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Sample records for redesign oscar project

  1. Quality assurance plan for the Objective Supply Capability Adaptive Redesign (OSCAR) project

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, K.A.; Rasch, K.A.; Reid, R.W.

    1996-11-01

    This document establishes the Quality Assurance Plan (QAP) for the National Guard Bureau Objective Supply Capability Adaptive Redesign (OSCAR) project activities under the Oak Ridge National Laboratory (ORNL) management. It defines the requirements and assigns responsibilities for ensuring, with a high degree of confidence, that project objectives will be achieved as planned. The QAP outlined herein is responsive to and meets the Quality Assurance Program standards for the U.S. Department of Energy (DOE), Lockheed Martin Energy Research Corporation and ORNL and the ORNL Computing, Robotics, and Education Directorate (CRE). This document is intended to be in compliance with DOE Order 5700.6C, Quality Assurance Program, and the ORNL Standard Practice Procedure, SPP X-QA-8, Quality Assurance for ORNL Computing Software. This standard allows individual organizations to apply the stated requirements in a flexible manner suitable to the type of activity involved. Section I of this document provides an introduction to the OSCAR project QAP; Sections 2 and 3 describe the specific aspects of quality assurance as applicable to the OSCAR project. Section 4 describes the project approach to risk management. The Risk Management Matrix given in Appendix A is a tool to assess, prioritize, and prevent problems before they occur. Therefore, the matrix will be reviewed and revised on a periodic basis.

  2. Usability Testing in a Library Web Site Redesign Project.

    Science.gov (United States)

    McMullen, Susan

    2001-01-01

    Discusses the need for an intuitive library information gateway to meet users' information needs and describes the process involved in redesigning a library Web site based on experiences at Roger Williams University. Explains usability testing methods that were used to discover how users were interacting with the Web site interface. (Author/LRW)

  3. Inpatient Dialysis Unit Project Development: Redesigning Acute Hemodialysis Care.

    Science.gov (United States)

    Day, Jennifer

    2017-01-01

    Executive leaders of an acute care hospital performed a market and financial analysis, and created a business plan to establish an inpatient hemodialysis unit operated by the hospital to provide safe, high-quality, evidence-based care to the population of individuals experiencing end stage renal disease (ESRD) within the community. The business plan included a SWOT (Strengths - Weaknesses - Opportunities - Threats) analysis to assess advantages of the hospital providing inpatient hemodialysis services versus outsourcing the services with a contracted agency. The results of the project were a newly constructed tandem hemodialysis room and an operational plan with clearly defined key performance indicators, process improvement initiatives, and financial goals. This article provides an overview of essential components of a business plan to guide the establishment of an inpatient hemodialysis unit. Copyright© by the American Nephrology Nurses Association.

  4. Framing the Oscars live

    DEFF Research Database (Denmark)

    Haastrup, Helle Kannik

    2016-01-01

    How is the global media event of the Oscars localised through the talk show on Danish television? How are both the mediated film star and the special brand of Hollywood celebrity culture addressed by the cultural intermediaries in the Danish framing? These are the questions I propose to answer...

  5. Regional process redesign of lung cancer care: a learning health system pilot project.

    Science.gov (United States)

    Fung-Kee-Fung, M; Maziak, D E; Pantarotto, J R; Smylie, J; Taylor, L; Timlin, T; Cacciotti, T; Villeneuve, P J; Dennie, C; Bornais, C; Madore, S; Aquino, J; Wheatley-Price, P; Ozer, R S; Stewart, D J

    2018-02-01

    The Ottawa Hospital (toh) defined delay to timely lung cancer care as a system design problem. Recognizing the patient need for an integrated journey and the need for dynamic alignment of providers, toh used a learning health system (lhs) vision to redesign regional diagnostic processes. A lhs is driven by feedback utilizing operational and clinical information to drive system optimization and innovation. An essential component of a lhs is a collaborative platform that provides connectivity across silos, organizations, and professions. To operationalize a lhs, we developed the Ottawa Health Transformation Model (ohtm) as a consensus approach that addresses process barriers, resistance to change, and conflicting priorities. A regional Community of Practice (cop) was established to engage stakeholders, and a dedicated transformation team supported process improvements and implementation. The project operationalized the lung cancer diagnostic pathway and optimized patient flow from referral to initiation of treatment. Twelve major processes in referral, review, diagnostics, assessment, triage, and consult were redesigned. The Ottawa Hospital now provides a diagnosis to 80% of referrals within the provincial target of 28 days. The median patient journey from referral to initial treatment decreased by 48% from 92 to 47 days. The initiative optimized regional integration from referral to initial treatment. Use of a lhs lens enabled the creation of a system that is standardized to best practice and open to ongoing innovation. Continued transformation initiatives across the continuum of care are needed to incorporate best practice and optimize delivery systems for regional populations.

  6. Oscar Wilde and Authorialism

    Directory of Open Access Journals (Sweden)

    Andrea Selleri

    2014-12-01

    Full Text Available This essay introduces the concept of “authorialism” to characterise the critical orientation that sees literary works primarily as actions on the part of their authors rather than as linguistic objects, using the early reception of Oscar Wilde’s works as a case study. It is argued that authorialism was the dominant tendency in 1875-1900 Anglophone criticism, and that it has characterised assessments of Wilde’s works to this day. The method has the advantage of finding coherence in literary works, which is useful in assessing matters of value; the textual features of Wilde’s writings, however, resist authorialist readings by not featuring the expected coherence.

  7. Re-designing project management : Steps towards a project management curriculum for a sustainable built environment

    NARCIS (Netherlands)

    Heintz, J.L.; Lousberg, L.H.M.J.; Prins, M.

    2015-01-01

    Sustainability concerns add a wide range of both stakeholders and performance expectations to building projects. The transition of a circular economy will also have a significant impact on the way in which building projects are carried out. This in addition to an already established escalation of

  8. Process design and redesign

    NARCIS (Netherlands)

    Reijers, H.A.; Dumas, M.; Aalst, van der W.M.P.; Hofstede, ter A.H.M.

    2005-01-01

    This chapter aims to provide concrete guidance in redesigning business processes. Two alternative methods are described, both of them suitable to boost business performance. The first one is based on a collection of best practices, as applied in various redesign projects. These best practices all

  9. OSCAR API for Real-Time Low-Power Multicores and Its Performance on Multicores and SMP Servers

    Science.gov (United States)

    Kimura, Keiji; Mase, Masayoshi; Mikami, Hiroki; Miyamoto, Takamichi; Shirako, Jun; Kasahara, Hironori

    OSCAR (Optimally Scheduled Advanced Multiprocessor) API has been designed for real-time embedded low-power multicores to generate parallel programs for various multicores from different vendors by using the OSCAR parallelizing compiler. The OSCAR API has been developed by Waseda University in collaboration with Fujitsu Laboratory, Hitachi, NEC, Panasonic, Renesas Technology, and Toshiba in an METI/NEDO project entitled "Multicore Technology for Realtime Consumer Electronics." By using the OSCAR API as an interface between the OSCAR compiler and backend compilers, the OSCAR compiler enables hierarchical multigrain parallel processing with memory optimization under capacity restriction for cache memory, local memory, distributed shared memory, and on-chip/off-chip shared memory; data transfer using a DMA controller; and power reduction control using DVFS (Dynamic Voltage and Frequency Scaling), clock gating, and power gating for various embedded multicores. In addition, a parallelized program automatically generated by the OSCAR compiler with OSCAR API can be compiled by the ordinary OpenMP compilers since the OSCAR API is designed on a subset of the OpenMP. This paper describes the OSCAR API and its compatibility with the OSCAR compiler by showing code examples. Performance evaluations of the OSCAR compiler and the OSCAR API are carried out using an IBM Power5+ workstation, an IBM Power6 high-end SMP server, and a newly developed consumer electronics multicore chip RP2 by Renesas, Hitachi and Waseda. From the results of scalability evaluation, it is found that on an average, the OSCAR compiler with the OSCAR API can exploit 5.8 times speedup over the sequential execution on the Power5+ workstation with eight cores and 2.9 times speedup on RP2 with four cores, respectively. In addition, the OSCAR compiler can accelerate an IBM XL Fortran compiler up to 3.3 times on the Power6 SMP server. Due to low-power optimization on RP2, the OSCAR compiler with the OSCAR API

  10. Prof. Oscar Vogt (1927 - 2014)

    International Nuclear Information System (INIS)

    Wachter, Peter

    2014-01-01

    On 21st. Jan. 2014 Oscar Vogt left us. Born in 1927, he lived a long and fulfilling life. One of us (PW) first met Oscar Vogt and his wife Ditta in 1962, when we both investigated in the Laboratorium für Festkörperphysik of ETH Zürich (Swiss Federal Institute of Technology) the magnetic properties of rare-earth compounds. Oscar was a son of the owner of Vogt and Co. (VoCo), a wire-fabrication company, which could also make exotic wires like tungsten. He received his PhD at ETH Zürich with Prof G. Busch, who When his father died in the 1970s, Oscar faced a choice – physics or the family business. He managed both! Every Monday he spent in the Institute, and with his competent technical assistant Kurt Mattenberger, grew large and welldefined single crystals of rare-earth compounds and investigated their magnetic properties. The production of crystals was especially challenging as these compounds melt only near 2000 °C, and special tungsten crucibles had to be maintained at g , mentioned that he was the only graduate student not asking for payment. He enjoyed interesting hobbies and was much involved in cultural activities. He engaged himself with great enthusiasm, initially in the research of rareearth compounds, and then later in the actinides.We had a long-lasting and fruitful friendship

  11. Oscar Wilde’s Aestheticism

    OpenAIRE

    Beibei Guan

    2018-01-01

    Abstract-Dandyism is a very important and significant social phenomenon in 19th century Europe. This paper focuses on Oscar Wilde and Wilde’s numerous works. Aestheticism was used as a tool by the dandy in his rebellious performances in London, manifesting the contradiction between the spiritual and the material, the aristocracy and the bourgeoisie, and art and nature. The social backgrounds and life experiences of Wilde influenced his transformation into dandies during the time of the Victor...

  12. Oscar Wilde’s Aestheticism

    Directory of Open Access Journals (Sweden)

    Beibei Guan

    2018-02-01

    Full Text Available Abstract-Dandyism is a very important and significant social phenomenon in 19th century Europe. This paper focuses on Oscar Wilde and Wilde’s numerous works. Aestheticism was used as a tool by the dandy in his rebellious performances in London, manifesting the contradiction between the spiritual and the material, the aristocracy and the bourgeoisie, and art and nature. The social backgrounds and life experiences of Wilde influenced his transformation into dandies during the time of the Victorian period. With his strong sense of fashion and style, and their elegant ironic use of language, the dandies focused on the importance of artificial forms - himself included — in daily life and work. The dandies’ concern was pleasure seeking through consuming the visual and actual. To this end Wilde developed unique aesthetic theories regarding evil; he looked for the beautiful in the ugly and repulsive. At the same time, Oscar Wilde criticized the hypocrisy of bourgeois morality and values, showing the genuinely ugly and evil reality beneath bourgeois industrial society, and focusing on revolt and resistance against the bourgeois world. Index Terms-Dandyism,  Aestheticism, Revolt

  13. Aasta moekunstnik on Oscar de la Renta

    Index Scriptorium Estoniae

    2000-01-01

    New Yorgis American Fashion Awards tseremoonial jagati auhindu: aasta parim naisterõivaste kujundaja Oscar de La Renta, parim meesteriiete looja Helmut Lang, elutöö preemia itaalia moekunstnik Valentinole, rahvusvahelise moekunsti auhind Jean Paul Gaultier'ile

  14. Redesign workshop

    DEFF Research Database (Denmark)

    Bornoe, Nis; Billestrup, Jane; Andersen, Jesper

    2014-01-01

    . The leading question was: “Can software developers contribute actively to alternative redesign suggestions?” Under the guidance of usability specialists, we found that the developers were able to constructively reconsider the existing design based on a top down approach. In this paper we report a hands...

  15. The Impact of Project-Based Learning on Minority Student Achievement: Implications for School Redesign

    Science.gov (United States)

    Cervantes, Bernadine; Hemmer, Lynn; Kouzekanani, Kamiar

    2015-01-01

    Project-Based Learning (PBL) serves as an instructional approach to classroom teaching and learning that is designed to engage students in the investigation of real-world problems to create meaningful and relevant educational experiences. The causal-comparative study compared 7th and 8th students who had utilized the PBL with a comparison group in…

  16. Oscar Montelius and Chinese Archaeology

    Directory of Open Access Journals (Sweden)

    Xingcan Chen

    2014-05-01

    Full Text Available This paper demonstrates that Oscar Montelius (1843–1921, the world-famous Swedish archaeologist, had a key role in the development of modern scientific Chinese archaeology and the discovery of China’s prehistory. We know that one of his major works, Die Methode, the first volume of his Älteren kulturperioden im Orient und in Europa, translated into Chinese in the 1930s, had considerable influence on generations of Chinese archaeologists and art historians. What has previously remained unknown, is that Montelius personally promoted the research undertaken in China by Johan Gunnar Andersson (1874–1960, whose discoveries of Neolithic cultures in the 1920s constituted the breakthrough and starting point for the development of prehistoric archaeology in China. In this paper, we reproduce, translate and discuss a long forgotten memorandum written by Montelius in 1920 in support of Andersson’s research. In this Montelius indicated his belief in the potential of prehistoric Chinese archaeology as well as his predictions regarding the discoveries about to be made. It is therefore an important document for the study of the history of Chinese archaeology as a whole.

  17. The Lessons Oscar Taught Us: Data Science and Media & Entertainment.

    Science.gov (United States)

    Gold, Michael; McClarren, Ryan; Gaughan, Conor

    2013-06-01

    Farsite Group, a data science firm based in Columbus, Ohio, launched a highly visible campaign in early 2013 to use predictive analytics to forecast the winners of the 85th Annual Academy Awards. The initiative was fun and exciting for the millions of Oscar viewers, but it also illustrated how data science could be further deployed in the media and entertainment industries. This article explores the current and potential use cases for big data and predictive analytics in those industries. It further discusses how the Farsite Forecast was built, as well as how the model was iterated, how the projections performed, and what lessons were learned in the process.

  18. Website Redesign: A Case Study.

    Science.gov (United States)

    Wu, Jin; Brown, Janis F

    2016-01-01

    A library website redesign is a complicated and at times arduous task, requiring many different steps including determining user needs, analyzing past user behavior, examining other websites, defining design preferences, testing, marketing, and launching the site. Many different types of expertise are required over the entire process. Lessons learned from the Norris Medical Library's experience with the redesign effort may be useful to others undertaking a similar project.

  19. RIBA kuldmedal Oscar Niemeyerile / Karin Hallas

    Index Scriptorium Estoniae

    Hallas, Karin, 1957-

    1998-01-01

    1998. a. RIBA (Royal Institute of British Architects) kuldmedal anti Rio de Janeiros üle brasiilia arhitektile Oscar Niemeyerile. Kuldmedali üleandmise pidulikust tseremooniast. Miks arvukate 20. saj. modernismi klassikasse kuuluvate hoonete autorile alles nüüd RIBA kuldmedal anti. Praegu 91 aastasel vanameistril valmis 1996. a. Rio de Janeiros Niter̤i Moodsa kunsti muuseum, ehitamist ootab Rio konverentsikeskus

  20. OSCAR4: a flexible architecture for chemical text-mining

    Directory of Open Access Journals (Sweden)

    Jessop David M

    2011-10-01

    Full Text Available Abstract The Open-Source Chemistry Analysis Routines (OSCAR software, a toolkit for the recognition of named entities and data in chemistry publications, has been developed since 2002. Recent work has resulted in the separation of the core OSCAR functionality and its release as the OSCAR4 library. This library features a modular API (based on reduction of surface coupling that permits client programmers to easily incorporate it into external applications. OSCAR4 offers a domain-independent architecture upon which chemistry specific text-mining tools can be built, and its development and usage are discussed.

  1. Redesigning the Way We Listen

    DEFF Research Database (Denmark)

    Søndergaard, Morten

    2014-01-01

    This paper is based on a research project-in-progress investigating curatorial practice as methodology for creating responsive interfaces to sound art practices. Sound art is a transdisciplinary practice. As such, it creates new domains that may be used for redesign-purposes. Not only do experien......This paper is based on a research project-in-progress investigating curatorial practice as methodology for creating responsive interfaces to sound art practices. Sound art is a transdisciplinary practice. As such, it creates new domains that may be used for redesign-purposes. Not only do...... experiences of sound alter; the way we listen to sound is transforming as well. Thus, the paper analyses and discusses two responsive sound interfaces and claim that curating as a transdisciplinary practice may frame what is termed in the paper as a domain-game redesigning the way the audience listens...

  2. Oscar F. Smith Middle School: One Extra Degree

    Science.gov (United States)

    Principal Leadership, 2012

    2012-01-01

    This article features Oscar F. Smith Middle School, a challenging school in Chesapeake, Virginia. When Principal Linda Scott exclaims, "Oscar F. Smith Middle School is "hot"!" to visitors, she is not referring to the inside temperature of the bustling school of grades 6-8 located in the historic South Norfolk borough of…

  3. Ages of Oscar-Winning Best Actors and Actresses.

    Science.gov (United States)

    Brown, Richard; Davis, Gretchen

    1990-01-01

    Presents an activity considering whether a difference exists in the age of Oscar winners. Describes how to draw a stem plot and a box plot as an example of implementing the recommendations of the NCTM Standards. Provides tables showing the name, movie titles, and ages of the Oscar winners since 1928. (YP)

  4. O espelho partido de Oscar Wilde

    Directory of Open Access Journals (Sweden)

    Marcus Rodrigues Jacobina Vieira

    2015-12-01

    Full Text Available Este artigo tece algumas considerações a respeito dos processos de luto e melancolia, dos desafios que surgem à elaboração de lutos e perdas. Foi inspirado na teoria psicanalítica e na leitura de alguns aspectos da vida de Oscar Wilde extraídos de sua biografia, escrita por Daniel Salvatore Schiffer, para iluminar a mesma problemática de inibição do luto, conduzindo à melancolia e ao empobrecimento da criatividade.

  5. Client perceptions of a work rehabilitation programme for women: the Redesigning Daily Occupations (ReDO) project.

    Science.gov (United States)

    Wästberg, Birgitta A; Erlandsson, Lena-Karin; Eklund, Mona

    2013-03-01

    The Redesigning Daily Occupations programme (ReDO) is a Swedish work rehabilitation programme for women on sick leave due to stress-related disorders. The aim of the study was to investigate the participants' perceptions of taking part in the work rehabilitation programme. Seven of the 38 women who completed ReDO were interviewed during and after the programme. The interviews were analysed by manifest and latent content analysis. The informants were satisfied with the content of the programme and the support they received in the programme and when returning to work. The women thought they had become more aware of what they did during a day and how they performed their daily activities, which helped them to change their ways of performing them. The result highlighted different parts of their rehabilitation process which constituted four sub-themes: "Perceptions of the ReDO", "The intrinsic process", "Person-related changes", and "Perceptions of returning to work", and formed the core theme "Critical parts of the rehabilitation process". The findings may not be generalized to other settings and future research should further investigate work rehabilitation for the target group.

  6. On-site customer analytics and reporting (OSCAR) : a portable clinical data warehouse for the in-house linking of hospital and telehealth data

    NARCIS (Netherlands)

    Thomaidis, P.

    2014-01-01

    This document conveys the results of the On-Site Customer Analytics and Reporting (OSCAR) project. This nine-month project started on January 2014 and was conducted at Philips Research in the Chronic Disease Management group as part of the H2H Analytics Project. Philips has access to telehealth data

  7. NOAA Ship Oscar Dyson Underway Meteorological Data, Quality Controlled

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Ship Oscar Dyson Underway Meteorological Data (delayed ~10 days for quality control) are from the Shipboard Automated Meteorological and Oceanographic System...

  8. NOAA Ship Oscar Elton Sette Underway Meteorological Data, Quality Controlled

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Ship Oscar Elton Sette Underway Meteorological Data (delayed ~10 days for quality control) are from the Shipboard Automated Meteorological and Oceanographic...

  9. NOAA Ship Oscar Dyson Underway Meteorological Data, Near Real Time

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Ship Oscar Dyson Underway Meteorological Data (Near Real Time, updated daily) are from the Shipboard Automated Meteorological and Oceanographic System (SAMOS)...

  10. Controlling Curriculum Redesign with a Process Improvement Model

    Science.gov (United States)

    Drinka, Dennis; Yen, Minnie Yi-Miin

    2008-01-01

    A portion of the curriculum for a Management Information Systems degree was redesigned to enhance the experiential learning of students by focusing it on a three-semester community-based system development project. The entire curriculum was then redesigned to have a project-centric focus with each course in the curriculum contributing to the…

  11. Oscar Wilde and the brain cell.

    Science.gov (United States)

    Cohn, Elisha

    2013-01-01

    This chapter considers Oscar Wilde's interest in the brain cell as an aesthetic object. Offering an account of Wilde's career that analyzes his early interest in physiology and philosophy, this chapter argues that Wilde's uniquely aesthetic take on the brain suggests that he rejects an account of the self as autonomous or self-determining. For many late Victorians brain science threatened both the freedom of human action and the legitimacy of beauty because it had the potential to invalidate conscious experience. But writers whose work Wilde knew, like John Ruskin, W. K. Clifford, and John Tyndall, avoided the despair of materialism by using aesthetic terms in their own discussions of life's invisible materials. Wilde's art collaborates with the contemporary sciences. His depictions of the cell direct the senses to a new field of being that emphasizes the molecular life all humans have in common, in which individual responsibility and activity matter less than the necessity of beauty. © 2013 Elsevier B.V. All rights reserved.

  12. OSCAR-4 Code System Application to the SAFARI-1 Reactor

    International Nuclear Information System (INIS)

    Stander, Gerhardt; Prinsloo, Rian H.; Tomasevic, Djordje I.; Mueller, Erwin

    2008-01-01

    The OSCAR reactor calculation code system consists of a two-dimensional lattice code, the three-dimensional nodal core simulator code MGRAC and related service codes. The major difference between the new version of the OSCAR system, OSCAR-4, and its predecessor, OSCAR-3, is the new version of MGRAC which contains many new features and model enhancements. In this work some of the major improvements in the nodal diffusion solution method, history tracking, nuclide transmutation and cross section models are described. As part of the validation process of the OSCAR-4 code system (specifically the new MGRAC version), some of the new models are tested by comparing computational results to SAFARI-1 reactor plant data for a number of operational cycles and for varying applications. A specific application of the new features allows correct modeling of, amongst others, the movement of fuel-follower type control rods and dynamic in-core irradiation schedules. It is found that the effect of the improved control rod model, applied over multiple cycles of the SAFARI-1 reactor operation history, has a significant effect on in-cycle reactivity prediction and fuel depletion. (authors)

  13. OSCAR-collagen signaling in monocytes plays a proinflammatory role and may contribute to the pathogenesis of rheumatoid arthritis

    DEFF Research Database (Denmark)

    Schultz, Heidi Schiøler; Guo, Li; Keller, Pernille

    2016-01-01

    Osteoclast-associated receptor (OSCAR) is an activating receptor expressed by human myeloid cells. Collagen type I (ColI) and collagen type II (ColII) serve as ligands for OSCAR. OSCAR-collagen interaction stimulates RANK-dependent osteoclastogenesis. We have recently reported that OSCAR promotes...

  14. Do the Math: Course Redesign's Impact on Learning and Scheduling

    Science.gov (United States)

    Squires, John; Faulkner, Jerry; Hite, Carl

    2009-01-01

    The math department at Cleveland State Community College embarked upon course redesign in 2008. As a result of this project, student engagement, learning, and success rates have increased dramatically. By including both developmental and college level math courses in the redesign, the department has been able to implement innovative scheduling and…

  15. Evaluation of the Redesign of an Undergraduate Cell Biology Course

    Science.gov (United States)

    McEwen, Laura April; Harris, dik; Schmid, Richard F.; Vogel, Jackie; Western, Tamara; Harrison, Paul

    2009-01-01

    This article offers a case study of the evaluation of a redesigned and redeveloped laboratory-based cell biology course. The course was a compulsory element of the biology program, but the laboratory had become outdated and was inadequately equipped. With the support of a faculty-based teaching improvement project, the teaching team redesigned the…

  16. Reconstruction and downscaling of Eastern Mediterranean OSCAR satellite surface current data using DINEOF

    Science.gov (United States)

    Nikolaidis, Andreas; Stylianou, Stavros; Georgiou, Georgios; Hajimitsis, Diofantos; Gravanis, Elias; Akylas, Evangelos

    2015-04-01

    During the last decade, Rixen (2005) and Alvera-Azkarate (2010) presented the DINEOF (Data Interpolating Empirical Orthogonal Functions) method, a EOF-based technique to reconstruct missing data in satellite images. The application of DINEOF method, proved to provide relative success in various experimental trials (Wang and Liu, 2013; Nikolaidis et al., 2013;2014), and tends to be an effective and computationally affordable solution, on the problem of data reconstruction, for missing data from geophysical fields, such as chlorophyll-a, sea surface temperatures or salinity and geophysical fields derived from satellite data. Implementation of this method in a GIS system will provide with a more complete, integrated approach, permitting the expansion of the applicability over various aspects. This may be especially useful in studies where various data of different kind, have to be examined. For this purpose, in this study we have implemented and present a GIS toolbox that aims to automate the usage of the algorithm, incorporating the DINEOF codes provided by GHER (GeoHydrodynamics and Environment Research Group of University of Liege) into the ArcGIS®. ArcGIS® is a well known standard on Geographical Information Systems, used over the years for various remote sensing procedures, in sea and land environment alike. A case-study of filling the missing satellite derived current data in the Eastern Mediterranean Sea area, for a monthly period is analyzed, as an example for the effectiveness and simplicity of the usage of this toolbox. The specific study focuses to OSCAR satellite data (http://www.oscar.noaa.gov/) collected by NOAA/NESDIS Operational Surface Current Processing and Data Center, from the respective products of OSCAR Project Office Earth and Space Research organization, that provides free online access to unfiltered (1/3 degree) resolution. All the 5-day mean products data coverage were successfully reconstructed. KEY WORDS: Remote Sensing, Cyprus

  17. Evaluation of OSCAR ocean surface current product in the tropical ...

    Indian Academy of Sciences (India)

    Next, the evaluation has been carried out by comparing the OSCAR currents with currents measured by moored buoys ... measurements, to derive the surface current prod- uct, known ... ogy of surface currents based on drifter data. The ... and prediction (RAMA). ..... of satellite derived forcings on numerical ocean model sim-.

  18. The Films of Oscar Micheaux: America's First Fabulous Black Filmmaker.

    Science.gov (United States)

    Peterson, Bernard L., Jr.

    1979-01-01

    Although Oscar Micheaux was not the first Black American filmmaker, he was undoubtedly the most prolific Black American movie producer. He is credited with making the first full-length, all-Black silent film produced by a Black company, as well as the first full-length, all-Black sound film. (Author/MC)

  19. OSCAR WILDE OU A IDENTIDADE POÉTICA ENCARCERADA

    Directory of Open Access Journals (Sweden)

    Latuf Isais Mucci

    2011-01-01

    Full Text Available This article aims to expose the dandy soul of Oscar Wilde. His life proves extravagance events, liberty claims, and homoafects tolerance. The Picture of Dorian Gray's author even suffered a criminal process in reason of his relation with Lord Alfred Bruce Douglas, called Bosie, despite Wilde being married. Other biographical issues can demonstrate the fantastic experience in the flamboyant life.

  20. WILDE,OSCAR SKIN-DISEASE - ALLERGIC CONTACT-DERMATITIS

    NARCIS (Netherlands)

    NATER, JP

    During the last years of his life, Oscar Wilde (1856-1900) suffered from a suppurating otitis media as well as from an unidentified skin disease. The eruption was localized to his face, arms, chest and back and itched severely. A new theory is suggested, based on the fact that Wilde almost certainly

  1. A tribute to Oscar Buneman -- Pioneer of plasma simulation

    Energy Technology Data Exchange (ETDEWEB)

    Buneman, R.; Barker, R.J. (Air Force Office of Scientific Research, Washington, DC (United States)); Peratt, A.L. (Los Alamos National Lab., NM (United States)); Brecht, S.H. (Berkeley Research Associates, Inc., CA (United States)); Langdon, A.B. (Lawrence Livermore National Lab., CA (United States). X-Division); Lewis, H.R. (Dartmouth College, Hanover, NH (United States). Dept. of Physics and Astronomy)

    1994-02-01

    Highlights are presented from among the many contributions made by Oscar Buneman to the science, engineering, and mathematics communities. Emphasis is placed not only on ''what'' this pioneer of computational plasma physics contributed but, of equal importance, on ''how'' he made his contributions. Therein lies the difference between technical competence and scientific greatness. The picture which emerges illustrates the open-mindedness, enthusiasm, intellectual/physical stamina, imagination, intellectual integrity, interdisciplinary curiosity, and deep humanity that made this individual unique. As a gentleman and a scholar, he had mastered the art of making cold technical facts ''come to life.'' Oscar Buneman died peacefully at his home near Stanford University on Sunday, January 24th, 1993. The profound influence he has had on many of his colleagues guarantees his immortality.

  2. Multi-Stakeholder Collaboration in the Redesign of Family-Centered Rounds Process

    Science.gov (United States)

    Xie, Anping; Carayon, Pascale; Cartmill, Randi; Li, Yaqiong; Cox, Elizabeth D.; Plotkin, Julie A.; Kelly, Michelle M.

    2014-01-01

    A human factors approach to healthcare system redesign emphasizes the involvement of multiple healthcare stakeholders (e.g., patients and families, healthcare providers) in the redesign process. This study explores the experience of multiple stakeholders with collaboration in a healthcare system redesign project. Interviews were conducted with ten stakeholder representatives who participated in the redesign of the family-centered rounds process in a pediatric hospital. Qualitative interview data were analyzed using a phenomenological approach. A model of collaborative healthcare system redesign was developed, which defined four phases (i.e., setup of the redesign team, preparation for meetings, collaboration in meetings, follow-up after meetings) and two outcomes (i.e., team outcomes, redesign outcomes) of the collaborative process. Challenges to multi-stakeholder collaboration in healthcare system redesign, such as need to represent all relevant stakeholders, scheduling of meetings and managing different perspectives, were identified. PMID:25124394

  3. Evaluation of the Operational Stress Control and Readiness (OSCAR) Program

    Science.gov (United States)

    2015-01-01

    should receive training to fill the role of OSCAR team member. The divisions can be attributed to different ways that com- manders balance three...potential advantages have to be balanced against the suggestion by participants in the focus groups and the interviews that Marines are unlikely to...www.uscg.mil/ worklife /docs/pdf/Navy_and_Marine_Corps_OSC_Doctrine_Dec_2010%5b1%5d.pdf Dawson, Deborah A., Bridget F. Grant, Frederick S. Stinson

  4. Procedure Redesign Methods : E3-Control: a redesign methodology for control procedures

    NARCIS (Netherlands)

    Liu, J.; Hofman, W.J.; Tan, Y.H.

    2011-01-01

    This chapter highlights the core research methodology, e3-control, that is applied throughout the ITAIDE project for the purpose of control procedure redesign. We present the key concept of the e3-control methodology and its technical guidelines. Based on the output of this chapter, domain experts

  5. Rapid deletion production in fungi via Agrobacterium mediated transformation of OSCAR deletion contructs.

    Science.gov (United States)

    Precise deletion of gene(s) of interest, while leaving the rest of the genome unchanged, provides the ideal product to determine that particular gene’s function in the living organism. In this protocol we describe the OSCAR method of precise and rapid deletion plasmid construction. OSCAR relies on t...

  6. EVALUATION OF VALUE STREAM MAPPING IN MANUFACTURING SYSTEMS REDESIGNING

    OpenAIRE

    Serrano , Ibon; Ochoa Laburu , Carlos; De Castro , Rodolfo

    2008-01-01

    Abstract The Value Stream Mapping (VSM) technique, developed within the lean production paradigm, was presented as an innovative graphic technique to help practitioners redesign production systems. This paper presents the results of a project whose main purpose is to evaluate the real applicability of VSM to redesign disconnected flow lines based on manufacturing environments with a diversity of logistical problems. The research was developed using multiple case study methodology i...

  7. Motivation Enhancement Through Work Redesign.

    Science.gov (United States)

    Oldham, Greg R., Kulik, Carol T.

    1983-01-01

    The possibility of redesigning the work experiences of faculty members in an effort to enhance their motivation, productivity, and personal and work satisfactions is examined. One approach to work redesign, job characteristics theory, is described. Several strategies are discussed. (Author/MLW)

  8. Morality's ugly implications in Oscar Wilde's fairy tales.

    Science.gov (United States)

    Jones, Justin T

    2011-01-01

    In Oscar Wilde's two volumes of fairy tales, "The Happy Prince" and Other Tales (1888) and A House of Pomegranates (1891), many central characters meet with premature death or physical disfigurement after learning a bourgeois moral lesson. In an attempt to explain this unconventional phenomenon in the fairy tale tradition, this essay examines Wilde's stories through the lens of his aesthetic ideology and demonstrates how the superficial morality of the Victorian bourgeoisie corrodes each tale's aesthetic integrity, causing the characters to either deny morality outright, assume the guise of Christian philanthropy, or die as the result of their moral reformation.

  9. Oscar.CuboUgarte@fernuni-hagen.de

    Directory of Open Access Journals (Sweden)

    Óscar Cubo

    2017-04-01

    Full Text Available The theory of political justice in Otfried Höffe’s philosophy is one of the most updated and original reformulations of the Kantian project about international peace among the states. Höffe shares with Kant’s thesis that international peace should not to be understood as the provisional result of a balance of power among different powers, or as empirical absence of hostilities, but as a legal peace based on the guidelines of international law. Höffe’s believe that the guarantor of the aforementioned international legal order is the establishment of a subsidiary and federal world state.

  10. Consumerism, Celebrity Culture and the Aesthetic Impure in Oscar Wilde

    Directory of Open Access Journals (Sweden)

    Martino, Pierpaolo

    2015-12-01

    Full Text Available This article investigates the discursive arena in which Oscar Wilde exercised his countercultural and necessarily impure aesthetic taste, focusing on some defining aspects and texts of Wilde's epopee, namely his cult of celebrity, which was nourished, in particular, by his 1882 tour of the United States, his interest in performance – which turned the author into the director and main actor of the very drama entitled Oscar Wilde – and his apparently contradictory approach to consumer culture. Wilde, indeed, seemed to embrace opposite stances in relation to consumerism as it is witnessed by such works as «The Soul of Man Under Socialism» and The Picture of Dorian Gray, on the one side, and «The Decay of Lying», Lady Windermere's Fan and An Ideal Husband, on the other. This essay also reads Wilde's last play The Importance of Being Earnest in terms of a «performance about performance», rooted as Wilde's previous plays in consumer culture and capable of deconstructing the Victorian highly normative (and 'rational' approach to gender and, in particular, to masculinity.

  11. ILRS Website Redesign

    Science.gov (United States)

    Noll, C.; Lee, L.; Torrence, M.

    2011-01-01

    The International Laser Ranging Service (ILRS) website, http://ilrs.gsfc.nasa.gov, is the central source of information for all aspects of the service. The website provides information on the organization and operation of ILRS and descriptions of ILRS components, data, and products. Furthermore, the website and provides an entry point to the archive of these data and products available through the data centers. Links are provided to extensive information on the ILRS network stations including performance assessments and data quality evaluations. Descriptions of supported satellite missions (current, future, and past) are provided to aid in station acquisition and data analysis. The current format for the ILRS website has been in use since the early years of the service. Starting in 2010, the ILRS Central Bureau began efforts to redesign the look and feel for the website. The update will allow for a review of the contents, ensuring information is current and useful. This poster will detail the proposed design including specific examples of key sections and webpages.

  12. Oscar Marin and the Creation of a Cognitive Neuropsychology Laboratory.

    Science.gov (United States)

    Posner, Michael I

    2015-09-01

    During the 1980s, the Cognitive Neuropsychology Laboratory at Good Samaritan Hospital, Portland, Oregon, made important strides in the study of brain injury. Created and headed by Oscar Marin and the author, in affiliation with the University of Oregon, the lab brought together students, fellows, and visiting experts in neurology, psychology, psychiatry, neuropsychology, neurobiology, neurophysiology, and computation. Their patient-focused collaborations produced groundbreaking research in language and its disorders, bradyphrenia, neglect, cerebellar function and impairment, and the psychology of music. The lab hosted the meeting that they documented in the influential 1985 book Attention and Performance XI: Mechanisms of Attention. The lab's members have gone on to lead distinguished careers and continue making major contributions to cognitive neuroscience.

  13. The Feasibility of "oscar" as AN Information System for Sustainable Rehabilitation of Built Heritage

    Science.gov (United States)

    Farmer, C.; Rouillard, C.

    2017-08-01

    This paper aims to examine the feasibility of the Online Sustainable Conservation Assistance Resource (OSCAR) as an information system and framework to help find appropriate ways to improve the sustainable performance of heritage buildings in North America. The paper reviews the need for holistic comprehensive authoritative information in the field of sustainable conservation, how OSCAR addresses this gap, the OSCAR workflow, and how it was used in two case studies. It was found that OSCAR has potential to become a practical educational tool and design aide to address the sustainable performance of heritage buildings. The paper contributes to the discourse on sustainable conservation by examining resources and tools which address the need for holistic retrofit approaches. The findings will be useful to educators and professionals in the fields of sustainable design and heritage conservation.

  14. NOAA Ship Oscar Elton Sette Underway Meteorological Data, Near Real Time

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Ship Oscar Elton Sette Underway Meteorological Data (Near Real Time, updated daily) are from the Shipboard Automated Meteorological and Oceanographic System...

  15. Safety standards for express roads : research in the framework of the European research project Safety Standards for Road Design and Redesign SAFESTAR, Workpackages 3.4.

    NARCIS (Netherlands)

    Hummel, T.

    1999-01-01

    The objective of the SAFESTAR project is the formulation of design standards or recommendations exclusively based on safety arguments. Workpackage 3 (WP3) of SAFESTAR, of which this report is the concluding report, should result in design recommendations for single and dual-carriageway express roads

  16. Oscar Wilde’s Social Comedies in Modern Greek Theatre (1908-1945

    Directory of Open Access Journals (Sweden)

    Constantina Georgiadi

    2015-12-01

    Full Text Available The reception of Oscar Wilde in Greece has occasionally been studied, although modern theoretical works around aestheticism devote a significant part to his influence on Greek artists at the beginning of twentieth century. Some of his plays - mostly Salomé and A Florentine Tragedy (1908 as well as an adaptation of The Portrait of Dorian Gray (1916- appeared in translation and on theatre stage just after the release of his postmortem apologetic De Profundis. His comedy The Importance of Being Earnest, was introduced to the Greek audience simultaneously with his tragedies in 1908, and one more melodrama, An Ideal Husband was staged in 1917. After that year, only his tragedies were repeated whereas his melodramas disappeared in the interwar years, to reappear again in a sudden and noticeable frequency in the late 1930s and early 1940s. The aim of this paper is to identify the reasons of the constant absence of Oscar Wilde’s melodramas from the Greek stage but also to explain their sudden adoption in the late thirties through a new perspective: the interaction between theatre and the newly growing art of cinema. During the controversial 30s, a considerable number of film versions of Wilde's social melodramas were made in Europe, most of them in Germany; these movies were projected in Greece, restoring thereby the Irish writer and his work. The seventh art, which was anyway supplied by writers, actors and theatre directors, became the channel for the Greek public to get acquainted with Wilde’ s social comedies as a whole. Additionally, it affected the repertoire of Greek theatre groups, including the National Theatre of Greece. The paper will focus on cinema and theatre investigation of the 1930s and 1940s (mainly until WWII in Greece, exploring the interchangeable relationship between those two arts, as far as Wilde’s social melodramas are concerned, in the broader historical, social and cultural spectrum of the era. The essay will also

  17. Redesigning Schools to Raise Achievement. Item Number 39-0464

    Science.gov (United States)

    American Federation of Teachers, 2003

    2003-01-01

    The primary goal of the American Federation of Teachers' (AFT) Redesigning Schools to Raise Achievement (RSRA) project is to build capacity at the state, district, school, and classroom levels to improve student achievement to meet the goals of the 2001 No Child Left Behind Act. This checklist highlights some of the opportunities and support…

  18. APPLICATION OF AUGMENTED REALITY IN FACADE REDESIGN PRESENTATION

    Directory of Open Access Journals (Sweden)

    PEJIĆ Petar

    2015-06-01

    Full Text Available Augmented Reality (AR is a computer technology where the perception of the user is enhanced by the seamless blending between real environment and computer-generated virtual objects coexisting in the same space. When it comes to a redesign of the existing facades, it is necessary to create a visual presentation of the proposed changes. For this reason, contemporary architectural approach assumes creating a digital 3D model of the newly designed facade. Since the façade redesign is a real world change, the AR can be used for newly designed facade project presentation. In this paper a case study of the AR application for façade redesign presentation of a single family house located in Babušnica (Serbia is presented.

  19. 10 CFR 501.67 - Petition redesignations.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Petition redesignations. 501.67 Section 501.67 Energy... Certifications § 501.67 Petition redesignations. OFE, with the petitioner's approval, will redesignate an exemption petition if the petitioner qualifies for an exemption other than the one originally requested...

  20. Between Organism and Sky: Oscar Bony, 1965-1976

    Directory of Open Access Journals (Sweden)

    Daniel Quiles

    2014-06-01

    Full Text Available Oscar Bony was a key figure in the generation of avant-garde artists who famously broke with the Instituto Torcuato Di Tella in the wake of censorship at Experiencias ’68. He was also the official photographer for RCA’s affiliate record label in Argentina between 1967 and 1973, producing publicity for a new wave of rock n’ roll bands and solo popular music acts including Los Gatos and Arco Iris. Attending to key phases in his artistic oeuvre as well as close readings of his expertly crafted popular images, this article attempts to bridge these seemingly irreconcilable aspects of Bony’s practice. At first glance, his rock photography, known as el estilo Bony, has little relation to his art, and is perhaps even its political antithesis: “creative” work in the service of a top-down business model. Yet a closer look at both endeavors yields a lasting interplay between flesh and concept—at the grain of the work, a dialectic between incontrovertible index and crafted, calculated image—that was the artist’s central preoccupation in the fraught decade between the military coups. As such, Bony provides an opportunity to recover a category often absent from the Argentine art of this moment: the body, factual and libidinal.

  1. OSCAR Is a Receptor for Surfactant Protein D That Activates TNF-α Release from Human CCR2+ Inflammatory Monocytes

    DEFF Research Database (Denmark)

    Barrow, Alexander D; Palarasah, Yaseelan; Bugatti, Mattia

    2015-01-01

    of recombinant SP-D and captured native SP-D from human bronchoalveolar lavage. OSCAR localized in an intracellular compartment of alveolar macrophages together with SP-D. Moreover, we found OSCAR on the surface of interstitial lung and blood CCR2(+) inflammatory monocytes, which secreted TNF-α when exposed...

  2. OSCAR is a collagen receptor that costimulates osteoclastogenesis in DAP12-deficient humans and mice

    DEFF Research Database (Denmark)

    Barrow, Alexander David; Raynal, Nicolas; Levin Andersen, Thomas

    2011-01-01

    by preosteoclasts in vitro, but OSCAR lacks a cognate ligand and its role in vivo has been unclear. Using samples from mice and patients deficient in various ITAM signaling pathways, we show here that OSCAR costimulates one of the major FcRγ-associated pathways required for osteoclastogenesis in vivo. Furthermore...... to signaling that increased numbers of osteoclasts in culture. Thus, our results suggest that ITAM-containing receptors can respond to exposed ligands in collagen, leading to the functional differentiation of leukocytes, which provides what we believe to be a new concept for ITAM regulation of cytokine...

  3. Redesigning mental healthcare delivery: is there an effect on organizational climate?

    Science.gov (United States)

    Joosten, T C M; Bongers, I M B; Janssen, R T J M

    2014-02-01

    Many studies have investigated the effect of redesign on operational performance; fewer studies have evaluated the effects on employees' perceptions of their working environment (organizational climate). Some authors state that redesign will lead to poorer organizational climate, while others state the opposite. The goal of this study was to empirically investigate this relation. Organizational climate was measured in a field experiment, before and after a redesign intervention. At one of the sites, a redesign project was conducted. At the other site, no redesign efforts took place. Two Dutch child- and adolescent-mental healthcare providers. Professionals that worked at one of the units at the start and/or the end of the intervention period. The main intervention was a redesign project aimed at improving timely delivery of services (modeled after the breakthrough series). Scores on the four models of the organizational climate measure, a validated questionnaire that measures organizational climate. Our analysis showed that climate at the intervention site changed on factors related to productivity and goal achievement (rational goal model). The intervention group scored worse than the comparison group on the part of the questionnaire that focuses on sociotechnical elements of organizational climate. However, observed differences were so small, that their practical relevance seems rather limited. Redesign efforts in healthcare, so it seems, do not influence organizational climate as much as expected.

  4. “Carried Us Away in Captivity:” The Oscar, the Tsotsi, and the ...

    African Journals Online (AJOL)

    Tsotsi's surprise Oscar for best foreign language film at the 2006 Academy of Motion Picture Arts and Sciences and the resulting critical attention it brought to South African cinema prepared the stage for Ralph Ziman's Jerusalema (2008), a visual retake of Johannesburg outlaw culture that draws heavily on the complex ...

  5. Oscar Riddle's Science, a Special Bird, & the Founding of the NABT

    Science.gov (United States)

    Vandervoort, Frances S.

    2013-01-01

    Oscar Riddle, born in Indiana in 1877, was an ardent evolutionist and a key player in the founding of the National Association of Biology Teachers in 1938. He studied heredity and behavior in domestic pigeons and doves with Charles O. Whitman of the University of Chicago, received his Ph.D. in zoology in 1907, and in 1912 began a long career at…

  6. "Vargamäe kuningriik". "Oscar ja Roosamamma. Kirjad Jumalale" / Tauno Teder

    Index Scriptorium Estoniae

    Teder, Tauno

    2007-01-01

    Autor soovitab vaadata Endla ja Rakvere Teatri suvelavastust "Vargamäe kuningriik" A. H. Tammsaare "Tõe ja õiguse" I ja V osa ainetel, lavastajaks Jaanus Rohumaa ning E.-E. Schmitti loo järgi sündinud näidendit "Oscar ja Roosamamma. Kirjad Jumalale". Lavastaja ja peaosas Üllar Saaremäe, Rakvere Teater

  7. Lauluarmastaja, võitleja, unustamatu sõber Oscar Uusima saadeti igaviku teedele / Airi Vaga

    Index Scriptorium Estoniae

    Vaga, Airi, 1940-

    2007-01-01

    järelehüüe EELK Bergen County koguduse nõukogu liikmele, koguduse revisjoni komisjoni esimehele, New Yorgi Eesti Meeskoori lauljale ja juhatuse esimehele, korporatsiooni Estica USA koondise esimehele ja abiesimehele Oscar Uusimale 24. 09. 1917 - 17. 07. 2007

  8. Oscar Niemeyer - arhitekt ja kõiksus / Karin Hallas-Murula

    Index Scriptorium Estoniae

    Hallas-Murula, Karin, 1957-

    2001-01-01

    Brasiilia arhitektist Oscar Niemeyerist (s. 1907) ja tema loomingust. Niemeyeri Rio de Janeiro büroo ja Rootsi Arhitektuurimuuseumi koostöös valminud näitusel Rotermanni soolalaos on rõhuasetus idee sünnil, esimestel skitsidel. Näitust saadab film Niemeyerist

  9. A REDESIGN LAYOUT TO INCREASE PRODUCTIVITY OF A COMPANY

    Directory of Open Access Journals (Sweden)

    Vincentia Kitriastika

    2013-06-01

    Full Text Available This project is conducted in Company X, a passenger cars wheel producing company located in Sunter, North Jakarta. With a view of increasing the productivity of the company, the focus of this project will be redesigned the layout of the factory. The main problem encountered is that the goods are not produced in single location, causing a considerable hindrance in terms of time and distance, and hence efficiency. The redesigning layout process will use SLP method and flow analysis while supported by analysis of assembly line balancing to optimize the layout. Regarding the evaluation process, ARENA software will be used to simulate and identify the bottleneck in the production process, and comparing the layout alternatives to decide the best layout. The best chosen layout according to the simulation and SLP method that supported with flow analysis and assembly line balancing will be used as the master draft layout that will be proposed to Company X.

  10. Simulations of corrosion product transfer with the OSCAR V1.2 code

    International Nuclear Information System (INIS)

    Dacquait, F.; Francescatto, J.; Broutin, F.; Genin, J.B.; Benier, G.; Girard, M.; You, D.; Ranchoux, G.; Bonnefon, J.; Bachet, M.; Riot, G.

    2012-09-01

    Activated Corrosion Products (ACPs) generate a radiation field in PWRs, which is the major contributor to the dose absorbed by nuclear power plant staff working during shutdown operations and maintenance. Therefore, a thorough understanding of the mechanisms that control the corrosion product transfer is of the highest importance. Since the 1970's, the R and D strategy in France has been based on experiments in test loops representative of PWR conditions, on in-situ gamma spectrometry measurements of the PWR primary system contamination and on simulation code development. The simulation of corrosion product transfers in PWR primary circuits is a major challenge since it involves many physical and chemical phenomena including: corrosion, dissolution, precipitation, erosion, deposition, convection, activation... In addition to the intrinsic difficulty of multi-physics modelling, the primary systems present severe operating conditions (300 deg. C, 150 bar, neutron flux, fluid velocity up to 15 m.s -1 and very low corrosion product concentrations). The purpose of the OSCAR code, developed by the CEA in cooperation with EDF and AREVA NP, is to predict the PWR primary system contamination by corrosion and fission products. The OSCAR code is considered to be not only a tool for numerical simulations and predictions (operational practices improvements and new-built PWRs design) but also one that might combine and organise all new knowledge useful to progress on contamination. The OSCAR code for Products of Corrosion, OSCAR PC, allows researchers to analyse the corrosion product behaviour and to calculate the ACP volume and surface activities of the primary and auxiliary systems. In the new version, OSCAR PC V1.2, the corrosion product transfer in the particulate form is enhanced and a new feature is the possibility to simulate cold shutdowns. In order to validate this version, the contamination transfer has been simulated in 5 French PWRs with different operating and

  11. Wilde Rewound: Time-Travelling with Oscar in Recent Author Fictions

    Directory of Open Access Journals (Sweden)

    Kirby Joris

    2012-05-01

    Full Text Available In the early 1980s historical figures in general – and writers from the past in particular – entered a kind of Golden Age thanks to fiction. Through various forms of semi-biographical novels and other narratives, they have, from that time forward, been enjoying a pampered life in a new genre called “the author-as-character” (Franssen and Hoenselaars 1999 or “author fictions” (Savu 2009 that reanimate them or conjure them up in a present that constantly seeks to reassert its link with the past. This is particularly true of Oscar Wilde’s life, for his disparate and colourful personality has been time and again re-appropriated in recent fiction. This article focuses on three of these contemporary fictional depictions: an epistolary novel, an epistolary website and a fictional interview, all three dealing with a fictionalised Oscar Wilde conversing with a contemporary author who is also an interviewer in his or her own way and right. Because they are very close to each other in terms of narration (i.e. impersonation and pastiche and subject, putting words in Wilde’s mouth as though they were his own, The Unauthorized Letters of Oscar Wilde, the website Dialogus, and Coffee with Oscar Wilde, represent three fascinating means of exploring how Oscar’s rebirth as a man and author actually takes place. Among the numerous fictional portraits of Oscar Wilde, I have thus chosen to pay particular attention to the depictions that are well anchored in the twentieth and twenty-first centuries and which do not, therefore, display a narrative that would merely take place during the fin de siècle, with only period-style people in period costume. By contrast, the three portraits are literal time-travelling narratives that endeavour to bridge the gap between past, present and future.

  12. Influencing Organizational Commitment through Office Redesign

    Science.gov (United States)

    Morrow, Paula C.; McElroy, James C.; Scheibe, Kevin P.

    2012-01-01

    Prior research on the effects of office redesign on work-related outcomes has been largely a theoretical and yielded mixed and conflicting findings. Expanding on individual reactions to office design changes as specified by social interference theory, we propose that office redesign affects organizational commitment and this relationship is…

  13. 78 FR 27968 - Federal Management Regulation; Redesignations of Federal Buildings

    Science.gov (United States)

    2013-05-13

    ... Management Regulation; Redesignations of Federal Buildings AGENCY: Public Buildings Service (PBS), General... designation and redesignation of six Federal buildings. DATES: Expiration Date: This bulletin announcement expires July 30, 2013. The building designations and redesignations remains in effect until canceled or...

  14. Redesign and modernization of radioactive waste administration systems in Ukraine

    Energy Technology Data Exchange (ETDEWEB)

    Nieder-Westermann, Gerald H.; Walther, Thorsten; Krone, Juergen [DBE Technology GmbH, Peine (Germany)

    2016-06-15

    The European Commission (EC) has undertaken a series of projects to render assistance to Ukraine in modernizing and redesigning the Ukrainian approach to the administration, management and ultimately disposal of all forms of radioactive waste, including waste associated with the Chornobyl accident as well as waste generated as part of the Ukrainian energy infrastructure and from industrial and medical applications. One of the most recently completed projects focused on modernizing Ukraine's management and administrative systems responsible for the disposal of radioactive waste.

  15. Redesign and modernization of radioactive waste administration systems in Ukraine

    International Nuclear Information System (INIS)

    Nieder-Westermann, Gerald H.; Walther, Thorsten; Krone, Juergen

    2016-01-01

    The European Commission (EC) has undertaken a series of projects to render assistance to Ukraine in modernizing and redesigning the Ukrainian approach to the administration, management and ultimately disposal of all forms of radioactive waste, including waste associated with the Chornobyl accident as well as waste generated as part of the Ukrainian energy infrastructure and from industrial and medical applications. One of the most recently completed projects focused on modernizing Ukraine's management and administrative systems responsible for the disposal of radioactive waste.

  16. A Space Weather mission concept: Observatories of the Solar Corona and Active Regions (OSCAR)

    DEFF Research Database (Denmark)

    Strugarek, Antoine; Janitzek, Nils; Lee, Arrow

    2015-01-01

    advancements in the field of solar physics, improvements of the current CME prediction models, and provide data for reliable space weather forecasting. These objectives are achieved by utilising two spacecraft with identical instrumentation, located at a heliocentric orbital distance of 1 AU from the Sun......Coronal Mass Ejections (CMEs) and Corotating Interaction Regions (CIRs) are major sources of magnetic storms on Earth and are therefore considered to be the most dangerous space weather events. The Observatories of Solar Corona and Active Regions (OSCAR) mission is designed to identify the 3D...... structure of coronal loops and to study the trigger mechanisms of CMEs in solar Active Regions (ARs) as well as their evolution and propagation processes in the inner heliosphere. It also aims to provide monitoring and forecasting of geo-effective CMEs and CIRs. OSCAR would contribute to significant...

  17. OSCAR experiment high-density network data report: Event 3 - April 16-17, 1981

    Energy Technology Data Exchange (ETDEWEB)

    Dana, M.T.; Easter, R.C.; Thorp, J.M.

    1984-12-01

    The OSCAR (Oxidation and Scavenging Characteristics of April Rains) experiment, conducted during April 1981, was a cooperative field investigation of wet removal in cyclonic storm systems. The high-density component of OSCAR was located in northeast Indiana and included sequential precipitation chemistry measurements on a 100 by 100 km network, as well as airborne air chemistry and cloud chemistry measurements, surface air chemistry measurements, and supporting meteorological measurements. Four separate storm events were studied during the experiment. This report summarizes data taken by Pacific Northwest Laboratory (PNL) during the third storm event, April 16-17. The report contains the high-density network precipitation chemistry data, air chemistry and cloud chemistry data from the PNL aircraft, and meteorological data for the event, including standard National Weather Service products and radar and rawindsonde data from the network. 4 references, 76 figures, 6 tables.

  18. OSCAR experiment high-density network data report: Event 1 - April 8-9, 1981

    Energy Technology Data Exchange (ETDEWEB)

    Dana, M.T.; Easter, R.C.; Thorp, J.M.

    1984-12-01

    The OSCAR (Oxidation and Scavenging Characteristics of April Rains) experiment, conducted during April 1981, was a cooperative field investigation of wet removal in cyclonic storm systems. The high-densiy component of OSCAR was located in northeast Indiana and included sequential precipitation chemistry measurements on a 100 by 100 km network, as well as airborne air chemistry and cloud chemistry measurements, surface air chemistry measurements, and supporting meteorological measurements. Four separate storm events were studied during the experiment. This report summarizes data taken by Pacific Northwest Laboratory (PNL) during the first storm event, April 8-9. The report contains the high-density network precipitation chemistry data, air chemistry data from the PNL aircraft, and meteorological data for the event, including standard National Weather Service products and radar data from the network. 4 references, 72 figures, 5 tables.

  19. OSCAR2000 : a multi-component 3-dimensional oil spill contingency and response model

    International Nuclear Information System (INIS)

    Reed, M.; Daling, P.S.; Brakstad, O.G.; Singsaas, I.; Faksness, L.-G.; Hetland, B.; Ekrol, N.

    2000-01-01

    Researchers at SINTEF in Norway have studied the weathering of surface oil. They developed a realistic model to analyze alternative spill response strategies. The model represented the formation and composition of the water-accommodated fraction (WAF) of oil for both treated and untreated oil spills. As many as 25 components, pseudo-components, or metabolites were allowed for the specification of oil. Calculations effected using OSCAR were verified in great detail on numerous occasions. The model made it possible to determine rather realistically the dissolution, transformation, and toxicology of dispersed oil clouds, as well as evaporation, emulsification, and natural dispersion. OSCAR comprised a data-based oil weathering model, a three-dimensional oil trajectory and chemical fates model, an oil spill combat model, exposure models for birds, marine mammals, fish and ichthyoplankton. 17 refs., 1 tab., 11 figs

  20. Oscar Wilde’ın Salome Karakteri; Feminist mi Feminen mi?

    OpenAIRE

    Salman, Deniz

    2012-01-01

    19th century is the one when England was largely shaped by traditions but significant changes were observed in the social life pattern especially under the influence of the Industrial Revolution. Unlike many writers who usually dealt with traditional characters and subjects, Oscar Wilde wrote contradicting plays in the traditional society of England of the 1890s; however, he was severely condemned, criticized and even imprisoned for his contradictory views and life-style. The play Salome, whi...

