5 CFR 9701.511 - Management rights.

Science.gov (United States)

2010-01-01

... candidates for promotion or from any other appropriate source. (b) Management is prohibited from bargaining... authority as appropriate. Further, nothing in paragraph (d) of this section establishes an independent right...

Management of science technique

International Nuclear Information System (INIS)

Bae, Byeong Han; Lee, Gap Du

2002-08-01

This book mentions change of environment and management of technique, business environment in information age technology and management such as classification of technology, innovation of technology and meaning of technology management, item innovation and technology about meaning of item development, innovation and item development, creation of item concept and item development, process of product innovation, product activity, product innovation product innovation and technology, development of product innovation, technology and marketing innovation, innovation of skill of marketing information system and globalization.

Acute right ventricular dysfunction: real-time management with echocardiography.

Science.gov (United States)

Krishnan, Sundar; Schmidt, Gregory A

2015-03-01

In critically ill patients, the right ventricle is susceptible to dysfunction due to increased afterload, decreased contractility, or alterations in preload. With the increased use of point-of-care ultrasonography and a decline in the use of pulmonary artery catheters, echocardiography can be the ideal tool for evaluation and to guide hemodynamic and respiratory therapy. We review the epidemiology of right ventricular failure in critically ill patients; echocardiographic parameters for evaluating the right ventricle; and the impact of mechanical ventilation, fluid therapy, and vasoactive infusions on the right ventricle. Finally, we summarize the principles of management in the context of right ventricular dysfunction and provide recommendations for echocardiography-guided management.

Stargate: Energy Management Techniques

OpenAIRE

Vijay Raghunathan; Mani Srivastava; Trevor Pering; Roy Want

2004-01-01

This poster presents techniques for energy efficient operation of the Stargate wireless platform. In addition to conventional power management techniques such as dynamic voltage and scaling and processor shutdown, the Stargate features several mechanisms for energy efficient operation of the communication subsystem, such as support for hierarchical radios, Bluetooth based remote wakeup, mote based wakeup, etc. Finally, design optimizations including the use of power gating, and provision for ...

Intelligent techniques in engineering management theory and applications

CERN Document Server

Onar, Sezi

2015-01-01

This book presents recently developed intelligent techniques with applications and theory in the area of engineering management. The involved applications of intelligent techniques such as neural networks, fuzzy sets, Tabu search, genetic algorithms, etc. will be useful for engineering managers, postgraduate students, researchers, and lecturers. The book has been written considering the contents of a classical engineering management book but intelligent techniques are used for handling the engineering management problem areas. This comprehensive characteristics of the book makes it an excellent reference for the solution of complex problems of engineering management. The authors of the chapters are well-known researchers with their previous works in the area of engineering management.

Reverse waffle cone technique in management of stent dislodgement into intracranial aneurysms.

Science.gov (United States)

Luo, Chao-Bao; Lai, Yen-Jun; Teng, Michael Mu-Huo; Chang, Feng-Chi; Lin, Chung-Jung; Guo, Wan-Yuo

2013-09-01

Stent-assisted coil embolization (SACE) is a common method to manage intracranial wide-neck aneurysm. Using this technique, a stent must be successfully deployed into the parent artery to cross the aneurysm neck. We describe the reverse waffle cone technique in management of intra-procedural stent dislodgement during SACE of internal carotid artery (ICA) wide-neck aneurysms. Two patients with unruptured wide-neck ICA aneurysms underwent SACE. Intra-procedural forward stent migration occurred during catheterization with proximal stent dislodgement and migration into the aneurysm sac. Navigation of a second stent to bridge the aneurysm neck failed in one patient because the second stent was impeded by the dislodged stent. Using the reverse waffle cone technique, a microcatheter was navigated into the aneurysm sacs. Coils were safely detached into each aneurysm sac without any device assistance. The two wide-neck aneurysms were successfully treated with preservation of flow to the internal carotid arteries. The complication of intra-procedural distal stent migration and dislodgement, with proximal stent prolapse into an aneurysm sac, may not result in a failure to coil the aneurysm. The reverse waffle cone technique provides an effective treatment in the management of this complication. Copyright © 2013 Elsevier Ltd. All rights reserved.

Security Attributes Based Digital Rights Management

NARCIS (Netherlands)

Chong, C.N.; van Buuren, R.; van Buuren, R.F.; Hartel, Pieter H.; Kleinhuis, Geert; Boavida, F.; Monteiro, E.; Orvalho, J.

2002-01-01

Most real-life systems delegate responsibilities to different authorities. We apply this model to a digital rights management system, to achieve flexible security. In our model a hierarchy of authorities issues certificates that are linked by cryptographic means. This linkage establishes a chain of

Right of way real property asset management : prototype data architecture.

Science.gov (United States)

2009-02-01

The Texas Department of Transportation (TxDOT) is responsible for managing 1.1 million acres of land that : provide right of way for approximately 80,000 centerline miles of state-maintained roads. Management of : the huge right of way asset involves...

Economic Techniques of Occupational Health and Safety Management

Science.gov (United States)

Sidorov, Aleksandr I.; Beregovaya, Irina B.; Khanzhina, Olga A.

2016-10-01

The article deals with the issues on economic techniques of occupational health and safety management. Authors’ definition of safety management is given. It is represented as a task-oriented process to identify, establish and maintain such a state of work environment in which there are no possible effects of hazardous and harmful factors, or their influence does not go beyond certain limits. It was noted that management techniques that are the part of the control mechanism, are divided into administrative, organizational and administrative, social and psychological and economic. The economic management techniques are proposed to be classified depending on the management subject, management object, in relation to an enterprise environment, depending on a control action. Technoeconomic study, feasibility study, planning, financial incentives, preferential crediting of enterprises, pricing, profit sharing and equity, preferential tax treatment for enterprises, economic regulations and standards setting have been distinguished as economic techniques.

Managing bioengineering complexity with AI techniques.

Science.gov (United States)

Beal, Jacob; Adler, Aaron; Yaman, Fusun

2016-10-01

Our capabilities for systematic design and engineering of biological systems are rapidly increasing. Effectively engineering such systems, however, requires the synthesis of a rapidly expanding and changing complex body of knowledge, protocols, and methodologies. Many of the problems in managing this complexity, however, appear susceptible to being addressed by artificial intelligence (AI) techniques, i.e., methods enabling computers to represent, acquire, and employ knowledge. Such methods can be employed to automate physical and informational "routine" work and thus better allow humans to focus their attention on the deeper scientific and engineering issues. This paper examines the potential impact of AI on the engineering of biological organisms through the lens of a typical organism engineering workflow. We identify a number of key opportunities for significant impact, as well as challenges that must be overcome. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Security Attributes Based Digital Rights Management

NARCIS (Netherlands)

Chong, C.N.; van Buuren, R.; Hartel, Pieter H.; Kleinhuis, Geert

ost real-life systems delegate responsibilities to di�erent authorities. We apply this model to a dig- ital rights management system, to achieve exible security. In our model a hierarchy of authorities issues certi�cates that are linked by cryptographic means. This linkage establishes a chain of

10 CFR 851.20 - Management responsibilities and worker rights and responsibilities.

Science.gov (United States)

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Management responsibilities and worker rights and... Program Requirements § 851.20 Management responsibilities and worker rights and responsibilities. (a... workers of their rights and responsibility by appropriate means, including posting the DOE-designated...

Arrhythmogenic right ventricular cardiomyopathy: contribution of different electrocardiographic techniques.

Science.gov (United States)

Moreira, Davide; Delgado, Anne; Marmelo, Bruno; Correia, Emanuel; Gama, Pedro; Pipa, João; Nunes, Luís; Santos, Oliveira

2014-04-01

Arrhythmogenic right ventricular cardiomyopathy, also known as arrhythmogenic right ventricular dysplasia, is a condition in which myocardium is replaced by fibrous or fibrofatty tissue, predominantly in the right ventricle. It is clinically characterized by potentially lethal ventricular arrhythmias, and is a leading cause of sudden cardiac death. Its prevalence is not known exactly but is estimated at approximately 1:5000 in the adult population. Diagnosis can be on the basis of structural and functional alterations of the right ventricle, electrocardiographic abnormalities (including depolarization and repolarization alterations and ventricular arrhythmias) and family history. Diagnostic criteria facilitate the recognition and interpretation of non-specific clinical features of this disease. The authors present a case in which the diagnosis of arrhythmogenic right ventricular cardiomyopathy was prompted by the suspicion of right ventricular disease on transthoracic echocardiography. This was confirmed by detection of epsilon waves on analysis of the ECG, which generally go unnoticed but in this case were the key to the diagnosis. Their presence was also shown by non-conventional ECG techniques such as modified Fontaine ECG. The course of the disease culminated in the occurrence of ventricular tachycardia, which prompted placement of an implantable cardioverter-defibrillator. Copyright © 2013 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

Right trisectionectomy with principle en bloc portal vein resection for right-sided hilar cholangiocarcinoma: no-touch technique.

Science.gov (United States)

Machado, Marcel Autran; Makdissi, Fabio F; Surjan, Rodrigo C

2012-04-01

The most favorable long-term survival rate for hilar cholangiocarcinoma is achieved by a R0 resection. A surgical concept involving a no-touch technique, with extended right hepatic resections and principle en bloc portal vein resection was described by Neuhaus et al. According to Neuhaus et al., their technique may increase the chance of R0, because the right branch of the portal vein and hepatic artery is in close contact with the tumor and is frequently infiltrated. The left artery runs on the left margin of the hilum and often is free. The 5-year survival rate for their patients is 61% but 60-day mortality rate is 8%. Given the increased morbidity, some authors do not agree with routine resection of portal vein and may perform the resection of portal vein only on demand, after intraoperative assessment and confirmation of portal vein invasion. This video shows en bloc resection of extrahepatic bile ducts, portal vein bifurcation, and right hepatic artery, together with extended right trisectionectomy (removal of segments 1, 4, 5, 6, 7, and 8). A 75-year-old man with progressive jaundice due to right-sided hilar cholangiocarcinoma underwent percutaneous biliary drainage with metallic stents for palliation. The patient was referred for a second opinion. Serum bilirubin levels were normal, and CT scan showed a resectable tumor, but volumetry showed a small left liver remnant. Right portal vein embolization was then performed, and CT scan performed after 4 weeks showed adequate compensatory hypertrophy of the future liver remnant (segments 2 and 3). Surgical decision was to perform a right trisectionectomy with en bloc portal vein and bile duct resection using the no-touch technique. The operation began with hilar lymphadenectomy. The common bile duct is sectioned. Right hepatic artery is ligated. Left hepatic artery is encircled. Portal vein is dissected and encircled. Right liver is mobilized and detached from retrohepatic vena cava. Right and middle hepatic

A new scintigraphic technique for assessment of right atrial function

International Nuclear Information System (INIS)

Marmor, A.; Biello, D.R.; Sampathkumaran, K.S.; Geltman, E.M.; Siegel, B.A.; Roberts, R.

1981-01-01

Gated radionuclide imaging with 99 mTc-labeled red blood cells was employed to assess changes in right atrial (RA) volume in 17 subjects. Studies were repeated within two hours in five of 12 normal subjects and at two and ten days after infarction in five patients. Time-activity curves were generated for the RA and right ventricle (RV) from variable regions of interest defined by automatic edge detection. The RA time-activity curve exhibited four phases: filling, early emptying, equilibration, and late emptying. Repeated measurements of RA early emptying rates correlated closely in normals (r . 0.93). Early RA emptying and RV filling rates corresponded closely (r . 0.89). In four patients with infarction, the RA emptying rate was slowed on the first study but had normalized by 10 days. In a patient with inferior infarction and suspected RV infarction, the RA emptying rate was depressed and remained so for 10 days. Thus, relative changes in right atrial volume can be assessed reproducibly by a radionuclide technique, which is relatively independent of geometric assumptions. This technique offers great promise as a method to assess atrial function in health and disease

An Introduction to Digital Rights Management Systems

NARCIS (Netherlands)

Jonker, Willem

2007-01-01

This chapter gives a concise introduction to digital rights management (DRM) systems by first presenting the basic ingredients of the architecture of DRM systems for (audio and/or video) content delivery, followed by an introduction to two open-standard DRM systems, one developed in the mobile world

LicenseScript: A Logical Language for Digital Rights Management

NARCIS (Netherlands)

Chong, C.N.; Corin, R.J.; Doumen, J.M.; Etalle, Sandro; Hartel, Pieter H.; Law, Y.W.; Tokmakoff, Andrew

We propose LicenseScript, a language for digital rights management (DRM) based on multiset rewriting and logic programming. LicenseScript enjoys a precise syntax and semantics, and it is rich enough to embed other rights expression languages (REL). We show that LicenseScript is expressive and

Group decision-making techniques for natural resource management applications

Science.gov (United States)

Coughlan, Beth A.K.; Armour, Carl L.

1992-01-01

This report is an introduction to decision analysis and problem-solving techniques for professionals in natural resource management. Although these managers are often called upon to make complex decisions, their training in the natural sciences seldom provides exposure to the decision-making tools developed in management science. Our purpose is to being to fill this gap. We present a general analysis of the pitfalls of group problem solving, and suggestions for improved interactions followed by the specific techniques. Selected techniques are illustrated. The material is easy to understand and apply without previous training or excessive study and is applicable to natural resource management issues.

Management of white spots: resin infiltration technique and microabrasion

Directory of Open Access Journals (Sweden)

Jeong-Hye Son

2011-01-01

Full Text Available This case report compared the effectiveness of resin infiltration technique (Icon, DMG with microabrasion (Opalustre, Ultradent Products, Inc. in management of white spot lesions. It demonstrates that although neither microabrasion nor resin infiltration technique can remove white spot lesions completely, resin infiltration technique seems to be more effective than microabrasion. Therefore resin infiltration technique can be chosen preferentially for management of white spot lesions and caution should be taken for case selection.

Construction techniques and management methods for BWR plants

International Nuclear Information System (INIS)

Shimizu, Yohji; Tateishi, Mizuo; Hayashi, Yoshishige

1989-01-01

Toshiba is constantly striving for safer and more efficient plant construction to realize high-quality BWR plants within a short construction period. To achieve these aims, Toshiba has developed and improved a large number of construction techniques and construction management methods. In the area of installation, various techniques have been applied such as the modularization of piping and equipment, shop installation of reactor internals, etc. Further, installation management has been upgraded by the use of pre-installation review programs, the development of installation control systems, etc. For commissioning, improvements in commissioning management have been achieved through the use of computer systems, and testing methods have also been upgraded by the development of computer systems for the recording and analysis of test data and the automatic adjustment of controllers in the main control system of the BWR. This paper outlines these construction techniques and management methods. (author)

Strategic Management Tools and Techniques Usage: a Qualitative Review

Directory of Open Access Journals (Sweden)

Albana Berisha Qehaja

2017-01-01

Full Text Available This paper is one of the few studies to review the empirical literature on strategic management tools and techniques usage. There are many techniques, tools and methods, models, frameworks, approaches and methodologies, available to support strategic managers in decision making. They are developed and designed to support managers in all stages of strategic management process to achieve better performance. Management schools provide knowledge of these tools. But their use in organizations should be seen in practice‑based context. Consequently, some questions arise: Do they use these strategic tools and techniques in their workplace? Which strategic tools and techniques are used more in organizations? To answer these questions we have made a review of empirical studies using textual narrative synthesis method. Initially, this study presents a tabulation with a summary of empirical research for the period 1990–2015. The included studies are organized clustering them by enterprise size and sector and by country level development. A synopsis of the ten most used strategic tools and techniques worldwide resulted as follows: SWOT analysis, benchmarking, PEST analysis, “what if” analysis, vision and mission statements, Porter’s five forces analysis, business financial analysis, key success factors analysis, cost‑benefit analysis and customer satisfaction.

Strategic Management Tools and Techniques: A Comparative Analysis of Empirical Studies

Directory of Open Access Journals (Sweden)

Albana Berisha Qehaja

2017-01-01

Full Text Available There is no doubt that strategic management tools and techniques are important parts of the strategic management process. Their use in organizations should be observed in a practice-based context. This paper analyzes the empirical studies on the usage of strategic management tools and techniques. Hence, the main aim of this study is to investigate and analyze which enterprises, according to their country development level, use more strategic management tools and techniques and which of these are used the most. Also, this paper investigates which strategic management tools and techniques are used globally according to the results of empirical studies. The study presents a summary of empirical studies for the period 1990–2015. The research results indicate that more strategic tools and techniques are used in developed countries, followed by developing countries and fewest in countries in transition. This study is likely to contribute to the field of strategic management because it summarizes the most used strategic tools and techniques at the global level according to varying stages of countries’ economic development. Also, the findings from this study may be utilized to maximize the full potential of enterprises and reduce the cases of entrepreneurship failures, through creating awareness of the importance of using strategic management tools and techniques.

The Use of Management Control Systems and Operations Management Techniques

Directory of Open Access Journals (Sweden)

Edelcio Koitiro Nisiyama

2016-01-01

Full Text Available It is well known that both management control systems (MCSs and operations management (OM are related to firm performance; however, an integrated st udy that involves MCS and OM within the context of firm performance is still lacking. This research aimed to examine the relationships among the use of MCSs and OM techniques and firm performance in the Brazilian auto parts industry. Simons’ levers of cont rol framework was used to characterise the uses of MCSs, and OM techniques, such as total quality management (TQM and continuous improvement programmes, were adopted. The results obtained through the structural equation modelling indicated that the diagno stic use of MCSs is positively associated with the goals of cost reduction. In addition, the interactive use of MCSs is positively associated with the objectives of introducing new products, which is consistent with previous research. Additionally, OM tech niques are positively related to cost reduction but have no direct relationship with the introduction of new products.

Employing 3R Techniques in Managing Cement Industry Waste

Directory of Open Access Journals (Sweden)

Lamyaa Mohammed Dawood

2018-01-01

Full Text Available Waste management conserves human health, ownership, environment, and keeps valuable natural resources. Lean-green waste of an organization’s operations can be decreased through implementation 3R (Reduce, Reuse, and Recycling techniques by reduction of manufacturing system wastes. This research aims to integrate lean-green waste of the manufacturing system throughout employing 3R techniques and weighted properties method in order to manage waste. Al-Kufa cement plant is employed as a case study. Results are generated using Edraw Max Version 7 and Excel. Overall results show reduce technique of lean-green waste management has major contribution of 55 % and recycling technique has minor contribution 18 %. Defects waste has major integration of lean-green waste, while air emissions waste has minor integration of lean-green waste.

Effective Rights Exporting Process - Towards system interoperability of digital rights management

OpenAIRE

Lu, Wenhui

2016-01-01

Digitaalisten käyttöoikeuksien tehokas hallinta Digitaalisten käyttöoikeuksien hallinta (Digital Rights Management, DRM) on joukko menetelmiä, joilla hallitaan digitaalisen sisällön käyttöä ja jakelua. Eri menetelmien yhteen toimivuuden puute on hyvin todettu liiketoiminnallisesta, laillisesta ja teknologisesta näkökulmasta. Työn aihe, käyttöoikeuksien siirto, on keskinen DRM-järjestelmien järjestelmätason yhteen toimivuuden osa. Työssä kehitetään menetelmiä sellaisiin digitaaliste...

Hoshin Kanri: a technique for strategic quality management.

Science.gov (United States)

Tennant, C; Roberts, P A

2000-01-01

This paper describes a technique for Strategic Quality Management (SQM), known as Hoshin Kanri, which has been operated as a management system in many Japanese companies since the 1960s. It represents a core aspect of Japanese companies' management systems, and is stated as: the means by which the overall control system and Total Quality Management (TQM) are deployed. Hoshin Kanri is not particularly unique in its concept of establishing and tracking individual goals and objectives, but the manner in which the objectives and the means to achieve them are developed and deployed is. The problem with applying the concept of Strategic Quality Management (SQM) using Hoshin Kanri, is that it can tend to challenge the traditional authoritarian strategic planning models, which have become the paradigms of modern business. Yet Hoshin Kanri provides an appropriate tool for declaration of the strategic vision for the business while integrating goals and targets in a single holistic model. There have been various adaptations of Hoshin Kanri to align the technique to Western thinking and management approaches, yet outside Japan its significance has gone largely unreported. It is proposed that Hoshin Kanri is an effective methodology for SQM, which has a number of benefits over the more conventional planning techniques. The benefits of Hoshin Kanri as a tool for Strategic Quality Management (SQM) compared to conventional planning systems include: integration of strategic objectives with tactical daily management, the application of the plan-do-check-act cycle to business process management, parallel planning and execution methodology, company wide approach, improvements in communication, increased consensus and buy-in to goal setting, and cross-functional-management integration.

[Management of spinal metastasis by minimal invasive surgery technique: Surgical principles, indications: A literature review].

Science.gov (United States)

Toquart, A; Graillon, T; Mansouri, N; Adetchessi, T; Blondel, B; Fuentes, S

2016-06-01

Spinal metastasis are getting more frequent. This raises the question of pain and neurological complications, which worsen the functional and survival prognosis of this oncological population patients. The surgical treatment must be the most complete as possible: to decompress and stabilize without delaying the management of the oncological disease. Minimal invasive surgery techniques are by definition, less harmful on musculocutaneous plan than opened ones, with a comparable efficiency demonstrated in degenerative and traumatic surgery. So they seem to be applicable and appropriate to this patient population. We detailed different minimal invasive techniques proposed in the management of spinal metastasis. For this, we used our experience developed in degenerative and traumatic pathologies, and we also referred to many authors, establishing a literature review thanks to Pubmed, Embase. Thirty eight articles were selected and allowed us to describe different techniques: percutaneous methods such as vertebro-/kyphoplasty and osteosynthesis, as well as mini-opened surgery, through a posterior or anterior way. We propose a surgical approach using these minimal invasive techniques, first according to the predominant symptom (pain or neurologic failure), then characteristics of the lesions (number, topography, type…) and the deformity degree. Whatever the technique, the main goal is to stabilize and decompress, in order to maintain a good quality of life for these fragile patients, without delaying the medical management of the oncological disease. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Risk Management Techniques and Practice Workshop Workshop Report

Energy Technology Data Exchange (ETDEWEB)

Quinn, T; Zosel, M

2008-12-02

At the request of the Department of Energy (DOE) Office of Science (SC), Lawrence Livermore National Laboratory (LLNL) hosted a two-day Risk Management Techniques and Practice (RMTAP) workshop held September 18-19 at the Hotel Nikko in San Francisco. The purpose of the workshop, which was sponsored by the SC/Advanced Scientific Computing Research (ASCR) program and the National Nuclear Security Administration (NNSA)/Advanced Simulation and Computing (ASC) program, was to assess current and emerging techniques, practices, and lessons learned for effectively identifying, understanding, managing, and mitigating the risks associated with acquiring leading-edge computing systems at high-performance computing centers (HPCCs). Representatives from fifteen high-performance computing (HPC) organizations, four HPC vendor partners, and three government agencies attended the workshop. The overall workshop findings were: (1) Standard risk management techniques and tools are in the aggregate applicable to projects at HPCCs and are commonly employed by the HPC community; (2) HPC projects have characteristics that necessitate a tailoring of the standard risk management practices; (3) All HPCC acquisition projects can benefit by employing risk management, but the specific choice of risk management processes and tools is less important to the success of the project; (4) The special relationship between the HPCCs and HPC vendors must be reflected in the risk management strategy; (5) Best practices findings include developing a prioritized risk register with special attention to the top risks, establishing a practice of regular meetings and status updates with the platform partner, supporting regular and open reviews that engage the interests and expertise of a wide range of staff and stakeholders, and documenting and sharing the acquisition/build/deployment experience; and (6) Top risk categories include system scaling issues, request for proposal/contract and acceptance testing, and

Development of automatic techniques for GPS data management

International Nuclear Information System (INIS)

Park, Pil Ho

2001-06-01

It is necessary for GPS center to establish automatization as effective management of GPS network including data gathering, data transformation, data backup, data sending to IGS (International GPS Service for geodynamics), and precise ephemerides gathering. The operating program of GPS center has been adopted at KCSC (Korea Cadastral Survey Corporation), NGI (National Geography Institute), MOMAF (Ministry of Maritime Affairs and Fisheries) without self-development of core technique. The automatic management of GPS network is consists of GPS data management and data processing. It is also fundamental technique, which should be accomplished by every GPS centers. Therefore, this study carried out analyzing of Japanese GPS center, which has accomplished automatization by module considering applicability for domestic GPS centers

An intelligent content discovery technique for health portal content management.

Science.gov (United States)

De Silva, Daswin; Burstein, Frada

2014-04-23

Continuous content management of health information portals is a feature vital for its sustainability and widespread acceptance. Knowledge and experience of a domain expert is essential for content management in the health domain. The rate of generation of online health resources is exponential and thereby manual examination for relevance to a specific topic and audience is a formidable challenge for domain experts. Intelligent content discovery for effective content management is a less researched topic. An existing expert-endorsed content repository can provide the necessary leverage to automatically identify relevant resources and evaluate qualitative metrics. This paper reports on the design research towards an intelligent technique for automated content discovery and ranking for health information portals. The proposed technique aims to improve efficiency of the current mostly manual process of portal content management by utilising an existing expert-endorsed content repository as a supporting base and a benchmark to evaluate the suitability of new content A model for content management was established based on a field study of potential users. The proposed technique is integral to this content management model and executes in several phases (ie, query construction, content search, text analytics and fuzzy multi-criteria ranking). The construction of multi-dimensional search queries with input from Wordnet, the use of multi-word and single-word terms as representative semantics for text analytics and the use of fuzzy multi-criteria ranking for subjective evaluation of quality metrics are original contributions reported in this paper. The feasibility of the proposed technique was examined with experiments conducted on an actual health information portal, the BCKOnline portal. Both intermediary and final results generated by the technique are presented in the paper and these help to establish benefits of the technique and its contribution towards effective

Critical analysis of procurement techniques in construction management sectors

Science.gov (United States)

Tiwari, Suman Tiwari Suresh; Chan, Shiau Wei; Faraz Mubarak, Muhammad

2018-04-01

Over the last three decades, numerous procurement techniques have been one of the highlights of the Construction Management (CM) for ventures, administration contracting, venture management as well as design and construct. Due to the development and utilization of those techniques, various researchers have explored the criteria for their choice and their execution in terms of time, cost and quality. Nevertheless, there is a lack of giving an account on the relationship between the procurement techniques and the progressed related issues, for example, supply chain, sustainability, innovation and technology development, lean construction, constructability, value management, Building Information Modelling (BIM) as well as e-procurement. Through chosen papers from the reputable CM-related academic journals, the specified scopes of these issues are methodically assessed with the objective to explore the status and trend in procurement related research. The result of this paper contributes theoretically as well as practically to the researchers and industrialist in order to be aware and appreciate the development of procurement techniques.

Safety management: a few techniques and their application

International Nuclear Information System (INIS)

Soundararajan, S.

2016-01-01

Industrial safety practice has grown in its stature tremendously since the age of industrial revolution. A number of modern techniques are available to strengthen design safety features, to review operational safety, and to critically appraise and upgrade practices of occupational safety and health management. This talk focuses on three prominent yet simple techniques and their usefulness in the overall safety management of a workplace. Any industrial set-up undergoes different stages in its life cycle-conceptual design, actual design, construction, fabrication and installation, commissioning, operation, shutdown/re-start up and decommissioning. Checklist procedure is a safety tool that can be applied at any of these stages. Thus it is a quite useful technique in safety management and accident prevention. It can serve as a form of approval from one step to another in the course of any routine or specific task. Safety Audit or Safety Review is a critical safety management appraisal tool. It gives a reasonable indication of how well a company's safety programme works, how hazards are recognised, how well employees are motivated and so on. It gives a clear picture about where a company stands as far as framing and implementation of its SHE policy is concerned. Each of the above tools is complementing each other and required to be applied at appropriate juncture in sustaining good safety management system at the workplace

Representation of Knowledge on Some Management Accounting Techniques in Textbooks

Science.gov (United States)

Golyagina, Alena; Valuckas, Danielius

2016-01-01

This paper examines the coverage of management accounting techniques in several popular management accounting texts, assessing each technique's claimed position within practice, its benefits and limitations, and the information sources substantiating these claims. Employing the notion of research genres, the study reveals that textbooks in their…

Using project management techniques in hydro-relicensing

International Nuclear Information System (INIS)

Dominie, D.; Richard, J.

1991-01-01

This paper reports that to answer a pressing need for managing today's complex process and requirements of hydro relicensing, Central Maine Power Company has applied the principles of project management, including the use of computerized scheduling to its hydro relicensing efforts. This approach involves early inter-departmental cooperation in mapping out critical path scheduling by requiring the project team to: Outline the scope of the project in its entirety. Clarify and define components of the project. Quantify and categorize assumptions and dependencies. Identify constraints. The computer-generated schedule of this cooperative planning effort provides a graphic representation of the team's plan and become the focal point for refinements and adjustments necessary to complete an application on time. The use of project management techniques facilities team understanding of the realities and limitations in the relicensing process. These techniques encourage cooperative action, and use a solution-oriented process resulting in a product which can be a useful tool in communicating with resource agencies and regulators

Effective Classroom Management Techniques for Secondary Schools

African Journals Online (AJOL)

Effective Classroom Management Techniques for Secondary Schools. ... engagement of students in activities, use of innovative instructional strategies by teachers, ... and teachers in their perception regarding the effects of teachers classroom ...

Controlled sharing of personal content using digital rights management

NARCIS (Netherlands)

Conrado, C.; Petkovic, M.; Veen, van der M.; Velde, van der W.H.

2006-01-01

This paper describes a system which allows controlled distribution of personal digital content by users. The system extends an existing Digital Rights Management system for the protection of commercial copyrighted content by essentially allowing users to become content providers. This fact, however,

Juvenile justice: "continent" institucional management a guarantor proposal of human rights

Directory of Open Access Journals (Sweden)

Ana Paula Motta Costa

2016-12-01

Full Text Available This article addresses the issue of management in socio-educative institutions for adolescents involved in the juvenile criminal system. This is one of the main challenges encountered in the field of protection of children and adolescents’ rights in Brazil. To make institutional management possible in the Socio-Educational System in a way which possibilitates the achievement of the system’s goals, the establishment of a management model that time mobilizes all personnel around common guidelines, in a democratic and participatory manner which enables “institutional continence” is necessary. Considering the historical reality of the institutions responsible for implementing socio-educative measures in Brazil, institutional management of these entities requires a working methodology that stipulates instances of decision and participation. Therefore, this article seeks to provide information that will enable its readers to reflect on the socio-educative institutions, establishing mechanisms for a management methodology that guarantees the effectiveness of the rights of adolescents and considers the specificity of each institution, as well as local circumstances by which it is surrounded.

Management of third branchial pouch anomalies - an evolution of a minimally invasive technique.

Science.gov (United States)

Wong, Phui Yee; Moore, Andrew; Daya, Hamid

2014-03-01

The management of third branchial pouch anomalies has evolved in recent times with the popularisation of the endoscopic diathermy technique to sclerose the pyriform fossa sinus opening. We present our experience in managing 3 children with third branchial pouch anomalies and propose a minimally invasive management algorithm avoiding open neck surgery. Retrospective case review of 3 patients including demographics, mode of presentation, investigations, management and complications. Three children, two male and one female of mean age 9.6 years presented with painful left anterior neck swelling. Axial neck imaging showed a superficial abscess with air locules and a sinus tract leading towards the left pharynx. Diagnosis was confirmed by endoscopic examination of the pyriform fossa revealing a sinus opening. Two patients underwent open excision; one combined with diathermy to the sinus opening. The last patient was diagnosed at his initial presentation and managed with endoscopic diathermy of the sinus opening combined with percutaneous needle aspiration of the neck abscess at the same sitting. One patient had two recurrences, the first after initial open surgery and the second after the first cautery. Two patients developed temporary hoarseness after the procedure, which resolved within two weeks. All patients were free from recurrences at follow-up. Introduction of the technique of endoscopic diathermy to the pyriform fossa sinus opening in children with third branchial pouch anomalies has revolutionised their management avoiding open and potentially morbid surgery. Our algorithm takes this further by advocating percutaneous needle aspiration of the infective component and performing diathermy to the sinus opening at the first presentation. Crown Copyright © 2013. Published by Elsevier Ireland Ltd. All rights reserved.

Competency mapping and visualisation techniques in change management

OpenAIRE

Schöpfel , Joachim; Creusot , Jacques

2008-01-01

Purpose: The article describes techniques that may facilitate change management in the library. Approach: The paper is based on practical experience and evidence from the INIST library department in France. Findings: Based on standard inventories of LIS professions and competencies, we present techniques for the mapping and visualisation of individual or team-centred job functions and skills. These techniques can help and facilitate communication, information and participation and are useful ...

Laparoscopic right hemicolectomy for intestinal intussuception.

LENUS (Irish Health Repository)

Kiernan, F

2012-09-01

Adult intussusception is rare and usually associated with carcinoma in 50% of the cases. These have traditionally been managed using an open technique. We herein describe a laparoscopic extended right hemicolectomy in a 62-year-old lady with an intussuception secondary to a transverse colonic tumor.

Understanding Pupil Behaviour: Classroom Management Techniques for Teachers

Science.gov (United States)

Lewis, Ramon

2009-01-01

This book describes a system of successful classroom behaviour management techniques developed by the author over more than twenty-five years. It outlines the difficulties confronting teachers trying to manage pupils' misbehaviour in schools and describes four types of pupil who can be helped to behave responsibly. In "Understanding Pupil…

'Allowing the right' and its currency in managing drug stigma in Greece.

Science.gov (United States)

Fotopoulou, Maria; Munro, Alison; Taylor, Avril

2015-08-01

Evidence suggests that problem drug users are still subject to high levels of stigmatization. In countries, like Greece, where families occupy a central position and honour is collectively attained, secondary drug stigma is also highly prevalent. However, little is known about how drug users and their families manage drug stigma in the specific cultural milieu that makes up Greece. This article presents findings from a qualitative study exploring how drug stigma both manifests itself and is managed by drug users and parents in the context of Greek familial culture. The study was conducted in two state drug agencies in Thessaloniki - Greece and involved the participation of 40 problem drug users (PDU) (23 male/17 female) and 8 parents of PDU. Qualitative, in-depth, interviews were used to collect narrative accounts about experiences of managing addiction, drug stigma and secondary stigma in the Greek parental home. 'Allowing the right' - broadly understood as referring to passing to others information which might devalue a person and consequently that person's family - is discussed in terms of drug stigma management in Greece. We highlight how this culturally specific notion can be viewed as an active strategy adopted by both individual drug users and parents of PDU to manage stigmatization by illustrating the various way in which not 'allowing the right' was described by participants, including drug problem discovery or disclosure and subsequent management of drug using careers and drug stigma within the Greek family context. Given the significance of the cultural notion of 'allowing the right' in the trajectory of drug use amongst PDU and more particularly in stigma management and secondary stigma management, the paper highlights the need for further research into the field in Greece. The need for targeted culturally specific and culturally relevant interventions aimed at reducing drug stigma is also highlighted in relation to both policy and practice. Copyright �

Digital Rights Management Sebagai Solusi Keamanan Dokumen Elektronik

OpenAIRE

Kurniawan, Agus

2008-01-01

Perkembangan dokumen elektronik yang pesat dan mudah diakses berdampak semakin sulitnya dalam membatasi informasi ketika ingin membatasi akses terhadap informasi pada dokumen elektronik. Oleh karena itu, diperlukan mekanisme untuk menjaga informasi pada dokumen elektronik hanya dapat diakses oleh yang berhak dan tersimpan dengan aman. Pendekatan solusi dapat menerapkan Digital Rights Management pada dokumen elektronik sehingga pemilik dokumen elektronik aka lebih aman menyimpannya ataupun mel...

Property Rights for Natural Resources Management in Indonesia: Have They Been Ruled Unconstitutional?

Directory of Open Access Journals (Sweden)

Sarah Waddell

2012-05-01

Full Text Available A new property right known as the coastal waters commercial use right (Hak Pengusahaan Pengairan Pesisir (HP-3 introduced by Law No. 27 of 2007 regarding the Management of Coastal and Small Island Areas has been ruled inoperative by the Constitutional Court. The decision raises a question as to whether the door has been closed to marketbased instruments that rely on property rights as a policy tool in natural resources management. This concern is relevant as legal developments in natural resources law internationally have moved away from traditional forms of regulation to focus on the creation of new statutory property rights such as fisheries rights, water use rights and rights associated with carbon sequestration. An exploration of theConstitutional Court’s decisionsuggests that a similar line of reasoning would not, and should not,arise in relation to other forms of property rights that the Government of Indonesia may seek to introduce in the future.

Evaluation of Water Rights to Reveal Hidden Patterns and Trends in Water Resources Management

Science.gov (United States)

Grantham, T.; Viers, J. H.

2013-12-01

California's current water management challenges are strongly influenced by the legacy of 19th century legal doctrines, which aim to maximize the appropriation of available water for human uses and benefits. As a consequence and over time, most of the water flowing through the state's rivers and streams has been dedicated through water rights to human uses, limiting potential for sustainable water management and climate change adaptation. This history is recorded in a database of water rights, which contains approximately 50,000 records of diversion and storage projects dating from the early 19th century to the present day. Although water rights records are rarely considered in regional water budgeting, information on the location, age, purpose, and face values of water rights offer insight into the spatial and temporal dimensions of water-use pressures and can be used to identify opportunities for management interventions. Using the state water rights database, we calculated cumulative face-value rights at the HUC12-watershed scale and compared water appropriation volumes with modeled predictions of surface water availability. Total annual allocations of current water rights exceed 340 million-acre feet (4 x 1011 m3), approximately five times the state's mean annual runoff. The total volume of face-value water rights is 25 to 1,000% of annual water availability in major river basins (greater than 400 km2), with the greatest degree of appropriation observed in tributaries to the Sacramento and San Joaquin Rivers and coastal streams in southern California. Trends in water rights appropriation since 1900 indicate periods of rapid demand growth between 1925-1940, 1950-1960, and 1975-1985, which mirror major dam building eras. We illustrate how information on the spatial distribution of water rights, appropriation volumes, and priority of use, can guide strategic planning for re-allocating water for environmental benefits and other management objectives. We also

Pattern of parental acceptance of management techniques used in pediatric dentistry.

Science.gov (United States)

Peretz, Benjamin; Kharouba, Johnny; Blumer, Sigalit

2013-01-01

To evaluate parents' acceptance of management techniques in Israeli pediatric dental clinics. Ninety parents who accompanied their children to three pediatric dental clinics provided information on selected parameters including their attitudes about management techniques. 68.9% of the parents preferred to stay in the treatment room. The most accepted technique was positive reinforcement (81.1%) followed by tell-show-do (TSD) (76.7%, with younger parents more accepting than older, p = 0.049). The least accepted techniques were restraint (1.1%) and voice control (7.8%, especially by parents with the highest dental anxiety, p = 0.002). Sedation was unacceptable by 15.6% of the parents: those with the lowest dental anxiety agreed to sedation significantly more than those with greater dental anxiety (p = 0.031). Parents preferred more positive approaches and management techniques that involve demonstrations geared for the child's level of understanding. Restraint and voice control were more strongly rejected than sedation.

Empowerment methods and techniques for sport managers

Directory of Open Access Journals (Sweden)

THANOS KRIEMADIS

2006-01-01

Full Text Available We live in a globalize economic, social and technological environment where organizations can be successful only if they have required resources (material resources, facilities and equipment, and human resources. The managers and the organizations should empower and enable employees to accomplish their work in meaningful ways. Empowerment has been described as a means to enable employees to make decisions and as a personal phenomenon where individuals take responsibility for their own actions. The aim of the present study was to present effective methods and techniques of employee empowerment which constitute for the organization a source of competitive advantage. The paper will present and explain empowerment methods and techniques such as: (a organizational culture, (b vision statements, (c organizational values, (d teamwork, (e the role of manager - leadership, (f devolving responsibility accountability, (g information sharing, (h continuous training, (i appraisal rewards, (j goal setting, and (k performance appraisal process.

Development of Energy Management System Based on Internet of Things Technique

OpenAIRE

Wen-Jye Shyr; Chia-Ming Lin and Hung-Yun Feng

2017-01-01

The purpose of this study was to develop an energy management system for university campuses based on the Internet of Things (IoT) technique. The proposed IoT technique based on WebAccess is used via network browser Internet Explore and applies TCP/IP protocol. The case study of IoT for lighting energy usage management system was proposed. Structure of proposed IoT technique included perception layer, equipment layer, control layer, application layer and network layer.

Building Alliance Capability: Management Techniques for Superior Alliance Performance

NARCIS (Netherlands)

J.A.J. Draulans (Johan); A-P. de Man (Ard-Pieter); H.W. Volberda (Henk)

2003-01-01

textabstractDespite the fact that they represent a growing element of business strategy, alliances between organisations quite often result in failure. This is partly due to the fact that firms have not built up adequate capabilities to manage alliances. Special management techniques have to be

Methods and techniques of nuclear in-core fuel management

International Nuclear Information System (INIS)

Jong, A.J. de.

1992-04-01

Review of methods of nuclear in-core fuel management (the minimal critical mass problem, minimal power peaking) and calculational techniques: reactorphysical calculations (point reactivity models, continuous refueling, empirical methods, depletion perturbation theory, nodal computer programs); optimization techniques (stochastic search, linear programming, heuristic parameter optimization). (orig./HP)

Coping Styles as Mediators of Teachers' Classroom Management Techniques

Science.gov (United States)

Lewis, Ramon; Roache, Joel; Romi, Shlomo

2011-01-01

This study reports the relationships between coping styles of Australian teachers and the classroom based classroom management techniques they use to cope with student misbehaviour. There is great interest internationally in improving educational systems by upgrading the quality of teachers' classroom management. However, the relationship between…

Building alliance capability : management techniques for superior alliance performance

NARCIS (Netherlands)

Draulans, J.; Man, de A.P.; Volberda, H.W.

2003-01-01

Despite the fact that they represent a growing element of business strategy, alliances between organisations quite often result in failure. This is partly due to the fact that firms have not built up adequate capabilities to manage alliances. Special management techniques have to be implemented in

The development of an audit technique to assess the quality of safety barrier management

International Nuclear Information System (INIS)

Guldenmund, Frank; Hale, Andrew; Goossens, Louis; Betten, Jeroen; Duijm, Nijs Jan

2006-01-01

This paper describes the development of a management model to control barriers devised to prevent major hazard scenarios. Additionally, an audit technique is explained that assesses the quality of such a management system. The final purpose of the audit technique is to quantify those aspects of the management system that have a direct impact on the reliability and effectiveness of the barriers and, hence, the probability of the scenarios involved. First, an outline of the management model is given and its elements are explained. Then, the development of the audit technique is described. Because the audit technique uses actual major hazard scenarios and barriers within these as its focus, the technique achieves a concreteness and clarity that many other techniques often lack. However, this strength is also its limitation, since the full safety management system is not covered with the technique. Finally, some preliminary experiences obtained from several test sites are compiled and discussed

The development of an audit technique to assess the quality of safety barrier management

Energy Technology Data Exchange (ETDEWEB)

Guldenmund, Frank [Safety Science Group, Delft University of Technology (Netherlands)]. E-mail: f.w.guldenmund@tbm.tudelft.nl; Hale, Andrew [Safety Science Group, Delft University of Technology (Netherlands); Goossens, Louis [Safety Science Group, Delft University of Technology (Netherlands); Betten, Jeroen [Safety Science Group, Delft University of Technology (Netherlands); Duijm, Nijs Jan [Riso National Laboratory (Denmark)

2006-03-31

This paper describes the development of a management model to control barriers devised to prevent major hazard scenarios. Additionally, an audit technique is explained that assesses the quality of such a management system. The final purpose of the audit technique is to quantify those aspects of the management system that have a direct impact on the reliability and effectiveness of the barriers and, hence, the probability of the scenarios involved. First, an outline of the management model is given and its elements are explained. Then, the development of the audit technique is described. Because the audit technique uses actual major hazard scenarios and barriers within these as its focus, the technique achieves a concreteness and clarity that many other techniques often lack. However, this strength is also its limitation, since the full safety management system is not covered with the technique. Finally, some preliminary experiences obtained from several test sites are compiled and discussed.

RBAC-Matrix-based EMR right management system to improve HIPAA compliance.

Science.gov (United States)

Lee, Hung-Chang; Chang, Shih-Hsin

2012-10-01

Security control of Electronic Medical Record (EMR) is a mechanism used to manage electronic medical records files and protect sensitive medical records document from information leakage. Researches proposed the Role-Based Access Control(RBAC). However, with the increasing scale of medical institutions, the access control behavior is difficult to have a detailed declaration among roles in RBAC. Furthermore, with the stringent specifications such as the U.S. HIPAA and Canada PIPEDA etc., patients are encouraged to have the right in regulating the access control of his EMR. In response to these problems, we propose an EMR digital rights management system, which is a RBAC-based extension to a matrix organization of medical institutions, known as RBAC-Matrix. With the aim of authorizing the EMR among roles in the organization, RBAC-Matrix also allow patients to be involved in defining access rights of his records. RBAC-Matrix authorizes access control declaration among matrix organizations of medical institutions by using XrML file in association with each EMR. It processes XrML rights declaration file-based authorization of behavior in the two-stage design, called master & servant stage, thus makes the associated EMR to be better protected. RBAC-Matrix will also make medical record file and its associated XrML declaration to two different EMRA(EMR Authorization)roles, namely, the medical records Document Creator (DC) and the medical records Document Right Setting (DRS). Access right setting, determined by the DRS, is cosigned by the patient, thus make the declaration of rights and the use of EMR to comply with HIPAA specifications.

Applying of Reliability Techniques and Expert Systems in Management of Radioactive Accidents

International Nuclear Information System (INIS)

Aldaihan, S.; Alhbaib, A.; Alrushudi, S.; Karazaitri, C.

1998-01-01

Accidents including radioactive exposure have variety of nature and size. This makes such accidents complex situations to be handled by radiation protection agencies or any responsible authority. The situations becomes worse with introducing advanced technology with high complexity that provide operator huge information about system working on. This paper discusses the application of reliability techniques in radioactive risk management. Event tree technique from nuclear field is described as well as two other techniques from nonnuclear fields, Hazard and Operability and Quality Function Deployment. The objective is to show the importance and the applicability of these techniques in radiation risk management. Finally, Expert Systems in the field of accidents management are explored and classified upon their applications

Conservative surgical and microsurgical techniques for the management of dental implants that impinge on the inferior alveolar nerve.

Science.gov (United States)

Gennaro, Paolo; Chisci, Glauco; Gabriele, Guido; Iannetti, Giorgio

2014-07-01

Loss of sensation in the lip after insertion of an implant is annoying. The aim of this paper was to describe two techniques for management of osseointegrated dental implants that impinge on the mandibular nerve, the purpose of which is to improve sensation without unscrewing the dental implant. Copyright © 2014 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Crisis planning to manage risks posed by animal rights extremists.

Science.gov (United States)

Bailey, Matthew R; Rich, Barbara A; Bennett, B Taylor

2010-01-01

Among the multitude of crises that US research institutions may face are those caused by animal rights activists. While most activists opposed to animal research use peaceful and lawful means of expressing their opinions, some extremists resort to illegal methods. Arson, break-ins, and theft with significant property damage at US animal research facilities began in the 1980s. The most troubling trend to develop in the past decade is the targeting of individuals associated with animal research, whether directly or indirectly, and the use of violent scare tactics to intimidate researchers and their families. The National Association for Biomedical Research has a 30-year history of monitoring the animal rights movement and assisting member institutions with crisis situations. In this article we discuss attacks on researchers at their homes, cyber crimes, exploitation of new media formats, infiltration of research facilities, and the targeting of external research stakeholders and business partners. We describe the need for a well-conceived crisis management plan and strong leadership to mitigate crisis situations. Institutions with well-informed leaders and crisis management teams ready to take timely action are best equipped to protect staff, laboratory animals, and research programs. They act on early warnings, provide support for targeted staff, seek legal remedies, thoughtfully control access to research facilities, and identify and enlist new research supporters. We underscore the importance of up-to-date crisis planning so that institutions are not only aware of ongoing risks posed by animal rights extremists but also better prepared to take preemptive action and able to manage those risks successfully.

Research on monitoring and management information integration technique in waste treatment and management

International Nuclear Information System (INIS)

Kong Jinsong; Yu Ren; Mao Wei

2013-01-01

The integration of the waste treatment process and the device status monitoring information and management information is a key problem required to be solved in the information integration of the waste treatment and management. The main content of the monitoring and management information integration is discussed in the paper. The data exchange techniques, which are based on the OPC, FTP and data push technology, are applied to the different monitoring system respectively, according to their development platform, to realize the integration of the waste treatment process and device status monitoring information and management information in a waste treatment center. (authors)

Management of ground water using isotope techniques

International Nuclear Information System (INIS)

Romani, Saleem

2004-01-01

Ground water play a major role in national economy and sustenance of life and environment. Prevalent water crisis in India includes falling water table, water quality deterioration, water logging and salinity. Keeping in view the increasing thrust on groundwater resources and the present scenario of availability vis-a vis demand there is a need to reorient our approach to ground water management. The various ground water management options require proper understanding of ground water flow system. Isotopes are increasingly being applied in hydrogeological investigations as a supplementary tool for assessment of aquifer flow and transport characteristics. Isotope techniques coupled with conventional hydrogeological and hydrochemical methods can bring in greater accuracy in the conceptualization of hydrogeological control mechanism. The use of isotope techniques in following areas can certainly be of immense help in implementing various ground water management options in an efficient manner. viz.Interaction between the surface water - groundwater systems to plan conjunctive use of surface and ground water. Establishing hydraulic interconnections between the aquifers in a multi aquifer system. Depth of circulation of water and dating of ground water. Demarcating ground water recharge and discharge areas. Plan ground water development in coastal aquifers to avoid sea water ingress. Development of flood plain aquifer. (author)

Modified Koyanagi Technique in Management of Proximal ...

