMS, M.R.

    2000-01-01

    The Characterization Project level of success achieved by the River Protection Project (RPP) is determined by the effectiveness of several organizations across RPP working together. The requirements, expectations, interrelationships, and performance criteria for each of these organizations were examined in order to understand the performances necessary to achieve characterization objectives. This Letter of Intent documents the results of the above examination. It formalizes the details of interfaces, working agreements, and requirements for obtaining and transferring tank waste samples from the Tank Farm System (RPP Process Engineering, Characterization Project Operations, and RPP Quality Assurance) to the characterization laboratory complex (222-S Laboratory, Waste Sampling and Characterization Facility, and the Hanford Analytical Service Program) and for the laboratory complex analysis and reporting of analytical results

  19. Umbrella project for Bangladesh: strengthening NGO capacity and linkages to improve reproductive health service and information. RAS/98/P55.

    Science.gov (United States)

    1999-06-01

    In Bangladesh, the UN Population Fund is working to strengthen nongovernmental organization (NGO) capacity and linkages to improve reproductive health services and information. Specifically, the aim is to strengthen the technical and human resource capacity of participating NGOs and the functional linkages between national NGOs and relevant government agencies to help harmonize and standardize the delivery of reproductive health information and services. This umbrella project collaborates with RHI-participating NGOs in a policy paper on adolescent reproductive health, and will maintain contact with the regional dimension project to collaborate its activities. Programs implemented by partner NGOs are being reviewed and monitored, and linkages among national NGOs and government agencies are being developed. The main activities of the project are enumerated.

  20. Projected increase in El Niño-driven tropical cyclone frequency in the Pacific

    Science.gov (United States)

    Chand, Savin S.; Tory, Kevin J.; Ye, Hua; Walsh, Kevin J. E.

    2017-02-01

    The El Niño/Southern Oscillation (ENSO) drives substantial variability in tropical cyclone (TC) activity around the world. However, it remains uncertain how the projected future changes in ENSO under greenhouse warming will affect TC activity, apart from an expectation that the overall frequency of TCs is likely to decrease for most ocean basins. Here we show robust changes in ENSO-driven variability in TC occurrence by the late twenty-first century. In particular, we show that TCs become more frequent (~20-40%) during future-climate El Niño events compared with present-climate El Niño events--and less frequent during future-climate La Niña events--around a group of small island nations (for example, Fiji, Vanuatu, Marshall Islands and Hawaii) in the Pacific. We examine TCs across 20 models from the Coupled Model Intercomparison Project phase 5 database, forced under historical and greenhouse warming conditions. The 12 most realistic models identified show a strong consensus on El Niño-driven changes in future-climate large-scale environmental conditions that modulate development of TCs over the off-equatorial western Pacific and the central North Pacific regions. These results have important implications for climate change and adaptation pathways for the vulnerable Pacific island nations.

  1. Oral Health on Wheels: A Service Learning Project for Dental Hygiene Students.

    Science.gov (United States)

    Flick, Heather; Barrett, Sheri; Carter-Hanson, Carrie

    2016-08-01

    To provide dental hygiene students with a service learning opportunity to work with special needs and culturally diverse underserved populations through the Oral Health on Wheels (OHOW) community based mobile dental hygiene clinic. A student feedback survey was administered between the years of 2009 and 2013 to 90 students in order to gather and identify significant satisfaction, skills acquisition and personal growth information after the student's clinical experience on the OHOW. ANOVA and Pearson correlation coefficient statistical analysis were utilized to investigate relationships between student responses to key questions in the survey. An analysis of 85 student responses (94.44%) demonstrated statistically significant correlations between student learning and their understanding of underserved populations, building confidence in skills, participation as a dental team member and understanding their role in total patient care. The strong correlations between these key questions related to the clinical experience and students confidence, skills integration into the dental team, and understanding of both total patient care, and the increased understanding of the oral health care needs of special populations. All questions directly link to the core mission of the OHOW program. The OHOW clinical experience allows dental hygiene students a unique opportunity to engage in their community while acquiring necessary clinical competencies required by national accreditation and providing access to oral health care services to underserved patients who would otherwise go without treatment. Copyright © 2016 The American Dental Hygienists’ Association.

  2. Development and Marketing of Project Finance & Project Monitoring as New Services – The Case of SGS Zurich

    OpenAIRE

    Tizro, Behrouz

    2010-01-01

    The need to be present and invest in foreign markets beyond companies` own geographical borders necessitates strict supervision. This is not easy and of course not inexpensive for investing bodies to firstly decide reasonably on investments which would be feasible and assume financial undertakings and secondly have regular presence in their investment project and their location. Furthermore they may not have the necessary resources or required expertises within their own organizations to assi...

  3. Canby Area Service Project substation and associated transmission line. Environmental Assessment

    Energy Technology Data Exchange (ETDEWEB)

    1992-02-01

    Bonneville Power Administration (BPA) provides power to Surprise Valley Electrification Corporation (SVEC) in Modoc County, California. BPA uses PacificCorp`s substation and transmission facilities between Alturas and Canby, California to transfer power to SVEC`s Canby Substation. In the next year, SVEC expects increased industrial, agricultural, and residential electric loads on their 69-kV transmission system south of Canby. SVEC`s substation can accommodate only about 10 percent of the expected additional electric load. BPA`s proposed action is intended to meet SVEC`s increasing electric load. BPA proposes to meet SVEC`s increasing energy load by tapping into BPA`s existing BPA Malin-Warner 230-kV transmission line, and building an 7.9-mile transmission line to a new BPA substation. BPA proposes to build the new substation next to the west side of SVEC`s Canby Substation (Figure 1). This new substation will allow SVEC to move the additional power over their existing transmission or distribution lines. This report is the environmental assessment of the potential impact of the proposed project. The assessment determined that no ``environmental impact statement`` is not required.

  4. Canby Area Service Project : Substation and Associated Transmission Line : Environmental Assessment.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1992-02-01

    Bonneville Power Administration (BPA) provides power to Surprise Valley Electrification Corporation (SVEC) in Modoc County, California. BPA uses PacificCorp's substation and transmission facilities between Alturas and Canby, California to transfer power to SVEC's Canby Substation. In the next year, SVEC expects increased industrial, agricultural, and residential electric loads on their 69-kV transmission system south of Canby. SVEC's substation can accommodate only about 10 percent of the expected additional electric load. BPA's proposed action is intended to meet SVEC's increasing electric load. BPA proposes to meet SVEC's increasing energy load by tapping into BPA's existing BPA Malin-Warner 230-kV transmission line, and building an 7.9-mile transmission line to a new BPA substation. BPA proposes to build the new substation next to the west side of SVEC's Canby Substation (Figure 1). This new substation will allow SVEC to move the additional power over their existing transmission or distribution lines. This report is the environmental assessment of the potential impact of the proposed project. The assessment determined that no environmental impact statement'' is not required.

  5. Increase in Total Joint Arthroplasty Projected from 2014 to 2046 in Australia: A Conservative Local Model With International Implications.

    Science.gov (United States)

    Inacio, Maria C S; Graves, Stephen E; Pratt, Nicole L; Roughead, Elizabeth E; Nemes, Szilard

    2017-08-01

    The incidence of joint arthroplasty is increasing worldwide. International estimates of future demand for joint arthroplasty have used models that propose either an exponential future increase, despite obvious system constraints, or static increases, which do not account for past trends. Country-specific projection estimates that address limitations of past projections are necessary. In Australia, a high-income country with the 7th highest incidence of TKA and 15th highest incidence of THA of the Organization for Economic Cooperation and Development (OECD) countries, the volume of TKAs and THAs increased 198% between 1994 and 2014. To determine the projected incidence and volume of primary TKAs and THAs from 2014 to 2046 in the Australian population older than 40 years. Australian State and Territory Health Department data were used to identify TKAs and THAs performed between 1994 and 1995 and 2013 and 2014. The Australian Bureau of Statistics was the source of the population estimates for the same periods and population-projected estimates until 2046. The incidence rate (IR), 95% CI, and prediction interval (PI) of TKAs and THAs per 100,000 Australian citizens older than 40 years were calculated. Future IRs were estimated using a logistic model, and volume was calculated from projected IR and population. The logistic growth model assumes the existence of an upper limit of the TKA and THA incidences and a growth rate directly related to this incidence. At the beginning, when the observed incidence is much lower than the asymptote, the increase is exponential, but it decreases as it approaches the upper limit. A 66% increase in the IR of primary THAs between 2013 and 2046 is projected for Australia (2013: IR = 307 per 100,000, [95% CI, 262-329 per 100,000] compared with 2046: IR= 510 per 100,000, [95% PI, 98-567 per 100,000]), which translates to a 219% increase in the volume during this period. For TKAs the IR is expected to increase by 26% by 2046 (IR = 575 per

  6. Projected near-future CO2 levels increase activity and alter defensive behaviours in the tropical squid Idiosepius pygmaeus

    Directory of Open Access Journals (Sweden)

    Blake L. Spady

    2014-10-01

    Full Text Available Carbon dioxide (CO2 levels projected to occur in the oceans by the end of this century cause a range of behavioural effects in fish, but whether other highly active marine organisms, such as cephalopods, are similarly affected is unknown. We tested the effects of projected future CO2 levels (626 and 956 µatm on the behaviour of male two-toned pygmy squid, Idiosepius pygmaeus. Exposure to elevated CO2 increased the number of active individuals by 19–25% and increased movement (number of line-crosses by nearly 3 times compared to squid at present-day CO2. Squid vigilance and defensive behaviours were also altered by elevated CO2 with >80% of individuals choosing jet escape responses over defensive arm postures in response to a visual startle stimulus, compared with 50% choosing jet escape responses at control CO2. In addition, more escape responses were chosen over threat behaviours in body pattern displays at elevated CO2 and individuals were more than twice as likely to use ink as a defence strategy at 956 µatm CO2, compared with controls. Increased activity could lead to adverse effects on energy budgets as well as increasing visibility to predators. A tendency to respond to a stimulus with escape behaviours could increase survival, but may also be energetically costly and could potentially lead to more chases by predators compared with individuals that use defensive postures. These results demonstrate that projected future ocean acidification affects the behaviours of a tropical squid species.

  7. Large scale afforestation projects mitigate degradation and increase the stability of the karst ecosystems in southwest China

    Science.gov (United States)

    Yue, Y.; Tong, X.; Wang, K.; Fensholt, R.; Brandt, M.

    2017-12-01

    With the aim to combat desertification and improve the ecological environment, mega-engineering afforestation projects have been launched in the karst regions of southwest China around the turn of the new millennium. A positive impact of these projects on vegetation cover has been shown, however, it remains unclear if conservation efforts have been able to effectively restore ecosystem properties and reduce the sensitivity of the karst ecosystem to climate variations at large scales. Here we use passive microwave and optical satellite time series data combined with the ecosystem model LPJ-GUESS and show widespread increase in vegetation cover with a clear demarcation at the Chinese national border contrasting the conditions of neighboring countries. We apply a breakpoint detection to identify permanent changes in vegetation time series and assess the vegetation's sensitivity against climate before and after the breakpoints. A majority (74%) of the breakpoints were detected between 2001 and 2004 and are remarkably in line with the implementation and spatial extent of the Grain to Green project. We stratify the counties of the study area into four groups according to the extent of Grain to Green conservation areas and find distinct differences between the groups. Vegetation trends are similar prior to afforestation activities (1982-2000), but clearly diverge at a later stage, following the spatial extent of conservation areas. Moreover, vegetation cover dynamics were increasingly decoupled from climatic influence in areas of high conservation efforts. Whereas both vegetation resilience and resistance were considerably improved in areas with large conservation efforts thereby showing an increase in ecosystem stability, ongoing degradation and an amplified sensitivity to climate variability was found in areas with limited project implementation. Our study concludes that large scale conservation projects can regionally contribute to a greening Earth and are able to

  8. Success Stories in Radiotherapy Development Projects: Radiotherapy Service in Mauritania. Chapter 28.5

    International Nuclear Information System (INIS)

    Rosenblatt, E.; Zubizarreta, E.; Djeutie, A.; Meghzifene, A.; Mohamedou, M.M.