  1. Towards redesigning indigenous mung bean foods

    NARCIS (Netherlands)

    Dahiya, P.K.

    2013-01-01

    Redesigning traditional foods requires consideration of the various factors affecting the nutrient intake from such foods. Amongst these factors are adequate consumption, proper nutrient bioavailability and consumer satisfaction. These factors are related to traditional food quality at various

  2. Evaluation of the OSCAR-4/MCNP calculation methodology for radioisotope production in the SAFARI-1 reactor

    International Nuclear Information System (INIS)

    Karriem, Z.; Zamonsky, O.M.

    2014-01-01

    The South African Nuclear Energy Corporation SOC Ltd (Necsa) is a state owned nuclear facility which owns and operates SAFARI-1, a 20 MW material testing reactor. SAFARI-1 is a multi-purpose reactor and is used for the production of radioisotopes through in-core sample irradiation. The Radiation and Reactor Theory (RRT) Section of Necsa supports SAFARI-1 operations with nuclear engineering analyses which include core-reload design, core-follow and radiation transport analyses. The primary computer codes that are used for the analyses are the OSCAR-4 nodal diffusion core simulator and the Monte Carlo transport code MCNP. RRT has developed a calculation methodology based on OSCAR-4 and MCNP to simulate the diverse in-core irradiation conditions in SAFARI-1, for the purpose of radioisotope production. In this paper we present the OSCAR-4/MCNP calculation methodology and the software tools that were developed for rapid and reliable construction of MCNP analysis models. The paper will present the application and accuracy of the methodology for the production of yttrium-90 ( 90 Y) and will include comparisons between calculation results and experimental measurements. The paper will also present sensitivity analyses that were performed to determine the effects of control rod bank position, representation of core depletion state and sample loading configuration, on the calculated 90 Y sample activity. (author)

  3. Creative thinking of design and redesign on SEAT aircraft cabin testbed: a case study

    NARCIS (Netherlands)

    Tan, C.F.; Chen, W.; Rauterberg, G.W.M.

    2009-01-01

    this paper, the intuition approach in the design and redesign of the environmental friendly innovative aircraft cabin simulator is presented.. The aircraft cabin simulator is a testbed that used for European Project SEAT (Smart tEchnologies for Stress free Air Travel). The SEAT project aims to

  4. From Telecourses to Online Courses: A Story of Redesign | Du cours télévisé au cours en ligne : une histoire de redesign

    Directory of Open Access Journals (Sweden)

    Claude Potvin

    2015-11-01

    Full Text Available This case deals with the redesign of a standard telecourse - printed material, professional studio video recordings and phone tutoring – into an online course. The redesign involved an adjunct professor in the Humanities having some experience in distance education but little with learning technologies. It was a two-year project including the grant application process. The main issues included replacing television-based content with multimedia content; understanding the complexity of interactions between materials, students, and tutors; and adapting traditional assessment approaches to online instruments and methods.

  5. Using business process redesign to reduce wait times at a university hospital in the Netherlands.

    Science.gov (United States)

    Elkhuizen, Sylvia G; Burger, Matthe P M; Jonkers, Rene E; Limburg, Martien; Klazinga, Niek; Bakker, Piet J M

    2007-06-01

    Business process redesign (BPR) has been applied to implement more customer-focused and cost-effective care. In 2002, two pilot projects to improve patient care processes for two specific patient groups were conducted at the Academic Medical Center, a 1,000-bed university hospital in Amsterdam. The BPR consisted of process analysis, identification of bottlenecks and goals for redesign, selection of interventions, and evaluation of effects. After identifying and selecting interventions with the greatest expected benefits, changes were implemented and effects were evaluated. For gynecologic oncology patients, access time (from telephone call to first visit) was reduced from 14 days to changes in communication and planning were sufficient to eliminate bottlenecks in the gynecologic oncology project, the dyspnea project required a radical redesign of processes. Experience since these projects suggests that process redesign may have only marginal impact when the greatest bottleneck occurs, as was the case for the two BPR projects, at the point of access to central diagnostic facilities.

  6. A strategic planning methodology for aircraft redesign

    Science.gov (United States)

    Romli, Fairuz Izzuddin

    Due to a progressive market shift to a customer-driven environment, the influence of engineering changes on the product's market success is becoming more prominent. This situation affects many long lead-time product industries including aircraft manufacturing. Derivative development has been the key strategy for many aircraft manufacturers to survive the competitive market and this trend is expected to continue in the future. Within this environment of design adaptation and variation, the main market advantages are often gained by the fastest aircraft manufacturers to develop and produce their range of market offerings without any costly mistakes. This realization creates an emphasis on the efficiency of the redesign process, particularly on the handling of engineering changes. However, most activities involved in the redesign process are supported either inefficiently or not at all by the current design methods and tools, primarily because they have been mostly developed to improve original product development. In view of this, the main goal of this research is to propose an aircraft redesign methodology that will act as a decision-making aid for aircraft designers in the change implementation planning of derivative developments. The proposed method, known as Strategic Planning of Engineering Changes (SPEC), combines the key elements of the product redesign planning and change management processes. Its application is aimed at reducing the redesign risks of derivative aircraft development, improving the detection of possible change effects propagation, increasing the efficiency of the change implementation planning and also reducing the costs and the time delays due to the redesign process. To address these challenges, four research areas have been identified: baseline assessment, change propagation prediction, change impact analysis and change implementation planning. Based on the established requirements for the redesign planning process, several methods and

  7. Reflexões sobre o Humor Contemporâneo - uma entrevista com Oscar Steimberg

    Directory of Open Access Journals (Sweden)

    Maria da Conceição Francisca Pires

    2016-08-01

    Full Text Available Oscar Steimberg é um dos mais destacados acadêmicos argentinos. Semiólogo e escritor, foi Presidente da Asociación Argentina de Semiótica, é professor emérito da Universidad de Buenos Aires (UBA e, atualmente, diretor de Posgrado da Área Transdepartamental de Crítica de Artes, da Universidad Nacional de las Artes (IUNA. Autodeclarado discípulo de Oscar Masotta e Eliseo Veron, foi um dos primeiros intelectuais argentinos a desenvolver reflexões sobre Patoruzú, Mafalda, Langostino e Isidor. Suas pesquisas sobre linguagens artísticas e midiáticas foram publicadas a partir de 1968 em livros e revistas por editoras da Argentina, Brasil, México, Estados Unidos, França, Itália, Alemanha e Bélgica. Entre seus livros destacam-se: Cuerpo sin armazón, Editores Dos, Buenos Aires, 1970; Leyendo historietas: estilos y sentidos en un “arte menor”, Ed. Nueva Visión, Buenos Aires, 1977;  Majestad, etc., poesía, libro, Ediciones Tierra Baldía, Buenos Aires, l980; La recepción del género, UNLZ, Buenos Aires, 1988; Estilo de época y comunicación mediática, en colaboración con Oscar Traversa, Ed. Atuel, Buenos Aires, 1997; Semiótica de los medios masivos, primera edición, 1993 e última edição corrigida, Ed. Atuel, Buenos Aires, 2000; Gardel y la zarina, Libros de tierra firme, Buenos Aires, 1995; Figuración de Gabino Betinotti, Editorial Sudamericana, Buenos Aires, 1999; El viaje y la utopía, edición de trabajos de investigadores de las universidades de Buenos Aires y Bologna, en colaboración con Vita Fortunati, Atuel, 2001; El pretexto del sueño, Buenos Aires, Ed. Santiago Arcos, 2005; Posible patria y otros versos, El suri porfiado ediciones, Buenos Aires, 2007; El volver de las imágenes. Mirar, guardar, perder, compilación con Oscar Traversa y Marita Soto, La Crujía, Buenos Aires, 2008; Semióticas. Las semióticas de los géneros, de los estilos, de la transposición, Buenos Aires, Eterna Cadencia Editora, 2013; e

  8. Vertaalstrategieë na aanleiding van Oscar Wilde se The picture of Dorian Gray

    OpenAIRE

    2009-01-01

    M.A. The life and work of Oscar Wilde are characterised by ambivalence and paradox. In certain of his works he identifies with the moral codes pertaining to the Victorian era and in others he satirizes, and even rejects, the existing morality. The translator of Wilde’s literary works is confronted with numerous contextual and textual challenges, for example how to translate the moral codes of the Victorian era in a manner that will be relevant to an Afrikaans readership and how to do justi...

  9. Improved SAFARI-1 research reactor irradiation position modeling in OSCAR-3 code system

    International Nuclear Information System (INIS)

    Moloko, L. E.; Belal, M. G. A. H.

    2009-01-01

    The demand on the availability of irradiation positions in the SAFARI-1 reactor is continuously increasing due to the commercial pressure to produce isotopes more efficiently. This calls for calculational techniques and modeling methods to be improved regularly to optimize irradiation services. The irradiation position models are improved using the OSCAR-3 code system, and results are compared to experimental measurements. It is concluded that the irradiation position models are essential if realistic core follow and reload studies are to be performed and most importantly, for the realization of improved agreement between experimental data and calculated results. (authors)

  10. L'infelicità del principe felice. Oscar Wilde e Tommaso Landolfi

    Directory of Open Access Journals (Sweden)

    Luca Federico

    2015-12-01

    Full Text Available Both Tommaso Landolfi’s education and his translations from Russian, French and German have inspired a number of comparative studies within these three linguistic areas. On the contrary, how Anglo-Irish literature influenced this writer’s artistic evolution has not yet been thoroughly explored. This article aims to explore the relationship between Landolfi and Oscar Wilde by comparing Landolfi’s Favola (1938 and Il principe infelice (1943 with a selection of Wilde’s short stories included in the collections Happy Prince and Other Tales (1888 and A House of Pomegranates (1891.

  11. Grid Computing BOINC Redesign Mindmap with incentive system (gamification)

    OpenAIRE

    Kitchen, Kris

    2016-01-01

    Grid Computing BOINC Redesign Mindmap with incentive system (gamification) this is a PDF viewable of https://figshare.com/articles/Grid_Computing_BOINC_Redesign_Mindmap_with_incentive_system_gamification_/1265350

  12. A Product Analysis Method and Its Staging to Develop Redesign Competences

    Science.gov (United States)

    Hansen, Claus Thorp; Lenau, Torben Anker

    2013-01-01

    Most product development work in industrial practice is incremental, i.e., the company has had a product in production and on the market for some time, and now time has come to design an upgraded variant. This type of redesign project requires that the engineering designers have competences to carry through an analysis of the existing product…

  13. Using business process redesign to reduce wait times at a university hospital in the Netherlands

    NARCIS (Netherlands)

    Elkhuizen, Sylvia G.; Burger, Matthe P. M.; Jonkers, Rene E.; Limburg, Martien; Klazinga, Niek; Bakker, Piet J. M.

    2007-01-01

    BACKGROUND: Business process redesign (BPR) has been applied to implement more customer-focused and cost-effective care. In 2002, two pilot projects to improve patient care processes for two specific patient groups were conducted at the Academic Medical Center, a 1,000-bed university hospital in

  14. A Behavioral Analysis of the Laboratory Learning Process: Redesigning a Teaching Unit on Recrystallization.

    Science.gov (United States)

    Mulder, T.; Verdonk, A. H.

    1984-01-01

    Reports on a project in which observations of student and teaching assistant behavior were used to redesign a teaching unit on recrystallization. Comments on the instruction manual, starting points for teaching the unit, and list of objectives with related tasks are included. (JN)

  15. Course Redesign: An Evidence-Based Approach

    Science.gov (United States)

    Nomme, Kathy; Birol, Gülnur

    2014-01-01

    A first year non-majors biology course, with an enrollment of around 440 students, has been redesigned from a course of traditional content and teaching style to one that emphasizes biological concepts in current global issues and incorporates active learning strategies. We were informed by the education literature incorporating many aspects of…

  16. Mandated Preparation Program Redesign: Kentucky Case

    Science.gov (United States)

    Browne-Ferrigno, Tricia

    2013-01-01

    This case study presents a chronicle of events spanning a decade in Kentucky that led to state policy changes for principal preparation and details the response to those mandated changes by professors at the University of Kentucky. Professors' collaborative efforts resulted in a new teacher leadership program and redesigned principal certification…

  17. High School Redesign Gets Presidential Lift

    Science.gov (United States)

    Adams, Caralee J.

    2013-01-01

    President Barack Obama applauded high school redesign efforts in his State of the Union address and encouraged districts to look to successful models for inspiration. Last week, he followed up with a request in his fiscal 2014 budget proposal for a new, $300 million competitive-grant program. Recognition is widespread that high schools need to…

  18. RSA Monitoring Redesign Initiative Informational Booklet #1

    Science.gov (United States)

    US Department of Education, 2005

    2005-01-01

    This informational booklet contains background materials regarding the Rehabilitation Services Administration (RSA) initiative to redesign its monitoring system. The booklet is intended to expand the knowledge and understanding of those individuals selected to participate in the RSA-sponsored monitoring conference that was held August 24 and 25,…

  19. RSA Monitoring Redesign Initiative Informational Booklet #2

    Science.gov (United States)

    US Department of Education, 2005

    2005-01-01

    The U.S. Department of Education's Rehabilitation Services Administration (RSA) is undertaking a major initiative to substantially redesign its program monitoring and improvement system. The overriding goal is to improve vocational rehabilitation (VR) services and employment outcomes for individuals with disabilities through the development of a…

  20. Curriculum Redesign in Veterinary Medicine: Part I.

    Science.gov (United States)

    Chaney, Kristin P; Macik, Maria L; Turner, Jacqueline S; Korich, Jodi A; Rogers, Kenita S; Fowler, Debra; Scallan, Elizabeth M; Keefe, Lisa M

    Curricular review is considered a necessary component for growth and enhancement of academic programs and requires time, energy, creativity, and persistence from both faculty and administration. At Texas A&M College of Veterinary Medicine & Biomedical Sciences (TAMU), the faculty and administration partnered with the university's Center for Teaching Excellence to create a faculty-driven, data-enhanced curricular redesign process. The 8-step process begins with the formation of a dedicated faculty curriculum design team to drive the redesign process and to support the college curriculum committee. The next steps include defining graduate outcomes and mapping the current curriculum to identify gaps and redundancies across the curriculum. Data are collected from internal and external stakeholders including veterinary students, faculty, alumni, and employers of graduates. Data collected through curriculum mapping and stakeholder engagement substantiate the curriculum redesign. The guidelines, supporting documents, and 8-step process developed at TAMU are provided to assist other veterinary schools in successful curricular redesign. This is the first of a two-part report that provides the background, context, and description of the process for charting the course for curricular change. The process involves defining expected learning outcomes for new graduates, conducting a curriculum mapping exercise, and collecting stakeholder data for curricular evaluation (steps 1-4). The second part of the report describes the development of rubrics that were applied to the graduate learning outcomes (steps 5-8) and engagement of faculty during the implementation phases of data-driven curriculum change.

  1. Re-Designing Business Card Advertisements.

    Science.gov (United States)

    Schaub, Laura

    2001-01-01

    Discusses ways to turn information from a business card into an advertisement to be placed in a student publication. Addresses visual interest, typography, and other design issues. Includes several sample advertisements and a classroom activity involving redesigning a business card into an advertisement. (RS)

  2. A Flipped Classroom Redesign in General Chemistry

    Science.gov (United States)

    Reid, Scott A.

    2016-01-01

    The flipped classroom continues to attract significant attention in higher education. Building upon our recent parallel controlled study of the flipped classroom in a second-term general chemistry course ("J. Chem. Educ.," 2016, 93, 13-23), here we report on a redesign of the flipped course aimed at scaling up total enrollment while…

  3. Application of participatory ergonomics to the redesign of the family-centred rounds process.

    Science.gov (United States)

    Xie, Anping; Carayon, Pascale; Cox, Elizabeth D; Cartmill, Randi; Li, Yaqiong; Wetterneck, Tosha B; Kelly, Michelle M

    2015-01-01

    Participatory ergonomics (PE) can promote the application of human factors and ergonomics (HFE) principles to healthcare system redesign. This study applied a PE approach to redesigning the family-centred rounds (FCR) process to improve family engagement. Various FCR stakeholders (e.g. patients and families, physicians, nurses, hospital management) were involved in different stages of the PE process. HFE principles were integrated in both the content (e.g. shared mental model, usability, workload consideration, systems approach) and process (e.g. top management commitment, stakeholder participation, communication and feedback, learning and training, project management) of FCR redesign. We describe activities of the PE process (e.g. formation and meetings of the redesign team, data collection activities, intervention development, intervention implementation) and present data on PE process evaluation. To demonstrate the value of PE-based FCR redesign, future research should document its impact on FCR process measures (e.g. family engagement, round efficiency) and patient outcome measures (e.g. patient satisfaction).

  4. Application of participatory ergonomics to the redesign of the family-centered rounds process

    Science.gov (United States)

    Xie, Anping; Carayon, Pascale; Cox, Elizabeth D.; Cartmill, Randi; Li, Yaqiong; Wetterneck, Tosha B.; Kelly, Michelle M.

    2015-01-01

    Participatory ergonomics (PE) can promote the application of human factors and ergonomics (HFE) principles to healthcare system redesign. This study applied a PE approach to redesigning the family-centered rounds (FCR) process to improve family engagement. Various FCR stakeholders (e.g., patients and families, physicians, nurses, hospital management) were involved in different stages of the PE process. HFE principles were integrated in both the content (e.g., shared mental model, usability, workload consideration, systems approach) and process (e.g., top management commitment, stakeholder participation, communication and feedback, learning and training, project management) of FCR redesign. We describe activities of the PE process (e.g., formation and meetings of the redesign team, data collection activities, intervention development, intervention implementation) and present data on PE process evaluation. To demonstrate the value of PE-based FCR redesign, future research should document its impact on FCR process measures (e.g., family engagement, round efficiency) and patient outcome measures (e.g., patient satisfaction). PMID:25777042

  5. A study in usability: redesigning a health sciences library's mobile site.

    Science.gov (United States)

    Rosario, Jovy-Anne; Ascher, Marie T; Cunningham, Diana J

    2012-01-01

    A mobile site redesign was conducted at a medium-sized academic health sciences library with the goal of creating a site that meets the mobile information needs of its users. The redesign phases included (1) needs assessment, (2) usability testing, and (3) site design. The survey results showed that Apple devices were the most prevalent; the most desirable activities performed on a mobile site were searching for articles, accessing full-text articles and e-books, searching databases, and searching the catalog. These activities guided the development of the usability testing tasks and the redesign. All phases were completed within six months, and the total project cost was $50 for incentive purchases. Copyright © Taylor & Francis Group, LLC

  6. Implementing a Redesign Strategy: Lessons from Educational Change.

    Science.gov (United States)

    Basom, Richard E., Jr.; Crandall, David P.

    The effective implementation of school redesign, based on a social systems approach, is discussed in this paper. A basic assumption is that the interdependence of system elements has implications for a complex change process. Seven barriers to redesign and five critical issues for successful redesign strategy are presented. Seven linear steps for…

  7. A relação entre pintura e literatura em O Retrato de Dorian Gray de Oscar Wilde

    Directory of Open Access Journals (Sweden)

    Maria Imaculada Cavalcante

    2009-01-01

    Full Text Available This article aims at examining therelationship between literature and painting,seeking to understand the process ofconstruction of the novel and spacerepresentation of the painting in The picture ofDorian Gray (1891, from the Irish writer OscarWilde, under the influence of the avant-gardemovements that emerged in the nineteenthcentury, especially Impressionism and Fauvism.

  8. Effective healthcare process redesign through an interdisciplinary team approach.

    Science.gov (United States)

    Snyder, Rita; Huynh, Nathan; Cai, Bo; Vidal, José; Bennett, Kevin

    2013-01-01

    Healthcare process redesign is a complex and often high risk undertaking. Typically, there is a limited understanding of the baseline process and often inadequate tools by which to assess it. This can be confounded by narrow redesign team expertise that can result in unanticipated and/or unintended redesign consequences. Interdisciplinary research teams of healthcare, biostatistics, engineering and computer science experts provide broad support for a more effective and safer approach to healthcare process redesign. We describe an interdisciplinary research team focused on medication administration process (MAP)redesign and its achievements and challenges.

  9. Five Key Leadership Actions Needed to Redesign Family Medicine Residencies.

    Science.gov (United States)

    Kozakowski, Stanley M; Eiff, M Patrice; Green, Larry A; Pugno, Perry A; Waller, Elaine; Jones, Samuel M; Fetter, Gerald; Carney, Patricia A

    2015-06-01

    New skills are needed to properly prepare the next generation of physicians and health professionals to practice in medical homes. Transforming residency training to address these new skills requires strong leadership. We sought to increase the understanding of leadership skills useful in residency programs that plan to undertake meaningful change. The Preparing the Personal Physician for Practice (P4) project (2007-2014) was a comparative case study of 14 family medicine residencies that engaged in innovative training redesign, including altering the scope, content, sequence, length, and location of training to align resident education with requirements of the patient-centered medical home. In 2012, each P4 residency team submitted a final summary report of innovations implemented, overall insights, and dissemination activities during the study. Six investigators conducted independent narrative analyses of these reports. A consensus meeting held in September 2012 was used to identify key leadership actions associated with successful educational redesign. Five leadership actions were associated with successful implementation of innovations and residency transformation: (1) manage change; (2) develop financial acumen; (3) adapt best evidence educational strategies to the local environment; (4) create and sustain a vision that engages stakeholders; and (5) demonstrate courage and resilience. Residency programs are expected to change to better prepare their graduates for a changing delivery system. Insights about effective leadership skills can provide guidance for faculty to develop the skills needed to face practical realities while guiding transformation.

  10. Including product features in process redesign

    DEFF Research Database (Denmark)

    Hvam, Lars; Hauksdóttir, Dagný; Mortensen, Niels Henrik

    2017-01-01

    do not take into account how the product features are applied throughout the process, which makes it difficult to obtain a comprehensive understanding of the activities in the processes and to generate significant improvements. The suggested approach models the product family using the so......This article suggests a visual modelling method for integrating models of product features with business process models for redesigning the business processes involving specifications of customer-tailored products and services. The current methods for redesigning these types of business processes......-called product variant master and the business process modelling notation for modelling the process flow. The product model is combined with the process map by identifying features used in each step of the process flow. Additionally, based on the information absorbed from the integrated model, the value stream...

  11. Accounting for future redesign to balance performance and development costs

    International Nuclear Information System (INIS)

    Villanueva, D.; Haftka, R.T.; Sankar, B.V.

    2014-01-01

    Most components undergo tests after they are designed and are redesigned if necessary. Tests help designers find unsafe and overly conservative designs, and redesign can restore safety or increase performance. In general, the expected changes to the performance and reliability of the design after the test and redesign are not considered. In this paper, we explore how modeling a future test and redesign provides a company an opportunity to balance development costs versus performance by simultaneously designing the design and the post-test redesign rules during the initial design stage. Due to regulations and tradition, safety margin and safety factor based design is a common practice in industry as opposed to probabilistic design. In this paper, we show that it is possible to continue to use safety margin based design, and employ probability solely to select safety margins and redesign criteria. In this study, we find the optimum safety margins and redesign criterion for an integrated thermal protection system. These are optimized in order to find a minimum mass design with minimal redesign costs. We observed that the optimum safety margin and redesign criterion call for an initially conservative design and use the redesign process to trim excess weight rather than restore safety. This would fit well with regulatory constraints, since regulations usually impose minimum safety margins. - Highlights: • Modeling future tests and redesign allows balancing performance and development cost. • We optimize safety margins and redesign criteria for desired balance. • We design with safety margins, with probabilistic optimization to decide the margins. • Redesign also allowed the trade-off of conservativeness and performance. • In our case it paid to be conservative initially but redesign for more

  12. User Experience Design (UX Design) in a Website Development : Website redesign

    OpenAIRE

    Orlova, Mariia

    2016-01-01

    The purpose of the study was to implement an approach of user experience for a website design. Mostly, I concentrated on revealing and understanding the concepts of UX design which include usability, visual design and human factors affecting the user experience. Another aim of the study was to investigate people’s behaviour related to web design. The thesis based on a project. The project was to redesign an existing web design for a company called Positive Communications. They provide differe...

  13. Impressionismo no Rio Grande do Sul: luz e sombras de Oscar Boeira = Impressionism in Rio Grande do Sul: light and shadows of Oscar Boeira

    Directory of Open Access Journals (Sweden)

    Rosa, Fernanda Soares da

    2014-01-01

    Full Text Available Este trabalho busca traçar a trajetória do pintor gaúcho Oscar Boeira (1883-1943 no campo das artes plásticas no Rio Grande do Sul. Importante artista de sua época possui os maiores expoentes de sua carreira inspirados pela arte impressionista. Com obras inovadoras traz um olhar diferenciado e sensível, de relevância, a ser compreendido e estudado. Seu caminho nas artes, suas pinturas de paisagem e retrato, bem como seus desenhos traçam aspectos da sociedade rio-grandense do início do século XX, período este em que ocorrem transformações socioeconômicas significativas para a sociedade gaúcha, sendo que a arte carrega grande influencia de sua época e de seus indivíduos. Vida e obra de Boeira são trazidas para melhor compreendermos sua arte e sua atuação nesse campo. Sua forma de ser e de ver o mundo influencia não só em suas produções, nos reflete peculiaridades desta figura importante para as artes plásticas do Rio Grande do Sul, que até hoje pouco estudado, merece um olhar mais aprofundado em seu legado

  14. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.

    Science.gov (United States)

    Xie, Anping; Carayon, Pascale

    2015-01-01

    Healthcare systems need to be redesigned to provide care that is safe, effective and efficient, and meets the multiple needs of patients. This systematic review examines how human factors and ergonomics (HFE) is applied to redesign healthcare work systems and processes and improve quality and safety of care. We identified 12 projects representing 23 studies and addressing different physical, cognitive and organisational HFE issues in a variety of healthcare systems and care settings. Some evidence exists for the effectiveness of HFE-based healthcare system redesign in improving process and outcome measures of quality and safety of care. We assessed risk of bias in 16 studies reporting the impact of HFE-based healthcare system redesign and found varying quality across studies. Future research should further assess the impact of HFE on quality and safety of care, and clearly define the mechanisms by which HFE-based system redesign can improve quality and safety of care.

  15. Specific safety measures for emergency lanes and shoulders of motorways : a proposal for motorways' authorities in the framework of the European research project Safety Standards for Road Design and Redesign SAFESTAR, Workpackage 1.1.

    NARCIS (Netherlands)

    Braimaister, L.

    1999-01-01

    This workpackage is one of seven workpackages of the European SAFESTAR project, launched by DG VII. Directing on safety standards and recommendations for the Trans-European Roadway Network (TERN), the workpackage considered safety measures on emergency lanes (stopping strips), which are inherent

  16. O erotismo e o desejo na obra Salomé, de Oscar Wilde

    Directory of Open Access Journals (Sweden)

    Ana Claudia Pinheiro Dias Nogueira

    2016-07-01

    Full Text Available Oscar Wilde brings out a new woman in his Salome version, theatrical piece with a central focus on the biblical character Salome, the author’s eyes shows performed by its desires and its eroticism, that intoxicates and brings the ultimate consequences : kiss the lips of the prophet Iokanaan at any price. For this, the young princess is the dance of the seven veils for King Herod and proves that you can have it all with her ​​beauty and sensuality , even if it might be worth his life. This article aims to show how eroticism , desire, death and the body lead the direction of Wilde’s version , based on the works as Eroticism , George Bataille (1987 , The double flame, Octavio Paz (1994 , The dangerous body of Linda Hutcheon . Therefore, it can be seen that often , that desire can be matched is required great sacrifices , even if it takes death as a result and consummation.

  17. Subjectivity and the “Shocking”: Walter Pater, Oscar Wilde and Ethical Limits of Pleasure

    Directory of Open Access Journals (Sweden)

    Ashmita Mukherjee

    2016-02-01

    Full Text Available The article analyzes the “shocking” and so-called “immoral” as a response to the institution-imposed methods of surveillance. This leads to initiation of discourses over behavior or actions which may not be unethical but which may be questionable in terms of social propriety. Moreover, the “shocking” may be seen as persistent attempts at formulation of subjectivity -the “performative self.” These ideas are analyzed with reference to Foucault's perspective on the issues and briefly in context of the late Victorian Aesthete culture spearheaded by Walter Pater and later, Oscar Wilde, the quintessential “dandy.” Their texts Marius the Epicurean and The Picture of Dorian Gray are read with the question of ethics and hedonism in mind, also relating the same to their fascination with classical Epicureanism.     Keywords: Aesthetics; Ethics; Pater; Wilde; Shocking; Surveillance; Foucault; Epicureanism.

  18. The functioning of authorship in Oscar Wilde’s epistle De Profundis

    Directory of Open Access Journals (Sweden)

    Fernanda Mussalim

    2014-06-01

    Full Text Available In this article, based on the theoretical foundations of literary discourse analysis proposed by Dominique Maingueneau and, fundamentally, based on the concept of author formulated by him in his book called Literary Discourse, , we intend to identify in which ways the three instances postulated by the author – namely, the person, the writer and the inscriptor – overlap in the consecrated letter De Profundis written by the Irish writer Oscar Wilde. The aim is, ultimately, to demonstrate that the notion of author formulated by the French discourse analyst may provide to certain genres of discourse produced in the field of literature, such as autobiographical accounts and letters written by authors, a status that goes beyond their biographical and documental values.

  19. La imagen dentro de sí. Sobre tres obras de Oscar Muñoz

    Directory of Open Access Journals (Sweden)

    Paola Cortes Rocca

    2015-12-01

    Full Text Available Oscar Muñoz's work revolves around the question of the specificity of photography. By doing so, it redirects a current trend of visual studies that are fascinated with the non-specificity of the objects and the itinerancy of languages. Muñoz wonders what lies at the heart of photography. Is it the mechanical reproduction or the ability to chemically fix the image? Is it the power to isolate the instant or to perpetuate anything captured by the machine? The transformation that introduces photography has less to do with the work itself and more with the experience of image. That experience is, first of all, an experience of time since the image produces an intermediate time between proliferation and what is left as a remain.

  20. Calibration and testing of IKU's oil spill contingency and response (OSCAR) model system

    International Nuclear Information System (INIS)

    Reed, M.; Aamo, O.M.; Downing, K.

    1996-01-01

    A computer modeling system entitled Oil Spill Contingency and Response (OSCAR), was calibrated and tested using a variety of field observations. The objective of the exercise was to establish model credibility and increase confidence in efforts to compare alternate oil spill response strategies, while maintaining a balance between response costs and environmental protection. The key components of the system are IKU's data-based oil weathering model, a three dimensional oil trajectory and chemical fates model, an oil spill combat model, and exposure models for fish, ichthyoplankton, birds, and marine mammals. Most modelled calculations were in good agreement with field observations. One discrepancy was found which could be attributed to an underestimation of wind drift in the current model. 21 refs., 4 tabs., 32 figs

  1. Nutrient Concentrations collected from OSCAR ELTON SETTE in North Pacific Ocean from 2008-03-01 to 2011-04-30

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Laboratory analysis of water samples collected aboard the NOAA Ship Oscar Elton Sette along a 158W transect from 26-36N in the central North Pacific. Laboratory...

  2. Induced reproduction and early development histology of Oscar Astronotus ocellatus (Agassiz, 1831).

    Science.gov (United States)

    Paes, Maria do Carmo Faria; Makino, Lilian Cristina; Vasquez, Leonardo Avendaño; Fernandes, João Batista Kochenborger; Valentin, Fernanda Nogueira; Nakaghi, Laura Satiko Okada

    2015-04-01

    Oscar (Astronotus ocellatus) is an important fish from the Amazon Basin that has great potential for fish farming, human consumption, sport fishing and fish keeping. This study aimed to evaluate the effect of two hormonal treatments on the induction of artificial reproduction in broodstock and to describe the histological development of embryos and larvae. Broodstocks were selected and induced using two different hormones: (i) extract of carp pituitary (ECP); and (ii) synthetic human chorionic gonadotropin (hCG). Spawnings were transferred to hatcheries, collected at pre-established times, processed and analysed by histology. Astronotus ocellatus did not respond well to induced reproduction. From 16 couples of breeding fish, only five out of the eight females released oocytes after the hormonal action time, three with hCG and two with ECP; just one male responded positively to hCG. Oscar eggs were oval, and semi-adhesive, the yolk contained granules, and egg diameter was approximately 1.65 ± 0.057 to 1.98 ± 0.038 mm. Development from the initial collection (IC) point until the total absorption of the yolk lasted 315 h, at an average temperature of 27.45 ± 2.13°C. Several events marked embryonic and larval development, including the formation of the optic cup, forebrain, otic vesicle and cephalic divisions. The newly hatched larvae had non-pigmented eyes, and a closed mouth and anus, as well as the presence of adhesive glands on the head. Larval development was characterized by formation of the heart, liver, gaseous bladder, gills, pronephros, brain, fins and also the digestive tract. These results provide important information for the rearing and reproduction of A. ocellatus.

  3. Redesign of CERN LINAC3 RFQ for Lead 29+

    CERN Document Server

    Benedetti, Stefano; Lallement, Jean-Baptiste; Lombardi, Alessandra; CERN. Geneva. ATS Department

    2018-01-01

    CERN Linac3 is at the heart of the CERN Heavy Ion Facility, providing 4.2 MeV/u ion beams to the Low Energy Ion Ring (LEIR). It mostly accelerates 208Pb29+, though in recent years runs were performed with 40Ar11+ and 129Xe22+, in view of the raising interest of the physics community towards lighter ions experiments. In the framework of the LHC Injectors Upgrade (LIU) project, measurements and beam dynamics simulations showed that a transmission bottleneck of Linac3 is represented by the RFQ. As this accelerator was originally designed for 208Pb25+, the lower beam rigidity of the heavy ions currently in used – and planned to be used – permits a redesign of the RFQ aimed at increasing its transverse acceptance, and thus the transmitted beam current. The methodology adopted and the results of this study are presented.

  4. Redesigning models of patient care delivery and organisation: building collegial generosity in response to workplace challenges.

    Science.gov (United States)

    Chiarella, E Mary

    2007-04-01

    This case study describes the New South Wales Nursing and Midwifery Office (NaMO) Models of Care Project, a project designed to identify, encourage and disseminate innovations in nursing care organisation and delivery. The project is a 4-year action research project, using a range of interactive engagements including workshops, seminars, questionnaires and websites to achieve the goals. This case study briefly describes the main stimuli for review and redesign of models of care identified through analysis of the clinicians' presentations, and explores the range of responses to the workplace challenges.

  5. Designing and redesigning medical telecare services: a forces-oriented model.

    Science.gov (United States)

    Gortzis, L G

    2007-01-01

    Medical telecare services' designing and redesigning still remains a challenging issue since it often depends on how a number of socio-technological issues are framed. This work has two key objectives; the former is to theoretically analyze the nature of a telecare environment by developing a model that reveals potential areas of analysis and the latter is to support designing and redesigning medical telecare services by formulating a strategy as well as a number of 'state of the art' guidelines. We have extended Leavitt's diamond to develop a model capable of accurately reflecting the telecare environment building dimensions as well as their interactions. This model depends on the i) technology, ii) collaborators, iii) tasks, iv) structure, v) social forces, and the vi) procedure dimensions. Taking this model as a core element we have proposed a service designing and redesigning strategy formulating, in parallel, six scalable dimension-oriented guidelines. During the two-year period (2003-2005) an enormous amount of data was collected (by active participating in two EU projects, by conducting semistructured interviews, by performing onsite observations as well as by reviewing 78 previous projects) and classified, structuring six guidelines. These guidelines can be considered as the 'state of the art' to support future services' design and redesign. This work considering the telecare environment as a multi-dimensional, operational organization has put the focus on accurate telecare services' design and redesign. The parameters are not limited, by any means, and are drawn from experience of designing services in a variety of telecare domains. The optimal parameter combination must be chosen according to the aim of each telecare procedure. Further research is needed to determine the minimum parameters to support telecare service design.

  6. Enhancing policy innovation by redesigning representative democracy

    DEFF Research Database (Denmark)

    Sørensen, Eva

    2016-01-01

    Policy innovation is a key aspect of public innovation, which has been largely overlooked. Political leadership, competition and collaboration are key drivers of policy innovation. It is a barrier in traditional models of representative democracy that they provide weak conditions for collaboration....... Two Danish case studies indicate that collaboration between politicians and relevant and affected stakeholders can promote policy innovation, but also that a redesign of representative democracy is needed in order to establish a productive combination of political leadership, competition...... and collaboration in political life....

  7. Redesigning Health Information Systems in Developing Countries

    DEFF Research Database (Denmark)

    Mengiste, Shegaw Anagaw; Kimaro, Honest; Aanestad, Margunn

    2008-01-01

    or no end user involvement results in a centralised HIS with an extensive, somewhat inappropriate, but also inflexible set of standards. Consequently, the HIS is not very useful for the wished-for decentralisation of health services, and there is an urgent need to redesign the existing HIS in order to make...... degree of control over a decentralised HIS, including budgets and the use of resources, should be delegated to the district administration. In order to achieve the aim of a locally relevant, well-working HIS, it is necessary that appropriate authority, capacity and decentralised allocation of resources...

  8. Redesigning Manufacturing Footprint from Dynamic Perspective

    DEFF Research Database (Denmark)

    Yang, Cheng; Farooq, Sami; Johansen, John

    2009-01-01

    footprint to address the constantly emerging new challenges by giving a holistic approach from dynamic perspective. Three Danish companies are presented. The way they developed their international manufacturing networks is analysed historically, and their redesigning of manufacturing footprint is expressed...... as how to re-assign portfolios of products and processes between specific plants within the same manufacturing network at one point in time. The strategic factors that have impact on such decisions are discussed and classified into two groups. Last, a holistic framework and a process model is presented...

  9. Finance leadership imperatives in clinical redesign.

    Science.gov (United States)

    Harris, John; Holm, Craig E; Inniger, Meredith C

    2015-03-01

    As physicians embrace their roles in managing healthcare costs and quality, finance leaders should seize the opportunity to engage physicians in clinical care redesign to ensure both high-quality performance and efficient resource use. Finance leaders should strike a balance between risk and reward to achieve a portfolio of clinical initiatives that is organizationally sustainable and responsive to current external drivers of payment changes. Because these initiatives should be driven by physicians, the new skill set of finance leaders should include an emphasis on relationship building to achieve consensus and drive change across an organization.

  10. Development of redesign method of production system based on QFD

    Science.gov (United States)

    Kondoh, Shinsuke; Umeda, Yasusi; Togawa, Hisashi

    In order to catch up with rapidly changing market environment, rapid and flexible redesign of production system is quite important. For effective and rapid redesign of production system, a redesign support system is eagerly needed. To this end, this paper proposes a redesign method of production system based on Quality Function Deployment (QFD). This method represents a designer's intention in the form of QFD, collects experts' knowledge as “Production Method (PM) modules,” and formulates redesign guidelines as seven redesign operations so as to support a designer to find out improvement ideas in a systematical manner. This paper also illustrates a redesign support tool of a production system we have developed based on this method, and demonstrates its feasibility with a practical example of a production system of a contact probe. A result from this example shows that comparable cost reduction to those of veteran designers can be achieved by a novice designer. From this result, we conclude our redesign method is effective and feasible for supporting redesign of a production system.

  11. Best practices in business process redesign: an overview and qualitative evaluation of successful redesign heuristics

    NARCIS (Netherlands)

    Reijers, H.A.; Limam Mansar, S.

    2005-01-01

    To implement business process redesign several best practices can be distinguished. This paper gives an overview of heuristic rules that can support practitioners to develop a business process design that is a radical improvement of a current design. The emphasis is on the mechanics of the process,

  12. Hacia una configuración de lugares sin territorios en The Brief Wondrous Life of Oscar Wao

    Directory of Open Access Journals (Sweden)

    Magdalena Lopez

    2015-06-01

    Based on the distinction proposed by Glissant between territory and place, The Brief Wondrous Life of Oscar Wao proposes a fictionalization of the idea of place. The places become are as where the references that “set” territories are decoded and the process of rootlessness of identity categories occurs. However, the categories are not completely annulled. Places respond to an anthropophagic practice in which different territories (geographical, racial, economic, linguistic, sexual, temporal and aesthetic persist, but recycled under a permanent unresolved tension. Such a phenomenon articulates a new form of cultural centerless anthropophagy in the loser character. Oscar is a loser that has been expelled from the logic of the capitalist profit. His symbolic-political recycling does not pretend to erect new territories or binaries rearrangements, but to transform through rootlessness his old territories into the new places.

  13. Oscar Wilde’s “The Happy Prince” : The Hidden Messages and the Debate on the Target Audience

    OpenAIRE

    Bseiso, Layla

    2007-01-01

    Oscar Wilde’s fairytales have been read to children for more than a century. Nevertheless, since the time of their publication in 1888 and 1891, the target audience of The Happy Prince and Other Tales and A House of Pomegranates have been the concern of critics. Delving into the context behind the rich and colourful imagery, one can find implications of homosexuality, the Paterian aesthetic and religious connotations. According to Carol Tattersall, The Happy Prince and Other Tales successfull...

  14. “I Will Take Your Answer One Way or Another”: The Oscar Wilde Trial Transcripts as Literary Artefacts

    OpenAIRE

    Merkler, Benjamin

    2014-01-01

    Oscar Wilde was not only an eccentric artist and perhaps one of the most popular British dramatists since Shakespeare, but also one of the – if not the – first modern star, who understood how to present oneself in public and use publicity as means of self-realisation. After discussing upcoming theoretical problems of this paper like the reliability of transcripts as well as the theoretical background of the following analysis, there will be an introductory part that first of all provides ...

  15. Optimizing enactment of nursing roles: redesigning care processes and structures

    Directory of Open Access Journals (Sweden)

    Jackson K

    2014-02-01

    Full Text Available Karen Jackson,1 Deborah E White,2 Jeanne Besner,1 Jill M Norris21Health Systems and Workforce Research Unit, Alberta Health Services, Calgary, Alberta, Canada; 2Faculty of Nursing, University of Calgary, Calgary, Alberta, CanadaBackground: Effective and efficient use of nursing human resources is critical. The Nursing Role Effectiveness Model conceptualizes nursing practice in terms of key clinical role accountabilities and has the potential to inform redesign efforts. The aims of this study were to develop, implement, and evaluate a job redesign intended to optimize the enactment of registered nurse (RN clinical role accountabilities.Methods: A job redesign was developed and implemented in a single medical patient care unit, the redesign unit. A mixed-methods design was used to evaluate the job redesign; a second medical patient care unit served as a control unit. Data from administrative databases, observations, interviews, and demographic surveys were collected pre-redesign (November 2005 and post-redesign (October 2007.Results: Several existing unit structures and processes (eg, model of care delivery influenced RNs' ability to optimally enact their role accountabilities. Redesign efforts were hampered by contextual issues, including organizational alignment, leadership, and timing. Overall, optimized enactment of RN role accountabilities and improvements to patient outcomes did not occur, yet this was predictable, given that the redesign was not successful. Although the results were disappointing, much was learned about job redesign.Conclusion: Potential exists to improve the utilization of nursing providers by situating nurses' work in a clinical role accountability framework and attending to a clear organizational vision and well-articulated strategic plan that is championed by leaders at all levels of the organization. Health care leaders require a clear understanding of nurses' role accountabilities, support in managing change, and

  16. Modular, object-oriented redesign of a large-scale Monte Carlo neutron transport program

    International Nuclear Information System (INIS)

    Moskowitz, B.S.

    2000-01-01

    This paper describes the modular, object-oriented redesign of a large-scale Monte Carlo neutron transport program. This effort represents a complete 'white sheet of paper' rewrite of the code. In this paper, the motivation driving this project, the design objectives for the new version of the program, and the design choices and their consequences will be discussed. The design itself will also be described, including the important subsystems as well as the key classes within those subsystems

  17. The OSCAR experiment: using full-waveform inversion in the analysis of young oceanic crust

    Science.gov (United States)

    Silverton, Akela; Morgan, Joanna; Wilson, Dean; Hobbs, Richard

    2017-04-01

    The OSCAR experiment aims to derive an integrated model to better explain the effects of heat loss and alteration by hydrothermal fluids, associated with the cooling of young oceanic crust at an axial ridge. High-resolution seismic imaging of the sediments and basaltic basement can be used to map fluid flow pathways between the oceanic crust and the surrounding ocean. To obtain these high-resolution images, we undertake full-waveform inversion (FWI), an advanced seismic imaging technique capable of resolving velocity heterogeneities at a wide range of length scales, from background trends to fine-scale geological/crustal detail, in a fully data-driven automated manner. This technology is widely used within the petroleum sector due to its potential to obtain high-resolution P-wave velocity models that lead to improvements in migrated seismic images of the subsurface. Here, we use the P-wave velocity model obtained from travel-time tomography as the starting model in the application of acoustic, time-domain FWI to a multichannel streamer field dataset acquired in the east Pacific along a profile between the Costa Rica spreading centre and the Ocean Drilling Program (ODP) borehole 504B, where the crust is approximately six million years old. FWI iteratively improves the velocity model by minimizing the misfit between the predicted data and the field data. It seeks to find a high-fidelity velocity model that is capable of matching individual seismic waveforms of the original raw field dataset, with an initial focus on matching the low-frequency components of the early arriving energy. Quality assurance methods adopted during the inversion ensure convergence in the direction of the global minimum. We demonstrate that FWI is able to recover fine-scale, high-resolution velocity heterogeneities within the young oceanic crust along the profile. The highly resolved FWI velocity model is useful in the identification of the layer 2A/2B interface and low-velocity layers that

  18. 76 FR 16233 - Interpretive Rule Regarding Electronic Contributor Redesignations

    Science.gov (United States)

    2011-03-23

    ... audit, the Commission recently determined that a specific redesignation practice provided the same degree of assurance of the contributor's identity and the contributor's intent to redesignate the... that this process provided assurance of contributor identity and intent equivalent to a written...

  19. Redesigning a control room from an ergonomic point of view : a case study of user participation in a chemical plant

    NARCIS (Netherlands)

    Schaaf, van der T.W.; Kragt, H.; Kragt, H.

    1992-01-01

    A field study in a chemical industry was conducted to redesign a control room with panel instrumentation into one with visual display units (VDUs). The authors had been asked to advise the project team and to participate in the application. First, a general evaluation of the central control room

  20. Redesign of a Low Energy Probe Head

    CERN Document Server

    Rao, Yi-Nong; Ries, Thomas

    2005-01-01

    The present situation of the low energy probe LE2 in TRIUMF cyclotron is that the thickness of the finger 5 is uniform over a radial length of 3.25 inch and its weight which amounts to ~447 g is affecting its re-circulating ball mechanism and causing it to fall below the median plane over its range of movement. We therefore re-design it in order to reduce its weight. First, we made simulations and determined the optimum thickness of the probe head vs its radial length. These simulation results are found to be in good agreement with experimental measurements made. Finally, we calculated the temperature rise caused by the beam power dumped on the probe, and figured out the maximum current of beam that can be dumped on the finger.

  1. Safety in the redesigning of production lines

    DEFF Research Database (Denmark)

    Dyhrberg, Mette Bang; Broberg, Ole; Jacobsen, Peter

    2006-01-01

    This paper is a case study report on how safety considerations were handled in the process of redesigning a production line. The design process was characterized as a specification and negotiation process between engineers from the company and the supplier organization. The new production line...... became safer, but not as a result of any intentional plan to integrate safety aspects into the design process. Instead, the supplier’s design of a new piece of equipment had a higher built-in safety level. The engineering team in the company was aware of the importance of safety aspects neither...... in the specification material nor in their face-to-face meetings with the supplier. Safety aspects were not part of their work practice. On this basis, it was suggested that formal guidelines or procedures for integrating safety in the design of production lines would have no effect. Instead, the researchers set up...

  2. THE REPRESENTATION OF THE GHOST ARCHETYPE IN THE CANTERVILLE GHOST BY OSCAR WILDE

    Directory of Open Access Journals (Sweden)

    Safaryan Agata Vladimirovna

    2015-03-01

    Full Text Available The article touches upon the actual interdisciplinary problems of modern cognitive linguistics, psychology, literary criticism and is related to the study of the archetypal representations of ethnicity and changes reflected in the linguistic consciousness. These changes are mainly influenced by the works of fiction and the role of writer's worldview in their formation. Guided by the thesis of universality of the archetypes, the author mentions that though the archetype represents the inherent characteristics of certain ethnic and cultural space, it retains the features which make an image recognizable at all times. By this fact the author explains the existence of beliefs in ghosts with different embodiments in all cultures. The awakening of the archetype is caused by certain historical events, i.e. the revival and further embodiment of the ghost archetype was the result of reversion to the cultural heritage during the Victorian England. The complex analysis of the means of speech representation that called up the realization of the ghost archetype in Oscar Wilde's short story The Canterville Ghost allowed to reveal that alongside with features that constitute the archetypal nature of ghosts in general, there appear the ones peculiar to the author's individual worldview, which either complement or change the existing notions about this being from another world.

  3. Sassi contro il cielo Menzogna individuale e verità di Stato in Oscar Wilde

    Directory of Open Access Journals (Sweden)

    Duccio Chiapello

    2013-03-01

    Full Text Available The late Victorian era saw Oscar Wilde’s rise to success and fall from grace. For many years the Irish author lived a double life. He was both a celebrated man of letters, and an irreducibly extraneous body. His essay The Decay of Lying, published in 1889, is a Socratic dialogue that, through its inherent duplicity, exhibits this binary condition. On one hand it is a brilliant work of criticism – pleasantly heterodox – that fully embodies Wilde’s rule of “bewildering the masses”, while on the other, even though backhandedly, it gives a recalcitrant account of the implacable social control of his time. In this eulogy of the art of lying – mainly understood as a way of “saying no” to the truths of power – Wilde reveals the theoretical foundations and originality of his political philosophy, which is the same as that displayed in his later essay The Soul of Man Under Socialism (1891.

  4. Oscar Wilde as a Temporal Designer: A Case Study of The Picture of Dorian Gray

    Directory of Open Access Journals (Sweden)

    Bahram Behin

    2015-03-01

    Full Text Available Since the publication of Oscar Wilde’s The Picture of Dorian Gray, there have been great amounts of ideological criticism both for and against the author and the work. Critics have variously evaluated the work from different perspectives; however, these studies have largely targeted the thematic aspects of the novel, while little serious attempt has been made to examine the narrativity of this great work. As a result, the narrative structure of this novel still remains quite untouched. As a partial fulfillment, the present paper has examined the temporal structure of the novel. The analysis indicated that temporality is one of the very functional elements of the work. In fact, much of the meaning or the effect the author intends to converse through each action, character, or dialogue is firstly embedded in a proper and effective temporal setting. Moreover, the analysis ascertained that the well-set temporal structure of the work has resulted in (1 Ekphrasis, (2 Characterization, and (3 Reader manipulation. According to the paper, these three elements dramatically carry out the influentiality of this great novel.

  5. Redesign of the Human Metabolic Simulator

    Science.gov (United States)

    Duffield, Bruce; Jeng, Frank; Lange, Kevin

    2004-01-01

    The National Aeronautics and Space Administration (NASA) is currently building a Human Metabolic Simulator (HMS) at the Johnson Space Center as part of the Advanced Life Support Air Revitalization Technology Evaluation Facility (ARTEF). The purpose of ARTEF is to evaluate Environmental Control and Life Support System Technologies for Advanced Missions. The HMS is needed to reproduce the primary metabolic effects of human respiration on an enclosed atmosphere when humans cannot be present and the impact of human presence on the system is required. A HMS was designed, built and successfully operated in 2000 but larger crew size requirements and the expense of upgrade of the current system necessitate redesign. This paper addresses the redesign. Several concepts were considered, ranging from chemical oxidation of a hydrocarbon like ethanol or ethyl acetate to carbon dioxide and water, oxidation of an iron-containing compound, or by using a fuel cell. For reasons of cost, simplicity, safety and other factors, the concept chosen includes: a molecular sieve packaged as an industrial oxygen concentrator to remove oxygen from the atmosphere, with direct carbon dioxide, water and heat injection. The water injection is done via heating water to steam with a heat exchanger and thermal effects are handled by directly adding heat to the air stream with a second heat exchanger. Both heat exchangers are supplied by a hot oil loop. The amount of oxygen removal, carbon dioxide addition, water addition and heat addition were calculated using metabolic profiles for respiration and heat, calculated using a series of empirical equations developed for International Space Station (ISS). Sketches of the Human Metabolic Simulator and the hot oil bath loop used to supply heat to the heat exchangers are included

  6. Redesigning NASA Earthdata to Become Powered by EOSDIS Components

    Science.gov (United States)

    Bagwell, R.; Siarto, J.; Wong, M. M.; Murphy, K. J.; McLaughlin, B. D.

    2014-12-01

    Two years ago, NASA's Earth Science Data and Information Systems (ESDIS) Project launched the Earthdata website (https://earthdata.nasa.gov) in order to make Earth Observing System Data and Information System (EOSDIS) data, data products, data tools, and services available to a broad range of user communities across Earth science disciplines to foster collaboration and learning amongst the communities. Earthdata is being redesigned to be the one-stop shop in providing Earth science data, services, and information to the Earth science community. The goal is to move from the current static, manually-intensive content format to a dynamic, data-driven website in order to provide a more flexible and usable design website infrastructure that leverages EOSDIS components such as the User Registration System (URS), the Common Metadata Repository (CMR) and the Global Imagery Browse Services (GIBS). This will reorganize information content to make the website easier to use and to make easily accessible the high-value Earth science content throughout the site. The website will also easily accept and incorporate upcoming new projects such as the Earthdata Search Client and the Sea Level Change Portal.

  7. Procurement strategy formation : (re-)designing rail infrastructure project alliances

    NARCIS (Netherlands)

    Plantinga, Henrico; Dorée, André

    2016-01-01

    Purpose – The purpose of this paper is to provide insights into the reasoning behind the development of new procurement approaches by public sector clients. Design/methodology/approach – A case study approach focuses on a procurement development process by a public sector client. It investigates the

  8. An integrated lean-methods approach to hospital facilities redesign.

    Science.gov (United States)

    Nicholas, John

    2012-01-01

    Lean production methods for eliminating waste and improving processes in manufacturing are now being applied in healthcare. As the author shows, the methods are appropriate for redesigning hospital facilities. When used in an integrated manner and employing teams of mostly clinicians, the methods produce facility designs that are custom-fit to patient needs and caregiver work processes, and reduce operational costs. The author reviews lean methods and an approach for integrating them in the redesign of hospital facilities. A case example of the redesign of an emergency department shows the feasibility and benefits of the approach.

  9. "Sentire cum Ecclesia" –Archbishop Oscar Romero in a crossfire of dissent

    Directory of Open Access Journals (Sweden)

    Andrzej Dobrzyński

    2006-12-01

    Full Text Available The article Sentire cum Ecclesia Archbishop Romero caught between the fires of division: presents a clear picture of the difficult situation the Archbishop was involved in while ministering the war torn politically explosive Archdiocese of San Salvador (1977-1998 and the importance of maintaining his relationship with Rome. He lived his life between two burning fires: the cold war and the revolution, right and left wing factions, the unity of the Church and Liberation theology, and at the same time bearing within the strain of the dichotomy between the tendency for the mystic and his prophetic gift. The Archbishop was committed to put into practice the teaching of Vatican II, the social doctrine of the Church, and to the documents written by the Latin American Bishops in the conferences of Medellin (1968 and Puebla (1979. Paying attention to the circumstances of the Archdiocese and to the needs of Salvadorian society as a whole, Romero searched for solutions, taking into account his conscience and the Magisterium of the Church, while living a deeply spiritual life. His Episcopal motto, “To be of one mind with the Church” signifies his dedication and compassion with the suffering poor and disenfranchised, and the Church as an institution. Proof of this stems from always referring his feelings back to Rome and his dedication to the poor and persecuted. Even though it is not easy to draw any conclusions or make any judgments regarding Oscar Romero’s mission of the Church in the midst of the countries crisis, the article underlines the Historical-Ecclesiastical perspective that allows the avoidance of myths that continue to exist, in both liberal and conservative Catholic surroundings.

  10. Abundance of ringed seals (Phoca hispida in the Kong Oscars Fjord, Scoresby Sund and adjacent areas in eastern Greenland

    Directory of Open Access Journals (Sweden)

    E W Born

    1998-06-01

    those reported from other Arctic areas. No significant differences in densities were found between sets of surveys of the same sub-areas. The mean density (2.00 seals/km2, SD=0.22 in the Scoresby Sund area was significantly higher than that found in Kong Oscars Fjord (1.04 seals/km\\ SD=0.15 probably reflecting a higher overall marine productivity in Scoresby Sund. The sum of the point estimates of the visible part of the population in the different sub-areas was 28,882 seals.

  11. Asian Latino Conflict and Solidarity in Díaz’s The Brief and Wondrous Life of Oscar Wao

    OpenAIRE

    Park, Paula C.

    2015-01-01

    In her article "Asian Latino Conflict and Solidarity in Díaz's The Brief and Wondrous Life of Oscar Wao" Paula C. Park responds to the recent interest in Asian Latino/a culture by examining the role of Chinese Dominicans in Junot Díaz's acclaimed novel. She first places her analysis within the historical context of Chinese immigration in the Dominican Republic during the first half of the twentieth century. Then, following the migration route of Díaz's characters, Park extends her discussions...

