Mixed methods in health sciences research: a practical primer [Leslie Curry and Marcella-Nunez Smith (Sage Publishing, 2015)

OpenAIRE

Nelson, David

2016-01-01

Written by internationally-recognised health research experts, Leslie Curry and Marcella Nunez-Smith, this book aims to show researchers and students in the health sciences how to design, conduct, review and use mixed methods. Given the increased use of mixed methods in the health sciences, this text is timely and unique in that it offers a discipline-specific focus that is both relevant and practical. The book has a logical structure and is broken down into four parts: (1) an overview of ...

The Dissolution of the Mexican-American Border and Redefinition of Chicano/a /Mexican Identity in Leslie Marmon Silko's Almanac of the Dead

DEFF Research Database (Denmark)

Harding, David

2006-01-01

In Leslie Marmon Silko's Almanac of the Dead, notions of Mexican identity are deconstructed. This article analyzes how Silko, through a variety of characters and sub-plotlines, brings to the surface hidden tensions in the contsruction of Mexican identity through the melding of the sangre limpia...

Complex dynamics of a stochastic discrete modified Leslie-Gower predator-prey model with Michaelis-Menten type prey harvesting

Directory of Open Access Journals (Sweden)

A. Elhassanein

2014-06-01

Full Text Available This paper introduced a stochastic discretized version of the modified Leslie-Gower predator-prey model with Michaelis-Menten type prey harvesting. The dynamical behavior of the proposed model was investigated. The existence and stability of the equilibria of the skeleton were studied. Numerical simulations were employed to show the model's complex dynamics by means of the largest Lyapunov exponents, bifurcations, time series diagrams and phase portraits. The effects of noise intensity on its dynamics and the intermittency phenomenon were also discussed via simulation.

Mortality rate estimation for eelgrass Zostera marina (Potamogetonaceae using projections from Leslie matrices

Directory of Open Access Journals (Sweden)

Olga Flores Uzeta

2008-09-01

Full Text Available The main goal of this study is to provide estimations of mean mortality rate of vegetative shoots of the seagrass Zostera marina in a meadow near Ensenada Baja California, using a technique that minimizes destructive sampling. Using cohorts and Leslie matrices, three life tables were constructed, each representing a season within the period of monthly sampling (April 1999 to April 2000. Ages for the cohorts were established in terms of Plastochrone Interval (PI. The matrices were projected through time to estimate the mean total number of individuals at time t, n(t as well as mortality. We found no statistical differences between observed and predicted mean values for these variables (t=-0.11, p=0.92 for n(t and t=0.69, p=0.5 for mean rate of mortality. We found high correlation coefficient values between observed and projected values for monthly number of individuals (r=0.70, p=0.007 and monthly mortality rates (r=0.81, p=0.001. If at a certain time t a sudden environmental change occurs, and as long as the perturbation does not provoke the killing of all the individuals of a given age i for 0 ≤ i ≤ x - 1, there will be a prevailing number of individuals of age or stage x at a time t+1. This nondestructive technique reduces the number of field visits and samples needed for the demographic analysis of Z. marina, and therefore decreases the disturbance caused by researches to the ecosystem. Rev. Biol. Trop. 56 (3: 1015-1022. Epub 2008 September 30El propósito principal de este estudio es el de proveer estimaciones de tasas promedio de mortalidad de tallos vegetativos de Zostera marina en una pradera cercana a Ensenada Baja California, utilizando una técnica que minimiza los muestreos destructivos para estos pastos marinos. Mediante la utilización de cohortes y matrices de Leslie, se construyeron tres tablas de vida, cada una representando a una estación dentro de período anual de muestreos mensuales (Abril 1999 a Abril 2000. Las edades

Catharine Sedgwick’s Hope Leslie (1827 and the Revision of the Puritan Past

Directory of Open Access Journals (Sweden)

Teresa Requena Pelegrí

2009-06-01

Full Text Available Catharine Maria Sedgwick’s texts and achievement have been long overshadowed by the undisputed recognition of some of her male contemporaries. James Fenimore Cooper, Washington Irving or William Cullen Bryant have received all the credit for having shaped -and for many, created- U.S. literature. However, Sedgwick’s contribution to the development of a specific native tradition in American letters is undeniable. Long before Ralph Waldo Emerson’s call for a specifically national subject-matter, Sedgwick was consciously giving her texts an American perspective by combining the techniques used in sentimental fiction with the historical romance. Set in colonial times, Hope Leslie or Early Times in the Massachusetts (1827 constitutes one of Sedgwick’s poignant explorations of the Puritan past of the country and its interrelation with issues of gender and race. By fusing Puritan historical accounts with fiction, Sedgwick’s technique succeeds in foregrounding the partiality of historical accounts in opposition to their supposedly objective exposition of facts and in this way the text manages to challenge Puritan self-righteous historiography. Moreover, the use of the Puritan past as material for her fiction together with the inclusion of Native American characters makes Sedgwick an extremely interesting foil to other contemporaries such as Nathaniel Hawthorne or James Fenimore Cooper. This paper wishes to explore Sedgwick’s version of the Puritan presence in the American colonies and compare it with Nathaniel Hawthorne’s to demonstrate how the former made gender indistinguishable form the construction of a national narrative. The paper also tackles Sedgwick’s sexual and racial politics in her treatment of fully developed Native American characters thus constituting an enlightening counterpart to the stereotypical and reductive portrayal found in James Fenimore Cooper’s work.

[On the problems of the evolutionary optimization of life history. II. To justification of optimization criterion for nonlinear Leslie model].

Science.gov (United States)

Pasekov, V P

2013-03-01

The paper considers the problems in the adaptive evolution of life-history traits for individuals in the nonlinear Leslie model of age-structured population. The possibility to predict adaptation results as the values of organism's traits (properties) that provide for the maximum of a certain function of traits (optimization criterion) is studied. An ideal criterion of this type is Darwinian fitness as a characteristic of success of an individual's life history. Criticism of the optimization approach is associated with the fact that it does not take into account the changes in the environmental conditions (in a broad sense) caused by evolution, thereby leading to losses in the adequacy of the criterion. In addition, the justification for this criterion under stationary conditions is not usually rigorous. It has been suggested to overcome these objections in terms of the adaptive dynamics theory using the concept of invasive fitness. The reasons are given that favor the application of the average number of offspring for an individual, R(L), as an optimization criterion in the nonlinear Leslie model. According to the theory of quantitative genetics, the selection for fertility (that is, for a set of correlated quantitative traits determined by both multiple loci and the environment) leads to an increase in R(L). In terms of adaptive dynamics, the maximum R(L) corresponds to the evolutionary stability and, in certain cases, convergent stability of the values for traits. The search for evolutionarily stable values on the background of limited resources for reproduction is a problem of linear programming.

Social support for diabetes illness management: supporting adolescents and caregivers.

Science.gov (United States)

Idalski Carcone, April; Ellis, Deborah A; Weisz, Arlene; Naar-King, Sylvie

2011-10-01

The aim of this research study was to examine the relationship between 4 sources of social support (support for the adolescent from family, support for the adolescent from friends, support for the caregiver from another adult, and support to the family from the health care provider) and adolescents' diabetes outcomes (illness management behavior and health status) using a diverse sample of urban adolescents. One hundred forty-one adolescents with insulin-managed diabetes and their primary caregivers completed questionnaires assessing social support and illness management behavior. Glucose meters were downloaded and hemoglobin A1c assays were obtained. Structural equation modeling was used to test a model social support informed by social ecological theory. The results of the structural equation modeling indicated that support for the caregiver from another adult was directly and positively related to support for the adolescent from family and indirectly related to better illness management. Support for the adolescent from family was directly related to better diabetes management and, through better management, to better diabetes health. Support to the family from the health care provider was not related to support for the adolescent and support to the adolescent from friends was not related to illness management, as hypothesized. This study identifies a novel target for social support intervention to improve adolescents' illness management behavior-the caregivers of adolescents with diabetes. By enhancing the social support caregivers receive from other adults in their lives, caregivers' ability to support their adolescent children with diabetes might also be improved which, in turn, improves adolescents' illness outcomes.

Stability and Optimal Harvesting of Modified Leslie-Gower Predator-Prey Model

Science.gov (United States)

Toaha, S.; Azis, M. I.

2018-03-01

This paper studies a modified of dynamics of Leslie-Gower predator-prey population model. The model is stated as a system of first order differential equations. The model consists of one predator and one prey. The Holling type II as a predation function is considered in this model. The predator and prey populations are assumed to be beneficial and then the two populations are harvested with constant efforts. Existence and stability of the interior equilibrium point are analysed. Linearization method is used to get the linearized model and the eigenvalue is used to justify the stability of the interior equilibrium point. From the analyses, we show that under a certain condition the interior equilibrium point exists and is locally asymptotically stable. For the model with constant efforts of harvesting, cost function, revenue function, and profit function are considered. The stable interior equilibrium point is then related to the maximum profit problem as well as net present value of revenues problem. We show that there exists a certain value of the efforts that maximizes the profit function and net present value of revenues while the interior equilibrium point remains stable. This means that the populations can live in coexistence for a long time and also maximize the benefit even though the populations are harvested with constant efforts.

“There is nothing better than a theory”: A few remarks on the theoretical practice of contemporary avantgarde women writers (Lyn Hejinian, Leslie Scalapino, Carla Harryman)

OpenAIRE

Małgorzata Myk

2013-01-01

The essay discusses theoretical practices of three major Americanexperimental women writers associated with L=A=N=G=U=A=G=E poets LynHejinian, Leslie Scalapino, and Carla Harryman, who played a crucial role in shapingthe present-day critical and theoretical literary debate regarding the status of formallyradical literature engaged in questions of feminist epistemology and written bywomen. Devoted to language and its ideological dimension, their work is based ona wager that poetic practice is ...

7 March 2013 -Stanford University Professor N. McKeown FREng, Electrical Engineering and Computer Science and B. Leslie, Creative Labs visiting CERN Control Centre and the LHC tunnel with Director for Accelerators and Technology S. Myers.

CERN Multimedia

Anna Pantelia

2013-01-01

7 March 2013 -Stanford University Professor N. McKeown FREng, Electrical Engineering and Computer Science and B. Leslie, Creative Labs visiting CERN Control Centre and the LHC tunnel with Director for Accelerators and Technology S. Myers.

75 FR 16878 - Self-Regulatory Organizations; Municipal Securities Rulemaking Board; Notice of Filing of...

Science.gov (United States)

2010-04-02

..., Saber Partners, LLC (``Saber Partners'') to Mr. Pica, dated July 9, 2008; Leslie M. Norwood, Managing... CEO, Saber Partners to Mr. Pica, dated July 9, 2008; Leslie M. Norwood, Managing Director and... Notice, Saber Partners identified this statistic as one that ``can give great insight into the liquidity...

Decision support for emergency management

International Nuclear Information System (INIS)

Andersen, V.

1989-05-01

A short introduction will be given to the Nordic project ''NKA/INF: Information Technology for Accident and Emergency Management'', which is now in its final phase. To perform evaluation of the project, special scenarious have been developed, and experiments based on these will be fulfilled and compared with experiments without use of the decision support system. Furthermore, the succeeding European project, ''IT Support for Emergency Management - ISEM'', with the purpose of developing a decision support system for complex and distributed decision making in emergency management in full scale, will be described and the preliminary conceptual model for the system will be presented. (author)

Managers' social support: Facilitators and hindrances for seeking support at work.

Science.gov (United States)

Lundqvist, Daniel; Fogelberg Eriksson, Anna; Ekberg, Kerstin

2018-01-01

Previous research has shown that social support is important for health and performance at work, but there is a lack of research regarding managers' social support at work, and if it needs to be improvedOBJECTIVE:To investigate managers' perception of work-related social support, and facilitators and hindrances that influence their seeking of social support at work. Semi-structured interviews with sixty-two managers in two Swedish organizations. Work-related support, which strengthened their managerial image of being competent, was sought from sources within the workplace. Sensitive and personal support, where there was a risk of jeopardizing their image of being competent, was sought from sources outside the workplace. Access to arenas for support (location of the workplace, meetings, and vocational courses) and the managerial role could facilitate their support-seeking, but could also act as hindrances. Because attending different arenas for support were demanding, they refrained from seeking support if the demands were perceived as too high. Different supportive sources are distinguished based on what supportive function they have and in which arenas they are found, in order to preserve the confidence of the closest organization and to maintain the image of being a competent and performing manager.

Stress Management: Social Support

Science.gov (United States)

Healthy Lifestyle Stress management Having close friends and family has far-reaching benefits for your health. Here's how to build and maintain these ... article: http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/social-support/art-20044445 . Mayo Clinic ...

Watershed Management Optimization Support Tool (WMOST) ...

Science.gov (United States)

EPA's Watershed Management Optimization Support Tool (WMOST) version 2 is a decision support tool designed to facilitate integrated water management by communities at the small watershed scale. WMOST allows users to look across management options in stormwater (including green infrastructure), wastewater, drinking water, and land conservation programs to find the least cost solutions. The pdf version of these presentations accompany the recorded webinar with closed captions to be posted on the WMOST web page. The webinar was recorded at the time a training workshop took place for EPA's Watershed Management Optimization Support Tool (WMOST, v2).

Predicting the effect of ionising radiation on biological populations: testing of a non-linear Leslie model applied to a small mammal population

International Nuclear Information System (INIS)

Monte, Luigi

2013-01-01

The present work describes the application of a non-linear Leslie model for predicting the effects of ionising radiation on wild populations. The model assumes that, for protracted chronic irradiation, the effect-dose relationship is linear. In particular, the effects of radiation are modelled by relating the increase in the mortality rates of the individuals to the dose rates through a proportionality factor C. The model was tested using independent data and information from a series of experiments that were aimed at assessing the response to radiation of wild populations of meadow voles and whose results were described in the international literature. The comparison of the model results with the data selected from the above mentioned experiments showed that the model overestimated the detrimental effects of radiation on the size of irradiated populations when the values of C were within the range derived from the median lethal dose (L 50 ) for small mammals. The described non-linear model suggests that the non-expressed biotic potential of the species whose growth is limited by processes of environmental resistance, such as the competition among the individuals of the same or of different species for the exploitation of the available resources, can be a factor that determines a more effective response of population to the radiation effects. -- Highlights: • A model to assess the radiation effects on wild population is described. • The model is based on non-linear Leslie matrix. • The model is applied to small mammals living in an irradiated meadow. • Model output is conservative if effect-dose factor estimated from L 50 is used. • Systemic response to stress of populations in competitive conditions may be more effective

Leslie Peltier, Amateur Astronomer and Observer Extraordinaire

Science.gov (United States)

Corbin, B. G.

2003-12-01

Leslie Copus Peltier, (Jan. 2, 1900-May 10, 1980) was called "the world's greatest non-professional astronomer" by none other than Harlow Shapley, and also referred to as the "the world's greatest living amateur astronomer". He began observing variable stars on March 1, 1918 with an observation of R. Leonis and at the time of his death had made a total of 132,123 observations of variable stars. These were reported to the AAVSO on a consecutive monthly basis stretching from 1918 to his death in 1980. As of October 2003, he was still on AAVSO's list of the top 25 observers in its history. Born on a farm near Delphos, Ohio, his parents were well read and their home was filled with books on different subjects, including nature guides. As a young man he studied the flora and fauna of the area and in 1915 began his study of the heavens with Vega being the first star he identified. After the purchase of a 2-inch spyglass, his observations of variable stars began to be noticed by professional astronomers and the AAVSO loaned him a 4-inch Mogey refractor; shortly thereafter Henry Norris Russell of Princeton loaned him via the AAVSO a 6-inch refractor, a comet seeker of short focus. He discovered 12 comets, 10 of which carry his name, and 6 novae or recurring novae. His design of the "Merry-Go-Round Observatory" was a novel approach with the whole observatory revolving around the observer while seated in his observing chair. Miami University (Ohio) later donated to him their 12-inch Clark refractor with its dome. His first book, Starlight Nights: The Adventures of a Star-Gazer, appeared in 1965. This autobiography, an ode to the joys of observing both the night sky and nature, was written in beautifully descriptive language that helped lead countless readers into astronomy. Departing from astronomy, in 1977 he published The Place on Jennings Creek. Written in the style of the 19th century naturalist, the book was devoted to his family's home, Brookhaven, and its natural

Management Needs for Computer Support.

Science.gov (United States)

Irby, Alice J.

University management has many and varied needs for effective computer services in support of their processing and information functions. The challenge for the computer center managers is to better understand these needs and assist in the development of effective and timely solutions. Management needs can range from accounting and payroll to…

Managing public support during oil spills

International Nuclear Information System (INIS)

Zuidinga, K.; Boston, N.; Robertson, I.

1990-01-01

Too often oil spill contingency plans ignore and responders overlook the problem of managing auxiliary support, that is volunteers. These may consists of Native Bands, environmental organizations, community groups and the public in general. The consequences of not managing or poorly managing public support for the response effort is an increasingly frustrated public which begins to coordinate their own response efforts, proceeding without training or supervision. such a response can pose a threat to individuals as well as to the clean-up effort in general. Preparation and effective communication, particularly with the news media are key elements in successfully managing public support. In this paper the issues to be addressed are: coordination (mobilization, assignments), safety and insurance, equipment and clothing, fatigue and stress, food and shelter, training, public information including information about potential hazards, and public expectations of response efficiency

Decision support tools to support the operations of traffic management centers (TMC)

Science.gov (United States)

2011-01-31

The goal of this project is to develop decision support tools to support traffic management operations based on collected intelligent transportation system (ITS) data. The project developments are in accordance with the needs of traffic management ce...

Database Support for Workflow Management: The WIDE Project

NARCIS (Netherlands)

Grefen, P.W.P.J.; Pernici, B; Sánchez, G.; Unknown, [Unknown

1999-01-01

Database Support for Workflow Management: The WIDE Project presents the results of the ESPRIT WIDE project on advanced database support for workflow management. The book discusses the state of the art in combining database management and workflow management technology, especially in the areas of

Implementing complex innovations: factors influencing middle manager support.

Science.gov (United States)

Chuang, Emmeline; Jason, Kendra; Morgan, Jennifer Craft

2011-01-01

Middle manager resistance is often described as a major challenge for upper-level administrators seeking to implement complex innovations such as evidence-based protocols or new skills training. However, factors influencing middle manager support for innovation implementation are currently understudied in the U.S. health care literature. This article examined the factors that influence middle managers' support for and participation in the implementation of work-based learning, a complex innovation adopted by health care organizations to improve the jobs, educational pathways, skills, and/or credentials of their frontline workers. We conducted semistructured interviews and focus groups with 92 middle managers in 17 health care organizations. Questions focused on understanding middle managers' support for work-based learning as a complex innovation, facilitators and barriers to the implementation process, and the systems changes needed to support the implementation of this innovation. Factors that emerged as influential to middle manager support were similar to those found in broader models of innovation implementation within the health care literature. However, our findings extend previous research by developing an understanding about how middle managers perceived these constructs and by identifying specific strategies for how to influence middle manager support for the innovation implementation process. These findings were generally consistent across different types of health care organizations. Study findings suggest that middle manager support was highest when managers felt the innovation fit their workplace needs and priorities and when they had more discretion and control over how it was implemented. Leaders seeking to implement innovations should consider the interplay between middle managers' control and discretion, their narrow focus on the performance of their own departments or units, and the dedication of staff and other resources for empowering their

Decision support system for containment and release management

Energy Technology Data Exchange (ETDEWEB)

Oosterhuis, B [Twente Univ., Enschede (Netherlands). Computer Science Dept.

1995-09-01

The Containment and Release Management project was carried out within the Reinforced Concerted Action Programme for Accident Management Support and partly financed by the European Union. In this report a prototype of an accident management support system is presented. The support system integrates several concepts from accident management research, like safety objective trees, severe accident phenomena, calculation models and an emergency response data system. These concepts are provided by the prototype in such a way that the decision making process of accident management is supported. The prototype application is demonstrated by process data taken from a severe accident scenario for a pressurized water reactor (PWR) that was simulated with the thermohydraulic computer program MAAP. The prototype was derived from a decision support framework based on a decision theory. For established and innovative concepts from accident management research it is pointed out in which way these concepts can support accident management and how these concepts can be integrated. This approach is generic in two ways; it applies to both pressurized and boiling water reactors and it applies to both in vessel management and containment and release management. The prototype application was developed in Multimedia Toolbox 3.0 and requires at least a 386 PC with 4 MB memory, 6 MB free disk space and MS Windows 3.1. (orig.).

Decision support system for containment and release management

International Nuclear Information System (INIS)

Oosterhuis, B.

1995-09-01

The Containment and Release Management project was carried out within the Reinforced Concerted Action Programme for Accident Management Support and partly financed by the European Union. In this report a prototype of an accident management support system is presented. The support system integrates several concepts from accident management research, like safety objective trees, severe accident phenomena, calculation models and an emergency response data system. These concepts are provided by the prototype in such a way that the decision making process of accident management is supported. The prototype application is demonstrated by process data taken from a severe accident scenario for a pressurized water reactor (PWR) that was simulated with the thermohydraulic computer program MAAP. The prototype was derived from a decision support framework based on a decision theory. For established and innovative concepts from accident management research it is pointed out in which way these concepts can support accident management and how these concepts can be integrated. This approach is generic in two ways; it applies to both pressurized and boiling water reactors and it applies to both in vessel management and containment and release management. The prototype application was developed in Multimedia Toolbox 3.0 and requires at least a 386 PC with 4 MB memory, 6 MB free disk space and MS Windows 3.1. (orig.)

Defense Contract Management Command Support to System Acquisition Program Managers

National Research Council Canada - National Science Library

1999-01-01

.... This report discusses the planning of contract administration office support to system acquisition program managers through the program integration process and the customer support outreach program...

SAMEX: A severe accident management support expert

International Nuclear Information System (INIS)

Park, Soo-Yong; Ahn, Kwang-Il

2010-01-01

A decision support system for use in a severe accident management following an incident at a nuclear power plant is being developed which is aided by a severe accident risk database module and a severe accident management simulation module. The severe accident management support expert (SAMEX) system can provide the various types of diagnostic and predictive assistance based on the real-time plant specific safety parameters. It consists of four major modules as sub-systems: (a) severe accident risk data base module (SARDB), (b) risk-informed severe accident risk data base management module (RI-SARD), (c) severe accident management simulation module (SAMS), and (d) on-line severe accident management guidance module (on-line SAMG). The modules are integrated into a code package that executes within a WINDOWS XP operating environment, using extensive user friendly graphics control. In Korea, the integrated approach of the decision support system is being carried out under the nuclear R and D program planned by the Korean Ministry of Education, Science and Technology (MEST). An objective of the project is to develop the support system which can show a theoretical possibility. If the system is feasible, the project team will recommend the radiation protection technical support center of a national regulatory body to implement a plant specific system, which is applicable to a real accident, for the purpose of immediate and various diagnosis based on the given plant status information and of prediction of an expected accident progression under a severe accident situation.