African Journals Online (AJOL)

xp

Modified Koyanagi Technique in Management of Proximal Hypospadias. Adham Elsaied, Basem Saied, and Mohammed El- ... All operations were performed by the authors,using fine instruments and under 3.5X loupe ... the other needed an operation to close the fistula six months later. The case with meatal recession had ...

Role of strain imaging in right heart disease: a comprehensive review.

Science.gov (United States)

Kannan, Arun; Poongkunran, Chithra; Jayaraj, Mahendran; Janardhanan, Rajesh

2014-10-01

Advances in the imaging techniques of the heart have fueled the interest in understanding of right heart pathology. Recently, speckle tracking echocardiography has shown to aid in understanding various right heart diseases and better management. Its role is well established in diagnosing right heart failure, pulmonary artery hypertension, arrhythmogenic right ventricular dysplasia and congenital heart disease. We review the basic mechanics of speckle tracking and analyze its role in various right heart conditions.

Software-Enabled Project Management Techniques and Their Relationship to the Triple Constraints

Science.gov (United States)

Elleh, Festus U.

2013-01-01

This study investigated the relationship between software-enabled project management techniques and the triple constraints (time, cost, and scope). There was the dearth of academic literature that focused on the relationship between software-enabled project management techniques and the triple constraints (time, cost, and scope). Based on the gap…

Using Private Rights to Manage Natural Resources: Is Stewardship Linked to Ownership?

Directory of Open Access Journals (Sweden)

Patrick W. Gilmour

2012-09-01

Full Text Available There is increasing interest in privatizing natural resource systems to promote sustainability and conservation goals. Though economic theory suggests owners of private property rights have an incentive to act as resource stewards, few studies have tested this empirically. This paper asks whether private rights-owners were more conservative with respect to their management opinions than nonrights-owners in five Australian abalone (Haliotis spp. fisheries. Multiple regression analyses were used to link opinions to demographic, economic, and attitudinal variables. In contrast to standard economic assumptions, nonrights-owners suggested more conservative catch limits than did rights-owners, confirming qualitative observations of behavior in management workshops. Differing views about the condition of the resource and differing levels of experience contributed to these results. The first of its kind, this study directly demonstrates that private rights do not necessarily promote the greatest level of stewardship. This has substantial implications for how natural resources are governed globally, but also warns against applying simplistic behavioral assumptions to complex social-ecological systems.

ISWHM: Tools and Techniques for Software and System Health Management

Science.gov (United States)

Schumann, Johann; Mengshoel, Ole J.; Darwiche, Adnan

2010-01-01

This presentation presents status and results of research on Software Health Management done within the NRA "ISWHM: Tools and Techniques for Software and System Health Management." Topics include: Ingredients of a Guidance, Navigation, and Control System (GN and C); Selected GN and C Testbed example; Health Management of major ingredients; ISWHM testbed architecture; and Conclusions and next Steps.

Privacy enhancing techniques - the key to secure communication and management of clinical and genomic data.

Science.gov (United States)

De Moor, G J E; Claerhout, B; De Meyer, F

2003-01-01

To introduce some of the privacy protection problems related to genomics based medicine and to highlight the relevance of Trusted Third Parties (TTPs) and of Privacy Enhancing Techniques (PETs) in the restricted context of clinical research and statistics. Practical approaches based on two different pseudonymisation models, both for batch and interactive data collection and exchange, are described and analysed. The growing need of managing both clinical and genetic data raises important legal and ethical challenges. Protecting human rights in the realm of privacy, while optimising research potential and other statistical activities is a challenge that can easily be overcome with the assistance of a trust service provider offering advanced privacy enabling/enhancing solutions. As such, the use of pseudonymisation and other innovative Privacy Enhancing Techniques can unlock valuable data sources.

Contribution of the radioactive tracer techniques to the littoral management

International Nuclear Information System (INIS)

Alami, R.

1994-01-01

The construction of a harbor or its extending, the management of entrance channels and their maintenance (e.g. dredging works), the littoral development for industrial or tourist purposes, the management of urban or industrial rejects are very expensive and have a great impact on the environment, the optimization of which requires to begin with understanding and making sure of the sedimentary mechanisms occurring under the natural conditions. The tracer techniques are, in such cases, a precious tool and a unique help to the decision makers. The profits made by using such techniques in Morocco, which is a seaboard country, have led the C entre National de l'Energie, des Sciences et des Techniques Nucleaires (CNESTEN) to set up a unit which is operational in this field. 7 figs., 8 refs (F.M.)

An Incomplete Cryptography based Digital Rights Management with DCFF

OpenAIRE

Thanh, Ta Minh; Iwakiri, Munetoshi

2014-01-01

In general, DRM (Digital Rights Management) system is responsible for the safe distribution of digital content, however, DRM system is achieved with individual function modules of cryptography, watermarking and so on. In this typical system flow, it has a problem that all original digital contents are temporarily disclosed with perfect condition via decryption process. In this paper, we propose the combination of the differential codes and fragile fingerprinting (DCFF) method based on incompl...

A hollow definitive obturator fabrication technique for management of partial maxillectomy.

Science.gov (United States)

Patil, Pravinkumar Gajanan; Patil, Smita Pravinkumar

2012-11-01

Maxillary obturator prosthesis is the most frequent treatment option for management of partial or total maxillectomy. Heavy weight of the obturators is often a dislocating factor. Hollowing the prosthesis to reduce its weight is the well established fact. The alternate technique to hollow-out the prosthesis has been described in this article which is a variation of previously described processing techniques. A pre-shaped wax-bolus was incorporated inside the flasks during packing of the heat-polymerized acrylic resin to automatically create the hollow space. The processing technique described is a single step flasking procedure to construct a closed-hollow-obturator prosthesis as a single unit. To best understand the technique, this article describes management of a patient who had undergone partial maxillectomy secondary to squamous cell carcinoma rehabilitated with a hollow-obturator prosthesis.

Effect of different weed management techniques on growth ...

African Journals Online (AJOL)

The weed management techniques included slashing at 8-weekly intervals, mulching alone, glyphosate + slashing, glyphosate + mulching, glyphosate alone and a weed-free control. Glyphosate + mulching proved to have the greatest positive influence on plant height, plant girth, leaf area and number of leaves throughout ...

[Experts consensus on the management of the right heart function in critically ill patients].

Science.gov (United States)

Wang, X T; Liu, D W; Zhang, H M; Long, Y; Guan, X D; Qiu, H B; Yu, K J; Yan, J; Zhao, H; Tang, Y Q; Ding, X; Ma, X C; Du, W; Kang, Y; Tang, B; Ai, Y H; He, H W; Chen, D C; Chen, H; Chai, W Z; Zhou, X; Cui, N; Wang, H; Rui, X; Hu, Z J; Li, J G; Xu, Y; Yang, Y; Ouyan, B; Lin, H Y; Li, Y M; Wan, X Y; Yang, R L; Qin, Y Z; Chao, Y G; Xie, Z Y; Sun, R H; He, Z Y; Wang, D F; Huang, Q Q; Jiang, D P; Cao, X Y; Yu, R G; Wang, X; Chen, X K; Wu, J F; Zhang, L N; Yin, M G; Liu, L X; Li, S W; Chen, Z J; Luo, Z

2017-12-01

To establish the experts consensus on the right heart function management in critically ill patients. The panel of consensus was composed of 30 experts in critical care medicine who are all members of Critical Hemodynamic Therapy Collaboration Group (CHTC Group). Each statement was assessed based on the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) principle. Then the Delphi method was adopted by 52 experts to reassess all the statements. (1) Right heart function is prone to be affected in critically illness, which will result in a auto-exaggerated vicious cycle. (2) Right heart function management is a key step of the hemodynamic therapy in critically ill patients. (3) Fluid resuscitation means the process of fluid therapy through rapid adjustment of intravascular volume aiming to improve tissue perfusion. Reversed fluid resuscitation means reducing volume. (4) The right ventricle afterload should be taken into consideration when using stroke volume variation (SVV) or pulse pressure variation (PPV) to assess fluid responsiveness.(5)Volume overload alone could lead to septal displacement and damage the diastolic function of the left ventricle. (6) The Starling curve of the right ventricle is not the same as the one applied to the left ventricle,the judgement of the different states for the right ventricle is the key of volume management. (7) The alteration of right heart function has its own characteristics, volume assessment and adjustment is an important part of the treatment of right ventricular dysfunction (8) Right ventricular enlargement is the prerequisite for increased cardiac output during reversed fluid resuscitation; Nonetheless, right heart enlargement does not mandate reversed fluid resuscitation.(9)Increased pulmonary vascular resistance induced by a variety of factors could affect right heart function by obstructing the blood flow. (10) When pulmonary hypertension was detected in clinical scenario, the differentiation of

A review on risk assessment techniques for hydraulic fracturing water and produced water management implemented in onshore unconventional oil and gas production.

Science.gov (United States)

Torres, Luisa; Yadav, Om Prakash; Khan, Eakalak

2016-01-01

The objective of this paper is to review different risk assessment techniques applicable to onshore unconventional oil and gas production to determine the risks to water quantity and quality associated with hydraulic fracturing and produced water management. Water resources could be at risk without proper management of water, chemicals, and produced water. Previous risk assessments in the oil and gas industry were performed from an engineering perspective leaving aside important social factors. Different risk assessment methods and techniques are reviewed and summarized to select the most appropriate one to perform a holistic and integrated analysis of risks at every stage of the water life cycle. Constraints to performing risk assessment are identified including gaps in databases, which require more advanced techniques such as modeling. Discussions on each risk associated with water and produced water management, mitigation strategies, and future research direction are presented. Further research on risks in onshore unconventional oil and gas will benefit not only the U.S. but also other countries with shale oil and gas resources. Copyright © 2015 Elsevier B.V. All rights reserved.

TECHNIQUE OF OPTIMAL AUDIT PLANNING FOR INFORMATION SECURITY MANAGEMENT SYSTEM

Directory of Open Access Journals (Sweden)

F. N. Shago

2014-03-01

Full Text Available Complication of information security management systems leads to the necessity of improving the scientific and methodological apparatus for these systems auditing. Planning is an important and determining part of information security management systems auditing. Efficiency of audit will be defined by the relation of the reached quality indicators to the spent resources. Thus, there is an important and urgent task of developing methods and techniques for optimization of the audit planning, making it possible to increase its effectiveness. The proposed technique gives the possibility to implement optimal distribution for planning time and material resources on audit stages on the basis of dynamics model for the ISMS quality. Special feature of the proposed approach is the usage of a priori data as well as a posteriori data for the initial audit planning, and also the plan adjustment after each audit event. This gives the possibility to optimize the usage of audit resources in accordance with the selected criteria. Application examples of the technique are given while planning audit information security management system of the organization. The result of computational experiment based on the proposed technique showed that the time (cost audit costs can be reduced by 10-15% and, consequently, quality assessments obtained through audit resources allocation can be improved with respect to well-known methods of audit planning.

Stress Management Apps With Regard to Emotion-Focused Coping and Behavior Change Techniques: A Content Analysis.

Science.gov (United States)

Christmann, Corinna Anna; Hoffmann, Alexandra; Bleser, Gabriele

2017-02-23

Chronic stress has been shown to be associated with disease. This link is not only direct but also indirect through harmful health behavior such as smoking or changing eating habits. The recent mHealth trend offers a new and promising approach to support the adoption and maintenance of appropriate stress management techniques. However, only few studies have dealt with the inclusion of evidence-based content within stress management apps for mobile phones. The aim of this study was to evaluate stress management apps on the basis of a new taxonomy of effective emotion-focused stress management techniques and an established taxonomy of behavior change techniques. Two trained and independent raters evaluated 62 free apps found in Google Play with regard to 26 behavior change and 15 emotion-focused stress management techniques in October 2015. The apps included an average of 4.3 behavior change techniques (SD 4.2) and 2.8 emotion-focused stress management techniques (SD 2.6). The behavior change technique score and stress management technique score were highly correlated (r=.82, P=.01). The broad variation of different stress management strategies found in this sample of apps goes in line with those found in conventional stress management interventions and self-help literature. Moreover, this study provided a first step toward more detailed and standardized taxonomies, which can be used to investigate evidence-based content in stress management interventions and enable greater comparability between different intervention types. ©Corinna Anna Christmann, Alexandra Hoffmann, Gabriele Bleser. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 23.02.2017.

A Review of the Usefulness of R & D Management Techniques.

Science.gov (United States)

1981-09-01

Logistics Air Force Institute of Technology, WAFB, OH I1. CONTROLLING OFFICE N-34E AND ADDRESS 12. REPORT DATE Department of Communication and Humanities...First, upper level managers sometimes fail to accurately translate their understanding of corporate objectives and goals into the technical envi...could also be classified as a "style" of management. A management technique according to John Argenti is "a recognized method of analyzing or solving a

Contemporary behavior management techniques in clinical pediatric dentistry: out with the old and in with the new?

Science.gov (United States)

Oliver, Kelly; Manton, David John

2015-01-01

Effective behavior management guides children through the complex social context of dentistry utilizing techniques based on a current understanding of the social, emotional, and cognitive development of children. Behavior management techniques facilitate effective communication and establish social and behavioral guidelines for the dental environment. Contemporary parenting styles, expectations, and attitudes of modern parents and society have influenced the use of behavior management techniques with a prevailing emphasis on communicative techniques and pharmacological management over aversive techniques.

Problems of assessment of efficiency of managing corporate rights in joint stock companies

Directory of Open Access Journals (Sweden)

Kurinnyy Oleksandr V.

2013-03-01

Full Text Available The goal of the article lies in identification of specific features of formation, implementation and practical use of the balanced scorecard of efficiency of managing corporate rights in domestic joint stock companies. Complexity of formation of the balanced scorecard of efficiency of managing property of shareholders is due to a necessity of ensuring deliberateness of the combination of financial and non-financial indicators for formalisation of managerial goals, establishment of a connection between financial parameters and operation indicators of enterprise activity and also attempt to determine the whole cost of an enterprise, which would be adequate to the market value of its assets. Taking into account the above, the article defines efficiency of managing shares of the joint stock as the degree of correlation between the goal, regulatory set functions, managerial actions and results of execution of managerial duties by managers. Prospect of further studies in this direction is development of methodical basis of formation and functioning of the balanced scorecard of efficiency of the use of shares of corporate rights in a joint stock company.

Supply chain management under fuzziness recent developments and techniques

CERN Document Server

Öztayşi, Başar

2014-01-01

Supply Chain Management Under Fuzziness presents recently developed fuzzy models and techniques for supply chain management. These include: fuzzy PROMETHEE, fuzzy AHP, fuzzy ANP, fuzzy VIKOR, fuzzy DEMATEL, fuzzy clustering, fuzzy linear programming, and fuzzy inference systems. The book covers both practical applications and new developments concerning these methods. This book offers an excellent resource for researchers and practitioners in supply chain management and logistics, and will provide them with new suggestions and directions for future research. Moreover, it will support graduate students in their university courses, such as specialized courses on supply chains and logistics, as well as related courses in the fields of industrial engineering, engineering management and business administration.

Construct on Digital Rights Management for Historical Newspaper Archives

Directory of Open Access Journals (Sweden)

Shien-chiang Yu

2004-06-01

Full Text Available Newspaper is one of the most important media as it contains the records that input the cultural data and social events, progress of national and international economical and political developments, the world’s circumstances of the time, so as transmitting information and sharing knowledge of particular regions or around the globe. However, the copyright is limited to cover the transformed entity to digital contents. In order to protect the rights of digitized-contents and restrict the scope of on-line grant of historical newspaper, it is necessary to clarify the concepts and practices. This study reveals the concepts of digital rights management via literature review that will work on both mentioned issues, so as to identify the fair use to assure the profit of digitized archive of historical newspaper. [Article content in Chinese

Economic effects of access management techniques in North Carolina.

Science.gov (United States)

2010-12-21

The NCDOT has made significant strides to reduce collisions and increase capacity along : strategic highway corridors across the state. Efforts have led to the implementation of many : different access management techniques along corridors, such as i...

There is more to IT portfolio management than top-management making the right decisions: A review of the literature

DEFF Research Database (Denmark)

Hansen, Lars; Kræmmergaard, Pernille

2011-01-01

There is more to IT portfolio management than top-management making the right decisions: A review of the IT PPM literature. Organizations experience ongoing challenges in managing their portfolio of InformationTechnology (IT) as IT expenses are becoming a major part of the budget. Hence......, organizations implement a wide range of IT portfolio management (IT PPM) arrangements to increase value from IT. The literature vastly emphasizes the organizational benefits of establishing IT PPM, but only a minor part of the literature emphasizes the unintended and negative consequences of IT PPM....

Suitability of online 3D visualization technique in oil palm plantation management

Science.gov (United States)

Mat, Ruzinoor Che; Nordin, Norani; Zulkifli, Abdul Nasir; Yusof, Shahrul Azmi Mohd

2016-08-01

Oil palm industry has been the backbone for the growth of Malaysia economy. The exports of this commodity increasing almost every year. Therefore, there are many studies focusing on how to help this industry increased its productivity. In order to increase the productivity, the management of oil palm plantation need to be improved and strengthen. One of the solution in helping the oil palm manager is by implementing online 3D visualization technique for oil palm plantation using game engine technology. The potential of this application is that it can helps in fertilizer and irrigation management. For this reason, the aim of this paper is to investigate the issues in managing oil palm plantation from the view of oil palm manager by interview. The results from this interview will helps in identifying the suitable issues could be highlight in implementing online 3D visualization technique for oil palm plantation management.

Re-implant of the right coronary artery: a surgical technique for the treatment of ostial lesions

Directory of Open Access Journals (Sweden)

Bongiovani Hércules Lisboa

2002-01-01

Full Text Available Previously described surgical treatment for ostial coronary artery stenosis relied on either venous or arterial bypasses or ostial patch angioplasty. These surgical procedures are performed with bovine pericardium, saphenous vein or internal thoracic artery. We describe a technique of right coronary artery re-implantation into the aorta. The procedure was performed in four patients with right coronary artery ostial stenosis along with other left coronary artery lesions.

Median Sternotomy or Right Thoracotomy Techniques for Total Artificial Heart Implantation in Calves.

Science.gov (United States)

Karimov, Jamshid H; Moazami, Nader; Sunagawa, Gengo; Kobayashi, Mariko; Byram, Nicole; Sale, Shiva; Such, Kimberly A; Horvath, David J; Golding, Leonard A R; Fukamachi, Kiyotaka

2016-10-01

The choice of optimal operative access technique for mechanical circulatory support device implantation ensures successful postoperative outcomes. In this study, we retrospectively evaluated the median sternotomy and lateral thoracotomy incisions for placement of the Cleveland Clinic continuous-flow total artificial heart (CFTAH) in a bovine model. The CFTAH was implanted in 17 calves (Jersey calves; weight range, 77.0-93.9 kg) through a median sternotomy (n = 9) or right thoracotomy (n = 8) for elective chronic implantation periods of 14, 30, or 90 days. Similar preoperative preparation, surgical techniques, and postoperative care were employed. Implantation of the CFTAH was successfully performed in all cases. Both methods provided excellent surgical field visualization. After device connection, however, the median sternotomy approach provided better visualization of the anastomoses and surgical lines for hemostasis confirmation and repair due to easier device displacement, which is severely limited following right thoracotomy. All four animals sacrificed after completion of the planned durations (up to 90 days) were operated through full median sternotomy. Our data demonstrate that both approaches provide excellent initial field visualization. Full median sternotomy provides larger viewing angles at the anastomotic suture line after device connection to inflow and outflow ports. Copyright © 2015 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

Governance of private forests in Eastern and Central Europe: An analysis of forest harvesting and management rights

Directory of Open Access Journals (Sweden)

Laura Bouriaud

2013-05-01

Full Text Available A property rights-based approach is proposed in the paper to underlinethe common characteristics of the forest property rights specificationin ten ECE countries, the specific patterns governing the harvesting of timber in private forestry and the role of the forest management planning in determining the content of the property rights. The analysis deals with the private forests of the individuals (non industrial ownership from ten countries, covering 7.3 million ha and producing yearly some 25 million timber. The study shows that the forest management rights in private forests belong to the State and that the withdrawal rights on timber, yet recognized in the forest management plans, are in reality strongly restricted from aneconomic viewpoint. The forest management planning is the key instrument of the current forest governance system, based on top-down, hierarchically imposed and enforced set of compulsory rules on timber harvesting. With few exceptions, the forest owners’ have little influence in the forest planning and harvesting. The rational and State-lead approach of the private forest management has serious implications not only on the economic content of the property rights, but also on the learning and adaptive capacity of private forestry to cope with current challenges such the climate change, the increased industry needs for wood as raw material, or the marketingof innovative non wood forest products and services. The study highlights that understanding and comparing the regime of the forest ownership require a special analysis of the economic rights attached to each forest attribute; and that the evolution towards more participatory decision-making in the local forest governance can not be accurately assessed in ECE region without a proper understanding of the forest management planning process.

Governance of private forests in Eastern and Central Europe: An analysis of forest harvesting and management rights

Directory of Open Access Journals (Sweden)

Laura Bouriaud

2013-07-01

Full Text Available A property rights-based approach is proposed in the paper to underline the common characteristics of the forest property rights specification in ten ECE countries, the specific patterns governing the harvesting of timber in private forestry and the role of the forest management planning in determining the content of the property rights. The analysis deals with the private forests of the individuals (non industrial ownership from ten countries, covering 7.3 million ha and producing yearly some 25 million m3 timber. The study shows that the forest management rights in private forests belong to the State and that the withdrawal rights on timber, yet recognised in the forest management plans, are in reality strongly restricted from an economic viewpoint. The forest management planning is the key instrument of the current forest governance system, based on top-down, hierarchically imposed and enforced set of compulsory rules on timber harvesting. With few exceptions, the forest owners’ have little influence in the forest planning and harvesting. The rational and State-lead approach of the private forest management has serious implications not only on the economic content of the property rights, but also on the learning and adaptive capacity of private forestry to cope with current challenges such the climate change, the increased industry needs for wood as raw material, or the marketing of innovative non wood forest products and services. The study highlights that understanding and comparing the regime of the forest ownership require a special analysis of the economic rights attached to each forest attribute; and that the evolution towards more participatory decision-making in the local forest governance can not be accurately assessed in ECE region without a proper understanding of the forest management planning process. 

Strategic plan to optimize the management of right-of-way parcel and utility information at FDOT.

Science.gov (United States)

2013-05-01

The Florida Department of Transportation (FDOT) manages a huge right-of-way asset. Examples of core : processes related to this asset include determining right-of-way boundaries; inventorying roadside features; : preparing right-of-way maps; acquirin...

Data Mining Techniques for Customer Relationship Management

Science.gov (United States)

Guo, Feng; Qin, Huilin

2017-10-01

Data mining have made customer relationship management (CRM) a new area where firms can gain a competitive advantage, and play a key role in the firms’ management decision. In this paper, we first analyze the value and application fields of data mining techniques for CRM, and further explore how data mining applied to Customer churn analysis. A new business culture is developing today. The conventional production centered and sales purposed market strategy is gradually shifting to customer centered and service purposed. Customers’ value orientation is increasingly affecting the firms’. And customer resource has become one of the most important strategic resources. Therefore, understanding customers’ needs and discriminating the most contributed customers has become the driving force of most modern business.

Nurses' Educational Needs Assessment for Financial Management Education Using the Nominal Group Technique.

Science.gov (United States)

Noh, Wonjung; Lim, Ji Young

2015-06-01

The purpose of this study was to identify the financial management educational needs of nurses in order to development an educational program to strengthen their financial management competencies. Data were collected from two focus groups using the nominal group technique. The study consisted of three steps: a literature review, focus group discussion using the nominal group technique, and data synthesis. After analyzing the results, nine key components were selected: corporate management and accounting, introduction to financial management in hospitals, basic structure of accounting, basics of hospital accounting, basics of financial statements, understanding the accounts of financial statements, advanced analysis of financial statements, application of financial management, and capital financing of hospitals. The present findings can be used to develop a financial management education program to strengthen the financial management competencies of nurses. Copyright © 2015. Published by Elsevier B.V.

Problem-solving and developing quality management methods and techniques on the example of automotive industry

OpenAIRE

Jacek Łuczak; Radoslaw Wolniak

2015-01-01

The knowledge about methods and techniques of quality management together with their effective use can be definitely regarded as an indication of high organisational culture. Using such methods and techniques in an effective way can be attributed to certain level of maturity, as far as the quality management system in an organisation is concerned. There is in the paper an analysis of problem-solving methods and techniques of quality management in the automotive sector in Poland. The survey wa...

Farmers' laws and irrigation : water rights and dispute management in the hills of Nepal

NARCIS (Netherlands)

Poudel, R.

2000-01-01

The title of my Thesis is "Farmers' Laws and Irrigation: Water Rights and Dispute Management in the Hills of Nepal". This is based on a research I conducted in the Thulotar Kulo irrigation system in Nepal, during 1997 and 1998. Thulotar Kulo is a farmer-managed irrigation

First Approximations of Prescribed Fire Risks Relative to Other Management Techniques Used on Private Lands.

Directory of Open Access Journals (Sweden)

Dirac Twidwell

Full Text Available Fire is widely recognized as a critical ecological and evolutionary driver that needs to be at the forefront of land management actions if conservation targets are to be met. However, the prevailing view is that prescribed fire is riskier than other land management techniques. Perceived risks associated with the application of fire limits its use and reduces agency support for prescribed burning in the private sector. As a result, considerably less cost-share support is given for prescribed fire compared to mechanical techniques. This study tests the general perception that fire is a riskier technique relative to other land management options. Due to the lack of data available to directly test this notion, we use a combination of approaches including 1 a comparison of fatalities resulting from different occupations that are proxies for techniques employed in land management, 2 a comparison of fatalities resulting from wildland fire versus prescribed fire, and 3 an exploration of causal factors responsible for wildland fire-related fatalities. This approach establishes a first approximation of the relative risk of fatality to private citizens using prescribed fire compared to other management techniques that are readily used in ecosystem management. Our data do not support using risks of landowner fatalities as justification for the use of alternative land management techniques, such as mechanical (machine-related equipment, over prescribed fire. Vehicles and heavy machinery are consistently leading reasons for fatalities within occupations selected as proxies for management techniques employed by ranchers and agricultural producers, and also constitute a large proportion of fatalities among firefighters. Our study provides the foundation for agencies to establish data-driven decisions regarding the degree of support they provide for prescribed burning on private lands.

Risk Management Technique for design and operation of facilities and equipment

Science.gov (United States)

Fedor, O. H.; Parsons, W. N.; Coutinho, J. De S.

1975-01-01

The Risk Management System collects information from engineering, operating, and management personnel to identify potentially hazardous conditions. This information is used in risk analysis, problem resolution, and contingency planning. The resulting hazard accountability system enables management to monitor all identified hazards. Data from this system are examined in project reviews so that management can decide to eliminate or accept these risks. This technique is particularly effective in improving the management of risks in large, complex, high-energy facilities. These improvements are needed for increased cooperation among industry, regulatory agencies, and the public.

Mobility Based Key Management Technique for Multicast Security in Mobile Ad Hoc Networks

Directory of Open Access Journals (Sweden)

B. Madhusudhanan

2015-01-01

Full Text Available In MANET multicasting, forward and backward secrecy result in increased packet drop rate owing to mobility. Frequent rekeying causes large message overhead which increases energy consumption and end-to-end delay. Particularly, the prevailing group key management techniques cause frequent mobility and disconnections. So there is a need to design a multicast key management technique to overcome these problems. In this paper, we propose the mobility based key management technique for multicast security in MANET. Initially, the nodes are categorized according to their stability index which is estimated based on the link availability and mobility. A multicast tree is constructed such that for every weak node, there is a strong parent node. A session key-based encryption technique is utilized to transmit a multicast data. The rekeying process is performed periodically by the initiator node. The rekeying interval is fixed depending on the node category so that this technique greatly minimizes the rekeying overhead. By simulation results, we show that our proposed approach reduces the packet drop rate and improves the data confidentiality.

Investigation of energy management strategies for photovoltaic systems - An analysis technique

Science.gov (United States)

Cull, R. C.; Eltimsahy, A. H.

1982-01-01

Progress is reported in formulating energy management strategies for stand-alone PV systems, developing an analytical tool that can be used to investigate these strategies, applying this tool to determine the proper control algorithms and control variables (controller inputs and outputs) for a range of applications, and quantifying the relative performance and economics when compared to systems that do not apply energy management. The analysis technique developed may be broadly applied to a variety of systems to determine the most appropriate energy management strategies, control variables and algorithms. The only inputs required are statistical distributions for stochastic energy inputs and outputs of the system and the system's device characteristics (efficiency and ratings). Although the formulation was originally driven by stand-alone PV system needs, the techniques are also applicable to hybrid and grid connected systems.

Self Management Techniques and Disclosure of Sero Status

Science.gov (United States)

Falaye, Ajibola; Afolayan, Joel Adeleke

2015-01-01

This study looked at using Self Management Technique (SMT) to promote self-disclosure of Sero status in Kwara State, Nigeria. A pre-test, post-test and control group quasi experimental design using a 2x2x2 factorial matrix was adopted. Sixty participants were sampled by balloting from two HIV/AIDS screening centres. Four instruments were used such…

BlogForever D3.3: Development of the Digital Rights Management Policy

OpenAIRE

Farrell, Tracie; Kim, Yunhyong; Pinsent, Ed; Kopidaki, Stella; Rynning, Morten; Manolopoulos, Ioanis; Papadopoulou, Olympia; Arampatzis, Stratos; Trochidis, Ilias; Zioga, Despoina

2013-01-01

This report presents a set of recommended practices and approaches that a future BlogForever repository can use to develop a digital rights management policy. The report outlines core legal aspects of digital rights that might need consideration in developing policies, and what the challenges are, in particular, in relation to web archives and blog archives. These issues are discussed in the context of the digital information life cycle and steps that might be taken within the workflow of the...

Efficacy of the Stonehenge Technique for Minimally Invasive Aortic Valve Replacement via Right Infraaxillary Thoracotomy.

Science.gov (United States)

Yamazaki, Masataka; Kin, Hajime; Kitamoto, Shohei; Yamanaka, Shota; Nishida, Hidefumi; Nishigawa, Kosaku; Takanashi, Shuichiro

2017-02-20

Minimally invasive cardiac surgeries for aortic valve replacement (AVR) are still a technical challenge for surgeons because these procedures are undertaken through small incisions and deep surgical fields. Although AVR via vertical infraaxillary thoracotomy can be a cosmetically superior option, a disadvantage of this approach is the distance between the thoracotomy incision and the ascending aorta. Therefore, we devised a technique to perform all manipulations using the fingertips without the aid of a knot pusher or long-shafted surgical instruments. This was achieved by particular placement of several retracted sutures to the right chest wall. We named placement of these sutures the "Stonehenge technique." In conclusion, AVR via vertical infraaxillary thoracotomy with our Stonehenge technique can be safely and simply performed with superior cosmetic advantages.

Management of area-wide integrated pest management programmes that integrate the sterile insect technique

International Nuclear Information System (INIS)

Dyck, V.A.; Vreysen, M.J.B.; Reyes Flores, J.; Regidor Fernandez, E.E.; Teruya, T.; Barnes, B.; Gomez Riera, P.; Lindquist, D.; Loosjes, M.

2005-01-01

Effective management of area-wide integrated pest management (AW-IPM) programmes that integrate the sterile insect technique (SIT) is key to success. Programme planning includes collection of baseline data and a feasibility assessment. The optimal management structure is where the programme can be implemented effectively and flexibly, independent of government politics, bureaucracy, and even corruption that impede timely goal achievement. Ideally, programmes include both public and private management, and require strong and steady financial support. Governments and donors are the most common sources of funds, but a mixture of public, community, and private funds is now the trend. Interrupted cash flow severely restrains programme performance. Physical support of programme operations must be reliable, and led by a maintenance professional. It is essential to have full-time, well-paid, and motivated staff led by a programme manger with technical and management experience. Programme failure is usually due to poor management and inadequate public support, and not to poor technology. (author)

Informing Parents about the Pharmacological and Invasive Behavior Management Techniques Used in Pediatric Dentistry

Directory of Open Access Journals (Sweden)

Mehrysa Paryab

2014-06-01

Full Text Available Background and aims. Parental acceptance and consent are important parameters in selecting the required behavior management technique during pediatric dental treatment. The present study sought to assess the effect of three different informing methods on the parental acceptance, consent and concern regarding the pharmacological and invasive behavior management techniques used in pediatric dentistry. Materials and methods. Ninety mothers of 3-6-year-old uncooperative children were selected and randomly assigned to three study groups. The parents in each group were initially asked to answer three questions related to their levels of ‘acceptance’, ‘consent’, and ‘concern’ toward the five behavior management techniques. Then, the information about the techniques was presented through a piece of writing in group I, verbal presentation in group II and showing a film in group III. At last, the parents answered the same three questions again. Score changes were analyzed by using ANOVA, correlations, Mann-Whitney U and Kruskal-Wallis methods. Results. There were no statistically significant differences in score changes of parental acceptance, consent and concern between the three groups, overall and in relation to each behaviour management technique (P > 0.05. Mothers with academic education revealed more statistically significant concern following presentation of information by film (P < 0.05. Conclusion. None of the presentation methods had a significant preference over the others; in selecting the behavioral management techniques, it is advisable to observe individual factors, such as the level of education of the mothers.

Management of excessive gingival display: Lip repositioning technique

Directory of Open Access Journals (Sweden)

Upasana Sthapak

2015-01-01

Full Text Available The lips form the frame of a smile and define the esthetic zone. Excessive gingival display during smile is often referred to as "gummy smile". A successful management of excessive gingival display with lip repositioning procedure has shown excellent results. The procedure involves removing a strip of partial thickness mucosa from maxillary vestibule, then suturing it back to the lip mucosa at the level of mucogingival junction. This technique results in restricted muscle pull and a narrow vestibule, thereby reducing the gingival display. In this case gummy smile was treated by modification of Rubinstein and Kostianovsky′s surgical lip repositioning technique which resulted in a harmonious smile.

Just-in-Time techniques as applied to hazardous materials management

OpenAIRE

Spicer, John S.

1996-01-01

Approved for public release; distribution is unlimited This study investigates the feasibility of integrating JIT techniques in the context of hazardous materials management. This study provides a description of JIT, a description of environmental compliance issues and the outgrowth of related HAZMAT policies, and a broad perspective on strategies for applying JIT to HAZMAT management. http://archive.org/details/justintimetechn00spic Lieutenant Commander, United States Navy

Application of fisheries management techniques to assessing impacts: task I report

International Nuclear Information System (INIS)

McKenzie, D.H.; Baker, K.S.; Fickeisen, D.H.; Metzger, R.M.; Skalski, J.R.

1979-03-01

Task I efforts examined the available fisheries management techniques and assessed their potential application in a confirmatory monitoring program. The objective of such monitoring programs is to confirm that the prediction of an insignificant impact (usually made in the FES) was correct. Fisheries resource managers have developed several tools for assessing the fish population response to stress (exploitation) and they were thought potentially useful for detecting nuclear power plant impacts. Techniques in three categories were examined; catch removal, population dynamics, and nondestructive censuses, and the report contains their description, examples of application, advantages, and disadvantages. The techniques applied at nuclear power plant sites were examined in detail to provide information on implementation and variability of specific approaches. The most suitable techniques to incorporate into a monitoring program confirming no impact appear to be those based on Catch Per Unity Effort (CPUE) and hydroacoustic data. In some specific cases, age and growth studies and indirect census techniques may be beneficial. Recommendations for task II efforts to incorporate these techniques into monitoring program designs are presented. These include development of guidelines for; (1) designing and implementing a data collection program; (2) interpreting these data and assessing the occurrence of impact, and (3) establishment of the monitoring program's ability to detect changes in the affected populations

Europe's Shifting Response to HIV/AIDS: From Human Rights to Risk Management.

Science.gov (United States)

Smith, Julia

2016-12-01

Despite a history of championing HIV/AIDS as a human rights issue, and a rhetorical commitment to health as a human right, European states and institutions have shifted from a rights-based response to a risk management approach to HIV/AIDS since the economic recession of 2008. An interdisciplinary perspective is applied to analyze health policy changes at the national, regional, and global levels by drawing on data from key informant interviews, and institutional and civil society documents. It is demonstrated that, in the context of austerity measures, member states such as the UK and Greece reduced commitments to rights associated with HIV/AIDS; at the regional level, the EU failed to develop rights-based approaches to address the vulnerabilities and health care needs of key populations affected by HIV/AIDS, particularly migrants and sex workers; and at the global level, the EU backtracked on commitments to global health and is prioritizing the intellectual property rights of pharmaceutical companies over the human rights of people living with HIV/AIDS. The focus within and from the EU is on containment, efficiency, and cost reduction. The rights of those most affected are no longer prioritized.

Strategic Priorities, Company Performance and Attitudes Towards Management Accounting Techniques: an Empirical Study

OpenAIRE

Ekholm, Bo-Göran

2004-01-01

The study investigates whether there is an association between different combinations of emphasis on generic strategies (product differentiation and cost efficiency) and perceived usefulness of management accounting techniques. Previous research has found that cost leadership is associated with traditional accounting techniques and product differentiation with a variety of modern management accounting approaches. The present study focuses on the possible existence of a strategy that mixes the...

Techniques for Exercise Preparation and Management in Adults with Type 1 Diabetes.

Science.gov (United States)

Pinsker, Jordan E; Kraus, Amy; Gianferante, Danielle; Schoenberg, Benjamen E; Singh, Satbir K; Ortiz, Hallie; Dassau, Eyal; Kerr, David

2016-12-01

People with type 1 diabetes are at risk for early- and late-onset hypoglycemia following exercise. Reducing this risk may be possible with strategic modifications in carbohydrate intake and insulin use. We examined the exercise preparations and management techniques used by individuals with type 1 diabetes before and after physical activity and sought to determine whether use of differing diabetes technologies affects these health-related behaviours. We studied 502 adults from the Type 1 Diabetes Exchange's online patient community, Glu, who had completed an online survey focused on diabetes self-management and exercise. Many respondents reported increasing carbohydrate intake before (79%) and after (66%) exercise as well as decreasing their meal boluses before (53%) and after (46%) exercise. Most reported adhering to a target glucose level before starting exercise (77%). Despite these accommodations, the majority reported low blood glucose (BG) levels after exercise (70%). The majority of users of both insulin pump therapy (CSII) and continuous glucose monitoring (CGM) (Combined) reported reducing basal insulin around exercise (55%), with fewer participants adjusting basal insulin when using other devices (SMBG only = 20%; CGM = 34%; CSII = 42%; pmanagement strategies tailored to individuals' overall diabetes management, for despite making exercise-specific adjustments for care, many people with type 1 diabetes still report significant difficulties with BG control when it comes to exercise. Copyright © 2016 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

Outcome of 7-S, TQM technique for healthcare waste management.

Science.gov (United States)

Ullah, Junaid Habib; Ahmed, Rashid; Malik, Javed Iqbal; Khan, M Amanullah

2011-12-01

To assess the present waste management system of healthcare facilities (HCFs) attached with Shalamar Hospital, Lahore by applying the 7-S technique of Total Quality Management (TQM) and to find out the outcome after imparting training. Interventional quasi-experimental study. The Shalamar Hospital, Lahore, Punjab, Pakistan, November, 2009 to November, 2010. Mckinsey's 7-S, technique of TQM was applied to assess the 220 HCFs from Lahore, Gujranwala and Sheikhupura districts for segregation, collection, transportation and disposal (SCTD) of hospital waste. Direct interview method was applied. Trainings were provided in each institution. After one year action period, the status of four areas of concern was compared before and after training. The parameters studied were segregation, collection, transportation and disposal systems in the 220 HCFs. Each of these were further elaborated by strategy, structure, system, staff, skill, style and stakeholder/shared value factors. Standard error of difference of proportion was applied to assess significance using 95% confidence level. There was marked improvement in all these areas ranging from 20% to 77% following a training program of 3 months. In case of disposal of the waste strategy, structure and system an increase of 60%, 65% and 75% was observed after training. The 7-S technique played a vital role in assessing the hospital waste management system. Training for the healthcare workers played a significant role in healthcare facilities.

Diagnosis and management of right colonic diverticular disease: A review.

Science.gov (United States)

Ferrara, Francesco; Bollo, Jesús; Vanni, Letizia V; Targarona, Eduardo M

2016-12-01

The aim of this narrative review is to define the clinical-pathological characteristics and to clarify the management of right colonic diverticular disease. It is rare in Europe, USA and Australia and more common in Asia. In the recent years its incidence has increased in the West, with various distributions among populations. Many studies have reported that it is difficult to differentiate the presenting symptoms of this disease from those of appendicitis before surgery, because the signs and symptoms are similar, so misdiagnosis is not infrequent. With accurate imaging studies it is possible to reach a precise preoperative diagnosis, in order to assess an accurate treatment strategy. Currently the management of this disease is not well defined, no clear guidelines have been proposed and it is not known whether the guidelines for left colonic diverticular disease can also be applied for it. Several authors have stated that conservative management is the best approach, even in case of recurrence, and surgery should be indicated in selected cases. Copyright © 2016. Publicado por Elsevier España, S.L.U.

A study of parental presence/absence technique for child dental behaviour management

NARCIS (Netherlands)

Boka, V.; Arapostathis, K.; Charitoudis, G.; Veerkamp, J.; van Loveren, C.; Kotsanos, N.

2017-01-01

Aim: To examine the effectiveness of parental presence/absence (PPA) technique on the dental behaviour management of children. Materials and methods: This randomised control study recruited 61 child dental patients with uncooperative behaviour (Frankl 1 or 2) managed with AAPD-endorsed

Skin carcinomas: Radiobiological principles, radiotherapeutic techniques and clinical management

International Nuclear Information System (INIS)

Schmidt-Ullrich, Rupert K.; Johnson, Christopher R.

1997-01-01

Purpose/Objective: The course will be divided into three major topics: (1) Review of radiobiological principles as they apply to the radiotherapeutic management of skin carcinomas; (2) review of radiotherapeutic techniques including beam qualities, beam collimation, tissue dose profiles, and the relative indications of external beam irradiation vs. brachytherapy; (3) comprehensive review of the tumor biology of skin malignancies, including malignant melanoma, and of the relative indications for radiotherapeutic and/or surgical management. (1) Review of critical data which have led to currently applied principles of time-dose-volume concepts in the radiotherapeutic management of skin carcinomas. Emphasis will be placed on the relative importance of fraction size and overall treatment time on tumor control probability and acute and late normal tissue toxicity. (2) Considering that radiotherapy in the management of skin carcinomas is often used to minimize patient disfiguration and to preserve critical body functions (e.g. eye lids) the technical aspects of radiotherapy delivery are most critical. Careful evaluation of the extent of the lesions including evaluation of their depth of invasion will determine the quality of the radiation beams, orthovoltage and low energy electrons being the most useful. Beam harding for orthovoltage beams and secondary and tertiary (skin) collimation of appropriate electron beams are critical. For more extensive and deeply invasive lesions contour-shaping through customized bolus material is essential. Equally important is the familiarity with custom shielding of critical structures, such as eyes, ears, oral cavity and central nervous system structures. Brachytherapy applications in the treatment of skin carcinomas is limited but should be considered when implants with high dose uniformity can be constructed. (3) The discussion of clinical management will start with a discussion of properties and routes of spread of the diverse

Asset management techniques

International Nuclear Information System (INIS)

Schneider, Joachim; Gaul, Armin J.; Neumann, Claus; Hograefer, Juergen; Wellssow, Wolfram; Schwan, Michael; Schnettler, Armin

2006-01-01

Deregulation and an increasing competition in electricity markets urge energy suppliers to optimize the utilization of their equipment, focusing on technical and cost-effective aspects. As a respond to these requirements utilities introduce methods formerly used by investment managers or insurance companies. The article describes the usage of these methods, particularly with regard to asset management and risk management within electrical grids. The essential information needed to set up an appropriate asset management system and differences between asset management systems in transmission and distribution systems are discussed. The bulk of costs in electrical grids can be found in costs for maintenance and capital depreciation. A comprehensive approach for an asset management in transmission systems thus focuses on the 'life-cycle costs' of the individual equipment. The objective of the life management process is the optimal utilisation of the remaining life time regarding a given reliability of service and a constant distribution of costs for reinvestment and maintenance ensuring a suitable return. In distribution systems the high number of components would require an enormous effort for the consideration of single individuals. Therefore statistical approaches have been used successfully in practical applications. Newest insights gained by a German research project on asset management systems in distribution grids give an outlook to future developments. (author)

Asset management techniques

Energy Technology Data Exchange (ETDEWEB)

Schneider, Joachim; Gaul, Armin J. [RWE Energy AG, Assetmanagement, Dortmund (Germany); Neumann, Claus [RWE Transportnetz Strom GmbH, Dortmund (Germany); Hograefer, Juergen [SAG Energieversorgungsloesungen GmbH, Langen (Germany); Wellssow, Wolfram; Schwan, Michael [Siemens AG, Power Transmission and Distribution, Erlangen (Germany); Schnettler, Armin [RWTH-Aachen, Institut fuer Hochspannungstechnik, Aachen (Germany)

2006-11-15

Deregulation and an increasing competition in electricity markets urge energy suppliers to optimize the utilization of their equipment, focusing on technical and cost-effective aspects. As a respond to these requirements utilities introduce methods formerly used by investment managers or insurance companies. The article describes the usage of these methods, particularly with regard to asset management and risk management within electrical grids. The essential information needed to set up an appropriate asset management system and differences between asset management systems in transmission and distribution systems are discussed. The bulk of costs in electrical grids can be found in costs for maintenance and capital depreciation. A comprehensive approach for an asset management in transmission systems thus focuses on the 'life-cycle costs' of the individual equipment. The objective of the life management process is the optimal utilisation of the remaining life time regarding a given reliability of service and a constant distribution of costs for reinvestment and maintenance ensuring a suitable return. In distribution systems the high number of components would require an enormous effort for the consideration of single individuals. Therefore statistical approaches have been used successfully in practical applications. Newest insights gained by a German research project on asset management systems in distribution grids give an outlook to future developments. (author)

Applications of Graph Spectral Techniques to Water Distribution Network Management

Directory of Open Access Journals (Sweden)

Armando di Nardo

2018-01-01

Full Text Available Cities depend on multiple heterogeneous, interconnected infrastructures to provide safe water to consumers. Given this complexity, efficient numerical techniques are needed to support optimal control and management of a water distribution network (WDN. This paper introduces a holistic analysis framework to support water utilities on the decision making process for an efficient supply management. The proposal is based on graph spectral techniques that take advantage of eigenvalues and eigenvectors properties of matrices that are associated with graphs. Instances of these matrices are the adjacency matrix and the Laplacian, among others. The interest for this application is to work on a graph that specifically represents a WDN. This is a complex network that is made by nodes corresponding to water sources and consumption points and links corresponding to pipes and valves. The aim is to face new challenges on urban water supply, ranging from computing approximations for network performance assessment to setting device positioning for efficient and automatic WDN division into district metered areas. It is consequently created a novel tool-set of graph spectral techniques adapted to improve main water management tasks and to simplify the identification of water losses through the definition of an optimal network partitioning. Two WDNs are used to analyze the proposed methodology. Firstly, the well-known network of C-Town is investigated for benchmarking of the proposed graph spectral framework. This allows for comparing the obtained results with others coming from previously proposed approaches in literature. The second case-study corresponds to an operational network. It shows the usefulness and optimality of the proposal to effectively manage a WDN.

Transmural coil embolization—alternative technique for management of arterial perforation during subintimal angioplasty

Directory of Open Access Journals (Sweden)

Karthikeyan Damodharan

2016-01-01

Full Text Available Subintimal angioplasty of lower limb arterial occlusion carries a relatively higher risk of vessel perforation compared to transluminal angioplasty. Vessel perforation is a potentially life threatening complication which requires prompt recognition and management. They are usually managed by endovascular techniques such as low-pressure balloon tamponade, covered stents, and coil embolization of the ruptured artery. We describe a technique of treating vessel perforation following balloon angioplasty. Patient developed a large perforation of the proximal superficial femoral artery (SFA after balloon inflation during subintimal angioplasty of complete SFA occlusion. Following failure of balloon tamponade in sealing the perforation, we successfully treated it by deploying an embolization coil at the site of perforation through the vessel wall followed by balloon tamponade. Our technique could be a useful relatively inexpensive alternative treatment option in the management of vessel perforation compared to covered stents.

Multi-criterion analysis technique in a process of quality management

OpenAIRE

A. Gwiazda

2007-01-01

Purpose: The aim of this paper is to present the critical analysis of some multi-criteria techniques applied in the area of quality management. It is strongly stated that some solutions in this scientific area characterizes the non-methodological approaches.Design/methodology/approach: The research methodology, in presented work, has been based on the theoretical analysis of the quality tools management and on the empirical researches.Findings: The proposals of improvement the main quality to...

Nurses' Educational Needs Assessment for Financial Management Education Using the Nominal Group Technique

OpenAIRE

Wonjung Noh, PhD, RN; Ji Young Lim, PhD, RN, MBA

2015-01-01

Purpose: The purpose of this study was to identify the financial management educational needs of nurses in order to development an educational program to strengthen their financial management competencies. Methods: Data were collected from two focus groups using the nominal group technique. The study consisted of three steps: a literature review, focus group discussion using the nominal group technique, and data synthesis. Results: After analyzing the results, nine key components were s...