  12. The redesigned Bulletin is on its way

    CERN Multimedia

    2006-01-01

    In May, you will discover a redesigned CERN Bulletin. Starting with the first May issue (No. 19-20/2006), the format of the Bulletin will change completely. The page layout will be more attractive, reminiscent of a proper newspaper, with pictograms to identify the different sections. The information provided will also be more visible. The Bulletin was much in need of a makeover as its current layout dates back to 1976! The introduction of the new format will coincide with the introduction of a new means of distribution. You will still receive the electronic version of the Bulletin every week directly on your computer. However, in order to avoid the waste from the dozens of copies that linger unread in people's mailboxes, the paper version will be available at a series of distribution points around the Laboratory. You will find the Bulletin along with the Staff Association newsletter at the cafeteria closest to your office. The Bulletin will be available from the following distribution points: On the Meyrin...

  13. Ergonomic Redesign of an Industrial Control Panel

    Directory of Open Access Journals (Sweden)

    S Raeisi

    2016-07-01

    Full Text Available Operator's role in industrial control centers takes place in time, which is one of the most important determinants of whether an expected action is going to be successful or not. In certain situations, due to the complex nature of the work, the existing interfaces and already prepared procedures do not meet the dynamic requirements of operator's cognitive demands, making the control tasks unnecessarily difficult. This study was conducted to identify ergonomic issues with a specific industrial control panel, and redesign its layout and elements to enhance its usability. Task and link analysis methodologies were implemented. All essential functions and supporting operations were identified at the required trivial levels. Next, the weight of any possible link between the elements of the panel was computed as a composite index of frequency and importance. Finally, all components were rearranged within a new layout, and a computerized mockup was generated. A total of 8 primary tasks was identified, including 4 system failure handling tasks, switching between manual and automated modes, and 3 types of routine vigilance and control tasks. These tasks were broken down into 28 functions and 145 supporting operations, accordingly. Higher link values were observed between hand rest position and 2 elements. Also, 6 other components showed robust linkages. In conclusion, computer modeling can reduce the likelihood of accidents and near misses in industrial control rooms by considering the operators' misperception or mental burden and correcting poor design of the panels and inappropriate task allocation.

  14. Case management redesign in an urban facility.

    Science.gov (United States)

    Almaden, Stefany; Freshman, Brenda; Quaye, Beverly

    2011-01-01

    To explore strategies for improving patient throughput and to redesign case management processes to facilitate level of care transitions and safe discharges. Large Urban Medical Center in South Los Angeles County, with 384 licensed beds that services poor, underserved communities. Both qualitative and quantitative methods were applied. Combined theoretical frameworks were used for needs assessment, intervention strategies, and change management. Observations, interviews, surveys, and database extraction methods were used. The sample consisted of case management staff members and several other staff from nursing, social work, and emergency department staff. Postintervention measures indicated improvement in reimbursements for services, reduction in length of stay, increased productivity, improved patients' access to care, and avoiding unnecessary readmission or emergency department visits. Effective change management strategies must consider multiple factors that influence daily operations and service delivery. Creating accountability by using performance measures associated with patient transitions is highlighted by the case study results. The authors developed a process model to assist in identifying and tracking outcome measures related to patient throughput, front-end assessments, and effective patient care transitions. This model can be used in future research to further investigate best case management practices.

  15. Redesign of the DFT/MRCI Hamiltonian

    Energy Technology Data Exchange (ETDEWEB)

    Lyskov, Igor; Kleinschmidt, Martin; Marian, Christel M., E-mail: Christel.Marian@hhu.de [Institute of Theoretical and Computational Chemistry, Heinrich-Heine-University Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf (Germany)

    2016-01-21

    The combined density functional theory and multireference configuration interaction (DFT/MRCI) method of Grimme and Waletzke [J. Chem. Phys. 111, 5645 (1999)] is a well-established semi-empirical quantum chemical method for efficiently computing excited-state properties of organic molecules. As it turns out, the method fails to treat bi-chromophores owing to the strong dependence of the parameters on the excitation class. In this work, we present an alternative form of correcting the matrix elements of a MRCI Hamiltonian which is built from a Kohn-Sham set of orbitals. It is based on the idea of constructing individual energy shifts for each of the state functions of a configuration. The new parameterization is spin-invariant and incorporates less empirism compared to the original formulation. By utilizing damping techniques together with an algorithm of selecting important configurations for treating static electron correlation, the high computational efficiency has been preserved. The robustness of the original and redesigned Hamiltonians has been tested on experimentally known vertical excitation energies of organic molecules yielding similar statistics for the two parameterizations. Besides that, our new formulation is free from artificially low-lying doubly excited states, producing qualitatively correct and consistent results for excimers. The way of modifying matrix elements of the MRCI Hamiltonian presented here shall be considered as default choice when investigating photophysical processes of bi-chromophoric systems such as singlet fission or triplet-triplet upconversion.

  16. Redesigning Menstrual Education Programs Using Attitudes toward Menstruation.

    Science.gov (United States)

    Kieren, Dianne K.

    1992-01-01

    Critiques current menstrual education efforts and reviews current data about the nature of adolescent girls' attitudes toward menstruation as the basis for redesigning comprehensive, effective menstrual education programs. (Author)

  17. Methodology and findings of the NRC's materials licensing process redesign

    International Nuclear Information System (INIS)

    Rathbun, P.A.; Brown, K.D.; Madera, J.R.; Moriarty, M.; Pelchat, J.M.; Usilton, W.K.; Whitten, J.E.; Vacca, P.C.

    1996-04-01

    This report describes the work and vision of the team chartered to redesign the process for licensing users of nuclear materials. The Business Process Redesign team was chartered to improve the speed of the existing licensing process while maintaining or improving public safety and to achieve required resource levels. The report describes the team's methods for acquiring and analyzing information about the existing materials licensing process and the steps necessary to radically change this process to the envisioned future process

  18. Enzyme (re)design: lessons from natural evolution and computation.

    Science.gov (United States)

    Gerlt, John A; Babbitt, Patricia C

    2009-02-01

    The (re)design of enzymes to catalyze 'new' reactions is a topic of considerable practical and intellectual interest. Directed evolution (random mutagenesis followed by screening/selection) has been used widely to identify novel biocatalysts. However, 'rational' approaches using either natural divergent evolution or computational predictions based on chemical principles have been less successful. This review summarizes recent progress in evolution-based and computation-based (re)design.

  19. Application of Computer Simulation Modeling to Medication Administration Process Redesign

    OpenAIRE

    Huynh, Nathan; Snyder, Rita; Vidal, Jose M.; Tavakoli, Abbas S.; Cai, Bo

    2012-01-01

    The medication administration process (MAP) is one of the most high-risk processes in health care. MAP workflow redesign can precipitate both unanticipated and unintended consequences that can lead to new medication safety risks and workflow inefficiencies. Thus, it is necessary to have a tool to evaluate the impact of redesign approaches in advance of their clinical implementation. This paper discusses the development of an agent-based MAP computer simulation model that can be used to assess...

  20. Advisory Committee on the Redesign of the Space Station

    Science.gov (United States)

    1993-06-01

    The Space Station Program was initiated in 1984 to provide for permanent human presence in an orbiting laboratory. This program evolved into Space Station Freedom, later identified as a component to facilitate a return of astronauts to the Moon, followed by the exploration of Mars. In March 1993 the Clinton Administration directed NASA to undertake an intense effort to redesign the space station at a substantial cost savings relative to Space Station Freedom. The Advisory Committee on the Redesign of the Space Station was established in March 1993 to provide independent assessment of the advantages and disadvantages of the redesign options. The results of the Committee's work is described. Discussion describes the mission that the Administration has articulated for the Space Station Program and the scientific and technical characteristics that a redesigned station must possess to fulfill those objectives. A description of recommended management, operations, and acquisition strategies for the redesigned program is provided. The Committee's assessment of the redesign options against five criteria are presented. The five criteria are technical capabilities, research capabilities, schedule, cost, and risk. A discussion of general mission risk is included.

  1. Redesign and commissioning of sexual health services in England - a qualitative study.

    Science.gov (United States)

    Walker, I F; Leigh-Hunt, N; Lee, A C K

    2016-10-01

    Responsibility for the commissioning of sexual and reproductive health (SRH) services transferred from the National Health Service to local authorities in England in 2013. This transfer prompted many local authorities to undertake new procurements of these SRH services. This study was undertaken to capture some of the lessons learnt in order to inform future commissioning and system redesign. A qualitative study was carried out involving semi-structured interviews. Interviews were conducted with 13 local authority sexual health commissioners in Yorkshire and the Humber from 11 interviews. Thematic analysis was used to identify themes from transcripts of the interviews with the 13 participants. Key themes identified were as follows: the challenge and complexity to those new to clinical commissioning; the prerequisites of robust infrastructural inputs to undertake the process, including technical expertise, a dependable project team, with clarity over the timescales and the budget; the requirement for good governance, stakeholder engagement and successful management of relationships with the latter; and the need to focus on the outcomes, aiming for value for money and improved system performance. Several key issues emerged from our study that significantly influenced the outcome of the redesign and commissioning process for sexual health services. An adapted model of the Donabedian evaluation framework was developed to provide a tool to inform future system redesign. Our model helps identify the key determinants for successful redesign in this context which is essential to both mitigate potential risks and maximize the likelihood of successful outcomes. Our model may have wider applications. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  2. Whispers of the Unspeakable: New York and Montreal Newspaper Coverage of the Oscar Wilde Trials in 1895

    Directory of Open Access Journals (Sweden)

    Greg Robinson

    2015-03-01

    Full Text Available Greg Robinson’s article “Whispers of the Unspeakable: New York and Montreal Newspaper Coverage of the Oscar Wilde Trials in 1895,” originally published in 2010 in the French-language journal Rue des Beaux Arts, no. 24 (2010, is here republished and—with much gratitude—translated (for the original text, please see http://www.oscholars.com/RBA/twenty-four/24.7/Articles.htm. Robinson’s transnational study focuses on how reading the specific language of newspaper reports of the Oscar Wilde case, literally from a distance, from places less emotionally attached to and nationally distinct from the scandal’s epicenter in London, England, provides insight into “the state of everyday public knowledge and discussion of (homosexuality, at least west of the Atlantic”; thus Robinson’s fascinating research, which involves numerous newspapers—from the elite New York Times to the New York Herald, from the Montreal Daily Star to the French-language papers of Quebec—concludes that the popular press, read transnationally, offers key insights into the developing attitudes toward and levels of interest in the newly forming identity of the “homosexual” across societies.

  3. Danngarrd-Oscar events recorded in a terrestrial sequence in central British Columbia, Canada

    Science.gov (United States)

    Ward, B. C.; Geertsema, M.; Telka, A.; Mathewes, R.

    2012-12-01

    Danngarrd-Oscar events recorded in the GISP2 Greenland Ice Core. The increasingly dry and cold conditions indicated by the macrofossil assemblage likely reflect the growth of ice in the Coast Mountains that would reduce the availability of moisture to the Interior Plateau from Pacific air masses. This is confirmed by reconstruction of the growth of the Cordilleran Ice Sheet during the Late Wisconsinan based on published radiocarbon dates.

  4. Developing an evaluation framework for clinical redesign programs: lessons learnt.

    Science.gov (United States)

    Samaranayake, Premaratne; Dadich, Ann; Fitzgerald, Anneke; Zeitz, Kathryn

    2016-09-19

    Purpose The purpose of this paper is to present lessons learnt through the development of an evaluation framework for a clinical redesign programme - the aim of which was to improve the patient journey through improved discharge practices within an Australian public hospital. Design/methodology/approach The development of the evaluation framework involved three stages - namely, the analysis of secondary data relating to the discharge planning pathway; the analysis of primary data including field-notes and interview transcripts on hospital processes; and the triangulation of these data sets to devise the framework. The evaluation framework ensured that resource use, process management, patient satisfaction, and staff well-being and productivity were each connected with measures, targets, and the aim of clinical redesign programme. Findings The application of business process management and a balanced scorecard enabled a different way of framing the evaluation, ensuring measurable outcomes were connected to inputs and outputs. Lessons learnt include: first, the importance of mixed-methods research to devise the framework and evaluate the redesigned processes; second, the need for appropriate tools and resources to adequately capture change across the different domains of the redesign programme; and third, the value of developing and applying an evaluative framework progressively. Research limitations/implications The evaluation framework is limited by its retrospective application to a clinical process redesign programme. Originality/value This research supports benchmarking with national and international practices in relation to best practice healthcare redesign processes. Additionally, it provides a theoretical contribution on evaluating health services improvement and redesign initiatives.

  5. Awareness tool for safe and responsible driving (OSCAR): a potential educational intervention for increasing interest, openness and knowledge about the abilities required and compensatory strategies among older drivers.

    Science.gov (United States)

    Levasseur, Mélanie; Audet, Thérèse; Gélinas, Isabelle; Bédard, Michel; Langlais, Marie-Ève; Therrien, France-Hélène; Renaud, Judith; Coallier, Jean-Claude; D'Amours, Monia

    2015-01-01

    This pilot study aimed to verify the impact of the awareness tool for safe and responsible driving (OSCAR) on older adults' (1) interest, openness, and knowledge about the abilities and compensatory strategies required for safe driving; (2) awareness of changes that have occurred in their own driving abilities; and (3) actual utilization of compensatory strategies. A preexperimental design, including a pretest (T0) and posttest (T1) 8 to 10 weeks after exposure to the intervention, was used with 48 drivers aged between 67 and 84. The participants had a valid driving license and drove at least once a week. Overall, the results demonstrate that OSCAR increased interest, openness, and knowledge about the abilities and compensatory strategies of older drivers (P driving, OSCAR also improved awareness of the changes that could negatively impact safe driving and enhanced utilization of compensatory strategies. While promoting safe driving and the prevention of crashes and injuries, this intervention could ultimately help older adults maintain or increase their transportation mobility. More studies are needed to further evaluate OSCAR and identify ways to improve its effectiveness.

  6. PSYCHOLOGICAL VALENCES IN THE DESIGN AND REDESIGN OF JOBS

    Directory of Open Access Journals (Sweden)

    Alic BIRCA

    2016-09-01

    Full Text Available This paper addresses the design and redesign of jobs under psychological aspect. For many years, the design and redesign of jobs have been treated more economically, i.e. by reducing staff costs. Although in the short-term, this approach has had positive economic effects, in the long-term the economic effects have been negative. Starting from this point of view, the authors attempt to highlight the problems that the psychological aspects involve in the design and redesign of jobs. Given the psychological aspects in the design of jobs aspects, are taken into consideration, certain problems that can have a far greater impact on organizational performance, may be anticipated and excluded.

  7. The Role of the IT Department in Organizational Redesign.

    Science.gov (United States)

    Petersen, Lone Stub

    2015-01-01

    Focus within eHealth research is often on development and implementation. However, the role of information systems maintenance and management is often neglected. In order for the IT department to accommodate the needs of the hospitals and continuous change of organization and practice there is a need for developing an understanding of the complex relationship between the IT department and clinical practice. In this paper the concept of redesign is used to deepen our understanding of IT related organizational change in healthcare organizations. In the paper I argue that the IT department is a central partner, steward and power in organizational change and learning in hospitals as the IT department serve both as a barrier and a catalyst of change and flexibility in the organization through management of information systems maintenance and redesign. Therefore it is important to consider and secure appropriate forms for stewarding redesign and learning in cooperation between the health care organizations and the IT department.

  8. Application of Computer Simulation Modeling to Medication Administration Process Redesign

    Directory of Open Access Journals (Sweden)

    Nathan Huynh

    2012-01-01

    Full Text Available The medication administration process (MAP is one of the most high-risk processes in health care. MAP workflow redesign can precipitate both unanticipated and unintended consequences that can lead to new medication safety risks and workflow inefficiencies. Thus, it is necessary to have a tool to evaluate the impact of redesign approaches in advance of their clinical implementation. This paper discusses the development of an agent-based MAP computer simulation model that can be used to assess the impact of MAP workflow redesign on MAP performance. The agent-based approach is adopted in order to capture Registered Nurse medication administration performance. The process of designing, developing, validating, and testing such a model is explained. Work is underway to collect MAP data in a hospital setting to provide more complex MAP observations to extend development of the model to better represent the complexity of MAP.

  9. LIBROS Y LECTORES EN EL PANORAMA FINISECULAR: J.K. HUYSMANS Y OSCAR WILDE BOOKS AND READERS IN THE END OF CENTURY SCENARIO: J. K. HUYSMANS AND OSCAR WILDE

    Directory of Open Access Journals (Sweden)

    Liliana Swiderski

    2011-02-01

    Full Text Available Este trabajo analiza las escenas de lectura y los comentarios literarios presentes en À rebours, de J.K. Huysmans, y The Picture of Dorian Gray, de Oscar Wilde. Escritas en un período de eclosión de la letra impresa, modernización tipográfica y constitución del gran público, las novelas traslucen la lucha de las elites por conservar sus prerrogativas a partir de la posesión de un capital simbólico. Ante la vertiginosa diversificación y democratización del público, el héroe decadente necesita sobreactuar sus rasgos de distinción para mantener la distancia respecto de las masas y de la vulgaridad burguesa. Esta actitud incide en los soportes textuales, así como en los propósitos y modos de lectura de los protagonistas.This paper deals with the reading scenes and literary comments present in À rebours, by J.K. Huysmans and The Picture of Dorian Gray, by Oscar Wilde. Written in a flowering period of the printed word, typographic modernization and emergence of the great reading public, both novels show the fight of the elites for keeping a symbolic capital. In the face of an increasing diversity and democratization of the reading public, the decadent hero needs to overact his features of distinction to keep the distance from the masses and the bourgeoisie. This exaggerated refinement is clearly seen in the materials used by the protagonists, their purposes and reading approach.

  10. Delivering Sustainability Through Supply Chain Distribution Network Redesign

    Directory of Open Access Journals (Sweden)

    Denise Ravet

    2013-09-01

    Full Text Available Purpose - Companies could gain (cost, service, green/sustainable competitive advantage through the supply chain network. The goal of this article is to study how to deliver sustainability through the supply chain distribution network redesign.Design/methodology/approach - A literature review is conducted to examine research relating to sustainable supply chain strategies and supply chain distribution network redesign.Findings - A study of the supply chain literature reveals the importance to rethink the supply chain distribution network design and to treat sustainability as integral to operations.

  11. Process efficiency. Redesigning social networks to improve surgery patient flow.

    Science.gov (United States)

    Samarth, Chandrika N; Gloor, Peter A

    2009-01-01

    We propose a novel approach to improve throughput of the surgery patient flow process of a Boston area teaching hospital. A social network analysis was conducted in an effort to demonstrate that process efficiency gains could be achieved through redesign of social network patterns at the workplace; in conjunction with redesign of organization structure and the implementation of workflow over an integrated information technology system. Key knowledge experts and coordinators in times of crisis were identified and a new communication structure more conducive to trust and knowledge sharing was suggested. The new communication structure is scalable without compromising on coordination required among key roles in the network for achieving efficiency gains.

  12. Oscar Masotta y Roland Barthes. Homologías estructurales de una crítica de vanguardia

    Directory of Open Access Journals (Sweden)

    Max Hidalgo Nácher

    2015-06-01

    Full Text Available El artículo propone una lectura comparada de la obra de Oscar Masotta y de Roland Barthes hasta los años setenta. Beatriz Sarlo y Pierre Bourdieu han visto en estos autores, respectivamente, un síntoma de la época. Así, más que fijarnos en sus contenidos, proponemos una lectura en movimiento a partir del descubrimiento de una homología estructural: Masotta y Barthes comparten una misma posición de enunciación. Como podrá verse en el artículo, ésta va ligada, a su vez, a la precariedad de su posición institucional y a una apuesta decidida por la vanguardia intelectual.

  13. Simulation for Nurse Anesthesia Program Selection: Redesigned

    Science.gov (United States)

    Roebuck, John Arthur

    2017-01-01

    Purpose: This project is meant to answer the research question: What applicant character traits do Nurse Anesthesia Program Directors and Faculty identify as favorable predictors for successful completion of a nurse anesthesia program, and what evaluation methods are best to evaluate these traits in prospective students? Methods: A prospective…

  14. The creation of process redesigns by selecting, transforming and replacing process parts

    NARCIS (Netherlands)

    Netjes, M.; Reijers, H.A.; Aalst, van der W.M.P.

    2008-01-01

    For companies to sustain competitive advantages, it is required to redesign and improve business processes continuously by monitoring and analyzing process enactment results. Furthermore, organizational structures must be redesigned according to the changes in business processes. However, there are

  15. 77 FR 40358 - Federal Management Regulation; FMR Bulletin PBS-2012-03; Redesignations of Federal Buildings...

    Science.gov (United States)

    2012-07-09

    ... Management Regulation; FMR Bulletin PBS-2012-03; Redesignations of Federal Buildings: Correction AGENCY: Public Buildings Service (PBS), General Services Administration (GSA). ACTION: Notice of a bulletin..., 2012, a bulletin announcing the designation and redesignation of three Federal buildings. Inadvertently...

  16. Redesigning mental healthcare delivery : Is there an effect on organizational climate?

    NARCIS (Netherlands)

    Joosten, T.C.M.; Bongers, I.M.B.; Janssen, R.T.J.M.

    2014-01-01

    Objective Many studies have investigated the effect of redesign on operational performance; fewer studies have evaluated the effects on employees' perceptions of their working environment (organizational climate). Some authors state that redesign will lead to poorer organizational climate, while

  17. Redesigning Professional Development: Reconceptualising Teaching Using Social Learning Technologies

    Science.gov (United States)

    Cochrane, Thomas; Narayan, Vickel

    2013-01-01

    This article evaluates the use of a community of practice model for redesigning a lecturer professional development course investigating the impact of mobile web 2.0 technologies in higher education. The results show a significant change in lecturer conceptions of pedagogy were achieved by this approach. Drawing on our experience of two iterations…

  18. Structural analysis of 177-FA redesigned surveillance specimen holder tube

    International Nuclear Information System (INIS)

    Pryor, C.W.; Thoren, D.E.; Vames, G.J.; Harris, R.J.

    1976-08-01

    Because of in-service operational problems, the surveillance specimen holder tubes described in B and W topical report BAW-10051 have been redesigned. This report describes the new design and structural analysis for normal operation and upset loading conditions. The results of the analysis demonstrate the adequacy of the new surveillance specimen holder tubes for their design life of 40 years

  19. Evaluating treatment process redesign by applying the EFQM Excellence Model

    NARCIS (Netherlands)

    Nabitz, Udo; Schramade, Mark; Schippers, Gerard

    2006-01-01

    OBJECTIVE: To evaluate a treatment process redesign programme implementing evidence-based treatment as part of a total quality management in a Dutch addiction treatment centre. METHOD: Quality management was monitored over a period of more than 10 years in an addiction treatment centre with 550

  20. Redesigning School Accountability and Support: Progress in Pioneering States

    Science.gov (United States)

    Cook-Harvey, Channa M.; Stosich, Elizabeth Leisy

    2016-01-01

    How might policymakers and educators utilize the work already being done as states redesign their accountability systems? The 2015 reauthorization of the Elementary and Secondary Education Act (ESEA), brought much needed attention to the performance of traditionally underserved subgroups of students. Supported by greater flexibility under ESEA…

  1. A Lightweight Structure Redesign Method Based on Selective Laser Melting

    Directory of Open Access Journals (Sweden)

    Li Tang

    2016-11-01

    Full Text Available The purpose of this paper is to present a new design method of lightweight parts fabricated by selective laser melting (SLM based on the “Skin-Frame” and to explore the influence of fabrication defects on SLM parts with different sizes. Some standard lattice parts were designed according to the Chinese GB/T 1452-2005 standard and manufactured by SLM. Then these samples were tested in an MTS Insight 30 compression testing machine to study the trends of the yield process with different structure sizes. A set of standard cylinder samples were also designed according to the Chinese GB/T 228-2010 standard. These samples, which were made of iron-nickel alloy (IN718, were also processed by SLM, and then tested in the universal material testing machine INSTRON 1346 to obtain their tensile strength. Furthermore, a lightweight redesigned method was researched. Then some common parts such as a stopper and connecting plate were redesigned using this method. These redesigned parts were fabricated and some application tests have already been performed. The compression testing results show that when the minimum structure size is larger than 1.5 mm, the mechanical characteristics will hardly be affected by process defects. The cylinder parts were fractured by the universal material testing machine at about 1069.6 MPa. These redesigned parts worked well in application tests, with both the weight and fabrication time of these parts reduced more than 20%.

  2. Redesigning a Large Introductory Course to Incorporate the GAISE Guidelines

    Science.gov (United States)

    Woodard, Roger; McGowan, Herle

    2012-01-01

    In 2005, the "Guidelines for Assessment and Instruction in Statistics Education" (GAISE) college report described several recommendations for teaching introductory statistics. This paper discusses how a large multi-section introductory course was redesigned in order to implement these recommendations. The experience described discusses…

  3. Computational redesign of a mononuclear zinc metalloenzyme for organophosphate hydrolysis

    DEFF Research Database (Denmark)

    Khare, Sagar D.; Kipnis, Yakov; Greisen, Per Junior

    2012-01-01

    The ability to redesign enzymes to catalyze noncognate chemical transformations would have wide-ranging applications. We developed a computational method for repurposing the reactivity of metalloenzyme active site functional groups to catalyze new reactions. Using this method, we engineered a zinc...

  4. Redesign of a Life Span Development Course Using Fink's Taxonomy

    Science.gov (United States)

    Fallahi, Carolyn R.

    2008-01-01

    This study compared a traditional lecture-based life span development course to the same course redesigned using Fink's (2003) taxonomy of significant learning. The goals, activities, and feedback within the course corresponded to Fink's 6 taxa (knowledge, application, integration, human dimension, caring, learning how to learn). Undergraduates in…

  5. On Engineering Support for Business Process Modelling and Redesign

    NARCIS (Netherlands)

    Doumeingts, G.; Franken, H.M.; de Weger, M.K.; Browne, J.; Quartel, Dick; Ferreira Pires, Luis

    1997-01-01

    Currently, there is an enormous (research) interest in business process redesign (BPR). Several management-oriented approaches have been proposed showing how to make BPR work. However, detailed descriptions of empirical experience are few. Consistent engineering methodologies to aid and guide a

  6. Is State-Mandated Redesign an Effective and Sustainable Solution?

    Science.gov (United States)

    Young, Michelle D.

    2013-01-01

    There is a pervasive and ongoing perception that leadership preparation is a problem. Important questions remain about the intentions, capacity, and impact of state departments of education engaged in leadership preparation program redesign. In this essay, I take up several issues concerning this state policy work, including whether a one size…

  7. Industrial redesign of traditional valencian tiles

    Directory of Open Access Journals (Sweden)

    Lucas, F.

    2000-02-01

    Full Text Available The idea behind this project was to recover a type of Traditional Valencian Ceramics, by adapting its own particular production technology to present-day systems, installations and materials.

    Se ha pretendido recuperar una tipología de Cerámica tradicional Valenciana, adaptando su tecnología productiva a los sistemas , instalaciones y materiales actuales.

  8. 77 FR 35393 - Federal Management Regulation; FMR Bulletin PBS-2012-03; Redesignations of Federal Buildings

    Science.gov (United States)

    2012-06-13

    ... Management Regulation; FMR Bulletin PBS-2012-03; Redesignations of Federal Buildings AGENCY: Public Buildings... bulletin announces the designation and redesignation of three Federal buildings. Expiration Date: This bulletin announcement expires October 31, 2012. The building designation and redesignations remains in...

  9. 76 FR 54772 - Federal Management Regulation; FMR Bulletin PBS-2011-B2; Redesignations of Federal Buildings

    Science.gov (United States)

    2011-09-02

    ... Management Regulation; FMR Bulletin PBS-2011-B2; Redesignations of Federal Buildings AGENCY: Public Buildings... announces the designation and redesignation of two Federal buildings. Expiration Date: This bulletin announcement expires January 31, 2012. The building designation and redesignation remains in effect until...

  10. 75 FR 69080 - Federal Management Regulation; FMR Bulletin PBS-2010-B5; Redesignations of Federal Buildings

    Science.gov (United States)

    2010-11-10

    ... Management Regulation; FMR Bulletin PBS-2010-B5; Redesignations of Federal Buildings AGENCY: Public Buildings... announces the designation and redesignation of two Federal buildings. DATES: Expiration Date: This bulletin announcement expires April 30, 2011. The building designation and redesignation remains in effect until...

  11. 76 FR 6792 - Federal Management Regulation; FMR Bulletin PBS-2011-B1; Redesignations of Federal Buildings

    Science.gov (United States)

    2011-02-08

    ... Management Regulation; FMR Bulletin PBS-2011-B1; Redesignations of Federal Buildings AGENCY: Public Buildings... announces the redesignations of three Federal buildings. DATES: Expiration Date: This bulletin announcement expires June 30, 2011. The building redesignations remain in effect until canceled or superseded by...

  12. 75 FR 44264 - Federal Management Regulation; FMR Bulletin PBS-2010-B4; Redesignation of Federal Building

    Science.gov (United States)

    2010-07-28

    ... Management Regulation; FMR Bulletin PBS-2010-B4; Redesignation of Federal Building AGENCY: Public Buildings... announces the redesignation of a Federal building. DATES: Expiration Date: This bulletin expires December 31, 2010. However, the building redesignation announced by this bulletin will remain in effect until...

  13. 76 FR 59600 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Redesignation of Lake and...

    Science.gov (United States)

    2011-09-27

    ...] Approval and Promulgation of Air Quality Implementation Plans; Indiana; Redesignation of Lake and Porter... redesignation of the Lake and Porter Counties, Indiana portion (Lake and Porter Counties) of the Chicago-Gary... or standard). EPA is proposing to approve the redesignation request for Lake and Porter Counties...

  14. Business process redesign at a mental healthcare institute: a coulored petri net approach

    NARCIS (Netherlands)

    Jansen-Vullers, M.H.; Reijers, H.A.; Jensen, K.

    2005-01-01

    Business Process Redesign aims to radically improve the performance of business processes. One of the approaches to derive such an improved process design is an evolutionary approach, making use of redesign heuristics (Reijers, 2003). Simulation of the redesigned business process comes into play if

  15. Rethinking and Redesigning an Image Processing Course from a Problem-Based Learning Perspective

    DEFF Research Database (Denmark)

    Reng, Lars; Triantafyllou, Evangelia; Triantafyllidis, George

    2015-01-01

    of such concepts and being able to use them for solving real-world problems. The Problem-Based Learning (PBL) pedagogy is an approach, which favours learning by applying knowledge to solve such problems. However, formulating an appropriate project for image processing courses presents challenges on how......Our experience at the Media Technology department, Aalborg University Copenhangen has shown that learning core concepts and techniques in image processing is a challenge for undergraduate students. One possible cause for this is the gap between understanding the mathematical formalism...... to appropriately present relevant concepts and techniques to students. This article presents our redesign of an image processing course at the Media Technology department, which focused on relevant concept and technique presentation and design projects and employed a game engine (Unity) in order to present...

  16. Healthcare operations service redesign and implementation

    OpenAIRE

    Bamford, David; Thornton, H.; Bamford, Jim

    2008-01-01

    We report on a project that is increasing the effectiveness and efficiency of healthcare\\ud provision by getting “the right patient, the right equipment, the right healthcare worker\\ud to the right place at the right time for the right treatment to be carried out in the right\\ud way.” This is being done through: i) a review of the utilisation and disposition of all\\ud logistics/transport assets and an assessment of future demand/capacity issues and\\ud patterns for healthcare services; ii) the...

  17. Innovation in ambulatory care: a collaborative approach to redesigning the health care workplace.

    Science.gov (United States)

    Johnson, Paula A; Bookman, Ann; Bailyn, Lotte; Harrington, Mona; Orton, Piper

    2011-02-01

    To improve the quality of patient care and work satisfaction of the physicians and staff at an ambulatory practice that had recently started an innovative model of clinical care for women. The authors used an inclusive process, collaborative interactive action research, to engage all physicians and staff members in assessing and redesigning their work environment. Based on key barriers to working effectively and integrating work and family identified in that process, a pilot project with new work practices and structures was developed, implemented, and evaluated. The work redesign process established cross-occupational care teams in specific clinical areas. Members of the teams built skills in assessing clinical operations in their practice areas, developed new levels of collaboration, and constructed new models of distributed leadership. The majority of participants reported an improvement in how their area functioned. Integrating work and family/personal life-particularly practices around flexible work arrangements-became an issue for team discussion and solutions, not a matter of individual accommodation by managers. By engaging the workforce, collaborative interactive action research can help achieve lasting change in the health care workplace and increase physicians' and staff members' work satisfaction. This "dual agenda" may be best achieved through a collaborative process where cross-occupational teams are responsible for workflow and outcomes and where the needs of patients and providers are integrated.

  18. Tolerability of the Oscar 2 ambulatory blood pressure monitor among research participants: a cross-sectional repeated measures study

    Directory of Open Access Journals (Sweden)

    Hinderliter Alan L

    2011-04-01

    Full Text Available Abstract Background Ambulatory blood pressure monitoring (ABPM is increasingly used to measure blood pressure (BP in research studies. We examined ease of use, comfort, degree of disturbance, reported adverse effects, factors associated with poor tolerability, and association of poor tolerability with data acquisition of 24-hour ABPM using the Oscar 2 monitor in the research setting. Methods Sixty adults participating in a research study of people with a history of borderline clinic BP reported on their experience with ABPM on two occasions one week apart. Poor tolerability was operationalized as an overall score at or above the 75th percentile using responses to questions adapted from a previously developed questionnaire. In addition to descriptive statistics (means for responses to Likert-scaled "0 to 10" questions and proportions for Yes/No questions, we examined reproducibility of poor tolerability as well as associations with poor tolerability and whether poor tolerability was associated with removal of the monitor or inadequate number of BP measurements. Results The mean ambulatory BP of participants by an initial ABPM session was 148/87 mm Hg. After wearing the monitor the first time, the degree to which the monitor was felt to be cumbersome ranged from a mean of 3.0 to 3.8, depending on whether at work, home, driving, or other times. The most bother was interference with normal sleeping pattern (mean 4.2. Wearers found the monitor straightforward to use (mean 7.5. Nearly 67% reported that the monitor woke them after falling asleep, and 8.6% removed it at some point during the night. Reported adverse effects included pain (32%, skin irritation (37%, and bruising (7%. Those categorized as having poor tolerability (kappa = 0.5 between sessions, p = 0.0003 were more likely to report being in fair/poor health (75% vs 22%, p = 0.01 and have elevated 24-hour BP average (systolic: 28% vs 17%, p = 0.56; diastolic: 30% vs 17%, p = 0.37. They were

  19. Redesigning ambulatory care business processes supporting clinical care delivery.

    Science.gov (United States)

    Patterson, C; Sinkewich, M; Short, J; Callas, E

    1997-04-01

    The first step in redesigning the health care delivery process for ambulatory care begins with the patient and the business processes that support the patient. Patient-related business processes include patient access, service documentation, billing, follow-up, collection, and payment. Access is the portal to the clinical delivery and care management process. Service documentation, charge capture, and payment and collection are supporting processes to care delivery. Realigned provider networks now demand realigned patient business services to provide their members/customers/patients with improved service delivery at less cost. Purchaser mandates for cost containment, health maintenance, and enhanced quality of care have created an environment where every aspect of the delivery system, especially ambulatory care, is being judged. Business processes supporting the outpatient are therefore being reexamined for better efficiency and customer satisfaction. Many health care systems have made major investments in their ambulatory care environment, but have pursued traditional supporting business practices--such as multiple access points, lack of integrated patient appointment scheduling and registration, and multiple patient bills. These are areas that are appropriate for redesign efforts--all with the customer's needs and convenience in mind. Similarly, setting unrealistic expectations, underestimating the effort required, and ignoring the human elements of a patient-focused business service redesign effort can sabotage the very sound reasons for executing such an endeavor. Pitfalls can be avoided if a structured methodology, coupled with a change management process, are employed. Deloitte & Touche Consulting Group has been involved in several major efforts, all with ambulatory care settings to assist with the redesign of their business practices to consider the patient as the driver, instead of the institution providing the care.

  20. Acceptance of lean redesigns in primary care: A contextual analysis.

    Science.gov (United States)

    Hung, Dorothy; Gray, Caroline; Martinez, Meghan; Schmittdiel, Julie; Harrison, Michael I

    Lean is a leading change strategy used in health care to achieve short-term efficiency and quality improvement while promising longer-term system transformation. Most research examines Lean intervention to address isolated problems, rather than to achieve broader systemic changes to care delivery. Moreover, no studies examine contextual influences on system-wide Lean implementation efforts in primary care. The aim of this study was to identify contextual factors most critical to implementing and scaling Lean redesigns across all primary care clinics in a large, ambulatory care delivery system. Over 100 interviews and focus groups were conducted with frontline physicians, clinical staff, and operational leaders. Data analysis was guided by a modified Consolidated Framework for Implementation Research (CFIR), a popular implementation science framework. On the basis of expert recommendations, the modified framework targets factors influencing the implementation of process redesigns. This modified framework, the CFIR-PR, informed our identification of contextual factors that most impacted Lean acceptance among frontline physicians and staff. Several domains identified by the CFIR-PR were critical to acceptance of Lean redesigns. Regarding the implementation process acceptance was influenced by time and intensity of exposure to changes, "top-down" versus "bottom-up" implementation styles, and degrees of employee engagement in developing new workflows. Important factors in the inner setting were the clinic's culture and style of leadership, along with availability of information about Lean's effectiveness. Last, implementation efforts were impacted by individual and team characteristics regarding changed work roles and related issues of professional identity, authority, and autonomy. This study underscores the need for change leaders to consider the contextual factors that surround efforts to implement Lean in primary care. As Lean redesigns are scaled across a system

  1. Evaluating treatment process redesign by applying the EFQM Excellence Model.

    Science.gov (United States)

    Nabitz, Udo; Schramade, Mark; Schippers, Gerard

    2006-10-01

    To evaluate a treatment process redesign programme implementing evidence-based treatment as part of a total quality management in a Dutch addiction treatment centre. Quality management was monitored over a period of more than 10 years in an addiction treatment centre with 550 professionals. Changes are evaluated, comparing the scores on the nine criteria of the European Foundation for Quality Management (EFQM) Excellence Model before and after a major redesign of treatment processes and ISO certification. In the course of 10 years, most intake, care, and cure processes were reorganized, the support processes were restructured and ISO certified, 29 evidence-based treatment protocols were developed and implemented, and patient follow-up measuring was established to make clinical outcomes transparent. Comparing the situation before and after the changes shows that the client satisfaction scores are stable, that the evaluation by personnel and society is inconsistent, and that clinical, production, and financial outcomes are positive. The overall EFQM assessment by external assessors in 2004 shows much higher scores on the nine criteria than the assessment in 1994. Evidence-based treatment can successfully be implemented in addiction treatment centres through treatment process redesign as part of a total quality management strategy, but not all results are positive.

  2. Redesigning photosynthesis to sustainably meet global food and bioenergy demand

    Science.gov (United States)

    Ort, Donald R.; Merchant, Sabeeha S.; Alric, Jean; Barkan, Alice; Blankenship, Robert E.; Bock, Ralph; Croce, Roberta; Hanson, Maureen R.; Hibberd, Julian M.; Long, Stephen P.; Moore, Thomas A.; Moroney, James; Niyogi, Krishna K.; Parry, Martin A. J.; Peralta-Yahya, Pamela P.; Prince, Roger C.; Redding, Kevin E.; Spalding, Martin H.; van Wijk, Klaas J.; Vermaas, Wim F. J.; von Caemmerer, Susanne; Weber, Andreas P. M.; Yeates, Todd O.; Yuan, Joshua S.; Zhu, Xin Guang

    2015-01-01

    The world’s crop productivity is stagnating whereas population growth, rising affluence, and mandates for biofuels put increasing demands on agriculture. Meanwhile, demand for increasing cropland competes with equally crucial global sustainability and environmental protection needs. Addressing this looming agricultural crisis will be one of our greatest scientific challenges in the coming decades, and success will require substantial improvements at many levels. We assert that increasing the efficiency and productivity of photosynthesis in crop plants will be essential if this grand challenge is to be met. Here, we explore an array of prospective redesigns of plant systems at various scales, all aimed at increasing crop yields through improved photosynthetic efficiency and performance. Prospects range from straightforward alterations, already supported by preliminary evidence of feasibility, to substantial redesigns that are currently only conceptual, but that may be enabled by new developments in synthetic biology. Although some proposed redesigns are certain to face obstacles that will require alternate routes, the efforts should lead to new discoveries and technical advances with important impacts on the global problem of crop productivity and bioenergy production. PMID:26124102

  3. Osmoregulation and muscle water control in vitro facing salinity stress of the Amazon fish Oscar Astronotus ocellatus (Cichlidae)

    Science.gov (United States)

    Gutierre, Silvia M. M.; Schulte, Jessica M.; Schofield, Pam; Prodocimo, Viviane

    2017-01-01

    Specimens of Oscar Astronotus ocellatus from a fish farm were abruptly submitted to salt stress of 14 ppt and 20 ppt, for 3 and 8 h to determine their plasma osmolality. Muscle wet body mass change in vitro was analyzed from control freshwater animals. Fish in 14 ppt presented no osmolality distress even after 8 h. In 20 ppt, a slight increase (10%) in plasma osmolality was observed for both times of exposure when compared to control fish. Muscle slices submitted in vitro to hyper-osmotic saline displayed decreased body mass after 75 min, and slices submitted to hypo-osmotic saline displayed increased body mass after 45 min when compared to control (isosmotic saline). These results reinforce A. ocellatus’s euryhalinity. The fish were able to regulate its internal medium and tolerate 14 ppt, but presented an intense osmotic challenge and low muscle hydration control when facing salinities of 20 ppt.

  4. De Profundis d’Oscar Wilde: la quête d’identité du dandy en prison

    Directory of Open Access Journals (Sweden)

    2010-02-01

    Full Text Available Plus d’un siècle après sa mort, Oscar Wilde continue de susciter l’intérêt tant pour son œuvre que pour sa vie. Dandy toute sa vie, d’une taille hors du commun, ce n’est pas seulement l’artiste mais aussi l’homme qui a marqué son siècle et continue d’enthousiasmer le lecteur du vingt-et-unième siècle. (... L’écriture de soi en souffrance, comme nous le voyons à travers De Profundis, aboutit à la preuve que son génie artistique est intact. (... L’écriture combat la souffrance de l’isolation et de la déchéance, mais dans le cas de Wilde, c’est également le moyen de se reconstruire en tant qu’homme et en tant qu’artiste: il n’a plus de nom, plus de reconnaissance par les hommes, mais le texte, que Wilde l’ai pensé ou non, est une nouvelle œuvre d’art qui montre la capacité et la force de l’esprit en condition d’oppression.

  5. Projectables

    DEFF Research Database (Denmark)

    Rasmussen, Troels A.; Merritt, Timothy R.

    2017-01-01

    CNC cutting machines have become essential tools for designers and architects enabling rapid prototyping, model-building and production of high quality components. Designers often cut from new materials, discarding the irregularly shaped remains. We introduce ProjecTables, a visual augmented...... reality system for interactive packing of model parts onto sheet materials. ProjecTables enables designers to (re)use scrap materials for CNC cutting that would have been previously thrown away, at the same time supporting aesthetic choices related to wood grain, avoiding surface blemishes, and other...... relevant material properties. We conducted evaluations of ProjecTables with design students from Aarhus School of Architecture, demonstrating that participants could quickly and easily place and orient model parts reducing material waste. Contextual interviews and ideation sessions led to a deeper...

  6. The Physical Activity and Redesigned Community Spaces (PARCS Study: Protocol of a natural experiment to investigate the impact of citywide park redesign and renovation

    Directory of Open Access Journals (Sweden)

    Terry T. K. Huang

    2016-11-01

    Full Text Available Abstract Background The built environment plays a critical role in promoting physical activity and health. The association between parks, as a key attribute of the built environment, and physical activity, however, remains inconclusive. This project leverages a natural experiment opportunity to assess the impact of the Community Parks Initiative (CPI, a citywide park redesign and renovation effort in New York City, on physical activity, park usage, psychosocial and mental health, and community wellbeing. Methods The project will use a longitudinal design with matched controls. Thirty intervention park neighborhoods are socio-demographically matched to 20 control park neighborhoods. The study will investigate whether improvements in physical activity, park usage, psychosocial and mental health, and community wellbeing are observed from baseline to 3 years post-renovation among residents in intervention vs. control neighborhoods. Discussion This study represents a rare opportunity to provide robust evidence to further our understanding of the complex relationship between parks and health. Findings will inform future investments in health-oriented urban design policies and offer evidence for addressing health disparities through built environment strategies.

  7. Redesigning a clinical mentoring program for improved outcomes in the clinical training of clerks

    OpenAIRE

    Lin, Chia-Der; Lin, Blossom Yen-Ju; Lin, Cheng-Chieh; Lee, Cheng-Chun

    2015-01-01

    Introduction: Mentorship has been noted as critical to medical students adapting to clinical training in the medical workplace. A lack of infrastructure in a mentoring program might deter relationship building between mentors and mentees. This study assessed the effect of a redesigned clinical mentoring program from the perspective of clerks. The objective was to assess the benefits of the redesigned program and identify potential improvements.Methods: A redesigned clinical mentoring program ...

  8. The benefits of redesigning Benin's vaccine supply chain.

    Science.gov (United States)

    Brown, Shawn T; Schreiber, Benjamin; Cakouros, Brigid E; Wateska, Angela R; Dicko, Hamadou M; Connor, Diana L; Jaillard, Philippe; Mvundura, Mercy; Norman, Bryan A; Levin, Carol; Rajgopal, Jayant; Avella, Mélanie; Lebrun, Caroline; Claypool, Erin; Paul, Proma; Lee, Bruce Y

    2014-07-07

    New vaccine introductions have put strains on vaccine supply chains around the world. While increasing storage and transportation may be the most straightforward options, it is also important to consider what financial and operational benefits can be incurred. In 2012, suboptimal vaccine coverage and impending vaccine introductions prompted the Republic of Benin's Ministry of Health (MOH) to explore ways to improve their vaccine supply chain. Working alongside the Beninese MOH, we utilized our computational model, HERMES, to explore the impact on cost and vaccine availability of three possible options: (1) consolidating the Commune level to a Health Zone level, (2) removing the Commune level completely, and (3) removing the Commune level and expanding to 12 Department Stores. We also analyzed the impact of adding shipping loops during delivery. At baseline, new vaccine introductions without any changes to the current system increased the logistics cost per dose ($0.23 to $0.26) and dropped the vaccine availability to 71%. While implementing the Commune level removal scenario had the same capital costs as implementing the Health Zone scenario, the Health Zone scenario had lower operating costs. This increased to an overall cost savings of $504,255 when implementing shipping loops. The best redesign option proved to be the synergistic approach of converting to the Health Zone design and using shipping loops (serving ten Health Posts/loop). While a transition to either redesign or only adding shipping loops was beneficial, implementing a redesign option and shipping loops can yield both lower capital expenditures and operating costs. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  9. Redesign av Escola forlag sine skoleordbøker

    OpenAIRE

    Heggen, Inger Helene

    2007-01-01

    Rapporten består av en litteraturstudie (med begrepsavklaringer og en gjennomgang av ordboktypografiens historie – med hovedvekt på engelsk ordboktypografi), en analyse av ettspråklige ordbøker i dag (både norske og engelske), og en analyse av Escola Forlags ordbøker (bokmål og nynorsk utgave). Til slutt – en demononstrasjon av min resulterende redesign av ordbøkene (omslag og innmat). Her har det vært særlig viktig å tydeliggjøre oppslagsordene og oppslagsordenes underelementer s...

  10. Costing analysis and anthropological assessment of the vaccine supply chain system redesign in the Comé District (Benin).

    Science.gov (United States)

    Huang, Xiao Xian; Guillermet, Elise; Le Gargasson, Jean-Bernard; Alfa, Daleb Abdoulaye; Gbodja, Romule; Sossou, Adanmavokin Justin; Jaillard, Phillippe

    2017-04-19

    At the end of 2013, a pilot experiment was carried out in Comé health zone (HZ) in an attempt to optimize the vaccine supply chain. Four commune vaccine storage facilities were replaced by one central HZ facility. This study evaluated the incremental financial needs for the establishment of the new system; compared the economic cost of the supply chain in the Comé HZ before and after the system redesign; and analyzed the changes induced by the pilot project in immunization logistics management. The purposive sampling method was used to draw a sample from 37 health facilities in the zone for costing evaluation. Data on inputs and prices were collected retrospectively for 2013 and 2014. The analysis used an ingredient-based approach. In addition, 44 semi-structured interviews with health workers for anthropological analysis were completed in 2014. The incremental financial costs amounted to US$55,148, including US$50,605 for upfront capital investment and US$4543 for ongoing recurrent costs. Annual economic cost per dose administered (including all vaccines distributed through the Expanded Program on Immunization (EPI)) in the Comé HZ increased from US$0.09 before system redesign to US$0.15 after implementation, mainly due to a high initial investment and the operational cost of HZ mobile warehouse. Interviews with health workers suggested that the redesigned system was associated with improvements in motivation and professional awareness due to training, supportive supervision, and improved work conditions. The system redesign involved a considerable investment at HZ level. Benefits were found in the reduction of transportation costs to health posts (HP) and commune health center (CHC) levels, and the strengthening of health workers professional skills at all levels in Comé. The redesigned system contributed to a decrease in funding needs at HP and CHC levels. The benefits of the investment need to be examined after the introduction of new vaccines and after a

  11. Homosexuality as (AntiIllness: Oscar Wilde's The Picture of Dorian Gray and Gabriele D'Annunzio's Il Piacere

    Directory of Open Access Journals (Sweden)

    Edward S. Brinkley

    1998-01-01

    Full Text Available This article treats Oscar Wilde's The Picture of Dorian Gray as culturally antagonistic but also as culturally conservative: Dorian's liminal position as a male who knows —who has experienced sexual contact with other males—is linked in the text both to a position of cultural/epistemological superiority (the "Greek" sexual act constructed as index of canonical mastery, back to Greek texts and artwork and to a position of disease and dis-figurement. The latter association, read by other commentators particularly in the final pages as punishment for narcissism, hedonism, or homosexual activity, is here glossed as an accusation against Victorian injunctions against same sex sexual activity constitutive of homosexual identity: the marks of disease accrue in the sphere of cultural representation, which then mark and mar the individual body. Dorian Gray as a text then launches a kind of "homosexual panic" on the part of subsequent writers in "decadent modernism," notably Gabriele D'Annunzio, whose Il Piacere attempts to re-valorize the ephebe as the bearer of canon—and must now do so as an avowedly heterosexual male, but in the context of the danger of the dandy: the Wilde figure as "Humphrey Heathfield" must be introduced in order to have been experienced, even if only in disgust. D'Annunzio's turn toward fascist politics is not accidental in this respect: the literary phenomenon of "fascist modernism" appears to hew very closely to the fear of the cultural ascendancy of the dandy, often read in such texts as a subcultural homosexual male, who must be both experienced and extinguished.

  12. Sistema de gestión de información para la Residencia Universitaria de la Universidad de Holguín "Oscar Lucero Moya"

    OpenAIRE

    Jenny Ruiz de la Peña; Indira Cuba Céspedes

    2010-01-01

    Describe un estudio acerca del proceso de gestión de información de la Residencia Universitaria de la Universidad de Holguín "Oscar Lucero Moya", sus características y principales deficiencias. Presenta la aplicación de un sistema para el desarrollo del proceso y la solución de la problemática presentada. Se plantean las principales tendencias en el mundo, cómo repercuten en el proceso, así como el desarrollo del Sistema de gestión de información para la Residencia Universitaria.

  13. A Journey to Improved Inpatient Glycemic Control by Redesigning Meal Delivery and Insulin Administration.

    Science.gov (United States)

    Engle, Martha; Ferguson, Allison; Fields, Willa

    2016-01-01

    The purpose of this quality improvement project was to redesign a hospital meal delivery process in order to shorten the time between blood glucose monitoring and corresponding insulin administration and improve glycemic control. This process change redesigned the workflow of the dietary and nursing departments. Modifications included nursing, rather than dietary, delivering meal trays to patients receiving insulin. Dietary marked the appropriate meal trays and phoned each unit prior to arrival on the unit. The process change was trialed on 2 acute care units prior to implementation hospital wide. Elapsed time between blood glucose monitoring and insulin administration was analyzed before and after process change as well as evaluation of glucometrics: percentage of patients with blood glucose between 70 and 180 mg/dL (percent perfect), blood glucose greater than 300 mg/dL (extreme hyperglycemia), and blood glucose less than 70 mg/dL (hypoglycemia). Percent perfect glucose results improved from 45% to 53%, extreme hyperglycemia (blood glucose >300 mg/dL) fell from 11.7% to 5%. Hypoglycemia demonstrated a downward trend line, demonstrating that with improving glycemic control hypoglycemia rates did not increase. Percentage of patients receiving meal insulin within 30 minutes of blood glucose check increased from 35% to 73%. In the hospital, numerous obstacles were present that interfered with on-time meal insulin delivery. Establishing a meal delivery process with the nurse performing the premeal blood glucose check, delivering the meal, and administering the insulin improves overall blood glucose control. Nurse-led process improvement of blood glucose monitoring, meal tray delivery, and insulin administration does lead to improved glycemic control for the inpatient population.

  14. Redesigning a joint replacement program using Lean Six Sigma in a Veterans Affairs hospital.

    Science.gov (United States)

    Gayed, Benjamin; Black, Stephen; Daggy, Joanne; Munshi, Imtiaz A

    2013-11-01

    In April 2009, an analysis of joint replacement surgical procedures at the Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana, revealed that total hip and knee replacements incurred $1.4 million in non-Veterans Affairs (VA) care costs with an average length of stay of 6.1 days during fiscal year 2008. The Joint Replacement Program system redesign project was initiated following the Vision-Analysis-Team-Aim-Map-Measure-Change-Sustain (VA-TAMMCS) model to increase efficiency, decrease length of stay, and reduce non-VA care costs. To determine the effectiveness of Lean Six Sigma process improvement methods applied in a VA hospital. Perioperative processes for patients undergoing total joint replacement were redesigned following the VA-TAMMCS model--the VA's official, branded method of Lean Six Sigma process improvement. A multidisciplinary team including the orthopedic surgeons, frontline staff, and executive management identified waste in the current processes and initiated changes to reduce waste and increase efficiency. Data collection included a 1-year baseline period and a 20-month sustainment period. The primary endpoint was length of stay; a secondary analysis considered non-VA care cost reductions. Length of stay decreased 36% overall, decreasing from 5.3 days during the preproject period to 3.4 days during the 20-month sustainment period (P Lean and Six Sigma process improvement initiatives in a surgical practice, producing a 36% sustained reduction in length of stay and completely eliminating non-VA care for total hip and knee replacements while increasing total joint replacement volume at this medical center.

  15. Strength in unity: the power of redesign to align the hospital team.

    Science.gov (United States)

    Bell, Anthony; Cochrane, Alastair; Courtice, Sally; Flanigan, Kathy; Mathur, Mandeep; Wilckens, Daniel

    2014-06-01

    The aim of Queen Elizabeth II Jubilee Hospital (QEII) redesign project (QEII United) was to enhance timely access to an inpatient bed and maximise opportunities to value add during the inpatient episode of care. A tripartite relationship between the hospital team, system manager and external consultants. The team, QEII United, was formed to 'diagnose, solve and implement' change under the unifying metaphorical banner of a football team. A marketing strategy and communication plan targeted the key 'players' and outlined the 'game plan'. Baseline data were collected, analysed and reported in keeping with key aims. Strategies for systems improvement implementation were attached to key performance indicators (KPIs). Thematic KPIs were developed to embed internal process change to reflect the contributions made towards the National Emergency Access Target (NEAT) at each stage of the patient journey. As such, access block of under 20%, morning discharge rates of 50% before midday, reduced length of stay for selected elective orthopaedic and general medical diagnostic related groupings (DRGs; i.e. relative stay index ≤1) and hospital in the home (HITH) utilisation rates 1.5% of all admissions were all met. Key to sustainability was the transfer of clinical redesign skills to hospital staff and the fostering of emergent ground up leadership. QEII United's success has been underpinned by the development of themed solution areas developed by the hospital staff themselves. Robust baseline data analysis used in combination with nationally available benchmarking data provided a quantitative starting point for the work. The collaborative elements of the program re-energised the hospital team, who were kept informed by targeted communications, to establish quick wins and build trust and momentum for the more challenging areas.

  16. Redesign of a supply network by considering stochastic demand

    Directory of Open Access Journals (Sweden)

    Juan Camilo Paz

    2015-09-01

    Full Text Available This paper presents the problem of redesigning a supply network of large scale by considering variability of the demand. The central problematic takes root in determining strategic decisions of closing and adjusting of capacity of some network echelons and the tactical decisions concerning to the distribution channels used for transporting products. We have formulated a deterministic Mixed Integer Linear Programming Model (MILP and a stochastic MILP model (SMILP whose objective functions are the maximization of the EBITDA (Earnings before Interest, Taxes, Depreciation and Amortization. The decisions of Network Design on stochastic model as capacities, number of warehouses in operation, material and product flows between echelons, are determined in a single stage by defining an objective function that penalizes unsatisfied demand and surplus of demand due to demand changes. The solution strategy adopted for the stochastic model is a scheme denominated as Sample Average Approximation (SAA. The model is based on the case of a Colombian company dedicated to production and marketing of foodstuffs and supplies for the bakery industry. The results show that the proposed methodology was a solid reference for decision support regarding to the supply networks redesign by considering the expected economic contribution of products and variability of the demand.

  17. Digital prototyping technique applied for redesigning plastic products

    Science.gov (United States)

    Pop, A.; Andrei, A.