The role of knowledge management tools in supporting sustainable forest management

Directory of Open Access Journals (Sweden)

H. Vacik

2013-12-01

Full Text Available Aim of study: Knowledge Management (KM tools facilitate the implementation of knowledge processes by identifying, creating, structuring, and sharing knowledge through use of information technology in order to improve decision-making. In this contribution, we review the way in which KM tools and techniques are used in forest management, and categorize a selected set of them according to their contribution to support decision makers in the phases of problem identification, problem modelling, and problem solving.Material and Methods: Existing examples of cognitive mapping tools, web portals, workflow systems, best practices, and expert systems as well as intelligent agents are screened for their applicability and use in the context of decision support for sustainable forest management. Evidence from scientific literature and case studies is utilized to evaluate the contribution of the different KM tools to support problem identification, problem modelling, and problem solving.Main results: Intelligent agents, expert systems and cognitive maps support all phases of the forest planning process strongly. Web based tools have good potential to support participatory forest planning. Based on the needs of forest management decision support and the thus-far underutilized capabilities of KM tools it becomes evident that future decision analysis will have to consider the use of KM more intensively. Research highlights: As the problem-solving process is the vehicle for connecting both knowledge and decision making performance, the next generation of DSS will need to better encapsulate practices that enhance and promote knowledge management. Web based tools will substitute desktop applications by utilizing various model libraries on the internet.Keywords: best practices; cognitive mapping; expert systems; intelligent agents; web portals; workflow systems; Decision Support Systems. 

The role of knowledge management tools in supporting sustainable forest management

Energy Technology Data Exchange (ETDEWEB)

Vacik, H.; Torresan, C.; Hujala, T.; Khadka, C.; Reynolds, K.

2013-07-01

Aim of study: Knowledge Management (KM) tools facilitate the implementation of knowledge processes by identifying, creating, structuring, and sharing knowledge through use of information technology in order to improve decision-making. In this contribution, we review the way in which KM tools and techniques are used in forest management, and categorize a selected set of them according to their contribution to support decision makers in the phases of problem identification, problem modelling, and problem solving. Material and methods: Existing examples of cognitive mapping tools, web portals, work flow systems, best practices, and expert systems as well as intelligent agents are screened for their applicability and use in the context of decision support for sustainable forest management. Evidence from scientific literature and case studies is utilized to evaluate the contribution of the different KM tools to support problem identification, problem modelling, and problem solving. Main results: Intelligent agents, expert systems and cognitive maps support all phases of the forest planning process strongly. Web based tools have good potential to support participatory forest planning. Based on the needs of forest management decision support and the thus-far under utilized capabilities of KM tools it becomes evident that future decision analysis will have to consider the use of KM more intensively. Research highlights: As the problem-solving process is the vehicle for connecting both knowledge and decision making performance, the next generation of DSS will need to better encapsulate practices that enhance and promote knowledge management. Web based tools will substitute desktop applications by utilizing various model libraries on the internet. (Author)

ISEM: Europe's ESPRIT support for emergency management

International Nuclear Information System (INIS)

Andersen, V.

1991-01-01

The CEC-supported ISEM project to develop Information technology Support for Emergency Management was started in 1989. Two specific applications to demonstrate the ISEM system were selected; a NPP accident and a chemical plant emergency. An Emergency Management System provides user-friendly facilities for communication between the numerous local, regional and national organizations

Systems analysis support to the waste management technology center

International Nuclear Information System (INIS)

Rivera, A.L.; Osborne-Lee, I.W.; DePaoli, S.M.

1988-01-01

This paper describes a systems analysis concept being developed in support of waste management planning and analysis activities for Martin Marietta Energy Systems, Inc. (Energy Systems), sites. This integrated systems model serves as a focus for the accumulation and documentation of technical and economic information from current waste management practices, improved operations projects, remedial actions, and new system development activities. The approach is generic and could be applied to a larger group of sites. This integrated model is a source of technical support to waste management groups in the Energy Systems complex for integrated waste management planning and related technology assessment activities. This problem-solving methodology for low-level waste (LLW) management is being developed through the Waste Management Technology Center (WMTC) for the Low-Level Waste Disposal, Development, and Demonstration (LLWDDD) Program. In support of long-range planning activities, this capability will include the development of management support tools such as specialized systems models, data bases, and information systems. These management support tools will provide continuing support in the identification and definition of technical and economic uncertainties to be addressed by technology demonstration programs. Technical planning activities and current efforts in the development of this system analysis capability for the LLWDDD Program are presented in this paper

Effectiviteit van markting management support systemen

NARCIS (Netherlands)

G.H. van Bruggen (Gerrit); A. Smidts (Ale); B. Wierenga (Berend)

1994-01-01

textabstractVerhoogt het gebruik van marketing management support systemen de kwaliteit van marketingbeslissingen? En zo ja, onder welke omstandigheden? Aan de hand van een experimenteel laboratoriumonderzoek met het simulatiespel MARKSTRATonder 80 marketing managers en 160 studenten, kan de eerste

Assessing Management Regimes in Transboundary River Basins: Do They Support Adaptive Management?

Directory of Open Access Journals (Sweden)

G.T. (Tom Raadgever

2008-06-01

Full Text Available River basin management is faced with complex problems that are characterized by uncertainty and change. In transboundary river basins, historical, legal, and cultural differences add to the complexity. The literature on adaptive management gives several suggestions for handling this complexity. It recognizes the importance of management regimes as enabling or limiting adaptive management, but there is no comprehensive overview of regime features that support adaptive management. This paper presents such an overview, focused on transboundary river basin management. It inventories the features that have been claimed to be central to effective transboundary river basin management and refines them using adaptive management literature. It then collates these features into a framework describing actor networks, policy processes, information management, and legal and financial aspects. Subsequently, this framework is applied to the Orange and Rhine basins. The paper concludes that the framework provides a consistent and comprehensive perspective on transboundary river basin management regimes, and can be used for assessing their capacity to support adaptive management.

Keeping Secrets: Leslie E. Keeley, the Gold Cure and the Nineteenth-Century Neuroscience of Addiction.

Science.gov (United States)

Hickman, Timothy A

2018-03-25

Dr Leslie E. Keeley was perhaps the world's most famous addiction cure doctor at the turn of the twentieth century, but mainstream medicine dismissed him as a quack because he dispensed a secret cure. The article aims to describe Keeley's now largely forgotten story and to draw attention to the role of contextual issues in the acceptance or rejection of any theory of addiction, particularly the neuroscientific theories of the early twenty first century. This study is a qualitative assessment and contextualisation of historical documents. Its main sources are archival and are for the most part unknown to historians. The article also offers intellectual and historical context that is drawn from leading historical and sociological analyses. Keeley's addiction cure was dismissed as quackery because it failed to meet the changing standards of late-nineteenth century professional medicine. This begs us to consider contextual issues in any assertion of the viability of addiction therapeutics, in the present as well the past. Keeley's near erasure from the historical record was a consequence of a broader, late-nineteenth century medical power struggle that took precedence over the testimony of tens of thousands of satisfied patients who claimed that Keeley's cure worked. Context matters in the assessment of the viability of theories of addiction from the past but also from the present. Historians and social scientists are well placed to make those assessments. This article is protected by copyright. All rights reserved.

Management support and perceived consumer satisfaction in skilled nursing facilities.

Science.gov (United States)

Metlen, Scott; Eveleth, Daniel; Bailey, Jeffrey J

2005-08-01

How managers 'manage' employees influences important firm outcomes. Heskett, Sasser, and Schlesinger contend that the level of internal support for service workers will influence consumer satisfaction. This study empirically explores how skilled nursing facility (SNF) managers affect consumer satisfaction by encouraging employee effectiveness and listening to employees to determine how to improve employee effectiveness. We extend previous research by proposing management as a form of internal support and demonstrating its relationship to service process integration, as a distinct form of internal support. The results of our individual-level investigation of 630 nursing assistants from 45 SNFs provide support for our two-part hypothesis. First, active management support and process integration, as elements of internal support, do lead to increased employee satisfaction and employee effectiveness. Second, the increased employee satisfaction and effectiveness was positively related to consumer satisfaction, as evaluated by the service workers. Thus, there is a positive influence of management's internal support of nursing assistants on perceived consumer satisfaction.

Logistics and logistics support in crisis management and citizen protection

OpenAIRE

HOLEJŠOVSKÝ, Jan

2010-01-01

ABSTRAKT LOGISTICS AND LOGISTICS SUPPORT IN CRISIS MANAGEMENT AND CITIZEN PROTECTION The graduation thesis on topic "Logistics and logistics support in crisis management and citizen protection" is divided into several chapters, which in summary are a material presenting information about logistics and logistics support in crisis management and citizen protection. This was one of the aims at this work. Chapters I., II., III., IV. describe logistics and logistics support, crisis management, cit...

Portfolio Management Decision Support Tools Analysis Relating to Management Value Metrics

National Research Council Canada - National Science Library

Goodson, Christopher J; Knutson, Richard D

2007-01-01

.... The results of this research will assist MDA managers, and operational leaders, in making portfolio management decisions for allocating resources to create the correct support tools for MDA processes...

Management of Operational Support Requirements for Manned Flight Missions

Science.gov (United States)

1991-01-01

This Instruction establishes responsibilities for managing the system whereby operational support requirements are levied for support of manned flight missions including associated payloads. This management system will ensure that support requirements are properly requested and responses are properly obtained to meet operational objectives.

Solutions for decision support in university management

Directory of Open Access Journals (Sweden)

Andrei STANCIU

2009-06-01

Full Text Available The paper proposes an overview of decision support systems in order to define the role of a system to assist decision in university management. The authors present new technologies and the basic concepts of multidimensional data analysis using models of business processes within the universities. Based on information provided by scientific literature and on the authors’ experience, the study aims to define selection criteria in choosing a development environment for designing a support system dedicated to university management. The contributions consist in designing a data warehouse model and models of OLAP analysis to assist decision in university management.

Supporting people with disabilities in managing individual budgets: the role of support brokers.

Science.gov (United States)

Quach, Emma D; O'Connor, Darlene Dee; McGaffigan, Erin

2010-01-01

Nationwide people with disabilities are self-directing their long-term care supports through individual budgets. Because these individuals may rely on a "support broker" to assist them in making and executing decisions regarding their budgets, the interactions between the participant and the support broker can influence participant autonomy. Massachusetts piloted a program for 14 participants to receive individual budgets for home and community-based services. Central to this pilot were the participant-designated support brokers, including home care case managers and peer advocates. Analysis of data on participants and support brokers indicated that the support brokers struggled with when, how, and how much to assist participants to self-direct. Case managers or other providers assuming the support broker's role will need proper training if they are to respond skillfully to challenging situations self-direction may bring.

Self-management education and support in chronic disease management.

Science.gov (United States)

McGowan, Patrick T

2012-06-01

With the changing health care environment, prevalence of chronic health conditions, and burgeoning challenges of health literacy, obesity, and homelessness, self-management support provides an opportunity for clinicians to enhance effectiveness and, at the same time, to engage patients to participate in managing their own personal care. This article reviews the differences between patient education and self-management and describes easy-to-use strategies that foster patient self-management and can be used by health care providers in the medical setting. It also highlights the importance of linking patients to nonmedical programs and services in the community. Copyright © 2012 Elsevier Inc. All rights reserved.

Data management for interdisciplinary field experiments: OTTER project support

Science.gov (United States)

Angelici, Gary; Popovici, Lidia; Skiles, J. W.

1993-01-01

The ability of investigators of an interdisciplinary science project to properly manage the data that are collected during the experiment is critical to the effective conduct of science. When the project becomes large, possibly including several scenes of large-format remotely sensed imagery shared by many investigators requiring several services, the data management effort can involve extensive staff and computerized data inventories. The OTTER (Oregon Transect Ecosystem Research) project was supported by the PLDS (Pilot Land Data System) with several data management services, such as data inventory, certification, and publication. After a brief description of these services, experiences in providing them are compared with earlier data management efforts and some conclusions regarding data management in support of interdisciplinary science are discussed. In addition to providing these services, a major goal of this data management capability was to adopt characteristics of a pro-active attitude, such as flexibility and responsiveness, believed to be crucial for the effective conduct of active, interdisciplinary science. These are also itemized and compared with previous data management support activities. Identifying and improving these services and characteristics can lead to the design and implementation of optimal data management support capabilities, which can result in higher quality science and data products from future interdisciplinary field experiments.

Visual management support system

Science.gov (United States)

Lee Anderson; Jerry Mosier; Geoffrey Chandler

1979-01-01

The Visual Management Support System (VMSS) is an extension of an existing computer program called VIEWIT, which has been extensively used by the U. S. Forest Service. The capabilities of this program lie in the rapid manipulation of large amounts of data, specifically opera-ting as a tool to overlay or merge one set of data with another. VMSS was conceived to...

Logistics Operations Management Center: Maintenance Support Baseline (LOMC-MSB)

Science.gov (United States)

Kurrus, R.; Stump, F.

1995-01-01

The Logistics Operations Management Center Maintenance Support Baseline is defined. A historical record of systems, applied to and deleted from, designs in support of future management and/or technical analysis is provided. All Flight elements, Ground Support Equipment, Facility Systems and Equipment and Test Support Equipment for which LOMC has responsibilities at Kennedy Space Center and other locations are listed. International Space Station Alpha Program documentation is supplemented. The responsibility of the Space Station Launch Site Support Office is established.

Knowledge-Based Information Management in Decision Support for Ecosystem Management

Science.gov (United States)

Keith Reynolds; Micahel Saunders; Richard Olson; Daniel Schmoldt; Michael Foster; Donald Latham; Bruce Miller; John Steffenson; Lawrence Bednar; Patrick Cunningham

1995-01-01

The Pacific Northwest Research Station (USDA Forest Service) is developing a knowledge-based information management system to provide decision support for watershed analysis in the Pacific Northwest region of the U.S. The decision support system includes: (1) a GIS interface that allows users to graphically navigate to specific provinces and watersheds and display a...

Effectiviteit van markting management support systemen

OpenAIRE

Bruggen, Gerrit; Smidts, Ale; Wierenga, Berend

1994-01-01

textabstractVerhoogt het gebruik van marketing management support systemen de kwaliteit van marketingbeslissingen? En zo ja, onder welke omstandigheden? Aan de hand van een experimenteel laboratoriumonderzoek met het simulatiespel MARKSTRATonder 80 marketing managers en 160 studenten, kan de eerste vraag positief worden beantwoord. Omstandigheden als tijdsdruk, ervaring in het nemen van marketingbeslissingen en de analytische capaciteiten van de gebruikers vormen een belangrijk aandachtspunt ...

Watershed Management Optimization Support Tool (WMOST) v3: Theoretical Documentation

Science.gov (United States)

The Watershed Management Optimization Support Tool (WMOST) is a decision support tool that facilitates integrated water management at the local or small watershed scale. WMOST models the environmental effects and costs of management decisions in a watershed context, accounting fo...

Social Support for Diabetes Self-Management via eHealth Interventions.

Science.gov (United States)

Vorderstrasse, Allison; Lewinski, Allison; Melkus, Gail D'Eramo; Johnson, Constance

2016-07-01

eHealth interventions have been increasingly used to provide social support for self-management of type 2 diabetes. In this review, we discuss social support interventions, types of support provided, sources or providers of support, outcomes of the support interventions (clinical, behavioral, psychosocial), and logistical and clinical considerations for support interventions using eHealth technologies. Many types of eHealth interventions demonstrated improvements in self-management behaviors, psychosocial outcomes, and clinical measures, particularly HbA1c. Important factors to consider in clinical application of eHealth support interventions include participant preferences, usability of eHealth technology, and availability of personnel to orient or assist participants. Overall, eHealth is a promising adjunct to clinical care as it addresses the need for ongoing support in chronic disease management.

Infrastructure support for the Waste Management Institute. Progress report

International Nuclear Information System (INIS)

1995-01-01

North Carolina A ampersand T State University is in the process of developing an infrastructure for an interdisciplinary Waste Management Institute (WMI). The Interdisciplinary Waste Management Institute (WMI) was approved in June 1994 by the General Administration of the University of North Carolina as an academic support unit with research and public service functions. The mission of the WMI is to enhance awareness and understanding of waste management issues and to provide instructional support including research and outreach. The goals of WMI are as follows: increase the number of minority professionals who will work in waste management fields; develop cooperative and exchange programs involving faculty, students, government, and industry; serve as institutional sponsor of public awareness workshops and lecture series; and support interdisciplinary research programs. Accomplishments for this reporting period are presented for WMI enrollment; waste management and certificate program; waste management instructional projects; undergraduate scholarship/stipend and faculty student development projects; research; and community relations

Decision support for utility environmental risk management

International Nuclear Information System (INIS)

Balson, W.E.; Wilson, D.S.

1991-01-01

This paper reviews a number of decision support methods developed and applied by Decision Focus Incorporated to help utility personnel manage current environmental problems. This work has been performed for the Environmental Risk Analysis Program of EPRI's Environment Division, and also for a number of electric utilities across the country. These are two distinct types of decision support software tools that have been created: economic risk management and environmental risk analysis. These types differ primarily in the identification of who will make a decision. Economic risk management tools are directed primarily at decisions made by electric utilities. Environmental risk analysis tools are directed primarily at decisions made by legislative or regulatory agencies, about which a utility may wish to comment

Adherence to internet-based mobile-supported stress management

DEFF Research Database (Denmark)

Zarski, A C; Lehr, D.; Berking, M.

2016-01-01

of this study was to investigate the influence of different guidance formats (content-focused guidance, adherence-focused guidance, and administrative guidance) on adherence and to identify predictors of nonadherence in an Internet-based mobile-supported stress management intervention (ie, GET.ON Stress......) for employees. Methods: The data from the groups who received the intervention were pooled from three randomized controlled trials (RCTs) that evaluated the efficacy of the same Internet-based mobile-supported stress management intervention (N=395). The RCTs only differed in terms of the guidance format...... of the predictors significantly predicted nonadherence. Conclusions: Guidance has been shown to be an influential factor in promoting adherence to an Internet-based mobile-supported stress management intervention. Adherence-focused guidance, which included email reminders and feedback on demand, was equivalent...

Logistic management materials-technical support railway enterprises

OpenAIRE

Dykan, V.; Borozenetc, T.

2014-01-01

The essence of logistics management. Determine the feasibility of applying the principles of logistics management in organizing the logistics of railway transport. Discussed measures to develop suppliers in the implementation of logistics management logistics. Identified the need to develop and implement regulatory and methodical system to improve materials-technical support through the introduction of modern logistics principles. Applied systemic campaign to organize the materials-technical ...

Life Support Systems: Wastewater Processing and Water Management

Data.gov (United States)

National Aeronautics and Space Administration — Advanced Exploration Systems (AES) Life Support Systems project Wastewater Processing and Water Management task: Within an integrated life support system, water...

Factors associated with integrating self-management support into primary care.

Science.gov (United States)

Crespo, Richard; Shrewsberry, Molly

2007-06-01

The purpose of this article is to expand the understanding of self-management support by describing factors that contribute to implementing a comprehensive self-management program in primary care. Four rural health centers in medically underserved areas participated in a study to document the implementation of a self-management program. This program consisted of a social marketing plan and decision-making tools to guide patients in making self-management behavior changes. The stages of change constructs of the transtheoretical model were used to design the social marketing plan. Key informant interviews were conducted at 6-month and 9-month intervals to document the implementation process. A standardized set of questions was used in the interviews. The data from the interviews were analyzed using content analysis techniques. One of the principle findings is that self-management support requires putting a system in place, not just adding a new component to primary care. The health centers that fully implemented the self-management program made an organizational commitment to keep self-management on the agenda in management meetings, clinical staff set the example by adopting self-management behaviors, and patient self-management support was implemented in multiple patient care venues. Primary care centers with limited financial resources are able to integrate self-management support into their system of chronic illness care.

Project Management Support and Services for the Environmental Restoration and Waste Management. Final report

International Nuclear Information System (INIS)

1995-01-01

The Los Alamos National Laboratory (LANL) Environmental Restoration Technical Support Office (ERTSO) contracted Project Time ampersand Cost, Inc. (PT ampersand C) on 16 November 1992 to provide support services to the US Department of Energy (DOE). ERTSO had traditionally supported the DOE Albuquerque office in the Environmental Restoration and Waste Management Programs and had also supported the Office of Waste Management (EM-30) at DOE Headquarters in Germantown, Maryland. PT ampersand C was requested to provide project management and support services for the DOE as well as liaison and coordination of responses and efforts between various agencies. The primary objective of this work was to continue LANL's technical support role to EM-30 and assist in the development of the COE Cost and Schedule Estimating (CASE) Guide for EM-30. PT ampersand C's objectives, as specified in Section B of the contract, were well met during the duration of the project through the review and comment of various draft documents, trips to DOE sites providing program management support and participating in the training for the EM-30 Cost and Schedule Estimating Guide, drafting memos and scheduling future projects, attending numerous meetings with LANL, DOE and other subcontractors, and providing written observations and recommendations.he results obtained were determined to be satisfactory by both the LANL ERTSO and DOE EM-30 organizations. The objective to further the support from LANL and their associated subcontractor (PT ampersand C) was met. The contract concluded with no outstanding issues

Career pathways in research: support and management.

Science.gov (United States)

Kenkre, J E; Foxcroft, D R

This article, the third in the series on career pathways, highlights support and management careers open to nurses working in the NHS and research and development, or people working for funding bodies or charitable organisations. These roles involve ensuring that the right infrastructure is in place to support research projects, and the correct decisions are made about which research projects should be supported and commissioned.

National differences in FEI support and innovation management

DEFF Research Database (Denmark)

Aagaard, Annabeth

2012-01-01

This paper explores how Front End Innovation (FEI) is supported among companies of different nationality within the context of Pharmaceutical R&D. The present study is carried out in order to contribute to the development of a clearer understanding of active facilitation of innovation management...... and front end innovation in theory and practice. I aim to show how different aspects of company size, type and nationality affect the way innovation management and FEI is supported within organizations. This is examined through an in-depth case study of the Danish pharmaceutical company, H. Lundbeck A....../S, and a comparative study including seven European and American Biotech and Pharmaceutical companies. The findings from the study reveal a number of similarities and differences in innovation management and FEI support among the different companies and present propositions of important aspects to consider...

Technical support and management systems for nuclear power stations

International Nuclear Information System (INIS)

Oya, Tadashi; Abe, Norihiko

1990-01-01

Sophisticated automatic monitoring and control capabilities and computerized operation management are needed in nuclear power plants to boost plant safety and availability and to reduce operating costs. The article covers the areas of operation management and maintenance management within the larger category of operational administration. The concept of technical administration support-that is, the use of computerization to support the on-site technician's operations-is introduced. The article also suggests the direction of future development. (author)

Management of Research Organization: Informational Support

Directory of Open Access Journals (Sweden)

Natalia Bruc

2011-10-01

Full Text Available We consider the conceptual approach to the system, providing scientific management of a research institution, and information support of scientific cooperation with similar institutions from other countries. This approach is partly tested at the Institute of Mathematics and Computer Science of Academy of Sciences of Moldova and is proposed for several other academic institutions. We believe that this approach will allow automated information management of cooperation with foreign scientific institutions.

