WorldWideScience

Sample records for superfund management review

  1. Superfund and Toxic Release Inventory Sites - SUPERFUND_IDEM_IN: Superfund Program Facilities in Indiana (Indiana Department of Environmental Management, Point Shapefile)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — SUPERFUND_IDEM_IN is a point shapefile that contains GPS-located Superfund Program facility locations in Indiana, provided by personnel of Indiana Department of...

  2. Report: Remedial Project Manager Turnover at Superfund Sites

    Science.gov (United States)

    Report #2001-M-000015, June 15, 2001. We determined that EPA Region III did not have formal procedures in place to mitigate continuity problems caused by turnover of EPA personnel in the Superfund program.

  3. Issuance of Final Guidance: Ecological Risk Assessment and Risk Management Principles for Superfund Sites, October 7, 1999

    Science.gov (United States)

    This guidance is intended to help Superfund risk managers make ecological risk management decisions that are based on sound science, consistent across Regions, and present a characterization of site risks that is transparent to the public.

  4. Superfund Query

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Superfund Query allows users to retrieve data from the Comprehensive Environmental Response, Compensation, and Liability Information System (CERCLIS) database.

  5. A review of the Texas, USA San Jacinto Superfund site and the deposition of polychlorinated dibenzo-p-dioxins and dibenzofurans in the San Jacinto River and Houston Ship Channel.

    Science.gov (United States)

    Iyer, Rupa; Aggarwal, Juhi; Iken, Brian

    2016-12-01

    The San Jacinto River (SJR) waste pits that lie just under the 1-10 overpass in eastern Harris County east of Houston, Texas, USA, were created in the 1960s as dumping grounds for paper mill waste. The deposition of this waste led to accumulation of highly toxic polychlorinated dibenzo-p-dioxins and dibenzofurans (PCCDDs/PCDFs) over the course of several decades. After abandonment, the waste material eventually became submerged under the waters of the SJR, resulting in widespread environmental contamination that currently constitutes a significant health concern for eastern Harris County communities. The original waste pits were rediscovered in 2005, and the San Jacinto waste site is now a designated EPA superfund site. The objective of this review then is to discuss the history and current state of containment around the San Jacinto waste pits and analyze spatial and temporal trends in the PCDD/PCDF deposition through the SJR system from the data available. We will discuss the current exposure and health risks represented by the Superfund site and the SJR system itself, as well as the discovery of liver, kidney, brain (glioma), and retinoblastoma cancer clusters in eastern Harris County across multiple census tracts that border the Superfund site. We will also cover the two primary management options, containment versus removal of the waste from the Superfund and provide recommendations for increased monitoring of existing concentrations of polychlorinated waste in the SJR and its nearby associated communities.

  6. Superfund: Interagency Agreements and Improved Project Management Needed to Achieve Cleanup Progress at Key Defense Installations

    Science.gov (United States)

    2010-07-01

    Superfund completing the remedial investigation, which would include a human and ecological risk assessment , feasibility study, proposed plan...EPA said that a human and ecological risk assessment —which would estimate how threatening a hazardous waste site is to human health and the

  7. Superfund Site Information

    Data.gov (United States)

    U.S. Environmental Protection Agency — This asset includes a number of individual data sets related to site-specific information for Superfund, which is governed under the Comprehensive Environmental...

  8. Superfund Technical Assistance Grants

    Data.gov (United States)

    U.S. Environmental Protection Agency — This asset includes data related to the Superfund Technical Assistance Grant program, including grant number, award amounts, award dates, period of performance,...

  9. SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access Database contains a selected set of...

  10. 75 FR 49414 - Cooperative Agreements and Superfund State Contracts for Superfund Response Actions

    Science.gov (United States)

    2010-08-13

    ... AGENCY 40 CFR Part 35 RIN 2050-AG58 Cooperative Agreements and Superfund State Contracts for Superfund... Superfund Cooperative Agreements and Superfund State Contracts. DATES: This rule is effective October 12... requirements shall apply to all new Cooperative Agreements and Superfund State Contracts, funded under...

  11. The Reviewing of Management Literature.

    Science.gov (United States)

    Murphy, Marcy; Rehman, Sajjad ur

    1987-01-01

    This study identified the most productive reviewing journals for newly published business management titles. Two assumptions were shown to be supported by the data: a small core of journals carry the greatest number of reviews and a few monographs are reviewed repeatedly but the majority rarely or not at all. (Author/EM)

  12. SUPERFUND CLEANUPS AND INFANT HEALTH

    Science.gov (United States)

    Currie, Janet; Greenstone, Michael; Moretti, Enrico

    2013-01-01

    We are the first to examine the effect of Superfund cleanups on infant health rather than focusing on proximity to a site. We study singleton births to mothers residing within 5km of a Superfund site between 1989–2003 in five large states. Our “difference in differences” approach compares birth outcomes before and after a site clean-up for mothers who live within 2,000 meters of the site and those who live between 2,000– 5,000 meters of a site. We find that proximity to a Superfund site before cleanup is associated with a 20 to 25% increase in the risk of congenital anomalies. PMID:25152535

  13. SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund) - NPL Sites

    Data.gov (United States)

    U.S. Environmental Protection Agency — National Priorities List (NPL) Sites - The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access...

  14. Superfund Site Information - Site Sampling Data

    Data.gov (United States)

    U.S. Environmental Protection Agency — This asset includes Superfund site-specific sampling information including location of samples, types of samples, and analytical chemistry characteristics of...

  15. CERCLIS (Superfund) ASCII Text Format - CPAD Database

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access Database (CPAD) contains a selected set...

  16. Checklist for Reviewing EPA Quality Management Plans

    Science.gov (United States)

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

  17. A review of the time management literature

    NARCIS (Netherlands)

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

    2007-01-01

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

  18. A review of the time management literature

    NARCIS (Netherlands)

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

    2007-01-01

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

  19. Cheese whey management: a review.

    Science.gov (United States)

    Prazeres, Ana R; Carvalho, Fátima; Rivas, Javier

    2012-11-15

    Cheese whey is simultaneously an effluent with nutritional value and a strong organic and saline content. Cheese whey management has been focused in the development of biological treatments without valorization; biological treatments with valorization; physicochemical treatments and direct land application. In the first case, aerobic digestion is reported. In the second case, six main processes are described in the literature: anaerobic digestion, lactose hydrolysis, fermentation to ethanol, hydrogen or lactic acid and direct production of electricity through microbial fuel cells. Thermal and isoelectric precipitation, thermocalcic precipitation, coagulation/flocculation, acid precipitation, electrochemical and membrane technologies have been considered as possible and attractive physicochemical processes to valorize or treat cheese whey. The direct land application is a common and longstanding practice, although some precautions are required. In this review, these different solutions are analyzed. The paper describes the main reactors used, the influence of the main operating variables, the microorganisms or reagents employed and the characterizations of the final effluent principally in terms of chemical oxygen demand. In addition, the experimental conditions and the main results reported in the literature are compiled. Finally, the comparison between the different treatment alternatives and the presentation of potential treatment lines are postulated.

  20. Uranium enrichment management review: summary of analysis

    Energy Technology Data Exchange (ETDEWEB)

    1981-01-01

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

  1. Research Review: Magazine Management and Economics.

    Science.gov (United States)

    Worthington, Robert

    1994-01-01

    Reviews research on magazine management and economics. Finds that most citations are from business and trade publications; research is being presented at conferences but not published; most management research covers industry trends rather than specific industry topics; and no solid base of conceptual and theoretical magazine management research…

  2. Superfund National Priority List (NPL) Site Boundaries

    Data.gov (United States)

    U.S. Environmental Protection Agency — A set of site boundaries for each site in EPA Region 1 (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont) on EPA's Superfund National...

  3. A literature review of idea management

    DEFF Research Database (Denmark)

    Jensen, Anna Rose Vagn

    2012-01-01

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

  4. Field analytical support during Superfund site remediation

    Energy Technology Data Exchange (ETDEWEB)

    Goldschmidt, W.L.; Catherman, D.R. [Environmental Resources Management, Inc., Exton, PA (United States)

    1995-12-31

    ERM-FAST{reg_sign} Services has provided cost-effective and critical field analytical support for a wide variety of investigatory and remedial projects over the past four years. Two recent projects involving soils remediation at Superfund sites exemplify the power of real time field analytical support in reducing time and expense during a project`s remedial phase. ERM-FAST on-site analytical facilities were able to meet, in a real time scenario, all data quality objectives (DQOs), all regulatory agency requirements, and satisfied the client`s needs. ERM-FAST made this possible through the development of unique analytical strategies, the proper selection of analytical technologies, and by streamlining the analytical methodologies. Both of these remedial efforts offer illustrations of the effectiveness of field analysis for vastly differing site contaminants. This case study focuses on the use of portable Gas Chromatography (GC) instrumentation as a tool for providing analytical support during a CERCLA site remediation program. The project discussed provides an example of how low cost portable analytical instrumentation can be utilized in a field setting to meet analytical DQOs consistent with CERCLA compliance and to meet the requirements for remedial activity cost control. Substantial savings were realized both by reducing total project analytical cost, and by efficient and effective process and schedule management.

  5. The Management of Pediatric Polytrauma: Review

    NARCIS (Netherlands)

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

    2014-01-01

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

  6. Managing stress and change during service reviews.

    Science.gov (United States)

    Sweeney, Corinne

    2009-01-01

    Service reviews occur throughout the National Health Service from time to time, and changes in commissioning policies have recently led many Primary Care Trusts to hold reviews of the community health services. Although reviews can provide opportunities for fresh thinking, the process can be a time of considerable stress and apprehension for many staff as current systems and ways of working are challenged and possibly changed. If this stress is not managed appropriately, staff may suffer ill health leading to possible staff absences and pressure on services. Leaders and managers are ideally placed to manage this time of stress, if they have the necessary skills and qualities. Self-help measures are also beneficial and recommended as part of a healthy lifestyle. This article discusses how change can affect people in different stages of their life and how it can be managed more positively in the workplace.

  7. Literature review on cutback management

    NARCIS (Netherlands)

    R. Raudla (Ringa); R. Savi (Riin); T. Randma-Liiv (Tiina)

    2013-01-01

    textabstractIntroduction The literature review at hand is the first deliverable of Work Package no. 7 The global financial crisis in the public sector as an emerging coordination challenge of the EU Seventh Framework program project Coordinating for Cohesion in the Public Sector of the Future (COCOP

  8. A Review of Forensic Science Management Literature.

    Science.gov (United States)

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

    2015-01-01

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

  9. BOOK REVIEW: Case Studies in Knowledge Management

    OpenAIRE

    BOYACI, Reviewed By Dr. Adnan

    2005-01-01

    161Case Studies in Knowledge ManagementEdited by Murray JennexHersley: PA: Idea Group, 2005, pp. 372, ISBN 1-59140-352-9Reviewed by Dr. Adnan BOYACIAnadolu UniversityEskişehir-TurkeyKnowledge management (KM) as a structured system and the way to the effectiveness isrelatively new field for the contemporary organizations functioning in different andcompetitive domain of public and private sectors in terms of getting optimal effectivenessunderlined by the concepts such as quality, productivity…...

  10. 41 CFR 109-27.5105 - Management reviews and audits.

    Science.gov (United States)

    2010-07-01

    ... PROCUREMENT 27-INVENTORY MANAGEMENT 27.51-Management of Precious Metals § 109-27.5105 Management reviews and... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Management reviews and audits. 109-27.5105 Section 109-27.5105 Public Contracts and Property Management Federal...

  11. Computational Intelligence in Highway Management: A Review

    Directory of Open Access Journals (Sweden)

    Ondrej Pribyl

    2015-10-01

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

  12. Management of anaphylaxis : a systematic review

    NARCIS (Netherlands)

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

    2014-01-01

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

  13. A review of hydrofluoric acid burn management

    OpenAIRE

    McKee, Daniel; Thoma, Achilleas; Bailey, Kristy; Fish, Joel

    2014-01-01

    The clinical presentation and severity of hydrofluoric acid burns vary considerably, making management particularly challenging. Given that current knowledge of HF burns is derived from small case series, case reports, animal studies and anecdotal evidence, this narrative review discusses the current understanding of the effects associated with severe hydrofluoric acid burns, describing the mechanism of injury, systemic toxicity and treatment options.

  14. Culture and International Management: A Review.

    Science.gov (United States)

    Miroshnik, Victoria

    2002-01-01

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

  15. International Journal of Development and Management Review

    African Journals Online (AJOL)

    PROMOTING ACCESS TO AFRICAN RESEARCH ... International Journal of Development and Management Review ... Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives. Journal Homepage Image. The journal aims to be proactive in initiating and sustaining quality academic debates in ...

  16. Managing Virtual Product Development team: A Review

    Directory of Open Access Journals (Sweden)

    Amir Mohammad Colabi

    2014-05-01

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

  17. 31 CFR 206.6 - Cash management planning and review.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Cash management planning and review... planning and review. (a) An agency shall periodically perform cash management reviews to identify areas...) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE MANAGEMENT OF FEDERAL AGENCY...

  18. A Review of Green Supply Chain Management

    DEFF Research Database (Denmark)

    Maditati, Dhanavanth Reddy; Munim, Ziaul Haque; Schramm, Hans-Joachim

    2017-01-01

    Purpose: Recently, green supply chain management (GSCM) has received great attention in SCM domain. This paper reviews the research progress in GSCM over time, and proposes a holistic view by identifying associations of GSCM drivers, practice indicators and performance measures. Design /methodology...... that Journal of Cleaner Production has the highest number of published articles while Journal of Operations Management leads in terms of yearly local citations per article in the GSCM field. Using HistCiteTM software, evolution of GSCM research since the early 2000s was mapped, and six research sub...

  19. Pain management in trauma: A review study

    Directory of Open Access Journals (Sweden)

    Alireza Ahmadi

    2016-07-01

    Full Text Available Background: Pain in trauma has a role similar to the double-edged sword. On the one hand, pain is a good indicator to determine the severity and type of injury. On the other hand, pain can induce sever complications and it may lead to further deterioration of the patient. Therefore, knowing how to manage pain in trauma patients is an important part of systemic approach in trauma. The aim of this manuscript is to provide information about pain management in trauma in the Emergency Room settings. Method: In this review we searched among electronic and manual documents covering a 15-yr period between 2000 and 2016. Our electronic search included Pub Med, Google scholar, Web of Science, and Cochrane databases. We looked for articles in English and in peer-reviewed journals using the following keywords: acute pain management, trauma, emergency room and injury. Results: More than 3200 documents were identified. After screening based on the study inclusion criteria, 560 studies that had direct linkage to the study aim were considered for evaluation based World Health Organization (WHO pain ladder chart. Conclusion: To provide adequate pain management in trauma patients require: adequate assessment of age-specific pharmacologic pain management; identification of adequate analgesic to relieve moderate to severe pain; cognizance of serious adverse effects of pain medications and weighting medications against their benefits, and regularly reassessing patients and reevaluating their pain management regimen. Patient-centered trauma care will also require having knowledge of barriers to pain management and discussing them with the patient and his/her family to identify solutions.

  20. SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund) - Non-NPL Sites

    Data.gov (United States)

    U.S. Environmental Protection Agency — Non-NPL Sites - The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access Database contains a...

  1. SITE COMPREHENSIVE LISTING (CERCLIS) - Contaminants at CERCLIS (Superfund) Sites

    Data.gov (United States)

    U.S. Environmental Protection Agency — Contaminants at Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Sites - The CERCLIS Public Access Database...

  2. SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund) - Responsible Parties at CERCLIS Sites

    Data.gov (United States)

    U.S. Environmental Protection Agency — Responsible Parties at CERCLIS Sites - The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access...

  3. Clinical Review: Emergency management of acute poisoning

    Directory of Open Access Journals (Sweden)

    D.J. van Hoving

    2011-06-01

    The aim of this commissioned review was to establish concise guidelines for the initial management of the acutely poisoned patient in the Emergency Centre. The American Academy of Clinical Toxicology and the European Association of Poisons Centres and Clinical Toxicologists are the international leaders in the field of toxicology and the guidelines in their position papers were generally followed. Most of the dosage regimes are according to the South African Medicines Formulary.

  4. 28 CFR 34.110 - Management of peer reviews.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Management of peer reviews. 34.110 Section 34.110 Judicial Administration DEPARTMENT OF JUSTICE OJJDP COMPETITION AND PEER REVIEW PROCEDURES Peer Review § 34.110 Management of peer reviews. A technical support contractor may assist in...

  5. A review of hydrofluoric acid burn management.

    Science.gov (United States)

    McKee, Daniel; Thoma, Achilleas; Bailey, Kristy; Fish, Joel

    2014-01-01

    Hydrofluoric acid (HF) causes a unique chemical burn. Much of the current treatment knowledge of HF burns is derived from case reports, small case series, animal studies and anecdotal evidence. The management can be challenging because clinical presentation and severity of these burns vary widely. Plastic surgeons managing burn patients must have a basic understanding of the pathophysiology, the range of severity in presentation and the current treatment options available for HF burns. The present article reviews the current understanding of the pathophysiology and systemic effects associated with severe HF burns. Furthermore, it distinguishes between minor and life-threatening HF burns and describes several of the basic techniques that are available to treat patients with HF burns.

  6. Speed Management Strategies; A Systematic Review

    Directory of Open Access Journals (Sweden)

    Homayoun Sadeghi-Bazargani

    2016-07-01

    Full Text Available Objective: To systematically identify the various methods of speed management and their effects. Methods: A systematic search was performed in Science Direct, Ovid Medline, Scopus, PubMed and ProQuest databases from April to June 2015. Hand searching and reference of selected articles were used to improve article identification. Articles published after 1990 which had reported on efficacy/effectiveness of speed management strategies were included. Data were extracted using pre-defined extraction table. Results: Of the 803 retrieved articles, 22 articles were included in this review. Most of the included articles (63% had before-after design and were done in European countries. Speed cameras, engineering schemes, intelligent speed adaption (ISA, speed limits and zones, vehicle activated sign and integrated strategies were the most common strategies reported in the literature. Various strategies had different effects on mean speed of the vehicles ranging from 1.6 to 10 km/h. Moreover, 8-65% and 11-71% reduction was reported in person injured accidents and fatal accidents, respectively as a result of employing various strategies. Conclusion: Literature revealed positive effects of various speed management strategies. Using various strategies was mostly dependent on road characteristics, driver’s attitude about the strategy as well as economic and technological capabilities of the country. Political support is considered as a main determinant in selecting speed management strategies.

  7. Contribution of Systematic Reviews to Management Decisions

    Science.gov (United States)

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

    2014-01-01

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

  8. Invited review: piglet mortality: management solutions.

    Science.gov (United States)

    Kirkden, R D; Broom, D M; Andersen, I L

    2013-07-01

    Preweaning mortality varies greatly among herds and this is partly attributed to differences in farrowing house management. In this review, we describe the various management strategies than can be adopted to decrease mortality and critically examine the evidence that exists to support their use. First, we consider which management procedures are effective against specific causes of death: intrapartum stillbirth, hypothermia, starvation, disease, crushing, and savaging. The most effective techniques include intervention to assist dystocic sows, measures to prevent and treat sow hypogalactia, good farrowing house hygiene, providing newborn piglets with a warm microenvironment, early fostering of supernumerary piglets, methods that assist small and weak piglets to breathe and obtain colostrum, and intervention to prevent deaths from crushing and savaging. The provision of nest-building material and modifications to the pen to assist the sow when lying down may also be beneficial, but the evidence is less clear. Because most deaths occur around the time of farrowing and during the first few days of life, the periparturient period is a particularly important time for management interventions intended to reduce piglet mortality. A number of procedures require a stockperson to be present during and immediately after farrowing. Second, we consider the benefits of farrowing supervision for preweaning mortality in general, focusing particularly on methods for the treatment of dystocia and programs of piglet care that combine multiple procedures. Third, we discuss the need for good stockmanship if farrowing supervision is to be effective. Stockmanship refers not only to technical skills but also to the manner in which sows are handled because this influences their fearfulness of humans. We conclude that piglet survival can be improved by a range of management procedures, many of which occur in the perinatal period and require the supervision of farrowing by trained staff

  9. Wetlands Management Review of St. Vincent Island NWR

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The purpose of this wetland review was to evaluate past management and provide recommendations for future management of the impounded wetlands on St. Vincent Island....

  10. Fire Management Review of St. Vincent Island NWR

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Fire Management Review for St. Vincent National Wildlife Refuge covers habitat management including: open sand ridges, marshes, pine flatwoods, scrub, and oak...

  11. A REVIEW OF ENTERPRISE SUPPLY CHAIN RISK MANAGEMENT

    Institute of Scientific and Technical Information of China (English)

    Dailun SHI

    2004-01-01

    This paper reviews enterprise risk management practices in the context of supply chains. Starting with the importance of managing supply chain risks, the paper established the benefits of managing risks using an enterprise-wise integrated approach. The rest of the paper then presents a practical framework for enterprises to manage risks in their extended supply chains.

  12. Feasibility study for the United Heckathorn Superfund Site, Richmond, California

    Energy Technology Data Exchange (ETDEWEB)

    Lincoff, A.H. [US Environmental Protection Agency, San Francisco, CA (United States). Region IX; Costan, G.P.; Montgomery, M.S.; White, P.J. [Pacific Northwest Lab., Richland, WA (United States)

    1994-07-01

    The United Heckathom Superfund Site in Richmond, California, was used to formulate pesticides from approximately 1947 to 1966. Soils at the site and sediments in the harbor were contaminated with various chlorinated pesticides, primarily DDT, as a result of these activities. The US Environmental Protection Agency listed the site on the Superfund National Priorities List in 1990. This document is part of the Remedial Investigation and Feasibility Study phase of the Superfund response, which will provide the basis for selection of a final remedy that will protect human health and the environment and achieve compliance with federal and state envirorunental laws.

  13. Management Reviewing Literature: An Evaluation of Selected Characteristics.

    Science.gov (United States)

    Rehman, Sajjad ur

    1987-01-01

    Reports results of a study which compared the treatment of selected characteristics of the reviewing literature of management in professional and trade journals. The characteristics examined included lag time, review length, descriptive or analytic nature of reviews, positive or negative evaluations, and affiliation of the reviewer. (CLB)

  14. Manual for Internal Audits and Management Review Energy Care; Handreiking Interne Audits en Management Review Energiezorg

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-09-15

    This document offers practical support for two important aspects of energy care: establishing an internal audit and a management review. Both are logical next steps following planned and implemented energy saving measures. They will help test if measures have (had) the desired effect or if they need to be adjusted and to establish if any follow-up measures are needed. (mk) [Dutch] Deze handreiking biedt praktische ondersteuning bij twee belangrijke onderdelen van Energiezorg: het opzetten van een interne audit en een management review. Beide onderdelen zijn een logisch vervolg op geplande en al genomen energiebesparende maatregelen. Het is een toetsing of de maatregelen effect hebben (gehad), of ze bijgesteld moeten worden en of er eventuele vervolgmaatregelen nodig zijn.

  15. Necrotizing pancreatitis: a review of multidisciplinary management.

    Science.gov (United States)

    Sabo, Anthony; Goussous, Naeem; Sardana, Neeraj; Patel, Shirali; Cunningham, Steven C

    2015-03-20

    The objective of this review is to summarize the current state of the art of the management of necrotizing pancreatitis, and to clarify some confusing points regarding the terminology and diagnosis of necrotizing pancreatitis, as these points are essential for management decisions and communication between providers and within the literature. Acute pancreatitis varies widely in its clinical presentation. Despite the publication of the Atlanta guidelines, misuse of pancreatitis terminology continues in the literature and in clinical practice, especially regarding the local complications associated with severe acute pancreatitis. Necrotizing pancreatitis is a manifestation of severe acute pancreatitis associated with significant morbidity and mortality. Diagnosis is aided by pancreas-protocol computed tomography or magnetic resonance imaging, ideally 72 h after onset of symptoms to achieve the most accurate characterization of pancreatic necrosis. The extent of necrosis correlates well with the incidence of infected necrosis, organ failure, need for debridement, and morbidity and mortality. Having established the diagnosis of pancreatic necrosis, goals of appropriately aggressive resuscitation should be established and adhered to in a multidisciplinary approach, ideally at a high-volume pancreatic center. The role of antibiotics is determined by the presence of infected necrosis. Early enteral feeds improve outcomes compared with parenteral nutrition. Pancreatic necrosis is associated with a multitude of complications which can lead to long-term morbidity or mortality. Interventional therapy should be guided by available resources and the principle of a minimally invasive approach. When open debridement is necessary, it should be delayed at least 3-6 weeks to allow demarcation of necrotic from viable tissue.

  16. 48 CFR 2901.603-72 - Administrative procurement management reviews.

    Science.gov (United States)

    2010-10-01

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

  17. A literature review on innovation management tools

    Directory of Open Access Journals (Sweden)

    Marco Botarelli

    2008-12-01

    Full Text Available The study of a complex phenomenon such as innovation, influences and effects of which are tangible in manifold contexts, traditionally requires the integration of different levels of analysis and the interaction among distant disciplines. The enterprise appears to be the fundamental agent of economic change; in this context, innovation, by intervening in the sphere of technology, constitutes a fundamental dimension also for social change. In addition, it interacts in the circle of a complex matrix of cultural, economic and institutional factors which are the base of social and economical evolution. In this context, the research questions (RQ investigated by the authors are: “what is innovation?” [RQ 1] and “which are the main evolutions of innovation management models?” [RQ 2]. Literature on this matter has exponentially evolved in recent years. Nevertheless, innovation literature presents a large heterogeneity of results, while the innovation process concept itself is still poorly understood. In order to investigate the first research question, authors review forms and structures of innovation models developed throughout the years. At the end a discussion on the characteristics of literature evolution, through a strength-weakness analysis, is presented by the authors.

  18. Managing Prolactinomas During Pregnancy: Mini Review

    Directory of Open Access Journals (Sweden)

    Mussa eAlmalki

    2015-05-01

    Full Text Available Prolactinomas are the most prevalent functional benign pituitary tumors due to a pituitary micro- or macroadenoma. The majority of patients presents with infertility and gonadal dysfunction.A dopamine agonist (DAs (bromocriptine or cabergoline is the treatment of choice that can normalize prolactin levels, reduce tumor size and restore ovulation and fertility. Cabergoline generally preferred over bromocriptine because of its higher efficacy and tolerability. Managing prolactinomas during pregnancy may be challenging. During pregnancy, the pituitary gland undergoes global hyperplasia due to a progressive increase in serum estrogens level that may lead to increase of the tumor volume with potential mass effect and visual loss.The risk of tumor enlargement may occur in 3 % of those with microadenomas, 32 % in those with macroadenomas that were not previously operated on and 4.8% of those with macroadenomas with prior ablative treatment. Though both drugs appear to be safe during pregnancy, the data on fetal exposure to DAs during pregnancy have been reported with bromocriptine far exceeds that of cabergoline with no association of increased risk of pregnancy loss and premature delivery. It is advisable to stop the use of DAs immediately once pregnancy is confirmed, except in the case of women with invasive macroprolactinomas or pressure symptoms. This review outlines the therapeutic approach to, prolactinoma during pregnancy, with emphasis on the safety of available DA therapy.

  19. BOOK REVIEW: Case Studies in Knowledge Management

    Directory of Open Access Journals (Sweden)

    Reviewed by Dr. Adnan BOYACI

    2005-10-01

    Full Text Available 161Case Studies in Knowledge ManagementEdited by Murray JennexHersley: PA: Idea Group, 2005, pp. 372, ISBN 1-59140-352-9Reviewed by Dr. Adnan BOYACIAnadolu UniversityEskişehir-TurkeyKnowledge management (KM as a structured system and the way to the effectiveness isrelatively new field for the contemporary organizations functioning in different andcompetitive domain of public and private sectors in terms of getting optimal effectivenessunderlined by the concepts such as quality, productivity…etc. Because of the growingimportance and the popularity of the KM either as a research topic or specialized coursesubject, a crucial need for understanding, conceptualization and implementation of KM asa system has emerged since the mid 1990’s. In this sense, the book contributes criticallyto fill the gap between theory and implementation as a teaching material.This edited book is published by Idea Group Publishing. The book has twenty chaptersdivided into seven sections. In addition to a section of authors’ biography contributing thebook and an index, there is a preface that the basic terms and key concepts underliningthe cases discussed following chapters, which is explained in a schematized way.Besides the editor, total of 47 authors have contributed to the book. These authors arefrom different countries, academic backgrounds, and institutions. Although approximatelyone third of the authors are from USA, the rest of the authors are from Canada, England,Austria, Germany, Australia, New Zealand, Egypt, Bahrain and China. The authorsrepresent a variety of universities, private companies, and military institutions. Most ofthem have strong professional backgrounds, which help them address the issues bothfrom theoretical and practical perspectives. Contributions of authors having differentbackgrounds and institutions enable the book to have very comprehensive spectrum andthis makes the book attractive practically for those working different sectors

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

    Science.gov (United States)

    Yew, Bee K.

    2008-01-01

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

  1. 75 FR 59704 - Office of Management; Performance Review Board Membership

    Science.gov (United States)

    2010-09-28

    ... Office of Management; Performance Review Board Membership AGENCY: Department of Education. ACTION: Notice of membership of the Performance Review Board. SUMMARY: The Secretary announces the members of the Performance Review Board (PRB) for the Department of Education for the Senior Executive Service...

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

    Science.gov (United States)

    Yew, Bee K.

    2008-01-01

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

  3. A review of Spacelab mission management approach

    Science.gov (United States)

    Craft, H. G., Jr.

    1979-01-01

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

  4. Management of breast cancer brain metastases: A practical review.

    Science.gov (United States)

    Phillips, Claire; Jeffree, Rosalind; Khasraw, Mustafa

    2017-02-01

    Brain metastases are a common, and frequently challenging, clinical problem in the contemporary management of metastatic breast cancer. While the management of extracranial metastatic breast cancer is now strongly defined by tumour phenotype, this approach is not so well defined for brain metastases. We review available evidence regarding management of brain metastases, including the limited breast-cancer-specific data. A framework for management according to breast cancer phenotype is proposed. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  5. The teaching of nursing management in undergraduate: an integrative review

    OpenAIRE

    Mara Solange Gomes Dellaroza; Cristiane Nakaya Tada; Maria do Carmo Lourenço Haddad; Marli Terezinha Oliveira Vannuchi; Vanessa Gomes Maziero

    2015-01-01

    The study aims to identify the dynamics of teaching management in nursing degree. It is an integrative literature review with research conducted in the following online database platforms: SciELO, Medline, Lilacs and BDENF. The keywords used in the study were: competency-based education, professional competence, education, nursing, organization and administration, management, nursing, educational assessment, organization of management services, management of professional practice and educatio...

  6. 77 FR 13603 - Anniston PCB Superfund Site; Anniston, Calhoun County, AL; Correction

    Science.gov (United States)

    2012-03-07

    ... AGENCY Anniston PCB Superfund Site; Anniston, Calhoun County, AL; Correction AGENCY: Environmental... concerning the Anniston PCB Superfund Site located in Anniston. The settlement is not an amendment, but a new... name Anniston PCB by one of the following methods:...

  7. Cleanups In My Community (CIMC) - Superfund National Priority List (NPL) Sites, National Layer

    Data.gov (United States)

    U.S. Environmental Protection Agency — This data layer provides access to Superfund National Priority List Sites as part of the CIMC web service. Superfund is a program administered by the EPA to locate,...

  8. 78 FR 729 - Ellman Battery Superfund Site; Orlando, Orange County, FL; Notice of Settlement

    Science.gov (United States)

    2013-01-04

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY Ellman Battery Superfund Site; Orlando, Orange County, FL; Notice of Settlement AGENCY... concerning a previous Removal Action at the Ellman Battery Superfund Site located in Orlando, Orange...

  9. Disaster waste management: a review article.

    Science.gov (United States)

    Brown, Charlotte; Milke, Mark; Seville, Erica

    2011-06-01

    Depending on their nature and severity, disasters can create large volumes of debris and waste. The waste can overwhelm existing solid waste management facilities and impact on other emergency response and recovery activities. If poorly managed, the waste can have significant environmental and public health impacts and can affect the overall recovery process. This paper presents a system overview of disaster waste management based on existing literature. The main literature available to date comprises disaster waste management plans or guidelines and isolated case studies. There is ample discussion on technical management options such as temporary storage sites, recycling, disposal, etc.; however, there is little or no guidance on how these various management options are selected post-disaster. The literature does not specifically address the impact or appropriateness of existing legislation, organisational structures and funding mechanisms on disaster waste management programmes, nor does it satisfactorily cover the social impact of disaster waste management programmes. It is envisaged that the discussion presented in this paper, and the literature gaps identified, will form a basis for future comprehensive and cohesive research on disaster waste management. In turn, research will lead to better preparedness and response to disaster waste management problems. Copyright © 2011 Elsevier Ltd. All rights reserved.

  10. The teaching of nursing management in undergraduate: an integrative review

    Directory of Open Access Journals (Sweden)

    Mara Solange Gomes Dellaroza

    2015-03-01

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

  11. 78 FR 13056 - Proposed CERCLA Administrative Cost Recovery Settlement; in re: Factory H Superfund Site, Meriden...

    Science.gov (United States)

    2013-02-26

    ... AGENCY Proposed CERCLA Administrative Cost Recovery Settlement; in re: Factory H Superfund Site, Meriden...)(1) concerning the Factory H Superfund Site in Meriden, Connecticut (``Site'') with the following... refer to the Factory H Superfund Site, U.S. EPA Docket No. CERCLA-01-2012-0112. FOR FURTHER...

  12. 75 FR 53694 - Florida Petroleum Reprocessors Superfund Site; Davie, Broward County, FL; Notice of Settlement

    Science.gov (United States)

    2010-09-01

    ...] Florida Petroleum Reprocessors Superfund Site; Davie, Broward County, FL; Notice of Settlement AGENCY... Florida Petroleum Reprocessors Superfund Site located in Davie, Broward County, Florida for publication..., identified by Docket ID No. EPA-RO4- SFUND-2010-0729 or Site name Florida Petroleum Reprocessors Superfund...

  13. 77 FR 8255 - Constitution Road Drum Superfund Site, Atlanta, Dekalb County, GA; Notice of Settlement

    Science.gov (United States)

    2012-02-14

    ... AGENCY Constitution Road Drum Superfund Site, Atlanta, Dekalb County, GA; Notice of Settlement AGENCY... entered into a settlement for past response costs concerning the Constitution Road Drum Superfund Site... available from Ms. Paula V. Painter. Submit your comments by Site name Constitution Road Drum Superfund...

  14. Lake Woodruff National Wildlife Refuge Wildlife and Habitat Management Review

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Lake Woodruff National Wildlife Refuge Wildlife and Habitat Management Review identifies several critical needs of the Refuge in order of a priority.

  15. Crisis management aspects of bam catastrophic earthquake: review article

    National Research Council Canada - National Science Library

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

    2015-01-01

    Bam earthquake was the most catastrophic natural disasters in recent years. The aim of this study was to review different aspects of crisis management during and after the catastrophic earthquake in Bam City, Iran...

  16. Historical review of avian botulism at Stillwater Wildlife Management Area

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The purpose of this report is to review historical information on avian botulism at Stillwater Wildlife Management Area. This report includes incidental reports of...

  17. Abattoir operations and waste management in Nigeria: A review of ...

    African Journals Online (AJOL)

    Abattoir operations and waste management in Nigeria: A review of challenges and ... meat have been issues of public health and global environmental concerns. ... if the current challenges militating against the establishment, operations and ...

  18. Literature Review of Knowledge Management in Business

    Institute of Scientific and Technical Information of China (English)

    彭艳坤

    2015-01-01

    Knowledge management in Business is mainly about productivity,knowledge worker,knowledge workers’ problems,and the knowledge they are required to do their work.To fulfill productivities,there are five theories to tackle that problem.

  19. Management of radioactive waste: A review

    Directory of Open Access Journals (Sweden)

    Luis Paulo Sant'ana

    2016-06-01

    Full Text Available The issue of disposal of radioactive waste around the world is not solved by now and the principal reason is the lack of an efficient technologic system. The fact that radioactive waste decays of radioactivity with time are the main reasons for setting nuclear or radioactive waste apart from the other common hazardous wastes management. Radioactive waste can be classified according to the state of matter and level of radioactivity and this classification can be differently interpreted from country to country. Furthermore, microbiological procedures, plasma vitrification process, chemical precipitation, ion exchange, evaporation and reverse osmosis are strategies used for the treatment of radioactive wastes. The major challenge is to manage these radioactive substances after being used and discharged. This report brings data from the literature published worldwide from 2009 to 2014 on radioactive waste management studies and it covers production, classification and management of radioactive solid, liquid and gas waste.

  20. Managing and Coding References for Systematic Reviews and Scoping Reviews in EndNote.

    Science.gov (United States)

    Peters, Micah D J

    2017-01-01

    This article describes a novel approach for using EndNote to manage and code references in the conduct and reporting of systematic reviews and scoping reviews. The process is simple and easy for reviewers new to both EndNote and systematic reviews. This process allows reviewers to easily conduct and report systematic reviews in line with the internationally recognized PRISMA reporting guidelines and also facilitates the overall task of systematic or scoping review conduct and reporting from the initial search through to structuring the results, discussion, and conclusions in a rigorous, reproducible, and user-friendly manner.

  1. Review of Groundwater Protection and Management in China

    Institute of Scientific and Technical Information of China (English)

    LIU Dan; ZHANG Ai-ping

    2008-01-01

    This review begins with an introduction of groundwater resources in China and their distribution characteristic, followed by an elaboration of the exploitation and utilization of groundwater and the negative environmental effects from groundwater overexploitation, and a description of the existing groundwater protection and management measures. At last, the existing problems in groundwater protection and management, with some suggestions, are presented.

  2. Barriers to Asthma Management for School Nurses: An Integrative Review

    Science.gov (United States)

    Hanley Nadeau, Ellen; Toronto, Coleen E.

    2016-01-01

    Childhood asthma is a growing health concern. Asthma is the most common chronic illness of childhood and a leading cause of emergency room visits, hospitalizations, and school absenteeism. School nurses play a valuable role in asthma management. The purpose of this integrative review is to examine barriers to asthma management for school nurses in…

  3. Conflict Management in Education. ERIC/CEM Research Review.

    Science.gov (United States)

    Piele, Philip K.

    Because conflict has become a pervasive element within the school environment as well as in the larger community, this review, based on reports abstracted in RIE, focuses on conflict management. Such management seeks and uses ways to understand and deal with the differing opinions, needs, and ideas that are a part of the contemporary school. The…

  4. Assessing natural hazards in forestry for risk management: a review

    Science.gov (United States)

    Marc Hanewinkel; Susan Hummel; Axel. Albrecht

    2011-01-01

    We address the problem of how to integrate risk assessment into forest management and therefore provide a comprehensive review of recent and past literature on risk analysis and modeling and, moreover, an evaluation and summary on these papers. We provide a general scheme on how to integrate concepts of risk into forest management decisions. After an overview of the...

  5. Managing postharvest innovation: a review of developments and trends

    NARCIS (Netherlands)

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

    2005-01-01

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

  6. A Review of Literature on Teacher Efficacy and Classroom Management

    Science.gov (United States)

    Dibapile, Waitshega Tefo Smitta

    2012-01-01

    The purpose of this paper was to review the literature on teacher efficacy and classroom management. The conceptual framework of this paper was based on the theories of Rotter (1966) and Bandura (1977). The review of literature indicated that teacher efficacy helps teachers plan effective instructional strategies, increases performance, and…

  7. Managing postharvest innovation: a review of developments and trends

    NARCIS (Netherlands)

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

    2005-01-01

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

  8. Intellectual Property Management in Organizations. A Review of Recent Literature

    OpenAIRE

    Lis-Gutiérrez, Jenny-Paola

    2013-01-01

    This paper makes a review of the literature on the intellectual property management (IPM) in organizations. The sources of the documentation reviewed are Scopus, Emerald, SciELO and SSRN indexed papers. This exploration includes works published from 2003 given that Hanel (2004) developed a comprehensive review of practices in IPM. This paper analyzes the relationship in the literature among IPM, organizations and Universities, as well as some case studies in the United States, China, Japan, E...

  9. Management of systemic sclerosis--a review.

    Science.gov (United States)

    Ng, S C; Clements, P J; Paulus, H E

    1990-06-01

    Establishing a correct diagnosis is the first step in the management of this condition. The ARA (American Rheumatism Association) diagnostic criteria is a useful guideline. Next, a multisystem evaluation is needed to define the extent of visceral involvement. Patient education is important to enable them to understand and participate in the management of their disease. Skin care and protection from trauma and cold and physiotherapy to retard contractures are taught. Raynaud's phenomenon may be helped by topical nitrates, ketanserin, nifedipine and vasodilatory prostaglandins. D-penicillamine may be tried for patients with generalised scleroderma of less than 3 years' duration. Colchicine may help but other drugs like N-acetylcysteine and chlorambucil have tested and found ineffective. Cyclosporin seems promising. Finally, all visceral complications should be managed accordingly.

  10. Review of the management of pneumocephalus

    Directory of Open Access Journals (Sweden)

    Carlos B Dabdoub

    2015-01-01

    Conclusion: The review of the literature, we did not find any cases of tension pneumocephalus documented previously through a supraorbital keyhole approach. There are a few cases reported of patients with Mount Fuji signs that do not require surgical procedures. The conservative treatment in our report leads to clinical and radiological improvement as well as a reduction in hospitalization time.

  11. Innovations in data collection, management, and archiving for systematic reviews.

    Science.gov (United States)

    Li, Tianjing; Vedula, S Swaroop; Hadar, Nira; Parkin, Christopher; Lau, Joseph; Dickersin, Kay

    2015-02-17

    Data abstraction is a key step in conducting systematic reviews because data collected from study reports form the basis of appropriate conclusions. Recent methodological standards and expectations highlight several principles for data collection. To support implementation of these standards, this article provides a step-by-step tutorial for selecting data collection tools; constructing data collection forms; and abstracting, managing, and archiving data for systematic reviews. Examples are drawn from recent experience using the Systematic Review Data Repository for data collection and management. If it is done well, data collection for systematic reviews only needs to be done by 1 team and placed into a publicly accessible database for future use. Technological innovations, such as the Systematic Review Data Repository, will contribute to finding trustworthy answers for many health and health care questions.

  12. Perioperative Management of Diabetes: A Review

    Directory of Open Access Journals (Sweden)

    Md Nazmul Kayes

    2014-07-01

    Full Text Available Diabetes increases the requirements of surgery as well as perioperative morbidity and mortality. Careful preoperative evaluation and treatment of cardiac and renal diseases, intensive intraoperative and postoperative management are essential to optimize the best outcome. Stress hyperglycemia in response to surgery, osmotic diuresis and hypoinsulinemia can lead to life threatening complications like ketoacidosis or hyperglycemic hyperosmolar syndrome. Wound healing is impaired by hyperglycemia and chance of postoperative wound infection is more in diabetics. Therefore aseptic precautions must be taken. Adequate insulin, glucose, fluid and electrolytes should be provided for good metabolic control. Though some current study reveals that oral hypoglycemic agents can be used for the effective management of perioperative diabetes; the adverse effects of newly introduced agents need more clinical observations. Subcutaneous administration of insulin as in Sliding Scale may be a less preferable method, because of unreliable absorption and unpredictable blood glucose. Intravenous administration of rapid onset soluble (short acting insulin as in Alberti (GIK regimen, is safe and effective method controlling perioperative hyperglycemia. Patient with type 1 diabetes needs frequent monitoring of glucose, electrolytes and acid-base balance as chance of high hyperglycemia and ketoacidosis is more. In case of emergency surgery assessment for diabetic ketoacidosis (DKA and meticulous management is essential. Postoperative pain and hyperglycemia should be treated carefully to avoid complications.

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

    Science.gov (United States)

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

    2016-07-01

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

  14. Superfund reform: US Environmental Protection Agency`s 30-day study and its implication for the US Department of Energy

    Energy Technology Data Exchange (ETDEWEB)

    Siegel, M.R.; Friedman, J.R.; Neff, R.W.

    1993-03-01

    As part of an ongoing effort to reform and restructure the US Environmental Protection Agency`s (EPAS) Superfund program, the EPA Administrator on October 21, 1991, announced several key programmatic reforms. These reforms are a result of the Superfund 30-Day Task Force Report (30-Day Study, EPA 1991a), an effort carried out by EPAs office of Solid Waste and Emergency Response (OSWER). The EPA OSWER oversees environmental cleanup activities under a number of statutory authorities, including the Comprehensive Environmental response, Compensation, and Liability Act (CERCLA, also known as Superfund). CERCLA and its implementing regulation, the National Contingency Plan (NCP), establish a regulatory framework to govern the cleanup of existing, and often abandoned, hazardous waste sites. The purposes of this report are to (1) review the background and recommendations of EPNs 30-Day Study, (2) identify and discuss the initiatives from the 30-Day Study that may impact DOE`s environmental restoration mission, (3) report on EPAs progress in implementing the selected priority initiatives, and (4) describe potentially related DOE activities.

  15. Kaposi sarcoma: review and medical management update.

    Science.gov (United States)

    Fatahzadeh, Mahnaz

    2012-01-01

    Despite recent advances in our understanding of pathogenic mechanisms involved, the true nature of Kaposi sarcoma remains an enigma. Four clinical variants have been described for the disease, differing in natural history, site of predilection, and prognosis. All forms of Kaposi sarcoma may manifest in the oral cavity and Kaposi sarcoma-associated virus appears essential to development of all clinical variants. The spectrum of therapeutic strategies is broad and selection of appropriate intervention mandates a thorough understanding of disease spread and the patient's symptomatology, as well as risks and benefits of therapy. This article provides an overview of epidemiology, subtypes, clinical course, pathogenesis, and management strategies for Kaposi sarcoma.

  16. Managing and reviewing evidence-based changes.

    Science.gov (United States)

    Carter, Helen; Price, Lynda

    Nurses lead many projects to manage change aimed at improving patient safety and care. This two-part series offers practical guidance on how to bring about an evidence-based change in practice, and how to demonstrate the success, or otherwise, of that change. Part 2 is concerned with discovering why the practice is falling short, how to implement improvements and measure the effect of the changes. It also highlights ways in which nurses can use their work as part of the revalidation process.

  17. Fibrous dysplasia. Clinical review and therapeutic management.

    Science.gov (United States)

    Florez, Helena; Peris, Pilar; Guañabens, Núria

    2016-12-16

    Fibrous dysplasia is a skeletal disorder that is associated with a wide spectrum of clinical manifestations, including localized asymptomatic forms and extensive severe forms with severe bone deformities and endocrinological alterations, depending on age, location, extent and associated processes. Although the treatment of choice is based on bisphosphonates, the therapeutic efficacy of these agents in the control of disease activity remains uncertain. This article reviews the current data available on the treatment of this disease as well as the preliminary data on new therapeutic approaches. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  18. Surgical management of moyamoya disease: a review.

    Science.gov (United States)

    Baaj, Ali A; Agazzi, Siviero; Sayed, Zafar A; Toledo, Maria; Spetzler, Robert F; van Loveren, Harry

    2009-04-01

    Moyamoya disease (MMD) is a progressive, occlusive disease of the distal internal carotid arteries associated with secondary stenosis of the circle of Willis. Symptoms include ischemic infarcts in children and hemorrhages in adults. Bypass of the stenotic vessel(s) is the primary surgical treatment modality for MMD. Superficial temporal artery-to-middle cerebral artery bypass is the most common direct bypass method. Indirect techniques rely on the approximation of vascularized tissue to the cerebral cortex to promote neoangiogenesis. This tissue may be in the form of muscle, pericranium, dura, or even omentum. This review highlights the surgical options available for the treatment of MMD.