    2015-11-01

    After products are on the market for some time, they often need to be redesigned to meet new market requirements. New products are generally derived from similar but outdated products. Redesigning a product is an important part of the production and development process. The purpose of this paper is to show that using modern technology, like Digital Prototyping in industry is an effective way to produce new products. This paper tries to demonstrate and highlight the effectiveness of the concept of Digital Prototyping, both to reduce the design time of a new product, but also the costs required for implementing this step. The results of this paper show that using Digital Prototyping techniques in designing a new product from an existing one available on the market mould offers a significantly manufacturing time and cost reduction. The ability to simulate and test a new product with modern CAD-CAM programs in all aspects of production (designing of the 3D model, simulation of the structural resistance, analysis of the injection process and beautification) offers a helpful tool for engineers. The whole process can be realised by one skilled engineer very fast and effective.

  18. Business Process Redesign Using EDI: the BHP steel experience

    Directory of Open Access Journals (Sweden)

    Paula Swatman

    1994-05-01

    Full Text Available EDI should not be seen as a competitive weapon - it does not offer a sustainable competitive advantage to its users as did the earlier inter-organisational systems (such as the various airline reservation systems. Instead EDI provides a standardised infrastructure upon which an adopting organisation can reengineer its business processes and thus confers a long-term, strategic and comparative advantage upon such an adopter. The potential for sustained competitive advantage to be derived from EDI arises from its integration with the organisational structure of its implementor, depending upon the implementing organisation's ability to redesign its business processes appropriately. This paper examines the case of (arguably the most sophisticated EDI-using company in Australia, BHP Steel, demonstrating the advantages obtainable by an organisation using EDI as a foundation for its reengineered organisational structure and business processes and concludes that: • there are real benefits to be obtained from an inter organisational electronic trading strategy founded on EDI as the enabling mechanism - benefits which are considerably more extensive than EDI's comparatively simple technical nature would appear to offer; • organisational gateways utilising an Application Generic approach to system integration and isolating the communications issue by insisting on the use of international data communications standards do offer a realistic and successful solution to the problem of internal and external trade for large and sophisticated organisations; • the majority of these achievements would have been either unlikely or totally impossible without BHP Steel's commitment to organisation-wide Business Process Redesign.

  19. BEPS redesign of 168 commercial buildings: summary report

    Energy Technology Data Exchange (ETDEWEB)

    Stoops, J.L.; Deringer, J.J.; Moreno, S.; Misuriello, H.P.

    1984-05-01

    The objective of this report is to present, in usable form, summary data from the Building Energy Performance Standards (BEPS) Phase II commercial buildings energy research conducted in 1978-1979. Summary data presented were obtained from two major research efforts: the BEPS Phase II Redesign experiment; and the related research on ASHRAE Standard 90-75R. The bulk of this report consists of data tabulations of key energy parameters for the 168 sample buildings, which were tabulated from computer-stored files of the 1978-1979 data. Two kinds of tabulations are included: numerical tabulations that extracted information from the computer-stored data base for the 168 sample buildings; and graphic presentations of the computer-generated data, plus data extracted from other sources. The intent is to provide a single data compendium of key energy-related factors from the 1978 redesign experiment and the associated 1978-1979 ASHRAE Standard 90-75R research. This report also supplements the information for which there was not space in the magazine articles. Thus, for some building types, additional analysis, comments, and data tabulations are included that could not be included in the articles because space was limited. These additional analysis items are not consistent across building types because both the energy conservation opportunities and the design strategies applied by the building designers varied considerably by building type. The chapters have been entered individually into EDB and ERA.

  20. Participatory ergonomics in redesigning a dyeing tub for fabric dyers.

    Science.gov (United States)

    Parimalam, P; Premalatha, M R; Padmini, D S; Ganguli, A K

    2012-01-01

    The 'saree' worn by women in India and many South Asian countries is dyed using a tub, usually in small scale units employing low capital and a small number of workers. While using these tubs, workers adopt awkward postures over long periods of time which results in severe discomfort in the neck, shoulders and lower extremities. The purpose of the study was to redesign the dyeing tub using a participatory approach and to study the impact of the newly designed tub on the reported body discomfort and rate of production. Redesigning of the dyeing tub was carried out using three parallel participative processes--(1) eliciting the views of workers who use the tub, (2) interacting with the proprietors of the small scale dyeing units (the employers) and the tub manufacturers, and (3) iterative prototype tub development based on inputs from the first two processes. These processes facilitated involvement of the stake-holders and the acceptance of change. The final prototype was tested by nine workers for a period of three months to evaluate the reduction in body discomfort and increase in rate of production (output). Studies on the impact of the new tub showed a reduction in discomfort level from 'severe' to 'moderate', and a mean increase of 7.9% in the output, confirming the benefits of the participative approach to ergonomics intervention. The involvement, trust and credibility generated by the participative process facilitated the acceptance of the final design.

  1. 77 FR 73575 - Approval and Promulgation of Air Quality Implementation Plans; West Virginia; Redesignation of...

    Science.gov (United States)

    2012-12-11

    ...) (supplemented at 57 FR 18070, April 28, 1992) and has provided further guidance on processing redesignation requests in the following documents: 1. ``Procedures for Processing Requests to Redesignate Areas to... interpolation between VISTAS/ASIP 2012 and 2018 modeling inventory. The 2022 EGU inventory for PM 2.5 , NO X...

  2. Learning to Redesign Teacher Education: A Conceptual Framework to Support Program Change

    Science.gov (United States)

    Anagnostopoulos, Dorothea; Levine, Thomas; Roselle, Rene; Lombardi, Allison

    2018-01-01

    University-based teacher education faces intensifying pressure to prove its effectiveness. This has prompted renewed interest in program redesign. In this article, we argue that enacting meaningful redesign requires university-based teacher educators to learn new ways of thinking and acting not only with teacher candidates but also with their…

  3. An evolutionary approach for business process redesign : towards an intelligent system

    NARCIS (Netherlands)

    Netjes, M.; Limam Mansar, S.; Reijers, H.A.; Aalst, van der W.M.P.; Cardoso, J.; Cordeiro, J.; Filipe, J.

    2007-01-01

    Although extensive literature on BPR is available, there is still a lack of concrete guidance on actually changing processes for the better. It is our goal to provide a redesign approach which describes and supports the steps to derive from an existing process a better performing redesign. In this

  4. Outsourcing of Corporate Information Services: Implications for Redesigning Corporate Library Services.

    Science.gov (United States)

    Agada, John

    1996-01-01

    Examines the trend in outsourcing information services and suggests it threatens the survival of corporate libraries. Topics include changes in the competitive corporate environment; characteristics of outsourceable services; managing change; redesigning the corporate librarian's role; and implications for redesigning corporate information…

  5. 76 FR 76302 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Redesignation of Lake and...

    Science.gov (United States)

    2011-12-07

    ...] Approval and Promulgation of Air Quality Implementation Plans; Indiana; Redesignation of Lake and Porter...). ACTION: Final rule. SUMMARY: EPA is taking several related actions affecting Lake and Porter Counties and... redesignation of Lake and Porter Counties to attainment of the 1997 annual PM 2.5 standard. EPA is approving, as...

  6. Redesigning Schools to Raise Achievement. Where We Stand. Item Number 39-0232

    Science.gov (United States)

    American Federation of Teachers, 2006

    2006-01-01

    This document contains resolution text adopted by the American Federation of Teachers (AFT) in July 1998 regarding Redesigning Low-Performing Schools. A Question & Answer section follows the resolution, addressing the following issues: (1) Union support for redesign or closure of low-performing schools; (2) Indicators of low-performing schools…

  7. [Improving the continuous care process in primary care during weekends and holidays: redesigning and FMEA].

    Science.gov (United States)

    Cañada Dorado, A; Cárdenas Valladolid, J; Espejo Matorrales, F; García Ferradal, I; Sastre Páez, S; Vicente Martín, I

    2010-01-01

    To describe a project carried out in order to improve the process of Continuous Health Care (CHC) on Saturdays and bank holidays in Primary Care, area number 4, Madrid. The aim of this project was to guarantee a safe and error-free service to patients receiving home health care on weekends. The urgent need for improving CHC process was identified by the Risk Management Functional Unit (RMFU) of the area. In addition, some complaints had been received from the nurses involved in the process as well as from their patients. A SWOT (Strengths, Weaknesses, Opportunities and Threats) analysis performed in 2009 highlighted a number of problems with the process. As a result, a project for improvement was drawn up, to be implemented in the following stages: 1. Redesigning and improving the existing process. 2. Application of failure mode and effect analysis (FMEA) to the new process. 3. Follow up, managing and leading the project. 4. Nurse training. 5. Implementing the process in the whole area. 6. CHC nurse satisfaction surveys. After carrying out this project, the efficiency and level of automation improved considerably. Since implementation of the process enhancement measures, no complaints have been received from patients and surveys show that CHC nurse satisfaction has improved. By using FMEA, errors were given priority and enhancement steps were taken in order to: Inform professionals, back-up personnel and patients about the process. Improve the specialist follow-up report. Provide training in ulcer patient care. The process enhancement, and especially its automation, has resulted in a significant step forward toward achieving greater patient safety. FMEA was a useful tool, which helped in taking some important actions. Finally, CHC nurse satisfaction has clearly improved. Copyright © 2009 SECA. Published by Elsevier Espana. All rights reserved.

  8. Redesigning a Flexible Material Master Data Application with Language Dependency

    Directory of Open Access Journals (Sweden)

    Mihaela Muntean

    2016-06-01

    Full Text Available Based on some inconveniences identified within a material master data application of theSAP MM module, the current paper proposes an alternative technical solution for designing thepopup layout screen of the material master data application with respect to language dependency.The application should present the text of all tabs, areas and fields in the desired language based onthe user logon preferences. Also it has been implemented a possibility to sort the data in the desiredorder, so the customer isn’t forced, as before, to search for a certain field, when updating certainmaterials. The proposed solution suggests the use of five database tables, combined within threemaintenance views, which build a view cluster. The advantage of the redesigned application consistsof easier maintainability of the data (fields, areas and tabs can be easily added, deleted, reorderedand renamed and all the data within the view cluster can be translated into any language supportedby the system.

  9. Key strategies and criteria to redesigning the nuclear fuel cycle

    International Nuclear Information System (INIS)

    Iakimets, V.N.

    1999-01-01

    Design of the nuclear fuel cycle (NFC) impacts future development of the nuclear industry on the one hand and the scale of the technological and environmental risk for future generations on the other hand. Adequate protection for humans and the biosphere will depend upon careful and unbiased design of the NFC. This paper addresses the two following problems: 1. What are the key strategies in restructuring nuclear power production itself in terms of choosing the safest possible variant of the NFC and identifying reasonable approaches to redesigning decision-making procedures for design, siting and operation, and decommissioning of new facilities, which have to be based on a strong legally approved citizen involvement. 2. What criteria should be used to evaluate any strategic or mid-term decisions related to the NFC, how can these be made operational, and what procedures may we apply to evaluate alternatives and select the most preferable one mutually acceptable to both citizens and nuclear specialists?

  10. A simulated annealing approach for redesigning a warehouse network problem

    Science.gov (United States)

    Khairuddin, Rozieana; Marlizawati Zainuddin, Zaitul; Jiun, Gan Jia

    2017-09-01

    Now a day, several companies consider downsizing their distribution networks in ways that involve consolidation or phase-out of some of their current warehousing facilities due to the increasing competition, mounting cost pressure and taking advantage on the economies of scale. Consequently, the changes on economic situation after a certain period of time require an adjustment on the network model in order to get the optimal cost under the current economic conditions. This paper aimed to develop a mixed-integer linear programming model for a two-echelon warehouse network redesign problem with capacitated plant and uncapacitated warehouses. The main contribution of this study is considering capacity constraint for existing warehouses. A Simulated Annealing algorithm is proposed to tackle with the proposed model. The numerical solution showed the model and method of solution proposed was practical.

  11. Implementing Business Process Redesign: early lessons from the Australian experience

    Directory of Open Access Journals (Sweden)

    Marianne Broadbent

    1995-05-01

    Full Text Available Business Process Redesign (BPR is a change management approach aimed at achieving quantum improvements in business performance. Industry interest levels in BPR are high as a direct result of current difficulties in the global economic climate and tight business conditions. Integral to BPR is the availability of new stable technologies which both stimulate and enable process changes. This paper highlights the experiences of a number of Australian firms which have implemented BPR. A ten step framework for BPR is presented together with a series of caveats. BPR is a difficult, messy and often non-linear activity which challenges many of the ways organisations operate. Information Technology plays a pivotal role in BPR as both an enabler and disenabler for change. Lessons emerging from early Australian experiences with BPR focus on the role of executive sponsorship, consultants, measurements, education and training, technology and people involved in the change process.

  12. Indoor air quality of a museum in a subtropical climate: The Oscar Niemeyer museum in Curitiba, Brazil

    International Nuclear Information System (INIS)

    Godoi, Ricardo H.M.; Carneiro, Barbara H.B.; Paralovo, Sarah L.; Campos, Vania P.; Tavares, Tania M.; Evangelista, Heitor; Van Grieken, Rene; Godoi, Ana F.L.

    2013-01-01

    The assessment of damage to indoor cultural heritage, in particular by pollutants, is nowadays a major and growing concern for curators and conservators. Nevertheless, although many museums have been widely investigated in Europe, the effects of particulate matter and gaseous pollutants in museums under tropical and subtropical climates and with different economic realities are still unclear. An important portion of the world's cultural heritage is currently in tropical countries where both human and financial resources for preserving museum collections are limited. Hence, our aim is to assess the damage that can be caused to the artwork by pollution in hot and humid environments, where air quality and microclimatic condition differences can cause deterioration. As a case study, particulate matter as well as gases were collected at the Oscar Niemeyer Museum (MON) in Curitiba, Brazil, where large modern and contemporary works of art are displayed. NO 2 , SO 2 , O 3 , Acetic Acid, Formic Acids and BTEX, in the ambient air, were sampled by means of passive diffusive sampling and their concentrations were determined by IC or GC–MS. The particulate matter was collected in bulk form and analyzed with the use of energy dispersive X-ray fluorescence and aethalometer. The chemical compositions of individual particles were quantitatively elucidated, including low-Z components like C, N and O, as well as higher-Z elements, using automated electron probe microanalysis. The gaseous and particulate matter levels were then compared with the concentrations obtained for the same pollutants in other museums, located in places with different climates, and with some reference values provided by international cultural heritage conservation centers. Results are interpreted separately and as a whole with the specific aim of identifying compounds that could contribute to the chemical reactions taking place on the surfaces of artifacts and which could potentially cause irreversible

  13. Hubble Space Telescope EVA Power Ratchet Tool redesign

    Science.gov (United States)

    Richards, Paul W.; Park, Chan; Brown, Lee

    The Power Ratchet Tool (PRT) is a self contained, power-driven, 3/8 inch drive ratchet wrench which will be used by astronauts during Extravehicular Activities (EVA). This battery-powered tool is controlled by a dedicated electonic controller. The PRT was flown during the Hubble Space Telescope (HST) Deployment Mission STS-31 to deploy the solar arrays if the automatic mechanisms failed. The PRT is currently intended for use during the first HST Servicing Mission STS-61 as a general purpose power tool. The PRT consists of three major components; the wrench, the controller, and the battery module. Fourteen discrete combinations of torque, turns, and speed may be programmed into the controller before the EVA. The crewmember selects the desired parameter profile by a switch mounted on the controller. The tool may also be used in the manual mode as a non-powered ratchet wrench. The power is provided by a silver-zinc battery module, which fits into the controller and is replaceable during an EVA. The original PRT did not meet the design specification of torque output and hours of operation. To increase efficiency and reliability the PRT underwent a redesign effort. The majority of this effort focused on the wrench. The original PRT drive train consisted of a low torque, high speed brushless DC motor, a face gear set, and a planocentric gear assembly. The total gear reduction was 300:1. The new PRT wrench consists of a low speed, high torque brushless DC motor, two planetary gear sets and a bevel gear set. The total gear reduction is now 75:1. A spline clutch has also been added to disengage the drive train in the manual mode. The design changes to the controller will consist of only those modifications necessary to accomodate the redesigned wrench.

  14. Nitrate + nitrite content (concentration), phosphate, and silicate collected from NOAA Ship Oscar Elton Sette in the North Pacific Ocean from 2008-03-26 to 2011-03-24 (NCEI Accession 0129883)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Laboratory analysis of water samples collected aboard NOAA Ship Oscar Elton Sette along a 158°W transect from 26°-36°N in the central North Pacific. Laboratory...

  15. Erratum: A space weather mission concept: Observatories of the solar corona and active regions (oscar) (Journal of Space Weather and Space Climate (2015) 5 (A4) DOI: 10.1051/swsc/2015003)

    DEFF Research Database (Denmark)

    Strugarek, Antoine; Janitzek, Nils; Lee, Arrow

    2017-01-01

    et al. (2011). At the time we developed OSCAR, EASCO was one of the inspirational mission concepts on which we built our new and original concept of twin satellites leading and trailing the Earth with a separation angle of 68°. The omission of EASCO in our original paper was unintentional, and we...

  16. Policy redesign for solving the financial bottleneck in demand side management (DSM) in China

    International Nuclear Information System (INIS)

    Yu, Yongzhen

    2010-01-01

    DSM is one of the best and most practical policy tools for China to balance environmental protection and economic growth. However, the bottleneck lies in the lack of long-term, stable, sufficient and gradually increasing funds to flow into DSM projects. The author redesigns the practical 'system benefit charge (SBC)' policy, which will provide long-term and stable funding for DSM, the policy to facilitate the financial support from banking sector and capital market, and investigates the possibility of DSM funding from CDM projects. SBC is the best way to boost long-term stable and sufficient funding for DSM at present in China. The current low inflation rate and natural resource price are favored to expedite the implementation of SBC and DSM developments. With regard to the uneven development, China needs to design relative policies to offset the impact in different areas, such as tax reduction and fiscal subsides. It is time for China to develop a definite and clear target and timetable to implement DSM, which will give the public and enterprises a definite and clear expectation for the future. The government should publicize a clear and integrated DSM development plan and relative policy outline in the near, medium, and long term. (author)

  17. Identification and verification of critical performance dimensions. Phase 1 of the systematic process redesign of drug distribution.

    Science.gov (United States)

    Colen, Hadewig B; Neef, Cees; Schuring, Roel W

    2003-06-01

    Worldwide patient safety has become a major social policy problem for healthcare organisations. As in other organisations, the patients in our hospital also suffer from an inadequate distribution process, as becomes clear from incident reports involving medication errors. Medisch Spectrum Twente is a top primary-care, clinical, teaching hospital. The hospital pharmacy takes care of 1070 internal beds and 1120 beds in an affiliated psychiatric hospital and nursing homes. In the beginning of 1999, our pharmacy group started a large interdisciplinary research project to develop a safe, effective and efficient drug distribution system by using systematic process redesign. The process redesign includes both organisational and technological components. This article describes the identification and verification of critical performance dimensions for the design of drug distribution processes in hospitals (phase 1 of the systematic process redesign of drug distribution). Based on reported errors and related causes, we suggested six generic performance domains. To assess the role of the performance dimensions, we used three approaches: flowcharts, interviews with stakeholders and review of the existing performance using time studies and medication error studies. We were able to set targets for costs, quality of information, responsiveness, employee satisfaction, and degree of innovation. We still have to establish what drug distribution system, in respect of quality and cost-effectiveness, represents the best and most cost-effective way of preventing medication errors. We intend to develop an evaluation model, using the critical performance dimensions as a starting point. This model can be used as a simulation template to compare different drug distribution concepts in order to define the differences in quality and cost-effectiveness.

  18. Redesigning a Large Lecture Course for Student Engagement: Process and Outcomes

    Directory of Open Access Journals (Sweden)

    Leslie F. Reid

    2012-12-01

    Full Text Available Using an action-research approach, a large-lecture science course (240 students was redesigned to improve student engagement in the areas of active and collaborative learning, faculty-student interaction and level of academic challenge. This was mainly achieved through the addition of a half-semester long group project, which replaced half of the lectures and the final exam. The course redesign did not result in more hours spent on teaching and teaching-related activities (grading, assessment preparation, lecturing, lecture preparation for the instructor – although the redesigned course requires the support of teaching assistants for the project component. Data on students’ perceptions of the modified course and the frequency to which they participated in the engagement activities were collected using the Classroom Survey of Student Engagement (CLASSE. The majority of students reported high levels of engagement in most of the intended areas and were comfortable with the new class design. The CLASSE data also helped identify areas where intended engagement levels were not met. These areas are the focus for future course development and action research questions.Utilisant une approche de type recherche-action, un cours de science offert dans un grand auditorium (240 étudiants a été reconfiguré afin d’amener les étudiants à s’engager davantage dans un apprentissage actif et collaboratif ainsi que dans leur interaction professeur-étudiants et à relever un défi de nature académique. Pour ce faire, la moitié des cours magistraux ainsi que l’examen final ont été remplacés par un projet de groupe. La reconfiguration du cours ne s’est pas traduite par une augmentation des heures d’enseignement ou des activités liées à l’enseignement (notation, préparation des évaluations, exposé magistral, préparation de l’exposé magistral – bien qu’elle ait nécessité le soutien des assistants à l’enseignement pour la

  19. International Space Station (ISS) Potable Water Dispenser (PWD) Beverage Adapter (BA) Redesign

    Science.gov (United States)

    Edgerly, Rachel; Benoit, Jace; Shindo, David

    2012-01-01

    The Potable Water Dispenser used on the International Space Station (ISS) interfaces with food and drink packages using the Beverage Adapter and Needle. Unexpected leakage has been seen in this interface. The Beverage Adapter used on ]orbit was returned to the ground for Test, Teardown, and Evaluation. The results of that investigation prompted a redesign of the Beverage Adapter and Needle. The Beverage Adapter materials were changed to be more corrosion resistant, and the Needle was redesigned to preclude leakage. The redesigns have been tested and proven.

  20. Re-Design and Beat Testing of the Man-Machine Integration Design and Analysis System: MIDAS

    Science.gov (United States)

    Shively, R. Jay; Rutkowski, Michael (Technical Monitor)

    1999-01-01

    The Man-machine Design and Analysis System (MIDAS) is a human factors design and analysis system that combines human cognitive models with 3D CAD models and rapid prototyping and simulation techniques. MIDAS allows designers to ask 'what if' types of questions early in concept exploration and development prior to actual hardware development. The system outputs predictions of operator workload, situational awareness and system performance as well as graphical visualization of the cockpit designs interacting with models of the human in a mission scenario. Recently, MIDAS was re-designed to enhance functionality and usability. The goals driving the redesign include more efficient processing, GUI interface, advances in the memory structures, implementation of external vision models and audition. These changes were detailed in an earlier paper. Two Beta test sites with diverse applications have been chosen. One Beta test site is investigating the development of a new airframe and its interaction with the air traffic management system. The second Beta test effort will investigate 3D auditory cueing in conjunction with traditional visual cueing strategies including panel-mounted and heads-up displays. The progress and lessons learned on each of these projects will be discussed.

  1. De Profundis e Oscar Wilde: a pessoa, o escritor e o inscritor na autoria e o texto como gestão do contexto.

    Directory of Open Access Journals (Sweden)

    Kelen Rodrigues

    2016-03-01

    Full Text Available A concepção de autoria assumida fundamenta-se na proposta de Dominique Maingueneau (2006 porque ela permite mostrar a autoria como um funcionamento entrelaçado de instâncias autorias. O que está no texto de um autor, neste caso, em Oscar Wilde, diz respeito à pessoa de Wilde, tem relação com sua função de escritor no campo literário a partir de um determinado posicionamento e, ainda, diz respeito ao trabalho enunciativo de um inscritor. O objetivo é apresentar com certa exaustividade essas instâncias em funcionamento na epístola De Profundis e como, por meio de embreantes que se constituem no/pelo texto, validar o postulado do texto literário como gestão do contexto de sua produção.

  2. Partial pressure (or fugacity) of carbon dioxide, salinity and other variables collected from Surface underway observations using Barometric pressure sensor, Carbon dioxide (CO2) gas analyzer and other instruments from NOAA Ship OSCAR DYSON in the Bering Sea, Gulf of Alaska and North Pacific Ocean from 2014-03-03 to 2014-08-13 (NCEI Accession 0144980)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0144980 includes Surface underway data collected from NOAA Ship OSCAR DYSON in the Bering Sea, Gulf of Alaska and North Pacific Ocean from 2014-03-03...

  3. PROPOSAL FOR ERGONOMIC REDESIGN IN THE SEED MANUAL CLEANING AREA AND CORN RECEPTION AND MISSING AREA

    Directory of Open Access Journals (Sweden)

    Karina Luna-Soto

    2017-07-01

    Full Text Available The project is presented at a Seeds plant in the region of Los Mochis, Sinaloa, with the purpose of giving proposals for improvements, through different studies, in order to find optimal solutions for workers with better performance time to carry out the corresponding activities. In the company it is necessary to have a work area in which the operator is comfortable, also to protect the health, and to increase the productivity of the same one. For this reason the study was conducted to know the problems that are generated by an inadequate workstation, in order to obtain a better quality and to have the adequate information on how to do the work without risk. In the development of this study, different techniques of ergonomic evaluation were applied, such as Yoshitake, 4 luke points and Corlet & Bishop Mapping for the analysis of fatigue and possible CTD (Cumulative Trauma Disorders. Once analyzed, proceeded to take anthropometric measures for the redesign of the workstation, focusing mainly on the seat of workers.

  4. Models and Design Judgment: Conflicting Perspectives on Redesigning a Doctoral Readings Course

    Directory of Open Access Journals (Sweden)

    Colin M. Gray

    2012-01-01

    Full Text Available The purpose of this project was to document the redesign of an existing doctoral reading course for an online environment. Potential methods for actualizing the proposed course structure in an online environment, including technology tools and interactions are discussed. The design process began within the framework of the Four-Component Instructional Design (4C/ID model (van Merriënboer, 1997; van Merriënboer & Kirchner, 2007, which advocates a shift from topic-centeredness to a task-centered course organization, but quickly evolved into a flexible, iterative design process that was informed by prototyping, the judgment of the design team, and various theories of knowledge and knowing. The 4C/ID model represented our philosophical starting point, but our focus quickly shifted to a more flexible, eclectic process as we attempted to reconcile conflicting constraints on the final design. Along with the redevelopment of course objectives to meet strategic goals within the doctoral program came a focus on facilitating research thinking of the students rather than teaching isolated research tasks. The design process resulted in changes to the current residential course, which then provided an opportunity for further investigation.

  5. A conceptual redesign of an Inter-Building Fuel Transfer Cask

    International Nuclear Information System (INIS)

    Klann, R.T.; Picker, B.A. Jr.

    1993-01-01

    The Inter-Building Fuel Transfer Cask, referred to as the IBC, is a lead shielded cask for transporting subassemblies between buildings on the Argonne National Laboratory-West site near Idaho Falls, Idaho. The cask transports both newly fabricated and spent reactor subassemblies between the Experimental Breeder Reactor-II (EBR-II), the Fuel Cycle Facility (FCF) and the Hot Fuel Examination Facility (HFEF). The IBC will play a key role in the Integral Fast Reactor (IFR) fuel recycling demonstration project. This report discusses a conceptual redesign of the IBC which has been performed. The objective of the conceptual design was to increase the passive heat removal capabilities, reduce the personnel radiation exposure and incorporate enhanced safety features into the design. The heat transfer, radiation and thermal-hydraulic properties of the IBC were analytically modelled to determine the principal factors controlling the desip. The scoping studies that were performed determined the vital physical characteristics (i.e., size, shielding, pumps, etc.) of the MC conceptual design

  6. Redesigned front end for the upgrade at CHESS

    International Nuclear Information System (INIS)

    Headrick, R.L.; Smolenski, K.W.

    1996-01-01

    We will report on beamline front-end upgrades for the 24-pole wiggler beamlines at CHESS. A new design for primary x-ray beamstops based on a tapered, water-cooled copper block has been implemented and installed in the CHESS F beamline. The design uses a horizontally tapered open-quote open-quote V close-quote close-quote shape to reduce the power density on the internal surfaces and internal water channels in the block to provide efficient water cooling. Upstream of the beam stops, we have installed a new photoelectron style beam position monitor with separate monitoring of the wiggler and dipole vertical beam positions and with micron-level sensitivity. The monitor close-quote s internal surfaces are designed to absorb the full x-ray power in case of beam missteering, and the uncooled photoelectron collecting plates are not visible to the x-ray beam. A graphite prefilter has been installed to protect the beryllium windows that separate the front end from the x-ray optics downstream. The redesigned front end is required by the upgrade of the Cornell storage ring, now in progress, which will allow stored electron and positron currents of 300 mA by 1996, and 500 mA by 1998. At 500 mA, the wiggler power output will be over 32 kW. copyright 1996 American Institute of Physics

  7. REDESIGN OF CERNS QUADRUPOLE RESONATOR FOR TESTING OF SUPERCONDUCTING SAMPLES

    CERN Document Server

    Del Pozo Romano, Veronica

    2017-01-01

    The quadrupole resonator (QPR) was constructed in 1997 to measure the surface resistance of niobium samples at 400 MHz, the technology and RF frequency chosen for the LHC. It allows measurement of the RF properties of superconducting films deposited on disk-shaped metallic substrates. The samples are used to study different coatings which is much faster than the coating, stripping and re-coating of sample cavities. An electromagnetic and mechanical re-design of the existing QPR has been done with the goal of doubling the magnetic peak fields on the samples. Electromagnetic simulations were carried out on a completely parametrized model, using the existings QPR as baseline and modifying its dimensions. The aim was to optimize the measurement range and resolution by increasing the ratio between the magnetic peak fields on the sample and in the cavity. Increasing the average magnetic field on the sample leads to a more homogenous field distribution over the sample. Some of the modifications were based on t...

  8. Job crafting: Towards a new model of individual job redesign

    Directory of Open Access Journals (Sweden)

    Maria Tims

    2010-12-01

    Research purpose: The purpose of the study was to fit job crafting in job design theory. Motivation for the study: The study was an attempt to shed more light on the types of proactive behaviours of individual employees at work. Moreover, we explored the concept of job crafting and its antecedents and consequences. Research design, approach and method: A literature study was conducted in which the focus was first on proactive behaviour of the employee and then on job crafting. Main findings: Job crafting can be seen as a specific form of proactive behaviour in which the employee initiates changes in the level of job demands and job resources. Job crafting may be facilitated by job and individual characteristics and may enable employees to fit their jobs to their personal knowledge, skills and abilities on the one hand and to their preferences and needs on the other hand. Practical/managerial implications: Job crafting may be a good way for employees to improve their work motivation and other positive work outcomes. Employees could be encouraged to exert more influence on their job characteristics. Contribution/value-add: This article describes a relatively new perspective on active job redesign by the individual, called job crafting, which has important implications for job design theories.

  9. Redesigning assembly stations using ergonomic methods as a lean tool.

    Science.gov (United States)

    Eswaramoorthi, M; John, Mervyn; Rajagopal, C Arjun; Prasad, P S S; Mohanram, P V

    2010-01-01

    With the current state of the global economy, demand for various products plummeting. To sustain in the market, companies have to reduce cost and improve quality. Today, companies have started implementing new philosophies like TQM, TPM, six sigma and lean manufacturing techniques to remain competitive in the market. Lean manufacturing is an emerging philosophy which continuously strives to reduce waste. The main objective of analyzing the assembly line with a lean perspective is to identify the areas related to human interface with other systems that could lead to the generation of waste. Improper workplace design leads to unreasonable mental or physical burden and results in waste generation like slow work (delay and inventory), and defects, which is named as muri waste. An attempt has been made in this paper to locate muri waste and create a "Lean assembly line". The proposed method, based on the use of Rapid Upper Limb Assessment (RULA) with CATIA V5 platform, has allowed the measurement of a large set of operator posture parameters and assessment of ergonomic stresses. Based on the results, the process stations in the assembly line were redesigned to prevent the generation of waste.

  10. Re-designing the PhEDEx security model

    CERN Document Server

    Wildish, Anthony

    2013-01-01

    PhEDEx. the data-placement tool used by the CMS experiment at the LHC, was conceived in a more trusting time. The security model was designed to provide a safe working environment for site agents and operators, but provided little more protection than that. CMS data was not sufficiently protected against accidental loss caused by operator error or software bugs or from loss of data caused by deliberate manipulation of the database. Operations staff were given high levels of access to the database, beyond what should have been needed to accomplish their tasks. This exposed them to the risk of suspicion should an incident occur. Multiple implementations of the security model led to difficulties maintaining code, which can lead to degredation of security over time.In order to meet the simultaneous goals of protecting CMS data, protecting the operators from undue exposure to risk, increasing monitoring capabilities and improving maintainability of the security model, the PhEDEx security model was redesigned and r...

  11. Rational redesign of the biodegradative enzyme cytochrome P450 cam:

    International Nuclear Information System (INIS)

    Ornstein, R.; Paulsen, M.; Bass, M.; Arnold, G.

    1991-03-01

    Cytochromes P450, a superfamily of monooxygenase enzymes present in all kingdoms of living organisms, are very versatile with respect to substrate range and catalytic functionality. Many recalcitrant halogenated hydrocarbons, on DOE sites and throughout the nation, result in serious environmental impact. Cytochromes P450 have been shown to be catalytically capable of, at least partial, dehalogenation of some such compounds. Clearly, however, their active site stereochemistry and related functional components are not well suited for this role because the rates of dehalogenation are generally rather modest. The evolution of modified active site and access channel structures may proceed very slowly if multiple genetic changes are simultaneously required for enzyme adaptation. Since each mutational event is by itself a rare event, a basic premise of our research is that designing multiple changes into an enzyme may be more timely than waiting for them to occur biologically either via natural selection or under laboratory-controlled conditions. Starting with available high-resolution x-ray crystal structures, molecular modeling and molecular dynamics simulations have been used to probe the basic structure/function principles and conformational fluctuations of the biodegradative enzyme, cytochrome P450cam (camphor hydroxylase from Pseudomonas putida) and active site mutants, to provide the fundamental understanding necessary for rational engineering of the enzyme for modified substrate specificity. In the present paper, we review our progress to data, in the area of molecular dynamics simulations and active site redesign of P450cam. 36 refs., 2 figs

  12. Bus network redesign for inner southeast suburbs of Melbourne, Australia

    Science.gov (United States)

    Pandangwati, S. T.; Milyanab, N. A.

    2017-06-01

    Public transport is the most effective mode of transport in the era of climate change and oil depletion. It can address climate change issues by reducing urban greenhouse gas emission and oil consumption while at the same time improving mobility. However, many public transport networks are not effective and instead create high operating costs with low frequencies and occupancy. Melbourne is one example of a metropolitan area that faces this problem. Even though the city has well-integrated train and tram networks, Melbourne’s bus network still needs to be improved. This study used network planning approach to redesign the bus network in the City of Glen Eira, a Local Government Area (LGA) in the southeastern part of Metropolitan Melbourne. The study area is the area between Gardenvale North and Oakleigh Station, as well as between Caulfield and Patterson Stations. This area needs network improvement mainly because of the meandering bus routes that run within it. This study aims to provide recommendations for improving the performance of bus services by reducing meandering routes, improving transfer point design and implementing coordinated timetables. The recommendations were formulated based on a ‘ready-made’ concept to increase bus occupancy. This approach can be implemented in other cities with similar problems and characteristics including those in Indonesia.

  13. Re-designing the PhEDEx Security Model

    Science.gov (United States)

    C-H, Huang; Wildish, T.; X, Zhang

    2014-06-01

    PhEDEx, the data-placement tool used by the CMS experiment at the LHC, was conceived in a more trusting time. The security model provided a safe environment for site agents and operators, but offerred little more protection than that. Data was not sufficiently protected against loss caused by operator error or software bugs or by deliberate manipulation of the database. Operators were given high levels of access to the database, beyond what was actually needed to accomplish their tasks. This exposed them to the risk of suspicion should an incident occur. Multiple implementations of the security model led to difficulties maintaining code, which can lead to degredation of security over time. In order to meet the simultaneous goals of protecting CMS data, protecting the operators from undue exposure to risk, increasing monitoring capabilities and improving maintainability of the security model, the PhEDEx security model was redesigned and re-implemented. Security was moved from the application layer into the database itself, fine-grained access roles were established, and tools and procedures created to control the evolution of the security model over time. In this paper we describe this work, we describe the deployment of the new security model, and we show how these enhancements improve security on several fronts simultaneously.

  14. Redesigning nursing work in long-term care environments.

    Science.gov (United States)

    Hall, L M; O'Brien-Pallas, L

    2000-01-01

    The authors present a highly statistically oriented argument for examining work attitudes and activities among three groups of caregivers [RNs, RPNs, and HCAs] working in long-term care. The investigators used both work sampling, written surveys, and interviews with a sample of 46 caregivers in a large university-affiliated LTC facility in Toronto, Canada. While RNs stated their strong affinity for direct patient care activities, they perform the lowest percentage of direct care, chiefly due to their accountability for planning and coordinating the care provided by others. The HCAs who provided the bulk of direct patient care "valued it the least," apparently finding little gratification with this aspect of their role. This study suggests that there is a need to examine and clarify work roles and perceptions for all caregivers as part of any work redesign process. A higher level of RN involvement in direct patient care activities, along with "attention to enhancing the importance" of these activities for staff employed in the HCA role, could be beneficial.

  15. Redesigning Health Care Practices to Address Childhood Poverty.

    Science.gov (United States)

    Fierman, Arthur H; Beck, Andrew F; Chung, Esther K; Tschudy, Megan M; Coker, Tumaini R; Mistry, Kamila B; Siegel, Benjamin; Chamberlain, Lisa J; Conroy, Kathleen; Federico, Steven G; Flanagan, Patricia J; Garg, Arvin; Gitterman, Benjamin A; Grace, Aimee M; Gross, Rachel S; Hole, Michael K; Klass, Perri; Kraft, Colleen; Kuo, Alice; Lewis, Gena; Lobach, Katherine S; Long, Dayna; Ma, Christine T; Messito, Mary; Navsaria, Dipesh; Northrip, Kimberley R; Osman, Cynthia; Sadof, Matthew D; Schickedanz, Adam B; Cox, Joanne

    2016-04-01

    Child poverty in the United States is widespread and has serious negative effects on the health and well-being of children throughout their life course. Child health providers are considering ways to redesign their practices in order to mitigate the negative effects of poverty on children and support the efforts of families to lift themselves out of poverty. To do so, practices need to adopt effective methods to identify poverty-related social determinants of health and provide effective interventions to address them. Identification of needs can be accomplished with a variety of established screening tools. Interventions may include resource directories, best maintained in collaboration with local/regional public health, community, and/or professional organizations; programs embedded in the practice (eg, Reach Out and Read, Healthy Steps for Young Children, Medical-Legal Partnership, Health Leads); and collaboration with home visiting programs. Changes to health care financing are needed to support the delivery of these enhanced services, and active advocacy by child health providers continues to be important in effecting change. We highlight the ongoing work of the Health Care Delivery Subcommittee of the Academic Pediatric Association Task Force on Child Poverty in defining the ways in which child health care practice can be adapted to improve the approach to addressing child poverty. Copyright © 2016 Academic Pediatric Association. All rights reserved.

  16. New Trends for Re-design the IT Companies

    Directory of Open Access Journals (Sweden)

    Florin Ionita

    2008-07-01

    Full Text Available As it is known, the management adaptability to the changes taking place in the environment where it is acting represents a key factor for survival and development of an organization. As a reaction to the external signals, the internal change may be superficial when it affects only the development of activity in different sectors, or might be profound, when it changes the main processes and rules of the business and even the philosophy of the company’s existence. Speaking about structural changes, one of the most common approaches of the modern management is the re-design of the business architecture. The new architectural models such as Service Oriented Architecture (SOA, presented in this paper, come with important advantages, but their implementation is not always very easy. This paper tries to present some of the most common encountered contextual characteristics which are able to start the implementation of Service Oriented Architecture, some advantages of this concept as well as some practical approaches of implementing.

  17. Redesigning a collection system for 'small' consumer electronics

    International Nuclear Information System (INIS)

    Melissen, Frans W.

    2006-01-01

    This paper establishes that the collection system within the recycling scheme for consumer electronics in the Netherlands has not been entirely successful in convincing consumers to hand in their used appliances by means of dedicated collection routes. Particularly regarding small appliances, consumers are persisting in their habit of discarding their appliances by means of the refuse bag/bin for regular household waste. Therefore, the current collection system has been unable to direct consumer behavior in the desired direction. Consequently, the layout of the current system is reviewed and redesigned in order to tackle this problem. This design effort applies the Triad model (behavioral model) in the analysis stage and the Morphological Chart method (design tool) in the synthesis stage, and results in a concrete proposal for a new system. Finally, the applicability of this design approach beyond the specific circumstances of the case study presented in this paper is discussed. This case represents only one example of the broader, worldwide challenge to design appropriate collection systems to direct consumer behavior in desired directions. It is argued that the approach presented in this paper could be a valuable contribution to research dealing with this challenge

  18. A redesign of OGC Symbology Encoding standard for sharing cartography

    Directory of Open Access Journals (Sweden)

    Erwan Bocher

    2018-01-01

    Full Text Available Despite most Spatial Data Infrastructures offering service-based visualization of geospatial data, requirements are often at a very basic level leading to poor quality of maps. This is a general observation for any geospatial architecture as soon as open standards as those of the Open Geospatial Consortium (OGC are applied. To improve the situation, this paper does focus on improvements at the portrayal interoperability side by considering standardization aspects. We propose two major redesign recommendations. First to consolidate the cartographic theory at the core of the OGC Symbology Encoding standard. Secondly to build the standard in a modular way so as to be ready to be extended with upcoming future cartographic requirements. Thus, we start by defining portrayal interoperability by means of typical-use cases that frame the concept of sharing cartography. Then we bring to light the strengths and limits of the relevant open standards to consider in this context. Finally we propose a set of recommendations to overcome the limits so as to make these use cases a true reality. Even if the definition of a cartographic-oriented standard is not able to act as a complete cartographic design framework by itself, we argue that pushing forward the standardization work dedicated to cartography is a way to share and disseminate good practices and finally to improve the quality of the visualizations.

  19. Re-designing the PhEDEx security model

    International Nuclear Information System (INIS)

    Huang C-H; Wildish, T; Zhang X

    2014-01-01

    PhEDEx, the data-placement tool used by the CMS experiment at the LHC, was conceived in a more trusting time. The security model provided a safe environment for site agents and operators, but offerred little more protection than that. Data was not sufficiently protected against loss caused by operator error or software bugs or by deliberate manipulation of the database. Operators were given high levels of access to the database, beyond what was actually needed to accomplish their tasks. This exposed them to the risk of suspicion should an incident occur. Multiple implementations of the security model led to difficulties maintaining code, which can lead to degredation of security over time. In order to meet the simultaneous goals of protecting CMS data, protecting the operators from undue exposure to risk, increasing monitoring capabilities and improving maintainability of the security model, the PhEDEx security model was redesigned and re-implemented. Security was moved from the application layer into the database itself, fine-grained access roles were established, and tools and procedures created to control the evolution of the security model over time. In this paper we describe this work, we describe the deployment of the new security model, and we show how these enhancements improve security on several fronts simultaneously.

  20. Cupryphans, metal-binding, redox-active, redesigned conopeptides.

    Science.gov (United States)

    Barba, Marco; Sobolev, Anatoli P; Romeo, Cristina; Schininà, M Eugenia; Pietraforte, Donatella; Mannina, Luisa; Musci, Giovanni; Polticelli, Fabio

    2009-03-01

    Contryphans are bioactive peptides, isolated from the venom of marine snails of the genus Conus, which are characterized by the short length of the polypeptide chain and the high degree of unusual post-translational modifications. The cyclization of the polypeptide chain through a single disulphide bond, the presence of two conserved Pro residues, and the epimerization of a Trp/Leu residue confer to Contryphans a stable and well-defined structure in solution, conserved in all members of the family, and tolerant to multiple substitutions. The potential of Contryphans as scaffolds for the design of redox-active (macro)molecules was tested by engineering a copper-binding site on two different variants of the natural peptide Contryphan-Vn. The binding site was designed by computational modeling, and the redesigned peptides were synthesized and characterized by optical, fluorescence, electron spin resonance, and nuclear magnetic resonance spectroscopy. The novel peptides, named Cupryphan and Arg-Cupryphan, bind Cu(2+) ions with a 1:1 stoichiometry and a K(d) in the 100 nM range. Other divalent metals (e.g., Zn(2+) and Mg(2+)) are bound with much lower affinity. In addition, Cupryphans catalyze the dismutation of superoxide anions with an activity comparable to other nonpeptidic superoxide dismutase mimics. We conclude that the Contryphan motif represents a natural robust scaffold which can be engineered to perform different functions, providing additional means for the design of catalytically active mini metalloproteins.

  1. Analysis of social relations among organizational units derived from process models and redesign of organization structure

    NARCIS (Netherlands)

    Choi, I.; Song, M.S.; Kim, K.M.; Lee, Y-H.

    2007-01-01

    Despite surging interests in analyzing business processes, there are few scientific approaches to analysis and redesign of organizational structures which can greatly affect the performance of business processes. This paper presents a method for deriving and analyzing organizational relations from

  2. Redesigning Acquisition Processes: A New Methodology Based on the Flow of Knowledge and Information

    National Research Council Canada - National Science Library

    Kock, Ned F; Murphy, Frederic

    2001-01-01

    Current business process redesign practices, in the defense sector as well as in business in general, are based on several assumptions inherited from Taylor s scientific management method, including...

  3. Feasibility study for the redesign of MDOT's pavement management systems software.

    Science.gov (United States)

    2011-04-01

    In August of 2006 the Mississippi Department of Transportation (MDOT) initiated State Study No. 191, entitled Feasibility : Study for the Redesign of MDOTs Pavement Management System (PMS) Software. At the initiation of this study, the : Dep...

  4. Lean thinking across a hospital: redesigning care at the Flinders Medical Centre.

    Science.gov (United States)

    Ben-Tovim, David I; Bassham, Jane E; Bolch, Denise; Martin, Margaret A; Dougherty, Melissa; Szwarcbord, Michael

    2007-02-01

    Lean thinking is a method for organising complex production processes so as to encourage flow and reduce waste. While the principles of lean thinking were developed in the manufacturing sector, there is increasing interest in its application in health care. This case history documents the introduction and development of Redesigning Care, a lean thinking-based program to redesign care processes across a teaching general hospital. Redesigning Care has produced substantial benefits over the first two-and-a-half years of its implementation, making care both safer and more accessible. Redesigning Care has not been aimed at changing the specifics of clinical practice. Rather, it has been concerned with improving the flow of patients through clinical and other systems. Concepts that emerged in the manufacturing sector have been readily translatable into health care. Lean thinking may play an important role in the reform of health care in Australia and elsewhere.

  5. Organizational Contexts and Texts: The Redesign of the Midwest Bell Telephone Bill.

    Science.gov (United States)

    Keller-Cohen, Deborah

    1987-01-01

    Offers a retrospective view of organizational factors affecting the redesign of the Midwest Bell Telephone Bill. Shows how financial considerations, organizational time frame, and employee training and experience influenced the bill's development process. (MM)

  6. OhioHealth web site wins awards. Draws leadership recognition for outstanding redesign.

    Science.gov (United States)

    Rees, Tom

    2004-01-01

    OhioHealth, Columbus, Ohio, has redesigned its web site, making it especially useful and appealing to women. For the collaborative effort, which included the Mayo Clinic and The VIA Group, Portland Maine, it has received numerous awards.

  7. Using Technology, Clinical Workflow Redesign, and Team Solutions to Achieve the Patient Centered Medical Home

    Science.gov (United States)

    2011-01-01

    Redesign, and Team Solutions to Achieve the Patient Centered Medical Home LTC Nicole Kerkenbush, MHA, MN Army Medical Department, Office of the...TITLE AND SUBTITLE Using Technology, Clinical Workflow Redesign, and Team Solutions to Achieve the Patient Centered Medical Home 5a. CONTRACT...Describe how these tools are being used to implement the Patient Centered Medical Home care model 2 2011 MHS Conference MEDCOM AHLTA Provider Satisfaction

  8. Redesign of the SNS Modulator H-Bridge for Utilization of Press-Pack IGBTs

    Energy Technology Data Exchange (ETDEWEB)

    Kemp, Mark A.; Burkhart, Craig; /SLAC; Anderson, David E.; /Oak Ridge

    2008-09-25

    The power conversion group at SLAC is currently redesigning the H-bridge switch plates of the High Voltage Converter Modulators at the Spallation Neutron Source. This integral part to the modulator operation has been indentified as a source of several modulator faults and potentially limits reliability with pulse width modulation operation. This paper is a presentation of the design and implementation of a redesigned switch plate based upon press-pack IGBTs.

  9. Methodology and findings of the NRC`s materials licensing process redesign

    Energy Technology Data Exchange (ETDEWEB)

    Rathbun, P.A.; Brown, K.D.; Madera, J.R.; Moriarty, M.; Pelchat, J.M.; Usilton, W.K.; Whitten, J.E.; Vacca, P.C.

    1996-04-01

    This report describes the work and vision of the team chartered to redesign the process for licensing users of nuclear materials. The Business Process Redesign team was chartered to improve the speed of the existing licensing process while maintaining or improving public safety and to achieve required resource levels. The report describes the team`s methods for acquiring and analyzing information about the existing materials licensing process and the steps necessary to radically change this process to the envisioned future process.

  10. Concept for the redesign of ECOMAN (standby losses) - Final report; Konzepte fuer Redesign ECOMAN (Standby-Verluste) - Schlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Ernst, D.; Haerri, V.V.; Riesen, H.

    2008-04-15

    A lot of electronic devices are equipped with a so called standby mode. In this mode a device can easily be brought into full functionality directly, by remote control or by timer. Unfortunately, the standby mode implies a high consumption of electrical energy that could be reduced 10 to 20 times by an adequate technology. In Switzerland these losses amount to approximately 1,900 GWh. The so called ECOMAN is an electronic device which can reduce these losses effectively and comfortably. Due to political pressure the producers of electronic devices are forced to find solutions for the problem of standby losses. The ECOMAN would thus be of less importance because the problem would be solved at its roots. This fact and the wish to have a better performance led to a new definition of this device. The ECOMAN has to be improved and shall offer additional functions. E.g. it shall protect the devices from fire hazard or serve as control in the field of building automation. The new concepts were well accepted by the producer who already realized the specification of the first phase of redesign, which serves as basis for the further development of integration. (author)

  11. [Redesign of the Spacesuit Long Life Battery and the Personal Life Support System Battery

    Science.gov (United States)

    Scharf, Stephanie

    2015-01-01

    This fall I was working on two different projects that culminated into a redesign of the spacesuit LLB (long life battery). I also did some work on the PLSS (personal life support system) battery with EC. My first project was redlining the work instruction for completing DPAs (destructive physical analysis) on battery cells in the department. The purpose of this document is to create a standard process and ensure that the data in the same way no matter who carries out the analysis. I observed three DPAs, conducted one with help, and conducted two on my own all while taking notes on the procedure. These notes were used to write the final work instruction that will become is the department standard. My second project continued the work of the summer co-op before me. I was testing aluminum heat sinks for their ability to provide good thermal conduction and structural support during a thermal runaway event. The heat sinks were designed by the summer intern but there was not much time for testing before he left. We ran tests with a heater on the bottom of a trigger cell to try to drive thermal runaway and ensure that it will not propagate to adjacent cells. We also ran heat-to-vent tests in an oven to see if the assembly provided structural support and prevented sidewall rupture during thermal runaway. These tests were carried out at ESTA (energy systems test area) and are providing very promising results that safe, high performing (greater than 180 Wh/kg) designs are possible. My main project was a redesign of the LLB battery. Another summer intern did some testing and concluded that there was no simple fix to mitigate thermal runaway propagation hazards in the current design. The only option was a clean sheet redesign of the battery. I was given a volume and ideal energy density and the rest of the design was up to me. First, I created new heat sink banks in Creo using the information gathered in the metal heat sink tests from the summer intern. After this, I made

  12. Pathways to Promotion: Redesigning a Community College Faculty Promotion Process

    Science.gov (United States)

    Shattuck, Julie; Hawkins, Tony; Coldren, Gregory; Trigger, Kelly; Angleberger, Barbara; Dankanich, Nancy; Clayton, Aaron

    2018-01-01

    This article reports on a design-based research project that is situated in a medium-size community college in Maryland. The project focused on exploring why the majority of full-time faculty was ranked as Assistant Professor or below, which did not reflect ranking at similar institutions. Under the leadership of the Provost, a task force analyzed…

  13. Redesign of the joint supply chain with Dow Corning

    NARCIS (Netherlands)

    Scarpa, Juan Pablo

    2008-01-01

    This report summarizes the results of a Logistics Design Project, which was carried out at Univar Products International B.V. in Rotterdam, the Netherlands. It started on July 7st, 2007 and ended on January 7th, 2008. The goal of the project was to identify and validate the most effective way of

  14. Aerodynamic Analysis and Three-Dimensional Redesign of a Multi-Stage Axial Flow Compressor

    Directory of Open Access Journals (Sweden)

    Tao Ning

    2016-04-01

    Full Text Available This paper describes the introduction of three-dimension (3-D blade designs into a 5-stage axial compressor with multi-stage computational fluid dynamic (CFD methods. Prior to a redesign, a validation study is conducted for the overall performance and flow details based on full-scale test data, proving that the multi-stage CFD applied is a relatively reliable tool for the analysis of the follow-up redesign. Furthermore, at the near stall point, the aerodynamic analysis demonstrates that significant separation exists in the last stator, leading to the aerodynamic redesign, which is the focus of the last stator. Multi-stage CFD methods are applied throughout the three-dimensional redesign process for the last stator to explore their aerodynamic improvement potential. An unconventional asymmetric bow configuration incorporated with leading edge re-camber and re-solidity is employed to reduce the high loss region dominated by the mainstream. The final redesigned version produces a 13% increase in the stall margin while maintaining the efficiency at the design point.

  15. System redesign of the immunization supply chain: Experiences from Benin and Mozambique.

    Science.gov (United States)

    Prosser, Wendy; Jaillard, Philippe; Assy, Emmanuelle; Brown, Shawn T; Matsinhe, Graça; Dekoun, Mawutondji; Lee, Bruce Y

    2017-04-19

    Evidence suggests that immunization supply chains are becoming outdated and unable to deliver needed vaccines due to growing populations and new vaccine introductions. Redesigning a supply chain could result in meeting current demands. The Ministries of Health in Benin in Mozambique recognized known barriers to the immunization supply chain and undertook a system redesign to address those barriers. Changes were made to introduce an informed push system while consolidating storage points, introducing transport loops, and increasing human resource capacity for distribution. Evaluations were completed in each country. Evaluation in each country indicated improved performance of the supply chain. The Effective Vaccine Management (EVM) assessment in Benin documented notable improvements in the distribution criteria of the tool, increasing from 40% to 100% at the district level. In Mozambique, results showed reduced stockouts at health facility level from 79% at baseline to less than 1% at endline. Coverage rates of DTP3 also increased from 68.9% to 92.8%. Benin and Mozambique are undertaking system redesign in order to respond to constraints identified in the vaccine supply chain. Results and learnings show improvements in supply chain performance and make a strong case for system redesign. These countries demonstrate the feasibility of system redesign for other countries considering how to address outdated supply chains. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  16. "I want to be a pop idol". Oscar Wilde between parody and glam re-invention in Todd Haynes' Velvet Goldmine

    Directory of Open Access Journals (Sweden)

    Pierpaolo Martino

    2017-01-01

    Full Text Available Il presente studio analizza Velvet Goldmine un film del 1998 diretto da Todd Haynes al fine di indagare come il regista americano riesca ad evidenziare la centralità del glam (emerso in Gran Bretagna nei primi anni Settanta nella cultura contemporanea, ponendo un' enfasi specifica sull’aspetto che più di ogni altro aveva caratterizzato quell’esperienza, ossia la sovversione parodica dell' idea di mascolinità normativa nei decenni precedenti. Sul palco i 'glamsters' – ossia artisti quali Bolan, Bowie, Roxy Music, Glitter – erano in grado, utilizzando segni visivi quali trucco e abiti 'glitter' di costruire un’identità di genere ibrida che si poneva in netto contrasto con il machismo di molti musicisti degli anni Sessanta. Seguendo un approccio metodologico in cui studi culturali, studi letterari e neo-musicologia finiscono per dialogare tra loro, la presente indagine crea uno stretto rapporto tra Oscar Wilde e la cultura glam – un rapporto individuato dal regista sin dalle prime battute del film – ma che qui viene declinato in un senso più specifico, in base al quale l' intero film rappresenta una parodia o reinvenzione glam dell'intera epopea wildiana e in cui le immagini e gli aforismi wildiani sembrano interrogare con la loro complessità e la loro portata dissacrante il nostro presente.  The present essay analyses Velvet Goldmine a 1998 film directed by Todd Haynes, in order to investigate how the American director points to the relevance of glam (emerged in Great Britain at the beginning of the Seventies within contemporary culture, focusing on one of its most relevant aspects, that is the parodic subversion  of the normative idea of masculinity which was dominant in the previous decades. Glamsters – that is, such artists as Bolan, Bowie, Roxy Music and Glitter – were able, using such visual signs as make-up and glitter dresses, to construct a hybrid gender identity, which sharply contrasted with the normative

  17. A conceptual redesign of an inter-building fuel transfer cask

    International Nuclear Information System (INIS)

    Klann, R.T.; Picker, B.A. Jr.

