WorldWideScience

Sample records for prospective management approach

  1. Prospective Health: Duke's Approach to Improving Employee Health and Managing Health Care Costs

    Science.gov (United States)

    Davidson, H. Clint, Jr.

    2004-01-01

    If developing a healthy workforce is critical to reining in the skyrocketing cost of health care, then why have so many attempts at preventive health or disease management fallen short? How can employers connect with employees to engage them in changing unhealthy habits or lifestyles? Duke University has launched an innovative new approach called…

  2. Training opioid addiction treatment providers to adopt contingency management: A prospective pilot trial of a comprehensive implementation science approach.

    Science.gov (United States)

    Becker, Sara J; Squires, Daniel D; Strong, David R; Barnett, Nancy P; Monti, Peter M; Petry, Nancy M

    2016-01-01

    Few prospective studies have evaluated theory-driven approaches to the implementation of evidence-based opioid treatment. This study compared the effectiveness of an implementation model (Science to Service Laboratory; SSL) to training as usual (TAU) in promoting the adoption of contingency management across a multisite opioid addiction treatment program. We also examined whether the SSL affected putative mediators of contingency management adoption (perceived innovation characteristics and organizational readiness to change). Sixty treatment providers (39 SSL, 21 TAU) from 15 geographically diverse satellite clinics (7 SSL, 8 TAU) participated in the 12-month study. Both conditions received didactic contingency management training and those in the predetermined experimental region received 9 months of SSL-enhanced training. Contingency management adoption was monitored biweekly, whereas putative mediators were measured at baseline, 3 months, and 12 months. Relative to providers in the TAU region, treatment providers in the SSL region had comparable likelihood of contingency management adoption in the first 20 weeks of the study, and then significantly higher likelihood of adoption (odds ratios = 2.4-13.5) for the remainder of the study. SSL providers also reported higher levels of one perceived innovation characteristic (Observability) and one aspect of organizational readiness to change (Adequacy of Training Resources), although there was no evidence that the SSL affected these putative mediators over time. Results of this study indicate that a fully powered randomized trial of the SSL is warranted. Considerations for a future evaluation are discussed.

  3. Multidisciplinary approach for the management of complex hepatic injuries AAST-OIS grades IV-V: a prospective study.

    Science.gov (United States)

    Asensio, J A; Petrone, P; García-Núñez, L; Kimbrell, B; Kuncir, E

    2007-01-01

    Complex hepatic injuries grades IV-V are highly lethal. The objective of this study is to assess the multidisciplinary approach for their management and to evaluate if survival could be improved with this approach. Prospective 54-month study of all patients sustaining hepatic injuries grades IV-V managed operatively at a Level I Trauma Center. survival. univariate and stepwise logistic regression. Seventy-five patients sustained penetrating (47/63%) and blunt (28/37%) injuries. Seven (9%) patients underwent emergency department thoracotomy with a mortality of 100%. Out of the 75 patients, 52 (69%) sustained grade IV, and 23 (31%) grade V. The estimated blood loss was 3,539+/-3,040 ml. The overall survival was 69%, adjusted survival excluding patients requiring emergency department thoracotomy was 76%. Survival stratified to injury grade: grade IV 42/52-81%, grade V 10/23-43%. Mortality grade IV versus V injuries (p < 0.002; RR 2.94; 95% CI 1.52-5.70). Risk factors for mortality: packed red blood cells transfused in operating room (p=0.024), estimated blood loss (p < 0.001), dysryhthmia (p < 0.0001), acidosis (p = 0.051), hypothermia (p = 0.04). The benefit of angiography and angioembolization indicated: 12% mortality (2/17) among those that received it versus a 36% mortality (21/58) among those that did not (p = 0.074; RR 0.32; 95% CI 0.08-1.25). Stepwise logistic regression identified as significant independent predictors of outcome: estimated blood loss (p= 0.0017; RR 1.24; 95% CI 1.08-1.41) and number of packed red blood cells transfused in the operating room (p = 0.0358; RR 1.16; 95% CI 1.01-1.34). The multidisciplinary approach to the management of these severe grades of injuries appears to improve survival in these highly lethal injuries. A prospective multi-institutional study is needed to validate this approach.

  4. Radioactive wastes. Management prospects

    International Nuclear Information System (INIS)

    Guillaumont, R.

    2003-01-01

    This article describes the perspectives of management of radioactive wastes as defined in the French law from December 30, 1991. This law defines three ways of research: abatement of the radiotoxicity of wastes (first way), reversible geological storage (second way) or long duration geological disposal (third way). This article develops these three solutions: 1 - strategic perspectives; 2 - separation, transmutation and specific conditioning: isotopes to be separated (evolution of the radio-toxicity inventory of spent fuels, migration of long-living radionuclides, abatement of radio-toxicity), research on advanced separation (humid and dry way), research on transmutation of separate elements (transmutation and transmutation systems, realistic scenarios of Pu consumption and actinides transmutation, transmutation performances), research on materials (spallation targets, fuels and transmutation targets), research on conditioning matrices for separated elements; 3 - long-term storage: principles and problems, containers, surface and subsurface facilities; 4 - disposal: reversibility and disposal, geological disposal (principle and problems, site and concept selection), adaptation to reversibility, research on materials (bentonite and cements for geologic barrier, metals for containers), underground research and qualification laboratories, quantity of containers to be stored. (J.S.)

  5. Radioactive wastes. Management prospects. Appendixes

    International Nuclear Information System (INIS)

    Guillaumont, R.

    2003-01-01

    These appendixes complete the article BN3661 entitled 'Radioactive wastes. Management prospects'. They develop the principles of the different separation processes under study and make a status of the conditioning matrices that are envisaged: 1 - principles of advanced separation (separation of U, Np, Pu, Tc and I; separation of Am and Cm in two extraction steps (Diamex and Sanex processes); separation of Am and Cm in a single extraction step (Paladin process); separation of Am and Cm (Sesame process); separation of Cs (Calixarene process); 2 - principles of separation in pyro-chemistry: separation under inert atmosphere (non-oxidizing); separation in oxidizing conditions; 3 - conditioning matrices under study for separate elements: objectives and methodology, matrices for iodine, for cesium and for actinides. (J.S.)

  6. Disaster risk management in prospect mining area Blitar district, East Java, using microtremor analysis and ANP (analytical network processing) approach

    Energy Technology Data Exchange (ETDEWEB)

    Parwatiningtyas, Diyan, E-mail: diane.tyas@gmail.com, E-mail: erlinunindra@gmail.com; Ambarsari, Erlin Windia, E-mail: diane.tyas@gmail.com, E-mail: erlinunindra@gmail.com; Marlina, Dwi, E-mail: diane.tyas@gmail.com, E-mail: erlinunindra@gmail.com; Wiratomo, Yogi, E-mail: diane.tyas@gmail.com, E-mail: erlinunindra@gmail.com [Department of Physics, Faculty of Engineering, Mathematics and Natural Sciences, Indraprasta PGRI University, Nangka Street No. 58C Tanjung Barat, South Jakarta (Indonesia)

    2014-03-24

    Indonesia has a wealth of natural assets is so large to be managed and utilized, either from its own local government and local communities, especially in the mining sector. However, mining activities can change the state of the surface layer of the earth that have a high impact disaster risk. This could threaten the safety and disrupt human life, environmental damage, loss of property, and the psychological impact, sulking to the rule of law no 24 of 2007. That's why we strive to manage and minimize the risk of mine disasters in the region, how to use the method of calculation of Amplification Factor (AF) from the analysis based microtremor sulking Kanai and Nakamura, and decision systems were tested by analysis of ANP. Based on the amplification factor and Analytical Network Processing (ANP) obtained, some points showed instability in the surface layer of a mining area include the site of the TP-7, TP-8, TP-9, TP-10, (Birowo2). If in terms of structure, location indicated unstable due to have a sloping surface layer, resulting in the occurrence of landslides and earthquake risk is high. In the meantime, other areas of the mine site can be said to be a stable area.

  7. Disaster risk management in prospect mining area Blitar district, East Java, using microtremor analysis and ANP (analytical network processing) approach

    International Nuclear Information System (INIS)

    Parwatiningtyas, Diyan; Ambarsari, Erlin Windia; Marlina, Dwi; Wiratomo, Yogi

    2014-01-01

    Indonesia has a wealth of natural assets is so large to be managed and utilized, either from its own local government and local communities, especially in the mining sector. However, mining activities can change the state of the surface layer of the earth that have a high impact disaster risk. This could threaten the safety and disrupt human life, environmental damage, loss of property, and the psychological impact, sulking to the rule of law no 24 of 2007. That's why we strive to manage and minimize the risk of mine disasters in the region, how to use the method of calculation of Amplification Factor (AF) from the analysis based microtremor sulking Kanai and Nakamura, and decision systems were tested by analysis of ANP. Based on the amplification factor and Analytical Network Processing (ANP) obtained, some points showed instability in the surface layer of a mining area include the site of the TP-7, TP-8, TP-9, TP-10, (Birowo2). If in terms of structure, location indicated unstable due to have a sloping surface layer, resulting in the occurrence of landslides and earthquake risk is high. In the meantime, other areas of the mine site can be said to be a stable area

  8. An approach to assessing risk in coalbed methane prospect evaluation

    International Nuclear Information System (INIS)

    Vanorsdale, C.R.

    1991-01-01

    The economic evaluation of drilling prospects requires assessing the degree of risk involved and its impact on reserve estimates. In developed areas, risk can be determined in a fairly straightforward manner. In remote wildcat areas, risk can almost never be adequately identified or quantified. Between these extremes lie complex reservoirs -- reservoirs to heterogeneous that each well drilled could exhibit production characteristics unlike those of its neighbors. This paper illustrates the use of a risk assessment methodology in a case study of Fruitland coal prospects in the San Juan Basin of New Mexico. This approach could be applied to coalbed methane prospects or any unconventional or highly heterogeneous reservoir with appropriate modification. The utility of this approach is made apparent in a graphical analysis that relates reserves, rate of return and payout time for managerial or financial presentation. This graphical technique and the underlying risk assessment were used to aid a conservative management team in evaluating participation in a multi-well coalbed project

  9. The Branding Management Approaches

    Institute of Scientific and Technical Information of China (English)

    YAKOUBI; Mohamed Lamine

    2014-01-01

    [Abstract]We wil try to present,through the display of the various branding concepts and theories, the different branding management approaches.This wil present the different visions of the discipline depending on the author to try and demonstrate their differences,at first, and their complementarities at last to help the different branding management practitioners (brand managers,marketing managers,advertisers,media-planners……) apprehend the right brand positioning strategy to engage.

  10. Management situation and prospect of radioactive waste

    International Nuclear Information System (INIS)

    Han, Pil Jun

    1985-04-01

    This book tell US that management situation and prospect of radioactive waste matter, which includes importance of energy, independence, limitation of fossil fuel energy, density of nuclear energy, strategy of supply of energy resource in Korea, nuclear energy development and radioactive waste matter, summary of management of radioactive waste, statistics of radioactive waste, disposal principle of radioactive waste, management on radioactive waste after using, disposal of Trench, La Marche in French, and Asse salt mine in Germany.

  11. How to Mitigate Theme Park Crowding? A Prospective Coordination Approach

    Directory of Open Access Journals (Sweden)

    Yuguo Yuan

    2018-01-01

    Full Text Available Crowding is a key factor in tourists’ experience in theme parks, and mitigating crowding makes parks more competitive. This study examines how to effectively mitigate crowding in theme parks. First, a Markov-based method is developed to predict the spatial-temporal distribution of tourists in the park. Then, a prospective coordination approach based on the tourist distribution prediction is proposed. To evaluate the performance of this approach, an experiment is constructed using an agent-based simulation platform. The results indicate that the proposed method significantly outperforms existing methods. Furthermore, we conduct two experiments and, based on the results, offer several recommendations for crowd management.

  12. Prospective Analysis of Nursing Management from the Students Voices

    Directory of Open Access Journals (Sweden)

    Rafael Alejandro Camejo Giménez

    2017-08-01

    Full Text Available This scientific article was intended to study management in nursing from a prospective analysis, interpret the meanings and meanings that social actors grant to the future of nursing management and unveil the importance of nursing management from prospectivity. The paradigm was interpretative under a qualitative approach, where the phenomenological method based on hermeneutics was applied. We selected 05 students from the first semester of nursing and 05 from the eighth for a total of 10 social actors. As a technique for obtaining the information I used as resources the in-depth interview, notes, photographs and recordings. The following categories emerged from the findings: Service management: training, administration and functions; Prospectivity: profile and futuristic scenario. The emerging categories triangulated and I can say that every bachelor who enters the career must know the functions of nursing. The contribution of the theoretician Michel Godet, among others, was considered. Finally, as a main finding, it was known that most nursing students do not know the future of the career and UCLA in the Deanery under study does not apply prospective management to determine cognitive and mental indicators in future Nursing graduates.

  13. A team-based multidisciplinary approach to managing peripherally inserted central catheter complications in high-risk haematological patients: a prospective study.

    Science.gov (United States)

    Curto-García, Natalia; García-Suárez, Julio; Callejas Chavarria, Marta; Gil Fernández, Juan José; Martín Guerrero, Yolanda; Magro Mazo, Elena; Marcellini Antonio, Shelly; Juárez, Luis Miguel; Gutierrez, Isabel; Arranz, Juan José; Montalvo, Irene; Elvira, Carmen; Domínguez, Pilar; Díaz, María Teresa; Burgaleta, Carmen

    2016-01-01

    Use of peripherally inserted central catheters (PICCs) has markedly increased during the last decade. However, there are few studies on use of PICCs in patients with haematological malignancies (HM) receiving intensive chemotherapy. Preliminary data suggest a higher rate of PICC-related complications in these high-risk patients. This prospective observational single-centre study aimed to investigate PICC-related complications after implementation of a multidisciplinary approach to PICC care and compared it with previous literature. A total of 44 PICCs were inserted in 36 patients (27.3%, thrombocytopenia <50 × 10(9)/L at insertion) over 5045 PICC days (median duration, 114.5 days). No major insertion-related complications were observed. Major late complications were obstruction in 13.6% (1.19/1000 PICC days) of patients, catheter-related bloodstream infection in 6.8% (0.59/1000 PICC days), and catheter-related thrombosis in 4.5% (0.39/1000 PICC days). Premature PICC removal occurred in 34% (2.97/1000 PICC days) of patients. The overall rate of potentially major dangerous complications was particularly low (11.36%, 0.99/1000 PICC days) compared with previous studies. This study highlights the utility of a multidisciplinary approach for PICC care in adults with HM receiving intensive chemotherapy. We provide further data to support use of PICCs in such patient populations.

  14. Financial Management: An Organic Approach

    Science.gov (United States)

    Laux, Judy

    2013-01-01

    Although textbooks present corporate finance using a topical approach, good financial management requires an organic approach that integrates the various assignments financial managers confront every day. Breaking the tasks into meaningful subcategories, the current article offers one approach.

  15. Nuclear material management: challenges and prospects

    International Nuclear Information System (INIS)

    Rieu, J.; Besnainou, J.; Leboucher, I.; Chiguer, M.; Capus, G.; Greneche, D.; Durret, L.F.; Carbonnier, J.L.; Delpech, M.; Loaec, Ch.; Devezeaux de Lavergne, J.G.; Granger, S.; Devid, S.; Bidaud, A.; Jalouneix, J.; Toubon, H.; Pochon, E.; Bariteau, J.P.; Bernard, P.; Krellmann, J.; Sicard, B.

    2008-01-01

    The articles in this dossier were derived from the papers of the yearly S.F.E.N. convention, which took place in Paris, 12-13 March 2008. They deal with the new challenges and prospects in the field of nuclear material management, throughout the nuclear whole fuel cycle, namely: the institutional frame of nuclear materials management, the recycling, the uranium market, the enrichment market, the different scenarios for the management of civil nuclear materials, the technical possibilities of spent fuels utilization, the option of thorium, the convention on the physical protection of nuclear materials and installations, the characterisation of nuclear materials by nondestructive nuclear measurements, the proliferation from civil installations, the use of plutonium ( from military origin) and the international agreements. (N.C.)

  16. Development of Public Management: Theory, Experience and Prospects

    Directory of Open Access Journals (Sweden)

    Maksimchuk Olga Viktorovna

    2014-09-01

    Full Text Available The development can be seen as change any properties of the phenomenon over time. Preservation and modification of these properties are necessary for any development, but it must be observed them the necessary balance. Defining this balance in the system of public management as the basis of sustainability of socio-economic systems of different order - the problem is not completely solved by economics. The authors aim to justify the development of methodological approaches to public management, taking into account the specific socio-economic systems of various sizes; offer practical solutions and outline prospects along the way. Methodological basis of research was interdisciplinary and systemic approaches. Scientific results have theoretical and practical and can be applied in the process of scientific substantiation of decisions of public management in a variety of missions.

  17. EDUCATION AND EDUCATIONAL SYSTEM MANAGEMENT: STATUS, TRENDS, PROBLEMS AND PROSPECTS

    Directory of Open Access Journals (Sweden)

    V. P. Panasyuk

    2017-01-01

    Full Text Available Introduction. The current stage of development of education in Russia, characterized by the continuation of reforms and intense innovation processes, require essential changes in management. It takes not only a revision of the paradigmatic foundations of such management, but also the adoption of complex measures for improving its efficiency, and reducing excessive centralization.The aim of the present publication is to study the status and prospects of education management in the Russian Federation.Methodology and research methods. The author used the methodology of an interdisciplinary and system-based approaches to the analysis of the considered phenomenon; methods of theoretical analysis, synthesis and generalization.Results. Negative tendencies and contradictions in modern management of education and educational systems, including problems of differentiation of the rights, competences and powers of bodies of various levels of management are revealed. The condition of education management is considered in the context of common problems of its modernization and key innovative vectors of development of the society. Detailed analysis of paradigmatic foundations of management is carried out; its systemacity and balance are presented from the positions of management members and a specific variety of the functions realized by them. System-genetic foundations of management, its recurrence, compliance with the principles of system inheritance are analysed; effectiveness, equifinality, management efficiency in its social, economic, pedagogical and organizational measurements are studied.Scientific novelty concludes in the reasons identification of a gap between the proper and existing management of an educational system. The perspective directions of improvement of this field are singled out.Practical significance. The author provides the recommendations on the use of the proposed ideas concerning the revision of the current approaches to the

  18. A prospective descriptive study of the management of miscarriages ...

    African Journals Online (AJOL)

    Objective: To assess the current management of incomplete miscarriage at Harare and Parirenyatwa Hospitals and to determine the proportion of patients with incomplete miscarriage managed with Manual Vacuum Aspiration (MVA), sharp curettage or medical evacuation. Design: A prospective descriptive study.

  19. Innovation and design approaches within prospective ergonomics.

    Science.gov (United States)

    Liem, André; Brangier, Eric

    2012-01-01

    In this conceptual article the topic of "Prospective Ergonomics" will be discussed within the context of innovation, design thinking and design processes & methods. Design thinking is essentially a human-centred innovation process that emphasises observation, collaboration, interpretation, visualisation of ideas, rapid concept prototyping and concurrent business analysis, which ultimately influences innovation and business strategy. The objective of this project is to develop a roadmap for innovation, involving consumers, designers and business people in an integrative process, which can be applied to product, service and business design. A theoretical structure comprising of Innovation perspectives (1), Worldviews supported by rationalist-historicist and empirical-idealistic dimensions (2) and Models of "design" reasoning (3) precedes the development and classification of existing methods as well as the introduction of new ones.

  20. OPTIMAL SURGICAL MANAGEMENT OF HIGH VELOCITY POSTERIOR TIBIAL PLATEAU FRACTURE SUBLUXATIONS (DUPARC, REVISED CLASSIFICATION, GROUP – V: POSTERO - MEDIAL FRACTURE BY DIRECT, DORSAL APPROACH – A CHANGING TREND: A PROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Pardhasaradhi

    2015-10-01

    series of 15 patients with complex tibial plateau injuries with associated posterior shear fractures. MATERIALS AND METHODS : This prospective study included 15 cases of patients with mean age of 30 years ( Age range 20 to 40 yr who sustained high velocity posterior tibial plateau fracture - subluxations with or without associated Bicondylar fractures ( Duparc, revised classification, Group – V: Postero - medial fracture and its associations. Surgical management includes by direct, dorsal approach and stabilisation with buttress plating and or also postero medial and or antero lateral approach as needed. The patients were followed up at six week, three month, six month and one year postoperatively and assessed using Oxford Knee Score and Lyshom Score. RESULTS:The mean OKS score was 40 (range 36 to 44 at the end of one year. The main clinical measures were early post - operative non weight bearing ROM, post - operative complication & functional outcome. The time to full weight bearing, t he rate of post - operative complications & functional outcome was significantly better as evident by over 94 % showing good to excellent OKS and Lyshom scores. CONCLUSION : Fractures of the postero - medial tibial plateau are challenging to treat, owing to the ir complexity and unfamiliar surgical approach. Several recent anatomic and biomechanical studies have shown that a locked plate placed from the lateral side of the proximal tibia does not capture and stabilise a typical posteromedial fragment. A direct po sterior (Medial Gastrocnemius or posterior medial approach for these unstable posterior medial tibial plateau subluxations (which are otherwise irreducible by conventional approaches and antiglide plate are usually needed to reduce the fractures anatomic ally, achieving absolute stability and mobilise early NWB, ROM of the knee joint to optimize the functional outcomes and minimise the complications, without the need for revision surgery

  1. Managing projects using a project management approach

    Directory of Open Access Journals (Sweden)

    Marko D. Andrejić

    2011-04-01

    Full Text Available Modern management theory treats all complex tasks and duties like projects and make these projects possible to be managed by a particular organizational-management concept in order to achieve a goal effectively. A large number of jobs and tasks performed in the system of defense or for defense purposes have the characteristics of projects. Project management is both a skill and a science of monitoring human, material, financial, energy and other resources to achieve required objectives within the given limits: deadlines, time, budget, possibility of realization and the satisfaction of the interests of all project participants. Project management is a traditional area of applied (or functional management focused on managing complex and uncertain situations with defined goals. Introduction In conditions of rapid change and high uncertainty, only adaptive organizations survive, i. e. those that are able not only to react quickly to changes but also to proactively take advantage of changes. Development of project management The biggest influence on the development of the area had complex jobs within the engineering profession. In parallel with the traditional approach new approaches began to develop, while the traditional one still remained in use. Contrary to the traditional engineering approach, a dynamic model first developed in order to respond to demands for greater control of costs. Project management Project management is a skill and knowledge of human and material resources to achieve set objectives within prescribed limits: deadlines, time, budget, possibility of realization, and the satisfaction of all participants in the project. In order to realize a project effectively, it is necessary to manage it rationally. Planning and project management A project plan is a document that allows all team members insight on where to go, when to start and when to arrive, what is necessary to be done in order to achieve the project objectives and what

  2. Stress Management: A Rational Approach.

    Science.gov (United States)

    Reeves, Cecil

    This workbook was designed for use as the primary resource tool during a l-day participatory stress management seminar in which participants identify stressful situations, conduct analyses, and develop approaches to manage the stressful situations more effectively. Small group warm-up activities designed to introduce participants, encourage…

  3. Operations management approach to hospitals.

    Science.gov (United States)

    Harvey, J; Duguay, C R

    1988-06-01

    An operations management systems approach can be a useful tool for coordinating and planning in a complex organization. The authors argue for adapting such an approach to health care from the manufacturing industries in order to facilitate strategy formulation, communication and implementation.

  4. PROSPECTS OF MANAGEMENT ACCOUNTING AND COST CALCULATION

    Directory of Open Access Journals (Sweden)

    Marian ŢAICU

    2014-11-01

    Full Text Available Progress in improving production technology requires appropriate measures to achieve an efficient management of costs. This raises the need for continuous improvement of management accounting and cost calculation. Accounting information in general, and management accounting information in particular, have gained importance in the current economic conditions, which are characterized by risk and uncertainty. The future development of management accounting and cost calculation is essential to meet the information needs of management.

  5. Schistosomiasis vaccine development: approaches and prospects

    Directory of Open Access Journals (Sweden)

    N. R. Bergquist

    1995-04-01

    Full Text Available Mounting evidence for acquired immunity to schistosomiasis in humans supports the case for immunological intervention. On the other hand, rapid reinfection poses a threat to younger age groups due to the slow maturation of natural resistance. However, rational approaches, based on advances in immunology and molecular biology, have substantially increased the odds of producing an effective vaccine. Since the parasite cannot replicate in the human host and serious morbidity generally occurs only after a relatively long period of heavy worm burden, complete protection against infection is not essential. The chances of success would increase if more than one of the various host/parasite interphases were targeted, for example reducing morbidity through decreased worm loads as well as through suppression of egg production. Several promising schistosome antigens have now reached an advanced phase of development and are currently undergoing independent confirmatory testing according to a standardized protocol. A few molecules are being contemplated for scaled-up production but, so far, only one has reached the stage of industrial manufacture and safety testing. Since schistosomiasis cannot realistically be controlled by a single approach, vaccination is envisaged to be implemented in conjunction with other means of control, notably chemotherapy.

  6. PROSPECTS OF MANAGEMENT ACCOUNTING AND COST CALCULATION

    OpenAIRE

    Marian TAICU

    2014-01-01

    Progress in improving production technology requires appropriate measures to achieve an efficient management of costs. This raises the need for continuous improvement of management accounting and cost calculation. Accounting information in general, and management accounting information in particular, have gained importance in the current economic conditions, which are characterized by risk and uncertainty. The future development of management accounting and cost calculation is essential to me...

  7. Planning for a smooth transition: evaluation of a succession planning program for prospective nurse unit managers.

    Science.gov (United States)

    Manning, Vicki; Jones, Alan; Jones, Pamela; Fernandez, Ritin S

    2015-01-01

    The current and projected nurse workforce shortage has created significant pressure on health care organizations to examine their approach to managing talent. This includes the need for strategic development of new formal leaders. This article reports on a succession planning program for prospective nursing unit managers. Eight prospective management candidates participated in a Future Nursing Unit Managers program. The effectiveness of the program was measured through a comparison of pre- and postprogram surveys relating to participants' perception of personal managerial and leadership skills. Significant differences in scores from baseline to 6-month follow-up surveys were observed in the participants' confidence in undertaking the nursing unit manager role and in their management skills. Investment in structured programs to prepare nurses for leadership roles is strongly recommended as a management workforce strategy.

  8. Prospects of nuclear waste management and radioactive waste management

    International Nuclear Information System (INIS)

    Koprda, V.

    2015-01-01

    The policy of radioactive waste management in the Slovak Republic is based on the principles defined by law on the National Nuclear Fund (NJF) and sets basic objectives: 1 Safe and reliable nuclear decommissioning; 2 The minimization of radioactive waste; 3. Selection of a suitable fuel cycle; 4 Safe storage of radioactive waste (RAW) 5 Security chain management of radioactive waste and spent nuclear fuel (SNF); 6 Nuclear safety; 7 The application of a graduated approach; 8 Respect of the principle 'a polluter pays'; 9 Objective decision-making process; 10 Responsibility. In connection with the above objectives, it appears necessary to build required facilities that are listed in this article.

  9. Accident management approach in Armenia

    International Nuclear Information System (INIS)

    Ghazaryan, K.

    1999-01-01

    In this lecture the accident management approach in Armenian NPP (ANPP) Unit 2 is described. List of BDBAs had been developed by OKB Gydropress in 1994. 13 accident sequences were included in this list. The relevant analyses had been performed in VNIIAES and the 'Guidelines on operator actions for beyond design basis accident (BDBA) management at ANPP Unit 2' had been prepared. These instructions are discussed

  10. PROJECT APPROACH TO ENERGY MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Інга Борисівна СЕМКО

    2016-02-01

    Full Text Available Project management is widely used around the world as a tool to improve business performance. Correct implementation of the program of implementation of energy efficiency is accompanied by the adoption of an appropriate legislative framework, support programs, the approval of market-based instruments. Currently, it is paying enough attention to the effective application of market-based instruments, although most of the activities in the field of energy efficiency from the economic side are quite profitable. The authors suggested the use of the methodology of project management to the management of energy-saving measures, new approaches to the place and role of project management in the hierarchy of guidance. As a result, this innovation can improve the competitiveness of enterprises. The conclusions that the energy-saving project management allows you to get the best results for their implementation by reducing the time, resources, risk reduction.

  11. Energy conservation prospects through electric load management

    Energy Technology Data Exchange (ETDEWEB)

    El-Shirbeeny, E H.T.

    1984-04-01

    In this paper, concepts of electric load management are discussed for effective energy conservation. It is shown that the conservation program must be comprehensive to provide solutions to the problems facing the electric consumer, the electric utility and the society by reducing the rate of growth of energy consumption and power system peak demand requirements. The impact of energy management programs on electric energy conservation is examined, with emphasis on efficiency, storage, cogeneration and controls with computers.

  12. Prospects of a Unified Management System

    DEFF Research Database (Denmark)

    Jørgensen, Tine Herreborg; Simonsen, Gorm

    2002-01-01

    In this article, the trend among management systems towards a common structure and the inclusion of additional areas of corporate concern (quality, environment, occupational health and safety and social responsibility) is outlined. The article suggests that a large part of the work associated...... with implementing and maintaining standardised management systems can be rationalised by developing a ?unified system?. The unified system is proposed to consist of a common basic standard of general managerial methodology expandable with supplements, which are related to the specific areas of concern...

  13. Systems approach in energy management

    International Nuclear Information System (INIS)

    Dutta-Choudhury, K.

    1993-01-01

    Several years ago when the author was working in the chemicals division of a paper company in Instrumentation and Controls, one experience had a lasting impact on his work approach which is systems approach. The maintenance manager told the author that a very important piece of boiler instrument of the power plant had broken down and delivery of the replacement needed to be expedited. The instrument was ordered over the phone in another city. The purchase order was personally delivered at the supplier's office and arrangements were made so the instrument was put on the next flight. A week later the maintenance manager indicated that the particular instrument still had not arrived in the plant and he could not run the power plant. Thus the company incurred substantial losses. Further inquiries showed that the instrument did indeed arrive at the plant stores on time. But, in the absence of any instructions thereon, the instrument was not delivered to the power plant. The sense of urgency was lost in the existing delivery process. In other words, the process or system failed. The whole process from requisitioning to delivery of ordered items was analyzed and corrective procedures were incorporated to prevent future repetitions. This brings up the subject of systems approach in engineering management in general and energy management in particular. This involves defining an objective and designing a system for an effective way of getting there

  14. Prospects of spent management in Spain

    International Nuclear Information System (INIS)

    Melches, C.; Ramirez, E.; Selgas, F.; Cabanilles, P.A.; Lopez Perez, B.; Uriarte, A.

    1978-01-01

    The purpose of this paper is to outline the forecast on spent fuel management in Spain, taking into account the international developments produced during the last years and specially on LWR fuels. This forecast is based on the following actions: increase of the storage capacity in the reactors: construction of an independent spent fuel storage installation (ISFSI) and a fuel reprocessing pilot plant. (author)

  15. Prospects for site specific weed management

    DEFF Research Database (Denmark)

    Christensen, Svend; Rasmussen, Jesper; Pedersen, Søren Marcus

    2014-01-01

    Research on Site Specific Weed Management (SSWM) started in the late 80's. Since that moment, considerable research has been conducted on different aspects of SSWM, from fundamental studies on the spatial ecology of weeds to the applied development and testing of new technologies for weed detection...

  16. Spent fuel management: Current status and prospects

    International Nuclear Information System (INIS)

    1988-12-01

    The main objective of the Advisory Group on Spent Fuel Management is to review the world-wide situation in Spent Fuel Management, to define the most important directions of national efforts and international cooperation in this area, to exchange information on the present status and progress in performing the back-end of Nuclear Fuel Cycle and to elaborate the general recommendations for future Agency programmes in the field of spent fuel management. This report which is a result of the third IAEA Advisory Group Meeting (the first and second were held in 1984 and 1986) is intended to provide the reader with an overview of the status of spent fuel management programmes in a number of leading countries, with a description of the past and present IAEA activities in this field of Nuclear Fuel Cycle and with the Agency's plans for the next years, based on the proposals and recommendations of Member States. A separate abstract was prepared for each of 14 papers presented at the advisory group meeting. Refs, figs and tabs

  17. Waste regular management: experience and progress prospects

    International Nuclear Information System (INIS)

    Lallement, R.

    1997-01-01

    Since 1990, the CEA has devoted important financial means for the radioactive civilian waste cleaning of its centers: radioactive waste processing (and especially large stocks of ancient wastes), useless-fuel management for fuels produced by experimental reactors and laboratories, and wastes produced by ancient nuclear facilities dismantlement. A policy towards waste volume reduction had already led to a 20 pc volume reduction of its low-level wastes since 1993

  18. PROBLEMS AND PROSPECTS OF MANAGEMENT OF RURAL DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Inna Tomashuk

    2017-12-01

    Full Text Available The purpose of the research is to study problems of rural development management, to analyse the effectiveness of management of the resource potential of rural areas, and to study the socio-economic priorities of their development, as well as to determine the justified ways of their solution in modern conditions. Methodology. The system approach to studying the development of rural areas makes it possible to consider components in the relationship between themselves and interaction with components of other systems. The state, problems, and prospects of rural development management are considered. The necessity of significant changes in the state policy of rural management is determined. It is substantiated that the current trends in the development of rural areas of Ukraine take place in the direction of narrowing the sphere of application of labour and the mismatch of professional and skilled workers’ quality to the needs of employers, and the growth of unemployment. The results showed that the revival of rural areas depends primarily on the level of economic development of the country. Multifunctional development of the village should be carried out taking into account the integrated approach to solving the problems of the agrarian complex, villages, rural areas in general, through the combination of interests of inhabitants of rural areas, rural communities, local government, and the state, applying social and economic levers of regulation of the relevant relations in conjunction with the organizational and legal ones. The subject of the research is the mechanisms for managing the development of rural areas. The emphasis is made on the imperfection of the modern mechanism of the financial and economic provision of rural development management, in particular, regarding the distribution of state budget funds in this area. The impact of a clear state policy that is aimed at supporting regional development is outlined. The importance of the

  19. Possibilities of systems approach in oil and gas prospecting in the Perm Urals

    Energy Technology Data Exchange (ETDEWEB)

    Viksman, S.I.; Kalabin, S.N.; Makalovskiy, V.V.

    1985-01-01

    An examination is made of the possibility of systems approach in prospecting and exploration for oil and gas; the advantages of this approach in purposeful selection of priority directions of prospecting and exploration are given.

  20. Environmental management: A system approach

    Science.gov (United States)

    Petak, William J.

    1981-05-01

    This paper presents a system framework whose purpose is to improve understanding of environmental management. By analyzing the links between elements of the environmental management system, it is possible to construct a model that aids thinking systematically about the decision-making subsystem, and other subsystems, of the entire environmental management system. Through a multidisciplinary environmental approach, each of the individual subsystems is able to adapt to threats and opportunities. The fields of government, market economics, social responsibility and ecology, for example, are so complex that it is extremely difficult to develop a framework that gives full consideration to all aspects. This paper, through the application of a highly idealized system framework, attempts to show the general relationships that exist between complex system elements.

  1. Managing three approaches to organizational behaviour for ...

    African Journals Online (AJOL)

    Managing three approaches to organizational behaviour for effectiveness and ... job description, productivity, individual performance and management matters. ... having attained a high productivity level, the organization starts going down.

  2. Challenges and Prospects for Sustainable Forest Management in ...

    African Journals Online (AJOL)

    The forests of these organizations are, however, disappearing at a fast rate which indicates existence of problems in the management approaches of the Organizations. The general objective of this study was to understand existing forest management approaches of the four organizations and indicate some directions ...

  3. The place of quantitative energy models in a prospective approach

    International Nuclear Information System (INIS)

    Taverdet-Popiolek, N.

    2009-01-01

    Futurology above all depends on having the right mind set. Gaston Berger summarizes the prospective approach in 5 five main thrusts: prepare for the distant future, be open-minded (have a systems and multidisciplinary approach), carry out in-depth analyzes (draw out actors which are really determinant or the future, as well as established shed trends), take risks (imagine risky but flexible projects) and finally think about humanity, futurology being a technique at the service of man to help him build a desirable future. On the other hand, forecasting is based on quantified models so as to deduce 'conclusions' about the future. In the field of energy, models are used to draw up scenarios which allow, for instance, measuring medium or long term effects of energy policies on greenhouse gas emissions or global welfare. Scenarios are shaped by the model's inputs (parameters, sets of assumptions) and outputs. Resorting to a model or projecting by scenario is useful in a prospective approach as it ensures coherence for most of the variables that have been identified through systems analysis and that the mind on its own has difficulty to grasp. Interpretation of each scenario must be carried out in the light o the underlying framework of assumptions (the backdrop), developed during the prospective stage. When the horizon is far away (very long-term), the worlds imagined by the futurologist contain breaks (technological, behavioural and organizational) which are hard to integrate into the models. It is here that the main limit for the use of models in futurology is located. (author)

  4. The management object in risk management approaches

    OpenAIRE

    Christiansen, Ulrik

    2013-01-01

    Using a systematic review of the last 55 years of research within risk management this paper explores how risk management as a management technology (methodologies, tools and frameworks to mitigate or manage risks) singles out risks as an object for management in order to make action possible. The paper synthesise by developing a framework of how different views on risk management enable and constrain the knowledge about risk and thus frame the possibilities to measure, analyse an...

  5. Radiotherapy and wound healing: principles, management and prospects (review).

    Science.gov (United States)

    Gieringer, Matthias; Gosepath, Jan; Naim, Ramin

    2011-08-01

    Radiation therapy is a major therapeutic modality in the management of cancer patients. Over 60% of these patients receive radiotherapy at some point during their course of treatment and over 90% will develop skin reactions after therapy. Problematic wound healing in radiation-damaged tissue constitutes a major surgical difficulty and despite all efforts, irradiated skin remains a therapeutic challenge. This review provides an overview of the fundamental principles of radiation therapy with regards to the wound healing in normal and irradiated skin. Furthermore, it presents techniques that describe how to prevent and manage skin side effects as well as prospects that may improve cutaneous wound repair in general and in irradiated skin.

  6. Strategic PSYOP Management: A Marketing Management Approach

    National Research Council Canada - National Science Library

    Sokoloski, Joseph A., III

    2005-01-01

    .... The opportunity derived from this study is to adapt principles of civilian marketing management to provide a framework and tools to develop PSYOP campaign management into a more efficient, target audience based mechanism.

  7. The Management Object in Risk Management Approaches

    DEFF Research Database (Denmark)

    Christiansen, Ulrik

    Using a systematic review of the last 55 years of research within risk management this paper explores how risk management as a management technology (methodologies, tools and frameworks to mitigate or manage risks) singles out risks as an object for management in order to make action possible....... The paper synthesise by developing a framework of how different views on risk management enable and constrain the knowledge about risk and thus frame the possibilities to measure, analyse and calculate uncertainty and risk. Inspired by social studies of finance and accounting, the paper finally develops...... three propositions that illustrate how the framing of risk establishes a boundary for how managers might understand value creation and the possible future and how this impacts the possible responses to risk....

  8. Prospects for regional safeguards systems - State-level Approach

    International Nuclear Information System (INIS)

    Peixoto, O.J.M.

    2013-01-01

    The increased co-operation with Regional Safeguard's System (RSAC) is a relevant tool for strengthening effectiveness and improving the efficiency of the international safeguard. The new safeguards system that emerges from the application of the Additional Protocol (INFCIRC/540) and the full use of State-level Concept is a challenge and an opportunity for effectively incorporate RSAC into the international safeguards scheme. The challenge is to determine how the co-operation and coordination will be implemented on this new safeguards scheme. This paper presents some discussions and prospects on the issues to be faced by RSAC and IAEA during the implementation of State-level Approach (SLA) using all information available. It is also discussed how different levels of co-operation could be achieved when SLA is applied by IAEA safeguards. The paper is followed by the slides of the presentation. (authors)

  9. TRANSLATING AS A PURPOSEFUL ACTIVITY:A PROSPECTIVE APPROACH

    Directory of Open Access Journals (Sweden)

    Christiane Nord

    2006-01-01

    Full Text Available Taking a prospective approach to translation, translators choose their translation strategies according to the purpose or function the translated text is intended to fulfill for the target audience. Since communicative purposes need certain conditions in order to work, it is the translator's task to analyze the conditions of the target culture and to decide whether, and how, the source-text purposes can work for the target audience according to the specifications of the translation brief. If the target-culture conditions differ from those of the source culture, there are usually two basic options: either to transform the text in such a way that it can work under target-culture conditions (= instrumental translation, or to replace the source-text functions by their respective meta-functions (= documentary translation.

  10. The prospects for whole-farm risk management

    NARCIS (Netherlands)

    Meuwissen, M.P.M.; Asseldonk, van M.A.P.M.; Huirne, R.B.M.

    2002-01-01

    Whole-farm risk management approaches, i.e. approaches in which multiple risks and farm activities are considered simultaneously, seem more efficient than ‘single risk and commodity strategies’. This paper first discusses the results of a questionnaire survey among livestock and arable farmers in

  11. Effective emergency management: reconsidering the bureaucratic approach.

    Science.gov (United States)

    Neal, D M; Phillips, B D

    1995-12-01

    The command and control approach is compared with the Emergent Human Resources Model (EHRM) approach to emergency management. Four decades of systematic research shows that a rigid, bureaucratic command and control approach to emergency management generally leads to an ineffective emergency response. Previous studies and our own research suggest that flexible, malleable, loosely coupled, organizational configurations can create a more effective disaster response.

  12. Biomedical waste management in Ayurveda hospitals - current practices & future prospectives.

    Science.gov (United States)

    Rajan, Renju; Robin, Delvin T; M, Vandanarani

    2018-03-16

    Biomedical waste management is an integral part of traditional and contemporary system of health care. The paper focuses on the identification and classification of biomedical wastes in Ayurvedic hospitals, current practices of its management in Ayurveda hospitals and its future prospective. Databases like PubMed (1975-2017 Feb), Scopus (1960-2017), AYUSH Portal, DOAJ, DHARA and Google scholar were searched. We used the medical subject headings 'biomedical waste' and 'health care waste' for identification and classification. The terms 'biomedical waste management', 'health care waste management' alone and combined with 'Ayurveda' or 'Ayurvedic' for current practices and recent advances in the treatment of these wastes were used. We made a humble attempt to categorize the biomedical wastes from Ayurvedic hospitals as the available data about its grouping is very scarce. Proper biomedical waste management is the mainstay of hospital cleanliness, hospital hygiene and maintenance activities. Current disposal techniques adopted for Ayurveda biomedical wastes are - sewage/drains, incineration and land fill. But these methods are having some merits as well as demerits. Our review has identified a number of interesting areas for future research such as the logical application of bioremediation techniques in biomedical waste management and the usage of effective micro-organisms and solar energy in waste disposal. Copyright © 2017 Transdisciplinary University, Bangalore and World Ayurveda Foundation. Published by Elsevier B.V. All rights reserved.

  13. Physician practice management organizations: their prospects and performance.

    Science.gov (United States)

    Conrad, D A; Koos, S; Harney, A; Haase, M

    1999-09-01

    As physician organizations adapt their incentives, processes, and structures to accommodate the demands of an increasingly competitive and performance-sensitive external environment, the development of more effective administrative and managerial mechanisms becomes critical to success. The emergence of physician practice management companies (PPMCs) represents a potentially positive step for physician practices seeking increased economies of scale through consolidation, as well as enhanced access to financial capital. However, economic and finance theory, coupled with some empirical "arithmetic" regarding the financial and operational performance of leading publicly traded PPMCs, suggest caution in one's forecasts of the future prospects for these evolving corporate forms.

  14. An approach to pavement management in Virginia.

    Science.gov (United States)

    1981-01-01

    The report summarizes the objectives and benefits of formal pavement management systems and outlines an approach believed by the author to be practical for Virginia. The management of Virginia interstate pavements and a proposed random-sampling plan ...

  15. Time management: a realistic approach.

    Science.gov (United States)

    Jackson, Valerie P

    2009-06-01

    Realistic time management and organization plans can improve productivity and the quality of life. However, these skills can be difficult to develop and maintain. The key elements of time management are goals, organization, delegation, and relaxation. The author addresses each of these components and provides suggestions for successful time management.

  16. An international approach to radioactive waste management

    International Nuclear Information System (INIS)

    Barlett, J.W.

    1994-01-01

    Needs and opportunities for an international approach to management and disposal of radioactive wastes are discussed. Deficiencies in current national radioactive waste management programs are described, and the impacts of management of fissile materials from nuclear weapons on waste management are addressed. Value-added services that can be provided by an international organization for waste management are identified, and candidate organizations that could provide these services are also identified

  17. ECOSYSTEM APPROACH TO FISHERIES MANAGEMENT IN THE ...

    African Journals Online (AJOL)

    To date, fisheries management has been based largely on a single-stock approach, but Namibia is committed to implement, in addition, an ecosystem approach to fisheries (EAF) management. The work leading to this implementation is described, in particular an ecosystem modelling study undertaken to summarize the ...

  18. A review of Spacelab mission management approach

    Science.gov (United States)

    Craft, H. G., Jr.

    1979-01-01

    The Spacelab development program is a joint undertaking of the NASA and ESA. The paper addresses the initial concept of Spacelab payload mission management, the lessons learned, and modifications made as a result of the actual implementation of Spacelab Mission 1. The discussion covers mission management responsibilities, program control, science management, payload definition and interfaces, integrated payload mission planning, integration requirements, payload specialist training, payload and launch site integration, payload flight/mission operations, and postmission activities. After 3.5 years the outlined overall mission manager approach has proven to be most successful. The approach does allow the mission manager to maintain the lowest overall mission cost.

  19. Technical approach to aging management

    International Nuclear Information System (INIS)

    Vora, J.P.; Johnson, A.B. Jr.; Allen, R.P.

    1992-10-01

    Systematic and effective control of age-related degradation of safety-related components, systems, and structures in nuclear power plants (NPPs) is an important challenge to plant operators. Several data bases, available to provide guidance on aging management, are summarized. However, the ultimate consideration is: How effectively is aging management being implemented at individual plants? Illustrated here is a specific strategy that served to develop the technical data base for the Nuclear Plant Aging Research Program. The strategy is comprehensive, systematic, and adaptable. Effective aging management at NPPs could be facilitated by a parallel strategy. The elements of a strategy are suggested

  20. relationship between principals' management approaches

    African Journals Online (AJOL)

    Admin

    Data were collected using a self-administered questionnaire from a sample of. 211 teachers, 28 principals and 22 chairpersons of parent- teachers association. Data were ..... their role expectation in discipline management. Data from the 20 ...

  1. Status and prospects for spent fuel management in France

    International Nuclear Information System (INIS)

    Kaplan, P.

    1998-01-01

    The 70's oil crisis has shown that the energy resource dependence of France was too high. The decision was made by the French government to accelerate the implementation of an ambitious nuclear power programme, based on Light Water Reactors, and to do the utmost to reuse the energy bearing material included in the spent fuel. The French nuclear policy has not changed since then. This paper is aimed at describing the present status of implementation of this policy, and the associated prospects. It will first sum up the presentation made in 1995 to the Regular Advisory Group of IAEA on Spent Fuel Management. Then, it will update the situation of the main actors of the spent fuel management policy in France: EDF, the national utility; COGEMA, world leader on almost all the steps of the fuel cycle; CEA, the national research body in the field of nuclear science and its applications; ANDRA, national body in charge of the management of the waste arising from the nuclear activities in France, final disposal included. (author)

  2. MANAGEMENT AND OUTCOMES FROM APPENDECTOMY: AN INTERNATIONAL, PROSPECTIVE, MULTICENTRE STUDY.

    Science.gov (United States)

    Camilleri-Brennan, J; Drake, T; Spence, R; Bhangu, A; Harrison, E

    2017-09-01

    To identify variation in surgical management and outcomes of appendicitis across low, middle and high Human Development Index (HDI) country groups. Multi-centre, international prospective cohort study of consecutive patients undergoing emergency appendectomy over a 6-month period. Follow-up lasted 30 days. Primary outcome measure was overall complication rate. 4546 patients from 52 countries underwent appendectomy (2499 high, 1540 middle and 507 low HDI groups). Complications were more frequent in low-HDI (OR 3.81, 95% CI 2.78 to 5.19, p accounting for case-mix, laparoscopy was still associated with fewer complications (OR 0.55, 95% CI 0.42 to 0.71, pintroduction of laparoscopy that if overcome, could result in significantly improved outcomes for patients in low-resource environments, with potential for wider health-system benefits.

  3. Exploring Academics' Approaches to Managing Team Assessment

    Science.gov (United States)

    Augar, Naomi; Woodley, Carolyn J.; Whitefield, Despina; Winchester, Maxwell

    2016-01-01

    Purpose: The purpose of this paper is to develop an understanding of academics' approaches to managing team assessment at an Australian University with a view to informing policy development and assessment design. Design/methodology/approach: The research was conducted using a single exploratory case study approach focussing on the team assessment…

  4. Exploring Conflict Management Using Qualitative Approach

    OpenAIRE

    Yazid, Zaleha

    2015-01-01

    This paper focuses on qualitative methods in researching the area of conflict management, specifically in Self-Managed Project Team (SMPT). The research aims to explore the evolvement of conflict management strategies in SMPT as this type of team is given the responsibility to solve problems and make decision by themselves. The inductive approach will overcome the limitation of quantitative method in management research as one of its objectives is to explain the different elements of the expl...

  5. Surgical approach to TIR3 cytology class A prospective evaluation.

    Science.gov (United States)

    D'Alessandro, Nicola; Fasano, Giovanni Michele; Gilio, Francesco; Iside, Giovanni; Izzo, Maria Lucia; Loffredo, Andrea; Pinto, Margherita; Tramontano, Salvatore; Tramutola, Giuseppe; Citro, Giuseppe

    2014-01-01

    Fine-needle aspiration (FNA) has proven to be a safe and reliable method of investigation of thyroid lesions. Referencing to European classification, the associated risk of malignancy for TIR3, category reserved for aspirates that contain architectural and/or nuclear atypia, is variable in such studies. Aims of study were evaluating safety of surgical approach, assessing perioperative parameters surgically related, and estimating neoplastic rate for TIR3 group. A prospective evaluation of all TIR3 submitted to thyroidectomy was conducted by assessing histopatohologic results between January 2005 and December 2012, considering two categories, positive (neoplastic) and negative (not neoplastic) group. Intraoperative and complication rate was analyzed on TIR3 population. A total of 1514 total thyroidectomy was performed from 2005 to 2012: a total of 148 cases was considered on TIR3 group. Positive cases amounted to 64 (43.2%), 29 of which were carcinoma (19.6% of total population) and 35 of which were adenoma, while negative cases amounted to 84 (56.8%). Sensitivity and specificity of TIR3 as neoplastic screening was 43.2% and 82.1%. A total of 32 linfectomies was performed (21.6% of group). Positive group presented a significant lower mean age than negative group (42.1 vs 56.2 years) TIR3 group represents a various category, with probably different malignancy risk. Our results and neoplasms rate confirmed that surgical option should be gold standard, in order to define atypical pattern and reduce delayed diagnoses. Choice of a second FNA or a imaging monitoring should be adopted for specific condition. Fine-needle aspiration, Thyroidectomy, TIR3, Thyroid cancer.

  6. Waste classification: a management approach

    International Nuclear Information System (INIS)

    Wickham, L.E.

    1984-01-01

    A waste classification system designed to quantify the total hazard of a waste has been developed by the Low-Level Waste Management Program. As originally conceived, the system was designed to deal with mixed radioactive waste. The methodology has been developed and successfully applied to radiological and chemical wastes, both individually and mixed together. Management options to help evaluate the financial and safety trade-offs between waste segregation, waste treatment, container types, and site factors are described. Using the system provides a very simple and cost effective way of making quick assessments of a site's capabilities to contain waste materials. 3 references

  7. Managing Plagiarism: A Preventative Approach

    Science.gov (United States)

    Insley, Robert

    2011-01-01

    Plagiarism is a reality in most college classes where some students plagiarize unknowingly and others do so knowingly. This situation requires instructors to decide how to manage the situation. Some may take the easy way out by ignoring the problem, simply pretending that none of their students plagiarize. In contrast, other instructors embrace…

  8. Managing projects a team-based approach

    CERN Document Server

    Brown, Karen A

    2010-01-01

    Students today are likely to be assigned to project teams or to be project managers almost immediately in their first job. Managing Projects: A Team-Based Approach was written for a wide range of stakeholders, including project managers, project team members, support personnel, functional mangers who provide resources for projects, project customers (and customer representatives), project sponsors, project subcontractors, and anyone who plays a role in the project delivery process. The need for project management is on the rise as product life cycles compress, demand for IT systems increases, and business takes on an increasingly global character. This book adds to the project management knowledge base in a way that fills an unmet need—it shows how teams can apply many of the standard project management tools, as well as several tools that are relatively new to the field. Managing Projects: A Team-Based Approach offers the academic rigor found in most textbooks along with the practical attributes often foun...

  9. Partnerships: Labour/management approaches

    International Nuclear Information System (INIS)

    Thompson, T.

    1995-01-01

    Changes in the workplace that can be expected in light of the changes occurring in the electric utility industry and the private sector in general, were discussed. Increased pressure to be productive due to competition, continuous technological changes, the changing labour force and regulatory environments were identified as some of the forces responsible for the changes.. The old labour relations practices were reviewed and criticized for having been too confrontational and not focusing on common interests. Sharing of information was emphasized as a means to build a foundation of trust between unions and management. Worker participation in the direction of the company was said to be necessary for good relations. It was suggested that this should occur in the early stages of program/policy development so that the workers don't feel by-passed. Examples of initiatives and benefits resulting from cooperation of the union and management were described. It was concluded that while there would always be issues that union and management would not agree on, focusing on common interests will act as a strong motivator to resolving contentious issues to protect the mutually beneficial relationship between the two sides

  10. German approach to VLLW management

    International Nuclear Information System (INIS)

    Broecking, D.

    1997-01-01

    Waste generated in German nuclear facilities is exhaustively and selectively manage through a system adapted to the waste's characteristics. The management of the waste ensures that the impact on the workers, population and the environment is acceptable. This is done through a detailed documentation and quality assurance program which applies not only to radioactive waste but also to cleanable material used within a licensed practice. In Germany the producer is responsible for the waste generated in a licensed facility and is therefore responsible for the correct disposal, which depends on the waste's characteristics. Since the waste producer requires a license for all activities involving radioactive substances, the atomic authority is continuously informed and can therefore monitor the producer for compliance with the regulations. The use and disposal of all material in a licensed practice is documented and can therefore be traced by the authorities. Clearance is seen in Germany as the best way of managing non-radioactive material in a licensed practice. Germany has developed clearance procedures which guarantee that after clearance the radiological impact is negligible. (author)

  11. Multidisciplinary design and analytic approaches to advance prospective research on the multilevel determinants of child health.

    Science.gov (United States)

    Johnson, Sara B; Little, Todd D; Masyn, Katherine; Mehta, Paras D; Ghazarian, Sharon R

    2017-06-01

    Characterizing the determinants of child health and development over time, and identifying the mechanisms by which these determinants operate, is a research priority. The growth of precision medicine has increased awareness and refinement of conceptual frameworks, data management systems, and analytic methods for multilevel data. This article reviews key methodological challenges in cohort studies designed to investigate multilevel influences on child health and strategies to address them. We review and summarize methodological challenges that could undermine prospective studies of the multilevel determinants of child health and ways to address them, borrowing approaches from the social and behavioral sciences. Nested data, variation in intervals of data collection and assessment, missing data, construct measurement across development and reporters, and unobserved population heterogeneity pose challenges in prospective multilevel cohort studies with children. We discuss innovations in missing data, innovations in person-oriented analyses, and innovations in multilevel modeling to address these challenges. Study design and analytic approaches that facilitate the integration across multiple levels, and that account for changes in people and the multiple, dynamic, nested systems in which they participate over time, are crucial to fully realize the promise of precision medicine for children and adolescents. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Prospects for the NPP Krsko Radioactive Waste Management

    International Nuclear Information System (INIS)

    Knapp, A.; Levanat, I.; Saponja-Milutinovic, D.

    2016-01-01

    Croatia adopted Strategy of radioactive waste, used sources and spent fuel management in 2014, and its Law on radiological and nuclear safety was accordingly modified in 2015. The Strategy foresees (though with some flexibility) and the Law declares decidedly that Croatia will establish a Center for radioactive waste management, in which all necessary facilities for storage and subsequent disposal of the Croatian share of the NPP Krsko radioactive waste and spent fuel will be developed. However, Slovenia and Croatia have recently agreed that a long-term dry storage for spent fuel will be established on the NPP premises by the year 2019. Therefore, only the issues of low and intermediate level waste (LILW) are addressed here. In Slovenia, the LILW repository site Vrbina in Krsko municipality was officially confirmed in 2009. Based on the 2013 investment program for a silo-type disposal facility, preparation of the repository project documentation was contracted with a national engineering company in 2014. Slovenian repository concept has been developed in two variants: one for the Slovenian LILW only, and the other intended to accept the Croatian share of LILW from the NPP as well. In the summer of 2015 Slovenia for the first time made an official offer to Croatia to use Vrbina repository for that purpose. However, the Croatian Strategy also does not preclude the option of management of all LILW from the NPP in Croatia. Therefore, present plan of activities for the third revision of the NPP radioactive waste and spent fuel management program outlines hypothetically symmetrical LILW management options: all in Slovenia, or all in Croatia, or one half in each country. So, what shall it be? This paper discusses the prospects for each of the three above mentioned options. The major problem of the Slovenian disposal plan is its high cost, mostly due to high compensations to the local community, which will be hard to finance without Croatian participation. The simplest

  13. Transient management using the safety function approach

    International Nuclear Information System (INIS)

    Corcoran, W.R.; Barrow, J.H.; Bischoff, G.C.; Callaghan, V.M.; Pearce, R.T.