  19. Management and leadership competence in hospitals: a systematic literature review.

    Science.gov (United States)

    Pihlainen, Vuokko; Kivinen, Tuula; Lammintakanen, Johanna

    2016-01-01

    Purpose - The purpose of this study is to describe the characteristics of management and leadership competence of health-care leaders and managers, especially in the hospital environment. Health-care leaders and managers in this study were both nursing and physician managers. Competence was assessed by evaluating the knowledge, skills, attitudes and abilities that enable management and leadership tasks. Design/methodology/approach - A systematic literature review was performed to find articles that identify and describe the characteristics of management and leadership competence. Searches of electronic databases were conducted using set criteria for article selection. Altogether, 13 papers underwent an inductive content analysis. Findings - The characteristics of management and leadership competence were categorized into the following groups: health-care-context-related, operational and general. Research limitations/implications - One limitation of the study is that only 13 articles were found in the literature regarding the characteristics of management and leadership competence. However, the search terms were relevant, and the search process was endorsed by an information specialist. The study findings imply the need to shift away from the individual approach to leadership and management competence. Management and leadership need to be assessed more frequently from a holistic perspective, and not merely on the basis of position in the organizational hierarchy or of profession in health care. Originality/value - The authors' evaluation of the characteristics of management and leadership competence without a concentrated profession-based approach is original.

  20. Knowledge management for efficient quantitative analyses during regulatory reviews.

    Science.gov (United States)

    Krudys, Kevin; Li, Fang; Florian, Jeffry; Tornoe, Christoffer; Chen, Ying; Bhattaram, Atul; Jadhav, Pravin; Neal, Lauren; Wang, Yaning; Gobburu, Joga; Lee, Peter I D

    2011-11-01

    Knowledge management comprises the strategies and methods employed to generate and leverage knowledge within an organization. This report outlines the activities within the Division of Pharmacometrics at the US FDA to effectively manage knowledge with the ultimate goal of improving drug development and advancing public health. The infrastructure required for pharmacometric knowledge management includes provisions for data standards, queryable databases, libraries of modeling tools, archiving of analysis results and reporting templates for effective communication. Two examples of knowledge management systems developed within the Division of Pharmacometrics are used to illustrate these principles. The benefits of sound knowledge management include increased productivity, allowing reviewers to focus on research questions spanning new drug applications, such as improved trial design and biomarker development. The future of knowledge management depends on the collaboration between the FDA and industry to implement data and model standards to enhance sharing and dissemination of knowledge.

  1. Examining End-of-Life Case Management: Systematic Review

    Directory of Open Access Journals (Sweden)

    Roger E. Thomas

    2014-01-01

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

  2. Solutions in radiology services management: a literature review*

    Science.gov (United States)

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

    2015-01-01

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

  3. Applied simulation to the project management: a review

    Directory of Open Access Journals (Sweden)

    Leonardo Rosas Leal

    2011-05-01

    Full Text Available The objective of this article is to show a literature review of Applied Simulation to the Project Management as for the last twenty years. This article reviews the main Simulation methodologies, as well as some of their properties, that have stimulated the application of Simulation in project management. Besides that, a review of historical marks is presented, since the Monte Carlo Simulation proposal as a solution to PERT/CPM methodology limitations. In addition, this work intends to outline the theme through stratifications in order to offer a holistic overview of the theme. As a result, there will be the possibility of realize some important connections and tendencies in relation to the stratifications, as the application of the Discrete Event Simulation and Monte Carlo Simulation methodologies for the schedule and cost risk management. Such applications are mainly related with high level risk projects, such as civil projects, software development, design Engineering and Oil & gas projects.

  4. Solutions in radiology services management: a literature review

    Directory of Open Access Journals (Sweden)

    Aline Garcia Pereira

    2015-10-01

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

  5. Evaluating an interprofessional disease state and medication management review model.

    Science.gov (United States)

    Hoti, Kreshnik; Forman, Dawn; Hughes, Jeffery

    2014-03-01

    There is lack of literature data reporting an incorporation of medication management reviews in students' interprofessional education (IPE) and practice programs in aged care settings. This pilot study reports how an interprofessional disease state and medication management review program (DSMMR) was established in a residential aged care facility in Perth, Western Australia. Students from the professions of nursing, pharmacy and physiotherapy focused on a wellness check in the areas of cognition, falls and continence while integrating a medication management review. Students' attitudes were explored using a pre- and post-placement questionnaire. Students indicated positive experience with the IPE DSMMR program which also resulted in their positive attitudinal shift towards IPE and practice. These findings indicated that aged care can be a suitable setting for student interprofessional programs focusing on DSMMR.

  6. Solutions in radiology services management: a literature review.

    Science.gov (United States)

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

    2015-01-01

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

  7. DIABETIC WOUND HEALING MANAGEMENT- A PEER REVIEW

    Directory of Open Access Journals (Sweden)

    Harshavardhan Pathapati

    2014-10-01

    Full Text Available Objectives: Diabetes is a metabolic disorder mainly impairs the body glucose utilization capacity due to this perforcely repressing the immuno-dysfunction (decreases chemotaxis, phagocytosis and intracellular killing actions and collagen synthesis which are essential in wound debridement management of diabetic patients. Delayed wound healing is considered as one of the most repulsive disabling and costly complication of diabetes. People with diabetes have extenuated circulation, poor resistance to infection and mitigate local nutrition, thus their wounds are meticulously susceptible to infection. Moreover diabetes agonizes the equilibrium exists between accumulation of extra-cellular matrix components and their re-modeling by matrix metallo-proteinases (meltrin, due to this extenuated proliferation action of fibroblasts and finally freezes the progress of wound healing frequency in hyper glycemics. However in diabetic persons the nervous system becomes numb and all feasible actions of neurons are skipped, that condition is called as diabetic neuropathy. In that situation patient body features elevated a glucose level which stiffens the arteries and lack of pain sensation in foot resulting in commencement of new wounds. Conclusion: Consider all problems associated with wound healing in diabetic persons, a proper wound healing management which includes controlling measures like optimized systemic and local factors as well as implement suitable wound dressing for necessary wound in diabeties patients.

  8. SUPERFUND GROUND WATER ISSUE - ACCURACY OF DEPTH TO WATER MEASUREMENTS

    Science.gov (United States)

    Accuracy of depth to water measurements is an issue identified by the Forum as a concern of Superfund decision-makers as they attempt to determine directions of ground-water flow, areas of recharge of discharge, the hydraulic characteristics of aquifers, or the effects of manmade...

  9. 77 FR 60177 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2012-10-02

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

  10. 75 FR 54445 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2010-09-07

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

  11. Process innovation in tourism management: A review of the literature

    Directory of Open Access Journals (Sweden)

    Irma Elia Damian

    2015-06-01

    Full Text Available Purpose: Identifying gaps in the academic literature regarding three great management topics: Process Innovation, Tourism Management and Process Innovation in Tourism Management in order to establish the conceptual framework and identify future lines of research. Design/methodology: For this research, a systematic review was conducted on items obtained from accredited databases recognized as EBSCO, OECD, among others, the literature on Process Innovation, Tourism Management and Process Innovation in Tourism Management. Findings: As a result of this review the opportunity for academic research was identified, this due to a theoretical gap which exists on the subject of Process Innovation in Tourism Management. Research limitations/implications: For the realization of this research the databases used were: EBSCO, Emerald, OECD, ProQuest and Scientific Research. The authors are aware that there may be other papers of the subject that were not considered in this article. Practical implications: Following this research the road to research other issues is opened, such as: what impact does it have and how do Process Innovations in Tourism Management are carried along in organizations belonging to Sector Originality/value: The knowledge of how process innovation in tourism management occurs in hospitality organizations gives a better understanding and comprehension of this subjects opening the possibility, for other organizations, of adopting and adapting them in areas related to customer satisfaction, improvement of the image of the organization and quality of the service offered.

  12. Huntington's disease: review and anesthetic case management.

    Science.gov (United States)

    Cangemi, C F; Miller, R J

    1998-01-01

    Huntington's disease is a dominantly inherited progressive autosomal disease that affects the basal ganglia. Symptoms appear later in life and manifest as progressive mental deterioration and involuntary choreiform movements. Patients with Huntington's disease develop a progressive but variable dementia. Dysphagia, the most significant related motor symptom, hinders nutrition intake and places the patient at risk for aspiration. The combination of involuntary choreoathetoid movements, depression, and apathy leads to cachexia. Factors of considerable concern to the anesthesiologist who treats patients with Huntington's disease may include how to treat frail elderly people incapable of cooperation, how to treat patients suffering from malnourishment, and how to treat patients with an increased risk for aspiration or exaggerated responses to sodium thiopental and succinylcholine. The successful anesthetic management of a 65-yr-old woman with Huntington's disease who presented for full-mouth extractions is described.

  13. REVIEW OF TOTAL QUALITY MANAGEMENT CONCEPT

    Directory of Open Access Journals (Sweden)

    Daniel Indarto Prajogo

    1999-01-01

    Full Text Available The definition of TQM continues to be a debated issue to organizational management. Not only is there an absence of a uniform definition but also there is no prescriptive standard outlining TQM concepts. This supports an argument that TQM is not merely a tool or method that is ready for use, but there is a set of underlying principles, philosophies and paradigms that must be applied in the unique organizational context. This paper will discuss the concept of TQM at three integrated levels in an organization from inside out; namely paradigm level, system and structural level and technical and operational level in the purpose for helping organizations to grasp the comprehensive substance of TQM.

  14. Cloud Infrastructure Service Management - A Review

    Directory of Open Access Journals (Sweden)

    A. Anasuya Threse Innocent

    2012-03-01

    Full Text Available The new era of computing called Cloud Computing allows the user to access the cloud services dynamically over the Internet wherever and whenever needed. Cloud consists of data and resources; and the cloud services include the delivery of software, infrastructure, applications, and storage over the Internet based on user demand through Internet. In short, cloud computing is a business and economic model allowing the users to utilize high-end computing and storage virtually with minimal infrastructure on their end. Cloud has three service models namely, Cloud Software-as-a-Service (SaaS, Cloud Platform-as-a-Service (PaaS, and Cloud Infrastructure-as-a-Service (IaaS. This paper talks in depth of cloud infrastructure service management.

  15. POULTRY WASTE MANAGEMENT IN BOTSWANA: A REVIEW

    Directory of Open Access Journals (Sweden)

    J.C. Moreki

    2011-11-01

    Full Text Available A literature review was conducted to identify methods that are used to dispose of poultry waste in Botswana. It appears that the predominant methods of poultry waste disposal in Botswana are direct disposal at the landfills, application as a fertilizer in gardens or farms, burning and compositing. The use of poultry manure and/or litter to raise fertility status of the soil appears to be appropriate given that soils in Botswana are generally poor in plant nutrients, especially phosphorus. Given the high feed costs in Botswana it is suggested that the use of poultry manure and/or litter as livestock feed should be considered in areas where foot and mouth disease (FMD is endemic such as Chobe and North West Districts, as meat from these districts does not enter the European Union market.

  16. Coeliac disease: review of diagnosis and management.

    Science.gov (United States)

    Walker, Marjorie M; Ludvigsson, Jonas F; Sanders, David S

    2017-08-21

    Coeliac disease is an immune-mediated systemic disease triggered by exposure to gluten, and manifested by small intestinal enteropathy and gastrointestinal and extra-intestinal symptoms. Recent guidelines recommend a concerted use of clear definitions of the disease. In Australia, the most recent estimated prevalence is 1.2% in adult men (1:86) and 1.9% in adult women (1:52). Active case finding is appropriate to diagnose coeliac disease in high risk groups. Diagnosis of coeliac disease is important to prevent nutritional deficiency and long term risk of gastrointestinal malignancy. The diagnosis of coeliac disease depends on clinico-pathological correlation: history, presence of antitransglutaminase antibodies, and characteristic histological features on duodenal biopsy (when the patient is on a gluten-containing diet). Human leucocyte antigen class II haplotypes DQ2 or DQ8 are found in nearly all patients with coeliac disease, but are highly prevalent in the general population at large (56% in Australia) and testing can only exclude coeliac disease for individuals with non-permissive haplotypes. Adhering to a gluten free diet allows duodenal mucosal healing and alleviates symptoms. Patients should be followed up with a yearly review of dietary adherence and a health check. Non-coeliac gluten or wheat protein sensitivity is a syndrome characterised by both gastrointestinal and extra-intestinal symptoms related to the ingestion of gluten and possibly other wheat proteins in people who do not have coeliac disease or wheat allergy recognised by diagnostic tests.

  17. Drivers for inappropriate fever management in children: a systematic review.

    Science.gov (United States)

    Kelly, M; McCarthy, S; O'Sullivan, R; Shiely, F; Larkin, P; Brenner, M; Sahm, L J

    2016-08-01

    Background Fever is one of the most common childhood symptoms and accounts for numerous consultations with healthcare practitioners. It causes much anxiety amongst parents as many struggle with managing a feverish child and find it difficult to assess fever severity. Over- and under-dosing of antipyretics has been reported. Aim of the review The aim of this review was to synthesise qualitative and quantitative evidence on the knowledge, attitudes and beliefs of parents regarding fever and febrile illness in children. Method A systematic search was conducted in ten bibliographic databases from database inception to June 2014. Citation lists of studies and consultation with experts were used as secondary sources to identify further relevant studies. Titles and abstracts were screened for inclusion according to pre-defined inclusion and exclusion criteria. Quantitative studies using a questionnaire were analysed using narrative synthesis. Qualitative studies with a semi-structured interview or focus group methodology were analysed thematically. Results Of the 1565 studies which were screened for inclusion in the review, the final review comprised of 14 studies (three qualitative and 11 quantitative). Three categories emerged from the narrative synthesis of quantitative studies: (i) parental practices; (ii) knowledge; (iii) expectations and information seeking. A further three analytical themes emerged from the qualitative studies: (i) control; (ii) impact on family; (iii) experiences. Conclusion Our review identifies the multifaceted nature of the factors which impact on how parents manage fever and febrile illness in children. A coherent approach to the management of fever and febrile illness needs to be implemented so a consistent message is communicated to parents. Healthcare professionals including pharmacists regularly advise parents on fever management. Information given to parents needs to be timely, consistent and accurate so that inappropriate fever

  18. Physiotherapy management of low back pain - a review of surveys

    Directory of Open Access Journals (Sweden)

    A. Basson

    2011-02-01

    Full Text Available Low back pain (LBP is an increasingly debilitating and costly problem. One of the research focuses in LBP is an attempt to improve patient outcomes. It is believed that the promotion of evidence based practice (EBP should improve patient outcomes and also reduce the cost of care. There seems to be a need to establish how physiotherapists manage LBP and whether management is in accordance with best practice based on published research evidence. The aim of this study was to determine what management strategies physiotherapists employ in the management of LBP by performing a review of the literature and to compare this with recent guidelines Fourteen studies were included for the review.  The treatments most frequently reported as being used for the management of LBP were education/ advice, exercise, spinal mobilisation and electrotherapy. Over a 14 year period there were no major changes in the way physiotherapists manage LBP. Physiotherapist use interventions that are evidence based as well as interventions with little evidence in the management of LBP.

  19. Knowledge management in health: a systematic literature review.

    Science.gov (United States)

    Rocha, Elyrose Sousa Brito; Nagliate, Patricia; Furlan, Claudia Elisangela Bis; Rocha, Kerson; Trevizan, Maria Auxiliadora; Mendes, Isabel Amélia Costa

    2012-01-01

    Knowledge has been used as a resource for intelligent and effective action planning in organizations. Interest in research on knowledge management processes has intensified in different areas. A systematic literature review was accomplished, based on the question: what are the contributions of Brazilian and international journal publications on knowledge management in health? The sample totaled 32 items that complied with the inclusion criteria. The results showed that 78% of journals that published on the theme are international, 77% of researchers work in higher education and 65% have a Ph.D. The texts gave rise to five thematic categories, mainly: development of knowledge management systems in health (37.5%), discussion of knowledge management application in health (28.1%) and nurses' function in knowledge management (18.7%).

  20. Telemonitoring can assist in managing cardiovascular disease in primary care: a systematic review of systematic reviews.

    Science.gov (United States)

    Purcell, Renee; McInnes, Susan; Halcomb, Elizabeth J

    2014-03-07

    There has been growing interest regarding the impact of telemonitoring and its ability to reduce the increasing burden of chronic diseases, including chronic cardiovascular disease (CVD), on healthcare systems. A number of randomised trials have been undertaken internationally and synthesised into various systematic reviews to establish an evidence base for this model of care. This study sought to synthesise and critically evaluate this large body of evidence to inform clinicians, researchers and policy makers. A systematic review of systematic reviews investigating the impact of telemonitoring interventions in the primary care management of CVD was conducted. Reviews were included if they explored primary care based telemonitoring in either CVD, heart failure or hypertension, were reported in the English language and were published between 2000 and 2013. Data was extracted by one reviewer and checked by a second reviewer using a standardised form. Two assessors then rated the quality of each review using the Overview Quality Assessment Questionnaire (OQAQ). Of the 13 included reviews, four focused on telemonitoring interventions in hypertension or CVD management and the remaining 9 reviews investigated telemonitoring in HF management. Seven reviews scored a five or above on the OQAQ evidencing good quality reviews. Findings suggest that telemonitoring can contribute to significant reductions in blood pressure, decreased all-cause and HF related hospitalisations, reduced all-cause mortality and improved quality of life. Telemonitoring was also demonstrated to reduce health care costs and appears acceptable to patients. Telemonitoring has the potential to enhance primary care management of CVD by improving patient outcomes and reducing health costs. However, further research needs to explore the specific elements of telemonitoring interventions to determine the relative value of the various elements. Additionally, the ways in which telemonitoring care improves

  1. Remote home management for chronic kidney disease: A systematic review.

    Science.gov (United States)

    He, Ting; Liu, Xing; Li, Ying; Wu, Qiaoyu; Liu, Meilin; Yuan, Hong

    2017-01-01

    Background Remote home management is a new healthcare model that uses information technology to enhance patients' self-management of disease in a home setting. This study is designed to identify the effects of remote home management on patients with chronic kidney disease (CKD). Methods A comprehensive search of PubMed, MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials was performed in January 2015. The reference listings of the included articles in this review were also manually examined. Randomized controlled trials (RCTs) designed to evaluate the effects of remote home management on patients with CKD were included. Results Eight trials were identified. The results of this study suggest that the quality of life (QOL) enabled by remote home management was higher than typical care in certain dimensions. However, the effects of remote home management on blood pressure (BP) remain inconclusive. The studies that assessed health service utilization demonstrated a significant decrease in hospital readmission, emergency room visits, and number of days in the hospital. Another favorable result of this study is that regardless of their gender, age or nationality, patients tend to comply with remote home management programs and the use of related technologies. Conclusions The available data indicate that remote home management may be a novel and effective disease management strategy for improving CKD patients' QOL and influencing their attitudes and behaviors. And, relatively little is known about BP and cost-effectiveness, so future research should focus on these two aspects for the entire population of patients with CKD.

  2. Stormwater Management Effects on Ecosystem Services: A Literature Review

    Science.gov (United States)

    Prudencio, L.; Null, S. E.

    2016-12-01

    Managing stormwater provides benefits for enhancing water supplies while reducing urban runoff. Yet, there has been little research focused on understanding how stormwater management affects ecosystem services, the benefits that ecosystems provide to humans. Garnering more knowledge of the changes to ecosystem services from stormwater management will ultimately improve management and decision-making. The objective of this research is to review and synthesize published literature on 1) ecosystem services and stormwater management and 2) changes in ecosystem services from anthropogenic impacts and climate warming, to establish a foundation for research at the intersection of ecosystems services, stormwater management, and global environmental change. We outline four research areas for ecosystem services and stormwater management that should be further explored. These four areas, named after the four types of ecosystem services, highlight context-specific research questions and human and climate change effects. We conclude that effective and sustainable stormwater management requires incorporating engineering, social, and environmental criteria to quantify benefits of provisioning, regulating, cultural, and supporting ecosystem services. Lastly, improved current and potential stormwater management policy may better support sustainable stormwater methods at the institutional level. Stormwater quality and monitoring could be improved through the use of the Clean Water Act (e.g. Total Maximum Daily Loads), the Endangered Species Act, and public health measures. Additional policies regulating groundwater quantity and quality have been and may continue to be implemented by states, encouraging sustainable and cleaner stormwater practices.

  3. Sickle cell disease pain management in adolescents: a literature review.

    Science.gov (United States)

    Wilson, Bridget H; Nelson, Jessica

    2015-04-01

    Sickle cell disease (SCD) pain continues to emerge in adolescents. More than 98,000 individuals are believed to have SCD in the United States. In fact, 1 in 500 Black infants will be affected by SCD. Identifying standards of care for this unique population can improve pain management and treatment. A significant effect of vaso-occlusive crisis is a decrease in the quality of life in children. Therefore, pain management is multidimensional and includes pharmacologic, physical, and psychological strategies. A review of the literature was conducted to identify best practices regarding pain management in adolescents with sickle cell anemia. Key words such as pain, pain management, adolescent sickle cell anemia, and acute sickle cell pain were entered into databases to reveal qualitative and quantitative studies from 2009 to the present. Many of the research articles identified poor SCD pain management. Studies showed that acute SCD pain management is essential and should be evaluated and robustly managed to achieve optimum pain relief for patients. Acute SCD pain usually occurs as a result of vaso-occlusive crisis. Untreated acute SCD pain can result in morbidity and mortality in adolescents. Nursing knowledge is critical to reducing the stigma and improving management of SCD pain. Nurses play a vital role in the introduction of evidence-based practice within the clinical setting. In an effort to educate nurses and other health care professionals about SCD, this article is a literature review of studies concerning SCD and pain management in emergency rooms. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  4. Management Control in Enterprise System Enabled Organizations: A Literature Review

    DEFF Research Database (Denmark)

    Rikhardsson, Pall M.; Rohde, C.; Rom, A.

    2006-01-01

    The objective of this paper is to add to the limited body of knowledge on the relationship between enterprise systems (ES) and management control. Based on a literature review, we describe and classify studies that empirically address this relationship. Apart from not being extensive, the research...

  5. Performance measurement for product lifecycle management: a systemact literature review

    Directory of Open Access Journals (Sweden)

    Fernando Fonseca

    2012-01-01

    Full Text Available The aim of this study is to identify recommendations as well as the main performance indicator for developing a performance measurement system (PMS for product lifecycle management (PLM approach. Thus it was performed a systematic literature review that identified 22 recommendations and 296 performance indicators.

  6. A review of the current literature on management of halitosis.

    NARCIS (Netherlands)

    Broek, A.M. van den; Feenstra, L.; Baat, C. de

    2008-01-01

    Halitosis is an unpleasant or offensive odour, emanating from the oral cavity. In approximately 80% of all cases, halitosis is caused by microbial degradation of oral organic substrates. Major degradation products are volatile sulphur-containing compounds. In this review, the available management me

  7. A review of the current literature on management of halitosis.

    NARCIS (Netherlands)

    Broek, A.M. van den; Feenstra, L.; Baat, C. de

    2008-01-01

    Halitosis is an unpleasant or offensive odour, emanating from the oral cavity. In approximately 80% of all cases, halitosis is caused by microbial degradation of oral organic substrates. Major degradation products are volatile sulphur-containing compounds. In this review, the available management

  8. Traits and emotions : A review of their structure and management

    NARCIS (Netherlands)

    De Raad, B; Kokkonen, M

    2000-01-01

    This paper reviews literature on traits and emotions focusing on both structure and management, or 'having' and 'doing'. The cognitive perspective of this paper implies that traits and emotions are viewed as provisions to frame people and their behaviours in situations in meaningful ways. The focus

  9. Anger Management and Intellectual Disabilities: A Systematic Review

    Science.gov (United States)

    Hamelin, Jeffery; Travis, Robert; Sturmey, Peter

    2013-01-01

    We conducted a systematic literature review of anger management in people with intellectual disabilities (ID). We identified 2 studies that used randomized controlled trials and 6 that used pretest-posttest nonequivalent control group designs. The mean between-group effect size was 1.52 for randomized controlled trials and 0.89 for the other…

  10. Anger Management and Intellectual Disabilities: A Systematic Review

    Science.gov (United States)

    Hamelin, Jeffery; Travis, Robert; Sturmey, Peter

    2013-01-01

    We conducted a systematic literature review of anger management in people with intellectual disabilities (ID). We identified 2 studies that used randomized controlled trials and 6 that used pretest-posttest nonequivalent control group designs. The mean between-group effect size was 1.52 for randomized controlled trials and 0.89 for the other…

  11. Graphic visualization of program performance aids management review

    Science.gov (United States)

    Eisenhart, G. N.

    1967-01-01

    Chart technique /PERTREE/ which displays the essential status elements of a PERT system in a vertical flow array, of high graphic quality, enables visual review by management of program performance. Since the display is versatile, it can accommodate any aspect of the program which the presenter wishes to accent.

  12. Sigmoid volvulus: A pediatric case report and review of management

    Directory of Open Access Journals (Sweden)

    Lena M. O'Keefe

    2016-04-01

    Full Text Available Volvulus in the pediatric population commonly occurs in the small bowel associated with malrotation or internal hernia whereas sigmoid volvulus (SV is extremely rare. Herein we report a case of SV, review the literature and provide a suggested algorithm for diagnosis and management.

  13. Patient empowerment in cancer pain management: an integrative literature review

    NARCIS (Netherlands)

    Boveldt, N.D. te; Vernooij-Dassen, M.; Leppink, I.; Samwel, H.; Vissers, K.; Engels, Y.M.

    2014-01-01

    OBJECTIVE: More than 50% of patients with cancer experience pain. Patient empowerment has been highlighted as central to success in pain management. Up to now, no clear model for this patient group exists, yet several strategies to empower patients have been used in clinical practice. This review ex

  14. Stress Management in Medical Education: A Review of the Literature.

    Science.gov (United States)

    Shapiro, Shauna L.; Shapiro, Daniel E.; Schwartz, Gary E. R.

    2000-01-01

    Review of clinical studies providing empirical data on stress management programs in medical education found that student participants in such programs demonstrated improved immunologic functioning, decreased depression and anxiety, increased spirituality and empathy, enhanced knowledge of alternative therapies, improved knowledge of stress…

  15. Assessment methods for solid waste management: A literature review.

    Science.gov (United States)

    Allesch, Astrid; Brunner, Paul H

    2014-06-01

    Assessment methods are common tools to support decisions regarding waste management. The objective of this review article is to provide guidance for the selection of appropriate evaluation methods. For this purpose, frequently used assessment methods are reviewed, categorised, and summarised. In total, 151 studies have been considered in view of their goals, methodologies, systems investigated, and results regarding economic, environmental, and social issues. A goal shared by all studies is the support of stakeholders. Most studies are based on life cycle assessments, multi-criteria-decision-making, cost-benefit analysis, risk assessments, and benchmarking. Approximately 40% of the reviewed articles are life cycle assessment-based; and more than 50% apply scenario analysis to identify the best waste management options. Most studies focus on municipal solid waste and consider specific environmental loadings. Economic aspects are considered by approximately 50% of the studies, and only a small number evaluate social aspects. The choice of system elements and boundaries varies significantly among the studies; thus, assessment results are sometimes contradictory. Based on the results of this review, we recommend the following considerations when assessing waste management systems: (i) a mass balance approach based on a rigid input-output analysis of the entire system, (ii) a goal-oriented evaluation of the results of the mass balance, which takes into account the intended waste management objectives; and (iii) a transparent and reproducible presentation of the methodology, data, and results.

  16. Training doctors to manage patients with multimorbidity: a systematic review

    Directory of Open Access Journals (Sweden)

    Cliona Lewis

    2016-08-01

    Full Text Available Background: Patients with multimorbidity (two or more chronic conditions are now the norm in clinical practice, and place an increasing burden on the healthcare system. Management of these patients is challenging, and requires doctors who are skilled in the complexity of multiple chronic diseases. Objective: To perform a systematic review of the literature to ascertain whether there are education and training formats which have been used to train postgraduate medical doctors in the management of patients with multimorbidity in primary and/or secondary care, and which have been shown to improve knowledge, skills, attitudes, and/or patient outcomes. Methods: Overall, 75,110 citations were screened, of which 65 full-text articles were then independently assessed for eligibility by two reviewers, and two studies met the inclusion criteria for the review. Results: The two included studies implemented and evaluated multimorbidity workshops, and highlight the need for further research addressing the learning needs of doctors tasked with managing patients with multimorbidity in their daily practice. Conclusion: While much has been published about the challenges presented to medical staff by patients with multimorbidity, published research regarding education of doctors to manage these problems is lacking. Further research is required to determine whether there is a need for, or benefit from, specific training for doctors to manage patients with multimorbidity. PROSPERO registration number: CRD42013004010. Journal of Comorbidity 2016;6(2:85–94

  17. Risk management in the construction industry: a new literature review

    Directory of Open Access Journals (Sweden)

    Renault Berenger Y.

    2016-01-01

    Full Text Available The construction industry is well known as a highly risk prone industry owing to the complexity of its activities and dynamic project environments generating an atmosphere of risks that must be taken into consideration in the decision process. For this reason, we have developed this treatise to elucidate the fundamentals of risk management through a concise new proposal of literature review for risk management in construction. Our explanation of this is venture is that over the years, this area has been acknowledged as a crucial process in the business institutions and the most discussed subject among experts and researchers in the construction sector. We have tried in this report to present the most recent studies considering the impossibility to present all definitions of the concept of risk. This study is mainly a literature review; it looks at the literature relating to the concept of risk, risk management in construction as well as methods used in construction industry.

  18. Computer technology for self-management: a scoping review.

    Science.gov (United States)

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

    2016-05-01

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

  19. Review: milk composition as management tool of sustainability

    Directory of Open Access Journals (Sweden)

    Arnould, VMR.

    2013-01-01

    Full Text Available The main objective of this paper is the use of milk composition data as a management tool. Milk composition, and in particular, milk fat content and fatty acid profiles may be significantly altered due to a variety of factors. These factors are reviewed in the literature; they include diet, animal (genetic selection, management aspects and animal health. Changes in milk composition can be used as an indicator of the animal's metabolic status or the efficiency of the feed management system. The advantages of using this kind of data as a management tool would be to allow the early detection of metabolic or management problems. The present review suggests that milk and, especially milk fat composition may be used as a sustainability management tool and as a monitoring and prevention tool for several pathologies or health disorders in dairy cattle. Further, due to the use of mid-infrared spectrometry (MIR technology, these tools may be easily implemented in practice and are relatively cheap. In the field, milk labs or milk recording agencies would be able to alert farmers whenever threshold values for disease were reached, allowing them to improve their dairy production from an economic, ecological and animal (welfare point of view.

  20. Gamification in Stress Management Apps: A Critical App Review.

    Science.gov (United States)

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

    2017-06-07

    In today's society, stress is more and more often a cause of disease. This makes stress management an important target of behavior change programs. Gamification has been suggested as one way to support health behavior change. However, it remains unclear to which extend available gamification techniques are integrated in stress management apps, and if their occurrence is linked to the use of elements from behavior change theory. The aim of this study was to investigate the use of gamification techniques in stress management apps and the cooccurrence of these techniques with evidence-based stress management methods and behavior change techniques. A total of 62 stress management apps from the Google Play Store were reviewed on their inclusion of 17 gamification techniques, 15 stress management methods, and 26 behavior change techniques. For this purpose, an extended taxonomy of gamification techniques was constructed and applied by 2 trained, independent raters. Interrater-reliability was high, with agreement coefficient (AC)=.97. Results show an average of 0.5 gamification techniques for the tested apps and reveal no correlations between the use of gamification techniques and behavior change techniques (r=.17, P=.20), or stress management methods (r=.14, P=.26). This leads to the conclusion that designers of stress management apps do not use gamification techniques to influence the user's behaviors and reactions. Moreover, app designers do not exploit the potential of combining gamification techniques with behavior change theory.

  1. Management accounting in supply chain management – literature review and survey results

    Directory of Open Access Journals (Sweden)

    Justyna Dobroszek

    2016-09-01

    Full Text Available The concept of supply chain management has been evolving at a rapid pace in economic practice as wellas in scientific research, mainly in the field of logistics and supply chains. It also constitutes a reference point for researchers specializing in accounting, especially in management accounting. As a result, in recent years there has been an increasing number of publications on this research in the world, including in Poland. So far, however, there is a lack of publications that would present comprehensively the aspects of management accounting in the context of supply chain management. Therefore, this article has the following research objective: identification of the degree of development of management accounting, in research and practice, for the purposes of supply chain management. As research methods were used:review of the content of scientific articles and surveys conducted among companies in Poland. The results of survey study and literature review revealed that the most frequently addressed issues in business and in theory include cost management and performance measurement using financial indicators. In the case of other issues addressed in the publications there are discrepancies between theory and business practice. In effect, this means the need to improve the communication and integration of these two dimensions in the context of implementation of management accounting tools and methods for supply chain management support. The results presented in the article could be the basis for further, in-depth research in this area.

  2. Obesity management interventions: a review of the evidence.

    Science.gov (United States)

    Yaskin, Joseph; Toner, Richard W; Goldfarb, Neil

    2009-12-01

    The burden of disease associated with the obesity epidemic shortens lives, and prevalence is accelerating. As with other chronic diseases, improved outcomes are associated with effective self-management of obesity across the life span. The disease of obesity, then, fits squarely within the disease management and chronic care models. This article reviews selected interventions, described in peer-reviewed literature, designed to achieve significant weight loss for individuals identified as overweight or obese. The study objective is to provide an overview of the full range of methods and models for weight loss, including some available without medical supervision. The intended audience includes individuals and organizations with an expressed interest in disease management and the chronic care models. Our review identified promising lines of investigation for future research that span diverse medical disciplines applied to obesity. The quality of the studies included in our review was uneven, and compromises the current evidence for effectiveness and efficacy. Generally, our results showed that combination approaches-surgical or pharmacologic, combined with a behavioral intervention-were most likely to be effective.

  3. Ethics and Sustainability: A Review of Water Policy and Management

    Directory of Open Access Journals (Sweden)

    Ravichandran Moorthy

    2012-01-01

    Full Text Available Problem statement: This is a review paper that examines the extent aspects such as ethics, sustainability and the environment manifest in the water policy and water management in Malaysia. The study examines two aspects of this topic; firstly it examines the various objectives and considerations in the National Water Policy and secondly it discusses the issues that arise regarding water policy and management, especially with regard to federal-states jurisdiction issues, legislations in water management and the problems related to inter-agency coordination, especially among agencies involved in the management of rivers. Approach: A qualitative approach is employed in this study. It provides a comprehensive review of the stated problem based on document analysis and interviews with individuals involved in policy formulation and from agencies involved in water management. Results: The study reveals two major findings; the first shows that the National Water Policy provide a holistic approach in dealing with water-by providing safe, adequate and affordable water supply to people; providing sufficient water that will ensure national and food security and promote rural development; sufficient water to spur and sustain economic growth; and protection of the water environment to preserve water resources. Second, it examines issues regarding water management such as the jurisdiction between federal and state governments, legislations and enforcement and inefficiency in inter-agency coordination that hinder the realization of this policys objectives. Conclusion: The study concludes that despite the holistic coverage of the national water policy, there are apparent problems with regard to the jurisdiction, legislation and coordination initiatives that have resulted in the poor management of water resources. The study postulates that, in addition to better coordination between water related agencies and more cohesive water legislations structure, it is

  4. Solid waste management in the hospitality industry: a review.

    Science.gov (United States)

    Pirani, Sanaa I; Arafat, Hassan A

    2014-12-15

    Solid waste management is a key aspect of the environmental management of establishments belonging to the hospitality sector. In this study, we reviewed literature in this area, examining the current status of waste management for the hospitality sector, in general, with a focus on food waste management in particular. We specifically examined the for-profit subdivision of the hospitality sector, comprising primarily of hotels and restaurants. An account is given of the causes of the different types of waste encountered in this sector and what strategies may be used to reduce them. These strategies are further highlighted in terms of initiatives and practices which are already being implemented around the world to facilitate sustainable waste management. We also recommended a general waste management procedure to be followed by properties of the hospitality sector and described how waste mapping, an innovative yet simple strategy, can significantly reduce the waste generation of a hotel. Generally, we found that not many scholarly publications are available in this area of research. More studies need to be carried out on the implementation of sustainable waste management for the hospitality industry in different parts of the world and the challenges and opportunities involved. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Evaluating participation in water resource management: A review

    Science.gov (United States)

    Carr, G.; BlöSchl, G.; Loucks, D. P.

    2012-11-01

    Key documents such as the European Water Framework Directive and the U.S. Clean Water Act state that public and stakeholder participation in water resource management is required. Participation aims to enhance resource management and involve individuals and groups in a democratic way. Evaluation of participatory programs and projects is necessary to assess whether these objectives are being achieved and to identify how participatory programs and projects can be improved. The different methods of evaluation can be classified into three groups: (i) process evaluation assesses the quality of participation process, for example, whether it is legitimate and promotes equal power between participants, (ii) intermediary outcome evaluation assesses the achievement of mainly nontangible outcomes, such as trust and communication, as well as short- to medium-term tangible outcomes, such as agreements and institutional change, and (iii) resource management outcome evaluation assesses the achievement of changes in resource management, such as water quality improvements. Process evaluation forms a major component of the literature but can rarely indicate whether a participation program improves water resource management. Resource management outcome evaluation is challenging because resource changes often emerge beyond the typical period covered by the evaluation and because changes cannot always be clearly related to participation activities. Intermediary outcome evaluation has been given less attention than process evaluation but can identify some real achievements and side benefits that emerge through participation. This review suggests that intermediary outcome evaluation should play a more important role in evaluating participation in water resource management.

  6. Operations research in intensive care unit management: a literature review.

    Science.gov (United States)

    Bai, Jie; Fügener, Andreas; Schoenfelder, Jan; Brunner, Jens O

    2016-08-12

    The intensive care unit (ICU) is a crucial and expensive resource largely affected by uncertainty and variability. Insufficient ICU capacity causes many negative effects not only in the ICU itself, but also in other connected departments along the patient care path. Operations research/management science (OR/MS) plays an important role in identifying ways to manage ICU capacities efficiently and in ensuring desired levels of service quality. As a consequence, numerous papers on the topic exist. The goal of this paper is to provide the first structured literature review on how OR/MS may support ICU management. We start our review by illustrating the important role the ICU plays in the hospital patient flow. Then we focus on the ICU management problem (single department management problem) and classify the literature from multiple angles, including decision horizons, problem settings, and modeling and solution techniques. Based on the classification logic, research gaps and opportunities are highlighted, e.g., combining bed capacity planning and personnel scheduling, modeling uncertainty with non-homogenous distribution functions, and exploring more efficient solution approaches.

  7. Environmental restoration and waste management department independent safety review committee program management plan

    Energy Technology Data Exchange (ETDEWEB)

    1992-10-01

    This Program Management Plan (PMP) describes and governs the Independent Safety Review Committee (ISRC) established within the Environmental Restoration and Waste Management Department (ER WMD). The ISRC performs independent safety reviews for the ER WMD as required and specified by the governing documents mentioned above. This PMP defines the ISRC organization, work plan, and scope of work. The PMP is organized consistent with the requirements of DOE Order 4700.1, Project Management System. For the purpose of readability, this document shall use the term program'' to include not only the chartered activities of the ISRC, but also the related activities conducted by the chairman and staff. This PMP is subordinate to the ER WMD Implementing Program Management Plan, EGG-WM-10220.

  8. Environmental restoration and waste management department independent safety review committee program management plan

    Energy Technology Data Exchange (ETDEWEB)

    1992-10-01

    This Program Management Plan (PMP) describes and governs the Independent Safety Review Committee (ISRC) established within the Environmental Restoration and Waste Management Department (ER&WMD). The ISRC performs independent safety reviews for the ER&WMD as required and specified by the governing documents mentioned above. This PMP defines the ISRC organization, work plan, and scope of work. The PMP is organized consistent with the requirements of DOE Order 4700.1, Project Management System. For the purpose of readability, this document shall use the term ``program`` to include not only the chartered activities of the ISRC, but also the related activities conducted by the chairman and staff. This PMP is subordinate to the ER&WMD Implementing Program Management Plan, EGG-WM-10220.

  9. Individual Performance Management: A Review of Current Practices

    Directory of Open Access Journals (Sweden)

    Ian O’ Boyle

    2013-05-01

    Full Text Available This paper provides a review of current practice in relation to individual performance management systems and process within the traditional business environment. There is a consensus that the role of the individual is central to the overall performance of any organization and how individual performances are managed and evaluated can have significant impacts on overall organizational success. Many organizations employ the traditional performance appraisal in order to monitor and assess individual employee performances. However, new approaches, such as 360-degree feedback have also become commonplace within the business environment. An analysis of each approach including benefits and challenges associated with each process is presented within this paper.

  10. Design for Sustainability and Project Management Literature – A Review

    DEFF Research Database (Denmark)

    Ali, Faheem; Boks, Casper; Bey, Niki

    2016-01-01

    management literature has hardly been considered in design for sustainability research, this article attempts to review the points of intersection between these two fields, and explores the potential that knowledge from project management literature has in improving efficiency and effectiveness......The growing pressure on natural resources and increasing global trade have made sustainability issues a prime area of concern for all businesses alike. The increased focus on sustainability has impacted the way projects are conceived, planned, executed and evaluated in industries. Since project...

  11. An integrative review of systematic reviews related to the management of breathlessness in respiratory illnesses

    Directory of Open Access Journals (Sweden)

    Smith Jaclyn

    2010-12-01

    Full Text Available Abstract Background Breathlessness is a debilitating and distressing symptom in a wide variety of diseases and still a difficult symptom to manage. An integrative review of systematic reviews of non-pharmacological and pharmacological interventions for breathlessness in non-malignant disease was undertaken to identify the current state of clinical understanding of the management of breathlessness and highlight promising interventions that merit further investigation. Methods Systematic reviews were identified via electronic databases between July 2007 and September 2009. Reviews were included within the study if they reported research on adult participants using either a measure of breathlessness or some other measure of respiratory symptoms. Results In total 219 systematic reviews were identified and 153 included within the final review, of these 59 addressed non-pharmacological interventions and 94 addressed pharmacological interventions. The reviews covered in excess of 2000 trials. The majority of systematic reviews were conducted on interventions for asthma and COPD, and mainly focussed upon a small number of pharmacological interventions such as corticosteroids and bronchodilators, including beta-agonists. In contrast, other conditions involving breathlessness have received little or no attention and studies continue to focus upon pharmacological approaches. Moreover, although there are a number of non-pharmacological studies that have shown some promise, particularly for COPD, their conclusions are limited by a lack of good quality evidence from RCTs, small sample sizes and limited replication. Conclusions More research should focus in the future on the management of breathlessness in respiratory diseases other than asthma and COPD. In addition, pharmacological treatments do not completely manage breathlessness and have an added burden of side effects. It is therefore important to focus more research on promising non

  12. Open abdomen management: A review of its history and a proposed management algorithm

    Science.gov (United States)

    Kreis, Barbara Elize; de Mol van Otterloo, Johan Coenraad Alexander; Kreis, Robert Walter

    2013-01-01

    In this review we look into the historical development of open abdomen management. Its indication has spread in 70 years from intra-abdominal sepsis to damage control surgery and abdominal compartment syndrome. Different temporary abdominal closure techniques are essential to benefit the potential advantages of open abdomen management. Here, we discuss the different techniques and provide a new treatment strategy, based on available evidence, to facilitate more consistent decision making and further research on this complicated surgical topic. PMID:23823991

  13. Municipal solid waste management in Indian cities - A review.

    Science.gov (United States)

    Sharholy, Mufeed; Ahmad, Kafeel; Mahmood, Gauhar; Trivedi, R C

    2008-01-01

    Municipal solid waste management (MSWM) is one of the major environmental problems of Indian cities. Improper management of municipal solid waste (MSW) causes hazards to inhabitants. Various studies reveal that about 90% of MSW is disposed of unscientifically in open dumps and landfills, creating problems to public health and the environment. In the present study, an attempt has been made to provide a comprehensive review of the characteristics, generation, collection and transportation, disposal and treatment technologies of MSW practiced in India. The study pertaining to MSWM for Indian cities has been carried out to evaluate the current status and identify the major problems. Various adopted treatment technologies for MSW are critically reviewed, along with their advantages and limitations. The study is concluded with a few fruitful suggestions, which may be beneficial to encourage the competent authorities/researchers to work towards further improvement of the present system.

  14. Managing anxiety related to anaphylaxis in childhood: a systematic review.

    Science.gov (United States)

    Manassis, Katharina

    2012-01-01

    Objectives. This paper reviews the relationship between anxiety and anaphylaxis in children and youth, and principles for managing anxiety in the anaphylactic child and his or her parents. Methods. A review of the medical literature (Medline) was done using the keywords "anxiety," "anaphylaxis," and "allergy," limited to children and adolescents. Findings were organized into categories used in the treatment of childhood anxiety disorders, then applied to managing anxiety in the anaphylactic child. Results. Twenty-four relevant papers were identified. These varied widely in methodology. Findings emphasized included the need to distinguish anxiety-related and organic symptoms, ameliorate the anxiety-related impact of anaphylaxis on quality of life, and address parental anxiety about the child. Conclusion. Children with anaphylaxis can function well despite anxiety, but the physical, cognitive, and behavioral aspects of anxiety associated with anaphylactic risk must be addressed, and parents must be involved in care in constructive ways.

  15. Review of the diagnosis and management of gastrointestinalbezoars

    Institute of Scientific and Technical Information of China (English)

    Masaya Iwamuro; Hiroyuki Okada; Kazuhiro Matsueda; Tomoki Inaba; Chiaki Kusumoto; Atsushi Imagawa; Kazuhide Yamamoto

    2015-01-01

    The formation of a bezoar is a relatively infrequentdisorder that affects the gastrointestinal system.Bezoars are mainly classified into four types dependingon the material constituting the indigestible mass of thebezoar phytobezoars, trichobezoars, pharmacobezoars,and lactobezoars. Gastric bezoars often cause ulcerativelesions in the stomach and subsequent bleeding,whereas small intestinal bezoars present with smallbowel obstruction and ileus. A number of articles haveemphasized the usefulness of Coca-Cola? administrationfor the dissolution of phytobezoars. However, persimmonphytobezoars may be resistant to such dissolutiontreatment because of their harder consistency comparedto other types of phytobezoars. Better understanding ofthe etiology and epidemiology of each type of bezoarwill facilitate prompt diagnosis and management.Here we provide an overview of the prevalence, classification,predisposing factors, and manifestations ofbezoars. Diagnosis and management strategies arealso discussed, reviewing mainly our own case series.Recent progress in basic research regarding persimmonphytobezoars is also briefly reviewed.

  16. Review of the diagnosis and management of gastrointestinal bezoars.

    Science.gov (United States)

    Iwamuro, Masaya; Okada, Hiroyuki; Matsueda, Kazuhiro; Inaba, Tomoki; Kusumoto, Chiaki; Imagawa, Atsushi; Yamamoto, Kazuhide

    2015-04-16

    The formation of a bezoar is a relatively infrequent disorder that affects the gastrointestinal system. Bezoars are mainly classified into four types depending on the material constituting the indigestible mass of the bezoar: phytobezoars, trichobezoars, pharmacobezoars, and lactobezoars. Gastric bezoars often cause ulcerative lesions in the stomach and subsequent bleeding, whereas small intestinal bezoars present with small bowel obstruction and ileus. A number of articles have emphasized the usefulness of Coca-Cola(®) administration for the dissolution of phytobezoars. However, persimmon phytobezoars may be resistant to such dissolution treatment because of their harder consistency compared to other types of phytobezoars. Better understanding of the etiology and epidemiology of each type of bezoar will facilitate prompt diagnosis and management. Here we provide an overview of the prevalence, classification, predisposing factors, and manifestations of bezoars. Diagnosis and management strategies are also discussed, reviewing mainly our own case series. Recent progress in basic research regarding persimmon phytobezoars is also briefly reviewed.