    1993-01-01

    The Inter-Building Fuel Transfer Cask, referred to as the IBC, is a lead shielded cask for transporting subassemblies between buildings on the Argonne National Laboratory-West site near Idaho Falls, Idaho. The cask transports both newly fabricated and spent reactor subassemblies between the Experimental Breeder Reactor-2 (EBR-2), the Fuel Cycle Facility (FCF) and the Hot Fuel Examination Facility (HFEF). The IBC will play a key role in the Integral Fast Reactor (IFR) fuel recycling demonstration project. The existing IBC technology, designed and fabricated in the late fifties, is outdated and is a source of personnel exposure at ANL-W. The current IBC system requires forced argon cooling and has extremely limited passive cooling capabilities due to existing design features. A conceptual redesign of the IBC has been performed. The objective of the conceptual design was to increase the passive heat removal capabilities, reduce the personnel radiation exposure and incorporate enhanced safety features into the design. The heat transfer, radiation and thermal-hydraulic properties of the IBC were analytically modeled to determine the principal factors controlling the design. The scoping studies that were performed determined the vital physical characteristics (i.e., size, shielding, pumps, etc.) of the IBC conceptual design. The conceptual design for the IBC allows subassemblies with up to 800 Watts of decay heat to be passively cooled, a significant increase over the existing system. The new design which incorporates better passive cooling mechanisms will prevent inadvertent damage to the subassembly during postulated loss-of-power and loss-of-flow accident scenarios. The new design also decreases the radiation hazard to personnel by having fewer external systems, a better shield plug design, and surfaces that are easier to decontaminate. The control and monitoring system will also be state-of-the-art technology

  18. Redesigning the DOE Data Explorer to Embed Dataset Relationships at the Point of Search and to Reflect Landing Page Organization

    Directory of Open Access Journals (Sweden)

    Sara Studwell

    2017-04-01

    Full Text Available Scientific research is producing ever-increasing amounts of data. Organizing and reflecting relationships across data collections, datasets, publications, and other research objects are essential functionalities of the modern science environment, yet challenging to implement. Landing pages are often used for providing ‘big picture’ contextual frameworks for datasets and data collections, and many large-volume data holders are utilizing them in thoughtful, creative ways. The benefits of their organizational efforts, however, are not realized unless the user eventually sees the landing page at the end point of their search. What if that organization and ‘big picture’ context could benefit the user at the beginning of the search? That is a challenging approach, but The Department of Energy’s (DOE Office of Scientific and Technical Information (OSTI is redesigning the database functionality of the DOE Data Explorer (DDE with that goal in mind. Phase I is focused on redesigning the DDE database to leverage relationships between two existing distinct populations in DDE, data Projects and individual Datasets, and then adding a third intermediate population, data Collections. Mapped, structured linkages, designed to show user relationships, will allow users to make informed search choices. These linkages will be sustainable and scalable, created automatically with the use of new metadata fields and existing authorities. Phase II will study selected DOE Data ID Service clients, analyzing how their landing pages are organized, and how that organization might be used to improve DDE search capabilities. At the heart of both phases is the realization that adding more metadata information for cross-referencing may require additional effort for data scientists. OSTI’s approach seeks to leverage existing metadata and landing page intelligence without imposing an additional burden on the data creators.

  19. Reinventing the Wheel: One Program's Approach to Redesign of Didactic Courses.

    Science.gov (United States)

    Hudak, Nicholas M; Scott, Victoria; Spear, Sherrie B; Hills, Karen J

    2015-12-01

    Curriculum and course redesign are expected and intentional efforts in health professions education. For physician assistant (PA) education, ongoing program self-assessment is a required accreditation standard and may guide deliberate changes within curriculum. The purpose of this article is to describe one PA program’s approach to the redesign of 4 courses into 3 courses that span the entire didactic phase. Significant lessons learned include the importance of planning ahead, identifying key players, documenting the process as part of ongoing self-assessment, competency mapping, and being prepared to make real-time modifications and changes based on course evaluations and faculty feedback. Our approach and guiding principles to the successful redesign of the didactic courses may provide both established and new PA educational programs with useful methods to apply in their own unique curricula.

  20. The School Finance Redesign Project: A Synthesis of Work to Date. Interim Summary Report

    Science.gov (United States)

    Hill, Paul T.

    2008-01-01

    In the past decade, controversies about public spending on education have grown as states adopted performance standards pledging that every child will learn enough to become an independent productive citizen and as "No Child Left Behind" ("NCLB") has put teeth into those expectations. Educators say that meeting higher standards requires more…

  1. Scientific and Technical Serials Holdings Optimization in an Inefficient Market: A LSU Serials Redesign Project Exercise.

    Science.gov (United States)

    Bensman, Stephen J.; Wilder, Stanley J.

    1998-01-01

    Analyzes the structure of the library market for scientific and technical (ST) serials. Describes an exercise aimed at a theoretical reconstruction of the ST-serials holdings of Louisiana State University (LSU) Libraries. Discusses the set definitions, measures, and algorithms necessary in the design of a computer program to appraise ST serials.…

  2. Aplikasi Ergonomic Function Deployment (Efd Pada Redesign Alat Parut Kelapa Untuk Ibu Rumah Tangga

    Directory of Open Access Journals (Sweden)

    Roberta Zulfhi Surya

    2015-04-01

    Ergonomic Function Deployment (Efd Application In Coconut Grater Redesign For HousewifeAbstract. Pulverizing (coconut grated is one of daily kitchen worksconducted by housewives. A common existing coconut grater which is available on the market is normally works using a crank system. Housewives have complaints of pain in the limbs, especially the hands, waist and back after using this grater. This study aims to improve the design of coconut grater with Ergonomic Function Deployment (EFD based system and determine the housewife musculoskeletal decline as users. Further, to examine pulverizing time difference after redesign. The study was conducted at RT. 001 RW. 005 West Tembilahan Hulu village, subdistrict Tembilahan Indragiri Hilir. The method use in this study is same design subject (treatment by subjects design with co added Colton equation. Atotal of 12 housewives were used and subjected to the calculation. A grater redesign with EFD system was obtained by creating House of Ergonomic (HOE matrices and determining the anthropometric data. Whilst musculoskeletal disorders were obtained by generating Nordic Body Map (NBMworksheets questionnaire. Moreover, pulverizing time was obtained by testing coconut graterused before and after redesign. Results of the study showed that the redesign tool based on Ergonomic Function Deployment (EFD systemwasfound to be more convenient form which five ergonomics aspects required was fulfilled: effective, convenient, safe, healthy, and efficient (ENASE. Housewife musculoskeletal complaints decreased by 0.285% or 17.39%. This study also shows that coconut pulverizing time is 5 minutes faster and increased by 30.10% after redesigning the coconut grater crank system.

  3. Preliminary design package for residential heating/cooling system: Rankine air conditioner redesign

    Science.gov (United States)

    1978-01-01

    A summary of the preliminary redesign and development of a marketable single family heating and cooling system is presented. The interim design and schedule status of the residential (3-ton) redesign, problem areas and solutions, and the definition of plans for future design and development activities were discussed. The proposed system for a single-family residential heating and cooling system is a single-loop, solar-assisted, hydronic-to-warm-air heating subsystem with solar-assisted domestic water heating and a Rankine-driven expansion air-conditioning subsystem.

  4. Experiences of primary care physicians and staff following lean workflow redesign.

    Science.gov (United States)

    Hung, Dorothy Y; Harrison, Michael I; Truong, Quan; Du, Xue

    2018-04-10

    In response to growing pressures on primary care, leaders have introduced a wide range of workforce and practice innovations, including team redesigns that delegate some physician tasks to nonphysicians. One important question is how such innovations affect care team members, particularly in view of growing dissatisfaction and burnout among healthcare professionals. We examine the work experiences of primary care physicians and staff after implementing Lean-based workflow redesigns. This included co-locating physician and medical assistant dyads, delegating significant responsibilities to nonphysician staff, and mandating greater coordination and communication among all care team members. The redesigns were implemented and scaled in three phases across 46 primary care departments in a large ambulatory care delivery system. We fielded 1164 baseline and 1333 follow-up surveys to physicians and other nonphysician staff (average 73% response rate) to assess workforce engagement (e.g., job satisfaction, motivation), perceptions of the work environment, and job-related burnout. We conducted multivariate regressions to detect changes in experiences after the redesign, adjusting for respondent characteristics and clustering of within-clinic responses. We found that both physicians and nonphysician staff reported higher levels of engagement and teamwork after implementing redesigns. However, they also experienced higher levels of burnout and perceptions of the workplace as stressful. Trends were the same for both occupational groups, but the increased reports of stress were greater among physicians. Additionally, members of all clinics, except for the pilot site that developed the new workflows, reported higher burnout, while perceptions of workplace stress increased in all clinics after the redesign. Our findings partially align with expectations of work redesign as a route to improving physician and staff experiences in delivering care. Although teamwork and engagement

  5. Preliminary design package for residential heating/cooling system--Rankine air conditioner redesign

    Energy Technology Data Exchange (ETDEWEB)

    1978-12-01

    This report contains a summary of the preliminary redesign and development of a marketable single-family heating and cooling system. The objectives discussed are the interim design and schedule status of the Residential (3-ton) redesign, problem areas and solutions, and the definition of plans for future design and development activities. The proposed system for a single-family residential heating and cooling system is a single-loop, solar-assisted, hydronic-to-warm-air heating subsystem with solar-assisted domestic water heating and a Rankine-driven expansion air-conditioning subsystem.

  6. Pilot-scale demonstration of the OSCAR process for high-temperature multipollutant control of coal combustion flue gas, using carbonated fly ash and mesoporous calcium carbonate

    Energy Technology Data Exchange (ETDEWEB)

    Gupta, H.; Thomas, T.J.; Park, A.H.A.; Iyer, M.V.; Gupta, P.; Agnihotri, R.; Jadhav, R.A.; Walker, H.W.; Weavers, L.K.; Butalia, T.; Fan, L.S. [Ohio State University, Columbus, OH (United States)

    2007-07-15

    A pilot-scale study of the Ohio State Carbonation Ash Reactivation (OSCAR) process was performed to demonstrate the reactivity of two novel calcium-based sorbents toward sulfur and trace heavy metal (arsenic, selenium, and mercury) capture in the furnace sorbent injection (FSI) mode on a 0.365 m{sup 3}/s slipstream of a bituminous coal-fired stoker boiler. The sorbents were synthesized by bubbling CO{sub 2} to precipitate calcium carbonate (a) from the unreacted calcium present in the lime spray dryer ash and (b) from calcium hydroxide slurry that contained a negatively charged dispersant. The heterogeneous reaction between these sorbents and SO{sub 2} gas occurred under entrained flow conditions by injecting fine sorbent powders into the flue gas slipstream. The reacted sorbents were captured either in a hot cyclone (about 650{sup o}C) or in the relatively cooler downstream baghouse (about 230{sup o}C). The baghouse samples indicated about 90% toward sulfation and captured arsenic, selenium and mercury to 800 ppmw, 175 ppmw and 3.6 ppmw, respectively.

  7. 25 CFR 20.203 - Can a tribe incorporate assistance from other sources into a tribal redesign plan?

    Science.gov (United States)

    2010-04-01

    ...-477 federal funding sources) in the plan. ... 25 Indians 1 2010-04-01 2010-04-01 false Can a tribe incorporate assistance from other sources... tribe incorporate assistance from other sources into a tribal redesign plan? Yes, when a tribe redesigns...

  8. Rethink space: (Re)designing a workspace using human-centered design to support flexibility, collaboration, and engagement among clinical and translational research support services.

    Science.gov (United States)

    Doshi, Aalap; Clay, Christina

    2017-06-01

    Space matters. We read space like we read people's faces. Space is an instrument of collaboration and innovation. At the University of Michigan's Institute for Clinical and Health Research (MICHR), a team was created to creatively and economically enhance our operating space into a flexible workspace that supports privacy, innovation, creativity, and most important, a culture of collaboration. The team used a human-centered design process to creatively engage the staff at large into analyzing our existing space, identifying latent needs, proposing solutions, generating feedback, and economically building the rethought process. The redesigned workspace embraces the differences among MICHR's teams while encouraging collaboration and teamwork and keeping costs at a minimum. It has resulted in a flexible space that includes co-located teams, spaces dedicated to different work goals, an open area for collaboration, quiet zones for focused work, and better wayfinding. Through our Rethink Space project, we hope to have demonstrated that, by initiating the project internally and by engaging the users of the space themselves in an empathetic, visual, and human-centered way, a space redesign can be undertaken economically while also leading to improved levels of employee and team satisfaction.

  9. Redesigning Space for Interdisciplinary Connections: The Puget Sound Science Center

    Science.gov (United States)

    DeMarais, Alyce; Narum, Jeanne L.; Wolfson, Adele J.

    2013-01-01

    Mindful design of learning spaces can provide an avenue for supporting student engagement in STEM subjects. Thoughtful planning and wide participation in the design process were key in shaping new and renovated spaces for the STEM community at the University of Puget Sound. The finished project incorporated Puget Sound's mission and goals as well…

  10. From Course Assessment to Redesign: A Hybrid-Vehicle Course as a Case Illustration

    Science.gov (United States)

    Stanton, Ken C.; Bradley, Thomas H.

    2013-01-01

    Assessment has become a central aspect of engineering education for evaluating student learning, attaining accreditation, and ensuring accountability. However, the final step of the assessment process, which requires assessment results be used to redesign courses and programmes, is appreciably underdeveloped in the literature. As such, this work…

  11. Redesign of Work for Educational Purposes and for Quality of Working Life

    Science.gov (United States)

    Taylor, James C.

    1976-01-01

    Examples of successful implementation of sociotechnical design of workplaces indicate that workplaces can be redesigned to achieve a closer match between employee values and organizational work roles. Organizational effectiveness does not seem to be sacrificed as a consequence of such action. (Author/JDS)

  12. Preliminary Assessment of the Emporium Model in a Redesigned Engineering Mechanics Course

    Science.gov (United States)

    Rais-Rohani, Masoud; Walters, Andrew

    2014-01-01

    A lecture-based engineering mechanics course (Statics) is redesigned using the Emporium model. Whereas students study the material outside of class via asynchronous online delivery of the content and instructional videos, they do all the other activities (e.g., assignments, tests) either individually or in groups inside the classroom. Computer-…

  13. A Study on Situated Cognition: Product Dissection's Effect on Redesign Activities

    Science.gov (United States)

    Grantham, Katie; Okudan Kremer, Gül E.; Simpson, Timothy W.; Ashour, Omar

    2013-01-01

    Situated cognition theory describes the context of a learning activity's effect on learner's cognition. In this paper, we use situated cognition theory to examine the effect of product dissection on product redesign activities. Two specific research questions are addressed: 1) Does situated cognition, in the form of product dissection, improve…

  14. Development of consensus guidance to facilitate service redesign around pharmacist prescribing in UK hospital practice.

    Science.gov (United States)

    Tonna, Antonella; McCaig, Dorothy; Diack, Lesley; West, Bernice; Stewart, Derek

    2014-10-01

    The last decade has seen a drive towards non-medical prescribing in the United Kingdom (UK). However, there is a dearth of any published literature on applying the principles of service redesign to support pharmacist prescribing in any sphere of practice. To develop consensus guidance to facilitate service redesign around pharmacist prescribing. UK hospital practice. The Delphi technique was used to measure consensus of a panel of expert opinion holders in Scotland. Individuals with key strategic and operational roles in implementing initiatives of pharmacy practice and medicines management were recruited as experts. An electronic questionnaire consisting of 30 statements related to pharmacist prescribing service redesign was developed. These were presented as five-point Likert scales with illustrative quotes. Consensus, defined as 70 % of panel members agreeing (ranked strongly agree/agree) with each statement. Responses were obtained from 35/40 (87.5 %) experts in round one and 29 (72.5 %) in round two. Consensus in round one was achieved for 27/30 of statements relating to aspects of generic 'service development' (e.g. succession planning, multidisciplinary working, quality evaluation, practice development and outcome measures) and 'pharmacist prescribing role development' (e.g. education and future orientation of service). Issues of disagreement were around targeting of pharmacist prescribing to clinical specialities and financial remuneration for prescribing in the hospital setting. Consensus guidance has been developed to facilitate service redesign around hospital pharmacist prescribing.

  15. Responding to the Concerns of Student Cultural Groups: Redesigning Spaces for Cultural Centers

    Science.gov (United States)

    McDowell, Anise Mazone; Higbee, Jeanne L.

    2014-01-01

    This paper describes the engagement of a student committee in redesigning an entire floor of a university union to accommodate student cultural centers and provide space in a fair and equitable manner. The reorganization focused on the process as well as the task of allocating space, with an emphasis on the opportunity to foster the development of…

  16. Case-based reasoning as a technique for knowledge management in business process redesign

    NARCIS (Netherlands)

    Limam Mansar, S.; Reijers, H.A.; Marir, F.

    2003-01-01

    Business Process Redesign (BPR) helps rethinking a process in order to enhance its performance. Practitioners have been developing methodologies to support BPR implementation. However, most methodologies lack actual guidance on deriving a process design threatening the success of BPR. In this paper,

  17. Which kind of knowledge is suitable for redesigning hospital logistic processes?

    NARCIS (Netherlands)

    Maruster, L; Jorna, RJ; Miksch, S; Hunter, J; Keravnou, E

    2005-01-01

    A knowledge management perspective is rarely used to model a process. Using the cognitive perspective on knowledge management in which we start our analysis with events and knowledge (bottom-up) instead of with processes and units (top-down), we propose a new approach for redesigning hospital

  18. Redesigning Romance: The Making and Analysis of a Critical Literacy Comic in South Africa.

    Science.gov (United States)

    Shariff, Patricia Watson; Janks, Hilary

    2001-01-01

    Examines the making and redesigning of the romance stories (in comic-book form) in drama in education workshops conducted in a rural South African high school. Brings together practice and theory that were independently conceived, so that they can mutually inform one another. Analyses the narrative outline which kick-started the comic development…

  19. Application of Evidence-Centered Assessment Design to the Advanced Placement Redesign: A Graphic Restatement

    Science.gov (United States)

    Bejar, Isaac I.

    2010-01-01

    The foregoing articles constitute what I consider a comprehensive and clear description of the redesign process of a major assessment. The articles serve to illustrate the problems that will need to be addressed by large-scale assessments in the twenty-first century. Primary among them is how to organize the development of such assessments to meet…

  20. Strategies for Aligning Physicians to System Redesign Goals at Eight Safety-Net Systems.

    Science.gov (United States)

    Zallman, Leah; Bearse, Adriana; Neal, Natasha; VanDeusen Lukas, Carol; Hacker, Karen

    2014-12-01

    Facing recent economic and regulatory pressures, safety-net systems (SNSs) are redesigning their organizations to improve care delivery, remain financially viable, and maintain competitive positions. Aligning physicians with redesign goals is a priority, particularly as many SNSs shift toward patient-centered, population health-focused models. No previous work has examined efforts to align physicians to safety net redesign efforts. This qualitative study, conducted at eight SNSs, examined challenges faced in a changing health care environment, as well as strategies and resources to address them. Strategies clustered in two categories: physician role definition and organizational infrastructure. Physician role definition strategies were (1) changing payment and employment arrangements, (2) changing clinical roles, (3) increasing physician involvement in quality improvement, and (4) strengthening physician leadership in clinical and quality roles. Organizational infrastructure strategies were (1) ensuring medical center leadership support and integration, (2) utilizing data to drive physician behavior, and (3) addressing competing allegiances with academia. All sites reported multifaceted approaches but differed in specific strategies employed, facilitators noted, and challenges encountered. The findings highlight the need to implement multiple strategies to align physicians in redesign efforts. They suggest that all health systems, whether SNSs or not, can capitalize on qualities of physicians and existing infrastructural and leadership elements to achieve physician alignment. However, they must contend with and address challenges of competing allegiance (for example, academic, physician organization, hospital), as well as resistance to changing clinical roles and payment structures.

  1. Simulation modelling for food supply chain redesign; integrated decision making on product quality, sustainability and logistics

    NARCIS (Netherlands)

    van der Vorst, J.G.A.J.; Tromp, S.O.; van der Zee, D.J.

    2009-01-01

    Food supply chains are confronted with increased consumer demands on food quality and sustainability. When redesigning these chains the analysis of food quality change and environmental load of new scenarios is as important as the analysis of efficiency and responsiveness requirements. Simulation

  2. Redesigning the work system of rubber industries based on total ergonomics and ergo-micmac integration

    Science.gov (United States)

    Setiawan, H.

    2018-01-01

    The factory capacity achievement and the bottleneck reduction of production process at wet-blanket workstations are influenced by the balance of life quality rates and worker’s productivity, along with the worker’s ability and limitations, tasks, organization and work environment. The life quality of workers is indicated by: the reduction of workload, and fatigue. Meanwhile, work productivity is measured by increasing production results per work shift. The optimization of the quality of life and productivity of workers is achieved by redesigning the system and workstations based on ergonomics integrating Total Ergonomics with Ergo-MicMac (Micro Ergonomics and Macro Ergonomics), which includes redesigning wet-blanket folding worktable, regulating the system pattern of working in pairs, giving official break time, giving extra nutritious intakes such as sweet tea and snack Pempek, giving personal protective equipments, and redesigning physical working environments.This study was an experimental study, with treatment by subject design involving 30 workers sampled at a workstation condition before and after Ergonomics based redesign. The findings and conclusions of the study were derived from the reduction of the workload by 16.06%, fatigue by 18.84% and the increase of production results per work shift by 20.29%.

  3. Applying cognitive load theory to the redesign of a conventional database systems course

    Science.gov (United States)

    Mason, Raina; Seton, Carolyn; Cooper, Graham

    2016-01-01

    Cognitive load theory (CLT) was used to redesign a Database Systems course for Information Technology students. The redesign was intended to address poor student performance and low satisfaction, and to provide a more relevant foundation in database design and use for subsequent studies and industry. The original course followed the conventional structure for a database course, covering database design first, then database development. Analysis showed the conventional course content was appropriate but the instructional materials used were too complex, especially for novice students. The redesign of instructional materials applied CLT to remove split attention and redundancy effects, to provide suitable worked examples and sub-goals, and included an extensive re-sequencing of content. The approach was primarily directed towards mid- to lower performing students and results showed a significant improvement for this cohort with the exam failure rate reducing by 34% after the redesign on identical final exams. Student satisfaction also increased and feedback from subsequent study was very positive. The application of CLT to the design of instructional materials is discussed for delivery of technical courses.

  4. Business process redesign in healthcare : towards an evidence-based holistic approach

    NARCIS (Netherlands)

    Vanwersch, R.J.B.; Mans, R.S.; Reijers, H.A.; Shiharzi, A.

    2012-01-01

    The redesign of business processes has become the key challenge for many healthcare organizations. This paper argues that current main research streams fail to assist healthcare practitioners in facing this challenge. More specifically, the main research streams fail to support practitioners in

  5. Redesigning business processes : a methodology based on simulation and process mining techniques

    NARCIS (Netherlands)

    Maruster, L.; van Beest, N.R.T.P.

    2009-01-01

    Nowadays, organizations have to adjust their business processes along with the changing environment in order to maintain a competitive advantage. Changing a part of the system to support the business process implies changing the entire system, which leads to complex redesign activities. In this

  6. Effects of a Redesigned Classroom on Play Behaviour among Preschool Children

    Science.gov (United States)

    Acer, Dilek; Gözen, Göksu; Firat, Zehra Saadet; Kefeli, Hatice; Aslan, Büsra

    2016-01-01

    Current research exists regarding the play behaviour of students in various settings and with varying abilities. Regardless, there needs to be improved understanding of how students' play behaviour is affected when their classroom environment is significantly redesigned. This study examined, over a 21-week period between December 2013 and May…

  7. Intuitive thinking of design and redesign on innovative aircraft cabin simulator

    NARCIS (Netherlands)

    Tan, C.F.; Chen, W.; Rauterberg, G.W.M.

    2009-01-01

    In this paper, the intuition approach in the design and redesign of the environmental friendly innovative aircraft cabin simulator is presented. The simulator is a testbed that was designed and built for research on aircraft passenger comfort improvement of long haul air travel. The simulation

  8. Performance-Based Task Assessment of Higher-Order Proficiencies in Redesigned STEM High Schools

    Science.gov (United States)

    Ernst, Jeremy V.; Glennie, Elizabeth; Li, Songze

    2017-01-01

    This study explored student abilities in applying conceptual knowledge when presented with structured performance tasks. Specifically, the study gauged proficiency in higher-order applications of students enrolled in earth and environmental science or biology. The student sample was drawn from a Redesigned STEM high school model where a tested…

  9. Supporting the full BPM life-cycle using process mining and intelligent redesign

    NARCIS (Netherlands)

    Netjes, M.; Reijers, H.A.; Aalst, van der W.M.P.; Siau, K.

    2007-01-01

    Abstract. Business Process Management (BPM) systems provide a broad range of facilities to enact and manage operational business processes. Ideally, these systems should provide support for the complete BPM life-cycle: (re)design, configuration, execution, control, and diagnosis by the FileNet P8

  10. 77 FR 56859 - Federal Register Notification of Redesignation of Potential Wilderness as Wilderness, Ross Lake...

    Science.gov (United States)

    2012-09-14

    ... Register Notification of Redesignation of Potential Wilderness as Wilderness, Ross Lake National Recreation..., Ross Lake National Recreation Area, and Lake Chelan National Recreation Area as the Stephen Mather... acres of potential wilderness within Ross Lake National Recreation Area, including approximately 1,667...

  11. The Power of Professionally Situated Practice Analysis in Redesigning Organisations: A Psychosociological Approach

    Science.gov (United States)

    Scaratti, Giuseppe; Gorli, Mara; Ripamonti, Silvio

    2009-01-01

    Purpose: This paper seeks to provoke thoughts around the possibility of using the lever of practices and situated knowledge to trigger organisational change and to redesign it with the involvement of the whole organisation. Design/methodology/approach: The paper presents connections between a psychosociological approach and a practice-based…

  12. Redesigning Schools to Reach Every Student with Excellent Teachers: Financial Planning Summary

    Science.gov (United States)

    Public Impact, 2012

    2012-01-01

    This brief summarizes the ways that schools and their teachers can simultaneously reach more students with excellent teaching, expand teachers' career opportunities, and sustainably fund higher pay and other priorities. This is based on Public Impact's school models that use job redesign and technology to extend the reach of excellent teachers to…

  13. The Power of Structural and Symbolic Redesign: Creating a Collaborative Learning Community in Higher Education.

    Science.gov (United States)

    Geltner, Beverley B.

    This paper describes efforts to redesign a graduate program of educational administration and leadership at Oakland University in Rochester, Michigan, shaped by contributions of researchers in contemporary management and leadership theory, feminist pedagogy, action research, and educational reform. A culture of collaboration, inclusion, and…

  14. 78 FR 48087 - Approval and Promulgation of Air Quality Implementation Plans; Ohio; Redesignation of the Canton...

    Science.gov (United States)

    2013-08-07

    ... specific examples to illustrate your concerns, and suggest alternatives. 7. Explain your views as clearly... 172(c)(9) contingency measures is not applicable for purposes of redesignation. Id. Section 172(c)(3... area demonstrates maintenance of the NAAQS without part D NSR. A detailed rationale for this view is...

  15. Re-Designing University Courses to Support Collaborative Knowledge Creation Practices

    Science.gov (United States)

    Lakkala, Minna; Toom, Auli; Ilomäki, Liisa; Muukkkonen, Hanni

    2015-01-01

    Higher education institutions should not only aim to educate academic experts who master their own fields, but also give their students generic skills important in the current society. New teaching methods are required to support the development of such skills. The study examined how a group of voluntary university lecturers re-designed their…

  16. The Delivery of Developmental Mathematics: Course Redesign and Implementation at a Community College

    Science.gov (United States)

    Westerfield, Mary Ann K.

    2013-01-01

    This research was undertaken to determine if the redesigned modular delivery method for developmental mathematics produced a higher sequence completion rate within a year as compared to the traditional lecture style delivery. Re-enrollment rates from fall to spring for the modularized delivery system were compared to the traditional delivery…

  17. Service-Learning and Integrated Course Redesign: Principles of Management and the Campus Kitchen Metaproject

    Science.gov (United States)

    Flannery, Brenda L.; Pragman, Claudia H.

    2010-01-01

    This article describes the process of redesigning a Principles of Management course to integrate a service-learning metaproject. The metaproject was Campus Kitchen, a food recovery and delivery program operated on a handful of university campuses across the United States. We used L. Dee Fink's integrated course design approach as well as systems…

  18. Information Technology Management: Course Re-Design Using an Assessment Driven Approach

    Science.gov (United States)

    Schwieger, Dana; Surendran, Ken

    2013-01-01

    One of the core courses in the IS2010 Model Curriculum Guideline is "IS Strategy, Management and Acquisition" ("ISMA"). The authors redesigned their pre-IS2010 model Information Technology Management (ITM) course to meet the skills development stated in the ISMA course. Since the IT discipline is changing rapidly, the technical…

  19. Multimillion Dollar Construction Project Completed in Glenn's Icing Research Tunnel

    Science.gov (United States)

    Kevdzija, Susan L.

    2001-01-01

    Over the last year, the Glenn Research Center's Icing Research Tunnel (IRT) underwent a major $5.2 million rehabilitation project as part of the Construction of Facilities program. The scope of the project included redesign and replacement of the 55-yr-old heat exchanger, the addition of fan outlet guide vanes for flow conditioning downstream of the 25-ft-diameter fan, and redesign and replacement of the C and D corner-turning vanes. The purpose of the rehabilitation was to replace old portions of the infrastructure and to improve the aerodynamic flow quality in the tunnel.

  20. Redesigning a clinical mentoring program for improved outcomes in the clinical training of clerks

    Directory of Open Access Journals (Sweden)

    Chia-Der Lin

    2015-09-01

    Full Text Available Introduction: Mentorship has been noted as critical to medical students adapting to clinical training in the medical workplace. A lack of infrastructure in a mentoring program might deter relationship building between mentors and mentees. This study assessed the effect of a redesigned clinical mentoring program from the perspective of clerks. The objective was to assess the benefits of the redesigned program and identify potential improvements. Methods: A redesigned clinical mentoring program was launched in a medical center according to previous theoretical and practical studies on clinical training workplaces, including the elements of mentor qualifications, positive and active enhancers for mentor–mentee relationship building, the timing of mentoring performance evaluation, and financial and professional incentives. A four-wave web survey was conducted, comprising one evaluation of the former mentoring program and three evaluations of the redesigned clinical mentoring program. Sixty-four fifth-year medical students in clerkships who responded to the first wave and to at least two of the three following waves were included in the study. A structured and validated questionnaire encompassing 15 items on mentor performance and the personal characteristics of the clerks was used. Mixed linear models were developed for repeated measurements and to adjust for personal characteristics. Results: The results revealed that the redesigned mentoring program improved the mentors’ performance over time for most evaluated items regarding professional development and personal support provided to the mentees. Conclusions: Our findings serve as an improved framework for the role of the institution and demonstrate how institutional policies, programs, and structures can shape a clinical mentoring program. We recommend the adoption of mentorship schemes for other cohorts of medical students and for different learning and training stages involved in becoming a

  1. Redesigning a clinical mentoring program for improved outcomes in the clinical training of clerks

    Science.gov (United States)

    Lin, Chia-Der; Lin, Blossom Yen-Ju; Lin, Cheng-Chieh; Lee, Cheng-Chun

    2015-01-01

    Introduction Mentorship has been noted as critical to medical students adapting to clinical training in the medical workplace. A lack of infrastructure in a mentoring program might deter relationship building between mentors and mentees. This study assessed the effect of a redesigned clinical mentoring program from the perspective of clerks. The objective was to assess the benefits of the redesigned program and identify potential improvements. Methods A redesigned clinical mentoring program was launched in a medical center according to previous theoretical and practical studies on clinical training workplaces, including the elements of mentor qualifications, positive and active enhancers for mentor–mentee relationship building, the timing of mentoring performance evaluation, and financial and professional incentives. A four-wave web survey was conducted, comprising one evaluation of the former mentoring program and three evaluations of the redesigned clinical mentoring program. Sixty-four fifth-year medical students in clerkships who responded to the first wave and to at least two of the three following waves were included in the study. A structured and validated questionnaire encompassing 15 items on mentor performance and the personal characteristics of the clerks was used. Mixed linear models were developed for repeated measurements and to adjust for personal characteristics. Results The results revealed that the redesigned mentoring program improved the mentors’ performance over time for most evaluated items regarding professional development and personal support provided to the mentees. Conclusions Our findings serve as an improved framework for the role of the institution and demonstrate how institutional policies, programs, and structures can shape a clinical mentoring program. We recommend the adoption of mentorship schemes for other cohorts of medical students and for different learning and training stages involved in becoming a physician. PMID

  2. Taking Chances: A New Librarian and Curriculum Redesign.

    Science.gov (United States)

    Kovar-Gough, Iris

    2017-01-01

    As technology becomes ubiquitous in designing and delivering medical school curricula, health sciences librarians can embrace emerging opportunities for participation in curriculum design. A new medical librarian at Michigan State University Libraries engaged her user base outside of established duties, learned new skills, and challenged preconceived notions about librarians' roles. In the process, she became a partner in copyright education, amended license agreements for enhanced curricular multimedia use, and facilitated curriculum mapping through taxonomy building. These projects helped create the informational foundation for a novel hybrid medical education curriculum and introduced new curricular roles for the librarian.

  3. Kėdainiai region in the creative work of Adam Mickiewicz, Oscar Miłosz, and Czesław Miłosz : mythologema of coming back

    OpenAIRE

    Sakalavičiūtė, Kristina

    2011-01-01

    The history of Lithuanian regional literature classifies Adam Mickiewicz, Oscar Miłosz, and Czesław Miłosz as the authors of Kėdainiai district. The fact that all of them have mentioned Kėdainiai in their creative work lays at the basis of such a classification. Mickiewicz, O. Miłosz, and Cz. Miłosz were writing about Kėdainiai region while living abroad. Personal and cultural memory, as well as imagination were essential for them because all three authors had “to be back” to Lithuania in ord...

  4. Evaluación de la calidad del servicio educativo para determinar el nivel de la deserción estudiantil en la Unidad Educativa "Capitán Pedro Oscar Salas Bajaña".

    OpenAIRE

    Salas Bustos, Juana Carola; Lucín Arboleda, Rossana Jacqueline

    2013-01-01

    Esta tesis fue realizada con el fin de evaluar la calidad del servicio educativo para determinar el nivel de deserción estudiantil de la unidad educativa “Capitán Pedro Oscar Salas Bajaña” y su repercusión en los servicios educativos entregados. El objetivo de esta, es revisar la fundamentación teórica de la calidad en la gestión educativa, analizar las fortalezas y oportunidades que tiene en la actualidad, analizar el clima organizacional del cuerpo docente, identificar la satisfacc...

  5. La dramaturgia de Oscar Wilde, ejemplo paradigmático de la influencia y recepción del teatro francés en Gran Bretaña (1880-1895)

    OpenAIRE

    Ramos Gay, Ignacio

    2004-01-01

    RESUMEN La tesis doctoral tiene por objetivo analizar la influencia, recepción y subversión del teatro francés en Gran Bretaña durante el marco temporal acotado por 1880 y 1895, tomando como base inductiva la dramaturgia de Oscar Wilde. La estructura está articulada en torno a dos partes. La primera de ella tiene por fin desmitificar el concepto de degeneración dramática asociado al teatro inglés del siglo XIX y a las obras y autores franceses adaptados para los escenarios londinenses, rec...

  6. A redesigned follitropin alfa pen injector for infertility: results of a market research study

    Directory of Open Access Journals (Sweden)

    Abbotts C

    2011-06-01

    Full Text Available Carole Abbotts1, Cristiana Salgado-Braga2, Céline Audibert-Gros31Pharmaceutical Marketing Research Consultancy, London, UK; 2Fertility and Endocrinology Global Business Unit, 3Business Intelligence, Merck Serono SA, Geneva, SwitzerlandBackground: The purpose of this study was to evaluate patient-learning and nurse-teaching experiences when using a redesigned prefilled, ready-to-use follitropin alfa pen injector.Methods: Seventy-three UK women of reproductive age either administering daily treatment with self-injectable gonadotropins or about to start gonadotropin treatment for infertility (aged 24–47 years; 53 self-injection-experienced and 20 self-injection-naïve and 28 nurses from UK infertility clinics were recruited for the study. Following instruction, patients and nurses used the redesigned follitropin alfa pen to inject water into an orange and completed questionnaires to evaluate their experiences with the pen immediately after the simulated injections.Results: Most (88%, n = 64 patients found it easy to learn how to use the pen. Among injection-experienced patients, 66% (n = 35 agreed that the redesigned pen was easier to learn to use compared with their current method and 70% (n = 37 also said they would prefer its use over current devices for all injectable fertility medications. All nurses considered the redesigned pen easy to learn and believed it would be easy to teach patients how to use. Eighty-six percent (n = 24 of the nurses thought it was easy to teach patients to determine the remaining dose to be dialed and injected in a second pen if the initial dose was incomplete. Compared with other injection devices, 96% (n = 27 thought it was "much easier" to "as easy" to teach patients to use the redesigned pen. Based on ease of teaching, 68% (n = 19 of nurses would choose to teach the pen in preference to any other injection method. Almost all (93%, n = 26 nurses considered that having the same pen format for a range of

  7. The Henry Ford production system: LEAN process redesign improves service in the molecular diagnostic laboratory: a paper from the 2008 William Beaumont hospital symposium on molecular pathology.

    Science.gov (United States)

    Cankovic, Milena; Varney, Ruan C; Whiteley, Lisa; Brown, Ron; D'Angelo, Rita; Chitale, Dhananjay; Zarbo, Richard J

    2009-09-01

    Accurate and timely molecular test results play an important role in patient management; consequently, there is a customer expectation of short testing turnaround times. Baseline data analysis revealed that the greatest challenge to timely result generation occurred in the preanalytic phase of specimen collection and transport. Here, we describe our efforts to improve molecular testing turnaround times by focusing primarily on redesign of preanalytic processes using the principles of LEAN production. Our goal was to complete greater than 90% of the molecular tests in less than 3 days. The project required cooperation from different laboratory disciplines as well as individuals outside of the laboratory. The redesigned processes involved defining and standardizing the protocols and approaching blood and tissue specimens as analytes for molecular testing. The LEAN process resulted in fewer steps, approaching the ideal of a one-piece flow for specimens through collection/retrieval, transport, and different aspects of the testing process. The outcome of introducing the LEAN process has been a 44% reduction in molecular test turnaround time for tissue specimens, from an average of 2.7 to 1.5 days. In addition, extending LEAN work principles to the clinician suppliers has resulted in a markedly increased number of properly collected and shipped blood specimens (from 50 to 87%). These continuous quality improvements were accomplished by empowered workers in a blame-free environment and are now being sustained with minimal management involvement.

  8. The Redesign of a Community Pharmacy Internship Program.

    Science.gov (United States)

    Pattin, Anthony J; Kelling, Sarah E; Szyskowski, Jim; Izor, Michelle L; Findley, Susan

    2016-06-01

    Pharmacy internships provide students with practical experiences that lead to enhancement of clinical skills and personal growth. To describe the design and implementation of a structured 10-week summer pharmacy internship program in a supermarket chain pharmacy. The pharmacy leadership team developed and piloted a new format of the pharmacy internship during the summer of 2013. Pharmacy students in professional year 1 (P1), 2 (P2), and 4 (P4) were invited to apply for a paid internship. Pharmacy students were recruited from all colleges of pharmacy in the state of Michigan. The goal of the new program was to create a focused learning opportunity that encouraged students to develop knowledge, skills, and abilities about patient care, pharmacy management, and working within a team. A total of 19 interns were recruited (P1 = 7, P2 = 7, and P4 = 5). Students practiced 40 hours per week and participated in the medication dispensing process and employee biometrics screening program. Interns provided approximately 500 assessments on pharmacy employees and all P1 and P2 interns completed a patient care project. The restructured internship program provided pharmacy students with a 10-week program that exposed them to many aspects of community pharmacy practice. The program needs future refinement and assessment measures to verify interns improve skills throughout the program. © The Author(s) 2015.

  9. Interoperability of Electronic Health Records: A Physician-Driven Redesign.

    Science.gov (United States)

    Miller, Holly; Johns, Lucy

    2018-01-01

    PURPOSE: Electronic health records (EHRs), now used by hundreds of thousands of providers and encouraged by federal policy, have the potential to improve quality and decrease costs in health care. But interoperability, although technically feasible among different EHR systems, is the weak link in the chain of logic. Interoperability is inhibited by poor understanding, by suboptimal implementation, and at times by a disinclination to dilute market share or patient base on the part of vendors or providers, respectively. The intent of this project has been to develop a series of practicable recommendations that, if followed by EHR vendors and users, can promote and enhance interoperability, helping EHRs reach their potential. METHODOLOGY: A group of 11 physicians, one nurse, and one health policy consultant, practicing from California to Massachusetts, has developed a document titled "Feature and Function Recommendations To Optimize Clinician Usability of Direct Interoperability To Enhance Patient Care" that offers recommendations from the clinician point of view. This report introduces some of these recommendations and suggests their implications for policy and the "virtualization" of EHRs. CONCLUSION: Widespread adoption of even a few of these recommendations by designers and vendors would enable a major advance toward the "Triple Aim" of improving the patient experience, improving the health of populations, and reducing per capita costs.

  10. The Role of the IT Department in Information System and Organizational Redesign.

    Science.gov (United States)

    Stub Petersen, Lone

    2015-01-01

    This paper is based on a qualitative study of IT organization and clinical practice over a period of 3 years supported by additional data during the last 2 years. This paper argues that redesign is central to understanding and developing both healthcare information systems and organizations. The importance of the IT organization is also stressed throughout this paper as a pertinent partner and power when considering organizational change and learning in hospitals as it can serve both as a barrier and a catalyst of change and flexibility in the organization through information systems management. Therefore it is important to consider and secure appropriate forms for redesign and learning in cooperation with the IT department.

  11. Market redesign and regulatory change : how companies doing business in Alberta's power markets will be affected

    International Nuclear Information System (INIS)

    Runge, C.

    2003-01-01

    The Power Pool of Alberta (PPA) began its operations in 1996 based on a model with a single price set based on day ahead offers/bids and real time dispatch. The Electric Utilities Act was amended in 1998 and direct sales were permitted in 1999. The Power Purchase Arrangement Auction was implemented in 2000. Significant events took place in 2001, including: (1) retail competition, (2) PPAs began operations, (3) restrictions on direct sales were removed, (4) forward exchange operation, and (5) ancillary services market. In 2002, the Market Achievement Plan II was implemented and government industry structure was reviewed. There are several considerations regarding market redesign, such as day ahead market, capacity market, congestion management, and Northwest Regional Transmission Organization (RTO West). The role of the International Standard Organization (ISO) was discussed, with reference to the Independent System Operator, Independent Market Operator, and Transmission and Market Planner. Redesign must involve all participants and include informed, phased in changes

  12. Diagnose and Redesign of the handling and treatment processes of the solid waste in the Hospital Mexico

    International Nuclear Information System (INIS)

    Campos Arrieta, G.; Navarro Blanco, D

    1999-01-01

    In the Hospital Mexico a program for the handling of the solid waste was implemented. The program consists on placing recipients, in all the corridors, for each type of waste (recyclable, toxic, dangerous, kitchens). However, this measure doesn't eliminate the risk that the waste represents for the community and the environment. The handling of the solid waste includes the selection or classification, the gathering, the transportation, and the temporary storage. While the treatment consists on the application of procedures that reduce the polluting properties of the waste. The planning of the topic is: To diagnose and to redesign of the handling processes and internal treatment of the hospital solid waste (HSW) in the Hospital Mexico. The contribution of the Industrial Engineering is given in the thematic of redesign of processes; the complementary areas are engineering of the human factor, environmental impact and normalization. The current problem that undergoes the Hospital was defined as follows: The Hospital Mexico cannot assure that the handling and current treatment of the solid waste diminish the risk that they represent to the health of the hospital community and the deterioration of the environment. This problem contains the independent variables such as the handling and current treatment of the solid waste, and the dependent variables such as the risk to the health of the community and deterioration of the environment. Based on the problem, the following hypothesis is established: The current conditions of handling and the lack of internal treatment of the solid waste in the Hospital Mexico, causes that the waste is a risk for the health of the hospital community and the deterioration of the environment. The project was structured in three denominated stages: Diagnose, Design and Validation, which respond to different general and specific objectives. In the stage of diagnose, to determine that the waste generated in the centers of health contain

  13. Analysis of lifting beam and redesigned lifting lugs for 241-AZ-01A decant pump

    International Nuclear Information System (INIS)

    Coverdell, B.L.

    1994-01-01

    This supporting document details calculations for the proper design of a lifting beam and redesigned lifting lugs for the 241AZO1A decant pump. This design is in accordance with Standard Architectural-Civil Design Criteria, Design Loads for Facilities (DOE-RL 1989) and is safety class three. The design and fabrication is in accordance with American Institute of Steel Construction, Manual of Steel Construction, (AISC, 1989) and the Hanford Hoisting and Rigging Manual (DOE-RL 1993)

  14. Chronic disease management: time for consultant physicians to take more leadership in system redesign.

    Science.gov (United States)

    Brand, C; Scott, I; Greenberg, P; Sargious, P

    2007-09-01

    There is a need for system redesign to meet the needs of individuals with chronic disease. New models of chronic disease care include team-based paradigms that focus on continuous and patient-centred care. In such models the roles of providers and patients must change. In this article we focus on new roles for consultant physicians, as well as barriers and incentives to these roles.

  15. Does a grill menu redesign influence sales, nutrients purchased, and consumer acceptance in a worksite cafeteria?

    Directory of Open Access Journals (Sweden)

    Maya K. Vadiveloo

    2017-12-01

    Full Text Available Worksite cafeterias are compelling venues to improve diet quality through environmental changes.We conducted a pre-post study to evaluate how a cafeteria-initiated grill menu redesign influenced sales, revenue, and nutrient content of foods purchased. Secondly, we evaluated consumer opinions about menu changes to inform practices for worksite environment interventions. Monthly sales data (2012–2015 were used to compute gross sales and revenue of entrées and side dishes pre-post menu changes. Alternative protein sources replaced red meat; nutrient composition and nutrients purchased were compared using Food Pro software. Consumer responses were queried using online surveys; open-ended responses were analyzed using NVivo. Differences in sales and nutrient content pre-post menu redesign were tested with Wilcoxon Rank Sum tests. Gross sales of entrées (61 vs. 222servings/month; p=0.01 and side dishes (120 vs. 365servings/month; p=0.001 increased more than three-fold post-menu changes. Revenue from entrées (312 vs. 1144USD/month; p=0.01 and side dishes (238 vs. 914USD/month; p=0.001 also increased; per entrée, consumers purchased significantly more unsaturated fat (5g, and less saturated fat (3g and sodium (100mg. For side dishes, they purchased fewer calories (48kcal and unsaturated fat (2.9g, but more fiber (1.8g, and sodium (260mg. Four themes emerged from consumer responses: the importance of 1 variety, novelty, choice; 2 cost, affordability, value; 3 health; and 4 food quality, taste. Menu redesign can improve nutrient content, while also increasing sales and revenue. Multi-dimensional assessment of the nutritional, consumer, and retailer implications is desirable practice for enacting similar environmental changes. Keywords: Worksite health promotion, Food environment change, Consumer satisfaction, Menu redesign, Sales and revenue

  16. Does a grill menu redesign influence sales, nutrients purchased, and consumer acceptance in a worksite cafeteria?

    OpenAIRE

    Maya K. Vadiveloo; Vasanti S. Malik; Donna Spiegelman; Walter C. Willett; Josiemer Mattei

    2017-01-01

    Worksite cafeterias are compelling venues to improve diet quality through environmental changes.We conducted a pre-post study to evaluate how a cafeteria-initiated grill menu redesign influenced sales, revenue, and nutrient content of foods purchased. Secondly, we evaluated consumer opinions about menu changes to inform practices for worksite environment interventions. Monthly sales data (2012–2015) were used to compute gross sales and revenue of entrées and side dishes pre-post menu changes....

  17. Redesigning Care Delivery with Patient Support Personnel: Learning from Accountable Care Organizations

    Science.gov (United States)

    Gorbenko, Ksenia O.; Fraze, Taressa; Lewis, Valerie A.

    2017-01-01

    INTRODUCTION Accountable care organizations (ACOs) are a value-based payment model in the United States rooted in holding groups of healthcare providers financially accountable for the quality and total cost of care of their attributed population. To succeed in reaching their quality and efficiency goals, ACOs implement a variety of care delivery changes, including workforce redesign. Patient support personnel (PSP)—non-physician staff such as care coordinators, community health workers, and others—are critical to restructuring care delivery. Little is known about how ACOs are redesigning their patient support personnel in terms of responsibilities, location, and evaluation. METHODS We conducted semi-structured one-hour interviews with 25 executives at 16 distinct ACOs. The interviews were recorded, transcribed, and coded for themes, using a qualitative coding and analysis process. RESULTS ACOs deployed PSP to perform four clusters of responsibilities: care provision, care coordination, logistical help with transportation, and social and emotional support. ACOs deployed these personnel strategically across settings (primary care, inpatient services, emergency department, home care and community) depending on their population needs. Most ACOs used personnel with the same level of training across settings. Few ACOs planned to conduct a comprehensive evaluation of their PSP to optimize their value. DISCUSSION ACO strategies in workforce redesign indicate a shift from a physician-centered to a team-based approach. Employing personnel with varying levels of clinical training to perform different tasks can help further optimize care delivery. More robust evaluation of the deployment of PSP and their performance is needed to demonstrate cost-saving benefits of workforce redesign. PMID:28217305

  18. Endovascular aneurysm repair delivery redesign leads to quality improvement and cost reduction.

    Science.gov (United States)

    Warner, Courtney J; Horvath, Alexander J; Powell, Richard J; Columbo, Jesse A; Walsh, Teri R; Goodney, Philip P; Walsh, Daniel B; Stone, David H

    2015-08-01

    Endovascular aneurysm repair (EVAR) is now a mainstay of therapy for abdominal aortic aneurysm, although it remains associated with significant expense. We performed a comprehensive analysis of EVAR delivery at an academic medical center to identify targets for quality improvement and cost reduction in light of impending health care reform. All infrarenal EVARs performed from April 2011 to March 2012 were identified (N = 127). Procedures were included if they met standard commercial instructions for use guidelines, used a single manufacturer, and were billed to Medicare diagnosis-related group 238 (n = 49). By use of DMAIC (define, measure, analyze, improve, and control) quality improvement methodology (define, measure, analyze, improve, control), targets for EVAR quality improvement were identified and high-yield changes were implemented. Procedure technical costs were calculated before and after process redesign. Perioperative services and clinic visits were identified as targets for quality improvement efforts and cost reduction. Mean technical costs before the intervention were $31,672, with endograft implants accounting for 52%. Pricing redesign in collaboration with hospital purchasing reduced mean EVAR technical costs to $28,607, a 10% reduction in overall cost, with endograft implants now accounting for 46%. Perioperative implementation of instrument tray redesign reduced instrument use by 32% (184 vs 132 instruments), saving $50,000 annually. Unnecessary clinic visits were reduced by 39% (1.6 vs 1.1 clinic visits per patient) through implementation of a preclinic imaging protocol. There was no difference in mean length of stay after the intervention. Comprehensive EVAR delivery redesign leads to cost reduction and waste elimination while preserving quality. Future efforts to achieve more competitive and transparent device pricing will make EVAR more cost neutral and enhance its financial sustainability for health care systems. Copyright © 2015 Society for

  19. Across the divide: "Primary care departments working together to redesign care to achieve the Triple Aim".

    Science.gov (United States)

    Koslov, Steven; Trowbridge, Elizabeth; Kamnetz, Sandra; Kraft, Sally; Grossman, Jeffrey; Pandhi, Nancy

    2016-09-01

    Primary care is considered the foundation of an effective health care system. However, primary care departments at academic health centers have numerous challenges to overcome when trying to achieve the Triple Aim. As part of an organizational initiative to redesign primary care at a large academic health center, departments of internal medicine, general pediatrics and adolescent medicine, and family medicine worked together to comprehensively redesign primary care. This article describes the process of aligning these three primary care departments: defining panel size, developing a common primary care job description, redesigning the primary care compensation plan, redesigning the care model, and developing standardized staffing. Prior to the initiative, the rate of patient satisfaction was 85%, anticoagulation measurement 65%, pneumococcal vaccination 85%, breast cancer screening 79%, and colorectal cancer screening 69%. These rates all improved to 87%, 75%, 88%, 80%, and 80% respectively. Themes around key challenges to departmental integration are identified: (1) implementing effective communication strategies; (2) addressing specialty differences in primary care delivery; (3) working within resource limitations; and (4) developing long-term sustainability. Primary care in this large academic health center was transformed through developing a united primary care leadership team that bridged individual departments to create and adopt a common vision and solutions to shared problems. Our collaboration has achieved improvements across patient satisfaction, clinical safety metrics, and publicly-reported preventive care outcomes. The description of this experience may be useful for other academic health centers or other non-integrated delivery systems undertaking primary care practice transformation. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Impact of Residency Training Redesign on Residents' Clinical Knowledge.

    Science.gov (United States)

    Waller, Elaine; Eiff, M Patrice; Dexter, Eve; Rinaldo, Jason C B; Marino, Miguel; Garvin, Roger; Douglass, Alan B; Phillips, Robert; Green, Larry A; Carney, Patricia A

    2017-10-01

    The In-training Examination (ITE) is a frequently used method to evaluate family medicine residents' clinical knowledge. We compared family medicine ITE scores among residents who trained in the 14 programs that participated in the Preparing the Personal Physician for Practice (P4) Project to national averages over time, and according to educational innovations. The ITE scores of 802 consenting P4 residents who trained in 2007 through 2011 were obtained from the American Board of Family Medicine. The primary analysis involved comparing scores within each academic year (2007 through 2011), according to program year (PGY) for P4 residents to all residents nationally. A secondary analysis compared ITE scores among residents in programs that experimented with length of training and compared scores among residents in programs that offered individualized education options with those that did not. Release of ITE scores was consented to by 95.5% of residents for this study. Scores of P4 residents were higher compared to national scores in each year. For example, in 2011, the mean P4 score for PGY1 was 401.2, compared to the national average of 386. For PGY2, the mean P4 score was 443.1, compared to the national average of 427, and for PGY3, the mean P4 score was 477.0, compared to the national PGY3 score of 456. Scores of residents in programs that experimented with length of training were similar to those in programs that did not. Scores were also similar between residents in programs with and without individualized education options. Family medicine residency programs undergoing substantial educational changes, including experiments in length of training and individualized education, did not appear to experience a negative effect on resident's clinical knowledge, as measured by ITE scores. Further research is needed to study the effect of a wide range of residency training innovations on ITE scores over time.

  1. Connecting the dots: interprofessional health education and delivery system redesign at the Veterans Health Administration.

    Science.gov (United States)

    Gilman, Stuart C; Chokshi, Dave A; Bowen, Judith L; Rugen, Kathryn Wirtz; Cox, Malcolm

    2014-08-01

    Health systems around the United States are embracing new models of primary care using interprofessional team-based approaches in pursuit of better patient outcomes, higher levels of satisfaction among patients and providers, and improved overall value. Less often discussed are the implications of new models of care for health professions education, including education for physicians, nurse practitioners, physician assistants, and other professions engaged in primary care. Described here is the interaction between care transformation and redesign of health professions education at the largest integrated delivery system in the United States: the Veterans Health Administration (VA). Challenges and lessons learned are discussed in the context of a demonstration initiative, the VA Centers of Excellence in Primary Care Education. Five sites, involving VA medical centers and their academic affiliates in Boise, Cleveland, San Francisco, Seattle, and West Haven, introduced interprofessional primary care curricula for resident physicians and nurse practitioner students beginning in 2011. Implementation struggles largely revolved around the operational logistics and cultural disruption of integrating educational redesign for medicine and nursing and facilitating the interface between educational and clinical activities. To realize new models for interprofessional teaching, faculty, staff, and trainees must understand the histories, traditions, and program requirements across professions and experiment with new approaches to achieving a common goal. Key recommendations for redesign of health professions education revolve around strengthening the union between interprofessional learning, team-based practice, and high-value care.

  2. Redesigning rain gauges network in Johor using geostatistics and simulated annealing

    Energy Technology Data Exchange (ETDEWEB)

    Aziz, Mohd Khairul Bazli Mohd, E-mail: mkbazli@yahoo.com [Centre of Preparatory and General Studies, TATI University College, 24000 Kemaman, Terengganu, Malaysia and Department of Mathematical Sciences, Faculty of Science, Universiti Teknologi Malaysia, 81310 UTM Johor Bahru, Johor (Malaysia); Yusof, Fadhilah, E-mail: fadhilahy@utm.my [Department of Mathematical Sciences, Faculty of Science, Universiti Teknologi Malaysia, 81310 UTM Johor Bahru, Johor (Malaysia); Daud, Zalina Mohd, E-mail: zalina@ic.utm.my [UTM Razak School of Engineering and Advanced Technology, Universiti Teknologi Malaysia, UTM KL, 54100 Kuala Lumpur (Malaysia); Yusop, Zulkifli, E-mail: zulyusop@utm.my [Institute of Environmental and Water Resource Management (IPASA), Faculty of Civil Engineering, Universiti Teknologi Malaysia, 81310 UTM Johor Bahru, Johor (Malaysia); Kasno, Mohammad Afif, E-mail: mafifkasno@gmail.com [Malaysia - Japan International Institute of Technology (MJIIT), Universiti Teknologi Malaysia, UTM KL, 54100 Kuala Lumpur (Malaysia)

    2015-02-03

    Recently, many rainfall network design techniques have been developed, discussed and compared by many researchers. Present day hydrological studies require higher levels of accuracy from collected data. In numerous basins, the rain gauge stations are located without clear scientific understanding. In this study, an attempt is made to redesign rain gauge network for Johor, Malaysia in order to meet the required level of accuracy preset by rainfall data users. The existing network of 84 rain gauges in Johor is optimized and redesigned into a new locations by using rainfall, humidity, solar radiation, temperature and wind speed data collected during the monsoon season (November - February) of 1975 until 2008. This study used the combination of geostatistics method (variance-reduction method) and simulated annealing as the algorithm of optimization during the redesigned proses. The result shows that the new rain gauge location provides minimum value of estimated variance. This shows that the combination of geostatistics method (variance-reduction method) and simulated annealing is successful in the development of the new optimum rain gauge system.