Stakeholder views of management and decision support tools to integrate climate change into Great Lakes Lake Whitefish management

Science.gov (United States)

Lynch, Abigail J.; Taylor, William W.; McCright, Aaron M.

2016-01-01

Decision support tools can aid decision making by systematically incorporating information, accounting for uncertainties, and facilitating evaluation between alternatives. Without user buy-in, however, decision support tools can fail to influence decision-making processes. We surveyed fishery researchers, managers, and fishers affiliated with the Lake Whitefish Coregonus clupeaformis fishery in the 1836 Treaty Waters of Lakes Huron, Michigan, and Superior to assess opinions of current and future management needs to identify barriers to, and opportunities for, developing a decision support tool based on Lake Whitefish recruitment projections with climate change. Approximately 64% of 39 respondents were satisfied with current management, and nearly 85% agreed that science was well integrated into management programs. Though decision support tools can facilitate science integration into management, respondents suggest that they face significant implementation barriers, including lack of political will to change management and perceived uncertainty in decision support outputs. Recommendations from this survey can inform development of decision support tools for fishery management in the Great Lakes and other regions.

Optimum Tower Crane Selection and Supporting Design Management

Directory of Open Access Journals (Sweden)

Hyo Won Sohn

2014-08-01

Full Text Available To optimize tower crane selection and supporting design, lifting requirements (as well as stability should be examined, followed by a review of economic feasibility. However, construction engineers establish plans based on data provided by equipment suppliers since there are no tools with which to thoroughly examine a support design's suitability for various crane types, and such plans lack the necessary supporting data. In such cases it is impossible to optimize a tower crane selection to satisfy lifting requirements in terms of cost, and to perform lateral support and foundation design. Thus, this study is intended to develop an optimum tower crane selection and supporting design management method based on stability. All cases that are capable of generating an optimization of approximately 3,000 ˜ 15,000 times are calculated to identify the candidate cranes with minimized cost, which are examined. The optimization method developed in the study is expected to support engineers in determining the optimum lifting equipment management.

Self-management-support in dementia care: A mixed methods study among nursing staff.

Science.gov (United States)

Verkaik, Renate; van Antwerpen-Hoogenraad, Paulien; de Veer, Anke; Francke, Anneke; Huis In Het Veld, Judith

2017-11-01

Background Self-management in patients and family caregivers confronted with dementia is not self-evident. Self-management skills may be limited because of the progressive cognitive decline of the patient and because family caregivers are often also very aged. Self-management support by nursing staff is therefore of paramount importance. Objectives To gain insight into how nursing staff perceive their self-management support tasks, and how they put them into practice. Research questions are: 'What are the opinions and experiences of Dutch nursing staff working in home care or residential elderly care regarding self-management support for people with dementia and their family caregivers?' and 'Do nursing staff feel sufficiently trained and skilled for self-management support?'. Methods A mixed methods approach was used, combining cross-sectional quantitative survey data from 206 Dutch nursing professionals with qualitative interviews among 12 nursing staff working in home care or residential elderly care in The Netherlands. Results Nursing staff working in home care experienced self-management support of people with dementia as a part of their job and as an attractive task. They consider 'helping people with dementia to maintain control over their lives by involving them in decisions in daily care' the essence of self-management support. Nursing staff saw family caregivers as their main partners in providing self-management support to the patient. They were less aware that family caregivers themselves might also need self-management support. Nursing staff often felt insufficiently trained to give adequate self-management support. RN's and CNA's did not differ in their opinions, experiences and training needs. Conclusions Nursing staff in home care do consider self-management support an important and attractive task in dementia care. Their skills for providing self-management support to patients with dementia and family caregivers need improvement. Recommendations

Strategy generation in accident management support

International Nuclear Information System (INIS)

Sirola, M.

1995-01-01

An increased interest for research in the field of Accident Management can be noted. Several international programmes have been started in order to be able to understand the basic physical and chemical phenomena in accident conditions. A feasibility study has shown that it would be possible to design and develop a computerized support system for plant staff in accident situations. To achieve this goal the Halden Project has initiated a research programme on Computerized Accident Management Support (CAMS project). The aim is to utilize the capabilities of computerized tools to support the plant staff during the various accident stages. The system will include identification of the accident state, assessment of the future development of the accident and planning of accident mitigation strategies. A prototype is developed to support operators and the Technical Support Centre in decision making during serious accident in nuclear power plants. A rule based system has been built to take care of the strategy generation. This system assists plant personnel in planning control proposals and mitigation strategies from normal operation to severe accident conditions. The ideal of a safety objective tree and knowledge from the emergency procedures have been used. Future prediction requires good state identification of the plant status and some knowledge about the history of some critical variables. The information needs to be validated as well. Accurate calculations in simulators and a large database including all important information form the plant will help the strategy planning. (author). 12 refs, 2 figs

Information technology support for emergency management

International Nuclear Information System (INIS)

Uuspaeae, P.

1990-01-01

Information systems for distributed decision support for emergency management are considered. Specific applications include nuclear power plant emergencies. Emergencies in other industries such as chemical industry may also be considered. Research in the ISEM project is briefly summarized

Technology and Products Supporting E-learning by Knowledge Management - A Review

Directory of Open Access Journals (Sweden)

Ying Wang

2014-06-01

Full Text Available Abstract—Knowledge management is supported by many strategies such as business intelligence, collaboration, document management and e-learning. With the development of modern information technology and the increases of demand for building and maintaining dynamic capabilities, E-learning has played more and more important role of all the technologies in the supporting knowledge management. A successful e-learning system is supported by many critical success factors and technology has become the key factor among these factors. Consequently, the review of basic technologies and corresponding products that support e-learning will be in favor of further study on e-learning. From perspective of knowledge management, this paper makes a review about the relationship between e-learning and knowledge management and advanced technologies and corresponding products that support the design and operation of e-learning system. At the end of this paper, we analyze the main trends of the development direction of e-learning technology.

Developing a decision support system to meet nurse managers' information needs for effective resource management.

Science.gov (United States)

Ruland, C M

2001-01-01

This article describes the development of a decision support system called CLASSICA, which assists nurse managers in financial management, resource allocation, activity planning, and quality control. CLASSICA integrates information about patient flow and activity, staffing, and the cost of nursing care at the nursing-unit level. The system provides assistance in planning activities, balancing the budget, and identifying barriers to unsatisfactory resource management. In addition, CLASSICA contains forecasting and simulation options to analyze the influence of factors that affect nursing costs. This article describes the system's development process steps to tailor it to the needs of nurse managers and their existing work practices. Nurse managers actively participated in defining their tasks and responsibilities; identified barriers and difficulties in managing these tasks; defined information needs, data input, and output and interface requirements; and identified expected benefits. Clear communication of project goals, strong user involvement, and purposeful benefit planning was used to achieve the goals for CLASSICA: (1) to provide essential information and decision support for effective financial management, resource allocation, activity planning, and staffing; (2) to improve nurse managers' competence in financial management and decision making; (3) to improve cost containment; and (4) to provide a helpful and easy to use tool for decision support.

Starting early: integration of self-management support into an acute stroke service.

Science.gov (United States)

Mäkelä, Petra; Gawned, Sara; Jones, Fiona

2014-01-01

Self-management support following stroke is rare, despite emerging evidence for impact on patient outcomes. The promotion of a common approach to self-management support across a stroke pathway requires collaboration between professionals. To date, the feasibility of self-management support in acute stroke settings has not been evaluated. The Bridges stroke self-management package (SMP) is based on self-efficacy principles. It is delivered by professionals and supported by a patient-held workbook. The aim of this project was to introduce the Bridges stroke SMP to the multidisciplinary staff of a London hyperacute and acute stroke unit. The 'Plan Do Study Act' (PDSA) cycle guided iterative stages of project development, with normalisation process theory helping to embed the intervention into existing ways of working. Questionnaires explored attitudes, beliefs and experiences of the staff who were integrating self-management support into ways of working in the acute stroke setting. Self-management support training was delivered to a total of 46 multidisciplinary stroke staff. Of the staff who attended the follow-up training, 66% had implemented Bridges self-management support with patients since initial training, and 100% felt their practice had changed. Questionnaire findings demonstrated that staff attitudes and beliefs had changed following training, particularly regarding ownership and type of rehabilitation goals set, and prioritisation of self-management support within acute stroke care. Staff initiated an audit of washing and dressing practices pre- and post-training. This was designed to evaluate the number of occasions when techniques were used by staff to facilitate patients' independence and self-management. They found that the number of occasions featuring optimum practice went from 54% at baseline to 63% at three months post-training. This project demonstrated the feasibility of integrating self-management support into an acute stroke setting. Further

From strategy to action: how top managers' support increases middle managers' commitment to innovation implementation in health care organizations.

Science.gov (United States)

Birken, Sarah A; Lee, Shoou-Yih Daniel; Weiner, Bryan J; Chin, Marshall H; Chiu, Michael; Schaefer, Cynthia T

2015-01-01

Evidence suggests that top managers' support influences middle managers' commitment to innovation implementation. What remains unclear is how top managers' support influences middle managers' commitment. Results may be used to improve dismal rates of innovation implementation. We used a mixed-method sequential design. We surveyed (n = 120) and interviewed (n = 16) middle managers implementing an innovation intended to reduce health disparities in 120 U.S. health centers to assess whether top managers' support directly influences middle managers' commitment; by allocating implementation policies and practices; or by moderating the influence of implementation policies and practices on middle managers' commitment. For quantitative analyses, multivariable regression assessed direct and moderated effects; a mediation model assessed mediating effects. We used template analysis to assess qualitative data. We found support for each hypothesized relationship: Results suggest that top managers increase middle managers' commitment by directly conveying to middle managers that innovation implementation is an organizational priority (β = 0.37, p = .09); allocating implementation policies and practices including performance reviews, human resources, training, and funding (bootstrapped estimate for performance reviews = 0.09; 95% confidence interval [0.03, 0.17]); and encouraging middle managers to leverage performance reviews and human resources to achieve innovation implementation. Top managers can demonstrate their support directly by conveying to middle managers that an initiative is an organizational priority, allocating implementation policies and practices such as human resources and funding to facilitate innovation implementation, and convincing middle managers that innovation implementation is possible using available implementation policies and practices. Middle managers may maximize the influence of top managers' support on their commitment by communicating with top

Self-management support at the end of life: Patients', carers' and professionals' perspectives on managing medicines.

Science.gov (United States)

Campling, N; Richardson, A; Mulvey, M; Bennett, M; Johnston, B; Latter, S

2017-11-01

Pain is a frequently reported symptom by patients approaching the end of life and well-established that patients and carers hold fears relating to opioids, and experience side effects related to their use. The management of medicines is intrinsic to achieving effective pain relief. The concept of self-management support whilst well characterised in the context of chronic illness has not been elaborated with respect to end of life care. To identify patient, carer and professional views on the concept of self-management support at end of life, specifically in relation to analgesia and related medicines (for side-effect management) in order to describe, characterise and explain self-management support in this context. Qualitative design, data collection methods involved focus groups and interviews. Topics included the meaning of self-management support in this context, roles and behaviours adopted to manage pain-related medicines, and factors that influence these. A largely deductive approach was used, involving verification and validation of key frameworks from the literature, but with capacity for new findings to emerge. Participants were drawn from two different localities in England, one North, the other South. Interviews with patients and carers took place in their own homes and focus groups with healthcare professionals were held at local hospices. 38 individuals participated. 15 patients, in the last year of life, and 4 carers under the care of community-based specialist palliative care services and 19 specialist palliative care health professionals (predominantly community palliative care nurses). The concept of self-management support had salience for patients, carers and specialist nurses alongside some unique features, specific to the end of life context. Specifically self-management was identified as an ever-changing process enacted along a continuum of behaviours fluctuating from full to no engagement. Disease progression, frequent changes in symptoms and

How do top managers support strategic information system projects and why do they sometimes withhold this support?

NARCIS (Netherlands)

Boonstra, A.

Top management support is an important determinant of information system project success. This is especially the case in complex and large-scale IS projects. Surprisingly, however, there is only limited reliable knowledge about the types of behavior that underlie top management support. Further,

Rules for selection of computer system to support customer relationships management

Directory of Open Access Journals (Sweden)

Dorota Buchnowska

2012-12-01

Full Text Available The number of support systems for business management on the Polish market is increasing. Because of that, enterprises are facing a more and more difficult dilemma: which solution to choose? This paper will present stages of the selection process of applications for customer relationships management support, discuss selection criteria and present a decision making tool for the selection of management support system, allowing for multi-faceted and impartial comparison of business applications.

Distributed Global Transaction Support for Workflow Management Applications

NARCIS (Netherlands)

Vonk, J.; Grefen, P.W.P.J.; Boertjes, E.M.; Apers, Peter M.G.

Workflow management systems require advanced transaction support to cope with their inherently long-running processes. The recent trend to distribute workflow executions requires an even more advanced transaction support system that is able to handle distribution. This paper presents a model as well

Educational support programs: Office of Civilian Radioactive Waste Management

International Nuclear Information System (INIS)

Williamson, R.C.

1989-01-01

The Office of Civilian Radioactive Waste Management (OCRWM) currently sponsors two educationally related programs: the Radioactive Waste Management Fellowship Program and the Radioactive Waste Management Research Program for Historically Black Colleges and Universities (HBCU). The graduate fellowship program was implemented in 1985 to meet the US Department of Energy's (DOE's) expected manpower needs for trained scientists and engineers to assist in carrying out the activities of the Nuclear Waste Policy Act. It is recognized that a shortage of master's and doctoral level scientists and engineers in disciplines supportive of the nation's high-level radioactive waste management (RWM) program may impede the DOE's ability to properly carry out its mission under the act. The fellowship program encourages talented undergraduate students to enter graduate programs designed to educate and train them in fields directly related to RWM. The program supports graduate students in various disciplines, including nuclear science and engineering, health physics, and certain area of geology and chemical engineering. It also encourages universities to support and improve research activities and academic programs related to the management of spent nuclear fuel and high-level radioactive waste

IT support for emergency management - ISEM

International Nuclear Information System (INIS)

Andersen, V.

1990-11-01

The project is aimed at the development of an integrated information system capable of supporting the complex, dynamic distributed decision making in the management of emergencies. Emphasis will be put on definition of a system architecture and on development of an application generator and tools to support the full life cycle of the system. The development will be driven by the requirements derived from emergency organisations in two different industries. Care is taken that the results are easily applicable and adaptable to other organisations. (author)

[Knowledge management system for laboratory work and clinical decision support].

Science.gov (United States)

Inada, Masanori; Sato, Mayumi; Yoneyama, Akiko

2011-05-01

This paper discusses a knowledge management system for clinical laboratories. In the clinical laboratory of Toranomon Hospital, we receive about 20 questions relevant to laboratory tests per day from medical doctors or co-medical staff. These questions mostly involve the essence to appropriately accomplish laboratory tests. We have to answer them carefully and suitably because an incorrect answer may cause a medical accident. Up to now, no method has been in place to achieve a rapid response and standardized answers. For this reason, the laboratory staff have responded to various questions based on their individual knowledge. We began to develop a knowledge management system to promote the knowledge of staff working for the laboratory. This system is a type of knowledge base for assisting the work, such as inquiry management, laboratory consultation, process management, and clinical support. It consists of several functions: guiding laboratory test information, managing inquiries from medical staff, reporting results of patient consultation, distributing laboratory staffs notes, and recording guidelines for laboratory medicine. The laboratory test information guide has 2,000 records of medical test information registered in the database with flexible retrieval. The inquiry management tool provides a methos to record all questions, answer easily, and retrieve cases. It helps staff to respond appropriately in a short period of time. The consulting report system treats patients' claims regarding medical tests. The laboratory staffs notes enter a file management system so they can be accessed to aid in clinical support. Knowledge sharing using this function can achieve the transition from individual to organizational learning. Storing guidelines for laboratory medicine will support EBM. Finally, it is expected that this system will support intellectual activity concerning laboratory work and contribute to the practice of knowledge management for clinical work support.

University Research in Support of TREAT Modeling and Simulation, FY 2016

Energy Technology Data Exchange (ETDEWEB)

DeHart, Mark David [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2016-09-01

Idaho National Laboratory is currently evolving the modeling and simulation (M&S) capability that will enable improved core operation as well as design and analysis of TREAT experiments. This M&S capability primarily uses MAMMOTH, a reactor physics application being developed under the Multi-physics Object Oriented Simulation Environment (MOOSE) framework. MAMMOTH allows the coupling of a number of other MOOSE-based applications. In support of this research, INL is working with four universities to explore advanced solution methods that will complement or augment capabilities in MAMMOTH. This report consists of a collection of year end summaries of research from the universities performed in support of TREAT modeling and simulation. This research was led by Prof. Sedat Goluoglu at the University of Florida, Profs. Jim Morel and Jean Ragusa at Texas A&M University, Profs. Benoit Forget and Kord Smith at Massachusetts Institute of Technology, Prof. Leslie Kerby of Idaho State University and Prof. Barry Ganapol of University of Arizona. A significant number of students were supported at various levels though the projects and, for some, also as interns at INL.

Awareness Support in Scientific Event Management with ginkgo

NARCIS (Netherlands)

Reinhardt, Wolfgang; Maicher, Julian; Drachsler, Hendrik; Sloep, Peter

2011-01-01

Reinhardt, W., Maicher, J., Drachsler, H., & Sloep, P. B. (2011). Awareness Support in Scientific Event Management with ginkgo. In Proceedings of the 11th International Conference on Knowledge Management and Knowledge Technologies (i-Know’11) (pp. 40:1–40:8). New York, NY, USA: ACM.

United nations Supported principles for Responsible Management Education

DEFF Research Database (Denmark)

Godemann, Jasmin; Moon, Jeremy; Haertle, Jonas

2014-01-01

and various ecological system crises. The United Nations supported Principles for Responsible Management Education (PRME) initiative is an important catalyst for the transformation of management education and a global initiative to change and reform management education in order to meet the increasing......The expectation that management education institutions should be leading thought and action on issues related to corporate responsibility and sustainability has been reinforced in the light of their association with business leaders' failings, including corporate corruption, the financial crisis...

COPD self-management supportive care: chaos and complexity theory.

Science.gov (United States)

Cornforth, Amber

This paper uses the emergent theories of chaos and complexity to explore the self-management supportive care of chronic obstructive pulmonary disease (COPD) patients within the evolving primary care setting. It discusses the concept of self-management support, the complexity of the primary care context and consultations, smoking cessation, and the impact of acute exacerbations and action planning. The author hopes that this paper will enable the acquisition of new insight and better understanding in this clinical area, as well as support meaningful learning and facilitate more thoughtful, effective and high quality patient-centred care within the context of primary care.

Nominal Device Support for ATCA Shelf Manager

Energy Technology Data Exchange (ETDEWEB)

Santos, Bruno; Carvalho, Paulo F.; Rodrigues, A.P.; Carvalho, Bernardo B.; Sousa, Jorge; Batista, Antonio J.N.; Combo, Alvaro M.; Cruz, Nuno; Correia, Carlos M.B.A.; Goncalves, Bruno [Instituto de Plasmas e Fusao Nuclear, Instituto Superior Tecnico, Universidade de Lisboa, 1049-001 Lisboa (Portugal); Correia, Miguel [Centro de Instrumentacao, Departamento de Fisica, Universidade de Coimbra, 3004-516 Coimbra (Portugal)

2015-07-01

The ATCA standard specifies a mandatory Shelf Manager (ShM) unit which is a key element for the system operation. It includes the Intelligent Platform Management Controller (IPMC) which monitors the system health, retrieves inventory information and controls the Field Replaceable Units (FRUs). These elements enable the intelligent health monitoring, providing high-availability and safety operation, ensuring the correct system operation. For critical systems like ones of tokamak ITER these features are mandatory to support the long pulse operation. The Nominal Device Support (NDS) was designed and developed for the ITER CODAC Core System (CCS), which will be the responsible for plant Instrumentation and Control (I and C), supervising and monitoring on ITER. It generalizes the Enhanced Physics and Industrial Control System (EPICS) device support interface for Data Acquisition (DAQ) and timing devices. However the support for health management features and ATCA ShM are not yet provided. This paper presents the implementation and test of a NDS for the ATCA ShM, using the ITER Fast Plant System Controller (FPSC) prototype environment. This prototype is fully compatible with the ITER CCS and uses the EPICS Channel Access (CA) protocol as the interface with the Plant Operation Network (PON). The implemented solution running in an EPICS Input / Output Controller (IOC) provides Process Variables (PV) to the PON network with the system information. These PVs can be used for control and monitoring by all CA clients, such as EPICS user interface clients and alarm systems. The results are presented, demonstrating the fully integration and the usability of this solution. (authors)

ARAC: A support capability for emergency managers

Energy Technology Data Exchange (ETDEWEB)

Pace, J.C.; Sullivan, T.J.; Baskett, R.L. [and others

1995-08-01

This paper is intended to introduce to the non-radiological emergency management community the 20-year operational history of the Atmospheric Release Advisory Capability (ARAC), its concept of operations, and its applicability for use in support of emergency management decision makers. ARAC is a centralized federal facility for assessing atmospheric releases of hazardous materials in real time, using a robust suite of three-dimensional atmospheric transport and diffusion models, extensive geophysical and source-description databases, automated meteorological data acquisition systems, and experienced staff members. Although originally conceived to respond to nuclear accidents, the ARAC system has proven to be extremely adaptable, and has been used successfully during a wide variety of nonradiological hazardous chemical situations. ARAC represents a proven, validated, operational support capability for atmospheric hazardous releases.

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

Science.gov (United States)

Lawn, Sharon; Schoo, Adrian

2010-08-01

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

Multiple domains of social support are associated with diabetes self-management among Veterans.

Science.gov (United States)

Gray, Kristen E; Hoerster, Katherine D; Reiber, Gayle E; Bastian, Lori A; Nelson, Karin M

2018-01-01

Objectives To examine, among Veterans, relationships of general social support and diabetes-specific social support for physical activity and healthy eating with diabetes self-management behaviors. Methods Patients from VA Puget Sound, Seattle completed a cross-sectional survey in 2012-2013 ( N = 717). We measured (a) general social support and (b) diabetes-specific social support for healthy eating and physical activity with domains reflecting support person participation, encouragement, and sharing ideas. Among 189 self-reporting diabetes patients, we fit linear and modified Poisson regression models estimating associations of social support with diabetes self-management behaviors: adherence to general and diabetes-specific diets and blood glucose monitoring (days/week); physical activity (social support was not associated with diabetes self-management. For diabetes-specific social support, higher healthy eating support scores across all domains were associated with better adherence to general and diabetes-specific diets. Higher physical activity support scores were positively associated with ≥150 min/week of physical activity only for the participation domain. Discussion Diabetes-specific social support was a stronger and more consistent correlate of improved self-management than general social support, particularly for lifestyle behaviors. Incorporating family/friends into Veterans' diabetes self-management routines may lead to better self-management and improvements in disease control and outcomes.