  17. A review of sustainable facilities management knowledge and practice

    Directory of Open Access Journals (Sweden)

    Baaki Timothy Kurannen

    2016-01-01

    Full Text Available Sustainability is seen as a far-reaching issue now, and one which the facilities management [FM] profession cannot overlook. This paper explores current sustainable facilities management [SFM] knowledge and practice with specific focus on performance as part of a research focus toward proposing a sustainable FM performance management framework for sustainable healthcare waste management in Malaysia. This paper utilized a review of extant literature on the subject of SFM, FM performance and FM development in Malaysia as source of information. Findings reflect the increasing recognition of the need for the strategic FM function, and how facilities managers are best positioned to drive organizations’ sustainability agendas. In Malaysian context, this recognition is barely evident as findings show FM practice is still immature and predominantly operational. Unlike developed FM markets, FM relevance in Malaysia is being driven by the public sector. Also findings show a disharmony between organizations’ sustainability priority areas and the responsibilities for facilities managers to execute them where the sustainability policy of organizations prioritize one FM service and the facilities managers’ responsibilities prioritize another. As most of SFM implementation is driven by legislation this seems to strengthen the position that, organizations continue to view support services as non-value-adding, as unavoidable liabilities. The implication of this is the pressure on the FM function to continually express its strategic relevance to organizations by tangible value-adding performance output. This creates a new perspective to measuring and managing facilities performance. This paper therefore elevates the importance of FM performance management in SFM context taking into account the peculiar position of the facilities manager. This is seen as a way forward for FM to better express its value to the organization

  18. A Review of Deterministic Optimization Methods in Engineering and Management

    Directory of Open Access Journals (Sweden)

    Ming-Hua Lin

    2012-01-01

    Full Text Available With the increasing reliance on modeling optimization problems in practical applications, a number of theoretical and algorithmic contributions of optimization have been proposed. The approaches developed for treating optimization problems can be classified into deterministic and heuristic. This paper aims to introduce recent advances in deterministic methods for solving signomial programming problems and mixed-integer nonlinear programming problems. A number of important applications in engineering and management are also reviewed to reveal the usefulness of the optimization methods.

  19. Behavioral Therapies for Management of Premature Ejaculation: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Katy Cooper, PhD

    2015-09-01

    Conclusions: There is limited evidence that physical behavioral techniques for PE improve IELT and other outcomes over waitlist and that behavioral therapies combined with drug treatments give better outcomes than drug treatments alone. Further RCTs are required to assess psychotherapeutic approaches to PE. Cooper K, Martyn‐St James M, Kaltenthaler E, Dickinson K, Cantrell A, Wylie K, Frodsham L, and Hood C. Behavioral therapies for management of premature ejaculation: A systematic review. Sex Med 2015;3:174–188.

  20. Review of dynamic optimization methods in renewable natural resource management

    Science.gov (United States)

    Williams, B.K.

    1989-01-01

    In recent years, the applications of dynamic optimization procedures in natural resource management have proliferated. A systematic review of these applications is given in terms of a number of optimization methodologies and natural resource systems. The applicability of the methods to renewable natural resource systems are compared in terms of system complexity, system size, and precision of the optimal solutions. Recommendations are made concerning the appropriate methods for certain kinds of biological resource problems.

  1. Perioperative Management of Patients with Obstructive Sleep Apnoea - A Review

    Directory of Open Access Journals (Sweden)

    Fauzia A Khan

    2008-01-01

    The anaesthetic implications include the presence of comorbidities like cardiovascular, respiratory and cerebrovascular sequelae. Obesity is a commonly associated condition. Effects of sedatives, hypnotics and other anaesthetic drugs are of major concern and there are potential complications associated with the postoperative period. The purpose of this review is to update the readers on the recent literature available on the topic. The American Society of Anesthesiologists has recently suggested guidelines on the perioperative management of these patients.

  2. Ameloblastoma: a clinical review and trends in management.

    Science.gov (United States)

    McClary, Andrew C; West, Robert B; McClary, Ashley C; Pollack, Jonathan R; Fischbein, Nancy J; Holsinger, Christopher F; Sunwoo, John; Colevas, A Dimitrios; Sirjani, Davud

    2016-07-01

    Ameloblastoma is a rare odontogenic neoplasm of the mandible and maxilla, with multiple histologic variants, and high recurrence rates if improperly treated. The current mainstay of treatment is wide local excision with appropriate margins and immediate reconstruction. Here we review the ameloblastoma literature, using the available evidence to highlight the change in management over the past several decades. In addition, we explore the recent molecular characterization of these tumors which may point towards new potential avenues of personalized treatment.

  3. Hospital waste management in developing countries: A mini review.

    Science.gov (United States)

    Ali, Mustafa; Wang, Wenping; Chaudhry, Nawaz; Geng, Yong

    2017-06-01

    Health care activities can generate different kinds of hazardous wastes. Mismanagement of these wastes can result in environmental and occupational health risks. Developing countries are resource-constrained when it comes to safe management of hospital wastes. This study summarizes the main issues faced in hospital waste management in developing countries. A review of the existing literature suggests that regulations and legislations focusing on hospital waste management are recent accomplishments in many of these countries. Implementation of these rules varies from one hospital to another. Moreover, wide variations exist in waste generation rates within as well as across these countries. This is mainly attributable to a lack of an agreement on the definitions and the methodology among the researchers to measure such wastes. Furthermore, hospitals in these countries suffer from poor waste segregation, collection, storage, transportation and disposal practices, which can lead to occupational and environmental risks. Knowledge and awareness regarding proper waste management remain low in the absence of training for hospital staff. Moreover, hospital sanitary workers, and scavengers, operate without the provision of safety equipment or immunization. Unsegregated waste is illegally recycled, leading to further safety risks. Overall, hospital waste management in developing countries faces several challenges. Sustainable waste management practices can go a long way in reducing the harmful effects of hospital wastes.

  4. Clinical management of alcohol withdrawal: A systematic review

    Directory of Open Access Journals (Sweden)

    Shivanand Kattimani

    2013-01-01

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

  5. Key management issue in SCADA networks: A review

    Directory of Open Access Journals (Sweden)

    Abdalhossein Rezai

    2017-02-01

    Full Text Available Supervisory Control And Data Acquisition (SCADA networks have a vital role in Critical Infrastructures (CIs such as public transports, power generation systems, gas, water and oil industries, so that there are concerns on security issues in these networks. The utilized Remote Terminal Units (RTUs and Intelligence Electronic Devices (IEDs in these networks have resource limitations, which make security applications a challenging issue. Efficient key management schemes are required besides lightweight ciphers for securing the SCADA communications. Many key management schemes have been developed to address the tradeoff between SCADA constrain and security, but which scheme is the most effective is still debatable. This paper presents a review of the existing key management schemes in SCADA networks, which provides directions for further researches in this field.

  6. Critical Review On Management Information System And Accounting Information System

    Directory of Open Access Journals (Sweden)

    Galuh Tresna Murti

    2015-08-01

    Full Text Available This paper is aimed at investigating the correlation between management information system and accounting information system to gain better understanding of each system.After conducting reviews on available literatures it is concluded in this article that arguments among experts still clearly prevail about both system. Different arguments are not to be eliminated as each argument is supported by adequate literatures and difference in system is a common thing due to differences in experiences point of views and interests of the experts.This paper argues that since management information system is available in every part of an organization therefore accounting information system is the sub-system of management information system which main objective is to use organization information system effectively.

  7. Environmental review of options for managing radioactively contaminated carbon steel

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    The U.S. Department of Energy (DOE) is proposing to develop a strategy for the management of radioactively contaminated carbon steel (RCCS). Currently, most of this material either is placed in special containers and disposed of by shallow land burial in facilities designed for low-level radioactive waste (LLW) or is stored indefinitely pending sufficient funding to support alternative disposition. The growing amount of RCCS with which DOE will have to deal in the foreseeable future, coupled with the continued need to protect the human and natural environment, has led the Department to evaluate other approaches for managing this material. This environmental review (ER) describes the options that could be used for RCCS management and examines the potential environmental consequences of implementing each. Because much of the analysis underlying this document is available from previous studies, wherever possible the ER relies on incorporating the conclusions of those studies as summaries or by reference.

  8. Road map for pain management in pancreatic cancer: A review

    Institute of Scientific and Technical Information of China (English)

    Marie José Lahoud; Hampig Raphael Kourie; Joelle Antoun; Lana El Osta; Marwan Ghosn

    2016-01-01

    Beside its poor prognosis and its late diagnosis, pancreatic cancer remains one of the most painful malignancies. Optimal management of pain in this cancer represents a real challenge for the oncologist whose objective is to ensure a better quality of life to his patients. We aimed in this paper to review all the treatment modalities incriminated in the management of pain in pancreatic cancer going from painkillers, chemotherapy, radiation therapy and interventional techniques to agents under investigation and alternative medicine. Although specific guidelines and recommendations for pain management in pancreatic cancer are still absent, we present all the possible pain treatments, with a progression from medical multimodal treatment to radiotherapy and chemotherapy then interventional techniques in case of resistance. In addition, alternative methods such as acupuncture and hypnosis can be added at any stage and seems to contribute to pain relief.

  9. A SYSTEMATIC REVIEW OF UNCERTAINTIES IN SOFTWARE PROJECT MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Marcelo Marinho

    2014-12-01

    Full Text Available It is no secret that many projects fail, regardless of the business sector, software projects are notoriously disaster victims, not necessarily because of technological failure, but more often due to their uncertainties. The threats identified by uncertainty in day-to-day of a project are real and immediate and the stakes in a project are often high. This paper presents a systematic review about software project management uncertainties. It helps to identify the difficulties and the actions that can minimize the uncertainties effects in the projects and how managers and teams can prepare themselves for the challenges of their projects scenario, with the aim of contributing to the improvement of project management in organizations as well as contributing to project success

  10. Review on light management by nanostructures in chalcopyrite solar cells

    Science.gov (United States)

    Schmid, M.

    2017-04-01

    Light management has gained wide interest for various types of solar cells. This paper reviews the application of nanostructures for light management to chalcopyrite (CIGSe) type solar cells. Firstly, the relevance of light management for CIGSe solar cells will be introduced and concepts of nanostructures for absorption enhancement discussed. The development of ultra-thin CIGSe solar cells and examples for nanoparticle fabrication techniques together with their chances and challenges for application to CIGSe will be presented. Particular attention will be paid to nanostructures that have been applied to CIGSe solar cells, revealing many theoretical and some experimental results. Metallic and dielectric nanostructures as well as intrinsic nanotextures will be covered. For the future, combined considerations of optical and electrical properties will gain in importance.

  11. Multifaceted Impacts of Sustainable Land Management in Drylands: A Review

    Directory of Open Access Journals (Sweden)

    Maria Jose Marques

    2016-02-01

    Full Text Available Biophysical restoration or rehabilitation measures of land have demonstrated to be effective in many scientific projects and small-scale environmental experiments. However circumstances such as poverty, weak policies, or inefficient scientific knowledge transmission can hinder the effective upscaling of land restoration and the long term maintenance of proven sustainable use of soil and water. This may be especially worrisome in lands with harsh environmental conditions. This review covers recent efforts in landscape restoration and rehabilitation with a functional perspective aiming to simultaneously achieve ecosystem sustainability, economic efficiency, and social wellbeing. Water management and rehabilitation of ecosystem services in croplands, rangelands, forests, and coastlands are reviewed. The joint analysis of such diverse ecosystems provides a wide perspective to determine: (i multifaceted impacts on biophysical and socio-economic factors; and (ii elements influencing effective upscaling of sustainable land management practices. One conclusion can be highlighted: voluntary adoption is based on different pillars, i.e. external material and economic support, and spread of success information at the local scale to demonstrate the multidimensional benefits of sustainable land management. For the successful upscaling of land management, more attention must be paid to the social system from the first involvement stage, up to the long term maintenance.

  12. Nevada Risk Assessment/Management Program scientific peer review

    Energy Technology Data Exchange (ETDEWEB)

    Bentz, E.J. Jr.; Bentz, C.B.; O`Hora, T.D. [E.J. Bentz and Associates, Inc., Alexandria, VA (United States); Chen, S.Y. [Argonne National Lab., IL (United States). Environmental Assessment Div.

    1997-04-01

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

  13. Economic evaluation of enhanced asthma management: a systematic review

    Directory of Open Access Journals (Sweden)

    Yong YV

    2014-12-01

    Full Text Available Objectives: To evaluate and compare full economic evaluation studies on the cost-effectiveness of enhanced asthma management (either as an adjunct to usual care or alone vs. usual care alone. Methods: Online databases were searched for published journal articles in English language from year 1990 to 2012, using the search terms ‘“asthma” AND (“intervene” OR “manage” AND (“pharmacoeconomics” OR “economic evaluation” OR “cost effectiveness” OR “cost benefit” OR “cost utility”’. Hand search was done for local publishing. Only studies with full economic evaluation on enhanced management were included (cost consequences (CC, cost effectiveness (CE, cost benefit (CB, or cost utility (CU analysis. Data were extracted and assessed for the quality of its economic evaluation design and evidence sources. Results: A total of 49 studies were included. There were 3 types of intervention for enhanced asthma management: education, environmental control, and self-management. The most cost-effective enhanced management was a mixture of education and self-management by an integrated team of healthcare and allied healthcare professionals. In general, the studies had a fair quality of economic evaluation with a mean QHES score of 73.7 (SD=9.7, and had good quality of evidence sources. Conclusion: Despite the overall fair quality of economic evaluations but good quality of evidence sources for all data components, this review showed that the delivered enhanced asthma managements, whether as single or mixed modes, were overall effective and cost-reducing. Whilst the availability and accessibility are an equally important factor to consider, the sustainability of the cost-effective management has to be further investigated using a longer time horizon especially for chronic diseases such as asthma.

  14. 77 FR 11533 - Anniston PCB Superfund Site, Anniston, Calhoun County, Alabama; Notice of Amended Settlement

    Science.gov (United States)

    2012-02-27

    ... AGENCY Anniston PCB Superfund Site, Anniston, Calhoun County, Alabama; Notice of Amended Settlement... Agency has entered into a settlement for past response costs concerning the Anniston PCB Superfund Site... available from Ms. Paula V. Painter. Submit your comments by Site name Anniston PCB by one of the...

  15. 75 FR 81269 - Ward Transformer Superfund Site Raleigh, Wake County, NC; Notice of Settlements

    Science.gov (United States)

    2010-12-27

    ... AGENCY Ward Transformer Superfund Site Raleigh, Wake County, NC; Notice of Settlements AGENCY... Ward Transformer Superfund Site located in Raleigh, Wake County, North Carolina for publication. DATES... your comments, identified by Docket ID No. EPA-RO4- SFUND-2010-1053 or Site name Ward...

  16. 78 FR 14543 - Ward Transformer Superfund Site; Raleigh, Wake County, NC; Notice of Settlement

    Science.gov (United States)

    2013-03-06

    ... AGENCY Ward Transformer Superfund Site; Raleigh, Wake County, NC; Notice of Settlement AGENCY... Agency has entered into a settlement at the Ward Transformer Superfund Site located in Raleigh, Wake... EPA Region 4 contact Ms. Paula V. Painter. Submit your comments by Site name Ward...

  17. Neonatal Abstinence Syndrome Management: A Review of Recent Evidence.

    Science.gov (United States)

    Grossman, Matthew; Seashore, Carl; Holmes, Alison Volpe

    2017-08-16

    The evaluation and management of infants with neonatal abstinence syndrome (NAS), the constellation of opioid withdrawal specific to newborns, has received renewed attention over the past decade during a new epidemic of opioid use, misuse, abuse, and dependence. Infants with NAS often endure long and costly hospital stays. We aim to review recent literature on the management and outcomes of infants with, and at risk for, opioid withdrawal. We reviewed articles indexed in PubMed over the past 5 years that examined interventions and/or outcomes related to the management of infants with NAS. Thirty-seven studies were included in our review comprising 8 categories: 1) identification of infants at risk for NAS, 2) prenatal factors, 3) evaluation of signs and symptoms, 4) non-pharmacologic care, including rooming-in and breastfeeding, 5) standardization of traditional protocols, 6) pharmacologic management, 7) alternative treatment approaches, and 8) long-term outcomes. Non-pharmacologic interventions, standardization of traditional protocols, and alternative treatment approaches were all associated with improved outcomes. Lengths of stay were generally lowest in the studies of non-pharmacologic interventions. Patients exposed to buprenorphine in utero tended to have better short-term outcomes than those exposed to methadone. Longer-term outcomes for infants with NAS appear to be worse than those of control groups. The current epidemic necessitates both continued research, and the application of new evidence-based practices in the assessment and treatment of newborns exposed to opioids in utero. Projects focused on non-pharmacologic interventions appear to hold the most promise. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  18. Optimization Review, Fairfield Coal Gasification Plant Superfund Site, Fairfield, Iowa

    Science.gov (United States)

    The Fairfield Coal Gasification Plant (FCGP) also known as the Fairfield Former Manufactured Gas Plant (MGP) is located in the southwest 1/4 of the southeast 1/4, Section 26, Township 72 North, Range 10 West of Jefferson County, Iowa.

  19. Model predictive control power management strategies for HEVs: A review

    Science.gov (United States)

    Huang, Yanjun; Wang, Hong; Khajepour, Amir; He, Hongwen; Ji, Jie

    2017-02-01

    This paper presents a comprehensive review of power management strategy (PMS) utilized in hybrid electric vehicles (HEVs) with an emphasis on model predictive control (MPC) based strategies for the first time. Research on MPC-based power management systems for HEVs has intensified recently due to its many inherent merits. The categories of the existing PMSs are identified from the latest literature, and a brief study of each type is conducted. Then, the MPC approach is introduced and its advantages are discussed. Based on the acquisition method of driver behavior used for state prediction and the dynamic model used, the MPC is classified and elaborated. Factors that affect the performance of the MPC are put forward, including prediction accuracy, design parameters, and solvers. Finally, several important issues in the application of MPC-based power management strategies and latest developing trends are discussed. This paper not only provides a comprehensive analysis of MPC-based power management strategies for HEVs but also puts forward the future and emphasis of future study, which will promote the development of energy management controller with high performance and low cost for HEVs.

  20. Stress management in dental students: a systematic review

    Directory of Open Access Journals (Sweden)

    Alzahem AM

    2014-05-01

    Full Text Available Abdullah M Alzahem,1 Henk T Van der Molen,2 Arwa H Alaujan,3 Benjamin J De Boer4 1King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia; 2Institute of Psychology, Faculty of Social Sciences, Erasmus University, Rotterdam, the Netherlands; 3Dental Services, Central Region, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia; 4Clinical Psychology, Princess Nora University, Riyadh, Saudi Arabia Abstract: This study compared the effectiveness of stress management programs in dental education by systematic review of the literature. The number of studies concerning stress management programs for dental students is limited compared with studies discussing sources of stress. Several types of programs for stress management have been reported, and differ in their duration, content, and outcomes. Two main strategies have been used to help stressed students, ie, decreasing the number of stressors and increasing the ability to cope with stress. The first strategy includes several components, such as reducing fear of failure and workload pressure due to examinations and requirements. The second strategy includes coping techniques, such as deep breathing exercises. Although positive effects have been reported for most of the programs, these have mainly been evaluated using subjective self-report measures. There is a need for more research to identify the most effective stress management program. Keywords: students, dentistry, education, management, stress

  1. Facilities Management Practices in Malaysia: A Literature Review

    Directory of Open Access Journals (Sweden)

    Isa Nordiana Mohd

    2016-01-01

    Full Text Available Facilities management in Malaysia has been practiced for decades. The development of its formal practice parallels the improvement of the built environment in the nation. Involvement of the public and private sectors teaming up in arranging the National Asset and Facilities Management (NAFAM in demonstrates the vital collaboration in the facilities management area in Malaysia. Facilities management is seen distinctively as indicated by diverse geographical locations, interests and schools of thought. Facilities management is delegated a service-based industry which gives proficient counsel and administration of clients’ building facilities including residential, commercial, industrial, airports terminals and offices. The aim of this paper is to review the gaps that exist, especially on how FM is being practice in comparison with the published FM body of knowledge. Very relying upon literature, this paper discovered a gap that is an unclear description of current FM applications. This research aims to give new bits of knowledge to upgrade comprehension of FM execution in Malaysia.

  2. Residual limb volume change: Systematic review of measurement and management

    Directory of Open Access Journals (Sweden)

    Joan E. Sanders, PhD

    2011-10-01

    Full Text Available Management of residual limb volume affects decisions regarding timing of fit of the first prosthesis, when a new prosthetic socket is needed, design of a prosthetic socket, and prescription of accommodation strategies for daily volume fluctuations. This systematic review assesses what is known about measurement and management of residual limb volume change in persons with lower-limb amputation. Publications that met inclusion criteria were grouped into three categories: group I: descriptions of residual limb volume measurement techniques; group II: studies investigating the effect of residual limb volume change on clinical care in people with lower-limb amputation; and group III: studies of residual limb volume management techniques or descriptions of techniques for accommodating or controlling residual limb volume. We found that many techniques for the measurement of residual limb volume have been described but clinical use is limited largely because current techniques lack adequate resolution and in-socket measurement capability. Overall, limited evidence exists regarding the management of residual limb volume, and the evidence available focuses primarily on adults with transtibial amputation in the early postoperative phase. While we can draw some insights from the available research about residual limb volume measurement and management, further research is required.

  3. Review of Requirements Management Issues in Software Development

    Directory of Open Access Journals (Sweden)

    Muhammad Naeem Ahmed Khan

    2013-01-01

    Full Text Available A requirement is a capability to which a product or service should conform to. A meticulous consideration to requirements engineering acts as a backbone of software projects. Ambiguous and unrealistic requirements are major source of failure in the software-intensive systems. Requirements engineering processes are complex as most of the requirements engineering documentation is written in natural languages which are less formal and often distract the designers and developers. Requirements management is a continuous process throughout the project lifecycle and relates to documenting, analyzing, tracing and prioritizing requirements and then finally controlling changes. The main issues related to requirements management are usually social, political and cultural. Software requirement engineers who gather the requirements generally consider that such issues are beyond the scope of their profession as they deem them within the project management ambit. In this study, we highlight the management issues that arise in the requirements engineering process and explore the possibilities to tackle them amicably. The study is supplemented with a critical review of the existing methodologies for resolving and managing software requirements.

  4. ANSTO`s radioactive waste management policy. Preliminary environmental review

    Energy Technology Data Exchange (ETDEWEB)

    Levins, D.M.; Airey, P.; Breadner, B.; Bull, P.; Camilleri, A.; Dimitrovski, L.; Gorman, T.; Harries, J.; Innes, R.; Jarquin, E.; Jay, G.; Ridal, A.; Smith, A.

    1996-05-01

    For over forty years, radioactive wastes have been generated by ANSTO (and its predecessor, the AAEC) from the operation of nuclear facilities, the production of radioisotopes for medical and industrial use, and from various research activities. the quantities and activities of radioactive waste currently at Lucas Heights are very small compared to many other nuclear facilities overseas, especially those in countries with nuclear power program. Nevertheless, in the absence of a repository for nuclear wastes in Australia and guidelines for waste conditioning, the waste inventory has been growing steadily. This report reviews the status of radioactive waste management at ANSTO, including spent fuel management, treatment of effluents and environmental monitoring. It gives details of: relevant legislative, regulatory and related requirements; sources and types of radioactive waste generated at ANSTO; waste quantities and activities (both cumulative and annual arisings); existing practices and procedures for waste management and environmental monitoring; recommended broad strategies for dealing with radioactive waste management issues. Detailed proposals on how the recommendations should be implemented is the subject of a companion internal document, the Radioactive Waste Management Action Plan 1996-2000 which provides details of the tasks to be undertaken, milestones and resource requirements. 44 refs., 2 tabs., 18 figs.

  5. 5 CFR 10.3 - OPM authority to review personnel management programs and practices.

    Science.gov (United States)

    2010-01-01

    ... management programs and practices. 10.3 Section 10.3 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES AGENCY ACCOUNTABILITY SYSTEMS; OPM AUTHORITY TO REVIEW PERSONNEL MANAGEMENT PROGRAMS (RULE X) § 10.3 OPM authority to review personnel management programs and practices. The Office of...

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

    Directory of Open Access Journals (Sweden)

    Muhammad Saiful Ridhwan

    2014-02-01

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

  7. Monitoring Well Development Guidelines for Superfund Project Managers

    Science.gov (United States)

    This document provides well development guidelines and recommended additional sources of information. It was developed by the Supertund Ground Water Forum and draws upon U.S. Army Corps of Engineersand draft RCRA SW-846 field protocols. Comments..

  8. Remediation System Evaluation, McCormick and Baxter Superfund SiteRemediation System Evaluation, McCormick and Baxter Superfund Site

    Science.gov (United States)

    The McCormick and Baxter Creosoting Company, Portland Plant, Superfund Site is located adjacent tothe Willamette River in Portland, Oregon and addresses contamination of soil, groundwater, and riversediments stemming from creosoting operations...

  9. Digital asthma self-management interventions: a systematic review.

    Science.gov (United States)

    Morrison, Deborah; Wyke, Sally; Agur, Karolina; Cameron, Euan J; Docking, Robert I; Mackenzie, Alison M; McConnachie, Alex; Raghuvir, Vandana; Thomson, Neil C; Mair, Frances S

    2014-02-18

    Many people with asthma tolerate symptoms and lifestyle limitations unnecessarily by not utilizing proven therapies. Better support for self-management is known to improve asthma control, and increasingly the Internet and other digital media are being used to deliver that support. Our goal was to summarize current knowledge, evidenced through existing systematic reviews, of the effectiveness and implementation of digital self-management support for adults and children with asthma and to examine what features help or hinder the use of these programs. A comprehensive search strategy combined 3 facets of search terms: (1) online technology, (2) asthma, and (3) self-management/behavior change/patient experience. We undertook searches of 14 databases, and reference and citation searching. We included qualitative and quantitative systematic reviews about online or computerized interventions facilitating self-management. Title, abstract, full paper screening, and quality appraisal were performed by two researchers independently. Data extraction was undertaken using standardized forms. A total of 3810 unique papers were identified. Twenty-nine systematic reviews met inclusion criteria: the majority were from the United States (n=12), the rest from United Kingdom (n=6), Canada (n=3), Portugal (n=2), and Australia, France, Spain, Norway, Taiwan, and Greece (1 each). Only 10 systematic reviews fulfilled pre-determined quality standards, describing 19 clinical trials. Interventions were heterogeneous: duration of interventions ranging from single use, to 24-hour access for 12 months, and incorporating varying degrees of health professional involvement. Dropout rates ranged from 5-23%. Four RCTs were aimed at adults (overall range 3-65 years). Participants were inadequately described: socioeconomic status 0/19, ethnicity 6/19, and gender 15/19. No qualitative systematic reviews were included. Meta-analysis was not attempted due to heterogeneity and inadequate information

  10. Systematic review of guidelines for the physical management of osteoarthritis.

    Science.gov (United States)

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

    2014-02-01

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

  11. Product Cost Management Structures: a review and neural network modelling

    Directory of Open Access Journals (Sweden)

    P. Jha

    2003-11-01

    Full Text Available This paper reviews the growth of approaches in product costing and draws synergies with information management and resource planning systems, to investigate potential application of state of the art modelling techniques of neural networks. Increasing demands on costing systems to serve multiple decision-making objectives, have made it essential to use better techniques for analysis of available data. This need is highlighted in the paper. The approach of neural networks, which have several analogous facets to complement and aid the information demands of modern product costing, Enterprise Resource Planning (ERP structures and the dominant-computing environment (for information management in the object oriented paradigm form the domain for investigation. Simulated data is used in neural network applications across activities that consume resources and deliver products, to generate information for monitoring and control decisions. The results in application for feature extraction and variation detection and their implications are presented in the paper.

  12. A review of mechanochemistry applications in waste management.

    Science.gov (United States)

    Guo, Xiuying; Xiang, Dong; Duan, Guanghong; Mou, Peng

    2010-01-01

    Mechanochemistry is defined to describe the chemical and physicochemical transformation of substances during the aggregation caused by the mechanical energy. Mechanochemical technology has several advantages, such as simple process, ecological safety and the possibility of obtaining a product in the metastable state. It potentially has a prospective application in pollution remediation and waste management. Therefore, this paper aims to give an overall review of the mechanochemistry applications in waste management and the related mechanisms. Based on our study, the modification of fly ash and asbestos-containing wastes (ACWs) can be achieved by mechanochemical technology. Waste metal oxides can be transformed into easily recyclable sulfide by mechanochemical sulfidization. Besides, the waste plastics and rubbers, which are usually very difficult to be recycled, can also be recycled by mechanochemical technology.

  13. Management of Root Resorption Using Chemical Agents: A Review

    Science.gov (United States)

    Mohammadi, Zahed; C. Cehreli, Zafer; Shalavi, Sousan; Giardino, Luciano; Palazzi, Flavio; Asgary, Saeed

    2016-01-01

    Root resorption (RR) is defined as the loss of dental hard tissues because of clastic activity inside or outside of tooth the root. In the permanent dentition, RR is a pathologic event; if untreated, it might result in the premature loss of the affected tooth. Several hypotheses have been suggested as the mechanisms of root resorption such as absence of the remnants of Hertwig's epithelial root sheath (HERS) and the absence of some intrinsic factors in cementum and predentin such as amelogenin or osteoprotegerin (OPG). It seems that a barrier is formed by the less-calcified intermediate cementum or the cementodentin junction that prevents external RR. There are several chemical strategies to manage root resorption. The purpose of this paper was to review several chemical agents to manage RR such as tetracycline, sodium hypochlorite, acids (citric acid, phosphoric acid, ascorbic acid and hydrochloric acid), acetazolamide, calcitonin, alendronate, fluoride, Ledermix and Emdogain. PMID:26843869

  14. Teaching Pain Management to Student Nurses: A Literature Review

    Directory of Open Access Journals (Sweden)

    Ekatrina Wijayanti

    2014-04-01

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

  15. General review of tinnitus: prevalence, mechanisms, effects, and management.

    Science.gov (United States)

    Henry, James A; Dennis, Kyle C; Schechter, Martin A

    2005-10-01

    Tinnitus is an increasing health concern across all strata of the general population. Although an abundant amount of literature has addressed the many facets of tinnitus, wide-ranging differences in professional beliefs and attitudes persist concerning its clinical management. These differences are detrimental to tinnitus patients because the management they receive is based primarily on individual opinion (which can be biased) rather than on medical consensus. It is thus vitally important for the tinnitus professional community to work together to achieve consensus. To that end, this article provides a broad-based review of what is presently known about tinnitus, including prevalence, associated factors, theories of pathophysiology, psychological effects, effects on disability and handicap, workers' compensation issues, clinical assessment, and various forms of treatment. This summary of fundamental information has relevance to both clinical and research arenas.

  16. Towards an Ultimate Battery Thermal Management System: A Review

    Directory of Open Access Journals (Sweden)

    Mohammad Rezwan Khan

    2017-03-01

    Full Text Available The prevailing standards and scientific literature offer a wide range of options for the construction of a battery thermal management system (BTMS. The design of an innovative yet well-functioning BTMS requires strict supervision, quality audit and continuous improvement of the whole process. It must address all the current quality and safety (Q&S standards. In this review article, an effective battery thermal management is sought considering the existing battery Q&S standards and scientific literature. The article contains a broad overview of the current existing standards and literature on a generic compliant BTMS. The aim is to assist in the design of a novel compatible BTMS. Additionally, the article delivers a set of recommendations to make an effective BTMS.

  17. The management of the painful bipartite patella: a systematic review.

    Science.gov (United States)

    McMahon, Samuel E; LeRoux, Johannes A; Smith, Toby O; Hing, Caroline B

    2016-09-01

    This study aimed to identify the most effective method for the treatment of the symptomatic bipartite patella. A systematic review of the literature was completed, and all studies assessing the management of a bipartite patella were included. Owing to the paucity of randomised controlled trials, a narrative review of 22 studies was completed. A range of treatments were assessed: conservative measures, open and arthroscopic fixation or excision and soft tissue release and excision. All of the methods provided results ranging from good to excellent, with acceptable complication rates. This is a poorly answered treatment question. No firm guidance can be given as to the most appropriate method of treating the symptomatic bipartite patella. This study suggests that there are a number of effective treatments with acceptable complication rates and it may be that treatments that conserve the patella are more appropriate for larger fragments. IV.

  18. Sustainable supply chain management: Review and research opportunities

    Directory of Open Access Journals (Sweden)

    Sudheer Gupta

    2011-12-01

    Full Text Available Anthropogenic emissions likely pose serious threat to the stability of our environment; immediate actions are required to change the way the earth’s resources are consumed. Among the many approaches to mitigation of environmental deterioration being considered, the processes for designing, sourcing, producing and distributing products in global markets play a central role. Considerable research effort is being devoted to understanding how organisational initiatives and government policies can be structured to facilitate incorporation of sustainability into design and management of entire supply chain. In this paper, we review the current state of academic research in sustainable supply chain management, and provide a discussion of future direction and research opportunities in this field. We develop an integrative framework summarising the existing literature under four broad categories: (i strategic considerations; (ii decisions at functional interfaces; (iii regulation and government policies; and (iv integrative models and decision support tools. We aim to provide managers and industry practitioners with a nuanced understanding of issues and trade-offs involved in making decisions related to sustainable supply chain management. We conclude the paper by discussing environmental initiatives in India and the relevance of sustainability discussions in the context of the Indian economy.

  19. Caesarean scar pregnancy: a review of management options.

    Science.gov (United States)

    Litwicka, Katarzyna; Greco, Ermanno

    2013-12-01

    The current review aims to provide an overview of the already available and emerging treatment modalities for caesarean scar pregnancy (CSP). CSP is a type of ectopic gestation associated with a high risk of serious complications. The cause of this condition and the best management are still unclear. However, some medical and surgical treatment modalities have been suggested. The main objectives in the clinical management of CSP should be the prevention of massive blood loss and the conservation of the uterus to maintain further fertility, women's health and quality of life. Current data suggest that expectant management should not be recommended, whereas there are accumulating data suggesting that early diagnosis offers single or combined medical and surgical treatment options avoiding uterine rupture and haemorrhage, thus preserving the uterus and fertility. No universal treatment guidelines for management of CSP have been published up to now. The lack of data on the best evidence should encourage any individual case report and further multicentre studies for recommendation establishment.

  20. Uncertainty and risk in wildland fire management: a review.

    Science.gov (United States)

    Thompson, Matthew P; Calkin, Dave E

    2011-08-01

    Wildland fire management is subject to manifold sources of uncertainty. Beyond the unpredictability of wildfire behavior, uncertainty stems from inaccurate/missing data, limited resource value measures to guide prioritization across fires and resources at risk, and an incomplete scientific understanding of ecological response to fire, of fire behavior response to treatments, and of spatiotemporal dynamics involving disturbance regimes and climate change. This work attempts to systematically align sources of uncertainty with the most appropriate decision support methodologies, in order to facilitate cost-effective, risk-based wildfire planning efforts. We review the state of wildfire risk assessment and management, with a specific focus on uncertainties challenging implementation of integrated risk assessments that consider a suite of human and ecological values. Recent advances in wildfire simulation and geospatial mapping of highly valued resources have enabled robust risk-based analyses to inform planning across a variety of scales, although improvements are needed in fire behavior and ignition occurrence models. A key remaining challenge is a better characterization of non-market resources at risk, both in terms of their response to fire and how society values those resources. Our findings echo earlier literature identifying wildfire effects analysis and value uncertainty as the primary challenges to integrated wildfire risk assessment and wildfire management. We stress the importance of identifying and characterizing uncertainties in order to better quantify and manage them. Leveraging the most appropriate decision support tools can facilitate wildfire risk assessment and ideally improve decision-making.

  1. Traditional chinese medicine and temporomandibular disorders management: A literature review

    Directory of Open Access Journals (Sweden)

    Larry C.F. Li

    2012-01-01

    Conclusions: The most common TCM treatment modalities in treating TMDs include acupuncture,moxibustion with or without acupuncture and medicated compress. A review of these TCM treatment modalities showed that possible beneficialeffects existed in TMDs management. Acupuncture seems to be the most evidenced based treatment modality among the three and being investigated the most. However,due to a lack of evidence based studies, more scientific and rigorous randomised controlled clinical trials are needed to further evaluate TCM′s safety,efficacy and effectiveness.

  2. Management of uveal tract melanoma: A comprehensive review

    Directory of Open Access Journals (Sweden)

    Akhil Kapoor

    2016-06-01

    Full Text Available Uveal tract melanoma is the most common primary intraocular malignancy in adults, accounting for about 5–10% of all the melanomas. Since there are no lymphatic vessels in the eye, uveal melanoma can only spread hematogenously leading to liver metastasis. A wide variety of treatment modalities are available for its management, leading to dilemma in selecting the appropriate therapy. This article reviews the diagnostic and therapeutic modalities available and thus, can help to individualize the treatment plan for each patient.

  3. Can Systematic Reviews Inform GMO Risk Assessment and Risk Management?

    Science.gov (United States)

    Kohl, Christian; Frampton, Geoff; Sweet, Jeremy; Spök, Armin; Haddaway, Neal Robert; Wilhelm, Ralf; Unger, Stefan; Schiemann, Joachim

    2015-01-01

    Systematic reviews represent powerful tools to identify, collect, synthesize, and evaluate primary research data on specific research questions in a highly standardized and reproducible manner. They enable the defensible synthesis of outcomes by increasing precision and minimizing bias whilst ensuring transparency of the methods used. This makes them especially valuable to inform evidence-based risk analysis and decision making in various topics and research disciplines. Although seen as a “gold standard” for synthesizing primary research data, systematic reviews are not without limitations as they are often cost, labor and time intensive and the utility of synthesis outcomes depends upon the availability of sufficient and robust primary research data. In this paper, we (1) consider the added value systematic reviews could provide when synthesizing primary research data on genetically modified organisms (GMO) and (2) critically assess the adequacy and feasibility of systematic review for collating and analyzing data on potential impacts of GMOs in order to better inform specific steps within GMO risk assessment and risk management. The regulatory framework of the EU is used as an example, although the issues we discuss are likely to be more widely applicable. PMID:26322307

  4. Can systematic reviews inform GMO risk assessment and risk management?

    Directory of Open Access Journals (Sweden)

    Christian eKohl

    2015-08-01

    Full Text Available Systematic reviews represent powerful tools to identify, collect, synthesize and evaluate primary research data on specific research questions in a highly standardized and reproducible manner. They enable the defensible synthesis of outcomes by increasing precision and minimizing bias whilst ensuring transparency of the methods used. This makes them especially valuable to inform evidence-based risk analysis and decision making in various topics and research disciplines. Although seen as a gold standard for synthesizing primary research data, systematic reviews are not without limitations as they are often cost, labor and time intensive and the utility of synthesis outcomes depends upon the availability of sufficient and robust primary research data. In this paper we 1 consider the added value systematic reviews could provide when synthesizing primary research data on genetically modified organisms (GMO and 2 critically assess the adequacy and feasibility of systematic review for collating and analyzing data on potential impacts of GMOs in order to better inform specific steps within GMO risk assessment and risk management. The regulatory framework of the EU is used as an example, although the issues we discuss are likely to be more widely applicable.

  5. Traditional herbal medicine for weight management: A Review

    Directory of Open Access Journals (Sweden)

    E. Valizadeh

    2016-11-01

    Full Text Available The prevalence of obesity is increasing at an alarming rate in recent years. Many drugs for weight managing are available in the market; however their adverse effects and hazards have not been thoroughly evaluated, therefore herbal medicines are being proposed as an efficient, inexpensive and safe alternative. This review will address the current advances in using traditional herbal plants in obese and overweight humans and animals. Searching data bases were PubMed, Scopus, Google Scholar and Science direct, reported between 1990 and 2014. Articles were screened and selected by two researchers. Based on the available literature, abstract/full randomized clinical trials (RCTs, evidence studies, reviews, systematic reviews and books were surveyed. Studies with LI85008F, Itrifal Saghir, Hunteria umbellate, Morus alba, Melissa officinalis, and Artemisia capillarie, pomegranate leaf (PLE, NT (rhubarb, ginger, astragulus, red sage, and turmeric combined with gallic acid (GA, ephedrine, caffeine, salicin, Adlay seed crude extract (ACE, Bufo-tsusho-san (BF and Stimulant-free supplement (glucomannan, chitosan, fenugreek, Gymnema sylvestre, and vitamin C show significant decreases in body weight. Only, NT (rhubarb, ginger, astragulus, red sage, turmeric caused dose-limiting gastrointestinal toxicity. Additionally, Ma Huang and Guarana (ephedrine alkaloid and caffeine caused mouth dryness, insomnia and headache. No other significant adverse effects were reported in all 31 trials included in this article. This review highlights the need for higherquality randomized, controlled trials to confirm the results.

  6. Can Systematic Reviews Inform GMO Risk Assessment and Risk Management?

    Science.gov (United States)

    Kohl, Christian; Frampton, Geoff; Sweet, Jeremy; Spök, Armin; Haddaway, Neal Robert; Wilhelm, Ralf; Unger, Stefan; Schiemann, Joachim

    2015-01-01

    Systematic reviews represent powerful tools to identify, collect, synthesize, and evaluate primary research data on specific research questions in a highly standardized and reproducible manner. They enable the defensible synthesis of outcomes by increasing precision and minimizing bias whilst ensuring transparency of the methods used. This makes them especially valuable to inform evidence-based risk analysis and decision making in various topics and research disciplines. Although seen as a "gold standard" for synthesizing primary research data, systematic reviews are not without limitations as they are often cost, labor and time intensive and the utility of synthesis outcomes depends upon the availability of sufficient and robust primary research data. In this paper, we (1) consider the added value systematic reviews could provide when synthesizing primary research data on genetically modified organisms (GMO) and (2) critically assess the adequacy and feasibility of systematic review for collating and analyzing data on potential impacts of GMOs in order to better inform specific steps within GMO risk assessment and risk management. The regulatory framework of the EU is used as an example, although the issues we discuss are likely to be more widely applicable.

  7. Elements for Effective Management of Operating Pump and Treat Systems

    Science.gov (United States)

    This fact sheet summarizes key aspects of effective management for operating pump and treat (P&T) systems based on lessons learned from conducting optimization evaluations at 20 Superfund-financed P&T systems.

  8. TQM (Total Quality Management) SPARC (Special Process Action Review Committees) Handbook

    Science.gov (United States)

    1989-08-01

    improvement; Logistics information; Process analysis; Quality control; Quality assurance; Total Quality Management ; Statistical processes; Management Planning and control; Management training; Management information systems.... Quality Management (TQM). It includes concepts and definitions, checklists, sample formats, and assessment criteria. Keywords: Continuous process...This document describes the techniques used to support and guide the Special Process Action Review Committees for accomplishing their goals for Total

  9. Gaseous emissions from management of solid waste: a systematic review.

    Science.gov (United States)

    Pardo, Guillermo; Moral, Raúl; Aguilera, Eduardo; Del Prado, Agustín

    2015-03-01

    The establishment of sustainable soil waste management practices implies minimizing their environmental losses associated with climate change (greenhouse gases: GHGs) and ecosystems acidification (ammonia: NH3 ). Although a number of management strategies for solid waste management have been investigated to quantify nitrogen (N) and carbon (C) losses in relation to varied environmental and operational conditions, their overall effect is still uncertain. In this context, we have analyzed the current scientific information through a systematic review. We quantified the response of GHG emissions, NH3 emissions, and total N losses to different solid waste management strategies (conventional solid storage, turned composting, forced aerated composting, covering, compaction, addition/substitution of bulking agents and the use of additives). Our study is based on a meta-analysis of 50 research articles involving 304 observations. Our results indicated that improving the structure of the pile (waste or manure heap) via addition or substitution of certain bulking agents significantly reduced nitrous oxide (N2 O) and methane (CH4 ) emissions by 53% and 71%, respectively. Turned composting systems, unlike forced aerated composted systems, showed potential for reducing GHGs (N2 O: 50% and CH4 : 71%). Bulking agents and both composting systems involved a certain degree of pollution swapping as they significantly promoted NH3 emissions by 35%, 54%, and 121% for bulking agents, turned and forced aerated composting, respectively. Strategies based on the restriction of O2 supply, such as covering or compaction, did not show significant effects on reducing GHGs but substantially decreased NH3 emissions by 61% and 54% for covering and compaction, respectively. The use of specific additives significantly reduced NH3 losses by 69%. Our meta-analysis suggested that there is enough evidence to refine future Intergovernmental Panel on Climate Change (IPCC) methodologies from solid waste

  10. Assessment of Managed Aquifer Recharge through Modeling—A Review

    Directory of Open Access Journals (Sweden)

    Jana Ringleb

    2016-12-01

    Full Text Available Managed aquifer recharge (MAR is the purposeful recharge of an aquifer for later recovery or environmental benefits and represents a valuable method for sustainable water resources management. Models can be helpful tools for the assessment of MAR systems. This review encompasses a survey and an analysis of case studies which apply flow and transport models to evaluate MAR. The observed modeling objectives include the planning or optimization of MAR schemes as well as the identification and quantification of geochemical processes during injection, storage and recovery. The water recovery efficiency and the impact of the injected water on the ambient groundwater are further objectives investigated in the reviewed studies. These objectives are mainly solved by using groundwater flow models. Unsaturated flow models, solute transport models, reactive geochemical models as well as water balance models are also frequently applied and often coupled. As each planning step to setup a new MAR facility requires cost and time investment, modeling is used to minimize hazard risks and assess possible constraints of the system such as low recovery efficiency, clogging and geochemical processes.

  11. A review of current progress in acquired cholesteatoma management.

    Science.gov (United States)

    Kuo, Chin-Lung; Liao, Wen-Huei; Shiao, An-Suey

    2015-12-01

    The aim of this study was to review recent advances in the management of acquired cholesteatoma. All papers referring to acquired cholesteatoma management were identified in Medline via OVID (1948 to December 2013), PubMed (to December 2013), and Cochrane Library (to December 2013). A total of 86 papers were included in the review. Cholesteatoma surgery can be approached using either a canal wall up (CWU) or canal wall down (CWD) mastoidectomy with or without reconstruction of the middle ear cleft. In recent decades, a variety of surgical modifications have been developed including various "synthesis" techniques that combine the merits of CWU and CWD. The application of transcanal endoscopy has also recently gained popularity; however, difficulties associated with this approach remain, such as the need for one-handed surgery, the inability to provide continuous irrigation/suction, and limitations regarding endoscopic accessibility to the mastoid cavity. Additionally, several recent studies have reported successes in the application of laser-assisted cholesteatoma surgery, which overcomes the conflicting goals of eradicating disease and the preservation of hearing. Nevertheless, the risk of residual disease remains a challenge. Each of the techniques examined in this study presents pros and cons regarding final outcomes, such that any pronouncements regarding the superiority of one technique over another cannot yet be made. Flexibility in the selection of surgical methods according to the context of individual cases is essential in optimizing the outcomes.

  12. A review of web based interventions for managing tobacco use

    Directory of Open Access Journals (Sweden)

    Yatan Pal Singh Balhara

    2014-01-01

    Full Text Available Web based interventions (WBIs have been developed for various health conditions. These include interventions for various psychoactive substance use disorders including tobacco and alcohol. Tobacco use has remained the single largest preventable cause of global mortality and morbidity for many years. It is responsible for around 6 million deaths annually world-wide. Ironically, most of the tobacco users reside in resource poor low and middle-income countries. The article reviews the existing literature on WBIs for management of tobacco use. The literature search was performed using MedLine, PubMed, PsycINFO, Embase and Cochrane Review for relevant English language articles published from 1998 up to 2013. There is limited support for effectiveness of WBIs for managing tobacco use among adolescents. Although most of the trials among adults found WBIs to be more effective at short term follow-up (a few days to weeks, the benefits failed to extend beyond 3 months in most of the studies. All but one interventions studied in a randomized controlled trial is for smoking forms.

  13. Managing Anxiety Related to Anaphylaxis in Childhood: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Katharina Manassis

    2012-01-01

    Full Text Available Objectives. This paper reviews the relationship between anxiety and anaphylaxis in children and youth, and principles for managing anxiety in the anaphylactic child and his or her parents. Methods. A review of the medical literature (Medline was done using the keywords “anxiety,” “anaphylaxis,” and “allergy,” limited to children and adolescents. Findings were organized into categories used in the treatment of childhood anxiety disorders, then applied to managing anxiety in the anaphylactic child. Results. Twenty-four relevant papers were identified. These varied widely in methodology. Findings emphasized included the need to distinguish anxiety-related and organic symptoms, ameliorate the anxiety-related impact of anaphylaxis on quality of life, and address parental anxiety about the child. Conclusion. Children with anaphylaxis can function well despite anxiety, but the physical, cognitive, and behavioral aspects of anxiety associated with anaphylactic risk must be addressed, and parents must be involved in care in constructive ways.