    2017-01-01

    Mauritania, a country of 3.4 million people, did not have any radiotherapy facility until 2009. As is usually the case in countries without radiotherapy services, cancer patients with a need for this treatment travelled to neighbouring countries (Morocco or Tunisia) or to Europe to receive it, or switched to alternative forms of care. Cancer is a rising cause of death in Mauritania. According to WHO estimates, about 2200 people died of cancer in 2011, of whom 1400 were aged below 70 years of age. The number of patients sent abroad for treatment by the National Health Insurance Fund rose to 500 patients in 2007, causing a significant drain on the State budget. Cancer was the main cause of health related travel abroad. The average cost of such travel was two million ouguiya per patient (US $8000). Through a technical cooperation project initiated in 2009 between the Mauritanian Government and the IAEA, the latter assisted the country with the establishment and operation of its first radiotherapy facility. The National Oncology Centre, including a radiotherapy department, was built in Nouakchott in 2010 and began operation in early 2011 with a limited staff, all hired from abroad. Its equipment includes a modern medical linac with a multileaf collimator and portal imaging, a CT simulator, a 3-D CRT TPS and a remote afterloading HDR brachytherapy system. The centre was planned with an additional bunker, where a second accelerator can be installed in the future. Except for the training of the Department Head, the entire professional team has been trained through the IAEA’s technical cooperation fellowship programme. The centre treated a total of 250 patients in 2012 and treated 176 in the first half of 2013. Most patients undergo simulation and computerized radiotherapy treatment planning. The centre ensures the sustainability of the equipment through full maintenance contracts for the major radiation equipment and source replacements for the HDR brachytherapy unit.

  9. Evaluation of the Strategy Management Implementation in Project- Oriented Service Organizations

    Directory of Open Access Journals (Sweden)

    Abolfazl Sherafat

    2014-02-01

    Full Text Available Although developing strategic and operational plans is a difficult and complicated process, their successful implementation is much more difficult. Many organizations fail in the full implementation of their strategies. This is not due to the partial definition of strategies and organization‘s operational plan, but this is likely due to the lack of strong framework for creating alignment between employees and operational process and the organizational goals. To implement strategies effectively and to develop a comprehensive management system and to improve the performance, Robert Kaplan and David Norton introduced a modern management system which is Balanced ScoreCard. Likewise they introduced five main criteria: leadership, translation, alignment, every day process and ongoing process for a strategy oriented organization. This paper is intended to offer a systematic approach for measuring the effectiveness and efficiency of the strategic plan performance. For this study the questionnaire was distributed in a project- orientated service organization and after collection, by the use of statistical. Analysis especially factor analysis the grouping of sub-criteria under the five main criteria was confirmed. The statistical analysis showed that, two criteria of alignment and every day work had the lowest scores in terms of both implementation and effectiveness in the organization‘s senior and executive manager‘s point of view. With deep interview, studying of scorecards and meeting of the strategic committee of the studied organization, the two dimension of alignment and every day work were further examined and after identifying upgradeable areas, some suggestions for improving the effectiveness and efficiency of the studied organization were presented.

  10. Challenges faced by engineering services group in meeting nuclear power project targets

    International Nuclear Information System (INIS)

    Phanse, N.R.

    2001-01-01

    Nuclear Power Corporation of India Ltd. (NPCIL) is an organisation building and operating nuclear power stations for which a number of different types of engineering services/activities are necessary. All these services are provided by Engineering Services Group of NPCIL. The activities and responsibilities of the group are discussed

  11. Deliverable 2: tutorial on internet services for SURFnet4 Infrastructure Project 1998

    NARCIS (Netherlands)

    Chimento, P.F.

    1998-01-01

    This document contains a tutorial on the recent work in the area of offering services in the Internet. We cover the principles and some of the details of In- tegrated Services and Differentiated Services. We also explain the relationship to RSVP of each of these architectures. Finally, we draw some

  12. The Introduction of Innovative Services in a State Owned Airline: A Case Study of an IT Migration Project

    Directory of Open Access Journals (Sweden)

    Konstantinos Malagas

    2013-03-01

    Full Text Available This study critically examines the transition process followed by a state-owned airline in a major IT migration project (introduction of novel electronic services. The change management process proposed by Kotter (1995 is examined in relation to the different phases identifed, based on an interview based qualitative research. Focusing on the project team leaders a set of results is identifed / determined, which provides signifcant insight into the key factors, defciencies and outcomes of the project, with reference to the characteristics of a state-owned company. Further elaboration of the proposed methodology is deemed to be applicable in the identifcation of the weak and strong points of similar change projects.

  13. What can business model innovation bring to transport service operations in a context of increasing liberalization

    Energy Technology Data Exchange (ETDEWEB)

    Perez Casan, J.A.

    2016-07-01

    Transport services continue to be liberalized across the entire European Union, although at differing speeds in each Member State. This momentum is expected to continue in the coming years. Against this background, attention to new dimensions of transport services becomes imperative. The focus, which has so far centred on managing infrastructure, must now shift to lesser explored areas, like product innovation and customer relationship management. The efficiency and competitiveness of new private operators will depend to a large extent on achieving a balanced development of the three aforementioned areas, as well as paying particular attention to their inherent logic, in order to build a strong value proposition. Business model innovation emerged in the field of strategic management yet goes beyond the traditional framework of competition 'for the market' and 'in the market', opening a wider and more promising space, i.e. the market creation framework. The goal is no longer to discover and exploit opportunities, but to create new opportunities and generate new market spaces. (Author)

  14. Impact on short-lived climate forcers increases projected warming due to deforestation.

    Science.gov (United States)

    Scott, C E; Monks, S A; Spracklen, D V; Arnold, S R; Forster, P M; Rap, A; Äijälä, M; Artaxo, P; Carslaw, K S; Chipperfield, M P; Ehn, M; Gilardoni, S; Heikkinen, L; Kulmala, M; Petäjä, T; Reddington, C L S; Rizzo, L V; Swietlicki, E; Vignati, E; Wilson, C

    2018-01-11

    The climate impact of deforestation depends on the relative strength of several biogeochemical and biogeophysical effects. In addition to affecting the exchange of carbon dioxide (CO 2 ) and moisture with the atmosphere and surface albedo, vegetation emits biogenic volatile organic compounds (BVOCs) that alter the formation of short-lived climate forcers (SLCFs), which include aerosol, ozone and methane. Here we show that a scenario of complete global deforestation results in a net positive radiative forcing (RF; 0.12 W m -2 ) from SLCFs, with the negative RF from decreases in ozone and methane concentrations partially offsetting the positive aerosol RF. Combining RFs due to CO 2 , surface albedo and SLCFs suggests that global deforestation could cause 0.8 K warming after 100 years, with SLCFs contributing 8% of the effect. However, deforestation as projected by the RCP8.5 scenario leads to zero net RF from SLCF, primarily due to nonlinearities in the aerosol indirect effect.

  15. A Pilot Project to Increase Parent Comfort Communicating with Their Children about Sexual Health

    Science.gov (United States)

    Barr, Elissa M.; Johnson Moore, Michele; Howard, Alexandria

    2012-01-01

    Risky sexual behaviors among U.S. adolescents have resulted in epidemic rates of sexually transmitted infections, HIV, and unintended pregnancy. This article describes a community-developed pilot program for parents in a large South Florida county aimed at increasing parent comfort in discussing sexuality with their children to improve adolescent…

  16. Increasing Programme Effectiveness through Parent Empowerment: The Getting Ready for School Project in Tajikistan

    Science.gov (United States)

    Whitsel, Christopher Michael; Lapham, Kate

    2014-01-01

    Within the development studies framework, empowerment involves increasing individual agency vis-à-vis the formal and informal opportunity structure. The Open Society Foundation's Early Childhood Programme developed the Getting Ready for School programme specifically for parents of preschool-age children to use at home in the year before school to…

  17. A training and development project to improve services and opportunities for social inclusion for children and young people with autism in Romania.

    Science.gov (United States)

    Pasco, Greg; Clark, Bruce; Dragan, Ioana; Kalambayi, Fidelie; Slonims, Vicky; Tarpan, Adelaide Katerine; Wittemeyer, Kerstin

    2014-10-01

    In 2010, the Romanian Angel Appeal Foundation launched a 3-year national training and development programme to develop and deliver a model of diagnostic and therapeutic services aimed at promoting social inclusion for children and young people with autism spectrum disorders. The project adopted a number of strategies aimed at developing knowledge and skills among professionals and increasing awareness in political and public spheres: (a) a three-stage training programme designed to increase knowledge of autism spectrum disorders and promote best practice among professionals working in services providing for children with autism spectrum disorders and their families, on a nationwide basis; (b) two online courses for general practitioners and psychiatrists, with content relating to the identification, diagnosis and treatment of autism spectrum disorders; (c) a total of 40 counselling and assistance centres for people with autism spectrum disorders were launched in partnership with local authorities; (d) a national strategy for social and professional integration of people with autism spectrum disorders developed through consultation with political, statutory and voluntary sector partners; and (e) a nationwide media campaign to raise awareness of the needs of children and young people with autism spectrum disorders that reached over eight million people. The project provides a transferable model to achieve important improvements in the quantity and quality of services on a national level within a brief time frame. © The Author(s) 2014.

  18. Increasing sustainable cataract services in sub-Saharan Africa: an experimental initiative

    Directory of Open Access Journals (Sweden)

    Sasipriya M Karumanchi

    2015-04-01

    Full Text Available To begin to meet the need for cataract surgery in sub-Saharan Africa, the cataract surgical rate (CSR should be at least 2,000 to 3,000; i.e. there should be 2,000-3,000 cataract operations per million population, per year. The current levels are below 1,000 (and often much lower. Sub-Saharan Africa poses a unique set of challenges: low population density; inadequate transportation systems that inhibit access; big differences in wealth; and a shortage of eye care resources (which are usually concentrated in larger cities. Additional issues relate to productivity, the supply chain and the quality of outcomes, all of which contribute to the low cataract surgical rates. It is in this context that the Hilton Foundation sought to enhance cataract surgical services in sub-Saharan Africa, through the Hilton Cataract Initiative.