Conventional radiotherapy of localized right side breast cancer after radical mastectomy: development of innovative “field in field” technique

Directory of Open Access Journals (Sweden)

Goran Marošević

2011-12-01

Full Text Available Introduction: The aim of this paper is to study the distribution of the therapy dosage applied by a modified conventional “field in field” technique and compare it to the distribution of the dosage applied by the standard conventional technique.Methods: The study included ten patients with right side breast cancer, after they were exposed to radical mastectomy and chemotherapy. Radiotherapy dosage of TD 50 Gy in 25 fractions was applied to the anterolateral side of the right thoracic wall, with two opposite conventional tangential fields by the linear accelerator Elekta Synergy and the energy of 6 megavolts (MV. A delineation of the target volume (CTV – Clinical Target Volume was done within conventional fields. At the XiO system for planning we included additional fields within the existing conventional fields, which was the so called “field in field” technique. On the basis of CTV the Dose Volume  Histogram (DVH was calculated for conventional and “field in field” plans. VD90%, VD95%, VD107%, VD115%, CI and HI were calculated for both techniques. Means were pared with the paired Student's t-test. The results were considered significantly different if p<0.05.Results: VD90% and VD 95% were significantly higher for the “field in field” technique. Therefore, CI also favored the “field in field” technique (p=0.02. There was no difference in VD107% and VD115% between the compared groups. Consequently, there was no statistically significant difference in HI (1.13±0.03 vs.1.13±0.03, p=0.06.Conclusion: Conventional postoperative radiotherapy of localized right side breast cancer by “field in field” technique provides excellent coverage of the target volume by radiotherapy isodose.

Effectiveness of a Treatment Involving Soft Tissue Techniques and/or Neural Mobilization Techniques in the Management of Tension-Type Headache: A Randomized Controlled Trial.

Science.gov (United States)

Ferragut-Garcías, Alejandro; Plaza-Manzano, Gustavo; Rodríguez-Blanco, Cleofás; Velasco-Roldán, Olga; Pecos-Martín, Daniel; Oliva-Pascual-Vaca, Jesús; Llabrés-Bennasar, Bartomeu; Oliva-Pascual-Vaca, Ángel

2017-02-01

To evaluate the effects of a protocol involving soft tissue techniques and/or neural mobilization techniques in the management of patients with frequent episodic tension-type headache (FETTH) and those with chronic tension-type headache (CTTH). Randomized, double-blind, placebo-controlled before and after trial. Rehabilitation area of the local hospital and a private physiotherapy center. Patients (N=97; 78 women, 19 men) diagnosed with FETTH or CTTH were randomly assigned to groups A, B, C, or D. (A) Placebo superficial massage; (B) soft tissue techniques; (C) neural mobilization techniques; (D) a combination of soft tissue and neural mobilization techniques. The pressure pain threshold (PPT) in the temporal muscles (points 1 and 2) and supraorbital region (point 3), the frequency and maximal intensity of pain crisis, and the score in the Headache Impact Test-6 (HIT-6) were evaluated. All variables were assessed before the intervention, at the end of the intervention, and 15 and 30 days after the intervention. Groups B, C, and D had an increase in PPT and a reduction in frequency, maximal intensity, and HIT-6 values in all time points after the intervention as compared with baseline and group A (P<.001 for all cases). Group D had the highest PPT values and the lowest frequency and HIT-6 values after the intervention. The application of soft tissue and neural mobilization techniques to patients with FETTH or CTTH induces significant changes in PPT, the characteristics of pain crisis, and its effect on activities of daily living as compared with the application of these techniques as isolated interventions. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Endoscopic Management of Perforation of Right Hepatic Duct Following Non-Surgical Abdominal Trauma

OpenAIRE

Sharma, B. C.; Maini, A.; Saraswat, V. A.

1997-01-01

Isolated bile duct injuries after blunt abdominal trauma are rare. Surgery is the usual mode of treatment. We report a patient with a right hepatic duct injury following blunt abdominal trauma who was managed successfully by endoscopic papillotomy.

Technical management techniques for identification and control of industrial safety and pollution hazards

Science.gov (United States)

Campbell, R.; Dyer, M. K.; Hoard, E. G.; Little, D. G.; Taylor, A. C.

1972-01-01

Constructive recommendations are suggested for pollution problems from offshore energy resources industries on outer continental shelf. Technical management techniques for pollution identification and control offer possible applications to space engineering and management.

The Fundamental Right to a Decent Work as a Resizing Factor of Company Managers Liability

Directory of Open Access Journals (Sweden)

Carla Eugenia Caldas Barros

2016-11-01

Full Text Available The present paper aims to point out the human labor value, based on the ideia of decent work as a fundamental right, and yet analyzes the impact of this influence on the company managers liability. Initially, based on the theoretical and descriptive method, describing the rise of human dignity as the center of the legal system and its connection to the labor fundamental rights, as a limiting factor on business activity. Finally, through the deductive method, showing how the resizing of the company managers liability is conditioned by the principles and values consolidated in the constitutional economic order.

The use of production management techniques in the construction of large scale physics detectors

International Nuclear Information System (INIS)

Bazan, A.; Chevenier, G.; Estrella, F.

1999-01-01

The construction process of detectors for the Large Hadron Collider (LHC) experiments is large scale, heavily constrained by resource availability and evolves with time. As a consequence, changes in detector component design need to be tracked and quickly reflected in the construction process. With similar problems in industry engineers employ so-called Product Data Management (PDM) systems to control access to documented versions of designs and managers employ so-called Product Data Management (PDM) systems to control access to documented versions of designs and managers employ so-called Workflow Management Software (WfMS) to coordinate production work processes. However, PDM and WfMS software are not generally integrated in industry. The scale of LHC experiments, like CMS, demands that industrial production techniques be applied in detector construction. This paper outlines the major functions and applications of the CRISTAL system (Cooperating Repositories and an Information System for Tracking Assembly Lifecycles) in use in CMS which successfully integrates PDM and WfMS techniques in managing large scale physics detector construction. This is the first time industrial production techniques have been deployed to this extent in detector construction

Owning genetic information and gene enhancement techniques: why privacy and property rights may undermine social control of the human genome.

Science.gov (United States)

Moore, A D

2000-04-01

In this article I argue that the proper subjects of intangible property claims include medical records, genetic profiles, and gene enhancement techniques. Coupled with a right to privacy these intangible property rights allow individuals a zone of control that will, in most cases, justifiably exclude governmental or societal invasions into private domains. I argue that the threshold for overriding privacy rights and intangible property rights is higher, in relation to genetic enhancement techniques and sensitive personal information, than is commonly suggested. Once the bar is raised, so-to-speak, the burden of overriding it is formidable. Thus many policy decisions that have been recently proposed or enacted--citywide audio and video surveillance, law enforcement DNA sweeps, genetic profiling, national bans on genetic testing and enhancement of humans, to name a few--will have to be backed by very strong arguments.

ROW (Right-of-Way) interfering construction activities management program

Energy Technology Data Exchange (ETDEWEB)

Rosito, Roberta; Oliveira, Marisa; Lima, Shirley [TRANSPETRO - PETROBRAS Transporte S.A., Rio de Janeiro, RJ (Brazil)

2009-07-01

A significant portion of pipeline failures occurs due to external damage. This includes third party right of way (ROW) encroachment, which shall be identified and avoided. However, injuries caused by known and planned activities do happen. Construction of crossing or sharing ROW pipelines, crossing roads and bridges, neighboring buildings and excavations of any kind might put existing pipelines in risk. This paper presents how the TRANSPETRO ROW Interfering Construction Activities Management Program is implemented by a regional ROW maintenance department responsible for more than 3,000 km of pipelines, mostly in Rio de Janeiro and Minas Gerais states. This program is based on a TRANSPETRO procedure that was written after the publication of the Official Order number 125 of ANP (Oil, Gas and Biofuel Brazilian National Agency). Tasks from design review and approval to field construction supervision are performed by the staff responsible for the routine patrols and maintenance management. The ability of foreseeing risky activities is improved by expertise gained from day-to-day work on site. (author)

Choosing the right system to manage electricity derivatives

International Nuclear Information System (INIS)

Vasey, G.

1998-01-01

The alternatives available and the considerations entering into the choice of the right system to manage electricity derivatives are reviewed. The choice of system will be influenced by a variety of factors, among them : (1) business issues, (2) business processes, (3) functionality, (4) technology, (5) integration into the enterprise, and (6) internal and external competition. The system chosen will need to be integrated into the enterprise. Beyond that,it will need executive commitment, dedicated internal resources, qualified assistance from the vendor, willingness to revisit the business processes and make changes when needed, and training and more training. Some factors to take into account when choosing a system vendor are also discussed. Among these good fit to business, system performance, flexibility, reliability, and customization capacity are the most important

Usefulness of the 'Rendezvous' Technique in Living Related Right Liver Donors with Postoperative Biliary Leakage from Bile Duct Anastomosis

International Nuclear Information System (INIS)

Miraglia, R.; Traina, M.; Maruzzelli, L.; Caruso, S.; Di Pisa, M.; Gruttadauria, S.; Luca, A.; Gridelli, B.

2008-01-01

This is a report on two cases of large bile leak following right hepatectomy performed for living related liver transplantation, originating from the stump of the ligated right bile duct, and treated with the placement of large percutaneous biliary catheters through a combined percutaneous transhepatic and endoscopic approach (rendezvous technique).

Skin carcinomas: radiobiological principles, radiotherapeutic techniques and clinical management

International Nuclear Information System (INIS)

Schmidt-Ullrich, Rupert K. A.; Johnson, Christopher R.

1995-01-01

Purpose/Objective: The course will be divided into three major topics: (1) Review of radiobiological principles as they apply to the radiotherapeutic management of skin carcinomas; (2) review of radiotherapeutic techniques including beam qualities, beam collimation, tissue dose profiles, and the relative indications of external beam irradiation vs. brachytherapy; (3) comprehensive review of the tumor biology of skin malignancies, including malignant melanoma, and of the relative indications for radiotherapeutic and/or surgical management. (1) Review of critical data which have lead to currently applied principles of time-dose-volume concepts in the radiotherapeutic management of skin carcinomas. Emphasis will be placed on the relative importance of fraction size and overall treatment time on tumor control probability and acute and late normal tissue toxicity. (2) Considering that radiotherapy in the management of skin carcinomas is often used to minimize patient disfiguration and to preserve critical body functions (e.g. eye lids) the technical aspects of radiotherapy delivery are most critical. Careful evaluation of the extent of the lesions including evaluation of their depth of invasion will determine the quality of the radiation beams, orthovoltage and low energy electrons being the most useful. Beam harding for orthovoltage beams and secondary and tertiary (skin) collimation of appropriate electron beams are critical. For more extensive and deeply invasive lesions contour-shaping through customized bolus material is essential. Equally important is the familiarity with custom shielding of critical structures, such as eyes, ears, oral cavity and central nervous system structures. Brachytherapy applications in the treatment of skin carcinomas is limited but should be considered when implants with high dose uniformity can be constructed. (3) The discussion of clinical management will start with a discussion of tumor biological properties of the diverse malignant

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.…

Management of excessive movable tissue: a modified impression technique.

Science.gov (United States)

Shum, Michael H C; Pow, Edmond H N

2014-08-01

Excessive movable tissue is a challenge in complete denture prosthetics. A modified impression technique is presented with polyvinyl siloxane impression material and a custom tray with relief areas and perforations in the area of the excessive movable tissue. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Identifying and prioritizing the tools/techniques of knowledge management based on the Asian Productivity Organization Model (APO) to use in hospitals.

Science.gov (United States)

Khajouei, Hamid; Khajouei, Reza

2017-12-01

Appropriate knowledge, correct information, and relevant data are vital in medical diagnosis and treatment systems. Knowledge Management (KM) through its tools/techniques provides a pertinent framework for decision-making in healthcare systems. The objective of this study was to identify and prioritize the KM tools/techniques that apply to hospital setting. This is a descriptive-survey study. Data were collected using a -researcher-made questionnaire that was developed based on experts' opinions to select the appropriate tools/techniques from 26 tools/techniques of the Asian Productivity Organization (APO) model. Questions were categorized into five steps of KM (identifying, creating, storing, sharing, and applying the knowledge) according to this model. The study population consisted of middle and senior managers of hospitals and managing directors of Vice-Chancellor for Curative Affairs in Kerman University of Medical Sciences in Kerman, Iran. The data were analyzed in SPSS v.19 using one-sample t-test. Twelve out of 26 tools/techniques of the APO model were identified as the tools applicable in hospitals. "Knowledge café" and "APO knowledge management assessment tool" with respective means of 4.23 and 3.7 were the most and the least applicable tools in the knowledge identification step. "Mentor-mentee scheme", as well as "voice and Voice over Internet Protocol (VOIP)" with respective means of 4.20 and 3.52 were the most and the least applicable tools/techniques in the knowledge creation step. "Knowledge café" and "voice and VOIP" with respective means of 3.85 and 3.42 were the most and the least applicable tools/techniques in the knowledge storage step. "Peer assist and 'voice and VOIP' with respective means of 4.14 and 3.38 were the most and the least applicable tools/techniques in the knowledge sharing step. Finally, "knowledge worker competency plan" and "knowledge portal" with respective means of 4.38 and 3.85 were the most and the least applicable tools/techniques

Empirical Analysis on Transfer and Limitation of Land Contractual Management Right

Institute of Scientific and Technical Information of China (English)

Xiuqing; ZOU

2013-01-01

Existing laws have three limitations on transfer of land contractual management right. The survey of 506 farmer households in Zhejiang,Jiangxi and Guangxi provinces indicates that most farmers have the consistent knowledge of limitation on " transfer being approved by the party giving out the contract in advance" with legislative requirements,but it is not effectively implemented in actual operation. As to limitation on transferee,no matter in cognition of farmers,or in real transfer process,the transferee is not totally limited to farmers engaged in agricultural production and management. For the constraint that the transferor should have stable non-agricultural occupation or stable income source, most farmers agree,but more than half of the farmers have not confirmed the transfer action in practice.

Post-traumatic stress disorder managed successfully with hypnosis and the rewind technique: two cases in obstetric patients.

Science.gov (United States)

Slater, P M

2015-08-01

Two obstetric patients presenting with post-traumatic stress disorder in the antenatal period are discussed. The first patient had previously had an unexpected stillborn delivered by emergency caesarean section under general anaesthesia. She developed post-traumatic stress disorder and presented for repeat caesarean section in her subsequent pregnancy, suffering flashbacks and severe anxiety. Following antenatal preparation with hypnosis and a psychological method called the rewind technique, she had a repeat caesarean section under spinal anaesthesia, successfully managing her anxiety. The second patient suffered post-traumatic stress disorder symptoms after developing puerperal psychosis during the birth of her first child. Before the birth of her second child, she was taught self-hypnosis, which she used during labour in which she had an uneventful water birth. These cases illustrate the potential value of hypnosis and alternative psychological approaches in managing women with severe antenatal anxiety. Copyright © 2015 Elsevier Ltd. All rights reserved.

The Application of Isotope Techniques in Nutrient Assessment and Management in Riverine Systems. Present and Future

Energy Technology Data Exchange (ETDEWEB)

Ito, M.; Newman, B. D. [International Atomic Energy Agency, Isotope Hydrology Section, Vienna (Austria); Hadwen, W. L. [Australian Rivers Institute, Griffith School of Environment, Griffith University - Nathan Campus, Brisbane, Queensland (Australia); Rogers, K. [National Isotope Center, GNS Science, Lower Hutt (New Zealand); Mayer, B. [Department of Geoscience, University of Calgary, Calgary, Alberta (Canada); Hein, T. [Wasser Cluster Lunz, Interuniversitary Center for Aquatic Research, Lunz-See, and University of Natural Resources and Applied Life Sciences, Institute of Hydrobiology and Aquatic Ecosystem Management, Vienna (Austria); Stellato, L. [Centre for Isotopic Research on Cultural and Environmental Heritage (CIRCE), Seconda Universita degli Studi di Napoli, Caserta (Italy); Ohte, N. [Graduate School of Agricultural and Life Sciences, University of Tokyo, Tokyo (Japan); Mclaughlin, K. [Southern California Coastal Water Research Project, Costa Mesa, California (United States)

2013-05-15

A variety of sources contribute to nutrients in rivers and nutrients may subsequently take various pathways and undergo different transformation processes. We first review representative types of isotopes and the roles of isotope techniques that have been or could be used for nutrient assessment and management. We then present technical, financial and logistical matters to be considered in selecting appropriate isotope techniques for nutrient assessment and management. Lastly we propose several approaches on the application of isotope techniques to make more effective the studies and management of nutrients in rivers in the near future. (author)

Asset management techniques for transformers

International Nuclear Information System (INIS)

Abu-Elanien, Ahmed E.B.; Salama, M.M.A.

2010-01-01

In a deregulated/reformed environment, the electric utilities are under constant pressure for reducing operating costs, enhancing the reliability of transmission and distribution equipments, and improving quality of power and services to the customer. Moreover, the risk involved in running the system without proper attention to assets integrity in service is quite high. Additionally, the probability of losing any equipment vital to the transmission and distribution system, such as power and distribution transformers, is increasing especially with the aging of power system's assets. Today the focus of operating the power system is changed and efforts are being directed to explore new approaches/techniques of monitoring, diagnosis, condition evaluation, maintenance, life assessment, and possibility of extending the life of existing assets. In this paper, a comprehensive illustration of the transformer asset management activities is presented. The importance of each activity together with the latest researches done in the area is highlighted. (author)

Management techniques that keep outages on schedule

International Nuclear Information System (INIS)

Taylor, R.B.

1987-01-01

During the immature operation of the Pickering Units 5 through 8, significant numbers of outages have been required to deal with warranty inspections and equipment problems. Techniques have been developed to ensure that outages are properly planned and managed so that outage time is minimized, overtime is minimized, and capacity factor is maximized, while ensuring that personnel safety is not compromised. Successful outage planning and execution requires the commitment of many on-station and off-station resources groups. Coordination of all of these groups is required both before and during the outage to ensure outage time is not lost due to unavailability of men or equipment at the time they are required. This paper details the control processes that must be used prior to, during, and after an outage to ensure that time is not lost unnecessarily during outages. Successful outage management at Pickering Nuclear Generating Station can be subdivided into three stages; preoutage planning, outage execution, and postoutage review

Imaging techniques in the management of chronic kidney disease: current developments and future perspectives.

Science.gov (United States)

Herget-Rosenthal, Stefan

2011-05-01

The measurement of both renal function and structure is critical in clinical nephrology to detect, stage, and monitor chronic kidney disease (CKD). Current imaging modalities especially ultrasound (US), computed tomography, and magnetic resonance imaging (MRI) provide adequate information on structural changes but little on functional impairment in CKD. Although not yet considered first-line procedures for evaluating patients with renal disease, new US and MR imaging techniques may permit the assessment of renal function in the near future. Combined with established imaging techniques, contrast-enhanced US, dynamic contrast-enhanced MRI, blood oxygen level dependency MRI, or diffusion-weighted imaging may provide rapid, accurate, simultaneous, and noninvasive imaging of the structure of kidneys, macrovascular and microvascular renal perfusion, oxygenation, and glomerular filtration rate. Recent developments in molecular imaging indicate that pathophysiological pathways of renal diseases such as apoptosis, coagulation, fibrosis, and ischemia will be visualized at the tissue level. These major advances in imaging and developments in hardware and software could enable comprehensive imaging of renal structure and function in four dimensions (three dimensions plus time), and imaging is expected to play an increasing role in the management of CKD. Copyright © 2011 Elsevier Inc. All rights reserved.

Applying BI Techniques To Improve Decision Making And Provide Knowledge Based Management

Directory of Open Access Journals (Sweden)

Alexandra Maria Ioana FLOREA

2015-07-01

Full Text Available The paper focuses on BI techniques and especially data mining algorithms that can support and improve the decision making process, with applications within the financial sector. We consider the data mining techniques to be more efficient and thus we applied several techniques, supervised and unsupervised learning algorithms The case study in which these algorithms have been implemented regards the activity of a banking institution, with focus on the management of lending activities.

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement.

Science.gov (United States)

Tavakoli, Reza; Leprince, Pascal; Gassmann, Max; Jamshidi, Peiman; Yamani, Nassrin; Amour, Julien; Lebreton, Guillaume

2018-03-26

Aortic valve stenosis has become the most prevalent valvular heart disease in developed countries, and is due to the aging of these populations. The incidence of the pathology increases with growing age after 65 years. Conventional surgical aortic valve replacement through median sternotomy has been the gold standard of patient care for symptomatic aortic valve stenosis. However, as the risk profile of patients worsens, other therapeutic strategies have been introduced in an attempt to maintain the excellent results obtained by the established surgical treatment. One of these approaches is represented by transcatheter aortic valve implantation. Although the outcomes of high-risk patients undergoing treatment for symptomatic aortic valve stenosis have improved with transcatheter aortic valve replacement, many patients with this condition remain candidates for surgical aortic valve replacement. In order to reduce the surgical trauma in patients who are candidates for surgical aortic valve replacement, minimally invasive approaches have garnered interest during the past decade. Since the introduction of right anterior thoracotomy for aortic valve replacement in 1993, right anterior mini-thoracotomy and upper hemi-sternotomy have become the predominant incisional approaches among cardiac surgeons performing minimal access aortic valve replacement. Beside the location of the incision, the arterial cannulation site represents the second major landmark of minimal access techniques for aortic valve replacement. The two most frequently used arterial cannulation sites include central aortic and peripheral femoral approaches. With the purpose of reducing surgical trauma in these patients, we have opted for a right anterior mini-thoracotomy approach with a central aortic cannulation site. This protocol describes in detail a technique for minimally invasive aortic valve replacement and provides recommendations for patient selection criteria, including cardiac computer

Managing water resources in Malaysia: the use of isotope technique and its potential

International Nuclear Information System (INIS)

Keizrul Abdullah

2006-01-01

This keynote address discusses the following subjects; state of Malaysia water resources, water related problem i.e floods, water shortage (droughts), water quality, river sedimentation, water resources management and the ongoing and potential application of isotope techniques in river management

Radiation treatment for the right naris in a pediatric anesthesia patient using an adaptive oral airway technique

Energy Technology Data Exchange (ETDEWEB)

Sponseller, Patricia, E-mail: sponselp@uw.edu; Pelly, Nicole; Trister, Andrew; Ford, Eric; Ermoian, Ralph

2015-10-01

Radiation therapy for pediatric patients often includes the use of intravenous anesthesia with supplemental oxygen delivered via the nasal cannula. Here, we describe the use of an adaptive anesthesia technique for electron irradiation of the right naris in a preschool-aged patient treated under anesthesia. The need for an intranasal bolus plug precluded the use of standard oxygen supplementation. This novel technique required the multidisciplinary expertise of anesthesiologists, radiation therapists, medical dosimetrists, medical physicists, and radiation oncologists to ensure a safe and reproducible treatment course.

Radiation treatment for the right naris in a pediatric anesthesia patient using an adaptive oral airway technique

International Nuclear Information System (INIS)

Sponseller, Patricia; Pelly, Nicole; Trister, Andrew; Ford, Eric; Ermoian, Ralph

2015-01-01

Radiation therapy for pediatric patients often includes the use of intravenous anesthesia with supplemental oxygen delivered via the nasal cannula. Here, we describe the use of an adaptive anesthesia technique for electron irradiation of the right naris in a preschool-aged patient treated under anesthesia. The need for an intranasal bolus plug precluded the use of standard oxygen supplementation. This novel technique required the multidisciplinary expertise of anesthesiologists, radiation therapists, medical dosimetrists, medical physicists, and radiation oncologists to ensure a safe and reproducible treatment course

Management of the flabby ridge using a modified window technique and polyvinylsiloxane impression material

Directory of Open Access Journals (Sweden)

Nawaf Labban

2018-01-01

Full Text Available Flabby ridge is a common clinical finding affecting the alveolar ridges of the mandibular or maxillary arches. The anterior region of maxilla is the most affected area in edentulous patients. Dentures on flabby ridges have compromised stability, support, and retention unless adequate measures for its management are employed. Methods applied for flabby ridge management, include surgical removal and augmentation, special impression techniques, balanced distribution of occlusal loads and implant therapy. Special impressions often involve window technique for static impression of flabby area, which present multiple challenges. The purpose of this technique report is to present a modified window technique for the impression of anterior maxillary flabby tissues for improved and controlled application of polyvinylsiloxane impression material that are routinely available in dental practice.

Management accounting techniques and corporate performance of manufacturing industries

Directory of Open Access Journals (Sweden)

Ardiansyah Rasyid

2017-03-01

Full Text Available This research is to investigate that some factors that affect the new adoption in management accounting techniques on the Indonesia manufacturing industries, specifically in Jakarta, Bogor, Depok, Tangerang and Bekasi regions. The research can give a clearer portrait of how some factors can significantly affect the adoption of management accounting techniques. The research used some questioners which were sent to respondents who work in manufacturing industries as a middle level management. The methods used to distribute the questioners to respondents were by door to door, by e-mail and by media telecommunication (what’s app or close relationship up to hundreds questioners. We obtained 45 respondents but we eliminated one respondent, because they are not suitable to the research requirements. The research model contains the two paths. The first path contains 7 variables that divided by six exogenous variables to affect one endogenous variable and the next path model is from the three variables, that are divided to the one mediating variable and the other one exogenous variables to affect one endogenous variable (like path modelling. The research result shows that high competition does not affect the new accounting adoption but the other five variables; cost system changing, technology changes, organization climate, consumer demand and size significantly affect the new accounting adoption. For the next path, the research finds that the new accounting adoption can significantly affect corporate performance and also corporate performance measurement perception.

Moisture Management in an Active Sportswear: Techniques and Evaluation—A Review Article

Science.gov (United States)

Senthilkumar, Mani; Sampath, M. B.; Ramachandran, T.

2012-10-01

Moisture management property is an important aspect of any fabric meant for active sportswear, which decides the comfort level of that fabric. Every human being sweats during different kinds of activities. An important feature of any fabric is how it transports this water out of the body, so as to make the wearer feel comfortable. This paper reports the concept of moisture management, various production techniques and evaluation of the moisture management characteristics on fabrics for active sportswear.

A review of behaviour change theories and techniques used in group based self-management programmes for chronic low back pain and arthritis.

Science.gov (United States)

Keogh, Alison; Tully, Mark A; Matthews, James; Hurley, Deirdre A

2015-12-01

Medical Research Council (MRC) guidelines recommend applying theory within complex interventions to explain how behaviour change occurs. Guidelines endorse self-management of chronic low back pain (CLBP) and osteoarthritis (OA), but evidence for its effectiveness is weak. This literature review aimed to determine the use of behaviour change theory and techniques within randomised controlled trials of group-based self-management programmes for chronic musculoskeletal pain, specifically CLBP and OA. A two-phase search strategy of electronic databases was used to identify systematic reviews and studies relevant to this area. Articles were coded for their use of behaviour change theory, and the number of behaviour change techniques (BCTs) was identified using a 93-item taxonomy, Taxonomy (v1). 25 articles of 22 studies met the inclusion criteria, of which only three reported having based their intervention on theory, and all used Social Cognitive Theory. A total of 33 BCTs were coded across all articles with the most commonly identified techniques being 'instruction on how to perform the behaviour', 'demonstration of the behaviour', 'behavioural practice', 'credible source', 'graded tasks' and 'body changes'. Results demonstrate that theoretically driven research within group based self-management programmes for chronic musculoskeletal pain is lacking, or is poorly reported. Future research that follows recommended guidelines regarding the use of theory in study design and reporting is warranted. Copyright © 2015 Elsevier Ltd. All rights reserved.

Risk Management in Csr Unit of Shams Hospital Using FMEA Technique -Tabriz

Directory of Open Access Journals (Sweden)

Mohammad Saadati

2015-08-01

Full Text Available Background and Objectives : Since one of the effective ways to prevent infections is the proper sterilization of instruments, CSR is one of the most important units in hospitals. Thus, risk management has a high priority in CSR. The aim of this study was to identify and prevent potential risks in CSR unit in Shams Hospital using FMEA technique. Material and Methods : This is a descriptive and interventional study. Using FMEA technique, potential risks were identified. Risks were prioritized and corrective interventions were implemented to reduce risks. Results : The current study identified 69 risks that 10 risks were marked as high priority. Corrective activities were suggested by risk management teams which were applied. Conclusion : The results showed that flaws in safety policies, equipment and physical conditions were the most important risk factors. Implementing risk management plan and clear safety policies could be useful. ​

A Rationale and Bibliography for Classroom Management and Intervention Techniques.

Science.gov (United States)

Karr-Kidwell, PJ

This 51-item bibliography offers a selection of writings on issues and problems related to classroom management and discipline. Most citations concern works written between 1972-1983. Intervention techniques in dealing with deviant behavior are highlighted along with discipline and control in the classroom. Articles on methods of behavior…

Comparison of TEAR and TFRC throughput for Drop tail and RED Queue Management Techniques

Directory of Open Access Journals (Sweden)

Parminderjeet Singh

2014-12-01

Full Text Available The comparison of throughput for TEAR (TCP emulation at receivers and TFRC TCP friendly rate control in MANETs is done with varying Active queue Management Techniques. The analysis reveals that for bandwidth constraint links, TEAR and TFRC perform far better than normal traffic propagation through TCP. In case of TEAR, the processing and route congestion algorithm load is shared by the receiver resulting in lesser load at the transmitters. In TFRC the TCP traffic is propagated via an algorithm to curb acknowledgement congestions. The effect of these two techniques is monitored on Droptail and RED, two of the most common Active Queue Management Techniques.

Hands on versus remote techniques in waste management and decommissioning

International Nuclear Information System (INIS)

Asquith, J.D.

1994-01-01

The nuclear industry has many requirements for planned and uplanned physical interactions with radioactive materials or their environment. In each case a choice must be made as to whether the interaction should be made directly by the operator using a 'hands on' technique, wearing any necessary protective clothing, or by entirely remote techniques. In facilities where remote handling equipment has already been provided and planned for, remote techniques are usually the obvious choice. However in radioactive waste management and decommissioning there are many cases where unexpected requirements emerge, often for relatively short term activities, where the choice is more complex. This paper takes a look at the various factors which should be considered in order to make these decisions, an overview of the types of remote equipment available in the UK and some examples of the benefits which have resulted when remote techniques have been adopted in Britain

A site specific approach to life cycle managment of labour rights issues

DEFF Research Database (Denmark)

Dreyer, Louise Camilla

not beyond dismissing suppliers and sub-contractors located in high risk environments. Balancing feasibility on one hand and reliability and relevance of results on the other hand is the challenge for a Social LCA method supporting life cycle management. This presentation offers a toolbox for prioritisation...... issues in the product chain through dialogue and partnership. The presented work is based on 5 years of research and practical CSR work in a globally operating Danish Corporation.......It can be observed from companies’ public sustainability commitments and increasing participation in voluntary social responsibility or accountability initiatives like Global Compact and ISO26000 or certification schemes like SA8000 that management of labour rights issues in the product chain...

Using Powerpoint Animations to Teach Operations Management Techniques and Concepts

Science.gov (United States)

Treleven, Mark D.; Penlesky, Richard J.; Callarman, Thomas E.; Watts, Charles A.; Bragg, Daniel J.

2014-01-01

This article examines the value of using complex animated PowerPoint presentations to teach operations management techniques and concepts. To provide context, literature covering the use of PowerPoint animations in business education is briefly reviewed. The specific animations employed in this study are identified and their expected benefits to…

Determination of left and right ventricular ejection and filling by fast cine MR imaging in the breath-hold technique in healthy subjects

International Nuclear Information System (INIS)

Rominger, M.B.; Bachmann, G.F.; Geuer, M.; Puzik, M.; Rau, W.S.; Pabst, W.

1999-01-01

Purpose: Evaluation and comparison of localized and global left and right ventricular ejection and filling with fast cine MR imaging in the breath-hold technique. Materials and Methods: 10 healthy volunteers were examined with a 1.5 Tesla unit and phased-array-coil using a segmented FLASH-2D sequence in breath-hold technique. Peak ejection and peak filling rates [PER, PFR enddiastolic volume (EDV)/s], time to PER and PFR [TPER, TPFR ms] and time of endsystole [TSYS in % RR-intervall] of all slices (complete-slice-evaluation) were evaluated and compared to three left ventricular and one right ventricular slices (reduced three-slice-evaluation). Results: There were significant regional left ventricular differences of PER (p=0.002) and PFR (p=0.007), but not of TPER and TPFR. Ejection and filling indices of the left ventricular middle slice were closest to the overall evaluation of all sections. In the left-/right-side comparison the right ventricular PFR was higher than the left ventricular (5.1 and 4.2 EDV/s) and the right ventricular TPFR was earlier than the left (92.2 and 123.5 ms). Conclusions: With fast cine techniques, regional and global left and right ventricular ejection and filling indices can be evaluated in addition to the global heart volume indices. The three-slice-evaluation represents a comprehensive, clear and time-saving method for daily routine. (orig.) [de

Outcome of 7-S, TQM technique for health care waste management

International Nuclear Information System (INIS)

Ullah, J.H.; Malik, J.I.

2011-01-01

To assess the present waste management system of health care facilities (HCFs) attached with Shalamar Hospital, Lahore by applying the 7-S technique of Total Quality Management (TQM) and to find out the outcome after imparting training. Study Design: Interventional quasi-experimental study. Place and Duration of Study: The Shalamar Hospital, Lahore, Punjab, Pakistan, November, 2009 to November, 2010. Methodology: Mckinsey's 7-S, technique of TQM was applied to assess the 220 HCFs from Lahore, Gujranwala and Sheikhupura districts for segregation, collection, transportation and disposal (SCTD) of hospital waste. Direct interview method was applied. Trainings were provided in each institution. After one year action period, the status of four areas of concern was compared before and after training. The parameters studied were segregation, collection, transportation and disposal systems in the 220 HCFs. Each of these were further elaborated by strategy, structure, system, staff, skill, style and stake holder/shared value factors. Standard error of difference of proportion was applied to assess significance using 95% confidence level. Results: There was marked improvement in all these areas ranging from 20% to 77% following a training program of 3 months. In case of disposal of the waste strategy, structure and system an increase of 60%, 65% and 75% was observed after training. Conclusion: The 7-S technique played a vital role in assessing the hospital waste management system. Training for the health care workers played a significant role in health care facilities. (author)

THE RESALE RIGHT

Directory of Open Access Journals (Sweden)

Ana-Maria MARINESCU

2017-05-01

Full Text Available The article analyses one of the most important rights of the authors of original works of art namely: the resale right. It will be analyzed the subject matter of the resale right, the works of art to which the resale right relates, the rates applicable to the resale right, the persons entitled to receive royalties, the term of protection of the resale right, third-country nationals entitled to receive royalties and the right to obtain information. Also, the article will refer to the EU Directive in the field: Directive 2001/84/EC of the European Parliament and of the Council of 27 September 2001 on the resale right for the benefit of the author of an original work of art. It will be the subject of the article, also, the European Court of Justice jurisprudence related to the resale right, for example the judgment in the case C-518/08 (VEGAP vs. ADAGP, underlying that, in the light of the objectives pursued by Directive 2001/84, Member States may make their own legislative choice in determining the categories of persons capable of benefiting from the resale right after the death of the author of a work of art. One of parts of the article, will analyses the collective management for the resale right, especially: the terms of the collective management, forms of the collective management and examples. For all the above mentioned reasons, the article will refer to the main aspects of the resale right in a comprehensive manner and will analyses in a scientifically manner this very important right of the authors of original works of art.

Forest rights

DEFF Research Database (Denmark)

Balooni, Kulbhushan; Lund, Jens Friis

2014-01-01

One of the proposed strategies for implementation of reducing emissions from deforestation and forest degradation plus (REDD+) is to incentivize conservation of forests managed by communities under decentralized forest management. Yet, we argue that this is a challenging road to REDD+ because...... conservation of forests under existing decentralized management arrangements toward a push for extending the coverage of forests under decentralized management, making forest rights the hard currency of REDD+....

A Soft Casting Technique for Managing Pediatric Hand and Foot Burns.

Science.gov (United States)

Choi, Young Mee; Nederveld, Cindy; Campbell, Kristen; Moulton, Steven

2018-04-04

Hand and foot burns in children are difficult to dress. The authors have developed a soft casting technique to manage burns to these areas. The aim of this study is to report the outcomes using weekly dressing changes with a soft casting technique to manage pediatric hand and foot burns in the outpatient setting. A retrospective chart review was performed on children with burns to the hands or feet, who underwent dressing changes with a soft casting technique at the Children's Hospital Colorado Burn Center. Soft casting was performed by placing antibiotic ointment-impregnated nonadherent gauze over the burn wound(s), wrapping the extremity using rolled gauze, applying soft cast pad, plaster, soft cast tape, and an elastic bandage. This was changed weekly. Two hundred ninety-eight children with hand burns had a mean age of 16.8 ± 2 months. Two hundred forty-eight children had partial thickness burn injuries (83%), 50 had full thickness burn injuries (17%), and the mean total body surface area (TBSA) was 1 ± 2.4%. The mean time to heal was 10.1 ± 1.7 days for all subjects. Sixty-six children with foot burns were identified with a mean age of 24 ± 2.6 months. Forty-six children had partial thickness injuries (70%), 20 had full thickness burn injuries (30%), and the mean TBSA was 2.3 ± 2.9%. The mean time to heal was 14.1 ± 2.2 days for all subjects. Weekly dressing changes using a soft casting technique are effective for the outpatient management of pediatric hand and foot burns. This method avoids costly inpatient hospital care, reduces the number of painful dressing changes, and allows children to heal in their own environment.

Application of nuclear techniques in improving agricultural productivity with particular reference to pasture management

International Nuclear Information System (INIS)

Majid Ajorlo; Ramdzani Abdullah

2009-01-01

Nuclear techniques are appropriate tools to settle problems for agriculture or natural resources which cannot be solved using conventional agricultural techniques. In this paper, the research activities carried out and the achievements so far obtained in the agricultural specialties -all by using nuclear techniques- with particular reference to pasture management are discussed. Insect pest control by Sterile Insect Techniques (SIT); soil and water management using neutron moisture probes; determining N-fixation capacity of legumes using N-15 isotope and nuclear methods; soil erosion measurement using of fallout radionuclide such as Cs-137; monitoring the movement of saline water in salt-affected land using isotopes of chlorine; livestock production and health by RIA and ELISA are some of achievements so far obtained in improving agricultural productivity. The ultimate goal of the nuclear technique investigation in agriculture is to use the resources efficiently in obtaining higher plant and livestock yields while increasing the quality and protecting them against insects, diseases and weeds. (Author)

Case study: Proposed application of project management techniques for construction of nuclear power plant in Malaysia

International Nuclear Information System (INIS)

Syahirah Abdul Rahman; Phongsakorn Prak Tom; Wan Abd Hadi Wan Abu Bakar; Shaharum Ramli

2010-01-01

This study discusses the techniques of project management for the construction of nuclear power plants that can be used in Malaysia. Nuclear power reactors are expected to apply is the categories of Gen III + reactor where it is safer and more modern than the first generation of reactors built in the 1970s. The objective of this study is that the construction of this reactor to be completed by the stipulated time and not exceed the cost estimates. In addition, project management is also able to meet all the specifications and achieve the quality standard. In this study, the techniques used in project management to ensure the success of construction projects of nuclear power plants are a Gantt Chart, CPM/ PERT and Microsoft Project. From the study, found that these techniques can assist in facilitating the management of the project for the construction of nuclear power plants to ensure that the estimated time and cost can be managed more effectively as well as quality of care. (author)

48 CFR 970.5227-10 - Patent rights-management and operating contracts, nonprofit organization or small business firm...

Science.gov (United States)

2010-10-01

... exceptional circumstance subject inventions. (3) Treaties and international agreements. Any rights acquired by..., or public use. The Contractor will file patent applications in additional countries or international... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Patent rights-management...

Working Environment and Software Configuration Management Assimiliation using Traceability Enhancement Technique

International Nuclear Information System (INIS)

Iqbal, H.; Javed, A.; Majeed, M. N.

2015-01-01

Software Configuration Management (SCM) Systems are very useful in coordinating group effort in large and complex software systems. As a result of change in user requirement, market needs, tools, technology or new business goals emanate out, changes are continuously induced while developing the software product. For change management, Traceability technique and SCM are two prominent practices in the software development process. SCM helps in managing configuration items while traceability helps in tracing the knowledge about the configuration items. In this paper we propose a model of the SCM system with the working environment when changes are introduced in multiple artifacts and by which high quality products are developed. (author)

Improvement of ground water management and protection through the use of isotope and Nuclear Techniques

International Nuclear Information System (INIS)

El Samad, O.

2009-01-01

To establish nuclear techniques for the study and management of water resources including technology transfer; to develop a national strategy for the use of isotope techniques in water management and development studies; to develop a water mangement framework; to solve problems related to water shortage, overexploitation, management and rapid quality deterioration; to evaluate the sources, recharge rates and renewal of ground water reservoires; to resolve the problems of mixed aquifers, the quantity of mixing and the exchange reactions between groundwater reservoirs and their matrix; to strengthen the role of the CNRS within national instituions and water authorities. (author)

Auctionable fixed transmission rights for congestion management

Science.gov (United States)

Alomoush, Muwaffaq Irsheid

the transaction by the ISO, take a decision to expand the existing system, or retain the original structure of the system. Also, the thesis investigates the impact of wheeling transactions on congestion management, where we present a generalized mathematical model for the Fixed Transmission Right (FTR) auction. The auction guarantees FTR availability to all participants on a non-discriminatory basis, in which system users are permitted to buy, sell and trade FTRs through an auction. When FTRs are utilized with LMPs, they increase the efficient use of the transmission system and let a transmission customer gain advantageous features such as acquiring a mechanism to offset the extra cost due to congestion charges, providing financial and operational certainty and making system users pay for the actual use of the congested paths. The thesis also highlighted FTR trading in secondary markets to self-arrange access across different paths, create long-term transmission rights and provide more commercial certainty.

Left and right-hand guitar playing techniques detection

OpenAIRE

Reboursière, Loïc; Lähdeoja, Otso; Drugman, Thomas; Dupont, Stéphane; Picard-Limpens, Cécile; Riche, Nicolas

2012-01-01

In this paper we present a series of algorithms developed to detect the following guitar playing techniques : bend, hammer-on, pull-off, slide, palm muting and harmonic. Detection of playing techniques can be used to control exter-nal content (i.e audio loops and effects, videos, light events, etc.), as well as to write real-time score or to assist guitar novices in their learning process. The guitar used is a Godin Multiac with an under-saddle RMC hexaphonic piezo pickup (one pickup per stri...

Management of odontogenic cysts by endonasal endoscopic techniques: A systematic review and case series.

Science.gov (United States)

Marino, Michael J; Luong, Amber; Yao, William C; Citardi, Martin J

2018-01-01

Odontogenic cysts and tumors of the maxilla may be amendable to management by endonasal endoscopic techniques, which may reduce the morbidity associated with open procedures and avoid difficult reconstruction. To perform a systematic review that evaluates the feasibility and outcomes of endoscopic techniques in the management of different odontogenic cysts. A case series of our experience with these minimally invasive techniques was assembled for insight into the technical aspects of these procedures. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses was used to identify English-language studies that reported the use of endoscopic techniques in the management of odontogenic cysts. Several medical literature data bases were searched for all occurrences in the title or abstract of the terms "odontogenic" and "endoscopic" between January 1, 1950, and October 1, 2016. Publications were evaluated for the technique used, histopathology, complications, recurrences, and the follow-up period. A case series of patients who presented to a tertiary rhinology clinic and who underwent treatment of odontogenic cysts by an endoscopic technique was included. A systematic review identified 16 case reports or series that described the use of endoscopic techniques for the treatment of odontogenic cysts, including 45 total patients. Histopathologies encountered were radicular (n = 16) and dentigerous cysts (n = 10), and keratocystic odontogenic tumor (n = 12). There were no reported recurrences or major complications for a mean follow-up of 29 months. A case series of patients in our institution identified seven patients without recurrence for a mean follow-up of 10 months. Endonasal endoscopic treatment of various odontogenic cysts are described in the literature and are associated with effective treatment of these lesions for an average follow-up period of >2 years. These techniques have the potential to reduce morbidity associated with the resection of these

Gynecomastia: evolving paradigm of management and comparison of techniques.

Science.gov (United States)

Petty, Paul M; Solomon, Matthias; Buchel, Edward W; Tran, Nho V

2010-05-01

Since 1997, the authors have used a minimally invasive technique for the management of gynecomastia using ultrasound-assisted liposuction and the arthroscopic shaver to remove breast tissue through a remote incision. This technique has allowed for a consistent, refined, "unoperated" postoperative appearance in this patient population. This study analyzes the outcomes of this procedure and compares the procedure against established techniques. A retrospective study was performed on all patients who underwent surgery for gynecomastia at the authors' institution between January of 1988 and October of 2007. A total of 227 patients were divided into four groups: group 1, open excision only (n = 45); group 2, open excision plus liposuction (n = 56); group 3, liposuction only (n = 50); and group 4, liposuction plus arthroscopic shaver (n = 76). Medical records and photographs were used to compare groups for complications and results. Complications using the liposuction plus arthroscopic shaver technique included seroma (n = 2), hematoma (n = 1), scar revision (n = 1), and skin buttonhole from the arthroscopic shaver (n = 1). There was no difference between groups in the overall incidence of complications (p liposuction plus arthroscopic shaver) had the overall highest mean score, with statistical significance between group 2 (open excision plus liposuction) and group 4 (p gynecomastia is a safe and effective technique, with excellent cosmetic results and an acceptable complication rate.

Problem-solving and developing quality management methods and techniques on the example of automotive industry

Directory of Open Access Journals (Sweden)

Jacek Łuczak

2015-12-01

Full Text Available The knowledge about methods and techniques of quality management together with their effective use can be definitely regarded as an indication of high organisational culture. Using such methods and techniques in an effective way can be attributed to certain level of maturity, as far as the quality management system in an organisation is concerned. There is in the paper an analysis of problem-solving methods and techniques of quality management in the automotive sector in Poland. The survey was given to the general population, which in case of the study consisted of companies operating in Poland that had certified quality management systems against ISO/TS 16949. The results of the conducted survey and the conclusions of the author can show actual and potential OEM suppliers (both 1st and 2nd tier in which direction their strategies for development and improvement of quality management systems should go in order to be effective. When the universal character of methods and techniques used in the surveyed population of companies is taken into consideration, it can be assumed that the results of the survey are also universal for all organisations realising the TQM strategy. The results of the research confirmed that methods which are also the basis for creating key system documents are the most relevant ones, i.e. flowcharts and FMEA, and moreover process monitoring tools (SPC and problem solving methods -above all 8D.

Right place of human resource management in the reform of health sector.

Science.gov (United States)

Hassani, Seyed Abas; Mobaraki, Hossein; Bayat, Maboubeh; Mafimoradi, Shiva

2013-01-01

In this paper the real role and place of human resource (HR) in health system reform will be discussed and determined within the whole system through the comprehensive Human Resource Management (HRM) model. Delphi survey and a questionnaire were used to 1) collect HR manager ideas and comments and 2) identify the main challenges of HRM. Then the results were discussed in an expert panel after being analyzed by content analysis method. Also, a deep focus study of recorded documents related to Health Human Resource Management was done. Then based on all achieved results, a rich picture was drawn to illustrate the right place of HRM in health sector. Finally, the authors revitalize the missed function of HRM within the health sector by drawing a holistic conceptual model. The most percentage of frequency about HR belongs to "Lack of reliable HR information system" (91%) and the least percentage of frequency belongs to "Low responsibility of HR" (28%). The most percentage of frequency about HR manager belongs to "Inattention to HR managers as key managers and consider them in background" (80%) and the least percentage of frequency belongs to "Lack of coordination between universities' policies" (30%). According to the conceptual framework, human resources employed in health system are viewed from two comprehensive approaches: instrumental approach and institutional. Unlike the common belief that looks HRM through the supportive approach, it is discussed that HRM not only has an instrumental role, but also do have a driver role.

Clearing and vegetation management issues

International Nuclear Information System (INIS)

Anon.

1994-01-01

Clearing and continued management of incompatible plant species is critical to maintaining safe and reliable transmission and distribution lines at British Columbia Hydro. As part of a general review of policies regarding rights-of-way, the clearing of BC Hydro rights-of-way was studied by a task team in order to formulate a set of recommended policies and procedures to guide employees in all rights-of-way decisions, and to provide clear direction for resolution of all rights-of-way issues in a cost-effective manner. Issues reviewed were: clearing standards and line security standardization for transmission circuits; clearing rights for removal of trees or management of vegetation beyond the statutory right-of-way; clearing and vegetation management procedures; tree replacement; arboricultural techniques; periodic reviewing of clearing practices; compensation for tree removal; herbicide use; and heritage and wildlife trees. Justification for the recommendation is provided along with alternate options and costs of compliance

Radio Resource Management Techniques for eMBB and mMTC services in 5G Dense Small Cell Scenarios

DEFF Research Database (Denmark)

Mahmood, Nurul Huda; Lauridsen, Mads; Berardinelli, Gilberto

2016-01-01

requirements. This article provides an overview of key radio resource management techniques for 5G dense small cells and demonstrates how these techniques can contribute to fulfilling some of the important 5G requirements. Preliminary system level simulation results indicate that a mean throughput gain...... design requirements. Dense small cells with multiple antenna nodes are believed to be key elements in meeting these challenging requirements. 5G will thus feature an adaptable air interface with carefully designed radio resource management techniques that can optimize each link according to its service...... of around 65%, and up to 84% in latency reduction can be achieved utilizing the discussed resource management techniques....

A comparative study of open technique and Z-plasty in management of pilonidal sinus

Directory of Open Access Journals (Sweden)

Siddhartha Priyadarshi

2014-01-01

Full Text Available Introduction: Pilonidal sinus is one of the common problems encountered in general surgical practices and the management of this disease is variable, contentious and problematic. Principles of treatment require eradication of the sinus tract; complete healing and prevention of recurrence. Although several surgical techniques have been described over the years, the management remains controversial. Aims and Objectives: The aim of this study was to compare the two techniques of the open method and Z-plasty in the management of pilonidal sinus, in terms of incidence of post-operative pain, total hospital stay, total recovery time, complications and recurrence rate. Materials and Methods: This is a prospective comparative study which was conducted in the surgical department of a teaching hospital. A total of 50 cases were included in this study. Of these, 25 cases were operated by the open technique and 25 by excision and Z-plasty. Observation and Result: The mean age at presentation was 29.44 years. Male genders followed by age between 20 and 30 years were the most common predisposing factors. The mean body mass index, early and late post-operative complications were comparable between the two groups. Mean hospital stay and total recovery time was significantly more in open technique group compared with Z-plasty group. Visual analog score was also significantly more in open technique group when compared with Z-plasty group. Conclusion: Excision with Z-plasty was better technique in terms of lesser hospital stay, lesser recovery time, less post-operative pain.