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.

Efficient Mobility Management Signalling in Network Mobility Supported PMIPV6.

Science.gov (United States)

Samuelraj, Ananthi Jebaseeli; Jayapal, Sundararajan

2015-01-01

Proxy Mobile IPV6 (PMIPV6) is a network based mobility management protocol which supports node's mobility without the contribution from the respective mobile node. PMIPV6 is initially designed to support individual node mobility and it should be enhanced to support mobile network movement. NEMO-BSP is an existing protocol to support network mobility (NEMO) in PMIPV6 network. Due to the underlying differences in basic protocols, NEMO-BSP cannot be directly applied to PMIPV6 network. Mobility management signaling and data structures used for individual node's mobility should be modified to support group nodes' mobility management efficiently. Though a lot of research work is in progress to implement mobile network movement in PMIPV6, it is not yet standardized and each suffers with different shortcomings. This research work proposes modifications in NEMO-BSP and PMIPV6 to achieve NEMO support in PMIPV6. It mainly concentrates on optimizing the number and size of mobility signaling exchanged while mobile network or mobile network node changes its access point.

Efficient Mobility Management Signalling in Network Mobility Supported PMIPV6

Directory of Open Access Journals (Sweden)

Ananthi Jebaseeli Samuelraj

2015-01-01

Full Text Available Proxy Mobile IPV6 (PMIPV6 is a network based mobility management protocol which supports node’s mobility without the contribution from the respective mobile node. PMIPV6 is initially designed to support individual node mobility and it should be enhanced to support mobile network movement. NEMO-BSP is an existing protocol to support network mobility (NEMO in PMIPV6 network. Due to the underlying differences in basic protocols, NEMO-BSP cannot be directly applied to PMIPV6 network. Mobility management signaling and data structures used for individual node’s mobility should be modified to support group nodes’ mobility management efficiently. Though a lot of research work is in progress to implement mobile network movement in PMIPV6, it is not yet standardized and each suffers with different shortcomings. This research work proposes modifications in NEMO-BSP and PMIPV6 to achieve NEMO support in PMIPV6. It mainly concentrates on optimizing the number and size of mobility signaling exchanged while mobile network or mobile network node changes its access point.

Support for self-management of cardiovascular disease by people with learning disabilities.

Science.gov (United States)

Young, Anita F; Naji, Simon; Kroll, Thilo

2012-08-01

Cardiovascular disease (CVD) is the second most common cause of death among people with learning disabilities (LD), and lifestyle has been linked to risk factors. With a shift towards illness prevention and self-management support, it is important to know how people with LD can be involved in this process. To elicit the perceptions of people with LD, carers and health professionals regarding supported self-management of CVD. A qualitative approach used in-depth semi-structured interviews based on vignettes with accompanying pictures. Fourteen people with LD, 11 carers/care staff and 11 health professionals were recruited and interviewed. Thematic framework analysis was used to analyse interview data. In total, 11 men and 25 women were interviewed. All respondents contributed views of self-management with a wide range of opinions expressed within each participant group. Four key themes encompassed: strategies for self-management; understanding the prerequisites for self-management support; preferred supporters and challenges for self-management implementation. Facilitated service user involvement in self-management decision making was highly valued in all groups. Service users wished for co-ordinated incremental support from across agencies and individuals. People with LD can be effectively consulted regarding health management and their views can inform service development. Promoting joined-up support across health and social care and families will require investment in resources, education and dismantling of professional barriers.

Training Support for Crisis Managers with Elements of Serious Gaming

OpenAIRE

Havlik , Denis; Deri , Oren; Rannat , Kalev; Warum , Manuel; Rafalowski , Chaim; Taveter , Kuldar; Kutschera , Peter; Meriste , Merik

2015-01-01

Part 3: Decision Support Tools and Systems; International audience; This paper presents a methodology and a prototypic software implementation of a simple system supporting resource management training for crisis managers. The application that is presented supports the execution and assessment of a desktop training for decision makers on a tactical and strategic level. It introduces elements of turn-based strategic “serious gaming”, with a possibility to roll back in time and re-try new decis...

The role of knowledge management tools in supporting sustainable forest management

OpenAIRE

Vacik, H.; Torresan, C.; Hujala, T.; Khadka, C.; Reynolds, K.

2013-01-01

Aim of study: Knowledge Management (KM) tools facilitate the implementation of knowledge processes by identifying, creating, structuring, and sharing knowledge through use of information technology in order to improve decision-making. In this contribution, we review the way in which KM tools and techniques are used in forest management, and categorize a selected set of them according to their contribution to support decision makers in the phases of problem identification, problem modelling, a...

Group affiliation in self-management: support or threat to identity?

Science.gov (United States)

Bossy, Dagmara; Knutsen, Ingrid Ruud; Rogers, Anne; Foss, Christina

2017-02-01

Self-management is considered important in chronic illness, and contemporary health policy recommends participation in support groups for individuals with chronic conditions. Although withdrawal from or non-participation in support groups is an important problem, there is limited knowledge about individuals' own motivation for participation in or withdrawal from self-management support groups. To investigate how individuals with type 2 diabetes perceive participation in group-based self-management support. This is a qualitative focus group study using a semi-structured interview guide. Sixteen participants diagnosed with type 2 diabetes were included in the study. Individuals with and without group affiliations were mixed in three focus groups to trigger discussions. In the analysis, reoccurring themes of engagement and discussions between participants were focused within a theoretical frame of institutional logic. The focus groups are seen as social spaces where participants construct identity. Both participation and non-participation in group-based self-management support are associated with dealing with the stigma of having type 2 diabetes. Negotiations contribute to constructing an illness dignity as a response to the logic of moral responsibility for the disease. Contemporary policy contributes to societal understandings of individuals with type 2 diabetes as morally inadequate. Our study shows that group-based self-management support may counteract blame and contribute in negotiations of identity for individuals with type 2 diabetes. This mechanism makes participation in groups beneficial for some but stigma inducing for others. © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd.

Twelve evidence-based principles for implementing self-management support in primary care.

Science.gov (United States)

Battersby, Malcolm; Von Korff, Michael; Schaefer, Judith; Davis, Connie; Ludman, Evette; Greene, Sarah M; Parkerton, Melissa; Wagner, Edward H

2010-12-01

Recommendations to improve self-management support and health outcomes for people with chronic conditions in primary care settings are provided on the basis of expert opinion supported by evidence for practices and processes. Practices and processes that could improve self-management support in primary care were identified through a nominal group process. In a targeted search strategy, reviews and meta-analyses were then identifed using terms from a wide range of chronic conditions and behavioral risk factors in combination with Self-Care, Self-Management, and Primary Care. On the basis of these reviews, evidence-based principles for self-management support were developed. The evidence is organized within the framework of the Chronic Care Model. Evidence-based principles in 12 areas were associated with improved patient self-management and/or health outcomes: (1) brief targeted assessment, (2) evidence-based information to guide shared decision-making, (3) use of a nonjudgmental approach, (4) collaborative priority and goal setting, (5) collaborative problem solving, (6) self-management support by diverse providers, (7) self-management interventions delivered by diverse formats, (8) patient self-efficacy, (9) active followup, (10) guideline-based case management for selected patients, (11) linkages to evidence-based community programs, and (12) multifaceted interventions. A framework is provided for implementing these principles in three phases of the primary care visit: enhanced previsit assessment, a focused clinical encounter, and expanded postvisit options. There is a growing evidence base for how self-management support for chronic conditions can be integrated into routine health care.

Use of PSA to support accident management at NPPs

International Nuclear Information System (INIS)

Gomez Cobo, A.

1997-01-01

The presentation discusses the following: Overview of PSA level 2; Introduction: Framework; Accident Progression Phenomena in the Confinement/containment; Severe Accident Sequences; Examples; Results and Insights. Accident Management: Concepts; Process; Use of PSA to support Accident; Management

Decision support models for solid waste management: Review and game-theoretic approaches

International Nuclear Information System (INIS)

Karmperis, Athanasios C.; Aravossis, Konstantinos; Tatsiopoulos, Ilias P.; Sotirchos, Anastasios

2013-01-01

Highlights: ► The mainly used decision support frameworks for solid waste management are reviewed. ► The LCA, CBA and MCDM models are presented and their strengths, weaknesses, similarities and possible combinations are analyzed. ► The game-theoretic approach in a solid waste management context is presented. ► The waste management bargaining game is introduced as a specific decision support framework. ► Cooperative and non-cooperative game-theoretic approaches to decision support for solid waste management are discussed. - Abstract: This paper surveys decision support models that are commonly used in the solid waste management area. Most models are mainly developed within three decision support frameworks, which are the life-cycle assessment, the cost–benefit analysis and the multi-criteria decision-making. These frameworks are reviewed and their strengths and weaknesses as well as their critical issues are analyzed, while their possible combinations and extensions are also discussed. Furthermore, the paper presents how cooperative and non-cooperative game-theoretic approaches can be used for the purpose of modeling and analyzing decision-making in situations with multiple stakeholders. Specifically, since a waste management model is sustainable when considering not only environmental and economic but also social aspects, the waste management bargaining game is introduced as a specific decision support framework in which future models can be developed

Decision support models for solid waste management: Review and game-theoretic approaches

Energy Technology Data Exchange (ETDEWEB)

Karmperis, Athanasios C., E-mail: athkarmp@mail.ntua.gr [Sector of Industrial Management and Operational Research, School of Mechanical Engineering, National Technical University of Athens, Iroon Polytechniou 9, 15780 Athens (Greece); Army Corps of Engineers, Hellenic Army General Staff, Ministry of Defence (Greece); Aravossis, Konstantinos; Tatsiopoulos, Ilias P.; Sotirchos, Anastasios [Sector of Industrial Management and Operational Research, School of Mechanical Engineering, National Technical University of Athens, Iroon Polytechniou 9, 15780 Athens (Greece)

2013-05-15

Highlights: ► The mainly used decision support frameworks for solid waste management are reviewed. ► The LCA, CBA and MCDM models are presented and their strengths, weaknesses, similarities and possible combinations are analyzed. ► The game-theoretic approach in a solid waste management context is presented. ► The waste management bargaining game is introduced as a specific decision support framework. ► Cooperative and non-cooperative game-theoretic approaches to decision support for solid waste management are discussed. - Abstract: This paper surveys decision support models that are commonly used in the solid waste management area. Most models are mainly developed within three decision support frameworks, which are the life-cycle assessment, the cost–benefit analysis and the multi-criteria decision-making. These frameworks are reviewed and their strengths and weaknesses as well as their critical issues are analyzed, while their possible combinations and extensions are also discussed. Furthermore, the paper presents how cooperative and non-cooperative game-theoretic approaches can be used for the purpose of modeling and analyzing decision-making in situations with multiple stakeholders. Specifically, since a waste management model is sustainable when considering not only environmental and economic but also social aspects, the waste management bargaining game is introduced as a specific decision support framework in which future models can be developed.

Key Elements of the Tutorial Support Management Model

Science.gov (United States)

Lynch, Grace; Paasuke, Philip

2011-01-01

In response to an exponential growth in enrolments the "Tutorial Support Management" (TSM) model has been adopted by Open Universities Australia (OUA) after a two-year project on the provision of online tutor support in first year, online undergraduate units. The essential focus of the TSM model was the development of a systemic approach…

The Logistics Management Decision Support System (LMDSS) : an effective tool to reduce life cycle support costs of aviation systems

OpenAIRE

Moore, Ellen E.; Snyder, Carolynn M.

1998-01-01

Approved for public release; distribution is unlimited This thesis assesses the capability of the Logistics Management Decision Support System (LMDSS) to meet the information needs of Naval Air Systems Command (NAVAIR) logistics managers based on surveys of logistics managers and interviews with LMDSS program representatives. The LMDSS is being introduced as a tool to facilitate action by NAVAIR logistics managers to reduce the life cycle support costs of aviation systems while protecting ...

A Model for Online Support in Classroom Management: Perceptions of Beginning Teachers

Science.gov (United States)

Baker, Credence; Gentry, James; Larmer, William

2016-01-01

Classroom management is a challenge for beginning teachers. To address this challenge, a model to provide support for beginning teachers was developed, consisting of a one-day workshop on classroom management, followed with online support extending over eight weeks. Specific classroom management strategies included (a) developing a foundation…

Research and Support for MTLS Data Management and Visualization

Science.gov (United States)

2016-09-30

This report documents the research project "Research and Support for MTLS Data Management and Visualization." The primary goal of the project was to support Caltrans District 4 in their upgrade and enhancement efforts for Mobile Terrestrial Laser Sca...

ICT tools as support fort he management of human talent

Directory of Open Access Journals (Sweden)

Sandra Cristina Riascos Erazo

2011-12-01

Full Text Available The use of Information and Communication Technologies (ICT within the organizational context has revolutionized management and administrative thought; this is evidenced through various aspects, one is how human talent is managed. This article seeks to show the results of research related to the evaluation of ICT used as support to human talent management and its essential objective was to characterize the main ICT tools used in the operational processes involved in managing human talent. The research was developed in two phases; first, identification of ICT tools that support human management processes, and second, determination of software used for human talent management in 60 companies in the Industrial, Commercial, and Service sectors in the city of Santiago de Cali. The research results indicate that diverse tools are available that facilitate the activities in the area of human talent management and which are mostly used in the commercial and service sectors

Decision Support Systems for Research and Management in Advanced Life Support

Science.gov (United States)

Rodriquez, Luis F.

2004-01-01

Decision support systems have been implemented in many applications including strategic planning for battlefield scenarios, corporate decision making for business planning, production planning and control systems, and recommendation generators like those on Amazon.com(Registered TradeMark). Such tools are reviewed for developing a similar tool for NASA's ALS Program. DSS are considered concurrently with the development of the OPIS system, a database designed for chronicling of research and development in ALS. By utilizing the OPIS database, it is anticipated that decision support can be provided to increase the quality of decisions by ALS managers and researchers.

Supporting cystic fibrosis disease management during adolescence: the role of family and friends.

Science.gov (United States)

Barker, D H; Driscoll, K A; Modi, A C; Light, M J; Quittner, A L

2012-07-01

Successful management of a complex disease, such as cystic fibrosis (CF), requires support from family and friends; however, few studies have examined social support in adolescents with CF. Twenty-four adolescents were interviewed about the support they receive from family and friends. Interviews were transcribed, coded and analysed to determine the types, frequency and perceived supportiveness of specific behaviours. Both family and friends provided treatment-related support to adolescents with CF. Family provided more tangible support and friends provided more relational support. Adolescents also reported that the manner, timing and context of support behaviours influenced their perceptions of the behaviours' supportiveness. A subset of adolescents (17%) chose not to disclose their diagnosis to their friends. The provision of support appears to be distinct from adolescent's perception of support and there may be some behaviours, such as treatment reminders, that are important to disease management but viewed as less supportive by adolescents. Facilitating increased social support holds the promise of improving disease management during adolescents, but more work is need to understand which aspects of support are related to management outcomes. © 2011 Blackwell Publishing Ltd.

Computerized management support for swine breeding farms

NARCIS (Netherlands)

Huirne, R.B.M.

1990-01-01

1. INTRODUCTION

The investigations described in this thesis have been directed towards computerized management support for swine breeding farms, focused on sow productivity and profitability. The study is composed of three basic parts: (1) basic description and

Is Europe putting theory into practice? A qualitative study of the level of self-management support in chronic care management approaches.

Science.gov (United States)

Elissen, Arianne; Nolte, Ellen; Knai, Cécile; Brunn, Matthias; Chevreul, Karine; Conklin, Annalijn; Durand-Zaleski, Isabelle; Erler, Antje; Flamm, Maria; Frølich, Anne; Fullerton, Birgit; Jacobsen, Ramune; Saz-Parkinson, Zuleika; Sarria-Santamera, Antonio; Sönnichsen, Andreas; Vrijhoef, Hubertus

2013-03-26

Self-management support is a key component of effective chronic care management, yet in practice appears to be the least implemented and most challenging. This study explores whether and how self-management support is integrated into chronic care approaches in 13 European countries. In addition, it investigates the level of and barriers to implementation of support strategies in health care practice. We conducted a review among the 13 participating countries, based on a common data template informed by the Chronic Care Model. Key informants presented a sample of representative chronic care approaches and related self-management support strategies. The cross-country review was complemented by a Dutch case study of health professionals' views on the implementation of self-management support in practice. Self-management support for chronically ill patients remains relatively underdeveloped in Europe. Similarities between countries exist mostly in involved providers (nurses) and settings (primary care). Differences prevail in mode and format of support, and materials used. Support activities focus primarily on patients' medical and behavioral management, and less on emotional management. According to Dutch providers, self-management support is not (yet) an integral part of daily practice; implementation is hampered by barriers related to, among others, funding, IT and medical culture. Although collaborative care for chronic conditions is becoming more important in European health systems, adequate self-management support for patients with chronic disease is far from accomplished in most countries. There is a need for better understanding of how we can encourage both patients and health care providers to engage in productive interactions in daily chronic care practice, which can improve health and social outcomes.

Computer Support for Document Management in the Danish Central Government

DEFF Research Database (Denmark)

Hertzum, Morten

1995-01-01

Document management systems are generally assumed to hold a potential for delegating the recording and retrieval of documents to professionals such as civil servants and for supporting the coordination and control of work, so-called workflow management. This study investigates the use and organiz......Document management systems are generally assumed to hold a potential for delegating the recording and retrieval of documents to professionals such as civil servants and for supporting the coordination and control of work, so-called workflow management. This study investigates the use...... and organizational impact of document management systems in the Danish central government. The currently used systems unfold around the recording of incoming and outgoing paper mail and have typically not been accompanied by organizational changes. Rather, document management tends to remain an appendix...... to the primary work and be delegated to a specialized organizational unit. Several factors contribute to the present document management practices, for example it takes an extraordinary effort to achieve the benefits, and few institutions are forced to pursue them. Furthermore, document and workflow management...

Research and technology programmes supporting waste management in BNFL

International Nuclear Information System (INIS)

Fairhall, G.A.; Horner, A.M.

2000-01-01

Waste Management is a major activity of BNFL in the UK and at various locations internationally. To support these activities extensive programmes of Research and Technology have been undertaken for many years. This involves practical studies involving active and non-active work at laboratory and pilot plant scale. Extensive use is also made of theoretical and modelling techniques. Current work is aimed at underpinning and improving current operations supporting the design and safety cases of new plant and addressing waste management activities of the future including decommissioning. (authors)

Technology Integration Initiative In Support of Outage Management

Energy Technology Data Exchange (ETDEWEB)

Gregory Weatherby; David Gertman

2012-07-01

Plant outage management is a high priority concern for the nuclear industry from cost and safety perspectives. Often, command and control during outages is maintained in the outage control center where many of the underlying technologies supporting outage control are the same as those used in the 1980’s. This research reports on the use of advanced integrating software technologies and hand held mobile devices as a means by which to reduce cycle time, improve accuracy, and enhance transparency among outage team members. This paper reports on the first phase of research supported by the DOE Light Water Reactor Sustainability (LWRS) Program that is performed in close collaboration with industry to examine the introduction of newly available technology allowing for safe and efficient outage performance. It is thought that this research will result in: improved resource management among various plant stakeholder groups, reduced paper work, and enhanced overall situation awareness for the outage control center management team. A description of field data collection methods, including personnel interview data, success factors, end-user evaluation and integration of hand held devices in achieving an integrated design are also evaluated. Finally, the necessity of obtaining operations cooperation support in field studies and technology evaluation is acknowledged.

Research on the Relationship Between Conflict Management and Organizational Support

OpenAIRE

Fuat Oktay

2016-01-01

The purpose of the present study is to determine the relationship between Turkish Technic Inc. employees’ conflict management styles and perceived organizational support. The sample of the study which was conducted with correlational and descriptive survey models consisted of 1443 Turkish Airlines employees. A 28-item Conflict Management Style Scale, which was developed by Aflazur (1992) and adapted to Turkish by Boz (2012) and an 8-item Perceived Organizational Support S...

The influence of sales management control, sales management support and satisfaction with manager on salespeople’s job satisfaction

Directory of Open Access Journals (Sweden)

Erik Ružić

2018-01-01

Full Text Available Salesperson’s job satisfaction is of particular interest to companies because it has been linked to performance and customer retention. Contemporary sales workplace is becoming increasingly complex, but sales managers still, and more than ever, play a significant role in shaping attitudes of their salespeople. Thus, it is important to understand the influence of different sales management practices on salespeople’s satisfaction which leads to better personal and organizational results. The main aim of this paper is to explore the influence of three types of sales management control (behavior-based, knowledge-based and outcome-based control, sales management support and satisfaction with sales manager on salespeople’s job satisfaction. The research was conducted among salesforce in Croatia and Italy and the data were analyzed by the PLS-SEM method. The study shows that knowledge-based control, manager support and satisfaction with manager positively impact salespeople’s job satisfaction. An influence of behavior-based control and outcome-based control was not demonstrated. The findings are partly in line with previous researches, but also provide new insights into aspects of manager-seller relations. The results can help sales managers to shape the target behavior and practices, and make them aware of the importance of their role in achieving job satisfaction among their subordinates. Top and human resource (HR managers can also hire appropriate managers that can be encouraged to implement desired practices.

Managing 'difficult emotions' and family life: exploring insights and social support within online self-management training.

Science.gov (United States)

Sanders, C; Rogers, A; Gardner, C; Kennedy, A

2011-06-01

Previous research has demonstrated how the Internet can foster emotional support and provide a 'private' space for discussing sensitive issues. Whilst the family has been located as a primary source of support, empirical research on the dynamics of close personal relationships in chronic illness experience remains a challenge. To explore the role of family relationships in supporting self-care and the nature of social support exchanged within an online self-management training course. Qualitative thematic and narrative analysis of online discussion boards. Postings for 218 participants, divided between 11 groups were included for a course section that focused on 'difficult emotions'. Participants exchanged a high degree of emotional support and revealed much about their 'real life' relationships. The latter highlighted the complexities of managing illness within family contexts alongside additional pressures of daily life such as caring commitments and work roles. The private interactive space created within the course allowed insights into the dynamics of family life associated with illness management that are challenging to research. Simultaneously, collective support was developed amongst this group of predominantly working women. The article points to the implications for such interventions and associated evaluative research beyond this selective group.

Watershed Management Optimization Support Tool (WMOST) v2: User Manual and Case Studies

Science.gov (United States)

The Watershed Management Optimization Support Tool (WMOST) is a decision support tool that evaluates the relative cost-effectiveness of management practices at the local or watershed scale. WMOST models the environmental effects and costs of management decisions in a watershed c...