  19. Decentralizing Maternity Services to Increase Skilled Attendance at Birth and Antenatal Care Utilization in Rural Rwanda: A Prospective Cohort Study

    Science.gov (United States)

    Nathan, Lisa M.; Shi, Quihu; Plewniak, Kari; Zhang, Charles; Nsabimana, Damien; Sklar, Marc; Mutimura, Eugene; Merkatz, Irwin R.; Einstein, Mark H.; Anastos, Kathryn

    2015-01-01

    To evaluate the effectiveness of decentralizing ambulatory reproductive and intrapartum services to increase rates of antenatal care (ANC) utilization and skilled attendance at birth (SAB) in Rwanda. A prospective cohort study was implemented with one control and two intervention sites: decentralized ambulatory reproductive healthcare and decentralized intrapartum care. Multivariate logistic regression analysis was performed with primary outcome of lack of SAB and secondary outcome of ≥3 ANC visits. 536 women were entered in the study. Distance lived from delivery site significantly predicted SAB (p = 0.007), however distance lived to ANC site did not predict ≥3 ANC visits (p = 0.81). Neither decentralization of ambulatory reproductive healthcare (p = 0.10) nor intrapartum care (p = 0.40) was significantly associated with SAB. The control site had the greatest percentage of women receive ≥3 ANC visits (p < 0.001). Receiving <3 ANC visits was associated with a 3.98 times greater odds of not having SAB (p = 0.001). No increase in adverse outcomes was found with decentralization of ambulatory reproductive health care or intrapartum care. The factors that predict utilization of physically accessible services in rural Africa are complex. Decentralization of services may be one strategy to increase rates of SAB and ANC utilization, but selection biases may have precluded accurate analysis. Efforts to increase ANC utilization may be a worthwhile investment to increase SAB. PMID:25652061

  20. New technology for sulfide reductions and increased oil recovery: Petroleum project fact sheet

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-12-14

    This Fact Sheet is written for the Inventions and Innovations Program about a new technology for sulfide reduction and increased oil recovery. The new technology, called Bio-Competitive Exclusion (BCX), results in greater oil production and prevents the production of corrosive hydrogen sulfide in oil and gas reservoirs. This BCX process is initiated and maintained by a new product, called Max-Well 2000, in which nutrients are custom designed to stimulate targeted beneficial microorganisms that live in every oil and gas reservoir. Rapid growth of these microorganisms excludes activity of harmful sulfide-producing bacteria and produces by-products that serve as effective tertiary oil recovery agents and as sulfide degradation agents. Oil and gas production is both increased and sweetened.

  1. Collective knowledge sharing as a social justice strategy: the difference it made in a service project about preterm birth disparity.

    Science.gov (United States)

    Boutain, Doris M

    2009-01-01

    Knowledge about how health disparities are created and sustained from those affected is needed. Collective knowledge sharing is one way to redefine and revalue dialogue and critique processes with the aim of promoting just relationships of knowledge production. This article describes how a community service project focused on using collective knowledge sharing as a social justice strategy with health ministry volunteers produced insights about preterm birth disparity issues. Project insights related to (1) the connection between faith and health, (2) the significance of family and congregational stories, and (3) the importance of praising assets in the context of disparity recognition.

  2. The Drive-Wise Project: Driving Simulator Training increases real driving performance in healthy older drivers

    Directory of Open Access Journals (Sweden)

    Gianclaudio eCasutt

    2014-05-01

    Full Text Available Background: Age-related cognitive decline is often associated with unsafe driving behavior. We hypothesized that 10 active training sessions in a driving simulator increase cognitive and on-road driving performance. In addition, driving simulator training should outperform cognitive training.Methods: Ninety-one healthy active drivers (62 – 87 years were randomly assigned to either (1 a driving simulator training group, (2 an attention training group (vigilance and selective attention, or (3 a control group. The main outcome variables were on-road driving and cognitive performance. Seventy-seven participants (85% completed the training and were included in the analyses. Training gains were analyzed using a multiple regression analysis with planned comparisons.Results: The driving simulator training group showed an improvement in on-road driving performance compared to the attention training group. In addition, both training groups increased cognitive performance compared to the control group. Conclusion: Driving simulator training offers the potential to enhance driving skills in older drivers. Compared to the attention training, the simulator training seems to be a more powerful program for increasing older drivers’ safety on the road.

  3. Youth Voucher Program in Madagascar Increases Access to Voluntary Family Planning and STI Services for Young People

    Science.gov (United States)

    Burke, Eva; Gold, Judy; Razafinirinasoa, Lalaina; Mackay, Anna

    2017-01-01

    program is successfully reaching the intended target group. Conclusion: MSM's youth voucher program has revealed a high demand for voluntary family planning services, especially among youth under 20 years old, and MSM has since integrated the youth voucher beyond the initial pilot locations. MSM's experience indicates that youth vouchers are a novel and effective means of increasing young people's access to voluntary family planning services in Madagascar, and this model could potentially be replicated or adapted in other contexts where young people are faced with barriers to accessing quality information and services. PMID:28232368

  4. Youth Voucher Program in Madagascar Increases Access to Voluntary Family Planning and STI Services for Young People.

    Science.gov (United States)

    Burke, Eva; Gold, Judy; Razafinirinasoa, Lalaina; Mackay, Anna

    2017-03-24

    intended target group. MSM's youth voucher program has revealed a high demand for voluntary family planning services, especially among youth under 20 years old, and MSM has since integrated the youth voucher beyond the initial pilot locations. MSM's experience indicates that youth vouchers are a novel and effective means of increasing young people's access to voluntary family planning services in Madagascar, and this model could potentially be replicated or adapted in other contexts where young people are faced with barriers to accessing quality information and services. © Burke et al.

  5. Geothermal source heat pumps under energy services companies finance scheme to increase energy efficiency and production in stockbreeding facilities

    International Nuclear Information System (INIS)

    Borge-Diez, David; Colmenar-Santos, Antonio; Pérez-Molina, Clara; López-Rey, África

    2015-01-01

    In Europe energy services are underutilized in terms of their potential to improve energy efficiency and reduce external energy dependence. Agricultural and stockbreeding sectors have high potential to improve their energy efficiency. This paper presents an energy model for geothermal source heat pumps in stockbreeding facilities and an analysis of an energy services business case. The proposed solution combines both energy cost reduction and productivity increases and improves energy services company financing scheme. CO 2 emissions drop by 89%, reducing carbon footprint and improving added value for the product. For the two different evaluated scenarios, one including winter heating and one including heating and cooling, high IRR (internal return rate) values are obtained. A sensitivity analysis reveals that the IRR ranges from 10.25% to 22.02%, making the investment attractive. To make the research highly extensible, a sensitivity analysis for different locations and climatic conditions is presented, showing a direct relationship between financial parameters and climatic conditions. A Monte Carlo simulation is performed showing that initial fuel cost and initial investment are the most decisive in the financial results. This work proves that energy services based on geothermal energy can be profitable in these sectors and can increase sustainability, reduce CO 2 emissions and improve carbon footprint. - Highlights: • Geothermal heat pumps are studied to promote industrial energy services. • Geothermal energy in farming facilities improves global competitiveness. • Research shows profitability of low enthalpy geothermal energy services. • Climatic conditions sensitivity analysis reveals IRR ranges from 10.25% to 22.02%. • Added market value for the product as carbon footprint reduction, are achieved

  6. The Costs and Benefits of Increasing the Minimum Service Requirement for NROTC Graduates

    National Research Council Canada - National Science Library

    Sankes, Karen J

    2008-01-01

    On 9 June 2008, during the Future Years Defense Program Officer Accessions Brief, the Chief of Naval Personnel requested more information on increasing the Naval Reserve Officer Training Corps (NROTC...

  7. Equal Opportunity, Equal Work: Increasing Women's Participation in the U.S. President's Malaria Initiative Africa Indoor Residual Spraying Project

    OpenAIRE

    Donner, Abigail; Belemvire, Allison; Johns, Ben; Mangam, Keith; Fiekowsky, Elana; Gunn, Jayleen; Hayden, Mary; Ernst, Kacey

    2017-01-01

    Background: One of the primary control measures for malaria transmission is indoor residual spraying (IRS). Historically, few women have worked in IRS programs, despite the income-generating potential. Increasing women's roles in IRS requires understanding the barriers to women's participation and implementing measures to address them. The U.S. President's Malaria Initiative (PMI) Africa Indoor Residual Spraying (AIRS) Project is the largest implementer of IRS globally. To address gender ineq...

  8. THE WAYS OF INCREASING OF QUALITY AND ACCESSIBILITY OF PEDIATRIC MEDICAL SERVICE IN OUT-PATIENT CLINICS

    Directory of Open Access Journals (Sweden)

    A.A. Baranov

    2009-01-01

    Full Text Available The analysis of dynamics of official statistics rates (population size, morbidity, disability, and mortality, and results of special scientific studies (morbidity, physical development, make it possible to show basic tendencies of children’s health state changes in modern conditions. The result of pediatrists from out-patient clinics survey, questioning of parents and adolescents (12–17 years old, on the problem of children’s health service, are presented. Questionnaire poll was held in regions of Central, Privolzhskiy, and Siberian Federal Districts. The complex analysis of obtained results show low quality level and accessibility of prophylactic and treatment medical service in children. This data became the basis of main directions of work of controlling and public health service in the field of increasing of quality and accessibility of pediatric medical service in out-patient clinics.Key words: children, medical service, out-patient clinics, quality, accessibility.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(4:5-9

  9. [Evaluation of ecosystem service value and strategies for ecological design in land consolidation: a case of land consolidation project in Da'an City, Jilin Province, China].

    Science.gov (United States)

    Wang, Jun; Yan, Shen-Chun; Yu, Li; Zhang, Ya-Nan

    2014-04-01

    Land consolidation, as one of the major driving forces for the changes of land use/cover, has significant impacts on landscape patterns, ecological functions, and ecosystem services. In this paper, a land consolidation project conducted in Da'an City, Jinlin Province, China, was selected to evaluate the ecosystem service values before and after land consolidation at three spatial scales, i. e., village, town, and county. The results indicated that the land consolidation with the goal to increase the area of cultivated land might cause the decrease of the saline and alkaline land, grassland, and wetland. In addition, land consolidation resulted in the reduction of the total ecosystem service values at varying degree at the three scales. Compared to the pre-consolidation status, the total post-consolidation ecosystem service values at the village, town and county scales were 7.96, 843.01 and 1205.86 million yuan, and reduced by 10.5%, 14.2% and 33.1%, respectively. Based on the evaluation of ecosystem service value, strategies of landscape ecological design were discussed to improve the ecological functions and to provide the guidance for the sustainable development of land consolidation.

  10. An adaptive case management system to support integrated care services: Lessons learned from the NEXES project.

    Science.gov (United States)

    Cano, Isaac; Alonso, Albert; Hernandez, Carme; Burgos, Felip; Barberan-Garcia, Anael; Roldan, Jim; Roca, Josep

    2015-06-01

    Extensive deployment and sustainability of integrated care services (ICS) constitute an unmet need to reduce the burden of chronic conditions. The European Union project NEXES (2008-2013) assessed the deployment of four ICS encompassing the spectrum of severity of chronic patients. The current study aims to (i) describe the open source Adaptive Case Management (ACM) system (Linkcare®) developed to support the deployment of ICS at the level of healthcare district; (ii) to evaluate its performance; and, (iii) to identify key challenges for regional deployment of ICS. We first defined a conceptual model for ICS management and execution composed of five main stages. We then specified an associated logical model considering the dynamic runtime of ACM. Finally, we implemented the four ICS as a physical model with an ICS editor to allow professionals (case managers) to play active roles in adapting the system to their needs. Instances of ICS were then run in Linkcare®. Four ICS provided a framework for evaluating the system: Wellness and Rehabilitation (W&R) (number of patients enrolled in the study (n)=173); Enhanced Care (EC) in frail chronic patients to prevent hospital admissions, (n=848); Home Hospitalization and Early Discharge (HH/ED) (n=2314); and, Support to remote diagnosis (Support) (n=7793). The method for assessment of telemedicine applications (MAST) was used for iterative evaluation. Linkcare® supports ACM with shared-care plans across healthcare tiers and offers integration with provider-specific electronic health records. Linkcare® successfully contributed to the deployment of the four ICS: W&R facilitated long-term sustainability of training effects (p<0.01) and active life style (p<0.03); EC showed significant positive outcomes (p<0.05); HH/ED reduced on average 5 in-hospital days per patient with a 30-d re-admission rate of 10%; and, Support, enhanced community-based quality forced spirometry testing (p<0.01). Key challenges for regional deployment

