Management of advanced colon cancer in a community hospital--impact of age on clinical management and survival.

Science.gov (United States)

Mogili, Sujatha; Yousaf, Mobeen; Nadaraja, Nagendra; Woodlock, Timothy

2012-09-01

Colon cancer is more common in the elderly than in younger and middle-aged people. Cancer clinical trials focus more on younger patients and the management of elderly patients with advanced disease is still unclear. We studied all patients presenting with colon adenocarcinoma metastasis to liver at a community teaching hospital from Dec 2000 through Dec 2007 by a retrospective review of Tumor Registry data and patient chart review with focus on age, clinical management, decision making, and survival. Sixty-seven patients with a median age of 69 and a male to female ratio of 31:36 were identified. The patients with obstructive symptoms and Eastern Cooperative Oncology Group performance status on presentation though varied little by age, smaller proportion of elderly patients underwent resection of the primary bowel tumor in the presence of liver metastases with ten of 16 (63%) aged 80 or greater being managed without surgery. The percentage of patient's preference to physician's preference for patients not undergoing the primary bowel resection increased for older age group. Median survival decreased significantly with age (p management, decision-making autonomy, and survival are apparent in this study, and there was an increasing trend of patient's involvement in decision making as the age increases and, thus, affecting the age-related clinical management.

Progress of steam generator ageing management of Chinese NPPs

International Nuclear Information System (INIS)

Hongyun, L.; Chun, G.; Jun, T.; Zhigang, W.

2012-01-01

In China, the first two NPPs have operated over 15 years (QNPC) and 13 years (Dayabay). Now, most of Chinese NPPs have started their ageing management project. Steam generator (SG) is one of key safety important components for PWR and CANDU, which is selected as the first group of components to develop component ageing management system. QNPC and TQNPC have made some progress in this area. The basic SG ageing management system has been set up, and some application has been under way. To set up SG basic ageing management system, we start with (1) SG ageing mechanism analysis (2) Developing SG ageing management programme (3) Developing SG ageing management information system, SGAMDB (4) Ageing degradation assessment and remained life evaluation SG ageing mechanisms are classified as function degradation and material/structure degradation. The specific tables with unified format are used to analyze the ageing mechanism. The numbering requirements for ageing mechanism are developed to manage them in ageing information system. All ageing mechanisms are graded I and II and III based on its feasibility, impact on safety and operation experience, so that the key mechanisms are managed more strictly. SG ageing management programme (SGAMP), which is fundamental document for ageing management, provides the requirements for working process, what to do and when to do. SGAMP reviewing and improving requirements are as well included. SG ageing management database (SGAMDB) is the first component ageing management database for Chinese NPP, which have been installed and are in operation in QNPC and TQNPC. SG ageing degradation assessment and remained life evaluation are based on ageing mechanism, which includes integrity of tube bundle, integrity and remained fatigue life of key assemblies, and heat transfer capability degradation. Most NPPs at Chinese mainland have started their plant ageing and life management projects. Steam generator (SG), which is one of safety important

Leadership and management in the aged care sector: a narrative synthesis.

Science.gov (United States)

Jeon, Yun-Hee; Merlyn, Teri; Chenoweth, Lynn

2010-06-01

The aim of this study is to examine the issues and the progress being made in leadership and management with relevance for the residential aged care workforce. A systematic review was conducted using scientific journal databases, hand searching of specialist journals, Google, snowballing and suggestions from experts. After a seven-tiered culling process, we conducted a detailed review of 153 papers relevant to leadership and management development in aged care. Strong, effective leadership and management promotes staff job satisfaction and retention, high care quality and the well-being of care recipients, and reduces associated costs. Good leadership and effective management also play a key role in bringing about a successful change to a positive workplace culture through innovative programs and research projects. Organisational investment in improving leadership and management skills and capabilities can only improve outcomes for staff stability and productivity, care quality and budgets, and better prepare the aged care sector.

NPAR [Nuclear Plant Aging Research] approach to managing aging in nuclear power plants

International Nuclear Information System (INIS)

Christensen, J.A.

1989-01-01

Over the past 5 years, the Nuclear Plant Aging Research program (NPAR) has been devoted to developing technical understanding of the time dependent processes that, through deterioration of components, systems, or structures (C/S/S), can reduce safety margins in nuclear power plants. A major and necessary element of the program involves the application of this basic knowledge in defining functional approaches to managing aging by anticipating and mitigating important deterioration processes. Fundamental understanding and characterization of aging processes are being accomplished through NPAR-sponsored research projects, review and analysis of aging related information, integration of NPAR results with those from industry and other aging studies, and interfacing of all of these with the existing body of codes, standards and regulatory instruments that convey aging-related guidance to NPP licensees. Products of these efforts are applied to structuring and providing aging-related technical recommendations in forms that are useful in: (1) developing and implementing good aging management practices, (2) developing regulatory guidance and requirements for understanding and managing aging during normal plant operations and in support of license renewal, and (3) planning and implementing other regulatory actions and initiatives in which aging-related concerns have a bearing on scope or priority

Evaluation of NRC maintenance team inspection reports for managing aging

International Nuclear Information System (INIS)

Fresco, A.; Gunther, W.

1991-01-01

A nuclear power plant's maintenance program is the principal vehicle through which age-related degradation is managed. Over the past two years, the NRC [Nuclear Regulatory Commission] has evaluated the maintenance program of every nuclear power plant in the U.S. The reports issued on these in-depth team inspections have been reviewed to ascertain the strengths and weaknesses of the programs as related to the need to understand and manage the effects of aging on nuclear power plant systems, structures, and components. Selected results of this review are presented in this paper, including examples of inspection and monitoring techniques successfully used by utilities to detect degradation due to aging. Attributes of plant maintenance programs where the NRC inspectors felt that improvement was needed to properly address the aging issue are also discussed. 6 refs., 1 tab

Occupational health and safety management practices and musculoskeletal disorders in aged care.

Science.gov (United States)

Oakman, Jodi; Bartram, Timothy

2017-05-15

Purpose The purpose of this paper is to examine whether occupational health and safety (OHS) management used to manage musculoskeletal disorders (MSDs) in the aged care sector reflects contemporary research evidence of best practice to reduce the incidence of these disorders. Design/methodology/approach In total, 58 interviews were conducted with managers and supervisors in the aged care sector across four organisations in Australia. Policies and procedures relating to MSDs were reviewed for each organisation. Findings Policies and procedures for managing MSDs do not reflect contemporary evidence, which supports a complex aetiology, related to a range of physical and psychosocial workplace factors. Despite strong evidence that psychosocial factors contribute to MSD development, these were not included in the policies and procedures reviewed. Findings from the interviews management practices including leadership and various components of HRM were functioning well but fragmentation was evident due to the challenging nature of the aged care sector. Practical implications To address the significant burden of MSDs in the aged care sector, policies and procedures need to include coverage of psychosocial and physical workplace factors. The development of systematic and integrated OHS management at the workplace level may play an important role in the effective management of MSDs. Originality/value This study offers insights into the previously unexplored area of MSD risk management and the role of management practices such as HRM in the aged care sector.

AMAT guidelines. Reference document for the IAEA Ageing Management Assessment Teams (AMATs)

International Nuclear Information System (INIS)

1999-01-01

Effective ageing management is an important element for ensuring the safety of nuclear power plant. The IAEA Ageing Management Assessment Team (AMAT) programme provides advice and assistance to utilities or individual NPPs to strengthen and enhance the effectiveness of ageing management programs (AMPs). Such AMPs are required by an increasing number of safety utilities and implemented by an increasing number of utilities, often as a part of NPP life or life cycle management programs that involve the integration of ageing management and economic planning. The guidelines in this report are primarily intended for IAEA-led AMAT team members as a basic structure and common reference for peer reviews of AMPs

Ageing Management of CARR

Energy Technology Data Exchange (ETDEWEB)

Xiao, H., E-mail: Carr200404@hotmail.com [China Institute of Atomic Energy (CIAE), Beijing (China)

2014-08-15

The paper introduced the ageing management of CARR, including the ageing management system, instances of ageing components, difficulties we met and follow up plan, and put forward some suggestions on strengthening and promoting ageing management. We hope to enhance international exchange and collaboration. It is a great challenge to do research on how to manage ageing effectively in the beginning of life, but it will enhance the safety of reactor operation, extend the life of the reactor and improve the quality of operation, making this work very meaningful.

AGING MANAGMENT OF REACTOR COOLANT SYSTEM MECHANICAL COMPONENTS FOR LICENSE RENEWAL

International Nuclear Information System (INIS)

SUBUDHI, M.; MORANTE, R.; LEE, A.D.

2002-01-01

The reactor coolant system (RCS) mechanical components that require an aging management review for license renewal include the primary loop piping and associated connections to other support systems, reactor vessel, reactor vessel internals, pressurizer. steam generators, reactor coolant pumps, and all other inter-connected piping, pipe fittings, valves, and bolting. All major RCS components are located inside the reactor building. Based on the evaluation findings of recently submitted license renewal applications for pressurized water reactors, this paper presents the plant programs and/or activities proposed by the applicants to manage the effects of aging. These programs and/or activities provide reasonable assurance that the intended function(s) of these mechanical components will be maintained for the period of extended operation. The license renewal application includes identification of RCS subcomponents that are within the scope of license renewal and are vulnerable to age-related degradation when exposed to environmental and operational conditions. determination of the effects of aging on their intended safety functions. and implementation of the aging management programs and/or activities including both current and new programs. Industry-wide operating experience, including generic communication by the NRC, is part of the aging management review for the RCS components. In addition, this paper discusses time-limited aging analyses associated with neutron embrittlement of the reactor vessel beltline region and thermal fatigue

Coordination among industry, academic society and regulatory body in the research on aging management

International Nuclear Information System (INIS)

Ishigaki, Hiroki; Osaki, Toru; Kanno, Masanori; Miyano, Hiroshi

2010-01-01

Many activities for the coordinated research on aging management are reviewed, and examples of fruitful results are introduced according to the technical strategy map. Industry-Academia-Government exchanging system of the information each other on aging management was established for autonomy, diversity, collaboration. To clarify the concept of the role of industry, government and academia to address aging management without duplication algorithm is for the overall coordination of industrial and academic information and response issues, technological strategy map for aging management formulated. (author)

Development of aging management standard guidelines for HVAC facilities of NPPs in Korea

International Nuclear Information System (INIS)

Won, Se Youl; Lee, Jae Gon; Oh, Seung Jin

2014-01-01

Inspection and maintenance activities for air conditioning facilities within the plant are managed mainly for active facilities, and as the years of operation pass, a method for detecting in advance aging-related integrity problems of passive facilities and taking necessary measures against them is required. Therefore, this paper establishes a standard aging management guideline for air conditioning facilities by selecting systems for which those facilities are to be managed, analyzing degradation mechanisms and reviewing the current status of aging degradation management. According to the review of additional equipment-specific aging degradation mechanisms and the current status of management to apply the aging degradation program to air conditioning facilities, it has been found that internal and external visual inspection procedures for fans, dampers, coils, filters and housings have to be added. It has been confirmed that among additional equipment s, fire dampers, fan bearings and belts and air cleaning/conditioning units with charcoal filters do not require additional inspection as they are periodically inspected. It has been found, however, that air cleaning/conditioning units without charcoal filters are to be inspected along with fans, ducts and coils

Generic aging management programs for license renewal of BWR reactor coolant systems components

International Nuclear Information System (INIS)

Shah, V.N.; Liu, Y.Y.

2002-01-01

The paper reviews the existing generic aging management programs (AMPs) for the reactor coolant system (RCS) components in boiling water reactors (BWRs), including the reactor pressure vessel and internals, the reactor recirculation system, and the connected piping. These programs have been evaluated in the U.S. Nuclear Regulatory Commission (NRC) report, Generic Aging Lessons Learned (GALL), NUREG-1801, for their use in the license renewal process to manage several aging effects, including loss of material, crack initiation and growth, loss of fracture toughness, loss of preload, wall thinning, and cumulative fatigue damage. The program evaluation includes a review of ten attributes (scope of program, preventive actions, parameters monitored/inspected, detection of aging effects, monitoring and trending, acceptance criteria, corrective actions, confirmative process, administrative control, and operating experience) for their effectiveness in managing a specific aging effect in a given component(s). The generic programs are based on the ASME Section XI inservice inspection requirements; industry guidelines for inspection and evaluation of aging effects in BWR reactor vessel, internals, and recirculation piping; monitoring and control of BWR water chemistry; and operating experience as reported in the USNRC generic communications and industry reports. The review concludes that all generic AMPs are acceptable for managing aging effects in BWR RCS components during an extended period of operation and do not need further evaluation. However, the plant-specific programs for managing aging in certain RCS components during an extended period of operation do require further evaluation. For some plant-specific AMPs, the GALL report recommends an aging management activity to verify their effectiveness. An example of such an activity is a one-time inspection of Class 1 small-bore piping to ensure that service-induced weld cracking is not occurring in the piping. Several of

Generic Aging Management Programs for License Renewal of BWR Reactor Coolant System Components

International Nuclear Information System (INIS)

Shah, V.N.; Liu, Y.Y.

2002-01-01

The paper reviews the existing generic aging management programs (AMPs) for the reactor coolant system (RCS) components in boiling water reactors (BWRs), including the reactor pressure vessel and internals, the reactor recirculation system, and the connected piping. These programs have been evaluated in the U.S. Nuclear Regulatory Commission (NRC) report, Generic Aging Lessons Learned (GALL), NUREG-1801, for their use in the license renewal process to manage several aging effects, including loss of material, crack initiation and growth, loss of fracture toughness, loss of preload, wall thinning, and cumulative fatigue damage. The program evaluation includes a review of ten attributes (scope of program, preventive actions, parameters monitored/inspected, detection of aging effects, monitoring and trending, acceptance criteria, corrective actions, confirmative process, administrative control, and operating experience) for their effectiveness in managing a specific aging effect in a given component(s). The generic programs are based on the ASME Section XI inservice inspection requirements; industry guidelines for inspection and evaluation of aging effects in BWR reactor vessel, internals, and recirculation piping; monitoring and control of BWR water chemistry; and operating experience as reported in the USNRC generic communications and industry reports. The review concludes that all generic AMPs are acceptable for managing aging effects in BWR RCS components during an extended period of operation and do not need further evaluation. However, the plant-specific programs for managing aging in certain RCS components during an extended period of operation do require further evaluation. For some plant-specific AMPs, the GALL report recommends an aging management activity to verify their effectiveness. An example of such an activity is a one-time inspection of Class 1 small-bore piping to ensure that service-induced weld cracking is not occurring in the piping. Several of

An introduction to a new IAEA safety guide: 'ageing management for nuclear power plants'

International Nuclear Information System (INIS)

Pachner, J.; Inagaki, T.; Kang, K.S.

2008-01-01

This paper reports on a new IAEA Safety Guide entitled 'Ageing Management for Nuclear Power Plants' which is currently in an advanced draft form, awaiting approval of publication. The new Safety Guide will be an umbrella document for a comprehensive set of guidance documents on ageing management which have been issued by the IAEA. The Safety Guide first presents basic concepts of ageing management as a common basis for the recommendations on: proactive management of ageing throughout the life cycle of a nuclear power plant (NPP); systematic approach to managing ageing in the operation of NPPs; managing obsolescence; and review of ageing management for long term operation (life extension). The Safety Guide is intended to assist operators in establishing, implementing and improving systematic ageing management programs in NPPs and may be used by regulators in preparing regulatory standards and guides, and in verifying that ageing in nuclear power plants is being effectively managed. (author)

Improvement of Regulatory Framework for Long-Term Operation and Ageing Management of NPPs

International Nuclear Information System (INIS)

Kostenko, S.P.

2015-01-01

The regulatory framework for long-term operation and ageing management of NPP units in Ukraine was reviewed and deficiencies were identified. The procedure for improving regulatory framework for long-term operation and ageing management is presented. It takes into consideration IAEA recommendations and international practices, as well as experience obtained in long-term operation efforts for Rivne NPP-1, 2 and South Ukraine NPP-1. The paper demonstrates interrelations between standards and technical documents on long-term operation and ageing management. The information is presented regarding the current state of regulatory and legal documentation development and industry-specific standards on long-term operation and ageing management of NPP units in Ukraine

Report of the Federal Ministry for the Environment, Nature Conservation, Buildings and Nuclear Safety (BMUB) on the topical peer review aging management in nuclear power plants and research reactors

International Nuclear Information System (INIS)

2017-01-01

The report of the Federal Environmental Ministry (BMUB) on the topical peer review aging management in nuclear power plants and research reactors covers the following issues: comprehensive requirements for aging management and its implementation, electric cables, non accessible pipes, reactor pressure vessel, calandria/pressure tubes (CANDU), concrete containment, pre-stressed concrete reactor pressure vessel (AGR).

Managing aging in nuclear power plants: Insights from NRC's maintenance team inspection reports

International Nuclear Information System (INIS)

Fresco, A.; Subudhi, M.

1994-01-01

Age-related degradation is managed through the maintenance program of a nuclear plant. From 1988 to 1991, the Nuclear Regulatory Commission (NRC) evaluated the maintenance program of every nuclear power plant in the United States. The authors reviewed 44 out of a total of 67 of the reports issued by the NRC on these in-depth team inspections. The reports were reviewed for insights into the strengths and weaknesses of the programs as related to the need to understand and manage the effects of aging on nuclear plant structures, systems, and components. The authors' conclusions are presented. 6 refs

Parental involvement in their school-aged children's post-operative pain management in the hospital setting: a comprehensive systematic review.

Science.gov (United States)

Hoon, Lim Siew; Hong-Gu, He; Mackey, Sandra

Paediatric pain management remains a challenge in clinical settings. Parents can contribute to the effective and accurate pain assessment and management of their child. No systematic reviews regarding the parental involvement in their child's post-operative pain management have been published. To determine the best available evidence regarding parental involvement in managing their children's post-operative pain in the hospital setting. The review considered studies that included parents of all ethnic groups with children aged between 6 to 12 years old who were hospitalised and undergone surgery of any kind with post-operative surgical or incision site pain where care was provided in acute hospital settings. The phenomena of interest were the experiences of parents in managing their children's post-operative pain. A three-step search strategy was utilised in each component of this review. Major databases searched included: MEDLINE, CINAHL, Scopus, ScienceDirect, the Cochrane library, PubMed as well as Google Scholar. The search included published studies and papers in English from 1990 to 2009. Each included study was assessed by two independent reviewers using the appropriate appraisal checklists developed by the Joanna Briggs Institute (JBI). Quantitative and qualitative data were extracted from the included papers using standardised data extraction tools from the JBI, Meta-analysis Statistics Assessment and Review Instrument data extraction tool for descriptive/case series and the JBI-Qualitative Assessment and Review Instrument data extraction tool for interpretive and critical research. The five quantitative studies included in this review were not suitable for meta-analysis due to clinical and methodological heterogeneity and therefore the findings are presented in a narrative form. The two qualitative studies were from the same study, therefore meta-synthesis was not possible. Hence the results of the studies were presented in a narrative format. Seven

A review of electric cable aging effects and monitoring programs for plant license renewal

International Nuclear Information System (INIS)

Lofaro, R.J.

1999-01-01

As commercial nuclear power plants approach the end of their original license period, some utilities are considering the possibility of license renewal. The requirements for applying for license renewal are specified in the License Renewal Rule, which is in Title 10 of the Code of Federal Regulations, Part 54 (10 CFR54). Among the requirements specified in the rule is the performance of an Integrated Plant Assessment (IPA) which identifies and lists structures and components subject to an aging management review. The intent of this requirement is to ensure that aging degradation will not adversely affect plant safety during the license renewal period. The aging management review includes an identification of the aging effects and monitoring programs for components within the scope of the rule. Among the components within the scope are electric cables since they are passive, long-lived components that are not replaced on a periodic basis. This paper examines the aging causes and effects of electric cables, along with the programs that are typically used to ensure that proper aging management practices are in place to monitor and mitigate the effects of aging on electric cables

Aging management of nuclear power plants in Japan

International Nuclear Information System (INIS)

Maeda, Noriyoshi

2003-01-01

The Resource and Energy Agency of the Ministry of Trade and Industry (at present, the Nuclear and Industrial Safety Agency of the Ministry of Economy and Industry) carried out technical and present state conservation evaluations on soundness on a case of supposing operation of main apparatuses important for safety for sixty years, on three nuclear power plants constructed at initial period, on April, 1996, to open her basic concept on their aging management. The electricity companies also carried out their technical evaluation to investigate aging management measures for apparatuses important for safety and succession of operation, to summarize some essential measures for its long-term conservation plan. And, long-term and steady efforts such as technical development, preparation on national technical codes and private standards, data accumulation on materials and apparatuses are also required, to successively act them under adequate role-sharing and cooperation among government, universities and industries. Here were described periodical safety review, containing aging management technical evaluation, preparations of standards on apparatus maintenance standard, and so on, promotion of technical development, and Nuclear Power Plant Life Engineering Center (PLEC). (G.K.)

Safe ageing management of nuclear power plants: An European synthesis

International Nuclear Information System (INIS)

Grandemange, J.M.

2002-01-01

Ageing of nuclear power plants means evolution of material or equipment properties on one side, and evolution of personnel skill and procedure adequacy on the other side, both of which, after a certain time, may not be compatible with the required safety provisions, or with an economic operation of the plant. Repair or replacement of components, as well as change in service conditions for a better compatibility with component reduced capabilities can be used to mitigate ageing effects. The paper summarises the results of a study conducted in this field with the support of the European Commission. It presents: the synthesis of the work done under international auspices, and in the European context; the comparison of ageing management approaches used in several European countries with international recommendations; the summary of the various potential phenomena and their governing parameters, the methods of in-service ageing identification and possible mitigation methods; illustrative ageing management practices, taking material ageing aspects as examples. Concerning the first topic, the European report identifies 56 OECD and IAEA reports on ageing management issues, 35 being summarised in an appendix to the report. It also identifies numerous European and international studies covering topics of interest to ageing and Plant Life management. ageing management approaches have been considered from the regulatory point of view and from the utilities management point of view. Contributors to the study have identified a general consensus in Europe, with no limited time operating authorisation, the safety being a utility responsibility under continuous surveillance by the regulatory authority. Practical ageing management methods include: periodic safety reviews (PSR), a ten years periodicity being a common practice, completed by continuous ageing management taking into account safety and industrial anticipation needs; the implementation of life-time management programmes

Management of Human Immunodeficiency Virus Infection in Advanced Age

Science.gov (United States)

Greene, Meredith; Justice, Amy C.; Lampiris, Harry W.; Valcour, Victor

2013-01-01

Importance Human immunodeficiency virus (HIV)-positive patients treated with antiretroviral therapy now have increased life expectancy and develop chronic illnesses that are often seen in older HIV-negative patients. Objective To address emerging issues related to aging with HIV. Screening older adults for HIV, diagnosis of concomitant diseases, management of multiple comorbid medical illnesses, social isolation, polypharmacy, and factors associated with end-of-life care are reviewed. Evidence Acquisition Published guidelines and consensus statements were reviewed. PubMed and PsycINFO were searched between January 2000 and February 2013. Articles not appearing in the search that were referenced by reviewed articles were also evaluated. Findings The population of older HIV-positive patients is rapidly expanding. It is estimated that by 2015 one-half of the individuals in the United States with HIV will be older than age 50. Older HIV-infected patients are prone to having similar chronic diseases as their HIV-negative counterparts, as well as illnesses associated with co-infections. Medical treatments associated with these conditions, when added to an antiretroviral regimen, increase risk for polypharmacy. Care of aging HIV-infected patients involves a need to balance a number of concurrent comorbid medical conditions. Conclusions and Relevance HIV is no longer a fatal disease. Management of multiple comorbid diseases is a common feature associated with longer life expectancy in HIV-positive patients. There is a need to better understand how to optimize the care of these patients. PMID:23549585

Technical approach to aging management

International Nuclear Information System (INIS)

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

1992-10-01

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

Aging management of reactor internals and license renewal of US PWR plants

Energy Technology Data Exchange (ETDEWEB)

Tang, H. T. [Electric Power Research Institute, EPRI, 3420 Hillview Avenue, Palo Alto, California 94304 (United States)

2006-09-15

Age-related degradation mechanisms of key components are subject to aging management review by utilities considering plant license renewal. The management of aging effects in PWR internals must be demonstrated as specified in the US NRC Standard Review. The US NRC staff has also issued a Generic Aging Lessons Learned (GALL) report that documents the staff's basis for determining when existing generic programs are adequate to manage aging without change and when existing generic programs should be augmented for license renewal. The EPRI Materials Reliability Program (MRP) has been conducting studies to develop technical bases and guidelines to support aging management of PWR internals, with a particular attention to utility License Renewal commitments. The strategic approach taken by the MRP includes: developing an overall aging management framework, defining degradation mechanism screening values, categorizing and ranking internals components based on screening, performing functionality analyses and safety evaluation, and developing inspection and evaluation guidelines associated with each category of components. Screening criteria are developed for the following potential internals degradation mechanisms: - Stress Corrosion Cracking [Excluding Irradiation Effects]; - Irradiation-Assisted Stress Corrosion Cracking; - Thermal Aging Embrittlement; - Irradiation Embrittlement; - Void Swelling; - Stress Relaxation and Creep [Irradiation-enhanced]; - Wear; - Fatigue. The ranking and categorization calls to bin internals components into four categories: - Category A: component items for which aging degradation significance is minimal and aging effects are below the screening criteria; - Category C: 'lead' component items for which aging degradation significance is high or moderate and aging effects are above screening levels; - Category B: component items above screening levels but are not 'lead' component items and aging degradation significance

LBS Management Review: Submissions

African Journals Online (AJOL)

Author Guidelines. The Lagos Business School Management Review is published by management professionals for practising managers, without sacrificing academic standards. The Review welcomes articles that enhance knowledge about the process of managing an organisation as well as reflect techniques, trends and ...

Aging management and life extension

International Nuclear Information System (INIS)

Carey, John; Deng, Daniel; Tai, Tom M.

2004-01-01

Approximately 20% of the present electric generating capacity in the United States is supplied by nuclear power plants and may be retired due to initial license expiration between the years 2002 and 2030. One of the recommended actions for implementing the National Energy Strategy (Bill H.R. 776) is license renewal of currently operating nuclear power plants which DOE has estimated would save between $800 million and $1 billion in avoided new construction costs - and represent a nationwide benefit of as much as $350 billion - assuming the licenses are renewed for 20 years. The U.S. Atomic Energy Act of 1954 limits the duration of operating licenses of nuclear power plants to a maximum of 40 years but permits their renewal. And, although Title 10, Part 50.51 of Code of Federal Regulations (10CFR50.51) permitted license renewal, it provided no standards or procedures for renewal applications. License renewal requirements were established on January 13, 1992 when NRC's Final Rule (10 CFR Part 54) went into effect. The Final rule established the requirements that an applicant for license renewal must meet, the information that must be submitted to the NRC for review. This involves the performance of an Integrated Plant Assessment (IPA) which is designed to ensure that the effects of aging on important equipment will be adequately managed during the renewal term. The issuance of 10 CFR Part 54 established the regulatory and legal requirements for license renewal. The technical basis for, or viability of, license renewal has been explored by the Electric Power Research Institute (EPRI) since the late 1970s/early 1980s. The NRC as well as industry organizations such as EPRI have studied aging effects for close to two decades. The NRC's research program on plant aging degradation, which began formally in the early 1980s, is a comprehensive effort for the understanding and management of age-related degradation in safety-related systems, structures, and components (SSCs) and

Evaluation and management of adolescent idiopathic scoliosis: a review.

Science.gov (United States)

Jada, Ajit; Mackel, Charles E; Hwang, Steven W; Samdani, Amer F; Stephen, James H; Bennett, James T; Baaj, Ali A

2017-10-01

Adolescent idiopathic scoliosis (AIS) is a 3D spinal deformity affecting children between the ages of 11 and 18, without an identifiable etiology. The authors here reviewed the available literature to provide spine surgeons with a summary and update on current management options. Smaller thoracic and thoracolumbar curves can be managed conservatively with observation or bracing, but corrective surgery may be indicated for rapidly growing or larger curves. The authors summarize the atypical features to look for in patients who may warrant further investigation with MRI during diagnosis and review the fundamental principles of the surgical management of AIS. Patients with AIS can be managed very well with a combination of conservative and surgical options. Outcomes for these children are excellent with sustained longer-term results.

Ageing management program of wires for Atucha II Nuclear Power Plant

International Nuclear Information System (INIS)

Zorrilla, J.; Antonaccio, E.; Luraschi, C.; Simionato, E.; Nieto, H.

2012-01-01

Electrical cables constitute one of the most important components of NPP in terms o maintenance, safety and availability of the plant. Due to their large extension (thousands of kilometers) it is impossible to fully replace them and aging management becomes essential for long term operation of NPP. Since Atucha II is under construction there was a good opportunity to establish and implement a holistic cable aging management program from the beginning according to the state of the art in this field. The scope of this program involves safety related cables, including EQ cables and non EQ cables as well. Due to the diversity of the installed cables is impossible to address an aging management program of every single specimen. However it is possible to establish 'cables families' of similar aging behavior based on insulation and jacket material, manufacture, etc Several aging management strategies were set for the different 'cables families'. These strategies include cables deposit in plant, elaboration of procedures of visual and tactile inspection, NDE techniques, etc Currently the aging management program is being implemented covering topic such as: Cable screening and grouping. Review of EQ documentation and conventional qualification information referring to the installed cables. Establishment of base line of condition monitoring techniques. Calibration and set up of test parameters for NDE techniques. Aging mechanism characterization and determination of. Design construction and installation of cable deposit in plant (author)

Theories and Management of Aging: Modern and Ayurveda Perspectives

Directory of Open Access Journals (Sweden)

Hema Sharma Datta

2011-01-01

Full Text Available Aging is a complex phenomenon, a sum total of changes that occur in a living organism with the passage of time and lead to decreasing ability to survive stress, increasing functional impairment and growing probability of death. There are many theories of aging and skin remains the largest organ of the study. Skin aging is described as a consequence of intrinsic and extrinsic factors. The most common amongst visible signs of skin aging are wrinkles and there are various therapies including antiaging cosmeceuticals, sunscreens, chemical peeling, injectable agents, such as botox, fibrel, autologous fat grafting as also few surgical procedures have been used. Ayurveda, the Indian traditional medicine, describes aging with great details. This review provides modern and Ayurvedic perspectives on theories and management of aging.

Materials ageing degradation programme in japan and proactive ageing management in NPP

International Nuclear Information System (INIS)

Shoji, T.

2013-01-01

Predictive and preventive maintenance technologies are increasingly of importance for the long term operation (LTO) of Light Water Reactor (LWR) plants. In order for the realization LTO to be successful, it is essential that aging degradation phenomena should be properly managed by using adequate maintenance programs based on foreseeing the aging phenomena and evaluating their rates of development, where Nuclear Power Plants can be continued to operate beyond the original design life depending upon the regulatory authority rules. In combination with Periodic Safety Review (PSR) and adequate maintenance program, a plant life can be extended to 60 years or more. Plant Life Management (PLiM) is based upon various maintenance program as well as systematic safety review updated based upon the state of the art of science and technology. One of the potential life time limiting issue would be materials ageing degradation and therefore an extensive efforts have been paid world-widely. In 2007, NISA launched a national program on Enhanced Ageing Management Program and 4 nationwide clusters were formed to carry out the national program where materials ageing degradation was one of the major topics. In addition to these degradation modes, one important activities in this program is proactive materials degradation management directed by the author which is a kind of the extension program of NRC PMDA program based upon more fundamental approach by a systematic elicitation by the experts nominated from all over the world. NISA program can be divided into two phases, one is from fiscal years (FY) 2006 - 2010 and the other FY 2011. Later phase is focusing more on System Safety due to Fukushima NPP accident. The main objectives of the Phase I is to evaluate potential and complex degradation phenomena and their mechanisms in order to identify future risks of component aging in nuclear power plants. The following items are of particular concern in this phase: (a) investigation of

Economic evaluation of pharmacist-led medication reviews in residential aged care facilities.

Science.gov (United States)

Hasan, Syed Shahzad; Thiruchelvam, Kaeshaelya; Kow, Chia Siang; Ghori, Muhammad Usman; Babar, Zaheer-Ud-Din

2017-10-01

Medication reviews is a widely accepted approach known to have a substantial impact on patients' pharmacotherapy and safety. Numerous options to optimise pharmacotherapy in older people have been reported in literature and they include medication reviews, computerised decision support systems, management teams, and educational approaches. Pharmacist-led medication reviews are increasingly being conducted, aimed at attaining patient safety and medication optimisation. Cost effectiveness is an essential aspect of a medication review evaluation. Areas covered: A systematic searching of articles that examined the cost-effectiveness of medication reviews conducted in aged care facilities was performed using the relevant databases. Pharmacist-led medication reviews confer many benefits such as attainment of biomarker targets for improved clinical outcomes, and other clinical parameters, as well as depict concrete financial advantages in terms of decrement in total medication costs and associated cost savings. Expert commentary: The cost-effectiveness of medication reviews are more consequential than ever before. A critical evaluation of pharmacist-led medication reviews in residential aged care facilities from an economical aspect is crucial in determining if the time, effort, and direct and indirect costs involved in the review rationalise the significance of conducting medication reviews for older people in aged care facilities.

Aging management of containment structures in nuclear power plants

International Nuclear Information System (INIS)

Naus, D.J.; Oland, C.B.; Ellingwood, B.R.; Graves, H.L. III; Norris, W.E.

1996-01-01

Research is being conducted by Oak Ridge National Laboratory under US nuclear regulatory commission (USNRC) sponsorship to address aging management of nuclear power plant containment and other safety-related structures. Documentation is being prepared to provide the USNRC with potential structural safety issues and acceptance criteria for use in continued service evaluations of nuclear power plants. Accomplishments include development of a structural materials information center containing data and information on the time variation of 144 material properties under the influence of pertinent environmental stressors or aging factors, evaluation of models for potential concrete containment degradation factors, development of a procedure to identify critical structures and degradation factors important to aging management, evaluations of non-destructive evaluation techniques, assessments of European and North American repair practices for concrete, review of parameters affecting corrosion of metals embedded in concrete, and development of methodologies for making current condition assessments and service life predictions of new or existing reinforced concrete structures in nuclear power plants. (orig.)

Aging management of containment structures in nuclear power plants

International Nuclear Information System (INIS)

Naus, D.J.; Oland, C.B.; Ellingwood, B.R.

1994-01-01

Research is being conducted by Oak Ridge National Laboratory under U.S. Nuclear Regulatory Commission sponsorship to address aging management of nuclear power plant containment and other safety-related structures. Documentation is being prepared to provide the US-NRC with potential structural safety issues and acceptance criteria for use in continued service evaluations of nuclear power plants. Accomplishments include development of a Structural Materials Information Center containing data and information on the time variation of 144 material properties under the influence of pertinent environmental stressors or aging factors, evaluation of models for potential concrete containment degradation factors, development of a procedure to identify critical structures and degradation factors important to aging management, evaluations of nondestructive evaluation techniques, assessments of European and North American repair practices for concrete, review of parameters affecting corrosion of metals embedded in concrete, and development of methodologies for making current condition assessments and service life predictions of new or existing reinforced concrete structures in nuclear power plants. (author). 29 refs., 2 figs

Aging management of containment structures in nuclear power plants

International Nuclear Information System (INIS)

Naus, D.J.; Oland, C.B.; Ellingwood, B.R.; Graves, H.L. III; Norris, W.E.

1994-01-01

Research is being conducted by ORNL under US Nuclear Regulatory Commission (USNRC) sponsorship to address aging management of nuclear power plant containment and other safety-related structures. Documentation is being prepared to provide the USNRC with potential structural safety issues and acceptance criteria for use in continued service evaluations of nuclear power plants. Accomplishments include development of a Structural Materials Information Center containing data and information on the time variation of 144 material properties under the influence of pertinent environmental stressors or aging factors, evaluation of models for potential concrete containment degradation factors, development of a procedure to identify critical structures and degradation factors important to aging management, evaluations of nondestructive evaluation techniques. assessments of European and North American repair practices for concrete, review of parameters affecting corrosion of metals embedded in concrete, and development of methodologies for making current condition assessments and service life predictions of new or existing reinforced concrete structures in nuclear power plants

Interventions to Improve Asthma Management of the School-Age Child.

Science.gov (United States)

Friend, Mary; Morrison, Amber

2015-06-01

Improvement of medication adherence in the school-age child can lead to improvement in quality of life, decreased morbidity, and a potential decreased risk of deferred academic, social, and emotional development. The objective of this article is to review barriers to asthma medication adherence and identify evidence-based techniques that improve medication management of the asthmatic child 5 to 12 years of age. A literature review was performed and articles were obtained through database searches within Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PubMed. Research indicates that barriers to the adherence of medication regimens required for asthmatic children include poor understanding of the medication regimen, substandard education on symptom recognition and environmental triggers, rejection of the diagnosis, and a lack of support or understanding within the community. Researched techniques aimed to improve medication management in 5- to 12-year-olds include: computer-based education; workshops for parents, teachers, and children; incorporation of asthma education into classroom lessons; use of case managers; the introduction of a nurse practitioner in the school to provide care, including medication prescriptions for the asthmatic child; and assessment and evaluation of environmental and emotional triggers in the home and school. Collaboration of current data may help lead to a successful interventional model that can improve asthma management in this population. © The Author(s) 2014.

Scope and selection of structures subject to aging management review; Alcance y seleccion de estructuras sujetas a revision de gestion de envejecimiento

Energy Technology Data Exchange (ETDEWEB)

Mendoza, G.; Diaz, A.; Viais, J.; Carmona, M. [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico); Santander, L., E-mail: gonzalo.mendoza@inin.gob.mx [Comision Federal de Electricidad, Central Nucleoelectrica Laguna Verde, Carretera Cardel-Nautla Km. 42.5, Veracruz (Mexico)

2014-10-15

The purpose of this work is to determine the structures included within the scope of license renewal based on the performance of the functions and select those intended for aging management review; one purpose is to show the methodology used to establish the structure and structural components that are subject to a review of aging management, within the framework of license renewal rule. This is through the application of different types of structures and structural components related and unrelated to safety located in the rooms of the reactor building where there are components of the reactor core isolation cooling system (Rcic), these structures are poured concrete, concrete block, structural steel, shielding walls, attached metal, pile foundations, etc.; other non- security related , such as: 1) inherent characteristics not related to security that protect the equipment related to the safety of the missiles, that is, walls, low walls, dikes, doors, etc., which also provide flood barriers to structures, systems and components related to safety, 2 ) whipping restrictions on non- security, shields mitigation jet, vent panels , etc. that are designed and installed to protect equipment related with the safety of the effects of a broken line of high energy. Only rooms where there are components of the Rcic 68 structures within the scope were identified. (Author)

Management of research reactor ageing

International Nuclear Information System (INIS)

1995-03-01

As of December 1993, about one quarter of the operating research reactors were over 30 years old. The long life of research reactors has raised some concern amongst research reactor operators, regulators and, to some extent, the general public. The International Atomic Energy Agency commenced activities on the topic of research reactor ageing by appointing an internal working group in 1988 and convening a Consultants Meeting in 1989. The subject was also discussed at an international symposium and a regional seminar held in 1989 and 1992 respectively. A draft document incorporating information and experience exchanged at the above meetings was reviewed by a Technical Committee Meeting held in Vienna in 1992. The present TECDOC is the outcome of this meeting and contains recommendations, guidelines and information on the management of research reactor ageing, which should be used in conjunction with related publications of the IAEA Research Reactor Safety Programme, which are referenced throughout the text. This TECDOC will be of interest to operators and regulators involved with the safe operation of any type of research reactor to (a) understand the behaviour and influence of ageing mechanisms on the reactor structures, systems and components; (b) detect and assess the effect of ageing; (c) establish preventive and corrective measures to mitigate these effects; and (d) make decisions aimed at the safe and continued operation of a research reactor. 32 refs, tabs

Management of research reactor ageing

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-03-01

As of December 1993, about one quarter of the operating research reactors were over 30 years old. The long life of research reactors has raised some concern amongst research reactor operators, regulators and, to some extent, the general public. The International Atomic Energy Agency commenced activities on the topic of research reactor ageing by appointing an internal working group in 1988 and convening a Consultants Meeting in 1989. The subject was also discussed at an international symposium and a regional seminar held in 1989 and 1992 respectively. A draft document incorporating information and experience exchanged at the above meetings was reviewed by a Technical Committee Meeting held in Vienna in 1992. The present TECDOC is the outcome of this meeting and contains recommendations, guidelines and information on the management of research reactor ageing, which should be used in conjunction with related publications of the IAEA Research Reactor Safety Programme, which are referenced throughout the text. This TECDOC will be of interest to operators and regulators involved with the safe operation of any type of research reactor to (a) understand the behaviour and influence of ageing mechanisms on the reactor structures, systems and components; (b) detect and assess the effect of ageing; (c) establish preventive and corrective measures to mitigate these effects; and (d) make decisions aimed at the safe and continued operation of a research reactor. 32 refs, tabs.

Use of Physical and Intellectual Activities and Socialization in the Management of Cognitive Decline of Aging and in Dementia: A Review

Directory of Open Access Journals (Sweden)

Myuri Ruthirakuhan

2012-01-01

Full Text Available Lifestyle nonpharmacological interventions can have a deep effect on cognitive aging. We have reviewed the available literature on the effectiveness of physical activity, intellectual stimulation, and socialization on the incidence of dementia and on the course of dementia itself. Even though physical activity appears to be beneficial in both delaying dementia onset and in the course of the disease, more research is needed before intellectual stimulation and socialization can be considered as treatments and prevention of the disease. Through our paper, we found that all three nonpharmacological treatments provide benefits to cognition and overall well-being in patients with age-related cognitive impairments. These interventions may be beneficial in the management of dementia.

Aging management of instrumentation and control sensors in nuclear power plants

International Nuclear Information System (INIS)

Hashemian, H.M.

2010-01-01

Pressure to improve plant efficiency and maximize safety and the increasing age of existing NPPs are forcing the global nuclear power industry to confront the challenges of aging - caused by stressors such as temperature, humidity, radiation, electricity, and vibration - in key instrument and control (I and C) components like pressure transmitters, temperature sensors, neutron detectors, and cables. Traditional aging management methods, such as equipment replacement, required the process to be shut down. Recent aging management technologies, collectively known as online monitoring (OLM), enable plants to monitor the condition and aging of their installed I and C while the plant is operating. Developed through R and D initiatives worldwide, such OLM techniques include low- and high-frequency methods that use existing sensors, such as noise analysis; methods based on test or diagnostic sensors, such as for vibration-measuring accelerometers; and methods, such as the power interrupt (PI) test, based on active measurements made by injecting a test signal into the component under test. A review of these aging management methods, their effectiveness, and their interrelation provides a foundation for understanding the next stage in the evolution of OLM: truly integrated hybrid OLM systems capable of robust condition monitoring in both novel and familiar operating conditions.

Ship nuclear power device of cable aging management

International Nuclear Information System (INIS)

Wei Hua; Chen Miao; Chen Tao

2012-01-01

Cable for marine nuclear power plant continuous delivery of electrical energy. Cable is mostly in the high temperature and strong radiation and harsh working environment, and can not be replaced in the lifetime This should be the cable aging management methods through research, maintenance and repair program to provide a scientific basis. Cable aging management approach for a number of different levels of cable management at different levels, relying on computers and other modern tools, the use of information management database software maintenance of the cable through the science of aging control. Cable Aging Management including the scope of cable aging management, classification management basis and used for different levels of management supervision and implementation of means testing approach. Application of the ship that has the operational management science, both planned maintenance to improve the science, but also improves the efficiency of aging management. This management method can be extended to nuclear power plants of cable aging management. (authors)

White-tailed deer age ratios as herd management and predator impact measures in Pennsylvania

Science.gov (United States)

Rosenberry, Christopher S.; Norton, Andrew S.; Diefenbach, Duane R.; Fleegle, Jeannine T.; Wallingford, Bret D.