    1984-01-01

    The safety function approach is described. Its use in the development of a transient management procedures system includes optimal recovery procedures tailored to specific, anticipated symptom sets and a functional recovery procedure which is more general. Simulator evaluations are described

  14. Regulatory approach to accident management in Sweden

    International Nuclear Information System (INIS)

    Hoegberg, L.

    1989-01-01

    The Swedish accident management program includes the following components: definition of overall safety and radiation protection objectives for the program; definition of appropriate accident management strategies to reach these objectives, based on plant-specific severe accident analysis; development and installation of appropriate accident management systems and associated management procedure; definition of roles and resposibilities for plant staff involved in accident management and implementation of appropriate training programs. The discussion of these components tries to highlight the basic technical concepts and approaches and the underlying safety philosophy rather than going into design details. 5 figs., 7 refs

  15. The process approach to service quality management

    OpenAIRE

    Kamila Kowalik; Dorota Klimecka-Tatar

    2018-01-01

    In this paper a model of service quality management based on the process approach has been presented. The first part of the article contains the theoretical framework of service quality and the process approach in management. Next, quality of service process has been presented in reference to a process-based definition in quoted literature. Finally, the outcomes of a customer questionnaire concerning the validity of particular quality attributes has been presented. The collected data in relat...

  16. Child and Youth Care Approaches to Management

    Science.gov (United States)

    Gharabaghi, Kiaras

    2008-01-01

    This article explores the themes and issues related to child and youth care approaches to management. The profession is significantly underrepresented at the management level. To some extent, this reflects the challenges of being recognized in the broader human services sector as a profession, but perhaps more so, it reflects an underdevelopment…

  17. Integrated Approach to User Account Management

    Science.gov (United States)

    Kesselman, Glenn; Smith, William

    2007-01-01

    IT environments consist of both Windows and other platforms. Providing user account management for this model has become increasingly diffi cult. If Microsoft#s Active Directory could be enhanced to extend a W indows identity for authentication services for Unix, Linux, Java and Macintosh systems, then an integrated approach to user account manag ement could be realized.

  18. [Psychological approaches in hypertension management].

    Science.gov (United States)

    Abgrall-Barbry, Gaëlle; Consoli, Silla M

    2006-06-01

    Stress factors, especially high levels of occupational stress, are associated with hypertension. Several so-called psychological techniques have been applied to hypertension: biofeedback, relaxation techniques (Schultz' autogenic training, Jacobson's progressive relaxation), transcendental meditation, and cognitive behavioral techniques for stress management. Randomized studies show that the best results come from cognitive behavioral methods, whether or not they include relaxation techniques. Other forms of psychotherapy (such as psychoanalysis) may be useful, although their benefits for blood pressure have not been tested in controlled trials. Patients should be informed about the personal benefits they may obtain from psychological treatment. Indications are hyperreactivity to stress, high levels of occupational stress, and difficulty in tolerating or complying with antihypertensive drugs.

  19. ECOSYSTEM APPROACH TO FISHERIES MANAGEMENT IN THE ...

    African Journals Online (AJOL)

    A workshop was held in Cape Town in December 2002 to introduce the concept of an ecosystem approach to fisheries (EAF) management in the southern Benguela, and to examine the options for implementing an EAF in. South Africa. The workshop considered alternative modelling approaches that may have potential for ...

  20. Prospective Mathematics Teachers' Perceptions on and Adaptation of Student-Centred Approach to Teaching

    Science.gov (United States)

    Osmanoglu, Aslihan; Dincer, Emrah Oguzhan

    2018-01-01

    The aim of this study was to investigate prospective secondary mathematics teachers' perceptions on and adaptation of student-centred approach to teaching. The study was conducted with 58 prospective secondary mathematics teachers who were the graduates from mathematics departments from different universities' Science and Literature faculties.…

  1. Analyzing the Relationship between Prospective Teachers' Educational Philosophies and Their Teaching-Learning Approaches

    Science.gov (United States)

    Sahan, Hasan Huseyin; Terzi, Ali Riza

    2015-01-01

    The purpose of this research is to analyze the relationship between prospective teachers' educational philosophies and their teaching-learning approaches. The research is a correlational study and a survey model. The working group of the research consists of 328 prospective teachers who received pedagogical formation at Balikesir University/Turkey…

  2. Preferences for Prolonging Life: A Prospect Theory Approach

    Science.gov (United States)

    Winter, Laraine; Lawton, M. Powell; Ruckdeschel, Katy

    2003-01-01

    Kahneman and Tversky's (1979) Prospect theory was tested as a model of preferences for prolonging life under various hypothetical health statuses. A sample of 384 elderly people living in congregate housing (263 healthy, 131 frail) indicated how long (if at all) they would want to live under each of nine hypothetical health conditions (e.g.,…

  3. Nonoperative management of penetrating kidney injuries: a prospective audit.

    Science.gov (United States)

    Moolman, C; Navsaria, P H; Lazarus, J; Pontin, A; Nicol, A J

    2012-07-01

    The role of nonoperative management for penetrating kidney injuries is unknown. Therefore, we review the management and outcome of penetrating kidney injuries at a center with a high incidence of penetrating trauma. Data from all patients presenting with hematuria and/or kidney injury discovered on imaging or at surgery admitted to the trauma center at Groote Schuur Hospital in Cape Town, South Africa during a 19-month period (January 2007 to July 2008) were prospectively collected and reviewed. These data were analyzed for demographics, injury mechanism, perioperative management, nephrectomy rate and nonoperative success. Patients presenting with hematuria and with an acute abdomen underwent a single shot excretory urogram. Those presenting with hematuria without an indication for laparotomy underwent computerized tomography with contrast material. A total of 92 patients presented with hematuria following penetrating abdominal trauma. There were 75 (80.4%) proven renal injuries. Of the patients 84 were men and the median age was 26 years (range 14 to 51). There were 50 stab wounds and 42 gunshot renal injuries. Imaging modalities included computerized tomography in 60 cases and single shot excretory urography in 18. There were 9 patients brought directly to the operating room without further imaging. A total of 47 patients with 49 proven renal injuries were treated nonoperatively. In this group 4 patients presented with delayed hematuria, of whom 1 had a normal angiogram and 3 underwent successful angioembolization of arteriovenous fistula (2) and false aneurysm (1). All nonoperatively managed renal injuries were successfully treated without surgery. There were 18 nephrectomies performed for uncontrollable bleeding (11), hilar injuries (2) and shattered kidney (3). Post-nephrectomy complications included 1 infected renal bed hematoma requiring percutaneous drainage. Of the injuries found at laparotomy 12 were not explored, 2 were drained and 5 were treated with

  4. COMMON APPROACH ON WASTE MANAGEMENT

    Directory of Open Access Journals (Sweden)

    ANDREESCU Nicoleta Alina

    2017-05-01

    Full Text Available The world population has doubled since the 60’s, now reaching 7 billion – it is estimated it will continue growing. If in more advanced economies, the population is starting to grow old and even reduce in numbers, in less developed countries, population numbers are registering a fast growth. Across the world, the ecosystems are exposed to critical levels of pollution in more and more complex combinations. Human activities, population growth and shifting patterns in consumer nature are the main factors that are at the base of thin ever-growing burden on our environment. Globalization means that the consumer and production patterns from a country or a region contribute to the pressures on the environment in totally different parts of the world. With the rise of environmental problems, the search for solutions also begun, such as methods and actions aimed to protect the environment and to lead to a better correlation between economic growth and the environment. The common goals of these endeavors from participating states was to come up with medium and long term regulations that would lead to successfully solving environmental issues. In this paper, we have analyzed the way in which countries started collaborating in the 1970’s at an international level in order to come up with a common policy that would have a positive impact on the environment. The European Union has come up with its own common policy, a policy that each member state must implement. In this context, Romania has developed its National Strategy for Waste Management, a program that Romania wishes to use to reduce the quantity of waste and better dispose of it.

  5. Management Approach for Earth Venture Instrument

    Science.gov (United States)

    Hope, Diane L.; Dutta, Sanghamitra

    2013-01-01

    The Earth Venture Instrument (EVI) element of the Earth Venture Program calls for developing instruments for participation on a NASA-arranged spaceflight mission of opportunity to conduct innovative, integrated, hypothesis or scientific question-driven approaches to pressing Earth system science issues. This paper discusses the EVI element and the management approach being used to manage both an instrument development activity as well as the host accommodations activity. In particular the focus will be on the approach being used for the first EVI (EVI-1) selected instrument, Tropospheric Emissions: Monitoring of Pollution (TEMPO), which will be hosted on a commercial GEO satellite and some of the challenges encountered to date and corresponding mitigations that are associated with the management structure for the TEMPO Mission and the architecture of EVI.

  6. Medical waste management in Ibadan, Nigeria: Obstacles and prospects

    International Nuclear Information System (INIS)

    Coker, Akinwale; Sangodoyin, Abimbola; Sridhar, Mynepalli; Booth, Colin; Olomolaiye, Paul; Hammond, Felix

    2009-01-01

    Quantification and characterization of medical waste generated in healthcare facilities (HCFs) in a developing African nation has been conducted to provide insights into existing waste collection and disposal approaches, so as to provide sustainable avenues for institutional policy improvement. The study, in Ibadan city, Nigeria, entailed a representative classification of nearly 400 healthcare facilities, from 11 local government areas (LGA) of Ibadan, into tertiary, secondary, primary, and diagnostic HCFs, of which, 52 HCFs were strategically selected. Primary data sources included field measurements, waste sampling and analysis and a questionnaire, while secondary information sources included public and private records from hospitals and government ministries. Results indicate secondary HCFs generate the greatest amounts of medical waste (mean of 10,238 kg/day per facility) followed by tertiary, primary and diagnostic HCFs, respectively. Characterised waste revealed that only ∼3% was deemed infectious and highlights opportunities for composting, reuse and recycling. Furthermore, the management practices in most facilities expose patients, staff, waste handlers and the populace to unnecessary health risks. This study proffers recommendations to include (i) a need for sustained cooperation among all key actors (government, hospitals and waste managers) in implementing a safe and reliable medical waste management strategy, not only in legislation and policy formation but also particularly in its monitoring and enforcement and (ii) an obligation for each HCF to ensure a safe and hygienic system of medical waste handling, segregation, collection, storage, transportation, treatment and disposal, with minimal risk to handlers, public health and the environment

  7. Management of reprocessed uranium. Current status and future prospects

    International Nuclear Information System (INIS)

    2007-02-01

    There is worldwide interest in developing advanced and innovative technologies for nuclear fuel cycles, minimizing waste and environmental impacts. As of the beginning of 2003, about 171000 tonnes heavy metal spent nuclear fuel is in storage, while smaller amounts have been reprocessed. In several countries, including France, India, Japan and the Russian Federation, spent fuel has been viewed as a national energy resource. Some countries hold reprocessed uranium as the result of their commercial reprocessing service contracts for reprocessing the spent fuel of others. Reprocessed uranium has a potential value for recycling either directly or after appropriate treatment. This report analyses the existing options, approaches and developments in the management of reprocessed uranium. It includes the technical issues involved in managing reprocessed uranium which are RepU arisings, storage, chemical conversion, re-enrichment, fuel fabrication, transport, reactor irradiation, subsequent reprocessing and disposal options, as well as assessment of holistic environmental impacts. The objective of this document is to overview the information on the current status and future trends in the management of RepU and to identify major issues to be considered for future projects

  8. Fuel management approach in IRIS Reactor

    International Nuclear Information System (INIS)

    Petrovic, B.; Franceschini, F.

    2004-01-01

    This paper provides an overview of fuel management approach employed in IRIS (International Reactor Innovative and Secure). It introduces the initial, rather ambitious, fuel management goals and discusses their evolution that reflected the fast pace of progress of the overall project. The updated objectives rely on using currently licensed fuel technology, thus enabling near-term deployment of IRIS, while still providing improved fuel utilization. The paper focuses on the reference core design and fuel management strategy that is considered in pre-application licensing, which enables extended cycle of three to four years. The extended cycle reduces maintenance outage time and increases capacity factor, thus reducing the cost of electricity. Approaches to achieving this goal are discussed, including use of different reloading strategies. Additional fuel management options, which are not part of the licensing process, but are pursued as long-term research for possible future implementation, are presented as well. (Author)

  9. A partnership approach to research data management

    OpenAIRE

    Brown, Mark L.; White, Wendy

    2013-01-01

    This outlines developments to support and enhance research data management policy and practice at the University of Southampton. It details a research-led approach to identify institutional challenges and priorities and use of this evidence-base to inform the creation of a 10 year roadmap and policy framework. The particular issues relating to workflow, storage, security and archiving are discussed and examples are given of both pilot and embedded services including data management planning s...

  10. Developing a holistic approach to obesity management.

    Science.gov (United States)

    Brown, Jenny; Wimpenny, Peter

    2011-02-01

    The aim of this paper is to discuss the theoretical background and relevance of a holistic approach to obesity management by nurses. There is a global rise in the number of people with obesity, such that it now represents one of the major health challenges. However, nurses are often influenced by physical and dietetic focused approaches and could fail to acknowledge a range of other factors that can impact on weight management. As part of the development of a holistic approach to obesity a literature search was undertaken to establish relevant theoretical perspectives that underpin practice in physical, psychological and social aspects of care (focused on the period 1995-2005). In addition, experiences of working in a secondary care weight management clinic were also drawn upon. Psychobiological, attribution and social support theories were identified that could contribute to a better understanding of obesity. If these theoretical perspectives and supporting evidence can be integrated in a holistic approach to care and management it might be possible to promote better health and well-being in those with obesity. Creating a greater understanding of the range of theoretical perspectives and supporting evidence related to obesity could, it is argued, provide enhanced care and management. © 2011 Blackwell Publishing Asia Pty Ltd.

  11. Sustainable operations management: A typological approach

    Directory of Open Access Journals (Sweden)

    Lawrence Michael Corbett

    2009-07-01

    Full Text Available This paper discusses the nature of sustainability and sustainable development as they relate to operations management. It proposes a typology for sustainable operations management that is based on the life cycle stages of a product and the three dimensions of corporate social responsibility. The aim is to show how this typology development could provide a useful approach to integrating the diverse strands of sustainability in operations, using industrial ecology and carbon neutrality as examples. It does this by providing a focused subset of environmental concerns for an industrial ecology approach, and some research propositions for the issue of carbon neutrality.

  12. Systems approach to project risk management

    Energy Technology Data Exchange (ETDEWEB)

    Kindinger, J. P. (John P.)

    2002-01-01

    This paper describes the need for better performance in the planning and execution of projects and examines the capabilities of two different project risk analysis methods for improving project performance. A quantitative approach based on concepts and tools adopted from the disciplines of systems analysis, probabilistic risk analysis, and other fields is advocated for managing risk in large and complex research & development projects. This paper also provides an overview of how this system analysis approach for project risk management is being used at Los Alamos National Laboratory along with examples of quantitative risk analysis results and their application to improve project performance.

  13. Prospective detection of large prediction errors: a hypothesis testing approach

    International Nuclear Information System (INIS)

    Ruan, Dan

    2010-01-01

    Real-time motion management is important in radiotherapy. In addition to effective monitoring schemes, prediction is required to compensate for system latency, so that treatment can be synchronized with tumor motion. However, it is difficult to predict tumor motion at all times, and it is critical to determine when large prediction errors may occur. Such information can be used to pause the treatment beam or adjust monitoring/prediction schemes. In this study, we propose a hypothesis testing approach for detecting instants corresponding to potentially large prediction errors in real time. We treat the future tumor location as a random variable, and obtain its empirical probability distribution with the kernel density estimation-based method. Under the null hypothesis, the model probability is assumed to be a concentrated Gaussian centered at the prediction output. Under the alternative hypothesis, the model distribution is assumed to be non-informative uniform, which reflects the situation that the future position cannot be inferred reliably. We derive the likelihood ratio test (LRT) for this hypothesis testing problem and show that with the method of moments for estimating the null hypothesis Gaussian parameters, the LRT reduces to a simple test on the empirical variance of the predictive random variable. This conforms to the intuition to expect a (potentially) large prediction error when the estimate is associated with high uncertainty, and to expect an accurate prediction when the uncertainty level is low. We tested the proposed method on patient-derived respiratory traces. The 'ground-truth' prediction error was evaluated by comparing the prediction values with retrospective observations, and the large prediction regions were subsequently delineated by thresholding the prediction errors. The receiver operating characteristic curve was used to describe the performance of the proposed hypothesis testing method. Clinical implication was represented by miss

  14. A new complementary approach for oral health and diabetes management

    DEFF Research Database (Denmark)

    Cinar, Ayse Basak; Freeman, Ruth; Schou, Lone

    2018-01-01

    BACKGROUND: Health coaching (HC) is based on 'partnering with clients in a thought-provoking and creative process that inspires them to maximise their personal and professional potential' to adopt healthy lifestyles through 'building awareness and empowerment'. This study's objective is to assess......, for the first time to our knowledge, the effectiveness of HC compared with health education (HE) using clinical and subjective measures among type 2 diabetes (DM2) patients in Turkey and Denmark. METHODS: This stratified random prospective study selected type 2 diabetes patients in Turkey (n = 186) (TR) (2010...... management and health outcomes. There is a need for common health promotion strategies with behavioural interventions such as health coaching for the management of type 2 diabetes that focus on multidisciplinary approaches including oral health....

  15. A Landscape Approach to Invasive Species Management.

    Directory of Open Access Journals (Sweden)

    Miguel Lurgi

    distributed links. Our modelling framework provides a simple approach for identifying the best possible management strategy for invasive species based on metapopulation structure and control capacity. This information can be used by managers trying to devise efficient landscape-oriented management strategies for invasive species and can also generate insights for conservation purposes.

  16. A Landscape Approach to Invasive Species Management.

    Science.gov (United States)

    Lurgi, Miguel; Wells, Konstans; Kennedy, Malcolm; Campbell, Susan; Fordham, Damien A

    2016-01-01

    modelling framework provides a simple approach for identifying the best possible management strategy for invasive species based on metapopulation structure and control capacity. This information can be used by managers trying to devise efficient landscape-oriented management strategies for invasive species and can also generate insights for conservation purposes.

  17. APPROACHES TO QUALITY MANAGEMENT AT EUROPEAN LEVEL

    OpenAIRE

    Salagean Horatiu Catalin; Ilies Radu; Gherman Mihai; Cioban Bogdan

    2013-01-01

    In the current economic context, quality has become a source of competitive advantage and organizations must perceive quality as something natural and human in order to achieve excellence. The proper question for the context of the internationalisation of the economy is whether the culture of the regions, states or nations affects the development in the quality management field and the quality approach. The present study tries to give a theoretical approach of how culture influences the quali...

  18. Biophysical approach to chronic kidney disease management in older patients

    Directory of Open Access Journals (Sweden)

    Alberto Foletti

    2016-06-01

    Full Text Available Chronic kidney disease (CKD and its clinical progression are a critical issue in an aging population. Therefore, strategies aimed at preventing and managing the decline of renal function are warranted. Recent evidence has provided encouraging results for the improvement of renal function achieved through an integrated biophysical approach, but prospective studies on the clinical efficacy of this strategy are still lacking. This was an open-label prospective pilot study to investigate the effect of electromagnetic information transfer through the aqueous system on kidney function of older patients affected by stage 1 or 2 CKD. Patients received biophysical therapy every 3 months over a 1-year period. Estimated glomerular filtration rate (eGFR values were calculated using the CKD–Epidemiology Collaboration formula, and were recorded at baseline and at the end of treatment. Overall, 58 patients (mean age 74.8 ± 3.7 years were included in the study. At baseline, mean eGFR was 64.6 ± 15.5 mL/min, and it significantly increased to 69.9 ± 15.8 mL/min after 1 year (+5.2 ± 10 mL/min, p<0.0002. The same trend was observed among men (+5.7 ± 10.2 mL/min, p<0.0064 and women (+4.7 ± 9.9 mL/min, p<0.014. When results were analyzed by sex, no difference was found between the 2 groups. Although further and larger prospective studies are needed, our findings suggest that an integrated biophysical approach may be feasible in the management of older patients with early-stage CKD, to reduce and prevent the decline of renal function due to aging or comorbidities.

  19. Exploring Conflict Management Using Qualitative Approach

    Directory of Open Access Journals (Sweden)

    Zaleha Yazid

    2015-04-01

    Full Text Available This paper focuses on qualitative methods in researching the area of conflict management, specifically in Self-Managed Project Team (SMPT. The research aims to explore the evolvement of conflict management strategies in SMPT as this type of team is given the responsibility to solve problems and make decision by themselves. The inductive approach will overcome the limitation of quantitative method in management research as one of its objectives is to explain the different elements of the explored social system and their interconnection. Hence, it aims at the contextual understanding of social behavior rather than extensive measurement. This paper also includes the research activities in details such as the data collection methods which involved semi-structured interviews and weekly telephone interviews. The findings of the research proposed that conflict management strategies in SMPT changes over time from confrontation and cooperative style towards avoidance due to the issues of reputation and the deadline.

  20. RISK MANAGEMENT: AN INTEGRATED APPROACH TO RISK MANAGEMENT AND ASSESSMENT

    OpenAIRE

    Szabo Alina

    2012-01-01

    Purpose: The objective of this paper is to offer an overview over risk management cycle by focusing on prioritization and treatment, in order to ensure an integrated approach to risk management and assessment, and establish the ‘top 8-12’ risks report within the organization. The interface with Internal Audit is ensured by the implementation of the scoring method to prioritize risks collected from previous generated risk report. Methodology/approach: Using evidence from other research in ...

  1. THE SYSTEMATIC APPROACH TO MANAGEMENT IN EDUCATION

    Directory of Open Access Journals (Sweden)

    Nikita S. Iskrin

    2015-01-01

    Full Text Available The purpose of this article is to study the potential of a systematic approach as the basic element of the course content in system training of managers in education. Methods. Methods involve analysis of the theory and practice of application of the system approach to management challenges in education; positions of the general systems’ theory; synergetic approach as «the optimum control mechanism of complex systems»; adaptation of administrative technologies for an education sphere, implemented before and mainly in economy; questioning of educators of an education system of different levels. Results. The authors have proved the necessity of formation of managers’ systems thinking, with the specialization – a variety of educational services rendering. Managerial process characteristics of educational institution are defined. The course as training variant «Education of Managers» is proposed on the basis of the analysis of a historiography and summary results of questioning. Scientific novelty. Theoretical blocks of retraining and reorientation program to new paradigms of educators’ service or activities of are specified. The systematic approach to activity operations management has become the basis of the proposed program. Practical significance. Developed on the basis of results of research and approved course « Systematic approach in educational institution practice: technologies and management issues» helps get over some thinking and the stereotypes that generate the problems in education system development; promotes understanding of management methods in accordance with principles of systematic thinking; realizes and sets the abilities of interrelations revealing between external and internal processes and phenomena in relation to the system; develops an ability to predict the future systems behaviour and readiness to change structure of system, cohesion between its elements and functions.

  2. Prospective memory in schizophrenia: relationship to medication management skills, neurocognition, and symptoms in individuals with schizophrenia.

    Science.gov (United States)

    Raskin, Sarah A; Maye, Jacqueline; Rogers, Alexandra; Correll, David; Zamroziewicz, Marta; Kurtz, Matthew

    2014-05-01

    Impaired adherence to medication regimens is a serious concern for individuals with schizophrenia linked to relapse and poorer outcomes. One possible reason for poor adherence to medication is poor ability to remember future intentions, labeled prospective memory skills. It has been demonstrated in several studies that individuals with schizophrenia have impairments in prospective memory that are linked to everyday life skills. However, there have been no studies, to our knowledge, examining the relationship of a clinical measure of prospective memory to medication management skills, a key element of successful adherence. In this Study 41 individuals with schizophrenia and 25 healthy adults were administered a standardized test battery that included measures of prospective memory, medication management skills, neurocognition, and symptoms. Individuals with schizophrenia demonstrated impairments in prospective memory (both time and event-based) relative to healthy controls. Performance on the test of prospective memory was correlated with the standardized measure of medication management in individuals with schizophrenia. Moreover, the test of prospective memory predicted skills in medication adherence even after measures of neurocognition were accounted for. This suggests that prospective memory may play a key role in medication management skills and thus should be a target of cognitive remediation programs.

  3. Streamlined approach to waste management at CRL

    International Nuclear Information System (INIS)

    Adams, L.; Campbell, B.

    2011-01-01

    Radioactive, mixed, hazardous and non-hazardous wastes have been and continue to be generated at Chalk River Laboratories (CRL) as a result of research and development activities and operations since the 1940s. Over the years, the wastes produced as a byproduct of activities delivering the core missions of the CRL site have been of many types, and today, over thirty distinct waste streams have been identified, all requiring efficient management. With the commencement of decommissioning of the legacy created as part of the development of the Canadian nuclear industry, the volumes and range of wastes to be managed have been increasing in the near term, and this trend will continue into the future. The development of a streamlined approach to waste management is a key to successful waste management at CRL. Waste management guidelines that address all of the requirements have become complex, and so have the various waste management groups receiving waste, with their many different processes and capabilities. This has led to difficulties for waste generators in understanding all of the requirements to be satisfied for the various CRL waste receivers, whose primary concerns are to be safe and in compliance with their acceptance criteria and license conditions. As a result, waste movement on site can often be very slow, especially for non-routine waste types. Recognizing an opportunity for improvement, the Waste Management organization at CRL has implemented a more streamlined approach with emphasis on early identification of waste type and possible disposition path. This paper presents a streamlined approach to waste identification and waste management at CRL, the implementation methodology applied and the early results achieved from this process improvement. (author)

  4. Some aspects of soil stock management in uranium prospecting

    International Nuclear Information System (INIS)

    Vesely, T.

    1983-01-01

    The basic terms are explained such as access to a plot of land, damage caused by surveying, temporary and permanent expropriation of land. The concept of land use is explained at the stage of prospecting and during preliminary and detailed surveying. The method of building up mining areas is shown on the examples of Lhota and Nahosin. One of the conditions of effective prospecting is considerate land use even during projection and then during construction and project implementation. (J.P.)

  5. Rehabilitation Medicine Approaches to Pain Management.

    Science.gov (United States)

    Cheville, Andrea L; Smith, Sean R; Basford, Jeffrey R

    2018-06-01

    Rehabilitation medicine offers strategies that reduce musculoskeletal pain, targeted approaches to alleviate movement-related pain, and interventions to optimize patients' function despite the persistence of pain. These approaches fall into four categories: modulating nociception, stabilizing and unloading painful structures, influencing pain perception, and alleviating soft tissue musculotendinous pain. Incorporating these interventions into individualized, comprehensive pain management programs offers the potential to empower patients and limit pain associated with mobility and required daily activities. Rehabilitative approach may be particularly helpful for patients with refractory movement-associated pain and functional vulnerability, and for those who do not wish for, or cannot, tolerate pharmacoanalgesia. Copyright © 2018 Elsevier Inc. All rights reserved.

  6. Project Management Approaches for Online Learning Design

    Science.gov (United States)

    Eby, Gulsun; Yuzer, T. Volkan

    2013-01-01

    Developments in online learning and its design are areas that continue to grow in order to enhance students' learning environments and experiences. However, in the implementation of new technologies, the importance of properly and fairly overseeing these courses is often undervalued. "Project Management Approaches for Online Learning Design"…

  7. Comprehending Elementary School Teachers' Classroom Management Approaches

    Science.gov (United States)

    Sahin, Ali E.

    2015-01-01

    This study intends to determine elementary school teachers' degree of classroom control, which constitutes the consistency in their classroom management and discipline-related behaviour. The major research question was as follows: Is the control approach adopted by teachers related to certain variables (gender, age, subject area, experience)? The…

  8. Economic versus technical approaches to frequency management

    DEFF Research Database (Denmark)

    Falch, Morten; Tadayoni, Reza

    2004-01-01

    to demonstrate how regulators could incorporate an econmic dimension into frequency allocation. The paper concludes that a free market approach is still not possible for some parts of the frequency management process; in short term, regulators must therefore continue to prioritize between applications....

  9. Breast Cancer In Pregnancy: Management Approach

    African Journals Online (AJOL)

    reflecting the more advanced stage of the disease at diagnosis. An approach to the management of breast cancer in pregnancy is presented by a case illustration and a review of literature. KEY WORDS: Breast Cancer, ... function tests, haemogram and ultra— sound. She delivered a live female baby weighing 2.8 kilogram's ...

  10. Residents' values and fuels management approaches

    Science.gov (United States)

    Gwo-Bao Liou; Christine Vogt; Greg Winter; Sarah McCaffrey

    2008-01-01

    The research utilizes the Forest Value and Salient Value Similarity Scales to examine homeowners' value orientations and relate them to attitudes toward and support for fuels management approaches. Data were collected from homeowners living in the wildland-urban interface of the Huron- Manistee National Forest at two time periods, in 2002 and 2006. The panel data...

  11. Recent advances in bioprinting techniques: approaches, applications and future prospects.

    Science.gov (United States)

    Li, Jipeng; Chen, Mingjiao; Fan, Xianqun; Zhou, Huifang

    2016-09-20

    Bioprinting technology shows potential in tissue engineering for the fabrication of scaffolds, cells, tissues and organs reproducibly and with high accuracy. Bioprinting technologies are mainly divided into three categories, inkjet-based bioprinting, pressure-assisted bioprinting and laser-assisted bioprinting, based on their underlying printing principles. These various printing technologies have their advantages and limitations. Bioprinting utilizes biomaterials, cells or cell factors as a "bioink" to fabricate prospective tissue structures. Biomaterial parameters such as biocompatibility, cell viability and the cellular microenvironment strongly influence the printed product. Various printing technologies have been investigated, and great progress has been made in printing various types of tissue, including vasculature, heart, bone, cartilage, skin and liver. This review introduces basic principles and key aspects of some frequently used printing technologies. We focus on recent advances in three-dimensional printing applications, current challenges and future directions.

  12. Approach to accident management in RBMK-1500

    International Nuclear Information System (INIS)

    Kaliatka, A.; Urbonavicius, E.; Uspuras, E.

    2008-01-01

    In order to ensure the safe operation of the nuclear power plants accident management programs are being developed around the world. These accident management programs cover the whole spectrum of accidents, including severe accidents. A lot of work is done to investigate the severe accident phenomena and implement severe accident management in NPPs with vessel-type reactors, while less attention is paid to channel-type reactors CANDU and RBMK. Ignalina NPP with RBMK-1500 reactor has implemented symptom based emergency operation procedures, which cover management of accidents until the core damage and do not extend to core damage region. In order to ensure coverage of the whole spectrum of accidents and meet the requirements of IAEA the severe accident management guidelines have to be developed. This paper presents the basic principles and approach to management of beyond design basis accidents at Ignalina NPP. In general, this approach could be applied to NPPs with RBMK-1000 reactors that are available in Russia, but the design differences should be taken into account

  13. A holistic approach to the mycetoma management.

    Science.gov (United States)

    Bakhiet, Sahar Mubarak; Fahal, Ahmed Hassan; Musa, Ahmed Mudawi; Mohamed, El Samani Wadaa; Omer, Rowa Fathelrahman; Ahmed, Eiman Siddig; El Nour, Mustafa; Mustafa, El Rayah Mohamed; Sheikh A Rahman, Manar El; Suliman, Suliman Hussein; El Mamoun, Mohamed A Gadir; El Amin, Hajo Mohamed

    2018-05-01

    Mycetoma, one of the badly neglected tropical diseases, it is a localised chronic granulomatous inflammatory disease characterised by painless subcutaneous mass and formation of multiple sinuses that produce purulent discharge and grains. If untreated early and appropriately, it usually spread to affect the deep structures and bone resulting in massive damage, deformities and disabilities. It can also spread via the lymphatics and blood leading to distant secondary satellites associated with high morbidity and mortality. To date and despite progress in mycetoma research, a huge knowledge gap remains in mycetoma pathogenesis and epidemiology resulting in the lack of objective and effective control programmes. Currently, the available disease control method is early case detection and proper management. However, the majority of patients present late with immense disease and for many of them, heroic substantial deforming surgical excisions or amputation are the only prevailing treatment options. In this communication, the Mycetoma Research Center (MRC), Sudan shares its experience in implementing a new holistic approach to manage mycetoma patients locally at the village level. The MRC in collaboration with Sennar State Ministry of Health, Sudan had established a region mycetoma centre in one of the endemic mycetoma villages in the state. The patients were treated locally in that centre, the local medical and health personals were trained on early case detection and management, the local community was trained on mycetoma advocacy, and environmental conditions improvement. This comprehensive approach had also addressed the patients' socioeconomic constraints that hinder early presentation and treatment. This approach has also included the active local health authorities, community and civil society participation and contributions to deliver the best management. This holistic approach for mycetoma patients' management proved to be effective for early case detection and

  14. Strategic Niche Management and Transition Management: different but complementary approaches

    NARCIS (Netherlands)

    D.A. Loorbach (Derk); R. van Raak (Ronald)

    2006-01-01

    textabstractThis discussion paper sets out to compare two different, yet related, approaches to achieve sustainable development and (technological) innovation. Strategic Niche Management (SNM) (Kemp, Schot et al. 1998; Weber 1999) emerged as a novel concept by the end of the 1990’s and is presented

  15. Prospects for NATO Enlargement: Examining the "Big Bang" Approach

    National Research Council Canada - National Science Library

    Moyer, Andrew

    2000-01-01

    ...) aspire to membership. Led by the Baltic states, these nine countries have signed the May 2000 Vilnius Declaration, advocating the admission of all nine aspirants simultaneously, a so called "big bang" approach to the next...

  16. Environmental Approach to the Study of the Modern Stage of Information Society Development: Research Prospects

    Science.gov (United States)

    Ivlev, Vitali Yu.; Barkova, Eleonora V.; Ivleva, Marina I.; Buzskaya, Olga M.

    2016-01-01

    The paper analyses modern information society in terms of an information ecology approach. Its aim is to determine the place of the human being in the human-society-ecosystem relations system and to study the prospects of a humanistic approach to the understanding of the essence of subject-object relationships in the communication space of…

  17. Prospects of domestic viticulture transition to ecological (adaptive management

    Directory of Open Access Journals (Sweden)

    І. А. Ковальова

    2017-09-01

    Full Text Available Purpose. To determine the possibility of the domestic viticulture transition to the ecological (adaptive management system, based on the use of highly adaptive varieties. Methods. Procedures are conventional in viticulture. All stages of agrobiological research were carried out according to the M. A. Lazarevskiy technique. The resistance of genetic resources to fungal diseases was assessed using the 9-point scale on the natural infectious background with maximum damage. Organoleptic evaluation of wine and fresh grapes was performed using 8-point and a 10-point scales respectively.  Results. The main agrobiological traits (resistance to diseases, productivity and yield quality of 22 perspective grape varieties and forms were studied. The level of resistance to fungal diseases was determined as one of the main criteria of the variety suitability for ecological (adaptive viticulture. During five years, the average resistance level of this group of table and wine varieties was not lower than the relative one (6.5–7 points, and in ‘Zagrei’ variety – up to 7,5 points. The level of quality characteristics of products of new grape varieties and forms was determined (wine evaluation, marketability and assessment of fresh table grapes. Samples with a combination of high wine and grape quality characteristics and high productivity were selected. To replenish the gene pool of grapes by adaptive varieties, such perspective hybrid combinations as ‘Opalovyi’ ´ ‘Burmunk, ‘Avgustin’ ´ ‘Oryhinal and ‘Ohoniok tairovskyi’ ´ ‘Kardyshakh’ were studied. The level of group resistance to fungal diseases was identified and the perspective genotypes were preliminarily selected. Conclusions. The level of display of a number of economic characters in the group of perspective table and wine grape varieties and forms was determined. Highly adaptive and highly productive varieties and forms suitable for the use in the adaptive viticulture were

  18. A process-model based approach to prospective memory impairment in Parkinson's disease.

    Science.gov (United States)

    Kliegel, Matthias; Altgassen, Mareike; Hering, Alexandra; Rose, Nathan S

    2011-07-01

    The present review discusses the current state of research on the clinical neuropsychology of prospective memory in Parkinson's disease. To do so the paper is divided in two sections. In the first section, we briefly outline key features of the (partly implicit) rationale underlying the available literature on the clinical neuropsychology of prospective memory. Here, we present a conceptual model that guides our approach to the clinical neuropsychology of prospective memory in general and to the effects of Parkinson's disease on prospective memory in particular. In the second section, we use this model to guide our review of the available literature and suggest some open issues and future directions motivated by previous findings and the proposed conceptual model. The review suggests that certain phases of the prospective memory process (intention formation und initiation) are particularly impaired by Parkinson's disease. In addition, it is argued that prospective memory may be preserved when tasks involve specific features (e.g., focal cues) that reduce the need for strategic monitoring processes. In terms of suggestions for future directions, it is noted that intervention studies are needed which target the specific phases of the prospective memory process that are impaired in Parkinson's disease, such as planning interventions. Moreover, it is proposed that prospective memory deficits in Parkinson's disease should be explored in the context of a general impairment in the ability to form an intention and plan or coordinate an appropriate series of actions. Copyright © 2011 Elsevier Ltd. All rights reserved.

  19. The screening approach for review of accident management programmes

    International Nuclear Information System (INIS)

    Misak, J.

    1999-01-01

    In this lecture the screening approach for review of accident management programmes are presented. It contains objective trees for accident management: logic structure of the approach; objectives and safety functions for accident management; safety principles

  20. Controllable Load Management Approaches in Smart Grids

    Directory of Open Access Journals (Sweden)

    Jingshuang Shen

    2015-10-01

    Full Text Available With rapid smart grid technology development, the customer can actively participate in demand-side management (DSM with the mutual information communication between the distributor operation company and the smart devices in real-time. Controllable load management not only has the advantage of peak shaving, load balance, frequency regulation, and voltage stability, but is also effective at providing fast balancing services to the renewable energy grid in the distributed power system. The load management faces an enormous challenge as the customer has a large number of both small residential loads and dispersed renewable sources. In this paper, various controllable load management approaches are discussed. The traditional controllable load approaches such as the end users’ controllable appliances, storage battery, Vehicle-to-Grid (V2G, and heat storage are reviewed. The “broad controllable loads” management, such as the microgrid, Virtual Power Plant (VPP, and the load aggregator are also presented. Furthermore, the load characteristics, control strategies, and control effectiveness are analyzed.

  1. A management systems approach to pipeline integrity

    Energy Technology Data Exchange (ETDEWEB)

    Abes, J. [CC Technologies Canada, Calgary, AB (Canada)

    2008-07-01

    A management systems approach to pipeline integrity was discussed in terms of accident causation models, lessons from accidents, and management systems. Accident causation models include the Heinrich domino theory; epidemiological models; event chain models; and system-based models. A review of the Bellingham pipeline accident showed that if the pipeline had not been weakened by external damage, it likely would have been able to withstand the pressure that occurred on the day of the rupture, and the accident would not have happened. It was also determined that there was inadequate inspection of excavation work during the water treatment plant project and consequently, there was a failure to identify and repair the damage done to the pipeline. The presentation also addressed other findings, such as inaccurate evaluation of in-line pipeline inspection data; failure to manage and protect the supervisory control and data acquisition system (SCADA); and ineffective management oversight of construction and activation of products terminal. The Carlsbad pipeline explosion was also presented as another example of an accident. Several violations by El Paso were cited, including failure to ensure that qualified personnel performed internal corrosion control procedures; failure to perform necessary tests for corrosion; and failure to follow procedures for continuing surveillance of its facilities. Last, the presentation provided a definition of management systems and discussed the characteristics and elements of a management system. These elements included policy and leadership commitment; organizational structure and responsibilities; management of resources; communication plan; document and records management; operational controls; management of change; and continual improvement. 1 fig.

  2. Nursing approaches in the postoperative pain management

    Directory of Open Access Journals (Sweden)

    Sevilay Yüceer

    2011-12-01

    Full Text Available Patients frequently experience moderate to severe pain inthe postoperative period. Although the pain managementis an integral and important part of the nursing care, studiessuggest that, nursing management of postoperativepain remains inadequate.Postoperative care nurses are responsible to assess thepatient’s pain, teach the patient strategies to deal with thepain, apply the analgesic treatment plan, monitor the resultsof treatment, educate the patient and the family onpain management and document the pain managementoutcomes. The nurses’ holistic approach to pain managementminimizes the patients’ discomfort caused by pain inthe postoperative period after the surgery. In this article,nurses’ approaches to postoperative pain managementare discussed. J Clin Exp Invest 2011; 2 (4: 474-478

  3. On the ALARP approach to risk management

    International Nuclear Information System (INIS)

    Melchers, R.E.

    2001-01-01

    There is an increasing trend by regulatory authorities for the introduction of the as low as reasonably practicable (ALARP) approach in dealing with risk management of proposed or existing complex hazardous systems. For these, decisions about acceptability or tolerability of risks and consequences can have very significant financial, economic and other consequences for the proponents. Conversely, there may be very significant social and socio-economic implications. ALARP as a guide to achieving a satisfactory outcome has a certain intuitive appeal for the practical management of industrial and other risks. However, as suggested herein, there are a number of areas of concern about the validity of this approach. These include representativeness, morality, philosophy, political reality and practicality. An important, and in some respects fundamental, difficulty is that the risk acceptance criteria are not fully open to public scrutiny and can appear to be settled by negotiation

  4. Modulation of Gut Microbiota in the Management of Metabolic Disorders: The Prospects and Challenges

    Directory of Open Access Journals (Sweden)

    Omotayo O. Erejuwa

    2014-03-01

    Full Text Available The gut microbiota plays a number of important roles including digestion, metabolism, extraction of nutrients, synthesis of vitamins, prevention against pathogen colonization, and modulation of the immune system. Alterations or changes in composition and biodiversity of the gut microbiota have been associated with many gastrointestinal tract (GIT disorders such as inflammatory bowel disease and colon cancer. Recent evidence suggests that altered composition and diversity of gut microbiota may play a role in the increased prevalence of metabolic diseases. This review article has two main objectives. First, it underscores approaches (such as probiotics, prebiotics, antimicrobial agents, bariatric surgery, and weight loss strategies and their prospects in modulating the gut microbiota in the management of metabolic diseases. Second, it highlights some of the current challenges and discusses areas of future research as it relates to the gut microbiota and metabolic diseases. The prospect of modulating the gut microbiota seems promising. However, considering that research investigating the role of gut microbiota in metabolic diseases is still in its infancy, more rigorous and well-designed in vitro, animal and clinical studies are needed.

  5. Comparisons on International Approaches of Business and Project Risk Management

    OpenAIRE

    Nadia Carmen ENE

    2005-01-01

    In this article we intend to present a comparative approach between three recognized international methodologies for risk management: RISKMAN, Project Management Institute Methodology-PMBoK and Project Risk Analysis and Management Guide (produced by Association for Project Management).

  6. Novel approaches for the management of tendinopathy.

    Science.gov (United States)

    Maffulli, Nicola; Longo, Umile Giuseppe; Denaro, Vincenzo

    2010-11-03

    Tendinopathy is a failed healing response of the tendon. Despite an abundance of therapeutic options, very few randomized prospective, placebo-controlled trials have been carried out to assist physicians in choosing the best evidence-based management. Eccentric exercises have been proposed to promote collagen fiber cross-link formation within the tendon, thereby facilitating tendon remodeling. Overall results suggest a trend for a positive effect of eccentric exercises, with no reported adverse effects. Combining eccentric training and shock wave therapy produces higher success rates compared with eccentric loading alone or shock wave therapy alone. The use of injectable substances such as platelet-rich plasma, autologous blood, polidocanol, corticosteroids, and aprotinin in and around tendons is popular, but there is minimal clinical evidence to support their use. The aim of operative treatment is to excise fibrotic adhesions, remove areas of failed healing, and make multiple longitudinal incisions in the tendon to detect intratendinous lesions and to restore vascularity and possibly stimulate the remaining viable cells to initiate cell matrix response and healing. New operative procedures include endoscopy, electrocoagulation, and minimally invasive stripping. The aim of these techniques is to disrupt the abnormal neoinnervation to interfere with the pain sensation caused by tendinopathy. Randomized controlled trials are necessary to better clarify the best therapeutic options for the management of tendinopathy.

  7. Sun Protection; A risk management approach

    Science.gov (United States)

    Diffey, Brian

    2017-10-01

    Sun Protection differentiates itself from other texts by adopting a risk-management approach to determine whether, how, and in what circumstances, harm might be caused, and to explore the feasibility of various strategies in controlling exposure to solar UV radiation. This multi-disciplinary book covers topics from climatology through human exposure to sunlight, as well as biological and clinical effects of UV radiation to physical and chemical strategies for photoprotection.

  8. CANDU plant life management - An integrated approach

    International Nuclear Information System (INIS)

    Hopkins, J.R.

    1998-01-01

    An integrated approach to plant life management has been developed for CANDU reactors. Strategies, methods, and procedures have been developed for assessment of critical systems structures and components and for implementing a reliability centred maintenance program. A Technology Watch program is being implemented to eliminate 'surprises'. Specific work has been identified for 1998. AECL is working on the integrated program with CANDU owners and seeks participation from other CANDU owners

  9. Approach to Spacelab Payload mission management

    Science.gov (United States)

    Craft, H. G.; Lester, R. C.

    1978-01-01

    The nucleus of the approach to Spacelab Payload mission management is the establishment of a single point of authority for the entire payload on a given mission. This single point mission manager will serve as a 'broker' between the individual experiments and the STS, negotiating agreements by two-part interaction. The payload mission manager, along with a small support team, will represent the users in negotiating use of STS accommodations. He will provide the support needed by each individual experimenter to meet the scientific, technological, and applications objectives of the mission with minimum cost and maximum efficiency. The investigator will assume complete responsibility for his experiment hardware definition and development and will take an active role in the integration and operation of his experiment.

  10. Nuclear Knowledge Management: the IAEA Approach

    International Nuclear Information System (INIS)

    Sbaffoni, M.; De Grosbois, J.

    2015-01-01

    Knowledge in an organization is residing in people, processes and technology. Adequate awareness of their knowledge assets and of the risk of losing them is vital for safe and secure operations of nuclear installations. Senior managers understand this important linkage, and in the last years there is an increasing tendency in nuclear organizations to implement knowledge management strategies to ensure that the adequate and necessary knowledge is available at the right time, in the right place. Specific and advanced levels of knowledge are clearly required to achieve and maintain technical expertise, and experience must be developed and be available throughout the nuclear technology lifecycle. If a nuclear organization does not possess or have access to the required technical knowledge, a full understanding of the potential consequences of decisions and actions may not be possible, and safety, security and safeguards might be compromised. Effective decision making during design, licencing, procurement, construction, commissioning, operation, maintenance, refurbishment, and decommissioning of nuclear facilities needs to be risk-informed and knowledge-driven. Nuclear technology is complex and brings with it inherent and unique risks that must be managed to acceptably low levels. Nuclear managers have a responsibility not only to establish adequate technical knowledge and experience in their nuclear organizations but also to maintain it. The consequences of failing to manage the organizations key knowledge assets can result in serious degradations or accidents. The IAEA Nuclear Knowledge Management (NKM) sub-programme was established more than 10 years ago to support Nuclear Organizations, at Member States request, in the implementation and dissemination of the NKM methodology, through the development of guidance and tools, and by providing knowledge management services and assistance. The paper will briefly present IAEA understanding of and approach to knowledge

  11. A prospective randomized peri- and post-operative comparison of the minimally invasive anterolateral approach versus the lateral approach

    OpenAIRE

    Stefan Landgraeber; Henning Quitmann; Sebastian Güth; Marcel Haversath; Wojciech Kowalczyk; Andrés Kecskeméthy; Hansjörg Heep; Marcus Jäger

    2013-01-01

    There is still controversy as to whether minimally invasive total hip arthroplasty enhances the postoperative outcome. The aim of this study was to compare the outcome of patients who underwent total hip replacement through an anterolateral minimally invasive (MIS) or a conventional lateral approach (CON). We performed a randomized, prospective study of 75 patients with primary hip arthritis, who underwent hip replacement through the MIS (n=36) or CON (n=39) approach. The Western Ontario and ...

  12. Science and management of coral reefs: problems and prospects

    Science.gov (United States)

    Wells, S. M.

    1995-11-01

    It should be recognised that many principles of reef management do not need further research, as they involve changing human behaviour and activities in order to remove or reduce impacts on reefs. Much of the time of a reef manager is taken up with social, economic and political issues: the integration of reef management into broad coastal zone management objectives; the development of community participation and co-management; and the organisation of training and education pro-grammes so that people in countries where reefs are located are able to take responsibility for their sustainable management. Perhaps the main obstacle to be overcome is poor communication (Harmon 1994). Many reef scientists are already strongly convinced of the need to communicate their results and the implications of these for management and conservation policy (Hatcher et al. 1989), but they may however need to understand that reef managers are not always able or willing to act on their advice because of political, economic or social factors. Pure research is increasingly being conducted within a framework of goals identified as important to society. Funding is invariably easier to obtain if it can be demonstrated that the research will have some ultimate benefit in management terms, and much research is being commissioned because of the need for practical solutions. As the complexity of management becomes more apparent and managers themselves call for more scientific support and advice, the role that science has to play in perceiving and defining problems, understanding the mechanisms involved and strategically assessing potential solutions, becomes more central. Often, only a slight adjustment to a project is required in order for data to be collected that is of direct value to a reef manager.Partnerships built between scientists and managers engaged in adaptive management efforts may lead to more rapid progress in managing reefs and may banish the `science and management' dichotomy

  13. RISK MANAGEMENT: AN INTEGRATED APPROACH TO RISK MANAGEMENT AND ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Szabo Alina

    2012-12-01

    Full Text Available Purpose: The objective of this paper is to offer an overview over risk management cycle by focusing on prioritization and treatment, in order to ensure an integrated approach to risk management and assessment, and establish the ‘top 8-12’ risks report within the organization. The interface with Internal Audit is ensured by the implementation of the scoring method to prioritize risks collected from previous generated risk report. Methodology/approach: Using evidence from other research in the area and the professional expertise, this article outlines an integrated approach to risk assessment and risk management reporting processes, by separating the risk in two main categories: strategic and operational risks. The focus is on risk prioritization and scoring; the final output will comprise a mix of strategic and operational (‘top 8-12’ risks, which should be used to establish the annual Internal Audit plan. Originality/value: By using an integrated approach to risk assessment and risk management will eliminate the need for a separate Internal Audit risk assessment over prevailing risks. It will reduce the level of risk assessment overlap by different functions (Tax, Treasury, Information System over the same risk categories as a single methodology, is used and will align timings of risk assessment exercises. The risk prioritization by usage of risk and control scoring criteria highlights the combination between financial and non-financial impact criteria allowing risks that do not naturally lend themselves to a financial amount to be also assessed consistently. It is emphasized the usage of score method to prioritize the risks included in the annual audit plan in order to increase accuracy and timelines.

  14. Biographical approach to human resource management

    Directory of Open Access Journals (Sweden)

    Ratković-Njegovan Biljana

    2015-01-01

    Full Text Available The paper discusses the importance of biographical approach to managing human resources, which is especially important in the first, anticipatory stage of organizational socialization, in which interview for the job is performed. Biographical principle is based on a broader and more complex approach to the candidate, which enables him to present his working career, personal qualities, professional knowledge and skills, social skills, interests and aspirations. Biographical approach allows an individual who has applied for a certain job to reflect, identify and present their work and life path in their own way.. The organization, in turn, through the biographical method receives valid information to predict the future behavior of candidates and their performance.

  15. A comprehensive approach to managing hazardous materials

    International Nuclear Information System (INIS)

    Donovan, A.

    1990-01-01

    An increased emphasis on the need for environmental protection indicates that engineers must now consider the disposition of unused hazardous materials as waste. Before specifying and ordering materials, the engineer must consider the impact of the Resource Conservation and Recovery Act (RCRA) and the Occupational Safety and Health Administration's (OSHA's) Hazard Communication Standard. Many commonly used materials such as paint, solvents, glues, and sealants fall under the requirements of these regulations. This paper presents a plant to manage hazardous materials at the US Department of Energy's (DOE's) Waste Isolation Pilot Plant (WIPP), which is managed and operated by Westinghouse Electric Corporation. The basic elements of the plan are training, hazard communication, storage and handling, tracking, and disposal. Steps to be taken to develop the plan are outlined, problems and successes are addressed, and interactions among all affected departments are identified. The benefits of an organized and comprehensive approach to managing hazardous materials are decreased worker injuries, reduction of accidental releases, minimization of waste, and compliance with federal, state, and local safety and environmental laws. In summary, the benefits of an organized program for the management of hazardous materials include compliance with the Environmental Protection Agency's (EPA's) requirements, demonstration of Westinghouse's role as a responsible corporate entity, and reduction of waste management costs

  16. Prospecting theoretical approaches to understand internationalization of creative economy firms

    Directory of Open Access Journals (Sweden)

    Sílvio Luís de Vasconcellos

    2017-12-01

    Full Text Available We argue that the internationalization process of firms in the creative economy has particular aspects that distinguish it from internationalization of firms in traditional economic sectors. We explore ways in which the international business literature might be helpful for understanding how internationalization takes place in firms whose core business is creation of ideas. We conducted a case study using a focus group technique to investigate a creative economy firm specialized in computer graphics. The firm already does business internationally as a producer of electronic mockup models, but is transitioning to the computer-generated video production industry. Our results suggest that behavioral approaches to international business related to entrepreneurship, as well as country origin effects and networks theory could be useful to expanding knowledge about the internationalization process in such firms, in which creativity is a critical resource.

  17. Macrosystems management approach to nuclear technology transfer

    International Nuclear Information System (INIS)

    Angelo, J.A. Jr.; Maultsby, T.E.

    1978-01-01

    The world of the 1980s will be a world of diminishing resources, shifting economic bases, rapidly changing cultural and societal structures, and an ever increasing demand for energy. A major driving function in this massive redistribution of global power is man's ability to transfer technology, including nuclear technology, to the developing nations. The major task facing policy makers in planning and managing technology transfer is to avoid the difficulties inherent in such technology exploitation, while maximizing the technical, economic, social, and cultural benefits brought about by the technology itself. But today's policy makers, using industrial-style planning, cannot adequately deal with all the complex, closely-coupled issues involved in technology transfer. Yet, policy makers within the developing nations must be capable of tackling the full spectrum of issues associated with technology transfer before committing to a particular course of action. The transfer and acceptance of complex technology would be significantly enhanced if policy makers followed a macrosystems management approach. Macrosystems management is a decision making methodology based on the techniques of macrosystems analysis. Macrosystems analysis combines the best quantitative methods in systems analysis with the best qualitative evaluations provided by multidisciplined task teams. These are focused in a project management structure to produce solution-oriented advice to the policy makers. The general relationships and management approach offered by macrosystems analysis are examined. Nowhere are the nuclear power option problems and issues more complex than in the transfer of this technology to developing nations. Although many critical variables of interest in the analysis are generic to a particular importer/exporter relationship, two specific issues that have universally impacted the nuclear power option, namely the fuel cycle, and manpower and training, are examined in the light of

  18. Economic responses to global warming: Prospects for cooperative approaches

    International Nuclear Information System (INIS)

    Schelling, T.C.

    1991-01-01

    At the outset, any cooperative approach to global warming will have to reach some rough consensus on two sets of magnitudes and the marginal trade-off between them. One set of magnitudes relates to CO 2 production and abatement. It is the cost and difficulties of reducing energy use by households, farms, and industry, and of switching to cleaner fossil fuels or converting to nonfossil energies. These are the kinds of things that economists and engineers, sometimes sociologists and architects, have been working on with special motivation since 1973. The uncertainties remain great, and they increase many-fold when projected to the middle of the next century. But these estimates do receive attention. The other set of magnitudes has to do with the impact of changing climate on economic productivity, on health and comfort, on the quality of life in general, and on the differential rates of progress among countries. These estimates, on which virtually no work was done until recently, are doubly uncertain. In this study the author offers a judgment about the magnitude of the consequences of failing to reduce CO 2 emissions drastically below what they would be in the absence of such an effort. The author takes 'drastic' to mean anything between an emissions growth rate half of what it would otherwise be and an emissions growth rate of zero beginning one or two decades from now - that is, annual emissions leveling off within a decade or two. That level would still leave emissions growing at the maximum achieved rate

  19. A bayesian approach to laboratory utilization management

    Directory of Open Access Journals (Sweden)

    Ronald G Hauser

    2015-01-01

    Full Text Available Background: Laboratory utilization management describes a process designed to increase healthcare value by altering requests for laboratory services. A typical approach to monitor and prioritize interventions involves audits of laboratory orders against specific criteria, defined as rule-based laboratory utilization management. This approach has inherent limitations. First, rules are inflexible. They adapt poorly to the ambiguity of medical decision-making. Second, rules judge the context of a decision instead of the patient outcome allowing an order to simultaneously save a life and break a rule. Third, rules can threaten physician autonomy when used in a performance evaluation. Methods: We developed an alternative to rule-based laboratory utilization. The core idea comes from a formula used in epidemiology to estimate disease prevalence. The equation relates four terms: the prevalence of disease, the proportion of positive tests, test sensitivity and test specificity. When applied to a laboratory utilization audit, the formula estimates the prevalence of disease (pretest probability [PTP] in the patients tested. The comparison of PTPs among different providers, provider groups, or patient cohorts produces an objective evaluation of laboratory requests. We demonstrate the model in a review of tests for enterovirus (EV meningitis. Results: The model identified subpopulations within the cohort with a low prevalence of disease. These low prevalence groups shared demographic and seasonal factors known to protect against EV meningitis. This suggests too many orders occurred from patients at low risk for EV. Conclusion: We introduce a new method for laboratory utilization management programs to audit laboratory services.