  11. Systematic Review Methodology for the Fatigue in Emergency Medical Services Project.

    Science.gov (United States)

    Patterson, P Daniel; Higgins, J Stephen; Weiss, Patricia M; Lang, Eddy; Martin-Gill, Christian

    2018-02-15

    Guidance for managing fatigue in the Emergency Medical Services (EMS) setting is limited. The Fatigue in EMS Project sought to complete multiple systematic reviews guided by seven explicit research questions, assemble the best available evidence, and rate the quality of that evidence for purposes of producing an Evidence Based Guideline (EBG) for fatigue risk management in EMS operations. We completed seven systematic reviews that involved searches of six databases for literature relevant to seven research questions. These questions were developed a priori by an expert panel and framed in the Population, Intervention, Comparison, and Outcome (PICO) format and pre-registered with PROSPERO. Our target population was defined as persons 18 years of age and older classified as EMS personnel or similar shift worker groups. A panel of experts selected outcomes for each PICO question as prescribed by the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology. We pooled findings, stratified by study design (experimental vs. observational) and presented results of each systematic review in narrative and quantitative form. We used meta-analyses of select outcomes to generate pooled effects. We used the GRADE methodology and the GRADEpro software to designate a quality of evidence rating for each outcome. We present the results for each systematic review in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). More than 38,000 records were screened across seven systematic reviews. The median, minimum, and maximum inter-rater agreements (Kappa) between screeners for our seven systematic reviews were 0.66, 0.49, and 0.88, respectively. The median, minimum, and maximum number of records retained for the seven systematic reviews was 13, 1, and 100, respectively. We present key findings in GRADE Evidence Profile Tables in separate publications for each systematic review. We describe a protocol for

  12. Do multimedia based information services increase knowledge and satisfaction in head and neck cancer patients?

    Science.gov (United States)

    D'Souza, V; Blouin, E; Zeitouni, A; Muller, K; Allison, P J

    2013-09-01

    To investigate the impact of a Multimode Comprehensive Tailored Information Package (MCTIP) on Head and Neck (H&N) cancer patients' knowledge and satisfaction. A non-randomized controlled trial was conducted at two participating hospitals. One hospital delivered the MCTIP and the second hospital provided normal care. The study was approved by local ethical committees. Patients with Stage III and IV cancer in the H&N region were recruited between their diagnosis and treatment. All participants were evaluated at baseline, 3 and 6months later using the Satisfaction with Cancer Information Profile (SCIP) and a Cancer Knowledge questionnaire. Data were analyzed using descriptive statistics, T tests, chi square tests and finally linear mixed model analyses to test the potential impact of the intervention. A total of 103 participants participated in this study and complete data at all time points were collected for 96. The Test group reported higher levels of Cancer Knowledge and Satisfaction at all time points (pmultimedia based tailored information and higher levels of satisfaction and cancer knowledge compared to those who receive information in ad hoc manner. Exploring patients' informational needs is necessary before planning information services to them. Copyright © 2013 Elsevier Ltd. All rights reserved.

  13. Utilization of Emergency Medical Service Increases Chance of Thrombolytic Therapy in Patients with Acute Ischemic Stroke

    Science.gov (United States)

    Hsieh, Ming-Ju; Tang, Sung-Chun; Chiang, Wen-Chu; Huang, Kuang-Yu; Chang, Anna Marie; Ko, Patrick Chow-In; Tsai, Li-Kai; Jeng, Jiann-Shing; Ma, Matthew Huei-Ming

    2014-01-01

    Objective To determine whether utilization of emergency medical service (EMS) can expedite and improve the rate of thrombolytic therapy administration in acute ischemic stroke patients. Methods This is a prospective observational study of consecutive patients presenting to the emergency department (ED) with an ischemic stroke within 72 hours of symptom onset. Variables associated with early ED arrival (within 3 hours of stroke onset), and administration of thrombolytic therapy were analyzed. We also evaluated the factors related to onset-to-needle time in patients receiving thrombolytic therapy. Results From January 1, 2010 to July 31, 2011, there were 1081 patients (62.3% men, age 69.6 ± 13 years) included in this study. Among them, 289 (26.7%) arrived in the ED within 3 hours, and 88 (8.1%) received intravenous thrombolytic therapy. Patients who arrived to the ED by EMS (n=279, 25.8 %) were independently associated with earlier ED arrival (adjusted odds ratio [OR] = 3.68, 95% confidence interval [CI] = 2.54 to 5.33), and higher chance of receiving thrombolytic therapy (adjusted OR = 3.89, 95% CI= 1.86 to 8.17). Furthermore, utilization of EMS decreased onset-to-needle time by 26 minutes in patients receiving thrombolytic therapy. Conclusion Utilization of EMS can help acute ischemic stroke patients in early presentation to ED, facilitate thrombolytic therapy, and reduce the onset to needle time. PMID:24296308

  14. Innovation in health service management: Adoption of project management offices to support major health care transformation.

    Science.gov (United States)

    Lavoie-Tremblay, Mélanie; Aubry, Monique; Cyr, Guylaine; Richer, Marie-Claire; Fortin-Verreault, Jean-François; Fortin, Claude; Marchionni, Caroline

    2017-11-01

    To explore the characteristics that influence project management offices acceptance and adoption in healthcare sector. The creation of project management offices has been suggested as a promising avenue to promote successful organisational change and facilitate evidence-based practice. However, little is known about the characteristics that promote their initial adoption and acceptance in health care sector. This knowledge is important in the context where many organisations are considering implementing project management offices with nurse managers as leaders. A descriptive multiple case study design was used. The unit of analysis was the project management offices. The study was conducted in three university-affiliated teaching hospitals in 2013-14 (Canada). Individual interviews (n = 34) were conducted with senior managers. Results reveal that project management offices dedicated to project and change management constitute an innovation and an added value that addresses tangible needs in the field. Project management offices are an innovation highly compatible with health care managers and their approach has parallels to the process of clinical problem solving and reasoning well-known to adopters. This knowledge is important in a context where many nurses hold various roles in project management offices, such as Director, project manager, clinical expert and knowledge broker. © 2017 John Wiley & Sons Ltd.

  15. Climate change. Projected increase in lightning strikes in the United States due to global warming.

    Science.gov (United States)

    Romps, David M; Seeley, Jacob T; Vollaro, David; Molinari, John

    2014-11-14

    Lightning plays an important role in atmospheric chemistry and in the initiation of wildfires, but the impact of global warming on lightning rates is poorly constrained. Here we propose that the lightning flash rate is proportional to the convective available potential energy (CAPE) times the precipitation rate. Using observations, the product of CAPE and precipitation explains 77% of the variance in the time series of total cloud-to-ground lightning flashes over the contiguous United States (CONUS). Storms convert CAPE times precipitated water mass to discharged lightning energy with an efficiency of 1%. When this proxy is applied to 11 climate models, CONUS lightning strikes are predicted to increase 12 ± 5% per degree Celsius of global warming and about 50% over this century. Copyright © 2014, American Association for the Advancement of Science.

  16. Projected Increase in Lightning Strikes in the United States Due to Global Warming

    Science.gov (United States)

    Romps, D. M.; Seeley, J.; Vollaro, D.; Molinari, J.

    2014-12-01

    Lightning plays an important role in atmospheric chemistry and in the initiation of wildfires, but the impact of global warming on lightning rates is poorly constrained. The lightning flash rate is proposed here to be proportional to the convective available potential energy (CAPE) times the precipitation rate. Using observations, the product of CAPE and precipitation is found to explain the majority of variance in the time series of total cloud-to-ground lightning flashes over the contiguous United States (CONUS) on timescales ranging from diurnal to seasonal. The observations reveal that storms convert the CAPE of water mass to discharged lightning energy with an efficiency of about 1%. This proxy can be applied to global climate models, which provide predictions for the increase in lightning due to global warming. Results from 11 GCMs will be shown.

  17. Community projects based on Art & Health: A collaboration between the Faculty of Fine Arts at the Complutense University of Madrid and Madrid city council's Madrid Salud Service

    OpenAIRE

    Ávila, Noemí; Orellana, Ana M.; Claver, María Dolores; Borrego Hernando, Olga; Antúnez, Noelia; García Cano, Marta; Segura del Pozo, Javier; Belver, Manuel H.; Martínez Cortés, Mercedes; Martínez, Catalina; Jambers, Brigitte; Cortés, Fátima; Yeves, Laura; Soto, María del Carmen; Saavedra Macías, Francisco Javier (Coordinador)

    2017-01-01

    In 2011 the Faculty of Fine Arts at the Complutense University of Madrid, and Madrid City Council's Health Promotion and Prevention Service (Madrid Salud Service) signed a collaboration agreement for developing joint projects and activities. This mutual collaboration agreement has generated an extremely active working network, in which university students supported by health service professionals plus Faculty academics and researchers have designed, and developed, community projects based on ...

  18. The Project Approach in Organization of Foreign Economic Activity as a Means of Increasing Competitiveness of Industrial Enterprise

    Directory of Open Access Journals (Sweden)

    Lazarenko Vladimir Ye.

    2017-12-01

    Full Text Available The article is aimed at studying the organization of foreign economic activity of industrial enterprise in case of introduction of project approach to its management. New conditions of doing business in terms of aircraft building enterprises, consisting in the transition to production according to international standards, require a modern approach to the solution of the range of issues. In conditions of limited internal financial resources of company and high expenses connected with entering the foreign market, it is extremely important to define the priority directions of foreign economic activity and the most optimal mechanisms of its organization and management. The functioning of the sphere of foreign economic activity of industrial enterprise in case of introduction of project approach to management has been analyzed. The essence, features and the main parameters of project approach as a means of increasing the competitiveness of enterprise have been defined. Priorities of the large-scale enterprise development strategy have been analyzed and suggested by means of carrying out the project method of organization of foreign economic activity.

  19. Equal Opportunity, Equal Work: Increasing Women's Participation in the U.S. President's Malaria Initiative Africa Indoor Residual Spraying Project.