2011-01-01

A review of the Pennsylvania Game Commission's (PGC) deer management program and public concern about predator impacts on deer (Odocoileus virginianus) populations compelled the PGC to investigate the role of age ratios in developing management recommendations. Age ratios, such as proportion of juveniles in the antlerless harvest, may provide an index to population productivity and predator impacts. We estimated proportion of juveniles in the antlerless harvest from hunter-killed deer, population trends using the Pennsylvania (USA) sex–age–kill model, and reproduction from road-killed females. Using these estimates and a simulation model, we concluded that no single age-ratio value would serve as a reliable measure of population status. Wildlife Management Unit-specific trends in proportion of juveniles in the antlerless harvest and population trends provided the most relevant management information. We also provide an example decision chart to guide management actions in response to declining age ratios in the harvest. Although predator management activities and juvenile survival studies are often desired by the public, our decision-chart example indicated a number of deer management options exist before investing resources in predator management activities and juvenile survival studies.

Recent Status RSG-GAS Ageing Management

Energy Technology Data Exchange (ETDEWEB)

Sunaryo, Geni Rina; Setianto; Tarigan, Alim [Puspiptek Area, Serpong (Indonesia); Wisnubroto, D. S. [Mampang Prapatan, Jakarta (Indonesia)

2013-07-01

RSG GAS Research Reactor.30 MW, which is the biggest scientific investment made by the Indonesian Government, is operating safely for about 27 years. This research reactor has been built and developed since year 1983. Critical attainment reached first on July 1987 and ceremonial opened by president of RI on August 20{sup th} 1987. Operated with full energy of 30 MW reached first time on March 1992. It started becoming commercially operated since 1995. RSG-GAS has a maximum thermal energy of 30 MW and has neutron flux of averaged 10{sup 14} n/cm{sup 2}.sec coming from fissile reaction. RSG-GAS is a reactor with pool type with fuel of 19.75% enriched U{sub 3}O{sub 8}Al/U{sub 3}Si{sub 2}Al and burned up ratio up to 56%. RSG GAS has been built for scientific purpose by utilizing neutron beam instruments and isotope productions. Facilities allowing Neutron Activation Analysis for research and industry are both on-line. For affording the utilization or the reactor operation approaching the designed life, the progressive ageing management is being applied. This paper will address the ageing management based on the importance to safety and SSC replacement ease consideration, which is implemented on RSG GAS. It consist of minimization of expected ageing prevention which is divided into prevention actions and followed by periodic review of this effectiveness, detection, monitoring and trending of ageing degradation through periodically inspections, and testing. Some activities such as NDT-ultrasonic to mitigating the ageing degradation of secondary water pipe lines, underwater camera for tank liners, infrared thermograph for understanding the cable insulation age, Eddy Current for inspecting the Heat Exchangers, surveillance corrosion for understanding the corrosion mechanism and structure material lifetime by immersing cupons into primary, secondary and raw water basin for many years and some ended by refurbishment-for secondary pump, are being applied. Based on the results

Ageing management requirements in Sweden

International Nuclear Information System (INIS)

Gott, K.

2007-01-01

Since the adoption of the 1997 act of parliament concerning the abolishment of nuclear power in Sweden plant lives are no longer limited until 2010 as they were following the referendum in 1980. The Swedish Nuclear Power Inspectorate (SKI) has therefore in its most recent general regulations from 2004 introduced requirements for plants to develop ageing management programmes which should have been in place by the end of 2005. An ageing management programme for a nuclear power plant can be viewed as a high level coordinated programme consisting of several other programmes including maintenance and inspection programmes, and as such it should be an integrated part of the quality assurance system of the plant. The goals of the programme are to ensure that there is long term management of ageing and avoidance of the unexpected. For the Swedish regulator the safety aspects and not the economic aspects of ageing management are of primary importance. But there are clear advantages to utilities if large surprises which result in unplanned outages can be avoided. (author)

Integrated ageing management of Atucha NPP

International Nuclear Information System (INIS)

Ranalli, Juan M.; Marchena, Martin H.; Zorrilla, Jorge R.; Antonaccio, Elvio E.; Brenna, Pablo; Yllanez, Daniela; Cruz, Gerardo Vera de la; Luraschi, Carlos; Sabransky, Mario

2013-01-01

Atucha NPP is a two PHWR unit site located in Lima, Province of Buenos Aires, 120 km north of Buenos Aires, Argentina. Until recent, the site was split in Atucha I NPP, a 350 MW pressure vessel heavy water reactor in operation since 1974; and Atucha II, a similar design reactor, twice as big as Atucha I finishing a delayed construction. With the start-up of Atucha II and aiming to integrate the management of the plants, the Utility (Nucleolectrica Argentina Sociedad Anonima - NASA) has reorganized its operation units. Within this reorganization, an Ageing Management Department has been created to cope with all ageing issues of both Atucha I and II units. The Atomic Energy Commission of Argentina (Comision Nacional de Energia Atomica - CNEA) is a state-owned R and D organization that; among other functions such as designing and building research reactors, developing uranium mining and supplying radioisotopes to the medical market; is in charge of providing support and technological update to all Argentinean NPPs. The Ageing Management Department of Atucha NPP and the Ageing Management Division of CNEA has formed a joint working group in order to set up an Integrated Ageing Management Program for Atucha NPP following IAEA guidelines. In the present work a summary of the activities, documental structure and first outputs of the Integrated Ageing Management Program of Atucha NPP is presented. (author)

Integrated Ageing Management of Atucha NPP

International Nuclear Information System (INIS)

Ranalli, J.M.; Marchena, M.H.; Zorrilla, J.R.; Sabransky, M.

2012-01-01

Atucha NPP is a two PHWR unit site located in Lima, Province of Buenos Aires, 120 km north of Buenos Aires, Argentina. Until recent, the site was split in Atucha I NPP, a 350 MW pressure vessel heavy water reactor in operation since 1974; and Atucha II, a similar design reactor twice as big as Atucha I finishing a delayed construction . With the start-up of Atucha II and aiming to integrate the management of the plants, the Utility (Nucleolectrica Argentina Sociedad Anonima - NASA) has reorganized its operation units. Within this reorganization, an Ageing Management Department has been created to cope with all ageing issues of both Atucha I and II units. The Atomic Energy Commission of Argentina (Comision Nacional de Energia Atomica - CNEA) is a state-owned R and D organization that; among other functions such as designing and building research reactors, developing uranium mining and supplying radioisotopes to the medical market; is in charge of providing support and technological update to all Argentinean NPPs. The Ageing Management Department of Atucha NPP and the Ageing Management Division of CNEA has formed a joint working group in order to set up an Integrated Ageing Management Program for Atucha NPP following IAEA guidelines. In the present work a summary of the activities, documental structure and first outputs of the Integrated Ageing Management Program of Atucha NPP is presented. (author)

Integrated ageing management of Atucha NPP

Energy Technology Data Exchange (ETDEWEB)

Ranalli, Juan M.; Marchena, Martin H.; Zorrilla, Jorge R.; Antonaccio, Elvio E.; Brenna, Pablo; Yllanez, Daniela; Cruz, Gerardo Vera de la; Luraschi, Carlos, E-mail: ranalli@cnea.gov.ar [Gerencia Coordinacion Proyectos CNEA-NASA, Comision Nacional de Energia Atomica, Buenos Aires (Argentina); Sabransky, Mario, E-mail: msabransky@na-sa.com.ar [Departamento Gestion de Envejecimiento, Central Nuclear Atucha I-II Nucleoelectrica Argentina S.A., Provincia de Buenos Aires (Argentina)

2013-07-01

Atucha NPP is a two PHWR unit site located in Lima, Province of Buenos Aires, 120 km north of Buenos Aires, Argentina. Until recent, the site was split in Atucha I NPP, a 350 MW pressure vessel heavy water reactor in operation since 1974; and Atucha II, a similar design reactor, twice as big as Atucha I finishing a delayed construction. With the start-up of Atucha II and aiming to integrate the management of the plants, the Utility (Nucleolectrica Argentina Sociedad Anonima - NASA) has reorganized its operation units. Within this reorganization, an Ageing Management Department has been created to cope with all ageing issues of both Atucha I and II units. The Atomic Energy Commission of Argentina (Comision Nacional de Energia Atomica - CNEA) is a state-owned R and D organization that; among other functions such as designing and building research reactors, developing uranium mining and supplying radioisotopes to the medical market; is in charge of providing support and technological update to all Argentinean NPPs. The Ageing Management Department of Atucha NPP and the Ageing Management Division of CNEA has formed a joint working group in order to set up an Integrated Ageing Management Program for Atucha NPP following IAEA guidelines. In the present work a summary of the activities, documental structure and first outputs of the Integrated Ageing Management Program of Atucha NPP is presented. (author)

Research on technological assessment for ageing management of commercial reprocessing plant

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-08-15

The research program has been carried out to provide technical database and review manuals for evaluating the adequacy of Tokai plant's Ageing Management report from F.Y.2006 to F.Y.2011. In the near future, the regulator will be to carry out the evaluation of Rokkasho plant, which is commercial-size plant mainly designed by the technologies in Britain and France. This plant is different from Tokai plant in a technique of the prevention of corrosion. The purpose of the research program is to provide supplementary database and improve the review manual in order to evaluate the adequacy of Rokkasho plant's Ageing Management report. We selected three experimental subjects on ageing phenomena listed bellow in this program on the basis of the result of the operational experience of the foreign plants and the related previous studies. Effect of solid deposit adhering on the metal, Np(VI) and nitrous ions in solution on the corrosion of stainless steel made reduced pressure evaporator in boiling nitric acid solutions, Conditions of initiation of Stress Corrosion Cracking of the zirconium made components in boiling nitric acid solutions including highly-concentrated plutonium, Conditions of initiation of Hydrogen Embrittlement Stress Corrosion Cracking of Pipe Fittings Composed of Zirconium, Tantalum and Stainless Steel in high radioactive nitric acid solutions. (author)

The (safety-related) heat exchangers aging management guideline for commercial nuclear power plants, and developments since 1994

International Nuclear Information System (INIS)

Clauss, J.M.

1998-01-01

The US Department of Energy (DOE), in cooperation with the Electric Power Research Institute (EPRI) and US nuclear power plant utilities, is preparing a series of aging management guidelines (AMGs) for commodity types of components (e.g., heat exchangers, electrical cable and terminations, pumps). Commodities are included in this series based on their importance to continued nuclear plant operation and license renewal. The AMGs contain a detailed summary of operating history, stressors, aging mechanisms, and various types of maintenance and surveillance practices that can be combined to create an effective aging management program. Each AMG is intended for use by the systems engineers and plant maintenance staff (i.e., an AMG is intended to be a hands-on technical document rather than a licensing document). The heat exchangers AMG, published in June 1994, includes the following information of interest to nondestructive examination (NDE) personnel: aging mechanisms determined to be non-significant for all applications; aging mechanisms determined to be significant for some applications; effective conventional programs for managing aging; and effective unconventional programs for managing aging. Since the AMG on heat exchangers was published four years ago, a brief review has been conducted to identify emerging regulatory issues, if any. The results of this review and lessons learned from the collective set of AMGs are presented

Proactive materials aging management and multi-layered maintenance

International Nuclear Information System (INIS)

Shoji, Tetsuo

2009-01-01

Long term operation of NPP has been receiving a great concern based upon the plant operation experiences and progressive improvement in countermeasures and mitigations. At the same time of this LTO movement, proactive materials aging management is also receiving a great concern to realize the LTO in NPP. Recent PMDM activities in Japan as well as some international one are reviewed and a necessity of an international cooperation is emphasized in relation to reliable maintenance performance connected from the top of the organization to operators and maintenance engineers at plant sites. (author)

Review of the generic aging lessons learned (GALL) report for U.S. NPPs

International Nuclear Information System (INIS)

Gong Yi; Dou Yikang

2014-01-01

Generic aging lessons learned (GALL) report is a technical basis document issued by U.S. nuclear regulatory commission (NRC) for guiding the review of license renewal application (LRA) of its domestic nuclear power plants (NPPs). By form of tabulations, GALL report addresses the correlation among materials, environments, aging effects/mechanisms, and aging management programs (AMPs) from the level of specific structures and/or components. Based on literature investigation and analysis, the essential information of GALL report in the aspects of background, development history, content framework, and application was reviewed in this paper, which should be the first time in China and would have reference value for establishment of both the AMPs and the nuclear safety regulations of extending the lifetime of its NPPs. (authors)

Forest management and carbon sequestration in the Mediterranean region: A review

International Nuclear Information System (INIS)

Ruiz-Peinado, R.; Bravo-Oviedo, A.; López-Senespleda, E.; Bravo, F.; Río, M. Del

2017-01-01

Aim of the study: To review and acknowledge the value of carbon sequestration by forest management in the Mediterranean area. Material and methods: We review the main effects of forest management by comparing the effects of silviculture systems (even-aged vs. uneven-aged stands, coppice systems, agroforestry systems), silvicultural options (thinning, rotation period, species composition), afforestation, harvesting, fire impact or effects of shrub layer on carbon sequestration in the Mediterranean area. Main results: We illustrate as forest management can clearly improve forest carbon sequestration amounts. We conclude that forest management is an effective way to maintain and enhance high carbon sequestration rates in order to cope with climate change and provision of ecosystem services. We also think that although much effort has been put into this topic research, there are still certain gaps that must be dealt with to increase our scientific knowledge and in turn transfer this knowledge to forest practitioners in order to achieve sustainable management aimed at mitigating climate change. Research highlights: It is important to underline the importance of forests in the carbon cycle as this role can be enhanced by forest managers through sustainable forest management. The effects of different management options or disturbances can be critical as regards mitigating climate change. Understanding the effects of forest management is even more important in the Mediterranean area, given that the current high climatic variability together with historical human exploitation and disturbance events make this area more vulnerable to the effects of climate change

Forest management and carbon sequestration in the Mediterranean region: A review

Energy Technology Data Exchange (ETDEWEB)

Ruiz-Peinado, R.; Bravo-Oviedo, A.; López-Senespleda, E.; Bravo, F.; Río, M. Del

2017-11-01

Aim of the study: To review and acknowledge the value of carbon sequestration by forest management in the Mediterranean area. Material and methods: We review the main effects of forest management by comparing the effects of silviculture systems (even-aged vs. uneven-aged stands, coppice systems, agroforestry systems), silvicultural options (thinning, rotation period, species composition), afforestation, harvesting, fire impact or effects of shrub layer on carbon sequestration in the Mediterranean area. Main results: We illustrate as forest management can clearly improve forest carbon sequestration amounts. We conclude that forest management is an effective way to maintain and enhance high carbon sequestration rates in order to cope with climate change and provision of ecosystem services. We also think that although much effort has been put into this topic research, there are still certain gaps that must be dealt with to increase our scientific knowledge and in turn transfer this knowledge to forest practitioners in order to achieve sustainable management aimed at mitigating climate change. Research highlights: It is important to underline the importance of forests in the carbon cycle as this role can be enhanced by forest managers through sustainable forest management. The effects of different management options or disturbances can be critical as regards mitigating climate change. Understanding the effects of forest management is even more important in the Mediterranean area, given that the current high climatic variability together with historical human exploitation and disturbance events make this area more vulnerable to the effects of climate change.

Systematic review of the evidence for a liberalized diet in the management of diabetes mellitus in older adults residing in aged care facilities.

Science.gov (United States)

Farrer, Olivia; Yaxley, Alison; Walton, Karen; Healy, Erin; Miller, Michelle

2015-04-01

A systematic review of the literature was conducted to review and evaluate the evidence supporting a liberalized diet for the management of diabetes mellitus in aged care homes and examine the effect of this on glycaemia, nutritional status and diabetes comorbidity risk factors. A 3 step search of eight databases followed by independent data extraction and quality assessment by two authors was undertaken. Studies which compared therapeutic diets to a liberalized diet or observation studies reviewing the effects of therapeutic diets on glycaemia and nutritional status were included. Of the 546 studies identified, six met the inclusion criteria. Methodological quality of the studies was rated poor and the majority concluded no statistically significant change in diabetes management outcomes with a liberalized diet, but modest increases in glycaemia were observed. Inadequate data was available to determine effects of diet change on nutritional status or diabetes risk factors. Overall studies were in support of a liberalized diet but due to the low quality of the evidence and a lack of significant findings it may not be appropriate to extrapolate these conclusions to inform dietetic practice. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Ageing Management for Research Reactors. Specific Safety Guide

Energy Technology Data Exchange (ETDEWEB)

NONE

2010-10-15

This Safety Guide was developed under the IAEA programme for safety standards for research reactors, which covers all the important areas of research reactor safety. It supplements and elaborates upon the safety requirements for ageing management of research reactors that are established in paras 6.68-6.70 and 7.109 of the IAEA Safety Requirements publication, Safety of Research Reactors. The safety of a research reactor requires that provisions be made in its design to facilitate ageing management. Throughout the lifetime of a research reactor, including its decommissioning, ageing management of its structures, systems and components (SSCs) important to safety is required, to ensure continued adequacy of the safety level, reliable operation of the reactor, and compliance with the operational limits and conditions. Managing the safety aspects of research reactor ageing requires implementation of an effective programme for the monitoring, prediction, and timely detection and mitigation of degradation of SSCs important to safety, and for maintaining their integrity and functional capability throughout their service lives. Ageing management is defined as engineering, operation, and maintenance strategy and actions to control within acceptable limits the ageing degradation of SSCs. Ageing management includes activities such as repair, refurbishment and replacement of SSCs, which are similar to other activities carried out at a research reactor in maintenance and testing or when a modification project takes place. However, it is important to recognize that effective management of ageing requires the use of a methodology that will detect and evaluate ageing degradation as a consequence of the service conditions, and involves the application of countermeasures for prevention and mitigation of ageing degradation. The objective of this Safety Guide is to provide recommendations on managing ageing of SSCs important to safety at research reactors on the basis of international

Ageing Management for Research Reactors. Specific Safety Guide

International Nuclear Information System (INIS)

2010-01-01

This Safety Guide was developed under the IAEA programme for safety standards for research reactors, which covers all the important areas of research reactor safety. It supplements and elaborates upon the safety requirements for ageing management of research reactors that are established in paras 6.68-6.70 and 7.109 of the IAEA Safety Requirements publication, Safety of Research Reactors. The safety of a research reactor requires that provisions be made in its design to facilitate ageing management. Throughout the lifetime of a research reactor, including its decommissioning, ageing management of its structures, systems and components (SSCs) important to safety is required, to ensure continued adequacy of the safety level, reliable operation of the reactor, and compliance with the operational limits and conditions. Managing the safety aspects of research reactor ageing requires implementation of an effective programme for the monitoring, prediction, and timely detection and mitigation of degradation of SSCs important to safety, and for maintaining their integrity and functional capability throughout their service lives. Ageing management is defined as engineering, operation, and maintenance strategy and actions to control within acceptable limits the ageing degradation of SSCs. Ageing management includes activities such as repair, refurbishment and replacement of SSCs, which are similar to other activities carried out at a research reactor in maintenance and testing or when a modification project takes place. However, it is important to recognize that effective management of ageing requires the use of a methodology that will detect and evaluate ageing degradation as a consequence of the service conditions, and involves the application of countermeasures for prevention and mitigation of ageing degradation. The objective of this Safety Guide is to provide recommendations on managing ageing of SSCs important to safety at research reactors on the basis of international

Aging management of major light water reactor components

International Nuclear Information System (INIS)

Shah, V.N.; Sinha, U.P.; Ware, A.G.

1992-01-01

Review of technical literature and field experience has identified stress corrosion cracking as one of the major degradation mechanisms for the major light water reactor components. Three of the stress corrosion cracking mechanisms of current concern are (a) primary water stress corrosion cracking (PWSCC) in pressurized water reactors, and (b) intergranular stress corrosion cracking (IGSCC) and (c) irradiation-assisted stress corrosion cracking (IASCC) in boiling water reactors. Effective aging management of stress corrosion cracking mechanisms includes evaluation of interactions between design, materials, stressors, and environment; identification and ranking of susceptible sites; reliable inspection of any damage; assessment of damage rate; mitigation of damage; and repair and replacement using corrosion-resistant materials. Management of PWSCC includes use of lower operating temperatures, reduction in residual tensile stresses, development of reliable inspection techniques, and use of Alloy 690 as replacement material. Management of IGSCC of nozzle and attachment welds includes use of Alloy 82 as weld material, and potential use of hydrogen water chemistry. Management of IASCC also includes potential use of hydrogen water chemistry

Policy options to improve leadership of middle managers in the Australian residential aged care setting: a narrative synthesis

Science.gov (United States)

2010-01-01

Background The prevalence of both chronic diseases and multi-morbidity increases with longer life spans. As Australia's population ages, the aged care sector is under increasing pressure to ensure that quality aged care is available. Key to responding to this pressure is leadership and management capability within the aged care workforce. A systematic literature review was conducted to inform the policy development necessary for the enhancement of clinical and managerial leadership skills of middle managers within residential aged care. Methods Using scientific journal databases, hand searching of specialist journals, Google, snowballing and suggestions from experts, 4,484 papers were found. After a seven-tiered culling process, we conducted a detailed review (narrative synthesis) of 153 papers relevant to leadership and management development in aged care, incorporating expert and key stakeholder consultations. Results • Positive staff experiences of a manager's leadership are critical to ensure job satisfaction and workforce retention, the provision of quality care and the well-being of care recipients, and potentially a reduction of associated costs. • The essential attributes of good leadership for aged care middle management are a hands-on accessibility and professional expertise in nurturing respect, recognition and team building, along with effective communication and flexibility. However, successful leadership and management outcomes depend on coherent and good organisational leadership (structural and psychological empowerment). • There is inadequate preparation for middle management leadership roles in the aged care sector and a lack of clear guidelines and key performance indicators to assess leadership and management skills. • Theory development in aged care leadership and management research is limited. A few effective generic clinical leadership programs targeting both clinical and managerial leaders exist. However, little is known regarding

Report of the Federal Ministry for the Environment, Nature Conservation, Buildings and Nuclear Safety (BMUB) on the topical peer review aging management in nuclear power plants and research reactors; Bericht des Bundesministeriums fuer Umwelt, Naturschutz, Bau und Reaktorsicherheit (BMUB) zum Topical Peer Review Alterungsmanagement in Kernkraftwerken und Forschungsreaktoren

Energy Technology Data Exchange (ETDEWEB)

NONE

2017-12-28

The report of the Federal Environmental Ministry (BMUB) on the topical peer review aging management in nuclear power plants and research reactors covers the following issues: comprehensive requirements for aging management and its implementation, electric cables, non accessible pipes, reactor pressure vessel, calandria/pressure tubes (CANDU), concrete containment, pre-stressed concrete reactor pressure vessel (AGR).

Assessment and management of ageing of major nuclear power plant components important to safety: Steam generators

International Nuclear Information System (INIS)

1997-11-01

This TECDOC is one in a series of reports on the assessment and management of ageing of the major NPP components important to safety. The reports are based on experience and practices of NPP operators, regulators, designers, manufacturers, and technical support organizations and a widely accepted Methodology for the Management of Ageing of NPP Components Important to Safety which was issued by the IAEA in 1992. They have been compiled using contributions from technical experts in typically 10 to 12 countries for each report, a feedback from a September 1994 Technical Committee Meeting attended by 53 technical experts from 21 Member States (who reviewed first drafts in specialized working groups), and review comments from invited specialists

Aging management assessment of type B transportation packages

International Nuclear Information System (INIS)

Sullivan, G.J.; Stahmer, U.; Freeman, E.L.

2004-01-01

The condition of a physical system such as a radioactive materials transportation package can change as it ages. The degree to which aging effects are identified, prevented or mitigated will depend on the types of inspections and maintenance performed on the critical components of the system. Routine inspections and maintenance may not address degradation mechanisms that are difficult to observe and can act over long periods of time. Aging management is a systematic effort to ensure that the system performs as designed over its entire service life and that degradation mechanisms do not prematurely end the service life. The Nuclear Waste Management Division (NWMD) of Ontario Power Generation (OPG) has developed an Aging Management Procedure and began performing aging management assessments on its Type B(U) packages. This paper discusses the Procedure and briefly describes the aging management assessment performed on the Roadrunner Transportation Package to demonstrate a practical application of the aging management process

Effective maintenance practices to manage system aging

International Nuclear Information System (INIS)

Chockie, A.; Bjorkelo, K.

1992-01-01

For a variety of economic and technical reasons, there has been a growing concern with the aging of complex systems and components and the role that maintenance can play in reducing this degradation. A study for the Nuclear Regulatory Commission was recently undertaken to identify effective maintenance practices that could be adapted by the nuclear industry in the United States to assist in managing the aging degradation of plant systems and components. Four organizations were examined to assess the influence that their maintenance programs have on their ability to address the systems and component aging degradation issues. An effective maintenance program was found to be essential to the management of system and component aging. The four key elements of an effective maintenance program that are important to an aging management program were identified. These are: the selection of critical systems and components; the development of an understanding of aging through the collection and analysis of equipment performance information; the development of appropriate preventive and predictive maintenance tasks to manage equipment and system aging degradation; the use of feedback mechanisms to continuously improve the management of aging systems and components. These elements were found to be common to all four organizations. In examining how the four organizations have structured their maintenance programs to include these key elements provides valuable lessons not only for the nuclear power industry, but also for any industrial organization that is concerned with the management of system and component aging degradation. This document provides detail, of these studies

Failing ageing? Risk management in the active ageing society

DEFF Research Database (Denmark)

Rostgaard, Tine

2015-01-01

According to the European Commission's recent policy initiative on social investment, Danish Long term care offers new and innovative perspectives in ageing and the management of the risks associated thereof with the introduction of reablement (rehabilitering). From the perspective of governmenta......According to the European Commission's recent policy initiative on social investment, Danish Long term care offers new and innovative perspectives in ageing and the management of the risks associated thereof with the introduction of reablement (rehabilitering). From the perspective...

Ageing management of Indian PHWRs - safety aspects

International Nuclear Information System (INIS)

Kapoor, R.K.; Sah, B.M.L.; Das, M.; Srinivasan, G.R.

1994-01-01

Ageing management has now become a vital area of concern. Ageing management includes determination of degradation factors, taking various steps to determine present conditions of systems, structures and components and taking mitigating steps. It also includes updating, modernization, refurbishment etc. It is important that ageing management starts right from the time of commissioning of the unit and is treated as a continuous process, and a parallel effort to the normal running of the plant. Thus elaborate research and development efforts are required to be instituted. Life extension could have a high benefit to cost ratio. Various steps to ensure safety in ageing management are listed. Selection of critical items, condition monitoring and life estimation of the same and a chronological check sheet from 0 to 60 years, for Indian PHWRs is explained. Areas where future research and development and other efforts need to be directed is listed. The paper concludes emphasizing the need for a systematized approach to ageing management. It recommends intensive research in certain listed areas and suggests standing committees in specialized areas to tap Indian experience in other industries and establishments. A safety guide is also required to be produced to cover all facets of ageing management. (author). 3 appendices

Aging management: Control of the knowledge data base

Energy Technology Data Exchange (ETDEWEB)

Schoeckle, F., E-mail: fs@amtec.de [Amtec Services, Hoher Steg 13, 74348 Laufen (Germany); Rothenhoefer, H. [Amtec Services, Hoher Steg 13, 74348 Laufen (Germany); Koenig, G. [EnBW Kernkraft, Kernkraftwerk Neckarwestheim, 74380 Neckarwestheim (Germany)

2014-04-01

Aging management is part of the safety management system in NPP Neckarwestheim, Germany. The central goal of aging management is to increase knowledge about aging mechanisms acting on systems, structures and components (SSC), steadily. Comprehensive knowledge is a pre-requisite to guard against aging related systematic failures. To increase knowledge it is necessary to gather and evaluate data of different departments, systematically. While a nuclear power plant is in service numerous events may occur which are related to aging and may have an influence on the quality of SSC. Relevant events may be malfunction, maintenance results, operational experience, results of surveillance or events in other utilities. It is important to evaluate these events concerning the aspect of aging, regularly, and to decide which measures are required to prevent similar unexpected events in the future. In some cases the new experience has to be assigned to comparable SSC. These evaluations and the necessary measures as well as the tracking of their effectiveness are performed by an aging management team that meets every 3 months. The resulting knowledge data base (aging management data base) supports the application of the PDCA cycle and provides an overview and fast access to all quality documents related to each SSC including surveillance measures and results. It simplifies the generation of annual status reports which demonstrate the efficiency of aging management. Finally, the procedure can be extended to SSC which are important for the availability of the plant and thus take a step forward from aging management to plant life management.

Forest management and carbon sequestration in the Mediterranean region: A review

Directory of Open Access Journals (Sweden)

Ricardo Ruiz-Peinado

2017-10-01

Full Text Available Aim of the study: To review and acknowledge the value of carbon sequestration by forest management in the Mediterranean area. Material and methods: We review the main effects of forest management by comparing the effects of silvicultural systems (even-aged vs. uneven-aged stands, coppice systems, agroforestry systems, silvicultural options (thinning, rotation period, species composition, afforestation, harvesting, fire impact or effects of shrub layer on carbon sequestration in the Mediterranean area. Main results: We illustrate as forest management can clearly improve forest carbon sequestration amounts. We conclude that forest management is an effective way to maintain and enhance high carbon sequestration rates in order to cope with climate change and provision of ecosystem services. We also think that although much effort has been put into this topic research, there are still certain gaps that must be dealt with to increase our scientific knowledge and in turn transfer this knowledge to forest practitioners in order to achieve sustainable management aimed at mitigating climate change. Research highlights: It is important to underline the importance of forests in the carbon cycle as this role can be enhanced by forest managers through sustainable forest management. The effects of different management options or disturbances can be critical as regards mitigating climate change. Understanding the effects of forest management is even more important in the Mediterranean area, given that the current high climatic variability together with historical human exploitation and disturbance events make this area more vulnerable to the effects of climate change

Improving and ensuring best practice continence management in residential aged care.

Science.gov (United States)

Heckenberg, Gayle

2008-06-01

Background  Continence Management within residential aged care is an every day component of care that requires assessment, implementation of strategies, resource allocation and evaluation. At times the management of incontinence of aged residents can be challenging and unsuccessful. The project chosen through the Clinical Fellowship program was Continence Management with the aim of raising awareness of best practice to assist in improving and providing person-centred resident care. Aims/objectives •  Review the literature on best practice management of incontinence •  Evaluate current practice in continence management for elderly residents within residential aged care services •  Improve adherence to best practice strategies of care for incontinence •  Raise awareness within the nursing home of the best practice management of incontinence •  Promote appropriate and effective use of resources for continence management •  Deliver individualised person-centred care to residents. •  Ensure best practice in continence management Methods  The Joanna Briggs Institute (JBI) Practical Application of Clinical Evidence System clinical audit tool was utilised to measure current practice against best practice. The results identify gaps that require improvement. The Getting Research into Practice process then allowed analysis of the level of compliance with each of the audit criteria, which would identify any barriers in implementing a selected course of action and aim to improve compliance. The project team was consulted with additional stakeholder consultation to form an action plan and implement strategies to improve practice. Results  Although 100% compliance with all audit criteria in audit 1 and 2 was not achieved, there was improvement in the criteria concerning the documented fluid intake for residents. Further strategies have been identified and implemented and this continues to be a 'work in progress'. Staff now have an acute awareness

Managing aging in nuclear power plants: Insights from NRC's Maintenance Team Inspection reports

International Nuclear Information System (INIS)

Fresco, A.; Subudhi, M.

1992-01-01

A plant's maintenance program is the principal vehicle through which age-related degradation is managed. From 1988 to 1991, the NRC evaluated the maintenance program of every nuclear power plant in the United States. Forty-four out of a total of sixty-seven of the reports issued on these in-depth team inspections have been reviewed for insights into the strengths and weaknesses of the programs as related to the need to understand and manage the effects of aging on nuclear plant structures, systems, and components (SSCs). Relevant information has been extracted from these inspection reports sorted into several categories; including Specific Aging Insights, Preventive Maintenance, Predictive Maintenance and Condition Monitoring, Post Maintenance Testing, Failure Trending, Root Cause Analysis and Usage of Probabilistic Risk Assessment in the Maintenance Process. Specific examples of inspection and monitoring techniques successfully used by utilities to detect degradation due to aging have been identified

Guideline for ageing management in nuclear power plants

International Nuclear Information System (INIS)

Herter, K.H.; Schuler, X.; Hienstorfer, W.; Pompe, W.

2007-01-01

During operation of nuclear power plants, the quality of systems, structures and components may change as a result of ageing (conceptional ageing, technological ageing or physical ageing), which will affect the system quality. Ageing management is necessary to ensure safety and availability throughout the life of the systems. This necessitates a systematic, integrative and knowledge-based approach. Systems, structures and components are grouped according to their relevance for meeting the set goals. Ageing mangement should be process-oriented and should be integrated in the organisational procedure in cooperation with the safety manager. The procedure should follow the PDCA principle (plan - do - check - act). The data, documents, knowledge and evaluations required for ageing management are part of the knowledge base of the nuclear power station and are updated regularly. The efficiency of ageing management must be reassessed at regular intervals. (orig.)

Young age as a modifying factor in sports concussion management: what is the evidence?

Science.gov (United States)

Foley, Cassidy; Gregory, Andrew; Solomon, Gary

2014-01-01

In 2008, the Concussion in Sport Group (CISG) published its third consensus statement and introduced 10 'modifying' factors that were presumed clinically to influence the investigation and management of concussions in sports. Young age was listed as one of the modifying factors. In some cases, these modifiers were thought to be predictive of prolonged or persistent symptoms. These same modifying factors were retained in the fourth iteration of the CISG consensus statement (2013), although mention was made of possible limitations of their efficacy. The CISG statements provided several empirical references regarding young age as a modifying factor. We reviewed the published sports concussion literature with the purpose of determining empirical studies that support or refute the inclusion of young age as a modifier of concussive injury in sports. We performed a systematic review of the PubMed database utilizing the keywords concussion, sports, mild traumatic brain injury, youth, adolescents, and children. English language studies were extracted by the authors and summarized for review. Multiple empirical studies were found indicating that younger athletes may take longer to recover from a sports-related concussion (SRC) than their older peers. However, studies did not indicate that younger athletes were at more risk for prolonged recovery (>4 wk). Empirical evidence supports the inclusion of young age as a modifying factor in sports concussion. However, the difference in recovery time seems relatively small (a few days) and young age does not predict prolonged recovery (>4 wk). The findings support the inclusion of young age as a specific modifier in the treatment of SRC and have implications for the clinical management of this common injury.

Approach to the Aging Management of RSG-GAS

International Nuclear Information System (INIS)

Mohammad Dhandhang Purwadi

2004-01-01

Safety is an condition which must always reached in management a nuclear reactor, from construction stage, operation until the decommissioning have processed. The safety of reactor operation is closely related to the reliability of components, structures and systems (KSS) of the nuclear reactor. All reactors' KSS will experience of ageing and then degrade system reliability level. G.A. Siwabessy Multipurpose Reactor (RSG-GAS) is high power research reactor which have been operating for sixteen years long. Comprehensive evaluation of ageing process that happened in RSG-GAS has not conducted yet. Meanwhile, in general, for all research reactor type there are safety requirements from IAEA related to the ageing, even in design, development, operation and extending operation life. To starting and racing the comprehensive evaluation of ageing in RSG-GAS, the research to compile an integrated Ageing Management Document as guidance in implementation of ageing management in RSG-GAS was conducted. From result of this research, the Ageing Management Document of RSG-GAS has been compiled. Compilation of the document is carried out by embracing approach of compromise of ageing management of research reactor and power reactor. (author)

Aging and DNA repair capability. [Review

Energy Technology Data Exchange (ETDEWEB)

Tice, R R

1977-01-01

A review of the literature on DNA repair processes in relation to aging is presented under the following headings: DNA repair processes; age-related occurrence of unrepaired DNA lesions; DNA repair capability as a function of age; tissue-specific DNA repair capability; acceleration of the aging process by exposure to DNA damaging agents; human genetic syndromes; and longevity and DNA repair processes. (HLW)

Medication management policy, practice and research in Australian residential aged care: Current and future directions.

Science.gov (United States)

Sluggett, Janet K; Ilomäki, Jenni; Seaman, Karla L; Corlis, Megan; Bell, J Simon

2017-02-01

Eight percent of Australians aged 65 years and over receive residential aged care each year. Residents are increasingly older, frailer and have complex care needs on entry to residential aged care. Up to 63% of Australian residents of aged care facilities take nine or more medications regularly. Together, these factors place residents at high risk of adverse drug events. This paper reviews medication-related policies, practices and research in Australian residential aged care. Complex processes underpin prescribing, supply and administration of medications in aged care facilities. A broad range of policies and resources are available to assist health professionals, aged care facilities and residents to optimise medication management. These include national guiding principles, a standardised national medication chart, clinical medication reviews and facility accreditation standards. Recent Australian interventions have improved medication use in residential aged care facilities. Generating evidence for prescribing and deprescribing that is specific to residential aged care, health workforce reform, medication-related quality indicators and inter-professional education in aged care are important steps toward optimising medication use in this setting. Copyright © 2016 Elsevier Ltd. All rights reserved.

The personal active aging strategies of older adults in Europe: a systematic review of qualitative evidence.

Science.gov (United States)

Klugar, Miloslav; Čáp, Juraj; Klugarová, Jitka; Marečková, Jana; Roberson, Donald N; Kelnarová, Zuzana

2016-05-01

There is a consensus that the aging population is beginning to impact on many facets of our life. They have more medical problems and the potential to "drain" the focus of the medical community, as well as national budgets with their accompanying medical bills. Personal strategies related to active aging will help us to better understand and identify how older adults in Europe prepare themselves for the natural process of aging and what are their personal approaches to active aging. The objective of this review was to synthesize the best available evidence regarding the older adult's perspective on the personal strategies related to active aging among older adults in Europe. This review considered studies that included older adults (age over 55 years) who live in Europe. This review considered studies that investigated older adults' perspectives on (any) personal strategies related to active aging. Europe (considering "some similarity" in health care systems and retirement policies). This review considered any qualitative designs. A three-step search strategy was used to identify published and unpublished studies. The extensive search process was conducted in October 2014 and considered published and unpublished studies from the inception of databases until October 2014. Studies published in any language which had an abstract in English, Czech and Slovak languages were considered for inclusion in this review. Studies were appraised for methodological quality by two independent reviewers using the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). Data were extracted from the papers included in the review by two independent reviewers using the standardized JBI-QARI data extraction tool. Data synthesis was performed using the meta-aggregation approach of meta-synthesis recommended by the Joanna Briggs Institute. Fourteen studies were included in this systematic review. From these 14 studies, 42 findings were extracted; findings were

Review of relative age effects and potential ways to reduce them in sport and education

Directory of Open Access Journals (Sweden)

David Gutiérrez Díaz del Campo

2013-01-01

Full Text Available Differences on chronological age within a peer/age group are known as Relative Age, and its consecuences as Relative Age Effec (RAE. This article is a review of the most relevant publications in both the educative and sportive contexts. The decision of reviewing both contexts in the same article is based on the existence of many points in common between them. Furthermore when research is made on youth sport, all the participants are at the same time in the educational system. The hypothesis of the origin of RAE and possible solutions are discussed and analysed at the end of the paper. Besides the objective of compiling and analyse what literature says about RAE, this article has the aim of raisig awareness about this problem and wish of intervention in educators and sportive managers.

IAEA guidance on ageing management for nuclear power plants. Guidance on effective management of the physical ageing of systems, structures and components important to safety for nuclear power plants. Overview. Programmatic guidelines. Component specific guidelines. Review guidelines. Version 1, 2002

International Nuclear Information System (INIS)

2002-01-01

Operational experience shows that excellent plant safety and excellent performance go hand in hand, and that they are achieved by effective leadership and management that includes a unified approach to safety and production. This is also applicable to ageing management. Effective ageing management leads to both enhanced plant safety and enhanced performance and is a prerequisite for long service life. The IAEA project on Safety Aspects of NPP Ageing has produced since 1990 a comprehensive set of programmatic and component specific guidelines on managing ageing, while providing an interactive environment for information exchange and co-operation among practitioners, and has assisted Member States in the application of the guidelines through the provision of training and advice. The objective of the CD-ROM is to preserve the IAEA's guidance on ageing management and to facilitate its retrieval, updating, extension and dissemination in order to help increase the effectiveness of ageing management at nuclear power plants

A literature review of idea management

DEFF Research Database (Denmark)

Jensen, Anna Rose Vagn

2012-01-01

The objective of the paper is primarily to conduct a state-of-the-art literature review of Idea Management and secondary to point out unanswered questions which are left behind in the reviewed literature. Scientific knowledge is primarily represented in innovation management literature but also...... considerably in literature on software and IT. On the background of the literature review, there are some weaknesses in the literature to be considered. These weaknesses concern the understanding of how people interact with idea management in their daily work practices and how different types of ideas...

Operational and materials aspects of aging management

International Nuclear Information System (INIS)

Muscara, J.; Vora, J.P.; Moyer, C.E.

2005-01-01

Understanding degradation phenomena and managing the detrimental effects of aging are important aspects of commercial nuclear power plant operations. Potential for materials degradation should be considered early in the design and development stages; during manufacturing, construction, and installation; and during all aspects of plant operation and maintenance. This would lead to increased reliability during plant operations, and would reduce the need for mitigating actions and unplanned maintenance. Thus, it is necessary to instill a culture at the technical, administrative, and management levels that continually asks, 'What happens with time?' The answer to this question is central to the continuous safe and economical operation of nuclear power plants. Based on the past 25 years of aging-related research at the U.S. Nuclear Regulatory Commission (NRC), the authors present an overview of the key elements of understanding and managing aging, and how they should be integrated for safe and economical power plant operation. The focus of this paper is hardware-oriented engineering and aging of materials. The paper discusses previous and ongoing NRC research studies on non-destructive examination and materials degradation that can be applied for proactive management of materials degradation and aging during plant operations. (author)

Plant maintenance and aging management: Are they the same?

International Nuclear Information System (INIS)

Lofaro, R.J.

1995-01-01

As part of the NRC's Nuclear Plant Aging Research Program, a number of aging studies were performed on safety-related systems and components which found that, even with current maintenance and monitoring practices in place, a large number of the reported failures are related to aging. This suggests that current practices are not sufficient to completely manage aging degradation, and other factors need to be considered. This paper examines the aging management process and the degree to which maintenance plays a part in it. Component failures and degradation mechanisms identified in aging studies of several different safety systems are summarized and evaluated, then con-elated with the components most frequently failed. This information, along with an analysis of failure causes, is then used to determine the extent to which aging is managed by current maintenance practices. Conclusions and recommendations for proper aging management arc also presented

Uranium enrichment management review: summary of analysis

International Nuclear Information System (INIS)

1981-01-01

In May 1980, the Assistant Secretary for Resource Applications within the Department of Energy requested that a group of experienced business executives be assembled to review the operation, financing, and management of the uranium enrichment enterprise as a basis for advising the Secretary of Energy. After extensive investigation, analysis, and discussion, the review group presented its findings and recommendations in a report on December 2, 1980. The following pages contain background material on which that final report was based. This report is arranged in chapters that parallel those of the uranium enrichment management review final report - chapters that contain summaries of the review group's discussion and analyses in six areas: management of operations and construction; long-range planning; marketing of enrichment services; financial management; research and development; and general management. Further information, in-depth analysis, and discussion of suggested alternative management practices are provided in five appendices

Uranium enrichment management review: summary of analysis

Energy Technology Data Exchange (ETDEWEB)

1981-01-01

In May 1980, the Assistant Secretary for Resource Applications within the Department of Energy requested that a group of experienced business executives be assembled to review the operation, financing, and management of the uranium enrichment enterprise as a basis for advising the Secretary of Energy. After extensive investigation, analysis, and discussion, the review group presented its findings and recommendations in a report on December 2, 1980. The following pages contain background material on which that final report was based. This report is arranged in chapters that parallel those of the uranium enrichment management review final report - chapters that contain summaries of the review group's discussion and analyses in six areas: management of operations and construction; long-range planning; marketing of enrichment services; financial management; research and development; and general management. Further information, in-depth analysis, and discussion of suggested alternative management practices are provided in five appendices.

Contribution of systematic reviews to management decisions.