  14. Internet delivered diabetes self-management education: a review.

    Science.gov (United States)

    Pereira, Katherine; Phillips, Beth; Johnson, Constance; Vorderstrasse, Allison

    2015-01-01

    Diabetes self-management education is a cornerstone of successful diabetes management. Various methods have been used to reach the increasing numbers of patients with diabetes, including Internet-based education. The purpose of this article is to review various delivery methods of Internet diabetes education that have been evaluated, as well as their effectiveness in improving diabetes-related outcomes. Literature was identified in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Medline, EBSCO, the Cochrane Library, and the Web of Science databases through searches using the following terms: "type 2 diabetes AND internet/web based AND education" and "type 2 diabetes AND diabetes self-management education (DSME) AND web-based/internet OR technology assisted education." The search was limited to English language articles published in the last 10 years. The search yielded 111 articles; of these, 14 met criteria for inclusion in this review. Nine studies were randomized controlled trials, and study lengths varied from 2 weeks to 24 months, for a total of 2,802 participants. DSME delivered via the Internet is effective at improving measures of glycemic control and diabetes knowledge compared with usual care. In addition, results demonstrate that improved eating habits and increased attendance at clinic appointments occur after the online DSME, although engagement and usage of Internet materials waned over time. Interventions that included an element of interaction with healthcare providers were seen as attractive to participants. Internet-delivered diabetes education has the added benefit of easier access for many individuals, and patients can self-pace themselves through materials. More research on the cost-benefits of Internet diabetes education and best methods to maintain patient engagement are needed, along with more studies assessing the long-term impact of Internet-delivered DSME.

  15. Pain management in Guillain-Barre syndrome: a systematic review.

    Science.gov (United States)

    Peña, L; Moreno, C B; Gutierrez-Alvarez, A M

    2015-09-01

    Pain is a common symptom in patients with Guillain-Barre syndrome. Intensity is moderate to severe in most cases and pain may persist after resolution of the disease. Identify the most appropriate analgesic therapy for pain management in patients with Guillain-Barre syndrome. Systematic review and selection of scientific articles on treatment of pain in Guillain-Barre syndrome patients, published between January 1985 and December 2012. We included only randomised, double-blind, controlled trials assessing the effectiveness of drugs for pain management in these patients. Four articles met the inclusion criteria. One evaluated the use of gabapentin, another evaluated carbamazepine, a third compared gabapentin to carbamazepine, and the last evaluated use of methylprednisolone. Both carbamazepine and gabapentin were useful for pain management. Patients experienced lower-intensity pain with gabapentin treatment in the study comparing that drug to carbamazepine. Methylprednisolone was not shown to be effective for reducing pain. The published data did not permit completion of a meta-analysis. There is no robust evidence at present that would point to a single treatment option for this disorder. Further clinical studies of larger patient samples and with a longer duration are needed to characterise types of pain for each patient and measure pain intensity in an objective way. Copyright © 2013 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.

  16. A Review : Benefits and Critical Factors of Customer Relationship Management

    Directory of Open Access Journals (Sweden)

    Vijay Pal Dhaka

    2014-07-01

    Full Text Available Customer Relationship Management (CRM is a technical jargon which is a blend of methodologies, software and internet, which are used by a company to achieve its goal through the identification and satisfaction of customer’s stated and unstated needs and wants. This software addresses customer life cycle management. This system manages company interactions with current and future customers. It involves technology to organize, automate and synchronize business processes. CRM application is an essential tool for a company to grow and help to increase the satisfaction of customers. There are many benefits of CRM; those make the market environment customer centric. In this paper, we reviewed previous studies and identify those benefits which affect customers and company both. But CRM has many problems also because of them CRM gets failure. Its failure rate is more than its success rate. We also elaborated its failure factors and along with them its critical success factors which help in making CRM a successful project for a company, however implementation of CRM is a complex task.

  17. 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.

  18. Short bowel syndrome: a review of management options.

    Science.gov (United States)

    Seetharam, Prasad; Rodrigues, Gabriel

    2011-01-01

    Extensive resection of the intestinal tract frequently results in inadequate digestion and/or absorption of nutrients, a condition known as short bowel syndrome (SBS). This challenging condition demands a dedicated multidisciplinary team effort to overcome the morbidity and mortality in these patients. With advances in critical care management, more and more patients survive the immediate morbidity of massive intestinal resection to present with SBS. Several therapies, including parenteral nutrition (PN), bowel rehabilitation and surgical procedures to reconstruct bowel have been used in these patients. Novel dietary approaches, pharmacotherapy and timely surgical interventions have all added to the improved outcome in these patients. However, these treatments only partially correct the underlying problem of reduced bowel function and have limited success resulting in 30% to 50% mortality rates. However, increasing experience and encouraging results of intestinal transplantation has added a new dimension to the management of SBS. Literature available on SBS is exhaustive but inconclusive. We conducted a review of scientific literature and electronic media with search terms 'short bowel syndrome, advances in SBS and SBS' and attempted to give a comprehensive account on this topic with emphasis on the recent advances in its management.

  19. Breast cancer pain management - A review of current & novel therapies

    Directory of Open Access Journals (Sweden)

    Aanchal Satija

    2014-01-01

    Full Text Available Breast cancer is one of the most prevalent cancers amongst women in the world. Unfortunately, even after adequate treatment, some patients experience severe pain either due to disease progression or due to treatment related side effects. The persistent pain causes a negative physical and psychosocial impact on patients′ lives. Current rational pain management is patient-centred and requires a thorough psychological assessment. Usually adequate analgesia is achieved by adopting the WHO′s three step analgesic ladder. As the disease progresses, the pain experienced by the patient also increases. This necessitates the administration of opioids and adjuvant analgesics to the breast cancer patients experiencing severe pain. However, opioid use is associated with intolerable side effects like constipation, nausea, vomiting, fear of dependence, and tolerance. Concomitant medications are required to combat these unacceptable side effects. Adjuvant analgesics need to be added to provide adequate and satisfactory analgesia. These factors worsen the psychological state of patients and deteriorate their quality of life. Hence, there is a need to develop therapeutic modalities to provide adequate analgesia with minimum side effects. This review article focuses on the current treatments available for cancer pain management, their limitations, and novel targets and non-pharmacological measures under investigation which have the potential to produce a radical change in pain management measures for the breast cancer patients.

  20. Clinical diagnosis and management in early Huntington's disease: a review

    Directory of Open Access Journals (Sweden)

    Schiefer J

    2015-03-01

    Full Text Available Johannes Schiefer,1,* Cornelius J Werner,1,* Kathrin Reetz1,2 1Euregional Huntington Center, 2Jülich Aachen Research Alliance (JARA – Translational Brain Medicine, Department of Neurology, RWTH Aachen University, Aachen, Germany *These authors contributed equally to this work Abstract: This review focuses on clinical diagnosis and both pharmacological and nonpharmacological therapeutic options in early stages of the autosomal dominant inherited neurodegenerative Huntington's disease (HD. The available literature has been reviewed for motor, cognitive, and psychiatric alterations, which are the three major symptom domains of this devastating progressive disease. From a clinical point of view, one has to be aware that the HD phenotype can vary highly across individuals and during the course of the disease. Also, symptoms in juvenile HD can differ substantially from those with adult-onset of HD. Although there is no cure of HD and management is limited, motor and psychiatric symptoms often respond to pharmacotherapy, and nonpharmacological approaches as well as supportive care are essential. International treatment recommendations based on study results, critical statements, and expert opinions have been included. This review is restricted to symptomatic and supportive approaches since all attempts to establish a cure for the disease or modifying therapies have failed so far. Keywords: Neurodegeneration, clinical picture, early symptoms, therapy, treatment

  1. 77 FR 24961 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2012-04-26

    ... Office of Management and Budget Review; Comment Request; Prescription Drug Product Labeling: Medication... Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995 (the PRA... INFORMATION CONTACT: Juanmanuel Vilela, Office of Information Management, Food and Drug Administration,...

  2. 76 FR 6621 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2011-02-07

    ... Office of Management and Budget Review; Comment Request; Guidance for Industry on Pharmacogenomic Data... Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995. DATES: Fax... collection of information to OMB for review and clearance. Guidance for Industry on Pharmacogenomic...

  3. Management of childhood fever by parents: literature review.

    Science.gov (United States)

    Walsh, Anne; Edwards, Helen

    2006-04-01

    This paper reports a review which draws together findings from studies targeting parents' temperature-taking, antipyretic administration, attitudes, practices and information-seeking behaviours. Parents' concerns about the harmful effects of fever have been reported for more than two decades. These concerns remain despite successful educational interventions. Medline, CINAHL, PsycINFO, PsycARTICLES and Web of Science databases were searched from 1980 to 2004 during November 2004. The search terms were fever, child, parent, education, knowledge, belief, concern, temperature, antipyretic and information, and combinations of these. In the 1980s, studies were mainly descriptive of small single site samples of parents with a febrile child seeking assistance from healthcare professionals. From 1990, sample sizes increased and multi-site studies were reported. Educational interventions were designed to increase knowledge and reduce unnecessary use of health services. One 2003 study targeted knowledge and attitudes. Parental knowledge about normal body temperature and the temperature that indicates fever is poor. Mild fever is misclassified by many as high, and they actively reduce mild fever with incorrect doses of antipyretics. Although some parents acknowledge the benefits of mild fever, concerns about brain damage, febrile convulsions and death from mild to moderate fever persist irrespective of parental education or socio-economic status. Many base their fever management practices on inaccurate temperature readings. Increased use of antipyretics to reduce fever and waking sleeping febrile children for antipyretics or sponging reflects heightened concern about harmful effects of fever. Educational interventions have reduced unnecessary use of healthcare services, improved knowledge about fever and when to implement management strategies, and reduced incorrect parental accuracy of antipyretic dosing. Information-seeking behaviours in fever management differ according to

  4. Research data management in academic institutions: A scoping review.

    Science.gov (United States)

    Perrier, Laure; Blondal, Erik; Ayala, A Patricia; Dearborn, Dylanne; Kenny, Tim; Lightfoot, David; Reka, Roger; Thuna, Mindy; Trimble, Leanne; MacDonald, Heather

    2017-01-01

    The purpose of this study is to describe the volume, topics, and methodological nature of the existing research literature on research data management in academic institutions. We conducted a scoping review by searching forty literature databases encompassing a broad range of disciplines from inception to April 2016. We included all study types and data extracted on study design, discipline, data collection tools, and phase of the research data lifecycle. We included 301 articles plus 10 companion reports after screening 13,002 titles and abstracts and 654 full-text articles. Most articles (85%) were published from 2010 onwards and conducted within the sciences (86%). More than three-quarters of the articles (78%) reported methods that included interviews, cross-sectional, or case studies. Most articles (68%) included the Giving Access to Data phase of the UK Data Archive Research Data Lifecycle that examines activities such as sharing data. When studies were grouped into five dominant groupings (Stakeholder, Data, Library, Tool/Device, and Publication), data quality emerged as an integral element. Most studies relied on self-reports (interviews, surveys) or accounts from an observer (case studies) and we found few studies that collected empirical evidence on activities amongst data producers, particularly those examining the impact of research data management interventions. As well, fewer studies examined research data management at the early phases of research projects. The quality of all research outputs needs attention, from the application of best practices in research data management studies, to data producers depositing data in repositories for long-term use.

  5. Research data management in academic institutions: A scoping review

    Science.gov (United States)

    Ayala, A. Patricia; Dearborn, Dylanne; Kenny, Tim; Lightfoot, David; Reka, Roger; Thuna, Mindy; Trimble, Leanne

    2017-01-01

    Objective The purpose of this study is to describe the volume, topics, and methodological nature of the existing research literature on research data management in academic institutions. Materials and methods We conducted a scoping review by searching forty literature databases encompassing a broad range of disciplines from inception to April 2016. We included all study types and data extracted on study design, discipline, data collection tools, and phase of the research data lifecycle. Results We included 301 articles plus 10 companion reports after screening 13,002 titles and abstracts and 654 full-text articles. Most articles (85%) were published from 2010 onwards and conducted within the sciences (86%). More than three-quarters of the articles (78%) reported methods that included interviews, cross-sectional, or case studies. Most articles (68%) included the Giving Access to Data phase of the UK Data Archive Research Data Lifecycle that examines activities such as sharing data. When studies were grouped into five dominant groupings (Stakeholder, Data, Library, Tool/Device, and Publication), data quality emerged as an integral element. Conclusion Most studies relied on self-reports (interviews, surveys) or accounts from an observer (case studies) and we found few studies that collected empirical evidence on activities amongst data producers, particularly those examining the impact of research data management interventions. As well, fewer studies examined research data management at the early phases of research projects. The quality of all research outputs needs attention, from the application of best practices in research data management studies, to data producers depositing data in repositories for long-term use. PMID:28542450

  6. Mobile Apps for Weight Management: A Scoping Review.

    Science.gov (United States)

    Rivera, Jordan; McPherson, Amy; Hamilton, Jill; Birken, Catherine; Coons, Michael; Iyer, Sindoora; Agarwal, Arnav; Lalloo, Chitra; Stinson, Jennifer

    2016-07-26

    Obesity remains a major public health concern. Mobile apps for weight loss/management are found to be effective for improving health outcomes in adults and adolescents, and are pursued as a cost-effective and scalable intervention for combating overweight and obesity. In recent years, the commercial market for 'weight loss apps' has expanded at rapid pace, yet little is known regarding the evidence-based quality of these tools for weight control. To characterize the inclusion of evidence-based strategies, health care expert involvement, and scientific evaluation of commercial mobile apps for weight loss/management. An electronic search was conducted between July 2014 and July 2015 of the official app stores for four major mobile operating systems. Three raters independently identified apps with a stated goal of weight loss/management, as well as weight loss/management apps targeted to pediatric users. All discrepancies regarding selection were resolved through discussion with a fourth rater. Metadata from all included apps were abstracted into a standard assessment criteria form and the evidence-based strategies, health care expert involvement, and scientific evaluation of included apps was assessed. Evidence-based strategies included: self-monitoring, goal-setting, physical activity support, healthy eating support, weight and/or health assessment, personalized feedback, motivational strategies, and social support. A total of 393 apps were included in this review. Self-monitoring was most common (139/393, 35.3%), followed by physical activity support (108/393, 27.5%), weight assessment (100/393, 25.4%), healthy eating support (91/393, 23.2%), goal-setting (84/393, 21.4%), motivational strategies (28/393, 7.1%), social support (21/393, 5.3%), and personalized feedback (7/393, 1.8%). Of apps, 0.8% (3/393) underwent scientific evaluation and 0.3% (1/393) reported health care expert involvement. No apps were comprehensive in the assessment criteria, with the majority

  7. Impact on diabetes management of General Practice Management Plans, Team Care Arrangements and reviews.

    Science.gov (United States)

    Wickramasinghe, Leelani K; Schattner, Peter; Hibbert, Marienne E; Enticott, Joanne C; Georgeff, Michael P; Russell, Grant M

    2013-08-19

    To investigate whether General Practice Management Plans (GPMPs), Team Care Arrangements (TCAs) and reviews of these improve the management and outcomes of patients with diabetes when supported by cdmNet, a web-based chronic disease management system; and to investigate adherence to the annual cycle of care (ACOC), as recommended in diabetes guidelines. A before-and-after study to analyse prospectively collected data on 577 patients with type 1 or 2 diabetes mellitus who were managed with a GPMP created using cdmNet between June 2008 and November 2012. Completion of the clinical tests in the ACOC (process outcome) and values of six of these clinical measurements (clinical outcomes). Significant improvements were seen after creation of a GPMP in the proportion of ACOC clinical tests completed (57.9% v 74.8%, P < 0.001), total cholesterol level (P < 0.01), low-density lipoprotein (LDL) cholesterol level (P < 0.001) and body mass index (BMI) (P < 0.01). Patients using GPMPs and TCAs also improved their glycated haemoglobin (HbA1c) level (P < 0.05). Patients followed up with irregular reviews had significant improvements in the proportion of ACOC clinical tests completed (59.2% v 77.6%, P < 0.001), total cholesterol level (P < 0.05), and BMI (P < 0.01), but patients with regular reviews had greater improvements in the proportion of ACOC clinical tests completed (58.9% v 85.0%, P < 0.001), HbA(1c) level (57.7 v 53.0 mmol/mol, P < 0.05), total cholesterol level (4.8 v 4.5 mmol/L, P < 0.05), LDL cholesterol level (2.8 v 2.4 mmol/L, P < 0.01) and diastolic blood pressure (76.0 v 74.0 mmHg, P < 0.05). There were significant improvements in process and clinical outcomes for patients on a GPMP or a GPMP and TCA, particularly when these were followed up by regular reviews. Patients using cdmNet were four times more likely to have their GPMP or TCA followed up through regular reviews than the national average.

  8. Reviewing CSR management and marketing communication research: A discourse approach

    DEFF Research Database (Denmark)

    Nielsen, Anne Ellerup; Thomsen, Christa

    context (Matten & Moon 2008). Many corporations today are concerned with gaining legitimacy through integrating the expectations of their stakeholders (employees, customers, NGOs, activists, government institutions, institutions of international governance) in the overall company strategy. This also...... of institutions’ pressure on companies to adopt similar practices in a given societal context (DiMaggio & Powel 1983). Considering CSR communication under the lens of insitutional theory opens for understanding the diversity and dynamics of CSR (Brammer et al. 2012).Moreover, the institutionalizing processes...... for CSR researchers and practitioners and to examine the underlying institutional context of CSR communication to explain this. The data for study are based on international peer-reviewed articles on CSR management and marketing communication research papers published during the last 10 years and drawn...

  9. Current management of bronchiectasis: review and 3 case studies.

    Science.gov (United States)

    Silverman, Enid; Ebright, Linda; Kwiatkowski, Marianne; Cullina, Joanne

    2003-01-01

    Bronchiectasis is the abnormal, irreversible dilatation of diseased bronchi. Permanently dilated airways, usually in the medium-sized bronchi, are inflamed and often obstructed with thick, purulent secretions. Known causative factors include postinfection bronchial damage, postinhalation injury, hypersensitivity reactions, and congenital airway obstructive disorders. Typical symptoms include sputum overproduction, fever, pleurisy, dyspnea, and chronic cough. Diagnosis involves radiographic studies and pulmonary function testing. Treatment includes oral, aerosolized, or intravenous antibiotic therapy according to the severity of the exacerbation, and mucus clearance by means of bronchial hygiene assistive devices, chest physiotherapy, postural drainage, and high-frequency chest compression. We present a review of bronchiectasis and offer 3 case studies illustrating current management of different presentations, including use of aerosolized antibiotics for patients infected with Pseudomonas aeruginosa. Although an adjunctive program of pulmonary rehabilitation may be useful for patients with bronchiectasis, no confirming studies have been performed to date, and additional research in this area is warranted.

  10. Management of inappropriate sexual behaviors in dementia: a literature review.

    Science.gov (United States)

    Tucker, Inese

    2010-08-01

    This paper reviews published literature on the pharmacological and non-pharmacological treatment of inappropriate sexual behavior in dementia. A literature search of Psychinfo and Cochrane databases was performed and data from case reports and case series were analyzed. No randomized controlled trials exist for any treatment of sexual disinhibition in dementia and there are no trials comparing different pharmacological agents. Case reports and case series report a wide range of pharmacotherapies as efficacious in the treatment of inappropriate sexual behaviors in dementia. There is only one case report of non-pharmacological strategies to manage inappropriate sexual behavior. Inappropriate sexual behaviors in dementia can be difficult to treat. Frequently, multiple psychoactive medications are used and many pharmacotherapies are trialed prior to finding an effective agent. More research is needed to clarify the usefulness of these medications and to identify non-pharmacological strategies to prevent unnecessary use of medications.

  11. An Insight into Sweet Potato Weevils Management: A Review

    Directory of Open Access Journals (Sweden)

    Seow-Mun Hue

    2015-01-01

    Full Text Available Sweet potato is an important food crop that is grown widely in tropical and subtropical regions. Sweet potato weevil is the most disastrous pest affecting sweet potato plantations, causing millions of dollars losses annually. An effective integrated pest management (IPM method will help to prevent economic losses, and it is crucial to understand the factors that contribute to weevil infestation and strategies that are available to overcome them. This review summarizes the (1 mechanisms of action of weevil on sweet potato and (2 contributing factors in weevil infestation, followed by (3 discussion on current IPM practices used in the different regions, including intercropping, entomopathogenic fungi and bacteria, sex pheromones, and pesticides. Lastly, it also focuses on (4 applications of advanced biotechnology and genomics strategies towards reducing weevil’s infestation in sweet potato plantation.

  12. Management and Complications of Short Bowel Syndrome: an Updated Review.

    Science.gov (United States)

    Carroll, Robert E; Benedetti, Enrico; Schowalter, Joseph P; Buchman, Alan L

    2016-07-01

    Short bowel syndrome (SBS) is defined as loss of bowel mass from surgical resection, congenital defects, or disease. Intestinal failure (IF) includes the subset of SBS unable to meet nutrition needs with enteral supplements and requires parenteral nutrition (PN). The parenteral treatment of SBS is now a half-century old. Recent pharmacologic treatment (GLP-2 analogues) has begun to make a significant impact in the care and ultimate management of these patients such that the possibility of reducing PN requirements in formerly PN-dependent patients is a now a real possibility. Finally, newer understanding and possible treatment for some of the complications related to IF have more recently evolved and will be an emphasis of this report. This review will focus on developments over the last 10 years with the goal of updating the reader to new advances in our understanding of the care and feeding of the SBS patient.

  13. Review and management of 46,XY disorders of sex development.

    Science.gov (United States)

    Massanyi, Eric Z; Dicarlo, Heather N; Migeon, Claude J; Gearhart, John P

    2013-06-01

    Disorders of sex development (DSD) among 46,XY individuals are rare and challenging conditions. Abnormalities of karyotype, gonadal formation, androgen synthesis, and androgen action are responsible for the multiple disorders that result in undervirilization during development. Phenotypic appearance and timing of presentation are quite variable. The focus of treatment has shifted from early gender assignment and corrective surgery to careful diagnosis, proper education of patients and their families, and individualized treatment by a multi-disciplinary team. The modern management of these patients is difficult and controversial. Conflicting data on long-term outcomes of these individuals have been reported in the literature. The various etiologies of 46,XY DSD, current approaches to diagnosis and treatment, and reported long-term results are reviewed.

  14. Exercise induced laryngeal obstruction: a review of diagnosis and management.

    Science.gov (United States)

    Liyanagedara, Savinda; McLeod, Robert; Elhassan, Hassan A

    2017-04-01

    Exercise induced laryngeal obstruction (EILO) is a condition where inappropriate vocal cord or glottic closure occurs during exercise. This review of the literature provides an overview of the current understanding of the definition, epidemiology, diagnosis and management of EILO. Using The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines the Cochrane, Embase, Ovid MEDLINE and PubMed databases were searched. Four search domains "exercise", "induced", "laryngeal" and "obstruction" were used. Primary searching found 469 records, 308 were excluded following screening of titles and citation. 100 were duplicates, a further 47 studies were excluded after applying inclusion and exclusion criteria. Two studies were identified following cross-referencing. A total of 15 studies were included. The last search date was 6/06/15. Average prevalence in the general adolescent population and athletes was 7.1 and 35.2 %, respectively. Dyspnoea was reported in 96.5, 99 and 100 % of three EILO patient cohorts. Two studies (n = 107) reported continuous laryngoscopy during exercise (CLE) testing could differentiate between patients and controls. In two studies (n = 33) the visual analogue scale (VAS) showed a beneficial effect of endoscopic supraglottoplasty (ES). Thirty-eight out of 43 patients who received two or more laryngeal control therapy sessions (LCT) had improvement or resolution of EILO symptoms. Exercise induced dyspnoea is the most common EILO symptom. EILO has a high occurrence in adolescents and athletes. The CLE test is the current gold standard for EILO diagnostics. Management of EILO includes both surgical and non-surgical interventions.

  15. Diagnosis and management of chronic pruritus: An expert consensus review

    Directory of Open Access Journals (Sweden)

    Murlidhar Rajagopalan

    2017-01-01

    Full Text Available The aim of this study is to formulate the best clinical practice in the diagnosis and management of chronic pruritus (CP. We searched PubMed, EMBASE, Scopus, Web of Science, and the WHO's regional databases, for studies on “Diagnosis and management of chronic pruritus” from January 1, 2014, to July 31, 2015. We included programmatic reports and hand-searched references of published reviews and articles. Two independent reviewers screened articles and extracted data. We screened 87 of 95 studies that contained qualitative data. Avoid: Dry climate, heat, alcohol compress, ice packs, frequent bathing and washing, intake of very hot and spicy food, intake of alcohol, contact with irritant substances, excitement, strain and stress, and allergens. Using: Mild nonalkaline soaps, moisturizers, bathing oils, lukewarm water while bathing, soft cotton clothing and night creams/lotions, relaxation therapy, autogenic training, psychosocial education, educating patients to cope with itching and scratching, and educational programs. Especially use of moisturizers is considered important. In addition, symptomatic treatment options include systemic H1 antihistamines and topical corticosteroids. Symptomatic therapy directed toward the cause (hepatic, renal, atopic, polycythemia, etc.. If refractory or cause is unknown, consider capsaicin, calcineurin inhibitors for localized pruritus and naltrexone, pregabalin, ultraviolet therapy, Cyclosporine for generalized itching. CP is quite frequent finding associated with skin and systemic diseases in the overall population. It is known to significantly affect quality life score of an individual and also adds burden on the health-care cost. A specific recommendation for treatment of CP is difficult as a result of varied and diverse possibility of underlying diseases associated with CP.

  16. A review of community management of paediatric burns.

    Science.gov (United States)

    Cox, S G; Martinez, R; Glick, A; Numanoglu, A; Rode, H

    2015-12-01

    This study was a component of a broader review to evaluate burn care in South Africa. A prospective audit of 353 children with thermal injuries admitted to the Red Cross War Memorial Children's Hospital in Cape Town was performed during 2012/2013. The audit was based to assess the adherence of initial burn management to the provincial policy guidelines on the clinical management of the burn wound. The community management of each patient prior to admission to a burns centre was assessed for the following: basic demographics, emergency home management, wound cover, analgesia and transport to medical facilities. Their ages ranged from 1 month to 14 years. The average total body surface area [TBSA] was 15% [1-86%]. Most of the injuries were due to hot water accidents [78.5%] followed by flame burns (9%), direct contact and electricity burns. Two hundred and twenty five children [63%] received first aid measures at home, including cooling with water [166] ice [30] and a cooling agent. No cooling was instituted in 130 and 65% of the patient's wounds were cooled for 10 min or less. Eighty percent proceeded to the referral centre or burns unit without their wounds being covered; with only 19 patients having any medical type of dressing available at home. Two hundred and ninety five children [83.6%] received pain medication prior to admission at the burns unit. Of the 316 patients not directly attending the burns unit, 137 received i.v. fluids of which 95 had burns greater than 10% TBSA. None of the patients were in shock on admission and all i.v. lines were functioning. Forty-four children with burns greater than 10% did not receive i.v. fluids. The audit identified six factors that were inadequately addressed during the pre-admission period: first aid, cooling of the wound, early covering of the wound, resuscitation, pain management and transfer. If these could be readdressed, basic burn care would be substantially improved in the study area.

  17. 77 FR 43355 - Agency Information Collection Activities: Submitted for Office of Management and Budget Review...

    Science.gov (United States)

    2012-07-24

    ... Office of Natural Resources Revenue Agency Information Collection Activities: Submitted for Office of Management and Budget Review, Comment Request AGENCY: Office of Natural Resources Revenue, Interior. ACTION... information from Indian beneficiaries. ONRR performs the minerals revenue management functions for...

  18. Gouty Arthritis: A Review of Acute Management and Prevention.

    Science.gov (United States)

    Wilson, Liza; Saseen, Joseph J

    2016-08-01

    Gouty arthritis is one of the most common rheumatic diseases. The clinical burden of gouty arthritis has historically been well recognized; however, gout is often misdiagnosed and mismanaged. The prevalence of gout is rising and is likely attributed to several factors including increased incidence of comorbidities, lifestyle factors, and increased use of causative medications. With the increasing prevalence, there have been several innovations and evidence-based updates related to the diagnosis and management of gout. Acute gouty arthritis should be treated with nonsteroidal antiinflammatory drugs (NSAIDs), colchicine, or corticosteroids, or a combination of two agents. Xanthine oxidase inhibitor therapy remains the consensus first-line treatment option for the prevention of recurrent gout. Add-on therapies that reduce serum urate concentration include traditional uricosuric agents and a novel uric acid reabsorption inhibitor. Prophylaxis of acute gout with NSAIDs, colchicine, or corticosteroids is universally recommended when initiating any urate-lowering therapy in order to prevent acute gouty arthritis for a period of at least 6 months. In this review, we discuss the epidemiology and risk factors for gouty arthritis and evaluate diagnostic strategies and therapeutic regimens for the management of gout, including a new drug approval.

  19. Review: Optimization methods for groundwater modeling and management

    Science.gov (United States)

    Yeh, William W.-G.

    2015-09-01

    Optimization methods have been used in groundwater modeling as well as for the planning and management of groundwater systems. This paper reviews and evaluates the various optimization methods that have been used for solving the inverse problem of parameter identification (estimation), experimental design, and groundwater planning and management. Various model selection criteria are discussed, as well as criteria used for model discrimination. The inverse problem of parameter identification concerns the optimal determination of model parameters using water-level observations. In general, the optimal experimental design seeks to find sampling strategies for the purpose of estimating the unknown model parameters. A typical objective of optimal conjunctive-use planning of surface water and groundwater is to minimize the operational costs of meeting water demand. The optimization methods include mathematical programming techniques such as linear programming, quadratic programming, dynamic programming, stochastic programming, nonlinear programming, and the global search algorithms such as genetic algorithms, simulated annealing, and tabu search. Emphasis is placed on groundwater flow problems as opposed to contaminant transport problems. A typical two-dimensional groundwater flow problem is used to explain the basic formulations and algorithms that have been used to solve the formulated optimization problems.

  20. Permeable pavement and stormwater management systems: a review.

    Science.gov (United States)

    Imran, H M; Akib, Shatirah; Karim, Mohamed Rehan

    2013-01-01

    Uncontrolled stormwater runoff not only creates drainage problems and flash floods but also presents a considerable threat to water quality and the environment. These problems can, to a large extent, be reduced by a type of stormwater management approach employing permeable pavement systems (PPS) in urban, industrial and commercial areas, where frequent problems are caused by intense undrained stormwater. PPS could be an efficient solution for sustainable drainage systems, and control water security as well as renewable energy in certain cases. Considerable research has been conducted on the function of PPS and their improvement to ensure sustainable drainage systems and water quality. This paper presents a review of the use of permeable pavement for different purposes. The paper focuses on drainage systems and stormwater runoff quality from roads, driveways, rooftops and parking lots. PPS are very effective for stormwater management and water reuse. Moreover, geotextiles provide additional facilities to reduce the pollutants from infiltrate runoff into the ground, creating a suitable environment for the biodegradation process. Furthermore, recently, ground source heat pumps and PPS have been found to be an excellent combination for sustainable renewable energy. In addition, this study has identified several gaps in the present state of knowledge on PPS and indicates some research needs for future consideration.

  1. Automated negotiation in environmental resource management: Review and assessment.

    Science.gov (United States)

    Eshragh, Faezeh; Pooyandeh, Majeed; Marceau, Danielle J

    2015-10-01

    Negotiation is an integral part of our daily life and plays an important role in resolving conflicts and facilitating human interactions. Automated negotiation, which aims at capturing the human negotiation process using artificial intelligence and machine learning techniques, is well-established in e-commerce, but its application in environmental resource management remains limited. This is due to the inherent uncertainties and complexity of environmental issues, along with the diversity of stakeholders' perspectives when dealing with these issues. The objective of this paper is to describe the main components of automated negotiation, review and compare machine learning techniques in automated negotiation, and provide a guideline for the selection of suitable methods in the particular context of stakeholders' negotiation over environmental resource issues. We advocate that automated negotiation can facilitate the involvement of stakeholders in the exploration of a plurality of solutions in order to reach a mutually satisfying agreement and contribute to informed decisions in environmental management along with the need for further studies to consolidate the potential of this modeling approach.

  2. Homoeopathy in the management of Dyslipidemia: A short review

    Directory of Open Access Journals (Sweden)

    Rupali D Bhalerao

    2015-01-01

    Full Text Available The importance of high serum total cholesterol and high level of low-density lipoprotein cholesterol, as a risk factor for coronary artery diseases is well established. Statin is the first-line of treatment for dyslipidemia and there are known side effects of statin therapy. This study reviews the existing information available in Homoeopathy (research and traditional knowledge for managing dyslipidemia. No rigid inclusion has been kept due to scarcity of evidence-based literature. Preclinical and clinical studies (case records to controlled trials are included. A comprehensive search from major biomedical databases including National Medical Library (PubMed, AYUSH PORTAL, EMBASE, and the Cochrane Library was conducted using the search term “dyslipidemia,” “atherosclerosis,” “arteriosclerosis,” “atheroma” along with “Homoeopathy.” In addition, efforts were made to search authoritative texts of authors, such homoeopathic Materia Medica, repertory, etc. Relevant research was categorized by study type and appraised according to study type and design. Four preclinical, three observational studies, and two case records were identified. From literary search, medicines commonly used in Materia Medica and drugs of Indian origin were noted. There are positive leads in managing patients suffering from dyslipidemia. However, more well-designed studies are warranted to generate effectiveness/efficacy of Homoeopathy.

  3. Knowledge management practices in healthcare settings: a systematic review.

    Science.gov (United States)

    Karamitri, Ioanna; Talias, Michael A; Bellali, Thalia

    2017-01-01

    Knowledge is an intangible asset in Organizations, and provides a comparative advantage to those who possess it. Hospitals are complex organizations with unique characteristics because of the heterogeneity of health professionals' orientation, the composite networking and the decision-making processes. A deeper understanding of knowledge management (KM) could streamline productivity and coordinate the use of resources more efficient. We conducted a systematic literature search of peer-reviewed papers that described key elements of KM using three databases (Medline, Cinahl and Health Source: nursing/academic edition) for a 10-year period (1/1/2004-25/11/2014). The included articles were subjected to qualitative content analysis. We retrieved 604 articles of which 20 articles were eligible for analysis. Most of the studies (n=13) used a qualitative methodology. The total sample size was 2155 participants. The key elements that arose were as follows: perceptions of KM, synthesis, dissemination, collaboration, means of KM and leadership. Moreover, this study identified barriers for KM implementation, like time restrictions and limited skills. Healthcare managers ought to cultivate a knowledge environment, operate as role models, provide the tools for KM and reward people who act as knowledge brokers. Opportunities for collaboration and knowledge sharing should be encouraged. Successful KM should be patient-centered to gain its maximum value. Copyright © 2015 John Wiley & Sons, Ltd.

  4. Best herbs for managing diabetes: a review of clinical studies

    Directory of Open Access Journals (Sweden)

    Ahmad Ghorbani

    2013-09-01

    Full Text Available Diabetes mellitus is a public health problem which leads to serious complications over time. Experimentally, many herbs have been recommended for treating diabetes. In most cases, however, the recommendations are based on animal studies and limited pieces of evidence exist about their clinical usefulness. This review focused on the herbs, the hypoglycemic actions of which have been supported by three or more clinical studies. The search was done in Google Scholar, Medline and Science Direct databases using the key terms diabetes, plants, herbs, glucose and patients. According to the clinical studies, Aegle marmelos, Allium cepa, Gymnema sylvestre, Momordica charantia, Ocimum sanctum, Nigella sativa, Ocimum sanctum, Panax quinquefolius, Salacia reticulate, Silybum marianum and Trigonella foenum-graecum have shown hypoglycemic and, in some cases, hypolipidemic activities in diabetic patients. Among them, Gymnema sylvestre, Momordica charantia, Silybum marianum and Trigonella foenum-graecum have acquired enough reputation for managing diabetes. Thus, it seems that physicians can rely on these herbs and advise for the patients to improve management of diabetes.

  5. Management of hereditary angioedema in pregnant women: a review

    Directory of Open Access Journals (Sweden)

    Caballero T

    2014-09-01

    Full Text Available Teresa Caballero,1,2 Julio Canabal,1 Daniela Rivero-Paparoni,1 Rosario Cabañas1 1Hospital La Paz Institute for Health Research, (IdiPaz 2Biomedical Research Network on Rare Diseases-U754 (CIBERER, Madrid, Spain Abstract: Three types of hereditary angioedema (HAE have been described: two are due to C1 inhibitor (C1-INH deficiency (C1-INH-HAE types I and II and one is characterized by normal C1-INH (nC1-INH-HAE. The management of pregnancy in patients with HAE is often a clinical challenge owing to potential worsening of the disease in relation to the physiological increase in estrogens and the limited treatment options. This review addresses the potential influence of pregnancy on the clinical severity of hereditary angioedema and the management of this disease during pregnancy with currently available treatments. Keywords: hereditary angioedema, pregnancy, female, treatment, C1 inhibitor concentrate, tranexamic acid

  6. Malheur National Wildlife Refuge wildlife and habitat management review : November 13-17, 2000

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report summarizes the findings and recommendations of a wildlife and habitat management review conducted by a review team during November 13-17, 2000 at the...

  7. Surgical Management of Rib Fractures: Strategies and Literature Review.

    Science.gov (United States)

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

    2014-06-01

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

  8. Perioperative Pain Management Strategies for Amputation: A Topical Review.

    Science.gov (United States)

    Kent, Michael L; Hsia, Hung-Lun John; Van de Ven, Thomas J; Buchheit, Thomas E

    2017-03-01

    To review acute pain management strategies in patients undergoing amputation with consideration of preoperative patient factors, pharmacologic/interventional modalities, and multidisciplinary care models to alleviate suffering in the immediate post-amputation setting. Regardless of surgical indication, patients undergoing amputation suffer from significant residual limb pain and phantom limb pain in the acute postoperative phase. Most studies have primarily focused on strategies to prevent persistent pain with inclusion of immediate postoperative outcomes as secondary measures. Pharmacologic agents, including gabapentin, ketamine, and calcitonin, and interventional modalities such as neuraxial and perineural catheters, have been examined in the perioperative period. Focused Literature Review. Pharmacologic agents (gabapentin, ketamine, calcitonin) have not shown consistent efficacy. Neuraxial analgesia has demonstrated both an opioid sparing and analgesic benefit while results have been mixed regarding perineural catheters in the immediate post-amputation setting. However, several early studies of perineural catheters employed sub-optimal techniques (distal surgical placement), and prolonged use of perineural catheters may provide a sustained benefit. Regardless of analgesic technique, a multidisciplinary approach is necessary for optimal care. Patient-tailored analgesic regimens utilizing catheter-based techniques are essential in the acute post-amputation phase and should be implemented in all patients undergoing amputation. Future research should focus on improved measurement of acute pain and comparisons of effective analgesic regimens instead of single techniques.

  9. Phentermine and topiramate for the management of obesity: a review.

    Science.gov (United States)

    Cosentino, Gina; Conrad, Ariane O; Uwaifo, Gabriel I

    2013-01-01

    Obesity is now a major public health concern worldwide with increasing prevalence and a growing list of comorbidities and complications. The morbidity, mortality and reduced productivity associated with obesity and its complications result in a major burden to health care costs. Obesity is a complex chronic medical syndrome often with multiple different etiologic factors in individual patients. The long term successful management of obesity remains particularly challenging and invariably requires a multifaceted approach including lifestyle and behavioral modification, increased physical activity, and adjunctive pharmacotherapy. Bariatric surgery remains a last resort though at present it has the best results for achieving sustained robust weight loss. Obesity pharmacotherapy has been very limited in its role for long term obesity management because of the past history of several failed agents as well as the fact that presently available agents are few, and generally utilized as monotherapy. The recent FDA approval of the fixed drug combination of phentermine and extended release topiramate (topiramate-ER) (trade name Qsymia™) marks the first FDA approved combination pharmacotherapeutic agent for obesity since the Phen-Fen combination of the 1990s. This review details the history and clinical trial basis for the use of both phentermine and topiramate in obesity therapeutics as well as the results of clinical trials of their combination for obesity treatment in humans. The initial clinical approval trials offer evidence that this fixed drug combination offers synergistic potential for effective, robust and sustained weight loss with mean weight loss of at least 10% of baseline achieved and sustained for up to 2 years in over 50% of subjects treated. It is anticipated that this agent will be the first in a new trend of multi-agent combination therapy for the chronic adjunctive management of obesity.

  10. Triple therapy for the management of COPD: a review.

    Science.gov (United States)

    Gaebel, Kathryn; McIvor, R Andrew; Xie, Feng; Blackhouse, Gord; Robertson, Diana; Assasi, Nazila; Hernandez, Paul; Goeree, Ron

    2011-06-01

    Triple therapy for COPD consists of a long-acting anti-cholinergic bronchodilator, a long-acting beta-agonist bronchodilator, and an inhaled corticosteroid. Guidelines from the Canadian Thoracic Society advocate triple therapy for some patients with moderate-to-severe COPD. The objective of this review was to evaluate the evidence based clinical efficacy of triple therapy compared to dual bronchodilator therapy (long-acting anti-cholinergic bronchodilator + beta-agonist bronchodilator) or long-acting anti-cholinergic bronchodilator monotherapy for managing COPD. A systematic literature search was conducted to identify relevant clinical evaluations of triple therapy in the management of moderate to severe COPD. Databases searched included: Medline; EMBASE; CINAHL and PubMed (non-Medline records only). Of 2,314 publications, 4 articles evaluated triple therapy for the management of COPD. Hospitalization rates for COPD exacerbations, reported in 2 trials, were significantly reduced with triple therapy compared to long-acting anti-cholinergic bronchodilator monotherapy, with reported relative risks of 0.53 (95% CI: 0.33, 0.86, p = 0.01) and 0.35 (95% CI: 0.16-0.78, p = 0.011). Exacerbation data is inconsistent between the two trials reporting this outcome. Lung function, dyspnea and quality of life data show statistical significant changes with triple therapy compared to long-acting anti-cholinergic bronchodilator monotherapy but the changes do not reach clinical importance. Triple therapy does decrease the number of hospitalizations for severe/acute COPD exacerbations compared with long-acting anti-cholinergic bronchodilator monotherapy. There is insufficient evidence to determine if triple therapy is superior to dual bronchodilator therapy.

  11. Making electronic health records support quality management: A narrative review.

    Science.gov (United States)

    Triantafillou, Peter

    2017-08-01

    Since the 1990s many hospitals in the OECD countries have introduced electronic health record (EHR) systems. A number of studies have examined the factors impinging on EHR implementation. Others have studied the clinical efficacy of EHR. However, only few studies have explored the (intermediary) factors that make EHR systems conducive to quality management (QM). Undertake a narrative review of existing studies in order to identify and discuss the factors conducive to making EHR support three dimensions of QM: clinical outcomes, managerial monitoring and cost-effectiveness. A narrative review of Web of Science, Cochrane, EBSCO, ProQuest, Scopus and three Nordic research databases. most studies do not specify the type of EHR examined. 39 studies were identified for analysis. 10 factors were found to be conducive to make EHR support QM. However, the contribution of EHR to the three specific dimensions of QM varied substantially. Most studies (29) included clinical outcomes. However, only half of these reported EHR to have a positive impact. Almost all the studies (36) dealt with the ability of EHR to enhance managerial monitoring of clinical activities, the far majority of which showed a positive relationship. Finally, only five dealt with cost-effectiveness of which two found positive effects. The findings resonates well with previous reviews, though two factors making EHR support QM seem new, namely: political goals and strategies, and integration of guidelines for clinical conduct. Lacking EHR type specification and diversity in study method imply that there is a strong need for further research on the factors that may make EHR may support QM. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. A SYSTEMATIC REVIEW ON EFFICACY OF KINESIOTAPING IN PAIN MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Jaspreet Kaur

    2016-06-01

    Full Text Available Background: Most common complaint of an individual is pain, which can be with or without injury. It is the key that enables human being to figure out disease ordisorders that is interfering normal life. Pain can be because of numerous reasons but known pathways for pain can be physiological, nociceptive, neuropathic or mixed, which may be experienced as aching pain, burning pain, stabbing pain, etc. Although there are various clinical methods to reduce pain but the main objective of present study was to find if taping can reduce pain be it musculoskeletal or neurological pain. Also to summarise all evaluated work done in various studies. Methods: various studies have been taken from pub med, Google scholar that includes relief of pain with application of taping irrespective to technique used. Study selection, data extraction, and assessment of methodological quality and clinical relevance were performed independently by two reviewers. All the data extracted from randomised controlled trials included in the review has been used to synthesise the results. Therefore the results are based on facts laid down by the articles included. Results: Pedro scoring has been used to asses various studies which show the use of taping for relief of pain on various musculoskeletal disorders and neurological disorders. Conclusions: Although there are various modalities which can help in reducing pain but present review shows that taping can be used as very useful tool for reducing pain. Further it is cheap, less time consuming and easy to manage with excellent results. taping can be used as an adjunct to modalities present to reduce pain.

  13. The Power of Peer Reviewing to Enhance Writing in Horticulture: Greenhouse Management

    Science.gov (United States)

    Anderson, Neil O.; Flash, Pamela

    2014-01-01

    Peer review is not included in undergraduate horticultural curricula. Our research objectives in an 8- year study, which ranged from 2000 to 2007 in two sections (2000-2002 non-peer reviewed and 2003-2007 peer-reviewed) of Greenhouse Management students at the University of Minnesota were to determine whether iterative peer reviews would result in…

  14. Cleanups In My Community (CIMC) - Federal facilities that are also Superfund sites, National Layer

    Data.gov (United States)

    U.S. Environmental Protection Agency — Federal facilities are properties owned by the federal government. This data layer provides access to Federal facilities that are Superfund sites as part of the CIMC...

  15. Letter to Silverton and San Juan County Regarding Potential Superfund Listing

    Science.gov (United States)

    Feb. 12, 2016 Update: EPA added a letter to the Town of Silverton and San Juan County regarding the agency’s commitment to the Town and County’s involvement during a potential Superfund listing process.

  16. Grain Handling Facility at Freeman, Washington Proposed to Superfund Cleanup List

    Science.gov (United States)

    (March 24, 2015 - Seattle) The U.S. Environmental Protection Agency is proposing to add the Grain Handling Facility at Freeman, in Spokane County, Washington, to the Superfund National Priorities List. The proposed listing includes a 60-day public comment

  17. Preliminary estimate of natural resource damage : Rocky Mountain Arsenal Superfund Site

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This is a preliminary estimate of natural resource damages associated with uncontrolled release of hazardous materials at the Rocky Mountain Arsenal Superfund Site...

  18. Remediation System Evaluation, Streamlined Remediation System Evaluation (RSE-Lite), Circuitron Corporation Superfund Site

    Science.gov (United States)

    The Circuitron Corporation Superfund Site is located at 82 Milbar Boulevard, East Farmingdale, Suffolk County, New York. The site is situated on a 1-acre lot in an industrial/commercial area that is surrounded by similar small manufacturers...

  19. Cleanups In My Community (CIMC) - Base Realignment and Closure (BRAC) Superfund Sites, National Layer

    Data.gov (United States)

    U.S. Environmental Protection Agency — This data layer provides access to Base Realignment and Closure (BRAC) Superfund Sites as part of the CIMC web service. EPA works with DoD to facilitate the reuse...

  20. EPA, 12 Private Entities Agree to Remove Contamination and Conduct Study at Metro Container Superfund Site

    Science.gov (United States)

    PHILADELPHIA (October 21, 2015) -- The U.S. Environmental Protection Agency and 12 private entities have agreed to settle on actions that will lead to increased environmental protection at the Metro Container Superfund Site in Trainer, Delaware Co.,

  1. Report: EPA’s Distribution of Superfund Human Resources Does Not Support Current Regional Workload

    Science.gov (United States)

    Report #17-P-0397, September 19, 2017. Due to insufficient human resources to cover all Superfund site work, some regions have had to slow down or discontinue their efforts to protect human health and the environment.