  20. Sustainable Groundwater Management Using Economic Incentive Approach

    Science.gov (United States)

    Yan, T.; Shih, J.; Sanchirico, J. N.

    2006-12-01

    Although groundwater accounts for about 20% of the water consumption in the US, recent urban development, land use changes and agricultural activities in many regions (for example, Chesapeake Bay and eastern shore of Maryland) have resulted in deleterious impacts on groundwater quality. These impacts have dramatically increased potential human health and ecological system risks. One example is nitrogen pollution delivered to local waterways from septic systems via groundwater. Conventional approaches for nitrogen removal, such as pumping and treatment (nitrification-denitrification) process, tend to be expensive. On the other hand, economic incentive approaches (such as marketable permits) have the potential to increase the efficiency of environmental policy by reducing compliance costs for regulated entities and individuals and/or achieving otherwise uneconomical pollution reduction. The success of the sulfur dioxide trading market has led to the creation of trading markets for other pollutants, especially at the regional, state, and smaller (e.g. watershed) scales. In this paper, we develop an integrated framework, which includes a groundwater flow and transport model, and a conceptual management model. We apply this framework to a synthetic set up which includes one farm and two development areas in order to investigate the potential of using economic incentive approaches for groundwater quality management. The policy analysis is carried out by setting up the objective of the modeling framework to minimize the total cost of achieving groundwater quality goals at specific observation point using either a transferable development right (TDR) system between development areas and/or using a tax for fertilizer usage in the farm area. The TDR system consists of a planning agency delineating a region into restricted-use (e.g., agriculture, open space) and high intensity zones (e.g., residential, commercial uses). The agency then endows landowners in the restricted area

  1. PROSPECTIVE EFL TEACHERS’ PERCEPTIONS OF CLASSROOM MANAGEMENT AND MISBEHAVIOUR

    OpenAIRE

    CABAROĞLU, Nese

    2014-01-01

    The purpose of this small scale study was to determine pre-service teachers’ perceptions of classroom management, misbehaviour, and of their own ability to teach in relation to classroom management. Semi-structured interviews were conducted before and after teaching practice with eleven EFL (English as a Foreign Language) student teachers. Findings suggest that they have a narrow conception of classroom management, often focusing one aspect of it. Additionally, their confidence to teach seem ...

  2. Pancreaticoduodenal injuries: re-evaluating current management approaches.

    Science.gov (United States)

    Chinnery, G E; Madiba, T E

    2010-02-01

    Pancreaticoduodenal injuries are uncommon owing to the protected position of the pancreas and duodenum in the retroperitoneum. Management depends on the extent of injury. This study was undertaken to document outcome of pancreaticoduodenal injuries and to re-evaluate our approach. A prospective study of all patients treated for pancreaticoduodenal trauma in one surgical ward at King Edward VIII hospital over a 7-year period (1998 - 2004). Demographic data, clinical presentation, findings at laparotomy and outcome were documented. Prophylactic antibiotics were given at induction of anaesthesia. A total of 488 patients underwent laparotomy over this period, 43 (9%) of whom (all males) had pancreatic and duodenal injuries. Injury mechanisms were gunshot (30), stabbing (10) and blunt trauma (3). Their mean age was 30.1+9.6 years. Delay before laparotomy was 12.8+29.1 hours. Seven were admitted in shock. Mean Injury Severity Score (ISS) was 14+8.6. Management of 20 duodenal injuries was primary repair (14), repair and pyloric exclusion (3) and conservative (3). Management of 15 pancreatic injuries was drainage alone (13), conservative management of pseudocyst (1) and distal pancreatectomy (1). Management of 8 combined pancreaticoduodenal injuries was primary duodenal repair and pancreatic drainage (5) and repair with pyloric exclusion of duodenal injury and pancreatic drainage (3). Twenty-one patients (49%) developed complications, and 28 required ICU admission with a median ICU stay of 4 days. Ten patients died (23%). Mean hospital stay was 18.3+24.4 days. The overall mortality was comparable with that in the world literature. We still recommend adequate exploration of the pancreas and duodenum and conservative operative management where possible.

  3. Prospective Control in Catching : The Persistent Angle-of-Approach Effect in Lateral Interception

    NARCIS (Netherlands)

    Ledouit, Simon; Casanova, Remy; Zaal, Frank T. J. M.; Bootsma, Reinoud J.

    2013-01-01

    In lateral interception tasks balls converging onto the same interception location via different trajectories give rise to systematic differences in the kinematics of hand movement. While it is generally accepted that this angle-of-approach effect reflects the prospective (on-line) control of

  4. Data management in HEP: An approach

    CERN Document Server

    Furano, F

    2011-01-01

    In this work we describe an approach to data access and data management in High Energy Physics (HEP), which privileges performance, simplicity and scalability, in storage systems that co-operate. We also show why the typical HEP workload is well positioned to access geographically distributed data repositories and then weigh the advantages and disadvantages of accessing data across the Wide Area Network. We discuss some points related to the architecture that a data access/management system should have in order to exploit these possibilities. Currently, this kind of methods were explored by using the xrootd/Scalla software suite, that is a workable example of a distributed non-transactional data repository for the HEP environment. The Scalla architecture naturally allows us to build globally federated repositories congruent with diverse HEP collaborations and their data access needs. These methodologies, however, are based on the concept of caching associated to a performant messaging system and to an efficie...

  5. The Professionalization of Management: Aims, Obstacles, and Prospects

    Science.gov (United States)

    Moskovskaia, A. A.

    2012-01-01

    Management in Russia is as difficult to define as a profession as it is in other countries, and the question of what education is appropriate for a future manager is also difficult to define. Business schools in Russia need to think more carefully about their curriculums and about what they should be preparing their students for. (Contains 6…

  6. Financial Management of Libraries: Past Trends and Future Prospects.

    Science.gov (United States)

    Roberts, Stephen A.

    2003-01-01

    The financial environment within library and information services is reviewed and a structure for financial management is presented based on funding source and level of commercial activity. Objectives for financial management of library and information services is developed and reviewed in light of future trends and stakeholder perspectives.…

  7. Habitat Management to Suppress Pest Populations: Progress and Prospects.

    Science.gov (United States)

    Gurr, Geoff M; Wratten, Steve D; Landis, Douglas A; You, Minsheng

    2017-01-31

    Habitat management involving manipulation of farmland vegetation can exert direct suppressive effects on pests and promote natural enemies. Advances in theory and practical techniques have allowed habitat management to become an important subdiscipline of pest management. Improved understanding of biodiversity-ecosystem function relationships means that researchers now have a firmer theoretical foundation on which to design habitat management strategies for pest suppression in agricultural systems, including landscape-scale effects. Supporting natural enemies with shelter, nectar, alternative prey/hosts, and pollen (SNAP) has emerged as a major research topic and applied tactic with field tests and adoption often preceded by rigorous laboratory experimentation. As a result, the promise of habitat management is increasingly being realized in the form of practical worldwide implementation. Uptake is facilitated by farmer participation in research and is made more likely by the simultaneous delivery of ecosystem services other than pest suppression.

  8. Electronic resource management systems a workflow approach

    CERN Document Server

    Anderson, Elsa K

    2014-01-01

    To get to the bottom of a successful approach to Electronic Resource Management (ERM), Anderson interviewed staff at 11 institutions about their ERM implementations. Among her conclusions, presented in this issue of Library Technology Reports, is that grasping the intricacies of your workflow-analyzing each step to reveal the gaps and problems-at the beginning is crucial to selecting and implementing an ERM. Whether the system will be used to fill a gap, aggregate critical data, or replace a tedious manual process, the best solution for your library depends on factors such as your current soft

  9. Sistemic Approach - a Complexity Management Instrument

    Directory of Open Access Journals (Sweden)

    Vadim Dumitrascu

    2006-04-01

    Full Text Available he systemic principle uses the deduction and the induction, analyse and synthesis, inferency and proferency, in order to find out the interdependencies and the inner connections that make mooving the complex organized entities. The true valences of this approach can be found neither in the simplist models of the “in-out” type, nor in the “circular” models that fill in the Economics and Management handbooks, and that consecrate another kind of formalism, but in the constructiviste-reflexive strategies, used in order to explain the economic and social structures.

  10. Approaches to Resource Management for the Nexus

    OpenAIRE

    Kumar Navneet; Gerber Nicolas

    2015-01-01

    This report attempts to draw out the main messages covered during a session on “Approaches to Resource Management for the Nexus” (International conference on Sustainability in the Water-Energy-Food Nexus. Synergies and Tradeoffs: Governance and Tools at various Scales held in Bonn, Germany, on 19th and 20th of May 2014). In this session, the audience was reminded of the importance to think about geography and topography to understand trade-offs in the WEF Nexus, and in particular to consider ...

  11. Sistemic Approach – a Complexity Management Instrument

    Directory of Open Access Journals (Sweden)

    Vadim Dumitrascu

    2006-02-01

    Full Text Available The systemic principle uses the deduction and the induction, analyse and synthesis, inferency and proferency, in order to find out the interdependencies and the inner connections that make mooving the complex organized entities. The true valences of this approach can be found neither in the simplist models of the “in-out” type, nor in the “circular” models that fill in the Economics and Management handbooks, and that consecrate another kind of formalism, but in the constructiviste-reflexive strategies, used in order to explain the economic and social structures.

  12. APPROACHES TO QUALITY MANAGEMENT AT EUROPEAN LEVEL

    Directory of Open Access Journals (Sweden)

    Salagean Horatiu Catalin

    2013-07-01

    Full Text Available In the current economic context, quality has become a source of competitive advantage and organizations must perceive quality as something natural and human in order to achieve excellence. The proper question for the context of the internationalisation of the economy is whether the culture of the regions, states or nations affects the development in the quality management field and the quality approach. The present study tries to give a theoretical approach of how culture influences the quality approach at the European level. The study deals only with the European quality approach, beacuse at European level one could meet a great variety of models and methodologies. In the U.S.A. and Japan one could identify a specific cultural approach regarding quality. At the European level, we cannot discuss in the same terms, because each country has a different cultural specifics in terms of quality. In order to determine the cultural specificity of the countries surveyed, the study has used the most popular analysis tool of cultural dimensions, namely the Dutch Professor Geert Hofstede\\'s model. The model illustrates according to a survey, the organizational behavior of several countries and was able to identify a set of variables and fundamental dimensions, that differentiates one culture from another. An attempt was made to see if there are connections between the values of Hofestede \\'s cultural dimensions and the quality characteristics in the analysed countries. The study, describes on the one hand,the quality evolution from quality control to Total Quality Management and on the other hand, focuses on the quality approach modalities at European level. The second part of the paper is structured into two parts, addressing on the one hand the quality in countries of Western Europe, such as United Kingdom, France and Germany,because these three countries are considered to be the exponents of quality development in Western Europe. In the same time, the

  13. A big picture prospective for wet waste processing management

    International Nuclear Information System (INIS)

    Gibson, J.D.

    1996-01-01

    This paper provides an overview of general observations made relative to the technical and economical considerations being evaluated by many commercial nuclear power plants involving their decision making process for implementation of several new wet waste management technologies. The waste management processes reviewed include the use of, Reverse Osmosis, Non-Precoat Filters, Resin Stripping ampersand Recycling, Evaporation ampersand Calcination (RVR trademark, ROVER trademark ampersand Thermax trademark), Compression Dewatering (PressPak trademark), Incineration (Resin Express trademark), Survey ampersand Free Release (Green Is Clean) and Quantum Catalytic Extraction Processing (QCEP trademark). These waste management processes are reviewed relative to their general advantages and disadvantages associated with the processing of various wet waste streams including: reactor make-up water, floor drain sludges and other liquid waste streams such as boric acid concentrates and steam generator cleaning solutions. A summary of the conclusions generally being derived by most utilities associated with the use of these waste management processes is also provided

  14. Prospects for managing turfgrass pests with reduced chemical inputs.

    Science.gov (United States)

    Held, David W; Potter, Daniel A

    2012-01-01

    Turfgrass culture, a multibillion dollar industry in the United States, poses unique challenges for integrated pest management. Why insect control on lawns, golf courses, and sport fields remains insecticide-driven, and how entomological research and extension can best support nascent initiatives in environmental golf and sustainable lawn care are explored. High standards for aesthetics and playability, prevailing business models, risk management-driven control decisions, and difficulty in predicting pest outbreaks fuel present reliance on preventive insecticides. New insights into pest biology, sampling methodology, microbial insecticides, plant resistance, and conservation biological control are reviewed. Those gains, and innovations in reduced-risk insecticides, should make it possible to begin constructing holistic management plans for key turfgrass pests. Nurturing the public's interest in wildlife habitat preservation, including beneficial insects, may be one means to change aesthetic perceptions and gain leeway for implementing integrated pest management practices that lend stability to turfgrass settings. Copyright © 2012 by Annual Reviews. All rights reserved.

  15. Load management in electrical networks. Objectives, methods, prospects

    International Nuclear Information System (INIS)

    Gabioud, D.

    2008-01-01

    This illustrated article takes up the problems related to the variation of the load in electricity networks. How to handle the peak load? Different solutions in the energy demand management are discussed. Method based on the price, method based on the reduction of the load by electric utilities. Information systems are presented which gives the consumer the needed data to participate in the local load management.

  16. A Design Thinking Approach to Teaching Knowledge Management

    Science.gov (United States)

    Wang, Shouhong; Wang, Hai

    2008-01-01

    Pedagogies for knowledge management courses are still undeveloped. This Teaching Tip introduces a design thinking approach to teaching knowledge management. An induction model used to guide students' real-life projects for knowledge management is presented. (Contains 1 figure.)

  17. Enhancing Critical Thinking by Teaching Two Distinct Approaches to Management

    Science.gov (United States)

    Dyck, Bruno; Walker, Kent; Starke, Frederick A.; Uggerslev, Krista

    2012-01-01

    The authors explore the effect on students' critical thinking of teaching only one approach to management versus teaching two approaches to management. Results from a quasiexperiment--which included a survey, interviews, and case analysis--suggest that compared with students who are taught only a conventional approach to management (which…

  18. Multinational approaches relevant to spent fuel management

    International Nuclear Information System (INIS)

    Pellaud, B.

    2007-01-01

    The storage of spent fuel is a suitable candidate for a multilateral approach, primarily at the regional level. Small countries with only a few nuclear power plants would benefit economically from large joint facilities. The storage of special nuclear materials in a few safe and secure facilities would also enhance safeguards and physical protection. However, the final disposal of spent fuel and high level radioactive waste is the best candidate for a multilateral approach. It would offer major economic benefits and substantial non-proliferation benefits in spite of the legal, political and public acceptance challenges to be expected in most countries. The transfer of nuclear waste from the exporting country to the host country of an interim storage facility or of a final repository would be done under bilateral or multilateral agreements at the commercial and governmental levels, in accordance with the Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management. Bilateral or international oversight of joint facilities should be arranged, as needed, to achieve the confidence of the partners as to the safety and physical security of the proposed facility. Such monitoring should cover the adequacy of the technical design, its safety features, its environmental impact, the physical security of nuclear materials and possibly the financial management of the joint venture. After the initial choice of bilateral arrangements, some kind of international monitoring may become appropriate. Various organizations could fulfil such a function, in particular, the IAEA. Such monitoring would have nothing to do with nuclear safeguards; repository monitoring would be a parallel but independent activity of the IAEA. (author)

  19. An Approach for Implementation of Project Management Information Systems

    Science.gov (United States)

    Běrziša, Solvita; Grabis, Jānis

    Project management is governed by project management methodologies, standards, and other regulatory requirements. This chapter proposes an approach for implementing and configuring project management information systems according to requirements defined by these methodologies. The approach uses a project management specification framework to describe project management methodologies in a standardized manner. This specification is used to automatically configure the project management information system by applying appropriate transformation mechanisms. Development of the standardized framework is based on analysis of typical project management concepts and process and existing XML-based representations of project management. A demonstration example of project management information system's configuration is provided.

  20. Life cycle management and assessment: approaches and visions towards sustainable manufacturing

    DEFF Research Database (Denmark)

    Westkämper, Engelbert; Alting, Leo; Arndt, Günther

    2000-01-01

    . The goal of this approach is to protect resources and maximize effectiveness by means of life cycle assessment, product data management, technical support and, last but not least, life cycle costing. This paper shows the existing approaches of LCM and discusses their prospects and further development....... concepts are required, new regulations have been passed or consumer values are changing, the differences between business areas are disappearing. Life cycle management (LCM) considers the product life cycle as a whole and optimizes the interaction of product design, manufacturing and life cycle activities...

  1. Life cycle management and assessment: approaches and visions towards sustainable manufacturing

    DEFF Research Database (Denmark)

    Westkämper, Engelbert; Alting, Leo; Arndt, Günther

    2001-01-01

    and optimizes the interaction of product design, manufacturing and life cycle activities. The goal of this approach is to protect resources and maximize effectiveness by means of life cycle assessment, product data management, technical support and, last but not least, life cycle costing. This paper shows....... Economically successful business areas can also be explored. Whether new service concepts are required, new regulations have been passed or consumer values are changing, the differences between business areas are disappearing. Life cycle management (LCM) considers the product life cycle as a whole...... the existing approaches of LCM and discusses their prospects and further development....

  2. Irrigation development and management in Ghana: Prospects and ...

    African Journals Online (AJOL)

    ... existing schemes. It is envisaged that irrigation will be seen in its right perspective as a multidisciplinary activity to ensure the success of schemes. There is the need for running a postgraduate programme in irrigation at the KNUST to enhance the nations efforts at developing and managing irrigation projects successfully.

  3. A Prospective Evaluation of the Management and Outcome of ...

    African Journals Online (AJOL)

    The commonest complication was avascular necrosis of the femoral head in eight (47.1%), all presented late with intractable pain; eight (47.1%) with pain of unknown origin and one (5.8%) with sciatic nerve injury which resolved on conservative management. Conclusion: Reduction of PDH within 12 hours is associated ...

  4. Prospective Scope of Forest Management Education at James Madison's Montpelier

    Science.gov (United States)

    Munsell, John F.; Hamilton, Rachel; Downing, Adam K.

    2009-01-01

    Urban sprawl and intergenerational transfers are fostering a new period of family forest ownership in the United States typified by larger numbers of younger owners with smaller parcels that are interested in managing their forests but often lacking requisite knowledge. At the same time, there is a general decline in the public's connection to…

  5. China's Classification-Based Forest Management: Procedures, Problems, and Prospects

    Science.gov (United States)

    Dai, Limin; Zhao, Fuqiang; Shao, Guofan; Zhou, Li; Tang, Lina

    2009-06-01

    China’s new Classification-Based Forest Management (CFM) is a two-class system, including Commodity Forest (CoF) and Ecological Welfare Forest (EWF) lands, so named according to differences in their distinct functions and services. The purposes of CFM are to improve forestry economic systems, strengthen resource management in a market economy, ease the conflicts between wood demands and public welfare, and meet the diversified needs for forest services in China. The formative process of China’s CFM has involved a series of trials and revisions. China’s central government accelerated the reform of CFM in the year 2000 and completed the final version in 2003. CFM was implemented at the provincial level with the aid of subsidies from the central government. About a quarter of the forestland in China was approved as National EWF lands by the State Forestry Administration in 2006 and 2007. Logging is prohibited on National EWF lands, and their landowners or managers receive subsidies of about 70 RMB (US10) per hectare from the central government. CFM represents a new forestry strategy in China and its implementation inevitably faces challenges in promoting the understanding of forest ecological services, generalizing nationwide criteria for identifying EWF and CoF lands, setting up forest-specific compensation mechanisms for ecological benefits, enhancing the knowledge of administrators and the general public about CFM, and sustaining EWF lands under China’s current forestland tenure system. CFM does, however, offer a viable pathway toward sustainable forest management in China.

  6. An International Perspective on Classroom Management: What Should Prospective Teachers Learn?

    Science.gov (United States)

    Wubbels, Theo

    2011-01-01

    Drawing upon a review of relevant literature, this paper provides an overview of the treatment of classroom management in teacher education and teaching around the world. Six approaches to classroom management are distinguished: classroom management approaches that focus on external control of behaviour, on internal control, on classroom ecology,…

  7. The Effects of Enhancing Prospective EFL Teachers' Knowledge Management Strategies in Virtual Learning Environments on Their Ideational Flexibility and Engagement

    Directory of Open Access Journals (Sweden)

    Ammar Abdullah Mahmoud Ismail

    2017-01-01

    Full Text Available The last few years have witnessed an increased interest in moving away from traditional language instruction settings towards more hybrid and virtual learning environments. Face-to-face interaction, guided practice, and uniformity of knowledge sources and skills are all replaced by settings where multiplicity of views from different learning communities, interconnectedness, self-directedness, and self-management of knowledge and learning are increasingly emphasized. This shift from walled-classroom instruction with its limited scope and resources to hybrid and virtual learning environments with their limitless provisions requires that learners be equipped with requisite skills and strategies to manage knowledge and handle language learning in ways commensurate with the nature and limitless possibilities of these new environments. The current study aimed at enhancing knowledge management strategies of EFL teachers in virtual learning environments and examine the impact on their ideational flexibility and engagement in language learning settings. A knowledge management model was proposed and field-test on a cohort of prospective EFL teachers in the Emirati context. Participants were prospective EFL teachers enrolled in the Methods of Teaching Courses and doing their practicum in the Emirati EFL context. Participants' ideational flexibility was tapped via a bi-methodical approach including a contextualized task and a decontextualized one. Their engagement in virtual language learning settings was tapped via an engagement scale. Results of the study indicated that enhancing prospective EFL teachers' knowledge management strategies in virtual learning environments had a significant impact on their ideational flexibility and engagement in foreign language learning settings. Details of the instructional intervention, instruments for tapping students’ ideational flexibility and engagement, and results of the study are discussed. Implications for

  8. Marketing Approach to Management of Spatial Development

    Directory of Open Access Journals (Sweden)

    Daniil Petrovich Frolov

    2013-06-01

    Full Text Available Marketing of territories is a modern mechanism of management of spatial entities› development (cities, regions, etc., which is based on the principles of regulated self-organization and cultivation of self-generating trends. In this paper territories are considered as socially responsible multistakeholder quasi-corporations that produce specific goods and promote their own brands. But it is not clear yet what marketing of territories is – the function or ideology of regional administration? How do regional marketing and branding correlate? What is «the product of the territory» and who are its› consumers? Why are instituting territorial goods so important? How do the traditional socio- economic development strategy and marketing strategy of the region relate? What is the action mechanism of the regional marketing? The article presents the author›s answers to these and other issues of theory and practice of regional marketing in the context of new methodological approaches

  9. AN APPROACH TO FRAUD RISK MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Monica PUIU

    2014-11-01

    Full Text Available Nowadays, globalisation and business internalisation have led to an increased number of frauds in organisations worldwide. The most affected are the multinational corporations because of the geographical distance, different fiscal systems and local factors that consist in tremendous opportunities for employees and/or managers to involve in fraud schemes. Starting from recent studies and prior efforts of international organisations or countries to stop fraud by imposing regulations to be respected for the economic environment, the purpose of the paper is finding the key factors for detecting and preventing fraud in the organisations. In our approach we use several proposals for a conceptual framework developed by two companies of “The big four”, KPMG and Deloitte. The results indicate that for the number of fraud to decrease, any organisation needs to develop and implement a strong anti-fraud plan, by covering all logical steps to be made in this matter.

  10. Future prospects of health management systems using cellular phones.

    Science.gov (United States)

    Kim, Hun-Sung; Hwang, Yunji; Lee, Jae-Ho; Oh, Hye Young; Kim, Yi-Jun; Kwon, Hyeon Yoon; Kang, Hyoseung; Kim, Hyunah; Park, Rae Woong; Kim, Ju Han

    2014-06-01

    Cellular phones enable communication between healthcare providers and patients for prevention, diagnosis, and treatment of diseases. However, few studies have examined the user-friendliness or effectiveness of cellular phone-based medical informatics (CPBMI) for healthcare. This study investigated the use of CPBMI to identify its current status within the medical field, advantages and disadvantages, practicability, clinical effectiveness, costs, and cost-saving potential. CPBMI was validated in terms of practicality and provision of medical benefits. It is critical to use CPBMI in accordance with the different features of each disease and condition. Use of CPBMI is expected to be especially useful for patients with chronic disease. We discussed the current status of the clinical use, benefits, and risks of CPBMI. CPBMI and information technology-based health management tools are anticipated to become useful and effective components of healthcare management in the future.

  11. Managing the twenty-first century reference department challenges and prospects

    CERN Document Server

    Katz, Linda S

    2014-01-01

    Learn the skills needed to update and manage a reference department that efficiently meets the needs of clients today?and tomorrow! Managing the Twenty-First Century Reference Department: Challenges and Prospects provides librarians with the knowledge and skills they need to manage an effective reference service. Full of useful and practical ideas, this book presents successful methods for recruiting and retaining capable reference department staff and management, training new employees and adapting current services to an evolving field. Expert practitioners address the changing role of the r

  12. Chiropractic approach to the management of children

    Directory of Open Access Journals (Sweden)

    Miller Joyce

    2010-06-01

    Full Text Available Abstract Background Chiropractic (Greek: done by hand is a health care profession concerned with the diagnosis, treatment and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health. There is an emphasis on manual techniques, including joint adjustment and/or manipulation, with a particular focus on joint subluxation (World Health Organization 2005 or mechanical lesion and restoring function. The chiropractor's role in wellness care, prevention and treatment of injury or illness is based on education in anatomy and physiology, nutrition, exercise and healthy lifestyle counseling as well as referral to other health practitioners. Depending on education, geographic location, scope of practice, as well as consumer preference, chiropractors may assume the role of primary care for families who are pursuing a more natural and holistic approach to health care for their families. Objective To present a perspective on current management of the paediatric patient by members of the chiropractic profession and to make recommendations as to how the profession can safely and effectively manage the paediatric patient. Discussion The chiropractic profession holds the responsibility of ethical and safe practice and requires the cultivation and mastery of both an academic foundation and clinical expertise that distinguishes chiropractic from other disciplines. Research into the effectiveness of chiropractic care for paediatric patients has lagged behind that of adult care, but this is being addressed through educational programs where research is now being incorporated into academic tracks to attain advanced chiropractic degrees. Conclusion Studies in the United States show that over the last several decades, chiropractors are the most common complementary and alternative medicine providers visited by children and adolescents. Chiropractors continue to seek integration with other healthcare providers to

  13. Spent fuel management in Japan - Facts and prospects

    International Nuclear Information System (INIS)

    Nagano, K.

    2002-01-01

    This paper discusses recent developments and future issues related to spent fuel management in Japan. With increasing pressure of spent fuel discharge from the power plants in operation and, in contrast, uncertainties in their processing and management services, spent fuel storage in short and medium terms has been receiving the highest priority in nuclear policy discussions in Japan. While small-scale interim storage devices, as well as capacity expansion (re-racking, etc.) and shared uses of existing devices, are introduced at number of power stations, large scale AFR (away from reactor) 'Storage of Recycle Fuel Resources' is expected to come in a medium and long-run. Commercial operation of 'Storage of Recycle Fuel Resources' is allowed its way, as the bill of amendment to the law for regulation of nuclear power reactors and other nuclear-related activities has passed in the Diet. In the meantime, the Atomic Energy Commission has launched working group discussions for revision of 'The Long-term Program of Research, Development and Utilization of Nuclear Energy' to be completed in 2000. This revision is hoped to set up a stage of national debate of nuclear policy, which might lead to fill conceptual gaps between bodies promoting nuclear development and general public. The author's attempt to illustrate the role of storage in spent fuel management is also presented from a theoretical point of view. (author)

  14. Spent fuel management in China: Current status and prospects

    International Nuclear Information System (INIS)

    Zhu, J.L.

    1998-01-01

    In this paper, the development of nuclear power in China, its status of operating nuclear power plants and progress of on-going NPP projects are described. With the arising of spent fuel from NPPs, a national policy of a closed nuclear fuel cycle has been determined. Following storage at reactor sites for at least 5 years (generally maximum 10 years), spent fuel will be transferred to an away-from-reactor pool type centralized storage facility. Adjacent to the storage facility, a multi-purpose reprocessing pilot plant will be set up by the end of this century. An industrial scale reprocessing plant would be succeeded around the year 2020. China's spent fuel management activities include at-reactor storage, transportation, away-from-reactor storage and reprocessing. Relatively detailed description of the work done up to now on spent fuel management and plans for the future are described. It should be noted that activities related to the management of high level radioactive waste are not included here. (author)

  15. A data-driven approach to quality risk management.

    Science.gov (United States)

    Alemayehu, Demissie; Alvir, Jose; Levenstein, Marcia; Nickerson, David

    2013-10-01

    An effective clinical trial strategy to ensure patient safety as well as trial quality and efficiency involves an integrated approach, including prospective identification of risk factors, mitigation of the risks through proper study design and execution, and assessment of quality metrics in real-time. Such an integrated quality management plan may also be enhanced by using data-driven techniques to identify risk factors that are most relevant in predicting quality issues associated with a trial. In this paper, we illustrate such an approach using data collected from actual clinical trials. Several statistical methods were employed, including the Wilcoxon rank-sum test and logistic regression, to identify the presence of association between risk factors and the occurrence of quality issues, applied to data on quality of clinical trials sponsored by Pfizer. ONLY A SUBSET OF THE RISK FACTORS HAD A SIGNIFICANT ASSOCIATION WITH QUALITY ISSUES, AND INCLUDED: Whether study used Placebo, whether an agent was a biologic, unusual packaging label, complex dosing, and over 25 planned procedures. Proper implementation of the strategy can help to optimize resource utilization without compromising trial integrity and patient safety.

  16. A data-driven approach to quality risk management

    Directory of Open Access Journals (Sweden)

    Demissie Alemayehu

    2013-01-01

    Full Text Available Aim: An effective clinical trial strategy to ensure patient safety as well as trial quality and efficiency involves an integrated approach, including prospective identification of risk factors, mitigation of the risks through proper study design and execution, and assessment of quality metrics in real-time. Such an integrated quality management plan may also be enhanced by using data-driven techniques to identify risk factors that are most relevant in predicting quality issues associated with a trial. In this paper, we illustrate such an approach using data collected from actual clinical trials. Materials and Methods: Several statistical methods were employed, including the Wilcoxon rank-sum test and logistic regression, to identify the presence of association between risk factors and the occurrence of quality issues, applied to data on quality of clinical trials sponsored by Pfizer. Results: Only a subset of the risk factors had a significant association with quality issues, and included: Whether study used Placebo, whether an agent was a biologic, unusual packaging label, complex dosing, and over 25 planned procedures. Conclusion: Proper implementation of the strategy can help to optimize resource utilization without compromising trial integrity and patient safety.

  17. Integrated NPP life cycle management - Agency's approach

    International Nuclear Information System (INIS)

    Gueorguiev, B.

    2002-01-01

    Full text: The number of nuclear power plants (NPPs) operating in the world has been roughly constant for the past seven years. There are 438 reactors of 353,489 MW(e) capacity in the world and they generated 2448.9 TWh in 2001 giving a total world operating experience with nuclear power of 10,363 years. About 230 units have reached already over 15 years of operation and significant number of these plants are fully depreciated. Share of nuclear power in electricity production sector in Member States utilising nuclear power plants represents a meaningful amount and in 14 countries it exceeds 30%. Therefore, a loss of this share should be covered by new installed capacities either from conventional or alternative sources of electricity generation. Recent forecasts, for nuclear power use over the next two decades range from ∼350 to ∼500 GW(e) worldwide. While assessing the need for any nuclear power related programmes there are several important factors that must be considered since even 350 GW(e) is a very large programme requiring several hundred thousand highly qualified personnel and a substantial infrastructure to assure its continued safe, reliable and cost-effective operation. It is important to assure reliable, safe and economic beneficial performance of the plant, which requires in turn an appropriated management of any activity connected with any taken period of a plant life starting from design and ending by the decided mode of decommissioning. The period between the first and the last payment for the activities connected with the existence of a plant could be defined as a life cycle of the plant. Such integrated approach requires considering the life cycle of the plant in a much broader sense than just operational life and is characterized by the variety of activities and their management represents in a whole a plant life management programme (PLIM). Therefore PLIM could be defined as an aggregate (totality) of technical, financial, economical and

  18. Management of Laryngoceles by Transoral Robotic Approach.

    Science.gov (United States)

    Kayhan, Fatma Tülin; Güneş, Selçuk; Koç, Arzu Karaman; Yiğider, Ayşe Pelin; Kaya, Kamil Hakan

    2016-06-01

    Laryngoceles are air-filled sacs which communicate with the laryngeal lumen. When filled with mucus or pus, they are called laryngomucoceles and laryngopyoceles, respectively. Transoral robotic surgery (TORS) is a new and remarkable technique that expands its usefullness in otorhinolaryngology. Conventional treatments for laryngoceles were previously performed using external approaches, with aesthetically unfavorable and less function-sparing results. Transoral laser microsurgical approaches for laryngoceles were seldom reported. It is aimed to present authors' clinical experience on laryngocele management with TORS which is a rather new technique. A retrospective patient serial. Patients were evaluated for demographic data, type of lesion, reasons for hospital admittance, complaint duration, and previous surgery. Robotic surgery panel including anesthesia time, duration of surgery, need for tracheotomy, postoperative care, follow-up, and recurrence rates were also summarized. Six men (mean age 51.7 years; range 41-62) with laryngoceles underwent successful TORS. Dyspnea and hoarseness were the main complaints. Two patients had undergone previous laryngeal surgery due to laryngeal cancer, with no recurrence of malignancy at admittance for laryngocele. Three had simple laryngocele, 2 had laryngomucocele, and 1 had laryngopyocele. No laryngoceles recurred and no complication such as dysphonia or prolonged dysphagia occurred. Transoral robotic surgery was found superior in safety, technical feasibility and curative effectiveness, when compared with classical methods, especially due to absence of skin incisions. Surgical modalities for laryngocele excision should be directed toward a curative target including cosmetic and functional success, technical achievability, and surgically curative methods. Transoral robotic surgery provided all these features.

  19. Ornamental rocks prospection in Uruguay. A new database territorial management

    International Nuclear Information System (INIS)

    Carmignani, L.; Gattiglio, S.; Masquelin, H.; Gomez Rifas, C.; Medina, E.; Da Silva, J.; Pirelli, H.

    1998-01-01

    Here are exposed the main of the last ornamental rocks inventory and their exploitation ambiental implicances. The project was realized between the Uruguayan government (Ministry of Industries, Energy and Mining) and the economical European Community (C.E.E). a two -fold target was poursuit. The first o administrative order in the sense that results of such recensement could allow to review the ornamental rocks management in a more efficiently and realistic manner. The second of geoeconomical order permits to re-evaluate traditional ornamental rocks facilities (marbles and granites) form the marketing and either the valoration of a new generation of ornamental materials also. (author)

  20. RISK MANAGEMENT APPROACHES AND PRACTICES IN IT PROJECTS

    Directory of Open Access Journals (Sweden)

    BRANDAS Claudiu

    2012-07-01

    Full Text Available Risk is identified in project management literature as an important factor influencing IT projects success, and it is relevant for both academic and practitionersn#8217; communities. The paper presents the past and current approaches to risk management in IT projects. The objective of this paper is to compare the different approaches and relate them to existing practices. Project management literature and practice have brought different approaches to risk management, and as a result, many projects ended in failure. We present how risk management is considered in the literature, and we compare the main two approaches: the evaluation approach and the management approach. The contingency approach does not consider risk management to be a specific process as it is an embedded process in the other project management processes. Then, we present the main practices in risk management. The methodology applied is based on documentary study review and analysis of the concepts used by the literature. We analyzed the literature published between 1978 and 2011 from the main journals for IT project management and found out that the essence of project management is risk management. The risk management practices have a considerable influence on stakeholdersn#8217; perception of project success. But, regardless of the chosen approach, a standard method for identifying, assessing, and responding to risks should be included in any project as this influences the outcome of the project.

  1. Management approach recommendations. Earth Observatory Satellite system definition study (EOS)

    Science.gov (United States)

    1974-01-01

    Management analyses and tradeoffs were performed to determine the most cost effective management approach for the Earth Observatory Satellite (EOS) Phase C/D. The basic objectives of the management approach are identified. Some of the subjects considered are as follows: (1) contract startup phase, (2) project management control system, (3) configuration management, (4) quality control and reliability engineering requirements, and (5) the parts procurement program.

  2. An approach to prospective consequential life cycle assessment and net energy analysis of distributed electricity generation

    International Nuclear Information System (INIS)

    Jones, Christopher; Gilbert, Paul; Raugei, Marco; Mander, Sarah; Leccisi, Enrica

    2017-01-01

    Increasing distributed renewable electricity generation is one of a number of technology pathways available to policy makers to meet environmental and other sustainability goals. Determining the efficacy of such a pathway for a national electricity system implies evaluating whole system change in future scenarios. Life cycle assessment (LCA) and net energy analysis (NEA) are two methodologies suitable for prospective and consequential analysis of energy performance and associated impacts. This paper discusses the benefits and limitations of prospective and consequential LCA and NEA analysis of distributed generation. It concludes that a combined LCA and NEA approach is a valuable tool for decision makers if a number of recommendations are addressed. Static and dynamic temporal allocation are both needed for a fair comparison of distributed renewables with thermal power stations to account for their different impact profiles over time. The trade-offs between comprehensiveness and uncertainty in consequential analysis should be acknowledged, with system boundary expansion and system simulation models limited to those clearly justified by the research goal. The results of this approach are explorative, rather than for accounting purposes; this interpretive remit, and the assumptions in scenarios and system models on which results are contingent, must be clear to end users. - Highlights: • A common LCA and NEA framework for prospective, consequential analysis is discussed. • Approach to combined LCA and NEA of distributed generation scenarios is proposed. • Static and dynamic temporal allocation needed to assess distributed generation uptake.

  3. Spent fuel management: Current status and prospects 1993

    International Nuclear Information System (INIS)

    1994-02-01

    Spent fuel management has always been one of the most important stages in the nuclear fuel cycle and it is still one of the most vital problems common to all countries with nuclear reactors. It begins with the discharge of spent fuel from a power or a research reactor and ends with its ultimate disposition, either by direct disposal or by reprocessing of the spent fuel. Two options exist at present - an open, once-through cycle with direct disposal of the spent fuel and a closed cycle with reprocessing of the spent fuel and recycling of plutonium and uranium in new mixed oxide fuels. The selection of a spent fuel strategy is a complex procedure in which many factors have to be weighed, including political, economic and safeguards issues as well as protection of the environment. Continuous attention is being given by the IAEA to the collection, analysis and exchange of information on spent fuel management. Its role in this area is to provide a forum for the exchange of information and to co-ordinate and to encourage closer co-operation among Member States in certain research an development activities that are of common interest. Refs, figs and tabs

  4. Managed Aquifer Recharge in Italy: present and prospects.

    Science.gov (United States)

    Rossetto, Rudy

    2015-04-01

    On October the 3rd 2014, a one-day Workshop on Managed Aquifer Recharge (MAR) experiences in Italy took place at the GEOFLUID fair in Piacenza. It was organized within the framework of the EIP AG 128 - MAR Solutions - Managed Aquifer Recharge Strategies and Actions and the EU FPVII MARSOL. The event aimed at showcasing present experiences on MAR in Italy while at the same time starting a network among all the Institutions involved. In this contribution, we discuss the state of MAR application in Italy and summarize the outcomes of that event. In Italy aquifer recharge is traditionally applied unintentionally, by increasing riverbank filtration or because of excess irrigation. A certain interest for artificial recharge of aquifers arose at the end of the '70s and the beginning of the '80s and tests have been carried out in Tuscany, Veneto and Friuli Venezia Giulia. During the last years some projects on aquifer recharge were co-financed by the European Commission mainly through the LIFE program. Nearly all of them use the terminology of artificial recharge instead of MAR. They are: - TRUST (Tool for regional - scale assessment of groundwater storage improvement in adaptation to climate change, LIFE07 ENV/IT/000475; Marsala 2014); - AQUOR (Implementation of a water saving and artificial recharging participated strategy for the quantitative groundwater layer rebalance of the upper Vicenza's plain - LIFE 2010 ENV/IT/380; Mezzalira et al. 2014); - WARBO (Water re-born - artificial recharge: innovative technologies for the sustainable management of water resources, LIFE10 ENV/IT/000394; 2014). While the TRUST project dealt in general with aquifer recharge, AQUOR and WARBO focused essentially on small scale demonstration plants. Within the EU FPVII-ENV-2013 MARSOL project (Demonstrating Managed Aquifer Recharge as a Solution to Water Scarcity and Drought; 2014), a dedicated monitoring and decision support system is under development to manage recharge at a large scale

  5. The Aalborg Approach to Environmental Management

    DEFF Research Database (Denmark)

    Jamison, Andrew; Nielsen, Eskild Holm

    2002-01-01

    The Article Briefly Presents the Master Programme in Environmental Management at Aalborg University......The Article Briefly Presents the Master Programme in Environmental Management at Aalborg University...

  6. Management of acute bursitis: outcome study of a structured approach.

    Science.gov (United States)

    Stell, I M

    1999-01-01

    In patients with septic bursitis the indications for admission and surgical intervention remain unclear, and practice has varied widely. The effectiveness of a conservative outpatient based approach was assessed by an outcome study in a prospective case series. Consecutive patients attending an emergency department with acute swelling of the olecranon or prepatellar bursa were managed according to a structured approach, subjective and objective outcomes being assessed after two to three days, and subsequently as required until clinical discharge. Long-term outcomes were assessed by telephone follow-up for up to eighteen months. 47 patients were included in the study: 22 had septic bursitis, 15 of the olecranon bursa and 7 of the prepatellar bursa. The mean visual analogue pain scores of those with septic bursitis improved from 4.8 at presentation to 1.7 at first follow-up for olecranon bursitis, and from 3.8 to 2.7 for prepatellar bursitis. Symptoms improved more slowly for patients with non-septic bursitis. No patients were admitted initially, but 2 were admitted (two days each) after the first follow-up appointment. One patient had incision and drainage on the third attendance, and 3 patients developed discharging sinuses, which all healed spontaneously. All patients made a good long-term symptomatic recovery and all could lean on the elbow or kneel by the end of the follow-up period. The management protocol, with specific criteria for admission and surgical intervention, thus produced good results with little need for operation or admission. PMID:10692903

  7. Status and prospects of radioactive waste management in France

    International Nuclear Information System (INIS)

    Gonnot, F.M.

    2012-01-01

    The chairman of ANDRA (French agency for the management of radioactive waste) presents the activities of the agency in the framework of the 2006 Planning Act that took in principle the decision to dispose of the high-level and the long-lived radioactive waste in a geological repository (Cigeo project). One of the important aspects of the Cigeo project is the requirement by law, to study the reversibility and therefore to demonstrate the capability to retrieve already disposed waste packages. In March 2010 the Government accepted the 30 km 2 area proposed by ANDRA for the location of the future repository. At present, ANDRA teams are fully busy on 2 fronts: first in preparing the license application for Cigeo to be submitted in 2015, and secondly in preparing the industrial phase of the Cigeo project. Low-level and intermediate-level radioactive waste are disposed of in surface facilities. (A.C.)

  8. The multidisciplinary approach to the management toxic epidermal ...

    African Journals Online (AJOL)

    Complete haematological and biochemical tests were carried out and management was symptomatic. This report shows the multidisciplinary approach to the management and highlights the role of the dental surgeon in the management. It concludes that multidisciplinary approach to healthcare provision will be of benefit to ...

  9. Performance of the modified Poisson regression approach for estimating relative risks from clustered prospective data.

    Science.gov (United States)

    Yelland, Lisa N; Salter, Amy B; Ryan, Philip

    2011-10-15

    Modified Poisson regression, which combines a log Poisson regression model with robust variance estimation, is a useful alternative to log binomial regression for estimating relative risks. Previous studies have shown both analytically and by simulation that modified Poisson regression is appropriate for independent prospective data. This method is often applied to clustered prospective data, despite a lack of evidence to support its use in this setting. The purpose of this article is to evaluate the performance of the modified Poisson regression approach for estimating relative risks from clustered prospective data, by using generalized estimating equations to account for clustering. A simulation study is conducted to compare log binomial regression and modified Poisson regression for analyzing clustered data from intervention and observational studies. Both methods generally perform well in terms of bias, type I error, and coverage. Unlike log binomial regression, modified Poisson regression is not prone to convergence problems. The methods are contrasted by using example data sets from 2 large studies. The results presented in this article support the use of modified Poisson regression as an alternative to log binomial regression for analyzing clustered prospective data when clustering is taken into account by using generalized estimating equations.

  10. Prospective memory after moderate-to-severe traumatic brain injury: a multinomial modeling approach.

    Science.gov (United States)

    Pavawalla, Shital P; Schmitter-Edgecombe, Maureen; Smith, Rebekah E

    2012-01-01

    Prospective memory (PM), which can be understood as the processes involved in realizing a delayed intention, is consistently found to be impaired after a traumatic brain injury (TBI). Although PM can be empirically dissociated from retrospective memory, it inherently involves both a prospective component (i.e., remembering that an action needs to be carried out) and retrospective components (i.e., remembering what action needs to be executed and when). This study utilized a multinomial processing tree model to disentangle the prospective (that) and retrospective recognition (when) components underlying PM after moderate-to-severe TBI. Seventeen participants with moderate to severe TBI and 17 age- and education-matched control participants completed an event-based PM task that was embedded within an ongoing computer-based color-matching task. The multinomial processing tree modeling approach revealed a significant group difference in the prospective component, indicating that the control participants allocated greater preparatory attentional resources to the PM task compared to the TBI participants. Participants in the TBI group were also found to be significantly more impaired than controls in the when aspect of the retrospective component. These findings indicated that the TBI participants had greater difficulty allocating the necessary preparatory attentional resources to the PM task and greater difficulty discriminating between PM targets and nontargets during task execution, despite demonstrating intact posttest recall and/or recognition of the PM tasks and targets.

  11. Prospective of groundwater overexploitation through participatory approaches: Saiss Plain in Morocco

    Science.gov (United States)

    Ameur, Fatah; Lejars, Caroline; Dionnet, Mathieu; Quarouch, Hassan; Kuper, Marcel

    2015-04-01

    In the Saiss plain, groundwater overexploitation is often explained by two phenomena. The first one is a natural phenomenon (droughts), which seems therefore uncontrollable; the other one is human as groundwater is largely used by the agricultural sector. The main issue of groundwater governance is to find an acceptable balance in the use of the water resource without compromising the socio-economic development generated by this resource. Our study aims to contribute to understanding the differential contribution of different categories of groundwater users and the socio-economic and agrarian dynamics impacted by the overuse of groundwater. We adopted a participatory approach to explore with the different actors involved in the management and use of groundwater to identify the different viewpoints on the issue of overexploitation and to engage prospective and collective thinking of present situation of groundwater overexploitation. We organized multi-stakeholder workshops and designed a role-playing game to identify and qualify the existing links between the water resource, and the economic and social dynamics in order to better understand the human behavior to economic and environmental crises and the adaptive strategies of farmers confronted with an increasingly scarce groundwater resource. Our results showed considerable differences in the viewpoints of different categories of farmers regarding overexploitation. Agricultural investors who arrived over the past 5 years in the area practicing arboriculture consider themselves modern farmers using precise and water-saving irrigation technologies (drip irrigation, especially) who cannot be blamed for overexploitation of groundwater resources. Lessees practicing horticulture put considerable pressure on water resources, but were not interested in debates on overexploitation and the sustainability of groundwater resources. In fact, they did not turn up for the workshops. Finally, the local small-scale farmers who have

  12. Structural transformation of the machine-building enterprises: management approaches

    OpenAIRE

    Obydiennova, T.

    2014-01-01

    The article considers the «classical» approach to the issues of enterprise management: process, system, situational, concrete, functional, resource, factorial approach. Outlines the definitions of each of the approaches to the management of the enterprise, as well as advantages and disadvantages. The author suggests the schematic image of the aspects of the system approach and its application; a scheme of contents resource and functional approaches. For research on the structural transformati...

  13. Forest Resource Management Plans: A Sustainability Approach

    Science.gov (United States)

    Pile, Lauren S.; Watts, Christine M.; Straka, Thomas J.

    2012-01-01

    Forest Resource Management Plans is the capstone course in many forestry and natural resource management curricula. The management plans are developed by senior forestry students. Early management plans courses were commonly technical exercises, often performed on contrived forest "tracts" on university-owned or other public lands, with a goal of…

  14. Approaches of Improving University Assets Management Efficiency

    Science.gov (United States)

    Wang, Jingliang

    2015-01-01

    University assets management, as an important content of modern university management, is generally confronted with the issue of low efficiency. Currently, to address the problems exposed in university assets management and take appropriate modification measures is an urgent issue in front of Chinese university assets management sectors. In this…

  15. CANDU plant life management - An integrated approach

    International Nuclear Information System (INIS)

    Charlebois, P.; Hart, R.S.; Hopkins, J.R.

    1998-01-01

    Commercial versions of CANDU reactors were put into service starting more than 25 years ago. The first unit of Ontario Hydro's Pickering A station was put into service in 1971, and Bruce A in 1977. Most CANDU reactors, however, are only now approaching their mid-life of 15 to 20 years of operation. In particular, the first series of CANDU 6 plants which entered service in the early 1980's were designed for a 30 year life and are now approaching mid life. The current CANDU 6 design is based on a 40 year life as a result of advancement in design and materials through research and development. In order to assure safe and economic operation of these reactors, a comprehensive CANDU Plant Life Management (PLIM) program is being developed from the knowledge gained during the operation of Ontario Hydro's Pickering, Bruce, and Darlington stations, worldwide information from CANDU 6 stations, CANDU research and development programs, and other national and international sources. This integration began its first phase in 1994, with the identification of most of the critical systems structures and components in these stations, and a preliminary assessment of degradation and mechanisms that could affect their fitness for service for their planned life. Most of these preliminary assessments are now complete, together with the production of the first iteration of Life Management Plans for several of the systems and components. The Generic CANDU 6 PLIM program is now reaching its maturity, with formal processes to systematically identify and evaluate the major CSSCs in the station, and a plan to ensure that the plant surveillance, operation, and maintenance programs monitor and control component degradation well within the original design specifications essential for the plant life attainment. A Technology Watch program is being established to ensure that degradation mechanisms which could impact on plant life are promptly investigated and mitigating programs established. The

  16. A prospective examination of disease management program use by complex cardiac outpatients.

    Science.gov (United States)

    Gravely, Shannon; Reid, Robert D; Oh, Paul; Ross, Heather; Stewart, Donna E; Grace, Sherry L

    2012-01-01

    The use of disease management programs (DMPs) by patients with cardiovascular disease (CVD) is associated with improved outcomes. Although rates of cardiac rehabilitation (CR) use are well established, less is known about other DMPs. The objectives of this study were to describe the degree of DMP utilization by CVD outpatients, and examine factors related to use. This study represents a secondary analysis of a larger prospective cohort study. In hospital, 2635 CVD inpatients from 11 hospitals in Ontario Canada completed a survey that assessed factors affecting DMP utilization. One year later, 1803 participants completed a mailed survey that assessed DMP utilization. One thousand seventy-three (59.5%) participants reported using at least 1 DMP. Overall, 951 (52.7%) reported participating in cardiac rehabilitation, and among participants with a comorbid indication, 212 (41.2%) reported attending a diabetes education centre, 28 (25.9%) attended stroke rehabilitation, 35 (12.9%) used a heart failure clinic, and 13 (11.7%) attended a smoking cessation program. A multinomial logistic regression analysis showed that compared with no DMP use, participants that attended 1 or multiple programs were younger, married, diagnosed with a myocardial infarction, less likely to have had a percutaneous coronary intervention and had higher perceptions of personal control over their heart condition. There were few differences between participants that used 1 vs multiple DMPs, however, having diabetes or comorbid stroke significantly increased the likelihood of multiple DMP use. Approximately 40% of CVD outpatients do not access DMPs. An integrated approach to vascular disease management appears warranted. Copyright © 2012 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  17. Prospective mixture risk assessment and management prioritizations for river catchments with diverse land uses

    Science.gov (United States)

    Brown, Colin D.; de Zwart, Dick; Diamond, Jerome; Dyer, Scott D.; Holmes, Christopher M.; Marshall, Stuart; Burton, G. Allen

    2018-01-01

    Abstract Ecological risk assessment increasingly focuses on risks from chemical mixtures and multiple stressors because ecosystems are commonly exposed to a plethora of contaminants and nonchemical stressors. To simplify the task of assessing potential mixture effects, we explored 3 land use–related chemical emission scenarios. We applied a tiered methodology to judge the implications of the emissions of chemicals from agricultural practices, domestic discharges, and urban runoff in a quantitative model. The results showed land use–dependent mixture exposures, clearly discriminating downstream effects of land uses, with unique chemical “signatures” regarding composition, concentration, and temporal patterns. Associated risks were characterized in relation to the land‐use scenarios. Comparisons to measured environmental concentrations and predicted impacts showed relatively good similarity. The results suggest that the land uses imply exceedances of regulatory protective environmental quality standards, varying over time in relation to rain events and associated flow and dilution variation. Higher‐tier analyses using ecotoxicological effect criteria confirmed that species assemblages may be affected by exposures exceeding no‐effect levels and that mixture exposure could be associated with predicted species loss under certain situations. The model outcomes can inform various types of prioritization to support risk management, including a ranking across land uses as a whole, a ranking on characteristics of exposure times and frequencies, and various rankings of the relative role of individual chemicals. Though all results are based on in silico assessments, the prospective land use–based approach applied in the present study yields useful insights for simplifying and assessing potential ecological risks of chemical mixtures and can therefore be useful for catchment‐management decisions. Environ Toxicol Chem 2018;37:715–728. © 2017 The Authors

  18. Future prospects for the management of radioactive waste in greece

    International Nuclear Information System (INIS)

    Savidou, A.

    2015-01-01

    In Greece, there isn.t yet any decision for construction of a disposal facility. Since the predisposal management of radioactive waste should be aligned with the disposal solutions, the determination of the disposal options is essential for the selection of the technology needed for treatment and conditioning of the wastes. The scope of the present study is the investigation of the disposal options for Greece. Firstly, the study deals with the preliminary inventory as well as the classification of the existing radioactive waste and the prediction of the expected waste from decommissioning of the open pool type at 5 MW Greek Research Reactor (GRR-1). The existing radioactive waste includes the institutional waste from the operation of GRR-1 and associated facilities as well as orphan sources and other radioactive items collected in the frame of emergency by the Greek Atomic Energy Commission (GAEC) and kept at the interim storage of the National Centre for Scientific Research ''Demokritos'' NCSR ''D''. Based on the present inventory of radioactive waste, the establishment of a small scale and LILW geological repository seems to be the appropriate and most acceptable by the public disposal solution. (authors)

  19. Spent fuel management in Hungary: Current status and prospects

    International Nuclear Information System (INIS)

    Ferenczi, G.

    1996-01-01

    The Paks Nuclear Power Plant Ltd. operates the only NPP of Hungary, consisting of a 4 WWER-440 type units. Since 1989, approximately 40-50 % of the total yearly electricity generation of the country has been supplied by this plant. The fresh fuel is imported from Russia (previously from the Soviet Union) and the spent fuel assemblies are shipped back to Russia for later reprocessing after 5 years of decay storage in the spent fuel pools of the plant. Seeing the political and economical changes that started in Russia, the Paks NPP's management made a decision in 1990 to study the implementation of an independent spent fuel storage facility (ISFSF) at the Paks site and in 1992 to choose the GEC-ALSTHOM's MVDS. On the basis of the Construction License issued by the HAEC, the construction of the ISFSF was started in March 1995. The paper gives general information on the spent fuel arisings, the storage at the site, the shipment to Russia and on the implementation of the ISFSF. (author). 3 refs

  20. CONFLICT MANAGEMENT. SOME PROSPECTS ON THE LABOR CONFLICTS

    Directory of Open Access Journals (Sweden)

    Iulia Bădoi

    2013-11-01

    Full Text Available Managers wish for harmony within their organizations, that the satisfied employees to work in well balanced teams in order to achieve the institutional goals without taking into account the individual and cultural differences, personal or group interests. Conflicts can be classified according to several criteria. This study aims to present the particularities of conflict resolution within labor relations. Starting from the analysis of the conflict concept viewed from several perspectives, including legal term, this paper aims to reveal the sources of labor disputes through statistical tools, to explain the development of the conflict and to propose solutions to reduce / solve conflicts. From the traditionalist perspective all conflicts are bad, being subsumed to terms of violence, anarchy, destruction, chaos, requiring major reality changes. Conflicts are seen as natural, normal, and cyclical from the human relations point of view. Moreover, inter-actionist perspective suggests encouraging for triggering conflicts because a group that is too long peaceful may become inert, listless and noncreative. This theory proposes to the leaders to maintain a level of conflict within institutions so that to be in the presence of a dynamic group, the manifestation of critical thinking, innovation and improvement of the human relationships’ quality.

  1. German Approach to Spent Fuel Management

    International Nuclear Information System (INIS)

    Jussofie, A.; Graf, R.; Filbert, W.