Science.gov (United States)

Cook, Carly N; Possingham, Hugh P; Fuller, Richard A

2013-10-01

Systematic reviews comprehensively summarize evidence about the effectiveness of conservation interventions. We investigated the contribution to management decisions made by this growing body of literature. We identified 43 systematic reviews of conservation evidence, 23 of which drew some concrete conclusions relevant to management. Most reviews addressed conservation interventions relevant to policy decisions; only 35% considered practical on-the-ground management interventions. The majority of reviews covered only a small fraction of the geographic and taxonomic breadth they aimed to address (median = 13% of relevant countries and 16% of relevant taxa). The likelihood that reviews contained at least some implications for management tended to increase as geographic coverage increased and to decline as taxonomic breadth increased. These results suggest the breadth of a systematic review requires careful consideration. Reviews identified a mean of 312 relevant primary studies but excluded 88% of these because of deficiencies in design or a failure to meet other inclusion criteria. Reviews summarized on average 284 data sets and 112 years of research activity, yet the likelihood that their results had at least some implications for management did not increase as the amount of primary research summarized increased. In some cases, conclusions were elusive despite the inclusion of hundreds of data sets and years of cumulative research activity. Systematic reviews are an important part of the conservation decision making tool kit, although we believe the benefits of systematic reviews could be significantly enhanced by increasing the number of reviews focused on questions of direct relevance to on-the-ground managers; defining a more focused geographic and taxonomic breadth that better reflects available data; including a broader range of evidence types; and appraising the cost-effectiveness of interventions. © 2013 The Authors. Conservation Biology published by Wiley

Ageing management in German nuclear power plants

International Nuclear Information System (INIS)

Becker, D.E.; Reiner, M.

1998-01-01

In Germany, the term 'ageing management' comprises several aspects. A demand for a special ageing monitoring programme is not explicitly contained in the regulations. However, from the Atomic Energy Act and its regulations results the operator's obligation to perform extensive measures to maintain the quality of the plant and the operating personnel working in the plant. From this point of view, comprehensive ageing management in German nuclear power plants has taken place right from the start under the generic term of quality assurance. (author)

Recommendations for managing cutaneous disorders associated with advancing age

Directory of Open Access Journals (Sweden)

Humbert P

2016-02-01

Full Text Available Philippe Humbert,1 Brigitte Dréno,2 Jean Krutmann,3 Thomas Anton Luger,4 Raoul Triller,5 Sylvie Meaume,6 Sophie Seité71Research and Studies Centre on the Integument (CERT, Clinical Investigation Centre (CIC BT506, Department of Dermatology, Besançon University Hospital, University of Franche-Comté, Besançon, France; 2Department of Dermato-Cancerology, Nantes University Hospital, Nantes, France; 3IUF-Leibniz Research Institute for Environmental Medicine, Heinrich-Heine-University, Düsseldorf, Germany; 4Department of Dermatology, University of Münster, Münster, Germany; 5International Centre of Dermatology, Hertford British Hospital, Levallois, France; 6Geriatric Service, Wounds and Healing, Rothschild Hôspital, Paris, France; 7La Roche-Posay Dermatological Laboratories, Asnières, FranceAbstract: The increasingly aged population worldwide means more people are living with chronic diseases, reduced autonomy, and taking various medications. Health professionals should take these into consideration when managing dermatological problems in elderly patients. Accordingly, current research is investigating the dermatological problems associated with the loss of cutaneous function with age. As cell renewal slows, the physical and chemical barrier function declines, cutaneous permeability increases, and the skin becomes increasingly vulnerable to external factors. In geriatric dermatology, the consequences of cutaneous aging lead to xerosis, skin folding, moisture-associated skin damage, and impaired wound healing. These problems pose significant challenges for both the elderly and their carers. Most often, nurses manage skin care in the elderly. However, until recently, little attention has been paid to developing appropriate, evidence-based, skincare protocols. The objective of this paper is to highlight common clinical problems with aging skin and provide some appropriate advice on cosmetic protocols for managing them. A review of the

Reliability methods in nuclear power plant ageing management

International Nuclear Information System (INIS)

Simola, K.

1999-01-01

The aim of nuclear power plant ageing management is to maintain an adequate safety level throughout the lifetime of the plant. In ageing studies, the reliability of components, systems and structures is evaluated taking into account the possible time-dependent degradation. The phases of ageing analyses are generally the identification of critical components, identification and evaluation of ageing effects, and development of mitigation methods. This thesis focuses on the use of reliability methods and analyses of plant- specific operating experience in nuclear power plant ageing studies. The presented applications and method development have been related to nuclear power plants, but many of the approaches can also be applied outside the nuclear industry. The thesis consists of a summary and seven publications. The summary provides an overview of ageing management and discusses the role of reliability methods in ageing analyses. In the publications, practical applications and method development are described in more detail. The application areas at component and system level are motor-operated valves and protection automation systems, for which experience-based ageing analyses have been demonstrated. Furthermore, Bayesian ageing models for repairable components have been developed, and the management of ageing by improving maintenance practices is discussed. Recommendations for improvement of plant information management in order to facilitate ageing analyses are also given. The evaluation and mitigation of ageing effects on structural components is addressed by promoting the use of probabilistic modelling of crack growth, and developing models for evaluation of the reliability of inspection results. (orig.)

Reliability methods in nuclear power plant ageing management

Energy Technology Data Exchange (ETDEWEB)

Simola, K. [VTT Automation, Espoo (Finland). Industrial Automation

1999-07-01

The aim of nuclear power plant ageing management is to maintain an adequate safety level throughout the lifetime of the plant. In ageing studies, the reliability of components, systems and structures is evaluated taking into account the possible time-dependent degradation. The phases of ageing analyses are generally the identification of critical components, identification and evaluation of ageing effects, and development of mitigation methods. This thesis focuses on the use of reliability methods and analyses of plant- specific operating experience in nuclear power plant ageing studies. The presented applications and method development have been related to nuclear power plants, but many of the approaches can also be applied outside the nuclear industry. The thesis consists of a summary and seven publications. The summary provides an overview of ageing management and discusses the role of reliability methods in ageing analyses. In the publications, practical applications and method development are described in more detail. The application areas at component and system level are motor-operated valves and protection automation systems, for which experience-based ageing analyses have been demonstrated. Furthermore, Bayesian ageing models for repairable components have been developed, and the management of ageing by improving maintenance practices is discussed. Recommendations for improvement of plant information management in order to facilitate ageing analyses are also given. The evaluation and mitigation of ageing effects on structural components is addressed by promoting the use of probabilistic modelling of crack growth, and developing models for evaluation of the reliability of inspection results. (orig.)

Library management for the digital age a new paradigm

CERN Document Server

Todaro, Julie

2014-01-01

This revolutionary introduction to library management is the first conceived in and written for a digital age. Library Management for the Digital Age covers hierarchies, policies, communication, working relationships, facilities, human resources, settings, customer services, budgeting, and emergency management.

Qualification of Electrical Equipment in Nuclear Power Plants - Management of ageing

International Nuclear Information System (INIS)

Spaang, Kjell; Staahl, Gunnar

2013-02-01

The purpose of this report is to describe programs and tools for assessment of accomplished and documented qualification with respect to ageing of electrical equipment and for development of complimentary ageing management programs. In addition to description of complete programs for management of ageing, tools for validation of the status with regard to ageing of installed ('old') equipment and, where needed, for complementation of their qualification are also included. The report is restricted to safety related equipment containing ageing sensitive parts, mainly organic materials. To this category belong cables and cable joints and a number of equipment containing oils, seals (o-rings), etc. For equipment located in the containment, the possibilities of continuous supervision are limited. The accessibility for regular inspections is also limited in many cases. The main part of this report deals with the qualification of such equipment. Some safety related equipment outside the containment can be located in areas where they are subjected to high temperature and other excessive environmental stresses during normal operation and in areas affected by an accident. Therefore, some material is given also on qualification of equipment located outside containment with better possibilities for frequent inspection and supervision. Part 1 of the report is an executive summary with a general review of the methodologies and their application. The more detailed description of the programs and underlying material, useful data, etc. is given in Part 2

Waste management assessment and technical review programme. WATRP. An international peer review service for radioactive waste management activities

International Nuclear Information System (INIS)

1994-09-01

International Atomic Energy Agency provides international peer review services in radioactive waste management to those Member States that have established radioactive waste management programmes. Such services are provided within Waste Management Assessment and Technical Review Programme (WATRP). The main objective of WATRP is to provide international expertise and information on a requested subject in the field of radioactive waste management and to validate that programmes and activities are sound and performing well. Refs, figs and tabs

Teacher’s Instructional Behaviour in Instructional Management at Elementary School Reviewed from Piaget’s Cognitive Development Theory

OpenAIRE

Eni Astuti Ni Putu

2018-01-01

This writing aimed at (1) describing the importance of teacher to review instructional management at elementary school based on Piaget’s cognitive development theory; and (2) describing teacher’s instructional behavior in managing instructional at elementary school reviewed from Piaget’s cognitive development theory. In general, Piaget’ cognitive development theory divides children’ cognitive development into four stages. In the elementary school ages of 7 to 11 or 12 years old, Piaget classi...

Aging and the Body: A Review*

OpenAIRE

Clarke, Laura Hurd; Korotchenko, Alexandra

2011-01-01

In this article, we examine the existing sociocultural research and theory concerned with the aging body. In particular, we review the body image and embodiment literatures and discuss what is known about how older adults perceive and experience their aging bodies. We analyse how body image is shaped by age, culture, ethnicity, gender, health status, sexual preference, and social class. Additionally, we critically elucidate the embodiment literature as it pertains to illness experiences, sexu...

Qualification of Electrical Components in Nuclear Power Plants. Management of Ageing

Energy Technology Data Exchange (ETDEWEB)

Spaang, Kjell [Ingemansson Technology AB, Goeteborg (Sweden); Staahl, Gunnar [Westinghouse Atom, Vaesteraas (Sweden)

2002-05-01

This report reviews R and D results and experiences forming the bases for the preparation of a report on management of ageing. It includes basic information and descriptions of value for persons who work with the questions and some data from investigations of the ageing characteristics of various materials: limit levels, dose-rate effects, activation energies, methods for condition monitoring, etc. This report is restricted to safety related components containing ageing sensitive parts, mainly organic materials (polymers). For components located in the containment, the possibilities of continuous supervision are limited. The accessibility for regular inspections is also limited in many cases. Therefore, the main part of this report deals with the qualification of such components. In addition, some material is given on qualification located outside containment with better possibilities for frequent inspection and supervision. A survey is made of activities, programs and tools for ageing qualification in connection with initial environmental qualification (type testing) as well as after installation (condition monitoring, extension of qualified life through on-going qualification). Tools are also given for supplementary ageing qualification of already installed components.

Qualification of Electrical Components in Nuclear Power Plants. Management of Ageing

International Nuclear Information System (INIS)

Spaang, Kjell; Staahl, Gunnar

2002-05-01

This report reviews R and D results and experiences forming the bases for the preparation of a report on management of ageing. It includes basic information and descriptions of value for persons who work with the questions and some data from investigations of the ageing characteristics of various materials: limit levels, dose-rate effects, activation energies, methods for condition monitoring, etc. This report is restricted to safety related components containing ageing sensitive parts, mainly organic materials (polymers). For components located in the containment, the possibilities of continuous supervision are limited. The accessibility for regular inspections is also limited in many cases. Therefore, the main part of this report deals with the qualification of such components. In addition, some material is given on qualification located outside containment with better possibilities for frequent inspection and supervision. A survey is made of activities, programs and tools for ageing qualification in connection with initial environmental qualification (type testing) as well as after installation (condition monitoring, extension of qualified life through on-going qualification). Tools are also given for supplementary ageing qualification of already installed components

Recent advances in the management of dry age-related macular degeneration: A review.

Science.gov (United States)

Bandello, Francesco; Sacconi, Riccardo; Querques, Lea; Corbelli, Eleonora; Cicinelli, Maria Vittoria; Querques, Giuseppe

2017-01-01

Age-related macular degeneration (AMD), the most important cause of vision loss in elderly people, is a degenerative disorder of the central retina with a multifactorial etiopathology. AMD is classified in dry AMD (d-AMD) or neovascular AMD depending on the presence of choroidal neovascularization. Currently, no therapy is approved for geographic atrophy, the late form of d-AMD, because no treatment can restore the damage of retinal pigment epithelium (RPE) or photoreceptors. For this reason, all treatment approaches in d-AMD are only likely to prevent and slow down the progression of existing atrophy. This review focuses on the management of d-AMD and especially on current data about potential targets for therapies evaluated in clinical trials. Numerous examinations are available in clinics to monitor morphological changes in the retina, RPE and choroid of d-AMD patients. Fundus autofluorescence and optical coherence tomography (OCT) are considered the most useful tools in the diagnosis and follow-up of d-AMD alterations, including the monitoring of atrophy area progression. Instead, OCT-angiography is a novel imaging tool that may add further information in patients affected by d-AMD. Several pathways, including oxidative stress, deposits of lipofuscin, chronic inflammation and choroidal blood flow insufficiency, seem to play an important role in the pathogenesis of d-AMD and represent possible targets for new therapies. A great number of treatments for d-AMD are under investigation with promising results in preliminary studies. However, only few of these drugs will enter the market, offering a therapeutic chance to patients affected by the dry form of AMD and help them to preserve a good visual acuity. Further studies with a long-term follow-up would be important to test the real safety and efficacy of drugs under investigation.

Ageing management and knowledge base for safe long-term operation of japanese light water reactors

International Nuclear Information System (INIS)

Sekimura, N.

2008-01-01

There are 55 operating commercial light water reactor plants (32 BWRs and 23 PWRs) in Japan. Twelve (12) plants have been operating for more than 30 years. Utility companies are required to perform an 'Ageing Management Technical Assessment' be-fore the end of 30 years operation of each plant. The assessments for each plant have been evaluated by the Nuclear and Industry Safety Agency (NISA) of the Ministry of Economy Trade and Industry (WTI) for these 12 plants. The Japan Nuclear Energy Safety Organisation (JNES) has compiled Technical Review Manuals for six major degradation phenomena for the evaluation of Ageing Management Technical Assessment. A 'Road-map for Ageing and Plant Life Management' was established in 2005 by the Special Committee in the Atomic Energy Society of Japan under the commission from the JNES. Within the framework of the road-map, the major research and development fields are divided into the following four categories: 1) engineering information systems; 2) research and development of technologies for inspection, evaluation and repair of the components and materials; 3) development of codes and standards; 4) synthesised maintenance engineering. Continuous revision of the 'Strategy Maps for Ageing Management and Safe Long-term Operation' has been performed under the Coordinating Committee of Ageing Management to promote research and development activities by industries, government and academia, effectively and efficiently. Systematic development of the information basis for database and knowledge-base has been undertaken in addition to the development of codes and standards by academic societies through intensive domestic safety research collaborations and international collaboration. (author)

Safe management of NPP ageing in European union

International Nuclear Information System (INIS)

Grandemange, J.M.; Saurin, P.; Morel, A.; Delaye, D.; Francia, L.; Wacquier, W.; Morlent, O.

2001-01-01

The paper presents the results of a study conducted by Framatome, EDF, Belgatom, Unesa and IPSN, with the support of the European Commission in order to evaluate the practices and provide recommendations for the development of a methodology to monitor, control and anticipate the ageing of Nuclear Islands, in order to maintain their level of safety during the whole NPP life cycle. The study includes a synthesis of available European and International reports, the identification of potential ageing mechanisms, their effects and the available identification and mitigation methods, and an evaluation of the existing ageing management practices in Belgium, France and Spain, using international recommendations as guidance documents. Recommendations are proposed on regulatory aspects, management, prediction, detection, follow, mitigation of physical ageing, human management and adaptation of safety culture and procedures. (author)

Medical Management of Oral Lichen Planus: A Systematic Review

Science.gov (United States)

Chokshi, Krunal; Desai, Sachin; Malu, Rahul; Chokshi, Achala

2016-01-01

Introduction Oral Lichen Planus (OLP) is a chronic inflammatory, T-cell-mediated autoimmune oral mucosal disease with unclear aetiology. The clinical management of OLP poses considerable difficulties to the oral physician. Aim The aim was to assess the efficacy of any form of intervention used to medically manage OLP. Materials and Methods We searched and analysed the following databases (from January 1990 to December 2014):- Cochrane Oral Health Group Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE. All Randomised Controlled Trials (RCTs) for the medical management of OLP which compared active treatment with placebo or between active treatments were considered in this systematic review. Participants of any age, gender or race having symptomatic OLP (including mixed forms), unconnected to any identifiable cause (e.g. lichenoid drug reactions) and confirmed by histopathology have been included. Interventions of all types, including topical treatments or systemic drugs of variable dosage, duration & frequency of delivery have been considered. All the trials identified were appraised by five review authors and the data for all the trials were synthesised using specifically designed data extraction form. Binary data has been presented as risk ratios (RR) with 95% confidence intervals (CI) and continuous data as mean differences (MD) with 95% CIs. Results A total of 35 RCTs were included in this systematic review on medical management of OLP. No strong evidence suggesting superiority of any specific intervention in reducing pain and clinical signs of OLP were shown by the RCTs included here. Conclusion Future RCTs on a larger scale, adopting standardized outcome assessing parameters should be considered. PMID:27042598

Aging integumentary system. Podiatric review.

Science.gov (United States)

Muehlman, C; Rahimi, F

1990-11-01

The authors present a concise review of age-related changes that occur in the skin and its derivatives, as they pertain to the podiatric practitioner. A brief discussion of wound healing and several common skin disorders that affect the elderly is also included.

Ageing Management in the CENM Triga Mark II Research Reactor

Energy Technology Data Exchange (ETDEWEB)

El Younoussi, C.; Nacir, B.; El Bakkari, B.; Boulaich, Y. [Centre for Nuclear Studies of Maâmora (CENM), National Centre of Energy Sciences and Nuclear Techniques (CNESTEN), Rabat (Morocco)

2014-08-15

Physical ageing is one of the most important factors that may reduce the safety margins calculated in the design of safety system components of a research reactor. In this context, special efforts are necessary for ensuring the safety of research reactors through appropriate ageing management actions. The paper deals with the overall aspects of the ageing management system of the Moroccan TRIGA Mark II research reactor. The management system covers among others, management of structures, critical components inspections, the control command system and nuclear instrumentation verification. The paper presents also how maintenance and periodic testing are organized and managed in the reactor module. Practical examples of ageing management actions of some systems and components during recent years are presented. (author)

Aging management guideline for commercial nuclear power plants-pumps

International Nuclear Information System (INIS)

Booker, S.; Katz, D.; Daavettila, N.; Lehnert, D.

1994-03-01

This Aging Management Guideline (AMG) describes recommended methods for effective detection and mitigation of age-related degradation mechanisms in BWR and PWR commercial nuclear power plant pumps important to license renewal. The intent of this AMG is to assist plant maintenance and operations personnel in maximizing the safe, useful life of these components. It also supports the documentation of effective aging management programs required under the License Renewal Rule 10 CFR Part 54. This AMG is presented in a manner that allows personnel responsible for performance analysis and maintenance to compare their plant-specific aging mechanisms (expected or already experienced) and aging management program activities to the more generic results and recommendations presented herein

Aging management guideline for commercial nuclear power plants-pumps

Energy Technology Data Exchange (ETDEWEB)

Booker, S.; Katz, D.; Daavettila, N.; Lehnert, D. [MDC-Ogden Environmental and Energy Services, Southfield, MI (United States)

1994-03-01

This Aging Management Guideline (AMG) describes recommended methods for effective detection and mitigation of age-related degradation mechanisms in BWR and PWR commercial nuclear power plant pumps important to license renewal. The intent of this AMG is to assist plant maintenance and operations personnel in maximizing the safe, useful life of these components. It also supports the documentation of effective aging management programs required under the License Renewal Rule 10 CFR Part 54. This AMG is presented in a manner that allows personnel responsible for performance analysis and maintenance to compare their plant-specific aging mechanisms (expected or already experienced) and aging management program activities to the more generic results and recommendations presented herein.

Ageing management database development for PWR NPP steam generator

International Nuclear Information System (INIS)

Liu Hongyun; Xu Liangjun; Xiong Changhuai; Wang Xianyuan

2005-01-01

Steam generator (SG) is one of the key safe important equipment of NPP, which is covered by NPP aging management program. Steam Generator Aging Management Dabatase (SGAMDB) is developed to provide necessary information for SG aging management. RINPO is developing SGAMDB for domestic NPP. This system contains information and data about SG design, manufacture, operation and maintenance. The information include NPP fundamental data, SG design data, SG aging mechanism, SG operation data, SG ISI data, SG maintenance data and SG evaluation interface. The system runs at the intranet of Qinshan-1 NPP with B/S mode. It can provide information inquire and fundamental analysis for NPP SG aging team and SG aging researcher's. In addition, it provides necessary information and data for SG aging analysis and evaluation, such as all pressure test process and flaws of tubes, and collects the analysis results. (authors)

Aging management and life extension - Containment aging study

International Nuclear Information System (INIS)

Tai, Tom M.; Deng, Daniel

2004-01-01

Bechtel is currently completing an aging study on a concrete containment structure. The target plant is a two-unit PWR plant with a generating capacity of about 850 MWe from each unit. Both units are less than 20 years old. The total electrical energy output from this plant site accounts for more than 50% of the utility's baseload operation. Although no utility in the United States has made a decision to submit a license renewal application, some have begun to investigate the feasibility of developing an life cycle management (LCM) program for a strategy to operate their plants efficiently, to investigate the financial benefit and safety implications of license renewal to operate their nuclear power plants beyond their current licensed periods, and to prepare a program plan for plant decommissioning. The LCM program includes economic, environmental, regulatory and technical aspects of continuing plant operations beyond the current license period. The Electric Power Research Institute (EPRI) has been supportive to assist utilities and owners groups in their research and development efforts to develop the technical requirements and the issues associated with important to license renewal structures. The focus of this paper is on the technical issues related to the evaluation of the material condition of the containment structure with respect to aging and the effective management of that aging. (author)

Leadership and Registered Nurses (RNs) working after-hours in Residential Aged Care Facilities (RACFs): A structured literature review.

Science.gov (United States)

Nhongo, Dorika; Hendricks, Joyce; Bradshaw, Julie; Bail, Kasia

2018-06-12

Registered nurses (RNs) working in Residential Aged Care Facilities are required to undertake complex management tasks including leading nursing care teams, supervising non-nursing staff, and allocating workloads according to residents' care needs, staff skills and experience. Registered nurses plan, assess, manage medication, evaluate each resident's care, liaise with doctors and allied health professionals and are responsible for evidence-based practice in accordance with the Nursing Standards for Practice (2016). Researchers have commented that effective nurse leadership can improve quality of care, improved resident outcomes and reduce adverse events. The aim of this literature review is to synthesise and analyse the literature pertinent to the RN's competence and confidence to undertake the leadership role when working in residential aged care facilities after-hours and to determine any association of leadership with quality resident outcomes. A review of original research papers based on the structured methodology described by Kable, Pich and Maslin-Prothero (2012). The review was conducted according to the 12-step structured framework by Kable et al. (2012). The search included peer-reviewed papers published between 2002 and 2017 on RN leadership after-hours, factors contributing to or with relationships to nursing leadership. Nineteen papers were found that researched the impact of leadership in aged care settings. The literature review concluded that nursing leadership has been linked to the quality of care and clinical outcomes in the aged care setting. However, RNs in the aged care setting have limited opportunities to develop key leadership competencies and confidence in order to meet the many challenges found in this environment due to lack of access to aged-care-specific leadership education. Minimal publications address the importance of the leadership of after-hours RNs. Results from this literature review will inform future research in this area

Assessment and management of ageing of electrical instrumentation and control cables

Energy Technology Data Exchange (ETDEWEB)

Pachner, J. [International Atomic Energy Agency IAEA, Vienna (Austria); Burnay, S.G. [John Knott Associates Ltd., Newbury (United Kingdom)

2001-07-01

This paper presents a summary of the results of an IAEA Co-ordinated Research Project (CRP) on Management of Ageing of In-containment Instrumentation and Control (I and C) Cables addressing current practices and techniques for assessing and managing ageing degradation of cables in real nuclear power plant (NPP) environments. These practices and techniques include environmental qualification, identification of cables of concern, condition monitoring, and predictive modelling. The paper shows how they should be integrated within a plant-specific ageing management programme utilising a systematic ageing management process, which is an adaptation of Deming Plan-Do-Check-Act cycle to ageing management. (author)

Assessment and management of ageing of electrical instrumentation and control cables

International Nuclear Information System (INIS)

Pachner, J.; Burnay, S.G.

2001-01-01

This paper presents a summary of the results of an IAEA Co-ordinated Research Project (CRP) on Management of Ageing of In-containment Instrumentation and Control (I and C) Cables addressing current practices and techniques for assessing and managing ageing degradation of cables in real nuclear power plant (NPP) environments. These practices and techniques include environmental qualification, identification of cables of concern, condition monitoring, and predictive modelling. The paper shows how they should be integrated within a plant-specific ageing management programme utilising a systematic ageing management process, which is an adaptation of Deming Plan-Do-Check-Act cycle to ageing management. (author)

Intensive gestational glycemic management and childhood obesity: a systematic review and meta-analysis.

Science.gov (United States)

Guillemette, L; Durksen, A; Rabbani, R; Zarychanski, R; Abou-Setta, A M; Duhamel, T A; McGavock, J M; Wicklow, B

2017-07-01

Hyperglycemia in pregnancy is associated with increased risk of offspring childhood obesity. Treatment reduces macrosomia; however, it is unclear if this effect translates into a reduced risk of childhood obesity. We performed a systematic review and meta-analysis of randomized controlled trials to evaluate the efficacy and safety of intensive glycemic management in pregnancy in preventing childhood obesity. We searched MEDLINE, EMBASE, CENTRAL and ClinicalTrials.gov up to February 2016 and conference abstracts from 2010 to 2015. Two reviewers independently identified randomized controlled trials evaluating intensive glycemic management interventions for hyperglycemia in pregnancy and included four of the 383 citations initially identified. Two reviewers independently extracted study data and evaluated internal validity of the studies using the Cochrane Collaboration's Risk of Bias tool. Data were pooled using random-effects models. Statistical heterogeneity was quantified using the I 2 test. The primary outcome was age- and sex-adjusted childhood obesity. Secondary outcomes included childhood weight and waist circumference and maternal hypoglycemia during the trial (safety outcome). The four eligible trials (n=767 children) similarly used lifestyle and insulin to manage gestational hyperglycemia, but only two measured offspring obesity and waist circumference and could be pooled for these outcomes. We found no association between intensive gestational glucose management and childhood obesity at 7-10 years of age (relative risk 0.89, 95% confidence interval (CI) 0.65 to 1.22; two trials; n=568 children). Waist circumference also did not differ between treatment and control arms (mean difference, -2.68 cm; 95% CI, -8.17 to 2.81 cm; two trials; n=568 children). Intensive gestational glycemic management is not associated with reduced childhood obesity in offspring, but randomized data is scarce. Long-term follow-up of trials should be prioritized and comprehensive

A review of the time management literature

NARCIS (Netherlands)

Claessens, B.J.C.; van Eerde, W.; Rutte, C.G.; Roe, R.A.

2007-01-01

Purpose - The purpose of this article is to provide an overview for those interested in the current state-of-the-art in time management research. Design/methodology/approach - This review includes 32 empirical studies on time management conducted between 1982 and 2004. Findings - The review

Clinical review: Management of difficult airways

Science.gov (United States)

Langeron, Olivier; Amour, Julien; Vivien, Benoît; Aubrun, Frédéric

2006-01-01

Difficulties or failure in airway management are still important factors in morbidity and mortality related to anesthesia and intensive care. A patent and secure airway is essential to manage anesthetized or critically ill patients. Oxygenation maintenance during tracheal intubation is the cornerstone of difficult airway management and is always emphasized in guidelines. The occurrence of respiratory adverse events has decreased in claims for injuries due to inadequate airway management mainly at induction of anesthesia. Nevertheless, claim reports emphasize that airway emergencies, tracheal extubation and/or recovery of anesthesia phases are still associated with death or brain damage, indicating that additional educational support and management strategies to improve patient safety are required. The present brief review analyses specific problems of airway management related to difficult tracheal intubation and to difficult mask ventilation prediction. The review will focus on basic airway management including preoxygenation, and on some oxygenation and tracheal intubation techniques that may be performed to solve a difficult airway. PMID:17184555

Clinical review: management of difficult airways.

Science.gov (United States)

Langeron, Olivier; Amour, Julien; Vivien, Benoît; Aubrun, Frédéric

2006-01-01

Difficulties or failure in airway management are still important factors in morbidity and mortality related to anesthesia and intensive care. A patent and secure airway is essential to manage anesthetized or critically ill patients. Oxygenation maintenance during tracheal intubation is the cornerstone of difficult airway management and is always emphasized in guidelines. The occurrence of respiratory adverse events has decreased in claims for injuries due to inadequate airway management mainly at induction of anesthesia. Nevertheless, claim reports emphasize that airway emergencies, tracheal extubation and/or recovery of anesthesia phases are still associated with death or brain damage, indicating that additional educational support and management strategies to improve patient safety are required. The present brief review analyses specific problems of airway management related to difficult tracheal intubation and to difficult mask ventilation prediction. The review will focus on basic airway management including preoxygenation, and on some oxygenation and tracheal intubation techniques that may be performed to solve a difficult airway.

Uranium enrichment management review. Final report

International Nuclear Information System (INIS)

Ellett, J.D.; Rieke, W.B.; Simpson, J.W.; Sullivan, P.E.

1980-01-01

The uranium enrichment enterprise of the US Department of Energy (DOE) provides enriched nuclear fuel for private and government utilities domestically and abroad. The enterprise, in effect, provides a commercial service and represents a signficant business operation within the US government: more than $1 billion in revenues annually and future capital expenditures estimated at several billions of dollars. As a result, in May 1980, the Assistant Secretary for Resource Applications within DOE requested that a group of experienced business executives be assembled to review the operation, financing, and management of the uranium enrichment enterprise as a basis for advising the Secretary of Energy. The review group was specifically asked to focus on the management activities to which sound business practices could be applied. The group developed findings and recommendations in six areas: management of operations and construction; long-range planning; marketing of enrichment services; financial management; research and development; and general management. The chapters of this report present first the management review group's recommendations in the six areas evaluated and then the findings and issues in each area. An appendix provides the group's calendar of meetings. A list of major reference sources used in the course of the study is also included. 12 references

Cable aging management

International Nuclear Information System (INIS)

Anandkumaran, A.; Sedding, H.

2012-01-01

Worldwide, due to the age of the majority of nuclear generating stations significant attention is being paid to the condition of the major components, e.g., reactor, steam generator, turbine generator, transformer, etc., with respect to relicensing and life extension. However, there is recognition that cable systems are critical to the safe, reliable and economic operation of nuclear power plants. Consequently, there is great interest in ageing management of low and medium voltage cables in the nuclear environment. Successful implementation of such programs requires an understanding of how the materials associated with cables and their accessories behave under normal operating and accident conditions. However, there is also a great need to determine the actual condition of the materials and systems in order to make rational decisions on whether or not to replace cables to ensure long term assurance of reliable operation. This proposed contribution describes an approach to cable ageing management of low and medium voltage cables based on measurements of material and electrical properties obtained in the laboratory and in the field. The effectiveness of various chemical, mechanical and electrical test methods are discussed in the context of, • Cable configuration, i.e., low or medium voltage, shielded or unshielded • Material type, i.e., PVC, XLPE, EPR, etc., • Ageing stress, i.e., electrical, thermal, radiation, thermal plus radiation, etc. These factors are key to identifying the most appropriate test method (or methods) to enable understanding of the current condition of the cable. While electrical test methods, e.g., ac withstand testing, partial discharge and various dielectric loss measurement techniques have been found effective for medium voltage cables, they are of very limited use on low voltage cables that constitute the majority of cables in nuclear power plants. This limited effectiveness is due to the lack of a well defined ground plane that is a

Regulatory Aspect of an Ageing Management Program

International Nuclear Information System (INIS)

Basic, I.; Zabric, I.; Savli, S.

2006-01-01

The aspects of plant ageing management (AM) gained increasing attention over the last ten years. Numerous technical studies have been performed to study the impact of ageing mechanisms on the safe and reliable operation of nuclear power plants. National research activities have been initiated or are in progress to provide the technical basis for decision making processes. The long-term operation of nuclear power plants is influenced by economic considerations, the socio-economic environment including public acceptance, developments in research and the regulatory framework, the availability of technical infrastructure to maintain and service the systems, structures and components as well as qualified personnel. Besides national activities there are a number of international activities in particular under the umbrella of the IAEA, the OECD and the EU. The paper will provide the summary on Nuclear Plant Life Management (PLIM) (or Ageing Management Program (AMP)) and Plant Life Extension (PLEX) development in USA and European countries. Also, insights from such effort currently performing in Slovenia will be discussed.(author)

A review of the time management literature

NARCIS (Netherlands)

Claessens, B.J.C.; Eerde, van W.; Rutte, C.G.; Roe, R.A.

2007-01-01

Purpose – The purpose of this article is to provide an overview for those interested in the current state-of-the-art in time management research. Design/methodology/approach – This review includes 32 empirical studies on time management conducted between 1982 and 2004. Findings – The review

A review of anthropological approaches to ageing

OpenAIRE

Kaczmarek, Maria; Szwed, Anita

1997-01-01

It is evident that the pattern of ageing among humans has a unique character. Therefore, when undertaking any research on human ageing one has to specify a proper methodology and methods which are available in the anthropological perspective. The paper is aimed at providing a review of anthropological approaches to the study of ageing. On the basis of the meaning and scope of the concept of ageing, its sources and causal factors are discussed. Further, functional, physiological an...

10 CFR 473.22 - Initial review by manager.

Science.gov (United States)

2010-01-01

... 10 Energy 3 2010-01-01 2010-01-01 false Initial review by manager. 473.22 Section 473.22 Energy... Certification of Grants, Cooperative Agreements, Contracts, and Projects § 473.22 Initial review by manager. (a) Upon expiration of the time for filing information under these regulations, the manager shall— (1...

Radioactive waste management: International peer reviews

International Nuclear Information System (INIS)

Warnecke, E.; Bonne, A.

1995-01-01

The Agency's peer review service for radioactive waste management - known as the Waste Management Assessment and Technical Review Programme (WATRP) - started in 1989, building upon earlier types of advisory programmes. WATRP's international experts today provide advice and guidance on proposed or ongoing radioactive waste management programmes; planning, operation, or decommissioning of waste facilities; or on legislative, organizational, and regulatory matters. Specific topics often cover waste conditioning, storage, and disposal concepts or facilities; or technical and other aspects of ongoing or planned research and development programmes. The missions can thus contributed to improving waste management systems and plans, and in raising levels of public confidence in them, as part of IAEA efforts to assist countries in the safe management of radioactive wastes. This article presents a brief overview of recent WATRP missions in Norway, Slovak Republic, Czech Republic and Finland

Ageing Management Program Database

International Nuclear Information System (INIS)

Basic, I.; Vrbanic, I.; Zabric, I.; Savli, S.

2008-01-01

The aspects of plant ageing management (AM) gained increasing attention over the last ten years. Numerous technical studies have been performed to study the impact of ageing mechanisms on the safe and reliable operation of nuclear power plants. National research activities have been initiated or are in progress to provide the technical basis for decision making processes. The long-term operation of nuclear power plants is influenced by economic considerations, the socio-economic environment including public acceptance, developments in research and the regulatory framework, the availability of technical infrastructure to maintain and service the systems, structures and components as well as qualified personnel. Besides national activities there are a number of international activities in particular under the umbrella of the IAEA, the OECD and the EU. The paper discusses the process, procedure and database developed for Slovenian Nuclear Safety Administration (SNSA) surveillance of ageing process of Nuclear power Plant Krsko.(author)

Teaching Pain Management to Student Nurses: A Literature Review

Directory of Open Access Journals (Sweden)

Ekatrina Wijayanti

2014-04-01

Full Text Available Purpose: To provide nursing students knowledge of pain prior, during, and post- surgery, recovery and rehabilitation. Methods: Review articles published during 2005 until 2012 that focused on pain assessment and pain management. The databases used in this study were Medline and CINAHL.Results: Postoperative pains need special approach and care. It needs teach patient how to adapt pain, control pain, monitor result of treatment. Conclusion: Nursing students need to learn how to assess pain using appropriate tools for each age level and in patients with special needs. The students also need to learn about pain management including pharmacology and non-pharmacology means and consider pain as the fifth vital sign. As student nurses learn pain assessment, they should be considerate about culture, and different languages that might happen during practical rotations.

Development of the ageing management database of PUSPATI TRIGA reactor

Energy Technology Data Exchange (ETDEWEB)

Ramli, Nurhayati, E-mail: nurhayati@nm.gov.my; Tom, Phongsakorn Prak; Husain, Nurfazila; Farid, Mohd Fairus Abd; Ramli, Shaharum [Reactor Technology Centre, Malaysian Nuclear Agency, MOSTI, Bangi, 43000 Kajang, Selangor (Malaysia); Maskin, Mazleha [Science Program, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Selangor (Malaysia); Adnan, Amirul Syazwan; Abidin, Nurul Husna Zainal [Faculty of Petroleum and Renewable Energy Engineering, Universiti Teknologi Malaysia (Malaysia)

2016-01-22

Since its first criticality in 1982, PUSPATI TRIGA Reactor (RTP) has been operated for more than 30 years. As RTP become older, ageing problems have been seen to be the prominent issues. In addressing the ageing issues, an Ageing Management (AgeM) database for managing related ageing matters was systematically developed. This paper presents the development of AgeM database taking into account all RTP major Systems, Structures and Components (SSCs) and ageing mechanism of these SSCs through the system surveillance program.

Age Management in Danish Companies: What, How, and How Much?

Directory of Open Access Journals (Sweden)

Per H. Jensen

2012-08-01

Full Text Available This article investigates Danish employers’ behavior in the area of active aging, which is made topical by demographic aging. It describes age management practices and explains why some companies are more prone to employ age management than others. The study is based on a survey conducted among a representative sample of Danish employers, and 609 interviews in total have been carried out. Data have been scrutinized using frequency analysis for descriptive purposes as well as binary logistic regression analysis for explanatory purposes. Findings indicate that structural, cognitive, and action-oriented variables have significance for whether companies develop and employ active age management policies.

Aging management guideline for commercial nuclear power plants - heat exchangers

International Nuclear Information System (INIS)

Booker, S.; Lehnert, D.; Daavettila, N.; Palop, E.

1994-06-01

This Aging Management Guideline (AMG) describes recommended methods for effective detection and mitigation of age-related degradation mechanisms in commercial nuclear power plant heat exchangers important to license renewal. The intent of this AMG is to assist plant maintenance and operations personnel in maximizing the safe, useful life of these components. It also supports the documentation of effective aging management programs required under the License Renewal Rule 10 CFR 54. This AMG is presented in a manner that allows personnel responsible for performance analysis and maintenance to compare their plant-specific aging mechanisms (expected or already experienced) and aging management program activities to the more generic results and recommendations presented herein

Aging management guideline for commercial nuclear power plants - heat exchangers

Energy Technology Data Exchange (ETDEWEB)

Booker, S.; Lehnert, D.; Daavettila, N.; Palop, E.

1994-06-01

This Aging Management Guideline (AMG) describes recommended methods for effective detection and mitigation of age-related degradation mechanisms in commercial nuclear power plant heat exchangers important to license renewal. The intent of this AMG is to assist plant maintenance and operations personnel in maximizing the safe, useful life of these components. It also supports the documentation of effective aging management programs required under the License Renewal Rule 10 CFR 54. This AMG is presented in a manner that allows personnel responsible for performance analysis and maintenance to compare their plant-specific aging mechanisms (expected or already experienced) and aging management program activities to the more generic results and recommendations presented herein.

Managing aging in nuclear power plants: Insights from NRC maintenance team inspection reports

Energy Technology Data Exchange (ETDEWEB)

Fresco, A.; Subudhi, M.; Gunther, W.; Grove, E.; Taylor, J. [Brookhaven National Lab., Upton, NY (United States)

1993-12-01

A plant`s maintenance program is the principal vehicle through which age-related degradation is managed. From 1988 to 1991, the NRC evaluated the maintenance program of every nuclear power plant in the United States. Forty-four out of a total of 67 of the reports issued on these in-depth team inspections were reviewed for insights into the strengths and weaknesses of the programs as related to the need to understand and manage the effects of aging on nuclear plant systems, structures, and components. Relevant information was extracted from these inspection reports and sorted into several categories, including Specific Aging Insights, Preventive Maintenance, Predictive Maintenance and Condition Monitoring, Post Maintenance Testing, Failure Trending, Root Cause Analysis and Usage of Probabilistic Risk Assessment in the Maintenance Process. Specific examples of inspection and monitoring techniques successfully used by utilities to detect degradation due to aging have been identified. The information also was sorted according to systems and components, including: Auxiliary Feedwater, Main Feedwater, High Pressure Injection for both BWRs and PWRs, Service Water, Instrument Air, and Emergency Diesel Generator Air Start Systems, and Emergency Diesel Generators Air Start Systems, emergency diesel generators, electrical components such as switchgear, breakers, relays, and motor control centers, motor operated valves and check valves. This information was compared to insights gained from the Nuclear Plant Aging Research (NPAR) Program. Attributes of plant maintenance programs where the NRC inspectors felt that improvement was needed to properly address the aging issue also are discussed.

Development of the regulatory guide on the management of aging for the operating NPP

International Nuclear Information System (INIS)

Shin, Tae Myung; Lee, Jae Kyung; Byeon, Chang Soo; Kim, Hyo Soo; Kim, Young Ryul; Eun, Hui Kwang

2000-03-01

this is the first final report, and it includes the analysis of PSR regulation status for the operating NPP of foreign countries and thus established scope and method of Korean PSR. The detailed requirements of aging management, as one of the most important factors, is planned to be dealt in the second final report, The result of study so far can be summarized as below, The necessity and feasibility of domestic PSR application is confirmed through the investigation, comparison and review of PSR implementation and regulation status in foreign countries, And, detailed analysis of vaseline guidelines of IAEA performed to establish a skeleton of desirable safety review guideline for Korean NPP. Our own objectives, scope and strategy of review for PWR are roughly set up form factor by factor analysis of PSR implementation experience in foreign countries and background of IAEA guidelines. The essential elements of review for each PSR safety factors are classified and proposed. For efficient review of proposed safety factors and elements, three different option of framework for PSR guidelines are proposed and compared. Through analysis of strength safety factors and elements, three different options of framework for PSR guidelines are proposed and compared. Through analysis of strength and weakness of the three optional frameworks proposed for Korean PSR guideline, the third one is recommended as the best for both owner and regulator. By maintaining the current framework of SAR at maximum and, at the same time, referring the basic concept of IAEA PSR guide, the detailed contents and its review elements are chosen. The standards on the aging was proposed preliminarily for the application of aging evaluation in PSR

Development of the regulatory guide on the management of aging for the operating NPP

Energy Technology Data Exchange (ETDEWEB)

Shin, Tae Myung; Lee, Jae Kyung; Byeon, Chang Soo; Kim, Hyo Soo [Chungju Univ., Cheongju (Korea, Republic of); Kim, Young Ryul; Eun, Hui Kwang [Korea Advanced Institute of Science and Technology, Taejon (Korea, Republic of)

2000-03-15

this is the first final report, and it includes the analysis of PSR regulation status for the operating NPP of foreign countries and thus established scope and method of Korean PSR. The detailed requirements of aging management, as one of the most important factors, is planned to be dealt in the second final report, The result of study so far can be summarized as below, The necessity and feasibility of domestic PSR application is confirmed through the investigation, comparison and review of PSR implementation and regulation status in foreign countries, And, detailed analysis of vaseline guidelines of IAEA performed to establish a skeleton of desirable safety review guideline for Korean NPP. Our own objectives, scope and strategy of review for PWR are roughly set up form factor by factor analysis of PSR implementation experience in foreign countries and background of IAEA guidelines. The essential elements of review for each PSR safety factors are classified and proposed. For efficient review of proposed safety factors and elements, three different option of framework for PSR guidelines are proposed and compared. Through analysis of strength safety factors and elements, three different options of framework for PSR guidelines are proposed and compared. Through analysis of strength and weakness of the three optional frameworks proposed for Korean PSR guideline, the third one is recommended as the best for both owner and regulator. By maintaining the current framework of SAR at maximum and, at the same time, referring the basic concept of IAEA PSR guide, the detailed contents and its review elements are chosen. The standards on the aging was proposed preliminarily for the application of aging evaluation in PSR.