The use of production management techniques in the construction of large scale physics detectors

CERN Document Server

Bazan, A; Estrella, F; Kovács, Z; Le Flour, T; Le Goff, J M; Lieunard, S; McClatchey, R; Murray, S; Varga, L Z; Vialle, J P; Zsenei, M

1999-01-01

The construction process of detectors for the Large Hadron Collider (LHC) experiments is large scale, heavily constrained by resource availability and evolves with time. As a consequence, changes in detector component design need to be tracked and quickly reflected in the construction process. With similar problems in industry engineers employ so-called Product Data Management (PDM) systems to control access to documented versions of designs and managers employ so- called Workflow Management software (WfMS) to coordinate production work processes. However, PDM and WfMS software are not generally integrated in industry. The scale of LHC experiments, like CMS, demands that industrial production techniques be applied in detector construction. This paper outlines the major functions and applications of the CRISTAL system (Cooperating Repositories and an information System for Tracking Assembly Lifecycles) in use in CMS which successfully integrates PDM and WfMS techniques in managing large scale physics detector ...

Evaluation of the Role of Music as a Nonpharmacological Technique in Management of Child Patients.

Science.gov (United States)

Gupta, Neha; Gupta, Himanshu; Gupta, Prahlad; Gupta, Nidhi

2017-03-01

Behavior management and reducing anxiety and pain are very important for success of treatment. Hence, apart from pharmacological management, such as conscious sedation, nonpharmacological interventions like music play a significant role. This study aims to evaluate the effects of music in reducing anxiety, pain, and behavior management. This study was conducted at the Department of Pedodontics in 2015. It consisted of 60 patients, age ranging from 3 to 7 years, who required dental treatment with local anesthesia. They were divided into three groups of 20 each. Group I consisted of upbeat music distraction group. Group II consisted of relaxing music distraction group. Group III consisted of control group. We scheduled the treatment in two visits. We used Venham picture test, North Carolina behavior rating scale, and visual analog scale test for the study. Baseline heart rate was also recorded. No significant differences were found among the three groups based on three scales used in the study. Management of child patient in dental clinic is a challenge for clinician. Apart from various pharmacological techniques, management of pediatric patients using audio music distraction has been introduced. However, music did not produce a reduction in pain, anxiety, or disruptive behavior. Various pharmacological techniques are present for the management of pediatric patients. Apart from it, there is need of introducing nonpharmacological techniques to reduce pain, anxiety, and to alter behavior of child. By this study, we have tried to evaluate the usefulness of music in child management.

Investing in health information management: The right people, in the right place, at the right time.

Science.gov (United States)

Ayodeji Makinde, Olusesan; Mami, Mohammed Ibrahim; Oweghoro, Benson Macaulay; Oyediran, Kolawole Azeez; Mullen, Stephanie

2016-08-01

To describe the process adopted to review the academic curriculum for training health information management professionals in Nigeria. Health information management professionals are responsible for managing patients' health service records and hospital information systems across health facilities in Nigeria. An assessment found many are inadequately skilled in information and communications technology (ICT) skills believed to be needed for them to play leadership roles in hospital information systems and function effectively. This was traced to a dearth of relevant ICT courses in their academic training curriculum. A review of the curriculum for training health information management professionals was instituted following an agreed need to address these issues. Health records management is evolving across the world including the developing countries. This advancement requires evolution of training programs to meet the increasing application of ICT in this sector. After several sessions, a new curriculum that addresses all the identified educational deficiencies has been developed. It is believed that this step will help improve the quality of training programs. © The Author(s) 2016.

The Application of Operations Research Techniques to the Evaluation of Military Management Information Systems.

Science.gov (United States)

systems such as management information systems . To provide a methodology yielding quantitative results which may assist a commander and his staff in...this analysis, it is proposed that management information systems be evaluated as a whole by a technique defined as the semantic differential. Each

HTML5, DIGITAL RIGHTS MANAGEMENT (DRM, AND THE RHETORIC OF OPENNESS

Directory of Open Access Journals (Sweden)

Michael S. Daubs

2017-01-01

Full Text Available This paper traces linkages between the commoditisation of the Web and “app-centric media”, an environment composed of a multitude of concrete-but-connected software applications. Within this environment, multiplatform HTML5 apps are often framed as the antithesis of Apple’s iOS and Google/Android “siloed” mobile app platforms, but this rhetoric of openness masks corporate involvement in the development of HTML5 and the commoditisation of the very protocols used to build the Web. To illustrate this process, this paper examines one new element of HTML5 that was hotly debated: the inclusion of digital rights management (DRM protocols. Proponents of DRM in HTML5 argued it would increase overall interoperability while balancing the rights of content creators, providers and users. This paper argues, however, that it instead essentially legitimises U.S.-centric copyright protections on a global scale and allows the future development of the Web to be dominated by a select group of media institutions.

Breakaway technique training as a means of increasing confidence in managing aggression in neuroscience nursing.

Science.gov (United States)

Lamont, Scott; Brunero, Scott; Bailey, Alanah; Woods, Karen

2012-08-01

The objective of this paper was to evaluate breakaway technique training with neuroscience nursing staff as a measure of increased confidence and safety in managing aggression. A quasi experimental design was used in a sample of neuroscience nursing staff (n=31), participating in 2×1h breakaway technique workshops. The workshops consisted of supervised skills training in safe breakaway techniques. A pre- and postintervention-matched questionnaire measuring confidence and safety around managing aggressive patients, and exposure to and confidence in dealing with breakaways, was self administered. Statistically significant increases in confidence and safety in working with aggressive patients, and confidence levels for safe breakaways were reported. Qualitative comments demonstrated a desire for ongoing skills workshops. This study provides early evidence of the importance of incorporating breakaway training into existing training programs which aim to minimise and manage aggression and violence in generalist settings.

Management of First Branchial Cleft Anomalies via a Cartilage-Splitting Technique.

Science.gov (United States)

Schmidt, Richard; Conrad, David; Field, Erin; O'Reilly, Robert

2015-06-01

First branchial cleft anomalies are uncommon lesions that often present as periauricular infections. They have high recurrence rates, due in part to scarring secondary to prior infections and their management. These lesions have a close relationship with the facial nerve, and most authors recommend its identification and dissection because of this relationship. Nonetheless, facial nerve palsy has been reported in up to 15% of cases. We describe a novel technique for the management of first branchial cleft anomalies. Such lesions that presented in an infra- or postauricular location were approached via an incision through the cartilage of the pinna, between the tragus and antitragus. This technique affords direct access to the lesion without the need for facial nerve dissection. Six patients were treated. Five had prior surgery, including 3 with previous attempts at excision. There were no complications. The median follow-up was 35 months. One patient developed a recurrence. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

Strategies to introduce Data Management techniques into the German university curriculum

Science.gov (United States)

Söding, E.; Fleischer, D.

2017-12-01

Data Management is high on the agenda of the German Research Organizations and Universities. While many organizations have committed to high level data management plans, these plans are often loosely binding and not followed adequately. As a consequence, few practical concepts are in place, implementing a sustainable reliable processing, archiving and publication of research data. While many institutions struggle with the organizational level, at which data management is implemented, Students are educated and time is lost, teaching them relevance, techniques and strategies in dealing in a thoughtful and ahead looking manner with their research data. Within a new research project we are tackling this problem in a two-fold way. 1. we are involving technical university personnel, who are working in labs, producing scientific data, in data management processes. This requires teaching, analysis of lab practices and the development of applications for support. 2. We are developing new teaching material, in order to introduce such DM strategies into regular practical courses conducted in such labs, by starting small scale experiments on long term time series. These can be analyzed by student within practical courses, and will demonstrate the practical use of DM practices in the courses. While the focus is on natural science labs, we also strive to create material for other disciplines using e.g. text analysis techniques, in particular in linguistics and history. By doing so, we are touching not only the traditional data-heavy disciplines, but try to bridge responsibility for this task over several disciplines and faculties, in order to raise broad acceptance and recognition in the whole university for the benefits of structured Data Management plans in projects.

Right-brain techniques: a catalyst for creative thinking and internal focusing. A study of five writers and six psychotherapists.

Science.gov (United States)

Zdenek, M

1988-09-01

Comparing the scientific reports of brain researchers such as Sperry, Bogen, Diamond, Geschwind, and Hoppe with the subjective reports of high achievers in various fields of the arts, sciences, and industry reveals that there is a correlation between creative thinking and right hemisphere specialization. Learning how to stimulate right hemisphere activity can be of great benefit to high achievers in fields that require one to be internally focused, to be sensitive to the intonations of voice and body-language, to comprehend symbols and metaphors, to think visually and holistically, to work constructively with affect, or to enhance imaginative thinking. This report is a subjective study of how five writers and six psychotherapists experienced one three-hour session of Inner Vision techniques, which I developed to stimulate creative thinking and inner focusing by enhancing right hemisphere activity. During the session, all of the psychotherapists and all but one of the writers reported that these mental imagery exercises produced a significant increase in the flow of creative ideas and enabled them to gain insights into important personal issues. One writer experienced resistance; two psychotherapists reported feelings of solace; two writers and two psychotherapists indicated that they have gained new perspectives on professional issues--one writer solved a major problem regarding the central character in his book; six psychotherapists and three writers gained new perceptions on important personal issues; five psychotherapists and four writers reported feelings of intense joy, even liberation, during the session. All eleven participants indicated that they had experienced vivid and imaginative imagery. The constructive use of imagination is essential for creative work and mental health. Writers who have the skill to program their imaginations to gain creative insights at times of their own choosing obviously will be more productive than writers who sit around waiting

Real-time emergency forecasting technique for situation management systems

Science.gov (United States)

Kopytov, V. V.; Kharechkin, P. V.; Naumenko, V. V.; Tretyak, R. S.; Tebueva, F. B.

2018-05-01

The article describes the real-time emergency forecasting technique that allows increasing accuracy and reliability of forecasting results of any emergency computational model applied for decision making in situation management systems. Computational models are improved by the Improved Brown’s method applying fractal dimension to forecast short time series data being received from sensors and control systems. Reliability of emergency forecasting results is ensured by the invalid sensed data filtering according to the methods of correlation analysis.

An Evaluation of Multiple Perceptions of Digital Rights Management

Science.gov (United States)

Stott, Allyn D.; Taneja, Aakash

Digital Rights Management (DRM) solutions have generated much interest because of their influence on the expectations and responsibilities of customers and related organizations. It was created to restrict piracy and enhance digital media sales, however, it is found to be unable to fulfill its objectives. We find the protections by DRM lack an understanding of the end user and the evolving nature of copyright and fair use. The potential motives for pirating appear to increase as DRM becomes more intrusive causing a conflict in the objectives of DRM. Thus, adjustments must be made to the current DRM model in order for it to become beneficial for both the producer and the consumer. Our research identifies the needs, desires, and responsibilities of the various DRM stakeholders so that a successful use of DRM technologies can be modeled: a challenge faced by the media industry.

Information Landscaping: Information Mapping, Charting, Querying and Reporting Techniques for Total Quality Knowledge Management.

Science.gov (United States)

Tsai, Bor-sheng

2003-01-01

Total quality management and knowledge management are merged and used as a conceptual model to direct and develop information landscaping techniques through the coordination of information mapping, charting, querying, and reporting. Goals included: merge citation analysis and data mining, and apply data visualization and information architecture…

Increasing Acceptance of Behavioral Child Management Techniques: What Do Parents Say?

Science.gov (United States)

Pemberton, Joy R.; Borrego, Joaquin

2007-01-01

Consumers' willingness to accept treatments is an important concern of clinicians and clinical researchers, particularly when treating children. However, few studies have directly asked parents to give reasons for accepting or refusing treatments. In the current study, 82 parents read descriptions of six behavioral child management techniques,…

Quality management techniques in public sector organizations: the role of managerial autonomy and organizational culture

OpenAIRE

Demuzere, Sara; Verhoest, Koen; Bouckaert, Geert

2008-01-01

According to NPM, more effective and efficient public services can be delivered if public sector organizations are granted more managerial autonomy and if they use various (private sector) management techniques. To date, only very limited attention has been paid to the link between managerial autonomy and the use of management techniques. With this study, we seek to fill this gap in the extensive NPM literature by examining the extent to which managerial autonomy has an effect on the use of m...

Contemporary management of carotid blowout syndrome utilizing endovascular techniques.

Science.gov (United States)

Manzoor, Nauman F; Rezaee, Rod P; Ray, Abhishek; Wick, Cameron C; Blackham, Kristine; Stepnick, David; Lavertu, Pierre; Zender, Chad A

2017-02-01

To illustrate complex interdisciplinary decision making and the utility of modern endovascular techniques in the management of patients with carotid blowout syndrome (CBS). Retrospective chart review. Patients treated with endovascular strategies and/or surgical modalities were included. Control of hemorrhage, neurological, and survival outcomes were studied. Between 2004 and 2014, 33 patients had 38 hemorrhagic events related to head and neck cancer that were managed with endovascular means. Of these, 23 were localized to the external carotid artery (ECA) branches and five localized to the ECA main trunk; nine were related to the common carotid artery (CCA) or internal carotid artery (ICA), and one event was related to the innominate artery. Seven events related to the CCA/ICA or innominate artery were managed with endovascular sacrifice, whereas three cases were managed with a flow-preserving approach (covered stent). Only one patient developed permanent hemiparesis. In two of the three cases where the flow-preserving approach was used, the covered stent eventually became exposed via the overlying soft tissue defect, and definitive management using carotid revascularization or resection was employed to prevent further hemorrhage. In cases of soft tissue necrosis, vascularized tissues were used to cover the great vessels as applicable. The use of modern endovascular approaches for management of acute CBS yields optimal results and should be employed in a coordinated manner by the head and neck surgeon and the neurointerventionalist. 4. Laryngoscope, 2016 127:383-390, 2017. © 2016 The American Laryngological, Rhinological and Otological Society, Inc.

Isolated Right Segmental Hepatic Duct Injury Following Laparoscopic Cholecystectomy

International Nuclear Information System (INIS)

Perini, Rafael F.; Uflacker, Renan; Cunningham, John T.; Selby, J. Bayne; Adams, David

2005-01-01

Purpose. Laparoscopic cholecystectomy (LC) is the treatment of choice for gallstones. There is an increased incidence of bile duct injuries in LC compared with the open technique. Isolated right segmental hepatic duct injury (IRSHDI) represents a challenge not only for management but also for diagnosis. We present our experience in the management of IRSHDI, with long-term follow-up after treatment by a multidisciplinary approach. Methods. Twelve consecutive patients (9 women, mean age 48 years) were identified as having IRSHDI. Patients' demographics, clinical presentation, management and outcome were collected for analysis. The mean follow-up was 44 months (range 2-90 months). Results. Three patients had the LC immediately converted to open surgery without repair of the biliary injury before referral. Treatments before referral included endoscopic retrograde cholangiopancreatography (ERCP), percutaneous drainage and surgery, isolated or in combination. The median interval from LC to referral was 32 days. Eleven patients presented with biliary leak and biloma, one with obstruction of an isolated right hepatic segment. Post-referral management of the biliary lesion used a combination of ERCP stenting, percutaneous drainage and stent placement and surgery. In 6 of 12 patients ERCP was the first procedure, and in only one case was IRSHDI identified. In 6 patients, percutaneous transhepatic cholangiography (PTC) was performed first and an isolated right hepatic segment was demonstrated in all. The final treatment modality was endoscopic management and/or percutaneous drainage and stenting in 6 patients, and surgery in 6. The mean follow-up was 44 months. No mortality or significant morbidity was observed. Conclusion. Successful management of IRSHDI after LC requires adequate identification of the lesion, and multidisciplinary treatment is necessary. Half of the patients can be treated successfully by nonsurgical procedures

Bilateral spontaneous in-the-bag anterior subluxation of PCIOL managed with glued IOL technique: A case report.

Science.gov (United States)

Nair, Vidya; Kumar, Dhivya Ashok; Prakash, Gaurav; Jacob, Soosan; Agarwal, Athiya; Agarwal, Amar

2009-07-01

Management of in-the-bag spontaneous bilateral subluxation of posterior-chamber intraocular lens(PCIOL) with sutureless fibrin-glue-assisted PCIOL implantation. A patient of retinitis pigmentosa with spontaneous bilateral anterior in-the-bag subluxation of PCIOL was managed by IOL explantation followed by fibrin-glue-assisted sutureless PCIOL implantation. Two partial thickness limbal-based scleral flaps were created about 1.5 mm from the limbus under which sclerotomies were made. Intraocular lens explantation along with capsular bag was performed through the corneo-scleral tunnel incision. Single-piece rigid polymethylmethacrylate 6.5-mm optic IOL was introduced through the limbal wound with a McPherson forceps, both the IOL haptics were externalized under the scleral flap. The haptic ends were tucked in the scleral tunnel made with the 26G needle. Scleral flaps and the conjunctiva were closed with the fibrin glue. Preoperative best corrected visual acuity was 20/80 in the right and 20/120 in the left eye. Patient gained a best corrected visual acuity of 20/30 in both the eyes, with a bilateral stable PCIOL and clear cornea. Severe capsular contracture causing in-the-bag IOL subluxation in retinitis pigmentosa can be effectively managed with this new technique of sutureless fibrin-glue-assisted PCIOL implantation.

Strategic plan to optimize the management of right-of-way parcel and utility information at FDOT : [research summary].

Science.gov (United States)

2013-05-01

The Florida Department of Transportation (FDOT) manages more than 12,000 centerline-miles of highway that run through hundreds of jurisdictions. The right-of-way (ROW) that these roads are built on is a massive and complex resource in its own right a...

Review of Sealed Source Designs and Manufacturing Techniques Affecting Disused Source Management

International Nuclear Information System (INIS)

2012-10-01

This publication presents an investigation on the influence of the design and technical features of sealed radioactive sources (SRSs) on predisposal and disposal activities when the sources become disused. The publication also addresses whether design modifications could contribute to safer and/or more efficient management of disused sources without compromising the benefits provided by the use of the sealed sources. This technical publication aims to collect information on the most typical design features and manufacturing techniques of sealed radioactive sources and examines how they affect the safe management of disused sealed radioactive sources (DSRS). The publication also aims to assist source designers and manufacturers by discussing design features that are important from the waste management point of view. It has been identified that most SRS manufacturers use similar geometries and materials for their designs and apply improved and reliable manufacturing techniques e.g. double- encapsulation. These designs and manufacturing techniques have been proven over time to reduce contamination levels in fabrication and handling, and improve source integrity and longevity. The current source designs and materials ensure as well as possible that SRSs will maintain their integrity in use and when they become disused. No significant improvement options to current designs have been identified. However, some design considerations were identified as important to facilitate source retrieval, to increase the possibility of re-use and to ensure minimal contamination risk and radioactive waste generation at recycling. It was also concluded that legible identifying markings on a source are critical for DSRS management. The publication emphasizes the need for a common understanding of the radioactive source's recommended working life (RWL) for manufacturers and regulators. The conditions of use (COU) are important for the determination of RWL. A formal system for specification

Illegal fishing and territorial user rights in Chile.

Science.gov (United States)

Oyanedel, Rodrigo; Keim, Andres; Castilla, Juan Carlos; Gelcich, Stefan

2017-11-07

Illegal fishing poses a major threat to conservation of marine resources worldwide. However, there is still limited empirical research that quantifies illegal catch levels. We used the randomized response technique to estimate the proportion of divers and the quantities of loco (Concholepas concholepas) they extracted illegally. Loco have been managed for the past 17 years through a territorial user rights for fisheries system (TURFs) in Chile. Illegal fishing of loco was widespread within the TURFs system. Official reported landings (i.e., legal landings) accounted for 14-30% of the total loco extraction. Our estimates suggest that ignoring the magnitude of illegal fishing and considering only official landing statistics may lead to false conclusions about the status and trends of a TURFs managed fishery. We found evidence of fisher associations authorizing their members to poach inside TURFs, highlighting the need to design TURFs systems so that government agencies and fishers' incentives and objectives align through continuous adaptation. Government support for enforcement is a key element for the TURFs system to secure the rights that are in place. © 2017 Society for Conservation Biology.

The cost management organization: the next step for materiel management.

Science.gov (United States)

Schuweiler, R C

1997-06-01

With Materiel Management's transition over the last decade from simple logistics to analysis and cost management, it has gained recognition as a key part of the management team responsible for supplies, equipment, standards, and associated processes to identify, purchase, store, distribute, issue, and dispose of supplies and equipment. The materiel manager's job consists of putting the right product in the right place at the right time and in the right quantity at the best total delivered cost. In this context, Materiel Management has made powerful impacts to lower costs associated with: Distribution--costs have been lowered by actively adopting advanced supply channel management techniques such as primary suppliers, JIT, stockless programs, case cart/custom kit/procedure based delivery systems, modified stockless programs as well as margin management through cost plus, flat fee, or margins paid per activity. Cost of goods--lowered through aggregated purchasing in the forms of regional and national purchasing alliances and local capitation or other gain/risk share programs. Internal process costs--lowered by out-sourcing and/or integrating supplier processes and personnel into operations via partnership approaches. We have also reduced transactional costs through EDI transaction sets and the emerging use of the inter and intranet/electronic commerce, procurement cards, and evaluated receipt settlement processes. De-layering--We have lowered the operating costs of Materiel Management overhead by re-design/re-engineering, resulting in reduced management and greater front line authority. Quality--We have learned to identify and respond to customer and supplier needs by using quality improvement tools and ongoing measurement and monitoring techniques. Through this we have identified the waste of non-beneficial products and services. We have adopted supplier certification measurers to ensure quality is built into processes and outcomes. With so much already accomplished

Emergency department management of shoulder dystocia.

Science.gov (United States)

Del Portal, Daniel A; Horn, Amanda E; Vilke, Gary M; Chan, Theodore C; Ufberg, Jacob W

2014-03-01

Precipitous obstetric deliveries can occur outside of the labor and delivery suite, often in the emergency department (ED). Shoulder dystocia is an obstetric emergency with significant risk of adverse outcome. To review multiple techniques for managing a shoulder dystocia in the ED. We review various techniques and approaches for achieving delivery in the setting of shoulder dystocia. These include common maneuvers, controversial interventions, and interventions of last resort. Emergency physicians should be familiar with multiple techniques for managing a shoulder dystocia to reduce the chances of fetal and maternal morbidity and mortality. Copyright © 2014 Elsevier Inc. All rights reserved.

Right-of-way management: A key to controlling the spread of cogograss (Imperata cylindrica)

Science.gov (United States)

W.H. Faircloth; M.G. Patterson; James H. Miller; D.H. Teem

2004-01-01

Cogongrass [Imperata cylindrica(L.) Beauv.] is an undesired species on highway rights-of-way (ROWS) due to its displacenent of native and/or more manageable grasses, unsightly growth characteristic, and propensity for fire. Fire not only poses a danger to motorists but could cause property loss to adjoining landowners. Most importantly, ROWS provide...

Life Cycle Assessments of Manure Management Techniques for the Baltic Sea Regions

DEFF Research Database (Denmark)

Hamelin, Lorie; Baky, A; Cano-Bernal, J

The report summarizes the key results of the consequential life cycle assessments (LCAs) carried out for a variety of manure management techniques over the Baltic Sea Regions (BSR). For all manure management technologies assessed, the environmental impacts (in terms of potential to global warming......, acidification of aquatic & terrestrial systems as well as phosphorus and nitrogen enrichment) are evaluated along the whole “manure management chain”, quantified and compared to the applying reference manure management system. The LCA results presented in this report cover 4 main manure types (dairy cow slurry....... Assessed separation technologies include concentration technologies, state-of-the-art decanter centrifuge and source-separation technologies. The energy production technologies addressed consist of thermal gasification, incineration and anaerobic digestion (for which a myriad of carbon co...

Quantification of left to right shunts in adults with atrial septal defects of secundum type, using radionuclide technique

International Nuclear Information System (INIS)

Sire, S.; Rootwelt, K.; Mangschau, A.

1991-01-01

Quantification of left to right shunt was carried out in 15 adult patients with a suspected ostium secundum atrial septal defect (ASD II). Radionuclide shunt quantitation correlated well with the results of righ heart catheterization. The radionuclide technique failed in two patients for technical reasons, but revealed no false negative or false positive results when technically satisfactory. The diagnosis was confirmed at operation. It is concluded that the radionuclide technique is a useful and reliable method which can also be used at follow-up after surgery in patients with artrial septal defects of secundum type. 20 refs., 3 figs., 1 tab

Innovative Techniques for Estimating Illegal Activities in a Human-Wildlife-Management Conflict

Science.gov (United States)

Cross, Paul; St. John, Freya A. V.; Khan, Saira; Petroczi, Andrea

2013-01-01

Effective management of biological resources is contingent upon stakeholder compliance with rules. With respect to disease management, partial compliance can undermine attempts to control diseases within human and wildlife populations. Estimating non-compliance is notoriously problematic as rule-breakers may be disinclined to admit to transgressions. However, reliable estimates of rule-breaking are critical to policy design. The European badger (Meles meles) is considered an important vector in the transmission and maintenance of bovine tuberculosis (bTB) in cattle herds. Land managers in high bTB prevalence areas of the UK can cull badgers under license. However, badgers are also known to be killed illegally. The extent of illegal badger killing is currently unknown. Herein we report on the application of three innovative techniques (Randomized Response Technique (RRT); projective questioning (PQ); brief implicit association test (BIAT)) for investigating illegal badger killing by livestock farmers across Wales. RRT estimated that 10.4% of farmers killed badgers in the 12 months preceding the study. Projective questioning responses and implicit associations relate to farmers' badger killing behavior reported via RRT. Studies evaluating the efficacy of mammal vector culling and vaccination programs should incorporate estimates of non-compliance. Mitigating the conflict concerning badgers as a vector of bTB requires cross-disciplinary scientific research, departure from deep-rooted positions, and the political will to implement evidence-based management. PMID:23341973

Innovative techniques for estimating illegal activities in a human-wildlife-management conflict.

Directory of Open Access Journals (Sweden)

Paul Cross

Full Text Available Effective management of biological resources is contingent upon stakeholder compliance with rules. With respect to disease management, partial compliance can undermine attempts to control diseases within human and wildlife populations. Estimating non-compliance is notoriously problematic as rule-breakers may be disinclined to admit to transgressions. However, reliable estimates of rule-breaking are critical to policy design. The European badger (Meles meles is considered an important vector in the transmission and maintenance of bovine tuberculosis (bTB in cattle herds. Land managers in high bTB prevalence areas of the UK can cull badgers under license. However, badgers are also known to be killed illegally. The extent of illegal badger killing is currently unknown. Herein we report on the application of three innovative techniques (Randomized Response Technique (RRT; projective questioning (PQ; brief implicit association test (BIAT for investigating illegal badger killing by livestock farmers across Wales. RRT estimated that 10.4% of farmers killed badgers in the 12 months preceding the study. Projective questioning responses and implicit associations relate to farmers' badger killing behavior reported via RRT. Studies evaluating the efficacy of mammal vector culling and vaccination programs should incorporate estimates of non-compliance. Mitigating the conflict concerning badgers as a vector of bTB requires cross-disciplinary scientific research, departure from deep-rooted positions, and the political will to implement evidence-based management.

Innovative techniques for estimating illegal activities in a human-wildlife-management conflict.

Science.gov (United States)

Cross, Paul; St John, Freya A V; Khan, Saira; Petroczi, Andrea

2013-01-01

Effective management of biological resources is contingent upon stakeholder compliance with rules. With respect to disease management, partial compliance can undermine attempts to control diseases within human and wildlife populations. Estimating non-compliance is notoriously problematic as rule-breakers may be disinclined to admit to transgressions. However, reliable estimates of rule-breaking are critical to policy design. The European badger (Meles meles) is considered an important vector in the transmission and maintenance of bovine tuberculosis (bTB) in cattle herds. Land managers in high bTB prevalence areas of the UK can cull badgers under license. However, badgers are also known to be killed illegally. The extent of illegal badger killing is currently unknown. Herein we report on the application of three innovative techniques (Randomized Response Technique (RRT); projective questioning (PQ); brief implicit association test (BIAT)) for investigating illegal badger killing by livestock farmers across Wales. RRT estimated that 10.4% of farmers killed badgers in the 12 months preceding the study. Projective questioning responses and implicit associations relate to farmers' badger killing behavior reported via RRT. Studies evaluating the efficacy of mammal vector culling and vaccination programs should incorporate estimates of non-compliance. Mitigating the conflict concerning badgers as a vector of bTB requires cross-disciplinary scientific research, departure from deep-rooted positions, and the political will to implement evidence-based management.

Management of gingiva hyperpigmentasi with combine of scalpel scraping technique and gingivo abrasion technique (Case report

Directory of Open Access Journals (Sweden)

Shek Wendy

2016-06-01

Full Text Available Aesthetic factor is an important factor in supporting the person's appearance, especially when a person smiles. Beautifull smiles form of harmonization between the teeth and gums as part of the oral cavity. One of overall aspect that has an important role in providing the overall aesthetic impression is normal gum color that pink coral. Brown or black gums are often become the complaint that interfere with appearance, especially in patients who have a habit of smoking. Pigmentation caused by melanin hyperpigmentation and usually does not present a medical problems, so patients are not aware of it. Surgical method with the scalpel scraping technique and gingivo abrasion technique using high speed carbide bur has been widely used as a method of gingival depigmentation. This method is easily done, simple and can be done in a relatively short time. In this case report presented regarding the management of patients with gingival hyperpigmentation of the maxilla and mandible were treated with surgical method using a scalpel scraping technique combined with gingivo abrasion technique using high speed carbide bur. The result, after 4 weeks follow up, color of the patient's gingival was pink and there is none recurrence of the pigmentation.

Quality Management techniques embedded in Agile Project Development

Directory of Open Access Journals (Sweden)

Dovleac Raluca

2017-01-01

Full Text Available It used to be hard to make your dream come true and start a business but now, thanks to the dotcom boom and the rapid development of emerging technologies everybody has the chance to become the next Steve Jobs. Quality management tools and creativity techniques gave birth to the startup trend that transforms a brilliant idea into an innovative product. A common practice amongst startups is Agile development. In this paper, after analyzing the Agile approach and the tools used to ensure quality for every stage of a product’s development life cycle and the results of using the Agile approach looking out for advantages and short comings as well, we proposed a PDCA inspired tool which embeds both quality and creativity techniques to help developers ensure quality for each stage of a product’s life cycle as well as help them better organize their activities to reach the desired goals. We validated this approach by implementing it to the case of the Vitraly startup.

Blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver

Directory of Open Access Journals (Sweden)

Bairagi Anjana

2010-01-01

Full Text Available Acute right hemidiaphragm rupture with abdominal visceral herniation is reportedly less common than on the left. We present a complex case of blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver in a multiply injured patient. The diagnostic approach, with specific reference to the imaging studies, and surgical management is discussed, followed by a brief literature review highlighting the complexities of the case.

Bronchoscopic techniques in the management of patients with tuberculosis

Directory of Open Access Journals (Sweden)

Michele Mondoni

2017-11-01

Full Text Available Tuberculosis (TB is one of the leading causes of morbidity and mortality worldwide. Early diagnosis and treatment are key to prevent Mycobacterium tuberculosis transmission. Bronchoscopy can play a primary role in pulmonary TB diagnosis, particularly for suspected patients with scarce sputum or sputum smear negativity, and with endobronchial disease. Bronchoscopic needle aspiration techniques are accurate and safe means adopted to investigate hilar and mediastinal lymph nodes in cases of suspected TB lymphadenopathy. Tracheobronchial stenosis represents the worst complication of endobronchial tuberculosis. Bronchoscopic procedures are less invasive therapeutic strategies than conventional surgery to be adopted in the management of TB-related stenosis.We conducted a non-systematic review aimed at describing the scientific literature on the role of bronchoscopic techniques in the diagnosis and therapy of patients with TB.We focused on three main areas of interventions: bronchoscopic diagnosis of smear negative/sputum scarce TB patients, endobronchial TB diagnosis and treatment and needle aspiration techniques for intrathoracic TB lymphadenopathy. We described experiences on bronchoalveolar lavage, bronchial washing, and biopsy techniques for the diagnosis of patients with tracheobronchial and pulmonary TB; furthermore, we described the role played by conventional and ultrasound-guided transbronchial needle aspiration in the diagnosis of suspected hilar and mediastinal TB adenopathy. Finally, we assessed the role of the bronchoscopic therapy in the treatment of endobronchial TB and its complications, focusing on dilation techniques (such as balloon dilation and airway stenting and ablative procedures (both heat and cold therapies. Keywords: Bronchoscopy, Tuberculosis, Endoscopic ultrasound-guided fine needle aspiration, Tracheobronchial stenosis

Flexible use and technique extension of logistics management

Science.gov (United States)

Xiong, Furong

2011-10-01

As we all know, the origin of modern logistics was in the United States, developed in Japan, became mature in Europe, and expanded in China. This is a historical development of the modern logistics recognized track. Due to China's economic and technological development, and with the construction of Shanghai International Shipping Center and Shanghai Yangshan International Deepwater development, China's modern logistics industry will attain a leap-forward development of a strong pace, and will also catch up with developed countries in the Western modern logistics level. In this paper, the author explores the flexibility of China's modern logistics management techniques to extend the use, and has certain practical and guidance significances.

Ascites with right heart failure in a dog: diagnosis and management

Directory of Open Access Journals (Sweden)

Karlapudi Satish Kumar

2014-09-01

Full Text Available A female Labrador dog presented with a history of distended abdomen was subjected for clinical, physical, hemato-biochemical, eletrocardiographic, and ultrasonographic evaluations. Respiratory distress, weakness, fluid thrill on palpation of abdomen, cough, cyanotic tongue, and syncope were the significant manifestations. Elevated levels of creatine kinase, lactate dehydrogenase, alanine amino transferase, and alkaline phosphatase with normal blood urea nitrogen and creatinine were the common serum chemistry findings. Low voltage QRS complexes were the electrocardiographic abnormalities. Classical ground glass appearance of abdomen, and enlarged heart with increased sternal contact were the radiographic findings of abdomen and thorax. Ultrasonography of abdomen revealed floating viscera in the anechoic effusion with engorged and distended hepatic vasculature. 2-dimensional echocardiography revealed dilated right ventricle both on B- and M-mode. Further, insufficiency in mitral and tricuspid valves were recorded on pulsed and color flow Doppler. Hence, right heart failure due to ascites was confirmed, and the condition was successfully managed with losartas, spiranolactone, co-enzyme Q10 and tricholine citrate, and sorbitol.

Role of methods and technology of management in the sphere of protecting the rights and freedoms of the imprisoned

Directory of Open Access Journals (Sweden)

Pavel A. Matyukhov

2016-01-01

Full Text Available Objective to form the sciencebased knowledge about the place and the role of technology and methods of management system in solving the problems of the penal system in the sphere of protection of the rights and freedoms of the imprisoned. Methods universal dialectic method of cognition analysis analogy and systemicstructural and abstractlogical methods. Results it was found that the combination of structural elements of the Federal Execution Service of Russia whose activities are in one way or another aimed at enabling prisoners to use their rights and freedoms has a systemic character. It was determined that the efficiency of functioning of any system including the criminalexecutive is provided by managing it its elements. The crucial role of the used methods and technologies is shown. The opinion is formed and justified that their skilled application in the management of the criminalexecutive system will improve the efficiency of solving its tasks including in the sphere of protection of the rights and freedoms of the imprisoned. Scientific novelty the attempt to examine the role of technology and management practices in the functioning of the system ensuring protection of the rights and freedoms of the imprisoned. Practical significance the main provisions and conclusions of the article can be used both in scientific and practical activities of managers of different levels and units of the penal system to address the challenges they face including on the protection of the rights and freedoms of the imprisoned. nbsp

Management of patients with Arrhythmogenic Right Ventricular Cardiomyopathy in the Nordic countries.

Science.gov (United States)

Haugaa, Kristina H; Bundgaard, Henning; Edvardsen, Thor; Eschen, Ole; Gilljam, Thomas; Hansen, Jim; Jensen, Henrik Kjærulf; Platonov, Pyotr G; Svensson, Anneli; Svendsen, Jesper H

2015-01-01

Diagnostics of patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) are complex, and based on the 2010 Task Force document including different diagnostic modalities. However, recommendations for clinical management and follow-up of patients with ARVC and their relatives are sparse. This paper aims to give a practical overview of management strategies, risk stratification, and selection of appropriate therapies for patients with ARVC and their family members. This paper summarizes follow-up and treatment strategies in ARVC patients in the Nordic countries. The author group represents cardiologists who are actively involved in the Nordic ARVC Registry which was established in 2009, and contains prospectively collected clinical data from more than 590 ARVC patients from Denmark, Norway, Sweden, and Finland. Different approaches of management and follow-up are required in patients with definite ARVC and in genetic-mutation-positive family members. Furthermore, ARVC patients with and without implantable cardioverter defibrillators (ICDs) require different follow-up strategies. Careful follow-up is required in patients with ARVC diagnosis to evaluate the need of anti-arrhythmic therapy and ICD implantation. Mutation-positive family members should be followed regularly for detection of early disease and risk stratification of ventricular arrhythmias.

Isotope techniques in water resources development and management. Proceedings

International Nuclear Information System (INIS)

1999-01-01

The 10th International Symposium on Isotope Techniques in Water Resources Development and Management was organized by the International Atomic Energy Agency in co-operation with UNESCO, WMO and International Association of Hydrological Sciences and was held at IAEA Headquarters, Vienna, during 10-14 May 1999. The symposium provided an international forum for assessing the status and recent advances in isotope applications to water resources and an exchange of information on the following main themes: processes at the interface between the atmosphere and hydrosphere; investigations in surface waters and groundwaters: their origin, dynamics, interrelations; problems and techniques for investigating sedimentation; water resources issues: pollution, source and transport of contaminants, salinization, water-rock interaction and processes in geothermal systems; isotope data interpretation and evaluation methodologies: modelling approaches. The proceedings contain the 46 papers presented and extended synopses of poster presentations; each of them was indexed individually

Improvement of Bank Risks Management on the Basis of “Monitoring – Identification – Protection” Technique

Directory of Open Access Journals (Sweden)

Zabezhaylo Ivan Mikhaylovich

2014-11-01

Full Text Available The banking system in contemporary conditions becomes the critically important subsystem of any national economy. To ensure a successful and profitable operation of the bank the effective management of associated risks is necessary. A technique of banking risk management, which includes three functional blocks: monitoring, identification and protection against risks, is proposed in the article. A key element of the proposed method is the stage of optimization of risk management in the context of the particular situation of data analysis and decision making. The two-factor model of optimizing the choice of means of risk management is argued. This model implies two options: to minimize the level of allowable risks when you fix the volume of the resources required for reliable risk management in this particular situation on an acceptable (target, desired level; or to minimize the volume of the resources required for reliable in this situation analyzed risk management when you fixed appropriate risks at an acceptable level. The technique is based on an integrated approach, the basic elements of which are the abilities to work with different types of data, and to use common methods and means of data processing. The proposed method makes it possible to integrate qualitative and quantitative risk management tools in a single process of data analysis and decision making support. The proposed method of banking risk management is a tool to detail the national regulators recommendations by taking into account the specific (context features of a particular financial institution management during its implementation. The technique allows for contextual tools setting, depending on the application field.

Prevention and management of postoperative nausea and vomiting: a look at complementary techniques.

Science.gov (United States)

Mamaril, Myrna E; Windle, Pamela E; Burkard, Joseph F

2006-12-01

Complementary modalities, used alone or in combination with pharmacologic therapies, play an important role in the prevention and management of postoperative nausea and vomiting (PONV) and post discharge nausea and vomiting (PDNV). This article will review the evidence for the effective use of complementary modalities: acupuncture and related techniques, aromatherapy, and music therapy that may be integrated in the perianesthesia nurse's plan of care to prevent or manage PONV.

Low level waste management: a compilation of models and monitoring techniques. Volume 1

Energy Technology Data Exchange (ETDEWEB)

Mosier, J.E.; Fowler, J.R.; Barton, C.J. (comps.)

1980-04-01

In support of the National Low-Level Waste (LLW) Management Research and Development Program being carried out at Oak Ridge National Laboratory, Science Applications, Inc., conducted a survey of models and monitoring techniques associated with the transport of radionuclides and other chemical species from LLW burial sites. As a result of this survey, approximately 350 models were identified. For each model the purpose and a brief description are presented. To the extent possible, a point of contact and reference material are identified. The models are organized into six technical categories: atmospheric transport, dosimetry, food chain, groundwater transport, soil transport, and surface water transport. About 4% of the models identified covered other aspects of LLW management and are placed in a miscellaneous category. A preliminary assessment of all these models was performed to determine their ability to analyze the transport of other chemical species. The models that appeared to be applicable are identified. A brief survey of the state-of-the-art techniques employed to monitor LLW burial sites is also presented, along with a very brief discussion of up-to-date burial techniques.

Low level waste management: a compilation of models and monitoring techniques. Volume 1

International Nuclear Information System (INIS)

Mosier, J.E.; Fowler, J.R.; Barton, C.J.

1980-04-01

In support of the National Low-Level Waste (LLW) Management Research and Development Program being carried out at Oak Ridge National Laboratory, Science Applications, Inc., conducted a survey of models and monitoring techniques associated with the transport of radionuclides and other chemical species from LLW burial sites. As a result of this survey, approximately 350 models were identified. For each model the purpose and a brief description are presented. To the extent possible, a point of contact and reference material are identified. The models are organized into six technical categories: atmospheric transport, dosimetry, food chain, groundwater transport, soil transport, and surface water transport. About 4% of the models identified covered other aspects of LLW management and are placed in a miscellaneous category. A preliminary assessment of all these models was performed to determine their ability to analyze the transport of other chemical species. The models that appeared to be applicable are identified. A brief survey of the state-of-the-art techniques employed to monitor LLW burial sites is also presented, along with a very brief discussion of up-to-date burial techniques

Percutaneous rendezvous technique for the management of a bile duct injury.

Science.gov (United States)

Meek, James; Fletcher, Savannah; Crumley, Kristen; Culp, W C; Meek, Mary

2018-02-01

The rendezvous technique typically involves combined efforts of interventional radiology, endoscopy, and surgery. It can be done solely percutaneously, whereby the interventionalist gains desired access to one point in the body by approaching it from two different access sites. We present the case of a woman who underwent cholecystectomy complicated by a bile duct injury. A percutaneous rendezvous procedure enabled placement of an internal-external drain from the intrahepatic ducts through the biloma and distal common bile duct and into the duodenum. Thus, a percutaneous rendezvous technique is feasible for managing a bile duct injury when endoscopic retrograde cholangio-pancreatography or percutaneous transhepatic cholangiogram alone has been unsuccessful.

Percutaneous rendezvous technique for the management of a bile duct injury

Directory of Open Access Journals (Sweden)

James Meek, DO

2018-02-01

Full Text Available The rendezvous technique typically involves combined efforts of interventional radiology, endoscopy, and surgery. It can be done solely percutaneously, whereby the interventionalist gains desired access to one point in the body by approaching it from two different access sites. We present the case of a woman who underwent cholecystectomy complicated by a bile duct injury. A percutaneous rendezvous procedure enabled placement of an internal-external drain from the intrahepatic ducts through the biloma and distal common bile duct and into the duodenum. Thus, a percutaneous rendezvous technique is feasible for managing a bile duct injury when endoscopic retrograde cholangio-pancreatography or percutaneous transhepatic cholangiogram alone has been unsuccessful.

Sterile insect technique. Principles and practice in area-wide integrated pest management

International Nuclear Information System (INIS)

Dyck, V.A.; Hendrichs, J.; Robinson, A.S.

2005-01-01

For several major insect pests, the environment-friendly sterile insect technique (SIT) is being applied as a component of area-wide integrated pest management (AW-IPM) programmes. This technology, using radiation to sterilize insects, was first developed in the USA, and is currently applied on six continents. For four decades it has been a major subject for research and development in the Joint FAO/IAEA Programme on Nuclear Techniques in Food and Agriculture, involving both research and the transfer of this technology to Member States so that they can benefit from improved plant, animal and human health, cleaner environments, increased production of plants and animals in agricultural systems, and accelerated economic development. The socio-economic impacts of AW-IPM programmes that integrate the SIT have confirmed the usefulness of this technology. Numerous publications related to the integration of the SIT in pest management programmes, arising from research, coordinated research projects, field projects, symposia, meetings, and training activities have already provided much information to researchers, pest-control practitioners, programme managers, plant protection and animal health officers, and policy makers. However, by bringing together and presenting in a generic fashion the principles, practice, and global application of the SIT, this book will be a major reference source for all current and future users of the technology. The book will also serve as a textbook for academic courses on integrated pest management. Fifty subject experts from 19 countries contributed to the chapters, which were all peer reviewed before final editing

A novel anchorage technique for transnasal traction in rigid external maxillary distraction.

Science.gov (United States)

Varol, A; Basa, S

2013-12-01

We describe an effective technique for anchorage of transnasal traction in the management of maxillary rotation during external distraction. Copyright © 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Radiotracer and sealed source techniques for sediment management. Report of the consultants meeting

International Nuclear Information System (INIS)

2008-01-01

Radioisotopes as tracers and sealed sources have been a useful and often irreplaceable tool for sediment transport studies. Gamma scattering and transmission gauges are used for sediment monitoring. Computational fluid dynamics (CFD) modelling is now an essential tool for the management of the natural systems and are increasingly used to study the fate and behaviour of particulates and contaminants. Radiotracer techniques are often employed to validate CFD models to enhance confidence in the predictive value of the models. Experimental tracing and numerical modelling are complementary methods of studying complex systems. During the last few decades, many radiotracer studies for the investigation of sediment transport in natural systems have been conducted worldwide, and various techniques for tracing and monitoring sediment have been developed by individual tracer groups. However, the developed techniques and methods for sediment tracing have not been compiled yet as a technical document, which is essential for the preservation of the knowledge and transfer of the technology to developing countries. Standard procedures or guidelines for the tracer experiments, which are vital for the reliability of the experiments and the acceptance of end-users, have not been established by the international tracer community either. The use of radiotracers in sediment transport studies demands the additional attention of the community to further develop these techniques and to ensure their transfer to developing countries. The Consultants' Meeting on 'Radiotracer and sealed source techniques for sediment management' was convened at the headquarters of the International Atomic Energy Agency (IAEA) in Vienna, Austria, from 21 to 25 April 2008. Experts from Argentina, Brazil, France, India, Republic of Korea and United Kingdom have been invited to discuss the current status of the tracer and nucleonic gauge technologies as applied for sediment transport investigations and to evaluate

Radiotracer and sealed source techniques for sediment management. Report of the consultants meeting

Energy Technology Data Exchange (ETDEWEB)

NONE

2008-07-01

Radioisotopes as tracers and sealed sources have been a useful and often irreplaceable tool for sediment transport studies. Gamma scattering and transmission gauges are used for sediment monitoring. Computational fluid dynamics (CFD) modelling is now an essential tool for the management of the natural systems and are increasingly used to study the fate and behaviour of particulates and contaminants. Radiotracer techniques are often employed to validate CFD models to enhance confidence in the predictive value of the models. Experimental tracing and numerical modelling are complementary methods of studying complex systems. During the last few decades, many radiotracer studies for the investigation of sediment transport in natural systems have been conducted worldwide, and various techniques for tracing and monitoring sediment have been developed by individual tracer groups. However, the developed techniques and methods for sediment tracing have not been compiled yet as a technical document, which is essential for the preservation of the knowledge and transfer of the technology to developing countries. Standard procedures or guidelines for the tracer experiments, which are vital for the reliability of the experiments and the acceptance of end-users, have not been established by the international tracer community either. The use of radiotracers in sediment transport studies demands the additional attention of the community to further develop these techniques and to ensure their transfer to developing countries. The Consultants' Meeting on 'Radiotracer and sealed source techniques for sediment management' was convened at the headquarters of the International Atomic Energy Agency (IAEA) in Vienna, Austria, from 21 to 25 April 2008. Experts from Argentina, Brazil, France, India, Republic of Korea and United Kingdom have been invited to discuss the current status of the tracer and nucleonic gauge technologies as applied for sediment transport investigations and to evaluate

Do COPD patients taught pursed lips breathing (PLB) for dyspnoea management continue to use the technique long-term? A mixed methodological study.

Science.gov (United States)

Roberts, S E; Schreuder, F M; Watson, T; Stern, M

2017-12-01

To investigate whether COPD patients taught pursed lips breathing (PLB) for dyspnoea management continue to use the technique long-term and, if so, their experience of this. A mixed methodological approach using semi-structured telephone interviews, a focus group and observation of current PLB technique was used. Qualitative analysis was based on grounded theory. Participants were recruited from the two inner city London (UK) boroughs. A purposive sample of 13 patients with COPD taught PLB 6 to 24 months previously. 11 participants took part in the telephone interviews; focus group participation and observed PLB was 5/11 and 6/11 respectively. A thematic analysis of interviews and focus group; observation of PLB technique. Nine reported on-going use of PLB with 8 reporting definite benefit. Observed technique showed ongoing ability for PLB to reduce RR and increase SpO 2 . Four distinct themes emerged from the data: use of PLB when short of breath due to physical activity (8/9), increased confidence and reduced panic (4/9), use as an exercise (3/9), use at night (3/9). Those that had discontinued PLB had done so because it didn't help (2) and they had forgotten/were too busy to continue. This study found 9 of 13 of patients taught PLB continued with long-term use and 8 of 13 reporting definite benefit from PLB. The role of PLB in increasing patients' confidence in their ability to manage their breathlessness and, use at night, were novel findings. Copyright © 2016 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients

Directory of Open Access Journals (Sweden)

Prabhakar A

2007-01-01

Full Text Available Pain is not the sole reason for fear of dentistry. Anxiety or the fear of unknown during dental treatment is a major factor and it has been the major concern for dentists for a long time. Therefore, the main aim of this study was to evaluate and compare the two distraction techniques, viz, audio distraction and audiovisual distraction, in management of anxious pediatric dental patients. Sixty children aged between 4-8 years were divided into three groups. Each child had four dental visits - screening visit, prophylaxis visit, cavity preparation and restoration visit, and extraction visit. Child′s anxiety level in each visit was assessed using a combination of four measures: Venham′s picture test, Venham′s rating of clinical anxiety, pulse rate, and oxygen saturation. The values obtained were tabulated and subjected to statistical analysis. It was concluded that audiovisual distraction technique was more effective in managing anxious pediatric dental patient as compared to audio distraction technique.