    2010-01-01

    The management of spent fuel was based on two powerful columns until 30 June 2005, i. e. reprocessing and direct disposal. After this date any delivery of spent fuel to reprocessing plants was prohibited so that the direct disposal of unreprocessed spent fuel is the only available option in Germany today. The main steps of the current concept are: (i) Intermediate storage of spent fuel, which is the only step in practice. After the first cooling period in spent fuel storage pools it continues into cask-receiving dry storage facilities. Identification of casks, 'freezing' of inventories in terms of continuity of knowledge, monitoring the access to spent fuel, verifying nuclear material movements in terms of cask transfers and ensurance against diversion of nuclear material belong to the fundamental safeguards goals which have been achieved in the intermediate storage facilities by containment and surveillance techniques in unattended mode. (ii) Conditioning of spent fuel assemblies by separating the fuel rods from structural elements. Since the pilot conditioning facility in Gorleben has not yet come into operation, the underlying safeguards approach which focuses on safeguarding the key measurement points - the spent fuel related way in and out of the facility - has not been applied yet. (iii) Disposal in deep geological formations, but no decision has been made so far neither regarding the location of a geological repository nor regarding the safeguards approach for the disposal concept of spent fuel. The situation was complicated by a moratorium which suspended the underground exploration of the Gorleben salt dome as potential geological repository for spent fuel. The moratorium expires in October 2010. Nevertheless, considerable progress has been made in the development of disposal concepts. According to the basic, so-called POLLUX (registered) -concept spent fuel assemblies are to be conditioned after dry storage and reloaded into the POLLUX (registered) -cask

  2. Zenker's Diverticulum: Diagnostic Approach and Surgical Management

    Directory of Open Access Journals (Sweden)

    Carlos M. Nuño-Guzmán

    2014-11-01

    Full Text Available Zenker's diverticulum (ZD, also known as cricopharyngeal, pharyngoesophageal or hypopharyngeal diverticulum, is a rare condition characterized by an acquired outpouching of the mucosal and submucosal layers originating from the pharyngoesophageal junction. This false and pulsion diverticulum occurs dorsally at the pharyngoesophageal wall between the inferior pharyngeal constrictor and the cricopharyngeus muscle. The pathophysiology of ZD involves altered compliance of the cricopharyngeus muscle and raised intrabolus pressure. Decreased compliance of the upper esophageal sphincter and failure to open completely for effective bolus clearance both lead to an increase in the hypopharyngeal pressure gradient. Different open surgical techniques and transoral endoscopic approaches have been described for the management of ZD, although there is no consensus about the best option. We report the case of a 61-year-old patient with a 7-year history of dysphagia and odynophagia for solid food, which after 2 months progressed to dysphagia for liquids and after 4 months to regurgitation 2-6 h after meals. The patient experienced a 12-kg weight loss. Diagnosis was established by esophagogram, which showed a diverticulum through the posterior pharyngeal wall, suggestive of a ZD. Esophagogastroduodenoscopy showed a pouch with erythematous mucosa. Under general anesthesia, diverticulectomy and myotomy were performed. After an uneventful recovery and adequate oral intake, the patient remains free of symptoms at 4 months of follow-up.

  3. Developing disaster management modules: a collaborative approach.

    Science.gov (United States)

    Douglas, Valerie

    Disasters, whether natural or human induced, can strike when least expected. The events of 9/11 in the US, the 7/7 bombings in the UK, and the anthrax incident in the US on 10th October 2001 indicate that there is a need to have a nursing workforce who is able to respond effectively to mass casualty events and incidents involving chemical, biological, radiological and nuclear substances. Multi-agency collaboration is one of the fundamental principles of disaster preparedness and response. It was therefore necessary to take a similar multi-agency collaborative approach to develop modules on the management of mass casualty events and incidents involving hazardous substances. The modules are offered to registered nurses and registered paramedics. They can be taken independently or as part of a BSc in nursing or health pathway, on a part-time basis. Since the commencement of the modules in September 2004, registered paramedics and registered nurses who work in a wide range of specialties have accessed them.

  4. A functional approach for managing ITER operations

    International Nuclear Information System (INIS)

    Houtte, Didier van; Sagot, François; Okayama, Katsumi; Blackler, Kenneth

    2012-01-01

    Highlights: ► A function-oriented approach for defining and organizing all the functions required to perform the mission has been developed. ► A Functional Breakdown Structure providing a complete hierarchy of functions on multiple levels is presented. ► The FBS is used for giving a good visibility of ITER project needs and requirements. ► Reliability (R) and Inherent Availability (A I ) of basic functions are calculated from data on the structures, systems and components (failure rate and time to repair) for obtaining the Availability objectives of the ITER project. - Abstract: ITER is currently the most ambitious project on nuclear fusion research. Its objective is to demonstrate the feasibility of fusion as an energy source for the future. The complexity of the systems required to meet this challenge present many opportunities for omissions or incorrect assumptions. System engineering allows the engineer to deal with such a complexity by developing a Functional Breakdown Structure (FBS). Unlike a Plant Breakdown Structure (PBS), the FBS is a function-oriented tree, not a product-oriented tree. It details operations or activities that have to be performed as needed functions of the architecture, allowing identification of any missing elements, defining the personnel skills required to operate the architecture and managing the machine availability.

  5. Structured ecosystem-scale approach to marine water quality management

    CSIR Research Space (South Africa)

    Taljaard, Susan

    2006-10-01

    Full Text Available and implement environmental management programmes. A structured ecosystem-scale approach for the design and implementation of marine water quality management programmes developed by the CSIR (South Africa) in response to recent advances in policies...

  6. Unmanned Aircraft Systems Traffic Management (UTM): Conflict Mitigation Approach

    Science.gov (United States)

    Johnson, Marcus

    2018-01-01

    This is a presentation that describes the UAS Traffic Management Approach to an alternate means of compliance with 91.113 right of way regulations. UTM is an "air traffic management" ecosystem for uncontrolled operations.

  7. Novel approach to information security management of confidential ...

    African Journals Online (AJOL)

    Novel approach to information security management of confidential and propriety information ... Journal of Fundamental and Applied Sciences ... valuable information by using steganography it can have a major impact security management.

  8. Data Prospecting Framework - a new approach to explore "big data" in Earth Science

    Science.gov (United States)

    Ramachandran, R.; Rushing, J.; Lin, A.; Kuo, K.

    2012-12-01

    Due to advances in sensors, computation and storage, cost and effort required to produce large datasets have been significantly reduced. As a result, we are seeing a proliferation of large-scale data sets being assembled in almost every science field, especially in geosciences. Opportunities to exploit the "big data" are enormous as new hypotheses can be generated by combining and analyzing large amounts of data. However, such a data-driven approach to science discovery assumes that scientists can find and isolate relevant subsets from vast amounts of available data. Current Earth Science data systems only provide data discovery through simple metadata and keyword-based searches and are not designed to support data exploration capabilities based on the actual content. Consequently, scientists often find themselves downloading large volumes of data, struggling with large amounts of storage and learning new analysis technologies that will help them separate the wheat from the chaff. New mechanisms of data exploration are needed to help scientists discover the relevant subsets We present data prospecting, a new content-based data analysis paradigm to support data-intensive science. Data prospecting allows the researchers to explore big data in determining and isolating data subsets for further analysis. This is akin to geo-prospecting in which mineral sites of interest are determined over the landscape through screening methods. The resulting "data prospects" only provide an interaction with and feel for the data through first-look analytics; the researchers would still have to download the relevant datasets and analyze them deeply using their favorite analytical tools to determine if the datasets will yield new hypotheses. Data prospecting combines two traditional categories of data analysis, data exploration and data mining within the discovery step. Data exploration utilizes manual/interactive methods for data analysis such as standard statistical analysis and

  9. Management of Technology - a political process approach

    DEFF Research Database (Denmark)

    Koch, Christian

    1999-01-01

    Most management of technology writings fail to address enterprise developments as political processes, where visions, coalitions and emergence are central features. The paper report of a participants observation study of management of technology processes.......Most management of technology writings fail to address enterprise developments as political processes, where visions, coalitions and emergence are central features. The paper report of a participants observation study of management of technology processes....

  10. Prospective study establishing a management plan for impacted third molar in patients undergoing hematopoietic stem cell transplantation

    OpenAIRE

    Yamagata, Kenji; Onizawa, Kojiro; Yanagawa, Toru; Takeuchi, Yasutoshi; Hasegawa, Yuichi; Chiba, Shigeru; Bukawa, Hiroki

    2011-01-01

    ObjectiveAlthough dental treatment before hematopoietic stem cell transplantation (HSCT) is essential to prevent serious infections from oral sources, the best management plan for impacted third molar (ITM) is unclear.Study designThis study was planned to establish a management plan for ITM. Eighty-four candidates for HSCT therapy were consecutively enrolled in the prospective trial. The management plan, which was evidence based and prospectively decided, was to extract the symptomatic ITMs a...

  11. Laparoscopic approach for inflammatory bowel disease surgical managment.

    Science.gov (United States)

    Maggiori, Léon; Panis, Yves

    2012-01-01

    For IBD surgical management, laparoscopic approach offers several theoretical advantages over the open approach. However, the frequent presence of adhesions from previous surgery and the high rate of inflammatory lesions have initially questioned its feasibility and safety. In the present review article, we will discuss the role of laparoscopic approach for IBD surgical management, along with its potential benefits as compared to the open approach.

  12. A systems engineering management approach to resource management applications

    Science.gov (United States)

    Hornstein, Rhoda Shaller

    1989-01-01

    The author presents a program management response to the following question: How can the traditional practice of systems engineering management, including requirements specification, be adapted, enhanced, or modified to build future planning and scheduling systems for effective operations? The systems engineering management process, as traditionally practiced, is examined. Extensible resource management systems are discussed. It is concluded that extensible systems are a partial solution to problems presented by requirements that are incomplete, partially immeasurable, and often dynamic. There are positive indications that resource management systems have been characterized and modeled sufficiently to allow their implementation as extensible systems.

  13. Data Management in Metagenomics: A Risk Management Approach

    Directory of Open Access Journals (Sweden)

    Filipe Ferreira

    2014-07-01

    Full Text Available In eScience, where vast data collections are processed in scientific workflows, new risks and challenges are emerging. Those challenges are changing the eScience paradigm, mainly regarding digital preservation and scientific workflows. To address specific concerns with data management in these scenarios, the concept of the Data Management Plan was established, serving as a tool for enabling digital preservation in eScience research projects. We claim risk management can be jointly used with a Data Management Plan, so new risks and challenges can be easily tackled. Therefore, we propose an analysis process for eScience projects using a Data Management Plan and ISO 31000 in order to create a Risk Management Plan that can complement the Data Management Plan. The motivation, requirements and validation of this proposal are explored in the MetaGen-FRAME project, focused in Metagenomics.

  14. APPLICATION OF PROJECT MANAGEMENT APPROACHES AT A SMALL BUSINESSES ENTERPRISES

    OpenAIRE

    Sergey V. Rajewski

    2016-01-01

    This article discusses the types of organizational structures of project management and their application in project management in small and medium-sized enterprises. Among the approaches and methods to organize projects emphasizing project management as part of the existing functional structure of the enterprise. Analyzed the most relevant organizational tools of project management in small business: a network schedule; matrix distribution of administrative and management tasks of the projec...

  15. Integration of a modeling task in water policy design - Example of a prospective scenarios approach on an agricultural catchment

    Science.gov (United States)

    Moreau, P.; Raimbault, T.; Durand, P.; Gascuel-Odoux, C.; Salmon-Monviola, J.; Masson, V.; Cordier, M. O.

    2010-05-01

    To meet the objectives of the Water Framework Directive in terms of nitrate pollution of surface water, numerous mitigation options have been proposed. To support stakeholders' decision prior to the implementation of regulations, scenario analysis by models can be used as a prospective approach. The work developed an extensive virtual experiment design from an initial basic requirement of catchment managers. Specific objectives were (1) to test the ability of a distributed model (TNT2) to simulate hydrology and hydrochemistry on a watershed with a high diversity of production systems, (2) to analyse a large set of scenarios and their effects on water quality and (3) to propose an effective mode of communication between research scientists and catchment managers. The focus of the scenario, in accord with catchment managers' requirement, is put on winter catch crop (CC). 5 conditions of implantation in rotations, 3 CC durations and 2 CC harvest modes were tested. CC is favoured by managers because of its simplicity to implement on fields and its relative low influence on farm strategy. Calibration and validation periods were run from 1998 to 2007 and scenario simulation period from 2007 to 2020. Results have been provided, for each scenario, by compartment (soil, atmosphere, plant uptake, water) but especially in the form of nitrogen mass balance at the catchment scale. The scenarios were ranked by integrating positive and negative effects of each measure. This 3-step-process: translation of a simple stakeholder question into extensive set of scenarios (complexification) - modeling process and data analysis - restitution to catchments' manager into a simple integrative form (simplification), gives an operational tool for decision support. In term of water quality, the best improvements in nitrate concentrations at the outlet reached a decrease of 0.8 mgL-1 compared to a "business as usual" scenario and were achieved by exporting the CC residue, by extending CC

  16. A new approach in Business Process Management

    OpenAIRE

    Hurbean, Luminita

    2008-01-01

    The new wave of BPM (Business Process Management) is not Business Process Reenginering, enterprise application integration, workflow management or another packaged application – it's the synthesis and extension of all these technologies and techniques into a unified whole. This unified whole becomes a new foundation upon which the enterprise is built, an enterprise more in tune with the true nature of business processes and their management. In a competitive economy, where margins continu...

  17. A computational fluid dynamics approach to wind prospecting: Lessons from the U.S. Appalachian region

    International Nuclear Information System (INIS)

    Womeldorf, Carole A.; Chimeli, Ariaster B.

    2014-01-01

    A number of technological, institutional and market developments have lowered the minimally economic viable wind speeds for wind power generation while contributing to increasing profitability of the wind power industry in recent decades. Yet, information on the potential for wind power generation is still highly uncertain in many regions of the globe, particularly those with complex terrain features. We focus on an area by the foothills of the Appalachian region. Because we do not have precise wind measurements for this area, we do not attempt to produce an actual wind map, but instead use a three-dimensional computational fluid dynamics model to demonstrate the calculation of high resolution wind speeds with complex terrain information. Using this approach, we show how finer wind speed information can impact the status of an overlooked region in terms of its wind potential and improve wind prospecting by enabling investors to focus on the most promising sub-regions of a study area. Since private sector investors might not have the incentive to invest in finer-scale wind resource assessment that can be easily observed by competitors, public sector incentives or direct investments can help to promote wind power generation in overlooked but viable regions. - Highlights: • Costly expansion of transmission stimulates wind prospecting in accessible regions. • A search model motivates the rationale for wind prospecting in a given region. • A computational fluid dynamics model simulates finer wind information. • The distribution of wind speeds is estimated using finer wind information. • An initially overlooked region might become attractive for wind prospecting

  18. Information and Knowledge Management: Dimensions and Approaches

    Science.gov (United States)

    Schlögl, Christian

    2005-01-01

    Introduction: Though literature on information and knowledge management is vast, there is much confusion concerning the meaning of these terms. Hence, this article should give some orientation and work out the main aspects of information and knowledge management. Method: An author co-citation analysis, which identified the main dimensions of…

  19. An integrated approach to plant life management

    International Nuclear Information System (INIS)

    Fredlund, L.

    1998-01-01

    Plant life is no longer determined by components, almost everything can be replaced. A plant life management program should aim at actions and replacements being performed at the right time. In order to manage this there is need for experience feedback systems, a plant specific risk study and safety upgrades. (author)

  20. Radioactive waste management approaches for developed countries

    Energy Technology Data Exchange (ETDEWEB)

    Patricia Paviet-Hartmann; Anthony Hechanova; Catherine Riddle

    2013-07-01

    Nuclear power has demonstrated over the last 30 years its capacity to produce base-load electricity at a low, predictable and stable cost due to the very low economic dependence on the price of uranium. However the management of used nuclear fuel remains the “Achilles’ Heel” of this energy source since the storage of used nuclear fuel is increasing as evidenced by the following number with 2,000 tons of UNF produced each year by the 104 US nuclear reactor units which equates to a total of 62,000 spent fuel assemblies stored in dry cask and 88,000 stored in pools. Two options adopted by several countries will be presented. The first one adopted by Europe, Japan and Russia consists of recycling the used nuclear fuel after irradiation in a nuclear reactor. Ninety six percent of uranium and plutonium contained in the spent fuel could be reused to produce electricity and are worth recycling. The separation of uranium and plutonium from the wastes is realized through the industrial PUREX process so that they can be recycled for re-use in a nuclear reactor as a mixed oxide (MOX) fuel. The second option undertaken by Finland, Sweden and the United States implies the direct disposal of used nuclear fuel into a geologic formation. One has to remind that only 30% of the worldwide used nuclear fuel are currently recycled, the larger part being stored (70% in pool) waiting for scientific or political decisions. A third option is emerging with a closed fuel cycle which will improve the global sustainability of nuclear energy. This option will not only decrease the volume amount of nuclear waste but also the long-term radiotoxicity of the final waste, as well as improving the long-term safety and the heat-loading of the final repository. At the present time, numerous countries are focusing on the R&D recycling activities of the ultimate waste composed of fission products and minor actinides (americium and curium). Several new chemical extraction processes, such as TRUSPEAK

  1. Open Source Approach to Project Management Tools

    Directory of Open Access Journals (Sweden)

    Romeo MARGEA

    2011-01-01

    Full Text Available Managing large projects involving different groups of people and complex tasks can be challenging. The solution is to use Project management software, which allows a more efficient management of projects. However, famous project management systems can be costly and may require expensive custom servers. Even if free software is not as complex as Microsoft Project, is noteworthy to think that not all projects need all the features, amenities and power of such systems. There are free and open source software alternatives that meet the needs of most projects, and that allow Web access based on different platforms and locations. A starting stage in adopting an OSS in-house is finding and identifying existing open source solution. In this paper we present an overview of Open Source Project Management Software (OSPMS based on articles, reviews, books and developers’ web sites, about those that seem to be the most popular software in this category.

  2. Prospective approaches for risk analysis in modern radiotherapy: the Italian experience and the contribution of medical physicists

    International Nuclear Information System (INIS)

    Begnozzi, L.; Cantone, M.C.; Veronese, I.; Longobardi, B.

    2014-01-01

    In the last few years there has been significant development of radiation therapy (RT) equipment with advanced imaging and delivery techniques, as well as treatment planning systems. From this perspective, proactive approaches for risk assessment were identified as a powerful tool in modern radiation oncology. A multidisciplinary working group (WG) has been established in the framework of the Italian association for medical physics (AIFM) to promote the use of prospective approaches in the radiotherapy scientific community. This paper describes the main actions carried out by the WG in order to collect information about the engagement of Italian medical physicists in the risk management process, in reporting possible incidents in RT and in the procedures of collecting and analysing near misses. In particular, the main scope of the study was to evaluate the actual level of experience in use of proactive risk analysis tools in modern RT by medical physicists. Finally, the measures implemented by the WG in order to promote the use of such approaches, and consequently to contribute to enhancing safety and radiation protection culture in radiation oncology are described. (authors)

  3. Evolution of an approach to configuration management

    International Nuclear Information System (INIS)

    Bowes, E.V.

    1988-01-01

    Virginia Power is currently in the process of developing and implementing an automated Equipment Data System/Bill of Materials (EDS/BOM) which will support many aspects of maintenance management, including planning, component tracking, materials management and historical reporting. The EDS/BOM system is being developed as an application of a comprehensive automated Work Planning and Tracking System (WPTS) which has become the main system for use in station maintenance management. In addition to these programs, the Company has also developed a Cost Planning and Tracking System (CPTS) and has invested over $20 million in an equipment mark numbering and drawing update program. As these programs have matured, the need has been recognized for a structured configuration management program to protect the multi-million dollar investment in documents and data, and to assure the existence of reliable information as a foundation for improved efficiency in maintenance management and engineering

  4. APPLICATION OF PROJECT MANAGEMENT APPROACHES AT A SMALL BUSINESSES ENTERPRISES

    Directory of Open Access Journals (Sweden)

    Sergey V. Rajewski

    2016-01-01

    Full Text Available This article discusses the types of organizational structures of project management and their application in project management in small and medium-sized enterprises. Among the approaches and methods to organize projects emphasizing project management as part of the existing functional structure of the enterprise. Analyzed the most relevant organizational tools of project management in small business: a network schedule; matrix distribution of administrative and management tasks of the project; schedule of the project plan; information and technological methods and models used in the process of project management; software applications for project management, used in the sphere of small business.

  5. Do diabetes-specialty clinics differ in management approach and ...

    African Journals Online (AJOL)

    Objectives: To evaluate management approach and outcome in two endocrinologist-managed clinics using data on treatment adherence, diabetes specific parameters, prescribed medications and self-management practices among ambulatory type 2 diabetes patients. Opinion on cause(s) and perceived fear about ...

  6. Silvicultural approaches to animal damage management in Pacific Northwest forests.

    Science.gov (United States)

    Hugh C. Black

    1992-01-01

    This book examines the potential of Silvicultural approaches for managing animal damage in forests at two levels: management of free-to-grow stands and sitespecific practices that foster prompt and successful regeneration. Introductory chapters provide a historical perspective of animal damage management in the Pacific Northwest, describe the elements of an integrated...

  7. Medication therapy disease management: Geisinger's approach to population health management.

    Science.gov (United States)

    Jones, Laney K; Greskovic, Gerard; Grassi, Dante M; Graham, Jove; Sun, Haiyan; Gionfriddo, Michael R; Murray, Michael F; Manickam, Kandamurugu; Nathanson, Douglas C; Wright, Eric A; Evans, Michael A

    2017-09-15

    Pharmacists' involvement in a population health initiative focused on chronic disease management is described. Geisinger Health System has cultivated a culture of innovation in population health management, as highlighted by its ambulatory care pharmacy program, the Medication Therapy Disease Management (MTDM) program. Initiated in 1996, the MTDM program leverages pharmacists' pharmacotherapy expertise to optimize care and improve outcomes. MTDM program pharmacists are trained and credentialed to manage over 16 conditions, including atrial fibrillation (AF) and multiple sclerosis (MS). Over a 15-year period, Geisinger Health Plan (GHP)-insured patients with AF whose warfarin therapy was managed by the MTDM program had, on average, 18% fewer emergency department (ED) visits and 18% fewer hospitalizations per year than GHP enrollees with AF who did not receive MTDM services, with 23% lower annual total care costs. Over a 2-year period, GHP-insured patients with MS whose pharmacotherapy was managed by pharmacists averaged 28% fewer annual ED visits than non-pharmacist-managed patients; however, the mean annual total care cost was 21% higher among MTDM clinic patients. The Geisinger MTDM program has evolved over 20 years from a single pharmacist-run anticoagulation clinic into a large program focused on managing the health of an ever-growing population. Initial challenges in integrating pharmacists into the Geisinger patient care framework as clinical experts were overcome by demonstrating the MTDM program's positive impact on patient outcomes. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  8. Integrated, regional approach to risk management of industrial systems

    International Nuclear Information System (INIS)

    Chakraborty, S.

    1992-01-01

    This paper focuses on the following four main issues: (1) necessity for an integrated, regional approach to risk management of industrial systems; (2) principles of risk management; (3) integrated approach and overall methodology; and (4) implementation of risk management strategies on a regional basis. The U.N. Interagency project on risk management for large industrial areas, which is a pioneer type of international initiative for an integrated approach to risk management, is discussed in this context. Another encouraging activity for further development of overall methodologies for risk management is the ongoing project on the risk and safety of technical systems at the Swiss Federal Institute of Technology in Aurich. The concept of integral risk management takes into account multidimensional factors including technical, economic, political, social, and ethical considerations to allow a well-balanced decision-making process

  9. Financial Service of Wealth Management Banking: Balanced Scorecard Approach

    OpenAIRE

    Cheng-Ru Wu; Chin-Tsai Lin; Pei-Hsuan Tsai

    2008-01-01

    Problem Statement: There are four main banking business sectors in Taiwan, involving the areas of consumer, corporate, wealth management, and investment banking. The wealth management banking sector is actively promoted for reaping a risk-free premium. In the proposed model, the dimensions of financial services for wealth management banks have been taken from four perspectives derived from balanced scorecard approach, viz. finance, customer, internal business, learning and growth. Approach: T...

  10. Social management in traditional, industrial and post-industrial society: the prospects for management systems development

    Directory of Open Access Journals (Sweden)

    V S Mukhametzhanova

    2010-09-01

    Full Text Available The article is devoted to social management development at different stages of society's evolution - traditional, industrial and post-industrial. The historical types of social management are highlighted.

  11. A Communications Approach to Teaching Project Management

    DEFF Research Database (Denmark)

    Kampf, Constance Elizabeth

    2012-01-01

    in the Bachelor of Marketing and Management Communication at Aarhus University is examined and analyzed. The presence of the three Design Science Research Cycles combined with both process and product, highlights the critical role of communication in both understanding Project Management and applying Design...... to both frame the learners’ audience for Project Management Writing assignments, and to provide a concrete organizational context to aid in communication practices such as stakeholder analysis, and the development of a critical internal monitor for quality in the learner’s mind. The relevance of Design...

  12. METHODICAL APPROACHES TO THE COST MANAGEMENT OF INDUSTRIAL ENTERPRISES

    Directory of Open Access Journals (Sweden)

    Trunina Iryna

    2018-03-01

    Full Text Available Introduction. The paper deals with the actual issues of managing the costs of industrial enterprises, because in the conditions of an unstable market environment the financial performance depends on the efficiency of the cost management system, competitiveness, financial sustainability and investment attractiveness of any subject of economic activity. Purpose of the article is analys is of approaches to cost management, theoretical substantiation and development of recommendations regarding the formation of strategic cost management. Results. The economic content of cost management in the treatment of different authors and on different approaches: functional, process-oriented and system approaches has been considered. Their essence and features, the direction for operational or strategic management of expenses of the enterprise, ways of spending management in different approaches are determined. It is stated that all considered approaches to cost management of enterprises are aimed at optimal use of resources and ensuring the growth of the efficiency of enterprises. Conclusions. Based on the review of methodological approaches to cost management, recommendations are developed for expanding the implementation of cost management at various levels of enterprise management and the formation of strategic cost management within the framework of strategic management of an enterprise. The strategic cost management is complex category aimed at achieving a rational level of costs in the long run, which allows for the consideration of competitive cost advantages and increase the competitiveness of an industrial enterprise. The implementation of cost reduction strategies should be a constant and important part of the company’s work, while the strategy of cost reduction should be integrated into the overall business strategy of the enterprise.

  13. Epistaxis in children: approach and management

    African Journals Online (AJOL)

    Chantel

    of epistaxis by the age of 5 years. In the age group 6 -. 10 years the incidence increases to. 56%. Although .... Digital (nose picking). Foreign body/ rhinolith .... Ointment. Advice. Refer to haematologist. Manage accordingly/. Refer to ENT surgeon.

  14. Secure information management using linguistic threshold approach

    CERN Document Server

    Ogiela, Marek R

    2013-01-01

    This book details linguistic threshold schemes for information sharing. It examines the opportunities of using these techniques to create new models of managing strategic information shared within a commercial organisation or a state institution.

  15. Managing Cybersecurity Research and Experimental Development: The REVO Approach

    OpenAIRE

    Dan Craigen; Drew Vandeth; D’Arcy Walsh

    2013-01-01

    We present a systematic approach for managing a research and experimental development cybersecurity program that must be responsive to continuously evolving cybersecurity, and other, operational concerns. The approach will be of interest to research-program managers, academe, corporate leads, government leads, chief information officers, chief technology officers, and social and technology policy analysts. The approach is compatible with international standards and procedures published by the...

  16. Organizational design approaches in management consulting

    NARCIS (Netherlands)

    Visscher, Klaasjan; Visscher-Voerman, Irene

    2010-01-01

    Purpose: The purpose of this paper is to map the variety in organizational design approaches, to clarify their differences, and to find out what constitutes good designing in practice. - Design/methodology/approach: A series of in-depth interviews with experienced, high-reputation consultants is

  17. New Approaches of Supplier Relationship Management

    OpenAIRE

    Cârstea Gheorghe; Pãun Oana; Pãun Sorin

    2014-01-01

    In a strong competitive environment, based on an increased degree of risk and uncertainty, supplier relationship management is considered to be a strategic value-adding process, able to contribute to the success of the organization. Supplier relationship management must also the development of a collaborative environment, based on trust between partners, so that both parties can achieve mutually beneficial objectives through joint effort and time investment.

  18. Nursing approaches in the postoperative pain management

    OpenAIRE

    Sevilay Yüceer

    2011-01-01

    Patients frequently experience moderate to severe pain inthe postoperative period. Although the pain managementis an integral and important part of the nursing care, studiessuggest that, nursing management of postoperativepain remains inadequate.Postoperative care nurses are responsible to assess thepatient’s pain, teach the patient strategies to deal with thepain, apply the analgesic treatment plan, monitor the resultsof treatment, educate the patient and the family onpain management and doc...

  19. Space Station overall management approach for operations

    Science.gov (United States)

    Paules, G.

    1986-01-01

    An Operations Management Concept developed by NASA for its Space Station Program is discussed. The operational goals, themes, and design principles established during program development are summarized. The major operations functions are described, including: space systems operations, user support operations, prelaunch/postlanding operations, logistics support operations, market research, and cost/financial management. Strategic, tactical, and execution levels of operational decision-making are defined.

  20. Radioactive waste management centers: an approach

    International Nuclear Information System (INIS)

    Lotts, A.L.

    1980-01-01

    Radioactive waste management centers would satisfy the need for a cost-effective, sound management system for nuclear wastes by the industry and would provide a well integrated solution which could be understood by the public. The future demands for nuclear waste processing and disposal by industry and institutions outside the United States Government are such that a number of such facilities are required between now and the year 2000. Waste management centers can be organized around two general needs in the commercial sector: (1) the need for management of low-level waste generated by nuclear power plants, the once-through nuclear fuel cycle production facilities, from hospitals, and other institutions; and (2) more comprehensive centers handling all categories of nuclear wastes that would be generated by a nuclear fuel recycle industry. The basic technology for radioactive waste management will be available by the time such facilities can be deployed. This paper discusses the technical, economic, and social aspects of organizing radioactive waste managment centers and presents a strategy for stimulating their development

  1. Energy management - The delayed flap approach

    Science.gov (United States)

    Bull, J. S.

    1976-01-01

    Flight test evaluation of a Delayed Flap approach procedure intended to provide reductions in noise and fuel consumption is underway using the NASA CV-990 test aircraft. Approach is initiated at a high airspeed (240 kt) and in a drag configuration that allows for low thrust. The aircraft is flown along the conventional ILS glide slope. A Fast/Slow message display signals the pilot when to extend approach flaps, landing gear, and land flaps. Implementation of the procedure in commercial service may require the addition of a DME navigation aid co-located with the ILS glide slope transmitter. The Delayed Flap approach saves 250 lb of fuel over the Reduced Flap approach, with a 95 EPNdB noise contour only 43% as large.

  2. Vendor Managed Inventory: A new approach to supply chain management

    OpenAIRE

    Gandhi, Ujval

    2003-01-01

    The Global Supply Chain Forum (Stanford Global Supply Chain Forum Web Resource, http://www.stanford.edu/groups/scforum) defines supply chain management (SCM) as “Supply chain management is the integration of key business processes from end user through original suppliers that provides products, services and information that add value for customer and other stakeholders.” The rapid development of the Internet has dramatically changed the traditional definitions of manufacturer, suppliers and c...

  3. Methodical approach to financial stimulation of logistics managers

    OpenAIRE

    Melnykova Kateryna V.

    2014-01-01

    The article offers a methodical approach to financial stimulation of logistics managers, which allows calculation of the incentive amount with consideration of profit obtained from introduction of optimisation logistics solutions. The author generalises measures, which would allow increase of stimulation of labour of logistics managers by the enterprise top managers. The article marks out motivation factors, which exert influence upon relation of logistics managers to execution of optimisatio...

  4. An approach to systematic structural lifetime management

    International Nuclear Information System (INIS)

    Talja, H.; Solin, J.; Rintamaa, R.

    2000-01-01

    Many utilities are currently developing preventive maintenance and plant life management systems for their own use. Consideration of plant specific design and integrity problems support use of tailored programs and/or data bases for plant life management. The final applications will be developed on plant type, utility, plant or system level. However, common features can be included in the systems. The project Plant life management XVO conducted at VTT deals - as a whole - with systematic component lifetime management, operational loads in normal steady state operation and in transients, especially piping vibrations and integrity, NDE, materials ageing, interactions of coolant and materials, environmentally assisted cracking and ageing of reactor internals. One of the major challenges in the project is to define, how these multidisciplinary results should be integrated such that quantitative assessments on remaining safe life and failure risks are possible. In this paper a brief overview on the project is given. The work performed on piping vibration and integrity management is presented in more detail. (author)

  5. THE DEVELOPMENT OF THE PROCESS-BASED APPROACH TO MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Urij V. Lyandau

    2013-01-01

    Full Text Available This article considers the timeline of the approaches to management of the industrial processes and organizations in general.The Adam Smith’s idea of specialization, the Henry Ford’s conveyor and Frederick Taylor’s scientific approach created functional corporations, in which specialized departments consisted of specialized workers. Such organizational chart was optimized for every department’s tasks, which are necessary to perform.During the life cycle evolution of industrial and then informational ages external conditions of production has changed. In consequence, there was born the necessity to change key factors of the management paradigm. These changes are the transfer from the functional management to the process-based approach. The functional management was the basic type of management in many organizations during the 20th century. Only in the end of 1990 companies started to integrate the process-based approach. This conversion was born cause of special conditions that the informational age created.

  6. Project management as a tool to implement the strategy, the realities and prospects of oil and gas enterprises in the Republic of Kazakhstan

    Directory of Open Access Journals (Sweden)

    Karim Medet Sapiuly

    2017-01-01

    Full Text Available Project leadership is an important part of organizations’ activities. Project management makes it possible to solve some business tasks more effectively than the means of traditional and operational management. Projects hold a key role in the implementation of the organization’s strategy. Using the project leadership approach yielded uniting the functional units of the organization in a whole single team to achieve the goals and indicators of the strategy. Employing of project management in commercial and government organizations gets common in the CIS countries, including Republic of Kazakhstan. It is revealed that the implementation of a strategic management system will make it possible to minimize the consequences of the economic crisis for the oil and gas producing companies of Kazakhstan. A specific feature of Kazakhstan’s oil and gas industry lays in management system based on a functional approach, insufficient level of strategic management system and project management implementation. It is established that there are significant prospects for the development of project management in the oil and gas industry of Kazakhstan. Adoption and optimization of project leadership at the enterprises of the oil and gas industry in Kazakhstan will lead to the appropriate implementation of a strategic management system. In this regard, following measures are suggested to implement by enterprises: development of unified industry standards for project leadership; design of a training system for managers and employees; implementation of the process approach in the company’s management system; design and implementation of a Project Management Office (PMO in the company; development of a fair and progressive employees incentive program based on key performance indicators (KPI; implementation of specialized software for project management. The fulfillment of the above suggestions will significantly improve efficiency of the project management system

  7. Managing corporate capabilities:theory and industry approaches.

    Energy Technology Data Exchange (ETDEWEB)

    Slavin, Adam M.

    2007-02-01

    This study characterizes theoretical and industry approaches to organizational capabilities management and ascertains whether there is a distinct ''best practice'' in this regard. We consider both physical capabilities, such as technical disciplines and infrastructure, and non-physical capabilities such as corporate culture and organizational procedures. We examine Resource-Based Theory (RBT), which is the predominant organizational management theory focused on capabilities. RBT seeks to explain the effect of capabilities on competitiveness, and thus provide a basis for investment/divestment decisions. We then analyze industry approaches described to us in interviews with representatives from Goodyear, 3M, Intel, Ford, NASA, Lockheed Martin, and Boeing. We found diversity amongst the industry capability management approaches. Although all organizations manage capabilities and consider them to some degree in their strategies, no two approaches that we observed were identical. Furthermore, we observed that theory is not a strong driver in this regard. No organization used the term ''Resource-Based Theory'', nor did any organization mention any other guiding theory or practice from the organizational management literature when explaining their capabilities management approaches. As such, we concluded that there is no single best practice for capabilities management. Nevertheless, we believe that RBT and the diverse industry experiences described herein can provide useful insights to support development of capabilities management approaches.

  8. Management of GHG, a successful business approach

    International Nuclear Information System (INIS)

    Gagnier, D.

    2003-01-01

    This PowerPoint presentation provided a brief overview of Alcan, an aluminium producer with operations in Quebec and in several other markets and countries. Alcan's strategy regarding climate change involves both short term and long term objectives and a public commitment to reducing the emissions of greenhouse gases (GHG). Alcan has implemented a company-wide GHG management program called TARGET, which involves measuring, monitoring and better management of emissions inventory. The TARGET program includes: measurement of data, quality assurance and reports; communications and public relations; improved processes; risk management systems; development of emissions trading systems; and support of functional groups. Alcan has also implemented voluntary GHG emissions reductions measures, encourages broad participation of GHG emissions reduction initiatives, and promotes economic growth and long term durability. figs

  9. Electronic waste management approaches: An overview

    Energy Technology Data Exchange (ETDEWEB)

    Kiddee, Peeranart [Centre for Environmental Risk Assessment and Remediation, University of South Australia, Mawson Lakes Campus, Adelaide, SA 5095 (Australia); Cooperative Research Centre for Contamination Assessment and Remediation of the Environment, Mawson Lakes Campus, Adelaide, SA 5095 (Australia); Naidu, Ravi, E-mail: ravi.naidu@crccare.com [Centre for Environmental Risk Assessment and Remediation, University of South Australia, Mawson Lakes Campus, Adelaide, SA 5095 (Australia); Cooperative Research Centre for Contamination Assessment and Remediation of the Environment, Mawson Lakes Campus, Adelaide, SA 5095 (Australia); Wong, Ming H. [Croucher Institute for Environmental Sciences, Department of Biology, Hong Kong Baptist University, Kowloon Tong (China)

    2013-05-15

    Highlights: ► Human toxicity of hazardous substances in e-waste. ► Environmental impacts of e-waste from disposal processes. ► Life Cycle Assessment (LCA), Material Flow Analysis (MFA), Multi Criteria Analysis (MCA) and Extended Producer Responsibility (EPR) to and solve e-waste problems. ► Key issues relating to tools managing e-waste for sustainable e-waste management. - Abstract: Electronic waste (e-waste) is one of the fastest-growing pollution problems worldwide given the presence if a variety of toxic substances which can contaminate the environment and threaten human health, if disposal protocols are not meticulously managed. This paper presents an overview of toxic substances present in e-waste, their potential environmental and human health impacts together with management strategies currently being used in certain countries. Several tools including Life Cycle Assessment (LCA), Material Flow Analysis (MFA), Multi Criteria Analysis (MCA) and Extended Producer Responsibility (EPR) have been developed to manage e-wastes especially in developed countries. The key to success in terms of e-waste management is to develop eco-design devices, properly collect e-waste, recover and recycle material by safe methods, dispose of e-waste by suitable techniques, forbid the transfer of used electronic devices to developing countries, and raise awareness of the impact of e-waste. No single tool is adequate but together they can complement each other to solve this issue. A national scheme such as EPR is a good policy in solving the growing e-waste problems.

  10. Electronic waste management approaches: An overview

    International Nuclear Information System (INIS)

    Kiddee, Peeranart; Naidu, Ravi; Wong, Ming H.

    2013-01-01

    Highlights: ► Human toxicity of hazardous substances in e-waste. ► Environmental impacts of e-waste from disposal processes. ► Life Cycle Assessment (LCA), Material Flow Analysis (MFA), Multi Criteria Analysis (MCA) and Extended Producer Responsibility (EPR) to and solve e-waste problems. ► Key issues relating to tools managing e-waste for sustainable e-waste management. - Abstract: Electronic waste (e-waste) is one of the fastest-growing pollution problems worldwide given the presence if a variety of toxic substances which can contaminate the environment and threaten human health, if disposal protocols are not meticulously managed. This paper presents an overview of toxic substances present in e-waste, their potential environmental and human health impacts together with management strategies currently being used in certain countries. Several tools including Life Cycle Assessment (LCA), Material Flow Analysis (MFA), Multi Criteria Analysis (MCA) and Extended Producer Responsibility (EPR) have been developed to manage e-wastes especially in developed countries. The key to success in terms of e-waste management is to develop eco-design devices, properly collect e-waste, recover and recycle material by safe methods, dispose of e-waste by suitable techniques, forbid the transfer of used electronic devices to developing countries, and raise awareness of the impact of e-waste. No single tool is adequate but together they can complement each other to solve this issue. A national scheme such as EPR is a good policy in solving the growing e-waste problems

  11. Distributed Database Management Systems A Practical Approach

    CERN Document Server

    Rahimi, Saeed K

    2010-01-01

    This book addresses issues related to managing data across a distributed database system. It is unique because it covers traditional database theory and current research, explaining the difficulties in providing a unified user interface and global data dictionary. The book gives implementers guidance on hiding discrepancies across systems and creating the illusion of a single repository for users. It also includes three sample frameworksâ€"implemented using J2SE with JMS, J2EE, and Microsoft .Netâ€"that readers can use to learn how to implement a distributed database management system. IT and

  12. Setting conservation management thresholds using a novel participatory modeling approach.

    Science.gov (United States)

    Addison, P F E; de Bie, K; Rumpff, L

    2015-10-01

    We devised a participatory modeling approach for setting management thresholds that show when management intervention is required to address undesirable ecosystem changes. This approach was designed to be used when management thresholds: must be set for environmental indicators in the face of multiple competing objectives; need to incorporate scientific understanding and value judgments; and will be set by participants with limited modeling experience. We applied our approach to a case study where management thresholds were set for a mat-forming brown alga, Hormosira banksii, in a protected area management context. Participants, including management staff and scientists, were involved in a workshop to test the approach, and set management thresholds to address the threat of trampling by visitors to an intertidal rocky reef. The approach involved trading off the environmental objective, to maintain the condition of intertidal reef communities, with social and economic objectives to ensure management intervention was cost-effective. Ecological scenarios, developed using scenario planning, were a key feature that provided the foundation for where to set management thresholds. The scenarios developed represented declines in percent cover of H. banksii that may occur under increased threatening processes. Participants defined 4 discrete management alternatives to address the threat of trampling and estimated the effect of these alternatives on the objectives under each ecological scenario. A weighted additive model was used to aggregate participants' consequence estimates. Model outputs (decision scores) clearly expressed uncertainty, which can be considered by decision makers and used to inform where to set management thresholds. This approach encourages a proactive form of conservation, where management thresholds and associated actions are defined a priori for ecological indicators, rather than reacting to unexpected ecosystem changes in the future. © 2015 The

  13. Autogenic Training as a behavioural approach to insomnia: a prospective cohort study.

    Science.gov (United States)

    Bowden, Ann; Lorenc, Ava; Robinson, Nicola

    2012-04-01

    Insomnia is commonly associated with chronic health problems. Behavioural and cognitive factors often perpetuate a vicious cycle of anxiety and sleep disturbance, leading to long-term insomnia. National Institute for Health and Clinical Excellence currently recommends behavioural approaches before prescribing hypnotics. Behavioural approaches aim to treat underlying causes, but are not widely available. Research usually includes patients diagnosed with insomnia rather than secondary, co-morbid sleep- related problems. To examine the effectiveness of autogenic training (AT) as a non-drug approach to sleep-related problems associated with chronic ill health. Prospective pre- and post-treatment cohort study. AT centre, Royal London Hospital for Integrated Medicine, University College London Hospitals NHS Foundation Trust. All patients referred for AT from April 2007 to April 2008 were invited to participate. Participants received standard 8-week training, with no specific focus on sleep. Sleep questionnaires were administered at four time points, 'Measure Your Medical Outcome Profile' (MYMOP) and Hospital Anxiety and Depression Scale, before and after treatment. Results before and after treatment were compared. Camden and Islington Community Local Research and Ethics Committee approved the study. The AT course was completed by 153 participants, of whom 73% were identified as having a sleep-related problem. Improvements in sleep patterns included: sleep onset latency (P = 0.049), falling asleep quicker after night waking (P training. AT may provide an approach to insomnia that could be incorporated into primary care.

  14. DISASTER MANAGEMENT CYCLE – A THEORETICAL APPROACH

    Directory of Open Access Journals (Sweden)

    Himayatullah KHAN

    2008-01-01

    Full Text Available The present study explains the various concepts used in disastermanagement. The concepts explained include: Disaster, Hazard,Vulnerability, Capacity, Risk and Disaster Management Cycle. In addition tothe terminologies, the study also seeks to explain various types of disasters.

  15. Recognizing and Managing Multiple Organizational Approaches.

    Science.gov (United States)

    Giesecke, Joan

    1994-01-01

    Discusses a framework for identifying organizational processes or models within the context of the organization's decision-making processes. Five organizational models appropriate to academic libraries are presented: rational, political bargaining, garbage can, bureaucratic, and participatory. Guidelines for managers include how to distinguish…

  16. A Biobehavioral Approach to Managing Childhood Asthma.

    Science.gov (United States)

    Kohen, Daniel P.

    1987-01-01

    Describes childhood asthma and a program which teaches relaxation and mental imagery (RMI) exercises to children and adolescents as an adjunct in the management of asthma. Clinical experience indicates children who learn RMI rate their asthma as significantly reduced in severity, miss fewer days of school, and make fewer visits to emergency rooms.…

  17. Electronic waste management approaches: an overview.

    Science.gov (United States)

    Kiddee, Peeranart; Naidu, Ravi; Wong, Ming H

    2013-05-01

    Electronic waste (e-waste) is one of the fastest-growing pollution problems worldwide given the presence if a variety of toxic substances which can contaminate the environment and threaten human health, if disposal protocols are not meticulously managed. This paper presents an overview of toxic substances present in e-waste, their potential environmental and human health impacts together with management strategies currently being used in certain countries. Several tools including life cycle assessment (LCA), material flow analysis (MFA), multi criteria analysis (MCA) and extended producer responsibility (EPR) have been developed to manage e-wastes especially in developed countries. The key to success in terms of e-waste management is to develop eco-design devices, properly collect e-waste, recover and recycle material by safe methods, dispose of e-waste by suitable techniques, forbid the transfer of used electronic devices to developing countries, and raise awareness of the impact of e-waste. No single tool is adequate but together they can complement each other to solve this issue. A national scheme such as EPR is a good policy in solving the growing e-waste problems. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

  18. A legal approach to radioactive waste management

    International Nuclear Information System (INIS)

    Derche, B.; Rocamora, P.; Salelles, A.

    1983-01-01

    The authors of this paper review the major legal problems raised by radioactive waste management. They stress the complexity of such problems by posing three main queries: surveillance or no surveillance; liability or no liability and finally internationalisation or national jurisdiction. This analysis seeks to provide food for thought on each point rather than a solution to the questions reviewed. (NEA) [fr

  19. Sustainable Approaches for Materials Management in Remote ...

    Science.gov (United States)

    Remote, economically challenged areas in the Commonwealth of the Northern Marianas Islands (CNMI) and American Samoa in the US Pacific island territories face unique challenges with respect to solid waste management. These islands are remote and isolated, with some islands supporting only small populations, thus limiting options for pooling resources among communities in the form of regional waste management facilities, as is common on the US mainland. This isolation also results in greater costs for waste management compared to those encountered in the mainland US, a consequence of, among other factors, more expensive construction and maintenance costs because of the necessary transport of facility components (e.g., landfill liner materials) and the decreased attractiveness of waste recovery for recycling because of lower commodity prices after off-island transportation. Adding to these economic limitations, the gross domestic product and per capita income of the Pacific territories is less than half what it is in parts of the US. The first section of this report outlines a snapshot of the current state of solid waste management overall in the US Pacific island territories, primarily based on site visits.. Steps involved in this work included a review of selected existing published information related to the subject; site visits to Guam, Saipan, Tinian, Rota, Tutuila, and Apia; an assessment of the technical and economic feasibility of different solid waste

  20. An Innovative Approach to Discipline and Management.

    Science.gov (United States)

    Yenchko, Anne; DeBeal, Marshall Kirk

    The Effective Classroom Management and Discipline Strategies Graduate Program for Educators is organized around a series of core modules designed for use in inservice teacher education. The basic skills learned in these series of modules are communication (feedback, nonverbal, listening, self disclosure, problem solving, and conflict resolution),…

  1. System approach for the management of radioactive waste

    International Nuclear Information System (INIS)

    Fearnley, I.G.

    1997-01-01

    An integrated approach to Waste Management and Decommissioning, which takes account of the lifetime implications (safety, dose uptake, discharges and cost) is an important strategic process in forward planning. This type of approach is particularly relevant when making decisions concerning waste minimisation and segregation, packaging and surface storage of high and intermediate level waste in advance of the existence of disposal facilities. Such a systematic approach forms an integral part of a process which enable progress to be assessed and plans to be updated in response to changing demands upon business operations and can continually be applied to waste management policy and to optimise the detailed waste management plans. (author)

  2. A system approach for the management of radioactive waste

    Energy Technology Data Exchange (ETDEWEB)

    Fearnley, I.G. [British Nuclear Fuels plc, Warrington, Cheshire (United Kingdom)

    1995-12-31

    An integrated approach to Waste Management and Decommissioning, which takes account of the lifetime implications (safety, dose uptake, discharges and cost) is an important strategic process in forward planning. This type of approach is particularly relevant when making decisions concerning waste minimization and segregation, packaging and surface storage of high and intermediate level waste in advance of the existence of disposal facilities. Such a systematic approach forms an integral part of a process which enables progress to be assessed and plans to be updated in response to changing demands upon business operations and can continually be applied to waste management policy and to optimise the detailed waste management plans. (author)

  3. A system approach for the management of radioactive waste

    International Nuclear Information System (INIS)

    Fearnley, I.G.

    1995-01-01

    An integrated approach to Waste Management and Decommissioning, which takes account of the lifetime implications (safety, dose uptake, discharges and cost) is an important strategic process in forward planning. This type of approach is particularly relevant when making decisions concerning waste minimization and segregation, packaging and surface storage of high and intermediate level waste in advance of the existence of disposal facilities. Such a systematic approach forms an integral part of a process which enables progress to be assessed and plans to be updated in response to changing demands upon business operations and can continually be applied to waste management policy and to optimise the detailed waste management plans. (author)

  4. A Prospective Randomized Peri- and Post-Operative Comparison of the Minimally Invasive Anterolateral Approach Versus the Lateral Approach

    Science.gov (United States)

    Landgraeber, Stefan; Quitmann, Henning; Güth, Sebastian; Haversath, Marcel; Kowalczyk, Wojciech; Kecskeméthy, Andrés; Heep, Hansjörg; Jäger, Marcus

    2013-01-01

    There is still controversy as to whether minimally invasive total hip arthroplasty enhances the postoperative outcome. The aim of this study was to compare the outcome of patients who underwent total hip replacement through an anterolateral minimally invasive (MIS) or a conventional lateral approach (CON). We performed a randomized, prospective study of 75 patients with primary hip arthritis, who underwent hip replacement through the MIS (n=36) or CON (n=39) approach. The Western Ontario and McMaster Universities Osteoarthritis Index and Harris Hip score (HHS) were evaluated at frequent intervals during the early postoperative follow-up period and then after 3.5 years. Pain sensations were recorded. Serological and radiological analyses were performed. In the MIS group the patients had smaller skin incisions and there was a significantly lower rate of patients with a positive Trendelenburg sign after six weeks postoperatively. After six weeks the HHS was 6.85 points higher in the MIS group (P=0.045). But calculating the mean difference between the baseline and the six weeks HHS we evaluated no significant differences. Blood loss was greater and the duration of surgery was longer in the MIS group. The other parameters, especially after the twelfth week, did not differ significantly. Radiographs showed the inclination of the acetabular component to be significantly higher in the MIS group, but on average it was within the same permitted tolerance range as in the CON group. Both approaches are adequate for hip replacement. Given the data, there appears to be no significant long term advantage to the MIS approach, as described in this study. PMID:24191179

  5. A prospective randomized peri- and post-operative comparison of the minimally invasive anterolateral approach versus the lateral approach

    Directory of Open Access Journals (Sweden)

    Stefan Landgraeber

    2013-07-01

    Full Text Available There is still controversy as to whether minimally invasive total hip arthroplasty enhances the postoperative outcome. The aim of this study was to compare the outcome of patients who underwent total hip replacement through an anterolateral minimally invasive (MIS or a conventional lateral approach (CON. We performed a randomized, prospective study of 75 patients with primary hip arthritis, who underwent hip replacement through the MIS (n=36 or CON (n=39 approach. The Western Ontario\tand\tMcMaster\tUniversities Osteoarthritis Index and Harris Hip score (HHS were evaluated at frequent intervals during the early postoperative follow-up period and then after 3.5 years. Pain sensations were recorded. Serological and radiological analyses were performed. In the MIS group the patients had smaller skin incisions and there was a significantly lower rate of patients with a positive Trendelenburg sign after six weeks postoperatively. After six weeks the HHS was 6.85 points higher in the MIS group (P=0.045. But calculating the mean difference between the baseline and the six weeks HHS we evaluated no significant differences. Blood loss was greater and the duration of surgery was longer in the MIS group. The other parameters, especially after the twelfth week, did not differ significantly. Radiographs showed the inclination of the acetabular component to be significantly higher in the MIS group, but on average it was within the same permitted tolerance range as in the CON group. Both approaches are adequate for hip replacement. Given the data, there appears to be no significant long term advantage to the MIS approach, as described in this study.

  6. Risk Management Standards: Towards a contemporary, organisation-wide management approach

    OpenAIRE

    Koutsoukis, Nikitas-Spiros

    2010-01-01

    Risk management has been progressively evolving into a systemic approach for organisational decision making in today’s dynamic economic environment of the global era. In this context, risk management is reaching beyond its traditional finance and insurance application context and is entering the sphere of generic, organisation-wide management approaches. In support of this argument we consider four generic risk management standards issued at the institutional, national or international level...

  7. A Systematic Knowledge Management Approach Using Object-Oriented Theory in Customer Complaint Management

    Directory of Open Access Journals (Sweden)

    Wusheng Zhang

    2010-12-01

    Full Text Available Research into the effectiveness of customer complaint management has attracted researchers, yet there has been little discussion on customer complaint management in the context of systematic knowledge management approach particularly in the domain of hotel industry. This paper aims to address such gap through the application of object-oriented theory for which the notation of unified modelling language has been adopted for the representation of the concepts, objects, relationships and vocabularies in the domain. The paper used data from forty seven hotel management staff and academics in hospitalitymanagement to investigate lessons learned and best practices in customer complaint management and knowledge management. By providing insights into the potential of a knowledge management approach using object oriented theory, this study advances our understanding on how a knowledge management approach can systematically support the management of hotel customer complaints.

  8. Chronic dry cough: Diagnostic and management approaches

    Directory of Open Access Journals (Sweden)

    Ashok Mahashur

    2015-01-01

    Full Text Available Cough is the most common symptom for which medical treatment is sought in the outpatient setting. Chronic dry cough poses a great diagnostic and management challenge due to myriad etiologies. Chronic cough has been commonly considered to be caused by gastroesophageal reflux, post-nasal drip or asthma. However, recent evidences suggest that many patients with these conditions do not have cough, and in those with cough, the response to specific treatments is unpredictable at best. This raises questions about the concept of a triad of treatable causes for chronic cough. This article discusses the mechanism and etiology of cough, along with recent advances in the field of cough, highlighting some of the diagnostic and management challenges.

  9. Lean management beyond manufacturing a holistic approach

    CERN Document Server

    Bhasin, Sanjay

    2015-01-01

    Exploring Lean manufacturing in a holistic manner, this book helps organizations to implement Lean principles successfully by offering theoretical, empirical and practical knowledge. It empirically demonstrates how a successful Lean initiative can improve organizational efficiency, and incorporates valuable primary research to substantiate findings. It argues that Lean principles need to be applied throughout the value chain in order to be successful , and suggests that these tools need to be aligned with culture and change management. Chapters examine issues including Lean cultures, impediments to Lean, Lean and performance measurement, and the impact of Lean. Viewing Lean as a never-ending journey, this book provides a valuable resource to practising Lean managers, and specialist researchers and students, and also offers an important reference for organizations embarking on their Lean voyage.

  10. A test management approach for structured testing

    NARCIS (Netherlands)

    Veenendaal, van E.P.W.M.; Pol, M.; Veenendaal, van E.P.W.M.; McMullan, J.

    1997-01-01

    Despite encouraging results with various quality improvement approaches, the IT industry is still far from achieving zero defect software. Testing will remain an important activity within software development and maintenance, often taking more than 30 - 40% of the total budget. Both the increasing

  11. ORION - A Global Approach to Waste Management.

    Science.gov (United States)

    Heinzelmann, Elsbeth

    2015-01-01

    In the ORION project supported by the European Commission, 20 partners work together to manage organic waste from agro-food industries. The goal is to develop a small, automatic and user-friendly digestion machine to facilitate the domestic on-site treatment of a wide range of organic waste from around 100 and up to 5000 tonnes per year at low cost and with limited maintenance. Simon Crelier at the HES-SO Valais/Wallis is part of the network.

  12. Approaches to quality management in hotel industry

    OpenAIRE

    Kateřina Ryglová; Ida Vajčnerová; Jakub Šácha

    2013-01-01

    The aim of the paper is to present possibilities and specifics of quality management in hotel services with the focus on the Servqual model. Servqual works on the definition of five dimensions of service quality: tangibles, reliability, responsiveness, assurance and empathy. Demonstrating the practical application of Servqual in selected hotels in the Czech Republic is also a part of the paper. Input data have been gained by force of a primary field-research with the help of a quantitative re...

  13. An approach for management of geometry data

    Science.gov (United States)

    Dube, R. P.; Herron, G. J.; Schweitzer, J. E.; Warkentine, E. R.

    1980-01-01

    The strategies for managing Integrated Programs for Aerospace Design (IPAD) computer-based geometry are described. The computer model of geometry is the basis for communication, manipulation, and analysis of shape information. IPAD's data base system makes this information available to all authorized departments in a company. A discussion of the data structures and algorithms required to support geometry in IPIP (IPAD's data base management system) is presented. Through the use of IPIP's data definition language, the structure of the geometry components is defined. The data manipulation language is the vehicle by which a user defines an instance of the geometry. The manipulation language also allows a user to edit, query, and manage the geometry. The selection of canonical forms is a very important part of the IPAD geometry. IPAD has a canonical form for each entity and provides transformations to alternate forms; in particular, IPAD will provide a transformation to the ANSI standard. The DBMS schemas required to support IPAD geometry are explained.