Life Cycle Management Managing the Aging of Critical Nuclear Plant Components

International Nuclear Information System (INIS)

Meyer, Theodore A.; Elder, G. Gary; Llovet, Ricardo

2002-01-01

Life Cycle Management is a structured process to manage equipment aging and long-term equipment reliability for nuclear plant Systems, Structures and Components (SSCs). The process enables the identification of effective repair, replace, inspect, test and maintenance activities and the optimal timing of the activities to maximize the economic value to the nuclear plant. This paper will provide an overview of the process and some of the tools that can be used to implement the process for the SSCs deemed critical to plant safety and performance objectives. As nuclear plants strive to reduce costs, extend life and maximize revenue, the LCM process and the supporting tools summarized in this paper can enable development of a long term, cost efficient plan to manage the aging of the plant SSCs. (authors)

Safety implications of diesel generator aging management

International Nuclear Information System (INIS)

Hoopingarner, K.R.

1989-01-01

Significant safety improvements can be achieved in diesel-generator management related to aging, testing, and other important regulatory concerns. This paper reports on the progress of aging research related to nuclear service diesel generators, which developed data and information supporting the recommended safety improvements. The key to diesel-generator safety improvements is the development of a new balanced approach where testing, inspections, monitoring and trending, training, and maintenance all have appropriate importance. Safety improvement is projected in a management program that concurrently achieves three goals: first, the reduction of the fast-start stressor by regulatory and utility actions; second, the establishment of more appropriate testing and trending procedures; third, the adoption and use of reliability-centered maintenance activities. This paper describes the recommended safety improvements and the positive role of utility management in the process and outlines a new recommended regulatory approach. Diesel generator aging and wear is the subject of research sponsored by the Nuclear Plant Aging Research (NPAR) Program under the US Nuclear Regulatory Commission (NRC). Office of Nuclear Regulatory Research. The research was conducted by Pacific Northwest Laboratory (PNL), which is operated for the US Department of Energy by Battelle Memorial Institute. 4 refs., 1 fig., 1 tab

Equipment and building structures ageing management for WWER type NPPs

International Nuclear Information System (INIS)

Mayboroda, O.

2001-01-01

This report presents the working group 'Equipment and building structures ageing management for WWER type NPPs' activities. The analysis of experience in ageing management, recommendations for regulatory guidelines on ageing management, investigation of case studies, definition suitable communication channels among regulators for ageing related data are given. Analyses of water chemistry, inspection data (safety margins criteria), plugging criteria, volume and time of ECT implementation in all WWER countries are presented. The results of Working group activity show that it is advisable to concentrate efforts on: set up the permanent communication channel among regulators, collection of regulatory criteria for WWER type NPP key components based on understanding of ageing mechanisms and data collection

Aging management guideline for commercial nuclear power plants-stationary batteries

International Nuclear Information System (INIS)

Berg, R.; Shao, J.; Krencicki, G.; Giachetti, R.

1994-03-01

The Aging Management Guideline (AMG) describes recommended methods for effective detection and mitigation of age-related degradation mechanisms in BWR and PWR commercial nuclear power plant stationary batteries important to license renewal. The intent of this AMG is to assist plant maintenance and operations personnel in maximizing the safe, useful life of these components. It also supports the documentation of effective aging management programs required under the License Renewal Rule 10 CFR Part 54. This AMG is presented in a manner that allows personnel responsible for performance analysis and maintenance to compare their plant-specific aging mechanisms (expected or already experienced) and aging management program activities to the more generic results and recommendations presented herein

Aging Management Guideline for commercial nuclear power plants: Electrical switchgear

International Nuclear Information System (INIS)

Toman, G.; Gazdzinski, R.; Schuler, K.

1993-07-01

This Aging Management Guideline (AMG) provides recommended methods for effective detection and mitigation of age-related degradation mechanisms in BWR and PWR commercial nuclear power plant electrical switchgear important to license renewal. The latent of this AMG to assist plant maintenance and operations personnel in maximizing the safe, useful life of these components. It also supports the documentation of effective aging management programs required under the License Renewal Rule 10 CFR Part 54. This AMG is presented in a manner which allows personnel responsible for performance analysis and maintenance, to compare their plant-specific aging mechanisms (expected or already experienced) and aging management program activities to the more generic results and recommendations presented herein

Do Aging Factors Influence the Clinical Presentation and Management of Chronic Rhinosinusitis?

Science.gov (United States)

Renteria, Axel E; Mfuna Endam, Leandra; Desrosiers, Martin

2017-04-01

Objective/Hypothesis Chronic rhinosinusitis (CRS) is a complex inflammatory disease of the upper respiratory airways resulting from the dysregulation of immunity and epithelial defenses. More recently, the contribution of an altered nasal microbiome to the development of CRS has also been proposed. However, the impact of aging on the development of CRS has been long overlooked. Here we propose, in a hypothesis piece, that aging can influence the physiopathology of CRS and its subsequent management in an elderly population. Data Sources We summarize the recent literature findings supporting that elderly patients with CRS could be a distinct population from those with adult CRS and might require different or adjunct therapeutic approaches. Methods Review of recent literature of the effect of aging and its possible effects in CRS using 3 different databases. Conclusions Age-dependent decrease in the levels of the S100 family proteins involved in epithelial proliferation, repair, and defenses combined with chronic inflammation might lead to an increased risk of abnormal microbial colonization and loss of microbiota diversity. Ultimately, these changes could have the potential to alter the physiopathology of CRS in the elderly. Implications Unlike in adults, in whom CRS T h 2-skewed responses with eosinophilia are thought to play a critical role, in aging populations, a microbiome and epithelial barrier dysfunctions may instead be the pivotal agents of disease development and persistence. This supports that therapies for elderly patients may require a different management or additional targeted therapies to control the disease. Prospective studies, however, are necessary to validate this concept.

8 Different approaches needed to manage ED demand among different age-groups.

Science.gov (United States)

Rimmer, Melanie; Ablard, Suzanne; O'Keeffe, Colin; Mason, Suzanne

2017-12-01

A variety of interventions have been proposed to manage rising demand for Emergency and Urgent Care, described by an NHS England review as unsustainable in the long term. However it is unlikely that any suggested approach will be equally suitable for the diverse population of ED users.We aimed to understand the patterns of demand amongst different types of patients attending ED. We also sought to understand the intended and unintended effects of demand management initiatives. Our study combined insights from routine data, a survey of ED patients, and qualitative interviews with ED staff. This paper describes the results of our analysis of the interviews. We conducted semi-structured interviews with 25 ED and Urgent Care Centre staff across 7 hospital sites in Yorkshire and Humber between 25 April and 11 July 2016. The interview topic guide asked about 4 broad areas; job role, description of patients and their impact on demand, description of inappropriate attendance, and current/future initiatives to deal with rising demand. Interviews were transcribed verbatim and analysed using framework analysis. We analysed the results to identify groups of patients with different patterns of use of ED services. We also explored ED staff experiences of demand management initiatives, and their suggestions for future initiatives. Although we did not ask specifically about patients' age, our analysis revealed that ED staff categorised attenders as children and young people, working age people, and older people. These groups had different reasons for attendance, different routes to the ED, different rate of non-urgent attendance, and different issues driving demand. Staff also described variation in the time taken to treat patients of different ages, with the oldest and youngest patients described as requiring the most time.There was no consensus amongst staff about the effectiveness of initiatives for managing demand. A strikingly wide variety of initiatives were mentioned

Optimal management of cervical cancer in HIV-positive patients: a systematic review

International Nuclear Information System (INIS)

Ntekim, Atara; Campbell, Oladapo; Rothenbacher, Dietrich

2015-01-01

The clinical management of cervical cancer in HIV-positive patients has challenges mainly due to the concerns on immune status. At present, their mode of management is similar to HIV-seronegative patients involving the use of chemotherapy and radiotherapy concurrently as indicated. HIV infection, cancer, radiotherapy, and chemotherapy lower immunity through reduction in CD4 cell counts. At present there are no treatment guidelines for HIV-positive patients. This study was done to systematically review the literature on cervical cancer management in HIV-positive patients and treatment outcomes. A systematic literature search was done in the major databases to identify studies on the management of HIV-positive patients with cervical cancer. Identified studies were assessed for eligibility and inclusion in the review following the guidelines of The Cochrane Handbook for Systematic Reviews and CRD's (Centre for Reviews and Dissemination) guidance for undertaking reviews in health care. Eight eligible studies were identified from the literature. Three of them were prospective while five were retrospective studies. Notably, the average age at diagnosis of cervical cancer in HIV-positive patients was a decade lower than in seronegative patients. There was no difference in distribution of stages of disease at presentation between HIV-positive and negative patients. Mild acute toxicity (Grades 1 and 2) was higher in HIV-positive patients than in HIV-negative patients in hematopoietic system. In the grades 3 and 4 reactions, anemia was reported in 4% versus 2% while gastrointestinal reactions were reported in 5% versus 2% respectively. In general, patients who were started early on HAART had higher rates of treatment completion. The study supports the suggestion that HAART should be commenced early at cervical cancer diagnosis in HIV-positive patients diagnosed with cervical cancer to ensure less toxicity and better treatment compliance

Managing ageing of Karachi nuclear power plant (KANUPP)

International Nuclear Information System (INIS)

Hoda, M. Qamrul; Jamal-ur-Rahman

2002-01-01

Full text: Karachi Nuclear power Plant (KANUPP), a 137 MWe CANDU plant, was built on a turn-key basis by the Canadian General Electric (CGE) in the late sixties. The plant with a design life of thirty years went into commercial operation in October, 1972. After nearly three decades of operation, KANUPP like all other plants has faced the problem of equipment ageing and obsolescence. KANUPP has been striving hard to combat these problems with the assistance from IAEA, COG and WANO. During early eighties IAEA expert missions were called at KANUPP on various safety issues and on their recommendations various projects such as Safe Operation of KANUPP, Technical Upgradation Project, Balancing, Modernization and Rehabilitation project were initiated to combat equipment ageing and obsolescence. KANUPP has made substantial progress in the implementation of the tasks under these projects and the operating life of the plant is expected to be extended by 15 years. Three IAEA expert missions were invited at KANUPP during 1999-2000 to carry out assessment of the ongoing activities related to plant ageing management. On the basis of their recommendations an ageing Management Programme has been formally established at KANUPP to manage age-related degradation of plant systems, structures and components important to safety and to ensure that the required safety functions are available for the extended life of the plant. Being close to completion of its nominal design life in October 2002, KANUPP has already applied to Pakistan Nuclear Regulatory Authority for renewal of operating license. This paper briefly describes the activities related to ageing management of KANUPP to fulfil the requirement for its continued operation beyond its design life. (author)

Aging management and PLEX in Swiss nuclear power plants and prioritization of safety class 2 and 3 components

International Nuclear Information System (INIS)

Fuchs, R.; Stejskal, J.

2000-01-01

In this presentation ageing management of systems and components important to safety of the Swiss nuclear power plants are presented. Status of electrical components, status of mechanical components as well as status of civil structures are reviewed. The scheme of the high pressure core spray system is included

Conceptualisation of ageing in relation to factors of importance for extending working life - a review.

Science.gov (United States)

Nilsson, Kerstin

2016-07-01

The aim of this study was to explore and understand the complexity of ageing in relation to factors of importance for extending working life. Discourse analysis of documents was used in an integrative review including 128 articles. Four different conceptualisation of ageing are shown to affect older workers' ability to extend their working life: (a) biological ageing people's health in relation to their physical and mental work environment, their pace of work and recuperation needs; (b) chronological ageing statutory retirement age and policies and economic incentives devised for older workers by society, unions and organisations/enterprises; (c) social ageing inclusion in different social groups, the attitude of managers, organisations and family members, the leisure activities and surrounding environment; and (d) mental/cognitive ageing self-crediting, motivating and meaningful activities, competence and skills in working life. CONCLUSIONS SOCIETIES TODAY FOCUS MOSTLY ON CHRONOLOGICAL AGEING AND ARE LOOKING TO INCREASE THE RETIREMENT AGE WITH REGARD TO STATUTORY PENSION SYSTEMS, EG BEYOND 65 YEARS OF AGE THE INTER-RELATIONSHIPS BETWEEN CHRONOLOGICAL, MENTAL, BIOLOGICAL AND SOCIAL AGEING AND THE NINE AREAS IDENTIFIED AS BEING IMPORTANT TO OLDER WORKERS IN THESE RESPECTS NEED TO BE CONSIDERED WHEN AIMING TO PROVIDE A SUSTAINABLE WORKING LIFE FOR THE INCREASING NUMBERS OF OLDER WORKERS IN MODERN SOCIETY THE THEORETICAL MODEL DEVELOPED IS A CONTRIBUTION TO THE CRITICAL DEBATE THAT CAN BE APPLIED BY SOCIETIES, EMPLOYERS AND MANAGERS IN ORDER TO PROVIDE OLDER WORKERS WITH AN INCLUSIVE AND SUSTAINABLE EXTENDED WORKING LIFE. © 2016 the Nordic Societies of Public Health.

Life management/aging 1995 annual report. Revision 1

International Nuclear Information System (INIS)

Lindsay, D.C.

1995-01-01

This report provides the 1995 status of the Life Management/Aging Management Program and the activities over the current fiscal year. It relates to the Tank Waste Remediation System and to the double shell tanks

Development of Safety Review Guide for the Periodic Safety Review of Reactor Vessel Internals

International Nuclear Information System (INIS)

Park, Jeongsoon; Ko, Hanok; Kim, Seonjae; Jhung, Myungjo

2013-01-01

Aging management of the reactor vessel internals (RVIs) is one of the important issues for long-term operation of nuclear power plants (NPPs). Safety review on the assessment and management of the RVI aging is conducted through the process of a periodic safety review (PSR). The regulatory body should check that reactor facilities sustain safety functions in light of degradation due to aging and that the operator of a nuclear power reactor establishes and implements management program to deal with degradation due to aging in order to guarantee the safety functions and the safety margin as a result of PSR. KINS(Korea Institute of Nuclear Safety) has utilized safety review guides (SRG) which provide guidance to KINS staffs in performing safety reviews in order to assure the quality and uniformity of staff safety reviews. The KINS SRGs for the continued operation of pressurized water reactors (PWRs) published in 2006 contain areas of review regarding aging management of RVIs in chapter 2 (III.2.15, Appendix 2.0.1). However unlike the SRGs for the continued operation, KINS has not officially published the SRGs for the PSR of PWRs, but published them as a form of the research report. In addition to that, the report provides almost same review procedures for aging assessment and management of RVIs with the ones provided in the SRGs for the continued operation, it cannot provide review guidance specific to PSRs. Therefore, a PSR safety review guide should be developed for RVIs in PWRs. In this study, a draft PSR safety review guide for reactor vessel internals in PWRs is developed and provided. In this paper, a draft PSR safety review guide for reactor vessel internals (PSR SRG-RVIs) in PWRs is introduced and main contents of the draft are provided. However, since the PSR safety review guides for areas other than RVIs in the pressurized water reactors (PWRs) are expected to be developed in the near future, the draft PSR SRG-RVIs should be revisited to be compatible with

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

Science.gov (United States)

Harrison, Lindsay

2012-01-01

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

Malignant struma ovarii: the west Scotland experience and review of literature with focus on postoperative management

International Nuclear Information System (INIS)

Shrimali, Raj K.; Shaikh, Ghazia; Reed, Nick S.

2012-01-01

Malignant struma ovarii is an extremely rare ovarian tumour containing malignant thyroid carcinoma within differentiated thyroid tissue, as the predominant tissue type. Surgery for suspected ovarian tumour and incidental pathological diagnosis is the most common presentation. Evidence supporting any particular approach to the clinical management of this condition is limited, mainly consisting of case reports, small series or pathological case series. There is no randomised evidence for postoperative management in view of the rarity of this condition. The opinion is divided between conservative management versus total thyroidectomy and radio-iodine ablation. We carried out a retrospective review of our series with focus on postoperative management of this rare condition. A review of existing literature was also carried out. Six patients with a median age of 52 years presented with various symptoms of abdominal pain, pressure or menstrual problems. After the initial gynaecological resection and specialised pathology review, they were subsequently treated with total thyroidectomy and administration of radioactive iodine. All of these six patients are in remission at a median follow up of 60 months. We favour aggressive postoperative management with total thyroidectomy and radioactive iodine, and long-term follow up of these patients.

The Management of Pediatric Polytrauma: Review

NARCIS (Netherlands)

H. Mevius; M. van Dijk (Monique); A. Numanoglu (Alp); A.B. van As (Àrjan Bastiaan)

2014-01-01

textabstractPolytrauma is a major cause of mortality and morbidity in both developed and developing countries. The primary goal of this review is to provide a comprehensive overview on current knowledge in the management of pediatric polytrauma patients (PPPs). A database review was con- ducted

U.S.-NPAR approach to managing aging in operating nuclear power plants

International Nuclear Information System (INIS)

Bosnak, R.; Vagins, M.; Vora, J.

1991-01-01

Aging degradation in operating nuclear power plants must be managed to prevent safety margins from eroding below the levels provided in plant design bases. The NPAR program and other aging-related programs conducted under the auspices of the US NRC Office of Nuclear Regulatory Research are developing needed technical bases and guidance for understanding and managing aging in operating nuclear power plants (NPP) of all ages. Results from these programs, together with relevant information developed by industry are implemented through various ongoing NRC and industry programs. The aging management process central to these efforts consists of three key element: 1) selection and prioritization of components, systems, and structures (CSS) in which aging must be managed, 2) understanding of the relevant aging mechanisms and rates of degradation processes in these CSS, and 3) managing degradation through effective inspection, surveillance, condition monitoring, trending, preventive and corrective maintenance, and mitigation. This paper provides a historical perspective on the aging related research programs sponsored by the Office of U.S. Nuclear Regulatory Research. Also, briefly described are the major element of the NPAR program and its status and results or accomplishments. In the process the authors emphasize the need for total industry commitment and participation in implementing programs for understanding and managing aging in operating nuclear power plants. 'Aging' is universal in nature. No industrial complex including NPP should be considered immune from its effects. For NPP aging is manageable its ti symptoms are recognized and predicted, if it is monitored and appropriate steps are taken for timely mitigation of age-related degradation. (author)

Economic considerations of uneven-age hardwood management

Science.gov (United States)

H. Clay Smith; Gary W. Miller

1987-01-01

Uneven-age management or partial cutting methods as described in this paper allow foresters to manage eastern hardwood stands and harvest forest products without clearcutting. These methods can involve regular periodic harvests, at least for the short term, based on stand conditions and growing-site capabilities. We are not going to make the decision as to which is the...

An uneven-aged management strategy: lessons learned

Science.gov (United States)

Mark T. Smith; John D. Exline

2002-01-01

Use of an ecosystem approach at a landscape scale to program and guide accomplishments of multi-resource and social objectives has been discussed between researchers and natural resource managers for many years. Presently, great interest exists in the applicability of uneven-aged management practices for such an approach in conifer forests of the Sierra Nevada of...

International Journal of Development and Management Review

African Journals Online (AJOL)

International Journal of Development and Management Review ... social Development and Management practices and theories while providing an institutional ... The Igbo care for the elderly in contemporary times: an old testament evaluation ...

Ageing management of french NPP civil work structures

Science.gov (United States)

Gallitre, E.; Dauffer, D.

2011-04-01

This paper presents EDF practice about concrete structure ageing management, from the mechanisms analysis to the formal procedure which allows the French company to increase 900 MWe NPP lifetime until 40 years; it will also introduce its action plan for 60 years lifetime extension. This practice is based on a methodology which identifies every ageing mechanism; both plants feedback and state of the art are screened and conclusions are drawn up into an "ageing analysis data sheet". That leads at first to a collection of 57 data sheets which give the mechanism identification, the components that are concerned and an analysis grid which is designed to assess the safety risk. This analysis screens the reference documents describing the mechanism, the design lifetime hypotheses, the associated regulation or codification, the feedback experiences, the accessibility, the maintenance actions, the repair possibility and so one. This analysis has to lead to a conclusion about the risk taking into account monitoring and maintenance. If the data sheet conclusion is not clear enough, then a more detailed report is launched. The technical document which is needed, is a formal detailed report which summarizes every theoretical knowledge and monitoring data: its objective is to propose a solution for ageing management: this solution can include more inspections or specific research development, or additional maintenance. After a first stage on the 900 MWe units, only two generic ageing management detailed reports have been needed for the civil engineering part: one about reactor building containment, and one about other structures which focuses on concrete inflating reactions. The second stage consists on deriving this generic analysis (ageing mechanism and detailed reports) to every plant where a complete ageing report is required (one report for all equipments and structures of the plant, but specific for each reactor). This ageing management is a continuous process because the

Aging management at G.A. Siwabessy Multipurpose Reactor

Energy Technology Data Exchange (ETDEWEB)

Pane, Jupiter Sitorus; Taryo, Taswanda; Tarigan, Alim; Mardi, Alfahari; Indra, Koes

1998-10-01

Aging phenomena was raised as an important issue at GAS-MPR after having some component degradation reported within its ten years operational record. This phenomena was anticipated by developing a program of aging management, where its purpose is to prevent an enlargement of degradation of the systems and components and failure. The aging managements include identification of system and component which have aging process enlargement and impact to the reactor operational safety, developing operational operation and maintenance practices, developing operational and maintenance data base, developing predictive maintenance program, and identifying and studying method and technology for inspection, testing, and surveillance. The result of studying on method and technology of testing, surveillance, and diagnostic conclude that FFT based noise spectrum analysis can be used to detect an anomaly of system and component performance. This analysis will be developed in the future using Auto Regressive Method, Kalman Filter, and Neural Network. (author)

The role of knowledge management in supply chain management: A literature review

International Nuclear Information System (INIS)

Pérez-Salazar, María del Rosario; Lasserre, Alberto Alfonso Aguilar; Cedillo-Campos, Miguel Gastón; González, José Carlos Hernández

2017-01-01

The aim of this paper is to examine the state of knowledge management research in supply chain management from three standpoints, methodological approach, supply chain management area, and knowledge management processes. Design/methodology/approach: To achieve this, a systematic review is conducted over the period 2000-2014 on the basis of a qualitative content analysis. Findings: Major results showed that knowledge management can be viewed as a leverage mechanism for: (i) supply chain integration; (ii) the enhancement of intra and inter-relations across the supply chain; (iii) supply chain strategy alignment; and (iv) the reinforcement of knowledge transfer in product development. Some supply chain management areas such as reverse logistics, inventory management, forecasting/demand planning, outsourcing, and risk management have been explored only to some extent. Furthermore, knowledge transfer is being studied in the majority of the articles, mainly by both case study and survey approach; mathematical models and simulation techniques are used in very limited articles. Findings concerning theoretical perspectives and managerial issues are also described. Research limitations/implications: The limitation of our study encompasses the aspects of search period (2000-2014), selection of search databases (Web of Science and SCOPUS and language selection (English). Practical implications: The exhibition of the KM processes within the SC context may help practitioners and managers interested in implementing KM initiatives to replicate the methodologies in order to increase the possibilities of a successful KM adoption. Originality/value: The systematic review will contribute to the understanding of the present state of research in the knowledge management theory, with focus on the supply chain, as there are no state-of-knowledge studies that report a systematic literature review approach.

The role of knowledge management in supply chain management: A literature review

Energy Technology Data Exchange (ETDEWEB)

Pérez-Salazar, María del Rosario; Lasserre, Alberto Alfonso Aguilar; Cedillo-Campos, Miguel Gastón; González, José Carlos Hernández

2017-07-01

The aim of this paper is to examine the state of knowledge management research in supply chain management from three standpoints, methodological approach, supply chain management area, and knowledge management processes. Design/methodology/approach: To achieve this, a systematic review is conducted over the period 2000-2014 on the basis of a qualitative content analysis. Findings: Major results showed that knowledge management can be viewed as a leverage mechanism for: (i) supply chain integration; (ii) the enhancement of intra and inter-relations across the supply chain; (iii) supply chain strategy alignment; and (iv) the reinforcement of knowledge transfer in product development. Some supply chain management areas such as reverse logistics, inventory management, forecasting/demand planning, outsourcing, and risk management have been explored only to some extent. Furthermore, knowledge transfer is being studied in the majority of the articles, mainly by both case study and survey approach; mathematical models and simulation techniques are used in very limited articles. Findings concerning theoretical perspectives and managerial issues are also described. Research limitations/implications: The limitation of our study encompasses the aspects of search period (2000-2014), selection of search databases (Web of Science and SCOPUS and language selection (English). Practical implications: The exhibition of the KM processes within the SC context may help practitioners and managers interested in implementing KM initiatives to replicate the methodologies in order to increase the possibilities of a successful KM adoption. Originality/value: The systematic review will contribute to the understanding of the present state of research in the knowledge management theory, with focus on the supply chain, as there are no state-of-knowledge studies that report a systematic literature review approach.

The role of knowledge management in supply chain management: A literature review

Directory of Open Access Journals (Sweden)

María del Rosario Pérez-Salazar

2017-10-01

Full Text Available Purpose: The aim of this paper is to examine the state of knowledge management research in supply chain management from three standpoints, methodological approach, supply chain management area, and knowledge management processes. Design/methodology/approach: To achieve this, a systematic review is conducted over the period 2000-2014 on the basis of a qualitative content analysis. Findings: Major results showed that knowledge management can be viewed as a leverage mechanism for: (i supply chain integration; (ii the enhancement of intra and inter-relations across the supply chain; (iii supply chain strategy alignment; and (iv the reinforcement of knowledge transfer in product development. Some supply chain management areas such as reverse logistics, inventory management, forecasting/demand planning, outsourcing, and risk management have been explored only to some extent. Furthermore, knowledge transfer is being studied in the majority of the articles, mainly by both case study and survey approach; mathematical models and simulation techniques are used in very limited articles. Findings concerning theoretical perspectives and managerial issues are also described. Research limitations/implications: The limitation of our study encompasses the aspects of search period (2000-2014, selection of search databases (Web of Science and SCOPUS and language selection (English. Practical implications: The exhibition of the KM processes within the SC context may help practitioners and managers interested in implementing KM initiatives to replicate the methodologies in order to increase the possibilities of a successful KM adoption. Originality/value: The systematic review will contribute to the understanding of the present state of research in the knowledge management theory, with focus on the supply chain, as there are no state-of-knowledge studies that report a systematic literature review approach.

Plans to adapt Point Lepreau ageing management to new industry guidelines

International Nuclear Information System (INIS)

Greenlaw, G.; Gendron, T.; Slade, J.; Rankin, B.

2008-01-01

In preparation for PLGS life extension, NBPN spent considerable effort to evaluate the impact of ageing and to develop ageing management processes to maintain the required safety functions for extended operation. These were based on INPO AP-913. Recently, the CNSC has been developing Canadian ageing management guidelines in line with the IAEA approach. In response, NBPN plans to document how current PLGS processes meet the new CNSC guidelines and to identify any areas for improvement. Best practices from utilities that have retrofitted IAEA guidelines and PLGS experience in applying risk-based methods for ageing management will be used to implement improvements. (author)

Post design evaluation (ageing mechanisms, effects, management, monitoring, PSR, ISI)

International Nuclear Information System (INIS)

Ichikawa, Toshio

2001-01-01

Although the nuclear plant was designed for the purpose of the 30-year life the early stages of construction, it also already has the plant abolished by passing in 30 years. There is a plant under operation and a plant that is employed variously, extends the original life and continues operation now, and the plant that is going to be abolished politically is before a life. By using a nuclear plant for a long period of time, damage. by the influence of irradiation, wear of slipping, corrosion, etc. appears. When this degradation is left, the serious accident is caused. In this lecture, refer to Assessment and management of ageing of major nuclear power plant components important to safety, Oct. 1999 of IAEA. A point of view from guide is introduced about management of the mechanism in the secular degradation mode expected by operating for a long period of time, the influence of secular degradation, and influence, monitoring technology, periodical safe evaluation, and a periodic inspection. And raises and explains the correspondence situation of secular degradation, and the example of evaluation of PSR and ISI equipment. The aging mechanism for reactor vessel internal components considered are related to embrittlement, fatigue, corrosion, radiation induced creep, relaxation and swelling, and mechanical wear. This lecture includes; monitoring methods, a description of periodic safety reviews and a sample of seismic design periodic safety report for the reactor internals

Managing aging workers: a mixed methods study on bundles of HR practices for aging workers

NARCIS (Netherlands)

Kooij, Dorien T. A. M.; Jansen, Paul G. W.; Dikkers, Josje S. E.; de Lange, Annet H.

2014-01-01

Since abilities and motives change with age and common human resource (HR) practices might be less suitable for aging employees, scholars and practitioners are currently challenged to find new ways of managing aging workers and motivating them to continue working. Therefore, this mixed methods study

Review of the Current Management of Pressure Ulcers

Science.gov (United States)

Boyko, Tatiana V.; Longaker, Michael T.; Yang, George P.

2018-01-01

Significance: The incidence of pressure ulcers is increasing due to our aging population and the increase in the elderly living with disability. Learning how to manage pressure ulcers appropriately is increasingly important for all professionals in wound care. Recent Advances: Many new dressings and treatment modalities have been developed over the recent years and the goal of this review is to highlight their benefits and drawbacks to help providers choose their tools appropriately. Critical Issues: Despite an increased number of therapies available on the market, none has demonstrated any clear benefit over the others and pressure ulcer treatment remains frustrating and time-consuming. Future Directions: Additional research is needed to develop products more effective in prevention and treatment of pressure ulcers. PMID:29392094

Report of the ERIC Management Review Group.

Science.gov (United States)

Carter, Launor F.; And Others

The mission of the ERIC Management Review Group was to examine the practices and procedures used by Central ERIC Management in their guidance and management of the 19 ERIC clearinghouses. The major topics covered in this report are: recommendations; the role of the clearinghouses; the bibliographic and documentation function; the interpretation…

Figures of merit for measuring aging management program effectiveness

International Nuclear Information System (INIS)

Knudson, R.; Sciacca, F.; Walsh, R.; Zigler, G.

1991-01-01

One of the requirements for nuclear plant license renewal may be the establishment and demonstration of an effective aging management program. An analysis of both qualitative and quantitative information will be required to define the contents of this aging management program. The authors propose two quantitative figures of merit, Mean Event Detection Frequency and Mean Renewal Rate, that can be used to compare the effectiveness of various inspection, surveillance, test, and monitoring (ISTM) activities for aging mitigation. An example showing the relative effectiveness of an enhanced Loose Parts Monitoring System with current ISTM activities for steam generators and reactor internals is provided. (author)

New maintenance strategy of Tokyo Electric Power Company and Fukushima Dai-ichi Nuclear Power Plant for effective ageing management and safe long-term operation

International Nuclear Information System (INIS)

Inagaki, Takeyuki; Yamashita, Norimichi

2009-01-01

Fukushima Dai-ichi Nuclear Power Plant is the oldest among three nuclear power plants owned and operated by Tokyo Electric Power Company, which consists of six boiling water reactor units. The commercial operation of Unit 1 was commenced in 1971 (37 years old) and Unit 6 in 1978 (29 years old). Currently ageing degradations of systems, structures and components are managed through maintenance programs, component replacement/refurbishment programs and long-term maintenance plans. The long-term maintenance plans are established through ageing management component replacement/refurbishment programs reviews performed before the 30th year of operation and they are for safe and reliable operation after 30 years (long-term operation). However the past maintenance actions and past component replacement/refurbishment programs were not always proactive and past operational experience and maintenance practices suggest that effective/proactive ageing management programs be introduced in earlier stage of the plant operation. In this circumstance, Tokyo Electric Power Company and Fukushima Dai-ichi Nuclear Power Plant are setting up a new maintenance strategy that includes 1) improving the normal maintenance programs by using ageing degradation data, 2) effective use of information on internal/external operational experience and maintenance practices related to ageing, and 3) proactive component/equipment refurbishment programs during a refreshment outage for safe and reliable long-term operation. To accomplish the goal of this strategy, strengthening engineering capability of plant staff members is a crucial required for the plant. The objective of this paper is to briefly explain main results ageing management reviews, past and current significant ageing issues and management programs against them, and the new maintenance strategy established by Tokyo Electric Power Company and Fukushima Dai-ichi Nuclear Power Plant. (author)

28 CFR 34.110 - Management of peer reviews.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Management of peer reviews. 34.110 Section 34.110 Judicial Administration DEPARTMENT OF JUSTICE OJJDP COMPETITION AND PEER REVIEW PROCEDURES... the peer review process. ...

Checklist for Reviewing EPA Quality Management Plans

Science.gov (United States)

This checklist will be used to review the Quality Management Plans (QMPs) that are submitted to the Quality Staff of the Office of Environmental Information (OEI) for Agency review under EPA Order 5360.1 A2.

Managing environmental information in the age of outsourcing.

Energy Technology Data Exchange (ETDEWEB)

Perkins, S.; Smith, K.; Whorton, M.; Williams, G.

1999-03-08

As more data gathering, analysis, and tracking tasks are outsourced the need for multiple contractors and military personnel to input, update, access, store, and track Mormation is becoming critical to efficient functioning and managing of environmental projects and programs at military installations. This paper presents two case studies detailing the way two organizations--the Rocky Mountain Arsenal (RMA) in Colorado, and the 611th Air Support Group (611 ASG) in Alaska--are managing complex data using web-based technology. RMA is involved in one of the largest environmental cleanup programs in the Department of Defense. As such, large volumes of environmental data and documents must be generates stored, and tracked. Often these documents are prepared by multiple contractors and are reviewed by several parties or groups. To manage environmental information and to ensure that it meets compliance requirements more efficiently, RMA has developed an electronic document tracking and distribution system. This system allows access to up-to-date information, including a detailed review of all pertinent regulatory and other requirements at RMA. The dynamic system includes milestones, review deadlines, submission deadlines, and other requirements for managing the environmental program. The 611 ASG manages more than 30 remote installations in Alaska, many of which are operated by contractor personnel. These installations contain hundreds of buildings that are constantly being modified because of exposure to harsh arctic climates; some of them have been determined to be eligible for the National Register of Historic Places. To meet regulatory requirements for cultural resources management as well as engineering requirements for upkeep of buildings, a database was developed to store and analyze building data. The database has a web-based interface that allows anyone with the correct access codes to input new data, modify existing data, or query the database using a number of

Welfare of Aged Horses

Directory of Open Access Journals (Sweden)

Catherine McGowan

2011-10-01

Full Text Available Horses form a unique and special part of their owners’ lives and aged horses are no exception. This review considers the health and management of aged horses, including the role of the owner and their perceptions of aged horses, potential threats or risks to their welfare and finally, factors affecting quality of life and euthanasia of aged horses. Owners of aged horses are concerned about the health, welfare and quality of life of their aged animals. Yet surveys of management and preventive healthcare reflect that there may be some limitations to what owners are actually achieving in practice. They show declining management as horses age, particularly for the retired horse and insufficient appropriate preventive healthcare via veterinary surgeons. The veterinary surgeon plays an essential and influential role in preventive healthcare, management of diseases and disorders and ultimately in the decision making process for euthanasia of aged horses at the end of their lives. The value of aged horses should not be underestimated by veterinarians and others working with them and the continuing care of aged horses should be regarded with the same importance as the care of younger horses with more obvious monetary value.

Managing the effects of aging and reliability improvement

International Nuclear Information System (INIS)

Hall, R.E.; Taylor, J.H.; Boccio, J.L.

1987-01-01

Over recent years the electric power generating community has acknowledged the importance of the aging process on plant safety and availability. To cope with time-dependent degradation phenomenon that can affect active as well as passive components and lead to unacceptable, unanticipated failures requires research into the mechanisms of the aging process, advances in productive methods for assessing the aging impact on risk and availability, and a better understanding of power plant operations so that strategies for defending against this pervasive stress can be developed. This paper discusses current research advances and presents a framework to aid in the systematic integration of these three needs. As such it is anchored to research being conducted at Brookhaven National Laboratory in the areas of plant aging, life extension, reliability, performance indication, and risk assessment. The current question facing the industry can be simply stated. ''How can an acceptable level of safety and availability be maintained throughout the operational life of a nuclear power plant?'' The complexity of this question indicates that managing aging effects must be a continuous, coordinated process integrated with day-to-day tactical plant operation decisions. This implies that aging and reliability programs must be systemic properties of an organization's management, and that research into aging technology must be closely linked

75 FR 17787 - Submission for OMB Review; Request for Review of a Revised Information Collection

Science.gov (United States)

2010-04-07

... Review; Request for Review of a Revised Information Collection AGENCY: Office of Personnel Management... of Management and Budget (OMB) a request for review of a revised information collection. This... retired on disability and are not yet age 62. The supplement approximates the portion of a full career...

The Role of Knowledge Management in Supply Chain Management: A Literature Review

OpenAIRE

Pérez Salazar, María del Rosario; Aguilar Laserre, Alberto Alfonso; Cedillo-Campos, Miguel Gastón; Hernández González, José Carlos

2017-01-01

Purpose: The aim of this paper is to examine the state of knowledge management research in supply chain management from three standpoints, methodological approach, supply chain management area, and knowledge management processes. Design/methodology/approach: To achieve this, a systematic review is conducted over the period 2000-2014 on the basis of a qualitative content analysis. Findings: Major results showed that knowledge management can be viewed as a leverage mechanism f...

Management of Children with Atopic Dermatitis: A Narrative Review

Directory of Open Access Journals (Sweden)

Masoud Golpour

2016-11-01

Full Text Available Context Atopic dermatitis is a chronic, relapsing skin disorder that affects all ages including infancy and childhood. There are many proved and unproved treatments for atopic dermatitis. Evidence Acquisition Data sources of this narrative review included studies about pediatric atopic dermatitis with the following keywords, pediatric, atopic dermatitis, immunity, acute, chronic, pruritic inflammatory skin disorder, infancy, childhood, diagnosis, management and treatment. All of the articles were written in English language with full text on management or treatment. Results Innate and adaptive immune system involved atopic dermatitis. Major characteristics of atopic dermatitis include pruritus, chronic or relapsing lesions and personal or family history of atopic disease. There is no specific treatment for atopic dermatitis. The treatment included rehydration, emollients, topical steroid, calcineurin inhibitors and immunosuppressant. Crisaborole topical ointment, a PDE4 anti-inflammatory topical agent (phase three of the research could be effective in atopic dermatitis. Conclusions Avoidance from trigger factors and emollients are basic treatments of atopic dermatitis.

48 CFR 2901.603-72 - Administrative procurement management reviews.

Science.gov (United States)

2010-10-01

... Authority, and Responsibilities 2901.603-72 Administrative procurement management reviews. (a) The Senior... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Administrative procurement management reviews. 2901.603-72 Section 2901.603-72 Federal Acquisition Regulations System DEPARTMENT OF...

Aging Management Guideline for commercial nuclear power plants: Motor control centers

International Nuclear Information System (INIS)

Toman, G.; Gazdzinski, R.; O'Hearn, E.

1994-02-01

This Aging Management Guideline (AMG) provides recommended methods for effective detection and mitigation of age-related degradation mechanisms in Boiling Water Reactor (BWR) and Pressurized Water Reactor (PWR) commercial nuclear power plant motor control centers important to license renewal. The intent of this AMG is to assist plant maintenance and operations personnel in maximizing the safe, useful life of these components. It also supports the documentation of effective aging management programs required under the License Renewal Rule 10 CFR Part 54. This AMG is presented in a manner that allows personnel responsible for performance analysis and maintenance to compare their plant-specific aging mechanisms (expected or already experienced) and aging management program activities to the more generic results and recommendations presented herein

Research projects on life management: materials ageing

International Nuclear Information System (INIS)

Gomez Briceno, D.

1997-01-01

Materials ageing is a time-dependent process, that involves the loss of availability of nuclear plants. Radiation embrittlement, stress corrosion cracking, irradiation assisted stress corrosion cracking, and thermal ageing are the most relevant time-dependent material degradation mechanisms that can be identified in the materials ageing process. The Materials Programme of Nuclear Energy Institute at CIEMAT carries out research projects and metallurgical examinations of failed components to gain some insight into the mechanisms of materials degradation with a direct impact on the life management of nuclear plants. (Author)

Japan's policy on the nuclear power plant life management, life management for nuclear power plants and measures to cope with aging

International Nuclear Information System (INIS)

Takuma, Masao

2002-01-01

Full text: Nuclear Plant is born after a lengthy, multi-year construction period, and ends its life decades later, having generated a vast amount of electricity. Its period of operation is, far longer than its period of construction. 'Construction' is the process of 'creating something of value', a new nuclear plant, using technology. 'Operation' is the process of 'raising the child with care' so that its potential can be realized to the fullest over the course of its life. From the view point of plant life management, it is appropriate to divide the life of a power plant into three stages, 'fostering, mature and aging', from the start of operation to the end of its operation. It is important to manage a plant accordingly. It is recently become important to the Utility companies under the competitive power market to manage aging plants effectively, in order to extend its life with sustained high level of performances, with plant safety in the first place. Whether this is, in fact, possible or not, depends upon how the plant was operated in the prior stages, that means, depends upon how it was 'brought up'. This report briefly shows what are important points of management in these 3 stages, and also describes general significances of plant maintenance and inspection, with the practices applied to the plants in Japan. Currently 52 plants Light Water Reactor Nuclear Plants are in operation in Japan, and 13 plants within next 5 years and 23 plants within 10 years are regarded as aged plants. So the contents of periodic inspections by the government and maintenance requirements on the Utilities will be modified to keep and enhance safe and stable operations of the aged plants. In the year 1994, Japanese Government released the report 'Basic Concepts on the Nuclear Power Plant Aging', the objectives of which was the evaluation of the soundness of major equipment and to establish the concepts of aging measures, assuming the plant to be operated 60 years. Utilities, in

Patent portfolio management: literature review and a proposed model.

Science.gov (United States)

Conegundes De Jesus, Camila Kiyomi; Salerno, Mario Sergio

2018-05-09

Patents and patent portfolios are gaining attention in the last decades, from the called 'pro-patent era' to the recent billionaire transactions involving patent portfolios. The field is growing in importance, both theoretically and practically and despite having substantial literature on new product development portfolio management, we have not found an article relating this theory to patent portfolios. Areas covered: The paper develops a systematic literature review on patent portfolio management to organize the evolution and tendencies of patent portfolio management, highlighting distinctive features of patent portfolio management. Interview with IP manager of three life sciences companies, including a leading multinational group provided relevant information about patent portfolio management. Expert opinion: Based on the systematic literature review on portfolio management, more specifically, on new product development portfolio theory, and interview the paper proposes the paper proposes a reference model to manage patent portfolios. The model comprises four stages aligned with the three goals of the NPD portfolio management: 1 - Linking strategy of the Company's NPD Portfolio to Patent Portfolio; 2 - Balancing the portfolio in buckets; 3 - Patent Valuation (maximizing valuation); 4 - Regularly reviewing the patent portfolio.

Ageing management of AG3NET beam tubes in ORPHEE Research

International Nuclear Information System (INIS)

Florence, Gupta; Maud, Corbel

2013-01-01

The materials used in research reactors come from the best compromise between research needs and safety issues such as integrity of equipment during their whole life. For example, aluminium alloys such as AG3NET are interesting for research reactors dedicated to the production of neutron flux since they are transparent to neutrons but they become fragile under irradiation. Therefore the evolution of material's mechanical properties under irradiation is a topic of interest for research reactors safety and operators must implement an ageing management program of equipment subject to irradiation. This kind of aluminium alloys compound is used in many French research reactors like the Jules Horowitz reactor (JHR) and ORPHEE reactor operated by the Atomic Energy and Alternative Energies Commission (CEA) or the high flux reactor (HFR) operated by the Laue-Langevin Institute (ILL). Particularly, in the ORPHEE reactor, AG3NET is used for beam tubes, located in the heavy water tank surrounding the core, which guide neutrons towards experimental stations. The failure of a beam tube in ORPHEE reactor can lead to a reactivity insertion in the core, whose effects can be managed by the control rods system. Nevertheless, to control the effects of ageing on such equipment, the operator plans to replace the beam tubes on the basis of a criterion he defined. For the ORPHEE's second periodic safety review, the operator has re-evaluated the situation of the beam tubes with regard of this criterion and has established a beam tube replacement schedule. The 'Institut de Radioprotection et de Surete Nucleaire' (IRSN), as a technical support of the French nuclear safety authority, assessed the elements presented by the CEA for this periodic safety review and concluded that the replacement criterion used for these equipment lead to reach a fragile behaviour of the materials. Thus, the breaking of several beam tubes can't be excluded but this situation can leads to severe consequences on the

Review of Mechanisms and Theories of Aging

Directory of Open Access Journals (Sweden)

Gholam Reza Azari

2006-10-01

Full Text Available Several factors have incentive role for study of aging which includes increasing of the average and maximum of human life span, the increase in percentage of elderly in the societies and proportion of the national expenditure utilized by them. The Recent views of aging indicating that aging is extremely a complex multifactorial process despite of earlier views about definite cause aging like gene or decline of a key factor(1. This brief review tries to inspect aging at the molecular, cellular, and systemic levels; and consider interaction between genetic and environmental factors. Evolutionary theories argue that aging results from a decline in the force of natural selection. On the other hand, molecular theories emphasis on the genetically regulation of aging and argue that aging results from changing in genes. There are cellular theories that telomere theory is most famous. Stress induced aging is in this group too. free radical theory is next known way for cellular damages. Finally, we see systemic theories that contain two main groups, neuroendocrine and immunologic theories.