  3. Evaluation of a redesigned 3/4-inch uranium hexafluoride cylinder valve stem

    International Nuclear Information System (INIS)

    Zonner, L.A.; Wamsley, S.D.

    1978-01-01

    The performance of a redesigned 3/4-in. uranium hexafluoride cylinder valve stem has been evaluated at the Portsmouth Gaseous Diffusion Plant. Prototypes, machined from Monel bar stock and having a 45 0 tip angle instead of the 15 0 tip angle of the standard valve stem, were fabricated. Tests included: cyclic leak evaluation; flow restriction determination; wear testing with uranyl fluoride deposits in the valve seat; stress corrosion testing; field testing (in previously rejected valve bodies); and production leak testing. Because their overall test performance was excellent, actual production usage of the redesigned stems was initiated. The in-service performance of valves fitted with redesigned stems has been significantly superior to that of valves having the standard stems: rejection rates have been 0.7 and 16.6 percent, respectively. Recommendations are made to replace all 15 0 angle tip stems presently in service with new stems having a 45 0 angle tip and to specify the new stem tip design for future 3/4-in. valve purchases

  4. Redesigning rain gauges network in Johor using geostatistics and simulated annealing

    International Nuclear Information System (INIS)

    Aziz, Mohd Khairul Bazli Mohd; Yusof, Fadhilah; Daud, Zalina Mohd; Yusop, Zulkifli; Kasno, Mohammad Afif

    2015-01-01

    Recently, many rainfall network design techniques have been developed, discussed and compared by many researchers. Present day hydrological studies require higher levels of accuracy from collected data. In numerous basins, the rain gauge stations are located without clear scientific understanding. In this study, an attempt is made to redesign rain gauge network for Johor, Malaysia in order to meet the required level of accuracy preset by rainfall data users. The existing network of 84 rain gauges in Johor is optimized and redesigned into a new locations by using rainfall, humidity, solar radiation, temperature and wind speed data collected during the monsoon season (November - February) of 1975 until 2008. This study used the combination of geostatistics method (variance-reduction method) and simulated annealing as the algorithm of optimization during the redesigned proses. The result shows that the new rain gauge location provides minimum value of estimated variance. This shows that the combination of geostatistics method (variance-reduction method) and simulated annealing is successful in the development of the new optimum rain gauge system

  5. Redesigning Human Body Systems: Effective Pedagogical Strategy for Promoting Active Learning and STEM Education

    Directory of Open Access Journals (Sweden)

    Abour H. Cherif

    2012-01-01

    Full Text Available The human body is a remarkable biological machine maintained by interdependent body systems and organized biochemical reactions. Evolution has worked on humans for hundreds of thousands of years, yet the current pace of technological and social change have radically affected our life style and have exposed possible human frailties. This raises the question of whether or not nature’s work could be improved upon. We provide two-sided perspectives as a rationale for the need for the redesign of the human body. Then, we describe pedagogical strategy through which students study morphological and anatomical structures and the physiological functions of the human body systems and their respective organs and parts. The students select their own favorite system or organ to redesign in order to optimize the efficiency of the anatomical structural, physiological function, and/or the aesthetic and functional morphology; a redesign that might lead to, for example, lowering risk of diabetes, heart attack, and/or stroke. Through group work and interaction (student groups compete for a prestigious “in-house” patent award, students actively engage in the learning process in order to understand the role of design in the efficiency and functionality and vulnerability to disease of the human body system.

  6. Redesigning rain gauges network in Johor using geostatistics and simulated annealing

    Science.gov (United States)

    Aziz, Mohd Khairul Bazli Mohd; Yusof, Fadhilah; Daud, Zalina Mohd; Yusop, Zulkifli; Kasno, Mohammad Afif

    2015-02-01

    Recently, many rainfall network design techniques have been developed, discussed and compared by many researchers. Present day hydrological studies require higher levels of accuracy from collected data. In numerous basins, the rain gauge stations are located without clear scientific understanding. In this study, an attempt is made to redesign rain gauge network for Johor, Malaysia in order to meet the required level of accuracy preset by rainfall data users. The existing network of 84 rain gauges in Johor is optimized and redesigned into a new locations by using rainfall, humidity, solar radiation, temperature and wind speed data collected during the monsoon season (November - February) of 1975 until 2008. This study used the combination of geostatistics method (variance-reduction method) and simulated annealing as the algorithm of optimization during the redesigned proses. The result shows that the new rain gauge location provides minimum value of estimated variance. This shows that the combination of geostatistics method (variance-reduction method) and simulated annealing is successful in the development of the new optimum rain gauge system.

  7. Reducing and Sustaining Duplicate Medical Record Creation by Usability Testing and System Redesign.

    Science.gov (United States)

    Khunlertkit, Adjhaporn; Dorissaint, Leonard; Chen, Allen; Paine, Lori; Pronovost, Peter J

    2017-10-25

    Duplicate medical record creation is a common and consequential health care systems error often caused by poor search system usability and inappropriate user training. We conducted two phases of scenario-based usability testing with patient registrars working in areas at risk of generating duplicate medical records. Phase 1 evaluated the existing search system, which led to system redesigns. Phase 2 tested the redesigned system to mitigate potential errors before health system-wide implementation. To evaluate system effectiveness, we compared the monthly potential duplicate medical record rates for preimplementation and postimplementation months. The existing system could not effectively handle a misspelling, which led to failed search and duplicate medical record creation. Using the existing system, 96% of registrars found commonly spelled patient names whereas only 69% successfully found complicated names. Registrars lacked knowledge and usage of a phonetic matching function to assist in misspelling. The new system consistently captured the correct patient regardless of misspelling, but search returned more potential matches, resulting in, on average, 4 seconds longer to select common names. Potential monthly duplicate medical record rate reduced by 38%, from 4% to 2.3% after implementation of the new system, and has sustained at an average of 2.5% for 2 years. Usability testing was an effective method to reveal problems and aid system redesign to deliver a more user friendly system, hence reducing the potential for medical record duplication. Greater standards for usability would ensure that these improvements can be realized before rather than after exposing patients to risks.

  8. Conceptual Design Report Cask Loadout Sys and Cask Drop Redesign for the Immersion Pail Support Structure and Operator Interface Platform at 105 K West

    Energy Technology Data Exchange (ETDEWEB)

    LANGEVIN, A.S.

    1999-07-12

    This conceptual design report documents the redesign of the IPSS and the OIP in the 105 KW Basin south loadout pit due to a postulated cask drop accident, as part of Project A.5/A.6, Canister Transfer Facility Modifications. Project A.5/A.6 involves facility modifications needed to transfer fuel from the basin into the cask-MCO. The function of the IPSS is to suspend, guide, and position the immersion pail. The immersion pail protects the cask-MCO from contamination by basin water and acts as a lifting device for the cask-MCO. The OIP provides operator access to the south loadout pit. Previous analyses studied the effects of a cask-MCO drop on the south loadout pit concrete structure and on the IPSS. The most recent analysis considered the resulting loads at the pit slab/wall joint (Kanjilal, 1999). This area had not been modeled previously, and the analysis results indicate that the demand capacity exceeds the allowable at the slab/wall joint. The energy induced on the south loadout pit must be limited such that the safety class function of the basin is maintained. The solution presented in this CDR redesigns the IPSS and the OIP to include impact-absorbing features that will reduce the induced energy. The impact absorbing features of the new design include: Impact-absorbing material at the IPSS base and at the upper portion of the IPSS legs. A sleeve which provides a hydraulic means of absorbing energy. Designing the OIP to act as an impact absorber. The existing IPSS structure in 105 KW will be removed. This conceptual design considers only loads resulting from drops directly over the IPSS and south loadout pit area. Drops in other areas of the basin are not considered, and will be covered as part of a future revision to this CDR.

  9. Redesign of a health science centre: reflections on co-leadership.

    Science.gov (United States)

    MacTavish, M; Norton, P

    1995-01-01

    Since 1988, the Sunnybrook Health Science Centre has been proactive in re-designing its system toward decentralized management, the purpose being to further enhance patient care. This process has involved numerous changes, among which were the establishment of three large clinical units. These clinical units are not defined following the historic medical model, but group patients with similar service and care needs. Subsequently, each of the clinical units defined Patient Service Units (PSUs). The hospital has chosen a co-leadership model for the lead management at each of the unit levels. This paper describes the model for clinical units.

  10. Integrating biological redesign: where synthetic biology came from and where it needs to go.

    Science.gov (United States)

    Way, Jeffrey C; Collins, James J; Keasling, Jay D; Silver, Pamela A

    2014-03-27

    Synthetic biology seeks to extend approaches from engineering and computation to redesign of biology, with goals such as generating new chemicals, improving human health, and addressing environmental issues. Early on, several guiding principles of synthetic biology were articulated, including design according to specification, separation of design from fabrication, use of standardized biological parts and organisms, and abstraction. We review the utility of these principles over the past decade in light of the field's accomplishments in building complex systems based on microbial transcription and metabolism and describe the progress in mammalian cell engineering. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. Redesigning and Manufacturing of a Land Levelling Shovel by Assembly Structural Stress Analysis

    OpenAIRE

    Tahir Altinbalik; Gürkan İrsel

    2014-01-01

    The aim was to redesign and manufacture of a shovel for a pull-type land levelling machine, which, in its present condition, is used to get easily damaged even under low loads. Firstly, the maximum pulling load affecting the levelling shovel was experimentally determined. Then, stable-shovel system with the bolt connection was replaced with a bearing-shaft connection system. In this way, the new shovel has gained a capability of making oscillation motion so that it can operate on sloped groun...

  12. Methodological conception of design and re-design of career in the Universidad Internacional SEK Ecuador

    Directory of Open Access Journals (Sweden)

    Enrique Aurelio Barrios-Queipo

    2017-01-01

    Full Text Available Given the challenges in the training of professionals, improving training offer university degrees, from its design and systematic curriculum redesign, it is one of the challenges of higher priority in the Ecuadorian Higher Education. In the article the fundamentals of the views that support how to develop these processes so that a new training offer interest is achieved and at the same time have a character for the future of synthesized contextual socioeconomic development. Structural systemic functional method was applied, develándose that relations between the professional process, the training process and the process of university relevance, can condense pertinent to college.

  13. Online optimal experimental re-design in robotic parallel fed-batch cultivation facilities.

    Science.gov (United States)

    Cruz Bournazou, M N; Barz, T; Nickel, D B; Lopez Cárdenas, D C; Glauche, F; Knepper, A; Neubauer, P

    2017-03-01

    We present an integrated framework for the online optimal experimental re-design applied to parallel nonlinear dynamic processes that aims to precisely estimate the parameter set of macro kinetic growth models with minimal experimental effort. This provides a systematic solution for rapid validation of a specific model to new strains, mutants, or products. In biosciences, this is especially important as model identification is a long and laborious process which is continuing to limit the use of mathematical modeling in this field. The strength of this approach is demonstrated by fitting a macro-kinetic differential equation model for Escherichia coli fed-batch processes after 6 h of cultivation. The system includes two fully-automated liquid handling robots; one containing eight mini-bioreactors and another used for automated at-line analyses, which allows for the immediate use of the available data in the modeling environment. As a result, the experiment can be continually re-designed while the cultivations are running using the information generated by periodical parameter estimations. The advantages of an online re-computation of the optimal experiment are proven by a 50-fold lower average coefficient of variation on the parameter estimates compared to the sequential method (4.83% instead of 235.86%). The success obtained in such a complex system is a further step towards a more efficient computer aided bioprocess development. Biotechnol. Bioeng. 2017;114: 610-619. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  14. Evaluating and redesigning teaching learning sequences at the introductory physics level

    Science.gov (United States)

    Guisasola, Jenaro; Zuza, Kristina; Ametller, Jaume; Gutierrez-Berraondo, José

    2017-12-01

    In this paper we put forward a proposal for the design and evaluation of teaching and learning sequences in upper secondary school and university. We will connect our proposal with relevant contributions on the design of teaching sequences, ground it on the design-based research methodology, and discuss how teaching and learning sequences designed according to our proposal relate to learning progressions. An iterative methodology for evaluating and redesigning the teaching and learning sequence (TLS) is presented. The proposed assessment strategy focuses on three aspects: (a) evaluation of the activities of the TLS, (b) evaluation of learning achieved by students in relation to the intended objectives, and (c) a document for gathering the difficulties found when implementing the TLS to serve as a guide to teachers. Discussion of this guide with external teachers provides feedback used for the TLS redesign. The context of our implementation and evaluation is an innovative calculus-based physics course for first-year engineering and science degree students at the University of the Basque Country.

  15. Redesign of a computerized clinical reminder for colorectal cancer screening: a human-computer interaction evaluation

    Directory of Open Access Journals (Sweden)

    Saleem Jason J

    2011-11-01

    Full Text Available Abstract Background Based on barriers to the use of computerized clinical decision support (CDS learned in an earlier field study, we prototyped design enhancements to the Veterans Health Administration's (VHA's colorectal cancer (CRC screening clinical reminder to compare against the VHA's current CRC reminder. Methods In a controlled simulation experiment, 12 primary care providers (PCPs used prototypes of the current and redesigned CRC screening reminder in a within-subject comparison. Quantitative measurements were based on a usability survey, workload assessment instrument, and workflow integration survey. We also collected qualitative data on both designs. Results Design enhancements to the VHA's existing CRC screening clinical reminder positively impacted aspects of usability and workflow integration but not workload. The qualitative analysis revealed broad support across participants for the design enhancements with specific suggestions for improving the reminder further. Conclusions This study demonstrates the value of a human-computer interaction evaluation in informing the redesign of information tools to foster uptake, integration into workflow, and use in clinical practice.

  16. Employee health benefit redesign at the academic health center: a case study.

    Science.gov (United States)

    Marshall, Julie; Weaver, Deirdre C; Splaine, Kevin; Hefner, David S; Kirch, Darrell G; Paz, Harold L

    2013-03-01

    The rapidly escalating cost of health care, including the cost of providing health care benefits, is a significant concern for many employers. In this article, the authors examine a case study of an academic health center that undertook a complete redesign of its health benefit structure to control rising costs, encourage use of its own provider network, and support employee wellness. With the implementation in 2006 of a high-deductible health plan combined with health reimbursement arrangements and wellness incentives, the Penn State Hershey Medical Center (PSHMC) was able to realize significant cost savings and increase use of its own network while maintaining a high level of employee satisfaction. By contracting with a single third-party administrator for its self-insured plan, PSHMC reduced its administrative costs and simplified benefit choices for employees. In addition, indexing employee costs to salary ensured that this change was equitable for all employees, and the shift to a consumer-driven health plan led to greater employee awareness of health care costs. The new health benefit plan's strong focus on employee wellness and preventive health has led to significant increases in the use of preventive health services, including health risk assessments, cancer screenings, and flu shots. PSHMC's experience demonstrates the importance of clear and ongoing communication with employees throughout--before, during, and even after--the process of health benefit redesign.

  17. Using the Principles of SoTL to Redesign an Advanced Evolutionary Biology Course

    Directory of Open Access Journals (Sweden)

    Michael deBraga

    2015-03-01

    Full Text Available A primary goal of university instruction is the students’ demonstration of improved, highly developed critical thinking (CT skills. However, how do faculty encourage CT and its potential concomitant increase in student workload without negatively impacting student perceptions of the course? In this investigation, an advanced biology course is evaluated after structural changes (implemented in 2010 met with a poor student evaluation of the course and the instructor. This analysis first examines the steps used to transform a course to encourage CT and then explains how it can be assessed. To accomplish these goals, the instructor collaborated with an educational developer to redesign the course using a philosophy informed by SoTL. This approach, as we see it, represents a set of principles that demand transparency in the development and application of strategies whose aim is to encourage student learning. However, the SoTL approach would be insufficient to simply promote a set of strategies without some mechanism for evaluating its efficacy. Therefore, we designed a “Graded Response” (GR multiple-choice test to measure CT development and hence to properly evaluate whether the strategies embedded in our SoTL-informed course redesign have adequately met our goals.

  18. Iterative learning-based decentralized adaptive tracker for large-scale systems: a digital redesign approach.

    Science.gov (United States)

    Tsai, Jason Sheng-Hong; Du, Yan-Yi; Huang, Pei-Hsiang; Guo, Shu-Mei; Shieh, Leang-San; Chen, Yuhua

    2011-07-01

    In this paper, a digital redesign methodology of the iterative learning-based decentralized adaptive tracker is proposed to improve the dynamic performance of sampled-data linear large-scale control systems consisting of N interconnected multi-input multi-output subsystems, so that the system output will follow any trajectory which may not be presented by the analytic reference model initially. To overcome the interference of each sub-system and simplify the controller design, the proposed model reference decentralized adaptive control scheme constructs a decoupled well-designed reference model first. Then, according to the well-designed model, this paper develops a digital decentralized adaptive tracker based on the optimal analog control and prediction-based digital redesign technique for the sampled-data large-scale coupling system. In order to enhance the tracking performance of the digital tracker at specified sampling instants, we apply the iterative learning control (ILC) to train the control input via continual learning. As a result, the proposed iterative learning-based decentralized adaptive tracker not only has robust closed-loop decoupled property but also possesses good tracking performance at both transient and steady state. Besides, evolutionary programming is applied to search for a good learning gain to speed up the learning process of ILC. Copyright © 2011 ISA. Published by Elsevier Ltd. All rights reserved.

  19. Computational Re-design of Synthetic Genetic Oscillators for Independent Amplitude and Frequency Modulation.

    Science.gov (United States)

    Tomazou, Marios; Barahona, Mauricio; Polizzi, Karen M; Stan, Guy-Bart

    2018-04-25

    To perform well in biotechnology applications, synthetic genetic oscillators must be engineered to allow independent modulation of amplitude and period. This need is currently unmet. Here, we demonstrate computationally how two classic genetic oscillators, the dual-feedback oscillator and the repressilator, can be re-designed to provide independent control of amplitude and period and improve tunability-that is, a broad dynamic range of periods and amplitudes accessible through the input "dials." Our approach decouples frequency and amplitude modulation by incorporating an orthogonal "sink module" where the key molecular species are channeled for enzymatic degradation. This sink module maintains fast oscillation cycles while alleviating the translational coupling between the oscillator's transcription factors and output. We characterize the behavior of our re-designed oscillators over a broad range of physiologically reasonable parameters, explain why this facilitates broader function and control, and provide general design principles for building synthetic genetic oscillators that are more precisely controllable. Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.

  20. Human factors engineering and design validation for the redesigned follitropin alfa pen injection device.

    Science.gov (United States)

    Mahony, Mary C; Patterson, Patricia; Hayward, Brooke; North, Robert; Green, Dawne

    2015-05-01

    To demonstrate, using human factors engineering (HFE), that a redesigned, pre-filled, ready-to-use, pre-asembled follitropin alfa pen can be used to administer prescribed follitropin alfa doses safely and accurately. A failure modes and effects analysis identified hazards and harms potentially caused by use errors; risk-control measures were implemented to ensure acceptable device use risk management. Participants were women with infertility, their significant others, and fertility nurse (FN) professionals. Preliminary testing included 'Instructions for Use' (IFU) and pre-validation studies. Validation studies used simulated injections in a representative use environment; participants received prior training on pen use. User performance in preliminary testing led to IFU revisions and a change to outer needle cap design to mitigate needle stick potential. In the first validation study (49 users, 343 simulated injections), in the FN group, one observed critical use error resulted in a device design modification and another in an IFU change. A second validation study tested the mitigation strategies; previously reported use errors were not repeated. Through an iterative process involving a series of studies, modifications were made to the pen design and IFU. Simulated-use testing demonstrated that the redesigned pen can be used to administer follitropin alfa effectively and safely.

  1. Redesigning the Structure of Republic Indonesian Defense System; An Analysis of Systems Thinking

    Directory of Open Access Journals (Sweden)

    Ade Muhammad

    2013-09-01

    Full Text Available The phenomenon of Shrinking Defense Capabilities is only the tip of the iceberg of Indonesian Defense System’s problem. The root of the problem that lies beneath and outside is keep untouched. This journal is the part of the efforts to reveal the phenomenon’s structure that binding as a system. The present structure is a cause of that phenomenon and the basis of the current organization responsible for Republic Indonesia Defense sector. With the Systems thinking analysis, the research has revealed the structure that become the problem cause and give a holistic solution trough redesigning new structure based on two theories namely the Strategic-Operational Management with Vision Dissemination of Prof. Dr. Jürgen Strohhecker and the Defense System Generic Dr. Ir. Muhammad Tasrif, M.Eng and Ir. Ade Muhammad, M.Han. The logical consequences would also changing of formation of Indonesian Defense Organization. Keywords : Design, Redesigning, Defense System, System, Defense, Holistic

  2. Redesign and Automation of a mold for manufacturing of refrigerated display cases using Polyurethane Foam Injection

    Directory of Open Access Journals (Sweden)

    Eugenio Yime

    2016-10-01

    Full Text Available Context: To stay competitive over time, a company must continually submit their processes to improvements and updates. Herein are proposed some improvements with regard to safety at work and the reduction of time that occurs during the operation of a mold for manufacturing refrigerators. Method: Some operating conditions of the mold are analyzed and then some factors affecting the processing time and the safety of operating personnel are established. The weaknesses found are related to the intrinsic design of the mold, which raises the need for a structural redesign that also includes automation. Results: It is presented a new design and way to operate the mold which reduces the risk of accidents at having no heavy loads over operator heads. Another contribution of the redesign is the increase in the system rigidity which helps to reduce manufacturing defects. Finally, it is show a automation design which helps to reduce manufacturing times. Conclusions: Significant improvements were obtained in the operation of the mold, such as the reduction of occupational hazards and reduced manufacturing time of refrigerators. These improvements translate into benefits for the company, by reducing costs and increasing production. Both benefits help strengthen the competitiveness of the company.

  3. Participatory redesign of work organisation in hospital nursing: A study of the implementation process.

    Science.gov (United States)

    Stab, Nicole; Hacker, Winfried

    2018-05-01

    The main goal of the study was to apply and analyse a moderated participatory small-group procedure with registered nurses, which aims at the development and implementation of measures to improve work organisation in hospital wards and nursing units. Participation in job redesign is an essential prerequisite of the successful implementation of improvement measures in nursing. The study was carried out in a public hospital of maximum care in Germany. We selected 25 wards with the most critical reported exhaustion and general health and applied a series of moderated small-group sessions in which the registered nurses jointly identified deficits in their work organisation, developed improvement measures, and then implemented and assessed them. Registered nurses of 22 wards actively took part in the small-group procedure. All nursing units jointly identified organisational deficits, developed possible improvement measures, and implemented them. The nursing teams then evaluated the implemented measures which were already assessable at the end of our research period; nearly all (99.0%) showed improvements, while 69.4% actually attained the desired goals. Participatory small-group activities may be successfully applied in hospital nursing in order to improve work organisation. Participatory assessment and redesign of nurses' work organisation should be integrated into regular team meetings. The nursing management should actively support the implementation process. © 2018 John Wiley & Sons Ltd.

  4. Redesigning fruit and vegetable distribution network in Tehran using a city logistics model

    Directory of Open Access Journals (Sweden)

    Farshad Saeedi

    2019-01-01

    Full Text Available Tehran, as one of the most populated capital cities worldwide, is categorized in the group of highly polluted cities in terms of the geographical location as well as increased number of industries, vehicles, domestic fuel consumption, intra-city trips, increased manufacturing units, and in general excessive increase in the consumption of fossil energies. City logistics models can be effectively helpful for solving the complicated problems of this city. In the present study, a queuing theory-based bi-objective mathematical model is presented, which aims to optimize the environmental and economic costs in city logistics operations. It also tries to reduce the response time in the network. The first objective is associated with all beneficiaries and the second one is applicable for perishable and necessary goods. The proposed model makes decisions on urban distribution centers location problem. Subsequently, as a case study, the fruit and vegetable distribution network of Tehran city is investigated and redesigned via the proposed modelling. The results of the implementation of the model through traditional and augmented ε-constraint methods indicate the efficiency of the proposed model in redesigning the given network.

  5. Redesigning a Ministry of Health's organizational structure: exploring implementation challenges through Botswana's experiences.

    Science.gov (United States)

    Seitio-Kgokgwe, Onalenna; Gauld, Robin D C; Hill, Philip C; Barnett, Pauline

    2016-04-01

    The Botswana's Ministry of Health redesigned and adopted a new organizational structure in 2005, which was poorly implemented. This article explores factors that influenced the implementation of this organizational structure. This article draws from data collected through in-depth interviews with 54 purposively selected key informants comprising policy makers, senior managers and staff of the Ministry of Health (N = 40) and senior officers from various stakeholder organizations (N = 14). Participants generally felt that the review of the Ministry of Health organizational structure was important. The previous structure was considered obsolete with fragmented functions that limited the overall performance of the health system. The new organizational structure was viewed to be aligned to current national priorities with potential to positively influence performance. Some key weaknesses identified included lack of consultation and information sharing with workers during the restructuring process, which affected the understanding of their new roles, failure to mobilize key resources to support implementation of the new structure and inadequate monitoring of the implementation process. Redesigning an organizational structure is a major change. There is a need for effective and sustained leadership to plan, direct, coordinate, monitor and evaluate the implementation phase of the reform. Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd.

  6. Ergonomi Function Deployment Pada Redesign Alat Parut Kelapa Untuk Ibu Rumah Tangga

    Directory of Open Access Journals (Sweden)

    Roberta Zulfhi Surya

    2014-10-01

    Abstract. Grate the coconut is one of kitchen activity which faces by housewife in daily life. A coconut grater product which is distibuted in market, one of them is manual crank system. Housewife complain that they feel painfull in their body, especially at hand. Waist and back after using available old tool. This research is purposed to improve the design of coconut grater with crank system by ergonomic function deployment (EFD approach, also to known mosculuskletal reducing of housewife as user and show differention time of grater after redesign done. Research was conducted in RT. 001 RW.005 Tembilahan, Indragiri Hilir District. Research model used treatment by subject design with total sample is 12 housewife which is calculation by Colton Formula. Improvement new coconut grater design with crank system which EFD got by creat the matrix house of ergonomic (HOE and determination of anthropometry data. Mosculuskletal complain on housewife is measured by making the Nordic Body Map (NBM Questionnaire work sheet. Time of grated the coconut got by testing coconut grater by crank system on before and after using. Research finding after redesign of coconut grater of crank system shown that design of coconut grater of crank system with EFD and base on ergonomic acpects (effective, confort, savety, healthy and efficient. Mosculuskletal complaint that happend on housewife decrease about 0,285 or 17,39%. Time of grate is also faster around 5 minutes or has imporove 30,1%.

  7. A University Web Portal redesign applying accessibility patterns. Breaking Down Barriers for Visually Impaired Users

    Directory of Open Access Journals (Sweden)

    Hernán Sosa

    2015-08-01

    Full Text Available Definitely, the WWW and ICTs have become the preferred media for the interaction between society and its citizens, and public and private organizations have today the possibility of deploying their activities through the Web. In particular, university education is a domain where the benefits of these technological resources can strongly contribute in caring for students. However, most university Web portals are inaccessible to their user community (students, professors, and non-teaching staff, between others, since these portals do not take into account the needs of people with different capabilities. In this work, we propose an accessibility pattern driven process to the redesign of university Web portals, aiming to break down barriers for visually impaired users. The approach is implemented to a real case study: the Web portal of Universidad Nacional de la Patagonia Austral (UNPA. The results come from applying accessibility recommendations and evaluation tools (automatic and manual from internationally recognized organizations, to both versions of the Web portal: the original and the redesign one.

  8. A multi-stage stochastic program for supply chain network redesign problem with price-dependent uncertain demands

    DEFF Research Database (Denmark)

    Fattahi, Mohammad; Govindan, Kannan; Keyvanshokooh, Esmaeil

    2018-01-01

    In this paper, we address a multi-period supply chain network redesign problem in which customer zones have price-dependent stochastic demand for multiple products. A novel multi-stage stochastic program is proposed to simultaneously make tactical decisions including products' prices and strategic...... redesign decisions. Existing uncertainty in potential demands of customer zones is modeled through a finite set of scenarios, described in the form of a scenario tree. The scenarios are generated using a Latin Hypercube Sampling method and then a forward scenario construction technique is employed...

  9. Does a grill menu redesign influence sales, nutrients purchased, and consumer acceptance in a worksite cafeteria?

    Science.gov (United States)

    Vadiveloo, Maya K; Malik, Vasanti S; Spiegelman, Donna; Willett, Walter C; Mattei, Josiemer

    2017-12-01

    Worksite cafeterias are compelling venues to improve diet quality through environmental changes. We conducted a pre-post study to evaluate how a cafeteria-initiated grill menu redesign influenced sales, revenue, and nutrient content of foods purchased. Secondly, we evaluated consumer opinions about menu changes to inform practices for worksite environment interventions. Monthly sales data (2012-2015) were used to compute gross sales and revenue of entrées and side dishes pre-post menu changes. Alternative protein sources replaced red meat; nutrient composition and nutrients purchased were compared using Food Pro software. Consumer responses were queried using online surveys; open-ended responses were analyzed using NVivo. Differences in sales and nutrient content pre-post menu redesign were tested with Wilcoxon Rank Sum tests. Gross sales of entrées (61 vs. 222 servings/month; p = 0.01) and side dishes (120 vs. 365 servings/month; p = 0.001) increased more than three-fold post-menu changes. Revenue from entrées (312 vs. 1144 USD/month; p = 0.01) and side dishes (238 vs. 914 USD/month; p = 0.001) also increased; per entrée, consumers purchased significantly more unsaturated fat (5 g), and less saturated fat (3 g) and sodium (100 mg). For side dishes, they purchased fewer calories (48 kcal) and unsaturated fat (2.9 g), but more fiber (1.8 g), and sodium (260 mg). Four themes emerged from consumer responses: the importance of 1) variety, novelty, choice; 2) cost, affordability, value; 3) health; and 4) food quality, taste. Menu redesign can improve nutrient content, while also increasing sales and revenue. Multi-dimensional assessment of the nutritional, consumer, and retailer implications is desirable practice for enacting similar environmental changes.

  10. Sign Redesign: Applying Design Principles to Improve Signage in an Academic Library

    Directory of Open Access Journals (Sweden)

    Sheila Kasperek

    2014-05-01

    Full Text Available When the Mansfield University library’s Special Events and Customer Service Committee created a communications plan for the library, the opportunity presented itself to overhaul the library signs. Applying basic design principles of contrast, alignment, and repetition along with standards from the Americans with Disabilities Act, the library improved the visual communications within the library. Patrons can now read signs from a distance and understand their purpose. Using common design elements, the library began presenting official library information more cohesively. Extending beyond signs, these design principles are now part of the library’s print publications and promotional items. With this consistency, the library brand is more easily recognizable both within the library and across campus. This article describes some basic elements of design and the process of redesigning the signs.

  11. Medipix3RX: Characterizing the Medipix3 Redesign With Synchrotron Radiation

    CERN Document Server

    Gimenez, Eva N; Blaj, Gabriel; Campbell, Michael; Dolbnya, Igor; Frodjh, Erik; Horswell, Ian; Llopart, Xavier; Marchal, Julien; McGrath, John; Omar, David; Plackett, Richard; Sawhney, Kawal; Tartoni, Nicola

    2015-01-01

    The Medipix3RX is the latest version of the Medipix3 photon counting ASICs, which implements two new operational modes, with respect to the Medipix2 ASIC, aimed at eliminating charge shared events (referred to as Charge Summing Mode (CSM)) and at providing spectroscopic information (referred to as Colour Mode (CM)). The Medipix3RX is a redesign of the Medipix3v0 ASIC and corrects for the underperformance of CSM features observed in the previous version. This paper presents the results from synchrotron X-rays tests to evaluate the Medipix3RX ASIC performance. The newly implemented CSM algorithm eliminates the charge sharing effect at the same time as allocating the event to the readout pixel corresponding to the sensor pixel where the X-ray photon impinged. The new pixel trimming circuit led to a reduced dispersion between pixels. Further results of the linearity for all the gain modes, energy resolution and pixel uniformity are also presented.

  12. Space Shuttle Redesigned Solid Rocket Motor nozzle natural frequency variations with burn time

    Science.gov (United States)

    Lui, C. Y.; Mason, D. R.

    1991-01-01

    The effects of erosion and thermal degradation on the Space Shuttle Redesigned Solid Rocket Motor (RSRM) nozzle's structural dynamic characteristics were analytically evaluated. Also considered was stiffening of the structure due to internal pressurization. A detailed NASTRAN finite element model of the nozzle was developed and used to evaluate the influence of these effects at several discrete times during motor burn. Methods were developed for treating erosion and thermal degradation, and a procedure was developed to account for internal pressure stiffening using differential stiffness matrix techniques. Results were verified using static firing test accelerometer data. Fast Fourier Transform and Maximum Entropy Method techniques were applied to the data to generate waterfall plots which track modal frequencies with burn time. Results indicate that the lower frequency nozzle 'vectoring' modes are only slightly affected by erosion, thermal effects and internal pressurization. The higher frequency shell modes of the nozzle are, however, significantly reduced.

  13. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error.

    Science.gov (United States)

    Raab, Stephen S; Grzybicki, Dana Marie; Sudilovsky, Daniel; Balassanian, Ronald; Janosky, Janine E; Vrbin, Colleen M

    2006-10-01

    Our objective was to determine whether the Toyota Production System process redesign resulted in diagnostic error reduction for patients who underwent cytologic evaluation of thyroid nodules. In this longitudinal, nonconcurrent cohort study, we compared the diagnostic error frequency of a thyroid aspiration service before and after implementation of error reduction initiatives consisting of adoption of a standardized diagnostic terminology scheme and an immediate interpretation service. A total of 2,424 patients underwent aspiration. Following terminology standardization, the false-negative rate decreased from 41.8% to 19.1% (P = .006), the specimen nondiagnostic rate increased from 5.8% to 19.8% (P Toyota process change led to significantly fewer diagnostic errors for patients who underwent thyroid fine-needle aspiration.

  14. [Proposing a physiological model for Emergency Department. Operating principles, classification of overcrowding and guidelines for redesign].

    Science.gov (United States)

    Herrera Carranza, M; Aguado Correa, F; Padilla Garrido, N; López Camacho, F

    2017-04-30

    The operation of Emergency Departments (ED) is determined by demand, their own organizational structures and the connection to other medical care levels. When these elements are not simultaneous, it hinders patient flow and decreases capacity, making it necessary to employ a systemic approach to the chain of emergency care as a single operational entity. With this theoretical orientation, we suggest a conceptual model similar to the physiological cardiac output, in which the preload is the demand, the contractile or flow pump is the organizational structure, the afterload is the hospital, the pre-ED valve is primary care and outpatient emergencies, and the post-ED valve is the diagnostic support services and the specialist consultants. Based on this theoretical approach we classify the different types of ED overcrowding and systematise its causes and the different waiting lists that it generates, which can help to redesign the service and avoid its saturation.

  15. The RCSB Protein Data Bank: redesigned web site and web services.

    Science.gov (United States)

    Rose, Peter W; Beran, Bojan; Bi, Chunxiao; Bluhm, Wolfgang F; Dimitropoulos, Dimitris; Goodsell, David S; Prlic, Andreas; Quesada, Martha; Quinn, Gregory B; Westbrook, John D; Young, Jasmine; Yukich, Benjamin; Zardecki, Christine; Berman, Helen M; Bourne, Philip E

    2011-01-01

    The RCSB Protein Data Bank (RCSB PDB) web site (http://www.pdb.org) has been redesigned to increase usability and to cater to a larger and more diverse user base. This article describes key enhancements and new features that fall into the following categories: (i) query and analysis tools for chemical structure searching, query refinement, tabulation and export of query results; (ii) web site customization and new structure alerts; (iii) pair-wise and representative protein structure alignments; (iv) visualization of large assemblies; (v) integration of structural data with the open access literature and binding affinity data; and (vi) web services and web widgets to facilitate integration of PDB data and tools with other resources. These improvements enable a range of new possibilities to analyze and understand structure data. The next generation of the RCSB PDB web site, as described here, provides a rich resource for research and education.

  16. Advancing Care Within an Adult Mental Health Day Hospital: Program Re-Design and Evaluation.

    Science.gov (United States)

    Taube-Schiff, Marlene; Mehak, Adrienne; Marangos, Sandy; Kalim, Anastasia; Ungar, Thomas

    2017-11-13

    Day hospital mental health programs provide alternate care to individuals of high acuity that do not require an inpatient psychiatric stay. Ensuring provision of best practice within these programs is essential for patient stabilization and recovery. However, there is scant literature to review when creating such a program. This paper provides an overview of the steps an acute care hospital took when designing and implementing new programming within a day hospital program. Qualitative data was collected following initial program rollout. This data helped to inform the ongoing modification of groups offered, group scheduling and content, as well as ensuring patient satisfaction and adequate skill delivery during the rollout period and beyond. The goal of this paper is to inform health service delivery for other programs when attempting to build or re-design a day hospital program.

  17. Reducing bending stress in external spur gears by redesign of the standard cutting tool

    DEFF Research Database (Denmark)

    Pedersen, Niels Leergaard

    2009-01-01

    For the design of gears the stress due to bending plays a significant role. The stress from bending is largest in the root of the gear teeth, and the magnitude of the maximum stress is controlled by the nominal bending stress and stress concentration due to the geometric shape of the tooth....... In this work the bending stress of involute teeth is minimized by shape optimizing the tip of the standard cutting tool. By redesign of the tip of the standard cutting tool we achieve that the functional part of the teeth stays the same while at the same time the root shape is changed so that a reduction...... of the stresses results. The tool tip shape is described by different parameterizations that use the super ellipse as the central shape. For shape optimization it is important that the shape is given analytically. The shape of the cut tooth that is the envelope of the cutting tool is found analytically...

  18. Sliding Mode Controller and Lyapunov Redesign Controller to Improve Microgrid Stability

    DEFF Research Database (Denmark)

    Hossain, Eklas; Perez, Ron; Padmanaban, Sanjeevikumar

    2017-01-01

    technique is used to enhance stability of microgrids. Besides adopting this technique here, Sliding Mode Controller (SMC) and Lyapunov Redesign Controller (LRC), two of the most prominent nonlinear control techniques, are individually implemented to control microgrid system stability with desired robustness....... CPL power is then varied to compare robustness of these two control techniques. This investigation revealed the better performance of the LRC system compared to SMC to retain stability in microgrid with dense CPL load. All the necessary results are simulated in Matlab/Simulink platform for authentic......To mitigate the microgrid instability despite the presence of dense Constant Power Load (CPL) loads in the system, a number of compensation techniques have already been gone through extensive research, proposed, and implemented around the world. In this paper, a storage based load side compensation...

  19. Construction and characterization of the redesigned PGAA facility at The University of Texas at Austin

    International Nuclear Information System (INIS)

    Revay, Zs.; Harrison, R.K.; Alvarez, E.; Biegalski, S.R.; Landsberger, S.

    2007-01-01

    The prompt gamma activation analysis (PGAA) facility at The University of Texas at Austin (UT) has been redesigned and reconstructed. As a result of the new shielding of the system, the neutron (at all energies) and gamma-ray backgrounds have been reduced by more than an order of magnitude, considerably improving the signal-to-noise ratio for the characteristic peaks. The prompt gamma peaks from the construction materials have also been decreased, providing better detection limits for elements. The calibration of the new system is shown in detail. All these efforts significantly improved the sensitivity and reliability of the chemical analyses performed in the facility. The characteristics of the improved PGAA system are also presented

  20. Redesigning and Manufacturing of a Land Levelling Shovel by Assembly Structural Stress Analysis

    Directory of Open Access Journals (Sweden)

    Tahir Altinbalik

    2014-02-01

    Full Text Available The aim was to redesign and manufacture of a shovel for a pull-type land levelling machine, which, in its present condition, is used to get easily damaged even under low loads. Firstly, the maximum pulling load affecting the levelling shovel was experimentally determined. Then, stable-shovel system with the bolt connection was replaced with a bearing-shaft connection system. In this way, the new shovel has gained a capability of making oscillation motion so that it can operate on sloped grounds. CATIA program was used in the design studies. The shovel system was investigated by assembly structural stress analyses. This new construction enabled the system to operate 3 times more securely at maximum stress conditions without changing the levelling shovel material. Thus, it is managed to prevent any possible damages that might occur due to maximum loading conditions of the system. Besides, displacements that occur on the shovel decreased at the rate of 90%.

  1. Digital redesign of anti-wind-up controller for cascaded analog system.

    Science.gov (United States)

    Chen, Y S; Tsai, J S H; Shieh, L S; Moussighi, M M

    2003-01-01

    The cascaded conventional anti-wind-up (CAW) design method for integral controller is discussed. Then, the prediction-based digital redesign methodology is utilized to find the new pulse amplitude modulated (PAM) digital controller for effective digital control of the analog plant with input saturation constraint. The desired digital controller is determined from existing or pre-designed CAW analog controller. The proposed method provides a novel methodology for indirect digital design of a continuous-time unity output-feedback system with a cascaded analog controller as in the case of PID controllers for industrial control processes with the presence of actuator saturations. It enables us to implement an existing or pre-designed cascaded CAW analog controller via a digital controller effectively.

  2. Robust digital controllers for uncertain chaotic systems: A digital redesign approach

    Energy Technology Data Exchange (ETDEWEB)

    Ababneh, Mohammad [Department of Controls, FMC Kongsberg Subsea, FMC Energy Systems, Houston, TX 77067 (United States); Barajas-Ramirez, Juan-Gonzalo [CICESE, Depto. De Electronica y Telecomunicaciones, Ensenada, BC, 22860 (Mexico); Chen Guanrong [Centre for Chaos Control and Synchronization, Department of Electronic Engineering, City University of Hong Kong (China); Shieh, Leang S. [Department of Electrical and Computer Engineering, University of Houston, Houston, TX 77204-4005 (United States)

    2007-03-15

    In this paper, a new and systematic method for designing robust digital controllers for uncertain nonlinear systems with structured uncertainties is presented. In the proposed method, a controller is designed in terms of the optimal linear model representation of the nominal system around each operating point of the trajectory, while the uncertainties are decomposed such that the uncertain nonlinear system can be rewritten as a set of local linear models with disturbed inputs. Applying conventional robust control techniques, continuous-time robust controllers are first designed to eliminate the effects of the uncertainties on the underlying system. Then, a robust digital controller is obtained as the result of a digital redesign of the designed continuous-time robust controller using the state-matching technique. The effectiveness of the proposed controller design method is illustrated through some numerical examples on complex nonlinear systems--chaotic systems.

  3. Ergonomics evaluation as a powerful tool to redesign advanced interfaces of nuclear control rooms

    International Nuclear Information System (INIS)

    Santos, Isaac J.A.L. dos; Carvalho, Paulo V.R.; Oliveira, Mauro V.; Fernandes, Nelson; Oliveira, Helio C.L.; Grecco, Claudio H.S.; Mol, Antonio C.A.; Augusto, Silas C.; Teixeira, Douglas V.; Ferraz, Fernando T.

    2007-01-01

    Ergonomics is the scientific discipline concerned with the understanding of interactions among humans and other elements of a system. Ergonomics contributes to the design and evaluation of tasks, jobs, products, environments and systems in order to make them compatible with the needs, abilities and limitations of people. In the safe operation of nuclear power plant the performance of the control room crews plays an important role. In this respect, well-designed human-system interfaces (HSI) are crucial for safe and efficient operation of the plant, reducing the occurrence of incidents, accidents and the risks for human error. The aim of this paper is to describe a case study in which a methodological framework was applied to redesign advanced interfaces of a nuclear simulator. (author)

  4. Redesign of the low energy section of the Fermilab linac to improve beam brightness

    International Nuclear Information System (INIS)

    Schmidt, C.; Noble, R.; Palkovic, J.; Mills, F.E.

    1988-10-01

    The critical parameters which limit the luminosity of the Fermilab Tevatron Collider are the beam emittances, both longitudinal and transverse, at each stage in the acceleration sequence. Improvements to reduce invariant emittance growth at earlier acceleration stages necessarily encourage improvements in all downstream stages. Recent advances in linac technology should permit a significant increase in the beam brightness of the Fermilab linac. A redesign of the low energy section of the linac is envisioned to include a circular aperture H/sup /minus// source, a short 30-keV transport line (solenoids, Gabor lenses or einzel lenses) for matching to a radio frequency quadrupole linac (RFQ), and injection at approximately 2 MeV into a new 200 MHz Alvarez linac tank for acceleration to 10 MeV. 9 refs., 1 fig

  5. Innovative use of technologies and methods to redesign care: the problem of care transitions.

    Science.gov (United States)

    Richman, Mark; Sklaroff, Laura Myerchin; Hoang, Khathy; Wasson, Elijah; Gross-Schulman, Sandra

    2014-01-01

    Organizations are redesigning models of care in today's rapidly changing health care environment. Using proven innovation techniques maximizes likelihood of effective change. Our safety-net hospital aims to reduce high emergency department visit, admission, and readmission rates, key components to health care cost control. Twenty-five clinical stakeholders participated in mixed-methods innovation exercises to understand stakeholders, frame problems, and explore solutions. We identified existing barriers and means to improve post-emergency department/post-inpatient discharge care coordination/communication among patient-centered medical home care team members, including patients. Physicians and staff preferred automated e-mail notifications, including patient identifiers, medical home/primary care provider information, and relevant clinical documentation, to improve communication efficiency/efficacy.

  6. Participatory ergonomic intervention for prevention of low back pain: assembly line redesign case.

    Science.gov (United States)

    Bernardes, João Marcos; Wanderck, Claudia; Moro, Antônio Renato Pereira

    2012-01-01

    This paper gives an overview of a participatory ergonomic intervention aimed at reducing low back pain cases in the dispatch department of a catalogue and e-commerce retail company. Based on the findings of the ergonomic analysis and design committee, the company's own employees redesigned the assembly line's layout. As a result of these changes two job tasks that involved manual material handling of boxes, identified by the revised NIOSH equation as posing an increased risk for lifting-related low back pain, were totally eliminated, and the employees responsible for moving boxes from the end of the assembly line to pallets on the ground were given more control over their jobs, and these jobs were also enriched with a new, less heavy task. These results demonstrate that participatory ergonomic interventions are a viable and effective strategy to reduce the exposure to work-related physical and psychosocial risk factors for low back pain.

  7. Redesigning the Production of the Bacillus thuringiensis Bio-Pesticide within the Context of Subsistence Agriculture in Andhra Pradesh, India

    NARCIS (Netherlands)

    Puente, D.

    2007-01-01

    Biotechnologies are social constructions. The way in which biotechnology is designed, developed and deployed depends on the actors involved in these processes and the strategies and choices employed by these actors. This article assesses the re-designing process of the production of a biopesticide

  8. Effect of a redesigned two-wheeled container for refuse collecting on mechanical loading of low back and shoulders

    NARCIS (Netherlands)

    Kuijer, P. Paul F. M.; Hoozemans, Marco J. M.; Kingma, Idsart; van Dieën, Jaap H.; de Vries, Wiebe H. K.; Veeger, Dirk Jan; van der Beek, Allard J.; Visser, Bart; Frings-Dresen, Monique H. W.

    2003-01-01

    The objective of this study was to compare the mechanical and perceived workload when working with a redesigned two-wheeled container and working with a standard two-wheeled container for refuse collecting. The three changes in the design of the container were a displacement of the position of the

  9. Creating an Environment Conducive to Active and Collaborative Learning: Redesigning Introduction to Sociology at a Large Research University

    Science.gov (United States)

    Lo, C. C.; Prohaska, A.

    2011-01-01

    In 2003 a Southeastern research university undertook the redesign of an introductory sociology course in order to improve student success by adding active and collaborative learning activities that gave students greater responsibility for learning. The new "hybrid" course provides most course materials online, requires electronic…

  10. Flipping the Classroom Applications to Curriculum Redesign for an Introduction to Management Course: Impact on Grades

    Science.gov (United States)

    Albert, Michael; Beatty, Brian J.

    2014-01-01

    The authors discuss the application of the flipped classroom model to the redesign of an introduction to management course at a highly diverse, urban, Association to Advance Collegiate Schools of Business-accredited U.S. university. The author assessed the impact of a flipped classroom versus a lecture class on grades. Compared to the prior…

  11. Development and Application of a Stepwise Assessment Process for Rational Redesign of Sequential Skills-Based Courses.

    Science.gov (United States)

    Gallimore, Casey E; Porter, Andrea L; Barnett, Susanne G

    2016-10-25

    Objective. To develop and apply a stepwise process to assess achievement of course learning objectives related to advanced pharmacy practice experiences (APPEs) preparedness and inform redesign of sequential skills-based courses. Design. Four steps comprised the assessment and redesign process: (1) identify skills critical for APPE preparedness; (2) utilize focus groups and course evaluations to determine student competence in skill performance; (3) apply course mapping to identify course deficits contributing to suboptimal skill performance; and (4) initiate course redesign to target exposed deficits. Assessment. Focus group participants perceived students were least prepared for skills within the Accreditation Council for Pharmacy Education's pre-APPE core domains of Identification and Assessment of Drug-related Problems and General Communication Abilities. Course mapping identified gaps in instruction, performance, and assessment of skills within aforementioned domains. Conclusions. A stepwise process that identified strengths and weaknesses of a course, was used to facilitate structured course redesign. Strengths of the process included input and corroboration from both preceptors and students. Limitations included feedback from a small number of pharmacy preceptors and increased workload on course coordinators.

  12. Analisis Karakteristik Traksi Serta Redesign Rasio Transmisi Mobil Toyota Fortuner 4.0 V6 Sr (At 4x4

    Directory of Open Access Journals (Sweden)

    Nico Yudha Wardana

    2017-01-01

    Full Text Available Produksi mobil Indonesia tahun 2014 mengalami peningkatan sebanyak 1,29 juta unit, meningkat 7,5 persen dari tahun sebelumnya dan terus mengalami peningkatan pada tahun 2015 sebesar 2 juta unit (Kemenprin, 1/16. Tingginya penjualan mobil tersebut tidak diiringi dengan upaya produsen untuk mencerdaskan konsumen mengenai performa mobil. Hal tersebut yang mendasari penulis untuk melakukan analisa karakteristik traksi pada mobil Toyota fortuner 4.0 V6 SR (4X4 AT. Dalam penelitian ini, telah dilakukan tiga tahapan pengujian. Tahapan pertama adalah melakukan pengujian dynotest pada mobil untuk mengetehaui efisiensi transmisi. Tahap kedua, dilakukan analisa perhitungan sehingga di dapatkan grafik karakteristik mobil pada kondisi standar. Selanjutnya tahap ketiga dilakukan evaluasi terhadap grafik karakteristik traksi mobil standar, dilanjutkan dengan proses redesign tingkat transmisi untuk mengoptimalkan kinerja mobil menggunakan metode progressi geometri. Dari penelitian ini diperoleh grafik karakteristik traksi mobil untuk kondisi rasio gigi standar serta hasil redesign dengan 5,6 dan 7 tingkat kecepatan. Setelah dilakukan analisa, ternyata distribusi traksi pada mobil kondisistandar tidak merata, terdapat loses yang cukup besar terutama pada 3 tingkatan gigi awal. Hasil redesign dengan menggunakan teori progressi geometry menunjukan distribusi traksi yang lebih baik dari kondisi standar. Loses traksi untuk perpindahan gigi pertama menuju tingkat gigi kedua yang awalnya pada kondisi standar sebesar 4.564 kN dapat diminimalisir sampai dengan 1 kN setelah dilakukan redesign dengan 7 tingkat kecepatan.

  13. Linking Teacher Education to Redesigned Systems of Accountability: A Call for Multiple Measures in Pre-Service Teacher Effectiveness

    Science.gov (United States)

    Farley, Amy N.; Clayton, Grant; Kaka, Sarah J.

    2018-01-01

    In this written commentary for the special issue of "Education Policy Analysis Archives" focused on "Redesigning Assessment and Accountability," we call for teacher preparation to embrace a multiple measures philosophy by providing teacher candidates with rich opportunities to engage with data from a variety of sources, beyond…

  14. Redesigning Schools to Reach Every Student with Excellent Teachers: Change Management--Key Theories to Consider when Extending Reach

    Science.gov (United States)

    Barrett, Sharon Kebschull

    2012-01-01

    As schools, their teachers, and outside facilitators redesign jobs and incorporate technology to extend the reach of excellent teachers to more students and develop an Opportunity Culture for all, choosing the right school models is just one part of the task. The human experience--and experience in education--says that even perfect design will not…

  15. Hospital's redesigned Web site patient-friendly, comprehensive. Site one-of-a-kind in Twin Cities market area.

    Science.gov (United States)

    Rees, T

    2001-01-01

    North Memorial Medical Center, Robbinsdale, Minn., has opened a brightly redesigned Web site. It is patient-friendly and features a different approach to provide healthcare information called "care areas," which are organized by condition, such as heart care, cancer care and childbirth. This approach led to the the site being named North Memorial Online Care Center.

  16. Sustaining the work ability and work motivation of lower-educated older workers: Directions for work redesign

    NARCIS (Netherlands)

    Sanders, J.; Dorenbosch, L.; Grundemann, R.; Blonk, R.W.B.

    2011-01-01

    This study examines directions for work redesign which might lead to the creation of sustainable jobs for lower-educated older workers (45 years or over, ISCED 0-2) and thus motivate and enable them to extend their working lives. We use longitudinal data on 1,264 older Dutch workers collected by the

  17. Improving aerosol drug delivery during invasive mechanical ventilation with redesigned components.

    Science.gov (United States)

    Longest, P Worth; Azimi, Mandana; Golshahi, Laleh; Hindle, Michael

    2014-05-01

    Patients receiving invasive mechanical ventilation with an endotracheal tube (ETT) can often benefit from pharmaceutical aerosols; however, drug delivery through the ventilator circuit is known to be very inefficient. The objective of this study was to improve the delivery of aerosol through an invasive mechanical ventilation system by redesigning circuit components using a streamlining approach. Redesigned components were the T-connector interface between the nebulizer and ventilator line and the Y-connector leading to the ETT. The streamlining approach seeks to minimize aerosol deposition and loss by eliminating sharp changes in flow direction and tubing diameter that lead to flow disruption. Both in vitro experiments and computational fluid dynamic (CFD) simulations were applied to analyze deposition and emitted dose of drug for multiple droplet size distributions, flows, and ETT sizes used in adults. The experimental results demonstrated that the streamlined components improved delivery through the circuit by factors ranging from 1.3 to 1.5 compared with a commercial system for adult ETT sizes of 8 and 9 mm. The overall delivery efficiency was based on the bimodal aspect of the aerosol distributions and could not be predicted by median diameter alone. CFD results indicated a 20-fold decrease in turbulence in the junction region for the streamlined Y resulting in a maximum 9-fold decrease in droplet deposition. The relative effectiveness of the streamlined designs was found to increase with increasing particle size and increasing flow, with a maximum improvement in emitted dose of 1.9-fold. Streamlined components can significantly improve the delivery of pharmaceutical aerosols during mechanical ventilation based on an analysis of multiple aerosol generation devices, ETT sizes, and flows.

  18. Redesigning existing transcranial magnetic stimulation coils to reduce energy: application to low field magnetic stimulation

    Science.gov (United States)

    Wang, Boshuo; Shen, Michael R.; Deng, Zhi-De; Smith, J. Evan; Tharayil, Joseph J.; Gurrey, Clement J.; Gomez, Luis J.; Peterchev, Angel V.

    2018-06-01

    Objective. To present a systematic framework and exemplar for the development of a compact and energy-efficient coil that replicates the electric field (E-field) distribution induced by an existing transcranial magnetic stimulation coil. Approach. The E-field generated by a conventional low field magnetic stimulation (LFMS) coil was measured for a spherical head model and simulated in both spherical and realistic head models. Then, using a spherical head model and spatial harmonic decomposition, a spherical-shaped cap coil was synthesized such that its windings conformed to a spherical surface and replicated the E-field on the cortical surface while requiring less energy. A prototype coil was built and electrically characterized. The effect of constraining the windings to the upper half of the head was also explored via an alternative coil design. Main results. The LFMS E-field distribution resembled that of a large double-cone coil, with a peak field strength around 350 mV m‑1 in the cortex. The E-field distributions of the cap coil designs were validated against the original coil, with mean errors of 1%–3%. The cap coil required as little as 2% of the original coil energy and was significantly smaller in size. Significance. The redesigned LFMS coil is substantially smaller and more energy-efficient than the original, improving cost, power consumption, and portability. These improvements could facilitate deployment of LFMS in the clinic and potentially at home. This coil redesign approach can also be applied to other magnetic stimulation paradigms. Finally, the anatomically-accurate E-field simulation of LFMS can be used to interpret clinical LFMS data.

  19. The redesigned Forensic Research/Reference on Genetics-knowledge base, FROG-kb.

    Science.gov (United States)

    Kidd, Kenneth K; Soundararajan, Usha; Rajeevan, Haseena; Pakstis, Andrew J; Moore, Katherine N; Ropero-Miller, Jeri D

    2018-03-01

    The Forensic Resource/Reference on Genetics-knowledge base (FROG-kb) web site was introduced in 2011 and in the five years since the previous publication ongoing research into how the database can better serve forensics has resulted in extensive redesign of the database interface and functionality. Originally designed as a prototype to support forensic use of single nucleotide polymorphisms (SNPs), FROG-kb provides a freely accessible web interface that facilitates forensic practice and can be useful for teaching and research. Based on knowledge gained through its use, the web interface has been redesigned for easier navigation through the multiple components. The site also has functional enhancements, extensive new documentation, and new reference panels of SNPs with new curated data. FROG-kb focuses on single nucleotide polymorphisms (SNPs) and provides reference population data for several published panels of individual identification SNPs (IISNPs) and several published panels of ancestry inference SNPs (AISNPs). For each of the various marker panels with reference population data, FROG-kb calculates random match probabilities (RMP) and relative likelihoods of ancestry for a user-entered genotype profile (either completely or partially specified). Example genotype profiles are available and the User's Manual presents interpretation guidelines for the calculations. The extensive documentation along with ongoing updates makes FROG-kb a comprehensive tool in facilitating use of SNPs in forensic practice and education. An overview of the new FROG-kb with examples and material explaining the results of its use are presented here. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  20. Partnered research in healthcare delivery redesign for high-need, high-cost patients: development and feasibility of an Intensive Management Patient-Aligned Care Team (ImPACT).