    Science.gov (United States)

    Donner, Abigail; Belemvire, Allison; Johns, Ben; Mangam, Keith; Fiekowsky, Elana; Gunn, Jayleen; Hayden, Mary; Ernst, Kacey

    2017-12-28

    One of the primary control measures for malaria transmission is indoor residual spraying (IRS). Historically, few women have worked in IRS programs, despite the income-generating potential. Increasing women's roles in IRS requires understanding the barriers to women's participation and implementing measures to address them. The U.S. President's Malaria Initiative (PMI) Africa Indoor Residual Spraying (AIRS) Project is the largest implementer of IRS globally. To address gender inequity in IRS operations, PMI AIRS assessed the barriers to the participation of women and developed and implemented policies to address these barriers. The PMI AIRS Project initially identified barriers through a series of informal assessments with key stakeholders. PMI AIRS then implemented a series of gender-guided policies, starting in 2015, in Benin, Ethiopia, Ghana, Mali, Madagascar, Mozambique, Rwanda, Senegal, Zambia, and Zimbabwe. The policies included adapting physical work environments to ensure privacy for women; ensuring the safety of women in the workplace; guaranteeing safety and job security of women during pregnancy; and encouraging qualified women to apply for supervisory positions. The project collected routine programmatic data on staff, spray quality, and spray efficiency; data from 2012 through the end of 2015 were analyzed (up through 1 year after implementation of the gender policies). In addition, PMI AIRS conducted surveys in 2015, 2016, and 2017 before and after the spray campaigns in 4 countries to determine changes in gender norms among spray operators through questions about decision making and agency. The PMI AIRS Project increased women's employment with the program. Specifically, women's employment increased overall from 23% in 2012 to 29% in 2015, with a 2015 range from 16% (Mali) to 40% (Madagascar). Growth among supervisor roles was even stronger, with the percentage of women in supervisory roles increasing from 17% in 2012 to 46% in 2015, with a 2015

  20. Beryllium Project: developing in CDTN of uranium dioxide fuel pellets with addition of beryllium oxide to increase the thermal conductivity

    International Nuclear Information System (INIS)

    Ferreira, Ricardo Alberto Neto; Camarano, Denise das Merces; Miranda, Odair; Grossi, Pablo Andrade; Andrade, Antonio Santos; Queiroz, Carolinne Mol; Gonzaga, Mariana de Carvalho Leal

    2013-01-01

    Although the nuclear fuel currently based on pellets of uranium dioxide be very safe and stable, the biggest problem is that this material is not a good conductor of heat. This results in an elevated temperature gradient between the center and its lateral surface, which leads to a premature degradation of the fuel, which restricts the performance of the reactor, being necessary to change the fuel before its full utilization. An increase of only 5 to 10 percent in its thermal conductivity, would be a significant increase. An increase of 50 percent would be a great improvement. A project entitled 'Beryllium Project' was developed in CDTN - Centro de Desenvolvimento da Tecnologia Nuclear, which aimed to develop fuel pellets made from a mixture of uranium dioxide microspheres and beryllium oxide powder to obtain a better heat conductor phase, filling the voids between the microspheres to increase the thermal conductivity of the pellet. Increases in the thermal conductivity in the range of 8.6% to 125%, depending on the level of addition employed in the range of 1% to 14% by weight of beryllium oxide, were obtained. This type of fuel promises to be safer than current fuels, improving the performance of the reactor, in addition to last longer, resulting in great savings. (author)

  1. Using haptic feedback to increase seat belt use of service vehicle drivers.

    Science.gov (United States)

    2011-01-01

    This study pilot-tested a new application of a technology-based intervention to increase seat belt use. The technology was based on a : contingency in which unbelted drivers experienced sustained haptic feedback to the gas pedal when they exceeded 25...

  2. Increasing mental health awareness and appropriate service use in older Chinese Americans: a pilot intervention.

    Science.gov (United States)

    Teng, Ellen J; Friedman, Lois C

    2009-07-01

    This study evaluated the effectiveness of a community intervention in increasing awareness of mental health issues and available resources among elderly Chinese Americans. Twenty-seven members of a community church received a 1-h didactic presentation, in English and Mandarin, and completed surveys regarding their help-seeking preferences before and after the intervention. Results were analyzed using a series of Wilcoxon matched-pair signed rank tests and comparing pre- and post-test scores. Findings indicated an increase (pmental health professional for psychiatric symptoms at post-test. A significant increase also was found in preference for consulting a physician for physical symptoms. The pilot educational intervention increased awareness of mental health and treatment issues and the role of mental health professionals, lending support to evaluate the intervention on a larger scale. Greater awareness of mental health among Chinese Americans can be promoted via education forums provided through faith-based organizations. Stigma of mental illness leads many Chinese individuals to seek help for psychiatric problems from primary care physicians. Integrating mental health practitioners in primary care settings may help decrease stigma and encourage appropriate help-seeking behavior.

  3. Evaluation of current Australian health service accreditation processes (ACCREDIT-CAP): protocol for a mixed-method research project.

    Science.gov (United States)

    Hinchcliff, Reece; Greenfield, David; Moldovan, Max; Pawsey, Marjorie; Mumford, Virginia; Westbrook, Johanna Irene; Braithwaite, Jeffrey

    2012-01-01

    Accreditation programmes aim to improve the quality and safety of health services, and have been widely implemented. However, there is conflicting evidence regarding the outcomes of existing programmes. The Accreditation Collaborative for the Conduct of Research, Evaluation and Designated Investigations through Teamwork-Current Accreditation Processes (ACCREDIT-CAP) project is designed to address key gaps in the literature by evaluating the current processes of three accreditation programmes used across Australian acute, primary and aged care services. The project comprises three mixed-method studies involving documentary analyses, surveys, focus groups and individual interviews. Study samples will comprise stakeholders from across the Australian healthcare system: accreditation agencies; federal and state government departments; consumer advocates; professional colleges and associations; and staff of acute, primary and aged care services. Sample sizes have been determined to ensure results allow robust conclusions. Qualitative information will be thematically analysed, supported by the use of textual grouping software. Quantitative data will be subjected to a variety of analytical procedures, including descriptive and comparative statistics. The results are designed to inform health system policy and planning decisions in Australia and internationally. The project has been approved by the University of New South Wales Human Research Ethics Committee (approval number HREC 10274). Results will be reported to partner organisations, healthcare consumers and other stakeholders via peer-reviewed publications, conference and seminar presentations, and a publicly accessible website.

  4. Implementation of Service Learning and Civic Engagement for Students of Computer Information Systems through a Course Project at the Hashemite University

    Science.gov (United States)

    Al-Khasawneh, Ahmad; Hammad, Bashar K.

    2015-01-01

    Service learning methodologies provide students of information systems with the opportunity to create and implement systems in real-world, public service-oriented social contexts. This paper presents a case study which involves integrating a service learning project into an undergraduate Computer Information Systems course entitled…

  5. Outcomes of an Academic Service-Learning Project on Four Urban Community Colleges

    Science.gov (United States)

    Greenwood, Debra Abston

    2015-01-01

    Service-learning has a rich history in higher education, with a multitude of studies indicating positive learning, community engagement, and moral development outcomes of student participants. The majority of the research findings, however, have represented four-year colleges. And while there are limited outcome studies of service-learning in…

  6. Assessment of the Main Indicators' Relationship of Projects of Information and Communication Services' Development

    Science.gov (United States)

    Chernyavskaya, Yana S.; Kiselev, Sergey V.; Rassolov, Ilya M.; Kurushin, Viktor V.; Chernikova, Lyudmila I.; Faizova, Guzel R.

    2016-01-01

    The relevance of research: The relevance of the problem studied is caused by the acceleration of transition of the Russian economy on an innovative way of development, which depends on the vector of innovative sphere of services and, to a large extent, information and communication services, as well as it is caused by the poor drafting of…

  7. Increasing capacity for innovation in bureaucratic primary care organizations: a whole system participatory action research project.

    Science.gov (United States)

    Thomas, Paul; McDonnell, Juliet; McCulloch, Janette; While, Alison; Bosanquet, Nick; Ferlie, Ewan

    2005-01-01

    We wanted to identify what organizational features support innovation in Primary Care Groups (PCGs). Our study used a whole system participatory action research model. Four research teams provided complementary insights. Four case study PCGs were analyzed. Two had an intervention to help local facilitators reflect on their work. Data included 70 key informant interviews, observations of clinical governance interventions and committee meetings, analysis of written materials, surveys and telephone interviews of London Primary Care Organizations, interviews with 20 nurses, and interviews with 6 finance directors. A broad range of stakeholders reviewed data at annual conferences and formed conclusions about trustworthy principles. Sequential research phases were refocused in the light of these conclusions and in response to the changing political context. Five features were associated with increased organizational capacity for innovation: (1) clear structures and a vision for corporate and clinical governance; (2) multiple opportunities for people to reflect and learn at all levels of the organization, and connections between these "learning spaces"; (3) both clinicians and managers in leadership roles that encourage participation; (4) the right timing for an initiative and its adaptation to the local context; and (5) external facilitation that provides opportunities for people to make sense of their experiences. Low morale was commonly attributed to 3 features: (1) overwhelming pace of reform, (2) inadequate staff experience and supportive infrastructure, and (3) financial deficits. These features together may support innovation in other primary care bureaucracies. The research methodology enabled people from different backgrounds to make sense of diverse research insights.

  8. Final report for LDRD project 11-0783 : directed robots for increased military manpower effectiveness.

    Energy Technology Data Exchange (ETDEWEB)

    Rohrer, Brandon Robinson; Rothganger, Fredrick H.; Wagner, John S.; Xavier, Patrick Gordon; Morrow, James Dan

    2011-09-01

    The purpose of this LDRD is to develop technology allowing warfighters to provide high-level commands to their unmanned assets, freeing them to command a group of them or commit the bulk of their attention elsewhere. To this end, a brain-emulating cognition and control architecture (BECCA) was developed, incorporating novel and uniquely capable feature creation and reinforcement learning algorithms. BECCA was demonstrated on both a mobile manipulator platform and on a seven degree of freedom serial link robot arm. Existing military ground robots are almost universally teleoperated and occupy the complete attention of an operator. They may remove a soldier from harm's way, but they do not necessarily reduce manpower requirements. Current research efforts to solve the problem of autonomous operation in an unstructured, dynamic environment fall short of the desired performance. In order to increase the effectiveness of unmanned vehicle (UV) operators, we proposed to develop robots that can be 'directed' rather than remote-controlled. They are instructed and trained by human operators, rather than driven. The technical approach is modeled closely on psychological and neuroscientific models of human learning. Two Sandia-developed models are utilized in this effort: the Sandia Cognitive Framework (SCF), a cognitive psychology-based model of human processes, and BECCA, a psychophysical-based model of learning, motor control, and conceptualization. Together, these models span the functional space from perceptuo-motor abilities, to high-level motivational and attentional processes.

  9. Bilingual Academic and Career Education Services for Hispanic High School Students (Project BACES). Final Evaluation Report, 1992-93. OER Report.

    Science.gov (United States)

    Clarke, Candice

    This report presents an evaluation of the Bilingual Academic and Career Education Services for Hispanic High School Students (Project BACES), an Elementary and Secondary Education Act Title VII-funded project in its third year of operation at DeWitt Clinton High School in the Bronx and George Washington High School in Manhattan. The project served…

  10. 75 FR 59049 - International Education Programs Service; Fulbright-Hays Group Projects Abroad Program

    Science.gov (United States)

    2010-09-24

    ... second language and knowledge of other cultures around the world by supporting short-term projects abroad... knowledge of languages and cultures from around the world. The second priority supports projects that will... countries, cultures and languages, but from each other as well. This collaboration amongst educators at...

  11. Implementing a Project-Based Learning Model in a Pre-Service Leadership Program

    Science.gov (United States)

    Albritton, Shelly; Stacks, Jamie

    2016-01-01

    This paper describes two instructors' efforts to more authentically engage students in a preservice leadership program's course called Program Planning and Evaluation by using a project-based learning approach. Markham, Larmer, and Ravitz (2003) describe project-based learning (PjBL) as "a systematic teaching method that engages students in…

  12. Impact of a Child-Based Health Promotion Service-Learning Project on the Growth of Occupational Therapy Students.

    Science.gov (United States)

    Lau, Cynthia

    2016-01-01

    This phenomenological study revealed the lived experiences of occupational therapy students as they embarked on a semester-long volunteer health promotion service-learning project during their entry-level master's program. Data analysis extrapolated themes from student journals, transcriptions of pre- and postinterviews, and field notes. Student roles were exemplified by what students wanted to learn, what they actually learned, and the unexpected benefits they experienced. In particular, issues with teaming, interprofessional development, and time management were discovered. The findings add to the growing literature about the benefits of service learning as a teaching strategy and how it facilitates mindfulness of community service, communication, and clinical reasoning of future therapists. Implications for learning and practice are discussed. Copyright © 2016 by the American Occupational Therapy Association, Inc.