Time management: a review for physicians.

Science.gov (United States)

Brunicardi, F. C.; Hobson, F. L.

1996-01-01

This article reviews the basic concepts and techniques of time management as they relate to a medical lifestyle. Essential tools are described to help the physician reassess and sharpen skills for handling intensifying demands and constraints of juggling patient care, research, teaching, and family responsibilities. The historical background and principles of time management for three popular "best selling" techniques are critiqued. In addition, a fourth technique, or model, of time management is introduced for physician use. PMID:8855650

A Comprehensive Review of the Pharmacologic Management of Uterine Leiomyoma

Directory of Open Access Journals (Sweden)

Terrence D. Lewis

2018-01-01

Full Text Available Uterine leiomyomata are the most common benign tumors of the gynecologic tract impacting up to 80% of women by 50 years of age. It is well established that these tumors are the leading cause for hysterectomy with an estimated total financial burden greater than $30 billion per year in the United States. However, for the woman who desires future fertility or is a poor surgical candidate, definitive management with hysterectomy is not an optimal management plan. Typical gynecologic symptoms of leiomyoma include infertility, abnormal uterine bleeding (AUB/heavy menstrual bleeding (HMB and/or intermenstrual bleeding (IMB with resulting iron-deficiency anemia, pelvic pressure and pain, urinary incontinence, and dysmenorrhea. The morbidity caused by these tumors is directly attributable to increases in tumor burden. Interestingly, leiomyoma cells within a tumor do not rapidly proliferate, but rather the increase in tumor size is secondary to production of an excessive, stable, and aberrant extracellular matrix (ECM made of disorganized collagens and proteoglycans. As a result, medical management should induce leiomyoma cells toward dissolution of the extracellular matrix, as well as halting or inhibiting cellular proliferation. Herein, we review the current literature regarding the medical management of uterine leiomyoma.

A Systematic Review of Reviews Evaluating Technology-Enabled Diabetes Self-Management Education and Support.

Science.gov (United States)

Greenwood, Deborah A; Gee, Perry M; Fatkin, Kathy J; Peeples, Malinda

2017-09-01

Since the introduction of mobile phones, technology has been increasingly used to enable diabetes self-management education and support. This timely systematic review summarizes how currently available technology impacts outcomes for people living with diabetes. A systematic review of high quality review articles and meta analyses focused on utilizing technology in diabetes self-management education and support services was conducted. Articles were included if published between January 2013 and January 2017. Twenty-five studies were included for analysis. The majority evaluated the use of mobile phones and secure messaging. Most studies described healthy eating, being active and metabolic monitoring as the predominant self-care behaviors evaluated. Eighteen of 25 reviews reported significant reduction in A1c as an outcome measure. Four key elements emerged as essential for improved A1c: (1) communication, (2) patient-generated health data, (3) education, and (4) feedback. Technology-enabled diabetes self-management solutions significantly improve A1c. The most effective interventions incorporated all the components of a technology-enabled self-management feedback loop that connected people with diabetes and their health care team using 2-way communication, analyzed patient-generated health data, tailored education, and individualized feedback. The evidence from this systematic review indicates that organizations, policy makers and payers should consider integrating these solutions in the design of diabetes self-management education and support services for population health and value-based care models. With the widespread adoption of mobile phones, digital health solutions that incorporate evidence-based, behaviorally designed interventions can improve the reach and access to diabetes self-management education and ongoing support.

Discussion of management review in nuclear power plants

International Nuclear Information System (INIS)

Duan Hongwei; Li Juan; Wang Jing; Zhang Hui; Wang Yanqi; Tian Feng

2015-01-01

According to the nuclear safety regulations and guidelines in China, the information of the IAEA and the NRC, this paper discusses the origin, purpose, method and report of the management review, the basic concepts and requirements. In order to identify the difference between the management review and the internal quality assurance audit, the paper also compares their purpose, nature, the pursuant documents, and etc. (authors)

Aging management database

International Nuclear Information System (INIS)

Vidican, Dan

2003-01-01

reviews for license renewal. CITON present status of the work is as follows: - Section A of the CANDU-6 typical components ageing phenomena and monitoring actions is prepared and updated at the level of 2003. - Section B is to be assembled, but the basic data (at the level of the design information) are to be collected. As a function of the owner request, Section B and C could be completed and ageing evaluation performed. (authors)

Adopting Telemedicine for the Self-Management of Hypertension: Systematic Review.

Science.gov (United States)

Mileski, Michael; Kruse, Clemens Scott; Catalani, Justin; Haderer, Tara

2017-10-24

Hypertension is a chronic condition that affects adults of all ages. In the United States, 1 in 3 adults has hypertension, and about half of the hypertensive population is adequately controlled. This costs the nation US $46 billion each year in health care services and medications required for treatment and missed workdays. Finding easier ways of managing this condition is key to successful treatment. A solution to reduce visits to physicians for chronic conditions is to utilize telemedicine. Research is limited on the effects of utilizing telemedicine in health care facilities. There are potential benefits for implementing telemedicine programs with patients dealing with chronic conditions. The purpose of this review was to weigh the facilitators against the barriers for implementing telemedicine. Searches were methodically conducted in the Cumulative Index to Nursing and Allied Health Literature Complete (CINAHL Complete) via Elton B Stephens Company (EBSCO) and PubMed (which queries MEDLINE) to collect information about self-management of hypertension through the use of telemedicine. Results identify facilitators and barriers corresponding to the implementation of self-management of hypertension using telemedicine. The most common facilitators include increased access, increase in health and quality, patient knowledge and involvement, technology growth with remote monitoring, cost-effectiveness, and increased convenience/ease. The most prevalent barriers include lack of evidence, self-management difficult to maintain, no long-term results/more areas to address, and long-term added workload commitment. This review guides health care professionals in incorporating new practices and identifying the best methods to introduce telemedicine into their practices. Understanding the facilitators and barriers to implementation is important, as is understanding how these factors will impact a successful implementation of telemedicine in the area of self-management of

Status of ageing management program for HANARO

International Nuclear Information System (INIS)

Kim, Sang-Jin; Shin, Jin-Won; Kim, Hyung-Kyoo; Jung, Hoan-Sung

2012-01-01

HANARO is a 30 MW open pool type research reactor which has been operated for 16 years since its initial criticality in February 1995. It has been used for nuclear material testing, radioisotope production, neutron transmutation doping, nuclear activation analysis, and neutron scattering experiments. Recently, new facilities such as FTL (Fuel Transfer Loop) and CNS (Cold Neutron Source) were installed in the reactor. HANARO was originally designed to operate for at least 20 years under full power operating condition, but the actual life time is expected to be much more than the design lifetime by supporting with a safety reassessment based on realistic data and maintenance activities for an ageing management. The conducted inspections, maintenance activities, and the future plan of the ageing management for HANARO are presented in this paper. (author)

Ageing and plant life management software Comsy

Energy Technology Data Exchange (ETDEWEB)

Nopper, H.; Daeuwel, W.; Kastner, W. [Siemens Nuclear Power GmbH (SNP), Erlangen (Germany)

2001-07-01

Cost-effective power generation is becoming more important as the prices charged by power producers in the energy market continue to fall. To ease the cost situation there is a growing demand for innovative maintenance management methods which allow power plants to be economically operated over their entire lifetime. The purpose of a systematic ageing and plant life management program is to allow the lifetime of plant components to be planned, and to indicate when a component has reached the end of its effective lifetime before it fails. Another important function of such programs is to increase the availability of power plants as they age, and to enable implementation of a targeted maintenance strategy in terms of its economic and technical effect. Implementation of such programs requires the existence of detailed information concerning the status of the components as well as their operating conditions. Based on this information, an understanding of how the relevant ageing and degradation mechanisms work enables a prediction to be made concerning component lifetime. Advanced software programs provide such predictions at reasonable cost across all systems. (author)

Ageing and plant life management software Comsy

International Nuclear Information System (INIS)

Nopper, H.; Daeuwel, W.; Kastner, W.

2001-01-01

Cost-effective power generation is becoming more important as the prices charged by power producers in the energy market continue to fall. To ease the cost situation there is a growing demand for innovative maintenance management methods which allow power plants to be economically operated over their entire lifetime. The purpose of a systematic ageing and plant life management program is to allow the lifetime of plant components to be planned, and to indicate when a component has reached the end of its effective lifetime before it fails. Another important function of such programs is to increase the availability of power plants as they age, and to enable implementation of a targeted maintenance strategy in terms of its economic and technical effect. Implementation of such programs requires the existence of detailed information concerning the status of the components as well as their operating conditions. Based on this information, an understanding of how the relevant ageing and degradation mechanisms work enables a prediction to be made concerning component lifetime. Advanced software programs provide such predictions at reasonable cost across all systems. (author)

Solutions in radiology services management: a literature review.

Science.gov (United States)

Pereira, Aline Garcia; Vergara, Lizandra Garcia Lupi; Merino, Eugenio Andrés Díaz; Wagner, Adriano

2015-01-01

The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services. Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares. In the databases, 565 papers - 120 out of them, pdf free - were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training, poor knowledge and use of management techniques, and interaction with users. The design management provides the services with interesting solutions such as Benchmarking, CRM, Lean Approach, ServiceBlueprinting, continued education, among others. Literature review is an important tool to identify problems and respective solutions. However, considering the small number of studies approaching management of radiology services, this is a great field of research for the development of deeper studies.

The use of research results for effective aging management

International Nuclear Information System (INIS)

Gunther, W.E.; Taylor, J.H.

1989-01-01

The study of the degradation of structures, components, and systems due to aging is an important ongoing area of research in the nuclear industry. Efforts by the U.S. Nuclear Regulatory Commission (NRC) and the utility industry, through organizations such as the Electric Power Research Institute (EPRI), have produced substantial research results that can be used by inspectors and operators to effectively understand and manage the aging of nuclear power plants. One of the primary objectives of the NRC's Nuclear Plant Aging Research (NPAR) Program is to determine how aging affects the safety of nuclear power plants. This program uses operating experience, testing, and engineering analysis to identify failures caused by age-related degradation. Useful information on aging has also resulted from research being performed by the industry to support plant-life extension (PLEX). The EPRI program, for instance, is directed toward the resolution of issues related to materials and components. Degradation of equipment and systems due to aging can occur which, if unmitigated, could result in reduction of the nuclear power plant safety margin as the plant ages. This paper describes how aging research results may be used by plant operating management to effectively address the aging issue and by inspectors responsible for monitoring plant activities and programs

RISKS MANAGEMENT: NEW LITERATURE REVIEW

OpenAIRE

Ennouri Wissem

2013-01-01

The complexity of the industrial activities and the important mass of flows crossing the supply chain promotes the emergence of risks that must be considered in the decision process. For this reason, we have developed this paper to clarify the basics of risk management through a short new suggestion of literature review for risk management. Our justification of this attempt is that this area is the most discussed in our days and it is impossible to present all definition of the risk concept, ...

Age, interpersonal attraction, and social interaction. A review and assessment.

Science.gov (United States)

Webb, L; Delaney, J J; Young, L R

1989-03-01

This essay reviews over 40 extant research reports on attraction and aging. The review indicated that (a) perceived agreement in attitude tends to neutralize young adults' general perception of older adults as unattractive, (b) elders prefer to associate with middle-aged and older adults more than they desire to associate with younger adults, regardless of the relative physical attraction of the target individuals, and (c) elders' marital satisfaction appears to be related to perceived physical attractiveness of the husband, not the wife. The authors provide critique and analysis of the research methods employed in the reviewed studies. Avenues for further research are identified.

Allowance for aging in Spanish nuclear power plants

International Nuclear Information System (INIS)

Rodriguez, C.

2009-01-01

In Spain, as in most European Union countries, the nuclear power plants (NPP) operation license is open regarding its duration, there being no legal restrictions for extending the operational life of the NPP by renewing their licenses. Plant operation permits are renewed every ten years, following the performance of periodic safety reviews, which constitute a reasonable guarantee that safety conditions will be maintained throughout the next ten years period. Plant ageing management programmes in Spain started in mid 80's with a joint programme shared by all Spanish utilities through their common organisation, U.N.E.S.A., and the Spanish nuclear regulatory Authority (C.S.N.). The development of the methodology was based mainly in technical documents from IAEA and from U.S.N.R.C. rulemaking and documents, as well as in the international experience available. C.S.N. is interested in realising an effective management of components ageing processes. Therefore C.S.N. has introduced within its inspection and control functions specific requirements related to ageing management. The regulatory requirements related to NPP lifetime management are basically the following: NPP operation license requires preparing and submitting to the C.S.N. an annually updated report on the ageing control activities or the Lifetime Management Programme; - continuous NPP safety evaluation process by C.S.N., complemented with periodic safety reviews, to be performed every 10 years, including: a) review of components behaviour (identify degradation mechanism and current corrective measures adopted by the plant for ageing mechanisms control and mitigation) and b) updating of the safety evaluation and improvement programmes (Lifetime management programme is included among them). In the case the period of validity of a new operation permit exceeds the lifetime considered in the initial design of the plant, the periodic safety review process remains valid, but it must be supplemented with additional

Healthy Aging in Older Women Living with HIV Infection: a Systematic Review of Psychosocial Factors.

Science.gov (United States)

Rubtsova, Anna A; Kempf, Mirjam-Colette; Taylor, Tonya N; Konkle-Parker, Deborah; Wingood, Gina M; Holstad, Marcia McDonnell

2017-02-01

Due to life-enhancing effects of antiretroviral therapy, HIV-positive persons have the potential for long life comparable to their uninfected peers. Older women (age 50+) living with HIV (OWLH) are often an under-recognized aging group. We conducted a systematic review to examine psychosocial factors that impact how OWLH live, cope, and age with HIV. Initial key word search yielded 1527 records, and 21 studies met our inclusion criteria of original quantitative or qualitative research published between 2013 and 2016 with results specific to OWLH. These focused on health care and self-management, sexual health and risk, stigma, loneliness, mental health (depression, substance use), and protective factors (coping, social support, well-being). Due to the scarcity of studies on each topic and inconclusive findings, no clear patterns of results emerged. As the number of OWLH continues to grow, more research, including longitudinal studies, is needed to fully characterize the psychosocial factors that impact aging with HIV.

Guideline for ageing management in nuclear power plants; Leitlinie zum Alterungsmanagement in Kernkraftwerken

Energy Technology Data Exchange (ETDEWEB)

Herter, K.H.; Schuler, X. [Materialpruefungsanstalt (MPA), Univ. Stuttgart, Stuttgart (Germany); Hienstorfer, W.; Pompe, W. [TUeV SUeD Energietechnik GmbH, Filderstadt (Germany)

2007-07-01

During operation of nuclear power plants, the quality of systems, structures and components may change as a result of ageing (conceptional ageing, technological ageing or physical ageing), which will affect the system quality. Ageing management is necessary to ensure safety and availability throughout the life of the systems. This necessitates a systematic, integrative and knowledge-based approach. Systems, structures and components are grouped according to their relevance for meeting the set goals. Ageing mangement should be process-oriented and should be integrated in the organisational procedure in cooperation with the safety manager. The procedure should follow the PDCA principle (plan - do - check - act). The data, documents, knowledge and evaluations required for ageing management are part of the knowledge base of the nuclear power station and are updated regularly. The efficiency of ageing management must be reassessed at regular intervals. (orig.)

Evolving colon injury management: a review.

Science.gov (United States)

Greer, Lauren T; Gillern, Suzanne M; Vertrees, Amy E

2013-02-01

The colon is the second most commonly injured intra-abdominal organ in penetrating trauma. Management of traumatic colon injuries has evolved significantly over the past 200 years. Traumatic colon injuries can have a wide spectrum of severity, presentation, and management options. There is strong evidence that most non-destructive colon injuries can be successfully managed with primary repair or primary anastomosis. The management of destructive colon injuries remains controversial with most favoring resection with primary anastomosis and others favor colonic diversion in specific circumstances. The historical management of traumatic colon injuries, common mechanisms of injury, demographics, presentation, assessment, diagnosis, management, and complications of traumatic colon injuries both in civilian and military practice are reviewed. The damage control revolution has added another layer of complexity to management with continued controversy.

IAEA activities on safety aspects of NPP ageing

International Nuclear Information System (INIS)

Pachner, J.

1998-01-01

A review of IAEA activities concerned with safety aspects of nuclear power plants ageing is given for the period from 1995 to 1998 with the prospects till year 2000. Coordinated Research programs were conducted on Management Ageing of Concrete Containment Buildings; Management of Ageing of In-Containment I and C cables. TECDOCs were published on Assessment and Management of Ageing of Major NPP Components Important for Safety of CANDU, PWR and BWR NPPs. Technical Committee Meetings and Interregional training courses concerned with the same subjects were held

75 FR 44992 - Review of Management Directive 8.11

Science.gov (United States)

2010-07-30

... NUCLEAR REGULATORY COMMISSION [NRC-2010-0242] Review of Management Directive 8.11 AGENCY: Nuclear... (NRC) is requesting public comment on Management Directive (MD) 8.11, ``Review Process for 10 CFR 2.206... members of the public and the NRC, the NRC is soliciting comments from the public, on what, if any...

Analysis of aging mechanism and management for HTR-PM reactor pressure vessel

International Nuclear Information System (INIS)

Sun Yunxue; Shao Jin

2015-01-01

Reactor pressure vessel is an important part of the reactor pressure boundary, its important degree ranks high in ageing management and life assessment of nuclear power plant. Carrying out systematic aging management to ensure reactor pressure vessel keeping enough safety margins and executing design functions is one of the key factors to guarantee security and stability operation for nuclear power plant during the whole lifetime and prolong life. This paper briefly introduces the structure and aging mechanism of reactor pressure vessel in pressurized water reactor nuclear power plant, and introduces the design principle and structure characteristics of HTR-PM. At the same time, this paper carries out preliminary analysis and exploration. and discusses aging management of HTR-PM reactor pressure vessel. Finally, the advice of carring out aging management for HTR-PM reactor pressure vessel is proposed. (authors)

Ageing management of CANDUtm concrete containment buildings

International Nuclear Information System (INIS)

Philipose, K.E.; Gregor, F.E.

2009-01-01

The containment system in a Nuclear Power Plant (NPP) provides the final physical barrier against release of radioactive materials to the external environment. Even though there are different physical configurations to meet this fundamental safety function in various reactor types, a common feature is the use of a thick-walled concrete structure as part of the containment system commonly referred to as 'Concrete Containment Building'. In order for the concrete containment buildings to continue to provide the required safety function, it has to maintain its structural integrity. As well, its leak rates under test pressures must be maintained below acceptable limits. As some of the containment buildings of the CANDU nuclear power plants are approaching their fourth decade of successful operation, questions regarding the impact of ageing on their ultimate useful service life emerge. Ageing Management has become the tool for addressing those questions. In this paper, the ageing and ageing management of the CANDU concrete containments are discussed, including the specific programs being implemented to monitor and trend the ageing conditions. Specifically, the usefulness of the embedded strain gauges as a tool for the assessment of the condition of the containment concrete structure is discussed. Some of the operational and test data accumulated over the last 30 years have been evaluated and trended to provide some results and conclusions regarding the satisfactory long-term behaviour of the concrete containment buildings. (authors)

Hyaluronic acid gel fillers in the management of facial aging

Directory of Open Access Journals (Sweden)

Fredric S Brandt

2008-03-01

Full Text Available Fredric S Brandt1, Alex Cazzaniga21Private Practice in Coral Gables, Florida, USA and Manhattan, NY, USA, and Dermatology Research Institute, Coral Gables, FL, USA; 2Dermatology Research Institute, Coral Gables, Florida, USAAbstract: Time affects facial aging by producing cellular and anatomical changes resulting in the consequential loss of soft tissue volume. With the advent of new technologies, the physician has the opportunity of addressing these changes with the utilization of dermal fillers. Hyaluronic acid (HA dermal fillers are the most popular, non-permanent injectable materials available to physicians today for the correction of soft tissue defects of the face. This material provides an effective, non invasive, non surgical alternative for correction of the contour defects of the face due to its enormous ability to bind water and easiness of implantation. HA dermal fillers are safe and effective. The baby-boomer generation, and their desire of turning back the clock while enjoying an active lifestyle, has expanded the popularity of these fillers. In the US, there are currently eight HA dermal fillers approved for commercialization by the Food and Drug Administration (FDA. This article reviews the innate properties of FDA-approved HA fillers and provides an insight on future HA products and their utilization for the management of the aging face.Keywords: hyaluronic acid, aging face, dermal filler, wrinkles, Restylane, Perlane, Juvéderm

Managing Virtual Product Development team: A Review

Directory of Open Access Journals (Sweden)

Amir Mohammad Colabi

2014-05-01

Full Text Available Although there are many potential benefits associated with the use of virtual product development teams, exploiting these benefits requires an appropriate management. Managing virtual product development team is a critical issue as many of these teams fail to accomplish their goals. Review of previous literature shows that body of knowledge in managing virtual product development teams is fragmented and inconsistent. The main objective of this paper is to categorize the previous research on the subject of virtual product development team management in order to integrate the research into a thematic model and to enable recommendations for future research. So, this study reviews and summarizes empirical research in the field, also conceptual and qualitative papers, experiences, reports and explorative case studies. Results show that there are three fields of research in this area, including: Virtual production and Virtual team in Product Development, Managing virtual team in R&D[1] and product development, Managing global virtual product development teams. In order to organize previous studies in this area, a thematic map is proposed which shows the structure and sequence of research. Finally, a comprehensive discussion on the future directions in this field is proposed.

Experiences of case management with chronic illnesses: a qualitative systematic review.

Science.gov (United States)

Joo, J Y; Liu, M F

2018-03-01

This qualitative systematic review aimed to identify and synthesize recent qualitative studies to improve understanding of the experiences and perceptions of case management interventions that individuals with chronic illnesses and their caregivers have. Case management has been shown to be effective at improving quality of care and lowering costs for individuals with chronic illnesses. However, no qualitative review has been synthesized with recent qualitative studies about case management experiences by individual with chronic illnesses. This qualitative systematic review uses a thematic synthesis method to review 10 qualitative studies published within the last 10 years, from 2007 to 2016, thereby identifying and discussing the understandings that individuals with chronic illnesses and their caregivers have about case management. From this synthesis, three themes were identified as facilitators of case management (access to healthcare resources, health status supports and emotional aid) and two themes were identified as barriers to it (low information about case management and time constraints). This is the first qualitative systematic review of the perceptions and experiences that individuals with chronic illnesses and their caregivers have about case management. The facilitators of case management can be employed to inform patients about the benefits of case management and to improve population health. The findings about barriers to case management can be used to reform case management for populations with chronic illnesses. These factors should be considered by nursing researchers and healthcare policymakers when implementing case management. © 2018 International Council of Nurses.

Haematological factors in the management of adult epistaxis: systematic review.

Science.gov (United States)

Williams, A; Biffen, A; Pilkington, N; Arrick, L; Williams, R J; Smith, M E; Smith, M; Birchall, J

2017-12-01

The management of epistaxis requires an understanding of haematological factors that may complicate its treatment. This systematic review includes six distinct reviews examining the evidence supporting epistaxis-specific management strategies relating to warfarin, direct oral anticoagulants, heparin, antiplatelet agents, tranexamic acid and transfusion. A systematic review of the literature was performed using a standardised methodology and search strategy. Limited numbers of articles were identified in each systematic review, with level 1 evidence only regarding the use of tranexamic acid. No studies met the inclusion criteria within the heparin, direct oral anticoagulants or transfusion systematic reviews. Many studies were limited by small sample sizes and significant risk of bias. The management of major bleeding and transfusion practice is well documented in national guidance from multiple sources. The guidelines include advice on anticoagulants, antiplatelet agents and tranexamic acid. In the absence of more specific evidence, these guidelines should be applied in the management of epistaxis.

Managing Age Discrimination: An Examination of the Techniques Used when Seeking Employment

Science.gov (United States)

Berger, Ellie D.

2009-01-01

Purpose: This article examines the age-related management techniques used by older workers in their search for employment. Design and Methods: Data are drawn from interviews with individuals aged 45-65 years (N = 30). Results: Findings indicate that participants develop "counteractions" and "concealments" to manage perceived age discrimination.…

Aging Management Strategy and Requirements of Pressurized Water Reactor Internal Components

Energy Technology Data Exchange (ETDEWEB)

Yang, Jun Seog; Oh, Sung Jin; Won, Se Yol; Jeong, Sun Mi [KHNP, Daejeon (Korea, Republic of)

2016-05-15

The demonstration that the effects of degradation in the components of PWR internals are adequately managed is essential for maintaining a healthy fleet and ensuring the continued functionality of the reactor internals. It is also very important to determine when and where irradiation susceptibility may occur for the continued operation. This paper introduces the aging management strategies and requirements for PWR internals components and discusses effects of irradiation aging results from the functionality assessments based on the categorization of internal components. This paper introduces aging management strategies and requirements for PWR internals components. The aging management requirements for PWR internals are specified in four final component groups, which are Primary, Expansion, Existing Program and No Additional Measures. Among these groups, Primary groups include any restriction on general applicability, degradation mechanism, forward link to any Expansion components, examination method, initial examination and frequency, and examination coverage and accessibility. Expansion groups are backward link to the Primary component.

Web 2.0 chronic disease self-management for older adults: a systematic review.

Science.gov (United States)

Stellefson, Michael; Chaney, Beth; Barry, Adam E; Chavarria, Enmanuel; Tennant, Bethany; Walsh-Childers, Kim; Sriram, P S; Zagora, Justin

2013-02-14

Participatory Web 2.0 interventions promote collaboration to support chronic disease self-management. Growth in Web 2.0 interventions has led to the emergence of e-patient communication tools that enable older adults to (1) locate and share disease management information and (2) receive interactive healthcare advice. The evolution of older e-patients contributing to Web 2.0 health and medical forums has led to greater opportunities for achieving better chronic disease outcomes. To date, there are no review articles investigating the planning, implementation, and evaluation of Web 2.0 chronic disease self-management interventions for older adults. To review the planning, implementation, and overall effectiveness of Web 2.0 self-management interventions for older adults (mean age ≥ 50) with one or more chronic disease(s). A systematic literature search was conducted using six popular health science databases. The RE-AIM (Reach, Efficacy, Adoption, Implementation and Maintenance) model was used to organize findings and compute a study quality score (SQS) for 15 reviewed articles. Most interventions were adopted for delivery by multidisciplinary healthcare teams and tested among small samples of white females with diabetes. Studies indicated that Web 2.0 participants felt greater self-efficacy for managing their disease(s) and benefitted from communicating with health care providers and/or website moderators to receive feedback and social support. Participants noted asynchronous communication tools (eg, email, discussion boards) and progress tracking features (eg, graphical displays of uploaded personal data) as being particularly useful for self-management support. Despite high attrition being noted as problematic, this review suggests that greater Web 2.0 engagement may be associated with improvements in health behaviors (eg, physical activity) and health status (eg, HRQoL). However, few studies indicated statistically significant improvements in medication

IAEA-IFRAM joint development of nuclear plant aging management handbooks

International Nuclear Information System (INIS)

Yeji Kim, II Soon Hwang

2015-01-01

As attentions to the beyond design basis accident have increased following Fukushima accident, the importance of aging management for key system, structure and components of nuclear power plant (NPP) also has been emerged as the key factor for safety and reliability of NPPs. The diverse experiences can serve as the foundation for aging management processes that has major trust in the understanding of materials degradation mechanisms. IAEA and IFRAM have collaborated to produce the nuclear plant aging management handbook in order to help entry-level engineers and graduate students understand big pictures. As the number of old NPPs and new-comer countries have increased, sharing experiences and accumulated knowledge from existing nuclear industries has become increasingly important. From this point of view, the handbook has been completed for publication by IAEA which assembled a panel of international experts to integrate the vast body of background knowledge regarding aging mechanism and the extensive know-hows of expertsinto a primer handbook. The next step is to actively utilize the IAEA handbook to produce its web version. In order to reach the ultimate purpose of nuclear safety culture of IAEA, information the handbook should be made easily accessible ana understandable. In this regards, the conversion of IFRAM handbook to web version is being planned. Careful considerations about how to restructure the content and how to reflect opinions from experts and readers are needed. In addition, this handbook can be extended to a training program for maintenance managers, vendors, research organizations and regulators to assist them in their work on aging management in operating NPPs. Through these two aspects, this IFRAM handbook on aging management of NPPs will support of NPP staff both new-comer and established countries. This paper introduces the purpose, approach, structure, content of already completed IAEA handbook and the status and plan for IFRAM Web

Management of I and C ageing

International Nuclear Information System (INIS)

Caron, D.

2000-01-01

This report presents a brief perspective on the management of Instrumentation and Control (I and C) ageing in UK NPPs. It does not address the issues of refurbishment strategies, the use of digital I and C or the technical details of advanced monitoring techniques. These items are discussed in other country reports and elsewhere in this TECDOC. (author)

Aging Management Guideline for commercial nuclear power plants: Power and distribution transformers

International Nuclear Information System (INIS)

Toman, G.; Gazdzinski, R.

1994-05-01

This Aging Management Guideline (AMG) provides recommended methods for effective detection and mitigation of age-related degradation mechanisms in power and distribution transformers important to license renewal in commercial nuclear power plants. The intent of this AMG to assist plant maintenance and operations personnel in maximizing the safe, useful life of these components. It also supports the documentation of effective aging management programs required under the License Renewal Rule 10 CFR Part 54. This AMG is presented in a manner which allows personnel responsible for performance analysis and maintenance to compare their plant-specific aging mechanisms (expected or already experienced) and aging management program activities to the more generic results and recommendations presented herein

Epidemiology and management of head injury in paediatric age group in North-Eastern Nigeria

Directory of Open Access Journals (Sweden)

J Y Chinda

2013-01-01

Full Text Available Background: Paediatric head injury (HI is the single most common cause of death and permanent disability in children world over, and this is increasingly becoming worrisome in our society because of increased risks and proneness to road traffic accidents on our highways and streets. The study set to determine causes and management of HI among children in our society. Patients and Methods: A retrospective review of all children aged 0-15 years with traumatic head injury (THIs who were managed at the University of Maiduguri Teaching Hospital between July, 2006 and August, 2008. Results: A total of 45 children with THIs presented to the casualty unit of the hospital; 30 (66.7% were boys and 15 (33.3% were girls. Three (6.7% children were less than 1 year of age, 21 (46.7% were between 1 years and 6 years while 16 (35.6% and 5 (11.0% were aged 7-11 years and 12-15 years respectively. Thirty six (80.0% of the children were pedestrians, 6 (13.4% fell from a height, while 2 (4.4% and 1 (2.2% were as a result of home accident and assault, respectively. Twenty one patients (46.7% had mild HI, while 53.3% had moderate to severe category. Forty one (91.1% of children were managed as in-patients, mostly (95.1% by conservative non-operative management, while 4 (8.9% were treated on the out-patient basis. The mortality rate was 17.8%. Conclusion: H1 among children is of a great concern, because of its incremental magnitude, due to increasing child labour and interstate religious discipleship among children, with attendant high mortality and permanent disabilities. Necessary laws and legislations should be formulated and implemented with organized campaigns and public enlightenment to prevent and mitigate this menace.

Barriers to Optimal Pain Management in Aged Care Facilities: An Australian Qualitative Study.

Science.gov (United States)

Veal, Felicity; Williams, Mackenzie; Bereznicki, Luke; Cummings, Elizabeth; Thompson, Angus; Peterson, Gregory; Winzenberg, Tania

2018-04-01

Up to 80% of residents in aged care facilities (ACFs) experience pain, which is often suboptimally managed. The purpose of this study was to characterize pain management in ACFs and identify the barriers to optimal pain management. This exploratory descriptive qualitative study used semistructured interviews in five Southern Tasmania, Australian ACFs. Interviewees included 23 staff members (18 nurses and 5 facility managers) and were conducted from September to November 2015. Interviews included questions about how pain was measured or assessed, what happened if pain was identified, barriers to pain management, and potential ways to overcome these barriers. Interviewees noted that there were no formal requirements regarding pain assessment at the ACFs reviewed; however, pain was often informally assessed. Staff noted the importance of adequate pain management for the residents' quality of life and employed both nonpharmacologic and pharmacologic techniques to reduce pain when identified. The barriers to optimal pain management included difficulty identifying and assessing pain, residents' resistance to reporting pain and/or taking medications, and communication barriers between the nursing staff and GPs. Staff interviewed were dedicated to managing residents' pain effectively; however, actions in a number of areas could improve resident outcomes. These include a more consistent approach to documenting pain in residents' progress notes and improving nurse-GP communications to ensure that new or escalating pain is identified and expedient changes can be made to the resident's management. Additionally, resident, family, nurse, and carer education, conducted within the facilities on a regular basis, could help improve the pain management of residents. Copyright © 2017. Published by Elsevier Inc.

Understanding and Managing Aging of Spent Nuclear Fuel and Facility Components in Wet Storage

International Nuclear Information System (INIS)

Johnson, A. B.

2007-01-01

Storage of nuclear fuel after it has been discharged from reactors has become the leading spent fuel management option. Many storage facilities are being required to operate longer than originally anticipated. Aging is a term that has emerged to focus attention on the consequences of extended operation on systems, structures, and components that comprise the storage facilities. The key to mitigation of age-related degradation in storage facilities is to implement effective strategies to understand and manage aging of the facility materials. A systematic approach to preclude serious effects of age-related degradation is addressed in this paper, directed principally to smaller facilities (test and research reactors). The first need is to assess the materials that comprise the facility and the environments that they are subject to. Access to historical data on facility design, fabrication, and operation can facilitate assessment of expected materials performance. Methods to assess the current condition of facility materials are summarized in the paper. Each facility needs an aging management plan to define the scope of the management program, involving identification of the materials that need specific actions to manage age-related degradation. For each material identified, one or more aging management programs are developed and become part of the plan Several national and international organizations have invested in development of comprehensive and systematic approaches to aging management. A method developed by the US Nuclear Regulatory Commission is recommended as a concise template to organize measures to effectively manage age-related degradation of storage facility materials, including the scope of inspection, surveillance, and maintenance that is needed to assure successful operation of the facility over its required life. Important to effective aging management is a staff that is alert for evidence of materials degradation and committed to carry out the aging

Aging management guideline for commercial nuclear power plants - tanks and pools

International Nuclear Information System (INIS)

Blocker, E.; Smith, S.; Philpot, L.; Conley, J.

1996-02-01

Continued operation of nuclear power plants for periods that extend beyond their original 40-year license period is a desirable option for many U.S. utilities. U.S. Nuclear Regulatory Commission (NRC) approval of operating license renewals is necessary before continued operation becomes a reality. Effective aging management for plant components is important to reliability and safety, regardless of current plant age or extended life expectations. However, the NRC requires that aging evaluations be performed and the effectiveness of aging management programs be demonstrated for components considered within the scope of license renewal before granting approval for operation beyond 40 years. Both the NRC and the utility want assurance that plant components will be highly reliable during both the current license term and throughout the extended operating period. In addition, effective aging management must be demonstrated to support Maintenance Rule (10 CFR 50.65) activities

Aging management guideline for commercial nuclear power plants - tanks and pools

Energy Technology Data Exchange (ETDEWEB)

Blocker, E.; Smith, S.; Philpot, L.; Conley, J.

1996-02-01

Continued operation of nuclear power plants for periods that extend beyond their original 40-year license period is a desirable option for many U.S. utilities. U.S. Nuclear Regulatory Commission (NRC) approval of operating license renewals is necessary before continued operation becomes a reality. Effective aging management for plant components is important to reliability and safety, regardless of current plant age or extended life expectations. However, the NRC requires that aging evaluations be performed and the effectiveness of aging management programs be demonstrated for components considered within the scope of license renewal before granting approval for operation beyond 40 years. Both the NRC and the utility want assurance that plant components will be highly reliable during both the current license term and throughout the extended operating period. In addition, effective aging management must be demonstrated to support Maintenance Rule (10 CFR 50.65) activities.

A review of supervised machine learning applied to ageing research.

Science.gov (United States)

Fabris, Fabio; Magalhães, João Pedro de; Freitas, Alex A

2017-04-01

Broadly speaking, supervised machine learning is the computational task of learning correlations between variables in annotated data (the training set), and using this information to create a predictive model capable of inferring annotations for new data, whose annotations are not known. Ageing is a complex process that affects nearly all animal species. This process can be studied at several levels of abstraction, in different organisms and with different objectives in mind. Not surprisingly, the diversity of the supervised machine learning algorithms applied to answer biological questions reflects the complexities of the underlying ageing processes being studied. Many works using supervised machine learning to study the ageing process have been recently published, so it is timely to review these works, to discuss their main findings and weaknesses. In summary, the main findings of the reviewed papers are: the link between specific types of DNA repair and ageing; ageing-related proteins tend to be highly connected and seem to play a central role in molecular pathways; ageing/longevity is linked with autophagy and apoptosis, nutrient receptor genes, and copper and iron ion transport. Additionally, several biomarkers of ageing were found by machine learning. Despite some interesting machine learning results, we also identified a weakness of current works on this topic: only one of the reviewed papers has corroborated the computational results of machine learning algorithms through wet-lab experiments. In conclusion, supervised machine learning has contributed to advance our knowledge and has provided novel insights on ageing, yet future work should have a greater emphasis in validating the predictions.

Type II odontoid fractures in the elderly: an evidence-based narrative review of management.

Science.gov (United States)

Pal, D; Sell, P; Grevitt, M

2011-02-01

Considerable controversy exists regarding the optimal management of elderly patients with type II odontoid fractures. There is uncertainty regarding the consequences of non-union. The best treatment remains unclear because of the morbidity associated with prolonged cervical immobilisation versus the risks of surgical intervention. The objective of the study was to evaluate the published literature and determine the current evidence for the management of type II odontoid fractures in elderly. A search of the English language literature from January 1970 to date was performed using Medline and the following keywords: odontoid, fractures, cervical spine and elderly. The search was supplemented by cross-referencing between articles. Case reports and review articles were excluded although some were referred to in the discussion. Studies in patients aged 65 years with a minimum follow-up of 12 months were selected. One-hundred twenty-six articles were reviewed. No class I study was identified. There were two class II studies and the remaining were class III. Significant variability was found in the literature regarding mortality and morbidity rates in patients treated with and without halo vest immobilisation. In recent years several authors have claimed satisfactory results with anterior odontoid screw fixation while others have argued that this may lead to increased complications in this age group. Lately, the posterior cervical (Goel-Harms) construct has also gained popularity amongst surgeons. There is insufficient evidence to establish a standard or guideline for odontoid fracture management in elderly. While most authors agree that cervical immobilisation yields satisfactory results for type I and III fractures in the elderly, the optimal management for type II fractures remain unsolved. A prospective randomised controlled trial is recommended.

Ageing Management Based Maintenance at ETRR-II

Energy Technology Data Exchange (ETDEWEB)

Kamoon, A.; Ali, A., E-mail: akamoun2004@yahoo.com [Inshas Nuclear Research Centre, Egyptian Atomic Energy Authority (EAEA), Cairo (Egypt)

2014-08-15

The second research reactor of Egypt, ETRR-II, is an open pool type multi-purpose reactor of 22 MW that has been in operation since 1998. The main purposes of ETRR-II are the production of radioisotopes, personnel training, research and development. Ageing management of ETRR-II is based on the maintenance programme. This programme was planned to have a proactive maintenance strategy that mainly depends on adequate preventive and predictive maintenance. Screening of SSCs is based on safety classes, needs and quality levels. The operation condition and maintenance history are the basis to assess the level of degradation. The ultimate aim of the maintenance team is to perform adequate maintenance work only when it is really necessary. The objectives of the ageing management based maintenance are to maintain and improve equipment availability, confirm compliance with operational limits and conditions, and detect and correct any abnormal condition that might affect reactor safety. The programme also helps to detect trends in ageing so that a plan for mitigating ageing effects can be prepared and implemented. Reactor service conditions are monitored through many parameters and conditions such as conductivity and pH of coolant water, water radiochemical analysis, thermal and hydraulic parameters, a leak detection system, corrosion rate of piping, vibration level of rotating equipment and control rod drop time.

The NPP Isar comprehensive Aging Management Program

International Nuclear Information System (INIS)

Zander, Andre; Ertl, Stefan

2012-01-01

The majority of System, Structure and Components (SSC) in a nuclear power plants are designed to experience a service life, which is far above the intended design life. In most cases, only a small percentage of SSCs are subject to significant aging effects, which may affect the integrity or the function of the component. The process of aging management (AM) has the objective to monitor and control degradation effects which may compromise safety functions of the plant. And furthermore, to ensure, that testing and maintenance programs sufficiently provide preventive measures to control degradation effects. Safety-related aspects and the targeted high availability of the power plant as well as the requirements stipulated by German regulatory authorities prompted the operator of NPP ISAR to introduce an aging surveillance program. The NPP Isar as well as the German NPPs has to be following in the scope of aging management the KTA 1403 guideline. The NPP Isar surveillance program based on the KTA 1403 guideline covers the following aspects: - Scoping and screening of safety relevant Systems, Structures and Components (SSC); - Identification of possible degradation mechanisms for safety relevant SSC; - Ensure, that testing and maintenance programs sufficiently provide preventive measures to control degradation effects; - Transferability check of industry experience (internal and external events); - Annual preparation of an AM status report. (author)

A Review of Transformer Aging and Control Strategies

Energy Technology Data Exchange (ETDEWEB)

Gourisetti, Sri Nikhil Gup; Kirkham, Harold; Sivaraman, Deepak

2017-09-19

Transformer aging is an important challenge in power system. Distribution transformers themselves are minimally controllable, but smart meters provide excellent, new insights into electrical loads, which insights can be used to understand and mitigate transformer aging. The nature of transformer loads is changing with the integration of distributed energy resources (DERs) and electric vehicles (EVs). This paper first reviews factors that influence the aging of distribution transformers, including root causes of transformer failure. Existing and proposed load control methods are then discussed. A distribution model is introduced to help evaluate potential control methods.

COMSY - A Software Tool for Aging and Plant Life Management

International Nuclear Information System (INIS)

Zander, Andre; Nopper, Helmut

2012-01-01

A Plant-wide and systematic Aging and Plant Life Management is essential for the safe operation and/or availability of nuclear power plants. The Aging Management (AM) has the objective to monitor and control degradation effects for safety relevant Systems, Structures and Components (SSCs) which may compromise safety functions of the plant. The Plant Life Management (PLM) methodology also includes aging surveillance for availability relevant SSCs. AM and PLM cover mechanical components, electrical and I and C systems and civil structures All Aging and Plant Life Management rules call for a comprehensive approach, requiring the systematic collection of various aging and safety relevant data on a plant-wide basis. This data needs to be serviced and periodically evaluated. Due to the complexity of the process, this activity needs to be supported by a qualified software tool for the management of aging relevant data and associated documents (approx. 30 000 SSCs). In order to support the power plant operators AREVA NP has developed the software tool COMSY. The COMSY software with its integrated AM modules enables the design and setup of a knowledge-based power plant model compatible to the requirements of international and national rules (e.g. IAEA Safety Guide NS-G-2.12, KTA 1403). In this process, a key task is to identify and monitor degradation mechanisms. For this purpose the COMSY tool provides prognosis and trending functions, which are based on more than 30 years of experience in the evaluation of degradation effects and numerous experimental studies. Since 1998 COMSY has been applied successfully in more than fifty reactor units in this field. The current version 3.0 was revised completely and offers additional AM functions. All aging-relevant component data are compiled and allocated via an integrated power plant model. Owing to existing interfaces to other software solutions and flexible import functions, COMSY is highly compatible with already existing data

Self-Management Support Interventions for Stroke Survivors: A Systematic Meta-Review.