Acoustic Neuroma Educational Video

Medline Plus

Full Text Available ... Spanish Washington Support Group Leslie of Stone Mountain, ... Providers Acoustic Neuroma Association Donate Now Newly Diagnosed What is AN? Request a Patient Kit Treatment Options Get Support Find a Provider Discussion Forum ...

Real-time information support for managing plant emergency responses

International Nuclear Information System (INIS)

Cain, D.G.; Lord, R.J.; Wilkinson, C.D.

1983-01-01

The Three Mile Island Unit 2 accident highlighted the need to develop a systematic approach to managing plant emergency responses, to identify a better decision-making process, and to implement real-time information support for decision-making. The overall process management function is described and general information requirements for management of plant emergencies are identified. Basic information systems are being incorporated and future extensions and problem areas are discussed. (U.K.)

Graphical User Interface Development and Design to Support Airport Runway Configuration Management

Science.gov (United States)

Jones, Debra G.; Lenox, Michelle; Onal, Emrah; Latorella, Kara A.; Lohr, Gary W.; Le Vie, Lisa

2015-01-01

The objective of this effort was to develop a graphical user interface (GUI) for the National Aeronautics and Space Administration's (NASA) System Oriented Runway Management (SORM) decision support tool to support runway management. This tool is expected to be used by traffic flow managers and supervisors in the Airport Traffic Control Tower (ATCT) and Terminal Radar Approach Control (TRACON) facilities.

Predictive Analytics to Support Real-Time Management in Pathology Facilities.

Science.gov (United States)

Lessard, Lysanne; Michalowski, Wojtek; Chen Li, Wei; Amyot, Daniel; Halwani, Fawaz; Banerjee, Diponkar

2016-01-01

Predictive analytics can provide valuable support to the effective management of pathology facilities. The introduction of new tests and technologies in anatomical pathology will increase the volume of specimens to be processed, as well as the complexity of pathology processes. In order for predictive analytics to address managerial challenges associated with the volume and complexity increases, it is important to pinpoint the areas where pathology managers would most benefit from predictive capabilities. We illustrate common issues in managing pathology facilities with an analysis of the surgical specimen process at the Department of Pathology and Laboratory Medicine (DPLM) at The Ottawa Hospital, which processes all surgical specimens for the Eastern Ontario Regional Laboratory Association. We then show how predictive analytics could be used to support management. Our proposed approach can be generalized beyond the DPLM, contributing to a more effective management of pathology facilities and in turn to quicker clinical diagnoses.

Building Support for Research Data Management: Biographies of Eight Research Universities

Directory of Open Access Journals (Sweden)

Katherine G. Akers

2014-10-01

Full Text Available Academic research libraries are quickly developing support for research data management (RDM, including both new services and infrastructure. Here, we tell the stories of how eight different universities have developed programs of RDM support, focusing on the prominent role of the library in educating and assisting researchers with managing their data throughout the research lifecycle. Based on these stories, we construct timelines for each university depicting key steps in building support for RDM, and we discuss similarities and dissimilarities among universities in motivation to provide RDM support, collaborations among campus units, assessment of needs and services, and changes in staffing.

Development of transportation asset management decision support tools : final report.

Science.gov (United States)

2017-08-09

This study developed a web-based prototype decision support platform to demonstrate the benefits of transportation asset management in monitoring asset performance, supporting asset funding decisions, planning budget tradeoffs, and optimizing resourc...

MPI support in the DIRAC Pilot Job Workload Management System

International Nuclear Information System (INIS)

Tsaregorodtsev, A; Hamar, V

2012-01-01

Parallel job execution in the grid environment using MPI technology presents a number of challenges for the sites providing this support. Multiple flavors of the MPI libraries, shared working directories required by certain applications, special settings for the batch systems make the MPI support difficult for the site managers. On the other hand the workload management systems with Pilot Jobs became ubiquitous although the support for the MPI applications in the Pilot frameworks was not available. This support was recently added in the DIRAC Project in the context of the GISELA Latin American Grid Initiative. Special services for dynamic allocation of virtual computer pools on the grid sites were developed in order to deploy MPI rings corresponding to the requirements of the jobs in the central task queue of the DIRAC Workload Management System. Pilot Jobs using user space file system techniques install the required MPI software automatically. The same technique is used to emulate shared working directories for the parallel MPI processes. This makes it possible to execute MPI jobs even on the sites not supporting them officially. Reusing so constructed MPI rings for execution of a series of parallel jobs increases dramatically their efficiency and turnaround. In this contribution we describe the design and implementation of the DIRAC MPI Service as well as its support for various types of MPI libraries. Advantages of coupling the MPI support with the Pilot frameworks are outlined and examples of usage with real applications are presented.

Management Control System Support of Initiatives for Disruptive Students

Science.gov (United States)

Scott, Colin

2011-01-01

Purpose: The purpose of the paper is to investigate the management control system (MCS) support of school initiatives to develop the school climate and to re-engage disruptive students. Design/methodology/approach: The paper adopts an approach of critical action research interviews with management and document reviews informed by Habermasian…

Emotional support for diabetes management: an international cross-cultural study.

Science.gov (United States)

Kowitt, Sarah D; Urlaub, Diana; Guzman-Corrales, Laura; Mayer, Melissa; Ballesteros, Juana; Graffy, Jonathan; Simmons, David; Cummings, Doyle M; Fisher, Edwin B

2015-06-01

The purpose of this study was to explore how emotional support emerged in interactions between peer supporters (PSs) and adults living with type 2 diabetes. Qualitative data were analyzed from 22 semistructured interviews with PSs in 3 settings: low-income Latinos in Chicago, middle-class Caucasians in the United Kingdom, and low-income African American women in North Carolina. Emotional support was defined as expressions of empathy, trust, and caring. Across all sites, emotional support gradually emerged over time, was often combined with informational support, and was conveyed both implicitly (through nonverbal actions connoting emotional acceptance; eg, a walk together without discussion of problems) and explicitly (eg, by reassurance or discussion of stressors). Cross-site differences did appear regarding the strategies to address barriers to diabetes management (eg, PSs in North Carolina and Chicago reported providing support for social stressors) and the role of PSs (eg, PSs in Chicago reported providing directive support). Across different settings and populations, emotional support for diabetes management evolved over time, was often integrated with informational support, and emerged through both implicit and explicit strategies that addressed varied context-specific stressors. © 2015 The Author(s).

GIS-based spatial decision support system for grain logistics management

Science.gov (United States)

Zhen, Tong; Ge, Hongyi; Jiang, Yuying; Che, Yi

2010-07-01

Grain logistics is the important component of the social logistics, which can be attributed to frequent circulation and the great quantity. At present time, there is no modern grain logistics distribution management system, and the logistics cost is the high. Geographic Information Systems (GIS) have been widely used for spatial data manipulation and model operations and provide effective decision support through its spatial database management capabilities and cartographic visualization. In the present paper, a spatial decision support system (SDSS) is proposed to support policy makers and to reduce the cost of grain logistics. The system is composed of two major components: grain logistics goods tracking model and vehicle routing problem optimization model and also allows incorporation of data coming from external sources. The proposed system is an effective tool to manage grain logistics in order to increase the speed of grain logistics and reduce the grain circulation cost.

Information support for health information management in regional Sri Lanka: health managers' perspectives.

Science.gov (United States)

Ranasinghe, Kaduruwane Indika; Chan, Taizan; Yaralagadda, Prasad

Good management, supported by accurate, timely and reliable health information, is vital for increasing the effectiveness of Health Information Systems (HIS). When it comes to managing the under-resourced health systems of developing countries, information-based decision making is particularly important. This paper reports findings of a self-report survey that investigated perceptions of local health managers (HMs) of their own regional HIS in Sri Lanka. Data were collected through a validated, pre-tested postal questionnaire, and distributed among a selected group of HMs to elicit their perceptions of the current HIS in relation to information generation, acquisition and use, required reforms to the information system and application of information and communication technology (ICT). Results based on descriptive statistics indicated that the regional HIS was poorly organised and in need of reform; that management support for the system was unsatisfactory in terms of relevance, accuracy, timeliness and accessibility; that political pressure and community and donor requests took precedence over vital health information when management decisions were made; and use of ICT was unsatisfactory. HIS strengths included user-friendly paper formats, a centralised planning system and an efficient disease notification system; weaknesses were lack of comprehensiveness, inaccuracy, and lack of a feedback system. Responses of participants indicated that HIS would be improved by adopting an internationally accepted framework and introducing ICT applications. Perceived barriers to such improvements were high initial cost of educating staff to improve computer literacy, introduction of ICTs, and HIS restructure. We concluded that the regional HIS of Central Province, Sri Lanka had failed to provide much-needed information support to HMs. These findings are consistent with similar research in other developing countries and reinforce the need for further research to verify causes of

Top Management Support Partially Optimized Reverse Logistics in The Manufacturing Sector of Pakistan

Directory of Open Access Journals (Sweden)

Ms. Sitara Shafiq

2013-07-01

Full Text Available Supply chain management urges reverse logistics to be an effective tool for organizational competitive advantage. Reverse chains demand astute resource deployments and strategic focus by the top management. In Pakistan manufacturing industries employing reverse logistics for cost effectiveness reported heavy reliance on top management support. However, literature is yet not benefited by such empirical facts. This study hypothesized that top management support is key for cost effective reverse logistics. Collecting and analyzing reliable data for various elements of its variables of interests, the study confirmed considerable multi linear regression between top management support and cost effectiveness. Substantiating the hypothesis, it contributes that a significant impact of strategic focus and resource commitment by top management leads reverse logistics based manufacturers to success.

Idea management in support of pharmaceutical front end innovation

DEFF Research Database (Denmark)

Aagaard, Annabeth

2012-01-01

The pharmaceutical industry faces continuing pressures from rising R&D costs and depreciating value of patents, as patent lives is eroded by testing procedures and pressures from public authorities to cut health care costs. These challenges have increased the focus on shortening development times......, which again put pressure on the efficiency of front end innovation (FEI). In the attempt to overcome these various challenges pharmaceutical companies are looking for new models to support FEI. This paper explores in what way idea management can be applied as a tool in facilitation of front end...... innovation in practice. First I show through a literature study, how idea management and front end innovation are related and may support each other. Hereafter I apply an exploratory case study of front end innovation in eight medium to large pharmaceutical companies in examination of how idea management...

Immunogenetic Management Software: a new tool for visualization and analysis of complex immunogenetic datasets.

Science.gov (United States)

Johnson, Z P; Eady, R D; Ahmad, S F; Agravat, S; Morris, T; Else, J; Lank, S M; Wiseman, R W; O'Connor, D H; Penedo, M C T; Larsen, C P; Kean, L S

2012-04-01

Here we describe the Immunogenetic Management Software (IMS) system, a novel web-based application that permits multiplexed analysis of complex immunogenetic traits that are necessary for the accurate planning and execution of experiments involving large animal models, including nonhuman primates. IMS is capable of housing complex pedigree relationships, microsatellite-based MHC typing data, as well as MHC pyrosequencing expression analysis of class I alleles. It includes a novel, automated MHC haplotype naming algorithm and has accomplished an innovative visualization protocol that allows users to view multiple familial and MHC haplotype relationships through a single, interactive graphical interface. Detailed DNA and RNA-based data can also be queried and analyzed in a highly accessible fashion, and flexible search capabilities allow experimental choices to be made based on multiple, individualized and expandable immunogenetic factors. This web application is implemented in Java, MySQL, Tomcat, and Apache, with supported browsers including Internet Explorer and Firefox on Windows and Safari on Mac OS. The software is freely available for distribution to noncommercial users by contacting Leslie.kean@emory.edu. A demonstration site for the software is available at http://typing.emory.edu/typing_demo , user name: imsdemo7@gmail.com and password: imsdemo.

A Performance Support Tool for Cisco Training Program Managers

Science.gov (United States)

Benson, Angela D.; Bothra, Jashoda; Sharma, Priya

2004-01-01

Performance support systems can play an important role in corporations by managing and allowing distribution of information more easily. These systems run the gamut from simple paper job aids to sophisticated computer- and web-based software applications that support the entire corporate supply chain. According to Gery (1991), a performance…

Predictive Analytics to Support Real-Time Management in Pathology Facilities

Science.gov (United States)

Lessard, Lysanne; Michalowski, Wojtek; Chen Li, Wei; Amyot, Daniel; Halwani, Fawaz; Banerjee, Diponkar

2016-01-01

Predictive analytics can provide valuable support to the effective management of pathology facilities. The introduction of new tests and technologies in anatomical pathology will increase the volume of specimens to be processed, as well as the complexity of pathology processes. In order for predictive analytics to address managerial challenges associated with the volume and complexity increases, it is important to pinpoint the areas where pathology managers would most benefit from predictive capabilities. We illustrate common issues in managing pathology facilities with an analysis of the surgical specimen process at the Department of Pathology and Laboratory Medicine (DPLM) at The Ottawa Hospital, which processes all surgical specimens for the Eastern Ontario Regional Laboratory Association. We then show how predictive analytics could be used to support management. Our proposed approach can be generalized beyond the DPLM, contributing to a more effective management of pathology facilities and in turn to quicker clinical diagnoses. PMID:28269873

How to Support the Integrate Management System through an Enterprise Content Management Platform?

International Nuclear Information System (INIS)

Couvreur, D.

2016-01-01

Full text: In 2010 the Belgian Nuclear Research Centre SCK-CEN decided to implement an ECM platform in order to manage its information. The main objectives were to centralize in one place all the right and latest versions of information, to improve the usage of internal information and to enhance the efficiency of our activities by standardization and by supporting document management processes. A programme of document migration for the whole institute was set up per group, running over four years. Steps were foreseen such as the comprehension of the activities of the end users in order to increase their efficiency, the analysis of type of documentation, the technical aspects, the migration of documents itself, the training and the most important steps—communication and supporting people to change. In 2013 SCK-CEN decided to implement an Integrated Management System. The objectives were i) to improve the safety performance of the organisation, ii) to foster, strengthen and support a strong safety and organizational culture through the development and reinforcement of good safety attitudes and behaviour in individuals and teams, iii) to structure, but at the same time simplify and make more transparent all processes of SCK-CEN clearly defining responsibilities and authorities, iv) to automate these processes by workflows and support the information and data flow by relevant databases. Intrinsically, both initiatives have the same end objective being the safety of the installations, of the knowledge and transfer of know-how on processes and projects related to radiation protection, reactor technology, waste and disposal, dismantling. In this paper, we will explain through examples. (author

SAM: Support Vector Machine Based Active Queue Management

International Nuclear Information System (INIS)

Shah, M.S.

2014-01-01

Recent years have seen an increasing interest in the design of AQM (Active Queue Management) controllers. The purpose of these controllers is to manage the network congestion under varying loads, link delays and bandwidth. In this paper, a new AQM controller is proposed which is trained by using the SVM (Support Vector Machine) with the RBF (Radial Basis Function) kernal. The proposed controller is called the support vector based AQM (SAM) controller. The performance of the proposed controller has been compared with three conventional AQM controllers, namely the Random Early Detection, Blue and Proportional Plus Integral Controller. The preliminary simulation studies show that the performance of the proposed controller is comparable to the conventional controllers. However, the proposed controller is more efficient in controlling the queue size than the conventional controllers. (author)

How do principles for human-centred automation apply to Disruption Management Decision Support?

OpenAIRE

Golightly, David; Dadashi, Nastaran

2016-01-01

While automation of signal and route setting is routine, the use of automation or decision support in disruption management processes is far less common. Such support offers significant advantages in optimising re-planning of both timetable and resources (crew and rolling stock), and has value in offering a 'shared view' of re-planning across the many actors manage disruption. If this vision is to be realised, however, disruption management decision support and automation must adhere to prove...

Towards Data Management Planning Support for Research Data

NARCIS (Netherlands)

Görzig, Heike; Engel, Felix; Brocks, Holger; Vogel, Tobias; Hemmje, Matthias

2015-01-01

Görzig, H., Engel, F., Brocks, H., Vogel, T. & Hemmje, M. (2015, August). Towards Data Management Planning Support for Research Data. Paper presented at the ASE International Conference on Data Science, Stanford, United States of America.

Intelligent Model Management in a Forest Ecosystem Management Decision Support System

Science.gov (United States)

Donald Nute; Walter D. Potter; Frederick Maier; Jin Wang; Mark Twery; H. Michael Rauscher; Peter Knopp; Scott Thomasma; Mayukh Dass; Hajime Uchiyama

2002-01-01

Decision making for forest ecosystem management can include the use of a wide variety of modeling tools. These tools include vegetation growth models, wildlife models, silvicultural models, GIS, and visualization tools. NED-2 is a robust, intelligent, goal-driven decision support system that integrates tools in each of these categories. NED-2 uses a blackboard...

Artificial intelligence based decision support for trumpeter swan management

Science.gov (United States)

Sojda, Richard S.

2002-01-01

The number of trumpeter swans (Cygnus buccinator) breeding in the Tri-State area where Montana, Idaho, and Wyoming come together has declined to just a few hundred pairs. However, these birds are part of the Rocky Mountain Population which additionally has over 3,500 birds breeding in Alberta, British Columbia, Northwest Territories, and Yukon Territory. To a large degree, these birds seem to have abandoned traditional migratory pathways in the flyway. Waterfowl managers have been interested in decision support tools that would help them explore simulated management scenarios in their quest towards reaching population recovery and the reestablishment of traditional migratory pathways. I have developed a decision support system to assist biologists with such management, especially related to wetland ecology. Decision support systems use a combination of models, analytical techniques, and information retrieval to help develop and evaluate appropriate alternatives. Swan management is a domain that is ecologically complex, and this complexity is compounded by spatial and temporal issues. As such, swan management is an inherently distributed problem. Therefore, the ecological context for modeling swan movements in response to management actions was built as a multiagent system of interacting intelligent agents that implements a queuing model representing swan migration. These agents accessed ecological knowledge about swans, their habitats, and flyway management principles from three independent expert systems. The agents were autonomous, had some sensory capability, and could respond to changing conditions. A key problem when developing ecological decision support systems is empirically determining that the recommendations provided are valid. Because Rocky Mountain trumpeter swans have been surveyed for a long period of time, I was able to compare simulated distributions provided by the system with actual field observations across 20 areas for the period 1988

ORGANIZATIONAL SUPPORT OF INTELLECTUAL PROPERTY MANAGEMENT AT THE ENTERPRISE

Directory of Open Access Journals (Sweden)

I. Kornilova

2015-08-01

Full Text Available The article deals with theoretical issues of organizational support of intellectual property management at the enterprise. It is defined the nature, goals, objectives organization of intellectual property. It is selected the features, factors of influence on the choice of organizational structure and organizational form of intellectual property management on an enterprise. It is proposed systematization forms of organizational maintenance of intellectual property management at different classification criteria. Attention is paid to consider outsourcing forms of operations with intellectual property.

How and Why Do Top Managers Support or Not Support Strategic IS Projects?

NARCIS (Netherlands)

Boonstra, A.; CruzCunha, MM; Varajao, J; Powell, P; Martinho, R

2011-01-01

There is much evidence that top management support is the single most important determinant of IS project success. This is especially the case in complex and large-scale IS projects. Surprisingly however, despite its crucial importance there is only limited knowledge of the types of behaviour

Examining the Support Peer Supporters Provide Using Structural Equation Modeling: Nondirective and Directive Support in Diabetes Management.

Science.gov (United States)

Kowitt, Sarah D; Ayala, Guadalupe X; Cherrington, Andrea L; Horton, Lucy A; Safford, Monika M; Soto, Sandra; Tang, Tricia S; Fisher, Edwin B

2017-12-01

Little research has examined the characteristics of peer support. Pertinent to such examination may be characteristics such as the distinction between nondirective support (accepting recipients' feelings and cooperative with their plans) and directive (prescribing "correct" choices and feelings). In a peer support program for individuals with diabetes, this study examined (a) whether the distinction between nondirective and directive support was reflected in participants' ratings of support provided by peer supporters and (b) how nondirective and directive support were related to depressive symptoms, diabetes distress, and Hemoglobin A1c (HbA1c). Three hundred fourteen participants with type 2 diabetes provided data on depressive symptoms, diabetes distress, and HbA1c before and after a diabetes management intervention delivered by peer supporters. At post-intervention, participants reported how the support provided by peer supporters was nondirective or directive. Confirmatory factor analysis (CFA), correlation analyses, and structural equation modeling examined the relationships among reports of nondirective and directive support, depressive symptoms, diabetes distress, and measured HbA1c. CFA confirmed the factor structure distinguishing between nondirective and directive support in participants' reports of support delivered by peer supporters. Controlling for demographic factors, baseline clinical values, and site, structural equation models indicated that at post-intervention, participants' reports of nondirective support were significantly associated with lower, while reports of directive support were significantly associated with greater depressive symptoms, altogether (with control variables) accounting for 51% of the variance in depressive symptoms. Peer supporters' nondirective support was associated with lower, but directive support was associated with greater depressive symptoms.

Left ventricular assist device management in patients chronically supported for advanced heart failure.

Science.gov (United States)

Cowger, Jennifer; Romano, Matthew A; Stulak, John; Pagani, Francis D; Aaronson, Keith D

2011-03-01

This review summarizes management strategies to reduce morbidity and mortality in heart failure patients supported chronically with implantable left ventricular assist devices (LVADs). As the population of patients supported with long-term LVADs has grown, patient selection, operative technique, and patient management strategies have been refined, leading to improved outcomes. This review summarizes recent findings on LVAD candidate selection, and discusses outpatient strategies to optimize device performance and heart failure management. It also reviews important device complications that warrant close outpatient monitoring. Managing patients on chronic LVAD support requires regular patient follow-up, multidisciplinary care teams, and frequent laboratory and echocardiographic surveillance to ensure optimal outcomes.

Green knowledge management to support environmental sustainability

International Nuclear Information System (INIS)

Dornhoefer, Mareike-Jessica

2017-01-01

Sustainability, environmental management and green initiatives are topics which gradually developed into trends since the late 1980s, not only in research institutions, but also in public and private organizations. While the usage of energy and other resources are increasing, these organizations search for new possibilities to reduce the economic, ecologic and social burdens and consequences of office and production environments for employees and nature. While certified environmental management systems were established already in the 1990s, green approaches and technologies are only about 10 years old and steadily developing. Decisions about a fitting strategy and the support of suitable measures inside an organization always require knowledge provided for the decision makers. Furthermore it is of importance to record the environmental consequences of the operational business and to not only record data and information, but to create a context and deduce the knowledge for future activities. Based on this situation, the work addresses the main research question of how �classical'' knowledge management might be further developed or transformed into Green Knowledge Management and how it addresses the goals of sustainability, especially ecological sustainability, environmental management and green approaches alike? The definition of Green Knowledge Management consists of five factors, which are discussed systematically, explored conceptually and documented with the help of practical examples. Different knowledge management models and their respective building blocks are analyzed to deduce how knowledge processes might interact with environmental ones as well as green aspects. Also different types of knowledge management systems are analysed for their application possibilities. A planning and decision making tool in form of a three dimensional cube, the ''Green Knowledge Management Cube'' is introduced on a conceptual level and documented

Training to Support Standardization and Improvement of Configuration Management Activities

Energy Technology Data Exchange (ETDEWEB)

Dauber, V.; Scheffer, N.; Schoenfelder, C.