  2. Clinical manifestations and managements in jellyfish envenomation A systematic review

    Directory of Open Access Journals (Sweden)

    Negar Taheri

    2013-11-01

    Full Text Available Background: The phylum Cnidarians have over nine thousand species that approximately, one hundred species are dangerous for humans. Annually, a large number of deaths were reported due to jellyfish stings. The manifestations depend on their species and kind of venoms, and include the local and systemic manifestations. A number of methods and compounds were used and under investigation for management of injuries with jellyfishes. Due to the lack of an integrated systematic review, the current study was done. Materials and Methods: The PubMed data bank was searched for the term “Jellyfish”. A total of 1677 papers were found. These papers were divided into three categories: medical, biomedical and biotechnological fields. The medical category was further divided into three subcategories comprising systemic manifestations, cutaneous manifestations and treatments for the stings of jellyfishes. The biomedical category was further subdivided into genomics, proteomics, and biology of venoms, mechanisms of actions and products of biomedical significance. In this part of systematic review, the medical aspects of injuries with jellyfishes were evaluated. Results: The clinical manifestations in jellyfish envenomation depend on their species and the nature of venoms. The most common clinical manifestations of jellyfish stings are cutaneous presentations like urticasia, erythema, swelling, vesicles and severe dermonectoric manifestations. Systemic manifestations were seen in the stings of box jellyfishes, Portuguese man-of-war and in Irukandji syndrome. The most common recommendations for jellyfish envenomation managements include decreasing the local effects of venom, prevention of the venomous nematocysts release, and Controlling of systemic reactions. Application of commercial vinegar (4 - 6% acetic acid, hot water immersion (HWI (42 ° C for 20 minutes, ice packs, sea water rinsing for inactivating nematocysts, administration of topical and parenteral

  3. Remediation of the Wells G & H Superfund Site, Woburn, Massachusetts.

    Science.gov (United States)

    Bair, E Scott; Metheny, Maura A

    2002-01-01

    Remediation of ground water and soil contamination at the Wells G & H Superfund Site, Woburn, Massachusetts, uses technologies that reflect differences in hydrogeologic settings, concentrations of volatile organic compounds (VOCs), and costs of treatment. The poorly permeable glacial materials that overlie fractured bedrock at the W.R. Grace property necessitate use of closely spaced recovery wells. Contaminated ground water is treated with hydrogen peroxide and ultraviolet (UV) oxidation. At UniFirst, a deep well completed in fractured bedrock removes contaminated ground water, which is treated by hydrogen peroxide, UV oxidation, and granular activated carbon (GAC). The remediation system at Wildwood integrates air sparging, soil-vapor extraction, and ground water pumping. Air stripping and GAC are used to treat contaminated water; GAC is used to treat contaminated air. New England Plastics (NEP) uses air sparging and soil-vapor extraction to remove VOCs from the unsaturated zone and shallow ground water. Contaminated air and water are treated using separate GAC systems. After nine years of operation at W.R. Grace and UniFirst, 30 and 786 kg, respectively, of VOCs have been removed. In three years of operation, 866 kg of VOCs have been removed at Wildwood. In 15 months of operation, 36 kg of VOCs were removed at NEP. Characterization work continues at the Olympia Nominee Trust, Whitney Barrel, Murphy Waste Oil, and Aberjona Auto Parts properties. Risk assessments are being finalized that address heavy metals in the floodplain sediments along the Aberjona River that are mobilized from the Industri-Plex Superfund Site located a few miles upstream.

  4. Review article: review of behavioral operations experimental studies of newsvendor problems for operating room management.

    Science.gov (United States)

    Wachtel, Ruth E; Dexter, Franklin

    2010-06-01

    Operating room (OR) managers must plan staffing in the face of uncertain demand for OR time. Planning too much staffing results in underutilized OR time. Planning too little staffing causes overutilized time, which is approximately twice as expensive as underutilized time. Deciding how much staffing to plan for an OR is analogous to the classic newsvendor problem in operations research. A newsvendor must decide how much product to order based on its cost c and sales price p, plus estimates of the uncertain future demand for the product. The newsvendor problem has a simple mathematical solution. The correct amount of product to order is the (p - c)/p quantile of the demand for the product. This optimal order quantity is analogous mathematically to the number of hours of OR time for which staffing should be planned. We performed a systematic review of the behavioral operations experimental literature on newsvendor problems relevant to OR management. Student volunteers participating in experimental studies have great difficulty knowing how much product to order, given c, p, and the demand distribution. Decision making is only modestly improved by more frequent feedback. Even scores of rounds of ordering are insufficient for much learning to occur. Suboptimal decisions result from innate psychological biases. Students anchor on mean demand, make insufficient adjustments, and rely disproportionately on the most recent demand values. The behavior of OR managers who plan staffing for the OR is analogous to that of students participating in a newsvendor experiment. Month after month, an OR manager will plan too little staffing for the surgeon who consistently ends the day late and too much staffing for the surgeon who consistently does not fill an OR. Experimental studies of the newsvendor problem provide mechanistic insights into the reasons that OR managers make poor decisions when planning OR staffing. The students face no organizational factors or personality issues

  5. Phentermine and topiramate for the management of obesity: a review

    Directory of Open Access Journals (Sweden)

    Cosentino G

    2013-04-01

    Full Text Available Gina Cosentino,1 Ariane O Conrad,2 Gabriel I Uwaifo1 1Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA; 2Xavier University of Louisiana College of Pharmacy, New Orleans, LA, USA Abstract: Obesity is now a major public health concern worldwide with increasing prevalence and a growing list of comorbidities and complications. The morbidity, mortality and reduced productivity associated with obesity and its complications result in a major burden to health care costs. Obesity is a complex chronic medical syndrome often with multiple different etiologic factors in individual patients. The long term successful management of obesity remains particularly challenging and invariably requires a multifaceted approach including lifestyle and behavioral modification, increased physical activity, and adjunctive pharmacotherapy. Bariatric surgery remains a last resort though at present it has the best results for achieving sustained robust weight loss. Obesity pharmacotherapy has been very limited in its role for long term obesity management because of the past history of several failed agents as well as the fact that presently available agents are few, and generally utilized as monotherapy. The recent FDA approval of the fixed drug combination of phentermine and extended release topiramate (topiramate-ER (trade name Qsymia™ marks the first FDA approved combination pharmacotherapeutic agent for obesity since the Phen-Fen combination of the 1990s. This review details the history and clinical trial basis for the use of both phentermine and topiramate in obesity therapeutics as well as the results of clinical trials of their combination for obesity treatment in humans. The initial clinical approval trials offer evidence that this fixed drug combination offers synergistic potential for effective, robust and sustained weight loss with mean weight loss of at least 10

  6. Reviewing the economic efficiency of disaster risk management

    Science.gov (United States)

    Mechler, Reinhard

    2013-04-01

    There is a lot of rhetoric suggesting that disaster risk management (DRM) pays, yet surprisingly little in the way of hard facts. Cost-benefit analysis (CBA) is one major tool that can provide quantitative information about the prioritization of disaster risk management (DRM) (and climate adaptation) based on economic principles. Yet, on a global scale, there has been surprisingly little robust evidence on the economic efficiency and benefits of risk management measures. This review shows that for the limited evidence reported the economic case for DRM across a range of hazards is strong and that the benefits of investing in DRM outweigh the costs of doing so, on average, by about four times the cost in terms of avoided and reduced losses. Most studies using a CBA approach focus on structural DRM and most information has been made available on physical flood prevention. There have been some limited studies on preparedness and risk financing. The global evidence base is limited and estimates appear not very solid, and overall, in line with the conclusion of the recent IPCC SREX report, there is limited evidence and medium agreement across the literature. Some of the factors behind the limited robustness are inherent to CBA more widely: these challenges comprise the inability to price intangibles, evaluating strategies rather than single projects, difficulties in assessing softer rather than infrastructure-related options, choices regarding a proper discount rate, lack of accounting for the distribution of benefits and costs and difficulties with assessing nonmarket values such as those related to health, the environment, or public goods. Although techniques exist to address some of these challenges, they are not very likely to easily go away. Other challenges associated specifically with DRM, such as the need and difficulty to undertake risk -based analysis can be overcome, and there have been manuals and reports providing a way forward. In an age of austerity, cost

  7. 77 FR 29353 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2012-05-17

    ... of certain consumer perceptions, knowledge or behaviors, and understanding of the relationships... Office of Management and Budget Review; Comment Request; Experimental Study on Comparing Data Obtained... information has been submitted to the Office of Management and Budget (OMB) for review and clearance under...

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

    DEFF Research Database (Denmark)

    Gretzinger, Susanne

    2009-01-01

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

  9. Surgical Management of Traumatic Penile Amputation: A Case Report and Review of the World Literature

    Directory of Open Access Journals (Sweden)

    Omer A. Raheem, MD

    2015-03-01

    Conclusion: We review the literature and case reports on penile amputation and its etiology, surgical management, variables effecting outcomes, and its complications. Raheem OA, Mirheydar HS, Patel ND, Patel SH, Suliman A, and Buckley JC. Surgical management of traumatic penile amputation: A case report and review of the world literature. Sex Med 2015;3:49–53.

  10. 32 CFR Appendix B to Part 327 - Internal Management Control Review Checklist

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Internal Management Control Review Checklist B... B to Part 327—Internal Management Control Review Checklist (a) Task: Personnel and/or Organization... See footnote 2 to this Appendix B. (1) I attest that the above listed internal controls...

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

    NARCIS (Netherlands)

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

    2015-01-01

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

  12. 77 FR 34955 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2012-06-12

    ... public key infrastructure certificate in order to set up the account. This can be obtained in-house or... Office of Management and Budget Review; Comment Request; Food Contact Substance Notification Program... Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995. DATES:...

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

    DEFF Research Database (Denmark)

    Gretzinger, Susanne

    2009-01-01

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

  14. Spatial disparity in the distribution of superfund sites in South Carolina: an ecological study.

    Science.gov (United States)

    Burwell-Naney, Kristen; Zhang, Hongmei; Samantapudi, Ashok; Jiang, Chengsheng; Dalemarre, Laura; Rice, LaShanta; Williams, Edith; Wilson, Sacoby

    2013-11-06

    According to the US Environmental Protection Agency (EPA), Superfund is a federal government program implemented to clean up uncontrolled hazardous waste sites. Twenty-six sites in South Carolina (SC) have been included on the National Priorities List (NPL), which has serious human health and environmental implications. The purpose of this study was to assess spatial disparities in the distribution of Superfund sites in SC. The 2000 US census tract and block level data were used to generate population characteristics, which included race/ethnicity, socioeconomic status (SES), education, home ownership, and home built before 1950. Geographic Information Systems (GIS) were used to map Superfund facilities and develop choropleth maps based on the aforementioned sociodemographic variables. Spatial methods, including mean and median distance analysis, buffer analysis, and spatial approximation were employed to characterize burden disparities. Regression analysis was performed to assess the relationship between the number of Superfund facilities and population characteristics. Spatial coincidence results showed that of the 29.5% of Blacks living in SC, 55.9% live in Superfund host census tracts. Among all populations in SC living below poverty (14.2%), 57.2% were located in Superfund host census tracts. Buffer analyses results (0.5mi, 1.0mi, 5.0mi, 0.5km, 1.0km, and 5.0km) showed a higher percentage of Whites compared to Blacks hosting a Superfund facility. Conversely, a slightly higher percentage of Blacks hosted (30.2%) a Superfund facility than those not hosting (28.8%) while their White counterparts had more equivalent values (66.7% and 67.8%, respectively). Regression analyses in the reduced model (Adj. R2 = 0.038) only explained a small percentage of the variance. In addition, the mean distance for percent of Blacks in the 90th percentile for Superfund facilities was 0.48mi. Burden disparities exist in the distribution of Superfund facilities in SC at the block and

  15. Hot asphalt burns: a review of injuries and management options.

    Science.gov (United States)

    Bosse, George M; Wadia, Shernaz A; Padmanabhan, Pradeep

    2014-07-01

    Hot asphalt burns to human tissue can increase the likelihood of infection and potential conversion of partial thickness to full-thickness injuries. Successful intervention for hot asphalt burns requires immediate and effective cooling of the asphalt on the tissue followed by subsequent gradual removal of the cooled asphalt. A review of the literature reveals that multiple substances have been used to remove asphalt, including topical antibiotics, petroleum jelly, a commercial product known as De-Solv-It (ORANGE-SOL, Chandler, AZ), sunflower oil, baby oil, liquid paraffin, butter, mayonnaise, and moist-exposed burn ointment (MEBO). Although many of these products may be effective in the removal of asphalt, they may not be readily available in an emergency department setting. Topical antibiotics are readily available, are more commonly described in the medical literature, and would be expected to be effective in the removal of asphalt. We developed guidelines for on scene (first-aid) management and the initial care of such patients upon presentation to a health care facility. These guidelines emphasize the principles of early cooling, gradual removal of adherent asphalt using topical antibiotics, and avoidance of the use of topical agents, which are likely to result in tissue toxicity.

  16. Beverage consumption and adult weight management: A review.

    Science.gov (United States)

    Dennis, Elizabeth A; Flack, Kyle D; Davy, Brenda M

    2009-12-01

    Total energy consumption among United States adults has increased in recent decades, and energy-containing beverages are a significant contributor to this increase. Because beverages are less satiating than solid foods, consumption of energy-containing beverages may increase energy intake and lead to weight gain; trends in food and beverage consumption coinciding with increases in overweight and obesity support this possibility. The purpose of this review is to present what is known about the effect of beverage consumption on short-term (i.e., meal) energy intake, as well as longer-term effects on body weight. Specific beverages addressed include water, other energy-free beverages (diet soft drinks, coffee and tea), and energy-containing beverages (soft drinks, juices and juice drinks, milk and soy beverages, alcohol). Existing evidence, albeit limited, suggests that encouraging water consumption, and substituting water and other energy-free beverages (diet soft drinks, coffee and tea) for energy-containing beverages may facilitate weight management. Energy-containing beverages acutely increase energy intake, however long-term effects on body weight are uncertain. While there may be health benefits for some beverage categories, additional energy provided by beverages should be compensated for by reduced consumption of other foods in the diet.

  17. Cross-functional Sourcing Teams – A Purchasing and Supply Management Literature Review

    DEFF Research Database (Denmark)

    Hansen, Anders Peder Lysholm

    2014-01-01

    This paper presents a systematic literature review of scientific papers on cross-functional sourcing teams in top journals within Purchasing and Supply Management. The review identifies four common research topics within the field; Determining factors of sourcing team success, Performance...... management/goals of sourcing teams, Behavior and decisions in sourcing teams and Involvement of purchasing in sourcing teams. Further research on Performance Management and how to create a holistic, teams based perspective in cross-functional sourcing teams is suggested....

  18. Review on the Progress of Marine Ecosystem Management

    Institute of Scientific and Technical Information of China (English)

    Yao Xuefen; Zhang Luoping

    2007-01-01

    Along with the industrial development, adverse impacts on the natural environment become more serious, and ecosystem health and ecological security have also been deteriorated.The traditional environment management focused on the shortterm and economic benefits. Such managing pattern is not accommodating to the new situation of increasingly global environment problems and large scale marine environment problems.This paper introduces the advance and definition of a new managing pattern-ecosystem management. Meanwhile, the connotation of ecosystem management was summarized as seven points: Sustainability; Human is an important aspect of ecosystem management; Cooperation is the foundation of ecosystem management; Maintain health and security of ecosystem; Ecological diversity protection characters ecosystem management; Maintain the integrity of ecosystem; Ecosystem management must be founded on scientific theories and precise information. Somebody said Ecosystem Management is "a new label of old ideas". However, there is an essential difference between ecosystem management and traditional environmental management. In the last part of this paper, the differences of the approaches between ecosystem management and traditional environmental management are compared.

  19. 76 FR 63351 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Science.gov (United States)

    2011-10-12

    ... Doc No: 2011-25929] DEPARTMENT OF THE TREASURY Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of members to the Financial Management Service (FMS) Performance...

  20. 77 FR 40904 - Agency Information Collection Activities: Submitted for Office of Management and Budget Review...

    Science.gov (United States)

    2012-07-11

    ... Management and Budget Review; Comment Request AGENCY: Office of Natural Resources Revenue, Interior. ACTION... information from Indian beneficiaries. ONRR performs the minerals revenue management functions for the... royalties and other mineral revenues due. The Federal Oil and Gas Royalty Management Act of 1982...

  1. Issues in Business and Medical Education: Brief Literature Review on Strategic Management of Health Care Institutions.

    Science.gov (United States)

    Smith, Alan D.

    The literature on the use of strategic management principles by health care organizations is reviewed. After considering basic concepts of strategic management and managerial problems in nonprofit organizations, strategic planning and management of health care organizations are covered. Attention is directed to the health care environment,…

  2. Air-water exchange of PAHs and OPAHs at a superfund mega-site.

    Science.gov (United States)

    Tidwell, Lane G; Blair Paulik, L; Anderson, Kim A

    2017-12-15

    Chemical fate is a concern at environmentally contaminated sites, but characterizing that fate can be difficult. Identifying and quantifying the movement of chemicals at the air-water interface are important steps in characterizing chemical fate. Superfund sites are often suspected sources of air pollution due to legacy sediment and water contamination. A quantitative assessment of polycyclic aromatic hydrocarbons (PAHs) and oxygenated PAH (OPAHs) diffusive flux in a river system that contains a Superfund Mega-site, and passes through residential, urban and agricultural land, has not been reported before. Here, passive sampling devices (PSDs) were used to measure 60 polycyclic aromatic hydrocarbons (PAHs) and 22 oxygenated PAH (OPAHs) in air and water. From these concentrations the magnitude and direction of contaminant flux between these two compartments was calculated. The magnitude of PAH flux was greater at sites near or within the Superfund Mega-site than outside of the Superfund Mega-site. The largest net individual PAH deposition at a single site was naphthalene at a rate of -14,200 (±5780) (ng/m(2))/day. The estimated one-year total flux of phenanthrene was -7.9×10(5) (ng/m(2))/year. Human health risk associated with inhalation of vapor phase PAHs and dermal exposure to PAHs in water were assessed by calculating benzo[a]pyrene equivalent concentrations. Excess lifetime cancer risk estimates show potential increased risk associated with exposure to PAHs at sites within and in close proximity to the Superfund Mega-site. Specifically, estimated excess lifetime cancer risk associated with dermal exposure and inhalation of PAHs was above 1 in 1 million within the Superfund Mega-site. The predominant depositional flux profile observed in this study suggests that the river water in this Superfund site is largely a sink for airborne PAHs, rather than a source. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Invited review: sensors to support health management on dairy farms.

    Science.gov (United States)

    Rutten, C J; Velthuis, A G J; Steeneveld, W; Hogeveen, H

    2013-04-01

    Since the 1980s, efforts have been made to develop sensors that measure a parameter from an individual cow. The development started with individual cow recognition and was followed by sensors that measure the electrical conductivity of milk and pedometers that measure activity. The aim of this review is to provide a structured overview of the published sensor systems for dairy health management. The development of sensor systems can be described by the following 4 levels: (I) techniques that measure something about the cow (e.g., activity); (II) interpretations that summarize changes in the sensor data (e.g., increase in activity) to produce information about the cow's status (e.g., estrus); (III) integration of information where sensor information is supplemented with other information (e.g., economic information) to produce advice (e.g., whether to inseminate a cow or not); and (IV) the farmer makes a decision or the sensor system makes the decision autonomously (e.g., the inseminator is called). This review has structured a total of 126 publications describing 139 sensor systems and compared them based on the 4 levels. The publications were published in the Thomson Reuters (formerly ISI) Web of Science database from January 2002 until June 2012 or in the proceedings of 3 conferences on precision (dairy) farming in 2009, 2010, and 2011. Most studies concerned the detection of mastitis (25%), fertility (33%), and locomotion problems (30%), with fewer studies (16%) related to the detection of metabolic problems. Many studies presented sensor systems at levels I and II, but none did so at levels III and IV. Most of the work for mastitis (92%) and fertility (75%) is done at level II. For locomotion (53%) and metabolism (69%), more than half of the work is done at level I. The performance of sensor systems varies based on the choice of gold standards, algorithms, and test sizes (number of farms and cows). Studies on sensor systems for mastitis and estrus have shown

  4. A Review on Quantitative Models for Sustainable Food Logistics Management

    NARCIS (Netherlands)

    Soysal, M.; Bloemhof, J.M.; Meuwissen, M.P.M.; Vorst, van der J.G.A.J.

    2012-01-01

    The last two decades food logistics systems have seen the transition from a focus on traditional supply chain management to food supply chain management, and successively, to sustainable food supply chain management. The main aim of this study is to identify key logistical aims in these three phases

  5. Clinical management of perinatal anxiety disorders: A systematic review.

    Science.gov (United States)

    Marchesi, C; Ossola, P; Amerio, A; Daniel, B D; Tonna, M; De Panfilis, C

    2016-01-15

    In the last few decades, there has been a growing interest in anxiety disorders (AnxD) in the perinatal period. Although AnxD are diagnosed in 4-39% of pregnant women and in up to 16% of women after delivery, evidence on their clinical management is limited. A systematic review was conducted on pharmacological and non-pharmacological treatment of AnxD in the perinatal period. Relevant papers published from January 1st 2015 were identified searching the electronic databases MEDLINE, Embase, PsycINFO and the Cochrane Library. 18 articles met inclusion criteria. Selected studies supported the use of cognitive-behavioural therapy (CBT) for obsessive-compulsive disorder (OCD), panic disorder (PD) and specific phobia both in pregnancy and postpartum. Selective serotonin reuptake inhibitors (SSRIs) led to significant OCD and PD improvement both in pregnancy and postpartum with no side effects for the babies. In the largest clinical sample to date, 65% of postpartum patients who entered the open-label trial of fluvoxamine (up to 300mg/day) experienced a 30% or greater decrease in the total score of the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). During pregnancy, SSRIs and tricyclic antidepressants (TCAs) led to remission of panic symptoms and healthy outcomes for the babies. Study design, mostly case reports, and enrolment of subjects mainly from outpatient specialty units might have limited community-wide generalisability. Keeping in mind the scantiness and heterogeneity of the available literature, the best interpretation of the available evidence appears to be that CBT should be the first treatment offered to pregnant and breastfeeding women with AnxD. However SSRIs can represent a first line treatment strategy, and not exclusively in cases where AnxD is refractory to CBT. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Watershed management in South Asia: A synoptic review

    Science.gov (United States)

    Ratna Reddy, V.; Saharawat, Yashpal Singh; George, Biju

    2017-08-01

    Watershed management (WSM) is the most widely adopted technology in developed as well as developing countries due to its suitability across climatic conditions. Watershed technology is suitable to protect and enhance soil fertility, which is deteriorating at an alarming rate with agricultural intensification in high as well as low rainfall regions. Of late, WSM is considered as an effective poverty alleviation intervention in the rain fed regions in countries like India. This paper aims at providing a basic watershed policy and implementation framework based on a critical review of experiences of WSM initiatives across South Asia. The purpose is to provide cross learnings within South Asia and other developing countries (especially Africa) that are embarking on WSM in recent years. Countries in the region accord differential policy priority and are at different levels of institutional arrangements for implementing WSM programmes. The implementation of watershed interventions is neither scientific nor comprehensive in all the countries limiting the effectiveness (impacts). Implementation of the programmes for enhancing the livelihoods of the communities need to strengthen both technical and institutional aspects. While countries like India and Nepal are yet to strengthen the technical aspects in terms of integrating hydrogeology and biophysical aspects into watershed design, others need to look at these aspects as they move towards strengthening the watershed institutions. Another important challenge in all the countries is regarding the distribution of benefits. Due to the existing property rights in land and water resources coupled with the agrarian structure and uneven distribution and geometry of aquifers access to sub-surface water resources is unevenly distributed across households. Though most of the countries are moving towards incorporating livelihoods components in order to ensure benefits to all sections of the community, not much is done in terms of

  7. 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....

  8. 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

    , 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.......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...

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

    Directory of Open Access Journals (Sweden)

    Emma Boger

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

  10. Lay and health care professional understandings of self-management: A systematic review and narrative synthesis

    OpenAIRE

    Euan Sadler; Charles DA Wolfe; Christopher McKevitt

    2014-01-01

    Objectives: Self-management is widely promoted but evidence of effectiveness is limited. Policy encourages health care professionals to support people with long-term conditions to learn self-management skills, yet little is known about the extent to which both parties share a common understanding of self-management. Thus, we compared health care professional and lay understandings of self-management of long-term conditions.Methods: Systematic review and narrative synthesis of qualitative stud...

  11. 76 FR 24479 - In the Matter of the Taylor Lumber and Treating Superfund Site, Sheridan, Oregon, Amendment to...

    Science.gov (United States)

    2011-05-02

    ... AGENCY In the Matter of the Taylor Lumber and Treating Superfund Site, Sheridan, Oregon, Amendment to... with PWPO provided a covenant not to sue for response costs at the Taylor Lumber and Treating Site... should reference the Taylor Lumber and Treating Superfund Site in Sheridan, Oregon, EPA Docket No....

  12. 78 FR 47317 - Ore Knob Mine Superfund Site; Laurel Springs, Ashe County, North Carolina; Notice of Settlement

    Science.gov (United States)

    2013-08-05

    ... AGENCY Ore Knob Mine Superfund Site; Laurel Springs, Ashe County, North Carolina; Notice of Settlement... Protection Agency has entered into a settlement with Herbert N. Francis concerning the Ore Knob Mine... comments by site name ``Ore Knob Mine Superfund Site'' by one of the following methods:...

  13. SUPERFUND TREATABILITY CLEARINGHOUSE: BDAT INCINERATION OF CERCLA SARMS AT THE JOHN ZINK COMPANY TEST FACILITY (FINAL PROJECT REPORT)

    Science.gov (United States)

    This report presents the results of a treatability study of rotary kiln incineration of a synthetic "Superfund soil" bearing a wide range of chemical contaminants typically occurring at Superfund sites. This surrogate soil is referred to as a synthetic analytical reference ...

  14. An integrative review on conflict management styles among nursing students: Implications for nurse education.

    Science.gov (United States)

    Labrague, Leodoro J; McEnroe-Petitte, Denise M

    2017-09-15

    Nurse education plays a critical role in the achievement of conflict management skills in nursing students. However, a wider perspective on this concept has not been explored. This paper is a report of a review appraising and synthesizing existing empirical studies describing conflict management styles among nursing students. An integrative review method guided this review. Five (5) bibliographic databases (CINAHL, Medline, Psych Info, Embase and SCOPUS) were searched to locate relevant articles. An electronic database search was performed in December 2016 to locate studies published from 2007 onwards. The search words included: 'conflict', 'management resolution', 'management style', 'management strategy', 'nursing', 'student'. Thirteen (13) articles met the inclusion criteria. Nursing students preferred 'constructive/positive conflict management styles' when handling conflicts. However, more studies are needed to identify factors that may affect their choice of styles. Further, this review emphasizes the need for empirical studies to identify appropriate interventions that would effectively enhance nursing students' skills in managing conflicts using rigorous methods. Nursing faculty play a critical role in teaching, training, and modeling constructive conflict resolution styles in nursing students. Simulation scenarios, reflective exercises, and role playing may be useful to facilitate such learning in choosing constructive conflict management styles. Structured training programme on conflict management will assist nursing students develop positive conflict management styles. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Linking Leadership Studies to Corporate Brand Management: A Review

    OpenAIRE

    Zullina H. Shaari; Amzairi Amar; M. Radzi Zainol; Azamudin Badri Harun

    2015-01-01

    Two models of corporate brand or reputation management include ¡°leadership and success¡± as a dimension that influences reactions of multiple stakeholders to organisations. Primary groups of stakeholders such as shareholders/investors, employees, and customers, often associate leadership of organisations with Chief Executive Officers (CEOs) or managing directors. This paper proposes that if CEOs are to be capitalised as part of corporate brand management, their leadership should be projected...

  16. Spontaneous Intracranial Hypotension: A Review and Introduction of an Algorithm For Management.

    Science.gov (United States)

    Davidson, Benjamin; Nassiri, Farshad; Mansouri, Alireza; Badhiwala, Jetan H; Witiw, Christopher D; Shamji, Mohammed F; Peng, Philip W; Farb, Richard I; Bernstein, Mark

    2017-05-01

    Spontaneous intracranial hypotension (SIH) is a condition of low cerebrospinal fluid volume and pressure caused by a leak of cerebrospinal fluid through a dural defect. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines for myelography, blood patching, and possible surgical repair. Patients should be monitored closely, because they can deteriorate into a coma or even death. There are no widely accepted guidelines for the management of SIH. We review the existing SIH literature, illustrate management challenges via a case review, and propose an algorithm developed by neurosurgeons, radiologists, and anesthesiologists intended to simplify and streamline the management of SIH. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Risk Management Method in IT Project: A Review

    Directory of Open Access Journals (Sweden)

    Ikhtiar Faahakhododo

    2016-09-01

    can produce a useful product and make a profit. This article clarified some of the methods of risk management exist. There was two techniques to determine the risks used in this study, those were Metrics of Process Structure and Referential Model or could be referred as the Comparison to the Referential Model technique. That technique will produce Software Process Meta Model, Model of Risk Management, and Manage Risks in Project models. Those models were used to help managers in mapping the risks of the project.

  18. What do we know about care home managers? Findings of a scoping review.

    Science.gov (United States)

    Orellana, Katharine; Manthorpe, Jill; Moriarty, Jo

    2017-03-01

    This article reports selected findings from a scoping review of the literature about care home managers in England. The review was undertaken between December 2013 and April 2014, with searches conducted in December 2013, and completed in July 2014. Its aim was to identify the characteristics of care home managers, descriptions of their leadership and managerial roles, their experience, skills and support, and the managers' perceptions of their work and status and to identify knowledge gaps. The databases searched included Web of Knowledge, EBSCO, ASSIA, Embase, AgeInfo, NHS Evidence, Social Care Online and the publication platforms IngentaConnect, Wiley Online and JSTOR together with specialist sites and national information providers. Sixteen relevant studies directly about care home managers, reported in 24 articles, were identified. A further body of literature pertinent to the questions was located (n = 84), including sector reports, professional press, expert opinion, enquiries and reviews, and other material, which also informed the review. A consultation exercise with stakeholders informed the findings of the review. The review found that, despite frequent allusions to their impact on organisational culture, few studies have focused on care home managers, and, such as there are, mainly relate to managers of care homes for older people. This is despite managers' major responsibilities for the care of many frail and disabled people. © 2016 John Wiley & Sons Ltd.

  19. Pain management strategies and lessons from the military: A narrative review

    Science.gov (United States)

    Vallerand, April Hazard; Cosler, Patricia; Henningfield, Jack E; Galassini, Pam

    2015-01-01

    BACKGROUND: Wounded soldiers often experience substantial pain, which must be addressed before returning to active duty or civilian life. The United States (US) military has instituted several guidelines and initiatives aimed at improving pain management by providing rapid access to medical care, and developing interdisciplinary multimodal pain management strategies based on outcomes observed both in combat and hospital settings. OBJECTIVE: To provide a narrative review regarding US military pain management guidelines and initiatives, which may guide improvements in pain management, particularly chronic pain management and prevention, for the general population. METHODS: A literature review of US military pain management guidelines and initiatives was conducted, with a particular focus on the potential of these guidelines to address shortcomings in chronic pain management in the general population. DISCUSSION: The application of US military pain management guidelines has been shown to improve pain monitoring, education and relief. In addition, the US military has instituted the development of programs and guidelines to ensure proper use and discourage aberrant behaviours with regard to opioid use, because opioids are regarded as a critical part of acute and chronic pain management schemes. Inadequate pain management, particularly inadequate chronic pain management, remains a major problem for the general population in the US. Application of military strategies for pain management to the general US population may lead to more effective pain management and improved long-term patient outcomes. PMID:26448972

  20. Diversification Management at Tertiary Education Level: A Review

    Science.gov (United States)

    Takwate, Kwaji Tizhe

    2016-01-01

    This paper examines the concept of management of diversification at tertiary education level in view of the growth of national secondary education system which vested high scramble for tertiary education was made in relation to question of access and expansion. This paper examines management of diversification at tertiary education level as a…

  1. What is Case Management? A Scoping and Mapping Review

    Directory of Open Access Journals (Sweden)

    Sue Lukersmith

    2016-10-01

    Full Text Available The description of case management in research and clinical practice is highly variable which impedes quality analysis, policy and planning. Case management makes a unique contribution towards the integration of health care, social services and other sector services and supports for people with complex health conditions. There are multiple components and variations of case management depending on the context and client population. This paper aims to scope and map case management in the literature to identify how case management is described in the literature for key complex health conditions (e.g., brain injury, diabetes, mental health, spinal cord injury. Following literature searches in multiple databases, grey literature and exclusion by health condition, community-based and adequate description, there were 661 potential papers for data extraction. Data from 79 papers (1988–2013 were analysed to the point of saturation (no new information and mapped to the model, components and activities. The results included 22 definitions, five models, with 69 activities or tasks of case managers mapped to 17 key components (interventions. The results confirm the significant terminological variance in case management which produces role confusion, ambiguity and hinders comparability across different health conditions and contexts. There is an urgent need for an internationally agreed taxonomy for the coordination, navigation and management of care.

  2. Managing Type 1 Diabetes at School: An Integrative Review

    Science.gov (United States)

    Tolbert, Rebecca

    2009-01-01

    This integrative literature review examines research studies that describe the care of the student with type 1 diabetes at school and interventions to improve care. Participants of the studies include school nurses, counselors, staff, administrators, parents, and students with diabetes. The studies reviewed use a descriptive approach in examining…

  3. 75 FR 37816 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2010-06-30

    ... cardiovascular events, primarily strokes and myocardial infarctions. Control of high blood pressure should be... Office of Management and Budget Review; Comment Request; Guidance for Industry Entitled Hypertension... ``Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims.'' Also include the FDA docket...

  4. Modoc National Wildlife Refuge wildlife and habitat management review June 30 [ to ] July 3 2003

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report summarizes the findings and recommendations from an evaluation of the wildlife and habitat management program conducted by a review team during June 30...

  5. 77 FR 55843 - Office of Facilities Management and Program Services; Submission for OMB Review; Background...

    Science.gov (United States)

    2012-09-11

    ... ADMINISTRATION Office of Facilities Management and Program Services; Submission for OMB Review; Background...: Please submit comments only and cite Information Collection 3090-0287, Background Investigations for... the new information collection requirement regarding the collection of personal data for background...

  6. Review and assist with moist-soil and shorebird management - North MS Refuge Complex

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Review of current moist-soil conditions at Dahomey, Coldwater, and Tallahatchie Refuges and provide iniput regarding water level management and other treatments to...

  7. 76 FR 5384 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2011-01-31

    ... for each industry (i.e., convenience stores, restaurants, and grocery stores). (Response) FDA... Office of Management and Budget Review; Comment Request; Restaurant Menu and Vending Machine Labeling... and clearance. I. Background Restaurant Menu and Vending Machine Labeling: Registration for...

  8. Management of degenerative rotator cuff tears: a review and treatment strategy

    Science.gov (United States)

    2012-01-01

    The aim of this review was to present an over view of degenerative rotator cuff tears and a suggested management protocol based upon current evidence. Degenerative rotator cuff tears are common and are a major cause of pain and shoulder dysfunction. The management of these tears is controversial, as to whether they should be managed non-operatively or operatively. In addition when operative intervention is undertaken, there is question as to what technique of repair should be used. This review describes the epidemiology and natural history of degenerative rotator cuff tears. The management options, and the evidence to support these, are reviewed. We also present our preferred management protocol and method, if applicable, for surgical fixation of degenerative rotator cuff tears. PMID:23241147

  9. Knowledge and awareness regarding biomedical waste management in dental teaching institutions in India: a systematic review

    OpenAIRE

    Kapoor, Daljit; Nirola, Ashutosh; Kapoor, Vinod; Gambhir, Ramandeep Singh

    2014-01-01

    Objectives: Proper handling, treatment and disposal of biomedical wastes are important elements in any health care setting. Not much attention has been paid to the management of Biomedical Waste (BMW) in recent years, in dental colleges and hospitals in India. The present systematic review was conducted to assess knowledge and awareness regarding BMW management among staff and students of dental teaching institutions in India. Material and Methods: A systematic review of relevant cross-sectio...

  10. Review of Spatial Indexing Techniques for Large Urban Data Management

    DEFF Research Database (Denmark)

    Azri, Suhaibah; Ujang, Uznir; Anton, François

    Pressure on land development in urban areas causes progressive efforts in spatial planning and management. The physical expansion of urban areas to accommodate rural migration implies a massive impact to social, economical and political situations of major cities. Most of the models used in manag......Pressure on land development in urban areas causes progressive efforts in spatial planning and management. The physical expansion of urban areas to accommodate rural migration implies a massive impact to social, economical and political situations of major cities. Most of the models used...

  11. Cropland Management Program Review Mark Twain National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Mark Twain National Wildlife Refuge Cropland Management Plan focuses on the production of supplemental grain and browse foods to maintain wildlife populations at...

  12. Review of Spatial Indexing Techniques for Large Urban Data Management

    DEFF Research Database (Denmark)

    Azri, Suhaibah; Ujang, Uznir; Anton, François

    Pressure on land development in urban areas causes progressive efforts in spatial planning and management. The physical expansion of urban areas to accommodate rural migration implies a massive impact to social, economical and political situations of major cities. Most of the models used...... in managing urban areas are moving towards sustainable urban development in order to fulfill current necessities while preserving the resources for future generations. However, in order to manage large amounts of urban spatial data, an efficient spatial data constellation method is needed. With the ease...... of three dimensional (3D) spatial data usage in urban areas as a new source of data input, practical spatial data indexing is necessary to improve data retrieval and management. Current two dimensional (2D) spatial indexing approaches seem not applicable to the current and future spatial developments...

  13. Public Financial Management in Indonesia: Review of Islamic Public Finance

    OpenAIRE

    Jaelani, Aan

    2017-01-01

    Public financial management by the government is very important in view of the level of welfare in Indonesia is still low, as there are still much poverty with the level of fulfillment of the needs of low, corruption that occurs in every area of government, income distribution is uneven, low economic growth, and various irregularities other budget. With a qualitative approach that emphasises the phenomenon of the social reality and the country's financial management practices in Indonesia, th...

  14. Living with lipoedema: reviewing different self-management techniques.

    Science.gov (United States)

    Fetzer, Amy; Wise, Christine

    2015-10-01

    At present, there is no proven cure for lipoedema. Nevertheless, much can be done to help improve symptoms and prevent progression. Many of these improvements can be achieved by patients using self-management techniques. This article describes the range of self-management techniques that community nurses can discuss with patients, including healthy eating, low-impact exercise, compression garments, self-lymphatic drainage, and counselling.

  15. Information Architectures for Information Sharing Management — A Literature Review

    OpenAIRE

    Shuyan Xie; Markus Helfert; Lukasz Ostrowski

    2012-01-01

    The struggle for commercial supremacy through information is being fought on two points: Information management and enabling technologies. Over the last years, there has been an increasing focus on information architecture (IA) to help organisations distinguish and manage information as corporate resource. As the information complexity increases, more IA studies show that IA could provide the structural and process design to facilitate enterprise interoperation under the information sharing e...

  16. Pain management: a review of organisation models with integrated processes for the management of pain in adult cancer patients.

    Science.gov (United States)

    Brink-Huis, Anita; van Achterberg, Theo; Schoonhoven, Lisette

    2008-08-01

    This paper reports a review of the literature conducted to identify organisation models in cancer pain management that contain integrated care processes and describe their effectiveness. Pain is experienced by 30-50% of cancer patients receiving treatment and by 70-90% of those with advanced disease. Efforts to improve pain management have been made through the development and dissemination of clinical guidelines. Early improvements in pain management were focussed on just one or two single processes such as pain assessment and patient education. Little is known about organisational models with multiple integrated processes throughout the course of the disease trajectory and concerning all stages of the care process. Systematic review. The review involved a systematic search of the literature, published between 1986-2006. Subject-specific keywords used to describe patients, disease, pain management interventions and integrated care processes, relevant for this review were selected using the thesaurus of the databases. Institutional models, clinical pathways and consultation services are three alternative models for the integration of care processes in cancer pain management. A clinical pathway is a comprehensive institutionalisation model, whereas a pain consultation service is a 'stand-alone' model that can be integrated in a clinical pathway. Positive patient and process outcomes have been described for all three models, although the level of evidence is generally low. Evaluation of the quality of pain management must involve standardised measurements of both patient and process outcomes. We recommend the development of policies for referrals to a pain consultation service. These policies can be integrated within a clinical pathway. To evaluate the effectiveness of pain management models standardised outcome measures are needed.

  17. Trends in Energy Management Technology - Part 4: Review ofAdvanced Applications in Energy Management, Control, and InformationSystems

    Energy Technology Data Exchange (ETDEWEB)

    Yee, Gaymond; Webster, Tom

    2003-08-01

    In this article, the fourth in a series, we provide a review of advanced applications in Energy Management, Control, and Information Systems (EMCIS). The available features for these products are summarized and analyzed with regard to emerging trends in EMCIS and potential benefits to the Federal sector. The first article [1] covered enabling technologies for emerging energy management systems. The second article [2] serves as a basic reference for building control system (BCS) networking fundamentals and includes an assessment of current approaches to open communications. The third article [3] evaluated several products that exemplify the current state of practice in EMCIS. It is important for energy managers in the Federal sector to have a high level of knowledge and understanding of these complex energy management systems. This series of articles provides energy practitioners with some basic informational and educational tools to help make decisions relative to energy management systems design, specification, procurement, and energy savings potential.

  18. 7 CFR 249.17 - Management evaluations and reviews.

    Science.gov (United States)

    2010-01-01

    ....17 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS SENIOR FARMERS' MARKET NUTRITION PROGRAM (SFMNP... SFMNP and the WIC Farmers' Market Nutrition Program are in operation, these reviews may be...

  19. Disability and Sport Management: a systematic review of the literature

    National Research Council Canada - National Science Library

    Davide Di Palma; Gaetano Raiola; Domenico Tafuri

    2016-01-01

    .... The presentation of the results is in compliance with the PRISMA method. In this review process, we detailed selection following the above a total of 9 articles were selected, all meeting the inclusion criteria...

  20. 76 FR 70484 - Agency Information Collection Activities: Submitted for Office of Management and Budget Review...

    Science.gov (United States)

    2011-11-14

    ... Office of Natural Resources Revenue Agency Information Collection Activities: Submitted for Office of Management and Budget Review; Comment Request AGENCY: Office of Natural Resources Revenue, Interior. ACTION... beneficiaries. The ONRR performs the minerals revenue management functions for the Secretary and assists...

  1. 77 FR 63329 - Agency Information Collection Activities: Submitted for Office of Management and Budget Review...

    Science.gov (United States)

    2012-10-16

    ... the minerals revenue management functions for the Secretary and assists the Secretary in carrying out... Office of Natural Resources Revenue Agency Information Collection Activities: Submitted for Office of Management and Budget Review; Comment Request AGENCY: Office of the Secretary, Office of Natural...

  2. 77 FR 12612 - Agency Information Collection Activities: Submitted for Office of Management and Budget Review...

    Science.gov (United States)

    2012-03-01

    ... Office of Natural Resources Revenue Agency Information Collection Activities: Submitted for Office of Management and Budget Review; Comment Request AGENCY: Office of Natural Resources Revenue, Interior. ACTION... the minerals revenue management functions for the Secretary and assists the Secretary in carrying...

  3. Management of physical child abuse in South Africa:Literature review and children's hospital data analysis

    NARCIS (Netherlands)

    Janssen, T.L. (T. L.); M. van Dijk (Monique); Al Malki, I. (I.); A.B. van As (Àrjan Bastiaan)

    2013-01-01

    textabstractBackground: The reason for this review is the lack of data on the management of physical abused children in Africa. The primary goal of the first part is to outline the management of physical child abuse in (South) Africa and provide suggestions for other governments in Africa on which t

  4. The Measurement of Classroom Management Self-Efficacy: A Review of Measurement Instrument Development and Influences

    Science.gov (United States)

    O'Neill, Sue Catherine; Stephenson, Jennifer

    2011-01-01

    Teachers' self-efficacy (SE) in their classroom management capabilities is thought to be an important factor in teachers' overall judgements of their teaching SE. Low SE in classroom management has been linked to teacher attrition and burnout, and reduced student learning outcomes. This article provides the first comprehensive review of classroom…

  5. 77 FR 45622 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2012-08-01

    ... up the account. This can be obtained in-house or outsourced by purchasing a public key certificate... No. FDA-2012-N-0438] Agency Information Collection Activities; Submission for Office of Management... information has been submitted to the Office of Management and Budget (OMB) for review and clearance under...

  6. 76 FR 71987 - Collection of Information Under Review by Office of Management and Budget

    Science.gov (United States)

    2011-11-21

    ... control systems (VCS). The information is also needed to determine the qualifications of a certifying... SECURITY Coast Guard Collection of Information Under Review by Office of Management and Budget AGENCY...), abstracted below, to the Office of Management and Budget (OMB), Office of Information and Regulatory...

  7. The Measurement of Classroom Management Self-Efficacy: A Review of Measurement Instrument Development and Influences

    Science.gov (United States)

    O'Neill, Sue Catherine; Stephenson, Jennifer

    2011-01-01

    Teachers' self-efficacy (SE) in their classroom management capabilities is thought to be an important factor in teachers' overall judgements of their teaching SE. Low SE in classroom management has been linked to teacher attrition and burnout, and reduced student learning outcomes. This article provides the first comprehensive review of classroom…

  8. The use of GIS and modelling approaches in squirrel population management and conservation: A review

    Science.gov (United States)

    P. W. W. Lurz; J. L. Koprowski; D. J. A. Wood

    2008-01-01

    We review modelling approaches in relation to three key areas of sciurid ecology: management, disease risk assessments and conservation. Models enable us to explore different scenarios to develop effective management and conservation strategies. They may also assist in identifying and targeting research needs for tree and flying squirrels. However, there is a need to...

  9. Vascular malformations: A review of 10 years' management in a university hospital

    NARCIS (Netherlands)

    Zwerver, J.; Rieu, P.N.M.A.; Koopman, R.J.J.; Spauwen, P.H.M.; Buskens, F.G.M.; Boetes, C.; Veth, R.P.H.; Van Oostrom, C.G.

    1996-01-01

    In order to gain insight into the management of patients with vascular malformations (VM) in the University Hospital Nijmegen in the past 10 years, 151 cases managed by different specialists were reviewed. To avoid the usual confusion in terminology, all recorded diagnoses were reclassified accordin

  10. 77 FR 26283 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2012-05-03

    ... information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the... heading of this document. FOR FURTHER INFORMATION CONTACT: Domini Bean, Office of Information Management... this collection of information. Based on the Agency's experience with the use of health claims, FDA...

  11. 78 FR 52199 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2013-08-22

    ... cardiovascular events, primarily strokes and myocardial infarctions. Control of high blood pressure should be... Office of Management and Budget Review; Comment Request; Guidance for Industry on Hypertension Indication... collection of information to OMB for review and clearance. Guidance for Industry on Hypertension...

  12. Is consuming yoghurt associated with weight management outcomes? Results from a systematic review

    NARCIS (Netherlands)

    Eales, J.; Lenoir-Wijnkoop, I.; King, S.; Wood, H.; Kok, F.J.; Shamir, R.; Prentice, A.; Edwards, M.; Glanville, J.; Atkinson, R.L.

    2016-01-01

    Background:Yoghurt is part of the diet of many people worldwide and is commonly recognised as a 'health food'. Epidemiological studies suggest that yoghurt may be useful as part of weight management programs. In the absence of comprehensive systematic reviews, this systematic review investigated

  13. 76 FR 79692 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2011-12-22

    ... Office of Management and Budget Review; Comment Request; Current Good Manufacturing Practices and Related... review and clearance. Current Good Manufacturing Practices and Related Regulations for Blood and Blood... manufacturing, processing, packing, or holding do not conform to current good manufacturing practice (CGMP)......

  14. 76 FR 6620 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2011-02-07

    ... Office of Management and Budget Review; Comment Request; Current Good Manufacturing Practice Regulations... collection of information to OMB for review and clearance. Current Good Manufacturing Practice Regulations... authority to issue current good manufacturing practice (cGMP) regulations for drugs, including...