Directory of Open Access Journals (Sweden)

Hannah L Parke

Full Text Available There is considerable policy interest in promoting self-management in patients with long-term conditions, but it remains uncertain whether these interventions are effective in stroke patients.Systematic meta-review of the evidence for self-management support interventions with stroke survivors to inform provision of healthcare services.We searched MEDLINE, EMBASE, CINAHL, PsychINFO, AMED, BNI, Database of Abstracts of Reviews for Effectiveness, and Cochrane Database of Systematic Reviews for systematic reviews of self-management support interventions for stroke survivors. Quality was assessed using the R-AMSTAR tool, and data extracted using a customised data extraction form. We undertook a narrative synthesis of the reviews' findings.From 12,400 titles we selected 13 systematic reviews (published 2003-2012 representing 101 individual trials. Although the term 'self-management' was rarely used, key elements of self-management support such as goal setting, action planning, and problem solving were core components of therapy rehabilitation interventions. We found high quality evidence that supported self-management in the context of therapy rehabilitation delivered soon after the stroke event resulted in short-term (< 1 year improvements in basic and extended activities of daily living, and a reduction in poor outcomes (dependence/death. There is some evidence that rehabilitation and problem solving interventions facilitated reintegration into the community.Self-management terminology is rarely used in the context of stroke. However, therapy rehabilitation currently successfully delivers elements of self-management support to stroke survivors and their caregivers with improved outcomes. Future research should focus on managing the emotional, medical and social tasks of long-term survivorship.

Space/age forestry: Implications of planting density and rotation age in SRIC management decisions

Energy Technology Data Exchange (ETDEWEB)

Merriam, R.A.; Phillips, V.D.; Liu, W.

1993-12-31

Short-rotation intensive-culture (SRIC) of promising tree crops is being evaluated worldwide for the production of methanol, ethanol, and electricity from renewable biomass resources. Planting density and rotation age are fundamental management decisions associated with SRIC energy plantations. Most studies of these variables have been conducted without the benefit of a unifying theory of the effects of growing space and rotation age on individual tree growth and stand level productivity. A modeling procedure based on field trials of Eucalyptus spp. is presented that evaluates the growth potential of a tree in the absence and presence of competition of neighboring trees in a stand. The results of this analysis are useful in clarifying economic implications of different growing space and rotation age decisions that tree plantation managers must make. The procedure is readily applicable to other species under consideration for SRIC plantations at any location.

Solutions in radiology services management: a literature review

Directory of Open Access Journals (Sweden)

Aline Garcia Pereira

2015-10-01

Full Text Available AbstractObjective:The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services.Materials and Methods:Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares.Results:In the databases, 565 papers – 120 out of them, pdf free – were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training, poor knowledge and use of management techniques, and interaction with users. The design management provides the services with interesting solutions such as Benchmarking, CRM, Lean Approach, ServiceBlueprinting, continued education, among others.Conclusion:Literature review is an important tool to identify problems and respective solutions. However, considering the small number of studies approaching management of radiology services, this is a great field of research for the development of deeper studies.

Solutions in radiology services management: a literature review*

Science.gov (United States)

Pereira, Aline Garcia; Vergara, Lizandra Garcia Lupi; Merino, Eugenio Andrés Díaz; Wagner, Adriano

2015-01-01

Objective The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services. Materials and Methods Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares. Results In the databases, 565 papers – 120 out of them, pdf free – were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training, poor knowledge and use of management techniques, and interaction with users. The design management provides the services with interesting solutions such as Benchmarking, CRM, Lean Approach, ServiceBlueprinting, continued education, among others. Conclusion Literature review is an important tool to identify problems and respective solutions. However, considering the small number of studies approaching management of radiology services, this is a great field of research for the development of deeper studies. PMID:26543281

A Guide to the Systematic Literature Review Methodology in Supply Chain Management

DEFF Research Database (Denmark)

Durach, Christian F.; Wieland, Andreas; Kembro, Joakim

methodological developments in the application systematic literature reviews in supply chain management. It analyzes what approaches researchers in supply chain management have taken to follow the requirements of a systematic review, identifies issues in the approaches and provides authors, reviewers and editors...... with suggestions to better craft, disseminate, evaluate and select systematic literature reviews in supply chain management. This paper applies a systematic literature review approach to identify and analyze 31 articles published in core supply chain journals. It is the first research to map these developments......, since three seminal methodology papers on systematic reviews in management research have been published between 2003-2009. This research shows that there is still a need for more transparency in the approaches taken. Systematic literature reviews have a high potential to advance the field...

7 CFR 4290.360 - Initial review of Applicant's management team's qualifications.

Science.gov (United States)

2010-01-01

... 7 Agriculture 15 2010-01-01 2010-01-01 false Initial review of Applicant's management team's...'s management team's qualifications. The Secretary will review the information submitted by the Applicant concerning the qualifications of the Applicant's management team to determine in his or her sole...

How to succeed in the digital age? Monitor the organizational context, identify risks and opportunities, and manage change effectively

Directory of Open Access Journals (Sweden)

Fonseca Luis Miguel

2017-09-01

Full Text Available Due to the dynamic and inter-connected internal and external environments of the present digital age, organizations are faced with increased challenges to achieve enduring success. After reviewing the major management theories with an organizational focus, and the changes brought with the new ISO 9001:2015 Quality Management Systems International Standard Edition, the hypotheses that to succeed in the digital age organizations must monitor the organizational context, identify risks and opportunities, and manage change effectively, are presented. A worldwide survey was carried out among IRCA registered auditors concerning ISO 9001:2015 certified organizations, and by using a quantitative methodology (sample normality was confirmed through Kolmogorov-Smirnov test and the hypothesis were tested by using Pearson correlation coefficient. The results of this research highlight the need to properly monitor the organizational (internal and external context and identify the key issues that affect the organizations ability to deliver quality products and satisfy their customers and key stakeholders, and to plan, design, implement and control change in an effective and timely manner. These results support the notion that organizations should adopt appropriate organizational models for the present digital age, with emphasis on knowledge management and horizontal customer perspectives, willing to scan the environment, identify risk and opportunities and take timely and suitable actions.

Maintenance related to life management: Survey and control of equipment ageing

International Nuclear Information System (INIS)

Hevia Ruperez, F.

2000-01-01

The aim of this paper is to review relevant objectives and aspects of the Maintenance Evaluation and Improvement Programmes for Nuclear Power Plant Life Management. Recent experience shows that current maintenance practice often fails to directly address long-term degradation that affects singular plant components and equipment populations. Instead, delayed attention to the consequences makes good Life Management unfeasible. This has brought about the need for specific Maintenance Evaluation and Improvement Programmes to adjust to the basic objective of Life Management which is to protect against, mitigate and/or monitor ageing that affects the safe, profitable life of the facility. The paper analyses the methodologies used, incidents during their application and the main conclusions reached from the implementation of these programmes in Spanish nuclear power plants. Special attention is paid to recommended solutions for improving the efficiency of the utility's contributions, its leadership in task development and integration, and its interfaces with organisations specialised in providing services that support Life Management Programmes. The coexistence of these and other similar maintenance programmes make it necessary to integrate tasks to optimise effort and tools. The paper analyses the guidelines to be considered when integrating these Programmes with other maintenance optimisation programmes (economy and feasibility, RCM) and with tasks derived from the application of Maintenance Rule regulatory requirements. Lastly, the paper reports on the state of these Maintenance Evaluation and Improvement Programmes, their development, what prospects they have, and the Industry's initiative and actions concerning the matter. (author)

Safety Aspects of Ageing Management throughout the Full Life Cycle of NPPs

International Nuclear Information System (INIS)

Dou, Yikang

2012-01-01

Most component failures stem from effects of one or multiple ageing mechanism(s). Ageing management is one of the most robust measures to prevent failure and to maintain and increase safety of nuclear power plants. Based on Nuclear Safety Guideline on Ageing Management (NS-G-2.12) published by IAEA in 2009, the paper summarizes main ageing management activities required for all stages of life cycle of NPPs, including design, construction/manufacture, commissioning, operation, life extension for long-term operation and decommissioning. Interactive relations of ageing management in successive stages are analyzed. Implementation of the IAEA Guideline in comprehensive way will bring new challenges to design conception, modes of construction, manufacture, commissioning, equipment qualification, O and M, licensing, life extension and decommissioning for NPPs, however, it will be beneficial to enhance nuclear safety level, especially to promote development of nuclear power in China in a safe, reliable, profitable and sustainable way. (author)

A Proactive Aging/Asset Management Model to Optimize Equipment Maintenance Resources Over Plant Lifetime

International Nuclear Information System (INIS)

Meyer, Theodore A.; Perdue, Robert K.; Woodcock, Joel; Elder, G. Gary

2002-01-01

Experience has shown that proactive aging/asset management can best be defined as an ongoing process. Station goals directly supported by such a process include reducing Unplanned Capability Loss Factor and gaining the optimum value from maintenance and aging management budgets. An effective aging/asset management process must meet evolving and sometimes conflicting requirements for efficient and reliable nuclear power plant operation. The process should identify most likely contributors before they fail, and develop cost-effective contingencies. Current trends indicate the need for focused tools that give quantitative input to decision-making. Opposing goals, such as increasing availability while optimizing aging management budgets, must be balanced. Recognizing the importance of experience in reducing the uncertainty inherent in predicting equipment degradation rates, nuclear industry demographics suggest the need to capture existing expert knowledge in a usable form. The Proactive Aging/Asset Management Process has been developed to address these needs. The proactive approach is a process supported by tools. The process identifies goals and develops criteria - including safety, costs, and power production - that are used to prioritize systems and equipment across the plant. The process then draws upon tools to most effectively meet the plant's goals. The Proactive Aging/Asset Management Model TM is one software-enabled tool designed for mathematical optimization. Results assist a plant in developing a plant-wide plan of aging management activities. This paper describes the proactive aging/asset management process and provides an overview of the methodology that has been incorporated in a model to perform a plant-wide optimization of aging management activities. (authors)

Management of age-related degradation for nuclear power plants

International Nuclear Information System (INIS)

Gregor, Frank E.

2004-01-01

Life extension for nuclear power plants has been studied in the USA for the last six years, largely supported by EPRI, DOE and the USNRC. Though there are diverse opinions for the strategies and priorities of life extension and aging management, one common conclusion has been formulated regarding the need of current maintenance programs having to focus on aging and degradation management. Such program, called 'Maintenance Effectiveness Evaluation and Enhancement' or M3E for short, has been developed to assist plant operators to upgrade and enhance existing programs by integrating aging/degradation management activities for important or critical equipment and components. The key elements of the M3E program consist of the definition and selection of the critical components or commodities to be included in the scope, the survey/inventory of the current programs and their respective action steps, frequencies, corrective measures and extent of coverage, the component/commodity degradation mechanism, sites and severity, safety functions and service environments and lastly, the correlation of degradation/aging with the individual maintenance activities. The degree of correlation provides a measure of effectiveness and the opportunity to identify/specify needed enhancements, abandonment or generation of new maintenance activities. Implementation of the activities can then be prioritized at the option of the plant staff. (author)

A review of asphalt and asphalt mixture aging

Directory of Open Access Journals (Sweden)

Wilmar Darío Fernández-Gómez

2013-01-01

Full Text Available This paper presents an extensive review of the pertinent literature regarding asphalt and asphalt mixture Aging. Aging affects flexible pavement performance and is produced by intrinsic and extrinsic variables as well as exposure time. Intrinsic variables include asphalt and aggregate properties, a mixture’s asphalt content, binder film thickness and air void content; extrinsic variables are associated with production (short-term aging and exposure to environmental field conditions (long-term aging. Taken together, both variables demonstrate that aging results from three distinct mechanisms: volatilisation, oxidation and steric hardening. Temperature, pressure and photo degradation treatments are used to simulate aging in the laboratory and empirical and semi-empirical models are created to represent and study aging. Aging increases asphalt complex modulus and decreases the phase angle. Mixtures become stiffer while fatigue life becomes reduced. Carbonyl and sulfoxide group formation in asphalt are often studied as such chemical changes show oxidation in aged asphalts. The prevailing models used to predict asphalt aging are discussed, though more comprehensive research into asphalt aging is still needed.

The screening approach for review of accident management programmes

International Nuclear Information System (INIS)

Misak, J.

1999-01-01

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

Cost of falls in old age: a systematic review.

Science.gov (United States)

Heinrich, S; Rapp, K; Rissmann, U; Becker, C; König, H-H

2010-06-01

The purpose of this study was to review the evidence of the economic burden of falls in old age. This review showed that falls are a relevant economic burden. Efforts should be directed to fall-prevention programmes. Falls are a common mechanism of injury and a leading cause of costs of injury in the elderly. The purpose of this study was to review for the first time the evidence of the economic burden caused by falls in old age. A systematic review was conducted in the databases of PubMed, of the Centre for Reviews and Dissemination and in the Cochrane Database of Systematic Reviews until June 2009. Studies were assessed for inclusion, classified and synthesised. Costs per inhabitant, the share of fall-related costs in total health care expenditures and in gross domestic products (GDP) were calculated. If appropriate, cost data were inflated to the year 2006 and converted to US Dollar (USD PPP). A total of 32 studies were included. National fall-related costs of prevalence-based studies were between 0.85% and 1.5% of the total health care expenditures, 0.07% to 0.20% of the GDP and ranged from 113 to 547 USD PPP per inhabitant. Direct costs occurred especially in higher age groups, in females, in hospitals and long-term care facilities and for fractures. Mean costs per fall victim, per fall and per fall-related hospitalisation ranged from 2,044 to 25,955; 1,059 to 10,913 and 5,654 to 42,840 USD PPP and depended on fall severity. A more detailed comparison is restricted by the limited number of studies. Falls are a relevant economic burden to society. Efforts should be directed to economic evaluations of fall-prevention programmes aiming at reducing fall-related fractures, which contribute substantially to fall-related costs.

Optimal Rule-Based Power Management for Online, Real-Time Applications in HEVs with Multiple Sources and Objectives: A Review

Directory of Open Access Journals (Sweden)

Bedatri Moulik

2015-08-01

Full Text Available The field of hybrid vehicles has undergone intensive research and development, primarily due to the increasing concern of depleting resources and increasing pollution. In order to investigate further options to optimize the performance of hybrid vehicles with regards to different criteria, such as fuel economy, battery aging, etc., a detailed state-of-the-art review is presented in this contribution. Different power management and optimization techniques are discussed focusing on rule-based power management and multi-objective optimization techniques. The extent of rule-based power management and optimization in solving battery aging issues is investigated along with an implementation in real-time driving scenarios where no pre-defined drive cycle is followed. The goal of this paper is to illustrate the significance and applications of rule-based power management optimization based on previous contributions.

Prudency reviews, cash management issues emerge

International Nuclear Information System (INIS)

Anon.

1985-01-01

Utility management is paying increasing attention to the broadening of regulatory commission prudency reviews to cover operating generating plants as well as those under construction. Utilities can expect a prudency review after a major outage, and should investigate the possibility for legal action against a third party or be prepared to defend itself. The Shoreham nuclear plant serves as a warning to utilities of the need for on-going documentation of cost-benefit analyses conducted during the construction period. Utility managers should demand a prudency standard from their regulators, and minority owners in large projects should make independent prudency findings. There is also a growing need for utilities to develop intelligent strategies for handling excess cash. Methods for handling cash flow include the financial investment, grid refurbishment, dividend payout, decapitalization, and diversification

Mini Review - Phenolics for skin photo-aging.

Science.gov (United States)

Ali, Atif

2017-07-01

Photo-aging is one of the foremost problems caused by generation of reactive oxygen species when skin is exposed on UV irradiation. In view of that, generation of reactive oxygen species intermingle with proteins, DNA, saccharides and fatty acids triggering oxidative mutilation and effects are in the appearance of distressed cell metabolism, morphological and ultra-structural changes, mistreat on the routes and revisions in the demarcation, propagation and skin apoptosis living cells which leads to photo-aging. Plant phenolics are universally found in both edible and inedible plants and have extended substantial interest as photo-protective for human skin due to their antioxidant activities. The objective of this review is to highlight the use of plant phenolics for their antioxidant activities against photo-aging.

Knowledge Management System in Health & Social Care: Review on 20 Practiced Knowledge Management

Directory of Open Access Journals (Sweden)

Muhammad Saiful Ridhwan

2014-02-01

Full Text Available The importance of managing medical information has become very critical in the healthcare delivery system. Medical information nowadays are optimized towards serving different areas such as; diagnosing of diseases, planning and administration, treatment and monitoring of patient outcomes, services and costs. This article provides a review into various Health and Social Care systems which encompasses the Knowledge Management value. For analysis, more than 30 systems that are related to Health and Social Care were gathered via Internet research, only 20 of these systems were finally selected based on recent system development and popularity of the system.Keywords: Health Care, Knowledge, Knowledge Management, Social Care, systemdoi:10.12695/ajtm.2013.6.2.4 How to cite this article:Ridhwan, M.S., and Oyefolahan, I.O. (2013. Knowledge Management System in Health & Social Care: Review on 20 Practiced Knowledge Management. The Asian Journal of Technology Management 6 (2: 92-101. Print ISSN: 1978-6956; Online ISSN: 2089-791X. doi:10.12695/ajtm.2013.6.2.4

Computer technology for self-management: a scoping review.

Science.gov (United States)

Jacelon, Cynthia S; Gibbs, Molly A; Ridgway, John Ve

2016-05-01

The purpose of this scoping review of literature is to explore the types of computer-based systems used for self-management of chronic disease, the goals and success of these systems, the value added by technology integration and the target audience for these systems. Technology is changing the way health care is provided and the way that individuals manage their health. Individuals with chronic diseases are now able to use computer-based systems to self-manage their health. These systems have the ability to remind users of daily activities, and to help them recognise when symptoms are worsening and intervention is indicated. However, there are many questions about the types of systems available, the goals of these systems and the success with which individuals with chronic illness are using them. This is a scoping review in which the Cumulative Index of Nursing and Allied Health Literature, PubMed and IEEE Xplore databases were searched. A total of 303 articles were reviewed, 89 articles were read in-depth and 30 were included in the scoping review. The Substitution, Augmentation, Modification, Redefinition model was used to evaluate the value added by the technology integration. Research on technology for self-management was conducted in 13 countries. Data analysis identified five kinds of platforms on which the systems were based, some systems were focused on a specific disease management processes, others were not. For individuals to effectively use systems to maintain maximum wellness, the systems must have a strong component of self-management and provide the user with meaningful information regarding their health states. Clinicians should choose systems for their clients based on the design, components and goals of the systems. © 2016 John Wiley & Sons Ltd.

Aging and human sexual behavior: biocultural perspectives - a mini-review.

Science.gov (United States)

Gray, Peter B; Garcia, Justin R

2012-01-01

In this mini-review, we consider an evolutionary biocultural perspective on human aging and sexuality. An evolutionary approach to senescence highlights the energetic trade-offs between fertility and mortality. By comparing humans to other primates, we situate human senescence as an evolutionary process, with shifts in postreproductive sexual behavior in this light. Age-related declines in sexual behavior are typical for humans but also highly contingent on the sociocultural context within which aging individuals express their sexuality. We briefly review some of the most comprehensive studies of aging and sexual behavior, both from the USA and cross-culturally. We frame these patterns with respect to the long-term relationships within which human sexual behavior typically occurs. Because sexuality is typically expressed within pair-bonds, sexual behavior sometimes declines in both members of a couple with age, but also exhibits sex-specific effects that have their roots in evolved sex differences. Copyright © 2012 S. Karger AG, Basel.

Managing molar-incisor hypomineralization: A systematic review.

Science.gov (United States)

Elhennawy, Karim; Schwendicke, Falk

2016-12-01

We systematically reviewed treatment modalities for MIH-affected molars and incisors. Trials on humans with ≥1 MIH molar/incisor reporting on various treatments were included. Two authors independently searched and extracted records. Sample-size-weighted annual failure rates were estimated where appropriate. The risk of bias was assessed using the Newcastle-Ottawa scale. Electronic databases (PubMed, Embase, Cochrane CENTRAL, Google Scholar) were screened, and hand searches and cross-referencing performed. Fourteen (mainly observational) studies were included. Ten trials (381 participants) investigated MIH-molars, four (139) MIH-incisors. For molars, remineralization, restorative or extraction therapies had been assessed. For restorative approaches, mean (SD) annual failure rates were highest for fissure sealants (12[6]%) and glass-ionomer restorations (12[2]%), and lowest for indirect restorations (1[3]%), preformed metal crowns (1.3 [2.1]%) and composite restorations (4[3]%). Ony study assessed extraction of molars in young patients (median age 8.2 years), the majority of them without malocclusions, but third molars in development. Spontaneous alignment of second molars was more frequent in the maxilla (55%) than the mandible (47%). For incisors, desensitizing agents successfully managed hypersensitivity. Micro-abrasion and composite veneers improved aesthetics. Few, mainly moderate to high-risk-studies investigated treatment of MIH. Remineralization or sealants seem suitable for MIH-molars with limited severity and/or hypersensitivity. For severe cases, restorations with composites or indirect restorations or preformed metal crowns seem suitable. Prior to tooth extraction as last resort factors like the presence of a general malocclusion, patients' age and the status of neighboring teeth should be considered. No recommendations can be given for MIH-incisors. Dentists need to consider the specific condition of each tooth and the needs and expectations of

Review and Evaluation of Reservoir Management Strategies for Harmful Algal Blooms

Science.gov (United States)

2017-07-28

Abstract The purpose of this report is to review and evaluate available infor- mation regarding reservoir operation strategies for management of...12 3 Operations Management Examples ............................................................................ 16...report is to review and evaluate available information regarding reservoir operation strategies for management of harmful algal ERDC/EL TR-17-11 2

Knowledge brokering for healthy aging: a scoping review of potential approaches.

Science.gov (United States)

Van Eerd, Dwayne; Newman, Kristine; DeForge, Ryan; Urquhart, Robin; Cornelissen, Evelyn; Dainty, Katie N

2016-10-19

Developing a healthcare delivery system that is more responsive to the future challenges of an aging population is a priority in Canada. The World Health Organization acknowledges the need for knowledge translation frameworks in aging and health. Knowledge brokering (KB) is a specific knowledge translation approach that includes making connections between people to facilitate the use of evidence. Knowledge gaps exist about KB roles, approaches, and guiding frameworks. The objective of the scoping review is to identify and describe KB approaches and the underlying conceptual frameworks (models, theories) used to guide the approaches that could support healthy aging. Literature searches were done in PubMed, EMBASE, PsycINFO, EBM reviews (Cochrane Database of systematic reviews), CINAHL, and SCOPUS, as well as Google and Google Scholar using terms related to knowledge brokering. Titles, abstracts, and full reports were reviewed independently by two reviewers who came to consensus on all screening criteria. Documents were included if they described a KB approach and details about the underlying conceptual basis. Data about KB approach, target stakeholders, KB outcomes, and context were extracted independently by two reviewers. Searches identified 248 unique references. Screening for inclusion revealed 19 documents that described 15 accounts of knowledge brokering and details about conceptual guidance and could be applied in healthy aging contexts. Eight KB elements were detected in the approaches though not all approaches incorporated all elements. The underlying conceptual guidance for KB approaches varied. Specific KB frameworks were referenced or developed for nine KB approaches while the remaining six cited more general KT frameworks (or multiple frameworks) as guidance. The KB approaches that we found varied greatly depending on the context and stakeholders involved. Three of the approaches were explicitly employed in the context of health aging. Common elements

The ageing workforce: implications for occupational safety and health: A research review

NARCIS (Netherlands)

Crawford, J.O.; Davis, A.; Cowie, H.; Dixon, K.; Mikkelsen, S.H.; Bongers, P.M.; Graveling, R.; Belin, A.; Dupont, C.

2016-01-01

This review presents the context in which the review was undertaken: the ageing workforce in Europe. It examines research in three main questions: (1) ‘What changes occur in ageing individuals?’, (2) ‘What are the implications of these changes throughout working life?’ and (3) ‘What OSH measures

ManAGEment: the challenges of global age diversity for corporations and governments

NARCIS (Netherlands)

Mahon, John F.; Millar-Schijf, Carla C.J.M.

2014-01-01

Purpose – The purpose of this paper is to investigate the challenges, worldwide of managing an aging workforce. The paper offers suggestions for public policy and for individual organizational approaches to developing, managing and motivating an aging workforce. Design/methodology/approach – The

Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views.

Directory of Open Access Journals (Sweden)

Emma Boger

Full Text Available Self-management has received growing attention as an effective approach for long-term condition management. Little is known about which outcomes of supported self-management are valued by patients, their families, health professionals and those who commission self-management services. This study systematically reviewed published empirical evidence in accordance with PRISMA guidelines to determine the outcomes of self-management valued by these key stakeholder groups, using three prominent exemplar conditions: colorectal cancer, diabetes and stroke.To systematically review the literature to identify which generic outcomes of self-management have been targeted and are considered important using three exemplar conditions (colorectal cancer, diabetes and stroke, which collectively have a range of features that are likely to be representative of generic self-management issues.Systematic searching of nine electronic databases was conducted in addition to hand searches of review articles. Abstracts were identified against inclusion criteria and appraised independently by two reviewers, using a critical appraisal tool. Synthesis of findings was conducted using mixed research synthesis.Over 20,536 abstracts were screened. 41 studies which met the review criteria were fully retrieved and appraised. The majority of evidence related to diabetes. Few studies directly focussed on stakeholders' views concerning desired self-management outcomes; the majority of evidence was derived from studies focusing upon the experience of self-management. The views of health care commissioners were absent from the literature. We identified that self-management outcomes embrace a range of indicators, from knowledge, skills, and bio-psychosocial markers of health through to positive social networks.Patients', families', health professionals' and commissioners' views regarding which outcomes of self-management are important have not been clearly elicited. The extent to which

State of the Art Assessment of NDE Techniques for Aging Cable Management in Nuclear Power Plants FY2015

Energy Technology Data Exchange (ETDEWEB)

Glass, Samuel W. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Fifield, Leonard S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Dib, Gerges [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Tedeschi, Jonathan R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Jones, Anthony M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hartman, Trenton S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2015-09-08

This milestone report presents an update on the state-of-the-art review and research being conducted to identify key indicators of in-containment cable aging at nuclear power plants (NPPs), and devise in-situ measurement techniques that are sensitive to these key indicators. The motivation for this study stems from the need to address open questions related to nondestructive evaluation (NDE) of aging cables for degradation detection and estimation of condition-based remaining service life. These questions arise within the context of a second round of license extension for NPPs that would extend the operating license to 60 and 80 years. Within the introduction, a review of recently published U.S. and international research and guidance for cable aging management programs including NDE technologies is provided. As with any “state-of-the-art” report, the observations are deemed accurate as of the publication date but cannot anticipate evolution of the technology. Moreover, readers are advised that research and development of cable NDE technology is an ongoing issue of global concern.

State of the Art Assessment of NDE Techniques for Aging Cable Management in Nuclear Power Plants FY2015

International Nuclear Information System (INIS)

Glass, Samuel W.; Fifield, Leonard S.; Dib, Gerges; Tedeschi, Jonathan R.; Jones, Anthony M.; Hartman, Trenton S.

2015-01-01

This milestone report presents an update on the state-of-the-art review and research being conducted to identify key indicators of in-containment cable aging at nuclear power plants (NPPs), and devise in-situ measurement techniques that are sensitive to these key indicators. The motivation for this study stems from the need to address open questions related to nondestructive evaluation (NDE) of aging cables for degradation detection and estimation of condition-based remaining service life. These questions arise within the context of a second round of license extension for NPPs that would extend the operating license to 60 and 80 years. Within the introduction, a review of recently published U.S. and international research and guidance for cable aging management programs including NDE technologies is provided. As with any 'state-of-the-art' report, the observations are deemed accurate as of the publication date but cannot anticipate evolution of the technology. Moreover, readers are advised that research and development of cable NDE technology is an ongoing issue of global concern.

Working out the standards for nuclear power aging management implementation (PLM Standards)

International Nuclear Information System (INIS)

Miyano, Hiroshi

2008-01-01

Background of preparation of standards, preparation of standards for development of nuclear power aging management technologies, revision of PLM (Product Lifecycle Management) standards, and problems of PLM standards are stated. The placement of social needs, scheme, the standards system, preparation of rules and standards, and practical use of them by road map are illustrated and explained. Relation between the safety regulations and examination standards, and development and preparation of standards system are outlined. The nuclear power plant aging management and the maintenance control are provided by many rules and standards. PLM standards defines the aging phenomena and extracts the measurements and reflects them on the usual maintenance flow under the long term maintenance program. New examination system constructs the usual maintenance and the maintenance based on the aging management and long term maintenance program. Outline and construction of PLM standards are explained with notes and additional books. (S.Y.)

Management of anaphylaxis : a systematic review

NARCIS (Netherlands)

Dhami, S.; Panesar, S. S.; Roberts, G.; Muraro, A.; Worm, M.; Bilo, M. B.; Cardona, V.; Dubois, A. E. J.; DunnGalvin, A.; Eigenmann, P.; Fernandez-Rivas, M.; Halken, S.; Lack, G.; Niggemann, B.; Rueff, F.; Santos, A. F.; Vlieg-Boerstra, B.; Zolkipli, Z. Q.; Sheikh, A.

To establish the effectiveness of interventions for the acute and long-term management of anaphylaxis, seven databases were searched for systematic reviews, randomized controlled trials, quasi-randomized controlled trials, controlled clinical trials, controlled before-after studies and interrupted

Influence of body weight, age and management system on ...

African Journals Online (AJOL)

The effect of doe age, body weight and different management systems, as practiced in various Angora goat studs, on reproductive performance of does was investigated. The data used were collected from 2000 to 2004 on 12 Angora goat studs kept under different management systems. The data set analysed for this study ...

Aging Management Plan for a Typical Research Reactor

Energy Technology Data Exchange (ETDEWEB)

Ebrahimi, Mahsa; Nazififard, Mohammad; Suh, Kune Y. [Seoul National University, Seoul (Korea, Republic of)

2012-05-15

Development of an aging management plan (AMP) is a crucial contributor to maintaining the reactor safety and controlling the risk of degradation of the concrete reactor building of a nuclear power plant. The design, operation and utilization of a research reactor (RR) fundamentally differ from those of power reactors. The AMP should nonetheless be present on account of radioactive materials and radiation risks involved. This is mainly because the RR is deemed to be used as an experiment itself or to conduct separate experiments during its operation. The AMP aims to determine the requisites for specific structural concrete components of the reactor building that entail regular inspections and maintenance to ensure safe and reliable operation of the plant. The safety of a RR necessitates the provision which is made in its design to facilitate aging management. Aging management of RR's structures is one of the vital factors to safety, to ensure continued adequacy of the safety level, reliable operation of the reactor, and compliance with the operational limits and conditions.Moreover, engineering systems should be qualified to meet the functional requirements for which they were designed with aging and environmental conditions for all situations and at all times taken into account. This study aims to present an integrated methodology for the application of an AMP for the concrete of the reactor building of a typical RR. For the purpose of safety analysis, geometry and ambient conditions were taken from a 5 MW pool-type, light-water moderated, heterogeneous, solid fuel RR in which the water is also used for cooling and shielding (Fig. 1). The reactor core is immersed in either section of a two-section concrete pool filled with water. This paper makes available background information regarding the document and the strategy developed to manage potential degradation of the reactor building concrete as well as specific programs and preventive and corrective

The prevention and management of constipation in older adults in a residential aged care facility.

Science.gov (United States)

Grieve, Jennifer

2006-03-01

The need to implement programs for developing leadership and practice improvement skills using an evidence-based practice approach to practice change is becoming more apparent in the health and aged care services. This is no more apparent than in high care residential health and aged care services, where health professionals are increasingly required to provide care for older people with multifocal and complex healthcare needs. This paper describes one of the projects undertaken as part of the Joanna Briggs Institute Commonwealth Department of Health and Ageing Clinical Aged Care Fellowship program from February 2005 to June 2005. This purpose of this particular project was twofold. First it sought to improve the local practice in the prevention and management of constipation and that this practice was performed according to the best available evidence. Second to use the Joanna Briggs Institute Practical Application of Clinical Guidance (PACES) program to implement a process of audit and feedback as a strategy to improve practice. The project was designed to link in with the facility's existing quality improvement program and better practice continence management project. The project was conducted over 6 months and was divided into six stages involving the identification of evidence-based standards of care, an initial audit to determine appropriate sample size, a clinical audit across the facility, planning of the implementation process, implementation of the action plan and re-audit to assess practice change. Overall, the results were extremely positive and demonstrated a real improvement in practice relating to constipation in the project facility. This success, however, needs to be seen in the context of the benefits of having the support of senior management, an existing quality improvement and continence management better practice project, and a culture of clinical review. Although there will always be more work to be done, the success of this project can be

Development of radioactive waste management licensing review assistant

International Nuclear Information System (INIS)

Wei-Whua Loa; Suan Chen; Wei-Chu Yu

1992-01-01

Regulations on radioactive waste disposal are now in urgent need due to our increasing consumption of electric power from nuclear origin. It is set forth that actually applying the regulations to evaluate the license application of new repositories for interim storage and final disposal of High-Level Waste and Low-Level Waste before the year of 2000. In the mean time, it is expected to establish the basis for the decision on issuing the license. The license review procedure can be very complicated, because too many factors must be taken into consideration. For the time being, licensing review is as much an art as it is a science. The authority usually faces three major problems; (1) the availability of domain expert, (2) maintaining of high quality and consistent reviews, and (3) the documentation of the review process. However, to maintain a more efficient, accurate, and systematic review procedure, and at the same time to reduce costs, the Artificial Intelligence (AI) techniques may be used. An expert system is designed as a radioactive waste management licensing review aid for the staff those are in charge of the license application. Tasks such as completeness checking, functional areas of review distribution, participation confirmation, knowledge acquisition, review comment collection, weighting calculation, and degree of satisfaction are considered. In this paper we will discuss the development of the radioactive waste management licensing review assistant

Review of options for managing iodine-125 wastes

International Nuclear Information System (INIS)

Lock, P.J.; Wakerley, M.W.

1991-01-01

Data on the nature, radioactive content and management options used for I-125 wastes that are produced in England and Wales and fall within the provisions of the Radioactive Substances Act 1960 have been collated. The options for, and impacts of the disposal of these wastes have been reviewed and discussed. In addition storage for decay has been reviewed. The necessary storage requirements and methods of storage for the various waste forms have been examined. Conclusions are drawn with respect to the potential/suitability of the various waste management options. (author)

A review of game theory approach to cyber security risk management

African Journals Online (AJOL)

A review of game theory approach to cyber security risk management. ... This paper presents a review of game theoretic-based model for cyber security risk management. Specifically, issues on ... AJOL African Journals Online. HOW TO USE ...

Culture and International Management: A Review.

Science.gov (United States)

Miroshnik, Victoria

2002-01-01

A literature review explored the effectiveness of cross-cultural managements of multinational companies. The effect of national culture on organizational culture was analyzed and ways in which multinational companies can adopt the national differences were suggested. (Contains 42 references.) (JOW)

Phytotherapy in the Management of Diabetes: A Review

Directory of Open Access Journals (Sweden)

Paolo Governa

2018-01-01

Full Text Available Phytotherapy has long been a source of medicinal products and over the years there have been many attempts to use herbal medicines for the treatment of diabetes. Several medicinal plants and their preparations have been demonstrated to act at key points of glucidic metabolism. The most common mechanisms of action found include the inhibition of α-glucosidase and of AGE formation, the increase of GLUT-4 and PPARs expression and antioxidant activity. Despite the large amount of literature available, the actual clinical effectiveness of medicinal plants in controlling diabetes-related symptoms remains controversial and there is a crucial need for stronger evidence-based data. In this review, an overview of the medicinal plants, which use in the management of diabetes is supported by authoritative monographs, is provided. References to some species which are currently under increasing clinical investigation are also reported.

Application and the importance of aging management within the PLiM/PLEx programs

International Nuclear Information System (INIS)

Cojan, Mihai

2004-01-01

The PLiM/PLEx Program applied to the Cernavoda NPP has the goal of ensuring the lifetime target of the plant and its extension in conditions of a continuous, secure and reliable operation by fulfilling at the same time the general licensing requirements as established by the regulation authority CNCAN. The aging management is, according to the organization model, a systematic process implying the following activities specific to the operation: - Planning: Coordination of the aging management activities; - Exploitation: Controlling the aging mechanisms; - Testing: Detection and evaluation of the aging effects; - Maintenance: Controlling the aging effects. All these are interdependent with specific activities in INR Pitesti, related to the research and development which are key elements for controlling effectively the aging process. The model of organizing the aging management developed in this work is applied to the Cernavoda NPP Unit 1

Review of equipment aging theory and technology. Final report

Energy Technology Data Exchange (ETDEWEB)

Carfagno, S.P.; Gibson, R.J.

1980-09-01

The theory and technology of equipment aging is reviewed, particularly as they relate to the qualification of safety-system equipment for nuclear power generating stations. A fundamental degradation model is developed, and its relation to more restricted models (e.g., Arrhenius and inverse-stress models) is shown. The most common theoretical and empirical models of aging are introduced, and limitations on their practical application are analyzed. Reliability theory and its application to the acceleration of aging are also discussed. A compendium of aging data for materials and components, including degradation mechanisms, failure modes and activation energies, is included.

Review of equipment aging theory and technology. Final report

International Nuclear Information System (INIS)

Carfagno, S.P.; Gibson, R.J.

1980-09-01

The theory and technology of equipment aging is reviewed, particularly as they relate to the qualification of safety-system equipment for nuclear power generating stations. A fundamental degradation model is developed, and its relation to more restricted models (e.g., Arrhenius and inverse-stress models) is shown. The most common theoretical and empirical models of aging are introduced, and limitations on their practical application are analyzed. Reliability theory and its application to the acceleration of aging are also discussed. A compendium of aging data for materials and components, including degradation mechanisms, failure modes and activation energies, is included

Effectiveness of nursing management information systems: a systematic review.

Science.gov (United States)

Choi, Mona; Yang, You Lee; Lee, Sun-Mi

2014-10-01

The purpose of this study was to review evaluation studies of nursing management information systems (NMISs) and their outcome measures to examine system effectiveness. For the systematic review, a literature search of the PubMed, CINAHL, Embase, and Cochrane Library databases was conducted to retrieve original articles published between 1970 and 2014. Medical Subject Headings (MeSH) terms included informatics, medical informatics, nursing informatics, medical informatics application, and management information systems for information systems and evaluation studies and nursing evaluation research for evaluation research. Additionally, manag(*) and admin(*), and nurs(*) were combined. Title, abstract, and full-text reviews were completed by two reviewers. And then, year, author, type of management system, study purpose, study design, data source, system users, study subjects, and outcomes were extracted from the selected articles. The quality and risk of bias of the studies that were finally selected were assessed with the Risk of Bias Assessment Tool for Non-randomized Studies (RoBANS) criteria. Out of the 2,257 retrieved articles, a total of six articles were selected. These included two scheduling programs, two nursing cost-related programs, and two patient care management programs. For the outcome measurements, usefulness, time saving, satisfaction, cost, attitude, usability, data quality/completeness/accuracy, and personnel work patterns were included. User satisfaction, time saving, and usefulness mostly showed positive findings. The study results suggest that NMISs were effective in time saving and useful in nursing care. Because there was a lack of quality in the reviewed studies, well-designed research, such as randomized controlled trials, should be conducted to more objectively evaluate the effectiveness of NMISs.

Review Diagnosis and management of Munchausen's Syndrome by ...

African Journals Online (AJOL)

A systematic literature review was conducted to identify and synthesise the relevant literature on the epidemiology, presentation, assessment and management of Munchausen's Syndrome by Proxy (MSP). This included collating information from published and unpublished sources. The purpose of the review was to provide ...

Development of radioactive waste management licensing review assistant

International Nuclear Information System (INIS)

Loa, W.W.; Chen, S.; Yu, W.C.; Peng, C.M.; Huang, C.L.; Lin, C.

1992-01-01

Regulations on radioactive waste disposal are now in urgent need due to our increasing consumption of electric power from nuclear origin. It is set forth that actually applying the regulations to evaluate the license application of new repositories for interim storage and final disposal fo High-Level Waste and Low-Level Waste before the year of 2000. In the mean time, it is expected to establish the basis for the decision on issuing the license. The license review procedure can be very complicated because too many factors must be taken into consideration. However, to maintain a more efficient, accurate, and systematic review procedure, and at the same time to reduce costs, the Artificial Intelligence (AI) techniques may be used. An expert system is designed as a radioactive waste management licensing review aid for the staff those are in charge of the license application. Tasks such as completeness checking, functional areas of review distribution, participation confirmation, knowledge acquisition, review comment collection, weighting calculation, and degree of satisfaction are considered. In this paper the authors will discuss the development of the radioactive waste management licensing review assistant

New techniques for wound management: A systematic review of their role in the management of chronic wounds

Directory of Open Access Journals (Sweden)

Farid Bekara

2018-03-01

Full Text Available Debridement is a crucial component of wound management. Recent technologies such as hydrosurgery (Versajet, ultrasound therapy (the MIST therapy device, or plasma-mediated bipolar radio-frequency ablation therapy (Coblation seem to represent interesting alternatives for wound debridement. The purpose of this systematic review was to describe, evaluate, and compare these three recently developed methods for the management of chronic wounds. In January 2016, an electronic database search was conducted of MEDLINE, PubMed Central, and Embase for articles concerning these three innovative methods for the management of chronic wounds. A total of 389 references were identified by our search strategy, and 15 articles were included. We extracted data regarding the number and age of patients, indications, operating time, number of procedures, costs, wound healing time, decrease in exudation, perioperative blood loss, bacterial load, and the occurrence of complications. The 15 articles included studies that involved 563 patients who underwent hydrosurgery (7 studies, ultrasound therapy (6 studies, or Coblation (2 studies. Six randomized controlled trials were included that compared the use of a scalpel or curette to hydrosurgery (2 studies or ultrasound therapy (6 studies. Hydrosurgery, in addition to being a very precise and selective tool, allows significantly faster debridement. Ultrasound therapy provides a significant reduction of exudation, and improves the wound healing time. No comparative study dedicated to Coblation was identified. Despite the obvious clinical interest of the topic, our review of the current literature revealed a lack of prospective randomized studies comparing these devices with each other or with standard techniques, particularly for Coblation and hydrosurgery.

Outcome of Keratoconus Management: Review of the Past 20 Years' Contemporary Treatment Modalities.

Science.gov (United States)

Mandathara, Preeji S; Stapleton, Fiona J; Willcox, Mark D P

2017-05-01

To describe the past 20 years' contemporary management modalities for keratoconus (KC) and their outcomes and failures and to propose recommendations in reporting their outcomes. A systematic review of the literature on KC management options for the last 20 years was performed. Original articles that reported the outcome of any form of KC management other than full-thickness or lamellar corneal graft were reviewed to collect information on their outcomes and complications and the level of scientific evidence of the study. A total of 1,147 articles retrieved and of those, 241 satisfied the inclusion criteria, and 41.1% of them were prospective case series. The higher level of evidence studies, that is, randomized controlled trials (RCTs), were limited to only one intervention, that is, corneal collagen cross-linking (CXL). However, the quality of most RCTs was limited because of performance and detection bias. Contact lenses (CLs) remain the mainstream of KC management and were associated with reversible and non-sight-threatening complications. Surgical options such as intracorneal segment implantation and phakic intraocular lens are considered in the visual rehabilitation of CL intolerants, and CXL is the only available option to stop or delay the disease progression. Generally, these surgical procedures are associated with transient inflammatory events and permanent sequelae. The published studies on KC management options varied significantly with respect to the study population, age of participants, severity of KC, clinical outcome measurements, and follow-up period. High-quality longer follow-up RCTs are required to evaluate the long-term effects of KC interventions.