Mobility management techniques for the next-generation wireless networks

Science.gov (United States)

Sun, Junzhao; Howie, Douglas P.; Sauvola, Jaakko J.

2001-10-01

The tremendous demands from social market are pushing the booming development of mobile communications faster than ever before, leading to plenty of new advanced techniques emerging. With the converging of mobile and wireless communications with Internet services, the boundary between mobile personal telecommunications and wireless computer networks is disappearing. Wireless networks of the next generation need the support of all the advances on new architectures, standards, and protocols. Mobility management is an important issue in the area of mobile communications, which can be best solved at the network layer. One of the key features of the next generation wireless networks is all-IP infrastructure. This paper discusses the mobility management schemes for the next generation mobile networks through extending IP's functions with mobility support. A global hierarchical framework model for the mobility management of wireless networks is presented, in which the mobility management is divided into two complementary tasks: macro mobility and micro mobility. As the macro mobility solution, a basic principle of Mobile IP is introduced, together with the optimal schemes and the advances in IPv6. The disadvantages of the Mobile IP on solving the micro mobility problem are analyzed, on the basis of which three main proposals are discussed as the micro mobility solutions for mobile communications, including Hierarchical Mobile IP (HMIP), Cellular IP, and Handoff-Aware Wireless Access Internet Infrastructure (HAWAII). A unified model is also described in which the different micro mobility solutions can coexist simultaneously in mobile networks.

Poultry Waste Management Techniques in Urban Agriculture and its Implications: A Case of Metropolitan Lagos, Nigeria

OpenAIRE

Vide Adedayo

2012-01-01

This study examines the existing poultry waste management and utilization technique in urban vegetable farms. It analyses the implications of the management pattern on yield and revenue and further determines the socio-economic differentials of farmers on management pattern. Socio-economic survey was carried out to determine relationship between socio economic characteristics of farmers and poultry waste management while field experiments and estimations were done to determine poultry waste p...

The sterile-male-release technique in Great Lakes sea lamprey management

Science.gov (United States)

Twohey, Michael B.; Heinrich, John W.; Seelye, James G.; Fredricks, Kim T.; Bergstedt, Roger A.; Kaye, Cheryl A.; Scholefield, Ron J.; McDonald, Rodney B.; Christie, Gavin C.

2003-01-01

The implementation of a sterile-male-release technique from 1991 through 1999 and evaluation of its effectiveness in the Great Lakes sea lamprey (Petromyzon marinus) management program is reviewed. Male sea lampreys were injected with the chemosterilant bisazir (P,P-bis(1-aziridinyl)-N-methylphosphinothioic amide) using a robotic device. Quality assurance testing indicated the device delivered a consistent and effective dose of bisazir. Viability of embryos in an untreated control group was 64% compared to 1% in a treatment group. A task force developed nine hypotheses to guide implementation and evaluation of the technique. An annual average of 26,000 male sea lampreys was harvested from as many as 17 Great Lakes tributaries for use in the technique. An annual average of 16,100 sterilized males was released into 33 tributaries of Lake Superior to achieve a theoretical 59% reduction in larval production during 1991 to 1996. The average number of sterile males released in the St. Marys River increased from 4,000 during 1991 to 1996 to 20,100 during 1997 to 1999. The theoretical reduc-stertion in reproduction when combined with trapping was 57% during 1991 to 1996 and 86% during 1997 to 1999. Evaluation studies demonstrated that sterilized males were competitive and reduced production of larvae in streams. Field studies and simulation models suggest reductions in reproduction will result in fewer recruits, but there is risk of periodic high recruitment events independent of sterile-male release. Strategies to reduce reproduction will be most reliable when low densities of reproducing females are achieved. Expansion of the technique is limited by access to additional males for sterilization. Sterile-male release and other alternative controls are important in delivering integrated pest management and in reducing reliance on pesticides.

An Analysis Of The Benefits And Application Of Earned Value Management (EVM) Project Management Techniques For Dod Programs That Do Not Meet Dod Policy Thresholds

Science.gov (United States)

2017-12-01

VALUE MANAGEMENT (EVM) PROJECT MANAGEMENT TECHNIQUES FOR DOD PROGRAMS THAT DO NOT MEET DOD POLICY THRESHOLDS December 2017 By: Randy Schneider...Joint applied project 4. TITLE AND SUBTITLE AN ANALYSIS OF THE BENEFITS AND APPLICATION OF EARNED VALUE MANAGEMENT (EVM) PROJECT MANAGEMENT ...performance reporting. The immediate objective of this research project was to examine the question: Can the application of EVM-Lite project management

Area-wide integrated pest management and the sterile insect technique

International Nuclear Information System (INIS)

Klassen, W.

2005-01-01

Area-wide integrated pest management (AW-IPM) focuses on the preventive management of pest populations throughout the ecosystem. It seeks to treat all habitats of the pest population so that none produces migrants to re-establish significant infestations in areas of concern. In contrast, the conventional strategy focuses narrowly on defending the valued entity (crop, livestock, people, buildings, etc.) from direct attack by pests. AW-IPM requires multiyear planning, and an organization dedicated exclusively to its implementation, whereas conventional pest management involves minimal forward planning, tends to be reactive, and is implemented independently by individual producers, businesses, or households. AW-IPM tends to utilize advanced technologies, whereas the conventional strategy tends to rely on traditional tactics and tools. The sterile insect technique (SIT) is a species-specific form of birth control imposed on the pest population. It is a powerful tool for 'mopping up' sparse pest populations, and is most efficient when applied as a tactic in a system deployed on an area-wide basis. On environmental, economic and biological grounds, the case for the SIT is compelling. (author)

Our experience, technique and long-term outcomes in the management of posterior urethral strictures.

Science.gov (United States)

Singh, Amit; Panda, Shasanka Shekhar; Bajpai, Minu; Jana, Manisha; Baidya, Dalim Kumar

2014-02-01

To share our experience, technique and long-term outcomes in posterior urethral stricture management. Thirty-seven boys with post-traumatic posterior urethral stricture underwent resection and end-to-end anastomosis through pre-anal coronal approach or in combination with trans-pubic approach from January 2000 to December 2011. Follow up included symptomatic evaluation by micturating cystourethrogram and retrograde urethrogram in all patients, and urethroscopy in patients with voiding symptoms. Pre-anal coronal approach was used in 29 (78%) cases and in 8 (21%) cases it was combined with trans-pubic approach. In 33 (89.1%) patients it was first attempt, while in 4 (10.9%) it was redo surgery. Two patients required buccal mucosal graft to bridge the deficient urethra. Patient age was 5-17 years (mean 10.8 years). Mean follow up was 48.5 months (range 6-132 months). Thirty-two (86%) patients were symptom free. Failed repairs were successfully managed by urethral dilation in 3 and by redo urethroplasty in the remaining 2. All patients were continent. There was no chordee, penile shortening or urethral diverticula. Resection and end-to-end anastomosis of posterior urethral stricture is possible through pre-anal coronal incision; however, if slightest difficulty is envisaged in creating a satisfactory end-to-end anastomosis, extension to trans-pubic approach should be done. Copyright © 2013 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

Management Styles and Techniques: Time.

Science.gov (United States)

Matthews, Priscilla J.

1987-01-01

Discusses strategies to improve individuals' use of time and personal satisfaction through time management. The 126-item bibliography includes citations for time management in general and special sections for career development, family and parenting, women, and home management. (CLB)

The management of right iliac fossa pain - is timing everything?

LENUS (Irish Health Repository)

McCartan, D P

2012-01-31

BACKGROUND: Right iliac fossa (RIF) pain remains the commonest clinical dilemma encountered by general surgeons. We prospectively audited the management of acute RIF pain, examining the relationship between symptom duration, use of pre-operative radiological imaging and patient outcome. METHODS: Over a six-month period, 302 patients, median age 18 years, 59% female, were admitted with RIF pain. Symptoms, clinical findings and laboratory results were documented. Patient management, timing of radiological investigations and operations, and outcome were recorded prospectively. RESULTS: Non-specific abdominal pain (26%), gynaecological (22%) and miscellaneous causes (14%) accounted for most admissions. Ultimately, 119 patients (39%) had appendicitis. Anorexia, tachycardia or rebound tenderness in the RIF significantly predicted a final diagnosis of appendicitis. Patients with perforated appendicitis (n = 29) had a longer duration of pre-hospital symptoms (median 50h) compared to those with simple appendicitis (median 17 h) (p<0.001). The use of pre-operative imaging resulted in an increased time to surgery but was not associated with increased post-operative morbidity or perforated appendicitis. CONCLUSION: The majority of patients presenting to hospital with RIF pain did not have appendicitis. Increased duration of pre-hospital symptoms was the main factor associated with perforated appendicitis. However, increased in-hospital time to theatre was not associated with perforated appendicitis or post-operative morbidity.

Uncertainty Management for Diagnostics and Prognostics of Batteries using Bayesian Techniques

Science.gov (United States)

Saha, Bhaskar; Goebel, kai

2007-01-01

Uncertainty management has always been the key hurdle faced by diagnostics and prognostics algorithms. A Bayesian treatment of this problem provides an elegant and theoretically sound approach to the modern Condition- Based Maintenance (CBM)/Prognostic Health Management (PHM) paradigm. The application of the Bayesian techniques to regression and classification in the form of Relevance Vector Machine (RVM), and to state estimation as in Particle Filters (PF), provides a powerful tool to integrate the diagnosis and prognosis of battery health. The RVM, which is a Bayesian treatment of the Support Vector Machine (SVM), is used for model identification, while the PF framework uses the learnt model, statistical estimates of noise and anticipated operational conditions to provide estimates of remaining useful life (RUL) in the form of a probability density function (PDF). This type of prognostics generates a significant value addition to the management of any operation involving electrical systems.

Cardio MRI right heart assessment

International Nuclear Information System (INIS)

Genova, K.

2013-01-01

Full text: Introduction: In recent years, the evaluation of the function and morphology of the right heart caused increasing interest as right sided dysfunction is an important prognostic factor in many cardiovascular diseases. Modern MRI technique is the method of choice for precise assessment of the morphology and function of the right heart and is increasingly used in routine practice. What you will learn: Selecting appropriate techniques tailored to the morphology and function of right heart and conform to accepted standards is crucial for obtaining diagnostic imaging. This requires, as knowledge of the art of study, and diseases that assessment of right heart is key. The various techniques used and the specifics of the study protocol in the underlying disease leading to right dysfunction, consistent with standards and based on our experience will be presented. Discussion: The function of the right heart and in particular right sided function affects the prognosis of a number of cardiovascular diseases. Right sided morphology and function are assessed in terms of hemodynamic and prognostic significance in a number of heart and lung diseases. This enables clinicians to refine therapy, monitoring the effect of treatment and appropriate adjustment and precise timing invasive procedure or surgery. Knowing the capabilities and limitations of the method, combined with clinically - oriented approach are prerequisites for accurate and informative assessment of the right heart. Conclusion: Cardiac MRI is a method that allows precise , non-invasive and non- ionizing radiation morphological and functional assessment of the right heart, with the evaluation of the pulmonary circulation, which determines its key importance in conditions requiring assessment of right heart

Higher Mortality in Surgically Managed Diverticulitis is Associated with Asian Ethnicity and Right-Sided Disease.

Science.gov (United States)

Choi, Christine S; Koltun, Walter A; Hollenbeak, Christopher S

2016-03-01

Although right-sided diverticulitis is perceived to have a higher incidence among Asians and infrequently requires surgical management in comparison with sigmoid diverticulitis, it is unknown whether differences in outcomes are due to ethnic disparity or disease pathophysiology. The aim of this study was to determine the surgical outcomes for Asian and non-Asian patients with diverticulitis who underwent colectomy. Patients identifiable by ethnicity in the Nationwide Inpatient Sample with diverticulitis and colectomy between 2004 and 2010 were included. Univariate comparisons were made between Asian and non-Asian patients by using t tests for continuous variables and χ tests for categorical variables. Propensity score matching analysis was performed to compare Asian patients with otherwise similar non-Asian patients. Included were 58,142 non-Asian and 335 Asian patients with diverticulitis who underwent a colectomy. The primary outcomes were in-hospital mortality, hospital length of stay, and total costs. Asian patients were younger (56.1 vs. 59.2 years, p ethnicity variable was not uniformly collected by all states within the Nationwide Inpatient Sample database. Among patients undergoing a colectomy for diverticulitis, a higher mortality was observed in Asian patients and right-sided disease. Future longitudinal studies comparing the natural history and outcomes of management between right- and left-sided diverticulitis are necessary to investigate whether a true ethnic disparity exists.

The effect of HRM on the relationship between quality management techniques and performance

DEFF Research Database (Denmark)

do Nascimento Gambi, Lillian; Jørgensen, Frances; Cecílio Gerolamo, Mateus

2014-01-01

. The study shows that the relationship between quality management techniques and performance is influenced by HRM approaches, but provides counterevidence to the prevailing assumption that commitment-oriented HRM is generally more appropriate to increase performance than a control-oriented approach. Rather...

Parental Presence/Absence in the Dental Operatory as a Behavior Management Technique: A Review and Modified View.

Science.gov (United States)

Riba, Hicham; Al-Shahrani, Asma; Al-Ghutaimel, Hayat; Al-Otaibi, Adel; Al-Kahtani, Salim

2018-02-01

Parental presence/absence in the dental operatory (also called: Parent-in-parent-out technique) is an extremely controversial aspect of the nonpharmacological BMTs. Historically, dentists used to exclude parents from dental operatory to avoid their interference with the dentist's aptitude to build a rapport and relationship with the child, hence increasing the child management problems by disrupting treatment and making the dentist unfocused and uncomfortable. The purpose of this article is to review and emphasize on the importance of parental presence/absence in the dental operatory, especially in a certain age group, as a behavior management technique (BMT) in pediatric dentistry, and to present a modified view of this technique. This article reviews the current literature concerning behavior management in pediatric dentistry. It includes a medline database search and review of the comprehensive textbooks in pediatric dentistry. Some recommendations were based on the opinions of experienced researchers and clinicians. Parent-in-parent-out technique in dental operatory is advocated to gain emotional support and avoid the effect of traumatic separation, especially in younger children or special health-care needs patients. The parent-in-parent-out technique in dental operatory is underused, or misused. This article clarifies the proper use of this technique along with a minor modification to it to make it more effective on young apprehensive dental patients.

Survival of the Fittest: An Active Queue Management Technique for Noisy Packet Flows

Directory of Open Access Journals (Sweden)

Shirish S. Karande

2007-01-01

Full Text Available We present a novel active queue management (AQM technique to demonstrate the efficacy of practically harnessing the predictive utility of SSR indications for improved video communication. We consider a network within which corrupted packets are relayed over multiple hops, but a certain percentage of packets needs to be dropped at an intermediate node due to congestion. We propose an AQM technique, survival of the fittest (SOTF, to be employed at the relay node, within which we use packet state information, available from SSR indications and checksums, to drop packets with the highest corruption levels. On the basis of actual 802.11b measurements we show that such a side information (SI aware processing within the network can provide significant performance benefits over an SI-unaware scheme, random queue management (RQM, which is forced to randomly discard packets. With trace-based simulations, we show the utility of the proposed AQM technique in improving the error recovery performance of cross-layer FEC schemes. Finally, with the help of H.264-based video simulations these improvements are shown to translate into a significant improvement in video quality.

TINJUAN YURIDIS PENGATURAN RIGHTS MANAGEMENT INFORMATION DALAM KETENTUAN HAK MORAL PADA UNDANG-UNDANG NO. 19 TAHUN 2002 TENTANG HAK CIPTA DI INDONESIA

Directory of Open Access Journals (Sweden)

M. Zairul Alam

2014-08-01

Full Text Available Abstract Thedigital technological advancement and internet technology urges the new forms of  works protection against new model of piracy and copyright infringement. Technological Protection Measures (TPM and Rights Management Information (RMI seeks to answer the needs of new forms of technological protection as those provisions are regulated under WIPO Copyright Treaty 1996. This paper suggest that the RMI concept which is regulated under Moral Rights section in Indonesian Copyright Act reveals new obstacles in order to comply with adequate and effective legal remedies requirementsin WCT provision. As a conclusion, the arrangement of RMI under Moral Rights in Indonesian Copyright Act does not fit properly with the main objectives of RMI as one element of double protection of digital works along with TPM. Key words: rights management information, moral rights, technological protection Abstrak Kemajuan teknologi digital dan teknologi internet memunculkan urgensi bentuk perlindungan baru atas model pembajakann karya cipta dan pelanggaran hak cipta. TPM (Technological Protection Measures dan RMI (Rights Management Information mencoba memberikan jawaban atas kebutuhan perlindungan ciptaan dengan penggunaan teknologi sebagaimana diatur dalam WIPO Copyright Treaty 1996. Tulisan ini selanjutnya akan menjelaskan bahwa pengaturan RMI di bawah Ketentuan Hak Moral dalam Undang-Undang Hak Cipta memunculkan kendala dan tantangan baru dalam kaitannya dengan pemenuhan persyaratan akan pengaturan RMI yang memadai dan efektif. Tulisan ini berkesimpulan bahwa pengaturan RMI dalam Ketentuan Hak Moral dalam UUHC di Indonesia tidak secara tepat sesuai dengan apa yang dimaksudkan dalam WCT, bahwa baik RMI dan TPM berfungsi sebagai proteksi ganda perlindungan karya digital. Kata kunci: right management information, hak moral, perlindungan teknologi

Developing nondestructive techniques for managing conflicts between fisheries and double-crested cormorant colonies

Science.gov (United States)

Suzuki, Yasuko; Roby, Daniel D.; Lyons, Donald E.; Courtot, Karen; Collis, Ken

2015-01-01

Double-crested cormorants (Phalacrocorax auritus) have been identified as the source of significant mortality to juvenile salmonids (Oncorhynchus spp.) in the Columbia River Basin. Management plans for reducing the size of a large colony on East Sand Island (OR, USA) in the Columbia River estuary are currently being developed. We evaluated habitat enhancement and social attraction as nondestructive techniques for managing cormorant nesting colonies during 2004–2007. We tested these techniques on unoccupied plots adjacent to the East Sand Island cormorant colony. Cormorants quickly colonized these plots and successfully raised young. Cormorants also were attracted to nest and raised young on similar plots at 2 islands approximately 25 km from East Sand Island; 1 island had a history of successful cormorant nesting whereas the other was a site where cormorants had previously nested unsuccessfully. On a third island with no history of cormorant nesting or nesting attempts, these techniques were unsuccessful at attracting cormorants to nest. Our results suggest that some important factors influencing attraction of nesting cormorants using these techniques include history of cormorant nesting, disturbance, and presence of breeding cormorants nearby. These techniques may be effective in redistributing nesting cormorants away from areas where fish stocks of conservation concern are susceptible to predation, especially if sites with a recent history of cormorant nesting are available within their foraging or dispersal range. Published 2015. Wiley Periodicals, Inc. This article is a US Government work and, as such, is in the public domain in the United States of America.

Operational Research Techniques Used for Addressing Biodiversity Objectives into Forest Management: An Overview

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Marta Ezquerro

2016-10-01

Full Text Available The integration of biodiversity into forest management has traditionally been a challenge for many researchers and practitioners. In this paper, we have provided a survey of forest management papers that use different Operations Research (OR methods in order to integrate biodiversity objectives into their planning models. One hundred and seventy-nine references appearing in the ISI Web of Science database in the last 30 years have been categorized and evaluated according to different attributes like model components, forest management elements, or biodiversity issues. The results show that many OR methods have been applied to deal with this challenging objective. Thus, up to 18 OR techniques, divided into four large groups, which have been employed in four or more articles, have been identified. However, it has been observed how the evolution of these papers in time apparently tended to increase only until 2008. Finally, two clear trends in this set of papers should be highlighted: the incorporation of spatial analysis tools into these operational research models and, second, the setting up of hybrid models, which combine different techniques to solve this type of problem.

Implementation of quality improvement techniques for management and technical processes in the ACRV project

Science.gov (United States)

Raiman, Laura B.

1992-12-01

Total Quality Management (TQM) is a cooperative form of doing business that relies on the talents of everyone in an organization to continually improve quality and productivity, using teams and an assortment of statistical and measurement tools. The objective of the activities described in this paper was to implement effective improvement tools and techniques in order to build work processes which support good management and technical decisions and actions which are crucial to the success of the ACRV project. The objectives were met by applications in both the technical and management areas. The management applications involved initiating focused continuous improvement projects with widespread team membership. The technical applications involved applying proven statistical tools and techniques to the technical issues associated with the ACRV Project. Specific activities related to the objective included working with a support contractor team to improve support processes, examining processes involved in international activities, a series of tutorials presented to the New Initiatives Office and support contractors, a briefing to NIO managers, and work with the NIO Q+ Team. On the technical side, work included analyzing data from the large-scale W.A.T.E.R. test, landing mode trade analyses, and targeting probability calculations. The results of these efforts will help to develop a disciplined, ongoing process for producing fundamental decisions and actions that shape and guide the ACRV organization .

Implementation of quality improvement techniques for management and technical processes in the ACRV project

Science.gov (United States)

Raiman, Laura B.

1992-01-01

Total Quality Management (TQM) is a cooperative form of doing business that relies on the talents of everyone in an organization to continually improve quality and productivity, using teams and an assortment of statistical and measurement tools. The objective of the activities described in this paper was to implement effective improvement tools and techniques in order to build work processes which support good management and technical decisions and actions which are crucial to the success of the ACRV project. The objectives were met by applications in both the technical and management areas. The management applications involved initiating focused continuous improvement projects with widespread team membership. The technical applications involved applying proven statistical tools and techniques to the technical issues associated with the ACRV Project. Specific activities related to the objective included working with a support contractor team to improve support processes, examining processes involved in international activities, a series of tutorials presented to the New Initiatives Office and support contractors, a briefing to NIO managers, and work with the NIO Q+ Team. On the technical side, work included analyzing data from the large-scale W.A.T.E.R. test, landing mode trade analyses, and targeting probability calculations. The results of these efforts will help to develop a disciplined, ongoing process for producing fundamental decisions and actions that shape and guide the ACRV organization .

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.

Application of simulation techniques for accident management training in nuclear power plants

International Nuclear Information System (INIS)

2003-05-01

core. These capabilities include the optimized use of design margins as well as complementary measures for the prevention of accident progression, its monitoring, and the mitigation of severe accidents. Finally, level 5 includes off-site emergency response measures, the objective of which is to mitigate the radiological consequences of significant releases of radioactive material. Accident management is defined in the IAEA Safety Report on Development and Implementation of Accident Management Programmes in Nuclear Power Plants. The IAEA definitions are in line with the definitions of severe accident management in OECD/NEA documents as given, for example. This report describes simulation techniques used in the training of personnel involved in accident management of NPPs. This concerns both the plant personnel and the persons involved in the management of off-site releases. The report pertains to light water reactors (LWRs) and pressurized heavy water reactors (PHWRs), but it can equally be applied to power reactors of other types. The report is intended for use by experts responsible for planning, developing, executing or supervising the training of personnel involved in the implementation of AMPs in NPPs. It concentrates on existing techniques, but future prospects are also discussed. Various simulation techniques are considered, from incorporating graphical interfaces into existing severe accident codes to full-scope replica simulators. Both preventive and mitigative accident management measures, different training levels and different target personnel groups are taken into account. Based on the available information compiled worldwide, present views on the applicability of simulation techniques for the training of personnel involved in accident management are provided in this report. Apart from the introduction, this report consists of four sections and three appendices. In Section 2, specific aspects of accident management are summarized. Basic approaches in the

Pengaruh Competitor Accounting Sebagai Strategic Management Accounting Techniques Terhadap Competitive Advantage Dan Organization Performance

OpenAIRE

Alan, Hartanto

2015-01-01

The purpose of this study was to know the affect of Competitor Accounting as a Strategic Management Accounting Techniques toward Competitive Advantage and Organization Performance on manufacturing companies in Surabaya and Sidoarjo. In this study primary data was used by using questionnaire distributed to manufacturing companies in Surabaya and Sidoarjo. This study used path modeling analysis technique with PLS tools. From the examination showed that there were positive and significant affect...

The development of quality management techniques in civil engineering design and site supervision

International Nuclear Information System (INIS)

Cowan, A.J.

1991-01-01

Quality assurance techniques have developed considerably over the past few years, and in particular the application of Quality Management within a service industry such as civil engineering has evolved into a well developed management control system. James Williamson and Partners were the first members of the Association of Consulting Engineers successfully to achieve third party accreditation with BSI for civil and structural design. The initial system was generated for work on Torness Power Station in the early 1980s, and the firm has, in the last ten years, developed a flexible quality system to effectively control and co-ordinate complex projects. This paper discusses the use of quality assurance (QA) techniques in a civil engineering design office, looking at a few areas where the requirements of BS 5750 and BS 5882 are difficult to interpret. Some observations are also made on the adoption of QA for site supervision. (author)

System study of alternative waste management techniques: Final report

International Nuclear Information System (INIS)

1986-01-01

This report summarizes the important results achieved in conjunction with the Research and Development Priority ''Alternative Waste Management Techniques'' sponsored by the Federal Ministry of Research and Technology from 1981 to 1984. The subject of these studies was solely ''direct disposal'' of spent fuel elements. For this purpose a reference concept was selected from a variety of possible processes and engineered in detailed form by firms in the nuclear industry. Those who worked on the engineering concepts consider this waste management method technically feasible. Several disposal casks have been fabricated. The basic licensability of direct disposal can be evaluated on the basis of the documentation developed by the companies. The direct disposal method was compared with the ''integrated waste management concept'' using reference fuel cycles with respect to the following criteria: radiological safety and nuclear material safeguards and, in addition, economic and energy-policy aspects. It was found that with respect to radiological safety, including the long-term safety of the final repository, there are no significant differences between the two fuel cycles with and without reprocessing. With respect to the nuclear material safeguards of a final repository containing spent fuel elements, there are still a number of unanswered questions. From an economic standpoint, direct disposal will be more economical in the foreseeable future than integrated waste management. Quantification of the effects of one or the other waste management method on the national economy is not necessarily possible. Reprocessing is supported primarily by technological and energy-policy considerations. On the basis of the results, the conclusion is reached that reprocessing should be pursued further, but that at the same time direct disposal should be developed to the point of practical maturity

THE ROLE OF THE VILLAGE IN FOREST MANAGEMENT: HUMAN RIGHTS PERSPECTIVES

Directory of Open Access Journals (Sweden)

Mohamad Rif'an

2016-06-01

Full Text Available 1945 opening noble nation Indonesia is an agreement to live together (modus vivendi in bonding the plural nation. The Modus Vivendi, has given birth to the state's objective, which is the nation's identity and guidelines in their stride. Thus, the constitution has mandated the State to be responsible for the welfare of the people. Indonesia has the second largest tropical forest in the world with high economic value that can be managed by the state and society. This allows for the utilization of various types of plants and economic aspects of the utilization of forest products. In preparation result is a pity forests is not optimal either with intensive and with many requests deforestation or forest land conversion. Deforestation well planned and unplanned forest. On the other hand, Indonesia which acknowledges the existence of the village government and the empowerment of the rural community empowerment which is a process for making the community to improve the quality of life for the better is weak then the need for the existence of the role of government in the village of Village forest management as one of the rights of the villagers. The type of research is normative juridical. Hence this paper initiated a grand design Village forest management to complete the processing and utilization of forest products that are integrated with the role of the village government as a system intended to pengoptimalam supply chain production as one of the important indicators of development and resilience of economies in each region using variable results income forests as principal.

Surgical management of colonic diverticular disease: discrepancy between right- and left-sided diseases.

Science.gov (United States)

Oh, Heung-Kwon; Han, Eon Chul; Ha, Heon-Kyun; Choe, Eun Kyung; Moon, Sang Hui; Ryoo, Seung-Bum; Jeong, Seung-Yong; Park, Kyu Joo

2014-08-07

To compare the outcome of the surgical management of left-sided and right-sided diverticular disease. The medical records of 77 patients who were surgically treated for diverticular disease between 1999 and 2010 in a tertiary referral hospital were retrospectively reviewed. The study population was limited to cases wherein the surgical specimen was confirmed as diverticulosis by pathology. Right-sided diverticula were classified as those arising from the cecum, ascending colon, and transverse colon, and those from the descending colon, sigmoid colon, and rectum were classified as left-sided diverticulosis. To assess the changing trend of occurrence of diverticulosis, data were compared with two previous studies of 51 patients. The proportion of left-sided disease cases was significantly increased compared to the results of our previous studies in 1994 and 2001, (27.5% vs 48.1%, P disease. However, patients with right-sided disease were significantly younger (50.9 year vs 64.0 year, P disease was significantly associated with a higher incidence of complicated diverticulitis (89.2% vs 57.5%, P diverticular disease, the incidence of left-sided disease in Korea has increased since 2001 and is associated with worse surgical outcomes.

Intravesical ligation as a new technique to manage a refluxing native ureter without simultaneous nephrectomy in renal transplantation.

Science.gov (United States)

Guzmán, J A

2012-12-01

This article aims to describe an original technique to correct refluxing native ureters observed during a prerenal transplantation study. The correction is performed by intravesical ligation of the native refluxing ureters at the same time as renal transplantation without simultaneous nephrectomy. Between January 2004 and December 2010 we performed intravesical ligation of a refluxing ureter simultaneous with a transplantation procedure without a concomittant native nephrectomy in 12 of 345 subjects (3.47%). The 8 bilateral and 4 unilateral ligations were performed on 11 cadaveric and 1 living-related nonidentical donor transplantations. The implantation of the kidney donor ureter was performed anatomically in the bladder trigone through a transvesical ureteroneocystostomy with a transmural, submucosal antireflux tunnel. Early and late postoperative recovery was satisfactory in all patients. There was no documented kidney area pain, proven urinary tract infection, morbidity or mortality attributed to the procedure. Intravesical ligation is a practical technique to manage vesicoureteral reflux into the native ureters simultaneously with the ureteral implantation of the kidney donor in a single surgical renal transplant procedure without native kidney nephrectomy. Copyright © 2012 Elsevier Inc. All rights reserved.

A Customary Right to Fish when Fish are Sparse: Managing Conflicting Claims between Customary Rights and Environmental Rights

Directory of Open Access Journals (Sweden)

Loretta Feris

2013-12-01

Full Text Available This contribution considers the potential conflicts that may arise between customary rights and environmental rights in the face of dwindling marine resources. It sets the scene by reflecting on some of the common themes present in indigenous claims to marine resource by communities who were subjected to colonisation. In doing so it analyses the South African judgment, S v Gongqose Case No. E382/10 (unreported, which alluded to the existence of a customary right to fishing, a concept that has until now remained unexplored in South African law. This discussion is followed by a brief overview of the rapidly declining state of marine resources, worldwide and in South Africa. The note then considers the relationship between customary law and marine resources and some of the challenges in meeting rights-based customary claims to marine resources against the need to conserve a dwindling resource. It concludes by offering possibilities for reconciliation.

Study and development of equipment supervision technique system and its management software for nuclear electricity production

International Nuclear Information System (INIS)

Zhang Liying; Zou Pingguo; Zhu Chenghu; Lu Haoliang; Wu Jie

2008-01-01

The equipment supervision technique system, which standardized the behavior of supervision organizations in planning and implementing of equipment supervision, is built up based on equipment supervision technique documents, such as Quality Supervision Classifications, Special Supervision Plans and Supervision Guides. Furthermore, based on the research, the equipment supervision management information system is developed by Object Oriented Programming, which consists of supervision information, supervision technique, supervision implementation, quality statistics and analysis module. (authors)

Simple technique to treat pupillary capture after transscleral fixation of intraocular lens.

Science.gov (United States)

Jürgens, Ignasi; Rey, Amanda

2015-01-01

We describe a simple surgical technique to manage pupillary capture after previous transscleral fixation of an intraocular lens. Neither author has a financial or proprietary interest in any material or method mentioned. Copyright © 2015 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Parental acceptance of behaviour-management techniques used in paediatric dentistry and its relation to parental dental anxiety and experience.

Science.gov (United States)

Boka, V; Arapostathis, K; Vretos, N; Kotsanos, N

2014-10-01

The aim of this study was to examine the acceptance by Greek parents of nine behaviour-management techniques and its association with several possible confounding factors. Following ethical approval, 106 parents whose 3- to 12-year-old children had been receiving treatment in a university postgraduate paediatric dental clinic, and 123 parents of children from a private paediatric dental practice agreed to participate. After being shown a video with nine behaviour-management techniques, parents rated the acceptance of each technique on a 0-10 scale. They were then asked to complete a questionnaire about demographics, their previous dental experience and dental anxiety (modified Corah dental anxiety scale). The best accepted technique was tell-show-do (9.76 ± 0.69), followed by parental presence/absence (PPA) technique (7.83 ± 3.06) and nitrous oxide inhalation sedation (7.09 ± 3.02). The least accepted techniques were passive restraint (4.21 ± 3.84) and general anaesthesia (4.21 ± 4.02). No correlations were found between acceptance of any individual management technique and parental age, gender, income, education, dental experience and dental anxiety or the child's age, gender and dental experience. Parents whose children had been treated at the University clinic had lower income and educational levels, and rated passive restraint, oral sedation and general anaesthesia higher than those from the private practice. When the parents were specifically asked to choose between general anaesthesia over any of the active or passive restraint, hand-over-mouth and voice control techniques, 10% preferred general anaesthesia, and these parents reported statistically significant more negative dental experience but not higher dental anxiety. Statistical significance of differences was explored using the Tukey-Kramer method. There was no correlation between parental dental experience and dental anxiety and the acceptance of any specific behaviour-management technique

Developing and managing embedded systems and products methods, techniques, tools, processes, and teamwork

CERN Document Server

Fowler, Kim

2014-01-01

This Expert Guide gives you the knowledge, methods and techniques to develop and manage embedded systems successfully.  It shows that teamwork, development procedures, and program management require unique and wide ranging skills to develop a system, skills that most people can attain with persistence and effort. With this book you will: Understand the various business aspects of a project from budgets and schedules through contracts and market studiesUnderstand the place and timing for simulations, bench tests, and prototypes, and understand the differences between various formal metho

Radionuclide angiocardiography. Improved diagnosis and quantitation of left-to-right shunts using area ratio techniques in children

International Nuclear Information System (INIS)

Alderson, P.O.; Jost, R.G.; Strauss, A.W.; Boonvisut, S.; Markham, J.

1975-01-01

A comparison of several reported methods for detection and quantitation of left-to-right shunts by radionuclides was performed in 50 children. Count ratio (C2/C1) techniques were compared with the exponential extrapolation and gamma function area ratio techniques. C2/C1 ratios accurately detected shunts and could reliably separate shunts from normals, but there was a high rate of false positives in children with valvular heart disease. The area ratio methods provided more accurate shunt quantitation and a better separation of patients with valvular heart disease than did the C2/C1 ratio. The gamma function method showed a higher correlation with oximetry than the exponential method, but the difference was not statistically significant. For accurate shunt quantitation and a reliable separation of patients with valvular heart disease from those with shunts, area ratio calculations are preferable to the C2/C1 ratio

Right upper quadrant pain

International Nuclear Information System (INIS)

Ralls, P.W.; Colletti, P.M.; Boswell, W.D. Jr.; Halls, J.M.

1984-01-01

Historically, assessment of acute right upper quadrant abdominal pain has been a considerable clinical challenge. While clinical findings and laboratory data frequently narrow the differential diagnosis, symptom overlap generally precludes definitive diagnosis among the various diseases causing acute right upper quadrant pain. Fortunately, the advent of newer diagnostic imaging modalities has greatly improved the rapidity and reliability of diagnosis in these patients. An additional challenge to the physician, with increased awareness of the importance of cost effectiveness in medicine, is to select appropriate diagnostic schema that rapidly establish accurate diagnoses in the most economical fashion possible. The dual goals of this discussion are to assess not only the accuracy of techniques used to evaluate patients with acute right upper quadrant pain, but also to seek out cost-effective, coordinated imaging techniques to achieve this goal

Using the Critical Incident Technique for Triangulation and Elaboration of Communication Management Competencies

Science.gov (United States)

Brunton, Margaret Ann; Jeffrey, Lynn Maud

2010-01-01

This paper presents the findings from research using the critical incident technique to identify the use of key competencies for communication management practitioners. Qualitative data was generated from 202 critical incidents reported by 710 respondents. We also present a brief summary of the quantitative data, which identified two superordinate…

Distributed cluster management techniques for unattended ground sensor networks

Science.gov (United States)

Essawy, Magdi A.; Stelzig, Chad A.; Bevington, James E.; Minor, Sharon

2005-05-01

Smart Sensor Networks are becoming important target detection and tracking tools. The challenging problems in such networks include the sensor fusion, data management and communication schemes. This work discusses techniques used to distribute sensor management and multi-target tracking responsibilities across an ad hoc, self-healing cluster of sensor nodes. Although miniaturized computing resources possess the ability to host complex tracking and data fusion algorithms, there still exist inherent bandwidth constraints on the RF channel. Therefore, special attention is placed on the reduction of node-to-node communications within the cluster by minimizing unsolicited messaging, and distributing the sensor fusion and tracking tasks onto local portions of the network. Several challenging problems are addressed in this work including track initialization and conflict resolution, track ownership handling, and communication control optimization. Emphasis is also placed on increasing the overall robustness of the sensor cluster through independent decision capabilities on all sensor nodes. Track initiation is performed using collaborative sensing within a neighborhood of sensor nodes, allowing each node to independently determine if initial track ownership should be assumed. This autonomous track initiation prevents the formation of duplicate tracks while eliminating the need for a central "management" node to assign tracking responsibilities. Track update is performed as an ownership node requests sensor reports from neighboring nodes based on track error covariance and the neighboring nodes geo-positional location. Track ownership is periodically recomputed using propagated track states to determine which sensing node provides the desired coverage characteristics. High fidelity multi-target simulation results are presented, indicating the distribution of sensor management and tracking capabilities to not only reduce communication bandwidth consumption, but to also

Using a Voltage Domain Programmable Technique for Low-Power Management Cell-Based Design

Directory of Open Access Journals (Sweden)

Ching-Hwa Cheng

2011-09-01

Full Text Available The Multi-voltage technique is an effective way to reduce power consumption. In the proposed cell-based voltage domain programmable (VDP technique, the high and low voltages applied to logic gates are programmable. The flexible voltage domain reassignment allows the chip performance and power consumption to be dynamically adjusted. In the proposed technique, the power switches possess the feature of flexible programming after chip manufacturing. This VDP method does not use an external voltage regulator to regulate the supply voltage level from outside of the chip but can be easily integrated within the design. This novel technique is proven by use of a video decoder test chip, which shows 55% and 61% power reductions compared to conventional single-Vdd and low-voltage designs, respectively. This power-aware performance adjusting mechanism shows great power reduction with a good power-performance management mechanism.

Wild plant food in agricultural environments: a study of occurrence, management, and gathering rights in Northeast Thailand.

NARCIS (Netherlands)

Price, L.L.

1997-01-01

This article examines the gathering of wild plant foods in agricultural environments and utilizes research conducted among rice cultivators in northeast Thailand as the case study. The management of wild food plants and gathering rights on agricultural land are closely linked to women's roles as

Project management techniques used in the European Vacuum Vessel sectors procurement for ITER

Energy Technology Data Exchange (ETDEWEB)

Losasso, Marcello, E-mail: marcello.losasso@f4e.europa.eu [Fusion for Energy (F4E), Barcelona (Spain); Ortiz de Zuniga, Maria; Jones, Lawrence; Bayon, Angel; Arbogast, Jean-Francois; Caixas, Joan; Fernandez, Jose; Galvan, Stefano; Jover, Teresa [Fusion for Energy (F4E), Barcelona (Spain); Ioki, Kimihiro [ITER Organisation, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France); Lewczanin, Michal; Mico, Gonzalo; Pacheco, Jose Miguel [Fusion for Energy (F4E), Barcelona (Spain); Preble, Joseph [ITER Organisation, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France); Stamos, Vassilis; Trentea, Alexandru [Fusion for Energy (F4E), Barcelona (Spain)

2012-08-15

Highlights: Black-Right-Pointing-Pointer File name contains the directory tree structure with a string of three-letter acronyms, thereby enabling parent directory location when confronted with orphan files. Black-Right-Pointing-Pointer The management of the procurement procedure was carried out in an efficient and timely manner, achieving precisely the contract placement date foreseen at the start of the process. Black-Right-Pointing-Pointer The contract start-up has been effectively implemented and a flexible project management system has been put in place for an efficient monitoring of the contract. - Abstract: The contract for the seven European Sectors of the ITER Vacuum Vessel (VV) was placed at the end of 2010 with a consortium of three Italian companies. The task of placing and the initial take-off of this large and complex contract, one of the largest placed by F4E, the European Domestic Agency for ITER, is described. A stringent quality controlled system with a bespoke Vacuum Vessel Project Lifecycle Management system to control the information flow, based on ENOVIA SmarTeam, was developed to handle the storage and approval of Documentation including links to the F4E Vacuum Vessel system and ITER International Organization System interfaces. The VV Sector design and manufacturing schedule is based on Primavera software, which is cost loaded thus allowing F4E to carry out performance measurement with respect to its payments and commitments. This schedule is then integrated into the overall Vacuum Vessel schedule, which includes ancillary activities such as instruments, preliminary design and analysis. The VV Sector Risk Management included three separate risk analyses from F4E and the bidders, utilizing two different methodologies. These efforts will lead to an efficient and effective implementation of this contract, vital to the success of the ITER machine, since the Vacuum Vessel is the biggest single work package of Europe's contribution to ITER and

Child-management techniques. Are there differences in the way female and male pediatric dentists in Israel practice?

Directory of Open Access Journals (Sweden)

Peretz Benjamin

2003-01-01

Full Text Available The purpose of this study was to assess differences in the management techniques used by Israeli female and male pediatric dentists. All 112 participants of the meeting of the Israeli Society of Dentistry for Children that was held in February 1999 received a questionnaire which sought information regarding age, sex, behavioral and pharmacological methods used to treat children, having a course in nitrous oxide, general anesthesia, and feelings towards pediatric patients. No differences between female and male dentists were found regarding most management techniques. The majority of dentists used tell-show-do, and gave presents at the end of the appointments. Hypnosis was the least used technique. Papoose board was more prevalent among male dentists than among female dentists. Most dentists reported having the parents present during treatment, and more male dentists used their assistance when restraint was needed. General anesthesia was significantly more prevalent among males than among females (p = 0.01. One-third of the dentists reported feeling aggression toward the pediatric patient. Although not statistically significant, more female dentists reported about feeling aggression than male dentists. Most dentists felt authority towards the pediatric patient. Our findings imply that female and male dentists use similar management techniques when treating children.

Right brachial angiography with compression

International Nuclear Information System (INIS)

Ruggiero, G.; Dalbuono, S.; Tampieri, D.

1982-01-01

A technique for performing right brachial anigography by compressing the right anterior-inferior part of the neck is proposed, as a result of studying the left carotid circulation without puncturing the left carotid artery. A success was obtained in about 75% of cases. The success of the technique depends mainly on the anatomical nature of the innominate artery. When the technique is successful both left carotid arteries in the neck and their intracranial branches can be satisfactorily visualized. In some cases visualization of the left vertebral artery was also otbained. Attention is drawn also on the increased diagnostic possibilities of studying the vessels in the neck with a greater dilution of the contrast medium. (orig.)

Permanent right-to-left shunt is the key factor in managing patent foramen ovale.

Science.gov (United States)

Rigatelli, Gianluca; Dell'Avvocata, Fabio; Cardaioli, Paolo; Giordan, Massimo; Braggion, Gabriele; Aggio, Silvio; Chinaglia, Mauro; Mandapaka, Sangeeta; Kuruvilla, John; Chen, Jack P; Nanjundappa, Aravinda

2011-11-15

We sought to prospectively evaluate risk of stroke and impact of transcatheter patent foramen ovale (PFO) closure in patients with permanent right-to left shunt compared with those with Valsalva maneuver-induced right-to-left shunt. Pathophysiology and properly management of PFO still remain far from being fully clarified: in particular, the contribution of permanent right-to-left shunt remains unknown. Between March 2006 and October 2010, we enrolled 180 (mean age 44 ± 10.9 years, 98 women) of 320 consecutive patients referred to our center for transcatheter PFO closure, who had spontaneous permanent right-to-left shunt on transcranial Doppler and transthoracic/transesophageal echocardiography. All patients fulfilled the standard current indications for transcatheter closure and underwent preoperative transesophageal echocardiography and brain magnetic resonance imaging, with subsequent intracardiac echocardiographic-guided transcatheter PFO closure. We compared the clinical echocardiographic characteristics of these patients (Permanent Group) with the rest of 140 patients with right-to-left shunt only during Valsalva maneuver (Valsalva Group). Compared with the Valsalva Group patients, patients of the Permanent Group had increased frequency of multiple ischemic brain lesions on magnetic resonance imaging, previous recurrent stroke, previous peripheral arteries embolism, migraine with aura, and-more frequently-atrial septal aneurysm and prominent Eustachian valve. The presence of permanent shunt confers the highest risk of recurrent stroke (odds ratio: 5.9, 95% confidence interval: 2.0 to 12, p < 0.001). No differences were recorded between the 2 groups with regard to recurrence of ischemic events after the closure procedure. Despite its small-sample nature, our study suggests that patients with permanent right-to-left shunt have potentially a higher risk of paradoxical embolism compared with those without. Copyright © 2011 American College of Cardiology

Incorporating Indigenous Rights and Environmental Justice into Fishery Management: Comparing Policy Challenges and Potentials from Alaska and Hawaíi

Science.gov (United States)

Richmond, Laurie

2013-11-01

Colonial processes including the dispossession of indigenous lands and resources and the development of Western management institutions to govern the use of culturally important fish resources have served in many ways to marginalize indigenous interests within the United States fisheries. In recent years, several US fishery institutions have begun to develop policies that can confront this colonial legacy by better accommodating indigenous perspectives and rights in fishery management practices. This paper analyzes two such policies: the 2005 community quota entity program in Alaska which permits rural communities (predominantly Alaska Native villages) to purchase and lease commercial halibut fishing privileges and the 1994 State of Hawaíi community-based subsistence fishing area (CBSFA) legislation through which Native Hawaiian communities can designate marine space near their community as CBSFAs and collaborate with the state of Hawaíi to manage those areas according to traditional Hawaiian practices. The analysis reveals a striking similarity between the trajectories of these two policies. While they both offered significant potential for incorporating indigenous rights and environmental justice into state or federal fishery management, they have so far largely failed to do so. Environmental managers can gain insights from the challenges and potentials of these two policies. In order to introduce meaningful change, environmental policies that incorporate indigenous rights and environmental justice require a commitment of financial and institutional support from natural resource agencies, a commitment from indigenous groups and communities to organize and develop capacity, and careful consideration of contextual and cultural factors in the design of the policy framework.

Techniques for Improving Cash Management.

Science.gov (United States)

Lykins, Ronald G.

1973-01-01

This article deals with several techniques for regulating cash inflow and outflow and investing surplus cash for short periods of time. The techniques are: (1) consolidating checking accounts, (2) determining surplus cash by examining bank balances in conjunction with the cash book, (3) selecting a minimum bank balance, (4) investing a greater…

Quality management systems for fruit fly (Diptera: Tephritidae) sterile insect technique

International Nuclear Information System (INIS)

Caceres, C.; Robinson, A.; McInnis, D.; Shelly, T.; Jang, E.; Hendrichs, J.

2007-01-01

The papers presented in this issue are focused on developing and validating procedures to improve the overall quality of sterile fruit flies for use in area-wide integrated pest management (AW-IPM) programs with a sterile insect technique (SIT) component. The group was coordinated and partially funded by the Joint FAO/IAEA Programme of Nuclear Techniques in Food and Agriculture, International Atomic Energy Agency, Vienna, Austria, under a five-year Coordinated Research Project (CRP) on 'Quality Assurance in Mass-Reared and Released Fruit Flies for Use in SIT Programmes'. Participants in the CRP from 16 countries came from both basic and applied fields of expertise to ensure that appropriate and relevant procedures were developed. A variety of studies was undertaken to develop protocols to assess strain compatibility and to improve colonization procedures and strain management. Specific studies addressed issues related to insect nutrition, irradiation protocols, field dispersal and survival, field cage behavior assessments, and enhancement of mating competitiveness. The main objective was to increase the efficiency of operational fruit fly programs using sterile insects and to reduce their cost. Many of the protocols developed or improved during the CRP will be incorporated into the international quality control manual for sterile tephritid fruit flies, standardizing key components of the production, sterilization, shipment, handling, and release of sterile insects. (author) [es

Importance of brachytherapy technique in the management of primary carcinoma of the vagina

International Nuclear Information System (INIS)

Stock, R.G.; Mychalczak, B.; Armstrong, J.G.; Hoskins, W.; Harrison, L.B.

1991-01-01

Primary vaginal carcinoma is a rare malignancy. There is little information regarding the optimal treatment. Management has primarily been with external-beam radiation therapy and brachytherapy. This paper examines the importance of brachytherapy and the significance of its techniques in the treatment of this disease. Brachytherapy plays an important part in the management of primary vaginal carcinoma. External-beam radiation therapy alone is not an adequate treatment for this disease. For stages II and III disease, there is a trend toward improved disease-free survival with the use of a temporary interstitial implant compared to an intracavitary application

Optimized inspection techniques and structural analysis in lifetime management

International Nuclear Information System (INIS)

Aguado, M.T.; Marcelles, I.