    Science.gov (United States)

    Zulman, Donna M; Ezeji-Okoye, Stephen C; Shaw, Jonathan G; Hummel, Debra L; Holloway, Katie S; Smither, Sasha F; Breland, Jessica Y; Chardos, John F; Kirsh, Susan; Kahn, James S; Asch, Steven M

    2014-12-01

    We employed a partnered research healthcare delivery redesign process to improve care for high-need, high-cost (HNHC) patients within the Veterans Affairs (VA) healthcare system. Health services researchers partnered with VA national and Palo Alto facility leadership and clinicians to: 1) analyze characteristics and utilization patterns of HNHC patients, 2) synthesize evidence about intensive management programs for HNHC patients, 3) conduct needs-assessment interviews with HNHC patients (n = 17) across medical, access, social, and mental health domains, 4) survey providers (n = 8) about care challenges for HNHC patients, and 5) design, implement, and evaluate a pilot Intensive Management Patient-Aligned Care Team (ImPACT) for a random sample of 150 patients. HNHC patients accounted for over half (52 %) of VA facility patient costs. Most (94 %) had three or more chronic conditions, and 60 % had a mental health diagnosis. Formative data analyses and qualitative assessments revealed a need for intensive case management, care coordination, transitions navigation, and social support and services. The ImPACT multidisciplinary team developed care processes to meet these needs, including direct access to team members (including after-hours), chronic disease management protocols, case management, and rapid interventions in response to health changes or acute service use. Two-thirds of invited patients (n = 101) enrolled in ImPACT, 87 % of whom remained actively engaged at 9 months. ImPACT is now serving as a model for a national VA intensive management demonstration project. Partnered research that incorporated population data analysis, evidence synthesis, and stakeholder needs assessments led to the successful redesign and implementation of services for HNHC patients. The rigorous design process and evaluation facilitated dissemination of the intervention within the VA healthcare system. Employing partnered research to redesign care for high-need, high

  1. Appointment Template Redesign in a Women's Health Clinic Using Clinical Constraints to Improve Service Quality and Efficiency.

    Science.gov (United States)

    Huang, Y; Verduzco, S

    2015-01-01

    Patient wait time is a critical element of access to care that has long been recognized as a major problem in modern outpatient health care delivery systems. It impacts patient and medical staff productivity, stress, quality and efficiency of medical care, as well as health-care cost and availability. This study was conducted in a Women's Health Clinic. The objective was to improve clinic service quality by redesigning patient appointment template using the clinical constraints. The proposed scheduling template consisted of two key elements: the redesign of appointment types and the determination of the length of time slots using defined constraints. The re-classification technique was used for the redesign of appointment visit types to capture service variation for scheduling purposes. Then, the appointment length was determined by incorporating clinic constraints or goals, such as patient wait time, physician idle time, overtime, finish time, lunch hours, when the last appointment was scheduled, and the desired number of appointment slots, to converge the optimal length of appointment slots for each visit type. The redesigned template was implemented and the results indicated a 73% reduction in average patient waiting from the reported 40 to 11 minutes. The patient no-show rate was reduced by 4% from 24% to 20%. The morning section on average finished about 11:50 am. The clinic day was finished around 4:45 pm. Provider average idle time was estimated to be about 5 minutes, which can be used for charting/documenting patients. This study provided an alternative method of redesigning appointment scheduling templates using only the clinical constraints rather than the traditional way that required an objective function. This paper also documented the employed methods step by step in a real clinic setting. The implementation results concluded a significant improvement on patient wait time and no-show rate.

  2. Using Project-Based Learning and Google Docs to Support Diversity

    Science.gov (United States)

    Leh, Amy

    2014-01-01

    A graduate course, ETEC543 ("Technology and Learning I"), was revised to better serve increasing new student population, international students, in an academic program. Project-based learning, Google Docs, and instructional strategies fostering diversity and critical thinking were incorporated into the course redesign. Observations,…

  3. Investigate-and-redesign tasks as a context for learning and doing science and technology: A study of naive, novice and expert high school and adult designers doing product comparisons and redesign tasks

    Science.gov (United States)

    Crismond, David Paul

    This thesis studied high school students and adults with varying degrees of design experience doing two technology investigate-and-redesign (I&R) tasks. Each involved subjects investigating products, designing experiments to compare them fairly, and then redesigning the devices. A total of 25 pairs of subjects participated in this investigation and included naive and novice high school designers, as well as naive, novice, and expert adult designers. Subjects of similar age and design experience worked in same-gender teams and met for two 2-hour sessions. The essential research question of this thesis was: "What process skills and concepts do naive, novice and expert designers use and learn when investigating devices, designing experiments, and redesigning the devices?" Three methodologies were used to gather and analyze the data: clinical interviewing (Piaget, 1929/1960), protocol analysis (Ericsson & Simon, 1984) and interaction analysis (Jordan and Henderson, 1995). The thesis provides composite case-studies of 10 of the 50 test sessions, buttressed by descriptions of performance trends for all subjects. Given the small sample sizes involved, the findings are by necessity tentative and not supported by statistical analysis: (1) I&R activities are engaging, less time-intensive complements to design-and-build tasks, which involve simple mechanical devices and carry with them a host of potential "alternative understandings" in science and technology. Much gets learned during these tasks, more involving "device knowledge" and "device inquiry skills" than "big ideas" in science and technology. (2) Redesign tasks scaffold naive and novice designers to improved performance in the multidimensional and context-specific activity of design. The performances of naive and novice designers were more like that of expert designers when redesigning existing devices than when doing start-from-scratch designing. (3) Conceptual redesign involved more analysis- than synthesis

  4. Cognitive requirements in the redesign of a TRIGA RC-1 control room: The role of the operators' evaluations

    International Nuclear Information System (INIS)

    Visciola, M.; Bagnara, S.; Ruggeri, R.

    1986-01-01

    When a control room undergoes to a redesign process it is of crucial importance to analyze how operators critically review it and which improvements they suggest. This is even more critical when presumably the same people will operate in the new 'redesigned' control room: Consistency in the mental models possessed by the operators of the plant functions and of their control should be emphasized. Consistency in the mental models can be assumed when redesign follows well-established guidelines drawn from experiences and studies carried out in very similar situations. However, this condition is not fulfilled when a nuclear research control room has to be redesigned, since available guidelines (e.g.; NUREG-0700) are based on studies conducted on nuclear power plant control rooms. These two types of facilities are of much difference as for activities performed in the control room, goals to be aimed at, costs and risks. As a consequence, the available guidelines cannot be safely applied to such a situation as the redesign of a TRIGA RC-1 control room. So, data have to be collected in order to allow the operators to efficiently and easily adapt to the new control room by consistently 'updating' their mental models. In the present study, these data have been collected through structured interviews, which consisted of a modified version of EPRI. The results can be summarized as follows: 1) The operators critically reviewed the present control room and underlined the lack of 'transparency' of the control system as for the plant's conditions and for the feedbacks about their own activities. 2) The operators' work analysis showed that they spend much of their time out of the control room. This means that, if the operators have to stay in the control room, they should be allowed to perform more and higher-level activities than those presently required, to prevent understimulation. So, the redesign should or allow and support the central control and maintenance, and other

  5. Exploration of an allied health workforce redesign model: quantifying the work of allied health assistants in a community workforce.

    Science.gov (United States)

    Somerville, Lisa; Davis, Annette; Milne, Sarah; Terrill, Desiree; Philip, Kathleen

    2017-07-25

    The Victorian Assistant Workforce Model (VAWM) enables a systematic approach for the identification and quantification of work that can be delegated from allied health professionals (AHPs) to allied health assistants (AHAs). The aim of the present study was to explore the effect of implementation of VAWM in the community and ambulatory health care setting. Data captured using mixed methods from allied health professionals working across the participating health services enabled the measurement of opportunity for workforce redesign in the community and ambulatory allied health workforce. A total of 1112 AHPs and 135 AHAs from the 27 participating organisations took part in the present study. AHPs identified that 24% of their time was spent undertaking tasks that could safely be delegated to an appropriately qualified and supervised AHA. This equates to 6837h that could be redirected to advanced and expanded AHP practice roles or expanded patient-centred service models. The VAWM demonstrates potential for more efficient implementation of assistant workforce roles across allied health. Data outputs from implementation of the VAWM are vital in informing strategic planning and sustainability of workforce change. A more efficient and effective workforce promotes service delivery by the right person, in the right place, at the right time. What is known about this topic? There are currently workforce shortages that are predicted to grow across the allied health workforce. Ensuring that skill mix is optimal is one way to address these shortages. Matching the right task to right worker will also enable improved job satisfaction for both allied health assistants and allied health professionals. Workforce redesign efforts are more effective when there is strong data to support the redesign. What does this paper add? This paper builds on a previous paper by Somerville et al. with a case study applying the workforce redesign model to a community and ambulatory health care

  6. Redesigning the regulatory framework for ambulatory care services in New York.

    Science.gov (United States)

    Chokshi, Dave A; Rugge, John; Shah, Nirav R

    2014-12-01

    Policy Points: The landscape of ambulatory care services in the United States is rapidly changing on account of payment reform, primary care transformation, and the rise of convenient care options such as retail clinics. New York State has undertaken a redesign of regulatory policy for ambulatory care rooted in the Triple Aim (better health, higher-quality care, lower costs)-with a particular emphasis on continuity of care for patients. Key tenets of the regulatory approach include defining and tracking the taxonomy of ambulatory care services as well as ensuring that convenient care options do not erode continuity of care for patients. While hospitals remain important centers of gravity in the health system, services are increasingly being delivered through ambulatory care. This shift to ambulatory care is giving rise to new delivery structures, such as retail clinics and urgent care centers, as well as reinventing existing ambulatory care capacity, as seen with the patient-centered medical home model and the movement toward team-based care. To protect the public's interests, oversight of ambulatory care services must keep pace with these rapid changes. With this purpose, in January 2013 the New York Public Health and Health Planning Council undertook a redesign of the regulatory framework for the state's ambulatory care services. This article describes the principles undergirding the framework as well as the regulatory recommendations themselves. We explored and analyzed the regulation of ambulatory care services in New York in accordance with the available gray and peer-reviewed literature and legislative documents. The deliberations of the Public Health and Health Planning Council informed our review. The vision of high-performing ambulatory care should be rooted in the Triple Aim (better health, higher-quality care, lower costs), with a particular emphasis on continuity of care for patients. There is a pressing need to better define the taxonomy of ambulatory

  7. Redesign 3 R Machine as a Refrigerant Waste Treatment Alternative in Environmental Rescue

    Science.gov (United States)

    Negara, I. P. S.; Arsawan, I. M.

    2018-01-01

    Cooling machine technologies really affect nowadays’ modern life, not only limited in enhancement of life quality and comfort, but it has also reached the essential things of humans’ life supporter (Arora, 2001). Cooling machine technologies have direct contribution toward environmental damage such as depletion of ozone layer and global warming through synthetic refrigerant waste and leakage (CFC and HFC) to environment. The refrigerant release to the environment is 60% of the service sector. Destructive characteristics of ozone possessed by CFC were first proposed by Rowland and Molina which were then supported by yard measurement. It is estimated that ozone layer damage occurs for about 3% every decade. The ozone layer located in the stratosphere is functioned to prevent ultraviolet-B ray from entering into earth surface. This Ultraviolet-B is suspected to be the cause of health problem for humans and disorder for plants on earth. As for the purpose of this research is to obtain a product design of refrigerant waste processing system (recovery and recycle refrigerant) as well as to acknowledge the work method (COP) of cooling machines that use CFC refrigerant (R-12) as the result of recovery and recycle compared to CFC refrigerant (R-12)/pure R134a. One method that can be used is by redesigning existing equipment namely 3R machine that cannot be used anymore thus it can be reused. This research will be conducted through modifying the existing 3R machine therefore it can be reused and be easily operated as well as doing the maintenance, after that the refrigerant as the result of recovery will be tried on a refrigeration system and a test of refrigeration system work method will be conducted by using the refrigerant recycle product which is obtained and compared with the work method of the one with pure refrigeration.The result has been achieved that the redesign product of refrigerant waste processing equipment can be reused and able to perform the recovery

  8. O corpo híbrido: análise midiática da participação do atleta Oscar Pistorius no Mundial de Atletismo de 2011

    Directory of Open Access Journals (Sweden)

    Fabio Zoboli

    2016-03-01

    Full Text Available Resumo O texto objetiva abordar questões pertinentes ao corpo híbrido – fusão natural/artificial –observadas no portal globo.com em relação à participação polêmica de Oscar Pistorius no Mundial de Atletismo/2011. Durante o evento identificamos 23 notícias relacionadas a Pistorius, analisadas-as a partir do método da hermenêutica de profundidade. Constatamos um agendamento em relação ao referido atleta, pelo seu ineditismo e pela polêmica envolvida, ou seja, por ser ele um atleta biamputado que compete com próteses – que o caracteriza como um corpo híbrido – junto a atletas sem deficiência. A participação de Pistorius requer uma abertura para a percepção de diferentes níveis de realidade e percepção.

  9. Tradução e Retradução de The Picture of Dorian Gray, de Oscar Wilde: um estudo de corpus com foco na apresentação do discurso

    Directory of Open Access Journals (Sweden)

    Livia Cremonez Domingos

    2015-12-01

    Full Text Available Neste trabalho, analisa-se um corpus de pequenas dimensões constituído por excertos aleatoriamente extraídos do texto-fonte The picture of Dorian Gray, de Oscar Wilde (1891, e por seus respectivos correspondentes na primeira tradução e em duas das retraduções mais recentes da obra para o português brasileiro. O foco da análise incide sobre a apresentação do discurso e outros aspectos estilísticos a fim de testar a hipótese da retradução, segundo a qual a primeira tradução de uma obra literária é sempre incompleta e domesticadora. Adotando-se o arcabouço metodológico da Linguística de Corpus, seguiram-se diversas etapas, dentre as quais se destacam o etiquetamento do corpus, seu alinhamento e seu processamento semi(automático utilizando o programa WordSmith Tools (versão 5.0. Os resultados apontam indícios a favor da hipótese da retradução quando se consideram os parâmetros de análise adotados nesta pesquisa.

  10. On using rational enzyme redesign to improve enzyme-mediated microbial dehalogenation of recalcitrant substances in deep-subsurface environments

    International Nuclear Information System (INIS)

    Ornstein, R.L.

    1993-06-01

    Heavily halogenated hydrocarbons are one of the most prevalent classes of man-made recalcitrant environmental contaminants and often make their way into subsurface environments. Biodegradation of heavily chlorinated compounds in the deep subsurface often occurs at extremely slow rates because native enzymes of indigenous microbes are unable to efficiently metabolize such synthetic substances. Cost-effective engineering solutions do not exist for dealing with disperse and recalcitrant pollutants in the deep subsurface (i.e., ground water, soils, and sediments). Timely biodegradation of heavily chlorinated compounds in the deep subsurface may be best accomplished by rational redesign of appropriate enzymes that enhance the ability of indigenous microbes to metabolize these substances. The isozyme family cytochromes P450 are catalytically very robust and are found in all aerobic life forms and may be active in may anaerobes as well. The author is attempting to demonstrate proof-of-principle rational enzyme redesign of cytochromes P450 to enhance biodehalogenation

  11. Experiences of first-year nursing students during an education redesign: findings from the Oregon Consortium for Nursing Education.

    Science.gov (United States)

    Ostrogorsky, Tanya L; Raber, Anjanette M

    2014-01-01

    The aim of this article is to summarize first-year students' (n = 908) experience during a nursing education redesign. Oregon Consortium for Nursing Education (OCNE) began its redesign of nursing education in 2000, long before the current national calls for nursing education reform. As OCNE moved from planning to implementation, a comprehensive evaluation of the students, the program, and curriculum ensued. Data were collected from first-year nursing students each spring from 2007-2010 using a standardized survey instrument that included demographic, attitudinal, and opinion-based survey items. Results indicated fellow students, course lectures and interaction, and faculty and courses were rated areas of satisfaction. Areas needing improvement included advising and facilities, administration, quality of instruction and curriculum, and overall program effectiveness. Mean scaled and open-ended responses from each area are reported.

  12. First Results of Energy Saving at Process Redesign of Die Forging Al-Alloys

    International Nuclear Information System (INIS)

    Pepelnjak, Tomaz; Kuzman, Karl; Kokol, Anton

    2011-01-01

    The contribution deals with eco-friendly solutions for shortened production chains of forging light alloys. During the die forging operations a remarkable amount of material goes into the flash and later on into chips during finish machining. These low value side products are rich with embedded energy therefore recycling or reprocessing could be very energy saving procedure.In cooperation with a die forging company a shortened reprocessing cycle has been studied starting from re-melting the forging flash and without additional heating to cast preforms for subsequent die forging. As such preforms have not as good formability characteristics as those done from extruded billets the isothermal forging process has been adopted. First results showed that without cracks and other defects the formability is sufficient for a broad spectrum of forgings.To improve the formability a homogenization process of cast preforms has been implemented. As the process started immediately after casting, amount of additional energy for heating was minimized. To reduce voids forging process was redesigned in a way to assure greater hydrostatic pressures in parts during forging. First results were promising therefore research is going towards improving processes without adding significantly more energy as it is needed for casting with homogenization and die forging.

  13. Redesigned purification yields a fully functional PutA protein dimer from Escherichia coli.

    Science.gov (United States)

    Brown, E D; Wood, J M

    1992-06-25

    Proline utilization by Escherichia coli and Salmonella typhimurium requires expression of genes putP (encoding a proline transporter) and putA. Genetic data indicate that the PutA protein is both put repressor and a respiratory chain-linked dehydrogenase. We report a redesigned purification procedure as well as the physical characteristics and biological activities of the PutA protein purified from E. coli. The purified protein was homogeneous as determined by electrophoresis performed under denaturing and nondenaturing conditions. Its N-terminal sequence corresponded to that predicted by the DNA sequence. We showed copurification of proline and delta 1-pyrroline-5-carboxylate dehydrogenase activities. Purified PutA protein bound put DNA in vitro in an electrophoretic band-shift assay and it could be reconstituted to inverted membrane vesicles, yielding proline dehydrogenase activity. The Stokes radius and Svedberg coefficient of the protein were determined to be 7.1 nm and 9.9 S, respectively. These hydrodynamic data revealed that the protein in our preparation was dimeric with a molecular mass of 293 kDa and that it had an irregular shape indicated by the friction factor (f/f0) of 1.6.

  14. Ontologies and Formation Spaces for Conceptual ReDesign of Systems

    Directory of Open Access Journals (Sweden)

    J. Bíla

    2005-01-01

    Full Text Available This paper discusses ontologies, methods for developing them and languages for representing them. A special ontology for computational support of the Conceptual ReDesign Process (CRDP is introduced with a simple illustrative example of an application. The ontology denoted as Global context (GLB combines features of general semantic networks and features of UML language. The ontology is task-oriented and domain-oriented, and contains three basic strata – GLBExpl(stratum of Explanation, GLBFAct (stratum of Fields of Activities and GLBEnv (stratum of Environment, with their sub-strata. The ontology has been developed to represent functions of systems and their components in CRDP. The main difference between this ontology and ontologies which have been developed to identify functions (the semantic details in those ontologies must be as deep as possible is in the style of the description of the functions. In the proposed ontology, Formation Spaces were used as lower semantic categories the semantic deepness of which is variable and depends on the actual solution approach of a specialised Conceptual Designer.

  15. Measuring Sustainability within the Veterans Administration Mental Health System Redesign Initiative

    Science.gov (United States)

    Ford, James H.; Krahn, Dean; Wise, Meg; Oliver, Karen Anderson

    2011-01-01

    Objective To examine how attributes affecting sustainability differ across VHA organizational components and by staff characteristics. Subjects Surveys of 870 change team members and 50 staff interviews within the VA’s Mental Health System Redesign initiative. Methods A one-way ANOVA with a Tukey post-hoc test examined differences in sustainability by VISN, job classification, and tenure from staff survey data of the Sustainability Index. Qualitative interviews used an iterative process to identify “a priori” and “in vivo” themes. A simple stepwise linear regression explored predictors of sustainability. Results Sustainability differed across VISN and staff tenure. Job classification differences existed for: 1) Benefits and Credibility of the change and 2) staff involvement and attitudes toward change. Sustainability barriers were: staff and institutional resistance, and non-supportive leadership. Facilitators were: commitment to veterans, strong leadership, and use of QI Tools. Sustainability predictors were outcomes tracking, regular reporting, and use of PDSA cycles. Conclusions Creating homogeneous implementation and sustainability processes across a national health system is difficult. Despite the VA’s best evidence-based implementation efforts, there was significant variance. Locally tailored interventions might better support sustainability than “one-size-fits all” approaches. Further research is needed to understand how participation in a QI collaborative affects sustainability. PMID:21971024

  16. Evaluation of a pilot intervention to redesign the decentralised vaccine supply chain system in Nigeria.

    Science.gov (United States)

    Molemodile, Shola; Wotogbe, Maruchi; Abimbola, Seye

    2017-05-01

    Responsibility for immunisation in Nigeria is decentralised to sub-national governments. So far, they have failed to achieve optimal coverage for their populations. We evaluated a pilot intervention implemented between 2013 and 2014 to redesign a vaccine supply chain management system in Kano, Nigeria. The intervention included financing immunisation services from a designated pool of government and donor funds, a visibility tool to track vaccine stock, and a private vendor engaged to deliver vaccines directly to health facilities. The number of local government areas within the state with adequate vaccine stock increased from 21% to 98% after 10 months. To understand how the intervention achieved this outcome, we analysed immunisation coverage for the period and interviewed 18 respondents across different levels of government. We found that the intervention worked by improving ownership and accountability for immunisation by sub-national governments and their capacity for generating resources and management (of data and the supply chain). While the intervention focused on improving immunisation coverage, we identified gaps in the demand for services. Efforts to improve immunisation coverage and vaccine supply systems should streamline decentralised structures, empower sub-national governments with financial and technical capacity, and promote strategies to improve the demand and use of services.

  17. Redesign, construction and characterization of the new neutron radiography facility of the RA-6

    International Nuclear Information System (INIS)

    Marin, J.; Sanchez, F.A.; Blaumann, H.

    2012-01-01

    Neutron radiography is a non-destructive test in which it is registered an image of the attenuation experienced by a collimated neutron beam while it passes through a sample. The image is generated by using a neutron-sensitive screen. The applications of this technique are wide, some of them include: services to industries, study of explosives, study of pieces belonging to cultural heritage and studies of the distribution of hydrogen. The actual neutron radiography facility is placed in the RA-6 reactor at the Centro Atomico Bariloche. Due to the reactor's nucleus change and the subsequent power raise, it has been necessary to redesign the facility. During the last year the pieces that constitute it had been designed and built. In April 2012 the facility has been mounted. The system employed is of on-line neutron radiographies. The maximum area of study is of 20 cm x 20 cm. The images obtained are registered by a CCD camera, whose maximum resolution is of 2776 x 2074 pixels and 65536 gray levels. In this work the initial steps towards characterization of the facility are presented, these include neutron fluxes and dose rates levels determinations. Also, in order to evaluate the functionality, images of several objects have been taken, as the one shown in Fig. 7. The results obtained reveal the good performance of the facility and its wide potential (author)

  18. Landscaping the structures of GAVI country vaccine supply chains and testing the effects of radical redesign.

    Science.gov (United States)

    Lee, Bruce Y; Connor, Diana L; Wateska, Angela R; Norman, Bryan A; Rajgopal, Jayant; Cakouros, Brigid E; Chen, Sheng-I; Claypool, Erin G; Haidari, Leila A; Karir, Veena; Leonard, Jim; Mueller, Leslie E; Paul, Proma; Schmitz, Michelle M; Welling, Joel S; Weng, Yu-Ting; Brown, Shawn T

    2015-08-26

    Many of the world's vaccine supply chains do not adequately provide vaccines, prompting several questions: how are vaccine supply chains currently structured, are these structures closely tailored to individual countries, and should these supply chains be radically redesigned? We segmented the 57 GAVI-eligible countries' vaccine supply chains based on their structure/morphology, analyzed whether these segments correlated with differences in country characteristics, and then utilized HERMES to develop a detailed simulation model of three sample countries' supply chains and explore the cost and impact of various alternative structures. The majority of supply chains (34 of 57) consist of four levels, despite serving a wide diversity of geographical areas and population sizes. These four-level supply chains loosely fall into three clusters [(1) 18 countries relatively more bottom-heavy, i.e., many more storage locations lower in the supply chain, (2) seven with relatively more storage locations in both top and lower levels, and (3) nine comparatively more top-heavy] which do not correlate closely with any of the country characteristics considered. For all three cluster types, our HERMES modeling found that simplified systems (a central location shipping directly to immunization locations with a limited number of Hubs in between) resulted in lower operating costs. A standard four-tier design template may have been followed for most countries and raises the possibility that simpler and more tailored designs may be warranted. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Application of an artificial neural network and morphing techniques in the redesign of dysplastic trochlea.

    Science.gov (United States)

    Cho, Kyung Jin; Müller, Jacobus H; Erasmus, Pieter J; DeJour, David; Scheffer, Cornie

    2014-01-01

    Segmentation and computer assisted design tools have the potential to test the validity of simulated surgical procedures, e.g., trochleoplasty. A repeatable measurement method for three dimensional femur models that enables quantification of knee parameters of the distal femur is presented. Fifteen healthy knees are analysed using the method to provide a training set for an artificial neural network. The aim is to use this artificial neural network for the prediction of parameter values that describe the shape of a normal trochlear groove geometry. This is achieved by feeding the artificial neural network with the unaffected parameters of a dysplastic knee. Four dysplastic knees (Type A through D) are virtually redesigned by way of morphing the groove geometries based on the suggested shape from the artificial neural network. Each of the four resulting shapes is analysed and compared to its initial dysplastic shape in terms of three anteroposterior dimensions: lateral, central and medial. For the four knees the trochlear depth is increased, the ventral trochlear prominence reduced and the sulcus angle corrected to within published normal ranges. The results show a lateral facet elevation inadequate, with a sulcus deepening or a depression trochleoplasty more beneficial to correct trochlear dysplasia.

  20. Re-design, re-use and recycle of temporary houses

    Energy Technology Data Exchange (ETDEWEB)

    Arslan, Hakan [Department of Construction, Faculty of Technical Education, University of Abant Izzet Baysal, Duzce 81100 (Turkey)

    2007-01-15

    Disasters are recurring to global problems, which results in homelessness. The affected region had economical, environmental and social problems as well. In relief and reconstruction phases, the need for integrated management appeared in order to use the national sources actively and productively. Especially housing implementations had an important role for future development of the affected region. For accelerating the reconstruction of the region and forming a sustainable community, which maintains itself socially, environmentally and economically over time; energy usage for construction should be kept to a minimum. Past research in Turkey shows that the cost of temporary houses (to be used as the short term shelter) had a ratio of 10-15% of the total expenses of whole construction activity. For saving money and protecting the environment and conserving scarce resources, the affected region must consider the option of temporary houses to meet their short and long-term need during the reconstruction process. After the end of usage, temporary houses should be able to be re-used for the same or new function. This study is a test of re-design and re-use of a temporary housing site; by using recycled materials, minimum energy and voluntary participation so that this site can finally become a permanent housing site. (author)

  1. Four years of training in family medicine: implications for residency redesign.

    Science.gov (United States)

    Sigmon, J Lewis; McPherson, Vanessa; Little, John M

    2012-09-01

    In light of the ongoing consideration for extending the length of residency education in family medicine in the United States, this paper reports the findings from a retrospective, qualitative study of six family physicians that elected to extend their residency training from 3 to 4 years. Each participant completed a written questionnaire and a structured personal interview focusing on various aspects of career development resulting from the additional year of training. The authors independently evaluated these interviews to identify major themes. All the participants were found to have been involved in teaching medicine, valued a more flexible and expanded curriculum, and appreciated their individualized curricula-based on their respective career interests. Given the opportunity, each would opt again for a fourth year of training. There were mixed opinions as to whether the fourth year should be required of all family medicine residents. Other perceived benefits reported were: a better opportunity to find a personally satisfactory practice, additional time for gaining clarity about career plans, and a higher beginning salary as a result of the additional skills and experiences gained. This study of mid-career physicians supports that a fourth-year (PGY4) curriculum in family medicine may enhance subsequent career satisfaction. Further studies of residents in other PGY4 training programs are necessary to assess outcomes comparing our findings as well as guide the discipline's leaders in residency redesign.

  2. Redesign of Denggung Park as Sleman Urban Park based on Local Wisdom in Yogyakarta

    Science.gov (United States)

    Sanjaya, I.; Fatimah, IS

    2017-10-01

    Sleman Regency is one of the administrative area in Special Region of Yogyakarta Province which has increased the pace of infrastructure development activities that undertaken by the central government affects another surrounding area. The pace of infrastructure development impacts such problems in Sleman Regency such as, increasingly limited public spaces and changes in understanding the value of local wisdom. Sleman Regency has a park located in central government which is Denggung Park. This park has low visitors and less of aesthetic value which require re-design to improve the quality as public space for cultural identity space. The base concept of Urban Park adopted the philosophy that connects to four components in Javanese mythology. The four components in Javanese mythology symbolize the journey of human life in the Javanese cosmological theory, there are Mount Merapi, Keraton, Krapyak Stage, and South seas. The design concept inspired from pattern of Yogyakarta traditional clothing namely, Batik Kawung which describe of Philosophy “Four of Brotherhood and Five of Central itself” by means synergize four items creating world nature and human as life catalyzer. This study uses descriptive and spatial analysis method. The result of this research is expected to be a design recommendation for Sleman Regency governance in the urban park development.

  3. Redesign of the Attention Process of Patients with Rheumatologic Diseases: Assessing the Performance with Analytic Hierarchy Process

    OpenAIRE

    Gorbanev, Iouri; Cortes, Ariel; Agudelo-Londoño, Sandra

    2017-01-01

    Objective. To compare the Business process management and the analytic hierarchy process as the tools of process performance assessment. Instruments and Methods. Case study of the attention process of rheumatology patients. Business process management and analytic hierarchy process were applied to assess the redesign of the attention process. The two methods were compared. The data were obtained through personal observations, an interview with a Colombian health insurer’s senior executive, an...

  4. On-Boarding a New Chief Nursing Officer to Lead a Magnet Redesignation Visit: The Value of Relationships.

    Science.gov (United States)

    Cantu, Kathy; Batcheller, Joyce A

    2016-01-01

    The chief nursing officer (CNO) is a critical senior executive in a hospital and serves as the architect of patient care. Recruiting, hiring, and on-boarding a new CNO present a challenge for any facility. Stakes are higher when the facility is replacing a CNO in the midst of its Magnet redesignation. How does a facility ensure success under these circumstances? This case study demonstrates how one organization was successful in meeting this challenge.

  5. Sliding Mode Controller and Lyapunov Redesign Controller to Improve Microgrid Stability:A Comparative Analysis with CPL Power Variation

    OpenAIRE

    Hossain, Eklas; Perez, Ron; Padmanaban, Sanjeevikumar; Mihet-Popa, Lucian; Blaabjerg, Frede; Ramachandaramurthy, Vigna K.

    2017-01-01

    To mitigate the microgrid instability despite the presence of dense Constant Power Load (CPL) loads in the system, a number of compensation techniques have already been gone through extensive research, proposed, and implemented around the world. In this paper, a storage based load side compensation technique is used to enhance stability of microgrids. Besides adopting this technique here, Sliding Mode Controller (SMC) and Lyapunov Redesign Controller (LRC), two of the most prominent nonlinear...

  6. Toward Joint Medical Logistics 2010 and Beyond: Process Innovation and Redesign of Class VIII Supply Chain at a Medical Logistics Company

    National Research Council Canada - National Science Library

    Augustitus, Mary

    2000-01-01

    .... Medical Logistics Company (Med Log Co), process map the "as is" baseline process and propose possible "to be" process redesign alternatives that will possibly improve efficiency and produce long-term cost savings...

  7. [Congenital adrenal hyperplasia: a qualitative study on sex definition and redesignation dilation surgery and psychological support (part II)].

    Science.gov (United States)

    Telles-Silveira, Mariana; Tonetto-Fernandes, Vânia F; Schiller, Paulo; Kater, Claudio E

    2009-12-01

    To identify relevant questions related to sex definition and re-designation and reconstructive surgery in patients with congenital adrenal hyperplasia (CAH), and to understand the role of the psychologist in providing care for these patients. We selected 21 subjects: 7 pediatric endocrinologists from 5 Brazilian Public Health System institutions, 9 parents and 6 patients with CAH, according to a qualitative research model. In this paper, 3 of the studied categories are analyzed: 'sex definition and re-designation', 'reconstructive surgery/vaginal dilation', and 'psychology'. Parents' main anguish relates to the situation of an unnamed sex at birth, whereas sex re-designation was distressful to physicians. A sense of loneliness when dealing with the disease and treatment was a common anguish among patients; dilation procedures were the major complaint. In general, physicians recommend that genital reconstructive surgery be performed early on to avoid future trauma. In such a complex scenario, it is remarkable that not all the reference service staff have a psychologist on duty. Difficulties to deal with questions involving sexuality were evident and dilation procedures are an additional source of trauma for these patients.

  8. Seismic microzoning projects and their implementation in Venezuela

    Science.gov (United States)

    Schmitz, M.; Cano, V.; Olbrich, F.; Vallee, M.; Morales, C.; Arreaza, A.; Mendes, K.; Klarica, S.; Alvarez Gomez, J.; Aray, J.; Vielma, J.; Pombo, A.; Diaz, J.; Grupo de trabajo

    2013-05-01

    Site effects have been recognized to play an important role in damage distribution of destructive earthquakes. These effects have been observed in Venezuela especially during the 1967 Caracas earthquake, when 4 buildings with 10 and more storeys during the Caracas 1967 earthquake collapsed, and a big number of them in the same deep sediment area have been seriously damaged. This motivated the development of studies regarding the subsurface configuration of Caracas and Barquisimeto during the last decade, with a seismic microzoning project realized in both cities from 2005 to 2009. The main results of this project were the development of design response spectra for the different microzones within the sedimentary basin, as well as estimates of landslide hazard. Implementation of the results in municipality ordinances is actually discussed with local authorities. They are aimed to address mitigation for new constructions by the application of the specific design spectra, for existing buildings via evaluation and retrofitting strategies, and for slope areas (informal, as well as formal developments) due to the identification of areas that may not be developed or require detailed studies of slope stabilities. Since then, seismic microzoning studies were started in Cumaná, Guarenas/Guatire and Lara state, and within a broader context of integrated risk management, which includes flooding, landslide and technological risks, in Mérida, Valencia, Maracay, Barcelona/Puerto La Cruz and Valle de la Pascua. The projects are coordinated by the Venezuelan Foundation for Seismological Research (FUNVISIS) in cooperation with local universities. Efforts are done to unable local researchers to apply the methodologies in other cities as Valera, Trujillo, Boconó, San Cristóbal and Tucacas. A unified seismic hazard map as input motion to these studies is actually in development. Depending on the local characteristics, building inventory and vulnerability analysis are done for risk

  9. Patients-people-place: developing a framework for researching organizational culture during health service redesign and change.

    Science.gov (United States)

    Gale, Nicola K; Shapiro, Jonathan; McLeod, Hugh S T; Redwood, Sabi; Hewison, Alistair

    2014-08-20

    Organizational culture is considered by policy-makers, clinicians, health service managers and researchers to be a crucial mediator in the success of implementing health service redesign. It is a challenge to find a method to capture cultural issues that is both theoretically robust and meaningful to those working in the organizations concerned. As part of a comparative study of service redesign in three acute hospital organizations in England, UK, a framework for collecting data reflective of culture was developed that was informed by previous work in the field and social and cultural theory. As part of a larger mixed method comparative case study of hospital service redesign, informed by realist evaluation, the authors developed a framework for researching organisational culture during health service redesign and change. This article documents the development of the model, which involved an iterative process of data analysis, critical interdisciplinary discussion in the research team, and feedback from staff in the partner organisations. Data from semi-structured interviews with 77 key informants are used to illustrate the model. In workshops with NHS partners to share and debate the early findings of the study, organizational culture was identified as a key concept to explore because it was perceived to underpin the whole redesign process. The Patients-People-Place framework for studying culture focuses on three thematic areas ('domains') and three levels of culture in which the data could be organised. The framework can be used to help explain the relationship between observable behaviours and cultural artefacts, the values and habits of social actors and the basic assumptions underpinning an organization's culture in each domain. This paper makes a methodological contribution to the study of culture in health care organizations. It offers guidance and a practical approach to investigating the inherently complex phenomenon of culture in hospital organizations

  10. Squaring the Project Management Circle: Updating the Cost, Schedule, and Performance Methodology

    Science.gov (United States)

    2016-04-30

    MIT Sloan Management Review . MIT Sloan Management Review . Retrieved from http://sloanreview.mit.edu/article/the-new-industrial-engineering-information-technology-and- business-process-redesign/ ...critical variable that must be addressed by project managers . The research methodology consists of a system-focused approach based on an extensive review ...doi.org/10.1016/j.ijproman.2007.01.004 Baccarini, D. (1996). The concept of project complexity–A review .

  11. Effect of a redesigned fracture management pathway and 'virtual' fracture clinic on ED performance.

    Science.gov (United States)

    Vardy, J; Jenkins, P J; Clark, K; Chekroud, M; Begbie, K; Anthony, I; Rymaszewski, L A; Ireland, A J

    2014-06-13

    Collaboration between the orthopaedic and emergency medicine (ED) services has resulted in standardised treatment pathways, leaflet supported discharge and a virtual fracture clinic review. Patients with minor, stable fractures are discharged with no further follow-up arranged. We aimed to examine the time taken to assess and treat these patients in the ED along with the rate of unplanned reattendance. A retrospective study was undertaken that covered 1 year before the change and 1 year after. Prospectively collected administrative data from the electronic patient record system were analysed and compared before and after the change. An ED and orthopaedic unit, serving a population of 300 000, in a publicly funded health system. 2840 patients treated with referral to a traditional fracture clinic and 3374 patients managed according to the newly redesigned protocol. Time for assessment and treatment of patients with orthopaedic injuries not requiring immediate operative management, and 7-day unplanned reattendance. Where plaster backslabs were replaced with removable splints, the consultation time was reduced. There was no change in treatment time for other injuries treated by the new discharge protocol. There was no increase in unplanned ED attendance, related to the injury, within 7 days (p=0.149). There was a decrease in patients reattending the ED due to a missed fracture clinic appointment. This process did not require any new time resources from the ED staff. This process brought significant benefits to the ED as treatment pathways were agreed. The pathway reduced unnecessary reattendance of patients at face-to-face fracture clinics for a review of stable, self-limiting injuries. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  12. Redesigning axial-axial (biaxial) cruciform specimens for very high cycle fatigue ultrasonic testing machines.

    Science.gov (United States)

    Montalvão, Diogo; Wren, Andrew

    2017-11-01

    The necessity to increase performances in terms of lifetime and security in mechanical components or structures is the motivation for intense research in fatigue. Applications range from aeronautics to medical devices. With the development of new materials, there is no longer a fatigue limit in the classical sense, where it was accepted that the fatigue limit is the stress level such that there is no fracture up to 1E7 cycles. The recent development of ultrasonic testing machines where frequencies can go as high as 20 kHz or over enabled tests to be extended to ranges larger than 1E9 in just a few days. This area of studies is now known as Very High Cycle Fatigue (VHCF). On the other hand, most of the existing test equipment in the market for both classical and VHCF are uniaxial test machines. However, critical components used in Engineering applications are usually subjected to complex multi-axial loading conditions. In this paper, it is presented the methodology to redesigning existing cruciform test specimens that can be used to create an in-plane biaxial state of stress when used in 'uniaxial' VHCF ultrasonic testing machines (in this case, the term 'uniaxial' is used not because of the state of stress created at the centre of the specimen, but because of the direction at which the load is applied). The methodology is explained in such a way that it can be expanded to other existing designs, namely cruciform designs, that are not yet used in VHCF. Also, although the approach is presented in simple and logical terms, it may not be that obvious for those who have a more focused approach on fatigue rather than on modal analysis. It is expected that by contributing to bridging the gap between the sciences of modal analysis and fatigue, this research will help and encourage others exploiting new capabilities in VHCF.

  13. Re-designing the Mozambique vaccine supply chain to improve access to vaccines.

    Science.gov (United States)

    Lee, Bruce Y; Haidari, Leila A; Prosser, Wendy; Connor, Diana L; Bechtel, Ruth; Dipuve, Amelia; Kassim, Hidayat; Khanlawia, Balbina; Brown, Shawn T

    2016-09-22

    Populations and routine childhood vaccine regimens have changed substantially since supply chains were designed in the 1980s, and introducing new vaccines during the "Decade of Vaccine" may exacerbate existing bottlenecks, further inhibiting the flow of all vaccines. Working with the Mozambique Ministry of Health, our team implemented a new process that integrated HERMES computational simulation modeling and on-the-ground implementers to evaluate and improve the Mozambique vaccine supply chain using a system-re-design that integrated new supply chain structures, information technology, equipment, personnel, and policies. The alternative system design raised vaccine availability (from 66% to 93% in Gaza; from 76% to 84% in Cabo Delgado) and reduced the logistics cost per dose administered (from $0.53 to $0.32 in Gaza; from $0.38 to $0.24 in Cabo Delgado) as compared to the multi-tiered system under the current EPI. The alternative system also produced higher availability at lower costs after new vaccine introductions. Since reviewing scenarios modeling deliveries every two months in the north of Gaza, the provincial directorate has decided to pilot this approach diverging from decades of policies dictating monthly deliveries. Re-design improved not only supply chain efficacy but also efficiency, important since resources to deliver vaccines are limited. The Mozambique experience and process can serve as a model for other countries during the Decade of Vaccines. For the Decade of Vaccines, getting vaccines at affordable prices to the market is not enough. Vaccines must reach the population to be successful. Copyright © 2016. Published by Elsevier Ltd.

  14. Well-Child Care Redesign: A Mixed Methods Analysis of Parent Experiences in the PARENT Trial.

    Science.gov (United States)

    Mimila, Naomi A; Chung, Paul J; Elliott, Marc N; Bethell, Christina D; Chacon, Sandra; Biely, Christopher; Contreras, Sandra; Chavis, Toni; Bruno, Yovana; Moss, Tanesha; Coker, Tumaini R

    Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), is a well-child care (WCC) model that has demonstrated effectiveness in improving the receipt of comprehensive WCC services and reducing emergency department utilization for children aged 0 to 3 in low-income communities. PARENT relies on a health educator ("parent coach") to provide WCC services; it utilizes a Web-based previsit prioritization/screening tool (Well-Visit Planner) and an automated text message reminder/education service. We sought to assess intervention feasibility and acceptability among PARENT trial intervention participants. Intervention parents completed a survey after a 12-month study period; a 26% random sample of them were invited to participate in a qualitative interview. Interviews were recorded, transcribed, and analyzed using the constant comparative method of qualitative analysis; survey responses were analyzed using bivariate methods. A total of 115 intervention participants completed the 12-month survey; 30 completed a qualitative interview. Nearly all intervention participants reported meeting with the coach, found her helpful, and would recommend continuing coach-led well visits (97-99%). Parents built trusting relationships with the coach and viewed her as a distinct and important part of their WCC team. They reported that PARENT well visits more efficiently used in-clinic time and were comprehensive and family centered. Most used the Well-Visit Planner (87%), and found it easy to use (94%); a minority completed it at home before the visit (18%). Sixty-two percent reported using the text message service; most reported it as a helpful source of new information and a reinforcement of information discussed during visits. A parent coach-led intervention for WCC for young children is a model of WCC delivery that is both acceptable and feasible to parents in a low-income urban population. Copyright © 2017 Academic Pediatric Association. Published by Elsevier Inc. All

  15. Computational redesign reveals allosteric mutation hotspots of organophosphate hydrolase that enhance organophosphate hydrolysis

    Energy Technology Data Exchange (ETDEWEB)

    Jacob, Reed B. [Univ. of North Carolina, Chapel Hill, NC (United States); Ding, Feng [Clemson Univ., SC (United States); Ye, Dongmei [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Ackerman, Eric [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Dokholyan, Nikolay V. [Univ. of North Carolina, Chapel Hill, NC (United States)

    2015-04-01

    Organophosphates are widely used for peaceful (agriculture) and military purposes (chemical warfare agents). The extraordinary toxicity of organophosphates and the risk of deployment, make it critical to develop means for their rapid and efficient deactivation. Organophosphate hydrolase (OPH) already plays an important role in organophosphate remediation, but is insufficient for therapeutic or prophylactic purposes primarily due to low substrate affinity. Current efforts focus on directly modifying the active site to differentiate substrate specificity and increase catalytic activity. Here, we present a novel strategy for enhancing the general catalytic efficiency of OPH through computational redesign of the residues that are allosterically coupled to the active site and validated our design by mutagenesis. Specifically, we identify five such hot-spot residues for allosteric regulation and assay these mutants for hydrolysis activity against paraoxon, a chemical-weapons simulant. A high percentage of the predicted mutants exhibit enhanced activity over wild-type (kcat =16.63 s-1), such as T199I/T54I (899.5 s-1) and C227V/T199I/T54I (848 s-1), while the Km remains relatively unchanged in our high-throughput cell-free expression system. Further computational studies of protein dynamics reveal four distinct distal regions coupled to the active site that display significant changes in conformation dynamics upon these identified mutations. These results validate a computational design method that is both efficient and easily adapted as a general procedure for enzymatic enhancement.

  16. The flipped classroom: a course redesign to foster learning and engagement in a health professions school.

    Science.gov (United States)

    McLaughlin, Jacqueline E; Roth, Mary T; Glatt, Dylan M; Gharkholonarehe, Nastaran; Davidson, Christopher A; Griffin, LaToya M; Esserman, Denise A; Mumper, Russell J

    2014-02-01

    Recent calls for educational reform highlight ongoing concerns about the ability of current curricula to equip aspiring health care professionals with the skills for success. Whereas a wide range of proposed solutions attempt to address apparent deficiencies in current educational models, a growing body of literature consistently points to the need to rethink the traditional in-class, lecture-based course model. One such proposal is the flipped classroom, in which content is offloaded for students to learn on their own, and class time is dedicated to engaging students in student-centered learning activities, like problem-based learning and inquiry-oriented strategies. In 2012, the authors flipped a required first-year pharmaceutics course at the University of North Carolina Eshelman School of Pharmacy. They offloaded all lectures to self-paced online videos and used class time to engage students in active learning exercises. In this article, the authors describe the philosophy and methodology used to redesign the Basic Pharmaceutics II course and outline the research they conducted to investigate the resulting outcomes. This article is intended to serve as a guide to instructors and educational programs seeking to develop, implement, and evaluate innovative and practical strategies to transform students' learning experience. As class attendance, students' learning, and the perceived value of this model all increased following participation in the flipped classroom, the authors conclude that this approach warrants careful consideration as educators aim to enhance learning, improve outcomes, and fully equip students to address 21st-century health care needs.

  17. Commercial off-the-shelf consumer health informatics interventions: recommendations for their design, evaluation and redesign.

    Science.gov (United States)

    Marquard, Jenna L; Zayas-Cabán, Teresa

    2012-01-01

    The goal of this paper is to describe the successful application of a use case-based evaluation approach to guide the effective design, evaluation and redesign of inexpensive, commercial, off-the-shelf consumer health informatics (CHI) interventions. Researchers developed four CHI intervention use cases representing two distinct patient populations (patients with diabetes with high blood pressure, post-bariatric surgery patients), two commercial off-the-shelf CHI applications (Microsoft HealthVault, Google Health), and related devices (blood pressure monitor, pedometer, weight scale). Three patient proxies tested each intervention for 10 days. The patient proxies recorded their challenges while completing use case tasks, rating the severity of each challenge based on how much it hindered their use of the intervention. Two independent evaluators categorized the challenges by human factors domain (physical, cognitive, macroergonomic). The use case-based approach resulted in the identification of 122 challenges, with 12% physical, 50% cognitive and 38% macroergonomic. Thirty-nine challenges (32%) were at least moderately severe. Nine of 22 use case tasks (41%) accounted for 72% of the challenges. The study used two patient proxies and addressed two specific patient populations and low-cost, off-the-shelf CHI interventions, which may not perfectly generalize to a larger number of proxies, actual patient populations, or other CHI interventions. CHI designers can employ the use case-based evaluation approach to assess the fit of a CHI intervention with patients' health work, in the context of their daily activities and environment, which would be difficult or impossible to evaluate by laboratory-based studies.

  18. An Analysis of Collaborative Problem-Solving Mechanisms in Sponsored Projects: Applying the 5-Day Sprint Model

    Science.gov (United States)

    Raubenolt, Amy

    2016-01-01

    In May 2016, the office of Finance and Sponsored Projects at The Research Institute at Nationwide Children's Hospital conducted a 5-day design sprint session to re-evaluate and redesign a flawed final reporting process within the department. The department sprint was modeled after the design sprint sessions that occur routinely in software…

  19. Time-driven activity-based costing: a driver for provider engagement in costing activities and redesign initiatives.

    Science.gov (United States)

    McLaughlin, Nancy; Burke, Michael A; Setlur, Nisheeta P; Niedzwiecki, Douglas R; Kaplan, Alan L; Saigal, Christopher; Mahajan, Aman; Martin, Neil A; Kaplan, Robert S

    2014-11-01

    To date, health care providers have devoted significant efforts to improve performance regarding patient safety and quality of care. To address the lagging involvement of health care providers in the cost component of the value equation, UCLA Health piloted the implementation of time-driven activity-based costing (TDABC). Here, the authors describe the implementation experiment, share lessons learned across the care continuum, and report how TDABC has actively engaged health care providers in costing activities and care redesign. After the selection of pilots in neurosurgery and urology and the creation of the TDABC team, multidisciplinary process mapping sessions, capacity-cost calculations, and model integration were coordinated and offered to engage care providers at each phase. Reviewing the maps for the entire episode of care, varying types of personnel involved in the delivery of care were noted: 63 for the neurosurgery pilot and 61 for the urology pilot. The average cost capacities for care coordinators, nurses, residents, and faculty were $0.70 (range $0.63-$0.75), $1.55 (range $1.28-$2.04), $0.58 (range $0.56-$0.62), and $3.54 (range $2.29-$4.52), across both pilots. After calculating the costs for material, equipment, and space, the TDABC model enabled the linking of a specific step of the care cycle (who performed the step and its duration) and its associated costs. Both pilots identified important opportunities to redesign care delivery in a costconscious fashion. The experimentation and implementation phases of the TDABC model have succeeded in engaging health care providers in process assessment and costing activities. The TDABC model proved to be a catalyzing agent for cost-conscious care redesign.

  20. Computational redesign of bacterial biotin carboxylase inhibitors using structure-based virtual screening of combinatorial libraries.

    Science.gov (United States)

    Brylinski, Michal; Waldrop, Grover L

    2014-04-02

    As the spread of antibiotic resistant bacteria steadily increases, there is an urgent need for new antibacterial agents. Because fatty acid synthesis is only used for membrane biogenesis in bacteria, the enzymes in this pathway are attractive targets for antibacterial agent development. Acetyl-CoA carboxylase catalyzes the committed and regulated step in fatty acid synthesis. In bacteria, the enzyme is composed of three distinct protein components: biotin carboxylase, biotin carboxyl carrier protein, and carboxyltransferase. Fragment-based screening revealed that amino-oxazole inhibits biotin carboxylase activity and also exhibits antibacterial activity against Gram-negative organisms. In this report, we redesigned previously identified lead inhibitors to expand the spectrum of bacteria sensitive to the amino-oxazole derivatives by including Gram-positive species. Using 9,411 small organic building blocks, we constructed a diverse combinatorial library of 1.2×10⁸ amino-oxazole derivatives. A subset of 9×10⁶ of these compounds were subjected to structure-based virtual screening against seven biotin carboxylase isoforms using similarity-based docking by eSimDock. Potentially broad-spectrum antibiotic candidates were selected based on the consensus ranking by several scoring functions including non-linear statistical models implemented in eSimDock and traditional molecular mechanics force fields. The analysis of binding poses of the top-ranked compounds docked to biotin carboxylase isoforms suggests that: (1) binding of the amino-oxazole anchor is stabilized by a network of hydrogen bonds to residues 201, 202 and 204; (2) halogenated aromatic moieties attached to the amino-oxazole scaffold enhance interactions with a hydrophobic pocket formed by residues 157, 169, 171 and 203; and (3) larger substituents reach deeper into the binding pocket to form additional hydrogen bonds with the side chains of residues 209 and 233. These structural insights into drug

  1. Re-design High Pressure Heater (HPH 5 pada Perusahaan Pembangkit Tenaga Listrik

    Directory of Open Access Journals (Sweden)

    Devia Gahana Cindi Alfian

    2013-09-01

    Full Text Available Boiler merupakan komponen utama yang ada pada pembangkit. Jika terjadi penurunan efisiensi pada boiler, maka listrik yang dihasilkan juga menurun. Berbagai cara  dilakukan untuk meningkatkan efisiensi dari boiler, salah satunya adalah menggunakan High Pressure Heater (HPH. HPH merupakan alat pemanas feedwater sebelum masuk ke boiler sehingga mengurangi kerja dari boiler. Saat ini kondisi HPH 5 yang ada di salah satu perusahaan pembangkit listrik sudah lama digunakan sehingga perlu dilakukan analisa untuk mengatahui performa dari HPH ini. Jika terjadi kebocoran atau kerusakan hanya dilakukan re-tubing yang selalu menggunakan design Original Equipment Manufacturing (OEM yang memakan waktu cukup lama dan biaya yang mahal. Proses analisa yang dimaksudkan adalah re-design sehingga apabila terjadi kerusakan dapat diganti dengan buatan sendiri. Pada perancangannya digunakan analisa termodinamika dan perpindahan panas dengan metode LMTD untuk mendapatkan dimensi tiap zona. Perhitungan yang dilakukan meliputi menentukan panjang masing-masing tiap zona HPH, laju perpindahan panas, overall heat transfer coefficient (U, luas perpindahan panas (A, perhitungan pressure drop (∆p untuk masing-masing zona. Hasil yang didapatkan pada analisa ini adalah dimensi zona desuperheating didapatkan panjang maksimal 2,94 m, luasan perpindahan panas efektif 231,7 m2, Overall Heat Transfer Coefficient 520,43 Watt/m2K, baffle spacing 0,345 m, jumlah baffle 8 buah. Pada zona Condensing didapatkan panjang maksimal 9,39 m, luasan perpindahan panas efektif 739,5 m2, Overall Heat Transfer Coefficient 3738,3 Watt/m2K, baffle spacing 1,8 m, jumlah baffle 4 buah. Sedangkan pada zona Subcooling didapatkan panjang maksimal 1,66 m, luasan perpindahan panas efektif 131 m2, Overall Heat Transfer Coefficient 3659,84 Watt/m2K, baffle spacing 0,345 m, jumlah baffle 4 buah. Sehingga didapatkan panjang total tube 14 m, total luasan perpindahan panas efektif  1.102,34 m2, Total Overall

  2. User Centric Job Monitoring – a redesign and novel approach in the STAR experiment

    International Nuclear Information System (INIS)

    Arkhipkin, D; Lauret, J; Zulkarneeva, Y

    2014-01-01

    User Centric Monitoring (or UCM) has been a long awaited feature in STAR, whereas programs, workflows and system 'events' could be logged, broadcast and later analyzed. UCM allows to collect and filter available job monitoring information from various resources and present it to users in a user-centric view rather than an administrative-centric point of view. The first attempt and implementation of 'a' UCM approach was made in STAR 2004 using a log4cxx plug-in back-end and then further evolved with an attempt to push toward a scalable database back-end (2006) and finally using a Web-Service approach (2010, CSW4DB SBIR). The latest showed to be incomplete and not addressing the evolving needs of the experiment where streamlined messages for online (data acquisition) purposes as well as the continuous support for the data mining needs and event analysis need to coexists and unified in a seamless approach. The code also revealed to be hardly maintainable. This paper presents the next evolutionary step of the UCM toolkit, a redesign and redirection of our latest attempt acknowledging and integrating recent technologies and a simpler, maintainable and yet scalable manner. The extended version of the job logging package is built upon three-tier approach based on Task, Job and Event, and features a Web-Service based logging API, a responsive AJAX-powered user interface, and a database back-end relying on MongoDB, which is uniquely suited for STAR needs. In addition, we present details of integration of this logging package with the STAR offline and online software frameworks. Leveraging on the reported experience and work from the ATLAS and CMS experience on using the ESPER engine, we discuss and show how such approach has been implemented in STAR for meta-data event triggering stream processing and filtering. An ESPER based solution seems to fit well into the online data acquisition system where many systems are monitored.