  15. Hyposplenism: a comprehensive review. Part II: clinical manifestations, diagnosis, and management.

    Science.gov (United States)

    William, Basem M; Thawani, Nitika; Sae-Tia, Sutthichai; Corazza, Gino R

    2007-04-01

    In the first part of this review, we described the physiological basis of splenic function and hypofunction. We also described the wide spectrum of diseases that can result in functional hyposplenism. In the second part of this review, we will be discussing the clinical picture, including complications, diagnostic methods, and management of hyposplenism.

  16. 77 FR 41984 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2012-07-17

    ... Office of Management and Budget Review; Comment Request; Form FDA 3728, Animal Generic Drug User Fee Act... review and clearance. Form FDA 3728, Animal Generic Drug User Fee Act Cover Sheet--21 U.S.C. 379j-21 (OMB... abbreviated applications for generic new animal drugs, (2) annual fees for certain generic new animal...

  17. School Leadership and Management in South Africa: Findings from a Systematic Literature Review

    Science.gov (United States)

    Bush, Tony; Glover, Derek

    2016-01-01

    Purpose: The purpose of this paper is to provide a systematic review of the literature on school leadership and management in South Africa, linked to the 20th anniversary of democratic government and integrated education. Design/Methodology/Approach: The authors conducted a systematic review of all published work since 2007 with a more selective…

  18. 75 FR 2865 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2010-01-19

    ... Office of Management and Budget Review; Comment Request; Records and Reports Concerning Experience With... submitted the following proposed collection of information to OMB for review and clearance. Records and... experiences and product/manufacturing defects on Form FDA 1932, ``Veterinary Adverse Drug Reaction, Lack...

  19. Is consuming yoghurt associated with weight management outcomes? Results from a systematic review

    NARCIS (Netherlands)

    Eales, J.; Lenoir-Wijnkoop, I.; King, S.; Wood, H.; Kok, F.J.; Shamir, R.; Prentice, A.; Edwards, M.; Glanville, J.; Atkinson, R.L.

    2016-01-01

    Background:Yoghurt is part of the diet of many people worldwide and is commonly recognised as a 'health food'. Epidemiological studies suggest that yoghurt may be useful as part of weight management programs. In the absence of comprehensive systematic reviews, this systematic review investigated

  20. Does ICT influence supply chain management and performance? A review of survey-based research

    NARCIS (Netherlands)

    Zhang, Xuan; van Donk, Dirk Pieter; van der Vaart, Taco

    2011-01-01

    Purpose - The purpose of this paper is to review and classify survey-based research connecting information and communication technology (ICT), supply chain management (SCM), and supply chain (SC) performance. The review evaluates present empirical results and aims at detecting explanations for simil

  1. 76 FR 11783 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2011-03-03

    ... Activities; Submission for Office of Management and Budget Review; Comment Request; Food Canning... collection of information to OMB for review and clearance. Food Canning Establishment Registration, Process... System (FURLs). Food canning establishments can request an electronic account by sending an e-mail...

  2. 75 FR 39537 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Science.gov (United States)

    2010-07-09

    ... blood stem cell, stem cell products from cord blood, reproductive tissue, and sperm banks), ] including... Office of Management and Budget Review; Comment Request; Human Cells, Tissues, and Cellular and Tissue... submitted the following proposed collection of information to OMB for review and clearance. Human...

  3. School Leadership and Management in South Africa: Findings from a Systematic Literature Review

    Science.gov (United States)

    Bush, Tony; Glover, Derek

    2016-01-01

    Purpose: The purpose of this paper is to provide a systematic review of the literature on school leadership and management in South Africa, linked to the 20th anniversary of democratic government and integrated education. Design/Methodology/Approach: The authors conducted a systematic review of all published work since 2007 with a more selective…

  4. Process variables in organizational stress management intervention evaluation research: a systematic review

    NARCIS (Netherlands)

    Havermans, B.M.; Schelvis, R.M.C.; Boot, C.R.L.; Brouwers, E.P.M.; Anema, J.R.; Beek, A.J. van der

    2016-01-01

    Objectives This systematic review aimed to explore which process variables are used in stress management intervention (SMI) evaluation research. Methods A systematic review was conducted using seven electronic databases. Studies were included if they reported on an SMI aimed at primary or secondary

  5. Process variables in organizational stress management intervention evaluation research : A systematic review

    NARCIS (Netherlands)

    Havermans, B.M.; Schlevis, Roosmarijn Mc; Boot, Cécile Rl; Brouwers, E.P.M.; Anema, Johannes R; van der Beek, Allard J

    2016-01-01

    OBJECTIVES: This systematic review aimed to explore which process variables are used in stress management intervention (SMI) evaluation research. METHODS: A systematic review was conducted using seven electronic databases. Studies were included if they reported on an SMI aimed at primary or

  6. Does ICT influence supply chain management and performance? A review of survey-based research

    NARCIS (Netherlands)

    Zhang, Xuan; van Donk, Dirk Pieter; van der Vaart, Taco

    2011-01-01

    Purpose - The purpose of this paper is to review and classify survey-based research connecting information and communication technology (ICT), supply chain management (SCM), and supply chain (SC) performance. The review evaluates present empirical results and aims at detecting explanations for

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

    DEFF Research Database (Denmark)

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

    , since three seminal methodology papers on systematic reviews in management research have been published between 2003-2009. This research shows that there is still a need for more transparency in the approaches taken. Systematic literature reviews have a high potential to advance the field...

  8. Expectant management of early-onset severe preeclampsia. Literature review and treatment protocol

    Directory of Open Access Journals (Sweden)

    César Augusto Rendón

    2013-12-01

    Full Text Available The main goal of expectant management in women with severe preeclampsia (PE remote from term is to improve neonatal outcome, without compromising maternal health. Studies suggest that expectant management in early-onset preeclampsia may be associated with decreased neonatal morbidity, but also conclude that further studies are needed to assess maternal safety. The aim of this review is to assess the current issue evidence regarding the management of severe preeclampsia remote from term.

  9. Managing workplace stress in community pharmacy organisations: lessons from a review of the wider stress management and prevention literature.

    Science.gov (United States)

    Jacobs, Sally; Johnson, Sheena; Hassell, Karen

    2017-03-27

    Workplace stress in community pharmacy is increasing internationally due, in part, to pharmacists' expanding roles and escalating workloads. Whilst the business case for preventing and managing workplace stress by employers is strong, there is little evidence for the effectiveness of organisational stress management interventions in community pharmacy settings. To identify and synthesise existing evidence for the effectiveness of organisational solutions to workplace stress from the wider organisational literature which may be adaptable to community pharmacies. A secondary synthesis of existing reviews. Publications were identified through keyword searches of electronic databases and the internet; inclusion and exclusion criteria were applied; data about setting, intervention, method of evaluation, effectiveness and conclusions (including factors for success) were extracted and synthesised. Eighteen reviews of the stress management and prevention literature were identified. A comprehensive list of organisational interventions to prevent or manage workplace stress, ordered by prevalence of evidence of effectiveness, was produced, together with an ordered list of the benefits both to the individual and employing organisation. An evidence-based model of best practice was derived specifying eight factors for success: top management support, context-specific interventions, combined organisational and individual interventions, a participative approach, clearly delineated tasks and responsibilities, buy-in from middle management, change agents as facilitators and change in organisational culture. This literature review provides community pharmacy organisations with evidence from which to develop effective and successful stress management strategies to support pharmacists and pharmacy staff. Well-designed trials of stress management interventions in community pharmacy organisations are still required. © 2017 Royal Pharmaceutical Society.

  10. College Management System Improvement: Managerial Topics Part of the Review Phase. Working Paper. College Management System Improvement Project.

    Science.gov (United States)

    Schroeder, Roger G.

    How can the structure of a management system be reviewed? What specific data should be collected and what procedures should be followed? The specific data collection methodology consists of three steps: (1) description of process outputs, procedures, and inputs; (2) evaluation of effectiveness, needs, and priorities for change in the process; and…

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

    Directory of Open Access Journals (Sweden)

    Hannah L Parke

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

  12. Therapeutic Management of Feline Chronic Gingivostomatitis: A Systematic Review of the Literature.

    OpenAIRE

    Winer, Jenna N.; Boaz Arzi; Frank J.M. Verstraete

    2016-01-01

    Feline chronic gingivostomatitis (FCGS) is a disease characterized by protracted and potentially debilitating oral inflammation in cats, the etiology of which is currently unknown. The purpose of this review is to apply an evidence-based medicine approach to systematically review and critically evaluate the scientific literature reporting the outcome of medical and surgical management of FCGS. Those articles meeting inclusion criteria were reviewed and assigned an “Experimental Design Grade” ...

  13. Management of acute cardiogenic pulmonary edema: a literature review.

    Science.gov (United States)

    Johnson, Jeremy M

    2009-01-01

    Acute cardiogenic pulmonary edema (CPE) is a pathology frequently seen in patients presenting to emergency departments (EDs) and can usually be attributed to preexisting cardiovascular disease. Heart failure alone accounts for more than 1 million hospital admissions annually and has one of the highest ED morbidity and mortality to date (). Historically, CPE has been managed by the treating clinician in a manner that is based largely on anecdotal evidence. Furosemide (Lasix), morphine, and nitroglycerin have historically been the baseline standard for drug therapy in CPE management. A lack of drastic improvement in the patient's condition over the course of the ED visit may reflect a management style that results in higher morbidity and mortality for CPE patients. Several recent articles provide evidence-based outcomes that suggest changing standard therapy along with the adjunctive use of other medications. These articles also describe treatment modalities that result in a marked improvement in the management of patients with CPE along with decreases in adverse outcomes and hospital length of stay. The goal of this article is to present a summary of the evidence regarding the management of CPE and discuss the implications for current practice.

  14. Literature review on the management of diabetic foot ulcer.

    Science.gov (United States)

    Yazdanpanah, Leila; Nasiri, Morteza; Adarvishi, Sara

    2015-02-15

    Diabetic foot ulcer (DFU) is the most costly and devastating complication of diabetes mellitus, which affect 15% of diabetic patients during their lifetime. Based on National Institute for Health and Clinical Excellence strategies, early effective management of DFU can reduce the severity of complications such as preventable amputations and possible mortality, and also can improve overall quality of life. The management of DFU should be optimized by using a multidisciplinary team, due to a holistic approach to wound management is required. Based on studies, blood sugar control, wound debridement, advanced dressings and offloading modalities should always be a part of DFU management. Furthermore, surgery to heal chronic ulcer and prevent recurrence should be considered as an essential component of management in some cases. Also, hyperbaric oxygen therapy, electrical stimulation, negative pressure wound therapy, bio-engineered skin and growth factors could be used as adjunct therapies for rapid healing of DFU. So, it's suggested that with appropriate patient education encourages them to regular foot care in order to prevent DFU and its complications.

  15. Reviews of Geospatial Information Technology and Collaborative Data Delivery for Disaster Risk Management

    Directory of Open Access Journals (Sweden)

    Hiroyuki Miyazaki

    2015-09-01

    Full Text Available Due to the fact that geospatial information technology is considered necessary for disaster risk management (DRM, the need for more effective collaborations between providers and end users in data delivery is increasing. This paper reviews the following: (i schemes of disaster risk management and collaborative data operation in DRM; (ii geospatial information technology in terms of applications to the schemes reviewed; and (iii ongoing practices of collaborative data delivery with the schemes reviewed. This paper concludes by discussing the future of collaborative data delivery and the progress of the technologies.

  16. Review of Congestion Management Methods for Distribution Networks with High Penetration of Distributed Energy Resources

    DEFF Research Database (Denmark)

    Huang, Shaojun; Wu, Qiuwei; Liu, Zhaoxi;

    2014-01-01

    This paper reviews the existing congestion management methods for distribution networks with high penetration of DERs documented in the recent research literatures. The congestion management methods for distribution networks reviewed can be grouped into two categories – market methods and direct...... control methods. The market methods consist of dynamic tariff, distribution capacity market, shadow price and flexible service market. The direct control methods are comprised of network reconfiguration, reactive power control and active power control. Based on the review of the existing methods......, the authors suggest a priority list of the existing methods....

  17. Innovation management and performance evaluation: structured process of literature review

    Directory of Open Access Journals (Sweden)

    Julieta Scheidt Dienstmann

    2014-03-01

    Full Text Available This article aims to provide a process for the construction of knowledge demanded by researchers at the initial stage of their work on innovation management. To meet this need, the process adopted was the ProKnow-C (Knowledge Development Process - Constructivist, which proposes the construction of researchers knowledge considering their perceptions on the subject, and the recognition of scientific articles analyzed. The knowledge generated in the researcher means, for this article, knowing what are the main journals, articles, authors and keywords associated with 15 articles with scientific recognition and aligned with the perception of the researcher on innovation management, with focus on results. Through this application, the process ProKnow-C is presented demonstrating how it can be used by researchers to meet their initial demands of building knowledge about innovation management and aims to instill future works  based on structured processes for selecting a theoretical framework in this field of knowledge.

  18. Contemporary management of tricuspid regurgitation: an updated clinical review.

    Science.gov (United States)

    Taylor, Joshua T; Chidsey, Geoffrey; Disalvo, Thomas G; Byrne, John G; Maltais, Simon

    2013-01-01

    Tricuspid regurgitation (TR) is a complex and insidious valvular pathology that represents a complex decision and management algorithm for patients. TR is present in a significant proportion of the population and is especially prevalent in patients with advanced heart failure. Patients with TR have been demonstrated to have a decreased survival even with normal left heart function. TR can be a result of pathology that directly affects the valvular structure (i.e., Ebstein anomaly) or as a result of increased forward pressures (ie, pulmonary hypertension, left heart failure). Conservative management of patients with TR is primarily symptomatic relief. Definitive therapy involves surgical repair of the tricuspid valve. Furthermore, as more patients develop advanced heart failure, the management of TR in patients with left ventricular assist devices has become necessary because of the evidence of increased in-hospital morbidity and a trend toward decreased survival.

  19. Management of dentinogenesis imperfecta: a review of two case reports.

    Science.gov (United States)

    Rafeek, Reisha N; Paryag, Amit; Al-Bayaty, Haytham

    2013-01-01

    Dentinogenesis imperfecta (DI) is an inherited disorder that affects dentin and often manifests as tooth discoloration; in addition, the dentition is also extremely susceptible to wear. Treatment of DI focuses primarily on protecting affected dentin, reducing sensitivity, and improving esthetics. Routine restorative materials, such as amalgams and composites, may be used. In more severe cases, the treatment of choice is full coverage crowns, while bonding of veneers may be used to improve the esthetics of the anterior teeth. This study presents two cases of Type II DI in the same family and the management of each case. Restorative management included amalgams, composite veneers, crowns, bridges, and overdentures.

  20. The management of dento-alveolar trauma--a review.

    Science.gov (United States)

    Stapleford, R G

    1990-01-01

    The clinician faced with the management of an insult to the masticatory system involving the dentition, its alveolar housing and the investing tissues often faces a formidable task. The restitution of traumatic derangement of oral-facial structures mandates a systematic approach to hard and soft tissue management with particular reference to the unique biological characteristics of this environment. A decidedly improved prognosis may be offered to the patient when basic principles are followed and the indicators for successful long term stabilization are realized. Awareness of these practical principles renders the dentist in general practice able to provide primary or referral care.

  1. Review of Options for Ammonia/Ammonium Management

    Energy Technology Data Exchange (ETDEWEB)

    Nash, C. A. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-05-06

    This report is a review of literature supporting practical ammonia/ammonium destruction processes. Melter research supporting Hanford Low Activity Waste (LAW) glass production has shown that significant amounts of ammonia will be in the melter offgas condensate. Further work with secondary waste forms indicates the potential need to remove the ammonia, perhaps by an oxidative process. This review finds likely practical chemical methods to oxidize ammonia in aqueous solution at moderate temperatures and atmospheric pressure, using easily obtained reagents. Leading candidates include nitrite oxidation to produce nitrogen gas, various peroxide oxidative processes, and air stripping. This work reviews many other processes and provides reasoning to not consider those processes further for this application.

  2. The effect of managed care on quality: a review of recent evidence.

    Science.gov (United States)

    Hellinger, F J

    1998-04-27

    This article reviews recent evidence about the relationship between managed care and quality. With one exception, the studies reviewed represent observation periods that extend through 1990 or a more recent year. The review has led to the conclusion that managed care has not decreased the overall effectiveness of care. However, evidence suggests that managed care may adversely affect the health of some vulnerable subpopulations. Evidence also suggests that enrollees in managed care plans are less satisfied with their care and have more problems accessing specialized services. In addition, younger, wealthier, and healthier persons were more satisfied with their health plans than older, poorer, and sicker persons, even after adjusting for the type of health plan.The findings of the studies reviewed do not provide definitive results about the effect of managed care on quality. Indeed, relatively few studies include data from the 1990s, and little is known about the newer types of health maintenance organizations that invest heavily in information systems and rely on financial incentives to alter practice patterns. Furthermore, managed care is not a uniform method that is applied identically by all health plans, and research studying the different dimensions of managed care also is needed.

  3. Ecology and management of agricultural drainage ditches: a literature review

    Science.gov (United States)

    Agricultural drainage ditches are headwater streams that have been modified or constructed for agricultural drainage, and are often used in conjunction with tile drains. These modified streams are a common landscape feature in Ohio, and constitute 25% of stream habitat within the state. Management o...

  4. A review of passive thermal management of LED module

    NARCIS (Netherlands)

    Ye, H.; Sau, K.; Zeijl, H. van; Gielen, A.W.J.; Zhang, G.

    2011-01-01

    Recently, the high-brightness LEDs have begun to be designed for illumination application. The increased electrical currents used to drive LEDs lead to thermal issues. Thermal management for LED module is a key design parameter as high operation temperature directly affects their maximum light outpu

  5. Learning Career Management Skills in Europe: A Critical Review

    Science.gov (United States)

    Sultana, Ronald G.

    2012-01-01

    Career management skills (CMS) are increasingly touted as necessary for all citizens, young and adult, particularly given the realities of employment and self-employment in a knowledge-based society, where "protean", "portfolio" careers are expected to increasingly become the norm, and lifelong career guidance an entitlement of…

  6. Inhaled analgesia for pain management in labour (Review)

    NARCIS (Netherlands)

    Klomp, T.; Poppel, M. van; Jones, L.; Lazet, J.; Nisio, M. Di; Lagro-Janssen, A.L.M.

    2012-01-01

    BACKGROUND: Many women would like to have a choice in pain relief during labour and also would like to avoid invasive methods of pain management in labour. Inhaled analgesia during labour involves the self-administered inhalation of sub-anaesthetic concentrations of agents while the mother remains a

  7. Information Technology in Facilities Management - A Literature Review

    DEFF Research Database (Denmark)

    Ebbesen, Poul

    2015-01-01

    Purpose : The aim of this paper is to present the state of the art of research in Information Technology (IT) in Facilities Management (FM). Background : Initial studies indicate that investments into IT in FM often do not add the expected value, neither to the FM department itself nor...

  8. Subject Journal Review: Personnel Management and Industrial Psychology.

    Science.gov (United States)

    Herman, Georgianna

    1984-01-01

    This annotated bibliography lists 35 primary journals devoted to personnel management and industrial psychology in such categories as human resource planning, employee training, compensation, and employment law. History of the field, journal selection, journal specializations (for practitioners and academicians), journal indexing/abstracting,…

  9. Economic effects of bovine mastitis and mastitis management: A review.

    NARCIS (Netherlands)

    Halasa, T.; Huijps, K.; Osterás, O.; Hogeveen, H.

    2007-01-01

    Several studies have been published since 1990 on the economics of mastitis and mastitis management. However, hardly any of these studies has discussed the consistency of results with other studies. In the present paper, the economic factors associated with mastitis are explained, providing a

  10. A Review of IT Service Management and Organisational Changes

    DEFF Research Database (Denmark)

    Kræmmergaard, Pernille; Lynge, Bjarne Christoffer; Schou, Christoffer Dalby

    The interest in Information technology service management (ITSM) is increasing in practice and also in research we will argue. The aim of implementation of ITSM in IT organisations is to increase the service towards the IT organisations´ customers, businesses and users, and that requires changes...

  11. Reviewing Institutional Policies for Electronic Management of Assessment

    Science.gov (United States)

    Voce, Julie

    2015-01-01

    Electronic assignment submission (e-submission) tools, such as those within course management systems (e.g. Blackboard), or systems such as Turnitin, which enable students to submit coursework online are now one of the main centrally supported institutional tools in Higher Education (HE) in the United Kingdom (UK), however the development of…

  12. Reviewing Institutional Policies for Electronic Management of Assessment

    Science.gov (United States)

    Voce, Julie

    2015-01-01

    Electronic assignment submission (e-submission) tools, such as those within course management systems (e.g. Blackboard), or systems such as Turnitin, which enable students to submit coursework online are now one of the main centrally supported institutional tools in Higher Education (HE) in the United Kingdom (UK), however the development of…

  13. Learning Career Management Skills in Europe: A Critical Review

    Science.gov (United States)

    Sultana, Ronald G.

    2012-01-01

    Career management skills (CMS) are increasingly touted as necessary for all citizens, young and adult, particularly given the realities of employment and self-employment in a knowledge-based society, where "protean", "portfolio" careers are expected to increasingly become the norm, and lifelong career guidance an entitlement of…

  14. Inhaled analgesia for pain management in labour (Review)

    NARCIS (Netherlands)

    Klomp, T.; Poppel, M. van; Jones, L.; Lazet, J.; Nisio, M. Di; Lagro-Janssen, A.L.M.

    2012-01-01

    BACKGROUND: Many women would like to have a choice in pain relief during labour and also would like to avoid invasive methods of pain management in labour. Inhaled analgesia during labour involves the self-administered inhalation of sub-anaesthetic concentrations of agents while the mother remains

  15. Implementing Student Peer Review: Opportunity versus Change Management

    Science.gov (United States)

    Pharo, Emma; De Salas, Kristy

    2009-01-01

    This paper reflects on the implementation of a peer-assessment innovation in a large first-year geography unit. While the innovation had been carefully researched, difficulties in the implementation drew the authors' attention to the need for more change management to be built into the design and development. Focusing specifically on the teacher…

  16. Literature review on the management of diabetic foot ulcer

    Institute of Scientific and Technical Information of China (English)

    Leila Yazdanpanah; Morteza Nasiri; Sara Adarvishi

    2015-01-01

    Diabetic foot ulcer (DFU) is the most costly anddevastating complication of diabetes mellitus, whichaffect 15% of diabetic patients during their lifetime.Based on National Institute for Health and ClinicalExcellence strategies, early effective management ofDFU can reduce the severity of complications suchas preventable amputations and possible mortality,and also can improve overall quality of life. Themanagement of DFU should be optimized by using amultidisciplinary team, due to a holistic approach towound management is required. Based on studies, bloodsugar control, wound debridement, advanced dressingsand offloading modalities should always be a part ofDFU management. Furthermore, surgery to heal chroniculcer and prevent recurrence should be considered as anessential component of management in some cases. Also,hyperbaric oxygen therapy, electrical stimulation, negativepressure wound therapy, bio-engineered skin and growthfactors could be used as adjunct therapies for rapidhealing of DFU. So, it's suggested that with appropriatepatient education encourages them to regular foot carein order to prevent DFU and its complications.

  17. International Human Resource Management: A Review from Pakistani Perspective

    OpenAIRE

    Shah, Syed Tanveer Hussain; Jamil, Raja Ahmed; Shah, Tazeem Ali; Kazmi, Zain

    2014-01-01

    This article provides information about the International Human Resource Management and discusses HRM according to the international prospective in Pakistan. In this article it is discussed that how environmental and cultural factors affect the recruitment, selection and industry/employee relation in Pakistan. In the end some conclusions are made in reference to the context.

  18. General Review of Tinnitus Prevalence, Mechanisms, Effects, and Management

    Science.gov (United States)

    Henry, James A.; Dennis, Kyle C.; Schechter, Martin A.

    2005-01-01

    Tinnitus is an increasing health concern across all strata of the general population. Although an abundant amount of literature has addressed the many facets of tinnitus, wide-ranging differences in professional beliefs and attitudes persist concerning its clinical management. These differences are detrimental to tinnitus patients because the…

  19. International Human Resource Management: A Review from Pakistani Perspective

    OpenAIRE

    Shah, Syed Tanveer Hussain; Jamil, Raja Ahmed; Shah, Tazeem Ali; Kazmi, Zain

    2014-01-01

    This article provides information about the International Human Resource Management and discusses HRM according to the international prospective in Pakistan. In this article it is discussed that how environmental and cultural factors affect the recruitment, selection and industry/employee relation in Pakistan. In the end some conclusions are made in reference to the context.

  20. Management and Supervisory Training: A Review and Annotated Bibliography.

    Science.gov (United States)

    1980-09-01

    firing, making meetings more productive, dealing with conflict situations, managing communication, and becoming an effective leader. ! Speroff , B.J...criticize and evaluate the performance. Speroff , B.J. "The Substitution Method in Role-Playing Grievance Handling." Personnel J., v. 38, 1959, pp. 9-12

  1. Economic effects of bovine mastitis and mastitis management: A review.

    NARCIS (Netherlands)

    Halasa, T.; Huijps, K.; Osterás, O.; Hogeveen, H.

    2007-01-01

    Several studies have been published since 1990 on the economics of mastitis and mastitis management. However, hardly any of these studies has discussed the consistency of results with other studies. In the present paper, the economic factors associated with mastitis are explained, providing a framew

  2. Virtual herding for flexible livestock management - a review

    Science.gov (United States)

    Free-ranging livestock play a pivotal role globally in the conversion of plant tissue into products and services that support man’s many and changing lifestyles. With domestication came the task of providing livestock with an adequate plane of nutrition while simultaneously managing vegetation for s...

  3. Weed management in tropical turfgrass areas: A review

    Directory of Open Access Journals (Sweden)

    Uddin Kamal M.D.

    2012-01-01

    Full Text Available Cultural practices promoting vigorous, environmentally friendly dense turf are discussed. These are the most important and least recognized means of preventing weed establishment and encroachment which includes appropriate propagation material selection, sanitation and cultivation, adjustment of planting time, manual weed control (hand pulling, hoeing and rouging, turfgrass selection to better compete with weed populations, applying physiological stresses, fertilizer management, moisture management, mowing, and irrigation with salt water. Cultural management of weed is important because it reduces dependence on synthetic pesticides. A healthy turfgrass stand has been reported to be the best defense against weed colonization, and can be accomplished by proper mowing, watering, and fertilization. Mowing height is the clearest and best-documented cultural factor and a lower mowing height is always associated with more weeds in the turfgrass. Split application of fertilizer at intervals throughout the growing period is recommended for warm season turfgrasses. The application of fertilizer during dormant periods or periods of low growth may encourage weed growth. Hand pulling and hoeing effectively control annual and biennial seedling weeds for small areas. Irrigation by saltwater has been one method used recently to effectively control grassy broadleaved and sedge weeds in salt-tolerant turfgrass species. Cultural weed management practices in turf might provide a first defense: however, relying only on cultural control measures may not be a good idea. An integrated approach of combining cultural practices and chemicals can complement each other and give flexibility to decision making. Research is needed on optimizing the choices of herbicide and/or cultural practices as part of an integrated management system for turfgrass.

  4. Management of intellectual property rights in India: An updated review.

    Science.gov (United States)

    Tiwari, R; Tiwari, G; Rai, A K; Srivastawa, Birendra

    2011-01-01

    The World Trade Organization's agreement on Trade-Related Aspects of Intellectual Property Rights set global minimum standards for the protection of intellectual property, substantially increasing and expanding intellectual property rights, and generated clear gains for the pharmaceutical industry and the developed world. The present review elaborates all aspects of Intellectual Property Rights in detail, along with their protection criteria.

  5. Managing the Process of Review: Playing "Baseball" in Class.

    Science.gov (United States)

    Crawford, Donald B.

    1999-01-01

    This article describes using a game entitled "Baseball" to help students with special needs review test questions. Students, organized into teams, use practice test questions to quiz each other. Benefits, in addition to making practice sessions enjoyable, include learning content effectively and teaching students how to self-assess their…

  6. Data Mining and Its Applications for Knowledge Management : A Literature Review from 2007 to 2012

    Directory of Open Access Journals (Sweden)

    Tipawan Silwattananusarn

    2012-10-01

    Full Text Available Data mining is one of the most important steps of the knowledge discovery in databases process and isconsidered as significant subfield in knowledge management. Research in data mining continues growingin business and in learning organization over coming decades. This review paper explores the applicationsof data mining techniques which have been developed to support knowledge management process. Thejournal articles indexed in ScienceDirect Database from 2007 to 2012 are analyzed and classified. Thediscussion on the findings is divided into 4 topics: (i knowledge resource; (ii knowledge types and/orknowledge datasets; (iii data mining tasks; and (iv data mining techniques and applications used inknowledge management. The article first briefly describes the definition of data mining and data miningfunctionality. Then the knowledge management rationale and major knowledge management toolsintegrated in knowledge management cycle are described. Finally, the applications of data miningtechniques in the process of knowledge management are summarized and discussed.

  7. EPA Proposes to Remove Most of Fulton, Oswego County, New York Site from Superfund List

    Science.gov (United States)

    (New York, N.Y) After cleaning up more than 10,000 cubic yards of contaminated soil and approximately 9 million gallons of contaminated groundwater, the U.S. Environmental Protection Agency is proposing to remove a portion of the Fulton Terminals Superfund

  8. Superfund record of decision (EPA Region 5): Ormet Corporation, Hannibal, OH, September 1994

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-12

    The Record of Decision presents the selected remedy for the Ormet Corporation Superfund Site. The purpose of this remedy is to eliminate or reduce contamination in soils, sediments and ground water, and to reduce the risks associated with exposure to contaminated materials. This is the first and final remedy planned for the Site.

  9. Medical costs and lost productivity from health conditions at volatile organic compound-contaminated Superfund sites

    Energy Technology Data Exchange (ETDEWEB)

    Lybarger, J.A.; Spengler, R.F.; Brown, D.R. [Agency for Toxic Substances and Disease Registry, Atlanta, GA (United States). Div. of Health Studies; Lee, R.; Vogt, D.P. [Oak Ridge National Lab., TN (United States)]|[Joint Inst. for Energy and Environment, Oak Ridge, TN (United States); Perhac, R.M. Jr. [Univ. of Tennessee, Knoxville, TN (United States)]|[Joint Inst. for Energy and Environment, Oak Ridge, TN (United States)

    1998-10-01

    This paper estimates the health costs at Superfund sites for conditions associated with volatile organic compounds (VOCs) in drinking water. Health conditions were identified from published literature and registry information as occurring at excess rates in VOC-exposed populations. These health conditions were: (1) some categories of birth defects, (2) urinary tract disorders, (3) diabetes, (4) eczema and skin conditions, (5) anemia, (6) speech and hearing impairments in children under 10 years of age, and (7) stroke. Excess rates were used to estimate the excess number of cases occurring among the total population living within one-half mile of 258 Superfund sites. These sites had evidence of completed human exposure pathways for VOCs in drinking water. For each type of medical condition, an individual`s expected medical costs, long-term care costs, and lost work time due to illness or premature mortality were estimated. Costs were calculated to be approximately $330 million per year, in the absence of any remediation or public health intervention programs. The results indicate the general magnitude of the economic burden associated with a limited number of contaminants at a portion of all Superfund sites, thus suggesting that the burden would be greater than that estimated in this study if all contaminants at all Superfund sites could be taken into account.

  10. A General Chemistry Assignment Analyzing Environmental Contamination for the Depue, IL, National Superfund Site

    Science.gov (United States)

    Saslow Gomez, Sarah A.; Faurie-Wisniewski, Danielle; Parsa, Arlen; Spitz, Jeff; Spitz, Jennifer Amdur; Loeb, Nancy C.; Geiger, Franz M.

    2015-01-01

    The classroom exercise outlined here is a self-directed assignment that connects students to the environmental contamination problem surrounding the DePue Superfund site. By connecting chemistry knowledge gained in the classroom with a real-world problem, students are encouraged to personally connect with the problem while simultaneously…

  11. 75 FR 68788 - Ore Knob Mine Superfund Site; Jefferson, Ashe County, North Carolina; Notice of Settlement

    Science.gov (United States)

    2010-11-09

    ... Doc No: 2010-28260] ENVIRONMENTAL PROTECTION AGENCY [Docket EPA-RO4-SFUND-2010-0893, FRL-9223-8] Ore... Protection Agency has entered into a settlement for reimbursement of past response costs concerning the Ore..., identified by Docket ID No. EPA-RO4- SFUND-2010-0893 or Site name Ore Knob Mine Superfund Site by one of...

  12. 77 FR 16548 - Florida Petroleum Reprocessors Superfund Site; Davie, Broward County, FL; Notice of Settlements

    Science.gov (United States)

    2012-03-21

    ...] Florida Petroleum Reprocessors Superfund Site; Davie, Broward County, FL; Notice of Settlements AGENCY... entered into four (4) settlements for past response costs concerning the Florida Petroleum Reprocessors... settlement are available from Ms. Paula V. Painter. Submit your comments by Site name Florida Petroleum...

  13. SUPERFUND TREATABILITY CLEARINGHOUSE: CERCLA BDAT SARM PREPARATION AND RESULTS OF PHYSICAL SOILS WASHING EXPERIMENTS (FINAL REPORT)

    Science.gov (United States)

    This study reports on the results of work preparing 30,000 Ibs of SARM or synthetic analytical reference matrix, a surrogate Superfund soil containing a vide range of contaminants. It also reports the results ©f bench scale treatability experiments designed to simulate the EP...

  14. A General Chemistry Assignment Analyzing Environmental Contamination for the Depue, IL, National Superfund Site

    Science.gov (United States)

    Saslow Gomez, Sarah A.; Faurie-Wisniewski, Danielle; Parsa, Arlen; Spitz, Jeff; Spitz, Jennifer Amdur; Loeb, Nancy C.; Geiger, Franz M.

    2015-01-01

    The classroom exercise outlined here is a self-directed assignment that connects students to the environmental contamination problem surrounding the DePue Superfund site. By connecting chemistry knowledge gained in the classroom with a real-world problem, students are encouraged to personally connect with the problem while simultaneously…

  15. Grain Handling Facility at Freeman, Washington Added to Superfund Cleanup List

    Science.gov (United States)

    (September 28, 2015 - Seattle) The U.S. Environmental Protection Agency has added the Grain Handling Facility at Freeman, in Spokane County, Washington, to the Superfund National Priorities List. The site was added to the NPL after EPA considered input rec

  16. 77 FR 2981 - Constitution Road Drum Superfund Site; Atlanta, Dekalb County, GA; Notice of Settlement

    Science.gov (United States)

    2012-01-20

    ... AGENCY Constitution Road Drum Superfund Site; Atlanta, Dekalb County, GA; Notice of Settlement AGENCY... Protection Agency has entered into a settlement for past response costs concerning the Constitution Road Drum... settlement are available from Ms. Paula V. Painter. Submit your comments by Site name Constitution Road...

  17. Identifying management competencies for health care executives: review of a series of Delphi studies.

    Science.gov (United States)

    Hudak, R P; Brooke, P P; Finstuen, K

    2000-01-01

    This analysis reviews a selected body of research that identifies the essential areas of management expertise required of future health care executives. To ensure consistency, six studies are analyzed, utilizing the Delphi technique, to query a broad spectrum of experts in different fields and sites of health care management. The analysis identifies a number of management competencies, i.e., managerial capabilities, which current and aspiring health care executives, in various settings and with differing educational backgrounds, should possess to enhance the probability of their success in current and future positions of responsibility. In addition, this review identifies the skills (technical expertise), knowledge (facts and principles) and abilities (physical, mental or legal power) required to support achievement of these competencies. Leadership and resource management, including cost and finance dimensions, are the highest-rated requisite management competencies. The dominant skills, knowledge and abilities (SKAs) are related to interpersonal skills. The lowest-rated SKAs are related to job-specific, technical skills. Recommendations include the review of this research by formal and continuing education programs to determine the content of their courses and areas for future research. Similarly, current health care executives should assess this research to assist in identifying competency gaps. Lastly, this analysis recommends that the Delphi technique, as a valid and replicable methodology, be applied toward the study of non-executive health care managers, e.g., students, clinicians, mid-level managers and integrated systems administrators, to determine their requisite management competencies and SKAs.

  18. Role of Interventional Radiology in the Management of Chylothorax: A Review of the Current Management of High Output Chylothorax

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, Stuart, E-mail: lyonsey@optusnet.com.au; Mott, Nigel, E-mail: nigelmott76@hotmail.com; Koukounaras, Jim; Shoobridge, Jen [Alfred Hospital, Department of Radiology (Australia); Hudson, Patricio Vargas [Clinica Alemana, Department of Radiology (Chile)

    2013-06-15

    Chylothorax is an uncommon type of pleural effusion whose etiology may be classified as traumatic or nontraumatic. Low-output chylothoraces usually respond well to conservative management, whereas high-output chylothoraces are more likely to require surgical or interventional treatment. Conservative management focuses on alleviation of symptoms, replacement of fluid and nutrient losses, and reduction of chyle output to facilitate spontaneous healing. Surgical management can be technically difficult due to the high incidence of variant anatomy and the high-risk patient population. Percutaneous treatments have rapidly developed and evolved during the past 14 years to represent a minimally invasive treatment compared with the more invasive nature of surgery. Percutaneous therapies provide a range of treatment options despite difficult or variant anatomy, with a reported high success rate coupled with low morbidity and mortality. This article is a review of etiology, diagnosis, and treatment of chylothorax, with a focus on interventional management techniques.

  19. Robotic ultrasound and needle guidance for prostate cancer management: review of the contemporary literature.

    Science.gov (United States)

    Kaye, Deborah R; Stoianovici, Dan; Han, Misop

    2014-01-01

    To present the recent advances in needle guidance and robotic ultrasound technology which are used for prostate cancer (PCa) diagnosis and management. Prostate biopsy technology has remained relatively unchanged. Improved needle localization and precision would allow for better management of this common disease. Robotic ultrasound and needle guidance is one strategy to improve needle localization and diagnostic accuracy of PCa. This review focuses on the recent advances in robotic ultrasound and needle guidance technologies, and their potential impact on PCa diagnosis and management. The use of robotic ultrasound and robotic-assisted needle guidance has the potential to improve PCa diagnosis and management.

  20. Review: clinical management of Helicobacter pylori infection in China.

    Science.gov (United States)

    Xie, Chuan; Lu, Nong-Hua

    2015-02-01

    Helicobacter pylori (H. pylori) infection has been associated with gastric disorders. The situation of H. pylori infection in China-where a high prevalence of H. pylori infection, a high incidence of gastric cancer, and widespread resistance to clarithromycin, metronidazole, and levofloxacin exist-is quite different from that in Western countries. In order for Chinese clinicians to better manage H. pylori infection, a Chinese Study Group on H. pylori published four consensus reports regarding the management of H. pylori infection in China between 1999 and 2012. The eradication rate with standard triple therapy was pylori in China in recent years. © 2014 John Wiley & Sons Ltd.

  1. Technology development multidimensional review for engineering and technology managers

    CERN Document Server

    Neshati, Ramin; Watt, Russell; Eastham, James

    2014-01-01

    Developing new products, services, systems, and processes has become an imperative for any firm expecting to thrive in today’s fast-paced and hyper-competitive environment.  This volume integrates academic and practical insights to present fresh perspectives on new product development and innovation, showcasing lessons learned on the technological frontier.  The first part emphasizes decision making.  The second part focuses on technology evaluation, including cost-benefit analysis, material selection, and scenarios. The third part features in-depth case studies to present innovation management tools, such as customer needs identification, technology standardization, and risk management. The fourth part highlights important international trends, such as globalization and outsourcing. Finally the fifth part explores social and political aspects.

  2. A Review of China’s Rural Water Management

    Directory of Open Access Journals (Sweden)

    Xiaoman Yu

    2015-05-01

    Full Text Available With less than 6% of total global water resources but one fifth of the global population, China is facing serious challenges for its water resources management, particularly in rural areas due to the long-standing urban-rural dualistic structure and the economic-centralized developmental policies. This paper addresses the key water crises in rural China including potable water supply, wastewater treatment and disposal, water for agricultural purposes, and environmental concerns, and then analyzes the administrative system on water resources from the perspective of characteristics of the current administrative system and regulations; finally, synthetic approaches to solve water problems in rural China are proposed with regard to institutional reform, regulation revision, economic instruments, technology innovation and capacity-building. These recommendations provide valuable insights to water managers in rural China so that they can identify the most appropriate pathways for optimizing their water resources, reducing the total wastewater discharge and improving their water-related ecosystem.

  3. Education review: diversity and opportunity in health management systems and health information management.

    Science.gov (United States)

    Begler, K H

    1995-05-01

    Innovative methods for managing health care information are critical to solving the problems posed by our nation's health care system. The Department of Health Information Sciences at the John G. Rangos, Sr. School of Health Sciences at Duquesne University in Pittsburgh has created baccalaureate and master's degree programs in health management systems that respond to a need for the redesign and management of the cultural and technologic infrastructure necessary to create more efficient, highly effective, and better informed health care organizations.

  4. The Mixed Waste Management Facility. Preliminary design review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-31

    This document presents information about the Mixed Waste Management Facility. Topics discussed include: cost and schedule baseline for the completion of the project; evaluation of alternative options; transportation of radioactive wastes to the facility; capital risk associated with incineration; radioactive waste processing; scaling of the pilot-scale system; waste streams to be processed; molten salt oxidation; feed preparation; initial operation to demonstrate selected technologies; floorplans; baseline revisions; preliminary design baseline; cost reduction; and project mission and milestones.

  5. RISK MANAGEMENT FRAMEWORKS FOR CLOUD COMPUTING: A CRITICAL REVIEW

    OpenAIRE

    Mohammad Alnuem2

    2016-01-01

    Cloud computing technology has experienced exponential growth over the past few years. It provides many advantages for both individuals and organizations. However, at the same time, many issues have arisen due to the vast growth of cloud computing. Organizations often have concerns about the migration and utilization of cloud computing due to the loss of control over their outsourced resources and cloud computing is vulnerable to risks. Thus, a cloud provider needs to manage the cloud comp...

  6. The Mixed Waste Management Facility. Preliminary design review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-31

    This document presents information about the Mixed Waste Management Facility. Topics discussed include: cost and schedule baseline for the completion of the project; evaluation of alternative options; transportation of radioactive wastes to the facility; capital risk associated with incineration; radioactive waste processing; scaling of the pilot-scale system; waste streams to be processed; molten salt oxidation; feed preparation; initial operation to demonstrate selected technologies; floorplans; baseline revisions; preliminary design baseline; cost reduction; and project mission and milestones.

  7. Nonoperative management of odontoid fractures: a review of 59 cases.

    Science.gov (United States)

    Rizk, Elias; Kelleher, John Paul; Zalatimo, Omar; Reiter, Timothy; Harbaugh, Robert; McInerney, James; Sheehan, Jonas

    2013-09-01

    Surgical treatment of odontoid fractures is recommended by many surgeons to prevent sudden neurologic injury or progressive myelopathy. Less aggressive approach to the treatment of odontoid fractures has been advocated by some authors especially in the elderly population. Very few reports have followed up patients' outcomes following conservative treatment of odontoid fractures. Here we evaluate the clinical and radiographic results of patients without myelopathy treated without surgery for an odontoid type fracture. 101 patients with traumatic odontoid fracture admitted to the Pennsylvania State Hershey Medical Center between 1998 and 2008. Fractures were defined using a CT scan according to the Anderson-D'Alonzo Classification. Conservative treatment was pursued in appropriately selected patients. Fifty-nine patients were selected to be treated in a cervical collar. Sixteen patients failed using radiographic evidence and continued neck pain. Fourteen patients went on to be surgically stabilized. The other two patients opted to continue with cervical orthosis and regular clinical evaluations. The Forty-three remaining patients had stable imaging studies and with no other complaints. None of the patients developed myelopathy symptoms during the follow-up period. Our results indicate that a select group of patients with odontoid fracture who are deemed stable on initial evaluation in a cervical orthosis may be effectively managed non-operatively. None of the patients who were managed conservatively had clinical worsening during the period of management. The decision to proceed with surgical treatment was based on failure of resolution of neck pain or worsening or concerning instability on imaging studies. However in many patients, even elderly patients in a surgical risks are greater, many odontoid fractures can be safely managed in a cervical orthosis. Copyright © 2013 Elsevier B.V. All rights reserved.

  8. A Review of Fishpond Soil Management Principles in Nigeria

    OpenAIRE

    A.T. Ekubo; J.F.N. Abowei

    2011-01-01

    The suitability of sites for culture fisheries depends on the soil. There is therefore the need to have proper background on the nature and properties of soils. The pond oils, soil functions in fish pond, soil characterization, components and soil mineral constituents, oil profile soil classification, soil fertility, nutrients, primary and secondary nutrients, soil organic matter, common soil problems, field and laboratory methods in acid sulphate soil identification, management of acid sulph...

  9. 48 CFR 352.234-2 - Notice of earned value management system-post-award Integrated Baseline Review.

    Science.gov (United States)

    2010-10-01

    ... management system-post-award Integrated Baseline Review. 352.234-2 Section 352.234-2 Federal Acquisition... Texts of Provisions and Clauses 352.234-2 Notice of earned value management system—post-award Integrated... provision: Notice of Earned Value Management System—Post-Award Integrated Baseline Review (October 2008)...

  10. 48 CFR 352.234-1 - Notice of earned value management system-pre-award Integrated Baseline Review.

    Science.gov (United States)

    2010-10-01

    ... management system-pre-award Integrated Baseline Review. 352.234-1 Section 352.234-1 Federal Acquisition... Texts of Provisions and Clauses 352.234-1 Notice of earned value management system—pre-award Integrated... provision: Notice of Earned Value Management System—Pre-Award Integrated Baseline Review (October 2008)...

  11. Generation and management of medical waste in Serbia: A review

    Directory of Open Access Journals (Sweden)

    Šerović Radmila M.

    2016-01-01

    Full Text Available This study presents generation, quantities and medical waste (MW management in Serbia. It represents assessment methods and total annual MW generation by categories. It was concluded that pharmaceutical (64% and infectious (32% MW production is the largest. According to available data, MW management in Serbia is currently at low level, except when it comes to infectious waste. Research proposed simpler treatment methods in existing autoclaves and complex methods (incineration and plasma-pyrolysis, as well as short-term and long-term solutions. Predicted MW growing amount requires existing capacity increase for processing and new solutions application. Installed autoclaves capacity could be increased by increasing working time, in order to avoid additional investment. However, treatment in autoclave is only suitable for infectious MW. For other medical waste, which main fractions are pharmaceutical and chemical waste, there is no infrastructure. As temporary solution, pharmaceutical waste is treated abroad which in longer period is not financially feasible. Considering that MW treatment in Serbia currently is based on health facilities network equipped with autoclaves, as central (CTF and local (LTF treatments facilities for infectious waste treatment, it is recommended additional capacity implementation for treatment of non-infectious waste to this network, with simultaneous management level optimization of whole MW.

  12. Risk management in wine industry: A review of the literature

    Directory of Open Access Journals (Sweden)

    Seccia Antonio

    2016-01-01

    Full Text Available Wine industry is characterized by high added value, particularly for some segments. The quality of the final product is the result of the right combination of many variables which involve the choice of the suitable wine grape varieties to particular conditions of site location, soil, climate, landscape together with entrepreneurial right decisions in management. The globalization of the market with the increasing of competition among producers and the evidences of climate change, that has different effects on the vitivinicultural areas in the world, have led to the growth of frequency and intensity of risks that winegrowers have to cope with. Their behaviour and reactions in managing risky situations of different nature, often adopting instruments they are not familiar with, as insurance or derivatives, could result in relevant consequences on prices, costs of production, revenues and profits, in other words, on the value chain of the wine production. This paper aims to provide a general overview of the economic literature on risk management in the wine industry.

  13. BOOK REVIEW: HUMAN RESOURCES MANAGEMENT CHALLENGES: LEARNING & DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Valerij DERMOL

    2015-10-01

    Full Text Available The book titled Human Resources Management Challenges: Learning & Development focus on a variety of issues related to diversity of workforce and diversity management. As many researchers claim, the diversity relates to the factors that differentiate employees, such as age, gender, marital status, social status, level of disability, sexual orientation, religion, personality, physical and mental capabilities, moral values, culture, religion, even outlook. Nevertheless, the concept of diversity is not based only on differentiation related to workers’ attributes, but also on other issues, such as relationships between the organisation and workers, interests of organisations’ stakeholders etc. Diversity management is, on the other hand, perceived as an opportunity to increase the competitiveness of enterprises. Organizations might gain competitive advantage through the use of diverse workforce potential and by implementing proper structures and processes with the goal of maximising the ability of the employees to contribute to organizational objectives and to achieve the full potential unhindered by the group identities such as gender, race, nationality, age and departmental affiliation.