  13. Projecting supply and demand of hydrologic ecosystem services under future climate conditions

    Science.gov (United States)

    Chiang, Li-Chi; Huang, Tao; Lee, Tsung-Yu

    2014-05-01

    Ecosystems provide essential goods and services, such as food, clean water, water purification, soil conservation and cultural services for human being. In a watershed, these water-related ecosystem goods and services can directly or indirectly benefit both local people and downstream beneficiaries through a reservoir. Water quality and quantity in a reservoir are of importance for agricultural, industrial and domestic uses. Under the impacts of climate and land use changes, both ecosystem service supply and demand will be affected by changes in precipitation patterns, temperature, urbanization and agricultural activities. However, the linkage between ecosystem service provisioning (ESP) and ecosystem service beneficiary (ESB), and scales of supply and demand of ecosystem services are not clear yet. Therefore, to investigate water-related ecosystem service supply under climate and land use change, we took the Xindian river watershed (303 km2) as a case study, where the Feitsui Reservoir provides hydro-power and daily domestic water use of 3,450,000 m3 for 3.46 million people in Taipei, Taiwan. We integrated a hydrological model (Soil and Water Assessment Tool, SWAT) and a land use change model (Conversion of Land Use and its Effects, CLUE-s) with future climate change scenarios derived from General Circulation Models (GCMs), to assess the changes in ecosystem service supply and demand at different hydrologic scales. The results will provide useful information for decision-making on future land use management and climate change adaptation strategies in the watersheds. Keywords: climate change, land use change, ecosystem service, watershed, scale

  14. Including the biogeochemical impacts of deforestation increases projected warming of climate

    Science.gov (United States)

    Scott, Catherine; Monks, Sarah; Spracklen, Dominick; Arnold, Stephen; Forster, Piers; Rap, Alexandru; Carslaw, Kenneth; Chipperfield, Martyn; Reddington, Carly; Wilson, Christopher

    2016-04-01

    Forests cover almost one third of the Earth's land area and their distribution is changing as a result of human activities. The presence, and removal, of forests affects the climate in many ways, with the net climate impact of deforestation dependent upon the relative strength of these effects (Betts, 2000; Bala et al., 2007; Davin and de Noblet-Ducoudré, 2010). In addition to controlling the surface albedo and exchanging carbon dioxide (CO2) and moisture with the atmosphere, vegetation emits biogenic volatile organic compounds (BVOCs), which lead to the formation of biogenic secondary organic aerosol (SOA) and alter the oxidative capacity of the atmosphere, affecting ozone (O3) and methane (CH4) concentrations. In this work, we combine a land-surface model with a chemical transport model, a global aerosol model, and a radiative transfer model to compare several radiative impacts of idealised deforestation scenarios in the present day. We find that the simulated reduction in biogenic SOA production, due to complete global deforestation, exerts a positive combined aerosol radiative forcing (RF) of between +308.0 and +362.7 mW m-2; comprised of a direct radiative effect of between +116.5 and +165.0 mW m-2, and a first aerosol indirect effect of between +191.5 and +197.7 mW m-2. We find that the reduction in O3 exerts a negative RF of -150.7 mW m-2 and the reduction in CH4 results in a negative RF of -76.2 mWm-2. When the impacts on biogenic SOA, O3 and CH4 are combined, global deforestation exerts an overall positive RF of between +81.1 and +135.9 mW m-2 through changes to short-lived climate forcers (SLCF). Taking these additional biogeochemical impacts into account increases the net positive RF of complete global deforestation, due to changes in CO2 and surface albedo, by 7-11%. Overall, our work suggests that deforestation has a stronger warming impact on climate than previously thought. References: Bala, G. et al., 2007. Combined climate and carbon-cycle effects

  15. Problems of increased transport load as a result of implementation of projects of high-rise constructions

    Science.gov (United States)

    Provotorov, Ivan; Gasilov, Valentin; Anisimova, Nadezhda

    2018-03-01

    The structure of problems of high-rise construction us suggested, which includes the impact on environment, design solutions, transportation problems, financial costs for construction and operation, and others. Positive and negative aspects of high-rise construction are considered. One of the basic problems of high-rise construction is the problem of increased transport load. Construction of the subway on the basis of the concession mechanism, with the use of unmanned control of rolling stock is proposed as the most expedient solution. An evaluation of the effectiveness of this project is presented, it shows quite high performance indicators for a private investor. Main problems that the project implementation may face in conditions of lack of scientific and methodological support are outlined.

  16. Potential energy savings in renovation projects of residential and service buildings; Energiansaeaestoemahdollisuudet rakennuskannan korjaustoiminnassa

    Energy Technology Data Exchange (ETDEWEB)

    Heljo, J.; Vihola, J.

    2012-11-01

    be only half of that. The biggest uncertainty in the estimation of savings potential is related to increased ventilation heat recovery especially in blocks of flats. Based on calculations, the energy consumption of the residential and service building stock in existence in 2010 will drop from 91 TWh/a to less than 50 TWh/a in 2050. Consumption will be reduced by structural energy-saving measures, changes in heating methods and loss of stock. It is possible to attain nearly 20% savings, about 10 TWh/a, in the 2010 building stock through renovation measures by 2050. The greenhouse gas emissions from the energy used in buildings will be cut by energy savings as well as an increase in nuclear power-generated electricity and wider use of renewable fuels in the generation of district heat and electricity. Moreover, emissions will be reduced, especially in detached houses, by switching to heating systems that produce fewer emissions. These changes in energy supply will probably cut the green-house emissions of the building stock more than energy-saving measures in buildings. Yet, both are necessary to attain the reduction goals. (orig.)

  17. Physical-chemical purification of power metal optics for increasing its service life

    Science.gov (United States)

    Filin, S. A.; Rogalin, V. E.; Kaplunov, I. A.; Zingerman, K. M.

    2017-12-01

    In order to increase the resource of power metal optics, the features of the choice of solvents for its physical and chemical cleaning are investigated. During cleaning, on the contaminated surface there remain visually observed white film of alkali and alkaline earth metal salts, insoluble by this class of solvents, and iridescent bands from the interaction of hydrocarbons with metal, and this degrades optical properties and reduces the life of mirrors. It is demonstrated that, with the use of solvents, it is necessary to inhibit the interaction of hydrocarbons with mirrors by the stabilization of solvents or by selection of cleaning regimes.

  18. Emotional Branding as an Effort to Improve the Quality of Library Service in Order to Increase the Use of Library

    Directory of Open Access Journals (Sweden)

    Neneng Komariah

    2016-12-01

    Full Text Available This paper is a study of implementation of emotional branding in library services.    Emotional branding is a new paradigm in marketing world. It means create emotional nuance and its objective is to create an emotional nearness between a brand and its consumer. The library as an institution which provide information services may implement emotional branding concept in creating emotional nuance which will build emotional nearness between the library and its users. It is hope that the emotional nearness  will create users’ satisfaction and  loyality, so the use of library will  increase. Emotional branding in library can be created through working performance of librarian who always try to create and maintain good relationships with users. Some strategies could be implemented, those are always ask the user first, ask their name and try to remember it, know information which usually needed, tell them when there is new information which relevant for them, create a situation that librarian always ready to help, show them that the librarian like to discuss with them, be a good listener, the librarian should be wear uniform with name tag, and be a mobile staff and ask the user if they need some helps.  The implementation of emotional branding in library services need a crucial change in mindset of library management in order to provide qualified services which suitable with users’ demand.

  19. Emotional Branding as an Effort to Improve the Quality of Library Service in Order to Increase the Use of Library

    Directory of Open Access Journals (Sweden)

    Neneng Komariah

    2018-01-01

    Full Text Available This paper is a study of implementation of emotional branding in library services.    Emotional branding is a new paradigm in marketing world. It means create emotional nuance and its objective is to create an emotional nearness between a brand and its consumer. The library as an institution which provide information services may implement emotional branding concept in creating emotional nuance which will build emotional nearness between the library and its users. It is hope that the emotional nearness  will create users’ satisfaction and  loyality, so the use of library will  increase. Emotional branding in library can be created through working performance of librarian who always try to create and maintain good relationships with users. Some strategies could be implemented, those are always ask the user first, ask their name and try to remember it, know information which usually needed, tell them when there is new information which relevant for them, create a situation that librarian always ready to help, show them that the librarian like to discuss with them, be a good listener, the librarian should be wear uniform with name tag, and be a mobile staff and ask the user if they need some helps.  The implementation of emotional branding in library services need a crucial change in mindset of library management in order to provide qualified services which suitable with users’ demand.

  20. Projected Effect of Increased Active Travel in German Urban Regions on the Risk of Type 2 Diabetes

    Science.gov (United States)

    Brinks, Ralph; Hoyer, Annika; Kuss, Oliver; Rathmann, Wolfgang

    2015-01-01

    Background Future transportation policy is likely to reduce emissions in the cities and urban regions by strengthening active travel. Increased walking and cycling are known to have positive effects on health outcomes. This work estimates effects of increased active travel on type 2 diabetes in Germany, where 64% of the population live in urban regions. Methods Based on the effect size of an increased active travel scenario reported from a recent meta-analysis, we project the change in the life time risk, the proportion of prevented cases and the change in diabetes free life time in a German birth cohort (born 1985) compared to business as usual. Results The absolute risk reduction of developing type 2 diabetes before the age of 80 is 6.4% [95% confidence interval: 3.7-9.7%] for men and 4.7% [2.2-7.7%] for women, respectively. Compared to business as usual, the increased active travel scenario prevents 14.0% [8.1-21.2%] of the future cases of diabetes in men and 15.8% [9.3-23.1%] in women. Diabetes free survival increases by 1.7 [1.0-2.7] years in men and 1.4 [0.6-2.3] in women. Conclusions Our projection predicts a substantial impact of increased active travel on the future burden of type 2 diabetes. The most striking effect may be seen in the number of prevented cases. In all urban regions with an increased active travel transport policy, about one out of seven male and one out of six female cases can be prevented. PMID:25849819

  1. Projected effect of increased active travel in German urban regions on the risk of type 2 diabetes.

    Directory of Open Access Journals (Sweden)

    Ralph Brinks

    Full Text Available Future transportation policy is likely to reduce emissions in the cities and urban regions by strengthening active travel. Increased walking and cycling are known to have positive effects on health outcomes. This work estimates effects of increased active travel on type 2 diabetes in Germany, where 64% of the population live in urban regions.Based on the effect size of an increased active travel scenario reported from a recent meta-analysis, we project the change in the life time risk, the proportion of prevented cases and the change in diabetes free life time in a German birth cohort (born 1985 compared to business as usual.The absolute risk reduction of developing type 2 diabetes before the age of 80 is 6.4% [95% confidence interval: 3.7-9.7%] for men and 4.7% [2.2-7.7%] for women, respectively. Compared to business as usual, the increased active travel scenario prevents 14.0% [8.1-21.2%] of the future cases of diabetes in men and 15.8% [9.3-23.1%] in women. Diabetes free survival increases by 1.7 [1.0-2.7] years in men and 1.4 [0.6-2.3] in women.Our projection predicts a substantial impact of increased active travel on the future burden of type 2 diabetes. The most striking effect may be seen in the number of prevented cases. In all urban regions with an increased active travel transport policy, about one out of seven male and one out of six female cases can be prevented.