2015-07-01

In recent years AREVA has conducted several measures to enhance the effectiveness and efficiency of configuration management-related activities within a nuclear power plant (NPP) new build as well as modernization projects, thereby further strengthening its commitment to achieving the highest level of safety in nuclear facilities. This paper describes a new training course that shall support the standardization and improvement of configuration management activities. Recommendations will be given that should be considered when designing and developing comparable training programs to support change processes within engineering units. (Author)

Improvement of Information and Analytical Support of Strategic Marketing Management of Confectioneries

Directory of Open Access Journals (Sweden)

Yanevych Mykhaylo M.

2013-12-01

Full Text Available The article develops and offers to introduce a mechanism of information and analytical support of strategic marketing management of confectioneries, which consists of seven components of various hierarchical levels: macro-marketing and micro-marketing environments, trade, infrastructure, consumer, resource and production and organisational components. A confectionery can justify an optimal marketing strategy within this mechanism, due to consideration of the state of external environment and its impact on internal environment with application of strategic management tools. The author identifies direction of influence of external environment components upon key business processes of strategic marketing management, reveals the nature of transformation of main qualitative indicators of marketing management by means of improvement of its information and analytical support and offers to introduce a system of quantitative indicators of its efficiency. The offered scorecard should become the basis of the methodology of assessing efficiency of information and analytical support of strategic marketing management.

ATCA Shelf Manager EPICS device support for ITER CODAC Core System

Energy Technology Data Exchange (ETDEWEB)

Santos, Bruno, E-mail: bsantos@ipfn.ist.utl.pt [Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisboa (Portugal); Carvalho, Paulo F.; Rodrigues, A.P.; Carvalho, Bernardo B.; Sousa, Jorge; Batista, António J.N.; Correia, Miguel; Combo, Álvaro M.; Cruz, Nuno [Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisboa (Portugal); Correia, Carlos M.B.A. [Centro de Instrumentação, Departamento de Física, Universidade de Coimbra, 3004-516 Coimbra (Portugal); Gonçalves, Bruno [Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisboa (Portugal)

2015-10-15

Highlights: • This architecture targets the health management integration into the NDS. • The developed solution supports the ShM redundancy features, specified by ATCA. • The average RTT was around 59 ms and in 99.9% of the cases was less than 130 ms. • Without losing any update cycle, can monitor a system shelf with approximately 400 sensors. • This solution enables the user to configure the entire system in DB files and st.cmd. - Abstract: The ITER CODAC Core System (CCS) is responsible for plant Instrumentation and Control (I&C) supervising and monitoring. This system uses the Enhanced Physics and Industrial Control System (EPICS) Channel Access (CA) protocol as the interface with the Plant Operation Network (PON). This paper presents a generic EPICS device support developed for the integration of the ATCA Shelf Manager (ShM) into the ITER CCS, providing scalability and easy configuration. The device support uses the available HTTP interface on Shelf Manager in the communication layer. Both HTTP server and sensors/actuators definitions can be configured using the EPICS database file and the Input/Output Controller (IOC) initialization file. A proposal based on this device is also presented, targeting the Nominal Device Support (NDS) for health management. The EPICS device support running in an IOC provides Process Variables (PV) to the PON network with the system information and these PVs can be used by all CA clients, such as EPICS user interface clients, alarm systems and archive systems. Operation with redundant ATCA ShMs and device support scalability tests were performed and the results are presented.

Exploring Nurse Manager Support of Evidence-Based Practice: Clinical Nurse Perceptions.

Science.gov (United States)

Caramanica, Laura; Spiva, LeeAnna

2018-05-01

The study identifies what constitutes nurse manager (NM) support and other resources that enable clinical nurses (CNs) to engage in evidence-based practice (EBP). Clinical nurses report that NM support enables them to use EBP but what constitutes NM support is still unclear. Nurse managers, CNs, and EBP mentors received specialized education and use a team approach for EBP. Data were collected preintervention, mid-intervention, and postintervention from observations, interviews, journaling, and surveys. Results demonstrate how NMs can perform their role responsibilities and still engage CNs to develop a spirit of inquiry, seek answers to their clinical questions using EBP, and advance their clinical performance to improve patient outcomes. Four NM supportive behaviors emerged: cultivating a shared EBP vision, ensuring use of EBP, communicating the value of EBP, and providing resources for EBP. Through education and support, NMs describe supportive behaviors necessary for the successful conduction of EBP by CNs.

ELAN - expert system supported information and management system for analytical laboratories

International Nuclear Information System (INIS)

Jaeschke, A.; Orth, H.; Zilly, G.

1990-08-01

The demand for high efficiency and short response time calls for the use of computer support in chemico-analytical laboratories. This is usually achieved by laboratory information and management systems covering the three levels of analytical instrument automation, laboratory operation support and laboratory management. The management component of the systems implemented up to now suffers from a lack of flexibility as far as unforeseen analytical investigations outside the laboratory routine work are concerned. Another drawback is the lack of adaptability with respect to structural changes in laboratory organization. It can be eliminated by the application of expert system structures and methods for the implementation of this system level. The ELAN laboratory information and management system has been developed on the basis of this concept. (orig.) [de

Managers’ Support – A Key Driver behind Enterprise Risk Management Maturity

Directory of Open Access Journals (Sweden)

Sprčić Danijela Miloš

2017-04-01

Full Text Available Severe consequences of the global fi nancial crisis resulted in re-thinking the risk management processes and approaches, highlighting the need for a comprehensive risk management framework. Consequently, more and more companies are moving away from the Traditional “silo-based” Risk Management (TRM to a more holistic approach known as Enterprise Risk Management (ERM. This paper presents results of both exploratory and empirical research. First, we develop ERM Index that measures maturity of ERM process within the company. Then, we present empirical results on the level of maturity and determinants of risk management system development in listed Croatian companies. Research indicates low levels of ERM development: even 38 per cent of analysed companies have no elements of ERM system, from which 22 per cent do not manage corporate risks at all. Except the company’s size supported by the economies of scale argument, managers’ support is the most important determinant of ERM system maturity in Croatian companies.

Is Europe putting theory into practice? A qualitative study of the level of self-management support in chronic care management approaches

NARCIS (Netherlands)

Elissen, A.M.J.; Nolte, E.; Knai, C.; Brunn, M.; Chevreul, K.; Conklin, A.; Durand-Zaleski, I.; Erler, A.; Flamm, M.; Frølich, A.; Fullerton, B.; Jacobsen, R.; Saz-Parkinson, Z.; Sarria-Santamera, A.; Sönnichsen, A.; Vrijhoef, H.J.M.

2013-01-01

Background Self-management support is a key component of effective chronic care management, yet in practice appears to be the least implemented and most challenging. This study explores whether and how self-management support is integrated into chronic care approaches in 13 European countries. In

A THEORETICAL MODEL OF SUPPORTING OPEN SOURCE FRONT END INNOVATION THROUGH IDEA MANAGEMENT

DEFF Research Database (Denmark)

Aagaard, Annabeth

2013-01-01

to overcome these various challenges companies are looking for new models to support FEI. This theoretical paper explores in what way idea management may be applied as a tool in facilitation of front end innovation and how this facilitation may be captured in a conceptual model. First, I show through...... a literature study, how idea management and front end innovation are related and how they may support each other. Secondly, I present a theoretical model of how idea management may be applied in support of the open source front end of new product innovations. Thirdly, I present different venues of further...... exploration of active facilitation of open source front end innovation through idea management....

Strategy generator in computerized accident management support system

International Nuclear Information System (INIS)

Sirola, M.

1994-02-01

An increased interest for research in the field of accident management of nuclear power plants can be noted. Several international programmes have been started in order to be able to understand the basic physical and chemical phenomena in accident conditions. A feasibility study has shown that it would be possible to design and develop a computerized support system for plant staff in accident situations. To achieve this goal the Halden Project has initiated a research programme on Computerized Accident Management Support (CAMS project). The aim is to utilize the capabilities of computerized tools to support the plant staff during the various accident stages. The system will include identification of the accident state, assessment of the future development of the accident and planning of accident mitigation strategies. A prototype is developed to support operators and the Technical Support Centre in decision making during serious accidents in nuclear power plants. A rule based system has been built to take care of the strategy generation. This system assists plant personnel in planning control proposals and mitigation strategies from normal operation to severe accident conditions. The idea of a safety objective tree and knowledge from the emergency procedures have been used. Future prediction requires good state identification of the plant status and some knowledge about the history of some critical variables. The information needs to be validated as well. Accurate calculations in simulators and a large database including all important information from the plant will help the strategy planning. (orig.). (40 refs., 20 figs.)

Untitled

African Journals Online (AJOL)

BW) ..... 2nd Edition. Leslie, H., Frank ... biochemical changes in human and animal ... (2001): Indigenous genetic resources: A Trypanosoma brucei and H. contortus infection sustainable ... Inventory and Management Limited 12 pp. SHAIB, B.

Information Architecture for Quality Management Support in Hospitals.

Science.gov (United States)

Rocha, Álvaro; Freixo, Jorge

2015-10-01

Quality Management occupies a strategic role in organizations, and the adoption of computer tools within an aligned information architecture facilitates the challenge of making more with less, promoting the development of a competitive edge and sustainability. A formal Information Architecture (IA) lends organizations an enhanced knowledge but, above all, favours management. This simplifies the reinvention of processes, the reformulation of procedures, bridging and the cooperation amongst the multiple actors of an organization. In the present investigation work we planned the IA for the Quality Management System (QMS) of a Hospital, which allowed us to develop and implement the QUALITUS (QUALITUS, name of the computer application developed to support Quality Management in a Hospital Unit) computer application. This solution translated itself in significant gains for the Hospital Unit under study, accelerating the quality management process and reducing the tasks, the number of documents, the information to be filled in and information errors, amongst others.

The Roles of Social Support and Health Literacy in Self-Management Among Patients With Chronic Kidney Disease.

Science.gov (United States)

Chen, Yu-Chi; Chang, Li-Chun; Liu, Chieh-Yu; Ho, Ya-Fang; Weng, Shuo-Chun; Tsai, Tzu-I

2018-05-01

To investigate the relationships among social support, health literacy, and self-management, and the factors influencing self-management of chronic kidney disease (CKD). Cross-sectional study. A random sample of 410 patients was recruited from nephrology clinics. Data were collected using structured questionnaires and chart reviews from January 2013 to February 2014. Hierarchical regression analysis was used to determine the predictive factors of self-management behaviors and ∆R 2 to determine each variable's explanatory power. Health literacy and social support were positively correlated with self-management behaviors. Furthermore, social support, health literacy, and marital status were significant predictors of self-management behaviors. Social support had a relatively greater explanatory power for self-management behaviors than did health literacy. Particularly, healthcare provider support had the greatest influence on patients' self-management behaviors. Health literacy and social support play independent positive roles in self-management behaviors of patients with CKD, with social support having a particularly dominant role. Further research using a systems approach to improving self-management behaviors is necessary to clarify the role of social support. Health literacy and social support are independently and positively related to self-management. Social support, which is a system-level factor, is a relatively stronger and crucial predictor than is health literacy. Nurses have to refine self-management programs to focus on families and adopt a systems approach to help CKD patients improve their self-management behaviors. © 2018 Sigma Theta Tau International.

VHA Support Service Center Primary Care Management Module (PCMM)

Data.gov (United States)

Department of Veterans Affairs — The Primary Care Management Module (PCMM) was developed to assist VA facilities in implementing Primary Care. PCMM supports both Primary Care and non-Primary Care...

TOP MANAGEMENT SUPPORT TO CLIMATE CHANGE

OpenAIRE

Siqueira de Morais Neto; Maurício Fernandes Pereira

2014-01-01

The article theme is the Corporate Climate Change and aims to identify whether there is top management support to the companies’ attitudes related to the climate change, with a comparison between two groups of enterprises, “Brazil” and “S&P 500 MZ”, using the Carbon Disclosure Project database. It was used a methodology of a descriptive nature based on secondary data collection, which was done through literature review and the observation of the CDP’s questionnaires. It was observed that 62% ...

CRM AS A SUPPORT FOR KNOWLEDGE MANAGEMENT AND CUSTOMER RELATIONSHIP

Directory of Open Access Journals (Sweden)

Silvana Toriani

2011-05-01

Full Text Available This paper aims to analyze the role of Customer Relationship Management (CRM as a support for Knowledge Management (KM and the Customer Relationship Strategy Definition in an Information Technology (IT Company. This work is based on theories of KM, IT, and Relationship Marketing. Our survey uses a descriptive approach, in which data is gathered by means of content analysis of semi-structured interviews. The study results have shown us that the company implements an effective system for CRM, in which the system users transform data into information and knowledge in order to support decision-making and strategy definition.

Severe accident analysis methodology in support of accident management

International Nuclear Information System (INIS)

Boesmans, B.; Auglaire, M.; Snoeck, J.

1997-01-01

The author addresses the implementation at BELGATOM of a generic severe accident analysis methodology, which is intended to support strategic decisions and to provide quantitative information in support of severe accident management. The analysis methodology is based on a combination of severe accident code calculations, generic phenomenological information (experimental evidence from various test facilities regarding issues beyond present code capabilities) and detailed plant-specific technical information

Emerging models for mobilizing family support for chronic disease management: a structured review.

Science.gov (United States)

Rosland, Ann-Marie; Piette, John D

2010-03-01

We identify recent models for programmes aiming to increase effective family support for chronic illness management and self-care among adult patients without significant physical or cognitive disabilities. We then summarize evidence regarding the efficacy for each model identified. Structured review of studies published in medical and psychology databases from 1990 to the present, reference review, general Web searches and conversations with family intervention experts. Review was limited to studies on conditions that require ongoing self-management, such as diabetes, chronic heart disease and rheumatologic disease. Programmes with three separate foci were identified: (1) Programmes that guide family members in setting goals for supporting patient self-care behaviours have led to improved implementation of family support roles, but have mixed success improving patient outcomes. (2) Programmes that train family in supportive communication techniques, such as prompting patient coping techniques or use of autonomy supportive statements, have successfully improved patient symptom management and health behaviours. (3) Programmes that give families tools and infrastructure to assist in monitoring clinical symptoms and medications are being conducted, with no evidence to date on their impact on patient outcomes. The next generation of programmes to improve family support for chronic disease management incorporate a variety of strategies. Future research can define optimal clinical situations for family support programmes, the most effective combinations of support strategies, and how best to integrate family support programmes into comprehensive models of chronic disease care.

ALGORITHMIC support for THE System Wide Information Management concept

OpenAIRE

2016-01-01

The theoretical problems of computer support for the "System Wide Information Management" concept, which was proposed by experts of the International Civil Aviation Organization, are discussed. Within the framework of its provisions certain new requirements for all initial stages of air traffic management preceding the direct aircrafts control are formulated. Algorithmic instruments for ensuring a conflictlessness of a summary plan for the use of airspace during the plan’s implementation are ...

The Model of Information Support for Management of Investment Attractiveness of Machine-Building Enterprises

Directory of Open Access Journals (Sweden)

Chernetska Olga V.

2016-11-01

Full Text Available The article discloses the content of the definition of “information support”, identifies basic approaches to the interpretation of this economic category. The main purpose of information support for management of enterprise investment attractiveness is determined. The key components of information support for management of enterprise investment attractiveness are studied. The main types of automated information systems for management of the investment attractiveness of enterprises are identified and characterized. The basic computer programs for assessing the level of investment attractiveness of enterprises are considered. A model of information support for management of investment attractiveness of machine-building enterprises is developed.

Diabetes self management training and psychological support weekends

DEFF Research Database (Denmark)

Smeesters, Hannah; Skinner, Chas; Martin, Jo

2007-01-01

A lack of knowledge in diabetes self management skills, such as insulin administration, glucose testing and diet, have been identified in a high percentage of adults with the condition ever since insulin treatment was first introduced (Watkins et al, 1967; Murata et al, 2003). Adult support weeke...

Trust management support for context-aware service platforms

NARCIS (Netherlands)

Neisse, R.; Wegdam, M.; van Sinderen, Marten J.; Aldini, A.; Bogliolo, A.

High quality context information retrieved from trustworthy context providers allows a more reliable context-aware service adaption but also implies a higher risk for the service users in case of privacy violations. In this chapter we present a trust management model that support users and providers

Schizophrenia, violence, and case management: being supportive and overwhelmed.

Science.gov (United States)

Rice, Elizabeth I

2009-01-01

The aim of this study is to understand the experiences of case managers as they delivered care to women who were diagnosed with schizophrenia and live with histories of violence. Interpretive phenomenology. Providers valued their relationships with women, yet felt overwhelmed and frustrated with aspects of the case management role. Case managers at times blamed women for the violence in their lives and lacked clarity with regard to their role assisting women in recovery. The violence and poverty that is common for these women is a key factor that increased providers' alienation and confusion as to their role in the provision of care. The educational and supportive needs of case managers must be addressed to uphold recovery-oriented services.

Etiology, diagnosis, and clinical management of vulvodynia

Directory of Open Access Journals (Sweden)

Sadownik LA

2014-05-01

Full Text Available Leslie A Sadownik University of British Columbia, Department of Obstetrics and Gynecology, Vancouver, BC, Canada Abstract: Chronic vulvar pain or discomfort for which no obvious etiology can be found, ie, vulvodynia, can affect up to 16% of women. It may affect girls and women across all age groups and ethnicities. Vulvodynia is a significant burden to society, the health care system, the affected woman, and her intimate partner. The etiology is multifactorial and may involve local injury or inflammation, and peripheral and or central sensitization of the nervous system. An approach to the diagnosis and management of a woman presenting with chronic vulvar pain should address the biological, psychological, and social/interpersonal factors that contribute to her illness. The gynecologist has a key role in excluding other causes for vulvar pain, screening for psychosexual and pelvic floor dysfunction, and collaborating with other health care providers to manage a woman's pain. An important component of treatment is patient education regarding the pathogenesis of the pain and the negative impact of experiencing pain on a woman's overall quality of life. An individualized, holistic, and often multidisciplinary approach is needed to effectively manage the woman's pain and pain-related distress. Keywords: vulvodynia, diagnosis, treatment, etiology, sexual pain disorder, dyspareunia, vestibulodynia, assessment, treatment, multidisciplinary

Nuclear Waste Management Decision-Making Support with MCDA

Directory of Open Access Journals (Sweden)

A. Schwenk-Ferrero

2017-01-01

Full Text Available The paper proposes a multicriteria decision analysis (MCDA framework for a comparative evaluation of nuclear waste management strategies taking into account different local perspectives (expert and stakeholder opinions. Of note, a novel approach is taken using a multiple-criteria formulation that is methodologically adapted to tackle various conflicting criteria and a large number of expert/stakeholder groups involved in the decision-making process. The purpose is to develop a framework and to show its application to qualitative comparison and ranking of options in a hypothetical case of three waste management alternatives: interim storage at and/or away from the reactor site for the next 100 years, interim decay storage followed in midterm by disposal in a national repository, and disposal in a multinational repository. Additionally, major aspects of a decision-making aid are identified and discussed in separate paper sections dedicated to application context, decision supporting process, in particular problem structuring, objective hierarchy, performance evaluation modeling, sensitivity/robustness analyses, and interpretation of results (practical impact. The aim of the paper is to demonstrate the application of the MCDA framework developed to a generic hypothetical case and indicate how MCDA could support a decision on nuclear waste management policies in a “small” newcomer country embarking on nuclear technology in the future.

The Effects of Types of Training Evaluation on Support of Training among Corporate Managers.

Science.gov (United States)

Kusy, Mitchell E., Jr.

A study was conducted to determine which type of training evaluation method elicited the most management support of the training function among corporate managers. The investigator designed and distributed a case study survey instrument called the Training Evaluation Methods Survey (TEMS) to assess the extent of management support for each type of…

Management of Information Supporting Collaborative Networks

Science.gov (United States)

Afsarmanesh, Hamideh; Camarinha-Matos, Luis M.

Dynamic creation of opportunity-based goal-oriented Collaborative Networks (CNs), among organizations or individuals, requires the availability of a variety of up-to-date information. In order to effectively address the complexity, dynamism, and scalability of actors, domains, and operations in opportunity-based CNs, pre-establishment of properly administrated strategic CNs is required. Namely, to effectively support creation/operation of opportunity-based VOs (Virtual Organizations) operating in certain domain, the pre-establishment of a VBE (Virtual organizations Breeding Environment) for that domain plays a crucial role and increases their chances of success. Administration of strategic CN environments however is challenging and requires an advanced set of inter-related functionalities, developed on top of strong management of their information. With the emphasis on information management aspects, a number of generic challenges for the CNs and especially for the administration of VBEs are introduced in the paper.

Planning the future of JPL's management and administrative support systems around an integrated database

Science.gov (United States)

Ebersole, M. M.

1983-01-01

JPL's management and administrative support systems have been developed piece meal and without consistency in design approach over the past twenty years. These systems are now proving to be inadequate to support effective management of tasks and administration of the Laboratory. New approaches are needed. Modern database management technology has the potential for providing the foundation for more effective administrative tools for JPL managers and administrators. Plans for upgrading JPL's management and administrative systems over a six year period evolving around the development of an integrated management and administrative data base are discussed.

Development, content validity, and piloting of an instrument designed to measure managers' attitude toward workplace breastfeeding support.