  14. Community based mangrove management: a review on status and sustainability.

    Science.gov (United States)

    Datta, Debajit; Chattopadhyay, R N; Guha, P

    2012-09-30

    Community Based Mangrove Management (CBMM) has been advocated by both academia and governing agencies as a viable alternative for sustainably managing the ecologically important mangrove forests which are disappearing rapidly worldwide. Drawing insights from diverse sustainability issues, capabilities and performances of worldwide CBMM initiatives were examined in this paper. Higher numbers of CBMM initiatives were reported from South Asia and lesser from South America and Africa. Identification of the causes of degradation at a site and use-specific zonal replantations with respect to species associations were identified as major criteria of ecological sustainability. Regarding economic sustainability, transformation of potential uses of mangroves known by local communities into actual ones was found to be necessary. Proper disbursement of accrued benefits among community members irrespective of their socio-cultural status is also a major concern. Restructuring of CBMM institutions by ensuring participation of subsistence based users in decision-making and resource sharing have been identified as a prime determinant of institutional sustainability. However, limited number of studies on socio-political and institutional aspects as well as impacts of globalization induced socio-cultural transformations of communities on CBMM had been actually found. More focused researches on these aspects had been recommended for better community management of these highly stressed forests.

  15. The Science Consistency Review A Tool To Evaluate the Use of Scientific Information in Land Management Decisionmaking

    Science.gov (United States)

    James M. Guldin; David Cawrse; Russell Graham; Miles Hemstrom; Linda Joyce; Steve Kessler; Ranotta McNair; George Peterson; Charles G. Shaw; Peter Stine; Mark Twery; Jeffrey Walter

    2003-01-01

    The paper outlines a process called the science consistency review, which can be used to evaluate the use of scientific information in land management decisions. Developed with specific reference to land management decisions in the U.S. Department of Agriculture Forest Service, the process involves assembling a team of reviewers under a review administrator to...

  16. Beverage Consumption and Adult Weight Management: A Review

    OpenAIRE

    DENNIS, ELIZABETH A.; Flack, Kyle D.; Davy, Brenda M.

    2009-01-01

    Total energy consumption among United States adults has increased in recent decades, and energy-containing beverages are a significant contributor to this increase. Because beverages are less satiating than solid foods, consumption of energy-containing beverages may increase energy intake and lead to weight gain; trends in food and beverage consumption coinciding with increases in overweight and obesity support this possibility. The purpose of this review is to present what is known about the...

  17. Managing periodic review inventory systems with capacitated replenishments

    OpenAIRE

    B. RAA; Dubois, T.; Dullaert, W

    2011-01-01

    This paper studies periodic review inventory systems in which replenishments are capacitated. This capacity restriction implies that the order-up-to level may not always be reached at each replenishment, such that additional safety stock is needed to achieve the same service level as in the uncapacitated case usually assumed in the existing literature. To determine the required level of safety stock, and hence the order-up-to level, an iterative procedure is proposed which can be adjusted to ...

  18. High cervical spine spondylodiscitis management and literature review

    Directory of Open Access Journals (Sweden)

    André Luis Sebben

    Full Text Available Summary Spondylodiscitis affecting the cervical spine is the most unusual type. Disease progression can be dramatic, even causing quadriplegia and death. We present an unusual case that progressed with osteolytic lesions between C2 and C3, causing cord compression and epidural abscess. The patient was treated surgically by a double approach and improved without neurological deficits and with better inflammatory markers. We reviewed the current literature on the subject.

  19. Current nutritional approaches in managing autism spectrum disorder: A review.

    Science.gov (United States)

    Cekici, Hande; Sanlier, Nevin

    2017-08-01

    The link between nutrition and autism spectrum disorder (ASD), which is a complex developmental disorder manifesting itself in significant delays or deviation in interaction and communication, has provided a fresh point of view and signals that nutrition may have a role in the aetiology of ASD, as well as play an active role in treatment by alleviating symptoms. In this review study aimed at evaluating, with scientific and concrete proof, the current medical nutrition implementations on ASD, existing medical nutrition therapies have been addressed and their effects on ASD symptoms have been discussed in light of current research. We reviewed articles regarding the medical nutritional therapy of autism on current nutritional approaches selected from PubMed, Science Direct, EBSCO, and databases about autism and nutrition. The research put forward that in individuals with ASD, while gluten-free/casein-free and ketogenic diets, camel milk, curcumin, probiotics, and fermentable foods can play a role in alleviating ASD symptoms, consumption of sugar, additives, pesticides, genetically modified organisms, inorganic processed foods, and hard-to-digest starches may aggravate symptoms. Further prospective controlled trials with large sample sizes are needed before recommendations can be made regarding the ideal ASD diet. This review emphasizes the value of identifying current nutritional approaches specific to individuals with ASD and integrating their effects on symptoms to the conversation and presents suggestions for future research designed to identify medical nutrition therapies targeting this population to better understand the link between ASD and nutrition.

  20. Self-weighing in weight management: a systematic literature review.

    Science.gov (United States)

    Zheng, Yaguang; Klem, Mary Lou; Sereika, Susan M; Danford, Cynthia A; Ewing, Linda J; Burke, Lora E

    2015-02-01

    Regular self-weighing, which in this article is defined as weighing oneself regularly over a period of time (e.g., daily, weekly), is recommended as a weight loss strategy. However, the published literature lacks a review of the recent evidence provided by prospective, longitudinal studies. Moreover, no paper has reviewed the psychological effects of self-weighing. Therefore, the objective is to review the literature related to longitudinal associations between self-weighing and weight change as well as the psychological outcomes. Electronic literature searches in PubMed, Ovid PsycINFO, and Ebscohost CINAHL were conducted. Keywords included overweight, obesity, self-weighing, etc. Inclusion criteria included trials that were published in the past 25 years in English; participants were adults seeking weight loss treatment; results were based on longitudinal data. The results (N=17 studies) revealed that regular self-weighing was associated with more weight loss and not with adverse psychological outcomes (e.g., depression, anxiety). Findings demonstrated that the effect sizes of association between self-weighing and weight change varied across studies and also that the reported frequency of self-weighing varied across studies. The findings from prospective, longitudinal studies provide evidence that regular self-weighing has been associated with weight loss and not with negative psychological outcomes. © 2014 The Obesity Society.

  1. Human Resource Management in Sports: A Critical Review of its Importance and Pertaining Issues

    Directory of Open Access Journals (Sweden)

    Weerakoon Ranjan Kumara

    2016-03-01

    Full Text Available This paper will illustrate the meaning and importance of human resource management (HRM, human resource planning, and strategic human resource management, which are critically important for an organization’s effectiveness and must be effectively managed (Doherty, 1998. This study used the literature review method to acquire its final results. The relevant HRM literature review was done according to the purpose of the study. It used the purposive random sample method for selecting relevant literature. This study shows the current economic environment in the sports industry; the second part of the study critically analyzes the value of the strategic management of employees for the effective and efficient operation of sports organizations. It also critically evaluates human resource planning and other pertinent issues in terms of legislation, recruitment, selection, training, induction, and reward management from different international examples in sports management. Over the past few decades, increasing competition, globalization, and continuous changes in the market and in technology have emphasized the need to rethink the management of the organization and of human resources for the sake of overcoming significant challenges (Taylor et al., 2006. Therefore, managers should use strategic human resource management to overcome significant issues and to form well-planned strategies so that the organization may succeed.

  2. Integrated disease management: a critical review of foreign and Portuguese experience.

    Science.gov (United States)

    Coelho, Anabela; Leone, Cláudia; Ribeiro, Vanessa; Sá Moreira, Pedro; Dussault, Gilles

    2014-01-01

    The present article reviews findings from empirical evaluations of integrated disease management programmes. The objective is to provide insights on integration levels, priority interventions and their effect on patient outcomes. The literature review identified 1 251 articles, published from 2006 to 2011. Upon a detailed screening 61 articles were selected for bibliometric analysis and critical discussion. Among several findings, it can be noted that United States of America is the country with the highest amount of published evidence on the subject under study. The most frequently referred disease is diabetes mellitus and the main reported issue of integrated disease management is self-management support. The majority of the studies were developed and exclusively managed by managed care organizations, organized family doctors or hospitals. From a total of 360 interventions reported in studies, patient interventions are the most frequently used across all disease groups, followed by professional interventions. To monitor the effectiveness of the disease programmes, the most frequently used outcomes are patient physiological measures, service use and patient health status. Every country has its own way to implement the integrated disease management strategy. The focus of practice lies on patient empowerment, particularly through self-management. Physiological measures and service use are the outcomes with the highest rate of assessment, which are also the indicators that show higher impact among all integrated disease management programmes. The Portuguese health care system still faces challenges in the coordination and integration of care for patients with chronic disease thus improvements at integrated disease management programmes should be incorporate.

  3. The use of multi-criteria decision analysis to tackle waste management problems: a literature review.

    Science.gov (United States)

    Achillas, Charisios; Moussiopoulos, Nicolas; Karagiannidis, Avraam; Banias, Georgias; Perkoulidis, George

    2013-02-01

    Problems in waste management have become more and more complex during recent decades. The increasing volumes of waste produced and social environmental consciousness present prominent drivers for environmental managers towards the achievement of a sustainable waste management scheme. However, in practice, there are many factors and influences - often mutually conflicting - criteria for finding solutions in real-life applications. This paper presents a review of the literature on multi-criteria decision aiding in waste management problems for all reported waste streams. Despite limitations, which are clearly stated, most of the work published in this field is reviewed. The present review aims to provide environmental managers and decision-makers with a thorough list of practical applications of the multi-criteria decision analysis techniques that are used to solve real-life waste management problems, as well as the criteria that are mostly employed in such applications according to the nature of the problem under study. Moreover, the paper explores the advantages and disadvantages of using multi-criteria decision analysis techniques in waste management problems in comparison to other available alternatives.

  4. A technologically-driven asset management approach to managing physical assets: a literature review and research agenda for 'smart' asset management

    Directory of Open Access Journals (Sweden)

    Nel, Charles Benjamin Hirschowitz

    2016-12-01

    Full Text Available The concept of ‘smart’ is increasingly used in the commercial environment, and relates to a perception of technological intelligence. The concept of ‘Internet of Things’ (IoT has also become a reality that makes a different approach to managing physical assets necessary. With this technological intelligence come vast quantities of asset data and the analysis thereof, which has proven to add value to asset management. To capitalise on and expand this value creation, smart asset management (SAM came into being by incorporating proven methodologies and applying these in real-time management structures. This article offers a review of the existing literature, and aims to create industry awareness about the business potential of incorporating SAM into automated asset environments for strategic management decision-making.

  5. Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management.

    Science.gov (United States)

    Grimaldi, Alison; Mellor, Rebecca; Hodges, Paul; Bennell, Kim; Wajswelner, Henry; Vicenzino, Bill

    2015-08-01

    Tendinopathy of the gluteus medius and gluteus minimus tendons is now recognized as a primary local source of lateral hip pain. The condition mostly occurs in mid-life both in athletes and in subjects who do not regularly exercise. Females are afflicted more than males. This condition interferes with sleep (side lying) and common weight-bearing tasks, which makes it a debilitating musculoskeletal condition with a significant impact. Mechanical loading drives the biological processes within a tendon and determines its structural form and load-bearing capacity. The combination of excessive compression and high tensile loads within tendons are thought to be most damaging. The available evidence suggests that joint position (particularly excessive hip adduction), together with muscle and bone elements, are key factors in gluteal tendinopathy. These factors provide a basis for a clinical reasoning process in the assessment and management of a patient presenting with localized lateral hip pain from gluteal tendinopathy. Currently, there is a lack of consensus as to which clinical examination tests provide best diagnostic utility. On the basis of the few diagnostic utility studies and the current understanding of the pathomechanics of gluteal tendinopathy, we propose that a battery of clinical tests utilizing a combination of provocative compressive and tensile loads is currently best practice in its assessment. Management of this condition commonly involves corticosteroid injection, exercise or shock wave therapy, with surgery reserved for recalcitrant cases. There is a dearth of evidence for any treatments, so the approach we recommend involves managing the load on the tendons through exercise and education on the underlying pathomechanics.

  6. A Review of Integrated River Basin Management for Sarawak River

    Directory of Open Access Journals (Sweden)

    Kuok K. Kuok

    2011-01-01

    Full Text Available Problem statement: Sarawak River was a life-sustaining water source for the residents in Kuching City and surrounding areas. Raw water is treated at Batu Kitang Water Treatment Plant (BKWTP that supplies more than 98% of the total water production in Kuching City. The raw water supply to BKWTP is not adequate to meet the ever increasing water demand. In order to overcome this problem, four projects had been implemented along Sarawak River for managing and securing water supply to BKWTP. Approach: These four projects are construction of 1.5m height storage weir across Sungai Sarawak Kiri river channel, Kuching Barrage and Shiplock, Bengoh Dam and Kuching Centralized Wastewater Management System (KCWMS. In 2005, 1.5 m height submersible weir was constructed across Sungai Sarawak Kiri channel for increasing the safe yield that can last until year 2010. Kuching Barrage and Shiplock were commissioned in 2000 as barrier to avoid the saline intrusion reaching upper catchment. 24 telemetry stations were installed along Sarawak River for monitoring and regulating the water level. This will preserve high quality water storage at upper catchment of Sarawak River. In year 2010, Bengoh Dam was constructed to ensure adequate raw water will be supplied to BKWTP for meeting the increasing water demand from 2010-2030. This reservoir will store 144 million m3 of fresh water covering reservoir area of 8.77km2. Beyond 2030, the water supply shall not depend solely on fresh water. Results: Black and grey water in Sarawak Catchment was treated through Kuching Centralized Wastewater Management System (KCWMS and recycled for daily used. Conclusion: The treated water that comply Standard A water quality, can distribute for domestic, industrial and irrigation used in nearest future. This will reduce the water demand solely on raw water and create a sustainable living in Kuching City. Beyond 2030, a few alternatives are also proposed for conserving and

  7. Educational programmes in COPD management interventions: a systematic review.

    Science.gov (United States)

    Stoilkova, Ana; Janssen, Daisy J A; Wouters, Emiel F M

    2013-11-01

    According to practice guidelines, educational programmes for patients with COPD should address several educational topics. Which topics are incorporated in the existing programmes remains unclear. To delineate educational topics integrated in current COPD management interventions; and to examine strengths, weaknesses, and methods of delivery of the educational programmes. A systematic literature search was performed using MEDLINE/PubMed, Cochrane Central Registry of Controlled Clinical Trials, and Web of Science. The authors of included studies were contacted for additional information. Studies that contained educational programmes incorporated in COPD management interventions were included. Data were extracted using a pre-designed data form. The Reach, Efficacy, Adoption, Implementation and Maintenance (RE-AIM) framework was used for evaluating the strengths and weaknesses of the programmes. In total, 81 articles, describing 67 interventions were included. The majority (53.8%) of the studies incorporated 10 or more educational topics. The following topics were frequently addressed: smoking cessation (80.0%); medication (76.9%); exercise (72.3%); breathing strategies (70.8%); exacerbations (69.2%); and stress management (67.7%). Printed material and/or brochure (90.5%) and demonstrations and practice (73.8%), were the predominant tool and method, respectively. Nurses (75.8%), physicians (37.9%) and physiotherapists (34.8%) were the most involved healthcare professionals. Heterogeneity and wide variation in the content and the method of delivery of educational interventions were present. Alignment between educational topics incorporated in the existing programmes and those recommended by the COPD guidelines, involvement of various professionals and combined use of methods should be emphasised. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. Diagnosis, prevention, and management of canine hip dysplasia: a review

    Directory of Open Access Journals (Sweden)

    Schachner ER

    2015-05-01

    Full Text Available Emma R Schachner, Mandi J Lopez Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA Abstract: Canine hip dysplasia (CHD is a polygenic and multifactorial developmental disorder characterized by coxofemoral (hip joint laxity, degeneration, and osteoarthritis (OA. Current diagnostic techniques are largely subjective measures of joint conformation performed at different stages of development. Recently, measures on three-dimensional images generated from computed tomography scans predicted the development of OA associated with CHD. Continued refinement of similar imaging methods may improve diagnostic imaging techniques to identify dogs predisposed to degenerative hip joint changes. By current consensus, joint changes consistent with CHD are influenced by genetic predisposition as well as environmental and biomechanical factors; however, despite decades of work, the relative contributions of each to the development and extent of CHD signs remain elusive. Similarly, despite considerable effort to decipher the genetic underpinnings of CHD for selective breeding programs, relevant genetic loci remain equivocal. As such, prevention of CHD within domestic canine populations is marginally successful. Conservative management is often employed to manage signs of CHD, with lifelong maintenance of body mass as one of the most promising methods. Surgical intervention is often employed to prevent joint changes or restore joint function, but there are no gold standards for either goal. To date, all CHD phenotypes are considered as a single entity in spite of recognized differences in expression and response to environmental conditions and treatment. Identification of distinct CHD phenotypes and targeting evidence-based conservative and invasive treatments for each may significantly advance prevention and management of a prevalent, debilitating condition in canine companions. Keywords: canine

  9. DOE Office of Environmental Management, 2016 Year in Review

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-12-01

    2016 accomplishments and primary areas of focus for the Department of Energy's (DOE's) Office of Environmental Management and EM sites are presented. For DOE EM, these include Focusing on the Field, Teaming with Cleanup Partners, Developing New Technology, and Maximizing Cleanup Dollars. Major 2016 achievements are highlighted for EM, Richland Operations Office, Office of River Protection, Savannah River Site, Oak Ridge, Idaho, Waste Isolation Pilot Plant, Los Alamos, Portsmouth, Paducah, West Valley Demonstration Project, and the Nevada National Security Site,

  10. Challenges in diabetes management in Indonesia: a literature review.

    Science.gov (United States)

    Soewondo, Pradana; Ferrario, Alessandra; Tahapary, Dicky Levenus

    2013-12-03

    The expanding diabetes epidemic worldwide could have potentially devastating effects on the development of healthcare systems and economies in emerging countries, both in terms of direct health care costs and loss of working time and disability. This study aims to review evidence on the burden, expenditure, complications, treatment, and outcomes of diabetes in Indonesia and its implications on the current health system developments. We conducted a comprehensive literature review together with a review of unpublished data from the Ministry of Health and a public health insurer (Askes). Studies presenting evidence on prevalence, incidence, mortality, costs, complications and cost of complications, treatment, and outcomes were included in the analysis. A limited number of international, national and local studies on the burden and cost of diabetes in Indonesia were identified. National survey data suggests that in 2007 the prevalence of diabetes was 5.7%, of which more than 70% of cases were undiagnosed. This estimate hides large intracountry variation. There was very limited data available on direct costs and no data on indirect costs. The most commonly-identified complication was diabetic neuropathy. There were a number of limitations in the data retrieved including the paucity of data representative at the national level, lack of a clear reference date, lack of data from primary care, and lack of data from certain regions of the country. If left unaddressed, the growing prevalence of diabetes in the country will pose a tremendous challenge to the Indonesian healthcare system, particularly in view of the Government's 2010 mandate to achieve universal health coverage by 2014. Essential steps to address this issue would include: placing diabetes and non-communicable diseases high on the Government agenda and creating a national plan; identifying disparities and priority areas for Indonesia; developing a framework for coordinated actions between all relevant

  11. A systematic review of dental disease management in cancer patients.

    Science.gov (United States)

    Hong, Catherine H L; Hu, Shijia; Haverman, Thijs; Stokman, Monique; Napeñas, Joel J; Braber, Jacolien Bos-den; Gerber, Erich; Geuke, Margot; Vardas, Emmanouil; Waltimo, Tuomas; Jensen, Siri Beier; Saunders, Deborah P

    2017-07-22

    This systematic review aims to update on the prevalence of odontogenic-related infections and the efficacy of dental strategies in preventing dental-related complications in cancer patients since the 2010 systematic review. A literature search was conducted in the databases MEDLINE/PubMed and EMBASE for articles published between 1 January 2009 and 30 June 2016. Each study was assessed by 2 reviewers and the body of evidence for each intervention was assigned an evidence level. After examination of the abstracts and full-text articles, 59 articles satisfied the inclusion criteria. The weighted prevalence of dental infections and pericoronitis during cancer therapy was 5.4 and 5.3%, respectively. The frequency of dental-related infections during intensive chemotherapy after complete, partial, and minimal pre-cancer dental evaluation/treatment protocols ranged from 0 to 4%. Protocols involving third molars extractions had the highest complications (40%). In view of the low prevalence of infections and the potential for complications after third molar extractions, it is suggested that partial dental evaluation/treatment protocols prior to intensive chemotherapy; whereby minor caries (within dentin), asymptomatic third molars or asymptomatic teeth without excessive probing depth (<8 mm), mobility (mobility I or II) or with periapical lesions of <5 mm were observed; is a viable option when there is insufficient time for complete dental evaluation/treatment protocols. The use of chlorhexidine, fluoride mouth rinses as well as composite resin, resin-modified glass ionomer cement (GIC), and amalgam restorations over conventional GIC in post head and neck radiation patients who are compliant fluoride users is recommended.

  12. Esthesioneuroblastoma: a contemporary review of diagnosis and management.

    Science.gov (United States)

    Bak, Matthew; Wein, Richard O

    2012-12-01

    Esthesioneuroblastoma (ENB) is a rare malignancy, representing only 3% to 6% of all sinonasal malignancies. A wide array of treatment options for ENB have been described in the literature, but prospective clinical trials are absent given the tumor's rarity and natural history. Delay in diagnosis leading to an initial advanced stage of presentation is common secondary to the clinically hidden primary site at the anterior skull base. This article presents data from the current body of literature and reviews the advocated roles for surgery, radiation therapy and chemotherapy.

  13. Review of cinacalcet hydrochloride in the management of secondary hyperparathyroidism.

    Science.gov (United States)

    Yousaf, Farhanah; Charytan, Chaim

    2014-02-01

    Cinacalcet is the first Food and Drug Administration-approved calcimimetic for the treatment of secondary hyperparathyroidism in dialysis patients. It is effective in improving control of parathyroid hormone, serum calcium, phosphorus, and calcium-phosphorus product. The calcium-lowering effect of cinacalcet overcomes the limitations of standard therapy associated hypercalcemia. There is evidence to suggest that cinacalcet has important clinical implications, which extend beyond its relevance in the treatment of secondary hyperparathyroidism. This review summarizes the evidence regarding the role of cinacalcet in the treatment of secondary hyperparathyroidism, disrupted bone mineral metabolism, cardiovascular disease, and mortality. In addition, the cost implications of cinacalcet are briefly explored.

  14. NIF Inert Gas/Vacuum Management Prestart Review Phase 3 - Permit Spatial Filter Vacuum

    Energy Technology Data Exchange (ETDEWEB)

    Williams, J; Beavers, T; Bryan, S; Hermes, G; Patton, H

    2001-03-01

    A Management Prestart Review (MPR) for the National Ignition Facility (NIF) vacuum testing of spatial filters, the Cavity Spatial Filter (CSF) and the Transport Spatial Filter (TSF), was conducted during March 2001. The review was performed to determine the readiness of the Beamline Infrastucture System (BIS) team and the Integration Management and Installation (IMI) contractor to start the vacuum testing of the components and assemblies that constitute the four CSF clusters and four TSF clusters in the NIF laser. This review assures that appropriate engineering, planning and management is in place to start this testing. Completion and acceptance of this report satisfies the LLNL requirement for MPRs to be conducted whenever a significant new risk is introduced into a project and is an essential part of the ISM work authorization process.

  15. Dyskeratosis Congenita- Management and Review of Complications: A Case Report

    Science.gov (United States)

    Sinha, Shivam; Trivedi, Vikas; Krishna, Arvind; Rao, Nidhi

    2013-01-01

    Among the inherited bone marrow failure disorders, dyskeratosis congenita is an X-linked inherited disorder arising as a consequence of short telomere and mutations in telomere biology. Production of the altered protein dyskerin, leads to vulnerable skin, nails, and teeth which lead to higher permeability for noxious agents which can induce carcinogenesis accounting for the classical triad of skin pigmentation, nail dystrophy and oral leukoplakia. This condition is fatal and patients succumb to aplastic anemia, malignancy or immunocompromised state. We present a young male with the classic clinical triad and avascular necrosis of both femoral heads, with no evidence of hematologic anomaly or any malignancy. He was managed for osteonecrosis with uncemented total hip arthroplasty for the symptomatic left hip. Our case represents a benign form of such a fatal and rare condition, which if detected and managed early can result in improved quality of life for the patient suffering from this disorder. This patient is under our meticulous follow-up for the last 2 years in order to determine any late development of complications before being labelled as a variant of this syndrome. PMID:23904924

  16. Dyskeratosis Congenita- Management and Review of Complications: A Case Report

    Directory of Open Access Journals (Sweden)

    Shivam Sinha

    2013-07-01

    Full Text Available Among the inherited bone marrow failure disorders, dyskeratosis congenita is an X-linked inherited disorder arising as a consequence of short telomere and mutations in telomere biology. Production of the altered protein dyskerin, leads to vulnerable skin, nails, and teeth which lead to higher permeability for noxious agents which can induce carcinogenesis accounting for the classical triad of skin pigmentation, nail dystrophy and oral leukoplakia. This condition is fatal and patients succumb to aplastic anemia, malignancy or immunocompromised state. We present a young male with the classic clinical triad and avascular necrosis of both femoral heads, with no evidence of hematologic anomaly or any malignancy. He was managed for osteonecrosis with uncemented total hip arthroplasty for the symptomatic left hip. Our case represents a benign form of such a fatal and rare condition, which if detected and managed early can result in improved quality of life for the patient suffering from this disorder. This patient is under our meticulous follow-up for the last 2 years in order to determine any late development of complications before being labelled as a variant of this syndrome.

  17. Nutritional therapy for the management of diabetic gastroparesis: clinical review.

    Science.gov (United States)

    Sadiya, Amena

    2012-01-01

    Diabetic gastroparesis (DGP), or slow emptying of the stomach, is a well-established complication of diabetes mellitus and is typically considered to occur in individuals with long-standing type 1 and type 2 diabetes mellitus. Clinical consequences of DGP include induction of gastrointestinal (GI) symptoms (early satiety, abdominal distension, reflux, stomach spasm, postprandial nausea, vomiting), alteration in drug absorption, and destabilization of glycemic control (due to mismatched postprandial glycemic and insulin peaks). Effective nutritional management not only helps in alleviating the symptoms, but also in facilitating better glycemic control. Although there have been no evidence-based guidelines pertaining to the nutrition care process of the DGP, the current dietary recommendations are based on expert opinions or observational studies. The dietary management of gastroparesis needs to be tailored according to the severity of malnutrition and kind of upper GI symptom by changing the volume, consistency, frequency, fiber, fat, and carbohydrates in the meal. Small frequent meals, using more liquid calories, reducing high fat or high fiber, consuming bezoar forming foods, and adjusting meal carbohydrates based on medications or insulin helps in improving the upper GI symptoms and glycemic control. Enteral nutrition can be an option for patients who fail to stabilize their weight loss, or for those who cannot gain weight with oral feedings, while total parenteral nutrition is rarely necessary for the patient with gastroparesis.

  18. Nutritional therapy for the management of diabetic gastroparesis: clinical review

    Science.gov (United States)

    Sadiya, Amena

    2012-01-01

    Diabetic gastroparesis (DGP), or slow emptying of the stomach, is a well-established complication of diabetes mellitus and is typically considered to occur in individuals with long-standing type 1 and type 2 diabetes mellitus. Clinical consequences of DGP include induction of gastrointestinal (GI) symptoms (early satiety, abdominal distension, reflux, stomach spasm, postprandial nausea, vomiting), alteration in drug absorption, and destabilization of glycemic control (due to mismatched postprandial glycemic and insulin peaks). Effective nutritional management not only helps in alleviating the symptoms, but also in facilitating better glycemic control. Although there have been no evidence-based guidelines pertaining to the nutrition care process of the DGP, the current dietary recommendations are based on expert opinions or observational studies. The dietary management of gastroparesis needs to be tailored according to the severity of malnutrition and kind of upper GI symptom by changing the volume, consistency, frequency, fiber, fat, and carbohydrates in the meal. Small frequent meals, using more liquid calories, reducing high fat or high fiber, consuming bezoar forming foods, and adjusting meal carbohydrates based on medications or insulin helps in improving the upper GI symptoms and glycemic control. Enteral nutrition can be an option for patients who fail to stabilize their weight loss, or for those who cannot gain weight with oral feedings, while total parenteral nutrition is rarely necessary for the patient with gastroparesis. PMID:23055757

  19. Review article: Crisis resource management in emergency medicine.

    Science.gov (United States)

    Carne, Belinda; Kennedy, Marcus; Gray, Tim

    2012-02-01

    Effective team management is a core element of expert practice in emergency medicine. Thus far, training in emergency medicine has focussed predominantly on proficiency in medical and technical skills, with emergency physicians acquiring these 'non-technical' skills in an ad hoc manner or by trial and error with varying levels of success. This paper describes a set of behaviours that, when practised in conjunction with medical and technical expertise, can reduce the incidence of clinical error and contribute to effective teamwork and the smooth running of an ED. Teaching and practice of these behaviours is now a core element of training and skills maintenance in other high-risk areas, such as aviation, and is becoming part of the routine training for anaesthetists. They address areas, such as communication, leadership, knowledge of environment, anticipation and planning, obtaining timely assistance, attention allocation and workload distribution. We outline the application of these behaviours in the speciality of emergency medicine, and suggest that the teaching and practice of crisis resource management principles should become part of the curriculum for training and credentialing of emergency medicine specialists.

  20. Ischemic stroke management in West Scotland: a chart review

    Science.gov (United States)

    Verpillat, Patrice; Dorey, Julie; Guilhaume-Goulant, Chantal; Dabbous, Firas; Aballéa, Samuel

    2015-01-01

    Background Little information is available about the long-term management of ischemic stroke (IS) in West Scotland. In this study we aim to describe the management of IS at onset, admission, and during follow-up among patients who survived an IS event. Methods General practitioners (GPs) (n=20) were randomly selected to recruit IS patients and extract data about patient characteristics, hospitalizations, discharge, and ambulatory care from GP databases, hospital letters, and direct contact with patients and their relatives. Descriptive analyses were conducted. Results One hundred and one patients were included, with a mean age of 65.6±13.4. About half of the patients contacted their GPs at the time of onset (45.4%). Cardiovascular history was prevalent in 29.7% of cases, and 14% of all cases were recurrences. Of the patients, 89 (88%) were hospitalized with mean length of stay (LOS) 11.8 days. Treatment was administered on average within 12.9 hours of admission and 23.6% of the admitted patients received thrombolytic treatment. During the 1-year follow-up period, 33.6% of patients were rehospitalized and the mean LOS was 15.1±29.5 days. Further, patients on average sought nursing care (10.9%), physical therapy (45.5%), occupational therapy (27.7%), speech therapy (12.9%), and professional caregivers (12%). Conclusion The health-care resource utilization of IS patients is a major driver of economic burden. PMID:27123179

  1. Molar incisor hypomineralization: review and recommendations for clinical management.

    Science.gov (United States)

    William, Vanessa; Messer, Louise B; Burrow, Michael F

    2006-01-01

    Molar incisor hypomineralization (MIH) describes the clinical picture of hypomineralization of systemic origin affecting one or more first permanent molars (FPMs) that are associated frequently with affected incisors. Etiological associations with systemic conditions or environmental insults during the child's first 3 years have been implicated. The complex care involved in treating affected children must address their behavior and anxiety, aiming to provide a durable restoration under pain-free conditions. The challenges include adequate anaesthesia, suitable cavity design, and choice of restorative materials. Restorations in hypomineralized molars appear to fail frequently; there is little evidence-based literature to facilitate clinical decisions on cavity design and material choice. A 6-step approach to management is described: (1) risk identification; (2) early diagnosis; (3) remineralization and desensitization; (4) prevention of caries and posteruption breakdown; (5) restorations and extractions; and (6) maintenance. The high prevalence of MIH indicates the need for research to clarify etiological factors and improve the durability of restorations in affected teeth. The purpose of this paper was to describe the diagnosis, prevalence, putative etiological factors, and features of hypomineralized enamel in molar incisor hypomineralization and to present a sequential approach to management.

  2. Is management of acute traumatic brain injury effective?A literature review of published Cochrane Systematic Reviews

    Institute of Scientific and Technical Information of China (English)

    LEI Jin; GAO Guo-yi; JIANG Ji-yao

    2012-01-01

    Objective:To evaluate all the possible therapeutic measures concerning the acute management of traumatic brain injury(TBI)mentioned in Cochrane Systematic Reviews published in the Cochrane Database of Systematic Reviews(CDSR).Methods:An exhausted literature search for all published Cochrane Systematic Reviews discussing therapeutic rather than prevention or rehabilitative interventions of TBI was conducted.We retrieved such databases as CDSR and Cochrane Injury Group,excluded the duplications,and eventually obtained 20 results,which stand for critical appraisal for as many as 20 different measures for TBI patients.The important data of each systematic review,including total population,intervention,outcome,etc,were collected and presented in a designed table.Besides,we also tried to find out the possible weakness of these clinical trials included in each review.Results:Analysis of these reviews yielded meanfuling observations:(1)The effectiveness of most ordinary treatments in TBI is inconclusive except that corticosteroids are likely to be ineffective or harmful,and tranexamic acid,nimodipine and progesterone show a promising effect in bleeding trauma,traumatic subarachnoid hemorrhage,TBI or severe TBI.(2)A majority of the systematic reviews include a small number of clinical trials and the modest numbers of patients,largely due to the uncertainty of the effectiveness.(3)The quality of most trials reported in the systematic reviews is more or less questionable.(4)In addition,lots of other complex factors together may lead to the inconclusive results demonstrated in the Cochrane Systematic Reviews.Conclusions:For clinical physicians,to translate these conclusions into practice with caution is essential.Basic medication and nursing care deserve additional attention as well and can be beneficial.For researchers,high quality trials with perfect design and comprehensive consideration of various factors are urgently required.

  3. Surgical Management of Hip Problems in Myelomeningocele: A Review Article

    Directory of Open Access Journals (Sweden)

    Taghi Baghdadi

    2016-07-01

    Full Text Available Background: Children with myelomeningocele (MMC develop a wide variety of hip deformities such as muscle imbalance, contracture, subluxation, and dislocation. Various methods and indications have been introduced for treatment of muscle imbalances and other hip problems in patients with MMC but there is no study or meta-analysis to compare the results and complications. This review aims to find the most acceptable approach to hip problems in patients with MMC. Methods: MEDLINE was searched up to April 2015. All study designs that reported on the outcomes of hip problems in MMC were included. From 270 screened citations, 55 were strictly focused on hip problem in MMC were selected and reviewed. Results: Complex osseous and soft tissue reconstructive procedures to correct hip dysplasia and muscle balancing around the hip are rarely indicated for MMC patients without good quadriceps power. Conclusion: Over the years a consensus on the best algorithm for treatment of hip dislocation in myelomeningocele has been missing, however, muscular balancing with/out osseous procedure seems a reasonable approach especially in unilateral mid-lumbar MMC.

  4. The HELLP syndrome: Clinical issues and management. A Review

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    Svendsen Einar

    2009-02-01

    Full Text Available Abstract Background The HELLP syndrome is a serious complication in pregnancy characterized by haemolysis, elevated liver enzymes and low platelet count occurring in 0.5 to 0.9% of all pregnancies and in 10–20% of cases with severe preeclampsia. The present review highlights occurrence, diagnosis, complications, surveillance, corticosteroid treatment, mode of delivery and risk of recurrence. Methods Clinical reports and reviews published between 2000 and 2008 were screened using Pub Med and Cochrane databases. Results and conclusion About 70% of the cases develop before delivery, the majority between the 27th and 37th gestational weeks; the remainder within 48 hours after delivery. The HELLP syndrome may be complete or incomplete. In the Tennessee Classification System diagnostic criteria for HELLP are haemolysis with increased LDH (> 600 U/L, AST (≥ 70 U/L, and platelets 9/L. The Mississippi Triple-class HELLP System further classifies the disorder by the nadir platelet counts. The syndrome is a progressive condition and serious complications are frequent. Conservative treatment (≥ 48 hours is controversial but may be considered in selected cases

  5. Endoscopic management for congenital esophageal stenosis: A systematic review

    Science.gov (United States)

    Terui, Keita; Saito, Takeshi; Mitsunaga, Tetsuya; Nakata, Mitsuyuki; Yoshida, Hideo

    2015-01-01

    Congenital esophageal stenosis (CES) is an extremely rare malformation, and standard treatment have not been completely established. By years of clinical research, evidence has been accumulated. We conducted systematic review to assess outcomes of the treatment for CES, especially the role of endoscopic modalities. A total of 144 literatures were screened and reviewed. CES was categorized in fibromuscular thickening, tracheobronchial remnants (TBR) and membranous web, and the frequency was 54%, 30% and 16%, respectively. Therapeutic option includes surgery and dilatation, and surgery tends to be reserved for ineffective dilatation. An essential point is that dilatation for TBR type of CES has low success rate and high rate of perforation. TBR can be distinguished by using endoscopic ultrasonography (EUS). Overall success rate of dilatation for CES with or without case selection by using EUS was 90% and 29%, respectively. Overall rate of perforation with or without case selection was 7% and 24%, respectively. By case selection using EUS, high success rate with low rate of perforation could be achieved. In conclusion, endoscopic dilatation has been established as a primary therapy for CES except TBR type. Repetitive dilatation with gradual step-up might be one of safe ways to minimize the risk of perforation. PMID:25789088

  6. Endoscopic management for congenital esophagealstenosis: A systematic review

    Institute of Scientific and Technical Information of China (English)

    Keita Terui; Takeshi Saito; Tetsuya Mitsunaga; Mitsuyuki Nakata; Hideo Yoshida

    2015-01-01

    Congenital esophageal stenosis (CES) is an extremelyrare malformation, and standard treatment havenot been completely established. By years of clinicalresearch, evidence has been accumulated. Weconducted systematic review to assess outcomes ofthe treatment for CES, especially the role of endoscopicmodalities. A total of 144 literatures were screenedand reviewed. CES was categorized in fibromuscularthickening, tracheobronchial remnants (TBR) andmembranous web, and the frequency was 54%,30% and 16%, respectively. Therapeutic optionincludes surgery and dilatation, and surgery tendsto be reserved for ineffective dilatation. An essentialpoint is that dilatation for TBR type of CES has lowsuccess rate and high rate of perforation. TBR can bedistinguished by using endoscopic ultrasonography(EUS). Overall success rate of dilatation for CES withor without case selection by using EUS was 90% and29%, respectively. Overall rate of perforation with orwithout case selection was 7% and 24%, respectively.By case selection using EUS, high success rate with lowrate of perforation could be achieved. In conclusion,endoscopic dilatation has been established as a primarytherapy for CES except TBR type. Repetitive dilatationwith gradual step-up might be one of safe ways tominimize the risk of perforation.

  7. Surgical Management of Hip Problems in Myelomeningocele: A Review Article

    Science.gov (United States)

    Baghdadi, Taghi; abdi, Reza; Bashi, Ramin Zargar; Aslani, Hossein

    2016-01-01

    Background: Children with myelomeningocele (MMC) develop a wide variety of hip deformities such as muscle imbalance, contracture, subluxation, and dislocation. Various methods and indications have been introduced for treatment of muscle imbalances and other hip problems in patients with MMC but there is no study or meta-analysis to compare the results and complications. This review aims to find the most acceptable approach to hip problems in patients with MMC. Methods: MEDLINE was searched up to April 2015. All study designs that reported on the outcomes of hip problems in MMC were included. From 270 screened citations, 55 were strictly focused on hip problem in MMC were selected and reviewed. Results: Complex osseous and soft tissue reconstructive procedures to correct hip dysplasia and muscle balancing around the hip are rarely indicated for MMC patients without good quadriceps power. Conclusion: Over the years a consensus on the best algorithm for treatment of hip dislocation in myelomeningocele has been missing, however, muscular balancing with/out osseous procedure seems a reasonable approach especially in unilateral mid-lumbar MMC. PMID:27517062

  8. Multimodality management of resectable gastric cancer: A review

    Institute of Scientific and Technical Information of China (English)

    Helen; Shum; Lakshmi; Rajdev

    2014-01-01

    Adenocarcinoma of the stomach carries a poor prognosis and is the second most common cause of cancer death worldwide. It is recommended that surgical resection with a D1 or a modified D2 gastrectomy(with at least 15 lymph nodes removed for examination), be performed in the United States, though D2 lymphadenectomies should be performed at experienced centers. A D2 lymphadenectomy is the recommended procedure in Asia. Although surgical resection is considered the definitive treatment, rates of recurrences are high, necessitating the need for neoadjuvant or adjuvant therapy. This review article aims to outline and summarize some of the pivotal trials that have defined optimal treatment options for non-metastatic non-cardia gastric cancer. Some of the most notable trials include the INT-0116 trial, which established a benefit in concurrent chemoradiation and adjuvant chemotherapy. This was again confirmed in the ARTIST trial, especially in patients with nodal involvement. Later, the Medical Research Council Adjuvant Gastric Infusional Chemotherapy trial provided evidence for the use of perioperative chemotherapy. Targeted agents such as ramucirumab and trastuzumab are also being investigated for use in locally advanced gastric cancers after demonstrating a benefit in the metastatic setting. Given the poor response rate of this difficult disease to various treatment modalities, numerous studies are currently ongoing in an attempt to define a more effective therapy, some of which are briefly introduced in this review as well.

  9. Review: David Lohmann (2003. Das Bielefelder Diakonie-Management-Modell [The Bielefeld Deaconry Management Model

    Directory of Open Access Journals (Sweden)

    Jürgen Rausch

    2006-01-01

    Full Text Available In six chapters, David LOHMANN makes suggestions for theological-ethical deaconry management, including a consideration of economic necessities. Through a qualitative comparison of documented sources, the author generates a theory of theological-ethical enterprise management. Following that, the author considers the theology of the deaconry in the context of TILLICH's model of believed realism and WICHERN’s theological concept of the inner mission. At the center of the examination lies a formulation of a cybernetic theory of deaconry theology. Of the available management models, the author favours the St. Galler model as the basic model of deaconry enterprise management. In doing so, the author lays out theological ground rules for the normative, strategic and operational levels of deaconry. In attempting to formulate this prospective deaconry management model through the consideration of the work of the two 20th century theologians and his own personal experience, the current needs and knowledge-base of specific deaconries are not considered. A systematic consideration of quantitative social research would have been a worthwhile supplement. In conclusion, the analysis develops a management model for deaconry enterprises that emphasizes the interdisciplinary aspects of theology and business economics. The book confirms the competitive value of a management model attuned to the theological and economic aspects of a deaconry. URN: urn:nbn:de:0114-fqs0601356

  10. Report: Independent Ground Water Sampling Generally Confirms EPA’s Data at Wheeler Pit Superfund Site in Wisconsin

    Science.gov (United States)

    Report #10-P-0218, September 8, 2010. With minimal exceptions, our independent sampling results at the Wheeler Pit Superfund Site were consistent with the sampling results that EPA Region 5 has obtained historically.

  11. Lay and health care professional understandings of self-management: A systematic review and narrative synthesis

    Directory of Open Access Journals (Sweden)

    Euan Sadler

    2014-08-01

    Full Text Available Objectives: Self-management is widely promoted but evidence of effectiveness is limited. Policy encourages health care professionals to support people with long-term conditions to learn self-management skills, yet little is known about the extent to which both parties share a common understanding of self-management. Thus, we compared health care professional and lay understandings of self-management of long-term conditions. Methods: Systematic review and narrative synthesis of qualitative studies identified from relevant electronic databases, hand-searching of references lists, citation tracking and recommendations by experts. Results: In total, 55 studies were included and quality was assessed using a brief quality assessment tool. Three conceptual themes, each with two subthemes were generated: traditional and shifting models of the professional–patient relationship (self-management as a tool to promote compliance; different expectations of responsibility; quality of relationship between health care professional and lay person (self-management as a collaborative partnership; self-management as tailored support and putting self-management into everyday practice (the lived experience of self-management; self-management as a social practice. Conclusion: Self-management was conceptualised by health care professionals as incorporating both a biomedical model of compliance and individual responsibility. Lay people understood self-management in wider terms, reflecting biomedical, psychological and social domains and different expectations of responsibility. In different ways, both deviated from the dominant model of self-management underpinned by the concept of self-efficacy. Different understandings help to explain how self-management is practised and may help to account for limited evidence of effectiveness of self-management interventions.

  12. Occupational safety and health management in the construction industry: a review.

    Science.gov (United States)

    Jaafar, Mohd Hafiidz; Arifin, Kadir; Aiyub, Kadaruddin; Razman, Muhammad Rizal; Ishak, Muhammad Izzuddin Syakir; Samsurijan, Mohamad Shaharudin

    2017-09-11

    The construction industry plays a significant role in contributing to the economy and development globally. During the process of construction, various hazards coupled with the unique nature of the industry contribute to high fatality rates. This review refers to previous published studies and related Malaysian legislation documents. Four main elements consisting of human, worksite, management and external elements which cause occupational accidents and illnesses were identified. External and management elements are the underlying causes contributing to occupational safety and health (OSH), while human and worksite elements are more apparent causes of occupational accidents and illnesses. An effective OSH management approach is required to contain all hazards at construction sites. An approach to OSH management constructed by elements of policy, process, personnel and incentive developed in previous work is explored. Changes to the sub-elements according to previous studies and the related Malaysian legislation are also covered in this review.

  13. Self-management education programs for people living with HIV/AIDS: a systematic review.

    Science.gov (United States)

    Millard, Tanya; Elliott, Julian; Girdler, Sonya

    2013-02-01

    The effectiveness of self-management programs to improve physical, psychosocial, health knowledge, and behavioral outcomes for adults living with HIV has not been well established. This article reviews the effectiveness of self-management education programs to improve physical, psychosocial, health knowledge, and behavior outcomes for adults living with HIV/AIDS. A systematic review of English articles using CINAHL, MEDLINE, and PsycINFO were used to identify and retrieve relevant studies. Each database was searched from its earliest record to October 2010. Search terms included HIV/AIDS, self-management, self-care, patient education, and education programs. Only studies that (1) reported on a HIV-specific intervention that aimed to increase participants HIV-related knowledge through a self-management component, (2) included a control group, (3) provided skills training or targeted behavior change, and (4) reported clinical outcomes were included. Independent data extraction by one author using the methods described in the Cochrane Handbook for Systematic Reviews. A second reviewer checked the data extraction. Six protocols were reported in eight publications (n=1178), all contained elements of self-management interventions. Effect size calculations were not conducted due to limitations in the available data. The review found randomized controlled trials (RCT) evidence sufficient to infer that self-management programs for people living with HIV/AIDS result in short-term improvements in physical, psychosocial, and health knowledge and behavioral outcomes. Statistically significant improvements were reported for intervention participants compared to control participants across most outcomes. There is insufficient evidence to provide conclusions regarding the long-term outcomes of HIV-specific self-management interventions.

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

    Science.gov (United States)

    Harrison, Lindsay

    2012-01-01

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

  15. Application of Life Cycle Assessment on Electronic Waste Management: A Review

    Science.gov (United States)

    Xue, Mianqiang; Xu, Zhenming

    2017-04-01

    Electronic waste is a rich source of both valuable materials and toxic substances. Management of electronic waste is one of the biggest challenges of current worldwide concern. As an effective and prevailing environmental management tool, life cycle assessment can evaluate the environmental performance of electronic waste management activities. Quite a few scientific literatures reporting life cycle assessment of electronic waste management with significant outcomes have been recently published. This paper reviewed the trends, characteristics, research gaps, and challenges of these studies providing detailed information for practitioners involved in electronic waste management. The results showed that life cycle assessment studies were most carried out in Europe, followed by Asia and North America. The research subject of the studies mainly includes monitors, waste printed circuit boards, mobile phones, computers, printers, batteries, toys, dishwashers, and light-emitting diodes. CML was the most widely used life cycle impact assessment method in life cycle assessment studies on electronic waste management, followed by EI99. Furthermore, 40% of the reviewed studies combined with other environmental tools, including life cycle cost, material flow analysis, multi-criteria decision analysis, emergy analysis, and hazard assessment which came to more comprehensive conclusions from different aspects. The research gaps and challenges including uneven distribution of life cycle assessment studies, life cycle impact assessment methods selection, comparison of the results, and uncertainty of the life cycle assessment studies were examined. Although life cycle assessment of electronic waste management facing challenges, their results will play more and more important role in electronic waste management practices.