  2. Public broadcasting, media engagement, and 2-1-1: using mass communication to increase the use of social services.

    Science.gov (United States)

    Shah, Dhavan V; McLeod, Douglas M; Rojas, Hernando; Sayre, Benjamin G; Vraga, Emily; Scholl, Rosanne M; Jones, Clive; Shaw, Amy

    2012-12-01

    The 2008-2009 subprime mortgage crisis was catastrophic, not only for the global economy but for families across the social spectrum. The resultant economic upheaval threatened the livelihoods, well-being, and health of many citizens, who were often unsure where to turn for help. At this critical juncture, public broadcasting stations worked to connect viewers to support resources through 2-1-1. This study was designed to evaluate the ability of public broadcasting to increase the use of information and referral services. Autoregressive integrated moving average (ARIMA) modeling and regression analysis document the relationship between public broadcasting initiatives and 2-1-1 call volume in 35 highly affected U.S. markets. Time-series data from St. Louis MO were collected and analyzed in 2008. Station-level data from across the nation were collected during 2009-2010 and analyzed in 2010. ARIMA results show a distinct linkage between the timing and duration of Channel 9 in St. Louis MO (KETC) programming and a subsequent (approximately 400%) increase in 2-1-1 calls regarding financial services and assistance. Regression path analysis not only found evidence of this same effect nationally but also showed that differences in the broadcaster's orientation and approach mediated effects. Specifically, stations' orientations toward engagement were mediated through strong outreach strategies to increase 2-1-1 use. This study documents the ability of public broadcasting to help citizens in need connect with social resources through 2-1-1 services. By focusing attention on the mortgage crisis and its attendant consequences, and by publicizing 2-1-1 services as a gateway to supportive resources, public broadcasters fostered linkages between those in need and social resources. Moreover, the level of a station's commitment to engaging citizens had a strong bearing on the success of its programming initiatives and community partnerships with organizations such as 2

  3. Projectables

    DEFF Research Database (Denmark)

    Rasmussen, Troels A.; Merritt, Timothy R.

    2017-01-01

    CNC cutting machines have become essential tools for designers and architects enabling rapid prototyping, model-building and production of high quality components. Designers often cut from new materials, discarding the irregularly shaped remains. We introduce ProjecTables, a visual augmented...... reality system for interactive packing of model parts onto sheet materials. ProjecTables enables designers to (re)use scrap materials for CNC cutting that would have been previously thrown away, at the same time supporting aesthetic choices related to wood grain, avoiding surface blemishes, and other...... relevant material properties. We conducted evaluations of ProjecTables with design students from Aarhus School of Architecture, demonstrating that participants could quickly and easily place and orient model parts reducing material waste. Contextual interviews and ideation sessions led to a deeper...

  4. Retailing research: increasing the role of evidence in clinical services for childbirth.

    Science.gov (United States)

    Lomas, J

    1993-01-01

    A current review of the structures and assumptions of research transfer for clinical care reveals some progress from "passive diffusion" to "active dissemination" models, but little or no progress has been made toward targeting local influences on practitioner behavior for "coordinated implementation" of clinically relevant research into childbirth (or other) medical practices. The implementation of scientifically valid research syntheses, such as Effective Care in Pregnancy and Childbirth (ECPC), is therefore constrained by a poorly developed marketplace for retailing research information to practitioners. A survey in Canada of the four most significant potential retailing groups demonstrated that whereas clinical and community groups were adopting the necessary knowledge and attitudes, public policy makers and administrators trailed well behind them. To increase the probability of thorough retailing of ECPC, a three-phase plan could be instituted that would identify product champions within potential retailing groups, develop implementation activities for each retailing group, and convene annual conferences.

  5. Robust Hadley Circulation Changes and Increasing Global Dryness Due to CO2 Warming from CMIP-5 Model Projections

    Science.gov (United States)

    Lau, William K. M.; Kim, K. M.

    2015-01-01

    In this paper, we investigate changes in the Hadley Circulation (HC) and their connections to increased global dryness under CO2 warming from CMIP-5 model projections. We find a strengthening of the ascending branch of the HC manifested in a deep-tropics squeeze (DTS), i.e., a deepening and narrowing of the convective zone, increased high clouds, and a rise of the level of maximum meridional mass outflow in the upper troposphere (200-100 hectopascals) of the deep tropics. The DTS induces atmospheric moisture divergence, reduces tropospheric relative humidity in the tropics and subtropics, in conjunction with a widening of the subsiding branches of the HC, resulting in increased frequency of dry events in preferred geographic locations worldwide. Among water cycle parameters examined, global dryness has the highest signal-to-noise ratio. Our results provide scientific bases for inferring that the observed tend of prolonged droughts in recent decades is likely attributable to greenhouse warming.

  6. Region 9 Tribal Grant Program - Project Officer and Tribal Contact Information Map Service

    Science.gov (United States)

    This compilation of geospatial data is for the purpose of managing and communicating information about current EPA project officers, tribal contacts, and tribal grants, both internally and with external stakeholders.

  7. Increasing Pap smear rates at an urban Aboriginal Community Controlled Health Service through translational research and continuous quality improvement.

    Science.gov (United States)

    Dorrington, Melanie S; Herceg, Ana; Douglas, Kirsty; Tongs, Julie; Bookallil, Marianne

    2015-01-01

    This article describes translational research (TR) and continuous quality improvement (CQI) processes used to identify and address barriers and facilitators to Pap smear screening within an urban Aboriginal Community Controlled Health Service (ACCHS). Rapid Plan-Do-Study-Act (PDSA) cycles were conducted, informed by client surveys, a data collection tool, focus groups and internal research. There was a statistically significant increase in Pap smear numbers during PDSA cycles, continuing at 10 months follow up. The use of TR with CQI appears to be an effective and acceptable way to affect Pap smear screening. Community and service collaboration should be at the core of research in Aboriginal and Torres Strait Islander health settings. This model is transferrable to other settings and other health issues.

  8. Understanding the psychology of seeking support to increase Health Science student engagement in academic support services. A Practice Report

    Directory of Open Access Journals (Sweden)

    Gerard Francis Hoyne

    2013-04-01

    Full Text Available Increasing student engagement within higher education academic support services is a constant challenge. Whilst engagement with support is positively associated with successful retention, and non-engagement connected to attrition, the most vulnerable students are often the least likely to engage. Our data has shown that Health Science students are reluctant to engage with academic support services despite being made aware of their academic deficiencies. The “psychology of seeking support” was used as a lens to identify some of the multifaceted issues around student engagement. The School of Health Sciences made attendance at support courses compulsory for those students who were below the benchmark score in a post entrance literacy test. Since the policy change was implemented, there has been a 50% reduction in the fail rate of “at risk” students in a core literacy unit. These findings are encouraging and will help reduce student attrition in the long term.

  9. Neural network based pattern matching and spike detection tools and services--in the CARMEN neuroinformatics project.

    Science.gov (United States)

    Fletcher, Martyn; Liang, Bojian; Smith, Leslie; Knowles, Alastair; Jackson, Tom; Jessop, Mark; Austin, Jim

    2008-10-01

    In the study of information flow in the nervous system, component processes can be investigated using a range of electrophysiological and imaging techniques. Although data is difficult and expensive to produce, it is rarely shared and collaboratively exploited. The Code Analysis, Repository and Modelling for e-Neuroscience (CARMEN) project addresses this challenge through the provision of a virtual neuroscience laboratory: an infrastructure for sharing data, tools and services. Central to the CARMEN concept are federated CARMEN nodes, which provide: data and metadata storage, new, thirdparty and legacy services, and tools. In this paper, we describe the CARMEN project as well as the node infrastructure and an associated thick client tool for pattern visualisation and searching, the Signal Data Explorer (SDE). We also discuss new spike detection methods, which are central to the services provided by CARMEN. The SDE is a client application which can be used to explore data in the CARMEN repository, providing data visualization, signal processing and a pattern matching capability. It performs extremely fast pattern matching and can be used to search for complex conditions composed of many different patterns across the large datasets that are typical in neuroinformatics. Searches can also be constrained by specifying text based metadata filters. Spike detection services which use wavelet and morphology techniques are discussed, and have been shown to outperform traditional thresholding and template based systems. A number of different spike detection and sorting techniques will be deployed as services within the CARMEN infrastructure, to allow users to benchmark their performance against a wide range of reference datasets.

  10. Increasing access to care for young adults with cancer: Results of a quality-improvement project using a novel telemedicine approach to supportive group psychotherapy.

    Science.gov (United States)

    Melton, Laura; Brewer, Benjamin; Kolva, Elissa; Joshi, Tanisha; Bunch, Michelle

    2017-04-01

    Young adults with cancer experience high levels of psychological distress. Group interventions for cancer patients have been effective in reducing levels of psychological distress but suffer from high levels of attrition and serve a limited geographic area. In a quality-improvement project, we converted an existing in-person support group to a telemedicine format in the hopes of improving attendance and reducing geographic disparities in access to care. Eight young adults (18-40 years) with cancer were recruited from across Colorado. Participants received a tablet equipped with Wi-Fi and downloaded an HIPAA-compliant video-conferencing application. Participants attended six weekly supportive psychotherapy sessions. Participants found the group to be beneficial: the technology worked, they enjoyed the group format, and they would recommend it to others. The novel treatment interface allowed for low attrition rates due to the flexibility of a patient's location during the intervention. It allowed for provision of services to a geographically diverse population of medically ill young adults, as participants lived an average of 148 miles from the cancer center (range = 25-406 miles). Internet-based mental health care is an area of growing interest for providers, but few studies have evaluated its efficacy in patients with cancer, and even fewer in young adults with cancer. Incorporating technological advances into clinical practice will increase access to care, reduce geographic health disparities, and provide more consistent services.

  11. Implementation of Trauma-Informed Care and Brief Solution-Focused Therapy: A Quality Improvement Project Aimed at Increasing Engagement on an Inpatient Psychiatric Unit.

    Science.gov (United States)

    Aremu, Babatunde; Hill, Pamela D; McNeal, Joanne M; Petersen, Mary A; Swanberg, Debbie; Delaney, Kathleen R

    2018-03-14

    Addressing tense and escalating situations with noncoercive measures is an important element of inpatient psychiatric treatment. Although restraint rates are frequently monitored, the use of pro re nata (PRN) intramuscular (IM) injections to address agitation is also an important indicator. In 2015, at the current study site, a significant increase was noted in PRN IM medication use despite unit leadership's efforts to build a culture of trauma-informed care (TIC). The purpose of the current quality improvement project was to educate staff on methods to incorporate TIC into daily practice and the use of brief solution-focused therapy techniques in escalating situations. Measurement of attitudes toward patient aggression and engagement with patients followed two waves of staff education. Upon completion of the project, a decrease in PRN IM medications, improvement in staff attitudes toward patient aggression, and improved sense of staff competency in handling tense situations were noted. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.]. Copyright 2018, SLACK Incorporated.

  12. West Valley Demonstration Project facilities utilization plan for the existing facilities at the Western New York Nuclear Service Center

    International Nuclear Information System (INIS)

    Skillern, C.G.

    1986-05-01

    In 1980, Congress passed Public Law 96-368, the West Valley Demonstration Project (WVDP) Act. As a primary objective, the Act authorized the US Department of Energy (DOE) to solidify the high-level waste (HLW) stored at the Western New York Nuclear Service Center (WNYNSC) into a form suitable for transportation and disposal in a federal repository. This report will describe how WVDP proposes to use the existing WNYNSC Facilities in an efficient and technically effective manner to comply with Public Law 96-368. In support of the above cited law, the DOE has entered into a ''Cooperative agreement between the United States Department of Energy and the New York State Energy Research and Development Authority on the Western New York Nuclear Service Center at West Valley, New York.'' The state-owned areas turned over to the DOE for use are as follows: Process Plant, Waste Storage, Low-Level Waste Treatment Facility, Service Facilities, Plant Security, and Additional Facilities. The Facilities Utilization Plan (FUP) describes how the state-owned facilities will be utilized to complete the Project; it is divided into five sections as follows: Executive Summary - an overview; Introduction - the WVDP approach to utilizing the WNYNSC Facilities; WVDP Systems - a brief functional description of the system, list of equipment and components to be used and decontamination and decommissioning (D and D) support; WVDP Support Facilities; and Caveats that could effect or change the potential usage of a particular area

  13. Introduction of Renal Key Performance Indicators Associated with Increased Uptake of Peritoneal Dialysis in a Publicly Funded Health Service.