  14. Acute management of traumatic spinal cord injury in a Greek and a Swedish region: a prospective, population-based study.

    Science.gov (United States)

    Divanoglou, A; Seiger, A; Levi, R

    2010-06-01

    Prospective, population-based study. This paper is part of the Stockholm Thessaloniki Acute Traumatic Spinal Cord Injury Study (STATSCIS). To characterize patient populations and to compare acute management after traumatic spinal cord injury (TSCI). The Greater Thessaloniki region in Greece and the Greater Stockholm region in Sweden. Inception cohorts with acute TSCI that were hospitalized during the study period, that is September 2006 to October 2007, were identified. Overall, 81 out of 87 cases consented to inclusion in Thessaloniki and 47 out of 49 in Stockholm. Data from Thessaloniki were collected through physical examinations, medical record reviews and communication with TSCI cases and medical teams. Data from Stockholm were retrieved from the Nordic Spinal Cord Injury Registry. There were no significant differences between study groups with regard to core clinical characteristics. In contrast, there were significant differences in (1) transfer logistics from the scene of trauma to a tertiary-level hospital (number of intermediate admissions, modes of transportation and duration of transfer) and (2) acute key therapeutic interventions, that is, the use of mechanical ventilation (49% in Thessaloniki versus 20% in Stockholm), and performance of tracheostomy (36% in Thessaloniki versus 15% in Stockholm); spinal surgery was performed significantly more often and earlier in Stockholm than in Thessaloniki. Despite largely similar core clinical characteristics, Stockholm and Thessaloniki cases underwent significantly different acute management, most probably to be attributed to adaptations to the differing regional approaches of care one following a systematic approach of SCI care and the other not.

  15. Raising the 3Ps of Sustainable Facilities Management in Singapore – Profession, Perception and Prospection

    OpenAIRE

    Thoo, S. L.; Marjanovic-Halburd, L.

    2015-01-01

    The purpose of this study is to determine if the target set by Singapore’s Inter-Ministerial Committee for Sustainable Development to have 80% of the buildings at least Green Mark certified by 2030 has any impact on raising the profession, perception and prospection (3Ps) of Sustainable Facilities Management (SFM) in Singapore. The objectives are to understand the tertiary students’ choice of study, determine the core knowledge for SFM, compare the pre-existing 3Ps of Tertiary Students (TS) a...

  16. Survey process quality: a question of healthcare manager approach.

    Science.gov (United States)

    Nilsson, Petra; Blomqvist, Kerstin

    2017-08-14

    Purpose The purpose of this paper is to explore how healthcare first-line managers think about and act regarding workplace survey processes. Design/methodology/approach This interview study was performed at a hospital in south Sweden. First-line healthcare managers ( n=24) volunteered. The analysis was inspired by phenomenography, which aims to describe the ways in which different people experience a phenomenon. The phenomenon was a workplace health promotion (WHP) survey processes. Findings Four main WHP survey process approaches were identified among the managers: as a possibility, as a competition, as a work task among others and as an imposition. For each, three common subcategories emerged; how managers: stated challenges and support from hospital management; described their own work group and collaboration with other managers; and expressed themselves and their situation in their roles as first-line managers. Practical implications Insights into how hospital management can understand their first-line managers' motivation for survey processes and practical suggestions and how managers can work proactively at organizational, group and individual level are presented. Originality/value Usually these studies focus on those who should respond to a survey; not those who should run the survey process. Focusing on managers and not co-workers can lead to more committed and empowered managers and thereby success in survey processes.

  17. Diagnostic approach and management strategy of childhood stroke

    International Nuclear Information System (INIS)

    Salih, Mustafa A.; Abdel-Gader, Abdel-Galil M.

    2006-01-01

    Prompt recognition and early intervention, with pertinent management and medication, may reduce subsequent neurologic deficits in stroke, which constitutes a devastating event in children. This is due to the tasking and demanding consequences including death or residual neurological deficits, which may last for many decades, in over 60% of survivors. Evidence based treatment for children with stroke is still lacking, reflecting scarcity in base line epidemiological data on pediatric stroke, the multitude of underlying risk factors, and ethical and practical challenges incurred in conducting clinical trials. Based on the experience we gained from a combined a combined prospective and retrospective study on childhood stroke (covering 10 years and 7 months and involving a cohort of 104 Saudi children), a diagnostic algorithm, which outlines the approach to a child with suspected stroke/cerebovascular lesion was designed. This algorithm might also be of use for managing other children with stroke from the Arabian Peninsula and Middle East Region with similar demographic, socioeconomic, and ethnic backgrounds. Underlying risk factors which need special attention, include thrombophilia and hypercoagulable states and sickle cell diseases (SCD), which contrary to previous studies from Saudi Arabia, were found to constitute a common risk factor with severe manifestations. Other risk factors include infections (especially neurobrucellosis), cardiac diseases, and hypernatremic dehydration. Recognition of an identifiable syndrome or inherited metabolic cause may unravel an underlying cerebovascular disease. This is particularly important in this region, given the large pool of autosomal recessive diseases and the high rate of consanguinity. In the evaluation of a suspected case of stroke, important imaging modalities include cranial CT, MRI (including diffusion-weighted images), magnetic resonance angiography (MRA), magnetic resonance venography (MRV) and conventional

  18. Effective approaches for managing electronic records and archives

    CERN Document Server

    Dearstyne, Bruce W

    2006-01-01

    This is a book of fresh insights, perspectives, strategies, and approaches for managing electronic records and archives. The authors draw on first-hand experience to present practical solutions, including recommendations for building and sustaining strong electronic records programs.

  19. Homeland Security: A Risk Management Approach Can Guide Preparedness Efforts

    National Research Council Canada - National Science Library

    Decker, Raymond

    2001-01-01

    .... Mail and postal workers. As requested, my testimony will focus on the work we have done over the past five years on combating terrorism and our recommendations advocating a risk management approach for such programs...

  20. Understanding Approaches for Managing Diversity in the Workplace

    DEFF Research Database (Denmark)

    Ravazzani, Silvia

    2016-01-01

    Purpose – This paper aims to enhance understanding of how companies actually implement diversity management, and of factors that may explain their approach. It does this by framing a tripartite model that articulates a combination of indicators, and by using this model to investigate the prevalent...... approach for managing diversity in Italy and the contingent factors at play. Design/methodology/approach – The paper presents data from a survey conducted among 90 Italian companies, and two focus groups consisting of experts and managers. Findings – The most common approach among Italian companies...... in Italy, where interest in diversity is growing due to the increased participation of women and immigrants in the labor market and the initiatives inspired by the EU and multinational companies. In addition, the research model used in this study integrates existing typologies of diversity management...

  1. Towards a macrosystems approach for successful coastal management

    Science.gov (United States)

    Managing coastal resources for resiliency and sustainability often requires integrative, multi-disciplinary approaches across varying spatial and temporal scales to engage stakeholders and inform decision-makers. We discuss case studies integrating wetland ecology, economics, soc...

  2. A practical approach to the diagnosis and management of ...

    African Journals Online (AJOL)

    A practical approach to the diagnosis and management of paradoxical tuberculosis immune reconstitution inflammatory syndrome: TB-associated immune reconstitution inflammatory syndrome is seen after the initiation of antiretroviral therapy.

  3. A proactive and holistic information management approach is crucial ...

    African Journals Online (AJOL)

    ESARBICA Journal: Journal of the Eastern and Southern Africa Regional Branch of ... holistic information management approach is crucial to e-government development ... and to develop new electronic services hence boosting innovation.

  4. MULTI-DIMENSIONAL APPROACH TO CRISIS MANAGEMENT IN ...

    African Journals Online (AJOL)

    HP

    ; and ... multidisciplinary approaches to the management of conflict in the church while still .... classifies them into three: Inherency (Micro), contingency (Macro) and, .... Contemporary Evangelicals are fairly accused of uncritically importing ...

  5. Three-dimensional GIS approach for management of assets

    Science.gov (United States)

    Lee, S. Y.; Yee, S. X.; Majid, Z.; Setan, H.

    2014-02-01

    Assets play an important role in human life, especially to an organization. Organizations strive and put more effort to improve its operation and assets management. The development of GIS technology has become a powerful tool in management as it is able to provide a complete inventory for managing assets with location-based information. Spatial information is one of the requirements in decision making in various areas, including asset management in the buildings. This paper describes a 3D GIS approach for management of assets. An asset management system was developed by integrating GIS concept and 3D model assets. The purposes of 3D visualization to manage assets are to facilitate the analysis and understanding in the complex environment. Behind the 3D model of assets is a database to store the asset information. A user-friendly interface was also designed for more easier to operate the application. In the application developed, location of each individual asset can be easily tracked according to the referring spatial information and 3D viewing. The 3D GIS approach described in this paper is certainly would be useful in asset management. Systematic management of assets can be carried out and this will lead to less-time consuming and cost-effective. The results in this paper will show a new approach to improve asset management.

  6. Three-dimensional GIS approach for management of assets

    International Nuclear Information System (INIS)

    Lee, S Y; Yee, S X; Majid, Z; Setan, H

    2014-01-01

    Assets play an important role in human life, especially to an organization. Organizations strive and put more effort to improve its operation and assets management. The development of GIS technology has become a powerful tool in management as it is able to provide a complete inventory for managing assets with location-based information. Spatial information is one of the requirements in decision making in various areas, including asset management in the buildings. This paper describes a 3D GIS approach for management of assets. An asset management system was developed by integrating GIS concept and 3D model assets. The purposes of 3D visualization to manage assets are to facilitate the analysis and understanding in the complex environment. Behind the 3D model of assets is a database to store the asset information. A user-friendly interface was also designed for more easier to operate the application. In the application developed, location of each individual asset can be easily tracked according to the referring spatial information and 3D viewing. The 3D GIS approach described in this paper is certainly would be useful in asset management. Systematic management of assets can be carried out and this will lead to less-time consuming and cost-effective. The results in this paper will show a new approach to improve asset management

  7. Training hospital managers for strategic planning and management: a prospective study.

    Science.gov (United States)

    Terzic-Supic, Zorica; Bjegovic-Mikanovic, Vesna; Vukovic, Dejana; Santric-Milicevic, Milena; Marinkovic, Jelena; Vasic, Vladimir; Laaser, Ulrich

    2015-02-26

    Training is the systematic acquisition of skills, rules, concepts, or attitudes and is one of the most important components in any organization's strategy. There is increasing demand for formal and informal training programs especially for physicians in leadership positions. This study determined the learning outcomes after a specific training program for hospital management teams. The study was conducted during 2006 and 2007 at the Centre School of Public Health and Management, Faculty of Medicine, University of Belgrade and included 107 participants involved in the management in 20 Serbian general hospitals. The management teams were multidisciplinary, consisting of five members on average: the director of the general hospital, the deputy directors, the head nurse, and the chiefs of support services. The managers attended a training program, which comprised four modules addressing specific topics. Three reviewers independently evaluated the level of management skills at the beginning and 12 months after the training program. Principal component analysis and subsequent stepwise multiple linear regression analysis were performed to determine predictors of learning outcomes. The quality of the SWOT (strengths, weaknesses, opportunities and threats) analyses performed by the trainees improved with differences between 0.35 and 0.49 on a Likert scale (p strategic planning. Following the training program, the external environment, strategic positioning, and quality of care were predictors of learning outcomes. The four regression models used showed that the training program had positive effects (p Strategic Plan comprising the hospital mission, vision, strategic objectives, and action plan. This study provided evidence that training for strategic planning and management enhanced the strategic decision-making of hospital management teams, which is a requirement for hospitals in an increasingly competitive, complex and challenging context. For the first time, half of

  8. Successful management of vaginismus: An eclectic approach.

    Science.gov (United States)

    Harish, Thippeswamy; Muliyala, Krishnaprasad; Murthy, Pratima

    2011-04-01

    Vaginismus is defined as recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty. In this report, we describe the successful treatment of vaginismus in a 25-year-old lady based on a model proposed by Keith Hawton. The eclectic approach involved education, graded insertion of fingers, Kegel's exercises and usage of local anesthesia with vaginal containment along with the prescription of Escitalopram.

  9. Successful management of vaginismus: An eclectic approach

    OpenAIRE

    Harish, T.; Prasad, M. Krishna; Murthy, Pratima

    2012-01-01

    Vaginismus is defined as recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty. In this report, we describe the successful treatment of vaginismus in a 25-year-old lady based on a model proposed by Keith Hawton. The eclectic approach involved education, graded insertion of fingers, Kegel's exercises and usage of local anesthesia with vaginal containment along with the prescri...

  10. Real estate management : oil spot approach

    NARCIS (Netherlands)

    Huisman, Maikel; van der Wiel, Bert

    2008-01-01

    To solve big problems, usually one needs a lot of money to start with. For the ‘Oil Spot’ Approach you don’t need lots of money, you just need a little money to start it up.  A big master plan to improve a whole area costs a lot of money. But it is not necessary to improve the whole area with a

  11. Novel approaches in management of perioperative coagulopathy.

    Science.gov (United States)

    Tanaka, Kenichi A; Bader, Stephen O; Görlinger, Klaus

    2014-02-01

    The recent advances in hemostatic monitoring, and discussion of the clinical implications of hemostatic therapies based on different blood components and factor concentrates. Implementing suitable laboratory tests and transfusion protocols is highly recommended because the laboratory test guided, protocol-driven transfusion approach reduces blood component utilization, and possibly leads to improved outcomes. Timely assessment of coagulation has been difficult using conventional coagulation tests, but thrombocytopenia, fibrin polymerization defects, and fibrinolysis can be quickly assessed on thromboelastometry. The latter testing can be applied to guide the dosing of fibrinogen and prothrombin complex concentrate, which are selectively used to correct fibrinogen deficiency, and improve thrombin generation in acquired coagulopathy. These therapeutic approaches are novel, and potentially effective in reducing the exposure to allogeneic components (e.g., plasma and platelets) and side-effects of transfusion. Although the accessibility of different therapies among different countries, tranexamic acid is widely available, and is an effective blood conservation measure with a good safety profile in various surgical settings. Our understanding of perioperative coagulopathy, diagnostic tools, and therapeutic approaches has evolved in recent years. Additional multidisciplinary efforts are required to understand the optimal combinations, cost-effectiveness, and safety profiles of allogeneic components, and available factor concentrates.

  12. [Multidisciplinar approach to the management of gliomas].

    Science.gov (United States)

    Moura, Bianca; Migliorini, Denis; Bourhis, Jean; Daniel, Roy; Levivier, Marc; Hottinger, Andreas F

    2016-04-27

    Gliomas represent two thirds of all primary brain tumors. Their prognosis depends directly upon their level of differentiation. On MRI, tumoral aggressivity is highlighted by contrast uptake and the infiltrative nature of the lesion. Clinical suspicion must however be confirmed by histology and molecular markers become essential to refine the diagnosis and tailor the treatment. Isocytrate dehydrogenase (IDH) mutations, codeletion of 1p and 19q and the presence of methylation of the MGMT promoter identify a subgroup of gliomas with better prognosis and may help predict response to treatment. Management of patients with primary brain tumors should always be defined in multidisciplinar tumor boards involving neurosurgeons, oncologists, radiation oncologists, neuropathologists and neuroradiologists.

  13. Project management a systems approach to planning, scheduling, and controlling

    CERN Document Server

    Kerzner, Harold

    2017-01-01

    Project Management is the bestselling text for students and professionals, presenting a streamlined approach to project management functions in full alignment with PMI(r)'s latest Project Management Body of Knowledge (PMBOK(r)). This new 12th edition has been updated to reflect the latest changes found in the PMBOK(r) Guide--Sixth Edition, and features new coverage of emerging topics including global stakeholder management, causes of failure, agile project management, project governance failure, customer approval milestones, classifying project metrics, and more. Supplementary materials are available for students, working professionals, and instructors. * Understand organizational structures and project management functions * Learn how to control costs, manage risk, and analyze trade-offs * Examine different methods used for planning, scheduling, QA, and more * Work effectively with customers and stakeholders from around the globe Project Management is the comprehensive reference to keep within arm's reach. ...

  14. Quality management, a directive approach to patient safety.

    Science.gov (United States)

    Ayuso-Murillo, Diego; de Andrés-Gimeno, Begoña; Noriega-Matanza, Concha; López-Suárez, Rafael Jesús; Herrera-Peco, Ivan

    Nowadays the implementation of effective quality management systems and external evaluation in healthcare is a necessity to ensure not only transparency in activities related to health but also access to health and patient safety. The key to correctly implementing a quality management system is support from the managers of health facilities, since it is managers who design and communicate to health professionals the strategies of action involved in quality management systems. This article focuses on nursing managers' approach to quality management through the implementation of cycles of continuous improvement, participation of improvement groups, monitoring systems and external evaluation quality models (EFQM, ISO). The implementation of a quality management system will enable preventable adverse effects to be minimized or eliminated, and promote patient safety and safe practice by health professionals. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  15. Supporting self-management of chronic health conditions: common approaches.

    Science.gov (United States)

    Lawn, Sharon; Schoo, Adrian

    2010-08-01

    The aims of this paper are to provide a description of the principles of chronic condition self-management, common approaches to support currently used in Australian health services, and benefits and challenges associated with using these approaches. We examined literature in this field in Australia and drew also from our own practice experience of implementing these approaches and providing education and training to primary health care professionals and organizations in the field. Using common examples of programs, advantages and disadvantages of peer-led groups (Stanford Courses), care planning (The Flinders Program), a brief primary care approach (the 5As), motivational interviewing and health coaching are explored. There are a number of common approaches used to enhance self-management. No one approach is superior to other approaches; in fact, they are often complimentary. The nature and context for patients' contact with services, and patients' specific needs and preferences are what must be considered when deciding on the most appropriate support mode to effectively engage patients and promote self-management. Choice of approach will also be determined by organizational factors and service structures. Whatever self-management support approaches used, of importance is how health services work together to provide support. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

  16. System approach to machine building enterprise innovative activity management

    Directory of Open Access Journals (Sweden)

    І.V. Levytska

    2016-12-01

    Full Text Available The company, which operates in a challenging competitive environment should focus on new products and provide innovative services that enhance their innovation to maintain the company’s market position. The article deals with the peculiarities of such an activity in the company. The authors analyze the various approaches used in the management, and supply the advantages and disadvantages of each. It is determine that the most optimal approach among them is a system approach. The definition of the consepts "a system" and "a systematic approach to innovative activity management" are suggested. The article works out the system of machine building enterprise innovative activity management, the organization of machine building enterprise innovative activity; the planning of machine building enterprise innovative activity; the control in the system of machine building enterprise innovative activity management; the elements of the control subsystem. The properties, typical for the system of innovative management, are supplied. The managers, engaged in enterprise innovative activity management, must perform a number of the suggested tasks, which affect the efficiency of the enterprise as a whole. These exact tasks are performed using the systematic approach, providing the enterprise competitive operation and quick adaptation to changes in the external environment.

  17. Environmental management: The bank's policy approach

    International Nuclear Information System (INIS)

    1992-01-01

    In order to play a leadership role in the environmental recovery of central and eastern Europe, the Bank will pursue the following policy priorities: assistance to the countries of operations in environmental policy formulation, including the development of effective legal and regulatory instruments, the adoption of appropriate emissions and effluents standards and the creation of the institutional and human resources capacity to monitor and enforce them; promoting the use of a variety of economic instruments to address the underlying cause of environmental degradation and the adoption of market-based techniques in environmental management programmes; encouraging the development of an environmental goods and services industry in the countries of operations, of commercially viable investments in environmental technologies and pollution prevention and control, and by funding environmental infrastructure projects; initiation of, or support for, special studies and programmes to address regional and national environmental problems and to promote environmental education within the population and institutions of the countries of operations; adoption of adequate environmental assessment, management planning, audit and monitoring procedures throughout its activities; and promoting the adoption and implementation of procedures for provision of information to, and consultation with, all levels of government and the general public - especially potentially affected parties - concerning environmental matters

  18. Component-Based Approach in Learning Management System Development

    Science.gov (United States)

    Zaitseva, Larisa; Bule, Jekaterina; Makarov, Sergey

    2013-01-01

    The paper describes component-based approach (CBA) for learning management system development. Learning object as components of e-learning courses and their metadata is considered. The architecture of learning management system based on CBA being developed in Riga Technical University, namely its architecture, elements and possibilities are…

  19. A hybrid linked data approach to support asset management

    NARCIS (Netherlands)

    Luiten, G.T.; Bohms, H.M.; O'Keeffe, A.; Nederveen, S. van; Bakker, J.; Wikstrom, L.

    2016-01-01

    This paper evaluates experiences with applying a linked data approach for coping with the many challenges for information management in asset management from the perspective of National Road Authorities (NRAs). As influential players, NRAs are often the initiators of innovation in the civil

  20. Review: Management of adnexal masses: An age-guided approach ...

    African Journals Online (AJOL)

    Adnexal masses in different age groups may need different management approaches. By elimination of the type of mass that is less likely in a specific age group one can identify the most prevalent group which can guide management. Most important of all, the probability of malignancy must either be identified or ruled out.

  1. Food quality management : A techno-managerial approach

    NARCIS (Netherlands)

    Luning, P.A.; Marcelis, W.J.; Jongen, W.M.F.

    2002-01-01

    The book focuses on consumer-driven Quality Management in food production systems using a product-based approach. It integrates organizational and technological aspects of food product quality into one techno-managerial concept and it presents an integrated view of how Quality Management is to be

  2. A techno-managerial approach in food quality management research

    NARCIS (Netherlands)

    Luning, P.A.; Marcelis, W.J.

    2006-01-01

    In this article it is discussed that food quality management issues are much more complex than often assumed and that it requires a specific research approach. It is argued that food quality management deals with dynamic and complex food systems and people systems involved in realising food quality.

  3. Five Approaches to Avoid When Managing the Middle School Classroom

    Science.gov (United States)

    Englehart, Joshua M.

    2013-01-01

    Too often, teachers encountering difficulties with classroom management focus only on the students rather than critically examining the influence of their own approaches on student behavior. Given the particular challenges that middle school students present, certain practices and expectations exacerbate management issues, and a lack of awareness…

  4. A Model-Driven Approach to e-Course Management

    Science.gov (United States)

    Savic, Goran; Segedinac, Milan; Milenkovic, Dušica; Hrin, Tamara; Segedinac, Mirjana

    2018-01-01

    This paper presents research on using a model-driven approach to the development and management of electronic courses. We propose a course management system which stores a course model represented as distinct machine-readable components containing domain knowledge of different course aspects. Based on this formally defined platform-independent…

  5. An approach for management of mobile devices in pharmaceutical company

    OpenAIRE

    Prešeren, Tadej

    2008-01-01

    The areas of the mobile device management is developing very fast. Hence, the thesis “An approach for management of mobile devices in pharmaceutical company” introduces all key directives that should be considered when implementing mobile device management. A survey of standards and recommendations on the mobile device security has been elaborated. Relevant guidelines for security policy definition are presented with the risk analysis for mobile device usage. Furthermore, the model for mana...

  6. Approaches to quality management in hotel industry

    Directory of Open Access Journals (Sweden)

    Kateřina Ryglová

    2013-01-01

    Full Text Available The aim of the paper is to present possibilities and specifics of quality management in hotel services with the focus on the Servqual model. Servqual works on the definition of five dimensions of service quality: tangibles, reliability, responsiveness, assurance and empathy. Demonstrating the practical application of Servqual in selected hotels in the Czech Republic is also a part of the paper. Input data have been gained by force of a primary field-research with the help of a quantitative research via questionnaires and deep interviews. The results of the Servqual score for individual dimensions of service quality have also been used to calculate a total weighted score for the examined hotels and to outline benchmarking utilisation possibilities.

  7. Investigation of Integrated Vehicle Health Management Approaches

    Science.gov (United States)

    Paris, Deidre

    2005-01-01

    This report is to present the work that was performed during the summer in the Advance Computing Application office. The NFFP (NASA Faculty Fellow Program) had ten summer faculty members working on IVHM (Integrated Vehicle Health Management) technologies. The objective of this project was two-fold: 1) to become familiar with IVHM concepts and key demonstrated IVHM technologies; and 2) to integrate the research that has been performed by IVHM faculty members into the MASTLAB (Marshall Avionic Software Test Lab). IVHM is a NASA-wide effort to coordinate, integrate and apply advanced software, sensors and design technologies to increase the level of intelligence, autonomy, and health state of future vehicles. IVHM is an important concept because it is consistent with the current plan for NASA to go to the moon, mars, and beyond. In order for NASA to become more involved in deep exploration, avionic systems will need to be highly adaptable and autonomous.

  8. Future health physics prospects in high-level nuclear waste management

    International Nuclear Information System (INIS)

    Waite, D.A.; Mayberry, J.J.

    1986-01-01

    The objective of this presentation is to provide an overview of health physics activities anticipated to be required at a high-level nuclear waste repository and to project the numbers of health physics personnel expected to be required to carry out these activities. Health physics personnel receiving consideration in the projections include the health physics manager, shift supervisors, area supervisors, health physicists, and technologists. Phases of the repository addressed are construction, operation, retrieval, and decommissioning. Specific topics discussed in the process of developing the projections are: (a) the basic features of a geologic repository, (b) the staffing requirements of such a repository, (c) health physics involvement in repository operations, and (d) the anticipated schedule for operation of repositories in the United States. A quantitative assessment of future health physics prospects in high-level nuclear waste management is included

  9. Belgium: National approach to ageing management

    International Nuclear Information System (INIS)

    2014-01-01

    In Belgium, the licenses for operation of the nuclear power plants granted by Royal Decree do not specify a fixed lifetime. The oldest plants, Doel 1&2 and Tihange 1, have been operational since 1975. The 2003 law regarding the exit from nuclear power limits the operation of nuclear power plants to 40 years. However, in October 2009, the Belgian government declared that they intended to make it legally possible for Doel 1&2 and Tihange 1 to operate until 2025, which would mean a total lifetime of 50 years (this statement was confirmed by the Belgian government in June 2012, only for the Tihange 1 plant). The Belgian Federal Agency for Nuclear Control (FANC) published in 2009 a strategic note regarding the requirements of long-term operation for Doel 1&2 and Tihange 1. Electrabel GDF SUEZ started its LTO programme in order to respond to these requirements. The LTO programme consisted of the following areas of concern, identified in the FANC strategic note: − Preconditions for long-term operation considering the IAEA expectations; − Ageing management; − Design re-evaluation; − Knowledge, competence and behaviour management. The note also stated that the long-term operation of the plants should be evaluated within the framework of the fourth ten-yearly PSR, based upon IAEA NS-G-2.10. As such a license renewal was not required for LTO and the LTO approval will be integrated in the approval process of the 4th PSR. In its strategic note, the Belgian Federal Agency for Nuclear Control explicitly states that the AMP has to be in conformity with the USNRC 10CFR54 and IAEA SRS 57

  10. Sustaining Operational Resiliency: A Process Improvement Approach to Security Management

    National Research Council Canada - National Science Library

    Caralli, Richard A

    2006-01-01

    .... Coordinating these efforts to sustain operational resiliency requires a process-oriented approach that can be defined, measured, and actively managed. This report describes the fundamental elements and benefits of a process approach to security and operational resiliency and provides a notional view of a framework for process improvement.

  11. Enhancing the Teaching-Learning Process: A Knowledge Management Approach

    Science.gov (United States)

    Bhusry, Mamta; Ranjan, Jayanthi

    2012-01-01

    Purpose: The purpose of this paper is to emphasize the need for knowledge management (KM) in the teaching-learning process in technical educational institutions (TEIs) in India, and to assert the impact of information technology (IT) based KM intervention in the teaching-learning process. Design/methodology/approach: The approach of the paper is…

  12. Ecosystem Approach to Urban Household Waste Management in ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Ecosystem Approach to Urban Household Waste Management in the context of ... in Ecohealth (COPEH) supported by IDRC's Ecosystem Approaches to Human ... Call for new OWSD Fellowships for Early Career Women Scientists now open ... International Water Resources Association, in close collaboration with IDRC, ...

  13. Prospective validation of criteria, including age, for safe, nonsurgical management of the ruptured spleen

    Energy Technology Data Exchange (ETDEWEB)

    Smith, J.S. Jr.; Wengrovitz, M.A.; DeLong, B.S. (Pennsylvania State University College of Medicine, Hershey (United States))

    1992-09-01

    One hundred twelve cases of blunt splenic rupture were prospectively entered (October 1987-October 1991) into surgical or nonsurgical management groups using these criteria for the nonsurgical group: hemodynamic stability-age less than 55 years-CT scan appearance of grade I, II, or III injury-absence of concomitant injuries precluding abdominal assessment+absence of other documented abdominal injuries. All ages were included and AAST injury scaling was used. Patients were grouped from the trauma room. The surgical treatment group included 66 patients (49 splenectomies, 17 splenorraphies). These patients were generally older and more severely injured, required more transfused blood, and a longer ICU stay. The nonsurgical group included 46 patients with 33 older than 14 years. There were 3 patients over the age of 55 years inappropriately included in this group, and nonsurgical therapy failed in all three. Statistical analysis (chi 2) showed that more splenic injuries were observed and more spleens were saved with these criteria applied prospectively compared with a previous retrospective series in the same institution. The series had a success rate of 93%, and validates the criteria used for safe, nonsurgical management of the ruptured spleen and adds a new criterion: a maximum age of 55 years.

  14. Prospective validation of criteria, including age, for safe, nonsurgical management of the ruptured spleen

    International Nuclear Information System (INIS)

    Smith, J.S. Jr.; Wengrovitz, M.A.; DeLong, B.S.

    1992-01-01

    One hundred twelve cases of blunt splenic rupture were prospectively entered (October 1987-October 1991) into surgical or nonsurgical management groups using these criteria for the nonsurgical group: hemodynamic stability-age less than 55 years-CT scan appearance of grade I, II, or III injury-absence of concomitant injuries precluding abdominal assessment+absence of other documented abdominal injuries. All ages were included and AAST injury scaling was used. Patients were grouped from the trauma room. The surgical treatment group included 66 patients (49 splenectomies, 17 splenorraphies). These patients were generally older and more severely injured, required more transfused blood, and a longer ICU stay. The nonsurgical group included 46 patients with 33 older than 14 years. There were 3 patients over the age of 55 years inappropriately included in this group, and nonsurgical therapy failed in all three. Statistical analysis (chi 2) showed that more splenic injuries were observed and more spleens were saved with these criteria applied prospectively compared with a previous retrospective series in the same institution. The series had a success rate of 93%, and validates the criteria used for safe, nonsurgical management of the ruptured spleen and adds a new criterion: a maximum age of 55 years

  15. A prospective study evaluating cochlear implant management skills: development and validation of the Cochlear Implant Management Skills survey.

    Science.gov (United States)

    Bennett, R J; Jayakody, D M P; Eikelboom, R H; Taljaard, D S; Atlas, M D

    2016-02-01

    To investigate the ability of cochlear implant (CI) recipients to physically handle and care for their hearing implant device(s) and to identify factors that may influence skills. To assess device management skills, a clinical survey was developed and validated on a clinical cohort of CI recipients. Survey development and validation. A prospective convenience cohort design study. Specialist hearing implant clinic. Forty-nine post-lingually deafened, adult CI recipients, at least 12 months postoperative. Survey test-retest reliability, interobserver reliability and responsiveness. Correlations between management skills and participant demographic, audiometric, clinical outcomes and device factors. The Cochlear Implant Management Skills survey was developed, demonstrating high test-retest reliability (0.878), interobserver reliability (0.972) and responsiveness to intervention (skills training) [t(20) = -3.913, P = 0.001]. Cochlear Implant Management Skills survey scores range from 54.69% to 100% (mean: 83.45%, sd: 12.47). No associations were found between handling skills and participant factors. This is the first study to demonstrate a range in cochlear implant device handling skills in CI recipients and offers clinicians and researchers a tool to systematically and objectively identify shortcomings in CI recipients' device handling skills. © 2015 John Wiley & Sons Ltd.

  16. Approaches and perioperative management in periacetabular osteotomy surgery

    DEFF Research Database (Denmark)

    Søballe, Kjeld; Troelsen, Anders

    2012-01-01

    .9 to 8.1 years) of 209 PAOs performed using this approach have shown Kaplan-Meier survivorship rates of 94.7% at 5 years and 88.6% at 8.1 years, with conversion to total hip arthroplasty as the end point. Perioperative management includes a patient education program, optimized pain treatment strategies...... (local infiltration analgesia), and a progressive mobilization and exercise program. The transsartorial approach coupled with a specific perioperative management program has proved successful for PAO surgery.......In the early days of periacetabular osteotomy (PAO), surgical approaches were characterized by extensive soft-tissue dissection. The Smith-Petersen approach (and iliofemoral modifications) and the ilioinguinal approach have traditionally been used for PAO. The optimal surgical approach for PAO...

  17. Overview of groundwater management approaches at salinisation risk

    Science.gov (United States)

    Polemio, Maurizio; Zuffianò, Livia Emanuela

    2013-04-01

    All natural waters contain dissolved minerals from interactions with atmospheric and soil gases, mixing with other solutions, and/or interactions with the biosphere and lithosphere. In many cases, these processes result in natural waters containing solute or salinity above concentrations recommended for a specified use, which creates significant social and economic problems. Groundwater salinisation can be caused by natural phenomena and anthropogenic activities. For the former case, we can distinguish terrestrial and marine phenomena. Approximately 16% of the total area of continental earth is potentially involved in groundwater salinisation. Seawater intrusion can be considered to be the primary phenomenon to be studied in terms of groundwater salinisation. Three schematic approaches to the protection of groundwater via salinisation mitigation and/or groundwater salinity improvement are described based on the classifications of the primary salinisation sources and focusing on the effect of seawater intrusion. The complexity of these approaches generally increases due to difficulties caused by groundwater quality and quantity degradation and increased demand for quality water. In order from the lowest to the highest complexity, these approaches are the engineering approach, the discharge management approach, and the water and land management approach. The engineering approach is realised on the local or detailed scale with the purpose of controlling the salinisation, optimising the well discharge with specific technical solutions and/or completing works to improve the quality and/or quantity of the discharged fresh groundwater. The discharge management approach encompasses at least an entire coastal aquifer and defines rules concerning groundwater utilisation and well discharge. The water and land management approach should be applied on the regional scale. Briefly, this approach becomes necessary when one or more need creates an overall framework of high

  18. New approaches to the management of fibroids.

    Science.gov (United States)

    Shaw, R W

    1991-12-01

    It is clear that gonadotropin-releasing hormone agonists have potential as a new therapeutic approach in the treatment of fibroids. They are effective in decreasing the size of most fibroids but, on ceasing treatment, regrowth does occur. Because of their effect on calcium homeostasis, long-term unopposed use of these agonists is not recommended. However, sequential addback therapies could be useful in both counterbalancing the hypoestrogenic side effects and in protecting bone mineral density. Although surgery is likely to remain the primary therapy for fibroids, pretreatment with gonadotropin-releasing hormone agonists for 3 to 4 months before myomectomy or before hysteroscopic resection offer many advantages in facilitating these procedures and reducing peroperative blood loss. Further studies are required to establish the most satisfactory treatment regimens with this exciting group of drugs for a condition whose etiology is still poorly understood.

  19. Project management a systems approach to planning, scheduling, and controlling

    CERN Document Server

    Kerzner, Harold

    2013-01-01

    The bestselling project management text for students andprofessionals-now updated and expanded This Eleventh Edition of the bestselling "bible" ofproject management maintains the streamlined approach of the prioreditions and moves the content even closer to PMI's ProjectManagement Body of Knowledge (PMBOK). New content has been added tothis edition on measuring project management ROI, value to theorganization and to customers, and much more. The capstone "super"case on the "Iridium Project" has been maintained, covering allaspects of project management. Increased use of sidebars throughoutthe book helps further align it with the PMBOK and the ProjectManagement Professional (PMP) Certification Exam. This new edition features significant expansion, including morethan three dozen entirely new sections and updates on processsupporting; types of project closure; project sponsorship; andculture, teamwork, and trust. This comprehensive guide to theprinciples and practices of project management: Offers new sections...

  20. An integrated approach for prospectively investigating a mode-of-action for rodent liver effects

    International Nuclear Information System (INIS)

    LeBaron, Matthew J.; Geter, David R.; Rasoulpour, Reza J.; Gollapudi, B. Bhaskar; Thomas, Johnson; Murray, Jennifer; Kan, H. Lynn; Wood, Amanda J.; Elcombe, Cliff; Vardy, Audrey; McEwan, Jillian; Terry, Claire; Billington, Richard

    2013-01-01

    Registration of new plant protection products (e.g., herbicide, insecticide, or fungicide) requires comprehensive mammalian toxicity evaluation including carcinogenicity studies in two species. The outcome of the carcinogenicity testing has a significant bearing on the overall human health risk assessment of the substance and, consequently, approved uses for different crops across geographies. In order to understand the relevance of a specific tumor finding to human health, a systematic, transparent, and hypothesis-driven mode of action (MoA) investigation is, appropriately, an expectation by the regulatory agencies. Here, we describe a novel approach of prospectively generating the MoA data by implementing additional end points to the standard guideline toxicity studies with sulfoxaflor, a molecule in development. This proactive MoA approach results in a more robust integration of molecular with apical end points while minimizing animal use. Sulfoxaflor, a molecule targeting sap-feeding insects, induced liver effects (increased liver weight due to hepatocellular hypertrophy) in an initial palatability probe study for selecting doses for subsequent repeat-dose dietary studies. This finding triggered the inclusion of dose-response investigations of the potential key events for rodent liver carcinogenesis, concurrent with the hazard assessment studies. As predicted, sulfoxaflor induced liver tumors in rats and mice in the bioassays. The MoA data available by the time of the carcinogenicity finding supported the conclusion that the carcinogenic potential of sulfoxaflor was due to CAR/PXR nuclear receptor activation with subsequent hepatocellular proliferation. This MoA was not considered to be relevant to humans as sulfoxaflor is unlikely to induce hepatocellular proliferation in humans and therefore would not be a human liver carcinogen. - Highlights: • We prospectively generated MoA data into standard guideline toxicity studies. • A proactive MoA approach

  1. An integrated approach for prospectively investigating a mode-of-action for rodent liver effects

    Energy Technology Data Exchange (ETDEWEB)

    LeBaron, Matthew J., E-mail: MJLeBaron@dow.com [Toxicology and Environmental Research and Consulting, The Dow Chemical Company, Midland, MI, 48674 (United States); Geter, David R., E-mail: dave.geter@gmail.com [Toxicology and Environmental Research and Consulting, The Dow Chemical Company, Midland, MI, 48674 (United States); Rasoulpour, Reza J. [Toxicology and Environmental Research and Consulting, The Dow Chemical Company, Midland, MI, 48674 (United States); Gollapudi, B. Bhaskar, E-mail: BBGollapudi@dow.com [Toxicology and Environmental Research and Consulting, The Dow Chemical Company, Midland, MI, 48674 (United States); Thomas, Johnson, E-mail: JThomas4@dow.com [Toxicology and Environmental Research and Consulting, The Dow Chemical Company, Midland, MI, 48674 (United States); Murray, Jennifer, E-mail: AMurray@dow.com [Toxicology and Environmental Research and Consulting, The Dow Chemical Company, Midland, MI, 48674 (United States); Kan, H. Lynn, E-mail: HLKan@dow.com [Toxicology and Environmental Research and Consulting, The Dow Chemical Company, Midland, MI, 48674 (United States); Wood, Amanda J., E-mail: AJWood@dow.com [Toxicology and Environmental Research and Consulting, The Dow Chemical Company, Midland, MI, 48674 (United States); Elcombe, Cliff, E-mail: CliffElcombe@cxrbiosciences.com [CXR Biosciences, 2 James Lindsay Place, Dundee Technopole, Dundee, DD1 5JJ, Scotland (United Kingdom); Vardy, Audrey, E-mail: audrey_vardy@europe.bd.com [CXR Biosciences, 2 James Lindsay Place, Dundee Technopole, Dundee, DD1 5JJ, Scotland (United Kingdom); McEwan, Jillian, E-mail: jillian.mcewan@rtmcewan.co.uk [CXR Biosciences, 2 James Lindsay Place, Dundee Technopole, Dundee, DD1 5JJ, Scotland (United Kingdom); Terry, Claire, E-mail: CTerry@dow.com [Dow AgroSciences, Abingdon, Oxfordshire (United Kingdom); Billington, Richard, E-mail: RBillington@dow.com [Dow AgroSciences, Abingdon, Oxfordshire (United Kingdom)

    2013-07-15

    Registration of new plant protection products (e.g., herbicide, insecticide, or fungicide) requires comprehensive mammalian toxicity evaluation including carcinogenicity studies in two species. The outcome of the carcinogenicity testing has a significant bearing on the overall human health risk assessment of the substance and, consequently, approved uses for different crops across geographies. In order to understand the relevance of a specific tumor finding to human health, a systematic, transparent, and hypothesis-driven mode of action (MoA) investigation is, appropriately, an expectation by the regulatory agencies. Here, we describe a novel approach of prospectively generating the MoA data by implementing additional end points to the standard guideline toxicity studies with sulfoxaflor, a molecule in development. This proactive MoA approach results in a more robust integration of molecular with apical end points while minimizing animal use. Sulfoxaflor, a molecule targeting sap-feeding insects, induced liver effects (increased liver weight due to hepatocellular hypertrophy) in an initial palatability probe study for selecting doses for subsequent repeat-dose dietary studies. This finding triggered the inclusion of dose-response investigations of the potential key events for rodent liver carcinogenesis, concurrent with the hazard assessment studies. As predicted, sulfoxaflor induced liver tumors in rats and mice in the bioassays. The MoA data available by the time of the carcinogenicity finding supported the conclusion that the carcinogenic potential of sulfoxaflor was due to CAR/PXR nuclear receptor activation with subsequent hepatocellular proliferation. This MoA was not considered to be relevant to humans as sulfoxaflor is unlikely to induce hepatocellular proliferation in humans and therefore would not be a human liver carcinogen. - Highlights: • We prospectively generated MoA data into standard guideline toxicity studies. • A proactive MoA approach

  2. An Intelligent Alternative Approach to the efficient Network Management

    Directory of Open Access Journals (Sweden)

    MARTÍN, A.

    2012-12-01

    Full Text Available Due to the increasing complexity and heterogeneity of networks and services, many efforts have been made to develop intelligent techniques for management. Network intelligent management is a key technology for operating large heterogeneous data transmission networks. This paper presents a proposal for an architecture that integrates management object specifications and the knowledge of expert systems. We present a new approach named Integrated Expert Management, for learning objects based on expert management rules and describe the design and implementation of an integrated intelligent management platform based on OSI and Internet management models. The main contributions of our approach is the integration of both expert system and managed models, so we can make use of them to construct more flexible intelligent management network. The prototype SONAP (Software for Network Assistant and Performance is accuracy-aware since it can control and manage a network. We have tested our system on real data to the fault diagnostic in a telecommunication system of a power utility. The results validate the model and show a significant improvement with respect to the number of rules and the error rate in others systems.

  3. Peyton's four-step approach for teaching complex spinal manipulation techniques - a prospective randomized trial.

    Science.gov (United States)

    Gradl-Dietsch, Gertraud; Lübke, Cavan; Horst, Klemens; Simon, Melanie; Modabber, Ali; Sönmez, Tolga T; Münker, Ralf; Nebelung, Sven; Knobe, Matthias

    2016-11-03

    The objectives of this prospective randomized trial were to assess the impact of Peyton's four-step approach on the acquisition of complex psychomotor skills and to examine the influence of gender on learning outcomes. We randomly assigned 95 third to fifth year medical students to an intervention group which received instructions according to Peyton (PG) or a control group, which received conventional teaching (CG). Both groups attended four sessions on the principles of manual therapy and specific manipulative and diagnostic techniques for the spine. We assessed differences in theoretical knowledge (multiple choice (MC) exam) and practical skills (Objective Structured Practical Examination (OSPE)) with respect to type of intervention and gender. Participants took a second OSPE 6 months after completion of the course. There were no differences between groups with respect to the MC exam. Students in the PG group scored significantly higher in the OSPE. Gender had no additional impact. Results of the second OSPE showed a significant decline in competency regardless of gender and type of intervention. Peyton's approach is superior to standard instruction for teaching complex spinal manipulation skills regardless of gender. Skills retention was equally low for both techniques.

  4. Real-time ultrasound-guided spinal anaesthesia: a prospective observational study of a new approach.

    LENUS (Irish Health Repository)

    Conroy, P H

    2013-01-01

    Identification of the subarachnoid space has traditionally been achieved by either a blind landmark-guided approach or using prepuncture ultrasound assistance. To assess the feasibility of performing spinal anaesthesia under real-time ultrasound guidance in routine clinical practice we conducted a single center prospective observational study among patients undergoing lower limb orthopaedic surgery. A spinal needle was inserted unassisted within the ultrasound transducer imaging plane using a paramedian approach (i.e., the operator held the transducer in one hand and the spinal needle in the other). The primary outcome measure was the success rate of CSF acquisition under real-time ultrasound guidance with CSF being located in 97 out of 100 consecutive patients within median three needle passes (IQR 1-6). CSF was not acquired in three patients. Subsequent attempts combining landmark palpation and pre-puncture ultrasound scanning resulted in successful spinal anaesthesia in two of these patients with the third patient requiring general anaesthesia. Median time from spinal needle insertion until intrathecal injection completion was 1.2 minutes (IQR 0.83-4.1) demonstrating the feasibility of this technique in routine clinical practice.

  5. Two interceptive approaches to palatally displaced canines: a prospective longitudinal study.

    Science.gov (United States)

    Leonardi, Maria; Armi, Pamela; Franchi, Lorenzo; Baccetti, Tiziano

    2004-10-01

    This study evaluated the effectiveness of two interceptive approaches to palatally displaced canines (PDCs), ie, extraction of the deciduous canines alone and in association with the use of a cervical pull headgear. The prospective longitudinal design of the investigation included 46 subjects with PDC (62 maxillary canines) who were randomly assigned to one of three groups (1) a group that underwent the extraction of the deciduous canine only, (2) a group that received in addition the use of a cervical pull headgear, and (3) an untreated control group. Panoramic radiographs were evaluated at initial observation (T1) and after an average period of 18 months (T2). Cervical vertebral maturation was assessed on lateral cephalograms at T1. Successful or unsuccessful canine eruption was assessed 48 months after T1. The between-group statistical comparisons were performed on the T1-T2 changes in the diagnostic parameters on panoramic radiographs, the prevalence rates of successful canine eruption, and the amount of time for canine eruption. The removal of the deciduous canine as an isolated measure to intercept palatal displacement of maxillary canines showed a prevalence rate of 50% success, which was not significantly greater than the success rate in untreated controls. The use of a headgear in addition to the extraction of the deciduous canine induced successful eruption in 80% of the cases, with a significant improvement in the measures for intraosseous canine position. There was no significant difference between the two interceptive approaches in the time required for canine eruption.

  6. Game theoretic approaches to operating room management.

    Science.gov (United States)

    Marco, Alan P

    2002-05-01

    All interactions between people can be considered games with rules and outcomes. However, modern business practices demand that the players in the game go beyond traditional game theory and look at new ways to improve the outcome of the game. Choosing the right strategy is important to a player's success. A new business strategy, "co-opetition," can be used to increase the value of the game ("create a bigger pie") through cooperative behavior, whereas competition is used to divided the "pie." By looking at how the players adopt simultaneous roles such as complementor and competitor the stakeholders in the operating room (managers, surgeons, anesthesiologists, and nursing staff) can apply the principles of co-opetition to improve the overall success of their facility. Such stakeholders can utilize knowledge of how populations act in games to enhance cooperative play. Adopting such a perspective may lead to increases in the satisfaction and morale of those involved with the operating rooms. Increased morale should increase productivity and staff retention and reduce recruiting needs.

  7. Prospects for direct detection of dark matter in an effective theory approach

    International Nuclear Information System (INIS)

    Catena, Riccardo

    2014-01-01

    We perform the first comprehensive analysis of the prospects for direct detection of dark matter with future ton-scale detectors in the general 11-dimensional effective theory of isoscalar dark matter-nucleon interactions mediated by a heavy spin-1 or spin-0 particle. The theory includes 8 momentum and velocity dependent dark matter-nucleon interaction operators, besides the familiar spin-independent and spin-dependent operators. From a variegated sample of 27 benchmark points selected in the parameter space of the theory, we simulate independent sets of synthetic data for ton-scale Germanium and Xenon detectors. From the synthetic data, we then extract the marginal posterior probability density functions and the profile likelihoods of the model parameters. The associated Bayesian credible regions and frequentist confidence intervals allow us to assess the prospects for direct detection of dark matter at the 27 benchmark points. First, we analyze the data assuming the knowledge of the correct dark matter nucleon-interaction type, as it is commonly done for the familiar spin-independent and spin-dependent interactions. Then, we analyze the simulations extracting the dark matter-nucleon interaction type from the data directly, in contrast to standard analyses. This second approach requires an extensive exploration of the full 11-dimensional parameter space of the dark matter-nucleon effective theory. Interestingly, we identify 5 scenarios where the dark matter mass and the dark matter-nucleon interaction type can be reconstructed from the data simultaneously. We stress the importance of extracting the dark matter nucleon-interaction type from the data directly, discussing the main challenges found addressing this complex 11-dimensional problem

  8. QUALITY MANAGEMENT IN TERMS OF STRENGTHENING THE "THREE LINES OF DEFENCE" IN RISK MANAGEMENT - PROCESS APPROACH

    OpenAIRE

    Radoica Luburic; Milan Perovic; Rajko Sekulovic

    2015-01-01

    The authors of the paper analyze risk management processes contained in the model considering its longstanding application in many European organisations. The paper also analyses quality management system (QMS) standards and risk management (RM) standards. It particularly addresses the process approach to QMS which, when coupled with active involvement of employees and constant improvements, makes this approach interesting as the topic of this paper. The analyses herein resulted in integratin...

  9. Applying a Problem Based Learning Approach to Land Management Education

    DEFF Research Database (Denmark)

    Enemark, Stig

    Land management covers a wide range activities associated with the management of land and natural resources that are required to fulfil political objectives and achieve sustainable development. This paper presents an overall understanding of the land management paradigm and the benefits of good...... land governance to society. A land administration system provides a country with the infrastructure to implement land-related policies and land management strategies. By applying this land management profile to surveying education, this paper suggests that there is a need to move away from an exclusive...... engineering focus toward adopting an interdisciplinary and problem-based approach to ensure that academic programmes can cope with the wide range of land administration functions and challenges. An interdisciplinary approach to surveying education calls for the need to address issues and problems in a real...

  10. A Multicultural Competencies Approach to Developing Human Capital Management

    Science.gov (United States)

    Woolliscroft, Paul; Cagáňová, Dagmar; Čambál, Miloš; Šefčíková, Miriam; Kamenova, Joana Valery

    2012-12-01

    The globalisation phenomenon has been prevalent since the last decade of 20th century and remains a significant factor influencing both organisations and individuals today. Within a globalised business environment the effective management of multicultural aspects and differences has become imperative to ensure success. It is increasingly evident there is a need to develop a clear understanding of multicultural competencies in order to fully develop a strategic approach to human capital management (HCM). The adoption of a strategic approach is necessary to ensure a focus on the issues critical to success and competitive advantage including multicultural management, professional skills and knowledge management. This paper aims to identify the importance of intercultural management and the impact of globalisation upon international business.

  11. Nanotherapeutic approaches for brain cancer management.

    Science.gov (United States)

    Saenz del Burgo, Laura; Hernández, Rosa María; Orive, Gorka; Pedraz, Jose Luis

    2014-07-01

    Around the world, cancer remains one of the most important causes of morbidity and mortality. Worldwide, approximately 238,000 new cases of brain and other central nervous system tumors are diagnosed every year. Nanotherapeutic approaches hold tremendous potential for diagnosis and treatment of brain cancer, including the ability to target complex molecular cargoes to the tumor sites and the capacity of crossing the blood-brain barrier and accessing to the brain after systemic administration. A new generation of "smart" nanoparticles has been designed as novel targeted delivery devices for new therapies including gene therapy, anti-angiogenic and thermotherapy. This review highlights the latest research, opportunities and challenges for developing novel nanotherapeutics for treating brain cancers. This comprehensive review highlights the latest research results, opportunities and challenges for developing novel nanotherapeutics for treating brain cancers, with a special focus on "smart" nanoparticles as novel targeted delivery devices for new therapies including gene therapy, anti-angiogenic therapy and localized thermotherapy. © 2014.

  12. Multidisciplinary management of intrahepatic cholangiocarcinoma: Current approaches.

    Science.gov (United States)

    Guro, Hanisah; Kim, Jin Won; Choi, YoungRok; Cho, Jai Young; Yoon, Yoo-Seok; Han, Ho-Seong

    2017-06-01

    Intrahepatic cholangiocarcinoma (ICC) is a common primary hepatic tumor. However, its outcomes are usually worse than those of hepatocellular carcinoma owing to its non-specific presentation and detection at an advanced stage. The most widely used serum marker, carbohydrate antigen 19-9, is non-specific. Furthermore, imaging studies rarely identify any pathognomonic features. Surgery is the only treatment option that offers a chance of long-term survival. However, the resectability rate is low owing to the high frequencies of intrahepatic metastases, peritoneal carcinomatosis, or extrahepatic metastases. Surgical treatment should be tailored according to the macroscopic classification of ICC (e.g. mass-forming, periductal infiltrating, and intraductal growth types) because it reflects the tumor's dissemination pattern. Although lymph node metastasis is a negative prognostic factor, the importance and extent of lymph node dissection is still controversial. To improve patient survival, liver transplantation is considered in some patients with unresectable ICC, especially in those with an insufficient remnant liver volume. Minimally invasive procedures, including laparoscopic and robotic liver resection, have been tested and achieved comparable outcomes to conventional surgery in preliminary studies. No randomized trials have confirmed the efficacy of adjuvant chemotherapy in ICC, and several trials have evaluated molecular-targeted agents as monotherapy or in combination with cytotoxic chemotherapy. Multidisciplinary approaches are necessary to improve the outcomes of ICC. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. TOWARDS A SYSTEMS APPROACH TO OPERATIONS MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Alp Baysal

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Since their appearance on earth, humans have always had to deal with different problems. Progress and development have been the results of their success in overcoming these problems. But every problem solved has lead to others , that are usually more complex than > the previous ones. Increasing degrees of complexity made it necessary to develop new ways of interpreting our world and tackling our problems.
    One of the words that can characterise, the world that we are living in today , the best , is change. Like everything else, the nature of our problems is also changing with an unprecedented speed. > We need new and effective approaches and methodologies to deal with them. We cannot use any more the ones that we have inherited from previous generations.

    AFRIKAANSE OPSOMMING: Van die verskyning van die mensdom op die wereld, moes mense verskillende tipes probleme hanteer. Vooruitgang en ontwikkeling het gevolg op die suksesvolle hantering van hierdie probleme. Elke probleem wat opgelos is het egter tot nuwe probleme gelei , gewoonlik meer kompleks as die oorspronklike probleem. Hoer vlakke van kompleksiteit vereis die ontwikkeling van nuwe maniere om die wereld te interpreteer en probleme aan te pak.
    Een van die woorde wat ons huidige wereld die beste karakteriseer is verandering. Soos byna alles anders, is die aard van ons probleme ook aan die verander, teen 'n versnellende tempo. Daar is 'n behoefte aan nuwe en effektiewe benaderings en metodologie om hierdie probleme te hanteer. Ons kan nie meer benaderings volg wat ge-erf is van vorige geslagte nie.

  14. PROSPECT: a practical method for formulating evidence-based expert recommendations for the management of postoperative pain.

    Science.gov (United States)

    Neugebauer, E A M; Wilkinson, R C; Kehlet, H; Schug, S A

    2007-07-01

    Many patients still suffer severe acute pain in the postoperative period. Although guidelines for treating acute pain are widely published and promoted, most do not consider procedure-specific differences in pain experienced or in techniques that may be most effective and appropriate for different surgical settings. The procedure-specific postoperative pain management (PROSPECT) Working Group provides procedure-specific recommendations for postoperative pain management together with supporting evidence from systematic literature reviews and related procedures at http://www.postoppain.org The methodology for PROSPECT reviews was developed and refined by discussion of the Working Group, and it adapts existing methods for formulation of consensus recommendations to the specific requirements of PROSPECT. To formulate PROSPECT recommendations, we use a methodology that takes into account study quality and source and level of evidence, and we use recognized methods for achieving group consensus, thus reducing potential bias. The new methodology is first applied in full for the 2006 update of the PROSPECT review of postoperative pain management for laparoscopic cholecystectomy. Transparency in PROSPECT processes allows the users to be fully aware of any limitations of the evidence and recommendations, thereby allowing for appropriate decisions in their own practice setting.