1993-01-01

Preservation of the option of extending the service lifetime of a nuclear power plant beyond its normal design lifetime requires correct remaining lifetime management from the very beginning of plant operation. The methodology used in plant remaining lifetime management is essentially based on the use of standard inspections, surveillance and monitoring programs and calculations, such as thermal-stress and fracture mechanics analysis. The inspection techniques should be continuously optimized, in order to be able to detect and dimension existing defects with the highest possible degree of accuracy. The information obtained during the inspection is combined with the historical data of the components: design, quality, operation, maintenance, and transients, and with the results of destructive testing, fracture mechanics and thermal fatigue analysis. These data are used to estimate the remaining lifetime of nuclear power plant components, systems and structures with the highest degree possible of accuracy. The use of this methodology allows component repairs and replacements to be reduced or avoided and increases the safety levels and availability of the nuclear power plant. Use of this strategy avoids the need for heavy investments at the end of the licensing period

Scientific or rule-of-thumb techniques of ground-water management--Which will prevail?

Science.gov (United States)

McGuinness, Charles Lee

1969-01-01

Emphasis in ground-water development, once directed largely to quantitatively minor (but sociologically vital) service of human and stock needs, is shifting: aquifers are treated as possible regulating reservoirs managed conjunctively with surface water. Too, emphasis on reducing stream pollution is stimulating interest in aquifers as possible waste-storage media. Such management of aquifers requires vast amounts of data plus a much better understanding of aquifer-system behavior than now exists. Implicit in this deficiency of knowledge is a need for much new research, lest aquifers be managed according to ineffective rule-of-thumb standards, or even abandoned as unmanageable. The geohydrologist's task is to define both internal and boundary characteristics of aquifer systems. Stratigraphy is a primary determinant of these characteristics, but stratigraphically minor features may make aquifers transcend stratigraphic boundaries. For example, a structurally insignificant fracture may carry more water than a major fault; a minor stratigraphic discontinuity may be a major hydrologic boundary. Hence, there is a need for ways of defining aquifer boundaries and quantifying aquifer and confining-bed characteristics that are very different from ordinary stratigraphic techniques. Among critical needs are techniques for measuring crossbed permeability; for extrapolating and interpolating point data on direction and magnitude of permeability in defining aquifer geometry; and for accurately measuring geochemical properties of water and aquifer material, and interpreting those measurements in terms of source of water, rate of movement, and waste-sorbing capacities of aquifers and of confining beds--in general, techniques adequate for predicting aquifer response to imposed forces whether static, hydraulic, thermal, or chemical. Only when such predictions can be made routinely can aquifer characteristics be inserted into a master model that incorporates both the hydrologic and

Comparison based on environmental effects of nitrogen management techniques in a manure digestate case study.

Science.gov (United States)

Paccanelli, Nicola; Teli, Aronne; Scaglione, Davide; Insabato, Gabriele; Casula, Alessandro

2015-01-01

Due to climate issues and favourable energy market, biogas is spreading as a manure management technique. Digestate is rich in nutrient and has to be handled in order to respect the 'nitrate directive' that limits nitrogen field application in areas defined as vulnerable. In this study, we compared different nitrogen management scenarios: a non-treatment option, a biological short-cut nitrification, a complete autotrophic process (anammox) and ammonia stripping from membrane filtration concentrate. The environmental effect comparison was obtained with 'Cross media effects analysis' and life cycle assessment (LCA). The results were different in some aspects, especially the impacts on eutrophication. According to cross media, the best process is DENO 2, while LCA shows similar impacts for all techniques and the best solution would be the no-treatment option. The main reason to adopt a digestate treatment technique is the lack of area for a correct disposal. If LCA eutrophication results are multiplied with the hectares necessary for each technology, a result similar to that of cross media is obtained.

Microgrids: Energy management by loss minimization technique

Energy Technology Data Exchange (ETDEWEB)

Basu, A.K. [Electrical Engineering Dept., Jadavpur University & 20/2, Khanpur Road, Kolkata 700047 (India); Chowdhury, S.; Chowdhury, S.P. [Electrical Engineering Department, University of Cape Town & Private Bag X3, Menzies Building, Room-517, Rondebosch, Cape Town 7701 (India)

2011-07-01

Energy management is a techno-economic issue, which dictates, in the context of microgrids, how optimal investment in technology front could bring optimal power quality and reliability (PQR) of supply to the consumers. Investment in distributed energy resources (DERs), with their connection to the utility grid at optimal locations and with optimal sizes, saves energy in the form of line loss reduction. Line loss reduction is the indirect benefit to the microgrid owner who may recover it as an incentive from utility. The present paper focuses on planning of optimal siting and sizing of DERs based on minimization of line loss. Optimal siting is done, here, on the loss sensitivity index (LSI) method and optimal sizing by differential evolution (DE) algorithms, which is, again, compared with particle swarm optimization (PSO) technique. Studies are conducted on 6-bus and 14-bus radial networks under islanded mode of operation with electric demand profile. Islanding helps planning of DER capacity of microgrid, which is self-sufficient to cater its own consumers without utility's support.

29 CFR 452.82 - Reprisal for exercising rights.

Science.gov (United States)

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Reprisal for exercising rights. 452.82 Section 452.82 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT... DISCLOSURE ACT OF 1959 Campaign Safeguards § 452.82 Reprisal for exercising rights. A member has a right to...

Stenotic ligature: a simple technique for managing distal hypoperfusion ischemic syndrome following arteriovenous fistulas

Directory of Open Access Journals (Sweden)

Ene Cristian Roata

2018-05-01

Full Text Available Introduction. Distal Hypoperfusion Ischemic Syndrome (DHIS is a multifactorial debilitating condition causing peripheral ischemia and potentially tissue necrosis. In an effort to further refine its surgical treatment we aim to describe a modified, simple and reliable technique for managing DHIS in patients with arteriovenous fistulas. Materials and Methods. Twenty-nine consecutive patients with DHIS operated by a single surgical team over a period of 7 years were included in the study. All patients underwent the same surgical technique: stenotic ligature. Outcomes were analyzed clinically and the effectiveness of the procedure was proven using McNemar test. Clinical variables were statistically analyzed in SPSS 17.0 for Windows. Results. The technique we used consists in performing a stenosing ligature on the vein, using a 0-silk suture, and adjusting the suture in order to achieve either a radial pulse or capillary pulse, while maintaining a good thrill at palpation of the vein. The procedure was successful in 83% of patients proved by immediate symptomatic relief. Paired data analysis showed significant decrease of all symptoms: cold extremity (p=0,021, paraesthesia (p<0,001, pain (p<0,001. History of coronary artery disease, arteriopathy or the absence of radial pulse is statistically correlated with an increased risk of developing DHIS. Conclusions. Stenotic ligature is a simple, cheap and reliable technique for managing DHIS with lower septic risks which can be easily performed under local anesthesia.

29 CFR 417.10 - Rights of participants.

Science.gov (United States)

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Rights of participants. 417.10 Section 417.10 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT.... Every interested person shall have the right to present oral or documentary evidence, to submit evidence...

Endoscopic Endonasal Management of Craniopharyngioma.

Science.gov (United States)

Zacharia, Brad E; Amine, Muhamad; Anand, Vijay; Schwartz, Theodore H

2016-02-01

Craniopharyngioma is a rare clinical entity that poses a significant management challenge given their location and propensity to recur. As part of a minimally disruptive treatment paradigm, the expanded endonasal approach has the potential to improve rates of resection, improve postoperative visual recovery, and minimize surgical morbidity. This article updates the otolaryngologic community on the basic principles and techniques regarding the incorporation of the endoscopic, endonasal approach in the management paradigm of craniopharyngioma. Copyright © 2016 Elsevier Inc. All rights reserved.

Application of dotmocracy technique in assessment and management of unsafe behaviors

Directory of Open Access Journals (Sweden)

2013-02-01

Full Text Available Introduction: Industrial accident is one of the most minatory elements for worker’s health, productivity and organizational performance. Unsafe behavior is the main reason associated with occurrence of accidents. The main goal of this study was application of participatory techniques to achieve control measures of these behaviors. .Material and Method: Using safety behavior sampling technique in this study, behaviors of staffs were evaluated and then the most risky behaviors were determined by paired comparison method. By application of participatory approach of dotmocracy in six steps, controlling ideas were derived by participation of operators, supervisors, engineers, HSE team and managers. .Result: 48.8% of the behaviors were unsafe. Misuse or notusing of the personal protective equipments with 63.4% was the most frequent unsafe behavior. Awkward postures, aggregation or passing under suspended loads were also followed by the unsafe behaviors. By application of participatory approach of dotmocracy, several applicable ideas in personal protective equipment, education, reinforcementand punishment, aggregation or passing under suspended loads and other ideas were achieved. . Conclusion: Dotmocracy participatory technique is an effective way to achieve various practical solutions in control of worker’s unsafe behaviors.

Femtosecond-assisted keratopigmentation double tunnel technique in the management of a case of Urrets-Zavalia syndrome.

Science.gov (United States)

Alio, Jorge L; Rodriguez, Alejandra E; Toffaha, Bader T; El Aswad, A

2012-09-01

To describe the successful use of a double intrastromal tunnel femtosecond-assisted keratopigmentation technique to manage a case of unilateral Urrets-Zavalia syndrome. A 33-year-old man was referred with a history of trauma in his right eye due to a labor-related accident. Because of myopic anisometropia, he had been previously implanted with an angle-supported phakic intraocular lens. The patient presented iris atrophy and a fixed dilated pupil. He complained of severe and incapacitating photophobia, glare, and decreased vision. To obtain a complete iris replica, the surgery involved creation of double keratopigmented intrastromal tunnels using femtosecond laser and micronized mineral pigments. The deepest layer was stained black first and then the superficial layer was stained with a contoured greenish blue-gray color, which matched the contralateral eye. In the immediate postoperative period, the patient reported a complete elimination of photophobia associated with the corrected distance visual acuity improvement. A very adequate cosmetic outcome was also achieved. Stability was observed during the 12-month follow-up. A femtosecond-assisted keratopigmentation technique using 2 pigmented intrastromal tunnels to achieve an intracorneal pigmented replica of the iris was effective in improving the patient's severe visual function disability and cosmetic appearance. To the best of our knowledge, this is the first report of severe visual function disability caused by atrophic iris and a fixed dilated pupil treated with double intrastromal layers of keratopigmentation by means of femtosecond-created tunnels.

A Few Techniques for Time Management

OpenAIRE

Zerihun, Dr. Temesgen Belayneh; Krishna, Dr. S Murali

2012-01-01

Tomorrow is always the busiest day of the week- Jonathon Lazear.Lack of time is a common complaint in western society. In response, there has been a proliferation of books, articles, and seminars on time management, along with their assertions, prescriptions and anecdotes. However, what exactly is time management? Despite the epidemic of time management training programs, there is currently a lack of agreement about the definition of time management and a dearth of literature summarizing tim...

Coupling biophysical processes and water rights to simulate spatially distributed water use in an intensively managed hydrologic system

Science.gov (United States)

Han, Bangshuai; Benner, Shawn G.; Bolte, John P.; Vache, Kellie B.; Flores, Alejandro N.

2017-07-01

Humans have significantly altered the redistribution of water in intensively managed hydrologic systems, shifting the spatiotemporal patterns of surface water. Evaluating water availability requires integration of hydrologic processes and associated human influences. In this study, we summarize the development and evaluation of an extensible hydrologic model that explicitly integrates water rights to spatially distribute irrigation waters in a semi-arid agricultural region in the western US, using the Envision integrated modeling platform. The model captures both human and biophysical systems, particularly the diversion of water from the Boise River, which is the main water source that supports irrigated agriculture in this region. In agricultural areas, water demand is estimated as a function of crop type and local environmental conditions. Surface water to meet crop demand is diverted from the stream reaches, constrained by the amount of water available in the stream, the water-rights-appropriated amount, and the priority dates associated with particular places of use. Results, measured by flow rates at gaged stream and canal locations within the study area, suggest that the impacts of irrigation activities on the magnitude and timing of flows through this intensively managed system are well captured. The multi-year averaged diverted water from the Boise River matches observations well, reflecting the appropriation of water according to the water rights database. Because of the spatially explicit implementation of surface water diversion, the model can help diagnose places and times where water resources are likely insufficient to meet agricultural water demands, and inform future water management decisions.

Recommended safety, reliability, quality assurance and management aerospace techniques with possible application by the DOE to the high-level radioactive waste repository program

International Nuclear Information System (INIS)

Bland, W.M. Jr.

1985-05-01

Aerospace SRQA and management techniques, principally those developed and used by the NASA Lyndon B. Johnson Space Center on the manned space flight programs, have been assessed for possible application by the DOE and the DOE-contractors to the high level radioactive waste repository program that results from the implementation of the NWPA of 1982. Those techniques believed to have the greatest potential for usefulness to the DOE and the DOE-contractors have been discussed in detail and are recommended to the DOE for adoption; discussion is provided for the manner in which this transfer of technology can be implemented. Six SRQA techniques and two management techniques are recommended for adoption by the DOE; included with the management techniques is a recommendation for the DOE to include a licensing interface with the NRC in the application of the milestone reviews technique. Three other techniques are recommended for study by the DOE for possible adaptation to the DOE program

Laparoscopic Heller Myotomy and Dor Fundoplication for Esophageal Achalasia: Technique and Perioperative Management.

Science.gov (United States)

Andolfi, Ciro; Fisichella, P Marco

2016-11-01

Surgical correction of achalasia using laparoscopic Heller myotomy with Dor fundoplication is argued to be the gold standard treatment for patients with achalasia. The goal of this technical report is to illustrate our preferred approach to patients with achalasia and to provide the reader with a detailed description of our operative technique, its rationale, and our pre and postoperative management.

Non-operative management of right side thoracoabdominal penetrating injuries--the value of testing chest tube effluent for bile.

Science.gov (United States)

De Rezende Neto, João Baptista; Guimarães, Tiago Nunes; Madureira, João Lopo; Drumond, Domingos André Fernandes; Leal, Juliana Campos; Rocha, Aroldo; Oliveira, Rodrigo Guimarães; Rizoli, Sandro B

2009-05-01

While mandatory surgery for all thoracoabdominal penetrating injuries is advocated by some, the high rate of unnecessary operations challenges this approach. However, the consequences of intrathoracic bile remains poorly investigated. We sought to evaluate the outcome of patients who underwent non-operative management of right side thoracoabdominal (RST) penetrating trauma, and the levels of bilirubin obtained from those patients' chest tube effluent. We managed non-operatively all stable patients with a single RST penetrating injury. Chest tube effluent samples were obtained six times within (4-8 h; 12-16 h; 20-24 h; 28-32 h; 36-40 h; 48 h and 72 h) of admission for bilirubin measurement and blood for complete blood count, bilirubin, alanine (ALT) and aspartate aminotransferases (AST) assays. For comparison we studied patients with single left thoracic penetrating injury. Forty-two patients with RST injuries were included. All had liver and lung injuries confirmed by CT scans. Only one patient failed non-operative management. Chest tube bilirubin peaked at 48 h post-trauma (mean 3.3+/-4.1 mg/dL) and was always higher than both serum bilirubin (pchest tube effluent from control group (27 patients with left side thoracic trauma). Serum ALT and AST were higher in RST injury patients (ptrauma appears to be safe. Bile originating from the liver injury reaches the right thoracic cavity but does not reflect the severity of that injury. The highest concentration was found in the patient failing non-operative management. The presence of intrathoracic bile in selected patients who sustain RST penetrating trauma, with liver injury, does not preclude non-operative management. Our study suggests that monitoring chest tube effluent bilirubin may provide helpful information when managing a patient non-operatively.

One-stoma carinoplasty: right upper sleeve lobectomy with hemicarinectomy for resection of right-tracheobronchial-angle tumors.

Science.gov (United States)

Kaya, Seyda Ors; Sevinc, Serpil; Ceylan, Kenan Can; Usluer, Ozan; Unsal, Saban

2013-01-01

Tracheobronchial-angle tumors involve the right main bronchus, the right upper lobar bronchus, and the lateral wall of the lower trachea. Resecting these tumors is one of the most complex procedures in thoracic surgery. In cases of high-caliber mismatch, the selection of a suitable anastomotic technique can be challenging. We found that our use of a one-stoma carinoplasty technique overcame high-caliber mismatch after the resection of these tumors. From 2009 through 2012, 8 men (mean age, 59 ± 6.2 yr; range, 46-66 yr) underwent complete resection of non-small-cell right-tracheobronchial-angle tumors at our institution. In every case, right upper sleeve lobectomy, wedge carinal resection, and one-stoma carinoplasty were applied. After tumor resection, one patient with hemoptysis and bronchopleural fistula underwent a completion pneumonectomy and died 10 days postoperatively. Bronchoscopy was necessary in 2 patients who had atelectasis in the contralateral lung. At a mean follow-up duration of 19.43 ± 8.4 months (range, 0.2-27.1 mo), 6 patients were alive and free of disease. We conclude that our one-stoma carinoplasty technique enables the resection of tumors at the right tracheobronchial angle, with acceptable morbidity and mortality rates. This method saves the unaffected part of the ipsilateral lung and can overcome high-caliber mismatch. Because of these and other advantages, we suggest that using our method first might preclude having to perform a right carinal sleeve pneumonectomy or using Barclay's method.

Endovascular management of pancreatitis-related pseudoaneurysms: A review of techniques.

Directory of Open Access Journals (Sweden)

Bartosz Zabicki

Full Text Available To present the various techniques used in the management of pancreatitis-related pseudoaneurysms of visceral vessels.The retrospective clinical study was carried out at the Department of Diagnostic and Interventional Radiology at Poznan University of Medical Sciences from 2011 to 2016. The fifteen patients included in the study were diagnosed with pseudoaneurysms of visceral arteries, as a complication of chronic pancreatitis. The diagnosis was made using contrast-enhanced computed tomography, followed by angiography. On admission, all patients were symptomatic, with varying degrees of abdominal pain. One patient was haemodynamically unstable. Treatments with endovascular techniques were analysed, along with their efficacy and outcomes. Coil embolisation was performed in 5 patients. Stent graft was used in 1 patient. Liquid embolic agents were used in 7 cases, of which 5 patients were treated with thrombin injection and 2 with Squid. A combination of techniques was used in 2 patients.The most common artery affected by pseudoaneurysm formation was the splenic artery (7/15; 46.7%, and the size of the pseudoaneurysms ranged from 27 mm to 85 mm. Primary technical success was achieved in 14 out of 15 patients (93.3%. One patient required reintervention. Two patients required splenectomy after embolisation due to splenic ischemia. No recanalisation was present at the follow-up computed tomography performed after 1 to 3 weeks, and no mortality was observed within 30 days.Vascular complications of pancreatitis require accurate diagnosis and immediate treatment. Endovascular intervention is highly effective and is the preferred treatment option. The technique used is determined based on vascular anatomy and the patient's haemodynamic status.

Proceedings of the National Conference on Energy Resource Management. Volume 1: Techniques, Procedures and Data Bases

Science.gov (United States)

Brumfield, J. O. (Editor); Schiffman, Y. M. (Editor)

1982-01-01

Topics dealing with the integration of remotely sensed data with geographic information system for application in energy resources management are discussed. Associated remote sensing and image analysis techniques are also addressed.

Cultural Variations in Mothers' Acceptance of and Intent to Use Behavioral Child Management Techniques

Science.gov (United States)

Mah, Janet W. T.; Johnston, Charlotte

2012-01-01

We examined cultural differences in mothers' acceptance of and intent to use behavioral parenting techniques for managing disruptive child behavior, and the possible roles of parenting styles and implicit theories in explaining these cultural differences. A community sample of 117 Euro-Canadian and Chinese-immigrant mothers of boys aged 4- to…

Provable Secure and Efficient Digital Rights Management Authentication Scheme Using Smart Card Based on Elliptic Curve Cryptography

Directory of Open Access Journals (Sweden)

Yuanyuan Zhang

2015-01-01

Full Text Available Since the concept of ubiquitous computing is firstly proposed by Mark Weiser, its connotation has been extending and expanding by many scholars. In pervasive computing application environment, many kinds of small devices containing smart cart are used to communicate with others. In 2013, Yang et al. proposed an enhanced authentication scheme using smart card for digital rights management. They demonstrated that their scheme is secure enough. However, Mishra et al. pointed out that Yang et al.’s scheme suffers from the password guessing attack and the denial of service attack. Moreover, they also demonstrated that Yang et al.’s scheme is not efficient enough when the user inputs an incorrect password. In this paper, we analyze Yang et al.’s scheme again, and find that their scheme is vulnerable to the session key attack. And, there are some mistakes in their scheme. To surmount the weakness of Yang et al.’s scheme, we propose a more efficient and provable secure digital rights management authentication scheme using smart card based on elliptic curve cryptography.

Artificial intelligence applied in claims management: Bet on the right customer with claims satisfaction predictive modeling

OpenAIRE

Lamarsaude, Benoit

2017-01-01

Insurance companies suffer from loss of customer consecutively to claims. Only a small portion of dissatisfied customer expresses themselves, creating difficulties in establishing a long term relationship. Increase customer loyalty is a major subject for insurers, because they have to maintain a minimum portfolio size and acquiring newclients is more expensive than retains the existing. In this work we use artificial intelligence techniques to assess and manage the customer satisfaction when ...

Comparative Analysis between Podography and Radiography in the Management of Idiopathic Clubfeet by Ponseti Technique.

Science.gov (United States)

Trivedi, Vikas; Badhwar, Sumit; Dube, Abhay S

2017-02-01

Idiopathic clubfoot is one of the most common and oldest congenital foot anomalies. There are controversies regarding its optimum management protocol and methodologies to be employed for its functional outcome evaluation. This paper attempts to propose a simple, reasonable and easily reproducible technique of podography for clinical and functional evaluation of clubfoot treated by the popular Ponseti technique. To compare the Foot Bimalleolar (FBM) angle method (podography) and radiography with respect to management of idiopathic clubfoot by Ponseti's Technique and its functional evaluation. Sixty feet of 48 patients with idiopathic clubfoot deformity were assessed in terms of FBM by podography (foot print on paper and FBM angle drawing) and radiologically; before starting treatment, after 6 weeks and at 6 monthly intervals with a maximum follow up period of 4.8 years (Range 1.2 to 4.8 years). Mean age at start of treatment was 1.5 years (2 months to 2.5 years). Functional evaluation was done by Magone's scoring system. After treatment, 92 percent patients had good correction (FBM greater than 70 degrees) which correlated well with post treatment Magone's score of greater than 80 (good to excellent) in nearly 85 percent of cases. Radiologically, talocalcaneal angles in both the views improved in only 60 percent of cases. Radiological criteria show inconsistent correlation with functional outcome for feet treated by Ponseti's Technique. Podography (FBM angle analysis) is a very simple, objective, cost effective, radiation free, easily reproducible and highly reliable clinical criterion for the assessment of deformity correction in club foot by Ponseti's Technique with an excellent correlation with functional outcome.

The effects of perioperative pain management techniques on food consumption and body weight after laparotomy in rats.

Science.gov (United States)

Shavit, Yehuda; Fish, Gila; Wolf, Gilly; Mayburd, Eduard; Meerson, Ylia; Yirmiya, Raz; Beilin, Benzion

2005-10-01

We examined the effects of two perioperative pain management techniques on recovery after laparotomy, as assessed by body weight (BW) and food consumption (FC). All rats received a preoperative intrathecal mixture of morphine plus bupivacaine combined with one of two treatments: (a) injection of slow-release morphine at the end of the surgery or (b) an antiinflammatory drug, interleukin-1 receptor antagonist (IL-1ra), combined with the preoperative mixture. Laparotomy significantly decreased FC and BW. Both analgesic treatments resulted in a faster recovery of FC and BW. This beneficial effect was more pronounced in the group receiving preoperative analgesics combined with IL-1ra. Effective perioperative pain management can improve postoperative recovery. We studied the effects of two preoperative pain management techniques on recovery after laparotomy in rats. Both analgesic treatments resulted in a faster recovery, especially preoperative analgesics combined with interleukin-1 receptor antagonist.

Nominal Group Technique and its Applications in Managing Quality in Higher Education

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Rafikul Islam

2011-09-01

Full Text Available Quality management is an important aspect in all kinds of businesses – manufacturing or service. Idea generation plays a pivotal role in managing quality in organizations. It is thenew and innovative ideas which can help corporations to survive in the turbulent business environment. Research in group dynamics has shown that more ideas are generated by individuals working alone but in a group environment than the individuals engaged in a formal group discussion. In Nominal Group Technique (NGT, individuals work alone but in a group setting. This paper shows how NGT can be applied to generate large number of ideas to solve quality related problems specifically in Malaysian higher education setting. The paper also discusses the details of NGT working procedure andexplores the areas of its further applications.

Prioritized rule based load management technique for residential building powered by PV/battery system

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T.R. Ayodele

2017-06-01

Full Text Available In recent years, Solar Photovoltaic (PV system has presented itself as one of the main solutions to the electricity poverty plaguing the majority of buildings in rural communities with solar energy potential. However, the stochasticity associated with solar PV power output owing to vagaries in weather conditions is a major challenge in the deployment of the systems. This study investigates approach for maximizing the benefits of a Stand-Alone Photovoltaic-Battery (SAPVB system via techniques that provide for optimum energy gleaning and management. A rule-based load management scheme is developed and tested for a residential building. The approach allows load prioritizing and shifting based on certain rules. To achieve this, the residential loads are classified into Critical Loads (CLs and Uncritical Loads (ULs. The CLs are given higher priority and therefore are allowed to operate at their scheduled time while the ULs are of less priority, hence can be shifted to a time where there is enough electric power generation from the PV arrays rather than the loads being operated at the time period set by the user. Four scenarios were created to give insight into the applicability of the proposed rule based load management scheme. The result revealed that when the load management technique is not utilized as in the case of scenario 1 (Base case, the percentage satisfaction of the critical and uncritical loads by the PV system are 49.8% and 23.7%. However with the implementation of the load management scheme in scenarios 2, 3 and 4, the percentage satisfaction of the loads (CLs, ULs are (93.8%, 74.2%, (90.9%, 70.1% and (87.2%, 65.4% for scenarios 2, 3 and 4, respectively.

Using GPS instruments and GIS techniques in data management for insect pest control programs

International Nuclear Information System (INIS)

2006-01-01

This interactive tutorial CD entitled 'Using GPS Instruments and GIS Techniques in Data Management for Insect Pest Control Programs' was developed by Micha silver of the Arava Development Co., Sapir, Israel, and includes step-by-step hands on lessons on the use of GPS/GIS in support of area-wide pest control operations

Anesthetic management of Amplatzer atrial septal defect closure device embolization to right ventricular outflow tract

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S Das

2016-01-01

Full Text Available Percutaneous device closure of atrial septal defect (ASD is an alternative treatment to surgery with advantages of avoidance of surgery, short procedure time, early discharge from hospital, and lower rates of complications. However, percutaneous device closure is associated with infrequent life-threatening complications such as device embolization. We report a case device embolization of the ASD occlude device into right ventricular outflow tract resulting progressive hypoxia. The role of anesthesiologist as a team leader in managing such emergency is discussed.

Use o quality management techniques in the frame of scientific studies; Einsatz von Methoden des Qualitaetsmanagements im Rahmen wissenschaftlicher Arbeiten

Energy Technology Data Exchange (ETDEWEB)

Kratzsch, A.; Hoelker, M.; Kaestner, W. [Hochschule Zittau/Goerlitz, Zittau (DE). Inst. fuer Prozesstechnik, Prozessautomatisierung und Messtechnik (IPM)

2010-05-15

The authors recommend that for safety experiments concerning process engineering, process automation and measurement engineering increased requirements should be implemented with respect to the experimental procedures and the quality of the results. Techniques of quality management (EN ISO 9000 ff) should be applied. Experiences show that the implementation of quality management techniques induces significantly higher transparency of process sequences. A major task should be the long-term backup of experiment documentation and research results.

Management of Post-Traumatic Phlegmasia Cerulea Dolens via Right-to-Left Femoral Vein to Femoral Vein Bypass (Palma Procedure).

Science.gov (United States)

Dua, Anahita; Heller, Jennifer; Lee, Cheong

2017-11-01

Phlegmasia cerulea dolens (PCD) is a rare condition resulting from venous occlusion that impairs arterial flow. We report a rare case of post-traumatic PCD after ligation of the iliac vein with successful treatment by right-to-left femoral vein to femoral vein bypass using left great saphenous vein (Palma procedure). The clinical presentation, diagnostic process, and approach to management along with a literature review on the operative management of PCD are presented in this case report.

Transluminal recanalization of chronic total occlusion of radial artery using rendezvous technique: a case report and literature review.

Science.gov (United States)

Arabi, Mohammad; Ahmed, Ishtiaq; Qattan, Nabeel

2014-01-01

Although endovascular management of lower extremity peripheral arterial disease (PAD) is well studied, little information exists regarding endovascular treatment of critical upper limb ischemia. We report a case of transluminal recanalization of right radial artery chronic total occlusion (CTO) using rendezvous technique in a patient with critical hand ischemia and dry gangrene of the right index finger.

Knowledge management for sustainable applications of nuclear techniques in Ethiopia: Case study

International Nuclear Information System (INIS)

Belete, Z.

2004-01-01

nuclear techniques in tertiary health care services, which currently is manifested by decline of the number of cancer patients accepted for treatment at the Centre. The Agency is providing support in human resources development in order to build national capacity required for the applications of nuclear techniques. However, sustainable applications of nuclear techniques require effective knowledge management, which triggers in-house training of personnel. Currently, little effort is being made by trained staff members of the Radiotherapy center to share the knowledge they acquired through the limited Agency supported fellowship/trainings. Moreover, efforts made at the center towards preserving and sharing knowledge are minimal. The paper therefore attempts to i) indicate the importance of systematic intervention in the area of knowledge management for upgrading the services given by the Centre and, ii) Point out the initiatives that should be taken in order to sustain applications of nuclear techniques at the Centre and other beneficiary institutions in the country. (author)

Knowledge management for sustainable applications of nuclear techniques in Ethiopia: Case study

International Nuclear Information System (INIS)

Belete, Z.

2004-01-01

of nuclear techniques in tertiary health care services, which currently is manifested by decline of the number of cancer patients accepted for treatment at the Centre. The Agency is providing support in human resources development in order to build national capacity required for the applications of nuclear techniques. However, sustainable applications of nuclear techniques require effective knowledge management, which triggers in-house training of personnel. Currently, little effort is being made by trained staff members of the Radiotherapy center to share the knowledge they acquired through the limited Agency supported fellowship/trainings. Moreover, efforts made at the center towards preserving and sharing knowledge are minimal. The paper therefore attempts to i) indicate the importance of systematic intervention in the area of knowledge management for upgrading the services given by the Centre and, ii) point out the initiatives that should be taken in order to sustain applications of nuclear techniques at the Centre and other beneficiary institutions in the country. (author)

Nephroblastoma with right atrial extension: preoperative diagnosis and management.

Science.gov (United States)

Vaughan, E D; Crosby, I K; Tegtmeyer, C J

1977-04-01

A 14-year-old black boy, with a large nephroblastoma of the right kidney, had preoperative identification of inferior vena cava and right atrial involvement. Renal arteriography revealed linear arterial channels in the anatomic distribution of the inferior vena cava and venography revealed total caval occlusion and a right atrial mass. Radical excision, using a cardiopulmonary bypass, resulted in a 6-month postoperative survival.

Economic Assessment of Opportunities for Managed Aquifer Recharge Techniques in Spain Using an Advanced Geographic Information System (GIS

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Enrique Fernández Escalante

2014-07-01

Full Text Available This paper investigates the economic aspects of Managed Aquifer Recharge (MAR techniques considered in the DINA-MAR (Depth Investigation of New Areas for Managed Aquifer Recharge in Spain project. This project firstly identified the areas with potential for MAR for the whole of the Iberian Peninsula and Balearic Islands of Spain using characteristics derived from 23 GIS layers of physiographic features, spanning geology, topography, land use, water sources and including existing MAR sites. The work involved evaluations for 24 different types (techniques of MAR projects, over this whole area accounting for the physiographic features that favor each technique. The scores for each feature for each type of technique were set based on practical considerations and scores were accumulated for each location. A weighting was assigned to each feature by “training” the integrated score for each technique across all the features with the existing MAR sites overlay, so that opportunities for each technique could be more reliably predicted. It was found that there were opportunities for MAR for 16% of the area evaluated and that the additional storage capacity of aquifers in these areas was more than 2.5 times the total storage capacity of all existing surface water dams in Spain. The second part of this work, which is considered internationally unique, was to use this GIS methodology to evaluate the economics of the various MAR techniques across the region. This involved determining an economic index related to key physiographic features and applying this as an additional GIS overlay. Again this was trained by use of economic information for each of the existing MAR sites for which economic data and supply or storage volume were available. Two simpler methods were also used for comparison. Finally, the mean costs of MAR facilities and construction projects were determined based on the origin of the water. Maps of potential sites for Managed Aquifer

Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique.

Science.gov (United States)

Kyriazanos, Ioannis D; Manatakis, Dimitrios K; Stamos, Nikolaos; Stoidis, Christos

2015-01-01

Wound dehiscence is a serious postoperative complication, with an incidence of 0.5-3% after primary closure of a laparotomy incision, and represents an acute mechanical failure of wound healing. Relatively recently the concept of "intentional open abdomen" was described and both clinical entities share common pathophysiological and clinical pathways ("postoperative open abdominal wall"). Although early reconstruction is the target, a significant proportion of patients will develop adhesions between abdominal viscera and the anterolateral abdominal wall, a condition widely recognized as "frozen abdomen," where delayed wound closure appears as the only realistic alternative. We report our experience with a patient who presented with frozen abdomen after wound dehiscence due to surgical site infection and application of the "Coliseum technique" for its definitive surgical management. This novel technique represents an innovative alternative to abdominal exploration, for cases of "malignant" frozen abdomen due to peritoneal carcinomatosis. Lifting the edges of the surgical wound upwards and suspending them under traction by threads from a retractor positioned above the abdomen facilitates approach to the peritoneal cavity, optimizes exposure of intra-abdominal organs, and prevents operative injury to the innervation and blood supply of abdominal wall musculature, a crucial step for subsequent hernia repair.

In-core fuel management: Reloading techniques. Proceedings of a technical committee meeting and workshop held in Vienna, 19-21 October 1992

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-08-01

The purpose of the Technical Committee Meeting and Workshop on In-core Fuel Management - Reloading Techniques, convened by the IAEA in Vienna from 19 to 21 October 1992, was to provide an international forum to review and discuss in-core fuel management reloading techniques for light water reactors. A presentation of the history and status of reloading techniques was given by S.H. Levine, Pennsylvania State University, and papers on various computer code descriptions, methodologies and experiences of utilities and vendors for nuclear fuel reloading were presented and discussed. Optimization techniques for reloadings, expert system codes and the number of energy groups used in reloading calculations were discussed in more detail during a workshop session. Refs, figs and tabs.

Promoting Service User Inclusion in Risk Assessment and Management: A Pilot Project Developing a Human Rights-Based Approach

Science.gov (United States)

Greenhill, Beth; Whitehead, Richard

2011-01-01

Recent reports highlight the extent to which many people with learning disabilities are not afforded access to their basic human rights. In addition, traditional approaches to risk management often focus on professional assessments of risks and challenging behaviour and exclude service user perspectives. In this paper, we outline what we believe…

Decision-making process related to treatment and management in Korean women with breast cancer: Finding the right individualized healthcare trajectory.

Science.gov (United States)

Kim, Kkotbong; Yang, Jinhyang

2017-06-01

After being diagnosed with breast cancer, women must make a number of decisions about their treatment and management. When the decision-making process among breast cancer patients is ineffective, it results in harm to their health. Little is known about the decision-making process of breast cancer patients during the entire course of treatment and management. We investigated women with breast cancer to explore the decision-making processes related to treatment and management. Eleven women participated, all of whom were receiving treatment or management in Korea. The average participant age was 43.5years. For data collection and analysis, a grounded theory methodology was used. Through constant comparative analyses, a core category emerged that we referred to as "finding the right individualized healthcare trajectory." The decision-making process occurred in four phases: turmoil, exploration, balance, and control. The turmoil phase included weighing the credibility of information and lowering the anxiety level. The exploration phase included assessing the expertise/promptness of medical treatment and evaluating the effectiveness of follow-up management. The balance phase included performing analyses from multiple angles and rediscovering value as a human being. The control phase included constructing an individualized management system and following prescribed and other management options. It is important to provide patients with accurate information related to the treatment and management of breast cancer so that they can make effective decisions. Healthcare providers should engage with patients on issues related to their disease, understand the burden placed on patients because of issues related to their sex, and ensure that the patient has a sufficient support system. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for breast cancer patients. Copyright © 2017 Elsevier Inc. All rights reserved.

Successful Rotational Atherectomy for an Angulated Calcified Lesion in an Anomalous Right Coronary Artery Using the “Mother-and-Child” Technique

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Manabu Ogita

2018-01-01

Full Text Available Percutaneous coronary intervention (PCI involving the anomalous coronary artery is challenging with respect to difficulty in achieving stable catheterization. Rotational atherectomy (RA can facilitate severely calcified lesions to improve stent delivery and stent expansion; however, its utility in tortuous and angulated coronary arteries is limited with difficulty in delivery of the RA burr. The mother-and-child technique is effective for complex PCIs with increased backup force for device delivery in such complicated cases. We report a case of successful rotational atherectomy using the “mother-and-child” technique with a Dio thrombus aspiration catheter for an angulated calcified lesion in an anomalous origin of the right coronary artery.

Airway management of a difficult airway due to prolonged enlarged goiter using loco-sedative technique

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Divya Srivastava

2013-01-01

Full Text Available Appropriate airway management is an essential part of anesthesiologist′s role. Huge goiters can lead to distorted airway and difficulty in endotracheal intubation. In this report, we present a case of a 67-year-old woman with a huge toxic multinodular thyroid swelling, gradually increasing in size for last 20 years, where trachea was successfully intubated. She had a history of deferred surgery in June 2007 due to inability to intubate, despite 5-6 attempts using different laryngoscopes, bougie, and stylet. Patient was re-admitted in December 2011 for the surgery and was successfully intubated this time with help of fiberoptic intubation using loco-sedative technique. Patient was electively kept intubated postoperatively in view of chances of tracheomalacia due to prolonged large goiter. She was extubated successfully on post-op day 2 after demonstration of leak around trachea following tracheal tube cuff deflation. The different techniques of managing the difficult airway in these patients are discussed.

Transforming dose management techniques through technology

International Nuclear Information System (INIS)

Bennett, M.

1996-01-01

The management of occupational dose exposure has been transformed in recent years through the use of facilities such as computerized databases, remote instrumentation and electronic data transfer. Use of this technology has allowed increases both in the amount of data capable of being processed and in the speed at which the data is made available to operators and Health Physics personnel. These developments have significantly improved the quality and efficiency of dose management. The dose management system being used in support of the UK's naval nuclear plants has incorporated advances in the areas of dosimetry, data handling and data analysis. Physical dispersion of sites servicing the nuclear plants means that effective communication links have also been vital for good dose management. (author)

Right heart on multidetector CT

Science.gov (United States)

Gopalan, D

2011-01-01

Right ventricular function plays an integral role in the pathogenesis and outcome of many cardiovascular diseases. Imaging the right ventricle has long been a challenge because of its complex geometry. In recent years there has been a tremendous expansion in multidetector row CT (MDCT) and its cardiac applications. By judicious modification of contrast medium protocol, it is possible to achieve good opacification of the right-sided cardiac chambers, thereby paving the way for exploring the overshadowed right heart. This article will describe the key features of right heart anatomy, review MDCT acquisition techniques, elaborate the various morphological and functional information that can be obtained, and illustrate some important clinical conditions associated with an abnormal right heart. PMID:22723537

New analytical techniques for traffic management on the basis of system studies in logistics

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Олександр Павлович Кіркін

2017-07-01

Full Text Available In today's market conditions, it is necessary for enterprises to constantly maintain their competitiveness. This is achieved through raising customer service standards and use of the latest management techniques. In most cases, enterprises adhere to the logistic principles to optimize production. Over time, however, the development of logistics resulted in emergence of its principal subdivisions: transport, storage, etc. Thus, nowadays there are several parallel methodological developments in the field of logistics and making up logistics chains and systems at different stages of the life cycle of the goods. System research in the field of warehouse logistics showed that the majority of its analytical models of management are based on task conflict. Similar tasks of managing traffic flows in transport logistics are solved by methods of SMO, graph theory, linear programming and differential equations of state etc. These methods are not more accurate than the methods of warehouse logistics, have similar important assumptions and simplifications, and require appropriate mathematical training and knowledge in the field of transport, and sometimes lack visible correlation with economic performance. New analytical techniques for the management of transportation systems based on task conflict will reduce the time and resources for optimization and finding solutions. Methods of warehousing logistics can only be used for the continuous transport quantities (intensity, speed, performance, capacity, execution of works, etc.. In the static condition the search for the optimal service intensity can be found in warehouse logistics. In the study of object in dynamics it is better to use transport approach. Some problems such as supplement of warehouse logistics models with elements of the transport task, are still to be decided

Successful project management

CERN Document Server

Young, Trevor L

2016-01-01

Successful Project Management, 5th edition, is an essential guide for anyone who wants to improve the success rate of their projects. It will help managers to maintain a balance between the demands of the customer, the project, the team and the organization. Covering the more technical aspects of a project from start to completion it contains practised and tested techniques, covering project conception and start-up, how to manage stake holders, effective risk management, project planning and launch and execution. Also including a brand new glossary of key terms, it provides help with evaluating your project as well as practical checklists and templates to ensure success for any ambitious project manager. With over one million copies sold, the hugely popular Creating Success series covers a wide variety of topic, with the latest editions including new chapters such as Tough Conversations and Treating People Right. This indispensable business skills collection is suited to a variety of roles, from someone look...

Acute Type A Aortic Dissection Successfully Managed with One-stage Surgery of Total Aortic Arch Replacement with Supra-aortic Transposition Plus Frozen Elephant Trunk Technique

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Meng-Lin Lee

2014-09-01

Full Text Available Acute type A aortic dissection has long been a challenging issue. The surgical techniques traditionally vary with the anatomic extent of the aortic dissection. Simple ascending aortic grafting can be lifesaving, but the lesions beyond the aorta, which include the arch vessels and descending aorta, remain potential hazards. In this paper, we present a patient in which acute type A aortic dissection with lesions extending into descending thoracic aorta was successfully managed by total arch replacement with supra-aortic transposition plus the frozen elephant trunk technique to the descending aorta. A 67-year-old gentleman presented with severe tearing pain from the anterior to posterior chest. Computed tomography confirmed the diagnosis of acute type A dissection extending to the level of the right common iliac artery. An emergent operation was performed as in the aforementioned technique. The surgery went well and the patient was discharged without comorbidities on postoperative day 25. The patient had regular outpatient clinical follow-up. The follow-up computed tomography images showed adequate results with the obliteration of the false lumen. In conclusion, total aortic arch replacement with supra-aortic transposition plus frozen elephant trunk technique is a safe and feasible operative method for patients with detrimental acute type A aortic dissection.

Management for dummies

CERN Document Server

Pettinger, Richard; Economy, Peter

2011-01-01

Make your mark in the world of management Good management is vital to the success of every business but being a good manager isn′t always easy. This book offers you expert advice on hiring the right staff, building effective teams, resolving office politics and maintaining your own work/life balance. Inside you′ll find examples and guidance to help you identify the styles of management you need to succeed and to deal with the challenges of being a manager today – from discovering what your employees want, to helping them thrive on a daily basis. With this guide you′ll be making things happen in your business in no time. Be the best – learn great techniques for coaching, mentoring and inspiring your employees to perform at their best Get to the point – set goals and targets, and discover how to manage people and projects Connect with others – use effective communication skills and discover the best ways to convey your messages Get political – assess a wide range of management risks and learn ke...

Transluminal Recanalization of Chronic Total Occlusion of Radial Artery Using Rendezvous Technique: A Case Report and Literature Review

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Mohammad Arabi

2014-01-01

Full Text Available Although endovascular management of lower extremity peripheral arterial disease (PAD is well studied, little information exists regarding endovascular treatment of critical upper limb ischemia. We report a case of transluminal recanalization of right radial artery chronic total occlusion (CTO using rendezvous technique in a patient with critical hand ischemia and dry gangrene of the right index finger.

Usefulness of the rendezvous technique for biliary stricture after adult right-lobe living-donor liver transplantation with duct-to-duct anastomosis.

Science.gov (United States)

Chang, Jae Hyuck; Lee, In Seok; Chun, Ho Jong; Choi, Jong Young; Yoon, Seung Kyoo; Kim, Dong Goo; You, Young Kyoung; Choi, Myung-Gyu; Choi, Kyu-Yong; Chung, In-Sik

2010-03-01

Replacement of a percutaneous transhepatic biliary drainage (PTBD) catheter with inside stents using endoscopic retrograde cholangiography is difficult in patients with angulated or twisted biliary anastomotic stricture after living donor liver transplantation (LDLT). We evaluated the usefulness and safety of the rendezvous technique for the management of biliary stricture after LDLT. Twenty patients with PTBD because of biliary stricture after LDLT with duct-to-duct anastomosis underwent the placement of inside stents using the rendezvous technique. Inside stents were successfully placed in the 20 patients using the rendezvous technique. The median procedure time was 29.6 (range, 7.5-71.8) minutes. The number of inside stents placed was one in 12 patients and two in eight patients. One mild acute pancreatitis and one acute cholangitis occurred, which improved within a few days. Inside stent related sludge or stone was identified in 12 patients during follow-up. Thirteen patients achieved stent-free status for a median of 281 (range, 70-1,351) days after removal of the inside stents. The rendezvous technique is a useful and safe method for the replacement of PTBD catheter with inside stent in patients with biliary stricture after LDLT with duct-to-duct anastomosis. The rendezvous technique could be recommended to patients with angulated or twisted strictures.

Management of Endovascular Aortic Aneurysm Complications via Retrograde Catheterization Through the Distal Stent-Graft Landing Zone.

Science.gov (United States)

Zhang, Xicheng; Sun, Yuan; Chen, Zhaolei; Jing, Yuanhu; Xu, Miao

2017-08-01

A retrograde technique through the gap between the distal stent landing zone and the iliac artery wall has been applied to treat type II endoleak after endovascular aortic aneurysm repair (EVAR). In this study, we tried to investigate its efficacy in the management of type III endoleak and intraoperative accidental events. We reported 2 complications of EVAR that were difficult to treat with conventional methods. One patient had a sustained type III endoleak after EVAR, and the right renal artery was accidentally sealed by a graft stent in the other patient during the operation. Both complications were managed by the retrograde technique from the distal stent landing zone. In the first case, the endoleak was easily embolized by the retrograde catheterization technique, and in the second case, a stent was implanted in the right renal artery using the retrograde technique to restore blood flow. In some EVAR cases, the technique of retrograde catheterization through the distal stent-graft landing zone is feasible, safe, and easy to perform.

Anesthetic Management of Patients Undergoing Right Lung Surgery After Left Upper Lobectomy: Selection of Tubes for One-Lung Ventilation (OLV) and Oxygenation During OLV.

Science.gov (United States)

Kawagoe, Izumi; Hayashida, Masakazu; Suzuki, Kenji; Kitamura, Yoshitaka; Oh, Shiaki; Satoh, Daizoh; Inada, Eiichi

2016-08-01

To investigate anesthesia management in patients undergoing right lung surgery after a previous left upper lobectomy (LUL) that may require special precautions since angulation of the left bronchus can hamper correct placement of a left-sided double-lumen tube (DLT), and one-lung ventilation (OLV) depending solely on the left lower lobe may lead to inadequate oxygenation. A retrospective data analysis. Single university hospital. Patients underwent right lung surgery after previous LUL. None. Anesthesia management was investigated in 18 patients who underwent right lung surgery following LUL. All intubation procedures were performed under bronchoscopic guidance to prevent airway trauma. OLV could be achieved with a left-sided DLT in 12 patients, while tubes other than this were required in 6 patients, including a right-sided DLT (n = 3) and a bronchial blocker (n = 3). The presence or absence of remarkable bronchial angulation, characterized by a combination of a wide (>140°) angle between the trachea and left main bronchus and a narrow (right lung surgery after LUL. Copyright © 2016 Elsevier Inc. All rights reserved.

Nuclear management in manual small incision cataract surgery by snare technique

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Bhattacharya Debasish

2009-01-01

Full Text Available Manual small incision cataract surgery has evolved into a popular method of cataract surgery in India. However, in supra hard cataract, bringing out the whole nucleus through the sclerocorneal flap valve incision becomes difficult. A bigger incision required in such cataracts loses its value action, as the internal incision and corneal valve slips beyond the limbus into sclera. Struggling with the supra hard cataracts through a regular small incision. Phacofracture in the anterior chamber becomes a useful option in these cases. In the snare technique, a stainless steel wire loop when lassoed around the nucleus in the anterior chamber constricts from the equator, easily dividing the hardest of the nuclei into two halves. The wire loop constricts in a controlled way when the second cannula of snare is pulled. The divided halves can easily be brought out by serrated crocodile forceps. This nuclear management can be safely performed through a smaller sclerocorneal flap valve incision where the corneal valve action is retained within the limbus without sutures, and the endothelium or the incision is not disturbed. However, the technique requires space in the anterior chamber to maneuver the wire loop and anterior chamber depth more than 2.5 mm is recommended. Much evidence to this wonderful technique is not available in literature, as its popularity grew through live surgical workshops and small interactive conferences.