  3. Redesigning a large school-based clinical trial in response to changes in community practice

    Science.gov (United States)

    Gerald, Lynn B; Gerald, Joe K; McClure, Leslie A; Harrington, Kathy; Erwin, Sue; Bailey, William C

    2011-01-01

    Background Asthma exacerbations are seasonal with the greatest risk in elementary-age students occurring shortly after returning to school following summer break. Recent research suggests that this seasonality in children is primarily related to viral respiratory tract infections. Regular hand washing is the most effective method to prevent the spread of viral respiratory infections; unfortunately, achieving hand washing recommendations in schools is difficult. Therefore, we designed a study to evaluate the effect of hand sanitizer use in elementary schools on exacerbations among children with asthma. Purpose To describe the process of redesigning the trial in response to changes in the safety profile of the hand sanitizer as well as changes in hand hygiene practice in the schools. Methods The original trial was a randomized, longitudinal, subject-blinded, placebo-controlled, community-based crossover trial. The primary aim was to evaluate the incremental effectiveness of hand sanitizer use in addition to usual hand hygiene practices to decrease asthma exacerbations in elementary-age children. Three events occurred that required major modifications to the original study protocol: (1) safety concerns arose regarding the hand sanitizer’s active ingredient; (2) no substitute placebo hand sanitizer was available; and (3) community preferences changed regarding hand hygiene practices in the schools. Results The revised protocol is a randomized, longitudinal, community-based crossover trial. The primary aim is to evaluate the incremental effectiveness of a two-step hand hygiene process (hand hygiene education plus institutionally provided alcohol-based hand sanitizer) versus usual care to decrease asthma exacerbations. Enrollment was completed in May 2009 with 527 students from 30 schools. The intervention began in August 2009 and will continue through May 2011. Study results should be available at the end of 2011. Limitations The changed design does not allow us to

  4. Redesigning a large school-based clinical trial in response to changes in community practice.

    Science.gov (United States)

    Gerald, Lynn B; Gerald, Joe K; McClure, Leslie A; Harrington, Kathy; Erwin, Sue; Bailey, William C

    2011-06-01

    Asthma exacerbations are seasonal with the greatest risk in elementary-age students occurring shortly after returning to school following summer break. Recent research suggests that this seasonality in children is primarily related to viral respiratory tract infections. Regular hand washing is the most effective method to prevent the spread of viral respiratory infections; unfortunately, achieving hand washing recommendations in schools is difficult. Therefore, we designed a study to evaluate the effect of hand sanitizer use in elementary schools on exacerbations among children with asthma. To describe the process of redesigning the trial in response to changes in the safety profile of the hand sanitizer as well as changes in hand hygiene practice in the schools. The original trial was a randomized, longitudinal, subject-blinded, placebo-controlled, community-based crossover trial. The primary aim was to evaluate the incremental effectiveness of hand sanitizer use in addition to usual hand hygiene practices to decrease asthma exacerbations in elementary-age children. Three events occurred that required major modifications to the original study protocol: (1) safety concerns arose regarding the hand sanitizer's active ingredient; (2) no substitute placebo hand sanitizer was available; and (3) community preferences changed regarding hand hygiene practices in the schools. The revised protocol is a randomized, longitudinal, community-based crossover trial. The primary aim is to evaluate the incremental effectiveness of a two-step hand hygiene process (hand hygiene education plus institutionally provided alcohol-based hand sanitizer) versus usual care to decrease asthma exacerbations. Enrollment was completed in May 2009 with 527 students from 30 schools. The intervention began in August 2009 and will continue through May 2011. Study results should be available at the end of 2011. The changed design does not allow us to directly measure the effectiveness of hand

  5. Redesigning an intensive insulin service for patients with type 1 diabetes: a patient consultation exercise

    Directory of Open Access Journals (Sweden)

    Ozcan S

    2013-06-01

    Full Text Available Seyda Ozcan,1–3 Helen Rogers,3 Pratik Choudhary,3 Stephanie A Amiel,3 Alison Cox,3 Angus Forbes2,3 1Department of Medical Nursing, Florence Nightingale Nursing Faculty, Istanbul University, Istanbul, Turkey; 2Department of Primary and Intermediate Care, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, United Kingdom; 3Department of Diabetes, King's College Hospital NHS Foundation Trust, London, United Kingdom Context: Providing effective support for patients in using insulin effectively is essential for good diabetes care. For that support to be effective it must reflect and attend to the needs of patients. Purpose: To explore the perspectives of adult type 1 diabetes patients on their current diabetes care in order to generate ideas for creating a new patient centered intensive insulin clinic. Methods: A multi-method approach was used, comprising: an observational exercise of current clinical care; three focus groups (n = 17; and a survey of service users (n = 419 to test the ideas generated from the observational exercise and focus groups (rating 1 to 5 in terms of importance. The ideas generated by the multi-method approach were organized thematically and mapped onto the Chronic Care Model (CCM. Results: The themes and preferences for service redesign in relation to CCM components were: health care organization, there was an interest in having enhanced systems for sharing clinical information; self-management support, patients would like more flexible and easy to access resources and more help with diabetes technology and psychosocial support; delivery system design and clinical information systems, the need for greater integration of care and better use of clinic time; productive relationships, participants would like more continuity; access to health professionals, patient involvement and care planning. The findings from the patient survey indicate high preferences for most of the areas for service

  6. Redesigning current instruments as a precondition for a more effective environmental protection

    Directory of Open Access Journals (Sweden)

    Adžemović Mesud R.

    2017-01-01

    Full Text Available The problems of environment and evaluation of natural capital belong to the phenomenology of externalities, and the requirements of environmental economics are ever more oriented towards the elaboration of the ecological–economic category of the externalization of internal expenses, wherefrom reasons for the introduction of ecological–economic instruments, before all payments for pollutions, ensue. Demystification of the negative conviction relating ecological payments as taxes is very important, since it must be shown that ecological payments correct, mitigate or remove externalities. Environmental protection is a complex system and it consists in a set of rules, measures and instruments that are applied for the surveillance of pollution sources, and shaping of instruments for environmental protection is a complex process intended for the accomplishment of established ecological goals. Among all instruments available for bridging the gap of internalization and exerting a significant effect on polluters to diminish their emissions of pollution, the ecological and economic ones are most important. The results of our investigation have demonstrated that it is necessary to reshape the current set of instruments regarding protection of vital functions of nature and an efficient environmental protection, and one of the key cognitions is that the scientific and professional public must not be excluded from the appraisals of creating and redesigning the instruments of environmental protection. These assertions have their foundation in the premise that the significance of elements of the social dimension in sustainable development is to a great extent determined by the level of environmental degradation and reduction in capacity of renewable sources. The paper, approach and data processing of the conducted research offer a new model and new elements of methodology for establishing the state and quality of the environment, whereby social

  7. Redesign of a Rural Building in a Heritage Site in Italy: Towards the Net Zero Energy Target

    Directory of Open Access Journals (Sweden)

    Maurizio Cellura

    2017-07-01

    Full Text Available In order to achieve the ambitious objective of decarbonising the economy, it is mandatory, especially in Europe and in Italy, to include the retrofitting of existing buildings. In a country where a large share of existing buildings have heritage value, it is important to design effective retrofit solutions also in historical buildings. In this context, the paper describes the experience of re-design of an existing rural building located in Sicily, inside the ancient Greeks' “Valley of the Temples”. An energy audit was performed on the building, and its energy uses were thoroughly investigated. A building model was developed in the TRNSYS environment and its performances validated. The validated model was used for redesign studies aimed towards the achievement of the Net Zero Energy Building target. The best performing solutions to be applied to a case study like the Sanfilippo House were those regarding the management of the building, as in the case of the natural ventilation and the energy systems setpoints, that would allow a large impact (up to 10% reductions in energy uses on the energy performances of the building with no invasiveness, and those with very limited invasiveness and high impact on the energy efficiency of the building, as in the lighting scenario (up to 30% energy uses reduction. The most invasive actions can only be justified in the case of high energy savings, as in the case of the insulation of the roof, otherwise they should be disregarded.

  8. Redesigning Introductory Science Courses to Teach Sustainability: Introducing the L(SC)2 Paradigm

    Science.gov (United States)

    Myers, J. D.; Campbell-Stone, E.; Massey, G.

    2008-12-01

    Modern societies consume vast quantities of Earth resources at unsustainable levels; at the same time, resource extraction, processing, production, use and disposal have resulted in environmental damage severe enough to threaten the life-support systems of our planet. These threats are produced by multiple, integrative and cumulative environmental stresses, i.e. syndromes, which result from human physical, ecological and social interactions with the environment in specific geographic places. In recent decades, recognition of this growing threat has lead to the concept of sustainability. The science needed to provide the knowledge and know-how for a successful sustainability transition differs markedly from the science that built our modern world. Sustainability science must balanced basic and applied research, promote integrative research focused on specific problems and devise a means of merging fundamental, general scientific principles with understanding of specific places. At the same time, it must use a variety of knowledge areas, i.e. biological systems, Earth systems, technological systems and social systems, to devise solutions to the many complex and difficult problems humankind faces. Clearly, sustainability science is far removed from the discipline-based science taught in most U.S. colleges. Many introductory science courses focus on content, lack context and do not integrate scientific disciplines. To prepare the citizens who will confront future sustainability issues as well as the scientists needed to devise future sustainability strategies, educators and scientists must redesign the typical college science course. A new course paradigm, Literacies and Scientific Content in Social Context (L(SC)2), is ideally suited to teach sustainability science. It offers an alternative approach to liberal science education by redefining and expanding the concept of the interdisciplinary course and merging it with the integrated science course. In addition to

  9. Project Notes

    Science.gov (United States)

    School Science Review, 1978

    1978-01-01

    Presents sixteen project notes developed by pupils of Chipping Norton School and Bristol Grammar School, in the United Kingdom. These Projects include eight biology A-level projects and eight Chemistry A-level projects. (HM)

  10. The Wildcat-San Pablo Creek Flood Control Project and Its Implications for the Design of Environmentally Sensitive Flood Management Plans

    Science.gov (United States)

    A. L. Riley

    1989-01-01

    In 1982 a coalition of neighborhood and environmental organizations used a community organizing strategy of the early 1960's, referred to as "advocacy planning" to substantially redesign a traditional structural type of joint federal and local flood control project on Wildcat and San Pablo Creeks in North Richmond, California. Using a combination of...

  11. Implementation of a Project-Based Molecular Biology Laboratory Emphasizing Protein Structure-Function Relationships in a Large Introductory Biology Laboratory Course

    Science.gov (United States)

    Treacy, Daniel J.; Sankaran, Saumya M.; Gordon-Messer, Susannah; Saly, Danielle; Miller, Rebecca; Isaac, R. Stefan; Kosinski-Collins, Melissa S.

    2011-01-01

    In introductory laboratory courses, many universities are turning from traditional laboratories with predictable outcomes to inquiry-inspired, project-based laboratory curricula. In these labs, students are allowed to design at least some portion of their own experiment and interpret new, undiscovered data. We have redesigned the introductory…

  12. New features of the Helioviewer Project

    Science.gov (United States)

    Ireland, J.; Zahniy, S.; Nicula, B.; Mueller, D.; Felix, S.; Verstringe, F.; Bourgoignie, B.

    2016-12-01

    This year saw the release of major new upgrades to the capabilities of helioviewer.org and JHelioviewer. The helioviewer.org interface was completely re-designed, and now provides image and feature/event time-lines and data download capabilities. JHelioviewer introduced interactive time-series, the ability to query different servers for different data, and image reprojection. We introduce the new features of these software releases and give use cases. We will summarize our latest usage statistics, and discuss what's coming up next for the Helioviewer Project. We will also be soliciting bug reports, requests for new features and comments on the effectiveness of helioviewer.org and JHelioviewer. What would you like to see next from the Helioviewer Project?

  13. PROCEDIMIENTO GENERAL DE REDISEÑO ORGANIZACIONAL PARA MEJORAR EL ENFOQUE A PROCESOS / GENERAL PROCEDURE OF ORGANIZATIONAL REDESIGN TO IMPROVE THE PROCESS APPROACH

    Directory of Open Access Journals (Sweden)

    Daniel Alfonso-Robaina

    2011-09-01

    Full Text Available

    Para mejorar el enfoque a procesos en el rediseño de la organización de la empresa, es necesaria la adecuación de 6 fases. En la propuesta se presentan las actividades de cada fase del Procedimiento de rediseño organizacional para mejorar el enfoque a procesos, así como sus entradas y salidas. El procedimiento propuesto en esta investigación es el resultado de la fusión de varios de los estudiados, teniendo como base el procedimiento de Rummler y Brache (1995 [1]. En la investigación fue útil la utilización de técnicas, entre las que se destacan: las entrevistas, la tormenta de ideas y la búsqueda bibliográfica; además del empleo de herramientas como: el Mapa de Procesos y el Modelo General de Organización. Con el uso de estas técnicas y herramientas se identificó como asunto crítico de negocio en la empresa Explomat, la insuficiente gestión integrada de los procesos, lo que debilita las posibilidades de la entidad para aprovechar las oportunidades que le brinda el entorno, poniendo en peligro el cumplimiento de su misión. Teniendo en cuenta el análisis del nivel de integración del sistema de dirección, a partir de las matrices de relaciones, se contribuyó a proyectar mejoras, confeccionando el debe “ser”.

    Abstract

    In order to improve the process approach relative to the organizational redesign, it is necessary the adaptation of 6 phases. In the proposal, the activities of each phase of the Procedure of organizational redesign to improve the process approach, as well as its inputs and outputs, are presented. The proposed procedure in this investigation is the result of the merger of several of those studied, taking as a starting point the procedure of Rummler and Brache (1995 [1]. In this investigation it was useful the use of techniques, such as the interviews, the brainstorm and bibliographical search; besides the employment of tools like the Processes Map and the General Model of

  14. EDF source term reduction project main outcomes and further developments

    International Nuclear Information System (INIS)

    Ranchoux, Gilles; Bonnefon, Julien; Benfarah, Moez; Wintergerst Matthieu; Gressier, Frederic; Leclercq, Stephanie

    2012-09-01

    The dose reduction is a strategic purpose for EDF in link with the stakes of, nuclear acceptability, respect of regulation and productivity gains. This consists not only in improving the reactor shutdown organization (time spent in control area, biological shielding,...) but also in improving the radiological state of the unit and the efficiency of the source term reduction operations. Since 2003, EDF has been running an innovative project called 'Source Term Reduction' federating the different EDF research and engineering centers in order to: - participate to the long term view about Radiological Protection issues (international feedback analyses), - develop contamination prediction tools (OSCAR software) suitable for the industrial needs (operating units and EPR design), - develop scientific models useful for the understanding of contamination mechanisms to support the strategic decision processes, - carry on with updating and analyzing of contamination measurements feedback in corrosion products (EMECC and CZT campaigns), - carry on with the operational support at short or middle term by optimizing startup and shutdown processes, pre-oxidation or and by improving purification efficiency or material characteristics. This paper will show in a first part the main 2011 results in occupational exposure (collective and individual dose, RCS index...). In a second part, an overview of the main EDF outcomes of the last 3 years in the field of source term reduction will be presented. Future developments extended to contamination issues in EDF NPPs will be also pointed out in this paper. (authors)

  15. Redesigning MGMT 4010S: Creating a Cause of Social Responsibility and Social Justice

    Science.gov (United States)

    Caro, Cary A.; Lirette, Kolby; Yest, Myke

    2013-01-01

    As business organizations face more and more scrutiny for poor leadership practices, American business schools have come under more pressure to prepare students to enter organizations with an understanding of and an appreciation for quality leadership. This manuscript focuses on the introduction of a service-learning project to a Senior Leadership…

  16. The motivational safety helmet : Redesign suggestions improving the intrinsic motivation of construction site workers

    NARCIS (Netherlands)

    Beldman, T. (Teunis); Boer, de J. (Johannes); Lemmens, P. (Pim); Stilma, M. (Margot)

    2014-01-01

    In reaction to the lack of intrinsic motivation of construction site workers, to wear their safety helmets at all times, a series of research projects studied causes and possible solutions. Goal is to gain an inspirational discussion to get the design onto the next level. This paper describes a

  17. In-Situ Testing and Performance Assessment of a Redesigned WIPP Panel Closure - 13192

    Energy Technology Data Exchange (ETDEWEB)

    Klein, Thomas [URS-Professional Solutions, 4021 National Parks Highway Carlsbad, NM 88220 (United States); Patterson, Russell [Department of Energy-Carlsbad Field Office, 4021 National Parks Highway Carlsbad, NM 88220 (United States); Camphouse, Chris; Herrick, Courtney; Kirchner, Thomas; Malama, Bwalya; Zeitler, Todd [Sandia National Laboratories-Carlsbad, 4100 National Parks Highway Carlsbad, NM 88220 (United States); Kicker, Dwayne [SM Stoller Corporation-Carlsbad, 4100 National Parks Highway Carlsbad, NM (United States)

    2013-07-01

    operations and a greater understanding of the waste and the behavior of the underground salt formation, the DOE has established a revised panel closure design. This revised design meets both the short-term NMED Permit requirements for the operational period, and also the Federal requirements for long-term repository performance. This new design is simpler, easier to construct and has less of an adverse impact on waste disposal operations than the originally approved Option D design. The Panel Closure Redesign is based on: (1) the results of in-situ constructability testing performed to determine run-of-mine salt reconsolidation parameters and how the characteristics of the bedded salt formation affect these parameters and, (2) the results of air flow analysis of the new design to determine that the limit for the migration of Volatile Organic Compounds (VOCs) will be met at the compliance point. Waste panel closures comprise a repository feature that has been represented in WIPP performance assessment (PA) since the original Compliance Certification Application of 1996. Panel closures are included in WIPP PA models principally because they are a part of the disposal system, not because they play a substantive role in inhibiting the release of radionuclides to the outside environment. The 1998 rulemaking that certified WIPP to receive transuranic waste placed conditions on the panel closure design to be implemented in the repository. The revised panel closure design, termed the Run-of-Mine (ROM) Panel Closure System (ROMPCS), is comprised of 30.48 meters of ROM salt with barriers at each end. The ROM salt is generated from ongoing mining operations at the WIPP and may be compacted and/or moistened as it is emplaced in a panel entry. The barriers consist of bulkheads, similar to those currently used in the panels as room closures. A WIPP performance assessment has been completed that incorporates the ROMPCS design into the representation of the repository, and compares

  18. A Case Report: Cornerstone Health Care Reduced the Total Cost of Care Through Population Segmentation and Care Model Redesign.

    Science.gov (United States)

    Green, Dale E; Hamory, Bruce H; Terrell, Grace E; O'Connell, Jasmine

    2017-08-01

    Over the course of a single year, Cornerstone Health Care, a multispecialty group practice in North Carolina, redesigned the underlying care models for 5 of its highest-risk populations-late-stage congestive heart failure, oncology, Medicare-Medicaid dual eligibles, those with 5 or more chronic conditions, and the most complex patients with multiple late-stage chronic conditions. At the 1-year mark, the results of the program were analyzed. Overall costs for the patients studied were reduced by 12.7% compared to the year before enrollment. All fully implemented programs delivered between 10% and 16% cost savings. The key area for savings factor was hospitalization, which was reduced by 30% across all programs. The greatest area of cost increase was "other," a category that consisted in large part of hospice services. Full implementation was key; 2 primary care sites that reverted to more traditional models failed to show the same pattern of savings.

  19. Concerning of Defects in Design and Manufacture of the Products. Case Study: Redesign of the Citrus Juicer

    Directory of Open Access Journals (Sweden)

    Bogdan BUCUR

    2015-12-01

    Full Text Available Industrial products market is marked by a series of mistakes resulting from their design and manufacture. These defects are due to a superficial conceptual analysis, with emphasis on manufacturing to lower cost price, without a few aspects like: functional, ergonomic, aesthetic and cultural in product development. This analysis is important because it combines all these aspects and which aim the final solution of the optimized product. This paper proposes a method of study that identifies those aspects of the analysis of a product on the market that is a citrus juicer. Redesigning the product is made using AutoCAD and Inventor Autodesk design environment. The method proposed in this paper it will be applied to any industrial product, respecting their particularities.

  20. The ECE Pre-Service Teachers' Perception on Factors Affecting the Integration of Educational Computer Games in Two Conditions: Selecting versus Redesigning

    Science.gov (United States)

    Sancar Tokmak, Hatice; Ozgelen, Sinan

    2013-01-01

    This case study aimed to examine early childhood education (ECE) pre-service teachers' perception on the factors affecting integration of educational computer games to their instruction in two areas: selecting and redesigning. Twenty-six ECE pre-service teachers participated in the study. The data was collected through open-ended questionnaires,…

  1. Toward meso-level product-market network indices for strategic product selection and (re)design guidelines over the product life-cycle

    NARCIS (Netherlands)

    Vermeulen, B.; Kok, de A.G.

    2010-01-01

    Many methods to arrive at a product-market choice through selection and (re)design assume stationary demand and a stable range of products to pick and maximize profit trading off operational performance in manufacturing versus (under)servicing certain market segments. The determination and

  2. Redesign of a Grignard-Based Active Pharmaceutical Ingredient (API) Batch Synthesis to a Flow Process for the Preparation of Melitracen HCl

    DEFF Research Database (Denmark)

    Pedersen, Michael J.; Skovby, Tommy; Mealy, Michael J.

    2018-01-01

    A Grignard-based batch process, for the preparation of Melitracen HCl, has been redesigned to fit a continuous reactor system. The Grignard addition is carried out at room temperature, with subsequent hydrolysis of the magnesium alkoxide intermediate followed by dehydration of the resulting alcoh...

  3. THE APPLICATION OF ISLAMIC VALUE AND REGIONALISM IN THE REDESIGN OF ZAINUL HASAN GENGGONG BOARDING SCHOOL IN PROBOLINGGO INDONESIA

    Directory of Open Access Journals (Sweden)

    Nur Rozan

    2013-12-01

    Full Text Available Abstract Zainul Hasan Genggong boarding school is an islamic and public school. The school has been existed from many years ago in a lack design. The amount of the room also need to be added. That is why the redesign of this building should be done. The redesign of the school have an objective to improve and develop the education quality. The design theme used in the new design is reinvigorating tradition from Pendhalungan culture. There are some islamic values in Pendhalungan culture and tradition, i.e. Ma’iyyah (togetherness concept, modest concept, and not  excessive concept. The three islamic concept together with the Pendhalungan culture atmosphere are showed into the whole aspect of the new design, including site, room, and the building form.   Keywords:  boarding school, Pendhalungan, reinvigorating tradition     Abstrak Pondok pesantren Zainul Hasan Genggong merupakan pendidikan islam yang juga mengajarkan pendidikan umum. Pondok pesantren ini sudah berdiri sejak beberapa tahun yang lalu dengan masih banyak kekurangan desain. Jumlah kamar juga masih perlu ditambah. Karena itulah diperlukan perancangan kembali bangunan ini. perancangan kembali memiliki tujuan untuk meningkatkan dan mengembangkan kualitas pendidikan. Tema rancangan  yang  digunakan  untuk  desain  yang  baru  ini  adalah  reinvigorating  tradition dari  budaya Pendhalungan. Di dalam budaya Pendhalungan terdapat nilai-nilai islam, antara lain konsep Ma’iyyah (kebersamaan, konsep kesederhanaan, dan konsep tidak berlebih-lebihan. Ketiga konsep islam tersebut bersama dengan suasana Pendhalungan ditunjukkan ke dalam seluruh aspek perancangan baru, termasuk ke dalam desain tapak, ruang, dan bentuk bangunan.   Kata kunci:  pondok pesantren, Pendhalungan, reinvigorating tradition

  4. The Isis project: Fault-tolerance in large distributed systems

    Science.gov (United States)

    Birman, Kenneth P.; Marzullo, Keith

    1993-01-01

    This final status report covers activities of the Isis project during the first half of 1992. During the report period, the Isis effort has achieved a major milestone in its effort to redesign and reimplement the Isis system using Mach and Chorus as target operating system environments. In addition, we completed a number of publications that address issues raised in our prior work; some of these have recently appeared in print, while others are now being considered for publication in a variety of journals and conferences.

  5. 2521-IJBCS-Article-Oscar Foton

    African Journals Online (AJOL)

    hp

    Environmental Stress Study, University of Abomey-Calavi, Cotonou, Bénin. 2 Hydrobiology ... and can have unwanted environmental impacts. In a context of optimization of management ..... Water hyacinth problems in Mexico and practiced ...

  6. Redesigning Our Role While Redesigning Our Libraries

    Science.gov (United States)

    Bradburn, Frances Bryant

    2013-01-01

    This article describes a process one librarian discovered and implemented as she observed the changing role of the librarian and the library. Frustration was growing due to the gradual erosion of school libraries as they struggled to remain, with electronic books, video streaming, and databases supplanting many of the physical resources in the…

  7. Define Project

    DEFF Research Database (Denmark)

    Munk-Madsen, Andreas

    2005-01-01

    "Project" is a key concept in IS management. The word is frequently used in textbooks and standards. Yet we seldom find a precise definition of the concept. This paper discusses how to define the concept of a project. The proposed definition covers both heavily formalized projects and informally...... organized, agile projects. Based on the proposed definition popular existing definitions are discussed....

  8. Project Management

    DEFF Research Database (Denmark)

    Project Management Theory Meets Practice contains the proceedings from the 1st Danish Project Management Research Conference (DAPMARC 2015), held in Copenhagen, Denmark, on May 21st, 2015.......Project Management Theory Meets Practice contains the proceedings from the 1st Danish Project Management Research Conference (DAPMARC 2015), held in Copenhagen, Denmark, on May 21st, 2015....

  9. Project Management

    DEFF Research Database (Denmark)

    Pilkington, Alan; Chai, Kah-Hin; Le, Yang

    2015-01-01

    This paper identifies the true coverage of PM theory through a bibliometric analysis of the International Journal of Project Management from 1996-2012. We identify six persistent research themes: project time management, project risk management, programme management, large-scale project management......, project success/failure and practitioner development. These differ from those presented in review and editorial articles in the literature. In addition, topics missing from the PM BOK: knowledge management project-based organization and project portfolio management have become more popular topics...

  10. Project financing

    International Nuclear Information System (INIS)

    Cowan, A.

    1998-01-01

    Project financing was defined ('where a lender to a specific project has recourse only to the cash flow and assets of that project for repayment and security respectively') and its attributes were described. Project financing was said to be particularly well suited to power, pipeline, mining, telecommunications, petro-chemicals, road construction, and oil and gas projects, i.e. large infrastructure projects that are difficult to fund on-balance sheet, where the risk profile of a project does not fit the corporation's risk appetite, or where higher leverage is required. Sources of project financing were identified. The need to analyze and mitigate risks, and being aware that lenders always take a conservative view and gravitate towards the lowest common denominator, were considered the key to success in obtaining project financing funds. TransAlta Corporation's project financing experiences were used to illustrate the potential of this source of financing

  11. Project descriptions

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    This part specifies the activities and project tasks of each project broken down according to types of financing, listing the current projects Lw 1 through 3 funded by long-term provisions (budget), the current projects LB 1 and 2, LG 1 through 5, LK1, LM1, and LU 1 through 6 financed from special funds, and the planned projects ZG 1 through 4 and ZU 1, also financed from special funds. (DG) [de

  12. Redesigning Orientation in an Intensive Care Unit Using 2 Theoretical Models.

    Science.gov (United States)

    Kozub, Elizabeth; Hibanada-Laserna, Maribel; Harget, Gwen; Ecoff, Laurie

    2015-01-01

    To accommodate a higher demand for critical care nurses, an orientation program in a surgical intensive care unit was revised and streamlined. Two theoretical models served as a foundation for the revision and resulted in clear clinical benchmarks for orientation progress evaluation. The purpose of the project was to integrate theoretical frameworks into practice to improve the unit orientation program. Performance improvement methods served as a framework for the revision, and outcomes were measured before and after implementation. The revised orientation program increased 1- and 2-year nurse retention and decreased turnover. Critical care knowledge increased after orientation for both the preintervention and postintervention groups. Incorporating a theoretical basis for orientation has been shown to be successful in increasing the number of nurses completing orientation and improving retention, turnover rates, and knowledge gained.

  13. Redesigning and Reframing Educational Scenarios for Minecraft Within Mother Tongue Education

    DEFF Research Database (Denmark)

    Tanghøj, Thorkild; Jessen, Carsten; Hautopp, Hedie

    2014-01-01

    The aim of this paper is to describe the opportunities and challenges involved in designing educational scenarios for teaching with the computer game Minecraft in mother tongue education (MTE). The empirical data presented is based on an on‐going research project, funded by the Danish Ministry...... of Education, which explores the use of a particular game map entitled “The Mysterious Island” in the context of MTE in five primary school classes (age 7‐8) located at two different Danish schools. The Mysterious Island scenario is a loosely structured Robinsonade narrative that invites the students...... of game scenarios can be understood as a dynamic interplay of different domains and knowledge practices. In this way, the educational use of The Mysterious Island is understood as socially negotiated translations between the knowledge practices of the Robinsonade‐based game scenario, the knowledge...

  14. Project studies

    DEFF Research Database (Denmark)

    Geraldi, Joana; Söderlund, Jonas

    2018-01-01

    Project organising is a growing field of scholarly inquiry and management practice. In recent years, two important developments have influenced this field: (1) the study and practice of projects have extended their level of analysis from mainly focussing on individual projects to focussing on micro......, and of the explanations of project practices they could offer. To discuss avenues for future research on projects and project practice, this paper suggests the notion of project studies to better grasp the status of our field. We combine these two sets of ideas to analyse the status and future options for advancing...... project research: (1) levels of analysis; and (2) type of research. Analysing recent developments within project studies, we observe the emergence of what we refer to as type 3 research, which reconciles the need for theoretical development and engagement with practice. Type 3 research suggests pragmatic...

  15. Virtual projects

    DEFF Research Database (Denmark)

    Svejvig, Per; Commisso, Trine Hald

    2012-01-01

    that the best practice knowledge has not permeated sufficiently to the practice. Furthermore, the appropriate application of information and communication technology (ICT) remains a big challenge, and finally project managers are not sufficiently trained in organizing and conducting virtual projects....... The overall implications for research and practice are to acknowledge virtual project management as very different to traditional project management and to address this difference.......Virtual projects are common with global competition, market development, and not least the financial crisis forcing organizations to reduce their costs drastically. Organizations therefore have to place high importance on ways to carry out virtual projects and consider appropriate practices...

  16. Project financing

    International Nuclear Information System (INIS)

    Alvarez, M.U.

    1990-01-01

    This paper presents the basic concepts and components of the project financing of large industrial facilities. Diagrams of a simple partnership structure and a simple leveraged lease structure are included. Finally, a Hypothetical Project is described with basic issues identified for discussion purposes. The topics of the paper include non-recourse financing, principal advantages and objectives, disadvantages, project financing participants and agreements, feasibility studies, organization of the project company, principal agreements in a project financing, insurance, and an examination of a hypothetical project

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

    Science.gov (United States)

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

    2013-12-01

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

  18. Redesigned geriatric emergency care may have helped reduce admissions of older adults to intensive care units.

    Science.gov (United States)

    Grudzen, Corita; Richardson, Lynne D; Baumlin, Kevin M; Winkel, Gary; Davila, Carine; Ng, Kristen; Hwang, Ula

    2015-05-01

    Charged with transforming geriatric emergency care by applying palliative care principles, a process improvement team at New York City's Mount Sinai Medical Center developed the GEDI WISE (Geriatric Emergency Department Innovations in Care through Workforce, Informatics, and Structural Enhancements) model. The model introduced workforce enhancements for emergency department (ED) and adjunct staff, including role redefinition, retraining, and education in palliative care principles. Existing ED triage nurses screened patients ages sixty-five and older to identify those at high risk of ED revisit and hospital readmission. Once fully trained, these nurses screened all but 6 percent of ED visitors meeting the screening criteria. Newly hired ED nurse practitioners identified high-risk patients suitable for and desiring palliative and hospice care, then expedited referrals. Between January 2011 and May 2013 the percentage of geriatric ED admissions to the intensive care unit fell significantly, from 2.3 percent to 0.9 percent, generating an estimated savings of more than $3 million to Medicare. The decline in these admissions cannot be confidently attributed to the GEDI WISE program because other geriatric care innovations were implemented during the study period. GEDI WISE programs are now running at Mount Sinai and two partner sites, and their potential to affect the quality and value of geriatric emergency care continues to be examined. Project HOPE—The People-to-People Health Foundation, Inc.

  19. Redesign of students’ worksheet on basic physics experiment based on students’ scientific process skills analysis in Melde’s law

    Science.gov (United States)

    Nugraha, M. G.; Utari, S.; Saepuzaman, D.; Nugraha, F.

    2018-05-01

    Scientific process skills (SPS) are an intellectual skill to build knowledge, solve problems scientifically, train thinking skills as well as a very important part of the inquiry process and contribute to scientific literacy. Therefore, SPS is very important to be developed. This study aims to develop Student Worksheets (SW) that can trace SPS through basic physics experiments (BPE) on Melde’s law. This research uses R&D method involving 18 physics education department students who take the BPE course as a sample. The research instrument uses an SW designed with a SPS approach that have been reviewed and judged by expert, which includes observing, communicating, classifying, measuring, inferring, predicting, identifying variable, constructing hypothesis, defining variable operationally, designing experiment, acquiring and processing data to conclusions. The result of the research shows that the student’s SPS has not been trained optimally, the students’ answers are not derived from the observations and experiments conducted but derived from the initial knowledge of the students, as well as in the determination of experimental variables, inferring and hypothesis. This result is also supported by a low increase of conceptual content on Melde’s law with n-gain of 0.40. The research findings are used as the basis for the redesign of SW.

  20. Health care clinicians' engagement in organizational redesign of care processes: The importance of work and organizational conditions.

    Science.gov (United States)

    Dellve, L; Strömgren, M; Williamsson, A; Holden, R J; Eriksson, A

    2018-04-01

    The Swedish health care system is reorienting towards horizontal organization for care processes. A main challenge is to engage health care clinicians in the process. The aim of this study was to assess engagement (i.e. attitudes and beliefs, the cognitive state and clinical engagement behaviour) among health care clinicians, and to investigate how engagement was related to work resources and demands during organizational redesign. A cohort study was conducted, using a questionnaire distributed to clinicians at five hospitals working with care process improvement approaches, two of them having implemented Lean production. The results show that kinds of engagement are interlinked and contribute to clinical engagement behaviour in quality of care and patient safety. Increased work resources have importance for engagements in organizational improvements, especially in top-down implementations. An extended work engagement model during organizational improvements in health care was supported. The model contributes to knowledge about how and when clinicians are mobilized to engage in organizational changes. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Staff perception of interprofessional working relationships after a work redesign intervention in a Danish orthopaedic hand unit outpatient clinic.

    Science.gov (United States)

    de Beijer, Anke Elisabeth; Hansen, Torben Bæk; Stilling, Maiken; Jakobsen, Flemming

    2016-01-01

    There is evidence that clinical pathways improve quality of care; however, knowledge is limited concerning the influence on and the benefits experienced by the interprofessional teams working with these pathways. Our working methods in a hand unit in an orthopaedic outpatient clinic in Denmark were redesigned to include, among other changes, the introduction of clinical pathways. Changes included standardising treatment and communication methods, delegating tasks from medical specialists to nurses, and providing nurses with their own consultation room. Using focus group interviews before and after the implementation of the new working methods, we investigated staff-perceived experiences of the effects on working relationships and the utilisation of professional skills and attitudes, resulting from the mentioned change in working methods. The results were changes in daily communication methods among healthcare staff and improvements in the actual communication and collaborative problem solving skills concerning standard patients with simple hand pathology; however, there are still challenges for patients with more complex hand pathology. Though this new interprofessional arrangement improves the use of nurse and medical specialist professional competencies, it also requires a high degree of trust among the team members.

  2. Description and Early Outcomes of a Comprehensive Curriculum Redesign at the Northwestern University Feinberg School of Medicine.

    Science.gov (United States)

    Heiman, Heather L; O'Brien, Celia L; Curry, Raymond H; Green, Marianne M; Baker, James F; Kushner, Robert F; Thomas, John X; Corbridge, Thomas C; Corcoran, Julia F; Hauser, Joshua M; Garcia, Patricia M

    2017-09-26

    In 2012, the Northwestern University Feinberg School of Medicine launched a redesigned curriculum addressing the four primary recommendations in the 2010 Carnegie Foundation for the Advancement of Teaching report on reforming medical education. This new curriculum provides a more standardized evaluation of students' competency achievement through a robust portfolio review process coupled with standard evaluations of medical knowledge and clinical skills. It individualizes learning processes through curriculum flexibility, enabling students to take electives earlier and complete clerkships in their preferred order. The new curriculum is integrated both horizontally and vertically, combining disciplines within organ-based modules and deliberately linking elements (science in medicine, clinical medicine, health and society, professional development) and threads (medical decision making, quality and safety, teamwork and leadership, lifestyle medicine, advocacy and equity) across the three phases that replaced the traditional four-year timeline. It encourages students to conduct research in an area of interest and commit to lifelong learning and self-improvement. The curriculum formalizes the process of professional identity formation and requires students to reflect on their experiences with the informal and hidden curricula, which strongly shape their identities.The authors describe the new curriculum structure, explain their approach to each Carnegie report recommendation, describe early outcomes and challenges, and propose areas for further work. Early data from the first cohort to progress through the curriculum show unchanged United States Medical Licensing Examination Step 1 and 2 scores, enhanced student research engagement and career exploration, and improved student confidence in the patient care and professional development domains.

  3. Sliding Mode Controller and Lyapunov Redesign Controller to Improve Microgrid Stability: A Comparative Analysis with CPL Power Variation

    Directory of Open Access Journals (Sweden)

    Eklas Hossain

    2017-11-01

    Full Text Available To mitigate the microgrid instability despite the presence of dense Constant Power Load (CPL loads in the system, a number of compensation techniques have already been gone through extensive research, proposed, and implemented around the world. In this paper, a storage based load side compensation technique is used to enhance stability of microgrids. Besides adopting this technique here, Sliding Mode Controller (SMC and Lyapunov Redesign Controller (LRC, two of the most prominent nonlinear control techniques, are individually implemented to control microgrid system stability with desired robustness. CPL power is then varied to compare robustness of these two control techniques. This investigation revealed the better performance of the LRC system compared to SMC to retain stability in microgrid with dense CPL load. All the necessary results are simulated in Matlab/Simulink platform for authentic verification. Reasons behind inferior SMC performance and ways to mitigate that are also discussed. Finally, the effectiveness of SMC and LRC systems to attain stability in real microgrids is verified by numerical analysis.

  4. Redesigning care for chronic conditions: improving hospital-based ambulatory care for people with osteoarthritis of the hip and knee.

    Science.gov (United States)

    Brand, C A; Amatya, B; Gordon, B; Tosti, T; Gorelik, A

    2010-06-01

    Osteoarthritis of the hip and knee is a highly prevalent chronic condition in Australia that commonly affects older people who have other comorbidities. We report the pilot implementation of a new chronic disease management osteoarthritis service, which was multidisciplinary, evidence-based, supported patient self-management and care coordination. A musculoskeletal coordinator role was pivotal to service redesign and osteoarthritis pathway implementation. Impact evaluation included: service utilization, patient and general practitioner service experience, a 'before and after' audit of clinician adherence to recommendations, and 3- and 6-month patient health outcomes (pain, physical function, patient and physician global health (Visual Analogue Scale), disability (Multi-Attribute Prioritisation Tool), Partners in Health Scale and body mass index). A total of 123 patients, median age of 66 years, were assessed. Documentation of osteoarthritis assessment and management improved for all parameters. At 3 months there were improvements in self-reported pain (P preferences for therapy. The cost implications for implementation were low. The osteoarthritis service model is feasible to implement, is well received by patients and staff, and provides a template for translation into other settings.

  5. MSR redesign and reconstruction at Indiana Michigan Power Company's Donald C. Cook Nuclear Power Plant, Unit 1

    International Nuclear Information System (INIS)

    Yarden, A.L.; Tam, C.W.; Benes, J.D.; Arnold, W.E.

    1993-01-01

    When Indiana Michigan Power Company's (I and M) 1089- MWe, PWR, Donald C. Cook Nuclear Plant, Unit 1, (Cook 1) in Bridgeman, Michigan went into commercial operation in late 1975, its turbine generator included two Moisture Separator Reheater (MSR) vessels. Each of these original MSRs contained, in addition to the moisture separation section, a single stage 2-pass reheater consisting of 5/8 inch O.D., finned CuNi tubes with main heating steam as an energy source. The enormous size of the tube bank, with a vertical orientation of its tubes' U-bends, led the designer to choose two separate headers for the inlet side and outlet side of the tube bank. Over the years, these 2-pass reheaters had deteriorated mechanically such that maintenance costs had increased considerably. Also, the MSR performance in terms of MWe gain, had fallen off as a result of a gradual reduction of both superheat and moisture separation efficiency. In 1990, these MSRs were totally reconstructed with inherently different 4-pass reheaters and upgraded moisture separation systems. The performance and other direct parameters of these newly retrofitted and improved MSRs have exceeded original design specifications, and their operational stability has improved markedly. This MSR reconstruction at Cook 1 is the first of its kind to include a 4-pass reheater in association with a nuclear turbine generator of this design. This paper highlights the problems and solutions associated respectively with the original reheaters in the Cook 1 MSRs and their recent redesign, reconstruction, and performance

  6. Redesign of a Variable-Gain Output Feedback Longitudinal Controller Flown on the High-Alpha Research Vehicle (HARV)

    Science.gov (United States)

    Ostroff, Aaron J.

    1998-01-01

    This paper describes a redesigned longitudinal controller that flew on the High-Alpha Research Vehicle (HARV) during calendar years (CY) 1995 and 1996. Linear models are developed for both the modified controller and a baseline controller that was flown in CY 1994. The modified controller was developed with three gain sets for flight evaluation, and several linear analysis results are shown comparing the gain sets. A Neal-Smith flying qualities analysis shows that performance for the low- and medium-gain sets is near the level 1 boundary, depending upon the bandwidth assumed, whereas the high-gain set indicates a sensitivity problem. A newly developed high-alpha Bode envelope criterion indicates that the control system gains may be slightly high, even for the low-gain set. A large motion-base simulator in the United Kingdom was used to evaluate the various controllers. Desired performance, which appeared to be satisfactory for flight, was generally met with both the low- and medium-gain sets. Both the high-gain set and the baseline controller were very sensitive, and it was easy to generate pilot-induced oscillation (PIO) in some of the target-tracking maneuvers. Flight target-tracking results varied from level 1 to level 3 and from no sensitivity to PIO. These results were related to pilot technique and whether actuator rate saturation was encountered.

  7. Burner redesign for the reduction of the unburned particulate emission in thermal power stations of Comision Federal de Electricidad; Rediseno de quemadores para la reduccion de la emision de particulas inquemadas en centrales termicas de la Comisionon Federal de Electricidad

    Energy Technology Data Exchange (ETDEWEB)

    Huerta Espino, Mario; Espipnoza Garza, Jesus; Mani Gonzalez, Alejandro; Giles Alarcon, Armando; Pena Garcia, Adriana; Albarran Sanchez, Irma L; Mendez Aranda, Angel [Instituto de Investigaciones Electricas, Temixco, Morelos (Mexico)

    2001-07-01

    In the presence of the increasing demand for reaching higher efficiencies and a smaller production of polluting emissions in combustion systems, studies focused to the optimization of the present designs of burners are required. The Comision Federal de Electricidad (CFE) and the Instituto de Investigaciones Electricas (IIE) have established a project that contemplates the redesign of burners in ten of its units of thermoelectric generation. In this work the redesign of the flame stabilizer or diffuser for the reduction of the unburned particulate emission is explained. The results of the modeling of a burner of rotational flow of steam generators of the CFE are shown, as well as the graphs of the contours of the recirculation zone generated by each diffuser without combustion and a figure of the velocity profile that is generated in front of the diffuser. In agreement with the results obtained in the aerodynamic evaluation of frontal burners of rotational flow, it is possible to established that the characteristics of the recirculation zone, generated by this type of burners, are related to geometric parameters of the diffuser that identify with the number of turns and the pressure drop, where it is necessary to look for designs that improve the conditions of the mixing process and combustion in the burner. [Spanish] Ante la creciente demanda por alcanzar mayores eficiencias y una menor produccion de emisiones contaminantes en sistemas de combustion, se requieren estudios enfocados a la optimizacion de los disenos actuales de quemadores. La Comision Federal de Electricidad (CFE) y el Instituto de Investigaciones Electricas (IIE) han establecido un proyecto que contempla el rediseno de quemadores en diez de sus unidades de generacion termoelectrica. En este trabajo se explica el rediseno del estabilizador de flama o difusor para la reduccion de la emision de particulas inquemadas. Se muestran los resultados de la modelacion de un quemador de flujo rotacional de

  8. Microsoft project

    OpenAIRE

    Markić, Lucija; Mandušić, Dubravka; Grbavac, Vitomir

    2005-01-01

    Microsoft Project je alat čije su prednosti u svakodnevnom radu nezamjenjive. Pomoću Microsoft Projecta omogućeno je upravljanje resursima, stvaranje izvještaja o projektima u vremenu, te analize različitih scenarija. Pojavljuje u tri verzije: Microsoft Project Professional, Microsoft Project Server i Microsoft Project Server Client Access Licenses. Upravo je trend da suvremeni poslovni ljudi zadatke povjeravaju Microsoft Projectu jer on znatno povećava produktivnost rada. Te prednos...

  9. Project ethics

    CERN Document Server

    Jonasson, Haukur Ingi

    2013-01-01

    How relevant is ethics to project management? The book - which aims to demystify the field of ethics for project managers and managers in general - takes both a critical and a practical look at project management in terms of success criteria, and ethical opportunities and risks. The goal is to help the reader to use ethical theory to further identify opportunities and risks within their projects and thereby to advance more directly along the path of mature and sustainable managerial practice.

  10. Application Of Lean Strategy To Redesign The Assembly Process Flow Of Glow Plug

    Directory of Open Access Journals (Sweden)

    Rahul Vylen

    2013-06-01

    Full Text Available Lean manufacturing is an applied methodology of scientific objective techniques which will improve the tasks in a process to be performed with a minimum of non-value-added activities. It is being increasingly adopted as a potential solution for many automotive manufacturing industries. This paper addresses the implementation of lean principles in an automotive component manufacturing company with a focus on current manufacturing practices and visual identification of non-value-added time, such as bottle necking, waiting time and material handling, etc. The typical operations involved in making the Glow Plug are caulking, tig welding, MgO filling & O-ring pressing, swaging, facing, thread rolling, inspection and assembly. The facing operation can be eliminated by stabilizing the variations generated during the MgO filling machine. The MgO filling activity contains various forms of non-value-added activities such as worn-out gripper, insufficient clamping tension, physical shaking of the WPC on the agitation unit instead of fine vibration, Jerky insertion of the WPC shank into the agitation locator. It was identified that approximately 15mm material was wasted per piece, though there is no value addition on the part. This project utilizes Lean tools such as “Six Sigma” and “Value Stream Mapping” procedures. Resolving and improving the above problems resulted in drastic increase in productivity by 87% from 82%, reduction in the rejections by 13% from 18%, reduction in the manufacturing lead time by 2.62 days/annum, reduction in the utilization of shop floor space by 6m2 and also the manufacturing cost by 1.16 million INR/ annum.

  11. Project ECHO: A Telementoring Network Model for Continuing Professional Development.

    Science.gov (United States)

    Arora, Sanjeev; Kalishman, Summers G; Thornton, Karla A; Komaromy, Miriam S; Katzman, Joanna G; Struminger, Bruce B; Rayburn, William F

    2017-01-01

    A major challenge with current systems of CME is the inability to translate the explosive growth in health care knowledge into daily practice. Project ECHO (Extension for Community Healthcare Outcomes) is a telementoring network designed for continuing professional development (CPD) and improving patient outcomes. The purpose of this article was to describe how the model has complied with recommendations from several authoritative reports about redesigning and enhancing CPD. This model links primary care clinicians through a knowledge network with an interprofessional team of specialists from an academic medical center who provide telementoring and ongoing education enabling community clinicians to treat patients with a variety of complex conditions. Knowledge and skills are shared during weekly condition-specific videoconferences. The model exemplifies learning as described in the seven levels of CPD by Moore (participation, satisfaction, learning, competence, performance, patient, and community health). The model is also aligned with recommendations from four national reports intended to redesign knowledge transfer in improving health care. Efforts in learning sessions focus on information that is relevant to practice, focus on evidence, education methodology, tailoring of recommendations to individual needs and community resources, and interprofessionalism. Project ECHO serves as a telementoring network model of CPD that aligns with current best practice recommendations for CME. This transformative initiative has the potential to serve as a leading model for larger scale CPD, nationally and globally, to enhance access to care, improve quality, and reduce cost.

  12. Redesign of the Electronics and the Mechanical Sensor of the STS-1 Very Broadband Seismometer

    Science.gov (United States)

    Romanowicz, B.; van Zandt, T.; Friday, J.; Karavas, W.; Porritt, R.; Uhrhammer, R.; Wielandt, E.

    2008-12-01

    The STS-1 VBB, widely viewed as the finest VBB sensor in the world, is currently the principal broad-band seismometer used by the Global Seismographic Network (GSN), GEOSCOPE, and several other global or regional seismic networks. Its continued operation is critical to future, fundamental research in a number of important disciplines within seismology. These include modal studies of the earth, the determination of source processes of very large earthquakes, and tsunami warning. We have recently completed the development of a replacement electronics module for the Streckeisen STS-1 Very Broad-Band (VBB) seismometer. This module maintains the outstanding analog performance of the original sensor electronics, while providing a number of unique performance enhancements that will improve the operability of STS-1 sensors within a modern, digital seismic network. We describe the attributes of this new electronics module, which has now reached production stage. As a second step in this collaboration between the Berkeley Seismological Laboratory and Metrozet (Inc), we have started the development of a commercially-viable replacement to the aging, but state-of-the-art mechanical sensor. We discuss the goals of this new project. The design of the new sensor aims at maintaining many of the unique features that have made the original sensor the world's finest instrument for low frequency seismic recording. It will, however, implement a number of enhancements that promise to improve operating performance and ease-of-use. These include the use of capacitive position sensing to reduce high frequency self-noise, an increase in the upper corner frequency of the sensor, much tighter tolerance (sensor-to-sensor) in scalar response values, and a new, highly-integrated package for deploying the sensors as a standard triaxial set. Importantly, the replacement sensor development is driven by principles of "design-for manufacturing". As such, the new sensor will include a number of

  13. Project Temporalities

    DEFF Research Database (Denmark)

    Tryggestad, Kjell; Justesen, Lise; Mouritsen, Jan

    2013-01-01

    Purpose – The purpose of this paper is to explore how animals can become stakeholders in interaction with project management technologies and what happens with project temporalities when new and surprising stakeholders become part of a project and a recognized matter of concern to be taken...... into account. Design/methodology/approach – The paper is based on a qualitative case study of a project in the building industry. The authors use actor-network theory (ANT) to analyze the emergence of animal stakeholders, stakes and temporalities. Findings – The study shows how project temporalities can...... multiply in interaction with project management technologies and how conventional linear conceptions of project time may be contested with the emergence of new non-human stakeholders and temporalities. Research limitations/implications – The study draws on ANT to show how animals can become stakeholders...

  14. Using Art Installations as Action Research to Engage Children and Communities in Evaluating and Redesigning City Centre Spaces

    Science.gov (United States)

    Percy-Smith, Barry; Carney, Clare

    2011-01-01

    This paper discusses learning from a project that set out to explore how the general public perceived the value of public art in the context of urban regeneration of a city centre space. Whilst not set up explicitly as an action research project, the paper discusses the way in which participatory public art projects of this kind can be understood…

  15. Efficient Fludarabine-Activating PNP From Archaea as a Guidance for Redesign the Active Site of E. Coli PNP.

    Science.gov (United States)

    Cacciapuoti, Giovanna; Bagarolo, Maria Libera; Martino, Elisa; Scafuri, Bernardina; Marabotti, Anna; Porcelli, Marina

    2016-05-01

    The combination of the gene of purine nucleoside phosphorylase (PNP) from Escherichia coli and fludarabine represents one of the most promising systems in the gene therapy of solid tumors. The use of fludarabine in gene therapy is limited by the lack of an enzyme that is able to efficiently activate this prodrug which, consequently, has to be administered in high doses that cause serious side effects. In an attempt to identify enzymes with a better catalytic efficiency than E. coli PNP towards fludarabine to be used as a guidance on how to improve the activity of the bacterial enzyme, we have selected 5'-deoxy-5'-methylthioadenosine phosphorylase (SsMTAP) and 5'-deoxy-5'-methylthioadenosine phosphorylase II (SsMTAPII), two PNPs isolated from the hyperthermophilic archaeon Sulfolobus solfataricus. Substrate specificity and catalytic efficiency of SsMTAP and SsMTAPII for fludarabine were analyzed by kinetic studies and compared with E. coli PNP. SsMTAP and SsMTAPII share with E. coli PNP a comparable low affinity for the arabinonucleoside but are better catalysts of fludarabine cleavage with k(cat)/K(m) values that are 12.8-fold and 6-fold higher, respectively, than those reported for the bacterial enzyme. A computational analysis of the interactions of fludarabine in the active sites of E. coli PNP, SsMTAP, and SsMTAPII allowed to identify the crucial residues involved in the binding with this substrate, and provided structural information to improve the catalytic efficiency of E. coli PNP by enzyme redesign. © 2015 Wiley Periodicals, Inc.

  16. Leveraging a Redesigned Morbidity and Mortality Conference That Incorporates the Clinical and Educational Missions of Improving Quality and Patient Safety.

    Science.gov (United States)

    Tad-Y, Darlene B; Pierce, Read G; Pell, Jonathan M; Stephan, Lindsie; Kneeland, Patrick P; Wald, Heidi L

    2016-09-01

    The morbidity and mortality (M&M) conference is a vital event that can affect medical education, quality improvement, and peer review in academic departments. Historically, M&M conferences have emphasized cases that highlight diagnostic uncertainty or complex management conundrums. In this report, the authors describe the development, pilot, and refinement of a systems-based M&M conference model that combines the educational and clinical missions of improving quality and patient safety in the University of Colorado Department of Medicine. In 2011, a focused taskforce completed a literature review that informed the development of a framework for the redesigned systems-based M&M conference. The new model included a restructured monthly conference, longitudinal curriculum for residents, and formal channels for interaction with clinical effectiveness departments. Each conference features an in-depth discussion of an adverse event using specific quality improvement tools. Areas for improvement and suggested action items are identified during the conference and delegated to the relevant clinical departments. The new process has enabled the review of 27 adverse events over two years. Sixty-three action items were identified, and 33 were pursued. An average of 50 to 60 individuals participate in each conference, including interprofessional and interdisciplinary colleagues. Resident and faculty feedback regarding the new format has been positive, and other departments are starting to adopt this model. A more robust process for identifying and selecting cases to discuss is needed, as is a stable, sufficient mechanism to manage the improvement initiatives that come out of each conference.

  17. Yucca Mountain project prototype testing

    International Nuclear Information System (INIS)

    Hughes, W.T.; Girdley, W.A.

    1990-01-01

    The U.S. DOE is responsible for characterizing the Yucca Mountain site in Nevada to determine its suitability for development as a geologic repository to isolate high-level nuclear waste for at least 10,000 years. This unprecedented task relies in part on measurements made with relatively new methods or applications, such as dry coring and overcoring for studies to be conducted from the land surface and in an underground facility. The Yucca Mountain Project has, since 1988, implemented a program of equipment development and methods development for a broad spectrum of hydrologic, geologic, rock mechanics, and thermomechanical tests planned for use in an Exploratory Shaft during site characterization at the Yucca Mountain site. A second major program was fielded beginning in April 1989 to develop and test methods and equipment for surface drilling to obtain core samples from depth using only air as a circulating medium. The third major area of prototype testing has been during the ongoing development of the Instrumentation/ Data Acquisition System (IDAS), designed to collect and monitor data from down-hole instrumentation in the unsaturated zone, and store and transmit the data to a central archiving computer. Future prototype work is planned for several programs including the application of vertical seismic profiling methods and flume design to characterizing the geology at Yucca Mountain. The major objectives of this prototype testing are to assure that planned Site Characterization testing can be carried out effectively at Yucca Mountain, both in the Exploratory Shaft Facility (ESF), and from the surface, and to avoid potential major failures or delays that could result from the need to re-design testing concepts or equipment. This paper will describe the scope of the Yucca Mountain Project prototype testing programs and summarize results to date. 3 figs

  18. Express roads in Europe : research in the framework of the European research project Safety Standards for Road Design and Redesign SAFESTAR, Workpackages 3.2 & 3.3.

    NARCIS (Netherlands)

    Schagen, I.N.L.G. van

    1999-01-01

    Express roads are a rather miscellaneous road category hierarchically situated between motorways and ordinary single carriageway interurban roads. In general, the safety record of express roads is bad, in particular when compared to motorways. Nevertheless, they exist, and they will continue to

  19. Q-Thruster Breadboard Campaign Project

    Science.gov (United States)

    White, Harold

    2014-01-01

    Dr. Harold "Sonny" White has developed the physics theory basis for utilizing the quantum vacuum to produce thrust. The engineering implementation of the theory is known as Q-thrusters. During FY13, three test campaigns were conducted that conclusively demonstrated tangible evidence of Q-thruster physics with measurable thrust bringing the TRL up from TRL 2 to early TRL 3. This project will continue with the development of the technology to a breadboard level by leveraging the most recent NASA/industry test hardware. This project will replace the manual tuning process used in the 2013 test campaign with an automated Radio Frequency (RF) Phase Lock Loop system (precursor to flight-like implementation), and will redesign the signal ports to minimize RF leakage (improves efficiency). This project will build on the 2013 test campaign using the above improvements on the test implementation to get ready for subsequent Independent Verification and Validation testing at Glenn Research Center (GRC) and Jet Propulsion Laboratory (JPL) in FY 2015. Q-thruster technology has a much higher thrust to power than current forms of electric propulsion (7x Hall thrusters), and can significantly reduce the total power required for either Solar Electric Propulsion (SEP) or Nuclear Electric Propulsion (NEP). Also, due to the high thrust and high specific impulse, Q-thruster technology will greatly relax the specific mass requirements for in-space nuclear reactor systems. Q-thrusters can reduce transit times for a power-constrained architecture.

  20. LEX Project

    DEFF Research Database (Denmark)

    Damkilde, Lars; Larsen, Torben J.; Walbjørn, Jacob

    This document is aimed at helping all parties involved in the LEX project to get a common understanding of words, process, levels and the overall concept.......This document is aimed at helping all parties involved in the LEX project to get a common understanding of words, process, levels and the overall concept....