  15. The BraveNet prospective observational study on integrative medicine treatment approaches for pain.

    Science.gov (United States)

    Abrams, Donald I; Dolor, Rowena; Roberts, Rhonda; Pechura, Constance; Dusek, Jeffery; Amoils, Sandi; Amoils, Steven; Barrows, Kevin; Edman, Joel S; Frye, Joyce; Guarneri, Erminia; Kligler, Ben; Monti, Daniel; Spar, Myles; Wolever, Ruth Q

    2013-06-24

    Chronic pain affects nearly 116 million American adults at an estimated cost of up to $635 billion annually and is the No. 1 condition for which patients seek care at integrative medicine clinics. In our Study on Integrative Medicine Treatment Approaches for Pain (SIMTAP), we observed the impact of an integrative approach on chronic pain and a number of other related patient-reported outcome measures. Our prospective, non-randomized, open-label observational evaluation was conducted over six months, at nine clinical sites. Participants received a non-standardized, personalized, multimodal approach to chronic pain. Validated instruments for pain (severity and interference levels), quality of life, mood, stress, sleep, fatigue, sense of control, overall well-being, and work productivity were completed at baseline and at six, 12, and 24 weeks. Blood was collected at baseline and week 12 for analysis of high-sensitivity C-reactive protein and 25-hydroxyvitamin D levels. Repeated-measures analysis was performed on data to assess change from baseline at 24 weeks. Of 409 participants initially enrolled, 252 completed all follow-up visits during the 6 month evaluation. Participants were predominantly white (81%) and female (73%), with a mean age of 49.1 years (15.44) and an average of 8.0 (9.26) years of chronic pain. At baseline, 52% of patients reported symptoms consistent with depression. At 24 weeks, significantly decreased pain severity (-23%) and interference (-28%) were seen. Significant improvements in mood, stress, quality of life, fatigue, sleep and well-being were also observed. Mean 25-hydroxyvitamin D levels increased from 33.4 (17.05) ng/mL at baseline to 39.6 (16.68) ng/mL at week 12. Among participants completing an integrative medicine program for chronic pain, significant improvements were seen in pain as well as other relevant patient-reported outcome measures. ClinicalTrials.gov, NCT01186341.

  16. The role of adaptive management as an operational approach for resource management agencies

    Science.gov (United States)

    Johnson, B.L.

    1999-01-01

    In making resource management decisions, agencies use a variety of approaches that involve different levels of political concern, historical precedence, data analyses, and evaluation. Traditional decision-making approaches have often failed to achieve objectives for complex problems in large systems, such as the Everglades or the Colorado River. I contend that adaptive management is the best approach available to agencies for addressing this type of complex problem, although its success has been limited thus far. Traditional decision-making approaches have been fairly successful at addressing relatively straightforward problems in small, replicated systems, such as management of trout in small streams or pulp production in forests. However, this success may be jeopardized as more users place increasing demands on these systems. Adaptive management has received little attention from agencies for addressing problems in small-scale systems, but I suggest that it may be a useful approach for creating a holistic view of common problems and developing guidelines that can then be used in simpler, more traditional approaches to management. Although adaptive management may be more expensive to initiate than traditional approaches, it may be less expensive in the long run if it leads to more effective management. The overall goal of adaptive management is not to maintain an optimal condition of the resource, but to develop an optimal management capacity. This is accomplished by maintaining ecological resilience that allows the system to react to inevitable stresses, and generating flexibility in institutions and stakeholders that allows managers to react when conditions change. The result is that, rather than managing for a single, optimal state, we manage within a range of acceptable outcomes while avoiding catastrophes and irreversible negative effects. Copyright ?? 1999 by The Resilience Alliance.

  17. The Role of Adaptive Management as an Operational Approach for Resource Management Agencies

    Directory of Open Access Journals (Sweden)

    Barry L. Johnson

    1999-12-01

    Full Text Available In making resource management decisions, agencies use a variety of approaches that involve different levels of political concern, historical precedence, data analyses, and evaluation. Traditional decision-making approaches have often failed to achieve objectives for complex problems in large systems, such as the Everglades or the Colorado River. I contend that adaptive management is the best approach available to agencies for addressing this type of complex problem, although its success has been limited thus far. Traditional decision-making approaches have been fairly successful at addressing relatively straightforward problems in small, replicated systems, such as management of trout in small streams or pulp production in forests. However, this success may be jeopardized as more users place increasing demands on these systems. Adaptive management has received little attention from agencies for addressing problems in small-scale systems, but I suggest that it may be a useful approach for creating a holistic view of common problems and developing guidelines that can then be used in simpler, more traditional approaches to management. Although adaptive management may be more expensive to initiate than traditional approaches, it may be less expensive in the long run if it leads to more effective management. The overall goal of adaptive management is not to maintain an optimal condition of the resource, but to develop an optimal management capacity. This is accomplished by maintaining ecological resilience that allows the system to react to inevitable stresses, and generating flexibility in institutions and stakeholders that allows managers to react when conditions change. The result is that, rather than managing for a single, optimal state, we manage within a range of acceptable outcomes while avoiding catastrophes and irreversible negative effects.

  18. Strategic Management Model with Lens of Knowledge Management and Competitive Intelligence: A Review Approach

    OpenAIRE

    Shujahat, Muhammad; Hussain, Saddam; Javed, Sammar; Muhammad, Imran Malik; Thursamy, Ramayah; Ali, Junaid

    2017-01-01

    Purpose:\\ud First purpose of this study is to discuss the synergic and separate use of knowledge and\\ud intelligence, via knowledge management and competitive intelligence, in each stage of strategic\\ud management process. Second purpose is to discuss the implications of each stage of strategic\\ud management process for knowledge management and competitive intelligence and vice versa.\\ud Methodology/Design/Approach:\\ud A systematic literature review was performed within timeframe of 2000 to 2...

  19. Spent fuel management: Current status and prospects 1997. Proceedings of a regular advisory group meeting

    International Nuclear Information System (INIS)

    1998-03-01

    Spent fuel management has always been one of the important stages in the nuclear fuel cycle and it is still most vital problems common to all countries with nuclear reactors. It begins with the discharge of spent fuel from a power or a research reactor and ends with its ultimate disposition. Two options exist - an open, once-through cycle with direct disposal of the spent fuel and a closed cycle with reprocessing of the spent fuel, recycling of reprocessed plutonium and uranium in new mixed oxide fuels and disposal of the radioactive waste. Continuous attention is being given by the IAEA to the collection, analysis and exchange of information on spent fuel management. Its role in this area is to provide a forum for exchanging information and to co-ordinate and to encourage closer co-operation among Member States in certain research and development activities that are of common interest. Spent fuel management is recognized as a high priority IAEA activity. The Regular Advisory Group on Spent Fuel Management was established in 1982. The objective of the Regular Advisory Group is to serve as a means of exchanging information on the current status and progress of national programmes on spent fuel management and to provide advice to the IAEA. The results of the last Regular Advisory Group meeting (9-12 September 1997) are reflected in this report. It gives an overview of the status of spent fuel management programmes in a number of countries, a description of the current status and prospects of activities in this field and recommendations of the participants

  20. Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

    Science.gov (United States)

    2018-04-05

    Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. NCT02179112.

  1. Exploring multifunctional agriculture. A review of conceptual approaches and prospects for an integrative transitional framework.

    Science.gov (United States)

    Renting, H; Rossing, W A H; Groot, J C J; Van der Ploeg, J D; Laurent, C; Perraud, D; Stobbelaar, D J; Van Ittersum, M K

    2009-05-01

    In the last decade the multifunctional agriculture (MFA) concept has emerged as a key notion in scientific and policy debates on the future of agriculture and rural development. Broadly speaking, MFA refers to the fact that agricultural activity beyond its role of producing food and fibre may also have several other functions such as renewable natural resources management, landscape and biodiversity conservation and contribution to the socio-economic viability of rural areas. The use of the concept can be traced to a number of wider societal and political transformation processes, which have influenced scientific and policy approaches in different ways amongst countries and disciplines. This paper critically discusses various existing research approaches to MFA, both from natural and social sciences. To this aim different strands of literature are classified according to their focus on specific governance mechanisms and levels of analysis into four main categories of research approaches (market regulation, land-use approaches, actor-oriented and public regulation approaches). For each category an overview of the state-of-the-art of research is given and an assessment is made of its strengths and weaknesses. The review demonstrates that the multifunctionality concept has attracted a wealth of scientific contributions, which have considerably improved our understanding of key aspects of MFA. At the same time approaches in the four categories have remained fragmented and each has limitations to understand MFA in all its complexity due to inherent constraints of applied conceptualizations and associated disciplinary backgrounds. To go beyond these limitations, we contend, new meta-level frameworks of analysis are to be developed that enable a more integrated approach. The paper concludes by presenting the main lines of an integrative, transitional framework for the study of MFA, which analyses multifunctional agriculture against the background of wider societal change

  2. Energy Management in Prosumer Communities: A Coordinated Approach

    Directory of Open Access Journals (Sweden)

    Rodrigo Verschae

    2016-07-01

    Full Text Available The introduction of uncontrollable renewable energy is having a positive impact on our health, the climate, and the economy, but it is also pushing the limits of the power system. The main reason for this is that, in any power system, the generation and consumption must match each other at all times. Thus, if we want to further introduce uncontrollable generation, we need a large ability to manage the demand. However, the ability to control the power consumption of existing demand management approaches is limited, and most of these approaches cannot contribute to the introduction of reneweables, because they do not consider distributed uncontrolled consumption and generation in the control. Furthermore, these methods do not allow users to exchange or jointly manage their power generation and consumption. In this context, we propose an augmented energy management model for prosumers (i.e., producer and consumer. This model considers controlled and uncontrolled generation and consumption, as well as the prosumer’s ability (i to plan the intended power consumption; and (ii to manage real-time deviations from the intended consumption. We apply this model to the energy management of prosumer communities, by allowing the prosumers to coordinate their power consumption plan, to manage the deviations from the intended consumption, and to help each other by compensating deviations. The proposed approach seeks to enhance the power system, and to enable a prosumer society that takes account social and environmental issues, as well as each prosumer’s quality of life.

  3. Holistic approach to fraud management in health insurance

    Directory of Open Access Journals (Sweden)

    Štefan Furlan

    2008-12-01

    Full Text Available Fraud present an immense problem for health insurance companies and the only way to fight fraud is by using specialized fraud management systems. The current research community focussed great efforts on different fraud detection techniques while neglecting other also important activities of fraud management. We propose a holistic approach that focuses on all 6 activities of fraud management, namely, (1 deterrence, (2 prevention, (3 detection, (4 investigation, (5 sanction and redress, and (6 monitoring. The main contribution of the paper are 15 key characteristics of a fraud management system, which enable construction of a fraud management system that provides effective and efficient support to all fraud management activities. We base our research on literature review, interviews with experts from different fields, and a case study. The case study provides additional confirmation to expert opinions, as it puts our holistic framework into practice.

  4. Methodical approach to financial stimulation of logistics managers

    Directory of Open Access Journals (Sweden)

    Melnykova Kateryna V.

    2014-01-01

    Full Text Available The article offers a methodical approach to financial stimulation of logistics managers, which allows calculation of the incentive amount with consideration of profit obtained from introduction of optimisation logistics solutions. The author generalises measures, which would allow increase of stimulation of labour of logistics managers by the enterprise top managers. The article marks out motivation factors, which exert influence upon relation of logistics managers to execution of optimisation logistical solutions, which minimise logistical costs. The author builds a scale of financial encouragement for introduction of optimisation logistical solutions proposed by logistics managers. This scale is basic for functioning of the encouragement system and influences the increase of efficiency of logistics managers operation and also optimisation of enterprise logistical solutions.

  5. Exploration Systems Development (ESD) Approach to Enterprise Risk Management

    Science.gov (United States)

    Bauder, Stephen P.

    2014-01-01

    The National Aeronautics and Space Administration (NASA) Exploration Systems Development (ESD) Division has implemented an innovative approach to Enterprise Risk Management under a unique governance structure and streamlined integration model. ESD's mission is to design and build the capability to extend human existence to deep space. The Enterprise consists of three Programs: Space Launch System (SLS), Orion, and Ground Systems Development and Operations (GSDO). The SLS is a rocket and launch system that will be capable of powering humans, habitats, and support systems to deep space. Orion will be the first spacecraft in history capable of taking humans to multiple destinations within deep space. GSDO is modernizing Kennedy's spaceport to launch spacecraft built and designed by both NASA and private industry. ESD's approach to Enterprise Risk Management is commensurate with affordability and a streamlined management philosophy. ESD Enterprise Risk Management leverages off of the primary mechanisms for integration within the Enterprise. The Enterprise integration approach emphasizes delegation of authority to manage and execute the majority of cross-program activities and products to the individual Programs, while maintaining the overall responsibility for all cross-program activities at the Division. The intent of the ESD Enterprise Risk Management approach is to improve risk communication, to avoid replication and/or contradictory strategies, and to minimize overhead process burden. This is accomplished by the facilitation and integration of risk information within ESD. The ESD Division risks, Orion risks, SLS risks, and GSDO risks are owned and managed by the applicable Program. When the Programs have shared risks with multiple consequences, they are jointly owned and managed. When a risk is associated with the integrated system that involves more than one Program in condition, consequence, or mitigation plan, it is considered an Exploration Systems Integration

  6. Cost estimation for solid waste management in industrialising regions – Precedents, problems and prospects

    International Nuclear Information System (INIS)

    Parthan, Shantha R.; Milke, Mark W.; Wilson, David C.; Cocks, John H.

    2012-01-01

    Highlights: ► We review cost estimation approaches for solid waste management. ► Unit cost method and benchmarking techniques used in industrialising regions (IR). ► Variety in scope, quality and stakeholders makes cost estimation challenging in IR. ► Integrate waste flow and cost models using cost functions to improve cost planning. - Abstract: The importance of cost planning for solid waste management (SWM) in industrialising regions (IR) is not well recognised. The approaches used to estimate costs of SWM can broadly be classified into three categories – the unit cost method, benchmarking techniques and developing cost models using sub-approaches such as cost and production function analysis. These methods have been developed into computer programmes with varying functionality and utility. IR mostly use the unit cost and benchmarking approach to estimate their SWM costs. The models for cost estimation, on the other hand, are used at times in industrialised countries, but not in IR. Taken together, these approaches could be viewed as precedents that can be modified appropriately to suit waste management systems in IR. The main challenges (or problems) one might face while attempting to do so are a lack of cost data, and a lack of quality for what data do exist. There are practical benefits to planners in IR where solid waste problems are critical and budgets are limited.

  7. Integrated Management System as constituent of balanced development approach

    International Nuclear Information System (INIS)

    Pasternak, J.

    2005-01-01

    Globalization of the economy makes RAFAKO S.A. react promptly and efficiently to what goes on in the surrounding world. The way this company is organized and managed constitutes the fundamental condition for success and it is this subject that the authors have concentrated on. The restructuring process of the company started in 1998. A business management structure was established and individual fields of activity, as profit or cost centers for budgeting and reporting, were separated. Employment rationalization was started, labour valuation system, its effectiveness and a new payment policy were implemented. In accordance with the stipulation resulting from standard PN-EN ISO 9000:2001, process-like approach to management was assumed. This paper presents the process based approach to management and elements of project management at RAFAKO S.A. The experiences in project management, originating from the history of this company, facilitated considerably the first stages of process management implementation. A brief description of budget planning technique and elements of cost account, as well as how the budget and account are interpreted in the Integrated Management System were presented. (author)

  8. A total system approach to sustainable pest management

    Science.gov (United States)

    Lewis, W. J.; van Lenteren, J. C.; Phatak, Sharad C.; Tumlinson, J. H.

    1997-01-01

    A fundamental shift to a total system approach for crop protection is urgently needed to resolve escalating economic and environmental consequences of combating agricultural pests. Pest management strategies have long been dominated by quests for “silver bullet” products to control pest outbreaks. However, managing undesired variables in ecosystems is similar to that for other systems, including the human body and social orders. Experience in these fields substantiates the fact that therapeutic interventions into any system are effective only for short term relief because these externalities are soon “neutralized” by countermoves within the system. Long term resolutions can be achieved only by restructuring and managing these systems in ways that maximize the array of “built-in” preventive strengths, with therapeutic tactics serving strictly as backups to these natural regulators. To date, we have failed to incorporate this basic principle into the mainstream of pest management science and continue to regress into a foot race with nature. In this report, we establish why a total system approach is essential as the guiding premise of pest management and provide arguments as to how earlier attempts for change and current mainstream initiatives generally fail to follow this principle. We then draw on emerging knowledge about multitrophic level interactions and other specific findings about management of ecosystems to propose a pivotal redirection of pest management strategies that would honor this principle and, thus, be sustainable. Finally, we discuss the potential immense benefits of such a central shift in pest management philosophy. PMID:9356432

  9. Risk assessment and management approaches on mental health units.

    Science.gov (United States)

    Woods, P

    2013-11-01

    This exploratory and descriptive study took place in one Canadian province. The study aimed to: (1) to identify and describe the nature and extent of current risk assessment and management approaches used in the adult inpatient mental health and forensic units; and (2) to identify good practice and shortfalls in the nature and extent of the approaches currently utilized. Data were collected from 48 participants through nine focus groups. Participants reported that they used a clinical approach to risk assessment. They had also not considered risk assessment and management as a proactive structured process. Education and training was also limited and skills were developed over time through practice. Five keys issues are discussed as important: reliance on clinical judgement alone is not the best choice to make; the need to consider risk as a whole concept; risk management being more reactive than proactive; education and training; and client involvement in risk assessment. © 2012 John Wiley & Sons Ltd.

  10. Application of the graded management approach to Battelle's nuclear project

    International Nuclear Information System (INIS)

    Voth, C.B.

    1996-01-01

    Battelle's graded management approach provides an effective and efficient method to perform the Battelle Columbus Laboratories Decommissioning Project (BCLDP). The project is managed by Battelle under their US Nuclear Regulatory Commission (NRC) license but is partially funded by the US Department of Energy (DOE) on a cost-shared basis. Battelle's graded management approach adheres to the regulations and orders governing the BCLDP by the interaction of various plans, procedures, permits, and work instructions. By independent assessment, quality control, and worker training, Battelle has been able to establish a cost-effective approach to performing work and, at the same time, have a controlled checks and balance system to assure the proper safety considerations and project particulars are taken into account

  11. The Scientific-Methodical Approaches to Interpretation of the Essence and Value of the Staff Management of Enterprises

    Directory of Open Access Journals (Sweden)

    Tarnavskyi Mykhailo I.

    2018-03-01

    Full Text Available The scientific literature on the issues of interpretation of essence of the economic category of «staff» and «staff management» is analyzed with the purpose of definition of their content and role in the process of activity of enterprise. As a result of the carried out research was found out that the category of «staff» reflects the current tendencies and approaches to the management of people in the enterprise to the utmost, because it is based on the transition from the resource, consumer attitude to the humanistic in the relationship between employers and their employees. The economic content of the category of «staff management» has been defined from the standpoint of presenting seven approaches to the interpretation of this phenomenon: «human resources management» as a process, «staff management» as a system, «staff management» as an activity, «staff management» as an influence, «staff management» as an aggregate (of activities, principles, methods, etc., «staff management» as a control element (component of enterprise management and «staff management» as a science. Prospects for further research are identification of the main participants in the process of personnel management in the enterprise and the special body that will carry out these processes.

  12. Governance of environmental risk: new approaches to managing stakeholder involvement.

    Science.gov (United States)

    Benn, Suzanne; Dunphy, Dexter; Martin, Andrew

    2009-04-01

    Disputes concerning industrial legacies such as the disposal of toxic wastes illustrate changing pressures on corporations and governments. Business and governments are now confronted with managing the expectations of a society increasingly aware of the social and environmental impacts and risks associated with economic development and demanding more equitable distribution and democratic management of such risks. The closed managerialist decision-making of the powerful bureaucracies and corporations of the industrial era is informed by traditional management theory which cannot provide a framework for the adequate governance of these risks. Recent socio-political theories have conceptualised some key themes that must be addressed in a more fitting approach to governance. We identify more recent management and governance theory which addresses these themes and develop a process-based approach to governance of environmental disputes that allows for the evolving nature of stakeholder relations in a highly complex multiple stakeholder arena.

  13. Embryonic stem cells and prospects for their use in regenerative medicine approaches to motor neurone disease.

    Science.gov (United States)

    Christou, Y A; Moore, H D; Shaw, P J; Monk, P N

    2007-10-01

    Human embryonic stem cells are pluripotent cells with the potential to differentiate into any cell type in the presence of appropriate stimulatory factors and environmental cues. Their broad developmental potential has led to valuable insights into the principles of developmental and cell biology and to the proposed use of human embryonic stem cells or their differentiated progeny in regenerative medicine. This review focuses on the prospects for the use of embryonic stem cells in cell-based therapy for motor neurone disease or amyotrophic lateral sclerosis, a progressive neurodegenerative disease that specifically affects upper and lower motor neurones and leads ultimately to death from respiratory failure. Stem cell-derived motor neurones could conceivably be used to replace the degenerated cells, to provide authentic substrates for drug development and screening and for furthering our understanding of disease mechanisms. However, to reliably and accurately culture motor neurones, the complex pathways by which differentiation occurs in vivo must be understood and reiterated in vitro by embryonic stem cells. Here we discuss the need for new therapeutic strategies in the treatment of motor neurone disease, the developmental processes that result in motor neurone formation in vivo, a number of experimental approaches to motor neurone production in vitro and recent progress in the application of stem cells to the treatment and understanding of motor neurone disease.

  14. Conceptual approach to radioactive waste management in Czech Republic

    International Nuclear Information System (INIS)

    Marek, J.

    1993-01-01

    The need, initiation and commencing of work on the creation of the Czech national policy and strategy of radioactive waste management is presented in this paper. The main steps of the national concept are defined in agreement with the worldwide approved approach, keeping the goal to reach all international standards in radioactive waste management. The description of the financial expenses of radwaste activities is also briefly discussed

  15. THE ASSESSMENT OF LEADERSHIP AND MANAGEMENT APPROACH IN ORKHON INSCRIPTIONS

    OpenAIRE

    AYAN, Altan

    2015-01-01

    In this study, primarily, the concepts of leadership and leadership styles are explained. Theoretical information related to Orkhon inscriptions and the Gokturk state system are also expressed. Then, leadership and management approach in Orkhon inscriptions are evaluated. The aim of the research is to determine of exhibiting leadership styles of the period managers in Orkhon inscriptions. In this scope, the texts in Orkhon inscriptions examined and evaluated in detail. As result of the conduc...

  16. Marine Peptides as Potential Agents for the Management of Type 2 Diabetes Mellitus-A Prospect.

    Science.gov (United States)

    Xia, En-Qin; Zhu, Shan-Shan; He, Min-Jing; Luo, Fei; Fu, Cheng-Zhan; Zou, Tang-Bin

    2017-03-23

    An increasing prevalence of diabetes is known as a main risk for human health in the last future worldwide. There is limited evidence on the potential management of type 2 diabetes mellitus using bioactive peptides from marine organisms, besides from milk and beans. We summarized here recent advances in our understanding of the regulation of glucose metabolism using bioactive peptides from natural proteins, including regulation of insulin-regulated glucose metabolism, such as protection and reparation of pancreatic β-cells, enhancing glucose-stimulated insulin secretion and influencing the sensitivity of insulin and the signaling pathways, and inhibition of bioactive peptides to dipeptidyl peptidase IV, α-amylase and α-glucosidase activities. The present paper tried to understand the underlying mechanism involved and the structure characteristics of bioactive peptides responsible for its antidiabetic activities to prospect the utilization of rich marine organism proteins.

  17. Approach to transaction management for Space Station Freedom

    Science.gov (United States)

    Easton, C. R.; Cressy, Phil; Ohnesorge, T. E.; Hector, Garland

    1989-01-01

    An approach to managing the operations of the Space Station Freedom based on their external effects is described. It is assumed that there is a conflict-free schedule that, if followed, will allow only appropriate operations to occur. The problem is then reduced to that of ensuring that the operations initiated are within the limits allowed by the schedule, or that the external effects of such operations are within those allowed by the schedule. The main features of the currently adopted transaction management approach are discussed.

  18. Pedestrian safety management using the risk-based approach

    Directory of Open Access Journals (Sweden)

    Romanowska Aleksandra

    2017-01-01

    Full Text Available The paper presents a concept of a multi-level pedestrian safety management system. Three management levels are distinguished: strategic, tactical and operational. The basis for the proposed approach to pedestrian safety management is a risk-based method. In the approach the elements of behavioural and systemic theories were used, allowing for the development of a formalised and repeatable procedure integrating the phases of risk assessment and response to the hazards of road crashes involving pedestrians. Key to the method are tools supporting pedestrian safety management. According to the risk management approach, the tools can be divided into two groups: tools supporting risk assessment and tools supporting risk response. In the paper attention is paid to selected tools supporting risk assessment, with particular emphasis on the methods for estimating forecasted pedestrian safety measures (at strategic, national and regional level and identification of particularly dangerous locations in terms of pedestrian safety at tactical (regional and local and operational level. The proposed pedestrian safety management methods and tools can support road administration in making rational decisions in terms of road safety, safety of road infrastructure, crash elimination measures or reducing the consequences suffered by road users (particularly pedestrians as a result of road crashes.

  19. Strategy Ranges: Describing Change in Prospective Elementary Teachers' Approaches to Mental Computation of Sums and Differences

    Science.gov (United States)

    Whitacre, Ian

    2015-01-01

    This study investigated the sets of mental computation strategies used by prospective elementary teachers to compute sums and differences of whole numbers. In the context of an intervention designed to improve the number sense of prospective elementary teachers, participants were interviewed pre/post, and their mental computation strategies were…

  20. The stereotactic approach for mapping epileptic networks: a prospective study of 200 patients.

    Science.gov (United States)

    Serletis, Demitre; Bulacio, Juan; Bingaman, William; Najm, Imad; González-Martínez, Jorge

    2014-11-01

    Stereoelectroencephalography (SEEG) is a methodology that permits accurate 3D in vivo electroclinical recordings of epileptiform activity. Among other general indications for invasive intracranial electroencephalography (EEG) monitoring, its advantages include access to deep cortical structures, its ability to localize the epileptogenic zone when subdural grids have failed to do so, and its utility in the context of possible multifocal seizure onsets with the need for bihemispheric explorations. In this context, the authors present a brief historical overview of the technique and report on their experience with 2 SEEG techniques (conventional Leksell frame-based stereotaxy and frameless stereotaxy under robotic guidance) for the purpose of invasively monitoring difficult-to-localize refractory focal epilepsy. Over a period of 4 years, the authors prospectively identified 200 patients with refractory epilepsy who collectively underwent 2663 tailored SEEG electrode implantations for invasive intracranial EEG monitoring and extraoperative mapping. The first 122 patients underwent conventional Leksell frame-based SEEG electrode placement; the remaining 78 patients underwent frameless stereotaxy under robotic guidance, following acquisition of a stereotactic ROSA robotic device at the authors' institution. Electrodes were placed according to a preimplantation hypothesis of the presumed epileptogenic zone, based on a standardized preoperative workup including video-EEG monitoring, MRI, PET, ictal SPECT, and neuropsychological assessment. Demographic features, seizure semiology, number and location of implanted SEEG electrodes, and location of the epileptogenic zone were recorded and analyzed for all patients. For patients undergoing subsequent craniotomy for resection, the type of resection and procedure-related complications were prospectively recorded. These results were analyzed and correlated with pathological diagnosis and postoperative seizure outcomes. The

  1. Preoperative Radiotherapy in Resectable Rectal Cancer: A Prospective Randomized Study of Two Different Approaches

    International Nuclear Information System (INIS)

    EITTA, M.A.; EL- WAHIDI, G.F.; FOUDA, M.A.; ABO EL-NAGA, E.M.; GAD EL-HAK, N.

    2010-01-01

    Preoperative radiotherapy in resectable rectal cancer has a number of potential advantages, most importantly reducing local recurrence, increasing survival and down-staging effect. Purpose: This prospective study was designed to compare between two different approaches of preoperative radiotherapy, either short course or long course radiotherapy. The primary endpoint is to evaluate the local recurrence rate, overall survival (OS) and disease free survival (DFS). The secondary endpoint is to evaluate down staging, treatment toxicity and ability to do sphincter sparing procedure (SSP), aiming at helping in the choice of the optimal treatment modality. Patients and Methods: This is a prospective randomized study of patients with resectable rectal cancer who presented to the department of Clinical Oncology and Nuclear Medicine, Mansoura University during the time period between June 2007 and September 2009. These patients received preoperative radiotherapy and were randomized into two arms: Arm 1, short course (SCRT) 25Gy/week/5 fractions followed by surgery within one week, and arm 2, long course preoperative radiotherapy (LCRT) 45Gy/5 weeks/25 fractions followed by surgery after 4-6 weeks. Adjuvant chemotherapy was given 4-6 weeks after surgery according to the postoperative pathology. Results: After a median follow-up of 18 months (range 6 to 28 months), we studied the patterns of recurrence. Three patients experienced local recurrence (LR), two out of 14 (14.2%) in arm 1 and one out of 15 patients (6.7%) in arm 2, (p=0.598). Three patients developed distant metastases [two in arm 1 (14.2%) and one in arm 2 (6.7%), p=0.598]. Two-year OS rate was 64±3% and 66±2%, (p= 0.389), and the 2-year DFS rate was 61±2% and 83±2% for arms 1 and 2, respectively (p=0.83). Tumor (T) downstaging was more achieved in LCRT arm with a statistically significant difference, but did not reach statistical significance in node (N) down-staging. SSP was more available in LCRT but with no

  2. Regional Integrated Silvopastoral Approaches to Ecosystem Management Project

    OpenAIRE

    CIPAV (Centre For Research on Sustainable Agricultural Production Systems); CATIE (Centro Agronomico Tropical de Investigacion y Ensenanza); NITLAPAN

    2007-01-01

    Metadata only record The Regional Integrated Silvopastoral Approaches to Ecosystem Management Project introduces the payment for environmental services approach to silvopastoral farmers in Colombia, Costa Rica, and Nicaragua. The objectives of the project are to "demonstrate and measure a) the effects the introduction of payment incentives for environmental services to farmers on their adoption of integrated silvopastoral farming systems in degraded pasture lands; and b) the resulting impr...

  3. An Improved Dynamic Programming Decomposition Approach for Network Revenue Management

    OpenAIRE

    Dan Zhang

    2011-01-01

    We consider a nonlinear nonseparable functional approximation to the value function of a dynamic programming formulation for the network revenue management (RM) problem with customer choice. We propose a simultaneous dynamic programming approach to solve the resulting problem, which is a nonlinear optimization problem with nonlinear constraints. We show that our approximation leads to a tighter upper bound on optimal expected revenue than some known bounds in the literature. Our approach can ...

  4. Information visualization for the Structural Complexity Management Approach

    OpenAIRE

    Maurer, Maik;Braun, Thomas;Lindemann, Udo

    2017-01-01

    The handling of complexity poses an important challenge and a success factor for product design. A considerable percentage of complexity results from dependencies between system elements – as adaptations to single system elements can cause far-reaching consequences. The Structural Complexity Management (SCM) approach provides a five-step procedure that supports users in the identification, acquisition, analysis and optimization of system dependencies. The approach covers the handling of multi...

  5. Improvement of radiology services based on the process management approach

    International Nuclear Information System (INIS)

    Amaral, Creusa Sayuri Tahara; Rozenfeld, Henrique; Costa, Janaina Mascarenhas Hornos; Magon, Maria de Fatima de Andrade; Mascarenhas, Yvone Maria

    2011-01-01

    The health sector requires continuous investments to ensure the improvement of products and services from a technological standpoint, the use of new materials, equipment and tools, and the application of process management methods. Methods associated with the process management approach, such as the development of reference models of business processes, can provide significant innovations in the health sector and respond to the current market trend for modern management in this sector (Gunderman et al. (2008) ). This article proposes a process model for diagnostic medical X-ray imaging, from which it derives a primary reference model and describes how this information leads to gains in quality and improvements.

  6. Neuroeconomics and Management Educations: Perspectives for New Applications and Approaches

    Directory of Open Access Journals (Sweden)

    Titov Sergei

    2016-01-01

    Full Text Available Since the 1990s economics started importing interesting insights from psychology and the new discipline of behavioral economics elaborated many interesting models that changed the traditional economic and management theories. Nowadays the applications from neuroscience are extensively used in economics which led to the birth of neuroeconomics. The article attempts to overview the current state and topics in neuroscience and neuroeconomics in order to elaborate the suggestions pertaining to management education. The article is based on several examples of the neuroeconomic research and formulates new applications and approaches to management training curriculum and methods of learning.

  7. Are Prospective Elementary School Teachers' Social Studies Teaching Efficacy Beliefs Related to Their Learning Approaches in a Social Studies Teaching Methods Course?

    Science.gov (United States)

    Dündar, Sahin

    2015-01-01

    This study aimed to contribute to the growing literature on learning approaches and teacher self-efficacy beliefs by examining associations between prospective elementary school teachers' learning approaches in a social studies teaching methods course and their social studies teaching efficacy beliefs. One hundred ninety-two prospective elementary…

  8. Origins of management accounting according to different research approaches

    Directory of Open Access Journals (Sweden)

    Anna Szychta

    2016-07-01

    Full Text Available The aim of the article is to specify the causes, places and periods of origin of the application of manage-ment accounting in accordance with the views of the foreign supporters of the four main approaches to research on the development of management accounting. The article highlights the various possibilities of interpretation by historians of past events and processes in the practice of management accounting dependingon the types of sources included in research and conceptual basis for discussion and interpretation of the past. The author uses the review, analysis and synthesis of thoughts and opinions of the authors of select-ed publications from the extensive English-language literature of the subject. This article constitutes an input to the discussion about the need to extend the research in Poland in the area of accounting history, including management accounting history.

  9. Evaluation of Workflow Management Systems - A Meta Model Approach

    Directory of Open Access Journals (Sweden)

    Michael Rosemann

    1998-11-01

    Full Text Available The automated enactment of processes through the use of workflow management systems enables the outsourcing of the control flow from application systems. By now a large number of systems, that follow different workflow paradigms, are available. This leads to the problem of selecting the appropriate workflow management system for a given situation. In this paper we outline the benefits of a meta model approach for the evaluation and comparison of different workflow management systems. After a general introduction on the topic of meta modeling the meta models of the workflow management systems WorkParty (Siemens Nixdorf and FlowMark (IBM are compared as an example. These product specific meta models can be generalized to meta reference models, which helps to specify a workflow methodology. Exemplary, an organisational reference meta model is presented, which helps users in specifying their requirements for a workflow management system.

  10. Approach on origin management of nuclear materials at KAERI

    International Nuclear Information System (INIS)

    Kim, Hyun-Jo; Lee, Sung-Ho; Lee, Byung-Doo; Kim, In-Chul; Kim, Hyun-Sook; Jung, Juang

    2017-01-01

    This paper describes the current origin management approach and reviews the requirement to be reflected to meet the bilateral agreements. KAERI developed the origin management system to efficiently and effectively manage the origin information. The system is connected with KASIS to share the information on the inventory changes of nuclear material. After development of the system, however, the new concept of obligated nuclear material is introduced according to the amended ROK-US agreement. Also, the origin management system based on IAEA accounting reports needs to revise to include the nuclear material exempted from safeguards. Therefore KAERI will improve the origin management system to meet the requirement of bilateral agreements and NSSC notice to be revised.

  11. Budgetary Approach to Project Management by Percentage of Completion Method

    Directory of Open Access Journals (Sweden)

    Leszek Borowiec

    2011-07-01

    Full Text Available Efficient and effective project management process is made possible by the use of methods and techniques of project management. The aim of this paper is to present the problems of project management by using Percentage of Completion method. The research material was gathered based on the experience in implementing this method by the Johnson Controls International Company. The article attempts to demonstrate the validity of the thesis that the POC project management method, allows for effective implementation and monitoring of the project and thus is an effective tool in the managing of companies which exploit the budgetary approach. The study presents planning process of basic parameters affecting the effectiveness of the project (such as costs, revenue, margin and characterized how the primary measurements used to evaluate it. The present theme is illustrating by numerous examples for showing the essence of the raised problems and the results are presenting by using descriptive methods, graphical and tabular.

  12. Participatory approaches to understanding practices of flood management across borders

    Science.gov (United States)

    Bracken, L. J.; Forrester, J.; Oughton, E. A.; Cinderby, S.; Donaldson, A.; Anness, L.; Passmore, D.

    2012-04-01

    The aim of this paper is to outline and present initial results from a study designed to identify principles of and practices for adaptive co-management strategies for resilience to flooding in borderlands using participatory methods. Borderlands are the complex and sometimes undefined spaces existing at the interface of different territories and draws attention towards messy connections and disconnections (Strathern 2004; Sassen 2006). For this project the borderlands concerned are those between professional and lay knowledge, between responsible agencies, and between one nation and another. Research was focused on the River Tweed catchment, located on the Scottish-English border. This catchment is subject to complex environmental designations and rural development regimes that make integrated management of the whole catchment difficult. A multi-method approach was developed using semi-structured interviews, Q methodology and participatory GIS in order to capture wide ranging practices for managing flooding, the judgements behind these practices and to 'scale up' participation in the study. Professionals and local experts were involved in the research. The methodology generated a useful set of options for flood management, with research outputs easily understood by key management organisations and the wider public alike. There was a wide endorsement of alternative flood management solutions from both managers and local experts. The role of location was particularly important for ensuring communication and data sharing between flood managers from different organisations and more wide ranging stakeholders. There were complex issues around scale; both the mismatch between communities and evidence of flooding and the mismatch between governance and scale of intervention for natural flood management. The multi-method approach was essential in capturing practice and the complexities around governance of flooding. The involvement of key flood management organisations was

  13. A New Approach for Assessing Aquifer Sustainability and the Impact of Proposed Management Actions

    Science.gov (United States)

    Butler, J. J., Jr.; Whittemore, D. O.; Wilson, B. B.

    2015-12-01

    Aquifers are under stress worldwide as a result of large imbalances between inflows and outflows. These imbalances are particularly severe in aquifers in semi-arid regions that are heavily pumped for irrigation, such as the High Plains aquifer (HPA) in the United States. The water resources community has responded by placing an increasing emphasis on more sustainable management plans. To aid in the formulation of such plans, we have developed a simple, water-balance-based approach for rapid assessment of the impact of proposed management actions and the prospects for aquifer sustainability. This theoretically sound approach is particularly well suited for assessing the short- to medium-term (years to a few decades) response to management actions in seasonably pumped aquifers. The net inflow (capture) term of the aquifer water balance can also be directly calculated from water-level and water-use data with this approach. Application to the data-rich portion of the HPA in the state of Kansas reveals that practically achievable reductions in annual pumping would have a large impact. For example, a 22% reduction in average annual water use would have stabilized areally averaged water levels across northwest Kansas from 1996 to 2013 because of larger-than-expected and near-constant net inflows. Whether this is a short-term phenomenon or a path to long-term sustainability, however, has yet to be determined. Water resources managers are often in a quandary about the most effective use of scarce funds for data collection in support of aquifer assessment and management activities. This work demonstrates that a strong emphasis should be placed on collection of reliable water-use data; greater resources devoted to direct measurement of pumping will yield deeper insights into an aquifer's future. The Kansas HPA is similar to many other regional aquifers supporting critically needed agricultural production, so this approach should prove of value far beyond the borders of Kansas.

  14. The Development of System for Management of Enterprise: Diagnostic and Anticipative Approaches

    Directory of Open Access Journals (Sweden)

    Pawlowski Grzegorz

    2017-03-01

    Full Text Available The article is aimed at formation of theoretical and methodical foundations for development of a system for management of enterprise in line with the diagnostic and anticipative approaches. It has been determined that the diagnostic approach is based on the process of identification, analysis and assessment of the enterprise’s status (subject to restrictions on access to information resources to address the problematic moments and weaknesses of enterprise and/or use chances of functioning modalities and strong positions of enterprise to ensure its development and forming a perspective. At the same time, it has been determined that the anticipative approach is directed to an early warning and response to financial crisis, signaling to directors of enterprises on hazards, risks, and additional chances to increase efficiency and effectiveness of financial-economic activity by means of continuous monitoring of changes, arising in the environment of functioning. Prospect for further research will be developing a diagnostic system, taking into consideration the diagnostics in the enterprise’s management system and the theoretical-methodological foundations for development of system for management of enterprise.

  15. Assessment of different construction and demolition waste management approaches

    Directory of Open Access Journals (Sweden)

    Manal S. Abdelhamid

    2014-12-01

    Full Text Available The waste generated from construction and demolition sites is considered one of the most irritating problems in Egypt. In the last 10 years some effort has been made toward solving this problem, the most outstanding is the newly issued Egyptian rating system “Green Pyramids Rating System”. It emphasizes on waste management and particularly “site provision and environment” which contributes to 75% of the management category score. However the traditional practice which is limited to dumping all the generated waste is still dominating. The absence of sustainable practices in construction sector in Egypt led to the lack in financial and environmental data. From strategic perspective, the research aims at developing a detailed procedure to evaluate two construction and demolition waste management approaches by means of Decision Matrix technique. A detailed study is introduced for the two approaches; for each approach a flow chart is developed to demonstrate its lifecycle, as well as the cost break down structure and the different stakeholders’ roles. A penetration discussion of the pros and cons for each approach was developed accordingly and came out with sixteen influencing attributes for both approaches. The previous steps paved the ground to construct a Decision Matrix to decide on one of the approaches from a strategic environmentally oriented perspective. The study relied on the detailed and deep demonstration of the two approaches to justify the assigned weight for attributes and scores for corresponding approach. From a strategic perspective, the decision came out in favor of the more environmentally friendly approach.

  16. Acute dental infections managed in an outpatient parenteral antibiotic program setting: prospective analysis and public health implications.

    Science.gov (United States)

    Connors, William J; Rabie, Heidi H; Figueiredo, Rafael L; Holton, Donna L; Parkins, Michael D

    2017-03-09

    The number of Acute Dental Infections (ADI) presenting for emergency department (ED) care are steadily increasing. Outpatient Parenteral Antibiotic Therapy (OPAT) programs are increasingly utilized as an alternative cost-effective approach to the management of serious infectious diseases but their role in the management of severe ADI is not established. This study aims to address this knowledge gap through evaluation of ADI referrals to a regional OPAT program in a large Canadian center. All adult ED and OPAT program ADI referrals from four acute care adult hospitals in Calgary, Alberta, were quantified using ICD diagnosis codes in a regional reporting system. Citywide OPAT program referrals were prospectively enrolled over a five-month period from February to June 2014. Participants completed a questionnaire and OPAT medical records were reviewed upon completion of care. Of 704 adults presenting to acute care facilities with dental infections during the study period 343 (49%) were referred to OPAT for ADI treatment and 110 were included in the study. Participant mean age was 44 years, 55% were women, and a majority of participants had dental insurance (65%), had seen a dentist in the past six months (65%) and reported prior dental infections (77%), 36% reporting the current ADI as a recurrence. Median length of parenteral antibiotic therapy was 3 days, average total course of antibiotics was 15-days, with a cumulative 1326 antibiotic days over the study period. There was no difference in total duration of antibiotics between broad and narrow spectrum regimes. Conservative cost estimate of OPAT care was $120,096, a cost savings of $597,434 (83%) compared with hospitalization. ADI represent a common preventable cause of recurrent morbidity. Although OPAT programs may offer short-term cost savings compared with hospitalization, risks associated with extended antibiotic exposures and delayed definitive dental management must also be gauged.

  17. Approaches to emergency management teaching at the master's level.

    Science.gov (United States)

    Alexander, David

    2013-01-01

    Training and education enable emergency managers to deal with complex situations, create durable networks of people with appropriate expertise, and ensure that knowledge is utilized to improve resilience in the face of disaster risk. Although there is a discrete literature on emergency management training, few attempts have been made to create an overview that discusses the key issues and proposes a standardized approach. This article examines the nature of training and education in emergency and disaster management. It analyzes the composition and requirements of courses at the master's degree level, which is considered to be the most appropriate tier for in-depth instruction in this field. This article defines "training" and "education" in the context of emergency management courses. It reviews the developing profile of the emergency manager in the light of training requirements. This article examines the question of whether emergency management is a branch of management science or whether it is something distinct and separate. Attention is given to the composition of a core curriculum and to the most appropriate pedagogical forms of delivering it. The article reviews the arguments for and against standardization of the curriculum and describes some of the pedagogical methods for delivering courses. Briefly, it considers the impact on training and education of new pedagogic methods based on information technology. It is concluded that the master's level is particularly suited to emergency and crisis management education, as it enables students to complement the in-depth knowledge they acquired in their disciplinary first degrees with a broader synthetic approach at the postgraduate level. Some measures of standardization of course offerings are desirable, in favor of creating a core curriculum that will ensure that essential core knowledge is imparted. Education and training in this field should include problem-solving approaches that enable students to learn

  18. Practice and Impact of Multidisciplinary Tumor Boards on Patient Management: A Prospective Study

    Directory of Open Access Journals (Sweden)

    Raghid N. Charara

    2017-06-01

    Full Text Available Purpose: Multidisciplinary tumor boards (MTBs have become commonplace. The use, attendance, and function of MTBs need continued assessment and improvement. Methods: We prospectively recorded and assessed all cases presented at MTBs between October 2013 and December 2014. Data were collected before and during each MTB. Data were analyzed using SPSS for Windows version 23 (SPSS, Chicago, IL. Results: Five hundred three cases were presented: 234 cases (46% at GI cancer MTBs, 149 cases (29.6% at breast cancer MTBs, 69 cases (13.7% at thoracic/head and neck cancer MTBs, and 51 cases (10.7% at neuro-oncology MTBs. A total of 86.7% of MTB cases were presented to make plans for management. Plans for upfront management were made in 67% of the breast cancer cases, 63% of GI cases, 59% of thoracic/head and neck cases, and 49% of neuro-oncology cases. Three hundred ninety-four cases (78.3% were presented by medical oncologists, whereas only 74 cases (14.7% were presented by surgeons, and 10 cases (2% were presented by radiation oncologists. The majority of MTBs, with the exception of the neurosurgery MTBs, were led by medical oncologists. Surgeons presented the least number of cases but attended the most, and their contributions to discussions and decision making were essential. Conclusion: MTBs enhance the multidisciplinary management of patients with cancer. Upfront multidisciplinary decision making should be considered as an indicator of benefit from MTBs, in addition to changes in management plans made at MTBs. Increasing the contributions of surgeons to MTBs should include bringing more of their own cases for discussion.

  19. Management of adrenal emergencies in educated patients with adrenal insufficiency-A prospective study.

    Science.gov (United States)

    Burger-Stritt, Stephanie; Kardonski, Pavel; Pulzer, Alina; Meyer, Gesine; Quinkler, Marcus; Hahner, Stefanie

    2018-07-01

    To evaluate the management of adrenal emergencies (AE) requiring parenteral glucocorticoid (GC) treatment in patients with chronic adrenal insufficiency (AI). Prospective, multicentre, questionnaire-based study. Participating patients (n = 150) with chronic AI were provided with a questionnaire on the management of emergency situations, which had to be completed and sent back in case of an AE. In addition, patients were contacted by phone on a regular basis. Fifty-nine AE in 39 patients were documented. The time interval from contact to arrival of a medical professional was 20 minutes (1-240). In total, in 43 AE, patients received parenteral GC by a medical professional. The time interval between showing the emergency card and GC injection by a medical professional was 60 minutes (5-360). A total of 26 patients administered GC by self-injection. The time from the beginning of symptoms to GC injection was significantly shorter in case of self-injection (self-injection vs injection by medical professional; 85 minutes [20-280] vs 232.5 minutes [1-3135]; P management, most of the patients (84%) indicated a need for an easier way of self-injection. While management of AE by both patients and medical professionals still shows high variability, patients profit from the option of self-injection. Patient care, including education of patients and health-professionals, as well as the way of GC administration, needs further optimization. © 2018 John Wiley & Sons Ltd.

  20. Systems approach to waste management in developing countries

    International Nuclear Information System (INIS)

    Johnson, E. R.

    1991-01-01

    A systems engineering approach to the development of waste management facilities is described which may prove to be useful for developing countries. Basically the approach involves a determination of performance objectives, the functions necessary to achieve the objectives, the constraints involved, and the basic facility requirements necessary to accomplish the functions. The foregoing provides the basis for developing a set of descriptions and associated requirements for the overall system as well as for elements of the system at different hierarchical levels. These in turn provide the basis for initiation of design and subsequently construction of the facilities involved. The operation of the approach is illustrated for a hypothetical low level waste processing system

  1. Overcoming mixed waste management obstacles - A company wide approach

    International Nuclear Information System (INIS)

    Buckley, R.N.

    1996-01-01

    The dual regulation of mixed waste by the Nuclear Regulatory Commission and the Environmental Protection Agency has significantly complicated the treatment, storage and disposal of this waste. Because of the limited treatment and disposal options available, facilities generating mixed waste are also being forced to acquire storage permits to meet requirements associated with the Resource Conservation and Recovery Act. Due to the burdens imposed by the regulatory climate, Entergy Operations has undertaken a proactive approach to managing its mixed waste. Their approach is company wide and simplistic in nature. Utilizing the peer groups to develop strategies and a company wide procedure for guidance on mixed waste activities, they have focused on areas where they have the most control and can achieve the greatest benefits from their efforts. A key aspect of the program includes training and employee awareness regarding mixed waste minimization practices. In addition, Entergy Operations is optimizing the implementation of regulatory provisions that facilitate more flexible management practices for mixed waste. This presentation focuses on the team approach to developing mixed waste managements programs and the utilization of innovative thinking and planning to minimize the regulatory burdens. It will also describe management practices and philosophies that have provided more flexibility in implementing a safe and effective company wide mixed waste management program

  2. Approaches to construction of systems of safety management in airlines

    Directory of Open Access Journals (Sweden)

    2015-01-01

    Full Text Available The article presents three approaches of building a safety management system (SMS in airlines in the framework of implementation of ICAO SARPs that apply methods of risk assessment based on use of operational activity of airline taking into account existing and implementing "protections" or "safety barriers".

  3. the sensitivity of a syndromic management approach in detecting ...

    African Journals Online (AJOL)

    MANAGEMENT APPROACH IN. DETECTING SEXUALLY. TRANSMITTED DISEASES IN. PATIENTS AT A PUBLIC HEALTH. CLINIC IN CAPE TOWN. C Mathews, A van Rensburg, N Coetzee. Objectives. To evaluate the sensitivity of a syndromic diagnostic procedure in detecting and treating sexually transmitted diseases ...

  4. A resilient approach to integrated water resources management in ...

    African Journals Online (AJOL)

    Resistance is defined as the ability of a system to withstand a disturbance without any reaction, and resilience as the ability of a system to recover easily from a reaction to a disturbance. These concepts are often applied to risk management by adopting a systems approach. The system may be defined as the ...

  5. The Case for Individualizing Behavior Management Approaches in Inclusive Classrooms

    Science.gov (United States)

    Grossman, Herbert

    2005-01-01

    In today's heterogeneous classrooms, one-method-fits-all-students behavior management approaches are ineffective and often harmful. To succeed with all of their students, teachers should determine whether students have emotional disorders, conduct/behavior disorders, robust male-typical behavior patterns, culturally influenced behavior, learning…

  6. Current approach to diagnosis and management of osteoarthritis ...

    African Journals Online (AJOL)

    There is extreme variability in presentation at different joint sites and between individuals. Management of OA involves a comprehensive approach consisting of preventative measures and numerous therapeutic modalities which should be tailored to individual needs. The family practitioner plays a vital role in the diagnosis ...

  7. A Balanced Scorecard Approach to Public Relations Management Assessment.

    Science.gov (United States)

    Fleisher, Craig S.; Mahaffy, Darren

    1997-01-01

    Describes a new managerial approach to assessing public relations/communications (PR/C) performance using a "balanced scorecard." Reviews the current state of PR/C management assessment; illustrates the balanced scorecard framework; highlights its strengths and weaknesses; describes the process of applying the scorecard to PR/C units;…

  8. Zero base approach to fiscal management of the laboratory.

    Science.gov (United States)

    Boudreau, D A; Majonos, J S

    1985-08-01

    Lab administrators who face the challenge of providing quality care while cutting costs need a way to periodically re-evaluate all lab functions and services. The guidelines presented here, based on the Zero Base Budget approach, formulate a management strategy for the lab that could lead to better fiscal planning.

  9. The User-Subjective Approach to Personal Information Management Systems.

    Science.gov (United States)

    Bergman, Ofer; Beyth-Marom, Ruth; Nachmias, Rafi

    2003-01-01

    Explains personal information management (PIM) systems and suggests a user-subjective approach to PIM system design. Advocates that PIM systems relate to the subjective value-added attributes that the user gives the stored data so that the user can find information again, recall it when needed, and use it effectively in the next interaction.…

  10. Forest management planning for timber production: a sequential approach

    Science.gov (United States)

    Krishna P. Rustagi

    1978-01-01

    Explicit forest management planning for timber production beyond the first few years at any time necessitates use of information which can best be described as suspect. The two-step approach outlined here concentrates on the planning strategy over the next few years without losing sight of the long-run productivity. Frequent updating of the long-range and short-range...

  11. Understanding Performance Management in Schools: A Dialectical Approach

    Science.gov (United States)

    Page, Damien

    2016-01-01

    Purpose: The purpose of this paper is to provide a dialectical framework for the examination of performance management in schools. Design/Methodology/Approach: The paper is based upon a qualitative study of ten headteachers that involved in-depth semi-structured interviews. Findings: The findings identified four dialectical tensions that underpin…

  12. Effects of management in gestational diabetes mellitus with normal prepregnancy body mass index on pregnancy outcomes and placental ultrastructures: a prospective cohort study.

    Science.gov (United States)

    Han, Yun; Zheng, Yan-Li; Wu, Ai-Min; Liu, Hong-Bin; Su, Jian-Bin; Lu, Xiao-Yan; Han, Yu-Wen; Ji, Jin-Long; Ji, Ju-Hua; Shi, Yue

    2016-12-01

    A great quantity of gestational diabetes mellitus with normal prepregnancy body mass index have emerged with the new criteria of gestational diabetes mellitus in China based on the International Diabetes in Pregnancy Consensus group criteria, and understanding placental changes and how they affect outcomes are necessary in order to develop effective management approach. The aim of this study was to prospectively explore the effect of active management starting from the late second trimester in gestational diabetes mellitus women with normal prepregnancy body mass index on pregnancy outcomes and placental ultrastructures, and to provide scientific evidences for optimizing the management of gestational diabetes mellitus in China. Gestational diabetes mellitus women with normal prepregnancy body mass index in the same period of this prospective cohort study were divided into intervention group (n = 51) and control group (n = 55). The intervention group was managed rigorously, while the control group received conventional prenatal cares. The glucose profile, gestational weight gain and pregnancy outcomes were followed up and placental ultrastructures were observed and recorded by transmission electron microscopy. The blood glucose level and gestational weight gain in intervention group were significantly better controlled than those in control group (P gestational age were significantly lower in intervention group than in control group (P gestational age (P gestational diabetes mellitus women with normal prepregnancy body mass index can improve pregnancy outcomes and placental ultrastructures, and the abnormal placental ultrastructure might be closely associated with the undesirable glycemic control and adverse pregnancy outcomes.

  13. Integrated management system - management standards evolution and the IAEA new approach

    International Nuclear Information System (INIS)

    Oliveira, Dirceu Paulo de; Zouain, Desiree Moraes

    2007-01-01

    The management standards application began in military and nuclear areas towards the end of Second World War, when some westerns countries developed quality standards to improve their means to assess suppliers' conditions to assure their products conformance, which was increasingly complex and required a higher degree of reliability. Afterwards, the quality standards application was extended to the consumer market focused on consumers' requirements satisfaction. Coming along the society crescent concern about quality of life, other management standards were developed, such as those dealing with environmental and sustainable development, occupational health and safety, social accountability and so on. As a consequence, the management process became complex. The management system integrated form approach makes possible the compatibility of distinct and complementary interests from several functions and disciplines involved and supply the absence of the organizations' holistic approach. According to this integrated management approach, the Agency - 'International Atomic Energy Agency' (IAEA) - decided to review the structure of the 50-C-Q standard - 'Quality Assurance for Safety in Nuclear Power Plants and Other Nuclear Installations', from 1996, publishing in 2006 the new GS-R-3 standard - 'The Management System for Facilities and Activities - Safety Requirements'. This work presents a brief evolution of management standards and integrated management approach, showing the Agency's new vision concerning this issue with the GS-R-3 standard publication. (author)

  14. MULTIFACETED APPROACH TO NATURAL RESOURCE MANAGEMENT: ETHNOLOGY, GEOGRAPHY, CULTURE

    Directory of Open Access Journals (Sweden)

    Mikhail Slipenchuk

    2016-12-01

    Full Text Available Nowadays, the issue of interaction between man and nature is one of the most pressing challenges. One of the aspects of this interaction, as well as one of the prior scientific directions and use of natural resources, is natural resource management. A limited amount of many resources and the limits of environmental capacity of nature raise questions of equity to the interests of different generations, which implies the need to decide on the optimal use of natural resource potential of territories currently and in the future. The complex nature of the relationships that form the structure of resources management as a complex system, dictates the need for a comprehensive approach to its study. System analysis is this type of approach. It allows holding studies of the functions of resources management and identifying problems to its development.

  15. Diagnosis and management of necrotising fasciitis: a multiparametric approach.

    Science.gov (United States)

    Morgan, M S

    2010-08-01

    Necrotising fasciitis (NF) is situated with myositis and myonecrosis at the severe end of a spectrum of skin and soft tissue infections but is far removed from erisepelas, impetigo and cellulitis. Inexperienced clinicians are easily misled by the protean manifestations of infection, especially exotoxin or superantigen mediated consequences from streptococcal NF. Early clinical suspicion and surgery are key to improving survival, and patients with NF need integrated multidisciplinary management, adjusted to the infecting organism(s), the site of infection, and the effects from any toxins produced. A multiparametric approach, incorporating various clinical and laboratory parameters, can aid aggressive management. This review describes the diagnosis and management of the major types of NF, emphasising important aetiological clues from the history and the appropriate usage of diagnostic investigations. The potential benefits of controversial therapeutic approaches, including hyperbaric oxygen and intravenous immunoglobulin, are discussed. Copyright 2010 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.