Getting It Right: Revamping Army Talent Management

Science.gov (United States)

2015-06-01

GE General Electric HR Human Resource HRM Human Resource Management KPI Key Performance Indicator KSAs Knowledge, Skills, and...discussions, key performance indicators ( KPIs ), and 360-degree feedback reports. Coaches bring out the best in their talent by helping employees

Advanced techniques using the plant as indicator of irrigation management

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Barbara dos Santos Esteves

2015-05-01

Full Text Available The methodologies which are considered the most promising for irrigation management are those based on the analysis of the water status of the plants themselves. This justifies the study and improvement of indicators based on automatic and continuous measures to enable real-time monitoring data, as indices from sap flow, dendrometry and leaf turgor pressure techniques. The aim of this paper is to analyze such methodologies in order to demonstrate their principles, advantages and challenges. In conclusion, the methodologies analyzed still have many technological advances and challenges before being presented to the final user. The future research should work these tools for elaboration of technical indexes that allow their simplification, on the instrumental point of view, and the interpretation of their results.

Laparoendoscopic management of concomitant gallbladder stones and common bile duct stones: what is the best technique?

Science.gov (United States)

El-Geidie, Ahmed Abdel-Raouf

2011-08-01

The intraoperative use of endoscopic retrograde cholangiopancreatography (ERCP) during laparoscopic cholecystectomy (LC) is a safe, single-stage option for the management of concomitant gallstones (GS) and common bile duct stones (CBDS). This study aims to compare between 2 techniques of combined laparoendoscopic management, which are laparoendoscopic Rendez-vous (LC/LERV) technique and standard ERCP after the completion of LC intraoperative endoscopic sphincterotomy (IOES). Patients with GS and suspected CBDS were included. They were divided into 2 groups; LC/LERV and LC/IOES. Both groups were compared for failure of endoscopic sphincterotomy/stone extraction, operative time, conversion rate, mortality/morbidity, and length of hospital stay. Between October 2007 and February 2010, 98 patients with GS and CBDS were eligible for inclusion in the study. They were prospectively randomized into 2 groups; LC/LERV (N=45) and LC/IOES (N=53). There were no differences in preoperative parameters between both groups. There was a significant difference in operative time (shorter for LC/IOES). No difference was noted in success/failure rate, post-ERCP pancreatitis. Both Standard ERCP after the completion of LC and LC/LERV are valid single-session management for CBD stones, but LC-ERCP may be preferred.

Using Electronic Systems for Document Management in Economic Entities

Directory of Open Access Journals (Sweden)

2007-01-01

Full Text Available Document workflow and management, be them scanned documents, computer-generated e-documents or complex file formats, are critical elements for the success of an organization. Delivering the correct information to the right person, at the right moment is a fundamental element of daily activity. In the Internet era, documents have a new format; and what is more important: completely new functions. Paper is replaced by electronic formats such as .html, .xms, .pdf or .doc. The price for this progress is the increasing technological complexity, and with this complexity comes the need for more efficient techniques of management and organization such as a document management electronic system. This paper aims to present document management not as a separate software category on the IT market, but as an element integrated with any software solution, maximizing its capacity of making business more efficient.

48 CFR 970.2703 - Patent rights.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Patent rights. 970.2703 Section 970.2703 Federal Acquisition Regulations System DEPARTMENT OF ENERGY AGENCY SUPPLEMENTARY REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Patents, Data, and Copyrights 970.2703 Patent rights. ...

Pulmonary artery and right ventricle assessment in pulmonary hypertension. Correlation between functional parameters of ECG-gated CT and right-side heart catheterization

International Nuclear Information System (INIS)

Abel, Elodie; Jankowski, Adrien; Pison, Christophe; Bosson, Jean Luc; Bouvaist, Helene; Ferretti, Gilbert R.

2012-01-01

Background: Right ventricular function predicts outcome in patients with pulmonary hypertension (PH). Therefore accurate assessment of right ventricular function is essential to graduate severity, assess follow-up, and response to therapy. Purpose: To evaluate whether PH severity could be assessed using electrocardiography-gated CT (ECG-gated CT) functional parameters. A further objective was to evaluate cardiac output (CO) using two ECG-gated CT methods: the reference Simpson technique and the fully automatic technique generated by commercially available cardiac software. Material and Methods: Our institutional review board approved this study; patient consent was not required. Twenty-seven patients who had undergone ECG-gated CT and right heart catheterization (RHC) were included. Two independent observers measured pulmonary artery (PA) diameter, PA distensibility, aorta diameter, right ventricular cardiac output (CT-RVCO) and right ventricular ejection fraction (CT-RVEF) with automatic and Simpson techniques on ECG-gated CT. RHC-CO and mean pulmonary arterial pressure (mPAP) were measured on RHC. Relationship between ECG-gated CT and RHC measurements was tested with linear regression analysis. Results: Inter-observer agreement was good for all measurements (r > 0.7) except for CT-RVCO calculated with Simpson's technique (r = 0.63). Pulmonary artery (PA) distensibility was significantly correlated to mPAP (r = -0.426, P = 0.027). CT-RVEF was correlated with mPAP only when issued from Simpson technique (r = -0.417, P = 0.034). CT-RVEF was not significantly correlated to RHC-CO (P > 0.2). CT-RVCO measured with Simpson technique (r = 0.487, P = 0.010) and automatic segmentation (r = 0.549, P 0.005) correlated equally with RHC-CO. Conclusion: CT-RVEF and CT-RVCO measured on ECG-gated CT are significantly correlated, respectively, to mPAP and RHC-CO in this population with severe reduction of the right ventricular ejection fraction and could be useful for evaluating

A case-based reasoning tool for breast cancer knowledge management with data mining concepts and techniques

Science.gov (United States)

Demigha, Souâd.

2016-03-01

The paper presents a Case-Based Reasoning Tool for Breast Cancer Knowledge Management to improve breast cancer screening. To develop this tool, we combine both concepts and techniques of Case-Based Reasoning (CBR) and Data Mining (DM). Physicians and radiologists ground their diagnosis on their expertise (past experience) based on clinical cases. Case-Based Reasoning is the process of solving new problems based on the solutions of similar past problems and structured as cases. CBR is suitable for medical use. On the other hand, existing traditional hospital information systems (HIS), Radiological Information Systems (RIS) and Picture Archiving Information Systems (PACS) don't allow managing efficiently medical information because of its complexity and heterogeneity. Data Mining is the process of mining information from a data set and transform it into an understandable structure for further use. Combining CBR to Data Mining techniques will facilitate diagnosis and decision-making of medical experts.

Systemic Right Ventricle in Adults With Congenital Heart Disease: Anatomic and Phenotypic Spectrum and Current Approach to Management.

Science.gov (United States)

Brida, Margarita; Diller, Gerhard-Paul; Gatzoulis, Michael A

2018-01-30

The systemic right ventricle (SRV) is commonly encountered in congenital heart disease representing a distinctly different model in terms of its anatomic spectrum, adaptation, clinical phenotype, and variable, but overall guarded prognosis. The most common clinical scenarios where an SRV is encountered are complete transposition of the great arteries with previous atrial switch repair, congenitally corrected transposition of the great arteries, double inlet right ventricle mostly with previous Fontan palliation, and hypoplastic left heart syndrome palliated with the Norwood-Fontan protocol. The reasons for the guarded prognosis of the SRV in comparison with the systemic left ventricle are multifactorial, including distinct fibromuscular architecture, shape and function, coronary artery supply mismatch, intrinsic abnormalities of the tricuspid valve, intrinsic or acquired conduction abnormalities, and varied SRV adaptation to pressure or volume overload. Management of the SRV remains an ongoing challenge because SRV dysfunction has implications on short- and long-term outcomes for all patients irrespective of underlying cardiac morphology. SRV dysfunction can be subclinical, underscoring the need for tertiary follow-up and timely management of target hemodynamic lesions. Catheter interventions and surgery have an established role in selected patients. Cardiac resynchronization therapy is increasingly used, whereas pharmacological therapy is largely empirical. Mechanical assist device and heart transplantation remain options in end-stage heart failure when other management strategies have been exhausted. The present report focuses on the SRV with its pathological subtypes, pathophysiology, clinical features, current management strategies, and long-term sequelae. Although our article touches on issues applicable to neonates and children, its main focus is on adults with SRV. © 2018 American Heart Association, Inc.

Statistical Techniques for Project Control

CERN Document Server

Badiru, Adedeji B

2012-01-01

A project can be simple or complex. In each case, proven project management processes must be followed. In all cases of project management implementation, control must be exercised in order to assure that project objectives are achieved. Statistical Techniques for Project Control seamlessly integrates qualitative and quantitative tools and techniques for project control. It fills the void that exists in the application of statistical techniques to project control. The book begins by defining the fundamentals of project management then explores how to temper quantitative analysis with qualitati

Transforming dose management techniques through technology

International Nuclear Information System (INIS)

Bennett, M.

1995-01-01

The management of occupational dose exposure has been transformed in recent years though the use of facilities such as computerised databases, remote instrumentation and electronic data transfer. Use of this technology has allowed increases both in the amount of data capable of being processed and in the speed at which the data is made available to operators and Health Physics personnel. The dose management system being used in support of the UK's naval nuclear plants has incorporated advances in the areas of dosimetry, data handling and data analysis. Physical dispersion of sites servicing the nuclear plants means that effective communication links have also been vital for good dose management. This paper focuses on some of the most recent dose management technology - the use of virtual reality models linked with a predictive computer code for work planning, a remote area monitoring system with diagnostic software, a personnel dosimetry telemetry system, and electronically linked computer databases. (author)

Alternative techniques for environmental project management

International Nuclear Information System (INIS)

Reeves, S.

1994-01-01

Beginning in the late 1970s and early 1980s, increased regulation and recognition of ground water as an important natural resource led industry to address subsurface contamination at many sites. This caused the industry's dependence on environmental consultants to increase drastically. Initially, the accepted practice for addressing environmental concerns was to rely upon consultants to determine appropriate work scope, budgets, procedures and regulatory interaction. While significant advances have been made in technology and consulting services, improvement in project management and cost containment have been limited. In order to effectively manage environmental projects, it is imperative that business risks and standardized project management practices be factored into environmental solutions. A standardized environmental project management program was developed and applied to projects at petroleum marketing facilities throughout the United States. Following development and implementation, detailed studies were conducted to measure the value of standardization in reducing costs and enhancing efficiencies. The results indicate significant improvement in both reducing project costs and in enhancing the efficiency of consultants

Laparoscopic management of diaphragmatic endometriosis by three different approaches.

Science.gov (United States)

Roman, Horace; Darwish, Basma; Provost, Delphine; Baste, Jean-Marc

2016-08-01

To report our three surgical approaches in the management of diaphragmatic endometriosis. Video article presenting laparoscopic surgical techniques, with and without robotic assistance. University hospital. Nulliparas with deep endometriosis associated with multiple endometriosis lesions of the diaphragm. Laparoscopic approach in women who present with small black-pigmented diaphragmatic lesions, with or without infiltration of the diaphragm, which are ablated using plasma energy. Robotic-assisted laparoscopic route in larger deep infiltrating implants, which are resected. To avoid phrenic nerve injury, robotic-assisted thoracoscopy is preferred in large lesions involving the central tendon of the diaphragm. The steps of each technique are emphasized. Surgical technique reports in anonymous patients are exempted from ethical approval by the Institutional Review Board. Seven patients have been managed by these procedures from July 2015 to March 2016. Patients' functional outcomes were uneventful, with no phrenic nerve palsy or residual chest and right shoulder pain. By combining resection and ablation techniques, the laparoscopy and thoracoscopy route, conventional and robotic-assisted minimally invasive approach, we offer a surgical strategy that is as conservative as possible, with an aim to limit postoperative adhesions between the liver and the diaphragm, and avoid diaphragmatic paralysis. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Life Management Technique of Thermal Fatigue for SMST Boiler Tube at Different Heating Zone Using Smithy Furnace

OpenAIRE

Shekhar Pal,; Pradeep Suman

2014-01-01

This paper highlights on the evaluation of thermal fatigue failure for SMST (Salzgitter Mannesmann strain less boiler tube) DMV 304 HCu boiler tube using life management technique by using of smithy furnace. Boiler tubes are highly affected by operating conditions like, high temperature and high pressure. So it needs periodic checking for the purpose of safety and health assessment of the plant. So using this technique we can identify the degradation of tubes at microstructure...

Arrhythmogenic right ventricular dysplasia: MRI findings

International Nuclear Information System (INIS)

Wall, E.E. van der; Bootsma, M.M.; Schalij, M.J.; Kayser, H.W.M.; Roos, A. de

2000-01-01

Arrhythmogenic right ventricular dysplasia (ARVD) is a heart muscle disorder of unknown cause that is characterized pathologically by fibrofatty replacement of the right ventricular myocardium. Clinical manifestations include structural and functional malformations of the right ventricle, electrocardiographic abnormalities, and presentation with ventricular tachycardias with left bundle branch pattern or sudden death. The disease is often familial with an autosomal inheritance. In addition to right ventricular dilatation, right ventricular aneurysms are typical deformities of ARVD and they are distributed in the so-called ''triangle of dysplasia'', i. e., right ventricular outflow tract, apex, and infundibulum. Ventricular aneurysms at these sites can be considered pathognomonic of ARVD. Another typical hallmark of ARVD is fibrofatty infiltration of the right ventricular free wall. These functional and morphologic characteristics are relevant to clinical imaging investigations such as contrast angiography, echocardiography, radionuclide angiography, ultrafast computed tomography, and magnetic resonance imaging (MRI). Among these techniques, MRI allows the clearest visualization of the heart, in particular because the right ventricle is involved, which is usually more difficult to explore with the other imaging modalities. Furthermore, MRI offers the specific advantage of visualizing adipose infiltration as a bright signal of the right ventricular myocardium. MRI provides the most important anatomic, functional, and morphologic criteria for diagnosis of ARVD within one single study. As a result, MRI appears to be the optimal imaging technique for detecting and following patients with clinical suspicion of ARVD. (orig.) [de

Utilization technique of 'radiation management manual in medical field (2012).' What should be learnt from the Fukushima nuclear accident

International Nuclear Information System (INIS)

Kikuchi, Toru

2014-01-01

From the abstract of contents of the 'Radiation management manual in medical field (2012),' the utilization technique of the manual is introduced. Introduced items are as follows: (1) Exposure management; exposure management for radiation medical workers, patients, and citizens in the medical field, and exposure management for radiation workers and citizens involved in the emergency work related to the Fukushima nuclear accident, (2) Health management; health management for radiation medical workers, (3) Radiation education: Education/training for radiation medical workers, and radiation education for health care workers, (4) Accident and emergency measures; emergency actions involved in the radiation accidents and radiation medicine at medical facilities

The right place. Solid waste management in the Republic of Maldives: between infrastructural measures and local practices

Directory of Open Access Journals (Sweden)

Malatesta Stefano

2015-06-01

Full Text Available The 2010 UNPD’s Assessment of Development Results defined the Maldives “a vulnerable Small Island Developing State” by pointing out the influence of both external and local human factors on their fragile ecosystems. This impact is deeply related to a main geographical feature: the high dispersion of land mass and population, both of them spread over a distance of 860 km. Above all, this dispersion has an effect on two environmental issues: energy distribution and solid waste management. The latter is particularly interesting for the geographical analysis of Small Island Countries. Due to centre-periphery distance and cost benefits analysis, in the Maldives public and private actors have developed different solid waste management models: central and regional waste management dumpsites, hybrid systems implemented by resorts and “informal” practices still followed by local communities. In this paper, we discuss these systems stressing on the relevance of combining infrastructural measures with “informal” practices at local level. Furthermore, we report the outcomes of The Right Place, a participatory waste management action carried out by MaRHE Center (a Milano- Bicocca Research Center in Faafu Magoodhoo Island.

Photoselective Vaporisation of the Bladder for the Management of Radiation Cystitis - Technique and Initial Outcomes.

Science.gov (United States)

Pascoe, Claire; Christidis, Daniel; Manning, Todd; Lamb, Benjamin W; Murphy, Declan G; Lawrentschuk, Nathan

2018-05-16

Objective To describe our technique utilising photoselective vaporisation of the bladder (PVB) for the management of haemorrhagic cystitis and initial results of 12 patients. Materials and Method An audit of theatre records of a single surgeon was performed to identify patients who had undergone PVB for management of radiation-cystitis. Rigid cystoscopy was performed. Ureteric catheters were placed and active bleeding sites targeted to optimise vision. Ablation was commenced using the vaporize function. When lasering around delicate structures the coagulation function was used. Ureteric catheters remained in situ for 24h. An 18Fr Foley catheter was placed. When urine output was clear continuous bladder irrigation was ceased. Both uretetric catheters and Foley catheter were removed prior to the 24hour mark. Results 12 patients were identified. 8 had previously required blood transfusion secondary to bladder haemorrhage. 9 were successfully treated and 2 saw improvement in haematuria but required a repeat procedure at 3 weeks post operatively. 4 went on to receive hyperbaric oxygenation as consolidative therapy. 1 patient was unsuccessfully treated and went on to cystectomy. There were no mortalities. No patients sustained bladder perforation or damage to surrounding structures. Conclusion Radiation cystitis can be life threatening and remains a challenge for the urologist with traditional intra-vescical treatments such as aluminium or formalin having variable results. We present an alternate technique using PVB to ablate the bladder mucosa, with good results. Consolidation with hyperbaric oxygen therapy may be considered. Our study is limited by small sample size and the presence of bilateral ureteric catheters leaving the bladder free from urine may impact immediate post operative outcomes. These initial results are promising however further prospective evaluation with a larger cohort and pre and post operative cystograms would enable better evaluation of this

Impacts of radiation management techniques on the North Atlantic Oscillation

Science.gov (United States)

Adakudlu, Muralidhar; Helge Otterå, Odd; Tjiputra, Jerry; Muri, Helene; Grini, Alf; Schulz, Michael

2017-04-01

The effectiveness of various climate engineering techniques in limiting the global warming signal to reasonable levels has been the topic of state-of-the-art research on climate change. Using an Earth system model, we show that these techniques have the potential to bring down the high CO2 concentration climate in RCP8.5 to a moderate climate similar to RCP4.5 in terms of global temperature. Nevertheless, their influence on the regional aspects of atmospheric circulation is not clear. The regional circulation patterns in the atmosphere are largely characterized by the natural variability modes, such as the North Atlantic Oscillation (NAO). In this study, we assess the impacts of three radiation managment techniques, namely, Stratospheric Aerosol Injection (SAI), Marine Sky Brightening (MSB) and Cirrus Cloud Thinning (CCT), on the structure and features of the NAO. The results indicate an east-northeastward shift as well as intensification of the NAO spatial pattern in the global warming scenarios of RCP4.5 and RCP8.5, with the signal being most intense in the latter. The climate engineering forcings when applied to the RCP8.5 case tend to reduce the strength of the NAO with little impact on its position. The CCT case appears to have the maximum effect on the NAO signal. The patterns of cloud radiative forcing, expressed as the difference between net radiative forcing at TOA under average conditions and clear sky conditions, reveal a northeastward shift of the radiative heating in the north Atlantic region. This implies a possible link between the changes in the NAO signal and the cloud radiative forcing.

Surgical management of first branchial cleft anomaly presenting as infected retroauricular mass using a microscopic dissection technique.

Science.gov (United States)

Chan, Kai-Chieh; Chao, Wei-Chieh; Wu, Che-Ming

2012-01-01

This is a detailed description of the clinical and anatomical presentation of the first branchial cleft anomaly presenting as retroauricular infected mass. Our experience with a microscopic dissection with control of the sinus lumen from within the cyst is also described. Between 2001 and 2008, patients with the final histologic diagnosis of first branchial cleft anomaly in the retroauricular area were managed with a microscopic dissection technique with control of the sinus lumen from within the cyst. Classifications were done in accordance with Work, Olsen, and Chilla. Outcomes measured intervention as a function of disease recurrence and complications including facial nerve function was used. Eight patients with a mean age of 14.2 years were enrolled, and this included 4 females and 4 males. Four type 1 and 4 type 2 lesions as per the Work's and Chilla's classification were found, and there were 5 sinuses, 2 fistulae, and 1 cyst according to Olsen's classification. All patients presented to the department with acute infection at the time of diagnosis. Five of the 8 patients had previous surgical treatment, 2 of those had up to 3 previous operations. None of the patients were complicated by disease recurrence or had surgical related complications (facial nerve paresis or paralysis, infection, canal stenosis) requiring reoperation with more than 1 year of follow-up. First branchial cleft anomaly presenting as retroauricular infected mass can be effectively treated by adopting a microscopic dissection technique with control of the sinus lumen from within the cyst. Copyright © 2012 Elsevier Inc. All rights reserved.

50 CFR 35.12 - Water rights.

Science.gov (United States)

2010-10-01

... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Water rights. 35.12 Section 35.12 Wildlife... NATIONAL WILDLIFE REFUGE SYSTEM WILDERNESS PRESERVATION AND MANAGEMENT General Rules § 35.12 Water rights... the Department of the Interior as to exemption from State water laws. ...

Risks in teaching manipulation techniques in master programmes.

Science.gov (United States)

Pool, Jan; Cagnie, Barbara; Pool-Goudzwaard, Annelies

2016-09-01

High Velocity Techniques (HVT) in the (high) cervical spine are part of the standard curricula of manual therapy educational programmes. Little is known about the risk or the presence of adverse events during skills training sessions. This article describes two cases of students with both being at risk for an adverse event; one with a congenital artery aberration and one with cancer in the high cervical region. Teachers and educational programme developers should take risk management into account when teaching HVT. Copyright © 2016 Elsevier Ltd. All rights reserved.

Management of failed instability surgery: how to get it right the next time.

Science.gov (United States)

Boone, Julienne L; Arciero, Robert A

2010-07-01

Traumatic anterior shoulder dislocations are the most frequent type of joint dislocation and affect approximately 1.7% of the general population. The literature supports the consideration of primary stabilization in high-risk patients because of reported recurrences as high as 80% to 90% with nonoperative treatment regimens. Successful stabilization of anterior glenohumeral instability relies on not only good surgical techniques but also careful patient selection. Failure rates after open and arthroscopic stabilization have been reported to range from 2% to 8% and 4% to 13%, respectively. Recurrent shoulder instability leads to increased morbidity to the patient, increased pain, decreased activity level, prolonged time away from work and sports, and a general decrease in quality of life. This article reviews the potential pitfalls in anterior shoulder stabilization and discusses appropriate methods of addressing them in revision surgery. Copyright 2010 Elsevier Inc. All rights reserved.

Large right ventricular sinusoids in an infant with aorta-left ventricular tunnel and proximal right coronary artery atresia.

Science.gov (United States)

Chen, Peter C; Spinner, Joseph A; Heinle, Jeffrey S

2018-07-01

We report a 1-month-old infant diagnosed with an aorta-left ventricular tunnel, ventricular septal defect, and right coronary atresia with right ventricular sinusoids. The patient's anatomy and physiology did not indicate right-ventricular-dependent coronary circulation, and therefore right ventricular decompression could be performed without compromising coronary perfusion during surgical correction. A detailed understanding of the coronary anatomy is critical in managing this defect when coronary anomalies are present.

Safety management in NPPs using an evolutionary algorithm technique

International Nuclear Information System (INIS)

Mishra, Alok; Patwardhan, Anand; Verma, A.K.

2007-01-01

The general goal of safety management in Nuclear Power Plants (NPPs) is to make requirements and activities more risk effective and less costly. The technical specification and maintenance (TS and M) activities in a plant are associated with controlling risk or with satisfying requirements, and are candidates to be evaluated for their resource effectiveness in risk-informed applications. Accordingly, the risk-based analysis of technical specification (RBTS) is being considered in evaluating current TS. The multi-objective optimization of the TS and M requirements of a NPP based on risk and cost, gives the pareto-optimal solutions, from which the utility can pick its decision variables suiting its interest. In this paper, a multi-objective evolutionary algorithm technique has been used to make a trade-off between risk and cost both at the system level and at the plant level for loss of coolant accident (LOCA) and main steam line break (MSLB) as initiating events

Adapting risk management and computational intelligence network optimization techniques to improve traffic throughput and tail risk analysis.

Science.gov (United States)

2014-04-01

Risk management techniques are used to analyze fluctuations in uncontrollable variables and keep those fluctuations from impeding : the core function of a system or business. Examples of this are making sure that volatility in copper and aluminum pri...

Sectional Fixed Orthodontic Extrusion Technique in Management of Teeth with Complicated Crown-Root Fractures: Report of Two Cases

Directory of Open Access Journals (Sweden)

S. Nagarajan M. P. Sockalingam

2018-01-01

Full Text Available Complicated crown-root fractures account for a small percentage of traumatic dental injuries seen in children; however, management of these injuries can be very challenging to clinicians. Factors such as complexity of the injury, patient’s age and dentition stage, patient’s cooperation, and parental demands may have some bearing on the type of treatment undertaken and its outcomes. In some children, these injuries may have significant impact on their quality of life. The purpose of this article is to describe two cases of complicated crown-root fracture which were successfully managed through orthodontic extrusion using a sectional fixed orthodontic technique. The basis for the treatment technique and its favourable outcomes were highlighted with its advantages and drawbacks.

Fiberoptic endoscopic-assisted diverticulotomy: a novel technique for the management of Zenker's diverticulum.

Science.gov (United States)

Altman, Jason I; Genden, Eric M; Moche, Jason

2005-05-01

Endoscopic diverticulotomy is rapidly becoming the procedure of choice for treatment of Zenker's diverticulum. The endoscopic approach has resulted in significant decreases in patient morbidity, time to resumption of oral intake, and overall cost as compared with open treatment. However, a small but significant patient population is unable to accommodate the rigid laryngoscope and therefore requires open treatment. We present a novel technique, flexible fiberoptic endoscopic-assisted diverticulotomy, for the management of patients who are unable to undergo rigid endoscopy.

42 CFR 438.100 - Enrollee rights.

Science.gov (United States)

2010-10-01

...) Basic requirement. The State must ensure that each managed care enrollee is guaranteed the rights as... 42 Public Health 4 2010-10-01 2010-10-01 false Enrollee rights. 438.100 Section 438.100 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...

Beneficial aspects of real time flow measurements for the management of acute right ventricular heart failure following continuous flow ventricular assist device implantation

Directory of Open Access Journals (Sweden)

Spiliopoulos Sotirios

2012-11-01

Full Text Available Abstract Background Optimal management of acute right heart failure following the implantation of a left ventricular assist device requires a reliable estimation of left ventricular preload and contractility. This is possible by real-time pump blood flow measurements. Clinical case We performed implantation of a continuous flow left ventricular assist device in a 66 years old female patient with an end-stage heart failure on the grounds of a dilated cardiomyopathy. Real-time pump blood flow was directly measured by an ultrasonic flow probe placed around the outflow graft. Diagnosis The progressive decline of real time flow and the loss of pulsatility were associated with an increase of central venous pressure, inotropic therapy and progressive renal failure suggesting the presence of an acute right heart failure. Diagnosis was validated by echocardiography and thermodilution measurements. Treatment Temporary mechanical circulatory support of the right ventricle was successfully performed. Real time flow measurement proved to be a useful tool for the diagnosis and ultimately for the management of right heart failure including the weaning from extracorporeal membrane oxygenation.

Pengaruh Customer Accounting Sebagai Strategic Management Accounting Techniques Dan Customer Orientation Terhadap Organizational Performance

OpenAIRE

Lisa, Valentine

2015-01-01

This Study was done to examine the affect of customer accounting as strategic management accounting techniques and customer orientation to organizational performance. This study used primary data from questionnaires which were distributed to 50 manufacturing companies in Surabaya and Sidoarjo. The data collected would be analyzed by using Partial Least Square method to test the hypothesis. The result showed there were positive and significant influence from customer accounting and customer o...

Enseignement technique/Technical Training

CERN Multimedia

1998-01-01

Bureautique et techniques administratives/Office Automation & Administrative Techniques - Premiers pas/Getting started - E-Mail - Management Tools - WWW - Applications bureautiques/Office applications

Fuzzy VIKOR approach for selection of big data analyst in procurement management

Directory of Open Access Journals (Sweden)

Surajit Bag

2016-07-01

Full Text Available Background: Big data and predictive analysis have been hailed as the fourth paradigm of science. Big data and analytics are critical to the future of business sustainability. The demand for data scientists is increasing with the dynamic nature of businesses, thus making it indispensable to manage big data, derive meaningful results and interpret management decisions. Objectives: The purpose of this study was to provide a brief conceptual review of big data and analytics and further illustrate the use of a multicriteria decision-making technique in selecting the right skilled candidate for big data and analytics in procurement management. Method: It is important for firms to select and recruit the right data analyst, both in terms of skills sets and scope of analysis. The nature of such a problem is complex and multicriteria decision-making, which deals with both qualitative and quantitative factors. In the current study, an application of the Fuzzy VIsekriterijumska optimizacija i KOmpromisno Resenje (VIKOR method was used to solve the big data analyst selection problem. Results: From this study, it was identified that Technical knowledge (C1, Intellectual curiosity (C4 and Business acumen (C5 are the strongest influential criteria and must be present in the candidate for the big data and analytics job. Conclusion: Fuzzy VIKOR is the perfect technique in this kind of multiple criteria decisionmaking problematic scenario. This study will assist human resource managers and procurement managers in selecting the right workforce for big data analytics.

Managing complex processing of medical image sequences by program supervision techniques

Science.gov (United States)

Crubezy, Monica; Aubry, Florent; Moisan, Sabine; Chameroy, Virginie; Thonnat, Monique; Di Paola, Robert

1997-05-01

Our objective is to offer clinicians wider access to evolving medical image processing (MIP) techniques, crucial to improve assessment and quantification of physiological processes, but difficult to handle for non-specialists in MIP. Based on artificial intelligence techniques, our approach consists in the development of a knowledge-based program supervision system, automating the management of MIP libraries. It comprises a library of programs, a knowledge base capturing the expertise about programs and data and a supervision engine. It selects, organizes and executes the appropriate MIP programs given a goal to achieve and a data set, with dynamic feedback based on the results obtained. It also advises users in the development of new procedures chaining MIP programs.. We have experimented the approach for an application of factor analysis of medical image sequences as a means of predicting the response of osteosarcoma to chemotherapy, with both MRI and NM dynamic image sequences. As a result our program supervision system frees clinical end-users from performing tasks outside their competence, permitting them to concentrate on clinical issues. Therefore our approach enables a better exploitation of possibilities offered by MIP and higher quality results, both in terms of robustness and reliability.

Service design: a review of methods and techniques inthe point of view of service operations management area

Directory of Open Access Journals (Sweden)

Noel Torres Júnior

2013-11-01

Full Text Available As in many developing countries, the service sector in Brazil is responsible for generating income and employment for a significant portion of the population. Due to this economic relevance, service organizations are faced with an increasingly demanding and competitive market. This demand greater innovation and business planning. Despite this, the process of service development remains a relatively unexplored subject in the literature. Several issues regarding the planning and management remain without clear ideas or propositions that guide their appropriate treatment. The result of this situation, the methods and techniques that help design the services are not properly disseminated. These are scattered through the literature of operations management services. Given this framework, the light of a review of the literature and concerning the elements that compose the service project according to the works of Machuca, Zamora-Gonzalez and Aguilar-Escobar (2007 and Edvardsson (1997, the present work points and examine the methods and techniques suggested by many authors and works on the area of Service Operations. It was found that the knowledge about the methods and techniques is diffuse. This knowledge is concentrated on the design process and determining the location of services.

Possibilities of Spatial Data to Determine the Extent of the Occupancy of the Right-of-Way by Large-Format Advertisements

Directory of Open Access Journals (Sweden)

Bieda Agnieszka

2017-06-01

Full Text Available Large-format advertisements are becoming a more and more common element of building facades, especially in city centers. Placing an object of this type is not without significance to the real property management. A large-format advertising billboard on the facade, on the one hand, is associated with the possibility of renting advertising space, on the other - it can lead to the occupancy of a right-of-way, which results in a necessity to pay appropriate fees, in the amount regulated by the Act on Public Roads. Placing an object such as a large-format advertising billboard in a right-of-way requires a permit of the manager of this road. However, if a billboard is located on the facade of a building, occupancy of the right-of-way is not always the case. If the boundary of the road parcel runs along the contour of the building, a billboard placed on the elevation will always occupy the right-of-way. However, property boundaries often run at a distance from the building. Such situations - desired by managers - result in a noticeable increase in demand for surveying opinions to determine what part of the right-of-way is occupied by a large-format advertisement. This article analyzes the cases of the right-of-way being occupied by large-format advertising placed on the facades of buildings in the city center. For selected objects, information was obtained from public records, National Cartographic Documentation Center database, and direct surveying was performed with various techniques. This allowed for an objective assessment of the possible use of available surveying methods and the acquired spatial data to determine the right-of-way occupied by large-format advertisements for purposes of real estate management.

Pulmonary artery and right ventricle assessment in pulmonary hypertension. Correlation between functional parameters of ECG-gated CT and right-side heart catheterization

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Abel, Elodie; Jankowski, Adrien [Clinique univ. de radiologie et imagerie medicale, CHU Grenoble (France); Pison, Christophe [Clinique univ. de pneumologie, CHU Grenoble (France); Bosson, Jean Luc [Dept. of Statistics, CIC, CHU Grenoble (France); Bouvaist, Helene [Clinique univ. de cardiologie, CHU Grenoble (France); Ferretti, Gilbert R. [Clinique univ. de radiologie et imagerie medicale, CHU Grenoble (France); Univ. J. Fourier, Grenoble (France); INSERM U 823, Inst. A. Bonniot, la Tronche (France)], e-mail: gferretti@chu-grenoble.fr

2012-09-15

Background: Right ventricular function predicts outcome in patients with pulmonary hypertension (PH). Therefore accurate assessment of right ventricular function is essential to graduate severity, assess follow-up, and response to therapy. Purpose: To evaluate whether PH severity could be assessed using electrocardiography-gated CT (ECG-gated CT) functional parameters. A further objective was to evaluate cardiac output (CO) using two ECG-gated CT methods: the reference Simpson technique and the fully automatic technique generated by commercially available cardiac software. Material and Methods: Our institutional review board approved this study; patient consent was not required. Twenty-seven patients who had undergone ECG-gated CT and right heart catheterization (RHC) were included. Two independent observers measured pulmonary artery (PA) diameter, PA distensibility, aorta diameter, right ventricular cardiac output (CT-RVCO) and right ventricular ejection fraction (CT-RVEF) with automatic and Simpson techniques on ECG-gated CT. RHC-CO and mean pulmonary arterial pressure (mPAP) were measured on RHC. Relationship between ECG-gated CT and RHC measurements was tested with linear regression analysis. Results: Inter-observer agreement was good for all measurements (r > 0.7) except for CT-RVCO calculated with Simpson's technique (r = 0.63). Pulmonary artery (PA) distensibility was significantly correlated to mPAP (r = -0.426, P = 0.027). CT-RVEF was correlated with mPAP only when issued from Simpson technique (r = -0.417, P = 0.034). CT-RVEF was not significantly correlated to RHC-CO (P > 0.2). CT-RVCO measured with Simpson technique (r = 0.487, P = 0.010) and automatic segmentation (r = 0.549, P 0.005) correlated equally with RHC-CO. Conclusion: CT-RVEF and CT-RVCO measured on ECG-gated CT are significantly correlated, respectively, to mPAP and RHC-CO in this population with severe reduction of the right ventricular ejection fraction and could be useful for

[Key vessels assessment and operation highlights in laparoscopic extended right hemicolectomy].

Science.gov (United States)

Wang, Hao; Zhao, Quanquan

2018-03-25

Laparoscopic radical colectomies have been more widely used gradually, among which laparoscopic extended right hemicolectomy is considered as the most difficult procedure. The difficulty of extended right hemicolectomy lies in the need to dissect lymph nodes along the superior mesenteric vein (SMV) and disconnect numerous and possible aberrant vessels. To address this problem, we emphasize two points in key vessel assessment: getting familiar with the anatomy along the medial-to-lateral approach and having a good understanding about the preoperative imaging presentations. An accurately preoperative imaging assessment by abdominal enhanced CT can help the surgeon understand the relative position of the key vessels to be dealt with during operation and the situation of the possible aberrant vessels so as to guide the procedure more effectively and facilitate the prevention and management of the intraoperative complications. During operation, the operator should pay special attention to the management of the vessels in the ileocolic vessel region, Henle's trunk and middle colon vessels. The operation highlights of the key vessels are as follows: (1) The ileocolic vessels: identifying the Toldt's gap correctly and opening the vascular sheath of the SMV securely; making sure that the duodenum is well protected. (2) Henle's trunk: dissecting along the surface of the Henle's trunk; preserving the anterior superior pancreaticoduodenal vein (ASPDV) and main trunk of the Henle's trunk; disconnecting the roots of the right colic vein (RCV) and right gastroepiploic vein (RGEV), and then dissecting lymph nodes along the surface of the pancreas. (3) The middle colon vessels: identifying the root of the middle colon vessel along the lower edge of the pancreas; avoiding entering behind the pancreas; mobilizing the transverse mesocolon sufficiently along the surface of the pancreas. Finally, we discuss and analyze the disputes currently existing in laparoscopic extended right

Efficacy of proximal colectomy for surgical management of right-sided first colorectal cancer in Lynch Syndrome mutation carriers.

Science.gov (United States)

Hiatt, Molly J; Casey, Murray Joseph; Lynch, Henry T; Snyder, Carrie L; Stacey, Mark; Walters, Ryan W

2017-11-08

This study analyzes the occurrence of colorectal cancer (CRC) in Lynch syndrome (LS) mutation carriers, interval until diagnosis of metachronous CRC, and survival after proximal colectomy (PC) compared with total (TC) and subtotal colectomy (STC) for right-sided first CRC in LS mutation carriers. Sixty-four LS mutation carriers with right-sided first CRC treated with PC or TC + STC were confirmed by clinical records. Bivariate analyses were examined for significance and life tables were generated for risk of metachronous CRC and survival estimates following surgery. One of 16 (6.3%) mutation carriers treated with TC + STC developed subsequent CRC compared with 13/48 (27%) treated by PC. There was no significant difference in survival estimates between PC compared with TC + STC through 25 years after surgery. Risk of subsequent CRC and survival estimates following PC and TC + STC should be considered in surgical management of right-sided first CRC in LS mutation carriers. Lynch syndrome mutation carriers are still at 27% risk for metachronous colorectal cancer after proximal colectomy for right-sided first colorectal cancers, but this study found no difference in survival through 25 years follow-up compared with those treated with total and subtotal colectomy. Copyright © 2017 Elsevier Inc. All rights reserved.

TAXATION OF PERFORMERS’ RIGHTS IN ROMANIA

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Mariana SAVU

2015-07-01

Full Text Available In accordance with the Law no. 8/1996 („the Law”, the performers are required to exercise their rights through collective management for a range of economic rights provided for in article 1231 of the Law. A number of non-profit associations of various intellectual property right holders were established in this sense. Among them, CREDIDAM is the Performers’ Association, apart from that of authors (UCMR-ADA or of that of phonogram producers (UPFR. Thorough a series of ORDA’s Decisions, these Associations have each of them received a certain role in the collection of the rights which must be collectively managed. CREDIDAM activity is strictly regulated by Law; the duties and activities that it can carry on are performed under the provisions of the special law, the Law 8/1996 on copyright and related rights, and under their own Articles of Association. As a trustee, CREDIDAM activity consists in collecting the remuneration due to performers by the companies that use their artistic performances, and distribution of the appropriate remuneration to the artists, depending on the actual use of the Repertoire based on which they empowered CREDIDAM.”

Prostate Artery Embolization (PAE) in the Management of Refractory Hematuria of Prostatic Origin Secondary to Iatrogenic Urological Trauma: A Safe and Effective Technique.

Science.gov (United States)

Kably, Isaam; Pereira, Keith; Chong, William; Bhatia, Shivank

2016-02-01

Incidence of refractory hematuria of prostatic origin (RHPO) is extremely rare, with an iatrogenic etiology even rarer. When conservative methods fail to control bleeding, more invasive surgical methods are needed. In this article we describe our experience with prostatic artery embolization (PAE) as a minimally invasive alternative treatment option in patients with RHPO secondary to iatrogenic urologic trauma. Three patients presented with RHPO. The etiologies were transurethral resection of prostate surgery, Foley catheter removal with a supratherapeutic international normalized ratio and self-traumatic Foley catheter removal respectively. Stepwise management with conservative and medical methods failed to control bleeding. Under local anesthesia and moderate sedation, bilateral PAE was performed via a right common femoral artery access and using cone beam computed tomography. An embolic mixture containing 300-500 um Embosphere® Microspheres (Biosphere Medical, Rockland, MA) was injected under fluoroscopic guidance until stasis was achieved. PAE using the described technique was a technical and clinical success in all three patients. Hematuria resolved within a period of 24 hours. There were no intra- or periprocedural complications. PAE offers a reasonable option in treatment of RHPO, regardless of the cause and may be attempted prior to surgical techniques or sometimes in conjunction. Being minimally invasive and performed under local anesthesia, PAE is especially useful when excessive bleeding prevents adequate visualization of a bleeding source during cystoscopy and in the elderly age group with several comorbidities. An added advantage is the prostatic parenchymal ischemia leading to significant prostate volume reduction and alleviation of the obstructive symptoms. Copyright © 2016 Elsevier Inc. All rights reserved.

ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI MOTIVASI MANAJEMEN LABA DI SEPUTAR RIGHT ISSUE

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DEWI SAPTANTINAH PUJI ASTUTI

2007-07-01

Full Text Available This research is aimed at analysing factors influencing the motivation of management toconduct earnings management activity around the timing of right issue, and investigatingwhether there are any differences between discretionary accruals before and after the right issue,that is the discretionary accruals tend to be high before the right issue than that of after the rightissue. Some factors influencing the motivation of earnings management used in this research areownership structures, consisted of institutional ownership, managerial ownership, leverage andsize; in this research size was included into controlled variable and earnings management wassubstituted (proxy with discretionary accruals.The sample of this research consists of companies conducting the right issue between theyear of 1998-2001, with 2 years observation period before and after the right issue. Therefore,the period included in this research is 1996-2003. Hypothesis testing is conducted usingregression, while pair t-test is used to investigate the differences of discretionary accruals beforeand after the right issue. The result shows that leverage influences the earnings managementpositively and significantly. It means that the higher the leverage, the more the management ismotivated to conduct earnings management. In addition, the result of the study shows that thereare differences between discretionary accruals before the right issue and that of after the rightissue, i.e. the discretionary accruals before the right issue tends to be higher than that of after.

FUNCTIONAL MODEL OF THE MATERIAL RESOURCES MANAGEMENT FOR PROJECTS OF THE CREATION OF NEW TECHNIQUES

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S. Yu. Danshyna

2016-01-01

Full Text Available The article is devoted to problem of material management arising in the implementation of projects for the development and creation (modernization of the new techniques. The uniqueness of the projects, their limit on the cost and time does not allow the use of traditional approaches to resource management. Such projects are often implemented in the development of companies; where it is not possible to abandon the traditional operating methods of management. The aim of the article is a formalization of the process of material management of projects, a description of its information flows for integrate into the project management practices and for improve the efficiency of material management. For the systematization of information arising from the material resources management, invited the set-theoretic representation of the management process. According with the requirements of project management standards were described the sets and defined rules of their transformation. Specification of the set-theoretic representation helped to establish the area and limits of the modelling process. Further decomposition process became the basis of the functional model, constructed in accordance with the methodology IDEF 0. A graphical representation of the model allows you to visualize the process at different levels of detail. For specification of issues related to the organization and promotion of material flow, were developed functional models of sub-processes and were described the identified data-flows. For the harmonization of process and project approaches formulated conditions for evaluating the efficiency of material management. The developed models can be the basis for designing the structure of companies, for regulation of their project activities, as well as for establishing an information system of management resources of projects.

Prevention of musculoskeletal disorders within management systems: A scoping review of practices, approaches, and techniques.

Science.gov (United States)

Yazdani, Amin; Neumann, W Patrick; Imbeau, Daniel; Bigelow, Philip; Pagell, Mark; Wells, Richard

2015-11-01

The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach. Copyright © 2015 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Virtual Power Plant and Microgrids controller for Energy Management based on optimization techniques

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Maher G. M. Abdolrasol

2017-06-01

Full Text Available This paper discuss virtual power plant (VPP and Microgrid controller for energy management system (EMS based on optimization techniques by using two optimization techniques namely Backtracking search algorithm (BSA and particle swarm optimization algorithm (PSO. The research proposes use of multi Microgrid in the distribution networks to aggregate the power form distribution generation and form it into single Microgrid and let these Microgrid deal directly with the central organizer called virtual power plant. VPP duties are price forecast, demand forecast, weather forecast, production forecast, shedding loads, make intelligent decision and for aggregate & optimizes the data. This huge system has been tested and simulated by using Matlab simulink. These paper shows optimizations of two methods were really significant in the results. But BSA is better than PSO to search for better parameters which could make more power saving as in the results and the discussion.

Ventral inlay buccal mucosal graft urethroplasty: a novel surgical technique for the management of urethral stricture disease.

Science.gov (United States)

Kovell, Robert Caleb; Terlecki, Ryan Patrick

2015-02-01

To describe the novel technique of ventral inlay substitution urethroplasty for the management of male anterior urethral stricture disease. A 58-year-old gentleman with multifocal bulbar stricture disease measuring 7 cm in length was treated using a ventral inlay substitution urethroplasty. A dorsal urethrotomy was created, and the ventral urethral plated was incised. The edges of the urethral plate were mobilized without violation of the ventral corpus spongiosum. A buccal mucosa graft was harvested and affixed as a ventral inlay to augment the caliber of the urethra. The dorsal urethrotomy was closed over a foley catheter. No intraoperative or postoperative complications occurred. Postoperative imaging demonstrated a widely patent urethra. After three years of follow-up, the patient continues to do well with no voiding complaints and low postvoid residuals. Ventral inlay substitution urethroplasty appears to be a safe and feasible technique for the management of bulbar urethral strictures.

Application of the Delphi technique in healthcare maintenance.

Science.gov (United States)

Njuangang, Stanley; Liyanage, Champika; Akintoye, Akintola

2017-10-09

Purpose The purpose of this paper is to examine the research design, issues and considerations in the application of the Delphi technique to identify, refine and rate the critical success factors and performance measures in maintenance-associated infections. Design/methodology/approach In-depth literature review through the application of open and axial coding were applied to formulate the interview and research questions. These were used to conduct an exploratory case study of two healthcare maintenance managers, randomly selected from two National Health Service Foundation Trusts in England. The results of exploratory case study provided the rationale for the application of the Delphi technique in this research. The different processes in the application of the Delphi technique in healthcare research are examined thoroughly. Findings This research demonstrates the need to apply and integrate different research methods to enhance the validity of the Delphi technique. The rationale for the application of the Delphi technique in this research is because some healthcare maintenance managers lack knowledge about basic infection control (IC) principles to make hospitals safe for patient care. The result of first round of the Delphi exercise is a useful contribution in its own rights. It identified a number of salient issues and differences in the opinions of the Delphi participants, noticeably between healthcare maintenance managers and members of the infection control team. It also resulted in useful suggestions and comments to improve the quality and presentation of the second- and third-round Delphi instruments. Practical implications This research provides a research methodology that can be adopted by researchers investigating new and emerging issues in the healthcare sector. As this research demonstrates, the Delphi technique is relevant in soliciting expert knowledge and opinion to identify performance measures to control maintenance-associated infections in

Management Competences, not Tools and Techniques

DEFF Research Database (Denmark)

Rose, Jeremy; Pedersen, Keld; Hosbond, Jens Henrik

2007-01-01

in practice. This study, in contrast, uses a qualitative grounded theory approach to develop the basis for an alternative theoretical perspective: that of competence. A competence approach to understanding software project management places the responsibility for success firmly on the shoulders of the people...... competences and desired project outcomes, we collected data through interviews, focus groups and one large plenary meeting with most of the company's project managers. Data analysis employed content analysis for concept (variable) development and causal mapping to trace relationships between variables....... In this way we were able to build up a picture of the competences project managers use in their daily work at WM-data, which we argue is also partly generaliseable to theory. The discrepancy between the two perspectives is discussed, particularly in regard to the current orientation of the software...

Percutaneous transhepatic techniques for management of biliary anastomotic strictures in living donor liver transplant recipients

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Chinmay B Kulkarni

2017-01-01

Full Text Available Aim: To retrospectively analyze the percutaneous transhepatic techniques and their outcome in the management of biliary strictures in living donor liver transplant (LDLT recipients. Materials and Methods: We retrieved the hospital records of 400 LDLT recipients between 2007 and 2015 and identified 45 patients with biliary strictures. Among them, 17 patients (37.8% (Male: female = 13:4; mean age, 36.1 ± 17.5 years treated by various percutaneous transhepatic biliary techniques alone or in combination with endoscopic retrograde cholangiopancreatography (ERCP were included in the study. The technical and clinical success of the percutaneous management was analyzed. Results: Anastomotic strictures associated with leak were found in 12/17 patients (70.6%. Ten out of 12 (83.3% patients associated with leak had more than one duct-duct anastomoses (range, 2–3. The average duration of onset of stricture in patients with biliary leak was 3.97 ± 2.68 months and in patients with only strictures it was 14.03 ± 13.9 months. In 6 patients, endoscopic-guided plastic stents were placed using rendezvous technique, plastic stent was placed from a percutaneous approach in 1 patient, metallic stents were used in 2 patients, cholangioplasty was performed in 1 patient, N-butyl- 2-cyanoacrylate embolization was done in 1 child with biliary-pleural fistula, internal-external drain was placed in 1 patient, and only external drain was placed in 5 patients. Technical success was achieved in 12/17 (70.6% and clinical success was achieved in 13/17 (76.5% of the patients. Posttreatment mean time of follow-up was 19.4 ± 13.7 months. Five patients (29.4% died (two acute rejections, one metabolic acidosis, and two sepsis. Conclusions: Percutaneous biliary techniques are effective treatment options with good outcome in LDLT patients with biliary complications.

Crew resource management: using aviation techniques to improve operating room safety.