Management of radon: a review of ICRP recommendations

International Nuclear Information System (INIS)

Vaillant, Ludovic; Bataille, Céline

2012-01-01

This article proposes a review of past and current ICRP publications dealing with the management of radon exposures. Its main objective is to identify and discuss the driving factors that have been used by the Commission during the last 50 years so as to better appreciate current issues regarding radon exposure management. The analysis shows that major evolutions took place in very recent years. As far as the management of radon exposures is concerned, ICRP recommended, until ICRP Publication 103 (ICRP 2007 ICRP Publication 103; Ann. ICRP 37), to use action levels and to consider only exposures above these levels. The Commission has reviewed its approach and now proposes to manage any radon exposure through the application of the optimisation principle and associated reference levels. As far as the assessment of the radon risk is concerned, it appears that the successive changes made by ICRP did not have a strong impact on the values of radon gas concentration recommended as action levels either in dwellings or in workplaces. The major change occurred in late 2009 with the publication of the ICRP Statement on Radon, which acknowledged that the radon risk has been underestimated by a factor of 2, thus inducing a major revision of radon reference levels. (review)

Systematic review of interventions addressing social isolation and depression in aged care clients.

Science.gov (United States)

Franck, Linél; Molyneux, Natalie; Parkinson, Lynne

2016-06-01

A systematic review was undertaken of studies reporting interventions for reducing social isolation and depression in older people receiving aged care services (community or residential). Gray literature and relevant electronic databases were systematically searched for studies published in English between January 2009 and December 2013. Two reviewers independently screened studies for selection using predetermined inclusion and exclusion criteria and independently completed methodological quality review at study level. Studies of poor methodological quality were excluded. Data were extracted at study level by one reviewer and independently checked by a second reviewer, using a standardized form. The results across studies were qualitatively synthesized with outcomes described and summarized at last follow-up. Although the original objective was to review rural studies, no intervention studies based in rural areas met criteria for inclusion in the review, and only urban studies could be reviewed. Of 403 articles, six articles representing five studies with moderate-to-low risk of bias were included for review. All study participants were older adults ranging in age from 77 to 86 years. All studies had small sample sizes, ranging from 26 to 113 participants. Three of the five included intervention studies successfully reduced social isolation; one also successfully reduced depression. Only one intervention, group-based reminiscence therapy, was reported as successful in reducing both social isolation and depression in older people within an urban aged care setting. More research is needed to explore transferability of interventions across different aged care settings and into rural areas.

Review of the radioactive waste management system in Nigeria

International Nuclear Information System (INIS)

Ogundare, F O

2003-01-01

The management of radioactive waste in Nigeria from early 1960 to date is reviewed. As in many developing countries, waste management in Nigeria has been shown to be ineffective. The factors that are responsible for this ineffectiveness are identified and discussed. The steps being taken by and the opportunities available to the newly established Nigerian Nuclear Regulatory Authority towards addressing this problem of ineffectiveness are discussed. The efforts of this newly set up body towards managing the resultant radioactive wastes that will be generated during the use of a reactor and an accelerator that will soon be commissioned in Nigeria are also mentioned. Likely ways of further addressing the problems militating against waste management in developing countries are suggested. (review)

Defence in Depth and Ageing Management

Energy Technology Data Exchange (ETDEWEB)

Fabbri, S.; Vega, G.; Diluch, A.; Versaci, R., E-mail: versaci@cnea.gov.ar [Comisión Nacional de Energía Atómica, Buenos Aires (Argentina)

2014-10-15

Accident prevention is the first safety priority of both designers and operators. It is achieved through the use of reliable structures, components, systems and procedures in a plant operated by personnel who are committed to a strong safety culture. For future nuclear power plants, consideration of multiple failures and severe accidents will be achieved in a more systematic and complete way from the design stage. Defence in depth (DID) consists of a hierarchical deployment of different levels of equipment and procedures in order to maintain the effectiveness of physical barriers placed between radioactive materials and workers, the public or the environment, in normal operation, anticipated operational occurrences and, for some barriers, in accidents at the plant. The primary way of preventing accidents is to achieve a high quality in design, construction and operation of the plant, and thereby to ensure that deviations from normal operation are infrequent. The best way to meet these premises of effectiveness of the barriers and the Systems, Structures and Components (SSCs) is to develop an ageing management programme to prevent potential failures and accidents. In this work we will refer to the ageing management programme for Atucha I and Atucha II power plants and to the Atucha I spent fuel storage. (author)

Ageing management of mechanical components; Alterungsmanagement fuer mechanische Komponenten

Energy Technology Data Exchange (ETDEWEB)

Hienstorfer, W. [TUeV Energie- und Systemtechnik GmbH, Filderstadt (Germany); Herter, K.H.; Schuler, X. [Materialpruefungsanstalt, Univ. Stuttgart, Stuttgart (Germany)

2004-07-01

Lifetime management, ageing management and integrity testing are part of technical rules and specifications. The contribution focuses on ageing management, for which different technical measures are required depending on the safety relevance of the components and systems involved. The procedure for ensuring adherence to the specified quality is outlined, and the required technical and organisational measures are explained. (orig.) [German] In Leitlinien und Regelwerken sind fuer mechanische Komponenten Anforderungen zur Absicherung des Betriebs waehrend der gesamten Lebensdauer (Lebensdauermanagement), zur Absicherung von Alterungsphaenomenen (Alterungsmanagement) als auch zum Nachweis der Integritaet (Integritaetsnachweis, z.B. mit dem Ziel des Bruchausschlusses) enthalten. Ein wesentliches Element stellt dabei das Alterungsmanagement dar. Je nach sicherheitstechnischer Bedeutung der zu betrachtenden Komponenten und Systeme oder auch aus Gruenden der vorbeugenden Instandhaltung sind unterschiedliche technische Massnahmen erforderlich. Die Vorgehensweise zur Absicherung der im Betrieb geforderten Qualitaet wird aufgezeigt und die dabei erforderlichen technischen und organisatorischen Massnahmen werden erlaeutert. (orig.)

Effective recordkeeping technologies to manage aging

International Nuclear Information System (INIS)

Dukelow, J.S.; Johnson, A.B. Jr.; Vora, J.P.

1992-10-01

Pacific Northwest Laboratory has investigated the capability of current recordkeeping technology to support aging management. This paper discusses technical issues associated with potential enhancements of nuclear plant records systems--from the perspective of the lessons learned about equipment aging degradation mechanisms and associated surveillance and monitoring techniques during the U. S. Nuclear Regulatory Commission's Nuclear Plant Aging Research Program. The paper considers both the specific types of technical data needed to ensure continued safe operation and the use of new technology to upgrade record systems. Specific topics discussed include: equipment reliability data needed to support the assessment of the impact of aging on the continued operation of the plant; operational history data to support the assessment of residual life of mechanical and structural components and piping; tools for the analysis and trending of equipment reliability data and operational history data; design and implementation of plant record systems that will provide a comprehensive and usable engineering design basis for the plant; proposed improvements in the data input process for the plant records system; computerization of plant records systems, including conversion of existing records into machine-readable forms

Effective recordkeeping technologies to manage aging

Energy Technology Data Exchange (ETDEWEB)

Dukelow, J.S.; Johnson, A.B. Jr. (Pacific Northwest Lab., Richland, WA (United States)); Vora, J.P. (Nuclear Regulatory Commission, Washington, DC (United States))

1992-10-01

Pacific Northwest Laboratory has investigated the capability of current recordkeeping technology to support aging management. This paper discusses technical issues associated with potential enhancements of nuclear plant records systems--from the perspective of the lessons learned about equipment aging degradation mechanisms and associated surveillance and monitoring techniques during the U. S. Nuclear Regulatory Commission's Nuclear Plant Aging Research Program. The paper considers both the specific types of technical data needed to ensure continued safe operation and the use of new technology to upgrade record systems. Specific topics discussed include: equipment reliability data needed to support the assessment of the impact of aging on the continued operation of the plant; operational history data to support the assessment of residual life of mechanical and structural components and piping; tools for the analysis and trending of equipment reliability data and operational history data; design and implementation of plant record systems that will provide a comprehensive and usable engineering design basis for the plant; proposed improvements in the data input process for the plant records system; computerization of plant records systems, including conversion of existing records into machine-readable forms.

Effective recordkeeping technologies to manage aging

Energy Technology Data Exchange (ETDEWEB)

Dukelow, J.S.; Johnson, A.B. Jr. [Pacific Northwest Lab., Richland, WA (United States); Vora, J.P. [Nuclear Regulatory Commission, Washington, DC (United States)

1992-10-01

Pacific Northwest Laboratory has investigated the capability of current recordkeeping technology to support aging management. This paper discusses technical issues associated with potential enhancements of nuclear plant records systems--from the perspective of the lessons learned about equipment aging degradation mechanisms and associated surveillance and monitoring techniques during the U. S. Nuclear Regulatory Commission`s Nuclear Plant Aging Research Program. The paper considers both the specific types of technical data needed to ensure continued safe operation and the use of new technology to upgrade record systems. Specific topics discussed include: equipment reliability data needed to support the assessment of the impact of aging on the continued operation of the plant; operational history data to support the assessment of residual life of mechanical and structural components and piping; tools for the analysis and trending of equipment reliability data and operational history data; design and implementation of plant record systems that will provide a comprehensive and usable engineering design basis for the plant; proposed improvements in the data input process for the plant records system; computerization of plant records systems, including conversion of existing records into machine-readable forms.

14 CFR 121.1105 - Aging airplane inspections and records reviews.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Aging airplane inspections and records... Improvements § 121.1105 Aging airplane inspections and records reviews. (a) Applicability. This section applies to all airplanes operated by a certificate holder under this part, except for those airplanes...

31 CFR 206.6 - Cash management planning and review.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Cash management planning and review. 206.6 Section 206.6 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE MANAGEMENT OF FEDERAL AGENCY...

Aging management and life assessment of buried commodities in nuclear power plants

International Nuclear Information System (INIS)

Park, J. H.; Jung, I. S.; Jo, H. S.; Kim, M. G.; Kim, S. T.; Lee, S. S.

2000-01-01

General field survey, inspection and life assessment were performed to establish effective aging management program of buried commodities in nuclear power plant. Basic informations on material characteristics, aging degradation experiences and maintenance history were gathered. Considering their degradation effects on power operation or safety, buried commodities were screened for the aging management priority. Various inspection techniques were applied in field survey and inspection, and their results were incorporated in the life assessment of buried commodities. In the aspect of aging degradation, general status of buried commodities were considered still sound while some revealed local degradation

Validation of a clinical leadership qualities framework for managers in aged care: a Delphi study.

Science.gov (United States)

Jeon, Yun-Hee; Conway, Jane; Chenoweth, Lynn; Weise, Janelle; Thomas, Tamsin Ht; Williams, Anna

2015-04-01

To establish validity of a clinical leadership framework for aged care middle managers (The Aged care Clinical Leadership Qualities Framework). Middle managers in aged care have responsibility not only for organisational governance also and operational management but also quality service delivery. There is a need to better define clinical leadership abilities in aged care middle managers, in order to optimise their positional authority to lead others to achieve quality outcomes. A Delphi method. Sixty-nine experts in aged care were recruited, representing rural, remote and metropolitan community and residential aged care settings. Panellists were asked to rate the proposed framework in terms of the relevance and importance of each leadership quality using four-point Likert scales, and to provide comments. Three rounds of consultation were conducted. The number and corresponding percentage of the relevance and importance rating for each quality was calculated for each consultation round, as well as mean scores. Consensus was determined to be reached when a percentage score reached 70% or greater. Twenty-three panellists completed all three rounds of consultation. Following the three rounds of consultation, the acceptability and face validity of the framework was confirmed. The study confirmed the framework as useful in identifying leadership requirements for middle managers in Australian aged care settings. The framework is the first validated framework of clinical leadership attributes for middle managers in aged care and offers an initial step forward in clarifying the aged care middle manager role. The framework provides clarity in the breadth of role expectations for the middle managers and can be used to inform an aged care specific leadership program development, individuals' and organisations' performance and development processes; and policy and guidelines about the types of activities required of middle managers in aged care. © 2014 John Wiley & Sons Ltd.

Crisis management aspects of bam catastrophic earthquake: review article.

Science.gov (United States)

Sadeghi-Bazargani, Homayoun; Azami-Aghdash, Saber; Kazemi, Abdolhassan; Ziapour, Behrad

2015-01-01

Bam earthquake was the most catastrophic natural disasters in recent years. The aim of this study was to review different aspects of crisis management during and after the catastrophic earthquake in Bam City, Iran. Data needed for this systematic review were collected through searching PubMed, EMBASE and SID databases, for the period from 2003 to 2011. Keywords included earthquake, Iran and Bam earthquake. The data were summarized and were analyzed using Content Analysis. Out of 422 articles, 25 articles were included in the study. Crisis Management aspects and existing pitfalls were classified into seven categories including planning and organization, human resource management, management of logistics, international humanitarian aids, field performance of the military and security forces, health and medical service provision, and information management. Positive aspects and major pitfalls of crisis management have been introduced in all the mentioned categories. The available evidence indicated poor crisis management during Bam earthquake that resulted in aggravating the losses as well as diminishing the effect of interventions. Thus, concerning the importance of different aspects of the crisis management and the high prevalence of disasters in Iran, the observed vulnerability in disaster management process should be addressed.

Epidemiological review of scorpion stings in Qatar. The need for regional management guidelines in emergency departments.

Science.gov (United States)

Alkahlout, Baha H; Abid, Muhammad M; Kasim, Mohammad M; Haneef, Shumaila M

2015-07-01

To review the epidemiology of scorpion sting in Qatar, to explore both the clinical significance, and the role of the emergency department (ED) in the management of such cases. In this retrospective study, we reviewed the records of all scorpion sting cases presented to the ED of Hamad General Hospital, Doha, Qatar between October 2010 and May 2013. A total of 111 cases of scorpion stings were reviewed, 81 (72.9%) were males and 30 (27.1%) were females, with a mean age of 38 years. Localized pain was the most frequent presenting complaint (89 [80.2%]), whereas localized redness (44 [39.6%]) and swelling (38 [34.2%]) were the most common clinical signs. Abroug's classification was used, and all cases  were found to be class I. All patients received symptomatic treatment and were sent home. Scorpion sting problem in Qatar has a low clinical significance. Data from such studies should be utilized to create more specific (local) management guidelines, which should be more efficient with more rational utilization of ED resources.

Mobile Phone and Tablet Apps to Support Young People's Management of Their Physical Long-Term Conditions: A Systematic Review Protocol.

Science.gov (United States)

Majeed-Ariss, Rabiya; Hall, Andrew G; McDonagh, Janet; Fallon, Deborah; Swallow, Veronica

2015-04-07

The prevalence of long-term or chronic conditions that limit activity and reduce quality of life in young people aged 10-24 years is rising. This group has distinct health care needs and requires tailored support strategies to facilitate increasing personal responsibility for the management of their condition wherever possible, as they mature. Mobile phone and tablet mobile technologies featuring software program apps are already well used by young people for social networking or gaming. They have also been utilized in health care to support personal condition management, using condition-specific and patient-tailored software. Such apps have much potential, and there is an emerging body of literature on their use in a health context making this review timely. The objective of this paper is to develop a systematic review protocol focused on identifying and assessing the effectiveness of mobile phone and tablet apps that support young people's management of their chronic conditions. The search strategy will include a combination of standardized indexed search terms and free-text terms related to the key concepts of young people; long-term conditions and mobile technology. Peer-reviewed journal articles published from 2003 that meet the inclusion and exclusion criteria will be identified through searching the generated hits from 5 bibliographical databases. Two independent reviewers will screen the titles and abstracts to determine which articles focus on testing interventions identified as a mobile phone or tablet apps, and that have been designed and delivered to support the management of long-term conditions in young people aged 10-24 years. Data extraction and quality assessment tools will be used to facilitate consistent analysis and synthesis. It is anticipated that several studies will meet the selection criteria but that these are likely to be heterogeneous in terms of study design, reported outcomes, follow-up times, participants' age, and health condition

Surgical Management of Rib Fractures: Strategies and Literature Review.

Science.gov (United States)

de Jong, M B; Kokke, M C; Hietbrink, F; Leenen, L P H

2014-06-01

Rib fractures can cause significant problems in trauma patients, often resulting in pain and difficulty with respiration. To prevent pulmonary complications and decrease the morbidity and mortality rates of patients with rib fractures, currently there is a trend to provide surgical management of patients with flail chest. However, the indications for rib fracture fixation require further specification. Past and current strategies are described according to a review of the medical literature. A systematic review was performed including current indications for rib fracture fixation. MEDLINE (2000-2013) was searched, as well as Embase (2000-2013) and Cochrane Databases, using the keywords rib, fracture, fixation, plate, repair, and surgery. Three retrospective studies were found that described different techniques for rib fracture fixation. The results demonstrated a reduced number of ventilation days, decreased long-term morbidity and pain, and satisfactory rehabilitation after surgical treatment. In addition to flail chest, age, Injury Severity Score, and the number of rib fractures were important predictive factors for morbidity and mortality. Surgical rib fracture fixation might be indicated in a broader range of cases than is currently performed. Prospective randomized trials are needed for further confirmation. © The Finnish Surgical Society 2014.

Comparison of immunization rates of adults ages 65 years and older managed within two nurse practitioner-owned clinics with national immunization rates.

Science.gov (United States)

Wright, Wendy L; Morrell, Elise; Lee, Jennie; Cuellar, Norma Graciela; White, Patricia

2017-07-01

Adults ages ≥65 years are at increased risk for infectious diseases. Ensuring these individuals are fully vaccinated is imperative. The purpose of this study was to assess the immunization rates of adults ages ≥65 years managed by nurse practitioners (NPs) and compare the results with national immunization rates and Healthy People 2020 goals. A convenience sample of adults ages ≥65 years was obtained from two NP-managed clinics. The vaccine records of each subject were reviewed for documentation of having received five vaccines (tetanus, diphtheria, and pertussis; influenza; pneumococcal polysaccharide vaccine 23; pneumococcal conjugate vaccine 13; and herpes zoster vaccine). One hundred and fifty females (70.8%) and 62 males (29.2%) met inclusion criteria. NP-managed patients had higher immunization rates than the national averages across all five major vaccines. The herpes zoster vaccination rates exceeded the recommendations from Healthy People 2020 whereas pneumococcal and influenza rates were below. The stocking of vaccines within the NP-managed clinics, direct billing to Medicare for Part D vaccines, and previsit care planning likely contributed to the high vaccination rates. These high immunization rates in patients managed by NPs provide support for the important role that NPs play in the care of older adults. ©2017 American Association of Nurse Practitioners.

Ageing management of control and instrumentation systems for Indian Nuclear Power Stations

International Nuclear Information System (INIS)

Premchandran, T.; Ghoshal, B.; Shirolkar, K.M.; Ahmad, S.N.

2006-01-01

During the time of enmasse coolant channel replacement program, undertaken at Rajasthan Atomic Power Station and Madras Atomic Power Station, upgradation and ageing management activities of these units were also taken up with a view to improve the performance of the station. This paper presents the approach followed for handling the issues, pertaining to the ageing management and obsolesce of various components of Control and Instrumentation systems of these stations. Ageing related issues for field instruments, control room instruments and hardware like cables, terminal blocks and relays will be covered in this paper. It will also cover various aspects of ageing management like assessment of degradation due to ageing, policy followed for identifying the instruments that are to be replaced, selection procedure for items for assessment of residual life, testing method followed for life assessment and problems faced during replacement. From the experience gained, the issues to be addressed during design and construction stages of future plants to minimize the ageing related problems are also discussed in this paper. (author)

Technical strategy map to employing nuclear power plant aging management

International Nuclear Information System (INIS)

Sekimura, Naoto; Kanno, Masanori

2008-01-01

Stated in this report are back ground of technical strategy map for nuclear power plant aging management, result of the first road map, significance of technical strategy map, introduction scenario, technology map, road map, upgrade in every year, three groups of academia, industry and government, plan of technical strategy map, upgrade system, comprehensive introduction scenario, measures of nuclear power plant aging management in Japan and the world, new inspection system, outline of 'technical strategy map 2008', preparation of technical information bases in industry, academia and government, collaboration of them, safety researches of neutron radiation damage, stress corrosion crack, fatigue, piping thinning, insulation degradation, concrete degradation, thermal aging, evaluation technologies of earthquake resistance, preparation of rules and standards, ideal maintenance, and training talent. (S.Y.)

Reviewing fluid systems for age-related degradation

International Nuclear Information System (INIS)

Smith, Stan

1991-01-01

Yankee Atomic Electric Company has developed the component degradation assessment tool (CoDAT), an expert system, that aids in handling and evaluating the large amounts of data required to support the license renewal process for nuclear power station fluid systems. In 1990, CoDAT evaluated the Yankee Nuclear Power Station fluid systems for age-related degradation. Its results are now being used to help focus the plant's maintenance programs and manage the expected degradation. CoDAT uses 'If-Then' rules, developed from industry codes, standards and publications, to determine the potential for 19 age-related degradation mechanisms. Other nuclear utilities pursuing the license renewal option also could use CoDAT. (author)

A Review of Forensic Science Management Literature.

Science.gov (United States)

Houck, M M; McAndrew, W P; Porter, M; Davies, B

2015-01-01

The science in forensic science has received increased scrutiny in recent years, but interest in how forensic science is managed is a relatively new line of research. This paper summarizes the literature in forensic science management generally from 2009 to 2013, with some recent additions, to provide an overview of the growth of topics, results, and improvements in the management of forensic services in the public and private sectors. This review covers only the last three years or so and a version of this paper was originally produced for the 2013 Interpol Forensic Science Managers Symposium and is available at interpol.int. Copyright © 2015 Central Police University.

Airway management for occipital encephalocele in neonatal patients: A review of 17 cases

Directory of Open Access Journals (Sweden)

Zeynep Baysal Yildirim

2011-01-01

Full Text Available Introduction: Encephalocele, midline defect of cranial bone fusion, occurs most frequently in the occipital region. Airway management in pediatric patients with craniofacial disorders poses many challenges to the anesthesiologist. The purpose of this study is to describe the airway problems encountered for such cases, and describe how these problems were managed. Materials and Methods: We reviewed the charts of occipital encephalocele newborn that were treated by surgical correction in Harran University Hospital during 2006-2008. The collected data were categorized into preoperative, intraoperative, and postoperative data. Results: The mean age of the patients was 5.17 days. Of these 17 patients, eight patients (47.1% had hydrocephaly, one patient (5.8% with Dandy Walker syndrome. Micrognathia, macroglossia, restriction in neck movements were recorded as the reasons in six cases each. No major anesthetic complication was found. Conclusions: We reported perioperative management in 17 occipital encephalocele infant. Comprehensive care during peroperative period is essential for successful outcome.

Contribution of Systematic Reviews to Management Decisions

Science.gov (United States)

COOK, CARLY N; POSSINGHAM, HUGH P; FULLER, RICHARD A

2014-01-01

Systematic reviews comprehensively summarize evidence about the effectiveness of conservation interventions. We investigated the contribution to management decisions made by this growing body of literature. We identified 43 systematic reviews of conservation evidence, 23 of which drew some concrete conclusions relevant to management. Most reviews addressed conservation interventions relevant to policy decisions; only 35% considered practical on-the-ground management interventions. The majority of reviews covered only a small fraction of the geographic and taxonomic breadth they aimed to address (median = 13% of relevant countries and 16% of relevant taxa). The likelihood that reviews contained at least some implications for management tended to increase as geographic coverage increased and to decline as taxonomic breadth increased. These results suggest the breadth of a systematic review requires careful consideration. Reviews identified a mean of 312 relevant primary studies but excluded 88% of these because of deficiencies in design or a failure to meet other inclusion criteria. Reviews summarized on average 284 data sets and 112 years of research activity, yet the likelihood that their results had at least some implications for management did not increase as the amount of primary research summarized increased. In some cases, conclusions were elusive despite the inclusion of hundreds of data sets and years of cumulative research activity. Systematic reviews are an important part of the conservation decision making tool kit, although we believe the benefits of systematic reviews could be significantly enhanced by increasing the number of reviews focused on questions of direct relevance to on-the-ground managers; defining a more focused geographic and taxonomic breadth that better reflects available data; including a broader range of evidence types; and appraising the cost-effectiveness of interventions. Contribuciones de las Revisiones Sistemáticas a las

Cost-effectiveness of food, supplement and environmental interventions to address malnutrition in residential aged care: a systematic review.

Science.gov (United States)

Hugo, Cherie; Isenring, Elisabeth; Miller, Michelle; Marshall, Skye

2018-05-01

observational studies have shown that nutritional strategies to manage malnutrition may be cost-effective in aged care; but more robust economic data is needed to support and encourage translation to practice. Therefore, the aim of this systematic review is to compare the cost-effectiveness of implementing nutrition interventions targeting malnutrition in aged care homes versus usual care. residential aged care homes. systematic literature review of studies published between January 2000 and August 2017 across 10 electronic databases. Cochrane Risk of Bias tool and GRADE were used to evaluate the quality of the studies. eight included studies (3,098 studies initially screened) reported on 11 intervention groups, evaluating the effect of modifications to dining environment (n = 1), supplements (n = 5) and food-based interventions (n = 5). Interventions had a low cost of implementation (<£2.30/resident/day) and provided clinical improvement for a range of outcomes including weight, nutritional status and dietary intake. Supplements and food-based interventions further demonstrated a low cost per quality adjusted life year or unit of physical function improvement. GRADE assessment revealed the quality of the body of evidence that introducing malnutrition interventions, whether they be environmental, supplements or food-based, are cost-effective in aged care homes was low. this review suggests supplements and food-based nutrition interventions in the aged care setting are clinically effective, have a low cost of implementation and may be cost-effective at improving clinical outcomes associated with malnutrition. More studies using well-defined frameworks for economic analysis, stronger study designs with improved quality, along with validated malnutrition measures are needed to confirm and increase confidence with these findings.

Developing a computerized aging management system for concrete structures in finnish nuclear power plants

International Nuclear Information System (INIS)

Al-Neshawy, F.; Piironen, J.; Sistonen, E.; Vesikari, E.; Tuomisto, M.; Hradil, P.; Ferreira, M.

2013-01-01

Finland has four nuclear reactors units in two power plants. The first unit started operation in 1977 and in the early 1980's all four units were in use. During the last few years the aging management of the Nuclear Power Plant's (NPP) concrete structures has grown an important issue because the existing structures are reaching the end of their licensed operating lifetime (about 40 years). Therefore the nuclear power companies are developing aging management systems to avoid premature degradation of NPP facilities and to be able to extend their operating lifetime. This paper is about the development of a computerized ageing management system for the nuclear power plants concrete structures. The computerized ageing management system is built upon central database and implementation applications. It will assist the personnel of power companies to implement the aging management activities at different phases of the lifetime of a power plant. It will provide systematic methods for planning, surveillance, inspection, monitoring, condition assessment, maintenance and repair of structures. (authors)

Caseload management methods for use within district nursing teams: a literature review.

Science.gov (United States)

Roberson, Carole

2016-05-01

Effective and efficient caseload management requires extensive skills to ensure that patients receive the right care by the right person at the right time. District nursing caseloads are continually increasing in size and complexity, which requires specialist district nursing knowledge and skills. This article reviews the literature related to caseload management with the aim of identifying the most effective method for district nursing teams. The findings from this review are that there are different styles and methods of caseload management. The literature review was unable to identify a single validated tool or method, but identified themes for implementing effective caseload management, specifically caseload analysis; workload measurement; work allocation; service and practice development and workforce planning. This review also identified some areas for further research.

Project Experiences in Research Reactor Ageing Management, Modernization and Refurbishment. Report of a Technical Meeting on Research Reactor Ageing Management, Modernization and Refurbishment

International Nuclear Information System (INIS)

2014-08-01

Research reactors have played an important role in several scientific fields for around 60 years: in the development of nuclear science and technology; in the valuable generation of radioisotopes for various applications; and in the development of human resources and skills. Moreover, research reactors have been effectively utilized to support sustainable development in more than 60 countries worldwide. More than half of all operating research reactors are now over 40 years old, with many exceeding their originally conceived design life. The majority of operating research reactors face challenges due to the negative impacts of component and system ageing, which manifest in a number of forms. This situation was highlighted by a serious medical isotope supply crisis which peaked in mid-2010, when several major producing reactors underwent prolonged shutdowns due to extensive necessary overhauls of various systems. Several facilities have established a proactive systematic approach to managing ageing or mitigating its impact on safety and availability of isotopes. Others have tried to prevent or remedy the drawbacks of ageing on a case by case basis. Overall, a large body of knowledge related to ageing issues exists in many Member States. Collecting and sharing this information within the research reactor community can provide a solid foundation to develop a more systematic approach — that is, an ageing management programme to prevent negative consequences of ageing on the safety, and the operability and lifetime of operating, or even future, reactors. It may also help organizations to manage research reactors that have been in an extended shutdown state by ensuring that any required systems are operated and maintained in a safe manner prior to final decommissioning and disposal of fuel to safe storage facilities. Sharing experiences from projects undertaken to refurbish or replace equipment and systems, satisfy safety and regulatory requirements, improve

Project Experiences in Research Reactor Ageing Management, Modernization and Refurbishment. Report of a Technical Meeting on Research Reactor Ageing Management, Modernization and Refurbishment

Energy Technology Data Exchange (ETDEWEB)

NONE

2014-08-15

Research reactors have played an important role in several scientific fields for around 60 years: in the development of nuclear science and technology; in the valuable generation of radioisotopes for various applications; and in the development of human resources and skills. Moreover, research reactors have been effectively utilized to support sustainable development in more than 60 countries worldwide. More than half of all operating research reactors are now over 40 years old, with many exceeding their originally conceived design life. The majority of operating research reactors face challenges due to the negative impacts of component and system ageing, which manifest in a number of forms. This situation was highlighted by a serious medical isotope supply crisis which peaked in mid-2010, when several major producing reactors underwent prolonged shutdowns due to extensive necessary overhauls of various systems. Several facilities have established a proactive systematic approach to managing ageing or mitigating its impact on safety and availability of isotopes. Others have tried to prevent or remedy the drawbacks of ageing on a case by case basis. Overall, a large body of knowledge related to ageing issues exists in many Member States. Collecting and sharing this information within the research reactor community can provide a solid foundation to develop a more systematic approach — that is, an ageing management programme to prevent negative consequences of ageing on the safety, and the operability and lifetime of operating, or even future, reactors. It may also help organizations to manage research reactors that have been in an extended shutdown state by ensuring that any required systems are operated and maintained in a safe manner prior to final decommissioning and disposal of fuel to safe storage facilities. Sharing experiences from projects undertaken to refurbish or replace equipment and systems, satisfy safety and regulatory requirements, improve

Structural Aging Program approach to providing an improved basis for aging management of safety-related concrete structures

International Nuclear Information System (INIS)

Naus, D.J.; Oland, C.B.; Ellingwood, B.

1993-01-01

The Structural Aging (SAG) Program is being conducted at the Oak Ridge National Laboratory (ORNL) for the United States Nuclear Regulatory Commission (USNRC). The SAG Program is addressing the aging management of safety-related concrete structures in nuclear power plants for the purpose of providing improved technical bases for their continued service. The program is organized into four tasks: Program Management, Materials Property Data Base, Structural Component Assessment/Repair Technologies, and Quantitative Methodology for Continued Service Determinations. Objectives and a summary of recent accomplishments under each of these tasks are presented

Managing age discrimination: an examination of the techniques used when seeking employment.

Science.gov (United States)

Berger, Ellie D

2009-06-01

This article examines the age-related management techniques used by older workers in their search for employment. Data are drawn from interviews with individuals aged 45-65 years (N = 30). Findings indicate that participants develop "counteractions" and "concealments" to manage perceived age discrimination. Individuals counteract employers' ageist stereotypes by maintaining their skills and changing their work-related expectations and conceal age by altering their résumés, physical appearance, and language used. This research suggests that there is a need to reexamine the hiring practices of employers and to improve legislation in relation to their accountability.

Bone quality changes associated with aging and disease: a review.

Science.gov (United States)

Boskey, Adele L; Imbert, Laurianne

2017-12-01

Bone quality encompasses all the characteristics of bone that, in addition to density, contribute to its resistance to fracture. In this review, we consider changes in architecture, porosity, and composition, including collagen structure, mineral composition, and crystal size. These factors all are known to vary with tissue and animal ages, and health status. Bone morphology and presence of microcracks, which also contribute to bone quality, will not be discussed in this review. Correlations with mechanical performance for collagen cross-linking, crystallinity, and carbonate content are contrasted with mineral content. Age-dependent changes in humans and rodents are discussed in relation to rodent models of disease. Examples are osteoporosis, osteomalacia, osteogenesis imperfecta (OI), and osteopetrosis in both humans and animal models. Each of these conditions, along with aging, is associated with increased fracture risk for distinct reasons. © 2017 New York Academy of Sciences.

[Aging and homeostasis. Management of disorders in bone and calcium metabolism associated with ageing.

Science.gov (United States)

Takeuchi, Yasuhiro

Disorders in bone and calcium metabolism associated with aging are based on secondary hyperparathyroidism due to impaired intestinal calcium absorption caused by insufficient vitamin D actions and augmented bone resorption due to sex hormone deficiency. Both of them are involved in the development of osteoporosis that increases risk of fractures. Therefore, the most important thing for management of disorders in bone and calcium metabolism associated with aging is to prevent fractures with appropriate drugs for osteoporosis.

The Management of Visibilities in the Digital Age

DEFF Research Database (Denmark)

Flyverbom, Mikkel; Leonardi, Paul; Stohl, Cynthia

2016-01-01

What we see, what we show and how we look are fundamental organizational concerns made ever more salient by the affordances, dynamics, and discourses of the digital age. Contemporary organizing practices are awash with material, mediated and managed visibilities: companies erect glass buildings...

EDF ageing management program of nuclear components: a safety and economical issue

International Nuclear Information System (INIS)

Faidy, C.

2005-01-01

Ageing management of Nuclear Power Plants is an essential issue for utilities, in term of safety and availability and corresponding economical consequences. Practically all nuclear countries have developed a systematic program to deal with ageing of components on their plants. This paper presents the ageing management program developed by EDF and that are compared with different other approaches in other countries (IAEA guidelines and GALL report). The paper presents a general overview of the programs, the major results, recommendations and conclusions. (author)

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

OpenAIRE

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

2017-01-01

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

Assessment and management of ageing of major nuclear power plant components important to safety: PWR vessel internals

International Nuclear Information System (INIS)

1999-10-01

At present, there are over four hundred operational nuclear power plants (NPPs) in IAEA Member States. Operating experience has shown that ineffective control of the ageing degradation of the major NPP components (e.g. caused by unanticipated phenomena and by operating, maintenance or manufacturing errors) can jeopardize plant safety and also plant life. Ageing in these NPPs must be therefore effectively managed to ensure the availability of design functions throughout the plant service life. From the safety perspective, this means controlling within acceptable limits the ageing degradation and wear-out of plant components important to safety so that adequate safety margins remain, i.e. integrity and functional capability in excess of normal operating requirements. This TECDOC is one in a series of reports on the assessment and management of ageing of the major NPP components important to safety. The reports are based on experience and practices of NPP operators, regulators, designers, manufacturers, and technical support organizations and a widely accepted Methodology for the Management of Ageing of NPP Components Important to Safety, which was issued by the IAEA in 1992. The current practices for the assessment of safety margins (fitness-for-service) and the inspection, monitoring and mitigation of ageing degradation of selected components of Canada deuterium-uranium (CANDU) reactors, boiling water reactors (BWRs), pressurized water reactors (PWRs), and water moderated, water cooled energy reactors (WWERs) are documented in the reports. These practices are intended to help all involved directly and indirectly in ensuring the safe operation of NPPs, and to provide a common technical basis for dialogue between plant operators and regulators when dealing with age related licensing issues. The guidance reports are directed at technical experts from NPPs and from regulatory, plant design, manufacturing and technical support organizations dealing with specific plant

Ageing management of EDF NPP concrete structures: from the theory to the reality

International Nuclear Information System (INIS)

Gallitre, E.; Brunet, C.

2009-01-01

This paper presents EDF practice about concrete structure ageing management, from the materials analysis to the formal procedure which allows EDF to increase 900 MWe NPP lifetime until 40 years. This practice is based on a methodology which identifies every ageing mechanism, then both plants feedback and state of the art are screened and conclusions are drawn up and taken into account into an 'ageing analysis data sheet'. That leads to a collection of 57 data sheets: if the data sheet conclusion is not clear enough, then a more detailed report is launched. This ageing management detailed report gathers every theoretical knowledge and monitoring data; its objective is to propose a solution for ageing management: this solution can include more inspections or specific research development. After a first practise on the 34 French 900 MWe PWR units, only 2 generic ageing management detailed reports have been needed for the civil engineering part: one about reactor building containment which focuses on two mechanisms: steel liner corrosion and pre-stress losses, and one about other structures which focuses on Alkali-Aggregate Reaction (AAR). (authors)

An Overview of Ageing Management and Refurbishment of Research Reactors at Trombay

Energy Technology Data Exchange (ETDEWEB)

Sharma, R. C.; Raina, V. K. [Bhabha Atomic Research Centre, Mumbai (India)

2014-08-15

Three nuclear research reactors have been in operation at Bhabha Atomic Research Centre, Mumbai, India. India has a rich experience of about 120 research reactor operating years including ageing management. A well structured programme is in force for plant life management, refurbishment and upgrading reactors in operation. Apsara, commissioned in August 1956, was the first research reactor. Apsara is a 1 MW{sub th} swimming pool type of reactor with a movable core loaded with enriched uranium fuel and immersed in demineralized light water pool, which serves as coolant, moderator and reflector besides providing radiation shielding. Apsara was shut down during May 2009 for partial decommissioning and upgrading to a 2 MW reactor with several safety upgrades, e.g. a LEU based reactor core with higher neutron flux, a new reactor building meeting seismic qualification criteria and two independent shutdown devices. Cirus, a 40 MW{sub th} tank type reactor utilizing heavy water as moderator, graphite as reflector, demineralized light water as primary coolant and natural uranium metal as fuel; has been in operation since 1960. After about three decade of operation, the availability factor started declining mainly due to outage of equipment exhibiting signs of ageing. After ageing studies and performance review, refurbishment requirements were identified. A programme for refurbishment was drawn that included safety upgrades like civil repairs to the emergency storage reservoir to meet seismic qualification criteria and a new iodine removal system for better efficiency. The reactor was shut down during 1997 for execution of this refurbishment programme. After completion of refurbishment, the reactor was brought back into operation during 2003. It has completed about seven years of safe operation after refurbishment with a significant increase in availability factor from 70% to about 90%. The reactor was permanently shut down during December 2010. The reactor core was unloaded

Age diversity and the aging librarian in academic libraries in South Africa

Directory of Open Access Journals (Sweden)

Sophie Van der Walt

2010-01-01

Full Text Available The focus of this article is to illustrate the current age distribution of academic librarians in South Africa and to determine the need for age diversity management in academic libraries. Firstly, a literature review provides a brief overview of recent changes to the higher education landscape in South Africa and the importance of diversity awareness. Secondly, the issue of age diversity in the workplace is explored, followed by a discussion of the age demography of librarians, so raising the important issue this paper seeks to investigate, namely, the current age demography of South African academic librarians. A mixed-method research approach was decided upon and specifically the sequential exploratory design as it studies the unknown relationships between different generations of librarians at work within five of the academic libraries from the Gauteng and Environs Library and Information Consortium (GAELIC. The results showed that most of the middle and senior level library management positions are currently filled by those retiring in the next 15-20 years and that the planning and training of new middle and top management staff members must form part of succession planning policies in order to avoid a leadership vacuum.

Health implications of new-age technologies: a systematic review.

Science.gov (United States)

Bilgrami, Zaid; McLAUGHLIN, Laura; Milanaik, Ruth; Adesman, Andrew

2017-08-01

New-age technologies are ubiquitous in the lives of adolescents. Recent trends in media use suggest that adolescents are spending more time than ever engaging with technologies, and are able to do so in virtually all settings at any time. Given that new-age technologies are so heavily integrated within the daily life of adolescents, the health risks and benefits they offer must be closely examined. In this systematic review, we present recent literature related to the implications of new-age technologies on adolescent health. A total of 94 articles published since 2006 were collected using PubMed and Google Scholar on the most popular new-age technologies among adolescents: the internet, television, cell phones, and video games. The current body of research highlights several health risks related to these technologies. Nearly all have the potential for addiction, which can result in other symptoms and impair one's daily life. Excessive use can affect several components of health, such as quality of sleep, body composition, and mental well-being, and certain practices (viewing pornography, sexting) can lead to risky sexual behaviors. However, the technologies discussed in the present review also have tremendous potential to promote adolescent health. Pediatricians must educate parents and patients on how to safely use technology to minimize the potentially harmful outcomes.

Management of sleep bruxism in adults: a qualitative systematic literature review

NARCIS (Netherlands)

Manfredini, D.; Ahlberg, J.; Winocur, E.; Lobbezoo, F.

2015-01-01

This paper updates the bruxism management review published by Lobbezoo et al. in 2008 (J Oral Rehabil 2008; 35: 509-23). The review focuses on the most recent literature on management of sleep bruxism (SB) in adults, as diagnosed with polysomnography (PSG) with audio-video (AV) recordings, or with

Computerized information management for institutional review boards.

Science.gov (United States)

Hood, Maureen N; Gugerty, Brian; Levine, Richard; Ho, Vincent B

2005-01-01

The use of human subjects for medical research in most industrialized nations requires the scientific and ethical scrutiny of research proposals by a governing institutional review board (IRB) or its equivalent. As part of their primary charge to protect human subjects, IRBs are responsible for the regulatory oversight of not only the research protocol itself but also the research conduct of the investigators and, if applicable, the funding sponsor. This article will discuss the regulatory requirements for an accurate account of IRB protocols and investigators and present an overview of the general flow of information for an IRB protocol. The current and potential uses of information management systems by IRBs will also be reviewed and accompanied by a discussion of the potential advantages and disadvantages of various computerized information systems for management of clinical research.

Forestry Best Management Practices Relationships with Aquatic and Riparian Fauna: A Review

Directory of Open Access Journals (Sweden)

Brooke M. Warrington

2017-09-01

Full Text Available Forestry best management practices (BMPs were developed to minimize water pollution from forestry operations by primarily addressing sediment and sediment transport, which is the leading source of pollution from silviculture. Implementation of water quality BMPs may also benefit riparian and aquatic wildlife, although wildlife benefits were not driving forces for BMP development. Therefore, we reviewed literature regarding potential contributions of sediment-reducing BMPs to conservation of riparian and aquatic wildlife, while realizing that BMPs also minimize thermal, nutrient, and chemical pollution. We reached five important conclusions: (1 a significant body of research confirms that forestry BMPs contribute to the protection of water quality and riparian forest structure; (2 data-specific relationships between forestry BMPs and reviewed species are limited; (3 forestry BMPs for forest road construction and maintenance, skid trails, stream crossings, and streamside management zones (SMZs are important particularly for protection of water quality and aquatic species; (4 stream crossings should be carefully selected and installed to minimize sediment inputs and stream channel alterations; and (5 SMZs promote retention of older-age riparian habitat with benefits extending from water bodies to surrounding uplands. Overall, BMPs developed for protection of water quality should benefit a variety of riparian and aquatic species that are sensitive to changes in water quality or forest structure.

Forestry best management practices relationships with aquatic and riparian fauna: A review

Science.gov (United States)

Warrington, Brooke M.; Aust, W. Michael; Barrett, Scott M.; Ford, W. Mark; Dolloff, C. Andrew; Schilling, Erik B.; Wigley, T. Bently; Bolding, M. Chad

2017-01-01

Forestry best management practices (BMPs) were developed to minimize water pollution from forestry operations by primarily addressing sediment and sediment transport, which is the leading source of pollution from silviculture. Implementation of water quality BMPs may also benefit riparian and aquatic wildlife, although wildlife benefits were not driving forces for BMP development. Therefore, we reviewed literature regarding potential contributions of sediment-reducing BMPs to conservation of riparian and aquatic wildlife, while realizing that BMPs also minimize thermal, nutrient, and chemical pollution. We reached five important conclusions: (1) a significant body of research confirms that forestry BMPs contribute to the protection of water quality and riparian forest structure; (2) data-specific relationships between forestry BMPs and reviewed species are limited; (3) forestry BMPs for forest road construction and maintenance, skid trails, stream crossings, and streamside management zones (SMZs) are important particularly for protection of water quality and aquatic species; (4) stream crossings should be carefully selected and installed to minimize sediment inputs and stream channel alterations; and (5) SMZs promote retention of older-age riparian habitat with benefits extending from water bodies to surrounding uplands. Overall, BMPs developed for protection of water quality should benefit a variety of riparian and aquatic species that are sensitive to changes in water quality or forest structure.