  16. Approaches to self-management in chronic illness.

    Science.gov (United States)

    Novak, Marta; Costantini, Lucia; Schneider, Sabrina; Beanlands, Heather

    2013-01-01

    Management of a chronic medical condition is a complex process and requires coordinated action between healthcare providers and patients. This process is further complicated by the fact that an increasing number of patients suffer from multiple chronic conditions. Self-management involves active participation of the patients in the everyday care of the symptoms of their illness(es) and medical treatments, as well as maintaining general health and prevention of progression of medical conditions. Managing the psychosocial consequences of illness is also an important component of self-management. Data have demonstrated that enhancing self-management improves quality of life, coping, symptom management, disability, and reduces healthcare expenditures and service utilization. To foster self-management, potential barriers to implementation as well as facilitators and supports for this approach must be acknowledged. In this article, we review various aspects of self-management in chronic illness, focusing on chronic kidney disease. Better understanding of these concepts will facilitate patient-provider collaboration, improve patient care with increased patient and staff satisfaction, and may ultimately result in better clinical outcomes and enhanced quality of life for both the patients and their families. © 2013 Wiley Periodicals, Inc.

  17. Ketamine as an Adjunct to Postoperative Pain Management in Opioid Tolerant Patients After Spinal Fusions: A Prospective Randomized Trial

    OpenAIRE

    Urban, Michael K.; Ya Deau, Jacques T.; Wukovits, Barbara; Lipnitsky, Jane Y.

    2007-01-01

    Management of acute postoperative pain is challenging, particularly in patients with preexisting narcotic dependency. Ketamine has been used at subanesthetic doses as a N-methyl d-aspartate (NMDA) receptor antagonist to block the processing of nociceptive input in chronic pain syndromes. This prospective randomized study was designed to assess the use of ketamine as an adjunct to acute pain management in narcotic tolerant patients after spinal fusions. Twenty-six patients for 1–2 level poster...

  18. Problems and Prospects of Curbside Parking in Lahore: PolicyImplications for Effective Management

    Directory of Open Access Journals (Sweden)

    SALMAN SABIR

    2017-10-01

    Full Text Available Lahore is a fast-growing metropolis experiencing rapid growth in people and vehicle population. This unprecedented growth has led to urban sprawl, dependency on motorized transport, and increased parking space demands throughout the city limits. Off-street parking supply is insufficient and the demand is met mainly by roadside parking with and without any authorization. Parking on the roads and sidewalks has resulted in reduction in traffic capacity, traffic speed variation, accidents and disruption in smooth flow of traffic. Though the government has adopted measures in the past to streamline roadside parking activities, these efforts have proved counter-productive. This paper provides a critical analysis of the existing parking situation in Lahore based on detailed surveys and interviews. It presents an assessment of the functional performance of selected parking sites located at various roads. The findings not only provide significant evidence of the problems caused by haphazard curbside parking but also highlight its prospects if managed properly. The paper argues that absence of by-laws governing curbside parking, weak institutions, and inadequate public transport are the main causes of prevailing parking crisis. It concludes that development of curbside parking regulations in line with urban transport policy is a first step towards managing existing and future curbside parking resources in Lahore.

  19. Problems and Prospects of Curbside Parking in Lahore: Policy Implications for Effective Management

    International Nuclear Information System (INIS)

    Sabir, S.

    2017-01-01

    Lahore is a fast-growing metropolis experiencing rapid growth in people and vehicle population. This unprecedented growth has led to urban sprawl, dependency on motorized transport, and increased parking space demands throughout the city limits. Off-street parking supply is insufficient and the demand is met mainly by roadside parking with and without any authorization. Parking on the roads and sidewalks has resulted in reduction in traffic capacity, traffic speed variation, accidents and disruption in smooth flow of traffic. Though the government has adopted measures in the past to streamline roadside parking activities, these efforts have proved counter-productive. This paper provides a critical analysis of the existing parking situation in Lahore based on detailed surveys and interviews. It presents an assessment of the functional performance of selected parking sites located at various roads. The findings not only provide significant evidence of the problems caused by haphazard curbside parking but also highlight its prospects if managed properly. The paper argues that absence of by-laws governing curbside parking, weak institutions, and inadequate public transport are the main causes of prevailing parking crisis. It concludes that development of curbside parking regulations in line with urban transport policy is a first step towards managing existing and future curbside parking resources in Lahore. (author)

  20. Spent fuel management: Current status and prospects 1995. Proceedings of a regular advisory group meeting

    International Nuclear Information System (INIS)

    1996-08-01

    Spent fuel management has always been one of the important stages in the nuclear fuel cycle and it is still one of the most vital problems common to all countries with nuclear reactors. It begins with the discharge of spent fuel from a power or a research reactor and ends with its ultimate disposition, either by direct disposal or by reprocessing of the spent fuel. Two options exist - an open, once-through cycle with direct disposal of the spent fuel and a closed cycle with reprocessing of the spent fuel and recycling of plutonium and uranium in new mixed oxide fuels. The selection of a spent fuel strategy is a complex procedure in which many factors have to be weighed, including political, economic and safeguards issues as well as protection of the environment. This report gives an overview of the status of spent fuel management programmes in a number of countries, a description of the current status and prospects of activities in this field and recommendations of the participants. Refs, figs, tabs

  1. Managing acute alcohol withdrawal with Homoeopathy: A prospective, observational, multicentre exploratory study

    Directory of Open Access Journals (Sweden)

    Debadatta Nayak

    2014-01-01

    Full Text Available Background: Alcohol dependence is a common social problem which may be associated with other risk factors and co-morbidities. Abrupt cessation of alcohol intake may provoke an acute alcohol withdrawal phase with varying degrees of signs and symptoms. In conventional medical system, specific pharmacological interventions are used for management of Acute Alcohol Withdrawal (AAW. There exists a need to explore safe and holistic treatment of AAW. The present work reports the results of a prospective, observational, exploratory, multicentre trial (2008-2011 to assess the role of Homoeopathy in AAW. Materials and Methods: Individualised Homoeopathy was given to 112 patients reporting with AAW. The clinical assessment was done for 05 days using Clinical Institute Withdrawal Assessment Scale of Alcohol-Revised (CIWA-Ar. Post-withdrawal phase, quality of life of patients was assessed at end of 01 st , 03 rd and 06 th month using World Health Organisation quality of life (WHOQOL- BREF. Results and Analysis: There was a significant decrease in CIWA-Ar mean scores and increase in quality of life score (P < 0.001. The most common remedies used were Arsenicum album, Lycopodium clavatum, Belladonna, Nux vomica and Pulsatilla. Conclusion: The results of current observational pilot study suggest the promising use of Homoeopathy in the management of acute alcohol withdrawal. Further studies with large sample size and rigorous design are warranted.

  2. Semantic Technology Application for Collective Knowledge and Information Management: Prospective Consumer Needs Identification

    Directory of Open Access Journals (Sweden)

    Ilma Pranciulytė-Bagdziunienė

    2013-01-01

    Full Text Available Increasing the global flow of information forms qualitatively new complex information processing and filing requirements. The flow of information, data and knowledge manages the various activities of the original search for technological solutions. Very abundant and rapidly growing technology solutions groups are based on semantic technologies. Therefore, this article aims to provide user access needs for producing perspective survey methodology and the empirical study is based on the prospective development of innovative product lines. This article is formed based on the recommendations of the semantics of the applicability of technology development to business end users, public administration, organization of information flows the value of the generation of knowledge—based on environment and development issues. At a practical level, based on empirical evidence substantiates the semantics it is based on technology solutions for organizations in the integration of business processes, which can become the modern aspect of the success factors of the value of domestic and global market and facilitate the diffusion of innovation. The field of qualitative research has revealed the final consumer habits and problems of information search, organization, grouping aspects. Secondly, the study determined the idea of the necessity of technology in business processes, innovation generation and diffusion of knowledge issues aspects. Third, the authors submit proposals based on the semantics of the applicability of technology development opportunities in the business. Finally—users, public administrations and their mutual interaction activities. ST applicability of these segments may occur based on ST integration of IT systems in organizations, the general structure of existing products or used as a service by buying them from outside suppliers. It is important to emphasize that the ST innovative methods to ensure successful use of advanced, modern

  3. An integrated approach to enhancing prospective English language teachers' writing skills

    Directory of Open Access Journals (Sweden)

    Recep Sahin Arslan

    2013-10-01

    Full Text Available This study reports on the experience of a group of pre-service teachers of English in a compulsory writing coursein the preparatory program of an English language teaching department in the Turkish context. This studyspecifically attempts to investigate to what extent the writing course contributes to the acquisition of basicconventions of written discourse in English when prospective teachers of English are involved in an extensivewriting practice which is based upon integration of product, process and genre based approaches to writing. Thestudy lasted for a period of 28 weeks with fifty-nine pre-service teachers of English who participated in thestudy. The participants studied the basic genre types which included expository writing such as classification,process, argumentation, opinion, cause and effect, compare and contrast, and narrative paragraphs and essays.The participants specifically received instruction as to the basic constituents of paragraph and essays writing;namely, organization, process, unity, coherence, word choice, language use, grammar, and mechanics whichwere further put into 49 observable competencies. Data were collected through an analytic assessment rubricapplied to participants’ pre-study and post-study essays. In addition, participants were distributed a pre-study anda post-study self-perception questionnaire in order to evaluate any possible improvements in their writingcompetence. The results of the study suggest that exposing pre-service teachers of English to various genres byinvolving them in an extensive writing practice adds to their writing competency positively in learning theprocess of writing practice, organizing the text, including relevant content in the text, using languageappropriately, producing correct grammar, coming up with relevant vocabulary, and following correctmechanical conventions.

  4. Prospects for the Development of Administration and Challenges for the Management of Organizations

    Directory of Open Access Journals (Sweden)

    Guido Angello Castro Ríos

    2011-06-01

    Full Text Available Administration, as incipient science, presents a series of challenges to the organization’sdirector and for academy itself. The adaptation, the strategy, the communication skills andeven the ability to radiate in the organization in the organization a sense of accomplishment,are approaches that will shape the development of the organization and management as aset of knowledge that should facilitate the sustainability of the organization as a complexsystem.

  5. Surgical versus non-surgical approach in primary desmoid-type fibromatosis patients: A nationwide prospective cohort from the French Sarcoma Group.

    Science.gov (United States)

    Penel, Nicolas; Le Cesne, Axel; Bonvalot, Sylvie; Giraud, Antoine; Bompas, Emmanuelle; Rios, Maria; Salas, Sébastien; Isambert, Nicolas; Boudou-Rouquette, Pascaline; Honore, Charles; Italiano, Antoine; Ray-Coquard, Isabelle; Piperno-Neumann, Sophie; Gouin, François; Bertucci, François; Ryckewaert, Thomas; Kurtz, Jean-Emmanuel; Ducimetiere, Françoise; Coindre, Jean-Michel; Blay, Jean-Yves

    2017-09-01

    The outcome of desmoid-type fibromatosis (DTF) is unpredictable. Currently, a wait-and-see approach tends to replace large en bloc resection as the first therapeutic approach. Nevertheless, there are no validated factors to guide the treatment choice. We conducted a prospective study of 771 confirmed cases of DTF. We analysed event-free survival (EFS) based on the occurrence of relapse after surgery, progressive disease during the wait-and-see approach, or change in therapeutic strategy. Identification of prognostic factors was performed using classical methods (log-rank test and Cox model). Overall, the 2-year EFS was 56%; this value did not differ between patients undergoing an operation and those managed by the wait-and-see approach (53% versus 58%, p = 0.415). In univariate analysis, two prognostic factors significantly influenced the outcome: the nature of diagnostic sampling (p = 0.466) and primary location (p = 0.0001). The 2-year EFS was only 32% after open biopsy. The 2-year EFS was 66% for favourable locations (abdominal wall, intra-abdominal, breast, digestive viscera and lower limb) and 41% for unfavourable locations. Among patients with favourable locations, the 2-year EFS was similar in patients treated by both surgery (70%) and the wait-and-see approach (63%; p = 0.413). Among patients with unfavourable locations, the 2-year EFS was significantly enhanced in patients initially managed with the wait-and-see approach (52%) compared with those who underwent initial surgery (25%; p = 0.001). The location of DTF is a major prognostic factor for EFS. If these findings are confirmed by independent analysis, personalised management of DTF must consider this easily obtained parameter. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Information Management in Portugal: education and employment conditions and some prospects

    Directory of Open Access Journals (Sweden)

    Maria Cristina Vieira de Freitas

    2014-09-01

    Full Text Available The Professors Cristina Freitas and Maria da Graça Simões answer questions prepared by teachers from the Faculdade de Informação e Comunicação (Gestão da Informação Undergraduate Degree da Universidade Federal de Goiás - UFG. The questions are related to the educational structure dedicated to the issues of information management in Portugal, the influence of the "Big Data" phenomenon on education and training in the area - including discussions on data governance, the fundation areas of Information Management and the main approaches to information research in the Country. Besides, they discuss the employment conditions (threats and opportunities for professionals in Information Management in Portugal and in Europe [Available Language: Portuguese/Portugal].

  7. A programme management approach for supporting a transition to integrated flood management in the Netherlands

    NARCIS (Netherlands)

    Rijke, J.S.; Van Herk, S.; Zevenbergen, C.; Ashley, R.

    2012-01-01

    In the Netherlands and many other developed countries, flood management is transitioning from sectoral engineering approaches to more integrated approaches. The 2.3 billion Euro Room for the River programme plays an important role in this transition, because it is the first large scale

  8. A training approach to improve stepping automaticity while dual-tasking in Parkinson's disease: A prospective pilot study.

    Science.gov (United States)

    Chomiak, Taylor; Watts, Alexander; Meyer, Nicole; Pereira, Fernando V; Hu, Bin

    2017-02-01

    Deficits in motor movement automaticity in Parkinson's disease (PD), especially during multitasking, are early and consistent hallmarks of cognitive function decline, which increases fall risk and reduces quality of life. This study aimed to test the feasibility and potential efficacy of a wearable sensor-enabled technological platform designed for an in-home music-contingent stepping-in-place (SIP) training program to improve step automaticity during dual-tasking (DT). This was a 4-week prospective intervention pilot study. The intervention uses a sensor system and algorithm that runs off the iPod Touch which calculates step height (SH) in real-time. These measurements were then used to trigger auditory (treatment group, music; control group, radio podcast) playback in real-time through wireless headphones upon maintenance of repeated large amplitude stepping. With small steps or shuffling, auditory playback stops, thus allowing participants to use anticipatory motor control to regain positive feedback. Eleven participants were recruited from an ongoing trial (Trial Number: ISRCTN06023392). Fear of falling (FES-I), general cognitive functioning (MoCA), self-reported freezing of gait (FOG-Q), and DT step automaticity were evaluated. While we found no significant effect of training on FES-I, MoCA, or FOG-Q, we did observe a significant group (music vs podcast) by training interaction in DT step automaticity (Ptraining to increase motor automaticity for people living with PD. The training approach described here can be implemented at home to meet the growing demand for self-management of symptoms by patients.

  9. Pregnancy and cystic fibrosis: Approach to contemporary management

    Science.gov (United States)

    Tay, George; Callaway, Leonie; Bell, Scott C

    2014-01-01

    Over the previous 50 years survival of patients with cystic fibrosis has progressively increased. As a result of improvements in health care, increasing numbers of patients with cystic fibrosis are now considering starting families of their own. For the health care professionals who look after these patients, the assessment of the potential risks, and the process of guiding prospective parents through pregnancy and beyond can be both challenging and rewarding. To facilitate appropriate discussions about pregnancy, health care workers must have a detailed understanding of the various important issues that will ultimately need to be considered for any patient with cystic fibrosis considering parenthood. This review will address these issues. In particular, it will outline pregnancy outcomes for mothers with cystic fibrosis, issues that need to be taken into account when planning a pregnancy and the management of pregnancy for mothers with cystic fibrosis or mothers who have undergone organ transplantation as a result of cystic fibrosis. PMID:27512443

  10. Approaches to the quality management in tourism services

    Directory of Open Access Journals (Sweden)

    Ida Vajčnerová

    2010-01-01

    Full Text Available The paper focuses on the systems of quality used in tourism services. It introduces approaches based on observing facility standards that are used in the Czech Republic in the area of accommodation and boarding services (Hotelstars, HACAP, then ISO standards of 9000 group and the systems of complex quality management. Within the frame of complex quality management it deals with the model of exceptionality EFQM (European Foundation for Quality Management and the European integrated system of quality IQM (Integrated Quality Management in more detail. The necessity to support the quality of tourism services is pointed out in the paper, as well as to create a national system of quality or possibly using already existing European systems of international character.

  11. Conservative management of vestibular schwannoma--a prospective cohort study: treatment, symptoms, and quality of life.

    Science.gov (United States)

    Breivik, Cathrine Nansdal; Varughese, Jobin K; Wentzel-Larsen, Tore; Vassbotn, Flemming; Lund-Johansen, Morten

    2012-05-01

    One hundred ninety-three patients with sporadic unilateral vestibular schwannoma given conservative management were enrolled in a prospective study. To evaluate the efficacy of conservative management and to determine the effect of an initial conservative management on the quality of life (QOL) and severity of audio vestibular symptoms. The patients underwent magnetic resonance imaging scans, clinical examination, and QOL assessment by 2 validated questionnaires, the Short Form-36 (SF-36) and Glasgow Benefit Inventory (GBI). Using regression analysis of clustered data, we analyzed possible associations between tumor growth and symptoms and tested whether our earlier finding that vertigo is associated with reduced QOL could be verified. The median follow-up time was 43 months (range, 9-115 months; SD, 21.48 months). Results are based on 703 clinical controls and 642 (SF-36) and 638 (GBI) questionnaires. Seven patients were lost to follow-up. Approximately 40% of patients were in need of treatment during follow-up. We found a statistically significant association between tinnitus and vertigo and tumor growth. Vertigo was found to significantly reduce QOL. There was a significant drop in the Social Function subscales of both SF-36 and GBI, possibly attributable to progressive hearing loss. Otherwise, there was no overall trend toward any change in QOL during the observation period. In addition, QOL seemed to be little affected by treatment. There was a small but statistically significant improvement in vestibular complaints and no change in the occurrence of tinnitus. Except for hearing loss caused by surgery, treatment did not affect symptoms or QOL significantly. Growth was associated with the occurrence of tinnitus and balance problems.

  12. Why are You Late?: Investigating the Role of Time Management in Time-Based Prospective Memory

    Science.gov (United States)

    Waldum, Emily R; McDaniel, Mark A.

    2016-01-01

    Time-based prospective memory tasks (TBPM) are those that are to be performed at a specific future time. Contrary to typical laboratory TBPM tasks (e.g., “hit the “z” key every 5 minutes”), many real-world TBPM tasks require more complex time-management processes. For instance to attend an appointment on time, one must estimate the duration of the drive to the appointment and then utilize this estimate to create and execute a secondary TBPM intention (e.g., “I need to start driving by 1:30 to make my 2:00 appointment on time”). Future under- and overestimates of drive time can lead to inefficient TBPM performance with the former lending to missed appointments and the latter to long stints in the waiting room. Despite the common occurrence of complex TBPM tasks in everyday life, to date, no studies have investigated how components of time management, including time estimation, affect behavior in such complex TBPM tasks. Therefore, the current study aimed to investigate timing biases in both older and younger adults and further to determine how such biases along with additional time management components including planning and plan fidelity influence complex TBPM performance. Results suggest for the first time that younger and older adults do not always utilize similar timing strategies, and as a result, can produce differential timing biases under the exact same environmental conditions. These timing biases, in turn, play a vital role in how efficiently both younger and older adults perform a later TBPM task that requires them to utilize their earlier time estimate. PMID:27336325

  13. Why are you late? Investigating the role of time management in time-based prospective memory.

    Science.gov (United States)

    Waldum, Emily R; McDaniel, Mark A

    2016-08-01

    Time-based prospective memory tasks (TBPM) are those that are to be performed at a specific future time. Contrary to typical laboratory TBPM tasks (e.g., hit the Z key every 5 min), many real-world TBPM tasks require more complex time-management processes. For instance, to attend an appointment on time, one must estimate the duration of the drive to the appointment and then use this estimate to create and execute a secondary TBPM intention (e.g., "I need to start driving by 1:30 to make my 2:00 appointment on time"). Future under- and overestimates of drive time can lead to inefficient TBPM performance with the former lending to missed appointments and the latter to long stints in the waiting room. Despite the common occurrence of complex TBPM tasks in everyday life, to date, no studies have investigated how components of time management, including time estimation, affect behavior in such complex TBPM tasks. Therefore, the current study aimed to investigate timing biases in both older and younger adults and, further, to determine how such biases along with additional time management components including planning and plan fidelity influence complex TBPM performance. Results suggest for the first time that younger and older adults do not always utilize similar timing strategies, and as a result, can produce differential timing biases under the exact same environmental conditions. These timing biases, in turn, play a vital role in how efficiently both younger and older adults perform a later TBPM task that requires them to utilize their earlier time estimate. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  14. Outpatient management of pulmonary embolism in cancer: data on a prospective cohort of 138 consecutive patients.

    Science.gov (United States)

    Font, Carme; Carmona-Bayonas, Alberto; Fernández-Martinez, Aranzazu; Beato, Carmen; Vargas, Andrés; Gascon, Pere; Otero, Remedios

    2014-03-01

    The purpose of this prospective cohort study was to assess the feasibility of outpatient treatment in patients with cancer and objectively confirmed pulmonary embolism (PE), and to compare the performance of the different prognostic scales available in this setting. Patients were selected for outpatient management according to a set of exclusion criteria. Outcomes at 30 and 90 days of follow-up included thromboembolic recurrences, major bleeding, and all-cause death. The performance of 4 prognostic scales (Pulmonary Embolism Severity Index, Geneva Prognostic Score, POMPE-C, and Registro Informatizado de Enfermedad Tromboembólica [RIETE registry]) was evaluated. Of 138 patients, 62 (45%) were managed as outpatients. Incidental PE constituted 47% of the sample. Most patients treated at home had an incidentally detected PE (89%). The rate of recurrence and major bleeding events was similar in both groups. Mortality rates were higher for patients admitted to the hospital compared with outpatients at 30 days (18% vs 3%; P=.06) and 90 days (34% vs 10%; P=.001) of follow-up. None of the patients selected for home treatment required further admission because of PE complications. None of the prognostic models developed for symptomatic PE was significantly associated with 30-day mortality. Improved survival outcomes were observed in incidentally detected PEs compared with acute symptomatic events (overall mortality rates, 3.2% vs 18.4%; P=.006). A large proportion of patients with cancer and PE may be safely treated as outpatients, especially those with incidental PE. Cancer-specific prognostic scales including incidental PE should be developed for the optimal management of PE in this setting.

  15. Prospects and opportunities the implementation of effective management models at the enterprises of the Russian industry

    Directory of Open Access Journals (Sweden)

    E. S. Balashova

    2016-01-01

    Full Text Available In 2015 the recession of the Russian economy continues. Economic forecasts of 2016 made by influential rating agencies and the International Monetary Fund are analyzed. It is emphasized that the course of structural economic changes, selected by the Russian government actualizes the issue of increasing the competitiveness of Russian industry on a global level that, in turn, contributes to the implementation of effective management models at the enterprises and organization of internal processes. Positively recommended concept of lean production abroad became popular in Russia in early 2000’s. First successful example of its implementation – CJSC “Ford Motor Company” is considered. A large number of enterprises which represent state corporations “Rosteh” and “Rosatom”, industrial group “Basic element”, OJSC “Russian Railways” and which are individual major representatives of the Russian industrial sector are investigated. Different ways of development of lean production by Russian enterprises are analyzed and the most common way – independent interpretation and implementation is identified. Review of the tools of this management model used at the Russian enterprises is paid great attention. The prevalence of such tool as 5S (approximately 87,5%, because of its visible simplicity of understanding and ease of implementation is noted. The most important indicator – the economic effect of the introduction of the lean production concept at the enterprises of Russian industry in 2014 is analyzed. It is concluded that the economic result of the use of management model at Russian industrial enterprises is extremely low and varies at most about 1% of revenue. The obtained results demonstrate the prospects of further development of lean production and prove the possibility of achieving a high competitiveness of the domestic industrial sector of economy.

  16. Developing green supply chain management strategies: A taxonomic approach

    Directory of Open Access Journals (Sweden)

    Michael Mutingi

    2013-06-01

    Full Text Available Purpose: The objective of this research is to explore the empirical green supply chain activities found in literature, and to develop a taxonomic framework that can be used for formulating appropriate strategies for green supply chains, based on characteristic dimensions for the green supply chain. Design/methodology/approach: The taxonomic framework is developed through (i analysis of green supply chain activities found in existing empirical work or case studies recorded in literature, (ii identification of key dimensions that influence green supply chain management strategies, and (iii development of a taxonomic scheme for selecting or developing green strategies. Findings: The paper finds that this study yielded: a set of three characteristic dimensions that influence strategic green supply chain management, and a guided structured approach selecting appropriate green strategies, providing managerial insights. Research limitations/implications: This paper shows that future work includes development of specific performance management indices according to the taxonomy of green strategies developed in this study. Practical implications: This research provided a practical guided approach that enhances appropriate formulation of green strategies for green supply chain management, while providing sound managerial insights for the supply chain decision maker. The choice of supply chain strategy directly impacts the overall environmental, economic and operations performance of the supply chain. Originality/value: This study presents to supply chain decision makers a new taxonomic framework that simplifies and enhances the formulation of green strategies, and to researchers a comparative understanding of various strategies applicable to green supply chains.

  17. Approach for systematic evaluation of transuranic waste management alternatives

    International Nuclear Information System (INIS)

    Hong, K.; Koebnick, B.; Kotek, T.

    1994-01-01

    This paper describes an approach for systematic evaluation of management alternatives that are being considered for the treatment, storage, and disposal of transuranic waste (TRUW) at U.S. Department of Energy sites. The approach, which is currently under development, would apply WASTE-MGMT, a database application model developed at Argonne National Laboratory, to estimate projected environmental releases and would evaluate impact measures such as health risk and costs associated with each of the waste management alternatives. The customized application would combine site-specific TRUW inventory and characterization data with treatment and transportation parameters to estimate the quantities and characteristics of the wastes to be treated, emissions of hazardous substances from the treatment facilities, and the quantities and characteristics of the wastes to be shipped between sites. These data would then be used to estimate for several TRUW management scenarios the costs and health risks of constructing and operating the required treatment facilities and of transporting TRUW for treatment and final disposal. Treatment, storage, and disposal of TRUW at DOE sites is composed of many variables and options at each stage. The approach described in this paper would provide for efficient consideration of all of these facets when evaluating potentially feasible TRUW management alternatives. By expanding existing databases, this model could eventually be adapted to accommodate the introduction of new treatment technologies, updated TRUW characterization data, and/or revised waste acceptance criteria

  18. Prospects of approach and characterization of Mar del Plata peri-urban, Argentina

    Directory of Open Access Journals (Sweden)

    Rosana Ferraro

    2013-10-01

    Full Text Available In Latin America in general, and in Argentina in particular, city growth without prior planning results in the formation of highly complex peri-urban areas. The urban-rural analysis based on the traditional model of country-city dichotomy is not enough to explain the processes that occur in these cities. On the basis of prior studies conducted in the peri- urban of Mar del Plata, Argentina, this paper aims to : a characterize the peri-urban by studying its functions throughout history, b propose a rereading for its further analysis through the complex systems theoretical-methodological approach, and c describe the main areas that account for its special heterogeneity and complexity. From an integral viewpoint, and taking the physical, sociocultural, productive, urban- residential and digester subsystems into account, the analysis of the peri-urban allowed to define areas with differential characteristics. Such areas admit higher disintegration in more detailed scales, making it easy to understand their operation and their problems. In conclusion, the complex systems approach results appropriate to promote the development of management strategies in areas as heterogeneous as the peri-urban.

  19. Prospects and future of conservative management of beta thalassemia major in a developing country

    International Nuclear Information System (INIS)

    Rahman, M.; Lodhi, Y.

    2004-01-01

    Objective: To assess the efficacy, prospects and future of conservative management of beta thalassemia major patients in a developing country. Design: Patients registered at IHBTS were studied over a period of three years. They consented to being managed on moderate transfusion regimen, aiming to maintain a pre-transfusion haemoglobin(Hgb) level of 9.0 plus minus 1.0 g per dL. We studied their transfusion requirements, status for transfusion transmitted infections (TTls), serum ferritin levels and complications developing as a result of iron overload. Subjects: Initially all registered patients were included in this study. Sporadic patients as well as dropouts occurring due to any reason, (patients concurrently seeking treatment at other centres as well, or complying poorly to advised chelation therapy) were excluded from the study. The data presented here conforms to a cohort of 60 regular patients who adhered best to our selection criteria. Main Outcome Measures: 1) The study highlights the deficiencies and problems of conservative management for beta thalassemia major. 2) The major impact of our study is the message that conservative management in a poor country, like ours, is a no-win situation. 3) There is an urgent need to immediately start a prevention programme. Results: In the younger patients, blood consumption even on the moderate transfusion regimen is 120ml/kg/year, however with ascending age the consumption increases to 240ml/kg/year. A substantive number of the patients are either Hep C (35%) or Hep B (1.7%) positive. There are no HIV positive patients. Serum ferritin levels vary widely and could not be controlled due to poor compliance to chelation. 50% of the patients developed one or other complications of iron overload. The cost of treatment depending on the quality of care, is tremendous and beyond the reach of the common man. Conclusions: Conservative management may be the best alternative and at times the only hope for patients in our country

  20. Data mining approach to model the diagnostic service management.

    Science.gov (United States)

    Lee, Sun-Mi; Lee, Ae-Kyung; Park, Il-Su

    2006-01-01

    Korea has National Health Insurance Program operated by the government-owned National Health Insurance Corporation, and diagnostic services are provided every two year for the insured and their family members. Developing a customer relationship management (CRM) system using data mining technology would be useful to improve the performance of diagnostic service programs. Under these circumstances, this study developed a model for diagnostic service management taking into account the characteristics of subjects using a data mining approach. This study could be further used to develop an automated CRM system contributing to the increase in the rate of receiving diagnostic services.

  1. Emerging geomorphic approaches to guide river management practices

    Science.gov (United States)

    Brierley, Gary; Hooke, Janet

    2015-12-01

    Humans have been modifying river systems across much of the world for many thousands of years. Initially, piecemeal impacts inadvertently affected particular parts of landscapes. Subsequently, many rivers have been subjected to multiple layers of human disturbance, and changes have become widespread and systematic. Increasingly, human impacts reflect deliberative actions as part of river management programmes. These activities entail significant choices in determining the desirable (or acceptable) state and behavioural regime of a river. Typically, contemporary decision-making reflects negotiations among multiple stakeholders, seeking to provide balanced approaches to the management of socio-economic, cultural, and environmental values (e.g. Jähnig et al., 2011).

  2. Sustainable solid waste management a systems engineering approach

    CERN Document Server

    Chang, N

    2015-01-01

    Interactions between human activities and the environment are complicated and often difficult to quantify. In many occasions, judging where the optimal balance should lie among environmental protection, social well-being, economic growth, and technological progress is complex. The use of a systems engineering approach will fill in the gap contributing to how we understand the intricacy by a holistic way and how we generate better sustainable solid waste management practices. This book aims to advance interdisciplinary understanding of intertwined facets between policy and technology relevant to solid waste management issues interrelated to climate change, land use, economic growth, environmental pollution, industrial ecology, and population dynamics.

  3. Clinical Performance and Management Outcomes with the DecisionDx-UM Gene Expression Profile Test in a Prospective Multicenter Study

    Directory of Open Access Journals (Sweden)

    Kristen Meldi Plasseraud

    2016-01-01

    Full Text Available Uveal melanoma management is challenging due to its metastatic propensity. DecisionDx-UM is a prospectively validated molecular test that interrogates primary tumor biology to provide objective information about metastatic potential that can be used in determining appropriate patient care. To evaluate the continued clinical validity and utility of DecisionDx-UM, beginning March 2010, 70 patients were enrolled in a prospective, multicenter, IRB-approved study to document patient management differences and clinical outcomes associated with low-risk Class 1 and high-risk Class 2 results indicated by DecisionDx-UM testing. Thirty-seven patients in the prospective study were Class 1 and 33 were Class 2. Class 1 patients had 100% 3-year metastasis-free survival compared to 63% for Class 2 (log rank test p=0.003 with 27.3 median follow-up months in this interim analysis. Class 2 patients received significantly higher-intensity monitoring and more oncology/clinical trial referrals compared to Class 1 patients (Fisher’s exact test p=2.1×10-13 and p=0.04, resp.. The results of this study provide additional, prospective evidence in an independent cohort of patients that Class 1 and Class 2 patients are managed according to the differential metastatic risk indicated by DecisionDx-UM. The trial is registered with Clinical Application of DecisionDx-UM Gene Expression Assay Results (NCT02376920.

  4. Managing Cybersecurity Research and Experimental Development: The REVO Approach

    Directory of Open Access Journals (Sweden)

    Dan Craigen

    2013-07-01

    Full Text Available We present a systematic approach for managing a research and experimental development cybersecurity program that must be responsive to continuously evolving cybersecurity, and other, operational concerns. The approach will be of interest to research-program managers, academe, corporate leads, government leads, chief information officers, chief technology officers, and social and technology policy analysts. The approach is compatible with international standards and procedures published by the Organisation for Economic Co-operation and Development (OECD and the Treasury Board of Canada Secretariat (TBS. The key benefits of the approach are the following: i the breadth of the overall (cybersecurity space is described; ii depth statements about specific (cybersecurity challenges are articulated and mapped to the breadth of the problem; iii specific (cybersecurity initiatives that have been resourced through funding or personnel are tracked and linked to specific challenges; and iv progress is assessed through key performance indicators. Although we present examples from cybersecurity, the method may be transferred to other domains. We have found the approach to be rigorous yet adaptive to change; it challenges an organization to be explicit about the nature of its research and experimental development in a manner that fosters alignment with evolving business priorities, knowledge transfer, and partner engagement.

  5. Approach to transaction management for Space Station Freedom

    Science.gov (United States)

    Easton, C. R.; Cressy, Phil; Ohnesorge, T. E.; Hector, Garland

    1990-01-01

    The Space Station Freedom Manned Base (SSFMB) will support the operation of the many payloads that may be located within the pressurized modules or on external attachment points. The transaction management (TM) approach presented provides a set of overlapping features that will assure the effective and safe operation of the SSFMB and provide a schedule that makes potentially hazardous operations safe, allocates resources within the capability of the resource providers, and maintains an environment conducive to the operations planned. This approach provides for targets of opportunity and schedule adjustments that give the operators the flexibility to conduct a vast majority of their operations with no conscious involvement with the TM function.

  6. Major accident prevention through applying safety knowledge management approach.

    Science.gov (United States)

    Kalatpour, Omid

    2016-01-01

    Many scattered resources of knowledge are available to use for chemical accident prevention purposes. The common approach to management process safety, including using databases and referring to the available knowledge has some drawbacks. The main goal of this article was to devise a new emerged knowledge base (KB) for the chemical accident prevention domain. The scattered sources of safety knowledge were identified and scanned. Then, the collected knowledge was formalized through a computerized program. The Protégé software was used to formalize and represent the stored safety knowledge. The domain knowledge retrieved as well as data and information. This optimized approach improved safety and health knowledge management (KM) process and resolved some typical problems in the KM process. Upgrading the traditional resources of safety databases into the KBs can improve the interaction between the users and knowledge repository.

  7. Participatory knowledge-management design: A semiotic approach

    DEFF Research Database (Denmark)

    Valtolina, Stefano; Barricelli, Barbara Rita; Dittrich, Yvonne

    2012-01-01

    vocabularies, notations, and suitable visual structures for navigating among interface elements. To this end, the paper describes how our semiotic approach supports processes for representing, storing, accessing, and transferring knowledge through which the information architecture of an interactive system can......The aim of this paper is to present a design strategy for collaborative knowledge-management systems based on a semiotic approach. The contents and structure of experts' knowledge is highly dependent on professional or individual practice. Knowledge-management systems that support cooperation...... a semiotic perspective to computer application and human–computer interaction. From a semiotic perspective, the computer application is both a message from the designer to the user about the structure of the problem domain, as well as about interaction with it, and a structured channel for the user...

  8. Atopic Dermatitis: Drug Delivery Approaches in Disease Management.

    Science.gov (United States)

    Lalan, Manisha; Baweja, Jitendra; Misra, Ambikanandan

    2015-01-01

    In this review, we describe the very basic of atopic dermatitis (AD), the established management strategies, and the advances in drug delivery approaches for successful therapeutic outcomes. The multifactorial pathophysiology of AD has given rise to the clinician's paradigm of topical and systemic therapy and potential combinations. However, incomplete remission of skin disorders like AD is a major challenge to be overcome. Recurrence is thought to be due to genetic and immunological etiologies and shortcomings in drug delivery. This difficulty has sparked research in nanocarrier-based delivery approaches as well as molecular biology-inspired stratagems to deal with the immunological imbalance and to address insufficiencies of delivery propositions. In this review, we assess various novel drug delivery strategies in terms of their success and utility. We present a brief compilation and assessment of management modalities to sensitize the readers to therapeutic scenario in AD.

  9. Diversity Management Change Projects: In Need of Alternative Conceptual Approaches?

    Directory of Open Access Journals (Sweden)

    Christina Evans

    2012-09-01

    Full Text Available Drawing on a meta-analysis of an evaluation of a European Social Fund project aimed at enhancing employment opportunities for women in Information Technology, Electronic and Computing (ITEC, this paper critically debates how effectual a diversity management approach alone is as an underpinning rationale for change in the complex area of diversity. The paper draws on the experiences of ‘partner organizations’, gathered through interviews conducted during the evaluation stage of the project. The paper discusses some of the tensions experienced by partner organizations, thus providing new insights into why such projects are not as effectual as they might be. The paper concludes by presenting a case for the need to re-conceptualise how change as part of a wider diversity management approach might best be conceptualized. We suggest that a ‘systems approach’ could prove a more fruitful way of conceptualizing change of this nature given the inter-dependences between different organizations and institutions.

  10. The promise of acceptance as an NGO security management approach.

    Science.gov (United States)

    Fast, Larissa; Freeman, Faith; O'Neill, Michael; Rowley, Elizabeth

    2015-04-01

    This paper explores three questions related to acceptance as a security management approach. Acceptance draws upon relationships with community members, authorities, belligerents and other stakeholders to provide consent for the presence and activities of a non-governmental organisation (NGO), thereby reducing threats from these actors. Little is documented about how NGOs gain and maintain acceptance, how they assess and monitor the presence and degree of acceptance, or how they determine whether acceptance is effective in a particular context. Based on field research conducted in April 2011 in Kenya, South Sudan and Uganda, we address each of these three issues and argue that acceptance must be actively sought as both a programme and a security management strategy. In the paper we delineate elements common to all three contexts as well as missed opportunities, which identify areas that NGOs can and should address as part of an acceptance approach. © 2015 The Author(s). Disasters © Overseas Development Institute, 2015.

  11. A systems approach to the management of radiation accidents

    International Nuclear Information System (INIS)

    Richter, L.L.; Berk, H.W.; Teates, C.D.; Larkham, N.E.; Friesen, E.J.; Edlich, R.F.

    1980-01-01

    Management of radiation accident patients should have a multidisciplinary approach that includes all health professionals as well as members of public safety agencies. Emergency plans for radiation accidents include detection of the ionizing radiation, patient evacuation, resuscitation, and decontamination. The resuscitated patient should be transported to a radiation control area located outside but adjacent to the emergency department. Ideally this area is accessed through an entrance separate from that used for the main flow of daily emergency department patients. The hospital staff, provided with protective clothing, dosimeters, and preprinted guidelines, continues the resuscitation and definitive care of the patient. This system approach to the management of radiation accidents may be tailored to meet the specific needs of other emergency medical systems

  12. [Chronic disease management: mistaken approach in the elderly].

    Science.gov (United States)

    Veras, Renato Peixoto

    2012-12-01

    Lifestyle changes, including unhealthy eating habits and high rates of physical inactivity and stress, along with an increase in life expectancy have been accompanied by increasing rates of chronic non-communicable diseases. Chronic diseases are the main causes of death and disability in Brazil. Chronic disease management is one of the most important challenges facing health managers who are constantly seeking interventions and strategies to reduce costs and hospital admissions and to prevent other conditions. However, most existing models of health care have focused exclusively on disease, but it is a mistaken approach. An integrated approach is required to effectively meet patient needs. The purpose of this article was to further discuss policies and strategies for the development of new models of care for the elderly with an emphasis on prevention and resolution actions.

  13. Identification and induction of human, social, and cultural capitals through an experimental approach to stormwater management

    Science.gov (United States)

    Decentralized stormwater management is based on the dispersal of stormwater management practices (SWMP) throughout a watershed to manage stormwater runoff volume and potentially restore natural hydrologic processes. This approach to stormwater management is increasingly popular b...

  14. Integrating physical and financial approaches to manage environmental financial risk

    Science.gov (United States)

    Characklis, Gregory; Meyer, Eliot; Foster, Benjamin

    2017-04-01

    Physical and/or engineered solutions have long been used to manage risks associated with adverse environmental events. Examples include reservoirs as a tool for mitigating drought-related supply risk, levees for managing flood risk and dredging of inland waterways to ensure navigability during low flow periods. These measures can reduce many types of risk (e.g., loss of life), but are often employed as a means of protecting against financial losses. When the focus is on managing environmental financial risk, physical solutions can be effective, but also costly. In many cases, non-physical tools can provide a less expensive means of managing financial risk, with these often taking the form of financial instruments such as hedging contracts, contingency funds or insurance. Some of these instruments, such as flood insurance, are widely available, but historically many environmental financial risks have been managed primarily (or solely) via physical solutions without much consideration of alternatives, thereby opening opportunities for innovation in developing financial solutions. Recent research has demonstrated that financial instruments can play a significant role in managing drought-related financial risk in sectors as diverse as water utilities, energy generation and inland navigation. Nonetheless, this work has largely considered the use of these instruments within systems in which physical solutions are already in place (but failing to achieve desired performance). The next step in the evolution of managing environmental financial risk involves developing methods for designing risk management strategies that do not assume an established physical system. Here the goal is to identify the relative role that physical solutions and financial instruments should play as they are integrated into a comprehensive risk management strategy. This is not a straightforward challenge as one approach reduces the risk of financial losses and the other redistributes those losses

  15. A proactive approach to sustainable management of mine tailings

    Science.gov (United States)

    Edraki, Mansour; Baumgartl, Thomas

    2015-04-01

    The reactive strategies to manage mine tailings i.e. containment of slurries of tailings in tailings storage facilities (TSF's) and remediation of tailings solids or tailings seepage water after the decommissioning of those facilities, can be technically inefficient to eliminate environmental risks (e.g. prevent dispersion of contaminants and catastrophic dam wall failures), pose a long term economic burden for companies, governments and society after mine closure, and often fail to meet community expectations. Most preventive environmental management practices promote proactive integrated approaches to waste management whereby the source of environmental issues are identified to help make a more informed decisions. They often use life cycle assessment to find the "hot spots" of environmental burdens. This kind of approach is often based on generic data and has rarely been used for tailings. Besides, life cycle assessments are less useful for designing operations or simulating changes in the process and consequent environmental outcomes. It is evident that an integrated approach for tailings research linked to better processing options is needed. A literature review revealed that there are only few examples of integrated approaches. The aim of this project is to develop new tailings management models by streamlining orebody characterization, process optimization and rehabilitation. The approach is based on continuous fingerprinting of geochemical processes from orebody to tailings storage facility, and benchmark the success of such proactive initiatives by evidence of no impacts and no future projected impacts on receiving environments. We present an approach for developing such a framework and preliminary results from a case study where combined grinding and flotation models developed using geometallurgical data from the orebody were constructed to predict the properties of tailings produced under various processing scenarios. The modelling scenarios based on the

  16. Knowledge Resources - A Knowledge Management Approach for Digital Ecosystems

    Science.gov (United States)

    Kurz, Thomas; Eder, Raimund; Heistracher, Thomas

    The paper at hand presents an innovative approach for the conception and implementation of knowledge management in Digital Ecosystems. Based on a reflection of Digital Ecosystem research of the past years, an architecture is outlined which utilizes Knowledge Resources as the central and simplest entities of knowledge transfer. After the discussion of the related conception, the result of a first prototypical implementation is described that helps the transformation of implicit knowledge to explicit knowledge for wide use.

  17. Mapping between Classical Risk Management and Game Theoretical Approaches

    OpenAIRE

    Rajbhandari , Lisa; Snekkenes , Einar ,

    2011-01-01

    Part 2: Work in Progress; International audience; In a typical classical risk assessment approach, the probabilities are usually guessed and not much guidance is provided on how to get the probabilities right. When coming up with probabilities, people are generally not well calibrated. History may not always be a very good teacher. Hence, in this paper, we explain how game theory can be integrated into classical risk management. Game theory puts emphasis on collecting representative data on h...

  18. Toward a Theory of Strategic Communication: A Relationship Management Approach

    Science.gov (United States)

    2012-03-22

    Washington, DC: U.S. Department of Defense, Aug. 15, 2009), 5. 31 Ibid. 32 Ibid., 6. 33 Ibid. 34 Severin Peters, Strategic Communication for Crisis ...Relations, ed. Robert L. Heath (Thousand Oaks, CA: Sage Publications, 2001), 128. 76 W. Timothy Coombs , “Interpersonal Communication and Public Relations...Toward a Theory of Strategic Communication : A Relationship Management Approach by Lieutenant Colonel Cheryl D. Phillips

  19. Comparison of Plant Life Management Approaches for Long Term Operations

    International Nuclear Information System (INIS)

    Kang, Kisig

    2012-01-01

    Plant life management can be defined as the integration of ageing and economic planning to maintain a high level of safety and optimize operations. Many Member States have given high priority to long term operation of nuclear power plants beyond the time frame originally anticipated (e. g. 30 or 40 years). Out of a total of 445 (369 GWe) operating nuclear power plants, 349 units (297 GWe) have been in operation for more than 20 years (as of November 2011). The need for engineering support to operation, maintenance, safety review and life management for long term operation as well as education and training in the field is increasingly evident. In addition the Fukushima accident has rendered all stake holders even more attentive to safety concerns and to the provision of beyond safety measures in the preparation and scrutiny of applications for operational design life extensions. In many countries, the safety performance of NPPs is periodically followed and characterized via the periodic safety review (PSR) approach. The regulatory The regulatory review and acceptance of the PSR gives the licensee the permission to operate the plant for up to the end of the next PSR cycle (usually 10 years). In the USA and other countries operating US designed plants, the license renewal application is based on the five pre-requisite requirements and ageing management programme for passive long life system structure and components(SSCs) and active systems is adequately addressed by the maintenance rule (MR) requirements and other established regulatory processes. Other Member States have adopted a combined approach that incorporates elements of both PSR and additional LRA specific requirements primarily focused on time limited ageing analysis. Taking into account this variety of approaches, the international atomic energy agency (IAEA) initiated work for collecting and sharing information among Member States about good practices on plant life management for long term operation in

  20. Modular approach to LWR in-core fuel management

    International Nuclear Information System (INIS)

    Urli, N.; Pevec, D.; Coffou, E.; Petrovic, B.

    1980-01-01

    The most important methods in the LWR in-core fuel management are reviewed. A modular approach and optimization by use of infinite multiplication factor and power form-factor are favoured. A computer program for rotation of fuel assemblies at reloads has been developed which improves further fuel economy and reliability of nuclear power plants. The program has been tested on the PWR core and showed to decrease the power form-factors and flatten the radial power distribution. (author)

  1. Aetiological patterns and management outcome of paediatric head trauma: one-year prospective study.

    Science.gov (United States)

    Emejulu, J K C; Shokunbi, M T

    2010-09-01

    Trauma is the most common cause ofpaediatric deaths. In 75% ofpaediatric trauma deaths, head injury is responsible, and most are from falls. Recent reports from Nigeria, however, appear to indicate a predominance of road traffic accidents, instead of falls. To evaluate the aetiology of paediatric head trauma, management protocols and outcome from our Centre, in order to acquire a baseline data base and recommend measures to reduce childhood trauma. A prospective study of all paediatric head trauma cases presenting to Nnamdi Azikiwe University Teaching Hospital, Nnewi, for 12months from April 21, 2006 to April 20, 2007, was done and collated data subsequently analyzed. The paediatric age group was taken as = 15 years, and grading of head injury was with the Glasgow Coma Scale (3-15) and the modified scale for non-verbal children; while outcome was measured with the Glasgow Outcome Scale (1-5). Out of 334 patients treated within the period of study, 210 were head trauma cases. Of these, 52 were paediatric head trauma, representing 24.8% of all head trauma cases; and 19.2% (10 of 52) of them were aged 0-2 years. About 62% (32 of 52) were males. Falls and RTA were each responsible in 25 (48.1%) cases. Mild head injury occurred in 31 (59.6%), and 49 (94.2%) patients were evaluated by plain radiography. Treatment was conservative in 39 (75%) cases; with satisfactory outcome in 36 (69.2%), and a mortality rate of 15.4%. Road traffic injury, mostly from motorcycles, has become the major cause of morbidity and mortality amongst the paediatric age group, especially the male gender, and outcome from management is mostly satisfactory.

  2. Prospective Observational Evaluation of Sedation and Pain Management Guideline Adherence Across New Jersey Intensive Care Units.

    Science.gov (United States)

    Brophy, Alison; Cardinale, Maria; Andrews, Liza B; Kaplan, Justin B; Adams, Christopher; Opsha, Yekaterina; Brandt, Kimberly A; Dixit, Deepali; Nerenberg, Steven F; Saleh, Julie A

    2018-01-01

    The practice guidelines for the management of pain, agitation, and delirium (PAD) from the Society of Critical Care Medicine shifted from primarily focusing on the treatment of anxiety in 2002 to the treatment of pain in 2013. This prospective, observational, multicenter study aimed to assess the degree of practice adherence to the PAD guidelines for ventilated patients in New Jersey intensive care units (ICUs). Pharmacist investigators at 8 centers designated 4 days at least 10 days apart to evaluate all patients on mechanical ventilation. The primary outcomes included adherence to 4 guideline recommendations: treatment of pain before sedation, use of nonnarcotic analgesic medications, use of nonbenzodiazepine sedative medications, and use of goal-directed sedation. Of 138 patients evaluated, 50% had a primary medical diagnosis (as opposed to surgical, cardiac, or neurological diagnosis), and the median Sequential Organ Failure Assessment (SOFA) score was 7. Pain was treated prior to administration of sedatives in 55.4% of subjects, with fentanyl being the primary analgesic used. In addition, 19% received no analgesia, and 11.5% received nonopioid analgesia. Sedative agents were administered to 87 subjects (48 nonbenzodiazepine and 39 benzodiazepine). Of those receiving benzodiazepines, 22 received intermittent bolus regimens and 16 received continuous infusions, of which 5 were for another indication besides sedation. Validated scales measuring the degree of sedation were completed at least once in 56 (81.6%) patients receiving sedatives. Current sedation practices suggest that integration of evidence-based PAD guidelines across New Jersey adult ICUs is inconsistent despite pharmacist involvement.

  3. Effectiveness of conservative management of uncomplicated acute appendicitis: A single hospital based prospective study

    Directory of Open Access Journals (Sweden)

    Mumtaz KH. Alnaser

    Full Text Available Background: Acute appendicitis is one of the commonest causes of acute abdomen. There is a wide discussion and controversy on the surgical and nonsurgical treatment of acute uncomplicated appendicitis. The aim of this study was to evaluate the efficacy and outcomes of the conservative management of selected cases of acute appendicitis with an antibiotic first plan. Patients and methods: This was a single hospital-based prospective study with a duration of 25 months. Patients with clinical and radiological features of acute appendicitis presenting within 72 h of the beginning of abdominal pain with Alvarado score ≥5 were included. The patients received a therapeutic dose of broad-spectrum antibiotics and symptomatic treatment. The follow-up period was 6 months. Results: 90 patients were evaluated, 54 (60% patients were female and 36 (40% patients were male with mean age 34.4 years. Conservative treatment was successful in 68 (75.6% patients and failed in 22 (24.4% patients. No mortality recorded in this study. The main complications which occurred in those patients who failed to respond to conservative treatment were perforated appendicitis (3 patients, appendicular abscess (3 patients and appendicular mass (4 patients. Conclusion: Majority of cases of the first attack of uncomplicated acute appendicitis can be treated successfully by conservative treatment. However, conservative treatment demands precise communication, close monitoring and follow-up to recognize failure which needs to be treated immediately by surgery. Keywords: Acute appendicitis, Conservative treatment, Surgery, Antibiotics

  4. Homoeopathic management of Schizophrenia: A prospective, non-comparative, open-label observational study

    Directory of Open Access Journals (Sweden)

    Praveen Oberai

    2016-01-01

    Full Text Available Objectives: To evaluate the usefulness of homoeopathic intervention in Schizophrenia, in untreated cases and antipsychotic treatment resistant cases, to verify indications of medicines, and to assess relapse, if any. Materials and Methods: A prospective, non-comparative, open-label observational study was carried out from October 2005-September 2010 by CCRH at Central Research Institute (H, Kottayam, Kerala, India. Patients between 20 and 60 years of age, presenting with symptoms of Schizophrenia were screened for inclusion and exclusion criteria. The patients who were on antipsychotic drugs were allowed to continue the same along with homoeopathic medicine, the dose of antipsychotics was monitored by the Psychiatrist. The symptoms of each patient were repertorized, and medicine was initially prescribed in 30C potency after consulting Materia Medica. Patients were followed up for 12 months. Outcome of treatment was assessed with Brief Psychiatric Rating Scales (BPRS. Analysis was done using Statistical Package for the Social Sciences  SPSS Version 20.0. Results: Out of 188 enrolled patients, 17 cases did not complete the baseline information. Total 171 patients were analysed as per modified Intention to Treat Principle. Significant difference (P = 0.0001, P < 0.05 in the mean scores of BPRS, using paired t test was observed at end of the study. Sulphur, Lycopodium, Natrum muriaticum, Pulsatilla and Phosphorus were found to be the most useful medicines in treating schizophrenic patients. Conclusion: The study reflects the positive role of homoeopathic medicines in the management of patients suffering from schizophrenia as measured by BPRS.

  5. Evidence-Based Management of Pain After Excisional Haemorrhoidectomy Surgery: A PROSPECT Review Update.

    Science.gov (United States)

    Sammour, Tarik; Barazanchi, Ahmed W H; Hill, Andrew G

    2017-02-01

    The aim of this systematic review was to update previous PROSPECT ( http://www.postoppain.org ) review recommendations for the management of pain after excisional haemorrhoidectomy. Randomized studies and reviews published in the English language from July 2006 (end date of last review) to March 2016, assessing analgesic, anaesthetic, and operative interventions pertaining to excisional haemorrhoidectomy in adults, and reporting pain scores, were retrieved from the EMBASE and MEDLINE databases. An additional 464 studies were identified of which 74 met the inclusion criteria. There were 48 randomized controlled trials and 26 reviews. Quantitative analyses were not performed, as there were limited numbers of trials with a sufficiently homogeneous design. Pudendal nerve block, with or without general anaesthesia, is recommended for all patients undergoing haemorrhoidal surgery. Either closed haemorrhoidectomy, or open haemorrhoidectomy with electrocoagulation of the pedicle is recommended as the primary procedure. Combinations of analgesics (paracetamol, non-steroidal anti-inflammatory drugs, and opioids), topical lignocaine and glyceryl trinitrate, laxatives, and oral metronidazole are recommended post-operatively. The recommendations are largely based on single intervention, not multimodal intervention, studies.

  6. Prospective Multicentre Study on the Epidemiology and Current Therapeutic Management of Severe Bronchiolitis in Spain

    Directory of Open Access Journals (Sweden)

    Jose C. Flores-González

    2017-01-01

    Full Text Available Objective. To determine the epidemiology and therapeutic management of patients with severe acute bronchiolitis (AB admitted to paediatric intensive care units (PICUs in Spain. Design. Descriptive, prospective, multicentre study. Setting. Sixteen Spanish PICUs. Patients. Patients with severe AB who required admission to any of the participating PICUs over 1 year. Interventions. Both epidemiological variables and medical treatment received were recorded. Results. A total of 262 patients were recruited; 143 were male (54.6%, with median age of 1 month (0–23. Median stay in the PICU was 7 days (1–46. Sixty patients (23% received no nebuliser treatment, while the rest received a combination of inhalation therapies. One-quarter of patients (24.8% received corticosteroids and 56.5% antibiotic therapy. High-flow oxygen therapy was used in 14.3% and noninvasive ventilation (NIV was used in 75.6%. Endotracheal intubation was required in 24.4% of patients. Younger age, antibiotic therapy, and invasive mechanical ventilation (IMV were risk factors that significantly increased the stay in the PICU. Conclusions. Spanish PICUs continue to routinely use nebulised bronchodilator treatment and corticosteroid therapy. Despite NIV being widely used in this condition, intubation was required in one-quarter of cases. Younger age, antibiotic therapy, and IMV were associated with a longer stay in the PICU.

  7. A PROSPECTIVE STUDY OF CLINICAL OUTCOME AFTER USING LIGAMENTOTAXIS IN MANAGEMENT OF DISTAL RADIUS FRACTURES

    Directory of Open Access Journals (Sweden)

    Chandrashekhar V. Mudgal

    2017-04-01

    Full Text Available BACKGROUND A study was done to evaluate the effect of the ligamentotaxis in the management of intraarticular fractures of the distal radius. MATERIALS AND METHODS 34 patients were studied prospectively between March 2014 and February 2016. All patients had intraarticular fracture of distal end of radius and all were treated with ligamentotaxis after closed reduction with fluoroscopic guidance. The follow-up period was 12 months. At the time of surgery, the mean age was 45.29 years. RESULTS In all fracture cases, the mean of fracture union was 5.8 weeks. During the final follow-up, the mean range of motion was 55.30 in flexion, 56.60 in extension, 21.0 in ulnar deviation, 9.00 in radial deviation, 70.30 in pronation and 67.10 in supination. According to the scoring system of Gartland and Werley, the clinical and functional outcomes showed that 15 patients (44.1% had excellent results, 14 (41.1% had good results, 3 (8.8% had fair results and 2 (5.8% had poor results. CONCLUSION Closed reduction under fluoroscopic image guidance and the ligamentotaxis is useful and effective in the treatment of intraarticular fractures of the distal radius.