    Science.gov (United States)

    Toussaint, Nigel D; McMahon, Lawrence P; Dowling, Gregory; Holt, Stephen G; Smith, Gillian; Safe, Maria; Knight, Richard; Fair, Kathleen; Linehan, Leanne; Walker, Rowan G; Power, David A

    2017-01-01

    ♦ BACKGROUND: Increased demand for treatment of end-stage kidney disease has largely been accommodated by a costly increase in satellite hemodialysis (SHD) in most jurisdictions. In the Australian State of Victoria, a marked regional variation in the uptake of home-based dialysis suggests that use of home therapies could be increased as an alternative to SHD. An earlier strategy based solely on increased remuneration had failed to increase uptake of home therapies. Therefore, the public dialysis funder adopted the incidence and prevalence of home-based dialysis therapies as a key performance indicator (KPI) for its health services to encourage greater uptake of home therapies. ♦ METHODS: A KPI data collection and bench-marking program was established in 2012 by the Victorian Department of Health and Human Services, with data provided monthly by all renal units in Victoria using a purpose-designed website portal. A KPI Working Group was responsible for analyzing data each quarter and ensuring indicators remained accurate and relevant and each KPI had clear definitions and targets. We present a prospective, observational study of all dialysis patients in Victoria over a 4-year period following the introduction of the renal KPI program, with descriptive analyses to evaluate the proportion of patients using home therapies as well as home dialysis modality survival. ♦ RESULTS: Following the introduction of the KPI program, the net growth of dialysis patient numbers in Victoria remained stable over 4 years, at 75 - 80 per year (approximately 4%). However, unlike the previous decade, about 40% of this growth was through an increase in home dialysis, which was almost exclusively peritoneal dialysis (PD). The increase was identified particularly in the young (20 - 49) and the elderly (> 80). Disappointingly, however, 67% of these incident patients ceased PD within 2 years of commencement, 46% of whom transferred to SHD. ♦ CONCLUSIONS: Introduction of a KPI program

  14. THE TERRITORIALIZATION OF INFRASTRUCTURE AND SERVICE PROJECTS (PROINF IN THE MIDDLE SERTÃO DE ALAGOAS (BRAZIL

    Directory of Open Access Journals (Sweden)

    Juliana Antero da

    2017-12-01

    Full Text Available In the last three decades, the direction of public policies for family agriculture has been broadened. Thus, rural development programs and projects under the territorial approach are being implemented. In this sense, the objective of this study is to analyze the territorialisation of the Support Actions to Infrastructure and Services Projects of the Rural Territories (PROINF in the Middle Hinterland of Alagoas. The methodological procedures were performed through bibliographic, documentary and field research. Since the creation of the Territory of the Middle Hinterland of Alagoas in 2003, the Infrastructure and Services Projects have added 13 actions aimed at supporting territorial management and financing for the diversification of the technical means of production for family agriculture. The territorial strategy denotes a collective narrative in the process of integrating public policies for family agriculture. The insertion of the technique causes in individualistic agglutination when the PROINF proposals are materialized. The collective proposal is succumbed by a more perverse and disruptive process, because the interests are diverse and the intentionalities as well.

  15. BiodivERsA project VineDivers: Analysing interlinkages between soil biota and biodiversity-based ecosystem services in vineyards across Europe

    Science.gov (United States)

    Zaller, Johann G.; Winter, Silvia; Strauss, Peter; Querner, Pascal; Kriechbaum, Monika; Pachinger, Bärbel; Gómez, José A.; Campos, Mercedes; Landa, Blanca; Popescu, Daniela; Comsa, Maria; Iliescu, Maria; Tomoiaga, Liliana; Bunea, Claudiu-Ioan; Hoble, Adela; Marghitas, Liviu; Rusu, Teodor; Lora, Ángel; Guzmán, Gema; Bergmann, Holger

    2015-04-01

    Essential ecosystem services provided by viticultural landscapes result from diverse communities of above- and belowground organisms and their interactions. For centuries traditional viticulture was part of a multifunctional agricultural system including low-input grasslands and fruit trees resulting in a high functional biodiversity. However, in the last decades intensification and mechanisation of vineyard management caused a separation of production and conservation areas. As a result of management intensification including frequent tilling and/or use of pesticides several ecosystem services are affected leading to high rates of soil erosion, degradation of soil structure and fertility, contamination of groundwater and high levels of agricultural inputs. In this transdisciplinary BiodivERsA project we will examine to what extent differently intensive managed vineyards affect the activity and diversity of soil biota (e.g. earthworms, collembola, soil microorganisms) and how this feed back on aboveground biodiversity (e.g. weeds, pollinators). We will also investigate ecosystem services associated with soil faunal activity and biodiversity such as soil structure, the formation of stable soil aggregates, water infiltration, soil erosion as well as grape quality. These effects will become increasingly important as more extreme precipitation events are predicted with climate change. The socio-economic part of the project will investigate the role of diversely structured, species-rich viticultural landscapes as a cultural heritage providing aesthetic values for human well-being and recreation. The project objectives will be analysed at plot, field (vineyard) and landscape scales in vineyards located in Spain, France, Romania and Austria. A detailed engagement and dissemination plan for stakeholder at the different governance levels will accompany scientific research and will contribute to the implementation of best-practice recommendations for policy and farmers.

  16. A 'mystery shopper' project to evaluate sexual health and contraceptive services for young people in Croydon.

    Science.gov (United States)

    Sykes, Susie; O'Sullivan, Karin

    2006-01-01

    The purpose of the study was to evaluate the accessibility of, and advice provided by, sexual health and advice services for young people in Croydon, UK using a 'mystery shopper' approach. Nineteen young people aged 13-21 years were trained as mystery shoppers. The group developed a set of standards, based in part on existing guidelines of best practice, that should be met when working with young people. The group accessed local sexual health services in pairs posing as genuine patients. Using one of four scenarios, the mystery shoppers assessed the service they received against the predefined standards. The main access difficulties occurred in the reception area. Confidentiality was a major concern and was frequently not explained. The advice and information received was generally clearly given and with an appropriate level of detail. Additional training and support needs to be offered to receptionists. Confidentiality policies and statements need to be more effectively communicated.

  17. Financing Energy Services for Small-scale Energy-users - project FINESSE

    International Nuclear Information System (INIS)

    Annan, R.; Saunders, R.J.; Hassing, P.

    1994-01-01

    This paper presents the FINESSE (Financing Energy Services for Small-scale Energy users) launched in 1989 by World Bank 's Energy Sector Assistance Program (ESMAP) in association with the US Department of Energy and the Netherlands Ministry for Development Cooperation, whose purpose is to address financial, institutional and policy issues related to enhancing energy services for residential and commercial energy consumers in the Developing World. It describes the related technology benefits of renewable energy and energy efficiency, as well as a technology overview and outlines the strategies for financing alternatives in the Developing World. It concludes with a description of successful experiences in small-scale energy services, especially in Asia. (TEC). 8 figs

  18. Field Studies in Science Teacher Preparation Programs: Examples of Research-Oriented Earth and Environmental Science Field Projects for Pre-service and In-service Teachers

    Science.gov (United States)

    O'Neal, M. L.

    2005-12-01

    Science teaching reforms of the past 10 to 20 years have focused on a pedagogical shift from verification-style laboratory exercises, toward hands-on and inquiry-based constructivist teaching methods. Such methods, however, require teachers to be proficient in more than just basic content and teaching strategies. To be effective teachers, these professionals must also be skilled in the design and implementation of research-style investigations. At Loyola College in Maryland, topics in the earth and environmental sciences are used as the basis for field research projects that teach our students science content, along with how to design age-appropriate investigative activities and how to implement them in a stimulating, inquiry-based learning environment. Presented here are examples of three projects, demonstrating how these themes are woven throughout our pre- and in-service teacher preparation programs, at both undergraduate and graduate levels. 1. Watershed Studies - In our undergraduate, pre-service, elementary education teacher preparation program, students design and implement a water quality study in a local watershed. In the classroom, students use topographic maps and aerial photographs to delineate the watersheds' boundaries, to identify current land use patterns, and to select appropriate locations on the trunk stream for testing. Water testing at these sites is conducted during field trips, with data analysis and interpretation performed on-site. On-site work allows students to make connections between stream water quality and adjacent land use practices. Students then relate the content and research results to science teaching standards, in order to develop a unit-plan for use in their future classrooms. 2. Land Use Assessment - In our graduate, in-service, elementary and middle school science program, a local stream valley is used as the basis for an analysis of potential land use changes. Students first construct a topographic base map of the area, and

  19. Social and cultural capital in project marketing service firms: Danish architectural firms on the German market

    DEFF Research Database (Denmark)

    Skaates, Maria Anne; Tikkanen, Henrikki; Alajoutsijärvi, Kimmo

    2002-01-01

    This article analyses the marketing activities of three Danish architectural firms in Germany during the 1990s from a perspective that is new to project marketing, in that the Bourdivan concepts of social and cultural capital are applied to the offerings and activities of firms. In architecture...... provide support for our claim that the accumulation of social and cultural capital is crucial to acquiring architectural projects, while also indicating that cultural and social capital are internationally transferable to a limited extent only. This in turn suggests that national construction industries...

  20. Increasing compliance with alcohol service laws in a developing country: intervention trial in the Kingdom of Bhutan.

    Science.gov (United States)

    Dorji, Gampo; DeJong, William; Bor, Jacob; Bachman DeSilva, Mary; Sabin, Lora; Feeley, Frank Rich; Udon, Pema; Wangchuk, Nima; Wangdi, Ugyen; Choden, Tshering; Gurung, Mongal Singh; Chogyel, Tandin; Wangchuk, Dorji; Kypri, Kypros

    2016-03-01

    Bhutan is a low-middle income country that, like many others, experiences significant alcohol-related harm and low compliance with laws restricting availability and promotion. This study assessed changes in compliance of alcohol outlets with sales restrictions following a multi-sector programme aimed at improving this. Pre-post design with covert observation of service practices. Thimphu, Bhutan, June-November 2013. Alcohol is not permitted for sale except from 1 to 10 p.m. Wednesday-Monday. Serving minors (increased from 20 to 34% [difference: 14%; 95% confidence interval (CI) = 7-22%]. Improvement was found in refusals of service before 1 p.m.: 10-34% (difference(adj) = 24%; 95% CI = 12-37%) and on Tuesdays: 43-58% (difference(adj) = 14%; 95% CI = 1-28%). Differences in refusal to serve alcohol: after 10 p.m. (difference(adj) = 15%; 95% CI = -8 to 37%); to underage patrons (difference(adj) = -5%; 95% CI = 14 to 4%); and to intoxicated patrons (difference(adj) = 7%; 95% CI = -7-20%) were not statistically significant. Younger servers, stand-alone bars and outlets permitting indoor smoking were each less likely to comply with the alcohol service laws. A multi-sector programme to improve compliance with legal restrictions on serving alcohol in Bhutan appeared to have a modest effect but even after the programme, in two-thirds of the occasions tested, the laws were broken. © 2015 Society for the Study of Addiction.