Science.gov (United States)

Chow, Tan; Wolfe, Edward W; Olson, Beth H

2012-07-01

Manager attitude is influential in female employees' perceptions of workplace breastfeeding support. Currently, no instrument is available to assess manager attitude toward supporting women who wish to combine breastfeeding with work. We developed and piloted an instrument to measure manager attitudes toward workplace breastfeeding support entitled the "Managers' Attitude Toward Breastfeeding Support Questionnaire," an instrument that measures four constructs using 60 items that are rated agree/disagree on a 4-point Likert rating scale. We established the content validity of the Managers' Attitude Toward Breastfeeding Support Questionnaire measures through expert content review (n=22), expert assessment of item fit (n=11), and cognitive interviews (n=8). Data were collected from a purposive sample of 185 front-line managers who had experience supervising female employees, and responses were scaled using the Multidimensional Random Coefficients Multinomial Logit Model. Dimensionality analyses supported the proposed four-construct model. Reliability ranged from 0.75 to 0.86, and correlations between the constructs were moderately strong (0.47 to 0.71). Four items in two constructs exhibited model-to-data misfit and/or a low score-measure correlation. One item was revised and the other three items were retained in the Managers' Attitude Toward Breastfeeding Support Questionnaire. Findings of this study suggest that the Managers' Attitude Toward Breastfeeding Support Questionnaire measures are reliable and valid indicators of manager attitude toward workplace breastfeeding support, and future research should be conducted to establish external validity. The Managers' Attitude Toward Breastfeeding Support Questionnaire could be used to collect data in a standardized manner within and across companies to measure and compare manager attitudes toward supporting breastfeeding. Organizations can subsequently develop targeted strategies to improve support for breastfeeding

“There is nothing better than a theory”: A few remarks on the theoretical practice of contemporary avantgarde women writers (Lyn Hejinian, Leslie Scalapino, Carla Harryman

Directory of Open Access Journals (Sweden)

Małgorzata Myk

2013-01-01

Full Text Available The essay discusses theoretical practices of three major Americanexperimental women writers associated with L=A=N=G=U=A=G=E poets LynHejinian, Leslie Scalapino, and Carla Harryman, who played a crucial role in shapingthe present-day critical and theoretical literary debate regarding the status of formallyradical literature engaged in questions of feminist epistemology and written bywomen. Devoted to language and its ideological dimension, their work is based ona wager that poetic practice is a socially engaged strategy of intervention (Harryman,and as such functions as a language-oriented feminist epistemology. Hejinian,Scalapino, and Harryman created a significant literary and theoretical body of workthat includes complex genre-bending hybrid texts deeply rooted in contemporaryfeminist discourses and preoccupied with such issues as production of knowledge,meaning, identity, gender, and sexuality, hidden ideological mechanismsof the conventional narrative, and the imperative of its constant refiguration.The article is also an attempt to see their work in a broader context of feministthought, ranging from écriture féminine, through Judith Butler’s and Denise Riley’scritiques of identity politics, to the posthumanist horizon of Donna Haraway’scyborg writing.

76 FR 58277 - Animal Generic Drug User Fee Act; Public Meeting; Request for Comments

Science.gov (United States)

2011-09-20

... support for lower-cost alternatives to brand drugs for consumers. Under AGDUFA, FDA agreed to meet review... Parklawn Dr., Element Bldg., Rockville, MD 20857. Dated: September 13, 2011. Leslie Kux, Acting Assistant...

Patient factors that influence clinicians' decision making in self-management support : A clinical vignette study

NARCIS (Netherlands)

Bos-Touwen, Irene D.; Trappenburg, Jaap C A; Van Der Wulp, Ineke; Schuurmans, Marieke J.; De Wit, Niek J.

2017-01-01

BACKGROUND AND AIM: Self-management support is an integral part of current chronic care guidelines. The success of self-management interventions varies between individual patients, suggesting a need for tailored self-management support. Understanding the role of patient factors in the current

Management control of support services : Organizational embeddedness and non-strategic IT

NARCIS (Netherlands)

Lau, La E.; Laan, van der M.; Speklé, R.F.; Kruis, A.

2012-01-01

This chapter provides evidence on the factors that influence the design of the control arrangements that govern support services. Specifically, we study sourcing decisions of non-strategic information technology (IT) support services. While the popular management literature suggests to outsource

CRM as a support for knowledge management and customer

OpenAIRE

Toriani, Silvana; Angeloni, Maria Terezinha

2011-01-01

This paper aims to analyze the role of Customer Relationship Management (CRM) as a support for Knowledge Management (KM) and the Customer Relationship Strategy Definition in an Information Technology (IT) Company. This work is based on theories of KM, IT, and Relationship Marketing. Our survey uses a descriptive approach, in which data is gathered by means of content analysis of semi-structured interviews. The study results have shown us that the company implements an effective system for CRM...

Online decision support system for surface irrigation management

Science.gov (United States)

Wang, Wenchao; Cui, Yuanlai

2017-04-01

Irrigation has played an important role in agricultural production. Irrigation decision support system is developed for irrigation water management, which can raise irrigation efficiency with few added engineering services. An online irrigation decision support system (OIDSS), in consist of in-field sensors and central computer system, is designed for surface irrigation management in large irrigation district. Many functions have acquired in OIDSS, such as data acquisition and detection, real-time irrigation forecast, water allocation decision and irrigation information management. The OIDSS contains four parts: Data acquisition terminals, Web server, Client browser and Communication system. Data acquisition terminals are designed to measure paddy water level, soil water content in dry land, ponds water level, underground water level, and canals water level. A web server is responsible for collecting meteorological data, weather forecast data, the real-time field data, and manager's feedback data. Water allocation decisions are made in the web server. Client browser is responsible for friendly displaying, interacting with managers, and collecting managers' irrigation intention. Communication system includes internet and the GPRS network used by monitoring stations. The OIDSS's model is based on water balance approach for both lowland paddy and upland crops. Considering basic database of different crops water demands in the whole growth stages and irrigation system engineering information, the OIDSS can make efficient decision of water allocation with the help of real-time field water detection and weather forecast. This system uses technical methods to reduce requirements of user's specialized knowledge and can also take user's managerial experience into account. As the system is developed by the Browser/Server model, it is possible to make full use of the internet resources, to facilitate users at any place where internet exists. The OIDSS has been applied in

Gender sensitive education in watershed management to support environmental friendly city

Science.gov (United States)

Asteria, D.; Budidarmono; Herdiansyah, H.; Ni’mah, N. L.

2018-03-01

This study is about gender-sensitive perspective in watershed management education program as one of capacity building for citizens in watershed management with community-based strategy to support environmental friendly cities and security for women from flood disasters. Involving women and increasing women’s active participation in sustainable watershed management is essential in urban area. In global warming and climate change situations, city management should be integrated between social aspect and environmental planning. This study used mix method (concurrent embedded type, with quantitative as primary method) with research type is descriptive-explanatory. The result of this study is education strategies with gender approaches and affirmative action through emancipation approach and local knowledge from women’s experiences can increase women’s participation. Women’s empowerment efforts need integrated intervention and collaboration from government, NGO, and other stakeholders to optimize women’s role in watershed management for support environmental friendly city. The implication of this study is an educational strategy on watershed conservation with gender perspective to offer social engineering alternatives for decision makers to policy of sustainable watershed management in urban area related to flood mitigation efforts.

Supply chain management of laboratory supportive services and its ...

African Journals Online (AJOL)

Supply chain management of laboratory supportive services and its potential implications on the quality of HIV diagnostic services in Tanzania. ... Results: A total of 39 health facilities (HF) were included in the study. This included 23 public ...

PREFER: a European service providing forest fire management support products

Science.gov (United States)

Eftychidis, George; Laneve, Giovanni; Ferrucci, Fabrizio; Sebastian Lopez, Ana; Lourenco, Louciano; Clandillon, Stephen; Tampellini, Lucia; Hirn, Barbara; Diagourtas, Dimitris; Leventakis, George

2015-06-01

PREFER is a Copernicus project of the EC-FP7 program which aims developing spatial information products that may support fire prevention and burned areas restoration decisions and establish a relevant web-based regional service for making these products available to fire management stakeholders. The service focuses to the Mediterranean region, where fire risk is high and damages from wildfires are quite important, and develop its products for pilot areas located in Spain, Portugal, Italy, France and Greece. PREFER aims to allow fire managers to have access to online resources, which shall facilitate fire prevention measures, fire hazard and risk assessment, estimation of fire impact and damages caused by wildfire as well as support monitoring of post-fire regeneration and vegetation recovery. It makes use of a variety of products delivered by space borne sensors and develop seasonal and daily products using multi-payload, multi-scale and multi-temporal analysis of EO data. The PREFER Service portfolio consists of two main suite of products. The first refers to mapping products for supporting decisions concerning the Preparedness/Prevention Phase (ISP Service). The service delivers Fuel, Hazard and Fire risk maps for this purpose. Furthermore the PREFER portfolio includes Post-fire vegetation recovery, burn scar maps, damage severity and 3D fire damage assessment products in order to support relative assessments required in context of the Recovery/Reconstruction Phase (ISR Service) of fire management.

Development of a Prototype Web-Based Decision Support System for Watershed Management

Directory of Open Access Journals (Sweden)

Dejian Zhang

2015-02-01

Full Text Available Using distributed hydrological models to evaluate the effectiveness of reducing non-point source pollution by applying best management practices (BMPs is an important support to decision making for watershed management. However, complex interfaces and time-consuming simulations of the models have largely hindered the applications of these models. We designed and developed a prototype web-based decision support system for watershed management (DSS-WMRJ, which is user friendly and supports quasi-real-time decision making. DSS-WMRJ is based on integrating an open-source Web-based Geographical Information Systems (Web GIS tool (Geoserver, a modeling component (SWAT, Soil and Water Assessment Tool, a cloud computing platform (Hadoop and other open source components and libraries. In addition, a private cloud is used in an innovative manner to parallelize model simulations, which are time consuming and computationally costly. Then, the prototype DSS-WMRJ was tested with a case study. Successful implementation and testing of the prototype DSS-WMRJ lay a good foundation to develop DSS-WMRJ into a fully-fledged tool for watershed management. DSS-WMRJ can be easily customized for use in other watersheds and is valuable for constructing other environmental decision support systems, because of its performance, flexibility, scalability and economy.

Nutrition support team management of enterally fed patients in a community hospital is cost-beneficial.

Science.gov (United States)

Hassell, J T; Games, A D; Shaffer, B; Harkins, L E

1994-09-01

To determine whether nutrition support team (NST) management of enterally fed patients is cost-beneficial and to compare primary outcomes of care between team and nonteam management. A quasi-experimental study was conducted over a 7-month period. A 400-bed community hospital. A convenience sample of 136 subjects who had received enteral nutrition support for at least 24 hours. Forty-two patients died; only their mortality data were used. Ninety-six patients completed the study. Outcomes, including cost, for enterally fed patients in two treatment groups--those managed by the nutrition support team and those managed by nonteam staff--were compared. Severity of illness level was determined for patients managed by the nutrition support team and those managed by nonteam staff. For each group, the following measures were adjusted to reflect a significant difference in average severity of illness and then compared: length of hospital stay, readmission rates, and mortality rates. Complication rates between the groups were also compared. The cost benefit was determined based on savings from the reduction in adjusted length of hospital stay. Parametric and nonparametric statistics were used to evaluate outcomes between the two groups. Differences were statistically significant for both severity of illness, which was at a higher level in the nutrition support team group (P group (P team-managed group, there was a 23% reduction in adjusted mortality rate, an 11.6% reduction in the adjusted length of hospital stay, and a 43% reduction in adjusted readmission rate. Cost-benefit analysis revealed that for every $1 invested in nutrition support team management, a benefit of $4.20 was realized. Financial and humanitarian benefits are associated with nutrition support team management of enterally fed hospitalized patients.

Leadership support for ward managers in acute mental health inpatient settings.

Science.gov (United States)

Bonner, Gwen; McLaughlin, Sue

2014-05-01

This article shares findings of work undertaken with a group of mental health ward managers to consider their roles through workshops using an action learning approach. The tensions between the need to balance the burden of administrative tasks and act as clinical role models, leaders and managers are considered in the context of providing recovery-focused services. The group reviewed their leadership styles, broke down the administrative elements of their roles using activity logs, reviewed their working environments and considered how recovery focused they believed their wards to be. Findings support the notion that the ward manager role in acute inpatient settings is at times unmanageable. Administration is one aspect of the role for which ward managers feel unprepared and the high number of administrative tasks take them away from front line clinical care, leading to frustration. Absence from clinical areas reduces opportunities for role modeling good clinical practice to other staff. Despite the frustrations of administrative tasks, overall the managers thought they were supportive to their staff and that their wards were recovery focused.

Simplified risk model support for environmental management integration

International Nuclear Information System (INIS)

Eide, S.A.; Jones, J.L.; Wierman, T.E.

1998-01-01

This paper summarizes the process and results of human health risk assessments of the US Department of Energy (DOE) complex-wide programs for high-level waste, transuranic waste, low-level, mixed low-level waste, and spent nuclear fuel. The DOE baseline programs and alternatives for these five material types were characterized by disposition maps (material flow diagrams) and supporting information in the May 1997 report 'A Contractor Report to the Department of Energy on Environmental Baseline Programs and Integration Opportunities' (Discussion Draft). Risk analyses were performed using the Simplified Risk Model (SRM), developed to support DOE Environmental Management Integration studies. The SRM risk analyses consistently and comprehensively cover the life cycle programs for the five material types, from initial storage through final disposition. Risk results are presented at several levels: DOE complex-wide, material type program, individual DOE sites, and DOE site activities. The detailed risk results are documented in the February 1998 report 'Human Health Risk Comparisons for Environmental Management Baseline Programs and Integration Opportunities' (Discussion Draft)

Marketing Decision Making and Decision Support: Challenges and Perspectives for Successful Marketing Management Support Systems

NARCIS (Netherlands)

G.H. van Bruggen (Gerrit); B. Wierenga (Berend)

2009-01-01

textabstractMarketing management support systems (MMSS) are computer-enabled devices that help marketers to make better decisions. Marketing processes can be quite complex, involving large numbers of variables and mostly outcomes are the results of the actions of many different stakeholders (e.g.,

A generic accounting model to support operations management decisions

NARCIS (Netherlands)

Verdaasdonk, P.J.A.; Wouters, M.J.F.

2001-01-01

Information systems are generally unable to generate information about the financial consequences of operations management decisions. This is because the procedures for determining the relevant accounting information for decision support are not formalised in ways that can be implemented in

Real time traffic models, decision support for traffic management

NARCIS (Netherlands)

Wismans, Luc Johannes Josephus; de Romph, E.; Friso, K.; Zantema, K.

2014-01-01

Reliable and accurate short-term traffic state prediction can improve the performance of real-time traffic management systems significantly. Using this short-time prediction based on current measurements delivered by advanced surveillance systems will support decision-making processes on various

Real Time Traffic Models, Decision Support for Traffic Management

NARCIS (Netherlands)

Wismans, L.; De Romph, E.; Friso, K.; Zantema, K.

2014-01-01

Reliable and accurate short-term traffic state prediction can improve the performance of real-time traffic management systems significantly. Using this short-time prediction based on current measurements delivered by advanced surveillance systems will support decision-making processes on various

An Analysis of Air Force Management of Turbine Engine Monitoring Systems (TEMS).

Science.gov (United States)

1980-06-01

Without their candid insights, this study could not have been completed. The guidance and patience of our thesis chairman, Major Leslie Zambo , whose...its own problems and looking at own piece of the pie . 2. No integration/standardization between TEMS programs. 3. Need better organizational

Science support within the South African National Parks adaptive management framework

Directory of Open Access Journals (Sweden)

Judith M. Kruger

2011-05-01

Conservation implications: The importance of functional support structures in science and conservation management is frequently undervalued in a system where emphasis is placed on scientific products. In order to promote research and facilitate analysis, sound data management practices are essential to integrating knowledge into an organisation’s institutional memory.

NASA UAV Airborne Science Capabilities in Support of Water Resource Management

Science.gov (United States)

Fladeland, Matthew

2015-01-01

This workshop presentation focuses on potential uses of unmanned aircraft observations in support of water resource management and agriculture. The presentation will provide an overview of NASA Airborne Science capabilities with an emphasis on past UAV missions to provide context on accomplishments as well as technical challenges. I will also focus on recent NASA Ames efforts to assist in irrigation management and invasive species management using airborne and satellite datasets.

Diabetes self-management support for patients with low health literacy: Perceptions of patients and providers.

Science.gov (United States)

Fransen, Mirjam P; Beune, Erik J A J; Baim-Lance, Abigail M; Bruessing, Raynold C; Essink-Bot, Marie-Louise

2015-05-01

The aim of the present study was to explore perceptions and strategies of health care providers regarding diabetes self-management support for patients with low health literacy (LHL), and to compare their self-management support with the needs of patients with LHL and type 2 diabetes. This study serves as a problem analysis for systematic intervention development to improve diabetes self-management among patients with LHL. This qualitative study used in-depth interviews with general practitioners (n = 4), nurse practitioners (n = 5), and patients with LHL (n = 31). The results of the interviews with health care providers guided the patient interviews. In addition, we observed 10 general practice consultations. Providers described patients with LHL as uninvolved and less motivated patients who do not understand self-management. Their main strategy to improve self-management was to provide standard information on a repeated basis. Patients with LHL seemed to have a different view of diabetes self-management than their providers. Most demonstrated a low awareness of what self-management involves, but did not express needing more information. They reported several practical barriers to self-management, although they seemed reluctant to use the information provided to overcome them. Providing and repeating information does not fit the needs of patients with LHL regarding diabetes self-management support. Health care providers do not seem to have the insight or the tools to systematically support diabetes self-management in this group. Systematic intervention development with a focus on skills-based approaches rather than cognition development may improve diabetes self-management support of patients with LHL. © 2014 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

Effective management of changes: methodological and instrumental support

Directory of Open Access Journals (Sweden)

G. S. Merzlikina

2017-01-01

instrumental support for the successful implementation of management decisions of the change management model.

Nutritional support management in premature infant in a Mexican (Guanajuato) hospital.

OpenAIRE

Monroy-Torres, R.; Mendoza Hernández, A. N.; Ruiz González, S. R.

2012-01-01

Introduction: Premature infant has special nutritional and physiological recommendations. Nutritional support promotes an appropriate weight gain. While this support is monitored according to international guidelines, the metabolic and infectious complicationscan be reduced and prevented.Objective: To describe the management of nutritional support in premature infant in a Mexican (Guana juato) hospital.Methods: A descriptive cross-sectional study, where a survey of 22 questions was applied by...

Senior management support in the new product development process

NARCIS (Netherlands)

Gomes, J.F.; Gomes, Jorge; de Weerd-Nederhof, Petronella C.; Pearson, Alan; Fisscher, O.A.M.

2001-01-01

This paper studies the relationship between senior management support to new product development activities by means of a quantitative and qualitative analysis of questionnaire and interview data collected in the United Kingdom and the Netherlands. The quantitative analysis showed that there is a

Challenges and Needs for Support in Managing Occupational Health and Safety from Managers’ Viewpoints

Directory of Open Access Journals (Sweden)

Sari Tappura

2014-09-01

Full Text Available Proper working conditions and successful occupational health and safety (OHS management help organizations achieve their targets and support the quality of working life and performance. Work-related stress, conflicts, work ability issues, ill health, and other challenging OHS situations in the workplace may impede the well-being and productivity of employees. According to OHS legislation, employers are responsible for managing risks and solving problems in the work community. Challenging situations can be viewed from the perspective of efficiency, since their economic effects may be remarkable. The objective of this study is to describe the challenging OHS situations managers encounter and the support they require in these situations. The results are based on thematic interviews and inquiries with top, middle, and front-line managers in three Finnish public sector service organizations. The most challenging OHS management situations are related to the administration of work under high economic pressure and constant changes in the work community, managing employee workload and time pressures, providing feedback, facilitating collaboration, and managing conflict. The managers’ own understandings, competences, and resources, as well as organizational supports, have an effect on successful resolutions of challenging OHS management situations.

Don't Trust a Management Metric, Especially in Life Support

Science.gov (United States)

Jones, Harry W.

2014-01-01

Goodhart's law states that metrics do not work. Metrics become distorted when used and they deflect effort away from more important goals. These well-known and unavoidable problems occurred when the closure and system mass metrics were used to manage life support research. The intent of life support research should be to develop flyable, operable, reliable systems, not merely to increase life support system closure or to reduce its total mass. It would be better to design life support systems to meet the anticipated mission requirements and user needs. Substituting the metrics of closure and total mass for these goals seems to have led life support research to solve the wrong problems.

Chronic condition self-management support for Aboriginal people: Adapting tools and training.

Science.gov (United States)

Battersby, Malcolm; Lawn, Sharon; Kowanko, Inge; Bertossa, Sue; Trowbridge, Coral; Liddicoat, Raylene

2018-04-22

Chronic conditions are major health problems for Australian Aboriginal people. Self-management programs can improve health outcomes. However, few health workers are skilled in self-management support and existing programs are not always appropriate in Australian Aboriginal contexts. The goal was to increase the capacity of the Australian health workforce to support Australian Aboriginal people to self-manage their chronic conditions by adapting the Flinders Program of chronic condition self-management support for Australian Aboriginal clients and develop and deliver training for health professionals to implement the program. Feedback from health professionals highlighted that the Flinders Program assessment and care planning tools needed to be adapted to suit Australian Aboriginal contexts. Through consultation with Australian Aboriginal Elders and other experts, the tools were condensed into an illustrated booklet called 'My Health Story'. Associated training courses and resources focusing on cultural safety and effective engagement were developed. A total of 825 health professionals  across Australia was trained and 61 people qualified as accredited trainers in the program, ensuring sustainability. The capacity and skills of the Australian health workforce to engage with and support Australian Aboriginal people to self-manage their chronic health problems significantly increased as a result of this project. The adapted tools and training were popular and appreciated by the health care organisations, health professionals and clients involved. The adapted tools have widespread appeal for cultures that do not have Western models of health care and where there are health literacy challenges. My Health Story has already been used internationally. © 2018 National Rural Health Alliance Ltd.

Long-Term Condition Self-Management Support in Online Communities: A Meta-Synthesis of Qualitative Papers

Science.gov (United States)

Vassilev, Ivaylo; Kennedy, Anne; Rogers, Anne

2016-01-01

Background Recent years have seen an exponential increase in people with long-term conditions using the Internet for information and support. Prior research has examined support for long-term condition self-management through the provision of illness, everyday, and emotional work in the context of traditional offline communities. However, less is known about how communities hosted in digital spaces contribute through the creation of social ties and the mobilization of an online illness “workforce.” Objective The aim was to understand the negotiation of long-term condition illness work in patient online communities and how such work may assist the self-management of long-term conditions in daily life. Methods A systematic search of qualitative papers was undertaken using various online databases for articles published since 2004. A total of 21 papers met the inclusion criteria of using qualitative methods and examined the use of peer-led online communities for those with a long-term condition. A qualitative meta-synthesis was undertaken and the review followed a line of argument synthesis. Results The main themes identified in relation to the negotiation of self-management support were (1) redressing offline experiential information and knowledge deficits, (2) the influence of modeling and learning behaviors from others on self-management, (3) engagement that validates illness and negates offline frustrations, (4) tie formation and community building, (5) narrative expression and cathartic release, and (6) dissociative anonymity and invisibility. These translated into a line of argument synthesis in which four network mechanisms for self-management support in patient online communities were identified. These were (1) collective knowledge and identification through lived experience; (2) support, information, and engagement through readily accessible gifting relationships; (3) sociability that extends beyond illness; and (4) online disinhibition as a facilitator

Public sector's research programme on spent fuel management in Finland supporting the authorities

International Nuclear Information System (INIS)

Vuori, S.; Rasilainen, K.

2000-01-01

A multiphase research program launched in 1989 to support Finnish authorities in their activities concerning spent fuel management is reviewed. The Finnish program for spent fuel management has so far managed to keep its original time schedule at least partly due to clearly defined responsibilities between the nuclear energy producing industry and the authorities. It appears that the public sector's research programme has been successful in its supporting role, because authorities have had good possibilities to adjust the emphasis and volume of the research programme from the very beginning. (author)

Management of design support for nuclear plant modifications

International Nuclear Information System (INIS)

Doyle, F.W.