  8. Prospective evaluation of surgical management of sliding hiatal hernia and gastroesophageal reflux in dogs.

    Science.gov (United States)

    Mayhew, Philipp D; Marks, Stanley L; Pollard, Rachel; Culp, William T N; Kass, Philip H

    2017-11-01

    To evaluate response to surgical management of sliding hiatal hernia (SHH) and gastroesophageal reflux (GER) in dogs using standardized clinical scoring, videofluoroscopic swallow studies, and impedance planimetry. Prospective clinical trial. A total of 17 client-owned dogs. Dogs were included if they had clinical signs and videofluoroscopic evidence of SHH and/or GER. Owners were asked to complete a standardized canine dysphagia assessment tool (CDAT) preoperatively and postoperatively. Conscious videofluoroscopic swallowing studies and impedance planimetry (IP) were used to evaluate esophageal function and lower esophageal sphincter location and geometry preoperatively and in a subsection of dogs postoperatively. Preoperatively, 13/17 dogs included in the study had a history of regurgitation, and 4/17 had radiographic evidence of aspiration pneumonia. Postprandial regurgitation improved in 8/10 dogs with preoperative regurgitation, and for which completed preoperative and postoperative CDAT questionnaires were available (P hernia severity score improved postoperatively (P = .046) in dogs with preoperative and postoperative videofluoroscopic swallowing studies (n = 12). However, hernia frequency score (P = .2) and IP parameters did not differ significantly between time points. Clinical signs of SHH generally improved with surgery but did not consistently resolve. Videofluoroscopic studies provide evidence that GER and SHH can persist postoperatively in some patients. Based on IP findings, clinical improvement may be attributed to a mechanism independent of lower esophageal sphincter attenuation. © 2017 The American College of Veterinary Surgeons.

  9. Utilizing a disease management approach to improve ESRD patient outcomes.

    Science.gov (United States)

    Anand, Shaan; Nissenson, Allen R

    2002-01-01

    In this era of processes and systems to improve quality, disease management is one methodology to improve care delivery and outcomes for patients with chronic kidney disease (CKD). In most disease management systems a senior renal nurse coordinates all aspects of the patient's care and ensures that the prescribed and necessary care is delivered for both CKD-related and comorbid conditions. The nurse also continually monitors outcomes on quality indicators and key performance measures. These outcome data are then aggregated and analyzed, are compared with local and national benchmarks, and drive the continuous quality improvement (CQI) process. Such a system attempts to centralize the currently fragmented care delivery system, continually improve patient outcomes, and conserve scarce economic resources. Early data suggest a disease management approach may improve both the morbidity and mortality of CKD patients.

  10. Approaches to the management of antenatally diagnosed congenital tumours

    International Nuclear Information System (INIS)

    Mahony, Rhona; McParland, Peter

    2009-01-01

    Congenital fetal tumours are rare, but current imaging modalities including US and MRI facilitate antenatal diagnosis and investigation, allowing a presumptive diagnosis and management strategy. Although the prevalence of fetal tumours is difficult to ascertain, an incidence of 7.2 per 100,000 live births has previously been reported, with the incidence of neonatal malignancy estimated at 36.5 per million births. Teratomas and neuroblastomas are the most common solid tumours described. Tumours may be very large or associated with severe hydrops leading to significant dystocia with the potential for difficult vaginal or caesarean delivery. Once the diagnosis of a fetal tumour is made, optimal management incorporates a multidisciplinary approach including obstetrician, neonatologist, paediatric surgeon and paediatric oncologist so that counselling is appropriate and a clear management plan is in place for parents. (orig.)

  11. Product family approach in e-waste management

    DEFF Research Database (Denmark)

    Parajuly, Keshav; Wenzel, Henrik

    2017-01-01

    As the need for a more circular model is being increasingly pronounced, a fundamental change in the end-of-life (EoL) management of electrical and electronic products (e-products) is required in order to prevent the resource losses and to promote the reuse of products and components with remaining...... functionality. However, the diversity of product types, design features, and material compositions pose serious challenges for the EoL managers and legislators alike. In order to address these challenges, we propose a framework that is based on the ‘product family’ philosophy, which has been used...... in the manufacturing sector for a long time. For this, the product families can be built based on intrinsic and extrinsic attributes of e-products as well as of the EoL management system. Such an approach has the potential to improve the current EoL practices and to support designers in making EoL thinking operational...

  12. Unique Approach to Dental Management of Children with Hearing Impairment.

    Science.gov (United States)

    Renahan, Navanith; Varma, R Balagopal; Kumaran, Parvathy; Xavier, Arun M

    2017-01-01

    The number of deaf children has dramatically increased in the past few decades. These children present to the pediatric dentist a unique set of challenges mostly pertaining to the establishment of communication with them. There have been very few attempts in the past to break down these challenges and formulate a strategy on how to manage them effectively. This is a case report of a child who was successfully managed using two different modes of communication. Finally, the advantages and disadvantages are mentioned, and a common strategy incorporating the positives of both the methods has been devised. Renahan N, Varma RB, Kumaran P, Xavier AM. Unique Approach to Dental Management of Children with Hearing Impairment. Int J Clin Pediatr Dent 2017;10(1):107-110.

  13. Approaches to the management of antenatally diagnosed congenital tumours

    Energy Technology Data Exchange (ETDEWEB)

    Mahony, Rhona; McParland, Peter [National Maternity Hospital, Department of Fetal and Maternal Medicine, Dublin (Ireland)

    2009-11-15

    Congenital fetal tumours are rare, but current imaging modalities including US and MRI facilitate antenatal diagnosis and investigation, allowing a presumptive diagnosis and management strategy. Although the prevalence of fetal tumours is difficult to ascertain, an incidence of 7.2 per 100,000 live births has previously been reported, with the incidence of neonatal malignancy estimated at 36.5 per million births. Teratomas and neuroblastomas are the most common solid tumours described. Tumours may be very large or associated with severe hydrops leading to significant dystocia with the potential for difficult vaginal or caesarean delivery. Once the diagnosis of a fetal tumour is made, optimal management incorporates a multidisciplinary approach including obstetrician, neonatologist, paediatric surgeon and paediatric oncologist so that counselling is appropriate and a clear management plan is in place for parents. (orig.)

  14. Swedish REGULATORY APPROACH TO SAFETY Assessment AND SEVERE ACCIDENT MANAGEMENT

    International Nuclear Information System (INIS)

    Frid, W.; Sandervaag, O.

    1997-01-01

    The Swedish regulatory approach to safety assessment and severe accident management is briefly described. The safety assessment program, which focuses on prevention of incidents and accidents, has three main components: periodic safety reviews, probabilistic safety analysis, and analysis of postulated disturbances and accident progression sequences. Management and man-technology-organisation issues, as well as inspections, play a key role in safety assessment. Basis for severe accident management were established by the Government decisions in 1981 and 1986. By the end of 1988, the severe accident mitigation systems and emergency operating procedures were implemented at all Swedish reactors. The severe accident research has continued after 1988 for further verification of the protection provided by the systems and reduction of remaining uncertainties in risk dominant phenomena

  15. Improvement of radiology services based on the process management approach.

    Science.gov (United States)

    Amaral, Creusa Sayuri Tahara; Rozenfeld, Henrique; Costa, Janaina Mascarenhas Hornos; Magon, Maria de Fátima de Andrade; Mascarenhas, Yvone Maria

    2011-06-01

    The health sector requires continuous investments to ensure the improvement of products and services from a technological standpoint, the use of new materials, equipment and tools, and the application of process management methods. Methods associated with the process management approach, such as the development of reference models of business processes, can provide significant innovations in the health sector and respond to the current market trend for modern management in this sector (Gunderman et al. (2008) [4]). This article proposes a process model for diagnostic medical X-ray imaging, from which it derives a primary reference model and describes how this information leads to gains in quality and improvements. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  16. Narcolepsy in children: a diagnostic and management approach.

    Science.gov (United States)

    Babiker, Mohamed O E; Prasad, Manish

    2015-06-01

    To provide a diagnostic and management approach for narcolepsy in children. Narcolepsy is a chronic disabling disorder characterized by excessive daytime sleepiness, cataplexy, hypnogogic and/or hypnopompic hallucinations, and sleep paralysis. All four features are present in only half of the cases. Excessive daytime sleepiness is the essential feature of narcolepsy at any age and is usually the first symptom to manifest. A combination of excessive daytime sleepiness and definite cataplexy is considered pathognomonic of narcolepsy syndrome. New treatment options have become available over the past few years. Early diagnosis and management can significantly improve the quality of life of patients with narcolepsy with cataplexy. This review summarizes the pathophysiology, clinical features, and management options for children with narcolepsy. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. AUTOCHTHONOUS APPROACHING IN THE MANAGEMENT OF THE SECURITY RISK

    Directory of Open Access Journals (Sweden)

    Burtescu Emil

    2008-05-01

    Full Text Available An optimal management for a corporation, no matter what size the corporation is, it must contain the management of the security risk. On the importance that is given to the risk management can depend the well functioning of the corporation. An important role in this process has the owner of the business and the way that this one understands the risk. A good understanding of the risk by the owner will have as effect the allocation of sufficient funds to implement controls meant to bring the risk level in order to be an acceptable one. The autochthonous corporations, in a great part even because of the inexistence of reglementations in this domain, have an empiric approach of the phenomena.

  18. Essential Approach of Maintenance Management System of Office Building

    Directory of Open Access Journals (Sweden)

    Masyatul Husna Othman

    2013-09-01

    Full Text Available Buildings will be worn-out, dilapidated and dirty as time goes by; but with good maintenance management we can at least prolong the lifespan of building longer as well as provide the building services and keep the building performance at it ultimate level. The importance of carrying out a systematic and routine maintenance works as part of works to conserve building performance is often neglected due to various factors including due to misunderstanding on the needs of the maintenance works itself and budget allocated. Thus, the purpose of the present study was to evaluating the level of maintenance management and quality of services in office buildings. This study also sought to answer the following question to determine the basic approach of maintenance management system used for office buildings.

  19. Effectiveness and future prospects of telemedicine/remote health care management applications in Pakistan

    International Nuclear Information System (INIS)

    Iqbal, S.; Khan, N.

    2017-01-01

    Medical/Health care system is spraining in Pakistan because of innovative technology, activities and services as per their financial cost (position) which is increasing day by day. This research is intended for the assessment of Telemedicine/Remote Health Care Management practices (system), which encompasses usability, acceptance and impact in public/private hospitals. To improve the existing remote health care/telemedicine practices in Pakistan by using EM (Engineering Management) based approach. It has been widely and successfully implemented and is considered as a strategic and operational tool. In the 21st century due to the Technological advancements the mode of operation of service and business sector have been changed drastically. In the same way the health sectors activities also have been altered, new methods and techniques have also been devised for the treatment of the patients that were never even thought before. In the health sector Telemedicine/Remote Health Care Management is one of the development which was experienced lately. Telemedicine/Remote Health Careistaken exactly "medicine at a distance". Therefore, hypothetically, some procedures performed with medication which does not take place "face-to-face"and"in person"which can be considered as Telemedicine/Remote Health Care. In the industrialized world telemedicine is being used in full capacity to provide the health care services to remote and un-accessible areas. But Telemedicine/Remote Health Care Management is not very popular and admired in Pakistan; few applications are being functional presently. (author)

  20. A quality risk management model approach for cell therapy manufacturing.

    Science.gov (United States)

    Lopez, Fabio; Di Bartolo, Chiara; Piazza, Tommaso; Passannanti, Antonino; Gerlach, Jörg C; Gridelli, Bruno; Triolo, Fabio

    2010-12-01

    International regulatory authorities view risk management as an essential production need for the development of innovative, somatic cell-based therapies in regenerative medicine. The available risk management guidelines, however, provide little guidance on specific risk analysis approaches and procedures applicable in clinical cell therapy manufacturing. This raises a number of problems. Cell manufacturing is a poorly automated process, prone to operator-introduced variations, and affected by heterogeneity of the processed organs/tissues and lot-dependent variability of reagent (e.g., collagenase) efficiency. In this study, the principal challenges faced in a cell-based product manufacturing context (i.e., high dependence on human intervention and absence of reference standards for acceptable risk levels) are identified and addressed, and a risk management model approach applicable to manufacturing of cells for clinical use is described for the first time. The use of the heuristic and pseudo-quantitative failure mode and effect analysis/failure mode and critical effect analysis risk analysis technique associated with direct estimation of severity, occurrence, and detection is, in this specific context, as effective as, but more efficient than, the analytic hierarchy process. Moreover, a severity/occurrence matrix and Pareto analysis can be successfully adopted to identify priority failure modes on which to act to mitigate risks. The application of this approach to clinical cell therapy manufacturing in regenerative medicine is also discussed. © 2010 Society for Risk Analysis.

  1. Current management of oral cancer. A multidisciplinary approach.

    Science.gov (United States)

    Ord, R A; Blanchaert, R H

    2001-11-01

    Recent basic science discoveries have contributed to our understanding of the etiology of oral cancer and allowed us to consider innovative approaches to therapy. The authors evaluated and summarized current approaches to the management of oral cancer, emphasizing the multidisciplinary team approach to coordinate surgery, radiation therapy and chemotherapy. Current concepts in management, including complications of therapy, are described. State-of-the-art surgical techniques can spare patients with oral cancer from much of the morbidity and complications common in the past. The refinement of treatment strategies reduces complications and improves efficacy. Many exciting new clinical trials in the areas of gene therapy and immunomodulation are showing promise. Management of oral cancer has undergone radical change in the past 10 years and continues to evolve rapidly. Discoveries in molecular biology, diagnosis, surgery, radiation therapy and medical oncology have altered many traditional concepts and practices. General dental practitioners need to understand current treatment modalities for oral and pharyngeal cancers to determine to whom they should refer patients for the most appropriate treatment, and to make recommendations regarding complications associated with these cancers.

  2. MANAGEMENT EXPERIMENTS ACCORDING TO THE INSTITUTIONAL PROSPECT OF THE JIU VALLEY MINING AFTER 1989

    Directory of Open Access Journals (Sweden)

    MARIANA ANGHEL

    2012-01-01

    Full Text Available The hereby paper approaches certain aspects regarding the present circumstances that regard management experiments in the context of the social, economic, and political changes after 1989. Institutionally, and having as a background such changes, mining activities are continuously transforming and adapting to the requirements of the European Union. Institutional social and economic performance is determined by the assertive potential of the institution as an authority in the field as well as by the competitiveness of the mining units or of subordinated units. Management experience has been both influenced by the restructuring, turning to good account, and endowing with new technologies of the mining units as well as by the process of transition towards a functional market economy.

  3. Preparing Digital Stories through the Inquiry-Based Learning Approach: Its Effect on Prospective Teachers' Resistive Behaviors toward Research and Technology-Based Instruction

    Science.gov (United States)

    Yavuz Konokman, Gamze; Yanpar Yelken, Tugba

    2016-01-01

    The purpose of the study was to determine the effect of preparing digital stories through an inquiry based learning approach on prospective teachers' resistive behaviors toward technology based instruction and conducting research. The research model was convergent parallel design. The sample consisted of 50 prospective teachers who had completed…

  4. The unique entity of nodular lymphocyte-predominant Hodgkin lymphoma: current approaches to diagnosis and management.

    Science.gov (United States)

    Hawkes, Eliza A; Wotherspoon, Andrew; Cunningham, David

    2012-03-01

    Nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL) is a rare disease constituting only 3-8% of all Hodgkin lymphoma. It has a distinct histological and clinical presentation as well as significantly different natural history compared to the classical form of Hodgkin lymphoma. Presenting most often as early-stage disease, NLPHL is characterized by frequent relapses, but paradoxically an overall good prognosis. The approach to management should therefore reflect this pattern and focus on attaining prolonged remissions, with long-term follow-up paramount. Due to the rarity of the disease, few prospective data exist. Options for treatment include radiotherapy, chemotherapy or combined chemotherapy plus radiotherapy and targeted anti-CD20 antibody therapy, as well as observation in selected patients.

  5. New Approaches to Airway Management in Tracheal Resections-A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Schieren, Mark; Böhmer, Andreas; Dusse, Fabian; Koryllos, Aris; Wappler, Frank; Defosse, Jerome

    2017-08-01

    Although endotracheal intubation, surgical crossfield intubation, and jet ventilation are standard techniques for airway management in tracheal resections, there are also reports of new approaches, ranging from regional anesthesia to extracorporeal support. The objective was to outline the entire spectrum of new airway techniques. The literature databases PubMed/Medline and the Cochrane Library were searched systematically for prospective and retrospective trials as well as case reports on tracheal resections. No restrictions applied to hospital types or settings. Adult patients undergoing surgical resections of noncongenital tracheal stenoses with end-to-end anastomoses. Airway management techniques were divided into conventional and new approaches and analyzed regarding their potential risks and benefits. A total of 59 publications (n = 797 patients) were included. The majority of publications (71.2%) describe conventional airway techniques. Endotracheal tube placement after induction of general anesthesia and surgical crossfield intubation after incision of the trachea were used most frequently without major complications. A total of 7 new approaches were identified, including 4 different regional anesthetic techniques (25 cases), supraglottic airways (4 cases), and new forms of extracorporeal support (25 cases). Overall failure rates of new techniques were low (1.8%). Details on patient selection and procedural specifics are provided. New approaches have several theoretical benefits, yet further research is required to establish criteria for patient selection and evaluate procedural safety. Given the low level of evidence, it currently is impossible to compare methods of airway management regarding outcome-related risks and benefits. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Comprehensive change management concepts. Development of a participatory approach.

    Science.gov (United States)

    Zink, Klaus J; Steimle, Ulrich; Schröder, Delia

    2008-07-01

    During the last years, many change projects in organizations did not have the planned success. Therefore at first, the causes for these failures and the success factors contributing to organizational change have to be discussed. To get better results, a comprehensive change management concept has been developed and tested in an ongoing research project. By using concepts for an integrated assessment and design of organizations, an approach for analyzing the current situation has been elaborated to identify "lack of integration" in the change initiatives of a company. To realize an integrated overall approach of modernization by harmonizing different methods and concepts, first, one has to prove their relationship to policy and strategy (vertical harmonization). The second step is to take into account the fact that there has to be a logical fit between the single concepts (horizontal harmonization). But even if all elements are logically coherent, that does not mean that the people working in the company also see this coherence. Therefore, in addition to the "logical fit", one has to examine the "psychological fit". In the end, a concept for analyzing the status quo in an organization as a result of "objective data" and "subjective data" originated. Subsequently, instruments for harmonizing different modernizing concepts have been applied. As part of the comprehensive change management concept participatory ergonomic approaches have been used during the project. The present study shows this approach in the case of one company.

  7. OSSA - An optimized approach to severe accident management: EPR application

    International Nuclear Information System (INIS)

    Sauvage, E. C.; Prior, R.; Coffey, K.; Mazurkiewicz, S. M.

    2006-01-01

    There is a recognized need to provide nuclear power plant technical staff with structured guidance for response to a potential severe accident condition involving core damage and potential release of fission products to the environment. Over the past ten years, many plants worldwide have implemented such guidance for their emergency technical support center teams either by following one of the generic approaches, or by developing fully independent approaches. There are many lessons to be learned from the experience of the past decade, in developing, implementing, and validating severe accident management guidance. Also, though numerous basic approaches exist which share common principles, there are differences in the methodology and application of the guidelines. AREVA/Framatome-ANP is developing an optimized approach to severe accident management guidance in a project called OSSA ('Operating Strategies for Severe Accidents'). There are still numerous operating power plants which have yet to implement severe accident management programs. For these, the option to use an updated approach which makes full use of lessons learned and experience, is seen as a major advantage. Very few of the current approaches covers all operating plant states, including shutdown states with the primary system closed and open. Although it is not necessary to develop an entirely new approach in order to add this capability, the opportunity has been taken to develop revised full scope guidance covering all plant states in addition to the fuel in the fuel building. The EPR includes at the design phase systems and measures to minimize the risk of severe accident and to mitigate such potential scenarios. This presents a difference in comparison with existing plant, for which severe accidents where not considered in the design. Thought developed for all type of plants, OSSA will also be applied on the EPR, with adaptations designed to take into account its favourable situation in that field

  8. An ecological approach to prospective and retrospective timing of long durations: a study involving gamers.

    Directory of Open Access Journals (Sweden)

    Simon Tobin

    Full Text Available To date, most studies comparing prospective and retrospective timing have failed to use long durations and tasks with a certain degree of ecological validity. The present study assessed the effect of the timing paradigm on playing video games in a "naturalistic environment" (gaming centers. In addition, as it involved gamers, it provided an opportunity to examine the effect of gaming profile on time estimation. A total of 116 participants were asked to estimate prospectively or retrospectively a video game session lasting 12, 35 or 58 minutes. The results indicate that time is perceived as longer in the prospective paradigm than in the retrospective one, although the variability of estimates is the same. Moreover, the 12-minute session was perceived as longer, proportionally, than the 35- and 58-minute sessions. The study also revealed that the number of hours participants spent playing video games per week was a significant predictor of time estimates. To account for the main findings, the differences between prospective and retrospective timing are discussed in quantitative terms using a proposed theoretical framework, which states that both paradigms use the same cognitive processes, but in different proportions. Finally, the hypothesis that gamers play more because they underestimate time is also discussed.

  9. Nature of Science Instruction to Turkish Prospective Chemistry Teachers: The Effect of Explicit-Reflective Approach

    Science.gov (United States)

    Aglarci, Oya; Sariçayir, Hakan; Sahin, Musa

    2016-01-01

    The purpose of this study is to investigate the effect of explicit-reflective nature of science (NOS) instruction on Turkish prospective chemistry teachers' (PCTs) views of NOS. In the research, case study as a qualitative design was used and PCTs' views were examined thoroughly. The participants of the study consisted of 22 senior PCTs. Data…

  10. A process-model based approach to prospective memory impairment in Parkinson's disease

    NARCIS (Netherlands)

    Kliegel, M.; Altgassen, A.M.; Hering, A.; Rose, N.S.

    2011-01-01

    The present review discusses the current state of research on the clinical neuropsychology of prospective memory in Parkinson's disease. To do so the paper is divided in two sections. In the first section, we briefly outline key features of the (partly implicit) rationale underlying the available

  11. Age-Related Differences in the Temporal Dynamics of Prospective Memory Retrieval: A Lifespan Approach

    Science.gov (United States)

    Mattli, Florentina; Zollig, Jacqueline; West, Robert

    2011-01-01

    The efficiency of prospective memory (PM) typically increases from childhood to young adulthood and then decreases in later adulthood. The current study used event-related brain potentials (ERPs) to examine the development of the neural correlates of processes associated with the detection of a PM cue, switching from the ongoing activity to the…

  12. A decentralised approach to wastewater management in the urbanising region

    DEFF Research Database (Denmark)

    Putri, Prathiwi Widyatmi

    2017-01-01

    State-led and market-oriented approaches to sanitation development in Jakarta have favoured the construction of large-scale centralised sewerage systems. This development approach is not always suitable because the principles of modern infrastructure underlying the technological systems...... are not applicable in informal settlements scattered over the metropolis. Due to spatial fragmentation within the built environment, diverse socio-economic and fragile geo-ecological conditions in different settlements and the city as a whole, Jakarta needs to adopt a decentralised approach to wastewater management...... of environmental problems and expand their sociopolitical networks. Nevertheless, local initiatives provide a limited response to community sanitation needs and sanitation problems beyond the neighbourhood level. This article argues that the introduction of decentralised sanitation systems requires a new form...

  13. Integrated Approach for Pain Management in Parkinson Disease.

    Science.gov (United States)

    Geroin, Christian; Gandolfi, Marialuisa; Bruno, Veronica; Smania, Nicola; Tinazzi, Michele

    2016-04-01

    Pain, one of the most frequent nonmotor symptoms of Parkinson disease (PD), is recognized as an important component of the illness that adversely affects patient quality of life. The aims of this review are to summarize the current knowledge on the clinical assessment and to provide a detailed overview of the evidence-based pharmacologic and nonpharmacologic approaches to treating pain. Results of a literature search include studies investigating pain/sensory abnormalities in PD. The effects of levodopa administration, deep brain stimulation (DBS), pallidotomy, spinal cord stimulation, rehabilitation, and complementary/alternative medicine are reviewed critically. PD patients have altered pain and sensory thresholds; levodopa and DBS improve pain and change sensory abnormalities toward normal levels through antinociceptive and/or modulatory effects that remain unknown. A wide range of nonpharmacologic approaches require further investigation. A multidisciplinary approach is fundamental in managing pain syndromes in PD.

  14. Management of asthma: new approaches to establishing control.

    Science.gov (United States)

    Sarver, Nancy; Murphy, Kevin

    2009-01-01

    The high burden of asthma indicates suboptimal control of this chronic condition. This review describes approaches for establishing asthma control based on an understanding of potential issues in the achievement and maintenance of asthma control, recent changes in asthma management guidelines that facilitate attainment of treatment goals, and the importance of the healthcare provider-patient partnership to emphasize treatment based on asthma control. Review of the published literature, asthma management guidelines, and patient asthma education resources. Asthma control is best achieved by patient-oriented versus disease-oriented management strategies that incorporate a combination of pharmacologic and nonpharmacologic treatment modalities. Tools that assess and monitor asthma may facilitate the achievement and maintenance of asthma control. Key components of an optimal management strategy include solid partnerships between healthcare providers and patients, comprehensive patient and caregiver education, personalized written asthma action plans, patient-reported evaluation of symptom control, appropriate drug therapy, strategies for improving compliance with asthma medication regimens, and a treatment algorithm that outlines the facets of asthma management. Information presented in this article will guide nurse practitioners in helping patients with asthma achieve and maintain long-term disease control.

  15. Intelligent Resource Management for Local Area Networks: Approach and Evolution

    Science.gov (United States)

    Meike, Roger

    1988-01-01

    The Data Management System network is a complex and important part of manned space platforms. Its efficient operation is vital to crew, subsystems and experiments. AI is being considered to aid in the initial design of the network and to augment the management of its operation. The Intelligent Resource Management for Local Area Networks (IRMA-LAN) project is concerned with the application of AI techniques to network configuration and management. A network simulation was constructed employing real time process scheduling for realistic loads, and utilizing the IEEE 802.4 token passing scheme. This simulation is an integral part of the construction of the IRMA-LAN system. From it, a causal model is being constructed for use in prediction and deep reasoning about the system configuration. An AI network design advisor is being added to help in the design of an efficient network. The AI portion of the system is planned to evolve into a dynamic network management aid. The approach, the integrated simulation, project evolution, and some initial results are described.

  16. A Study of Sustainable Material Management Approach in Taiwan

    International Nuclear Information System (INIS)

    Su Mingchien; Chou Chenpei; Chen Yizih

    2009-01-01

    Sustainable material management (SMM) has been initiated by the Organization for Economic Cooperation and Development (OECD) in 2005. SMM is an approach to promote resource conservation, reducing negative environmental impacts and preserving the natural capital of material and the balance of economic efficiency and social equity. Life cycle assessment and material flow analysis have been widely used to estimate the environmental impacts for resource consumption, but economic development has not been taken into account. Before 1984, improper garbage disposal was not an important issue in Taiwan. But over the past three decades, the Taiwan Government has accomplished not only waste disposal but also resource recycling, which are conducive to the essence of SMM. This study is the first research project to develop a SMM conceptual model for policy and strategy in Taiwan. SMM is the suitable waste management concept for the next era. This study reviewed the policy and strategy that has been applied in Taiwan's waste management, and compares the efficiency of waste management policy in Taiwan with the concept of SMM. A case study of the waste flow will be used to prove that the sustainable material policy can be a suitable management system to achieve sustainable development. This study will open a new chapter of research on global SMM for Taiwan.

  17. Methodical Approach to Managing Resources at an Industrial Enterprise

    Directory of Open Access Journals (Sweden)

    Antonets Olga O.

    2013-11-01

    Full Text Available The goal of the article lies in identification of optimal ways of managing material resources of an industrial enterprise on the basis of economic and mathematical modelling. In the process of analysis and systematisation of works of foreign and domestic scientists the article makes a conclusion about the insufficient degree of development of such complex solutions on formation of logistic systems of resource management, which would be simple and adaptive. The article provides results of the study of specific features of resource management at enterprises, among which – surplus (deficit of resources and availability of non-liquid reserves. In order to eliminate shortcomings the article offers a situational order of management with consideration of a possible state of reserves. The article improves the model of selection of the volume of supply of material resources and identifies optimal solutions with consideration of interval uncertainty. The further direction of the study lies in integration of the proposed approach to resource management with the system of financial planning at an industrial enterprise.

  18. Approach to the Aging Management of RSG-GAS

    International Nuclear Information System (INIS)

    Mohammad Dhandhang Purwadi

    2004-01-01

    Safety is an condition which must always reached in management a nuclear reactor, from construction stage, operation until the decommissioning have processed. The safety of reactor operation is closely related to the reliability of components, structures and systems (KSS) of the nuclear reactor. All reactors' KSS will experience of ageing and then degrade system reliability level. G.A. Siwabessy Multipurpose Reactor (RSG-GAS) is high power research reactor which have been operating for sixteen years long. Comprehensive evaluation of ageing process that happened in RSG-GAS has not conducted yet. Meanwhile, in general, for all research reactor type there are safety requirements from IAEA related to the ageing, even in design, development, operation and extending operation life. To starting and racing the comprehensive evaluation of ageing in RSG-GAS, the research to compile an integrated Ageing Management Document as guidance in implementation of ageing management in RSG-GAS was conducted. From result of this research, the Ageing Management Document of RSG-GAS has been compiled. Compilation of the document is carried out by embracing approach of compromise of ageing management of research reactor and power reactor. (author)

  19. [Multimodal pain therapy - implementation of process management - an attempt to consider management approaches].

    Science.gov (United States)

    Dunkel, Marion; Kramp, Melanie

    2012-07-01

    The combination of medical and economical proceedings allows new perspectives in the illustration of medical workflows. Considering structural and developmental aspects multimodal therapy programs show similarities with typical subjects of economic process systems. By pointing out the strategic appearance of the multimodal pain therapy concept multimodal approaches can be described to some extent by using management approaches. E. g., an economic process landscape can be used to represent procedures of a multimodal pain therapy program. © Georg Thieme Verlag Stuttgart · New York.

  20. Program Management Approach to the Territorial Development of Small Business

    Directory of Open Access Journals (Sweden)

    Natalia Aleksandrovna Knysh

    2016-06-01

    Full Text Available This article presents the results of the research of the application on a state level of the program management approach to the territorial development of small business. Studying the main mechanism of the state policy implementation in the sphere of small business on a regional level, the authors have revealed the necessity to take into account the territorial specificity while the government programs of small business development are being formed. The analysis of the national practice of utilizing the program management mechanism in the regional system of the government support of small entrepreneurship was conducted on the example of Omsk region. The results of the analysis have shown the inefficiency of the current support system for small business and have determined the need to create an integrated model of territorial programming, which would not only contribute to the qualitative development of small business, but also provide the functioning efficiency of program management mechanism. As a result, the authors have created the two-level model of the programming of the territorial development of small business, which allows to satisfy purposefully the needs of entrepreneurship taking into account the specificity of the internal and external environment of the region. The first level of the model is methodological one and it is based on the marketing approach (the concepts of place marketing and relationship marketing to the operation of the program management mechanism. The second level of the model is methodical one. It offers the combination of the flexible methods of management of programming procedure (benchmarking, foresight, crowdsourcing and outsourcing. The given model raises the efficiency of the management decisions of the state structures in the sphere of small business. Therefore, it is interesting for the government authorities, which are responsible for the regional and municipal support programs of small business, as well

  1. Systems approaches to integrated solid waste management in developing countries

    International Nuclear Information System (INIS)

    Marshall, Rachael E.; Farahbakhsh, Khosrow

    2013-01-01

    Highlights: ► Five drivers led developed countries to current solid waste management paradigm. ► Many unique factors challenge developing country solid waste management. ► Limited transferability of developed country approaches to developing countries. ► High uncertainties and decision stakes call for post-normal approaches. ► Systems thinking needed for multi-scale, self-organizing eco-social waste systems. - Abstract: Solid waste management (SWM) has become an issue of increasing global concern as urban populations continue to rise and consumption patterns change. The health and environmental implications associated with SWM are mounting in urgency, particularly in the context of developing countries. While systems analyses largely targeting well-defined, engineered systems have been used to help SWM agencies in industrialized countries since the 1960s, collection and removal dominate the SWM sector in developing countries. This review contrasts the history and current paradigms of SWM practices and policies in industrialized countries with the current challenges and complexities faced in developing country SWM. In industrialized countries, public health, environment, resource scarcity, climate change, and public awareness and participation have acted as SWM drivers towards the current paradigm of integrated SWM. However, urbanization, inequality, and economic growth; cultural and socio-economic aspects; policy, governance, and institutional issues; and international influences have complicated SWM in developing countries. This has limited the applicability of approaches that were successful along the SWM development trajectories of industrialized countries. This review demonstrates the importance of founding new SWM approaches for developing country contexts in post-normal science and complex, adaptive systems thinking

  2. Systems approaches to integrated solid waste management in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, Rachael E., E-mail: rmarsh01@uoguelph.ca [School of Engineering, University of Guelph, Albert A. Thornbrough Building, Guelph, ON, Canada N1G 2W1 (Canada); Farahbakhsh, Khosrow, E-mail: khosrowf@uoguelph.ca [School of Engineering, University of Guelph, Albert A. Thornbrough Building, Guelph, ON, Canada N1G 2W1 (Canada)

    2013-04-15

    Highlights: ► Five drivers led developed countries to current solid waste management paradigm. ► Many unique factors challenge developing country solid waste management. ► Limited transferability of developed country approaches to developing countries. ► High uncertainties and decision stakes call for post-normal approaches. ► Systems thinking needed for multi-scale, self-organizing eco-social waste systems. - Abstract: Solid waste management (SWM) has become an issue of increasing global concern as urban populations continue to rise and consumption patterns change. The health and environmental implications associated with SWM are mounting in urgency, particularly in the context of developing countries. While systems analyses largely targeting well-defined, engineered systems have been used to help SWM agencies in industrialized countries since the 1960s, collection and removal dominate the SWM sector in developing countries. This review contrasts the history and current paradigms of SWM practices and policies in industrialized countries with the current challenges and complexities faced in developing country SWM. In industrialized countries, public health, environment, resource scarcity, climate change, and public awareness and participation have acted as SWM drivers towards the current paradigm of integrated SWM. However, urbanization, inequality, and economic growth; cultural and socio-economic aspects; policy, governance, and institutional issues; and international influences have complicated SWM in developing countries. This has limited the applicability of approaches that were successful along the SWM development trajectories of industrialized countries. This review demonstrates the importance of founding new SWM approaches for developing country contexts in post-normal science and complex, adaptive systems thinking.

  3. Managing Database Services: An Approach Based in Information Technology Services Availabilty and Continuity Management

    Directory of Open Access Journals (Sweden)

    Leonardo Bastos Pontes

    2017-01-01

    Full Text Available This paper is held in the information technology services management environment, with a few ideas of information technology governance, and purposes to implement a hybrid model to manage the services of a database, based on the principles of information technology services management in a supplementary health operator. This approach utilizes fundamental nuances of services management guides, such as CMMI for Services, COBIT, ISO 20000, ITIL and MPS.BR for Services; it studies harmonically Availability and Continuity Management, as most part of the guides also do. This work has its importance because it keeps a good flow in the database and improves the agility of the systems in the accredited clinics in the health plan.

  4. Bounded Rational Managers Struggle with Talent Management - An Agent-based Modelling Approach

    DEFF Research Database (Denmark)

    Adamsen, Billy; Thomsen, Svend Erik

    This study applies an agent-based modeling approach to explore some aspects of an important managerial task: finding and cultivating talented individuals capable of creating value for their organization at some future state. Given that the term talent in talent management is an empty signifier...... and its denotative meaning floating, we propose that bounded rational managers base their decisions on a simple heuristic, i.e. selecting and cultivating individuals so that their capabilities resemble their own capabilities the most (Adamsen 2015). We model the consequences of this talent management...... heuristic by varying the capabilities of today’s managers, which in turn impact which individuals will be selected as talent. We model the average level of capabilities and the distribution thereof in the sample where managers identify and select individuals from. We consider varying degrees of path...

  5. Exploring an innovative watershed management approach: From feasibility to sustainability

    International Nuclear Information System (INIS)

    Said, A.; Sehlke, G.; Stevens, D.K.; Sorensen, D.; Walker, W.; Hardy, T.; Glover, T.

    2006-01-01

    Watershed management is dedicated to solving watershed problems on a sustainable basis. Managing watershed development on a sustainable basis usually entails a balance between the needs of humans and nature, both in the present and in the future. From a watershed or water resources development basis, these problems can be classified into five general categories: lack of water quantity, deterioration in water quality, ecological impacts, weak public participation, and weak economic value. The first three categories can be combined to make up physical sustainability while the last two categories can be defined as social and economic sustainability. Therefore, integrated watershed management should be designed to achieve physical sustainability utilizing, to the greatest extent possible, public participation in an economically viable manner. This study demonstrates an innovative approach using scientific, social, and motivational feasibilities that can be used to improve watershed management. Scientific feasibility is tied to the nature of environmental problems and the scientific means to solve them. Social feasibility is associated with public participation. Motivational feasibility is related to economic stimulation for the stakeholders to take actions. The ecological impacts, lack of water quantity and deterioration in water quality are problems that need scientific means in order to improve watershed health. However, the implementation of these means is typically not achievable without the right public participation. In addition, public participation is typically accelerated by economic motivation for the stakeholders to use the resources in a manner that improves watershed health. The Big Lost River in south-central Idaho has been used as an illustration for implementing scientific, social and motivational feasibilities and in a manner that can achieve sustainability relative to water resources management. However, the same approach can be used elsewhere after

  6. Exploring an innovative watershed management approach: From feasibility to sustainability

    Energy Technology Data Exchange (ETDEWEB)

    Said, A. [Department of Civil and Environmental Engineering, University of South Florida, Tampa, FL 33620 (United States); Sehlke, G. [Idaho National Laboratory, Idaho Falls, ID 83415 (United States); Stevens, D.K.; Sorensen, D.; Walker, W.; Hardy, T. [Civil and Environmental Department, Utah State University, Logan, UT 84321 (United States); Glover, T. [Economics Department, Utah State University, Logan, UT 84321 (United States)

    2006-10-15

    Watershed management is dedicated to solving watershed problems on a sustainable basis. Managing watershed development on a sustainable basis usually entails a balance between the needs of humans and nature, both in the present and in the future. From a watershed or water resources development basis, these problems can be classified into five general categories: lack of water quantity, deterioration in water quality, ecological impacts, weak public participation, and weak economic value. The first three categories can be combined to make up physical sustainability while the last two categories can be defined as social and economic sustainability. Therefore, integrated watershed management should be designed to achieve physical sustainability utilizing, to the greatest extent possible, public participation in an economically viable manner. This study demonstrates an innovative approach using scientific, social, and motivational feasibilities that can be used to improve watershed management. Scientific feasibility is tied to the nature of environmental problems and the scientific means to solve them. Social feasibility is associated with public participation. Motivational feasibility is related to economic stimulation for the stakeholders to take actions. The ecological impacts, lack of water quantity and deterioration in water quality are problems that need scientific means in order to improve watershed health. However, the implementation of these means is typically not achievable without the right public participation. In addition, public participation is typically accelerated by economic motivation for the stakeholders to use the resources in a manner that improves watershed health. The Big Lost River in south-central Idaho has been used as an illustration for implementing scientific, social and motivational feasibilities and in a manner that can achieve sustainability relative to water resources management. However, the same approach can be used elsewhere after

  7. PROSPECTS FOR THE MANAGEMENT OF KNOWLEDGE IN THE CONTEXT OF INDUSTRY 4.0

    Directory of Open Access Journals (Sweden)

    Pedro Henrique Camargo de Abreu

    2018-03-01

    Full Text Available Through an analysis of the context of modern organizations, it is clear that knowledge is directly related to competitive intelligence and the strategies adopted by decision makers, which highlights the extremely important role of knowledge both to promote process efficiency and to provide competitive advantages to organizations. Some technological concepts such as Internet of Things and Big Data can be understood as facilitating mechanisms of this process. Thus, the literature is marked by innumerable researches focused on the construction of approaches and guidelines for the development of Knowledge Management in the most diverse business contexts. The presente research was conducted in an exploratory way, through a bibliographical review, aiming to promote the identification of aspects that influence the development of Knowledge Management in the context of organizations aligned with the proposal of Industry 4.0, in order to define forms and mechanisms to maximize the chances of success of this transformation. The results demonstrate the importance of People Management to minimize the risks of organizational changes, since the consolidation of an "smart factory" reflects in the knowledge necessary for human agents working in this context. Therefore, companies need to organize themselves around digital power and encourage scalable learning in order to promote the use of external knowledge resources and to combine information that would influence the adoption of effective strategies.

  8. [Outsourcing in long-term care: a risk management approach].

    Science.gov (United States)

    Guimarães, Cristina Machado; Carvalho, José Crespo de

    2012-05-01

    This article seeks to investigate outsourcing decisions in supply chain management of healthcare organizations, namely the motives and constraints behind the decision, the selection criteria for activities to be outsourced to third parties, the type of possible agreements, and the impact of this decision on the organization per se. A case study of the start-up phase of a Long-term Care unit with an innovative approach and high levels of customization was conducted to understand the outsourcing process in a start-up context (not in the standard context of organizational change) and a risk evaluation matrix was created for outsourcing activities in order to define and implement a performance monitoring process. This study seeks to understand how to evaluate and assess the risks of an outsourcing strategy and proposes a monitoring model using risk management tools. It was shown that the risk management approach can be a solution for monitoring outsourcing in the organizational start-up phase. Conclusions concerning dissatisfaction with the results of outsourcing strategies adopted are also presented.

  9. A multi-objective approach to solid waste management.

    Science.gov (United States)

    Galante, Giacomo; Aiello, Giuseppe; Enea, Mario; Panascia, Enrico

    2010-01-01

    The issue addressed in this paper consists in the localization and dimensioning of transfer stations, which constitute a necessary intermediate level in the logistic chain of the solid waste stream, from municipalities to the incinerator. Contextually, the determination of the number and type of vehicles involved is carried out in an integrated optimization approach. The model considers both initial investment and operative costs related to transportation and transfer stations. Two conflicting objectives are evaluated, the minimization of total cost and the minimization of environmental impact, measured by pollution. The design of the integrated waste management system is hence approached in a multi-objective optimization framework. To determine the best means of compromise, goal programming, weighted sum and fuzzy multi-objective techniques have been employed. The proposed analysis highlights how different attitudes of the decision maker towards the logic and structure of the problem result in the employment of different methodologies and the obtaining of different results. The novel aspect of the paper lies in the proposal of an effective decision support system for operative waste management, rather than a further contribution to the transportation problem. The model was applied to the waste management of optimal territorial ambit (OTA) of Palermo (Italy). 2010 Elsevier Ltd. All rights reserved.

  10. A multi-objective approach to solid waste management

    International Nuclear Information System (INIS)

    Galante, Giacomo; Aiello, Giuseppe; Enea, Mario; Panascia, Enrico

    2010-01-01

    The issue addressed in this paper consists in the localization and dimensioning of transfer stations, which constitute a necessary intermediate level in the logistic chain of the solid waste stream, from municipalities to the incinerator. Contextually, the determination of the number and type of vehicles involved is carried out in an integrated optimization approach. The model considers both initial investment and operative costs related to transportation and transfer stations. Two conflicting objectives are evaluated, the minimization of total cost and the minimization of environmental impact, measured by pollution. The design of the integrated waste management system is hence approached in a multi-objective optimization framework. To determine the best means of compromise, goal programming, weighted sum and fuzzy multi-objective techniques have been employed. The proposed analysis highlights how different attitudes of the decision maker towards the logic and structure of the problem result in the employment of different methodologies and the obtaining of different results. The novel aspect of the paper lies in the proposal of an effective decision support system for operative waste management, rather than a further contribution to the transportation problem. The model was applied to the waste management of optimal territorial ambit (OTA) of Palermo (Italy).

  11. A holistic approach to managing a patient with heart failure.

    Science.gov (United States)

    Duncan, Alison; Cunnington, Colin

    2013-03-01

    Despite varied and complex therapeutic strategies for managing patients with heart failure, the prognosis may remain poor in certain groups. Recognition that patients with heart failure frequently require input from many care groups formed the basis of The British Society of Heart Failure Annual Autumn Meeting in London (UK), in November 2012, entitled: 'Heart failure: a multidisciplinary approach'. Experts in cardiology, cardiac surgery, general practice, care of the elderly, palliative care and cardiac imaging shared their knowledge and expertise. The 2-day symposium was attended by over 500 participants from the UK, Europe and North America, and hosted physicians, nurses, scientists, trainees and representatives from the industry, as well as patient and community groups. The symposium, accredited by the Royal College of Physicians and the Royal College of Nursing, focused on the multidisciplinary approach to heart failure, in particular, current therapeutic advances, cardiac remodeling, palliative care, atrial fibrillation, heart rate-lowering therapies, management of acute heart failure and the management of patients with mitral regurgitation and heart failure.

  12. Resolving structural uncertainty in natural resources management using POMDP approaches

    Science.gov (United States)

    Williams, B.K.

    2011-01-01

    In recent years there has been a growing focus on the uncertainties of natural resources management, and the importance of accounting for uncertainty in assessing management effectiveness. This paper focuses on uncertainty in resource management in terms of discrete-state Markov decision processes (MDP) under structural uncertainty and partial observability. It describes the treatment of structural uncertainty with approaches developed for partially observable resource systems. In particular, I show how value iteration for partially observable MDPs (POMDP) can be extended to structurally uncertain MDPs. A key difference between these process classes is that structurally uncertain MDPs require the tracking of system state as well as a probability structure for the structure uncertainty, whereas with POMDPs require only a probability structure for the observation uncertainty. The added complexity of the optimization problem under structural uncertainty is compensated by reduced dimensionality in the search for optimal strategy. A solution algorithm for structurally uncertain processes is outlined for a simple example in conservation biology. By building on the conceptual framework developed for POMDPs, natural resource analysts and decision makers who confront structural uncertainties in natural resources can take advantage of the rapid growth in POMDP methods and approaches, and thereby produce better conservation strategies over a larger class of resource problems. ?? 2011.

  13. OPTIMIZATION OF MANAGEMENT APPROACHES: RESERVES GROWTH OF EFFICIENCY OF NR-MANAGEMENT IN THE BUSINESS

    Directory of Open Access Journals (Sweden)

    F. Sh. Fedorova

    2016-01-01

    Full Text Available The article describes one of the possible ways of building more eff ective relationships between managers and subordinates, taking into account variable range of individual motivation, capabilities and potential of people belonging to diff erent types of employees.The topic is urgent due to the changes in modern business processes that require new approaches to management. Goal/objectives. Our aim is to develop an approach to the creation of human resources management model that takes into account not only the knowledge and skills of employees, but also their deeper individual characteristics. The approach accounts for the hierarchy of one's life values and drives, temperament, strains, habitual and unfamiliar social roles, way of thinking, preferred pattern of communication, peculiarities of the behavior in power relations and a host of other features. We suggest that asking them into account is an incredible opportunity for productivity growth and team eff ectiveness improvements.Methodology. The theoretical basis of the article are studies of Russian and foreign authors on the classifications and typologies of personality, of social roles, roles in the team, as well as subordinate types. The article refl ects the results of studies and observations of the authors on the peculiarities of manifestation of diff erent types of people in decision-making and business communications.Results. We suggest the typology of subordinates describing the key characteristics and preferences of representatives of the types. The typology allows to build relationships between managers and subordinates more eff ectively.Conclusions/significance. We propose typology of subordinates that can be used to develop management models focused on certain types of employees. This, in turn, may be useful for structuring of human management, retrieval of unused but eff ective management tools, and for building an eff ective staff -management relations network as a whole to

  14. Finding Practical Approaches to Integrated Water Resources Management

    Directory of Open Access Journals (Sweden)

    John Butterworth

    2010-02-01

    Full Text Available Integrated Water Resources Management (IWRM has often been interpreted and implemented in a way that is only really suited to countries with the most developed water infrastructures and management capacities. While sympathetic to many of the criticisms levelled at the IWRM concept and recognising the often disappointing levels of adoption, this paper and the series of papers it introduces identify some alternative ways forward in a developmental context that place more emphasis on the practical in-finding solutions to water scarcity. A range of lighter, more pragmatic and context-adapted approaches, strategies and entry points are illustrated with examples from projects and initiatives in mainly 'developing' countries. The authors argue that a more service-orientated (WASH, irrigation and ecosystem services, locally rooted and balanced approach to IWRM that better matches contexts and capacities should build on such strategies, in addition to the necessary but long-term policy reforms and river basin institution-building at higher levels. Examples in this set of papers not only show that the 'lighter', more opportunistic and incremental approach has potential as well as limitations but also await wider piloting and adoption.

  15. [New approach for managing microbial risks in food].

    Science.gov (United States)

    Augustin, Jean-Christophe

    2015-01-01

    The aim of the food legislation is to ensure the protection of human health. Traditionally, the food legislation requires food business operators to apply good hygiene practices and specific procedures to control foodborne pathogens. These regulations allowed reaching a high level of health protection. The improvement of the system will require risk-based approaches. Firstly, risk assessment should allow the identification of high-risk situations where resources should be allocated for a better targeting of risk management. Then, management measures should be adapted to the health objective. In this approach, the appropriate level of protection is converted intofood safety and performance objectives on the food chain, i.e., maximum microbial contamination to fulfil the acceptable risk level. When objectives are defined, the food business operators and competent authorities can identify control options to comply with the objectives and establish microbiological criteria to verify compliance with these objectives. This approach, described for approximately 10 years, operative thanks to the development of quantitative risk assessment techniques, is still difficult to use in practical terms since it requires a commitment of competent authorities to define the acceptable risk and needs also the implementation of sometimes complex risk models.

  16. Sustainable solid waste management: An integrated approach for Asian countries

    International Nuclear Information System (INIS)

    Shekdar, Ashok V.

    2009-01-01

    Solid waste management (SWM) has been an integral part of every human society. The approaches for SWM should be compatible with the nature of a given society, and, in this regard, Asian countries are no exception. In keeping with global trends, the systems are being oriented to concentrate on sustainability issues; mainly through the incorporation of 3R (reduce, reuse and recycle) technologies. However, degree and nature of improvements toward sustainability are varying and depend on the economic status of a country. High-income countries like Japan and South Korea can afford to spend more to incorporate 3R technologies. Most of the latest efforts focus on 'Zero Waste' and/or 'Zero Landfilling' which is certainly expensive for weaker economies such as those of India or Indonesia. There is a need to pragmatically assess the expectations of SWM systems in Asian countries. Hence, in this paper, we analyze the situation in different Asian countries, and explore future trends. We conceptually evaluate issues surrounding the sustainability of SWM. We propose a multi-pronged integrated approach for improvement that achieves sustainable SWM in the context of national policy and legal frameworks, institutional arrangement, appropriate technology, operational and financial management, and public awareness and participation. In keeping with this approach, a generic action plan has been proposed that could be tailored to suit a situation in a particular country. Our proposed concept and action plan framework would be useful across a variety of country-specific scenarios

  17. Laparoscopic management of diaphragmatic endometriosis by three different approaches.

    Science.gov (United States)

    Roman, Horace; Darwish, Basma; Provost, Delphine; Baste, Jean-Marc

    2016-08-01

    To report our three surgical approaches in the management of diaphragmatic endometriosis. Video article presenting laparoscopic surgical techniques, with and without robotic assistance. University hospital. Nulliparas with deep endometriosis associated with multiple endometriosis lesions of the diaphragm. Laparoscopic approach in women who present with small black-pigmented diaphragmatic lesions, with or without infiltration of the diaphragm, which are ablated using plasma energy. Robotic-assisted laparoscopic route in larger deep infiltrating implants, which are resected. To avoid phrenic nerve injury, robotic-assisted thoracoscopy is preferred in large lesions involving the central tendon of the diaphragm. The steps of each technique are emphasized. Surgical technique reports in anonymous patients are exempted from ethical approval by the Institutional Review Board. Seven patients have been managed by these procedures from July 2015 to March 2016. Patients' functional outcomes were uneventful, with no phrenic nerve palsy or residual chest and right shoulder pain. By combining resection and ablation techniques, the laparoscopy and thoracoscopy route, conventional and robotic-assisted minimally invasive approach, we offer a surgical strategy that is as conservative as possible, with an aim to limit postoperative adhesions between the liver and the diaphragm, and avoid diaphragmatic paralysis. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  18. The Effect of Task Duration on Event-Based Prospective Memory: A Multinomial Modeling Approach

    Directory of Open Access Journals (Sweden)

    Hongxia Zhang

    2017-11-01

    Full Text Available Remembering to perform an action when a specific event occurs is referred to as Event-Based Prospective Memory (EBPM. This study investigated how EBPM performance is affected by task duration by having university students (n = 223 perform an EBPM task that was embedded within an ongoing computer-based color-matching task. For this experiment, we separated the overall task’s duration into the filler task duration and the ongoing task duration. The filler task duration is the length of time between the intention and the beginning of the ongoing task, and the ongoing task duration is the length of time between the beginning of the ongoing task and the appearance of the first Prospective Memory (PM cue. The filler task duration and ongoing task duration were further divided into three levels: 3, 6, and 9 min. Two factors were then orthogonally manipulated between-subjects using a multinomial processing tree model to separate the effects of different task durations on the two EBPM components. A mediation model was then created to verify whether task duration influences EBPM via self-reminding or discrimination. The results reveal three points. (1 Lengthening the duration of ongoing tasks had a negative effect on EBPM performance while lengthening the duration of the filler task had no significant effect on it. (2 As the filler task was lengthened, both the prospective and retrospective components show a decreasing and then increasing trend. Also, when the ongoing task duration was lengthened, the prospective component decreased while the retrospective component significantly increased. (3 The mediating effect of discrimination between the task duration and EBPM performance was significant. We concluded that different task durations influence EBPM performance through different components with discrimination being the mediator between task duration and EBPM performance.

  19. The national approach to radioactive waste management: the Philippine experience

    International Nuclear Information System (INIS)

    Valdezco, E.M.; Marcelo, E.A.; Junio, J.B.; Alamares, A.L.; Salom, D.S.

    1996-01-01

    The Philippine Nuclear Research Institute (PNRI), under the Department of Science and Technology (DOST) is tasked, among others, with the legally-mandated twin function of advancing and regulating the beneficial uses of nuclear energy and radiation technology. The PNRI is also responsible, among others, for the safe management of radioactive wastes generated by all licensed users of radioisotopes, including about 100 medical and industrial users. This papers describes the efforts taken by the PNRI, with technical assistance provided by the International Atomic Energy Agency to establish a low level radioactive waste management facility in the country and the subsequent upgrading of its waste management infrastructure. The conceptual approach and sebsequent implementation of the work programme is presented. Problems attendant to these efforts are briefly outlined including treatment methodologies for specific wastes. The commissioning and operational experiences using a batch type chemical precipitation plant appropriate for the volume of liquid wastes generated in the country is also presented. Data on radioactive waste arisings from 1980 are also presented including anticipated or projected wastes arisings should the repair of the PRR-1 (Philippine Research Reactor-1) research reactor be completed. The government initiatives towards the organizational development of a centralized waste management facility for low level wastes are also discussed. The formulation and adoption of a waste acceptance criteria and the R and D activities on various treatment procedures are also described. The current activities of the PNRI, as the lead agency in two important areas, one of which is in radioactive waste management, will be reported. National, regional and international cooperation in radioactive waste management will also be presented

  20. Efficiency of supply chain management. Strategic and operational approach

    Directory of Open Access Journals (Sweden)

    Grzegorz Lichocik

    2013-06-01

    Full Text Available Background: One of the most important issues subject to theoretical considerations and empirical studies is the measurement of efficiency of activities in logistics and supply chain management. Simultaneously, efficiency is one of the terms interpreted in an ambiguous and multi-aspect manner, depending on the subject of a study. The multitude of analytical dimensions of this term results in the fact that, apart from economic efficiency being the basic study area, other dimensions perceived as an added value by different groups of supply chain participants become more and more important. Methods: The objective of this paper is to attempt to explain the problem of supply chain management efficiency in the context of general theoretical considerations relating to supply chain management. The authors have also highlighted determinants and practical implications of supply chain management efficiency in strategic and operational contexts. The study employs critical analyses of logistics literature and the free-form interview with top management representatives of a company operating in the TSL sector. Results: We must find a comprehensive approach to supply chain efficiency including all analytical dimensions connected with real goods and services flow. An effective supply chain must be cost-effective (ensuring economic efficiency of a chain, functional (reducing processes, lean, minimising the number of links in the chain to the necessary ones, adapting supply chain participants' internal processes to a common objective based on its efficiency and ensuring high quality of services (customer-oriented logistics systems. Conclusions: Efficiency of supply chains is not only a task for which a logistics department is responsible as it is a strategic decision taken by the management as regards the method of future company's operation. Correctly planned and fulfilled logistics tasks may result in improving performance of a company as well as the whole