Science.gov (United States)

Ricci, Michael A; Brumsted, John R

2012-04-01

Since the publication of the Institute of Medicine report estimating nearly 100,000 deaths per year from medical errors, hospitals and physicians have a renewed focus upon error reduction. We implemented a surgical crew resource management (CRM) program for all operating room (OR) personnel. In our academic medical center, 19,000 procedures per year are performed in 27 operating rooms. Mandatory CRM training was implemented for all peri-operative personnel. Aviation techniques introduced included a pre-operative checklist and brief, post-operative debrief, read and initial files, and various other aviation-based techniques. Compliance with conduct of the brief/debrief was monitored as well as wrong-site surgeries and retained foreign body events. The malpractice insurance database for claims was also queried for the period prior to and after training. Initial training was accomplished for 517 people, including all anesthesiologists, surgeons, nurses, technicians, and OR assistants. Pre-operative briefing increased from 6.7 to 99% within 4 mo. Wrong site surgeries and retained foreign bodies decreased from a high of seven in 2007 to none in 2008, but, after 14 mo without additional training, these rose to five in 2009. Malpractice expenses (payouts and legal fees) totaled $793,000 (2003-2007), but have been zero since 2008. CRM training and implementation had an impact on reducing the incidence of wrong site surgery and retained foreign bodies in our operating rooms. However, constant reinforcement and refresher training is necessary for sustained results. Though no one technique can prevent all errors, CRM can effect culture change, producing a safer environment.

Management of Recurrent Subdural Hematomas.

Science.gov (United States)

Desai, Virendra R; Scranton, Robert A; Britz, Gavin W

2017-04-01

Subdural hematomas commonly recur after surgical evacuation, at a rate of 2% to 37%. Risk factors for recurrence can be patient related, radiologic, or surgical. Patient-related risk factors include alcoholism, seizure disorders, coagulopathy, and history of ventriculoperitoneal shunt. Radiologic factors include poor brain reexpansion postoperatively, significant subdural air, greater midline shift, heterogeneous hematomas (layered or multi-loculated), and higher-density hematomas. Surgical factors include lack of or poor postoperative drainage. Most recurrent hematomas are managed successfully with burr hole craniostomies with postoperative closed-system drainage. Refractory hematomas may be managed with a variety of techniques, including craniotomy or subdural-peritoneal shunt placement. Copyright © 2016 Elsevier Inc. All rights reserved.

Managing for climate change on protected areas: An adaptive management decision making framework.

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Tanner-McAllister, Sherri L; Rhodes, Jonathan; Hockings, Marc

2017-12-15

Current protected area management is becoming more challenging with advancing climate change and current park management techniques may not be adequate to adapt for effective management into the future. The framework presented here provides an adaptive management decision making process to assist protected area managers with adapting on-park management to climate change. The framework sets out a 4 step process. One, a good understanding of the park's context within climate change. Secondly, a thorough understanding of the park management systems including governance, planning and management systems. Thirdly, a series of management options set out as an accept/prevent change style structure, including a systematic assessment of those options. The adaptive approaches are defined as acceptance of anthropogenic climate change impact and attempt to adapt to a new climatic environment or prevention of change and attempt to maintain current systems under new climatic variations. Last, implementation and monitoring of long term trends in response to ecological responses to management interventions and assessing management effectiveness. The framework addresses many issues currently with park management in dealing with climate change including the considerable amount of research focussing on 'off-reserve' strategies, and threats and stress focused in situ park management. Copyright © 2017 Elsevier Ltd. All rights reserved.

Rudhe syndrome: reversible right middle lobe emphysema in infants with left-to-right shunts - an historical review

International Nuclear Information System (INIS)

Collins, Lee K.; Levin, Terry L.; Berdon, Walter E.; Cowles, Robert A.; Newman, Beverley

2010-01-01

In 1971, the Swedish radiologist Ulf Rudhe wrote a provocative paper on right middle lobe emphysema in infants with left-to-right shunts in which he suggested cardiac surgery rather than lung resection. At the time, this was counter to accepted medical practice. Earlier diagnosis and better medical management of ventricular septal defect in infants has proved Rudhe correct. However, two current cases of large left-to-right shunts in infants with emphysema of the right middle lobe prompt this historical review of what seemed a closed-episode in pediatric cardiac surgery. (orig.)

Comparison of 3 airway access techniques during suspected spine injury management in American football.

Science.gov (United States)

Toler, Julianne D; Petschauer, Meredith A; Mihalik, Jason P; Oyama, Sakiko; Halverson, S Doug; Guskiewicz, Kevin M

2010-03-01

To determine how head movement and time to access airway were affected by 3 emergency airway access techniques used in American football. Prospective counterbalanced design. University research laboratory. Eighteen certified athletic trainers (ATCs) and 18 noncertified students (NCSs). Each participant performed 1 trial of each of the 3 after airway access techniques: quick release mechanism (QRM), cordless screwdriver (CSD), and pocket mask insertion (PMI). Time to task completion in seconds, head movement in each plane (sagittal, frontal, and transverse), maximum head movement in each plane, helmet movement in each plane, and maximum helmet movement in each plane. We observed a significant difference between all 3 techniques with respect to time required to achieve airway access (F(2,68) = 263.88; P football athlete experiencing respiratory arrest in the presence of a suspected cervical spine injury. In the event the athlete does not present with respiratory arrest, the facemask may be removed carefully with a pocket mask ready. Medical professionals must be familiar with differences in equipment and the effects these may have on the management of the spine-injured athlete.

Are the right actors taking the right action? Climate change management in Finnish urban housing

Energy Technology Data Exchange (ETDEWEB)

Kyro, R.

2013-03-01

Anthropogenic climate change is one of the most severe environmental challenges facing the planet today, and it is certainly one of the most debated. The built environment is a known major culprit, and cities as consumption centers account for a large share of the world's consumption-based carbon footprint. It may well be argued that urban communities are at the very core of the climate change problem. The five individual studies included in the dissertation provide an understanding of the most significant urban activities generating GHG emissions, and the potential of different actions and actors to mitigate them. The research was conducted on three different scales addressing the issue from the viewpoint of individual city dwellers, urban housing companies, and finally, cities. For an individual city dweller, some 40% of the carbon footprint was found to derive from housing related activities, indicating a need to further study the impact of urban housing. The results on the housing company scale showed that, in the context of multi-family housing, occupant behavior has only limited influence on the overall energy consumption and consequent carbon footprint. Instead, housing managers who are responsible for the most significant source of GHG emissions, the heating system, appeared more influential. It was further discovered that housing managers' attitudes and practices differ, and that the differences affect the carbon footprint. The dissertation argues that the social constructiveness of the climate change issue should be acknowledged and considered in planning for mitigation action. More attention should be paid to the management and motivation of individuals, particularly on the housing manager and individual city dweller level. On the policy maker level, while ensuring prompt action, a vigorous attempt to establish the true effects of the action should be maintained. The research concludes that no single action or actor will suffice in mitigating

Storytelling, the Threshold of Illegal Advertising on Consumer Rights Under

OpenAIRE

Oliveira, Josinaldo Leal de; Cezar, Thyago

2016-01-01

Understanding the advertising control system on consumer rights should be a concern of the operator's right, there is a view of the power of the front advertising phenomenon to a vulnerable subject: the consumer. Every day more companies have used marketing and advertising techniques to present their products to the consumer market, and currently a technique that has been widely used is the storytelling, however, this technique must meet certain parameters otherwise lead the consumer into err...

Spleen hydatidosis treated by hemi-splenectomy: A low-morbidity, cost-effective management by a recently improved surgical technique.

Science.gov (United States)

Costi, Renato; Castro Ruiz, Carolina; Zarzavadjian le Bian, Alban; Scerrati, Daniele; Santi, Caterina; Violi, Vincenzo

2015-08-01

Splenic hydatidosis is a rare condition and is usually managed by total splenectomy, which is associated to various complications, including overwhelming post-splenectomy sepsis and thrombosis. Probably due to supposed technical difficulties, the partial splenectomy is rarely performed being often unknown to physicians, infectious disease specialists and surgeons. Demographic, clinical and surgical data were collected of four consecutive patients undergoing partial (or hemi-) splenectomy using an original, recently improved technique as a treatment for polar splenic hydatid cyst. The procedure implies a selective vascular ligation, a mechanical stapler-assisted section and haemostatic agents (Surgicel(®)) application on the cutting surface. Three patients were treated by laparotomy (including one affected by both liver and spleen localizations) whereas the last one was approached laparoscopically. Partial splenectomy operative time reached 74 min (range: 60-94 min) and blood loss was 8 ml (range: 5-10 ml). Hospital stay was 5.6 days (range: 5-7 days). At a mean follow-up of 20 months (range: 12-36 months), outcomes were uneventful. Partial splenectomy for hydatidosis is effective and safe. Physicians and surgeons should be aware of such an easy-to-catch option when dealing with benign splenic conditions, such as parasitic cysts. Cost-effectiveness, low morbidity and the possible prevention of splenectomy-related infectious complications should plead in favor of this technique in developing countries, where hydatidosis is endemic and post-splenectomy drugs and vaccines may be lacking. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

A review of the surgical management of breast cancer: plastic reconstructive techniques and timing implications.

Science.gov (United States)

Rosson, Gedge D; Magarakis, Michael; Shridharani, Sachin M; Stapleton, Sahael M; Jacobs, Lisa K; Manahan, Michele A; Flores, Jaime I

2010-07-01

The oncologic management of breast cancer has evolved over the past several decades from radical mastectomy to modern-day preservation of chest and breast structures. The increased rate of mastectomies over recent years made breast reconstruction an integral part of the breast cancer management. Plastic surgery now offers patients a wide variety of reconstruction options from primary closure of the skin flaps to performance of microvascular and autologous tissue transplantation. Well-coordinated partnerships between surgical oncologists, plastic surgeons, and patients address concerns of tumor control, cosmesis, and patients' wishes. The gamut of breast reconstruction options is reviewed, particularly noting state-of-the-art techniques, as well as the advantages and disadvantages of various timing modalities.

Quality Attribute Techniques Framework

Science.gov (United States)

Chiam, Yin Kia; Zhu, Liming; Staples, Mark

The quality of software is achieved during its development. Development teams use various techniques to investigate, evaluate and control potential quality problems in their systems. These “Quality Attribute Techniques” target specific product qualities such as safety or security. This paper proposes a framework to capture important characteristics of these techniques. The framework is intended to support process tailoring, by facilitating the selection of techniques for inclusion into process models that target specific product qualities. We use risk management as a theory to accommodate techniques for many product qualities and lifecycle phases. Safety techniques have motivated the framework, and safety and performance techniques have been used to evaluate the framework. The evaluation demonstrates the ability of quality risk management to cover the development lifecycle and to accommodate two different product qualities. We identify advantages and limitations of the framework, and discuss future research on the framework.

Laparoscopic management of right paraduodenal hernia along with ...

African Journals Online (AJOL)

laparoscopic repair of a right PDH and the third in the pediatric age ... perinephric space laterally to open the hernia defect widely. ... the operative approach in this situation. Only five ... bilateral inguinal, and epigastric pain associated with.

31 CFR 208.10 - Reservation of rights.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Reservation of rights. 208.10 Section 208.10 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE MANAGEMENT OF FEDERAL AGENCY...

Effective behaviour change techniques in the prevention and management of childhood obesity.

Science.gov (United States)

Martin, J; Chater, A; Lorencatto, F

2013-10-01

Rates of childhood obesity are increasing, and it is essential to identify the active components of interventions aiming to prevent and manage obesity in children. A systematic review of behaviour change interventions was conducted to find evidence of behaviour change techniques (BCTs) that are most effective in changing physical activity and/or eating behaviour for the prevention or management of childhood obesity. An electronic search was conducted for randomised controlled trials published between January 1990 and December 2009. Of 4309 titles and abstracts screened, full texts of 135 articles were assessed, of which 17 published articles were included in this review. Intervention descriptions were coded according to the behaviour-specific CALO-RE taxonomy of BCTs. BCTs were identified and compared across obesity management (n=9) vs prevention (n=8) trials. To assess the effectiveness of individual BCTs, trials were further divided into those that were effective (defined as either a group reduction of at least 0.13 body mass index (BMI) units or a significant difference in BMI between intervention and control groups at follow-up) vs non-effective (reported no significant differences between groups). We reliably identified BCTs utilised in effective and non-effective prevention and management trials. To illustrate the relative effectiveness of each BCT, effectiveness ratios were calculated as the ratio of the number of times each BCT was a component of an intervention in an effective trial divided by the number of times they were a component of all trials. Results indicated six BCTs that may be effective components of future management interventions (provide information on the consequences of behaviour to the individual, environmental restructuring, prompt practice, prompt identification as role model/position advocate, stress management/emotional control training and general communication skills training), and one that may be effective in prevention

Use of behavioral change techniques in web-based self-management programs for type 2 diabetes patients: systematic review.

Science.gov (United States)

van Vugt, Michael; de Wit, Maartje; Cleijne, Wilmy H J J; Snoek, Frank J

2013-12-13

Type 2 diabetes mellitus (T2DM) is a highly prevalent chronic metabolic disease characterized by hyperglycemia and cardiovascular risks. Without proper treatment, T2DM can lead to long-term complications. Diabetes self-management is recognized as the cornerstone of overall diabetes management. Web-based self-management programs for T2DM patients can help to successfully improve patient health behaviors and health-related outcomes. Theories can help to specify key determinants of the target behaviors and behavior change strategies required to arrive at the desired health outcomes, which can then be translated into specific behavioral techniques or strategies that patients can learn to apply in their daily life. From previous reviews of a wide range of online diabetes self-management tools and programs, it appears that it is still unclear which behavioral change techniques (BCTs) are primarily used and are most effective when it comes to improving diabetes self-management behaviors and related health outcomes. We set out to identify which BCTs are being applied in online self-management programs for T2DM and whether there is indication of their effectiveness in relation to predefined health outcomes. Articles were systematically searched and screened on the mentioned use of 40 BCTs, which were then linked to reported statistically significant improvements in study outcomes. We found 13 randomized controlled trials reporting on 8 online self-management interventions for T2DM. The BCTs used were feedback on performance, providing information on consequences of behavior, barrier identification/problem solving, and self-monitoring of behavior. These BCTs were also linked to positive outcomes for health behavior change, psychological well-being, or clinical parameters. A relatively small number of theory-based online self-management support programs for T2DM have been reported using only a select number of BCTs. The development of future online self-management

Power Management Based Current Control Technique for Photovoltaic-Battery Assisted Wind-Hydro Hybrid System

Science.gov (United States)

Ram Prabhakar, J.; Ragavan, K.

2013-07-01

This article proposes new power management based current control strategy for integrated wind-solar-hydro system equipped with battery storage mechanism. In this control technique, an indirect estimation of load current is done, through energy balance model, DC-link voltage control and droop control. This system features simpler energy management strategy and necessitates few power electronic converters, thereby minimizing the cost of the system. The generation-demand (G-D) management diagram is formulated based on the stochastic weather conditions and demand, which would likely moderate the gap between both. The features of management strategy deploying energy balance model include (1) regulating DC-link voltage within specified tolerances, (2) isolated operation without relying on external electric power transmission network, (3) indirect current control of hydro turbine driven induction generator and (4) seamless transition between grid-connected and off-grid operation modes. Furthermore, structuring of the hybrid system with appropriate selection of control variables enables power sharing among each energy conversion systems and battery storage mechanism. By addressing these intricacies, it is viable to regulate the frequency and voltage of the remote network at load end. The performance of the proposed composite scheme is demonstrated through time-domain simulation in MATLAB/Simulink environment.

48 CFR 49.402-1 - The Government's right.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false The Government's right. 49... MANAGEMENT TERMINATION OF CONTRACTS Termination for Default 49.402-1 The Government's right. Under contracts containing the Default clause at 52.249-8, the Government has the right, subject to the notice requirements...

Right ventricular function: methodologic and clinical considerations in noninvasive scintigraphic assessment

International Nuclear Information System (INIS)

Manno, B.V.; Iskandrian, A.S.; Hakki, A.H.

1984-01-01

Right ventricular function plays an important role in many cardiac disorders. Changes in left ventricular function, right ventricular afterload and preload, cardiac medications and ischemia may affect right ventricular function. Radionuclide ventriculography permits quantitative assessment of regional and global function of the right ventricle. This assessment can be made at rest, during exercise or after pharmacologic interventions. The overlap between right ventricle and right atrium is a major limitation for gated scintigraphic techniques. The use of imaging with newer short-lived radionuclides may permit more accurate and reproducible assessment of right ventricular function by means of the first pass method. Further work in areas related to improvement of techniques and the impact of right ventricular function on prognosis is needed

Quantifying the Impacts of Digital Rights Management and E-Book Pricing on the E-Book Reader Market

OpenAIRE

Jin-Hyuk Kim; Tin Cheuk Leung

2013-01-01

The demand for electronic books (e-books) and the e-book readers are complementary. On the one hand, the emergence of e-book readers such as Amazon's Kindle has triggered the recent growth of the e-book market. On the other hand, several issues in the e-book market can affect the future of the e-book reader market. Considering this complementarity, this paper quantifies the impact of digital rights management (DRM) and discounted e-book pricing on the demand for e-book readers. We collect con...

Current Recommendations on Diagnosis and Management of Right-Sided Diverticulitis

Directory of Open Access Journals (Sweden)

Dana A. Telem

2009-01-01

Full Text Available We present the case of a 52-year-old female with recurrent symptomatic ascending colon diverticulitis who ultimately underwent elective laparoscopic right hemicolectomy. The following is a case report and literature review pertaining to right colonic diverticular disease.

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.

Awake Craniotomy Anesthesia: A Comparison of the Monitored Anesthesia Care and Asleep-Awake-Asleep Techniques.

Science.gov (United States)

Eseonu, Chikezie I; ReFaey, Karim; Garcia, Oscar; John, Amballur; Quiñones-Hinojosa, Alfredo; Tripathi, Punita

2017-08-01

Commonly used sedation techniques for an awake craniotomy include monitored anesthesia care (MAC), using an unprotected airway, and the asleep-awake-asleep (AAA) technique, using a partially or totally protected airway. We present a comparative analysis of the MAC and AAA techniques, evaluating anesthetic management, perioperative outcomes, and complications in a consecutive series of patients undergoing the removal of an eloquent brain lesion. Eighty-one patients underwent awake craniotomy for an intracranial lesion over a 9-year period performed by a single-surgeon and a team of anesthesiologists. Fifty patients were treated using the MAC technique, and 31 were treated using the AAA technique. A retrospective analysis evaluated anesthetic management, intraoperative complications, postoperative outcomes, pain management, and complications. The MAC and AAA groups had similar preoperative patient and tumor characteristics. Mean operative time was shorter in the MAC group (283.5 minutes vs. 313.3 minutes; P = 0.038). Hypertension was the most common intraoperative complication seen (8% in the MAC group vs. 9.7% in the AAA group; P = 0.794). Intraoperative seizure occurred at a rate of 4% in the MAC group and 3.2% in the AAA group (P = 0.858). Awake cases were converted to general anesthesia in no patients in the MAC group and in 1 patient (3.2%) in the AAA group (P = 0.201). No cases were aborted in either group. The mean hospital length of stay was 3.98 days in the MAC group and 3.84 days in the AAA group (P = 0.833). Both the MAC and AAA sedation techniques provide an efficacious and safe method for managing awake craniotomy cases and produce similar perioperative outcomes, with the MAC technique associated with shorter operative time. Copyright © 2017 Elsevier Inc. All rights reserved.

Environmental management of pipeline and right-of-way; Gerenciamento ambiental em servicos de manutencao de dutos e faixas de dutos

Energy Technology Data Exchange (ETDEWEB)

Torres, Carlos A.R.; Alves, Anibal J.C.; Chaves, Claudia J.M.M.; Campos, Cleber L.S.; Guarda, Juliana G.S.; Magalhaes, Milton P; Neto, Nilo M.C. [TRANSPETRO - PETROBRAS Transporte, Rio de Janeiro, RJ (Brazil); Yogui, Regiane T.T. [Bureau Veritas do Brasil, Rio de Janeiro, RJ (Brazil)

2005-07-01

This paper presents the environmental management experience of TRANSPETRO in the State of Sao Paulo, Brazil, in maintenance services on pipelines and pipeline right-of-way areas, focusing on the requirements of these services in order to ensure the integrity of the system and on the limitations in connection with a great number of authorizations and governmental agencies involved and the use of the environmental management as a solution. These services include, basically, replacement of pipeline sections, geotechnical and upgrading services in right-of-way areas in a pipeline network of about 3700 km, implemented in a wide range of environments, from urban areas to environmentally protected areas. In the first place, consideration is given to the complex legal question related to the various laws and the necessity to obtain approvals such as licenses, authorizations, awards and statements of commitment pertaining to the great number of governmental agencies involved. Subsequently, the main environmental impacts pertaining to said services are approached, with presentation of the tools used in Environmental Management, such as analysis of environmental hazards and aspects, contractual requirements, plans, guideline sheets, procedures, training and monitoring. At the end, a description is presented of the difficulties met, of the solutions adopted and of the new attitudes that are required for a continuous improvement of the process. (author)

Renegotiating property rights in the Florida golden crab fishery

Directory of Open Access Journals (Sweden)

Scott Crosson

2013-08-01

Full Text Available The golden crab (Chaceon fenneri supports a small, economically healthy fishery in south Florida. Crabbers in the fishery have successfully protected themselves against larger outside fishing interests in the past, and management has been stable for over fifteen years.  Why, then, did a portion of the fleet propose shifting to individual transferable quotas (ITQs?  Our findings suggest that proponents sought ITQ management because they believed it would further limit the ability of other crabbers to enter the fishery and act as a mechanism to legally preserve the informal and formal property rights that they have previously negotiated among themselves. Opponents believed that a shift to an ITQ regime would destroy those same property rights.  We explore the implications of these findings to a broader understanding of property rights and natural resource management institutions, noting that the currently existing system closely resembles a territorial use rights fishery (TURF.

Property Rights, Finance, and Entrepreneurship

OpenAIRE

Simon Johnson; John McMillan; Christopher Woodruff

1999-01-01

Is investment constrained more by insecure property rights or by limited external finance? For five transition economies in Eastern Europe and the former Soviet Union we find that weak property rights limit the reinvestment of profits in startup ma nufacturing firms. Access to credit does not appear to explain differences in investment. At least in the early stages of post-communist reform, retained earnings appear to have been enough to finance the investments that managers wanted to make.

The importance of the right focusing technique. At-a-glance information on focusing techniques in X-ray procedures

International Nuclear Information System (INIS)

Lichte-Wichmann, M.

1993-01-01

Sharp pictures providing all the information relevant to a particular case obviate repeat exposures, help to keep the radiation dose to a minimum and prevent false diagnoses. In her book, the author gives practical guidance on focusing techniques that is equally valuable to beginners and experienced investigators or medical X-ray assistants and physicians. A substantial part of the book is devoted to detailed instructions on how an object is brought into focus as well as on the criteria of proper focusing and the possibilities of identifying and avoiding false focusing techniques. The problems arising when uncommon X-ray pictures have to be taken are explained by diagrammatic representations. (orig.) [de

Considering Face, Rights, and Goals: A Critical Review of Rapport Management in Facilitator-Guided Simulation Debriefing Approaches.

Science.gov (United States)

Loo, May Eng; Krishnasamy, Charmaine; Lim, Wee Shiong

2018-02-01

The rapport between facilitators and learners contributes to a conducive learning environment during simulation debriefing, but a theory to guide rapport management (RM) is lacking. The RM model is a potentially relevant conceptual framework because it describes three interrelated components of rapport-face, rights, and goals-which, when threatened, affect the rapport between interactants. This critical review explores how studies in the simulation debriefing literature describing postevent facilitator-guided debriefing approaches can be viewed through the lens of the RM model. All 34 identified studies alluded to at least one component of rapport, with less than half alluding to all three. There is preliminary evidence that the management of all three components of rapport during debriefing may contribute to improving short-term learning outcomes. Future studies could explore how the RM model can be used to guide debriefing approaches in various contexts and clarify why or how these approaches work.

Keeping Dublin Core Simple: Cross-Domain Discovery or Resource Description?; First Steps in an Information Commerce Economy: Digital Rights Management in the Emerging E-Book Environment; Interoperability: Digital Rights Management and the Emerging EBook Environment; Searching the Deep Web: Direct Query Engine Applications at the Department of Energy.

Science.gov (United States)

Lagoze, Carl; Neylon, Eamonn; Mooney, Stephen; Warnick, Walter L.; Scott, R. L.; Spence, Karen J.; Johnson, Lorrie A.; Allen, Valerie S.; Lederman, Abe

2001-01-01

Includes four articles that discuss Dublin Core metadata, digital rights management and electronic books, including interoperability; and directed query engines, a type of search engine designed to access resources on the deep Web that is being used at the Department of Energy. (LRW)

Evaluation of right ventricular volumes measured by magnetic resonance imaging

DEFF Research Database (Denmark)

Møgelvang, J; Stubgaard, M; Thomsen, C

1988-01-01

stroke volume was calculated as the difference between end-diastolic and end-systolic volume and compared to left ventricular stroke volume and to stroke volume determined simultaneously by a classical indicator dilution technique. There was good agreement between right ventricular stroke volume......Right ventricular volumes were determined in 12 patients with different levels of right and left ventricular function by magnetic resonance imaging (MRI) using an ECG gated multisection technique in planes perpendicular to the diastolic position of the interventricular septum. Right ventricular...... determined by MRI and by the indicator dilution method and between right and left ventricular stroke volume determined by MRI. Thus, MRI gives reliable values not only for left ventricular volumes, but also for right ventricular volumes. By MRI it is possible to obtain volumes from both ventricles...

23 CFR 710.405 - Air rights on the Interstate.

Science.gov (United States)

2010-04-01

... 23 Highways 1 2010-04-01 2010-04-01 false Air rights on the Interstate. 710.405 Section 710.405 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RIGHT-OF-WAY AND ENVIRONMENT RIGHT-OF-WAY AND REAL ESTATE Real Property Management § 710.405 Air rights on the Interstate. (a) The FHWA...

A Customary Right to Fish when Fish are Sparse: Managing ...

African Journals Online (AJOL)

This contribution considers the potential conflicts that may arise between customary rights and environmental rights in the face of dwindling marine resources. It sets the scene by reflecting on some of the common themes present in indigenous claims to marine resource by communities who were subjected to colonisation.

Information systems project management: methods, tools, and techniques

OpenAIRE

Mcmanus, John; Wood-Harper, Trevor

2004-01-01

Information Systems Project Management offers a clear and logical exposition of how to plan, organise and monitor projects effectively in order to deliver quality information systems within time, to budget and quality. This new book by John McManus and Trevor Wood-Harper is suitable for upper level undergraduates and postgraduates studying project management and Information Systems. Practising managers will also find it to be a valuable tool in their work. Managing information systems pro...

Dental anxiety: Investigative and management techniques often ...

African Journals Online (AJOL)

Background: Information on the pattern of dental anxiety management in Nigeria is currently not available. Aim: The study was designed to determine the awareness and frequency of application of dental anxiety assessment questionnaires as well as the current pattern in the management of dental anxiety in Nigeria.

Digital rights management for digital cinema

Science.gov (United States)

Kirovski, Darko; Peinado, Marcus; Petitcolas, Fabien A. P.

2001-12-01

There is a wide consensus among the feature film production studios that the Internet era brings a new paradigm for film distribution to cinemas worldwide. The benefits of digital cinema to both producers and cinemas are numerous: significantly lower distribution and maintenance costs, immediate access to film libraries, higher presentation quality, and strong potential for developing new business models. Despite these advantages, the studios are still reluctant to jump into the digital age. The main showstopper for digital cinema is the danger of widespread piracy. Piracy already costs Hollywood an estimated two billion dollars annually and digital cinema without proper copyright enforcement could increase this number. In this paper, we present a copyright management system that aims at providing the set of necessary security tools: standard cryptographic primitives and copyright protection mechanisms that enable a reliable and secure feature film delivery system.

Supply shortage forecast in Ontario: The significance of demand-side management (DSM); its tools and techniques

International Nuclear Information System (INIS)

Saini, S.

2004-01-01

Aspects of the recent report by the Ontario Electricity Conservation and Supply Task Force and Independent Market Operator which forecasts acute power supply shortages in Ontario, are discussed. Immediate action is recommended to avert the problem. The principal recommendation concerns the adoption of Demand Side Management as a tool to reduce the widening gap between supply and demand, citing supply shortage, imports, high prices, deregulated market and environmental concerns as the driving forces which push for the adoption of DSM. It is claimed that DSM, through its tools such as Demand/Load Response Programs and Time-of-Use rates has the capacity to create the necessary balance between supply and demand more efficiently, and in a more timely fashion than supply side management. The demand for adoption of DSM is justified on the basis of a careful examination of the magnitude and significance of each of the driving forces affecting the electricity supply in Ontario, as well as the benefits and techniques of DSM designed to manage power shortages. Energy Conservation and Efficiency and Demand/Load Response Programs are discussed as the principal DSM techniques, while Dynamic/Real Time Pricing, Time-of-Use Rates, Automated /Smart Metering, Web-based/Communication Systems, Reliability-based Programs, Market/Price-based programs, and Types of Load Control are described as the principal tools used by DSM. DSM program approaches and strategies are also reviewed, along with a brief list of successful examples of DSM applications. 3 figs

Supply shortage forecast in Ontario: The significance of demand-side management (DSM); its tools and techniques

Energy Technology Data Exchange (ETDEWEB)

Saini, S.

2004-06-01

Aspects of the recent report by the Ontario Electricity Conservation and Supply Task Force and Independent Market Operator which forecasts acute power supply shortages in Ontario, are discussed. Immediate action is recommended to avert the problem. The principal recommendation concerns the adoption of Demand Side Management as a tool to reduce the widening gap between supply and demand, citing supply shortage, imports, high prices, deregulated market and environmental concerns as the driving forces which push for the adoption of DSM. It is claimed that DSM, through its tools such as Demand/Load Response Programs and Time-of-Use rates has the capacity to create the necessary balance between supply and demand more efficiently, and in a more timely fashion than supply side management. The demand for adoption of DSM is justified on the basis of a careful examination of the magnitude and significance of each of the driving forces affecting the electricity supply in Ontario, as well as the benefits and techniques of DSM designed to manage power shortages. Energy Conservation and Efficiency and Demand/Load Response Programs are discussed as the principal DSM techniques, while Dynamic/Real Time Pricing, Time-of-Use Rates, Automated /Smart Metering, Web-based/Communication Systems, Reliability-based Programs, Market/Price-based programs, and Types of Load Control are described as the principal tools used by DSM. DSM program approaches and strategies are also reviewed, along with a brief list of successful examples of DSM applications. 3 figs.

Analysis of a monthly auction for financial transmission rights and flow-gate rights

International Nuclear Information System (INIS)

Biskas, P.N.; Ziogos, N.P.; Bakirtzis, A.G.

2007-01-01

A monthly transmission rights (TR) auction issuing both point-to-point financial transmission rights (FTRs) and flow-gate rights (FGRs) is studied in this paper. Initially, a locational marginal pricing (LMP) based energy market is presented, in which the linear security constrained optimal power flow (SCOPF) problem is solved for each hour of system operation, determining the nodal prices, the transmission link capacity prices and the transmission congestion charges (TCCs) that should be collected by the ISO in case of congestion. A monthly auction is conducted in the TR market issuing FTR obligations, FTR options and FGRs to market players, building a link between all types of transmission rights under the same market structure. Combining the advantages of financial and physical rights, the market efficiency can be enhanced by offering a variety of choices for risk management to market players. The monthly TR auction is tested on several case studies using the IEEE three-area RTS96 and useful conclusions are drawn concerning the utility of the various types of transmission rights as compared to one another, in terms of the reimbursement they provide to their holders. (author)

Managerial Techniques in Educational Administration.

Science.gov (United States)

Lane, John J.

1983-01-01

Management techniques developed during the past 20 years assume the rational bureaucratic model. School administration requires contingent techniques. Quality Circle, Theory Z, and the McKenzie 7-Framework are discussed as techniques to increase school productivity. (MD)

Linking Spatial Variations in Water Quality with Water and Land Management using Multivariate Techniques.

Science.gov (United States)

Wan, Yongshan; Qian, Yun; Migliaccio, Kati White; Li, Yuncong; Conrad, Cecilia

2014-03-01

Most studies using multivariate techniques for pollution source evaluation are conducted in free-flowing rivers with distinct point and nonpoint sources. This study expanded on previous research to a managed "canal" system discharging into the Indian River Lagoon, Florida, where water and land management is the single most important anthropogenic factor influencing water quality. Hydrometric and land use data of four drainage basins were uniquely integrated into the analysis of 25 yr of monthly water quality data collected at seven stations to determine the impact of water and land management on the spatial variability of water quality. Cluster analysis (CA) classified seven monitoring stations into four groups (CA groups). All water quality parameters identified by discriminant analysis showed distinct spatial patterns among the four CA groups. Two-step principal component analysis/factor analysis (PCA/FA) was conducted with (i) water quality data alone and (ii) water quality data in conjunction with rainfall, flow, and land use data. The results indicated that PCA/FA of water quality data alone was unable to identify factors associated with management activities. The addition of hydrometric and land use data into PCA/FA revealed close associations of nutrients and color with land management and storm-water retention in pasture and citrus lands; total suspended solids, turbidity, and NO + NO with flow and Lake Okeechobee releases; specific conductivity with supplemental irrigation supply; and dissolved O with wetland preservation. The practical implication emphasizes the importance of basin-specific land and water management for ongoing pollutant loading reduction and ecosystem restoration programs. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

An evolutionary outlook of air traffic flow management techniques

Science.gov (United States)

Kistan, Trevor; Gardi, Alessandro; Sabatini, Roberto; Ramasamy, Subramanian; Batuwangala, Eranga

2017-01-01

In recent years Air Traffic Flow Management (ATFM) has become pertinent even in regions without sustained overload conditions caused by dense traffic operations. Increasing traffic volumes in the face of constrained resources has created peak congestion at specific locations and times in many areas of the world. Increased environmental awareness and economic drivers have combined to create a resurgent interest in ATFM as evidenced by a spate of recent ATFM conferences and workshops mediated by official bodies such as ICAO, IATA, CANSO the FAA and Eurocontrol. Significant ATFM acquisitions in the last 5 years include South Africa, Australia and India. Singapore, Thailand and Korea are all expected to procure ATFM systems within a year while China is expected to develop a bespoke system. Asia-Pacific nations are particularly pro-active given the traffic growth projections for the region (by 2050 half of all air traffic will be to, from or within the Asia-Pacific region). National authorities now have access to recently published international standards to guide the development of national and regional operational concepts for ATFM, geared to Communications, Navigation, Surveillance/Air Traffic Management and Avionics (CNS+A) evolutions. This paper critically reviews the field to determine which ATFM research and development efforts hold the best promise for practical technological implementations, offering clear benefits both in terms of enhanced safety and efficiency in times of growing air traffic. An evolutionary approach is adopted starting from an ontology of current ATFM techniques and proceeding to identify the technological and regulatory evolutions required in the future CNS+A context, as the aviation industry moves forward with a clearer understanding of emerging operational needs, the geo-political realities of regional collaboration and the impending needs of global harmonisation.

Management of oral and maxillofacial radiological images

International Nuclear Information System (INIS)

Kim, Eun Kyung

2002-01-01

To implement the database system of oral and maxillofacial radiological images using a commercial medical image management software with personally developed classification code. The image database was built using a slightly modified commercial medical image management software, Dr. Image v.2.1 (Bit Computer Co., Korea). The function of wild card '*' was added to the search function of this program. Diagnosis classification codes were written as the number at the first three digits, and radiographic technique classification codes as the alphabet right after the diagnosis code. 449 radiological films of 218 cases from January, 2000 to December, 2000, which had been specially stored for the demonstration and education at Dept. of OMF Radiology of Dankook University Dental Hospital, were scanned with each patient information. Cases could be efficiently accessed and analyzed by using the classification code. Search and statistics results were easily obtained according to sex, age, disease diagnosis and radiographic technique. Efficient image management was possible with this image database system. Application of this system to other departments or personal image management can be made possible by utilizing the appropriate classification code system.

Surgical technique for ambulatory management of airsacculitis in a chimpanzee (Pan troglodytes).

Science.gov (United States)

Hill, L R; Lee, D R; Keeling, M E

2001-02-01

Bacterial infections of the air sac have been reported in many nonhuman primates. Approaches to the management of airsacculitis have included combinations of medical and surgical therapies. These strategies have often required repeated attempts to drain exudate from the affected air sac, as well as necessitating that the animal endure isolation or undergo intensive postoperative care before returning to its social group. A stoma was created via deliberate apposition of the air sac lining and skin to allow continuous drainage. Antibiotic therapy based on culture and antimicrobial susceptibility of the air sac contents was administered while the chimpanzee remained in its social group. We were able to attain complete resolution of the infection after a course of oral antibiotic therapy. The stoma closed gradually over a three-week period, and the chimpanzee has remained free of infection since that time. Despite the severity of the air sac infection in this chimpanzee, we were able to resolve the infection easily, using a simple surgical technique. This method allowed treatment without interfering with social standing or subjection to repeated anesthetic and treatment episodes. This method could be a simple, useful alternative for managing airsacculitis in nonhuman primates.

Effects of soil management techniques on soil water erosion in apricot orchards.

Science.gov (United States)

Keesstra, Saskia; Pereira, Paulo; Novara, Agata; Brevik, Eric C; Azorin-Molina, Cesar; Parras-Alcántara, Luis; Jordán, Antonio; Cerdà, Artemi

2016-05-01

Soil erosion is extreme in Mediterranean orchards due to management impact, high rainfall intensities, steep slopes and erodible parent material. Vall d'Albaida is a traditional fruit production area which, due to the Mediterranean climate and marly soils, produces sweet fruits. However, these highly productive soils are left bare under the prevailing land management and marly soils are vulnerable to soil water erosion when left bare. In this paper we study the impact of different agricultural land management strategies on soil properties (bulk density, soil organic matter, soil moisture), soil water erosion and runoff, by means of simulated rainfall experiments and soil analyses. Three representative land managements (tillage/herbicide/covered with vegetation) were selected, where 20 paired plots (60 plots) were established to determine soil losses and runoff. The simulated rainfall was carried out at 55mmh(-1) in the summer of 2013 (soil moisture) for one hour on 0.25m(2) circular plots. The results showed that vegetation cover, soil moisture and organic matter were significantly higher in covered plots than in tilled and herbicide treated plots. However, runoff coefficient, total runoff, sediment yield and soil erosion were significantly higher in herbicide treated plots compared to the others. Runoff sediment concentration was significantly higher in tilled plots. The lowest values were identified in covered plots. Overall, tillage, but especially herbicide treatment, decreased vegetation cover, soil moisture, soil organic matter, and increased bulk density, runoff coefficient, total runoff, sediment yield and soil erosion. Soil erosion was extremely high in herbicide plots with 0.91Mgha(-1)h(-1) of soil lost; in the tilled fields erosion rates were lower with 0.51Mgha(-1)h(-1). Covered soil showed an erosion rate of 0.02Mgha(-1)h(-1). These results showed that agricultural management influenced water and sediment dynamics and that tillage and herbicide

30 CFR 281.8 - Rights to minerals.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Rights to minerals. 281.8 Section 281.8 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE LEASING OF MINERALS OTHER THAN OIL, GAS, AND SULPHUR IN THE OUTER CONTINENTAL SHELF General § 281.8 Rights to minerals. (a) Unless...

Airway Clearance Techniques (ACTs)

Medline Plus

Full Text Available ... many challenges, including medical, social, and financial. By learning more about how you can manage your disease every day, you can ultimately help find a ... Cycle of Breathing Technique Airway Clearance Techniques Autogenic ...

The multiple market-exposure of waste management companies: A case study of two Swedish municipally owned companies

Energy Technology Data Exchange (ETDEWEB)

Corvellec, Herve, E-mail: herve.corvellec@ism.lu.se [Department of Service Management, Lund University, Campus Helsingborg, PO Box 882, SE-251 08 Helsingborg (Sweden); Bramryd, Torleif [Department of Environmental Strategy, Lund University, Campus Helsingborg, PO Box 882, SE-251 08 Helsingborg (Sweden)

2012-09-15

Highlights: Black-Right-Pointing-Pointer Swedish municipally owned waste management companies are active on political, material, technical, and commercial markets. Black-Right-Pointing-Pointer These markets differ in kind and their demands follow different logics. Black-Right-Pointing-Pointer These markets affect the public service, processing, and marketing of Swedish waste management. Black-Right-Pointing-Pointer Articulating these markets is a strategic challenge for Swedish municipally owned waste management. - Abstract: This paper describes how the business model of two leading Swedish municipally owned solid waste management companies exposes them to four different but related markets: a political market in which their legitimacy as an organization is determined; a waste-as-material market that determines their access to waste as a process input; a technical market in which these companies choose what waste processing technique to use; and a commercial market in which they market their products. Each of these markets has a logic of its own. Managing these logics and articulating the interrelationships between these markets is a key strategic challenge for these companies.

A robust University-NGO partnership: Analysing school efficiencies in Bolivia with community-based management techniques

Directory of Open Access Journals (Sweden)

Joao Neiva de Figueiredo

2013-09-01

Full Text Available Community-based management research is a collaborative effort between management, academics and communities in need with the specific goal of achieving social change to foster social justice. Because it is designed to promote and validate joint methods of discovery and community-based sources of knowledge, community-based management research has several unique characteristics, which may affect its execution. This article describes the process of a community-based management research project which is descriptive in nature and uses quantitative techniques to examine school efficiencies in low-income communities in a developing country – Bolivia. The article describes the partnership between a US-based university and a Bolivian not-for-profit organisation, the research context and the history of the research project, including its various phases. It focuses on the (yet unpublished process of the community-based research as opposed to its content (which has been published elsewhere. The article also makes the case that the robust partnership between the US-based university and the Bolivian NGO has been a determining factor in achieving positive results. Strengths and limitations are examined in the hope that the experience may be helpful to others conducting descriptive quantitative management research using community-engaged frameworks in cross-cultural settings. Keywords: international partnership, community-engaged scholarship, education efficiency, multicultural low-income education.

Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement From the American Heart Association.

Science.gov (United States)

Konstam, Marvin A; Kiernan, Michael S; Bernstein, Daniel; Bozkurt, Biykem; Jacob, Miriam; Kapur, Navin K; Kociol, Robb D; Lewis, Eldrin F; Mehra, Mandeep R; Pagani, Francis D; Raval, Amish N; Ward, Carey

2018-05-15

The diverse causes of right-sided heart failure (RHF) include, among others, primary cardiomyopathies with right ventricular (RV) involvement, RV ischemia and infarction, volume loading caused by cardiac lesions associated with congenital heart disease and valvular pathologies, and pressure loading resulting from pulmonic stenosis or pulmonary hypertension from a variety of causes, including left-sided heart disease. Progressive RV dysfunction in these disease states is associated with increased morbidity and mortality. The purpose of this scientific statement is to provide guidance on the assessment and management of RHF. The writing group used systematic literature reviews, published translational and clinical studies, clinical practice guidelines, and expert opinion/statements to summarize existing evidence and to identify areas of inadequacy requiring future research. The panel reviewed the most relevant adult medical literature excluding routine laboratory tests using MEDLINE, EMBASE, and Web of Science through September 2017. The document is organized and classified according to the American Heart Association to provide specific suggestions, considerations, or reference to contemporary clinical practice recommendations. Chronic RHF is associated with decreased exercise tolerance, poor functional capacity, decreased cardiac output and progressive end-organ damage (caused by a combination of end-organ venous congestion and underperfusion), and cachexia resulting from poor absorption of nutrients, as well as a systemic proinflammatory state. It is the principal cause of death in patients with pulmonary arterial hypertension. Similarly, acute RHF is associated with hemodynamic instability and is the primary cause of death in patients presenting with massive pulmonary embolism, RV myocardial infarction, and postcardiotomy shock associated with cardiac surgery. Functional assessment of the right side of the heart can be hindered by its complex geometry. Multiple

Will the right Robin patient rise, please? Definitions and criteria during management of Robin sequence patients in the Netherlands and Belgium.

Science.gov (United States)

Basart, Hanneke; Kruisinga, Frea H; Breugem, Corstiaan C; Don Griot, J Peter W; Hennekam, Raoul C; Van der Horst, Chantal M A M

2015-01-01

Robin Sequence (RS) is characterized by micrognathia and upper airway obstruction (UAO), with or without cleft palate, causing respiratory and feeding problems. Management options are: positioning; nasopharyngeal airway (NPA); tongue-lip adhesion (TLA); mandibular distraction (MDO); and tracheostomy. Controversy exists in literature regarding RS definition and management. Here we describe definitions, management strategies and criteria in opting for management strategies, used by Dutch and Belgian cleft teams. A specifically designed questionnaire was sent to members of all 16 Dutch and Belgian cleft teams. 14 cleft teams returned 35 questionnaires. All used micrognathia as definition criterion, 93.4% cleft palate, 51.5%glossoptosis and 45.7% UAO. Six different RS definitions were used; even within a single team >1 definition was used. All teams used different management strategies: all used positioning, 10 NPA, 6 TLA, 7 MDO, 8 tracheostomy, 5 refer patients with invasive treatment indication. Criteria in opting management modalities were: O2-saturation (89.3%), clinical presentation (86.2%), growth and feeding problems (69.0%), polysomnography (62.1%), and differed within teams. The Dutch and Belgian cleft teams use variable RS definitions, different management modalities and criteria in choosing management strategies. A single, strict definition and evidence-based management guidelines should be formulated for optimal patient care. Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Use of nuclear techniques for developing integrated soil fertility management practices

International Nuclear Information System (INIS)

Serraj, R.; Nguyen, M.L.

2006-01-01

The use of isotopes such as 15 N and 13 C in the CRP on 'Integrated nutrient and water management practices for agroforestry Systems' allowed us to quantify the contribution of plant litter and N from N-fixing trees either through the root system or through the above-ground parts to increase N supply to crops and enriching soil organic matter. Through a CRP for tropical acid soils, isotopic and associated techniques have assisted us and Member States to: (i) identify crop genotypes that are tolerant to aluminium toxicity and P deficiency that are common in tropical acid soils; (ii) assess the effectiveness of a range of phosphatic fertilisers in providing phosphorus for crop requirements and (iii) quantify the enhancing effect of conservation tillage on soil quality. Significant progress is also being made in the use of isotopic techniques to assess the relative performance of traditional rice-wheat (RW) system (consisting of flooded anaerobic conditions for rice and then followed by the aerobic conditions for wheat) against various alternative technologies (e.g., rice on non-puddled soils or on raised beds, direct seeding, and zero tillage for wheat after rice) in terms of grain yield, nutrient uptake and crop water requirement. The objective is to develop isotope-based methodologies that can streamline selection of crop germplasm for high nutrient use efficiency and tolerance to nutritional deficiencies through: (i) screening of large collections of cereal and legume genotypes, their wild relatives and mutant lines for adaptation to low nutrient conditions (and/or Al toxicity), (ii) development and use of isotopic tracer techniques to evaluate crop germplasm and to understand the physiological basis for plant adaptation to nutritional stress (deficiency), and (iii) on-farm research to evaluate interactive effects of plant roots, soil nutrients and their relationship to soil micro-organisms in a series of soil-plant systems

Power management techniques for integrated circuit design

CERN Document Server

Chen, Ke-Horng

2016-01-01

This book begins with the premise that energy demands are directing scientists towards ever-greener methods of power management, so highly integrated power control ICs (integrated chip/circuit) are increasingly in demand for further reducing power consumption. * A timely and comprehensive reference guide for IC designers dealing with the increasingly widespread demand for integrated low power management * Includes new topics such as LED lighting, fast transient response, DVS-tracking and design with advanced technology nodes * Leading author (Chen) is an active and renowned contributor to the power management IC design field, and has extensive industry experience * Accompanying website includes presentation files with book illustrations, lecture notes, simulation circuits, solution manuals, instructors manuals, and program downloads.

[MATCHE: Management Approach to Teaching Consumer and Homemaking Education.] Consumer Approach Strand: Core. Module I-A-3: Consumer Rights and Responsibilities.

Science.gov (United States)

Smith, Sharman

This competency-based preservice home economics teacher education module on consumer rights and responsibilities is the third in a set of four core curriculum modules on consumer approach to homemaking education. (This set is part of a larger series of sixty-seven on the Management Approach to Teaching Consumer and Homemaking Education…

Patients' views of receiving lessons in the Alexander technique and an exercise prescription for managing back pain in the ATEAM trial.

Science.gov (United States)

Yardley, Lucy; Dennison, Laura; Coker, Rebecca; Webley, Frances; Middleton, Karen; Barnett, Jane; Beattie, Angela; Evans, Maggie; Smith, Peter; Little, Paul

2010-04-01

Lessons in the Alexander Technique and exercise prescription proved effective for managing low back pain in primary care in a clinical trial. To understand trial participants' expectations and experiences of the Alexander Technique and exercise prescription. A questionnaire assessing attitudes to the intervention, based on the Theory of Planned Behaviour, was completed at baseline and 3-month follow-up by 183 people assigned to lessons in the Alexander Technique and 176 people assigned to exercise prescription. Semi-structured interviews to assess the beliefs contributing to attitudes to the intervention were carried out at baseline with14 people assigned to the lessons in the Alexander Technique and 16 to exercise prescription, and at follow-up with 15 members of the baseline sample. Questionnaire responses indicated that attitudes to both interventions were positive at baseline but became more positive at follow-up only in those assigned to lessons in the Alexander Technique. Thematic analysis of the interviews suggested that at follow-up many patients who had learned the Alexander Technique felt they could manage back pain better. Whereas many obstacles to exercising were reported, few barriers to learning the Alexander Technique were described, since it 'made sense', could be practiced while carrying out everyday activities or relaxing, and the teachers provided personal advice and support. Using the Alexander Technique was viewed as effective by most patients. Acceptability may have been superior to exercise because of a convincing rationale and social support and a better perceived fit with the patient's particular symptoms and lifestyle.

Amniotic Membrane Transplant with a Special Technique (Motowa's Sandwich Technique) in Mooren's Ulcer.