  16. Management and outcome of recurrent gallstone ileus: A systematic review

    Science.gov (United States)

    Mir, Shovkat Ahmad; Hussain, Zeiad; Davey, Christine Ann; Miller, Glenn Vincent; Chintapatla, Srinivas

    2015-01-01

    AIM: To help the surgeon in decision making when treating a patient with recurrent gallstone ileus (RGSI). METHODS: A systematic review related to RGSI was performed using the databases CINAHL, EMBASE, MEDLINE via PubMed from May 1912 to April 2015. All languages were included and the grey literature was also searched. The abstracts were explored for relevance to the topic and full texts obtained as appropriate. A manual search was carried out by scrutinising the reference lists of all the full text articles and further articles were identified and obtained. Total of 903 articles were identified, 656 were excluded after abstract review, 247 full text articles were reviewed and 91 articles selected for final analysis. There were 113 cases of RGSI. RESULTS: There were 113 cases of RGSI reported in 91 articles. The majority of the recurrences, 62.6%, occurred within 6 wk of the index event. The male to female ratio was 1:7. The mean age was 69.6 years (SD 11.2) with a range of 38-95 years. The small bowel was the commonest site of impaction (92.2%). Treatment data was available for 104 patients. The two main operations performed were: (1) Enterolithotomy without repair of biliary fistula in 70.1% of all patients with a procedural mortality rate of 16.4% (12/73) and (2) a single stage surgery approach involving enterolithotomy with cholecystectomy and repair of the biliary enteric fistula in 16.3% with a procedural mortality of 11.7% (2/17). A subset analysis over last 25 years showed mortality from eneterolithotomy was 4.8% while single stage mortality was 22.2%. Enterolithotomy alone was the commonest operation performed for RGSI with four patients (5.4%) having a further recurrence of gallstone ileus. CONCLUSION: Enterolithotomy alone or followed by a delayed two-stage treatment approach is the preferred choice offering low mortality and reduced risk of recurrence. PMID:26328035

  17. A Review of IT Service Management and Organisational Changes

    DEFF Research Database (Denmark)

    Kræmmergaard, Pernille; Lynge, Bjarne Christoffer; Schou, Christoffer Dalby

    The interest in Information technology service management (ITSM) is increasing in practice and also in research we will argue. The aim of implementation of ITSM in IT organisations is to increase the service towards the IT organisations´ customers, businesses and users, and that requires changes...... in the way many IT organisations operate and organize themselves around IT. We set out to identify the organisational changes in relation to the implementation of ITSM in organisational setting using Leavitt's diamond model and a literature study in more than 100 IS journals. One of the findings reported...... here is that not much has been published on organisational changes associated with the implementation of ITSM. Thus more research in this area is needed, and it confirms the argument that ITSM is a growing field of interest....

  18. A Review of IT Service Management and Organisational Changes

    DEFF Research Database (Denmark)

    Kræmmergaard, Pernille; Lynge, Bjarne Christoffer; Schou, Christoffer Dalby

    2008-01-01

    The interest in Information technology service management (ITSM) is increasing in practice and also in research we will argue. The aim of implementation of ITSM in IT organisations is to increase the service towards the IT organisations´ customers, businesses and users, and that requires changes...... in the way many IT organisations operate and organize themselves around IT. We set out to identify the organisational changes in relation to the implementation of ITSM in organisational setting using Leavitt's diamond model and a literature study in more than 100 IS journals. One of the findings reported...... here is that not much has been published on organisational changes associated with the implementation of ITSM. Thus more research in this area is needed, and it confirms the argument that ITSM is a growing field of interest....

  19. Managing reservoir sedimentation by venting turbidity currents:A review

    Institute of Scientific and Technical Information of China (English)

    Sabine Chamoun; Giovanni De Cesare; Anton J. Schleiss

    2016-01-01

    Reservoir sedimentation is an issue that dam operators are increasingly facing as dams are aging. Not only does it reduce a reservoir's capacity but it also affects its outlet structures such as bottom outlets and powerhouse intakes. Sedimentation may also impoverish downstream ecosystems. For these reasons, several strategies for sediment management are being investigated and applied worldwide. Among these methods, venting of turbidity currents reaching the dam can be very beneficial and economical. This measure helps in preserving a certain continuity of sediment transport in rivers obstructed by dams. However, several practical but also theoretical challenges hamper this technique, rendering its use less common and its aspects rela-tively unknown. The present paper aims to gather the actual state-of-the-art concerning turbidity currents venting and to present an outlook for future development and research in this field.

  20. Reviewing CSR management and marketing communication research: A discourse approach

    DEFF Research Database (Denmark)

    Nielsen, Anne Ellerup; Thomsen, Christa

    To judge from the rapidly growing body of research in the field of corporate social responsibility (CSR) management and marketing communication, there is an increasing interest in exploring the role of communication along with the transmission from implicit towards explicit CSR in the European...... context (Matten & Moon 2008). Many corporations today are concerned with gaining legitimacy through integrating the expectations of their stakeholders (employees, customers, NGOs, activists, government institutions, institutions of international governance) in the overall company strategy. This also......, and act on them through different CSR communication initiatives, channels and technology, e.g. mass media and social media. However, in spite of the growing attention on adopting CSR communication strategies and tactics, there does not seem to be a common understanding and consensus of how and to which...

  1. Livedoid vasculopathy: A review of pathogenesis and principles of management.

    Science.gov (United States)

    Vasudevan, Biju; Neema, Shekhar; Verma, Rajesh

    2016-01-01

    Livedoid vasculopathy is a rare cutaneous disease manifesting as recurrent ulcers on the lower extremities. The ulceration results in atrophic, porcelain white scars termed as atrophie blanche. The pathogenesis is yet to be understood with the main mechanism being hypercoagulability and inflammation playing a secondary role. The important procoagulant factors include protein C and S deficiency, factor V Leiden mutation, antithrombin III deficiency, prothrombin gene mutation and hyperhomocysteinemia. Histopathology of livedoid vasculopathy is characterized by intraluminal thrombosis, proliferation of the endothelium and segmental hyalinization of dermal vessels. The treatment is multipronged with anti-thrombotic measures such as anti-platelet drugs, systemic anticoagulants and fibrinolytic therapy taking precedence over anti-inflammatory agents. Colchicine, hydroxychloroquine, vasodilators, intravenous immunoglobulin, folic acid, immunosuppressive therapy and supportive measures are also of some benefit. A multidisciplinary approach would go a long way in the management of these patients resulting in relief from pain and physical as well as psychological scarring.

  2. Information systems in clinical pharmacy applied to parenteral nutrition management and traceability: a systematic review.

    Science.gov (United States)

    Martínez Gabarrón, Josefa; Sanz-Valero, Javier; Wanden-Berghe, Carmina

    2017-01-01

    To review the scientific literature on clinical pharmacy information systems applied to parenteral nutrition (PN) management and traceability. A systematic review of the documents retrieved from the MEDLINE (PubMed), Web of Science, Scopus, Cochrane Library, International Pharmaceutical Abstracts (IPA) and Google Scholar databases up to May, 2016. The terms used, as descriptors and free text, were: "Parenteral Nutrition" and "Drug Information Services". The quality of the articles was assessed using the STROBE Questionnaire. The search was completed through consultation with experts and the bibliographic review of the articles selected. From the 153 references retrieved in our search, after applying inclusion and exclusion criteria, only 6 articles were selected for review. In three of them, flowcharts or some kind of graphical notation were designed in order to develop standard management systems, while three were based on computer programs. In two of the articles selected, a comprehensive management system had been designed for PN control and traceability. PN must be integrated within a standardized system, to ensure its quality and reduce the risks associated with this therapy. The development of technologies applied to PN would enable to set up management systems that are more complete and easier to apply in a real setting. Therefore, we think it will be necessary to generate new specific articles and developments associated with PN management and traceability, in order to allow their constant monitoring and assessment. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  3. Information systems in clinical pharmacy applied to parenteral nutrition management and traceability: a systematic review

    Directory of Open Access Journals (Sweden)

    Josefa Martínez Gabarrón

    2017-01-01

    Full Text Available Objective: To review the scientific literature on clinical pharmacy information systems applied to parenteral nutrition (PN management and traceability. Method: A systematic review of the documents retrieved from the MEDLINE (PubMed, Web of Science, Scopus, Cochrane Library, International Pharmaceutical Abstracts (IPA and Google Scholar databases up to May, 2016. The terms used, as descriptors and free text, were: “Parenteral Nutrition” and “Drug Information Services”. The quality of the articles was assessed using the STROBE Questionnaire. The search was completed through consultation with experts and the bibliographic review of the articles selected. Results: From the 153 references retrieved in our search, after applying inclusion and exclusion criteria, only 6 articles were selected for review. In three of them, flowcharts or some kind of graphical notation were designed in order to develop standard management systems, while three were based on computer programs. In two of the articles selected, a comprehensive management system had been designed for PN control and traceability. Conclusions: PN must be integrated within a standardized system, to ensure its quality and reduce the risks associated with this therapy. The development of technologies applied to PN would enable to set up management systems that are more complete and easier to apply in a real setting. Therefore, we think it will be necessary to generate new specific articles and developments associated with PN management and traceability, in order to allow their constant monitoring and assessment

  4. Nutritional therapy for the management of diabetic gastroparesis: clinical review

    Directory of Open Access Journals (Sweden)

    Sadiya A

    2012-09-01

    Full Text Available Amena SadiyaLifestyle Clinic, Rashid Centre for Diabetes and Research, Ministry of Health, Ajman, United Arab EmiratesAbstract: Diabetic gastroparesis (DGP, or slow emptying of the stomach, is a well-established complication of diabetes mellitus and is typically considered to occur in individuals with long-standing type 1 and type 2 diabetes mellitus. Clinical consequences of DGP include induction of gastrointestinal (GI symptoms (early satiety, abdominal distension, reflux, stomach spasm, postprandial nausea, vomiting, alteration in drug absorption, and destabilization of glycemic control (due to mismatched postprandial glycemic and insulin peaks. Effective nutritional management not only helps in alleviating the symptoms, but also in facilitating better glycemic control. Although there have been no evidence-based guidelines pertaining to the nutrition care process of the DGP, the current dietary recommendations are based on expert opinions or observational studies. The dietary management of gastroparesis needs to be tailored according to the severity of malnutrition and kind of upper GI symptom by changing the volume, consistency, frequency, fiber, fat, and carbohydrates in the meal. Small frequent meals, using more liquid calories, reducing high fat or high fiber, consuming bezoar forming foods, and adjusting meal carbohydrates based on medications or insulin helps in improving the upper GI symptoms and glycemic control. Enteral nutrition can be an option for patients who fail to stabilize their weight loss, or for those who cannot gain weight with oral feedings, while total parenteral nutrition is rarely necessary for the patient with gastroparesis.Keywords: diabetic gastroparesis, delayed gastric emptying, diabetes mellitus, bezoar, GI symptoms, glycemic control

  5. Management of comorbidities in ambulatory anesthesia: a review

    Directory of Open Access Journals (Sweden)

    Dabu-Bondoc S

    2015-06-01

    Full Text Available Susan Dabu-Bondoc, Kirk Shelley Department of Anesthesiology, School of Medicine, Yale University, New Haven, CT, USAAbstract: Advances in medical science now allow people with significant medical issues to live at home. As the outpatient population ages and surgical techniques advance, the ambulatory anesthesiologist has to be prepared to handle these “walking wounded”. The days of restricting ambulatory surgery procedures to American Society of Anesthesiologists class 1 and 2 patients are rapidly fading into the past. To remain competitive and economically viable, the modern ambulatory surgery center needs to expand its practice to include patients with medical comorbidities. In an environment where production and economic pressures exist, maintaining safety and good outcomes in high-risk patients for ambulatory surgery can be arduous. Adding to the complexity of this challenge is the rapid evolution of the therapeutic approaches to a variety of medical issues. For example, there has been a significant increase in the number and types of insulin a diabetic patient might be prescribed in recent years. In the case of the patient with coronary artery disease, the variety of both drug and nondrug eluding stents or new antithrombotic agents has also increased the complexity of perioperative management. Complex patients need careful, timely, and team-based preoperative evaluation by an anesthesia provider who is knowledgeable of outpatient care. Optimizing comorbidities preoperatively is a crucial initial step in minimizing risk. This paper will examine a number of common medical issues and explore their impact on managing outpatient surgical procedures.Keywords: ambulatory surgery, medical comorbidities, diabetes, coronary artery disease, respiratory disease, obesity

  6. Deep learning guided stroke management: a review of clinical applications.

    Science.gov (United States)

    Feng, Rui; Badgeley, Marcus; Mocco, J; Oermann, Eric K

    2017-09-27

    Stroke is a leading cause of long-term disability, and outcome is directly related to timely intervention. Not all patients benefit from rapid intervention, however. Thus a significant amount of attention has been paid to using neuroimaging to assess potential benefit by identifying areas of ischemia that have not yet experienced cellular death. The perfusion-diffusion mismatch, is used as a simple metric for potential benefit with timely intervention, yet penumbral patterns provide an inaccurate predictor of clinical outcome. Machine learning research in the form of deep learning (artificial intelligence) techniques using deep neural networks (DNNs) excel at working with complex inputs. The key areas where deep learning may be imminently applied to stroke management are image segmentation, automated featurization (radiomics), and multimodal prognostication. The application of convolutional neural networks, the family of DNN architectures designed to work with images, to stroke imaging data is a perfect match between a mature deep learning technique and a data type that is naturally suited to benefit from deep learning's strengths. These powerful tools have opened up exciting opportunities for data-driven stroke management for acute intervention and for guiding prognosis. Deep learning techniques are useful for the speed and power of results they can deliver and will become an increasingly standard tool in the modern stroke specialist's arsenal for delivering personalized medicine to patients with ischemic stroke. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  7. Surgical Management of Stuttering Ischemic Priapism: A Case Report and Concise Clinical Review

    Science.gov (United States)

    Raslan, M.; Hiew, K.; Hoyle, A.; Ross, D.G.; Betts, C.D.; Maddineni, S.B.

    2016-01-01

    Stuttering priapism is an extremely rare and poorly understood entity. We present a rare case of a 47-year-old Afro-Caribbean gentleman who required proximal shunt procedure to treat his ischemic stuttering priapism after he had failed medical management. We provided a concise review of the literature on the surgical management of ischemic priapism. This case highlighted the importance of prompt surgical intervention in prolonged stuttering priapism to avoid serious psychological and functional complications. PMID:26977408

  8. Book Review of “The Real Warren Buffett - Managing Capital, Leading People”

    Directory of Open Access Journals (Sweden)

    Cevdet Kızıl

    2017-01-01

    Full Text Available This paper reviews and discusses the book titled “The Real Warren Buffett – Managing Capital, Leading People” by James O’Loughlin. The mentioned book details the managerial skills, financial expertise and leadership approach of Warren Buffett. Practical lessons of Warren Buffett are also included in “The Real Warren Buffett – Managing Capital, Leading People” and how he became the second richest man in United States are mentioned.

  9. Modular structure of web-based decision support systems for integrated pest management. A review

    OpenAIRE

    Damos, Petros

    2015-01-01

    International audience; AbstractSustainable pest management implies less pesticide use and replacement by safe control alternatives. This requires decision support for rational pest management. However, in practice, successful decision making is dependent upon the availability of integrated, high-quality information. Computer-aided forecasting and related decision support systems make pest control more sustainable by avoiding unwanted consequences of pesticide applications. Here, I review int...

  10. A Review on the Integration of Supply Chain Management and Industrial Cluster

    OpenAIRE

    Mangano, Giulio; Marco, Alberto

    2013-01-01

    Although Supply Chain Management (SCM) and Industrial Cluster (IC) are two different fields of study, it has been identified that there is a natural and internal relationship between these two theories. Most of research works depict that, integration of the two concepts is in its infancy. The aim of this research is to review the integration between supply chain management and industrial cluster, at the same time to identify the gap and propose solution. To achieve the research aim, two pairs...

  11. A Review of Water Management in Polymer Electrolyte Membrane Fuel Cells

    OpenAIRE

    2009-01-01

    At present, despite the great advances in polymer electrolyte membrane fuel cell (PEMFC) technology over the past two decades through intensive research and development activities, their large-scale commercialization is still hampered by their higher materials cost and lower reliability and durability. In this review, water management is given special consideration. Water management is of vital importance to achieve maximum performance and durability from PEMFCs. On the one hand, to maintain ...

  12. Management of Psoriasis in Children: a Narrative Review

    Directory of Open Access Journals (Sweden)

    Zohreh Hajheydari

    2015-01-01

    Full Text Available Psoriasis is an inherited chronic inflammatory papulosquamous disorder with a variable clinical spectrum affecting about 0.5% to 2% of children and adolescence. In spite of all performed researches around the world for seeking better treatments with fewer adverse effects to control the disease, there is still no cure for psoriasis. Treatment of psoriasis in children is very conservative and many therapies used for adults may not be appropriate for children due to possible long-term or delayed adverse effects. A wide range of therapeutic options are existed including; topical therapy, phototherapy, chemotherapy, systemic therapies and biologic therapies. Here in, because of the lack of data in this specific field of dermatology, we decided to review the current therapies of childhood psoriasis.

  13. Carotid stenosis management: a review for the internist.

    Science.gov (United States)

    Carmo, Gabriel Assis Lopes; Calderaro, Daniela; Gualandro, Danielle Menosi; Casella, Ivan Benaduce; Yu, Pai Ching; Marques, André Coelho; Caramelli, Bruno

    2014-03-01

    Stroke is one of the most important causes of mortality and morbidity worldwide and, for a long time, was the leading cause of death in developed countries. Atherothrombotic carotid stenosis is one of the most important etiologies behind this event. If properly recognized and treated, lives can be saved, as well as long-term disabilities prevented. With population aging and improvements in surgical and clinical care, patients with several comorbidities will be referred for revascularization procedures more frequently, posing a challenge for physicians. The purpose of this review is to provide internists and clinicians with information based on several studies so they can offer to their patients, the best evidence-based care, indicating appropriate medical therapy, as well as referral to a vascular surgeon, or what contraindicates endarterectomy or angioplasty, depending on individual characteristics.

  14. Negative pressure pulmonary edema revisited: Pathophysiology and review of management

    Directory of Open Access Journals (Sweden)

    Balu Bhaskar

    2011-01-01

    Full Text Available Negative pressure pulmonary edema (NPPE is a dangerous and potentially fatal condition with a multifactorial pathogenesis. Frequently, NPPE is a manifestation of upper airway obstruction, the large negative intrathoracic pressure generated by forced inspiration against an obstructed airway is thought to be the principal mechanism involved. This negative pressure leads to an increase in pulmonary vascular volume and pulmonary capillary transmural pressure, creating a risk of disruption of the alveolar-capillary membrane. The early detection of the signs of this syndrome is vital to the treatment and to patient outcome. The purpose of this review is to highlight the available literature on NPPE, while probing the pathophysiological mechanisms relevant in both the development of this condition and that involved in its resolution.

  15. Tourism Management and Industrial Ecology: A Theoretical Review

    Directory of Open Access Journals (Sweden)

    Maria Claudia Lucchetti

    2014-08-01

    Full Text Available Industrial Ecology (IE is based on the relation between the natural ecosystem and economic ecosystem. The concept refers to the metaphorical relation between the natural and industrial ecosystems as a model for transforming unsustainable industrial systems. Several tools and strategies are particularly significant for the IE development. In other words, the primary purpose of industrial ecology is to assess and reduce the impact economic activities on the environment. Tourism, as an economic activity, resulting in a full range of environmental impacts, should be treated like any other industry. This paper propose uses a theoretical review focused on IE for to investigate what is the best way to implement industrial ecology in the tourism activities. It seemed interesting to search within the IE concept for a model for the tourism sector, one of the fields with the greatest environmental interaction and economic implications.

  16. Current management options for latent tuberculosis: a review

    Directory of Open Access Journals (Sweden)

    Norton BL

    2012-11-01

    Full Text Available Brianna L Norton, David P HollandDepartment of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, NC, USAAbstract: Tuberculosis remains the world’s second leading infectious cause of death, with nearly one-third of the global population latently infected. Treatment of latent tuberculosis infection is a mainstay of tuberculosis-control efforts in low-to medium-incidence countries. Isoniazid monotherapy has been the standard of care for decades, but its utility is impaired by poor completion rates. However, new, shorter-course regimens using rifamycins improve completion rates and are cost-saving compared with standard isoniazid monotherapy. We review the currently available therapies for latent tuberculosis infection and their toxicities and include a brief economic comparison of the different regimens.Keywords: isoniazid, rifampin, rifapentine, tuberculin skin test, interferon-gamma release assay

  17. Annular management during aortic valve repair: a systematic review.

    Science.gov (United States)

    Kunihara, Takashi

    2016-02-01

    Annuloplasty is considered to play a key role to control aortic valve regurgitation (AR) and prevent recurrence of AR after aortic valve repair, because aortic root dilatation has emerged as a risk factor for recurrence of AR. Various modifications of annuloplasty have been advocated, however, none of them has become standardized. Thus in this review they are outlined and classified (internal/external, with/without ring, rigid/flexible ring), and their advantages and disadvantages are clarified. Their clinical outcomes seem currently acceptable in general, and external flexible annuloplasty has been performed more frequently with favorable outcomes. However, they are still performed for a minority of patients by special experienced teams with limited follow-up periods. Therefore, it seems too early to determine the superiority or inferiority of each approach. We must carefully conduct evaluation to clarify which approach will become reproducible, effective, and standardized.

  18. Management of intracranial pathology during pregnancy: Case example and review of management strategies

    Directory of Open Access Journals (Sweden)

    Vijay M Ravindra

    2015-01-01

    Conclusions:Pregnancy presents a challenge for any patient requiring neurosurgical intervention. We present an interesting case example with a rare central nervous system neoplasm and discuss the management of intracranial pathology in pregnant patients.

  19. Management of Thoracic Empyema: Review of 112 Cases

    Directory of Open Access Journals (Sweden)

    Ommolbanin Abed

    2012-03-01

    Full Text Available To review our experience in treatment of patients with thoracic empyema at a teaching hospital chart of patients were retrospectively reviewed over a 72-month period. A total of 112 patients (94 men, 18 women, mean age: 39, range: 6-89 years underwent therapeutic procedures for thoracic empyema between 2001-2006. The causes of empyema included parapneumonic empyema (60.7%, thoracic trauma (20.5%, surgical procedures (7.1% and seeding from an extra-pulmonary source (11.7%. Multiloculated empyemas were documented in 45 patients (40%. Insertion of chest tube was the first procedure in 103 patients (92%. Nineteen patients (17% were treated by thoracotomy, ten patients (8.9% had fibrinolytic therapy, eight patients (7.2% underwent video assisted thoracic surgery (VATS and sixteen patients (14.3% had subsequent radiologic-guided drainage. Thoracotomy-Decortication was successful in 90% of patients undergoing surgery and the least successful intervention was tube thoracostomy alone. Twelve of 112 patients (10.7% died in the hospital including one patient in the thoracotomy group. Long-term follow-up was available in 67 patients including all of patients requiring surgery and fibrinolytic therapy. Thirty four patients (50% obtained complete functional recovery. Simple drainage as the first procedure for the treatment of thoracic empyema has a high failure rate. Selection of a therapeutic option should be based on age, underlying disease, stage of the empyema, state of the loculation, local expertise and availability. Surgical procedures such as VATS or thoracotomy are recommended as the first procedure in elderly patients and advanced empyema.

  20. A review of surgical methods (excluding hair transplantation and their role in hair loss management today

    Directory of Open Access Journals (Sweden)

    Sandeep S Sattur

    2011-01-01

    Full Text Available There is more than one way to manage hair loss surgically. Apart from hair transplantation, there are other techniques which have been used by many to treat baldness. This article attempts to review the surgical methodology and philosophy that have acted as guiding lights in the approach to surgical treatment of baldness over the years and reviews the current role of other techniques in the armamentarium of hair restoration surgeons today.

  1. Clinical Features and Management of Cartilage-Hair Hypoplasia: A Narrative Review

    OpenAIRE

    Kobra Shiasi Arani

    2015-01-01

    Context: Cartilage-hair hypoplasia is a rare hereditary cause of short stature. The aim of this study was to familiarize physicians with this rare but important disease. Evidence Acquisition: This article is a narrative review of the scientific literature to inform about clinical features and management of Cartilage-hair hypoplasia. A systematic search identified 127 papers include original and review articles and case reports. Results: Cartilage-Hair Hypoplasia characterized by short...

  2. DRUG MANAGEMENT REVIEWS IN DISTRICT DRUG MANAGEMENT UNIT AND GENERAL HOSPITAL

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    Max Joseph Herman

    2009-12-01

    Full Text Available Drug is one of the essential elements in healthcare that should be effectively and efficiently managed. Following thedecentralization in 2001 in Indonesia, drug management has changed in district drug management units and also in District General Hospitals. Certainly this condition influences the sustainability of drug access in primary health care such as in Community Health Center and District General Hospital, especially in drug financing policy. A cross sectional descriptive study to obtain information on drug management in public healthcare in district had been carried out between July and December 2006 in 10 District Public Drug Management Units from 10 district health offices and 9 district general hospitals as samples. Data were collected by interviewing heads of Drug Section in District Health Offices and heads of Hospital Pharmacies using structured questionnaires and observing drug storage in District Drug Management Units, Community Health Centers, and Hospital Pharmacies. Results of the study show that drug planning in District Health Offices and General Hospitals did not meet the basic real need in some districts nor District Hospitals. The minimum health service standards had no been achieved yet. Furthermore, drug procurement, storage and recording as well as reporting was not good enough either, such as shown by the existence of expired drugs. Lead time for drug delivery to community health centers in some districts was longer than the average of lead time in the past 3 years.

  3. Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development

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    Abbas Mark R

    2011-11-01

    Full Text Available Abstract Background There is a growing acknowledgement that doctors need to develop leadership and management competences to become more actively involved in the planning, delivery and transformation of patient services. We undertook a systematic review of what is known concerning the knowledge, skills and attitudes of medical students regarding leadership and management. Here we report the results pertaining to the attitudes of students to provide evidence to inform curriculum development in this developing field of medical education. Methods We searched major electronic databases and citation indexes within the disciplines of medicine, education, social science and management. We undertook hand searching of major journals, and reference and citation tracking. We accessed websites of UK medical institutions and contacted individuals working within the field. Results 26 studies were included. Most were conducted in the USA, using mainly quantitative methods. We used inductive analysis of the topics addressed by each study to identity five main content areas: Quality Improvement; Managed Care, Use of Resources and Costs; General Leadership and Management; Role of the Doctor, and Patient Safety. Students have positive attitudes to clinical practice guidelines, quality improvement techniques and multidisciplinary teamwork, but mixed attitudes to managed care, cost containment and medical error. Education interventions had variable effects on students' attitudes. Medical students perceive a need for leadership and management education but identified lack of curriculum time and disinterest in some activities as potential barriers to implementation. Conclusions The findings from our review may reflect the relatively little emphasis given to leadership and management in medical curricula. However, students recognise a need to develop leadership and management competences. Although further work needs to be undertaken, using rigorous methods, to identify

  4. PERANCANGAN KNOWLEDGE MANAGEMENT SYSTEM MENGGUNAKAN TOOLS BOOK REVIEW STUDI KASUS PADA UNIVERSITAS BINA NUSANTARA

    Directory of Open Access Journals (Sweden)

    Karto Iskandar

    2014-12-01

    Full Text Available The role of knowledge in developing and maintaining an organization has been strongly regarded as a very important asset. Bina Nusantara University is one of the universities that is aware of the importance of book as main knowledge media in the learning process. Reviewing books and sharing the results can be a major resource to perform maintenance on knowledge and accelerate the learning process. A problem that occurs in Bina Nusantara University is no application to do Book Reviews. There are no tools that facilitate discussion between book reviewer and book review reader. The purpose of this research is to design features of Book Review on Knowledge Management System (KMS in Bina Nusantara University. It is expected that book review features are useful for faculty members and staffs in doing book reviews. The methodology used in this study is literature study and design a KMS application using Microsoft SharePoint 2010 technology. Conclusion of this research is the application of KMS Book Review in Bina Nusantara University can encourage book reviewers and facilitate book review readers to discuss and interact more optimally.

  5. Perancangan Knowledge Management System menggunakan Tools "Book Review": Studi Kasus pada Universitas Bina Nusantara

    Directory of Open Access Journals (Sweden)

    Karto Iskandar

    2014-12-01

    Full Text Available The role of knowledge in developing and maintaining an organization has been strongly regarded as a very important asset. Bina Nusantara University is one of the universities that is aware of the importance of book as main knowledge media in the learning process. Reviewing books and sharing the results can be a major resource to perform maintenance on knowledge and accelerate the learning process. A problem that occurs in Bina Nusantara University is no application to do Book Reviews. There are no tools that facilitate discussion between book reviewer and book review reader. The purpose of this research is to design features of Book Review on Knowledge Management System (KMS in Bina Nusantara University. It is expected that book review features are useful for faculty members and staffs in doing book reviews. The methodology used in this study is literature study and design a KMS application using Microsoft SharePoint 2010 technology. Conclusion of this research is the application of KMS Book Review in Bina Nusantara University can encourage book reviewers and facilitate book review readers to discuss and interact more optimally.

  6. The management of Fournier's gangrene: A review of 60 patients

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    Salih Onur Basat

    2016-09-01

    Results: 60 male patients with the mean age of 55 (ranged between 48-62 were included to the study. 50 patients survived, mortality rate was 16.6%. Septic shock (n: 4, cardiogenic shock (n:4 and pneumonia (n:2 were causes of death. As a risk factor, 45 (75% patients had DM, 40 (66.6% patients had HT, and 35 (58.3% patients had both DM and HT. There were no other co-morbid situation for 10 (16.6% patients. All the survived 50 patients were suitable for surgical reconstruction. STSG procedure was performed for 46 (76.6% patients and flap reconstruction was performed for 4 (6.6% patients. None of the patients had hyperbaric oxygen therapy (HBO. Length of hospitalization was 16 days (5-58 for all patients. A mean FGSI score at admission was of 5.02 +/- 2.45 for survivors compared with 13.8 +/- 4.53 for non-survivors. A mean FGSI score was of 4.56 +/- 2.28 for survivors and 11.50 +/- 2.63 in non-survivors during hospitalization. Conclusion: Although FG has high mortality rates, appropriate management of the disease can reduce rates. Early diagnosis, surgical debridement, VAC application and antibiotherapy are the essentials for FG. [Arch Clin Exp Surg 2016; 5(3.000: 154-159

  7. Diagnosis and Management of Asthma in Adults: A Review.

    Science.gov (United States)

    McCracken, Jennifer L; Veeranki, Sreenivas P; Ameredes, Bill T; Calhoun, William J

    2017-07-18

    Asthma affects about 7.5% of the adult population. Evidence-based diagnosis, monitoring, and treatment can improve functioning and quality of life in adult patients with asthma. Asthma is a heterogeneous clinical syndrome primarily affecting the lower respiratory tract, characterized by episodic or persistent symptoms of wheezing, dyspnea, and cough. The diagnosis of asthma requires these symptoms and demonstration of reversible airway obstruction using spirometry. Identifying clinically important allergen sensitivities is useful. Inhaled short-acting β2-agonists provide rapid relief of acute symptoms, but maintenance with daily inhaled corticosteroids is the standard of care for persistent asthma. Combination therapy, including inhaled corticosteroids and long-acting β2-agonists, is effective in patients for whom inhaled corticosteroids alone are insufficient. The use of inhaled long-acting β2-agonists alone is not appropriate. Other controller approaches include long-acting muscarinic antagonists (eg, tiotropium), and biological agents directed against proteins involved in the pathogenesis of asthma (eg, omalizumab, mepolizumab, reslizumab). Asthma is characterized by variable airway obstruction, airway hyperresponsiveness, and airway inflammation. Management of persistent asthma requires avoidance of aggravating environmental factors, use of short-acting β2-agonists for rapid relief of symptoms, and daily use of inhaled corticosteroids. Other controller medications, such as long-acting bronchodilators and biologics, may be required in moderate and severe asthma. Patients with severe asthma generally benefit from consultation with an asthma specialist for consideration of additional treatment, including injectable biologic agents.

  8. A review and overview of nuclear waste management

    Energy Technology Data Exchange (ETDEWEB)

    Murray, R.L.

    1984-12-31

    An understanding of the status and issues in the management of radioactive wastes is based on technical information on radioactivity, radiation, biological hazard of radiation exposure, radiation standards, and methods of protection. The fission process gives rise to radioactive fission products and neutron bombardment gives activation products. Radioactive wastes are classified according to source: defense, commercial, industrial, and institutional; and according to physical features: uranium mill tailings, high-level, transuranic, and low-level. The nuclear fuel cycle, which contributes a large fraction of annual radioactive waste, starts with uranium ore, includes nuclear reactor use for electrical power generation, and ends with ultimate disposal of residues. The relation of spent fuel storage and reprocessing is governed by technical, economic, and political considerations. Waste has been successfully solidified in glass and other forms and choices of the containers for the waste form are available. Methods of disposal of high-level waste that have been investigated are transmutation by neutron bombardment, shipment to Antartica, deep-hole insertion, subseabed placement, transfer by rocket to an orbit in space, and disposal in a mined cavity. The latter is the favored method. The choices of host geological media are salt, basalt, tuff, and granite.

  9. Polycystic ovary syndrome: reviewing diagnosis and management of metabolic disturbances.

    Science.gov (United States)

    Spritzer, Poli Mara

    2014-03-01

    Polycystic ovary syndrome (PCOS) is a common condition in women at reproductive age associated with reproductive and metabolic dysfunction. Proposed diagnosed criteria for PCOS include two out of three features: androgen excess, menstrual irregularity, and polycystic ovary appearance on ultrasound (PCO), after other causes of hyperandrogenism and dysovulation are excluded. Based on these diagnostic criteria, the most common phenotypes are the "classic PCOS"--hyperandrogenism and oligomenorrhea, with or without PCO; the "ovulatory phenotype"--hyperandrogenism and PCO in ovulatory women; and the "non-hyperandrogenic phenotype", in which there is oligomenorrhea and PCO, without overt hyperandrogenism. The presence of obesity may exacerbate the metabolic and reproductive disorders associated with the syndrome. In addition, PCOS women present higher risk for type 2 diabetes and higher prevalence of cardiovascular risk factors that seems to be associated with the classic phenotype. The main interventions to minimize cardiovascular and metabolic risks in PCOS are lifestyle changes, pharmacological therapy, and bariatric surgery. Treatment with metformin has been shown to improve insulin sensitivity, lowering blood glucose and androgen levels. These effects are more potent when combined with lifestyle interventions. In conclusion, besides reproductive abnormalities, PCOS has been associated to metabolic comorbidities, most of them linked to obesity. Confounders, such as the lack of standard diagnostic criteria, heterogeneity of the clinical presentation, and presence of obesity, make management of PCOS difficult. Therefore, the approach to metabolic abnormalities should be tailored to the risks and treatment goals of each individual woman.

  10. Advances in Management of Acute Hypertension: A Concise Review

    Science.gov (United States)

    Tulman, David B.; Stawicki, Stanislaw P.A.; Papadimos, Thomas J.; Murphy, Claire V.; Bergese, Sergio D.

    2013-01-01

    Chronic hypertension affects >1 billion people worldwide and >70 million people in the United States. Acute hypertensive episodes (AHE) are defined as severe spikes in blood pressure that may result in end-organ damage. Although AHE may arise independently as de novo events, they are more likely to occur in patients with pre-existing hypertension. One of the controversies regarding the clinical approach to AHE is the selection of antihypertensive medication. Depending on the clinical presentation of the patient and the threat of end-organ damage resulting from blood pressure elevation, appropriate and prompt treatment is warranted. There are multiple agents available for the management of hypertension. However, the greatest challenge lies in the acute care setting where the need exists for better initial and sustained control of blood pressure spikes. Many anti-hypertensive agents effectively lower blood pressure, yet only few have the capacity to achieve strict control of hypertension in the acute setting. Clevidipine butyrate is an ultra short-acting intravenous dihydropyridine calcium-channel blocker. Clevidipine has unique pharmacodynamic and pharmacokinetic properties that enable the fast, safe, and adequate reduction of blood pressure in hypertensive emergencies, with the ability to provide highly precise titration necessary to maintain a narrowly-defined target blood pressure range. Several recently published phase I, II, and III clinical studies have shown Clevidipine to be an effective blood pressure modulator in such capacity. PMID:22642919

  11. Craniofacial fibrous dysplasia - A review of current management techniques

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    Yadavalli Guruprasad

    2012-01-01

    Full Text Available Fibrous dysplasia is a pathologic condition of bone of unknown etiology with no apparent familial, hereditary or congenital basis. Lichtenstein first coined the term in 1938 and in 1942 he and Jaffe separated it from other fibro-osseous lesions. It is a bone tumor that, although benign, has the potential to cause significant cosmetic and functional disturbance, particularly in the craniofacial skeleton. Its management poses significant challenges to the surgeon. Craniofacial fibrous dysplasia is 1 of 3 types of fibrous dysplasia that can affect the bones of the craniofacial complex, including the mandible and maxilla. Fibrous dysplasia is a skeletal developmental disorder of the bone-forming mesenchyme that manifests as a defect in osteoblastic differentiation and maturation. It is a lesion of unknown etiology, uncertain pathogenesis, and diverse histopathology. Fibrous dysplasia represents about 2, 5% of all bone tumors and over 7% of all benign tumours. Over the years, we have gained a better understanding of its etiology, clinical behavior, and both surgical and non-surgical treatments.

  12. An Ayurvedic Review on management of Tamaka Shwasa

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    Kimmi Seth

    2016-06-01

    Full Text Available Respiration is the evident feature of life which is carried out by Prana vayu. This sole sign of life is affected in this disease Tamaka Shwasa, causing an impediment to the Respiratory function. Shwasa word indicates both physiological and pathological state of respiration. Ayurvedic texts have mentioned Tamaka Shwasa under the various types of Shwasa roga. Disease Tamaka Shwasa can be correlated with the disease Bronchial Asthma on the basis of its features & etiopathogenesis. Tamaka Shwasa is considered as Yapya (palliable because this type of Shwasa roga is not only difficult to treat but also has a repetitive nature. Bronchial Asthma calls the attention of Medical world due to significant burden in terms of healthcare costs as well as lost productivity and reduced participation in family life. The Science of Life – Ayurveda is the best way to effectively & safely manage the condition without inducing any drug dependency where various Shodhana procedures and use of internal medication not only detoxifies the body but also provides nutrition & increases the elasticity of lung tissue & develops natural immunity of the body thus decreasing episodic recurrence of the disease and providing long term relief to the patient.

  13. Statin Intolerance: A Literature Review and Management Strategies.

    Science.gov (United States)

    Saxon, David R; Eckel, Robert H

    Statin intolerance is a commonly encountered clinical problem for which useful management strategies exist. Although many patients report statin-related muscle symptoms, studies indicate that the majority of these patients can tolerate a statin upon re-challenge. Alternative statin dosing strategies are an effective way to modify and reintroduce statin therapy for patients reporting adverse symptoms. Correction of vitamin D deficiency and hypothyroidism may improve statin tolerability in some patients. CoQ10 supplementation has been found to be of no benefit for statin-related muscle symptoms in most recent clinical trials. PCSK9 inhibitors are a new therapeutic option that if confirmed as safe and effective by outcomes trials may be of substantial benefit to select patients at high ASCVD risk who are unable to achieve adequate low-density lipoprotein cholesterol (LDL-C) lowering on maximally tolerated statin therapy. Other available medications to lower LDL-C in statin intolerant patients include ezetimibe, bile acid sequestrants, niacin, and fibrates. Published by Elsevier Inc.

  14. Pain Management in Ambulatory Surgery—A Review

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    Jan G. Jakobsson

    2014-07-01

    Full Text Available Day surgery, coming to and leaving the hospital on the same day as surgery as well as ambulatory surgery, leaving hospital within twenty-three hours is increasingly being adopted. There are several potential benefits associated with the avoidance of in-hospital care. Early discharge demands a rapid recovery and low incidence and intensity of surgery and anaesthesia related side-effects; such as pain, nausea and fatigue. Patients must be fit enough and symptom intensity so low that self-care is feasible in order to secure quality of care. Preventive multi-modal analgesia has become the gold standard. Administering paracetamol, NSIADs prior to start of surgery and decreasing the noxious influx by the use of local anaesthetics by peripheral block or infiltration in surgical field prior to incision and at wound closure in combination with intra-operative fast acting opioid analgesics, e.g., remifentanil, have become standard of care. Single preoperative 0.1 mg/kg dose dexamethasone has a combined action, anti-emetic and provides enhanced analgesia. Additional α-2-agonists and/or gabapentin or pregabalin may be used in addition to facilitate the pain management if patients are at risk for more pronounced pain. Paracetamol, NSAIDs and rescue oral opioid is the basic concept for self-care during the first 3–5 days after common day/ambulatory surgical procedures.

  15. Anesthetic management of intestinal obstruction: A postgraduate educational review

    Science.gov (United States)

    Parthasarathy, S.; Sripriya, R.; Krishnaveni, N.

    2016-01-01

    Intestinal obstruction is associated with significant morbidity and mortality. Scientific assessment of the cause, site of obstruction, appropriate correction of the fluid deficit and electrolyte imbalance with preoperative stabilization of blood gases is ideal as a preoperative workup. Placement of a preoperative epidural catheter especially in the thoracic interspace takes care of perioperative pain and stress reduction. Intraoperative management by controlled general anesthesia administering a relative high inspired fraction of oxygen with invasive monitoring in selected sick cases is mandatory. Preoperative monitoring and stabilizing raised intra-abdominal pressure reduces morbidity. Caution should be exercised during opening and closure of abdomen to avoid cardiorespiratory ill effects. There should be an emphasis on avoiding hypothermia. The use of nonsteroidal anti-inflammatory drugs may worsen sick, fragile patients. The use of sugammadex rather than neostigmine will obscure certain controversies in the healing of intestinal anastomotic site. Replacement of blood loss continued correction of fluids and electrolytes with possible postoperative mechanical ventilation in sick cases may improve outcomes in these patients. PMID:27746522

  16. Diabetic foot infections: a team-oriented review of medical and surgical management

    Directory of Open Access Journals (Sweden)

    Claire M Capobianco

    2010-09-01

    Full Text Available As the domestic and international incidence of diabetes and metabolic syndrome continues to rise, health care providers need to continue improving management of the long-term complications of the disease. Emergency department visits and hospital admissions for diabetic foot infections are increasingly commonplace, and a like-minded multidisciplinary team approach is needed to optimize patient care. Early recognition of severe infections, medical stabilization, appropriate antibiotic selection, early surgical intervention, and strategic plans for delayed reconstruction are crucial components of managing diabetic foot infections. The authors review initial medical and surgical management and staged surgical reconstruction of diabetic foot infections in the inpatient setting.

  17. Current diagnosis and management of syringocele: a review

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    Jonathan Melquist

    2010-02-01

    Full Text Available Cowper's syringocele is a rare but an under-diagnosed cystic dilation of the Cowper's ducts and is increasingly being recognized in the adult population. Recent literature suggests that syringoceles be classified based on the configuration of the duct's orifice to the urethra, either open or closed, as this also allows the clinical presentations of 2 syringoceles to be divided, albeit with some overlap. Usually post-void dribbling, hematuria, or urethral discharge indicate open syringocele, while obstructive symptoms are associated with closed syringoceles. As these symptoms are shared by many serious conditions, a working differential diagnosis is critical. Ultrasonography coupled with retro and ante grade urethrography usually suffices to diagnose syringocele, but supplementary procedures - such as cystourethroscopy, computed tomography scan, and magnetic resonance imaging - can prove useful. Conservative observation is first recommended, but persistent symptoms are usually treated with endoscopic marsupialization unless contraindicated. Upon reviewing the literature, this paper addresses the clinical anatomy, classification, presentation, diagnosis, and treatment of syringoceles in further detail.

  18. A review and management of AAR at Mactaquac Generating Station

    Energy Technology Data Exchange (ETDEWEB)

    Gilks, P.; May, T. [Mactaquac Generating Station, Keswick Ridge, NB (Canada). Hydro Division; Curtis, D. [Acres International Ltd., Niagara Falls, ON (Canada)

    2001-10-01

    Located on the Saint John River, approximately 20 kilometres upstream from Fredericton, New Brunswick, the Mactaquac Generating Station possesses an installed capacity of 660 MW and is owned and operated by New Brunswick Power Corporation (NB Power). Constructed in stages between 1964 and 1980, it is the largest hydroelectric generating station in all of the Maritimes. The history of the generating station is explained in this paper, where the emphasis is placed on the effects of alkali-silica reaction (AAR) and the measures that were taken to remedy the situation and ensure the safe operation of the generating station. A rigorous engineering and construction program was implemented by NB Power at Mactaquac following the diagnosis of AAR. Some of the measures included in the engineering and construction program were: installation of tendons in the intake, slot cutting, grouting of the concrete structures and their foundations, and installation of flexible couplings in the penstocks. The authors had three objectives with this presentation: a review of the effects caused by AAR on the concrete structures, the investigations that were performed, and the remedial action implemented to rectify the situation. A brief overview of every major measure implemented is provided. 8 refs., 14 figs.

  19. Male infertility: a critical review of pharmacologic management.

    Science.gov (United States)

    Hamada, Alaa J; Montgomery, Brian; Agarwal, Ashok

    2012-12-01

    Male factor infertility contributes partially and solely to the problem of childlessness in around 50% of the cases. Unfortunately, 30 - 50% of the etiologies of male infertility are unknown and therefore, no specific therapy can be instituted. Evidence-based medical therapy for male infertility is an attractive research area where a large number of clinical trials, controlled and uncontrolled, using different types of medications have been conducted yielding variable results and outcomes. In this review, we summarize and evaluate the most important and most recent information pertaining to the use of different medications in male infertility and assign level of evidence to these medications. An extensive literature search was performed using the search engines: Pubmed, Science-direct, Ovid and Scopus. Male infertility represents a very challenging area of clinical medicine. Many different types of medications have been tried and very few have had satisfactory results. There is a huge need to advance and develop andrologic diagnostic techniques, focusing on the metabolomics and proteomics of the sperm, seminal plasma, and testicular tissue. Clarification of the causes of idiopathic male infertility and the discovery of novel molecular targets will help guide future innovative development of new pharmacologic agents.

  20. Islet transplantation and antioxidant management A comprehensive review

    Institute of Scientific and Technical Information of China (English)

    Seyed Sajad Mohseni Salehi Monfared; Bagher Larijani; Mohammad Abdollahi

    2009-01-01

    Islet transplantation as a promising treatment for type 1 diabetes has received widespread attention.Oxidative stress plays an essential role in cell injury during islet isolation and transplantation procedures.Antioxidants have been used in various studies to improve islet transplantation procedures. The present study reviews the role of oxidative stress and the benefits of antioxidants in islet transplantation procedures. The bibliographical databases Pubmed and Scopus were searched up to November 2008.All relevant human and animal in-vivo and in-vitro studies, which investigated antioxidants on islets,were included. Almost all the tested antioxidants used in the in-vitro studies enhanced islet viability and insulin secretion. Better control of blood glucose after transplantation was the major outcome of antioxidant therapy in all in-vivo studies. The data also indicated that antioxidants improved islet transplantation procedures. Although there is still insufficient evidence to draw definitive conclusions about the efficacy of individual supplements, the benefits of antioxidants in islet isolation procedures cannot be ignored.