The dental management of patients with severe depression disorder (Literature review

Directory of Open Access Journals (Sweden)

Nanan Nur’aeny

2016-06-01

Full Text Available World Health Organization (WHO in the year 2000 have identified major depressive disorder ranks as the fourth leading cause of death in the world. WHO also estimates that in 2020, the disorder will increase to second only to ischemic heart disease. People at high risk of first occurrence of depression are those who have a family history. Depression can happen to anyone and at all ages, ranging in age from children, young adults up to old age. This paper will discuss the literature review of an overview of depression and itsmanagement in dentistry. Patients with major depressive disorder may have abnormalities in the oral cavity affected by lack of oral hygiene as well as a manifestation of mental disorder and its treatment. Dental and oral management conducted in accordance with procedures and have to be carried out carefully especially to patients with mental disorders such as depression. Tooth decayed, gingivitis, xerostomia, oral candidiasis, oral lesion, and TMJ disorder are clinical findings in depressed patient, so as dentists may cooperate with psychiatrists in providing comprehensive treatment to improve quality of life of the patients.

E-waste management in India: A mini-review.

Science.gov (United States)

Awasthi, Abhishek Kumar; Wang, Mengmeng; Wang, Zhishi; Awasthi, Mrigendra Kumar; Li, Jinhui

2018-05-01

Environmental deterioration and health risk due to improper e-waste management has become a serious issue in India. The major portion of e-waste reaches an unorganized e-waste recycling sector and is then treated by using crude methods. This review article presents a brief highlight on e-waste management status, legislation, and technology uses in India. The present e-waste management needs to be more focused on environmentally sound management, by more active support from all the participants involved in the e-waste flow chain in India.

76 FR 63351 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

Science.gov (United States)

2011-10-12

... DEPARTMENT OF THE TREASURY Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of members to the Financial Management Service (FMS) Performance Review Board (PRB...

77 FR 60177 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

Science.gov (United States)

2012-10-02

... DEPARTMENT OF THE TREASURY Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of members to the Financial Management Service (FMS) Performance Review Board (PRB...

Nevada Risk Assessment/Management Program scientific peer review

International Nuclear Information System (INIS)

Bentz, E.J. Jr.; Bentz, C.B.; O'Hora, T.D.; Chen, S.Y.

1997-01-01

The 1,350 square-mile Nevada Test Site and additional sites in Nevada served as the continental sites for US nuclear weapons testing from 1951 to 1992. The Nevada Risk Assessment/Management Program (NRAMP) is a currently on-going effort of the Harry Reid Center for Environmental Studies at the University of Nevada, Las Vegas (UNLV) and the firm of E. J. Bentz and Associates, Inc., in cooperation with the US Department of Energy (DOE) Environmental Management Program. Argonne National Laboratory is one of several public and private organizations supporting personnel appointed by the NRAMP to the NRAMP Scientific Peer Review Panel. The NRAMP is part of a national effort by the DOE to develop new sources of information and approaches to risk assessment, risk management, risk communication, and public outreach relevant to the ecological and human health effects of radioactive and hazardous materials management and site remediation activities. This paper describes the development, conduct, and current results of the scientific peer review process which supports the goals of the NRAMP

The teaching of nursing management in undergraduate: an integrative review

Directory of Open Access Journals (Sweden)

Mara Solange Gomes Dellaroza

2015-03-01

Full Text Available The study aims to identify the dynamics of teaching management in nursing degree. It is an integrative literature review with research conducted in the following online database platforms: SciELO, Medline, Lilacs and BDENF. The keywords used in the study were: competency-based education, professional competence, education, nursing, organization and administration, management, nursing, educational assessment, organization of management services, management of professional practice and education. All articles published in the last 10 years which answered the question presented to approach the teaching of nursing management in Brazil, published in any language were included. Those that were not presented in full text were excluded. Of the 1432 studies identified after matching the keywords, only 8 were selected for answering objective of this review. From these results, three related themes emerged: the teaching plans, workload and program content; methodologies of teaching and learning in nursing management; challenges faced in developing the teaching of nursing management.

Aging management guidelines for commercial nuclear power plant equipment

International Nuclear Information System (INIS)

Nakos, J.T.; Gazdzinski, R.F.; Toman, G.J.

1994-01-01

The US Department of Energy, in cooperation with the Electric Power Research Institute and nuclear power plant utilities, has prepared ''Aging Management Guidelines'' (AMGs) for commodity types of equipment (e.g., pumps, electrical switchgear) important to license renewal. For the most part, this is also consistent with the Maintenance Rule, 10 CFR 50.65 (1991). AMGs concentrate on technical, (not licensing) issues and are directed toward systems engineers and plant maintenance staff. AMGs include a detailed summary of operating history, stressors, aging mechanisms, and various types of maintenance practices that can be combined to create effective programs that manage aging. All aging mechanisms were addressed; no attempt was made to limit the evaluation to aging mechanisms ''unique to license renewal,'' as defined in the License Renewal Rule, 10 CFR 54 (1991). The first AMG on Electrical Switchgear was published in July 1993. Six (6) additional AMGs will be published by the first quarter of calendar year 1994. It is anticipated that two more AMGs will be started in 1994. The seven ongoing AMG topics are as follows: (1) battery chargers, inverters and uninterruptible power supplies; (2) batteries, stationary; (3) heat exchangers; (4) motor control centers; (5) pumps; (6) switchgear, electric; (7) transformers, power and distribution. In Section 7, industry feedback regarding AMGs is discussed. Overall, the response has been very positive

Managing and mitigating conflict in healthcare teams: an integrative review.

Science.gov (United States)

Almost, Joan; Wolff, Angela C; Stewart-Pyne, Althea; McCormick, Loretta G; Strachan, Diane; D'Souza, Christine

2016-07-01

To review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict. Providing quality care requires positive, collaborative working relationships among healthcare team members. In today's increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management. Integrative literature review. CINAHL, MEDLINE, PsycINFO, Proquest ABI/Inform, Cochrane Library and Joanne Briggs Institute Library were searched for empirical studies published between 2002-May 2014. The review was informed by the approach of Whittemore and Knafl. Findings were extracted, critically examined and grouped into themes. Forty-four papers met the inclusion criteria. Several antecedents influence conflict and choice of conflict management style including individual characteristics, contextual factors and interpersonal conditions. Sources most frequently identified include lack of emotional intelligence, certain personality traits, poor work environment, role ambiguity, lack of support and poor communication. Very few published interventions were found. By synthesizing the knowledge and identifying antecedents, this review offers evidence to support recommendations on managing and mitigating conflict. As inevitable as conflict is, it is the responsibility of everyone to increase their own awareness, accountability and active participation in understanding conflict and minimizing it. Future research should investigate the testing of interventions to minimize these antecedents and, subsequently, reduce conflict. © 2016 John Wiley & Sons Ltd.

Treatment, Therapy and Management of Metabolic Epilepsy: A Systematic Review

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Vanessa Lin Lin Lee

2018-03-01

Full Text Available Metabolic epilepsy is a metabolic abnormality which is associated with an increased risk of epilepsy development in affected individuals. Commonly used antiepileptic drugs are typically ineffective against metabolic epilepsy as they do not address its root cause. Presently, there is no review available which summarizes all the treatment options for metabolic epilepsy. Thus, we systematically reviewed literature which reported on the treatment, therapy and management of metabolic epilepsy from four databases, namely PubMed, Springer, Scopus and ScienceDirect. After applying our inclusion and exclusion criteria as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA guidelines, we reviewed a total of 43 articles. Based on the reviewed articles, we summarized the methods used for the treatment, therapy and management of metabolic epilepsy. These methods were tailored to address the root causes of the metabolic disturbances rather than targeting the epilepsy phenotype alone. Diet modification and dietary supplementation, alone or in combination with antiepileptic drugs, are used in tackling the different types of metabolic epilepsy. Identification, treatment, therapy and management of the underlying metabolic derangements can improve behavior, cognitive function and reduce seizure frequency and/or severity in patients.

Ageing management program for reactor components in HANARO

International Nuclear Information System (INIS)

Cho, Yeong-Garp; Wu, Sang-Ik; Lee, Jung-Hee; Ryu, Jeong-Soo; Park, Yong-Chul; Wu, Jong-Sup; Jun, Byung Jin

2003-01-01

The HANARO, an open-tank-in-pool type research reactor of 30MWth power in Korea, has operated for 8 years since its initial criticality in February of 1995. The reactor power has been gradually increased to 24 MWth through the service period. Therefore the reactor age is very young from the viewpoint of the ageing effect on the reactor structure and components by neutron irradiation considering the expected reactor lifetime. But, we have a few programs to manage the ageing from the aspect of design lifetime of reactor components. This paper summarizes the overall progress and plan for the ageing management for the reactor components including lifetime extension and design improvement, remote measurements and in-service inspections. The shutoff units and control absorber units have aged more rapidly than other structures or components because the number of rod drop cycles was higher than expected at the design stage. The system commissioning tests, periodic performance tests, and weekly operation for the stable supply of medical radioisotopes overriding the normal cycle operation have contributed to the high frequency of rod drop. Therefore, we have instituted a program to extend the lifetime of the shutoff units and the control absorber units. This program includes an endurance test to verify the performance for the extended number of drops and the management of shutdown methods to minimize the drop cycles for both the shutoff units and the control absorber units. The program also includes the design improvement of the damper mechanism of the control absorber units to reduce the impact force caused by rod drop. The inner shell of the reflector vessel surrounding the core is the most critical part from the viewpoint of neutron irradiation. The periodic measurement of the dimensional change in the vertical straightness of the inner shell is considered as one of the in-service inspections. We developed a few tools and verified the performance to measure the

Quality and Operations Management in Food Supply Chains: A Literature Review

Directory of Open Access Journals (Sweden)

Yong He

2018-01-01

Full Text Available We present a literature review on quality and operations management problems in food supply chains. In food industry, the quality of the food products declines over time and should be addressed in the supply chain operations management. Managing food supply chains with operations management methods not only generates economic benefit, but also contributes to environmental and social benefits. The literature on this topic has been burgeoning in the past few years. Since 2005, more than 100 articles have been published on this topic in major operations research and management science journals. In this literature review, we concentrate on the quantitative models in this research field and classify the related articles into four categories, that is, storage problems, distribution problems, marketing problems, and food traceability and safety problems. We hope that this review serves as a reference for interested researchers and a starting point for those who wish to explore it further.

Modern management of pyogenic hepatic abscess: a case series and review of the literature.

LENUS (Irish Health Repository)

Heneghan, Helen M

2012-01-31

BACKGROUND: Pyogenic hepatic abscesses are relatively rare, though untreated are uniformly fatal. A recent paradigm shift in the management of liver abscesses, facilitated by advances in diagnostic and interventional radiology, has decreased mortality rates. The aim of this study was to review our experience in managing pyogenic liver abscess, review the literature in this field, and propose guidelines to aid in the current management of this complex disease. METHODS: Demographic and clinical details of all patients admitted to a single institution with liver abscess over a 5 year period were reviewed. Clinical presentation, aetiology, diagnostic work-up, treatment, morbidity and mortality data were collated. RESULTS: Over a 5 year period 11 patients presented to a single institution with pyogenic hepatic abscess (55% males, mean age 60.3 years). Common clinical features at presentation were non-specific constitutional symptoms and signs. Aetiology was predominantly gallstones (45%) or diverticular disease (27%). In addition to empiric antimicrobial therapy, all patients underwent radiologically guided percutaneous drainage of the liver abscess at diagnosis and only 2 patients required surgical intervention, including one 16-year old female who underwent hemi-hepatectomy for a complex and rare Actinomycotic abscess. There were no mortalities after minimum follow-up of one year. CONCLUSIONS: Pyogenic liver abscesses are uncommon, and mortality has decreased over the last two decades. Antimicrobial therapy and radiological intervention form the mainstay of modern treatment. Surgical intervention should be considered for patients with large, complex, septated or multiple abscesses, underlying disease or in whom percutaneous drainage has failed.

Age Management and Sustainable Careers for the Improvement of the Quality of Ageing at Work.

Science.gov (United States)

Marcaletti, Francesco

2014-01-01

Prolonging working careers by increasing the statutory age for retirement has become compulsory in most Western societies in order to tackle the shrinking of the labour force, preserve economic productivity, foster knowledge transfer and reduce the risks of financial imbalances in social security systems. This imperative currently results in working careers that already exceed 40 years and come to an end after the age of 65 (e.g. in Italy). Over the next few decades, both career length and retirement age are expected to rise. Thus, creating more inclusive workplaces by increasing their quality is the precondition of a win-win situation for both employers and employees, regardless of age. A request for support in the development of sustainable careers from both private and public labour organisations has led to innovating the mainstream methodologies and research tools in the field of age management. Based on the key elements of the mainstream "work ability concept" - i.e. health, competencies, motivation and work organisation - the Quality of Ageing at Work questionnaire (QAW-q), developed by a team from the WWELL Research Centre, broadens its perspective by surveying elements bridging intra-organisational dimensions and which affect employees' conditions and external socio-institutional constraints: i.e. work-life balance, economic stability, professional identity and relationships in the workplace. The QAW-q is designed to analyse the influence of the different meanings of age (chronological age, seniority within the company and in the labour market) and correlate them with the different dimensions at individual and organisational levels; all these dimensions are weighted by the effect exerted by the passage of time. The results of the QAW-q survey, taken by employees of both private and public companies, serve as a basis for the implementation of measures addressing all the relevant dimensions of the human resource management cycle.

Managing postharvest innovation: a review of developments and trends

NARCIS (Netherlands)

Batterink, M.H.; Omta, S.W.F.; Wubben, E.F.M.

2005-01-01

Purpose of the review: With the fast developments in technologies, combined with increased global competition and changing customer demands, innovation is increasingly seen as a means for sustainable growth. This paper reviews literature on the management of innovation and the most prominent

Management of the aging of critical safety-related concrete structures in light-water reactor plants

International Nuclear Information System (INIS)

Naus, D.J.; Oland, C.B.; Arndt, E.G.

1990-01-01

The Structural Aging Program has the overall objective of providing the USNRC with an improved basis for evaluating nuclear power plant safety-related structures for continued service. The program consists of a management task and three technical tasks: materials property data base, structural component assessment/repair technology, and quantitative methodology for continued-service determinations. Objectives, accomplishments, and planned activities under each of these tasks are presented. Major program accomplishments include development of a materials property data base for structural materials as well as an aging assessment methodology for concrete structures in nuclear power plants. Furthermore, a review and assessment of inservice inspection techniques for concrete materials and structures has been complete, and work on development of a methodology which can be used for performing current as well as reliability-based future condition assessment of concrete structures is well under way. 43 refs., 3 tabs

National culture and operations management : a structured literature review

NARCIS (Netherlands)

Boscari, Stefania; Bortolotti, Thomas; Netland, Torbjorn; Rich, Nicholas

2018-01-01

National culture has received a substantial amount of interest in the operations management literature. We present the first structured review of articles studying national culture in operations management. Our search returned 51 papers published in ten leading journals between 2000 and 2017. We

Regulatory review of NPP Krsko Periodic Safety Review

International Nuclear Information System (INIS)

Lovincic, D.; Muehleisen, A.; Persic, A.

2004-01-01

At the request of the Slovenian Nuclear Safety Administration (SNSA), Krsko NPP prepared a Periodic Safety Review (PSR) program in January 2001. This is the first PSR of NPP Krsko, the only nuclear power plant in Slovenia. The program was reviewed by the IAEA mission in May 2001 and approved by SNSA in July 2001. The program is made in accordance with the IAEA Safety Guide 'Periodic Safety Review of Operational Nuclear Power Plants' No. 50-SG-012 and with European practice. It contains a systematic review of operation of the NPP Krsko, including the review of the changes as a result of the modernization of the facility. The main tasks of PSR are review of plant status for each safety factor, development of aging and life cycle management program, review of seismic design and PSHA analysis and update of regulatory compliance program. The prioritization process of findings and action plan are also important tasks of PSR. The basic safety factors of the PSR review are: Operational Experience, Safety Assessment and Analyses, Equipment Qualification and Ageing Management, Safety Culture, Emergency Planing, Environmental Impact and Radioactive Waste, Compliance with license requirements and Prioritization. It had been agreed that SNSA will have reviewed all PSR reports generated during the PSR process. At the end of 2003 the PSR Summary Report with selected recommendations for action plan was completed and delivered to SNSA for review. The paper presents regulatory review of NPP Krsko PSR with emphasis on the evaluation of the PSR issues ranking process. (author)

The match between institutional elderly care management research and management challenges - a systematic literature review.

Science.gov (United States)

Kokkonen, Kaija; Rissanen, Sari; Hujala, Anneli

2012-11-08

Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers' and policymakers' scientific literacy needs to be enhanced.

Aging management of light water reactor concrete containments

International Nuclear Information System (INIS)

Shah, V.N.; Hookhman, C.J.

1994-01-01

This paper evaluates aging of light water reactor concrete containments and identifies three degradation mechanisms that have potential to cause widespread aging damage after years of satisfactory experience: alkali-silica reaction, corrosion of reinforcing steel, and sulfate attack. The evaluation is based on a comprehensive review of the relevant technical literature. Low-alkali cement and slow-reacting aggregates selected according to ASTM requirements cause deleterious alkali-silica reactions. Low concentrations of chloride ions can initiate corrosion of the reinforcing steel if the hydroxyl ions are sufficiently reduced by carbonation, leaching, or magnesium sulfate attack. Magnesium sulfate attack on concrete can cause loss of strength and cementitious properties after long exposure. Techniques to detect and mitigate these long-term aging effects are discussed

International database on ageing management and life extension

International Nuclear Information System (INIS)

Ianko, L.; Lyssakov, V.; McLachlan, D.; Russell, J.; Mukhametshin, V.

1995-01-01

International database on ageing management and life extension for reactor pressure vessel materials (RPVM) is described with the emphasis on the following issues: requirements of the system; design concepts for RPVM database system; data collection, processing and storage; information retrieval and dissemination; RPVM information assessment and evaluation. 1 fig

Fundamentals of asset management in an ageing nuclear power station

International Nuclear Information System (INIS)

Crook, B.

2014-01-01

In an ageing nuclear power station there are many challenges associated with implementing and refining an asset management program. Ageing nuclear power stations are faced with the formidable task of replacing and refurbishing major Structures, Systems, and Components (SSCs) in a managed and cost-effective way. This paper provides a brief background on equipment reliability and asset management, covers Bruce Power's methodology for implementing this complex and all-encompassing program, and describes one of the key challenges faced by Bruce Power and the industry. The effective scoping and identification of critical components is an on-going challenge which can affect the integrity of many processes built upon it. This is a fundamental building block to nearly all processes at Bruce Power and one that is at the centre of many improvement initiatives and projects. The consequences from lacking this baseline data, or worse relying upon incorrect data, can permeate the asset management process and hinder the organization's ability to assess risk properly and take the necessary steps to mitigate this risk in the short and long term. (author)

Factors influencing job satisfaction of front line nurse managers: a systematic review.

Science.gov (United States)

Lee, How; Cummings, Greta G

2008-10-01

The purpose of this study was to systematically review the research literature that examined the determinants of front line nurse managers' job satisfaction. Front line managers are the vital link between senior management and clinical nurses. They influence organizational culture and outcomes for patients and staff so their job satisfaction and ultimately retention is of importance. A review of research articles that examined the determinants of front line nurse managers' job satisfaction was conducted. These managers supervise staff nurses and have direct responsibility for the management of a nursing unit or team in any type of healthcare facility. Fourteen studies were included in the final analysis. Evidence of significant positive relationships were found between span of control, organizational support, empowerment and the job satisfaction of front line nurse managers. The review suggests that job satisfaction of front line managers may be improved by addressing span of control and workload, increasing organizational support from supervisors and empowering managers to participate in decision-making. Healthcare organizations may enhance the recruitment, retention and sustainability of future nursing leadership by addressing the factors that influence job satisfaction of front line managers.

Human Capital Management in Banking Institutions in Connection with the Population Ageing Process, Age Management Philosophy and the Concept of Corporate Social Responsibility in the Czech Republic

Directory of Open Access Journals (Sweden)

Jiří Bejtkovský

2015-01-01

Full Text Available The aim of the article is, besides other things, to identify awareness of the Age Management philosophy in respect of the Corporate Social Responsibility concept in Czech banking institutions and further think about how to implement the philosophy in the process of human resource management so as to be targeted and efficient for all entities involved. From research methods, questionnaire survey and observation were used. These methods were further supplemented with a semi-structured interview with the employees of banking institutions. The obtained data were analyzed by statistical methods. In association with the conducted researches it can be generally stated that the addressed respondents agree with the statement that their banking institution does implement age diversity of employees in a certain form and Age Management principles – the idea of heterogeneous structure of employees, development of working conditions and environment for performance of required working conditions or cooperation on corporate projects.

Computational Intelligence in Highway Management: A Review

Directory of Open Access Journals (Sweden)

Ondrej Pribyl

2015-10-01

Full Text Available Highway management systems are used to improve safety and driving comfort on highways by using control strategies and providing information and warnings to drivers. They use several strategies starting from speed and lane management, through incident detection and warning systems, ramp metering, weather information up to, for example, informing drivers about alternative roads. This paper provides a review of the existing approaches to highway management systems, particularly speed harmonization and ramp metering. It is focused only on modern and advanced approaches, such as soft computing, multi-agent methods and their interconnection. Its objective is to provide guidance in the wide field of highway management and to point out the most relevant recent activities which demonstrate that development in the field of highway management is still important and that the existing research exhibits potential for further enhancement.

Digital Support Interventions for the Self-Management of Low Back Pain: A Systematic Review.

Science.gov (United States)

Nicholl, Barbara I; Sandal, Louise F; Stochkendahl, Mette J; McCallum, Marianne; Suresh, Nithya; Vasseljen, Ottar; Hartvigsen, Jan; Mork, Paul J; Kjaer, Per; Søgaard, Karen; Mair, Frances S

2017-05-21

Low back pain (LBP) is a common cause of disability and is ranked as the most burdensome health condition globally. Self-management, including components on increased knowledge, monitoring of symptoms, and physical activity, are consistently recommended in clinical guidelines as cost-effective strategies for LBP management and there is increasing interest in the potential role of digital health. The study aimed to synthesize and critically appraise published evidence concerning the use of interactive digital interventions to support self-management of LBP. The following specific questions were examined: (1) What are the key components of digital self-management interventions for LBP, including theoretical underpinnings? (2) What outcome measures have been used in randomized trials of digital self-management interventions in LBP and what effect, if any, did the intervention have on these? and (3) What specific characteristics or components, if any, of interventions appear to be associated with beneficial outcomes? Bibliographic databases searched from 2000 to March 2016 included Medline, Embase, CINAHL, PsycINFO, Cochrane Library, DoPHER and TRoPHI, Social Science Citation Index, and Science Citation Index. Reference and citation searching was also undertaken. Search strategy combined the following concepts: (1) back pain, (2) digital intervention, and (3) self-management. Only randomized controlled trial (RCT) protocols or completed RCTs involving adults with LBP published in peer-reviewed journals were included. Two reviewers independently screened titles and abstracts, full-text articles, extracted data, and assessed risk of bias using Cochrane risk of bias tool. An independent third reviewer adjudicated on disagreements. Data were synthesized narratively. Of the total 7014 references identified, 11 were included, describing 9 studies: 6 completed RCTs and 3 protocols for future RCTs. The completed RCTs included a total of 2706 participants (range of 114

Facilitating age diversity in organizations ‐ part II: managing perceptions and interactions

NARCIS (Netherlands)

Annet de Lange; Jürgen Deller; Beatrice van der Heijden; Guido Hertel

2013-01-01

Purpose ‐ Due to demographic changes in most industrialized countries, the average age of working people is continuously increasing, and the workforce is becoming more age-diverse. This review, together with the earlier JMP Special Issue "Facilitating age diversity in organizations ‐ part I:

Facilitating age diversity in organizations – part II: managing perceptions and interactions

NARCIS (Netherlands)

Hertel, Guido; van der Heijden, Beatrice; de Lange, Annet H.; Deller, Jürgen

2013-01-01

Purpose – Due to demographic changes in most industrialized countries, the average age of working people is continuously increasing, and the workforce is becoming more age-diverse. This review, together with the earlier JMP Special Issue “Facilitating age diversity in organizations – part I:

Diabetes Self-Management Care via Cell Phone: A Systematic Review

Science.gov (United States)

Krishna, Santosh; Boren, Suzanne Austin

2008-01-01

Background The objective of this study was to evaluate the evidence on the impact of cell phone interventions for persons with diabetes and/or obesity in improving health outcomes and/or processes of care for persons with diabetes and/or obesity. Methods We searched Medline (1966–2007) and reviewed reference lists from included studies and relevant reviews to identify additional studies. We extracted descriptions of the study design, sample size, patient age, duration of study, technology, educational content and delivery environment, intervention and control groups, process and outcome measures, and statistical significance. Results In this review, we included 20 articles, representing 18 studies, evaluating the use of a cell phone for health information for persons with diabetes or obesity. Thirteen of 18 studies measured health outcomes and the remaining 5 studies evaluated processes of care. Outcomes were grouped into learning, behavior change, clinical improvement, and improved health status. Nine out of 10 studies that measured hemoglobin A1c reported significant improvement among those receiving education and care support. Cell phone and text message interventions increased patient–provider and parent–child communication and satisfaction with care. Conclusions Providing care and support with cell phones and text message interventions can improve clinically relevant diabetes-related health outcomes by increasing knowledge and self-efficacy to carry out self-management behaviors. PMID:19885219

The match between institutional elderly care management research and management challenges - a systematic literature review

Science.gov (United States)

2012-01-01

Background Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. Methods This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. Results The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Conclusions Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers’ and policymakers’ scientific literacy needs to be enhanced. PMID:23137416

The match between institutional elderly care management research and management challenges - a systematic literature review

Directory of Open Access Journals (Sweden)

Kokkonen Kaija

2012-11-01

Full Text Available Abstract Background Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. Methods This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. Results The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Conclusions Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers’ and policymakers’ scientific literacy needs to be enhanced.

Clinical management of alcohol withdrawal: A systematic review

Directory of Open Access Journals (Sweden)

Shivanand Kattimani

2013-01-01

Full Text Available Alcohol withdrawal is commonly encountered in general hospital settings. It forms a major part of referrals received by a consultation-liaison psychiatrist. This article aims to review the evidence base for appropriate clinical management of the alcohol withdrawal syndrome. We searched Pubmed for articles published in English on pharmacological management of alcohol withdrawal in humans with no limit on the date of publication. Articles not relevant to clinical management were excluded based on the titles and abstract available. Full-text articles were obtained from this list and the cross-references. There were four meta-analyses, 9 systematic reviews, 26 review articles and other type of publications like textbooks. Alcohol withdrawal syndrome is a clinical diagnosis. It may vary in severity. Complicated alcohol withdrawal presents with hallucinations, seizures or delirium tremens. Benzodiazepines have the best evidence base in the treatment of alcohol withdrawal, followed by anticonvulsants. Clinical institutes withdrawal assessment-alcohol revised is useful with pitfalls in patients with medical comorbidities. Evidence favors an approach of symptom-monitored loading for severe withdrawals where an initial dose is guided by risk factors for complicated withdrawals and further dosing may be guided by withdrawal severity. Supportive care and use of vitamins is also discussed.

Diagnosis and Management of Hyperthyroidism in Pregnancy: A Review.

Science.gov (United States)

King, Jennifer Renae; Lachica, Ruben; Lee, Richard H; Montoro, Martin; Mestman, Jorge

2016-11-01

Hyperthyroidism has important implications for pregnancy, affecting both mother and fetus. Appropriate maternal and fetal management iscritical to avoiding adverse pregnancy outcomes and requires a multidisciplinary approach. To describe maternal diagnosis and management of hyperthyroidism, across all stages of pregnancy. In addition, to review clinical signs of fetal thyroid dysfunction due to maternal Graves disease and discuss management considerations. Review of published articles on PubMed and guidelines by recognized governing organizations regarding the diagnostic and management considerations for hyperthyroidism in pregnancy, from preconception to the postpartum period. Diagnosis of maternal hyperthyroidism involves both clinical symptoms and laboratory findings. Antithyroid medications are the mainstay of therapy, with trimester-specific pregnancy goals. Hyperthyroidism due to Graves disease has important diagnostic and management considerations for the fetus and neonate. Hyperthyroidism in pregnancy affects mother, fetus, and neonate. Interpretation of thyroid tests and understanding the appropriate use of antithyroid drugs are fundamental. Proper education of physicians providing care to women with hyperthyroidism is essential and starts before pregnancy. Postpartum follow-up is an essential part of the care. A systematic approach to management will ensure optimal pregnancy outcomes.

Cognitive mapping tools: review and risk management needs.

Science.gov (United States)

Wood, Matthew D; Bostrom, Ann; Bridges, Todd; Linkov, Igor

2012-08-01

Risk managers are increasingly interested in incorporating stakeholder beliefs and other human factors into the planning process. Effective risk assessment and management requires understanding perceptions and beliefs of involved stakeholders, and how these beliefs give rise to actions that influence risk management decisions. Formal analyses of risk manager and stakeholder cognitions represent an important first step. Techniques for diagramming stakeholder mental models provide one tool for risk managers to better understand stakeholder beliefs and perceptions concerning risk, and to leverage this new understanding in developing risk management strategies. This article reviews three methodologies for assessing and diagramming stakeholder mental models--decision-analysis-based mental modeling, concept mapping, and semantic web analysis--and assesses them with regard to their ability to address risk manager needs. © 2012 Society for Risk Analysis.

Practical examples of how knowledge management is addressed in Point Lepreau heat transport ageing management programs

International Nuclear Information System (INIS)

Slade, J.; Gendron, T.; Greenlaw, G.

2009-01-01

In the mid-1990s, New Brunswick Power Nuclear implemented a Management System Process Model at the Point Lepreau Generating Station that provides the basic elements of a knowledge management program. As noted by the IAEA, the challenge facing the nuclear industry now is to make improvements in knowledge management in areas that are more difficult to implement. Two of these areas are: increasing the value of existing knowledge, and converting tacit knowledge to explicit knowledge (knowledge acquisition). This paper describes some practical examples of knowledge management improvements in the Point Lepreau heat transport system ageing management program. (author)

Examining End-of-Life Case Management: Systematic Review

Directory of Open Access Journals (Sweden)

Roger E. Thomas

2014-01-01

Full Text Available Case management was initiated in the 1970s to reduce care discontinuity. A literature review focused on end-of-life (EOL case management identified 17 research articles, with content analysis revealing two themes: (a seeking to determine or establish the value of EOL case management and (b identifying ways to improve EOL case management. The evidence, although limited, suggests that EOL case management is helpful to dying individuals and their families. Research is needed to more clearly illustrate its usefulness or outcomes and the extent of need for it and actual availability. Among other benefits, EOL case management may help reduce hospital utilization, a major concern with the high cost of hospital-based care and the increased desire for home-based EOL care.

Prognostics and Health Management in Nuclear Power Plants: A Review of Technologies and Applications

Energy Technology Data Exchange (ETDEWEB)

Coble, Jamie B.; Ramuhalli, Pradeep; Bond, Leonard J.; Hines, Wes; Upadhyaya, Belle

2012-07-17

This report reviews the current state of the art of prognostics and health management (PHM) for nuclear power systems and related technology currently applied in field or under development in other technological application areas, as well as key research needs and technical gaps for increased use of PHM in nuclear power systems. The historical approach to monitoring and maintenance in nuclear power plants (NPPs), including the Maintenance Rule for active components and Aging Management Plans for passive components, are reviewed. An outline is given for the technical and economic challenges that make PHM attractive for both legacy plants through Light Water Reactor Sustainability (LWRS) and new plant designs. There is a general introduction to PHM systems for monitoring, fault detection and diagnostics, and prognostics in other, non-nuclear fields. The state of the art for health monitoring in nuclear power systems is reviewed. A discussion of related technologies that support the application of PHM systems in NPPs, including digital instrumentation and control systems, wired and wireless sensor technology, and PHM software architectures is provided. Appropriate codes and standards for PHM are discussed, along with a description of the ongoing work in developing additional necessary standards. Finally, an outline of key research needs and opportunities that must be addressed in order to support the application of PHM in legacy and new NPPs is presented.

A contemporary review of management and prognostic factors of upper tract urothelial carcinoma.

Science.gov (United States)

Leow, Jeffrey J; Orsola, Anna; Chang, Steven L; Bellmunt, Joaquim

2015-04-01

Upper tract urothelial carcinoma (UTUC) accounts for management and potentially improve outcomes. This article systematically reviews current literature on prognostic factors and management options for UTUC. A comprehensive literature search was performed to identify all studies examining prognostic factors and management options for UTUC. The search included the Medline, Embase, Cochrane Central Register of Controlled Trials databases, and abstracts from the American Society of Clinical Oncology meetings up to November 2014. An updated systematic review was performed. Preoperative prognostic factors for UTUC patients include age, race, performance status, obesity, smoking status, elevated fibrinogen levels, hydronephrosis, tumor size, multi-focality, location, clinical grade and previous/synchronous bladder cancer. Postoperative variables include tumor stage/grade, multifocality, nodal involvement, lympho-vascular invasion, initial ureteral location, necrosis, sessile architecture, variant histologies and presence of tissue ALDH1 and SOX2. Curative treatment of choice is NU, with lymphadenectomy conferring survival benefits. Minimally invasive surgery has equivalent oncologic and better peri-operative outcomes compared to open surgery. Conservative therapy includes adjuvant BCG and intravesical mitomycin C. Two randomized trials investigating postoperative instillation of mitomycin C suggest bladder recurrence benefits. Adjuvant chemo-radiotherapy may be useful for patients with advanced T3/4 and/or N+ disease. Gold-standard treatment for UTUC remains NU, increasingly performed using minimally invasive surgery. Nomograms including pre- and post-operative variables can aid prognostication and guide further therapy. Copyright © 2015 Elsevier Ltd. All rights reserved.

Book Review: Current Issues in International Human Resource Management and Strategy Research

DEFF Research Database (Denmark)

Gretzinger, Susanne

2009-01-01

The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer.......The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer....

Systematic review of guidelines for the physical management of osteoarthritis.

Science.gov (United States)

Larmer, Peter J; Reay, Nicholas D; Aubert, Elizabeth R; Kersten, Paula

2014-02-01

To undertake a systematic critical appraisal of guidelines to provide a summary of recommendations for the physical management of osteoarthritis (OA). The Cochrane Library, MEDLINE, CINAHL, SPORTDiscus with Full Text, Scopus, ScienceDirect, PEDro, and Google Scholar databases were searched (2000-2013) to identify all guidelines, protocols, and recommendations for the management or treatment of OA. In addition, Internet searches of all relevant arthritis organizations were undertaken. All searches were performed between July 2012 and end of April 2013. Guidelines that included only pharmacological, injection therapy, or surgical interventions were excluded. Guidelines published only in English were retrieved. OA guidelines developed from evidence-based research, consensus, and/or expert opinion were retrieved. There were no restrictions on severity or site of OA, sex, or age. Nineteen guidelines were identified for evaluation. The quality of all guidelines was critically appraised using the Appraisal of Guidelines for REsearch and Evaluation II instrument. Each guideline was independently reviewed. All relevant recommendations for the physical management of OA were synthesized, graded, and ranked according to available evidence. Seventeen guidelines with recommendations on the physical management of OA met the inclusion criteria and underwent a full critical appraisal. There were variations in the interventions, levels of evidence, and strength of recommendations across the guidelines. Forty different interventions were identified. Recommendations were graded from "strongly recommended" to "unsupported." Exercise and education were found to be strongly recommended by most guidelines. Exercise and education were key recommendations supporting the importance of rehabilitation in the physical management of OA. This critical appraisal can assist health care providers who are involved in the management of people with OA. Copyright © 2014 American Congress of

Management of OAB in those over age 65.

Science.gov (United States)

Natalin, Ricardo; Lorenzetti, Fabio; Dambros, Miriam

2013-10-01

The International Continence Society (ICS) defines overactive bladder (OAB) as an association of symptoms including "urgency, with or without urge incontinence, usually with increased frequency and nocturia". This conditon has been associated with a decrease in quality of life and a higher related risk of overall health condition decrease, and is rising since its prevalence increases with age and the forecast for the world population estimates an increase of those over 65 years old. Aging alone can be considered a major risk factor for developing OAB symptoms that are considered multifactorial and due to body tissue and anatomic changes, lifestyle-associated factors, comorbidities and personal characteristics. The high prevalence of this condition and multiple etiology factors makes of its treatment a challenge-especially in the older population. A major concern over OAB treatment of elderly patients is the risk of cognitive side effects due to the pharmacologic treatment with anticholinergic drugs. First-line treatment for OAB symptoms are the use of pharmacologic therapy with antimuscarinic drugs, which has been proved to be effective in controlling urgency, urge incontinence episodes, incontinence episodes, and nocturia. The impact caused by this condition is significant regarding the economic and human costs associated bringing into attention the need of studying and reviewing this specific population. Conservative Management and Lifestyle Modifications: Behavioral therapy's aims are to reduce urinary frequency and urgency to an accepted level and to increase bladder outlet volume. It consists of actions to teach patients to improve and learn bladder control. Lifestyle modifications are a conjunct of daily activities that can be managed to have the lowest interference on the functioning of the urinary tract. Pharmacologic Therapy: There are various medications with antimuscarinic properties available for the treatment of OAB symptoms. The most commonly used are

A Review of Ocean Management and Integrated Resource Management Programs from Around the World

OpenAIRE

, Seaplan

2018-01-01

This draft report is one of several prepared under contract to the Massachusetts Ocean Partnership (MOP) to support the Massachusetts Executive Office of Energy and Environmental Affairs (EOEEA) in its development of the integrated coastal ocean management plan mandated by the Massachusetts Oceans Act of 2008. The purpose of this report was to inventory and review ocean management and integrated resource management programs from around the world, including the United States, Europe, Australia...

Medication and finance management among HIV-infected adults: the impact of age and cognition.

Science.gov (United States)

Thames, April D; Kim, Michelle S; Becker, Brian W; Foley, Jessica M; Hines, Lindsay J; Singer, Elyse J; Heaton, Robert K; Castellon, Steven A; Hinkin, Charles H

2011-02-01

This study examined the effects of aging and cognitive impairment on medication and finance management in an HIV sample. We observed main effects of age (older finance management. The interaction of advancing age and cognitive impairment may confer significant functional limitations for HIV individuals that may be better detected by performance-based measures of functional abilities rather than patient self-report.

A Perspective on a Management Information Systems (MIS) Program Review

Science.gov (United States)

Yew, Bee K.

2008-01-01

This paper highlights relevant curriculum issues that were identified in a Management Information Systems (MIS) program review undertaken by a group of business faculty in a small regional university. The program review was initiated to improve job marketability of graduates and student enrollment. The review process is described as a collective…

Developing effective educational approaches for Liaison Old Age Psychiatry teams: a literature review of the learning needs of hospital staff in relation to managing the confused older patient.

Science.gov (United States)

Teodorczuk, Andrew; Welfare, Mark; Corbett, Sally; Mukaetova-Ladinska, Elizabeta

2010-09-01

Deficiencies in the knowledge, skills and attitudes of all healthcare professionals working within the general hospital contribute towards the suboptimal care of older hospitalized patients with confusion. In the U.K., policy dictates that Liaison Old Age Psychiatry teams deliver effective education to general hospital clinical staff. The purpose of this paper is to review the literature concerning the learning needs of healthcare professionals in relation to managing confusion in the older patient in order to inform effective educational approaches for Liaison Old Age Psychiatry teams. A broad range of medical and educational databases were searched. Identified English language studies were selected for further analysis if they had a specific educational focus in the hospital setting and then further subdivided into intervention and naturalistic studies. The impact of intervention studies was evaluated by Kirkpatrick's system. Learning needs, as determined from the naturalistic studies, were mapped to identify themes. 13 intervention studies were identified. Despite a high level of effectiveness for educational interventions, it was unclear what the active components were. A further 23 naturalistic studies were identified; their findings focused on knowledge gaps, diagnostic behaviors and experiences, attitudes and training issues. Few studies specifically researched learning needs or the educational role of liaison teams. Conspicuous by its absence was reference to relevant educational theories. The findings of this review can be incorporated in the planning of local curricula by Liaison Teams in order to design educational strategies. There is a need for further research, especially studies exploring the learning needs of all healthcare professionals.

Regulatory Assessment Technologies for Aging of Reactor Vessel Internals

Energy Technology Data Exchange (ETDEWEB)

Jhung, Myung Jo; Park, Jeong Soon; Ko, Hanok [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

2013-10-15

In order to develop the audit calculation system, it is required to develop crack evaluation, seismic analysis and thermal-hydraulic analysis techniques for RVIs so that integrity of RVIs under the aging environment can be evaluated and be assured. In addition, regulatory requirements including safety review and inspection guides should be developed in order to assure the quality and uniformity of safety reviews and inspections regarding aging assessment and management of RVIs. Since Reactor Vessel Internals (RVIs) are installed within the reactor pressure vessel and surround the fuel assemblies, some of them are exposed to the environment such as high neutron irradiation, high temperature and reactor coolant flow. Those environmental factors can cause damage to RVIs including cracks, loss of material, fatigue, loss of fracture toughness and change of dimension as the operation time of nuclear power plants (NPPs) increases. For long-term operation more than 40 years, aging management of RVIs is important. The final objectives of this study are to establish the audit calculation system for RVIs and to develop regulatory requirements for aging assessment and management of RVIs considering their operating conditions, materials, and possible aging mechanisms.

Diagnosing and managing common food allergies: a systematic review.

Science.gov (United States)

Chafen, Jennifer J Schneider; Newberry, Sydne J; Riedl, Marc A; Bravata, Dena M; Maglione, Margaret; Suttorp, Marika J; Sundaram, Vandana; Paige, Neil M; Towfigh, Ali; Hulley, Benjamin J; Shekelle, Paul G

2010-05-12

There is heightened interest in food allergies but no clear consensus exists regarding the prevalence or most effective diagnostic and management approaches to food allergies. To perform a systematic review of the available evidence on the prevalence, diagnosis, management, and prevention of food allergies. Electronic searches of PubMed, Cochrane Database of Systematic Reviews, Cochrane Database of Abstracts of Reviews of Effects, and Cochrane Central Register of Controlled Trials. Searches were limited to English-language articles indexed between January 1988 and September 2009. Diagnostic tests were included if they had a prospective, defined study population, used food challenge as a criterion standard, and reported sufficient data to calculate sensitivity and specificity. Systematic reviews and randomized controlled trials (RCTs) for management and prevention outcomes were also used. For foods where anaphylaxis is common, cohort studies with a sample size of more than 100 participants were included. Two investigators independently reviewed all titles and abstracts to identify potentially relevant articles and resolved discrepancies by repeated review and discussion. Quality of systematic reviews and meta-analyses was assessed using the AMSTAR criteria, the quality of diagnostic studies using the QUADAS criteria most relevant to food allergy, and the quality of RCTs using the Jadad criteria. A total of 12,378 citations were identified and 72 citations were included. Food allergy affects more than 1% to 2% but less than 10% of the population. It is unclear if the prevalence of food allergies is increasing. Summary receiver operating characteristic curves comparing skin prick tests (area under the curve [AUC], 0.87; 95% confidence interval [CI], 0.81-0.93) and serum food-specific IgE (AUC, 0.84; 95% CI, 0.78-0.91) to food challenge showed no statistical superiority for either test. Elimination diets are the mainstay of therapy but have been rarely studied

Disturbance ecology and forest management: A review of the literature