1991-01-01

The paper will present an overview of the Ontario Hydro organization and processes for providing design support to the operating nuclear power plants. Examples of design support for Pickering GS will be highlighted. The process is described from identification of projects through the design, procurement, construction, commissioning and in-service phases. The practices for managing engineering deliverables are discussed in the context of how these integrate into the overall change control process. The interaction of Engineering with Operations, Construction, Supply and the regulatory bodies is discussed both for major retro-fit programs and for ongoing design support to the nuclear power plants. Recent experiences during the 1990 Pickering Station Outage and during the Unit 3 fuel channel replacement program are highlighted and an integrated 5 year plan for upgrading the safety related systems for the Pickering Nuclear Power Plant is presented. (author)

A comparison of the legal frameworks supporting water management in Europe and China.

Science.gov (United States)

Yang, X; Griffiths, I M

2010-01-01

This paper has compared the legal frameworks supporting water management in Europe and China, with special focus on integrated river basin management (IRBM) to identify synergies and opportunities in policymaking and implementation. The research shows that China has committed to the efficient management of water resources through various policy tools during the current period. This commitment, however, has often been interrupted and distorted by politics, resulting in the neglect of socioeconomic and environmental priorities. The European legal framework supporting water management underwent a complex and lengthy development, but with the adoption of the Water Framework Directive provides a policy model on which to develop an integrated and sustainable approach to river basin management, elements of which may help to meet the demands of the emerging 21st century Chinese society on these critical natural resources.

An integrative literature review to examine the provision of self-management support following transient ischaemic attack.

Science.gov (United States)

Kessler, Dorothy; Liddy, Clare

2017-11-01

To identify the types of self-management support that have been provided to persons with transient ischaemic attack and the evidence for the effectiveness of these programmes. Self-management is a key element for the effective management of chronic conditions. For persons with transient ischaemic attack, secondary stroke prevention is a recognised standard of care. Best practice guidelines indicate that persons who have experienced transient ischaemic attack should be supported to develop self-management skills. However, it is not clear how best to support the development of these skills. An integrative literature review was conducted. A search was conducted using Medline, Embase, HealthSTAR, CINAHL and PsycINFO. Published quantitative and qualitative studies, abstracts or dissertations describing the provision, experience or outcomes of self-management interventions for people with transient ischaemic attack, and published in English before March 2016, were included. Articles were selected and rated separately by two reviewers. The American Academy for Cerebral Palsy and Developmental Medicine Level of Evidence and Conduct Rating tools were used for rating. Interventions were described and compared, and evidence was presented using the traffic lighting system. Sixteen interventions representing a variety of group- and individual-based interventions were identified. Interventions differed in target population, content, structure, duration and outcomes. Only four interventions were specifically designed for persons with transient ischaemic attack. While evidence to support self-management interventions is promising, there is limited evidence to support any one intervention. However, one good-quality randomised controlled trial supports the provision of a group self-management programme for improving blood pressure control. There are numerous interventions to support self-management by persons with transient ischaemic attack. More research is needed to determine

A Knowledge Management and Decision Support Model for Enterprises

Directory of Open Access Journals (Sweden)

Patrizia Ribino

2011-01-01

Full Text Available We propose a novel knowledge management system (KMS for enterprises. Our system exploits two different approaches for knowledge representation and reasoning: a document-based approach based on data-driven creation of a semantic space and an ontology-based model. Furthermore, we provide an expert system capable of supporting the enterprise decisional processes and a semantic engine which performs intelligent search on the enterprise knowledge bases. The decision support process exploits the Bayesian networks model to improve business planning process when performed under uncertainty.

South African Journal of Surgery - Vol 43, No 1 (2005)

African Journals Online (AJOL)

Blunt injury of the infrarenal inferior vena cava — imaging and conservative management · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Ian C Duncan, Basil J Sher, Leslie M Fingleson, 20-21 ...

A Reminiscence

Science.gov (United States)

Gobind Khorana, H.

1997-12-01

Leslie Orgel and Francis Crick with Gobind Khorana in Madison, Wisconsin (December 1965). I first met Leslie at the Endicott House (MIT) in February 1964. Leslie was then spending a period of time at MIT and the occasion was a party for him. During our conversation, Leslie talked about starting some experimental work. He seemed to be particularly interested in polyphosphates and the chemical activation of small molecules (building blocks). Shortly after his move to the Salk Institute in the Fall of 1964 I visited him in January 1965. He already had a lab going. I remember meeting Jim Ferris, in particular, and John Sulston sometime later. That particular time was exciting for my research as well. We had the first results on the Genetic Code using the chemical-biochemical approach that my lab had developed. Francis Crick was also at the Salk Institute during the time of my visit. Both Leslie and Francis were very excited by my results and they began to ask a lot of questions and gave me a whole lot of suggestions about further experiments. In fact, my thinking and planning of things that we were doing were so scrutinized and clarified during these discussions that, it seemed to me, my own group had only to turn out all the experiments that were needed. These interactions with Francis and Leslie continued intensively throughout that year and later. In fact, both Leslie and Francis accepted my invitation to Madison in December 1965 for more discussions. Since those early days of the Salk Institute, I have made numerous visits over the years to Leslie and his research group. It has always been very exciting to learn about the many discoveries bearing on chemical evolution that have unfolded from Leslie's research group. In addition, I have always benefitted from the insightful comments that Leslie invariably provided on my own research. I look forward to our continued interactions and friendship in the future. Leslie, A Happy Birthday!

Software development to support decommissioning and waste management strategic planning

International Nuclear Information System (INIS)

Williams, John; Warneford, Ian; Harrison, J.

1997-01-01

One of the components of the UKAEA's mission is to care for and, at the appropriate time, safely dismantle its radioactive facilities which are no longer in use. To assist in the development of an optimised strategy, AEA Technology was commissioned to produce decision support software. This paper describes the background to the development of the software, its key features and current status, and the lessons learnt during the development. The software, known as UKAEA SPS (Strategic Planning System), is a unique support software package that has been developed to assist in the planning of decommissioning and radioactive waste management. SPS models linked decommissioning and waste management strategies covering all of UKAEA's nuclear liabilities. It has been developed around the database package ACCESS, and runs on Pentium PCs; however, it has many of the features of project planning systems. Its principal outputs are costs, timings and utilisation data for the waste stores, processing facilities, transport and disposal operations displayed at any level of aggregation. This allows programme managers to see easily the effects of changing key parameters in a strategy under development. (author)

An environmental scan of policies in support of chronic disease self-management in Canada.

Science.gov (United States)

Liddy, C; Mill, K

2014-02-01

The evidence supporting chronic disease self-management warrants further attention. Our aim was to identify existing policies, strategies and frameworks that support self-management initiatives. This descriptive study was conducted as an environmental scan, consisting of an Internet search of government and other publicly available websites, and interviews with jurisdictional representatives identified through the Health Council of Canada and academic networking. We interviewed 16 representatives from all provinces and territories in Canada and found 30 publicly available and relevant provincial and national documents. Most provinces and territories have policies that incorporate aspects of chronic disease self-management. Alberta and British Columbia have the most detailed policies. Both feature primary care prominently and are not disease specific. Both also have provincial level implementation of chronic disease self-management programming. Canada's northern territories all lacked specific policies supporting chronic disease self-management despite a significant burden of disease. Engaging patients in self-management of their chronic diseases is important and effective. Although most provinces and territories have policies that incorporate aspects of chronic disease self-management, they were often embedded within other initiatives and/or policy documents framed around specific diseases or populations. This approach could limit the potential reach and effect of self-management.

Computer Support for Knowledge Management within R&D and the Teaching of Bachelor Students

Directory of Open Access Journals (Sweden)

Stefan Svetsky

2013-01-01

Full Text Available Abstract—Knowledge plays a key role within research, development and education. One of the major challenges for knowledge management is to select the right knowledge from numerous sources, including know - how of individuals, and to transform it into useful, practicable knowledge. The focus should always be on supporting strategic organisational goals. In this context, from the organisation’s strategic point of view, it is very important to link an institutional knowledge management system with the knowledge management systems of individuals. This paper presents personalised IT - support for knowledge management within industrial R&D and especially for teaching and learning. The support is based on the use of a long term developed in - house software that enables individuals (managers and teachers to process and manage knowledge on their desktop computers in a user friendly way. Within the implementation of “Technology - enhanced learning” at the Faculty of Materials Science and Technology, a pre - programmed work environment called BIKE (Batch Information and Knowledge Editor was developed. However, this desktop environment works also as a teacher’s personalized knowledge management system. It is programmed by the lead author of this paper who is a teacher; therefore the outcomes into teaching bachelor students are implemented directly into the classroom. The paper also presents how such IT - support complements, at a personalized level, the existing organizational knowledge management tool known as the university’s Academic Information System. Some examples from teaching are presented, communication channels (teacher - student forums were also mentioned as a part of the teacher’s knowledge management personalised system. In this case, the BIKE environment is demonstrated as an alternative to learning management systems based on the so called WEB 2.0 technologies.

Enteral nutritional support management in a university teaching hospital: team vs nonteam.

Science.gov (United States)

Brown, R O; Carlson, S D; Cowan, G S; Powers, D A; Luther, R W

1987-01-01

Current hospital cost containment pressures have prompted a critical evaluation of whether nutritional support teams render more clinically effective and efficient patient care than nonteam management. To address this question with regard to enteral feeding, 102 consecutive hospitalized patients who required enteral nutritional support (ENS) by tube feeding during a 3 1/2-month period were prospectively studied. Fifty patients were managed by a nutritional support team; the other 52 were managed by their primary physicians. Choice of enteral formula, formula modifications, frequency of laboratory tests, and amounts of energy and protein received were recorded daily. In addition, each patient was monitored for pulmonary, mechanical, gastrointestinal, and metabolic abnormalities. Team-managed (T) and nonteam-managed (NT) patients received ENS for 632 and 398 days, respectively. The average time period for ENS was significantly longer in the team-managed patients (12.6 +/- 12.1 days vs 7.7 +/- 6.2 days, p less than 0.01). Significantly more of the team patients attained 1.2 X basal energy expenditure (BEE) (37 vs 26, p less than 0.05). Total number of abnormalities in each group was similar (T = 398, NT = 390); however, the abnormalities per day were significantly lower in the team group (T = 0.63 vs NT = 0.98, p less than 0.01). Mechanical (T = 0.05 vs NT = 0.11, p less than 0.01), gastrointestinal (T = 0.99 vs NT = 0.14, p less than 0.05), and metabolic (T = 0.49 vs NT = 0.72, p less than 0.01) abnormalities per day all were significantly lower in the team-managed patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Managing knowledge in technical and scientific support organizations

International Nuclear Information System (INIS)

Beraha, D.; Goetz, K.; Puhr-Westerheide. P.

2007-01-01

Full text: In an introduction, the issues in knowledge management regarding licensing and supervision authorities as well as technical and scientific support organisations (TSO's) will be discussed. Although in general many of these issues are quite similar across organizations in the nuclear field, specific questions arise according to the knowledge management policies in regulation and supervision, as will be demonstrated by discussing the results of a recent workshop on human resource management in regulation and safety. With the need for managing knowledge in regulation and safety, a further field of supporting authorities has been opened to TSO's. As a prerequisite, a good knowledge on knowledge management methods and tools has to be acquired by a TSO, preferably by installing an own knowledge management system, thus gaining the indispensable practical experience. Driven by the ongoing demographic change, some TSO's have started early with the implementation of knowledge management practices in their own organizations. Three examples will be presented in the paper concerning knowledge management in safety and regulation, illustrating the efforts undertaken at GRS, the BMU (German Federal Ministry of Environment, Nature Preservation and Reactor Safety), and the TUV-SUD. At GRS, knowledge management started by specifying the goals of maintaining knowledge, particularly of retiring experts, and transferring this knowledge to the next generation. In addition, the knowledge management methods should become an integral part of every day's work, thus ensuring the sustainability of the effort. Initially, a basis for handling and distributing information and documents was provided by setting up a portal with integrated document management capabilities. In a next step, work was concentrated on the core business process, namely project work. This has been achieved by providing an own portal site for each project where all information pertinent to the project such as

An Integrated Web-based Decision Support System in Disaster Risk Management

Science.gov (United States)

Aye, Z. C.; Jaboyedoff, M.; Derron, M. H.

2012-04-01

Nowadays, web based decision support systems (DSS) play an essential role in disaster risk management because of their supporting abilities which help the decision makers to improve their performances and make better decisions without needing to solve complex problems while reducing human resources and time. Since the decision making process is one of the main factors which highly influence the damages and losses of society, it is extremely important to make right decisions at right time by combining available risk information with advanced web technology of Geographic Information System (GIS) and Decision Support System (DSS). This paper presents an integrated web-based decision support system (DSS) of how to use risk information in risk management efficiently and effectively while highlighting the importance of a decision support system in the field of risk reduction. Beyond the conventional systems, it provides the users to define their own strategies starting from risk identification to the risk reduction, which leads to an integrated approach in risk management. In addition, it also considers the complexity of changing environment from different perspectives and sectors with diverse stakeholders' involvement in the development process. The aim of this platform is to contribute a part towards the natural hazards and geosciences society by developing an open-source web platform where the users can analyze risk profiles and make decisions by performing cost benefit analysis, Environmental Impact Assessment (EIA) and Strategic Environmental Assessment (SEA) with the support of others tools and resources provided. There are different access rights to the system depending on the user profiles and their responsibilities. The system is still under development and the current version provides maps viewing, basic GIS functionality, assessment of important infrastructures (e.g. bridge, hospital, etc.) affected by landslides and visualization of the impact

Impact of configuration management system of computer center on support of scientific projects throughout their lifecycle

International Nuclear Information System (INIS)

Bogdanov, A.V.; Yuzhanin, N.V.; Zolotarev, V.I.; Ezhakova, T.R.

2017-01-01

In this article the problem of scientific projects support throughout their lifecycle in the computer center is considered in every aspect of support. Configuration Management system plays a connecting role in processes related to the provision and support of services of a computer center. In view of strong integration of IT infrastructure components with the use of virtualization, control of infrastructure becomes even more critical to the support of research projects, which means higher requirements for the Configuration Management system. For every aspect of research projects support, the influence of the Configuration Management system is reviewed and development of the corresponding elements of the system is described in the present paper.

Autonomy support and control in weight management: what important others do and say matters.

Science.gov (United States)

Ng, Johan Y Y; Ntoumanis, Nikos; Thøgersen-Ntoumani, Cecilie

2014-09-01

Drawing from self-determination theory (Ryan & Deci, 2002, Overview of self-determination theory: An organismic-dialectical perspective. In E. L. Deci & R. M. Ryan (Eds.), Handbook of self-determination research (pp. 3-33). Rochester, NY: The University of Rochester Press.), we examined how individuals' psychological needs, motivation, and behaviours (i.e., physical activity and eating) associated with weight management could be predicted by perceptions of their important others' supportive and controlling behaviours. Using a cross-sectional survey design, 235 participants (mean age = 27.39 years, SD = 8.96 years) completed an online questionnaire. Statistical analyses showed that when important others were perceived to be more supportive, participants reported higher levels of more optimal forms of motivation for weight management, which in turn predicted more physical activity and healthy eating behaviours. In contrast, when important others were perceived to be controlling, participants reported higher levels of less optimal forms of motivation, which in turn predicted less physical activity and healthy eating behaviours, as well as more unhealthy eating behaviours. Significant indirect effects were also found from perceived support and control from important others to physical activity and eating behaviours, all in the expected directions. The findings support the importance of important others providing support and refraining from controlling behaviours in order to facilitate motivation and behaviours conducive to successful weight management. What is already known on this subject? Autonomy support is related to basic need satisfaction and autonomous motivation in the context of weight management. In turn, these variables are related to adaptive outcomes for weight management. What does this study add? Measurement of perceived controlling behaviours by important others. Measurement of perceived need thwarting. Structural model on how important others affect

Strategies for self-management support by patients with stroke: integrative review

Directory of Open Access Journals (Sweden)

Huana Carolina Cândido Morais

2015-02-01

Full Text Available OBJECTIVE To analyze strategies for self-management support by patients with stroke in the light of the methodology of the five A's (ask, advice, assess, assist and arrange. METHODS Integrative review conducted at the following databases CINAHL, SCOPUS, PubMed, Cochrane and LILACS. RESULTS A total of 43 studies published between 2000 and 2013 comprised the study sample. All proposed actions in the five A's methodology and others were included. We highlight the Assist and Arrange, in which we added actions, especially with regard to the use of technological resources and joint monitoring between patients, families and professionals. No study included all five A's, which suggests that the actions of supported self-management are developed in a fragmented way. CONCLUSION The use of five A's strategy provides guidelines for better management of patients with stroke with lower cost and higher effectiveness.

Conflict management style, supportive work environments and the experience of work stress in emergency nurses.

Science.gov (United States)

Johansen, Mary L; Cadmus, Edna

2016-03-01

To examine the conflict management style that emergency department (ED) nurses use to resolve conflict and to determine whether their style of managing conflict and a supportive work environment affects their experience of work stress. Conflict is a common stressor that is encountered as nurses strive to achieve patient satisfaction goals while delivering quality care. How a nurse perceives support may impact work stress levels and how they deal with conflict. A correlational design examined the relationship between supportive work environment, and conflict management style and work stress in a sample of 222 ED nurses using the expanded nurse work stress scale; the survey of perceived organisational support; and the Rahim organisational conflict inventory-II. Twenty seven percent of nurses reported elevated levels of work stress. A supportive work environment and avoidant conflict management style were significant predictors of work stress. Findings suggest that ED nurses' perception of a supportive work environment and their approach to resolving conflict may be related to their experience of work stress. Providing opportunities for ED nurses in skills training in constructive conflict resolution may help to reduce work stress and to improve the quality of patient care. © 2015 John Wiley & Sons Ltd.

Data Management Standards in Computer-aided Acquisition and Logistic Support (CALS)

Science.gov (United States)

Jefferson, David K.

1990-01-01

Viewgraphs and discussion on data management standards in computer-aided acquisition and logistic support (CALS) are presented. CALS is intended to reduce cost, increase quality, and improve timeliness of weapon system acquisition and support by greatly improving the flow of technical information. The phase 2 standards, industrial environment, are discussed. The information resource dictionary system (IRDS) is described.

Governance in support of integrated flood risk management? The case of Romania

NARCIS (Netherlands)

Vinke-de Kruijf, Joanne; Kuks, Stefanus M.M.; Augustijn, Dionysius C.M.

2015-01-01

Building on an existing model of governance, this paper aims to assess the supportiveness of Romania׳s structural flood risk governance context towards integrated flood risk management. We assert that a governance structure supports the development and implementation of integrated flood risk

CRM AS A SUPPORT FOR KNOWLEDGE MANAGEMENT AND CUSTOMER RELATIONSHIP

OpenAIRE

Silvana Toriani; Maria Terezinha Angeloni

2011-01-01

This paper aims to analyze the role of Customer Relationship Management (CRM) as a support for Knowledge Management (KM) and the Customer Relationship Strategy Definition in an Information Technology (IT) Company. This work is based on theories of KM, IT, and Relationship Marketing. Our survey uses a descriptive approach, in which data is gathered by means of content analysis of semi-structured interviews. The study results have shown us that the company implements an effective system for CRM...

An Exploratory Study Investigating How and Why Managers Use Tablets to Support Managerial Decision-Making

Directory of Open Access Journals (Sweden)

Meng Xiao

2017-11-01

Full Text Available Managers are often mobile and a large proportion of their work is dealing with decisions. Although many managers currently use tablet computers in their work, there is little research on the use of tablets for managerial decision-support. This exploratory study aims to investigate the ways in which managers use tablets to support their decision-making and the reasons why they do so. Using Task-Technology Fit theory, semi-structured interviews were conducted with 20 managers, 17 of whom used tablets for their work-related decision-making. The study reveals managers’ tablet usage patterns in terms of location, tablet applications, decision activities and types. This study has also found that a range of tablet characteristics and decision-task characteristics affect managers’ use of tablets to support decision-making at work. This exploratory study contributes to both academia and industry by providing evidence on the tablet decision-support area, and affording organisations, tablet vendors and tablet application developers informative findings for further improvement in the provision of tablet-based decision support.

Space Station Freedom - Configuration management approach to supporting concurrent engineering and total quality management. [for NASA Space Station Freedom Program

Science.gov (United States)

Gavert, Raymond B.

1990-01-01

Some experiences of NASA configuration management in providing concurrent engineering support to the Space Station Freedom program for the achievement of life cycle benefits and total quality are discussed. Three change decision experiences involving tracing requirements and automated information systems of the electrical power system are described. The potential benefits of concurrent engineering and total quality management include improved operational effectiveness, reduced logistics and support requirements, prevention of schedule slippages, and life cycle cost savings. It is shown how configuration management can influence the benefits attained through disciplined approaches and innovations that compel consideration of all the technical elements of engineering and quality factors that apply to the program development, transition to operations and in operations. Configuration management experiences involving the Space Station program's tiered management structure, the work package contractors, international partners, and the participating NASA centers are discussed.

Operationalizing Surveillance of Chronic Disease Self-Management and Self-Management Support.

Science.gov (United States)

Brady, Teresa J; Sacks, Jeffrey J; Terrillion, Albert J; Colligan, Erin M

2018-04-05

Sixty percent of US adults have at least one chronic condition, and more than 40% have multiple conditions. Self-management (SM) by the individual, along with self-management support (SMS) by others, are nonpharmacological interventions with few side effects that are critical to optimal chronic disease control. Ruiz and colleagues laid the conceptual groundwork for surveillance of SM/SMS at 5 socio-ecological levels (individual, health system, community, policy, and media). We extend that work by proposing operationalized indicators at each socio-ecologic level and suggest that the indicators be embedded in existing surveillance systems at national, state, and local levels. Without a robust measurement system at the population level, we will not know how far we have to go or how far we have come in making SM and SMS a reality. The data can also be used to facilitate planning and service delivery strategies, monitor temporal changes, and stimulate SM/SMS-related research.

Managing Sustainability with the Support of Business Intelligence Methods and Tools

Science.gov (United States)

Petrini, Maira; Pozzebon, Marlei

In this paper we explore the role of business intelligence (BI) in helping to support the management of sustainability in contemporary firms. The concepts of sustainability and corporate social responsibility (CSR) are among the most important themes to have emerged in the last decade at the global level. We suggest that BI methods and tools have an important but not yet well studied role to play in helping organizations implement and monitor sustainable and socially responsible business practices. Using grounded theory, the main contribution of our study is to propose a conceptual model that seeks to support the process of definition and monitoring of socio-environmental indicators and the relationship between their management and business strategy.

Impact of configuration management system of computer center on support of scientific projects throughout their lifecycle

Science.gov (United States)

Bogdanov, A. V.; Iuzhanin, N. V.; Zolotarev, V. I.; Ezhakova, T. R.

2017-12-01

In this article the problem of scientific projects support throughout their lifecycle in the computer center is considered in every aspect of support. Configuration Management system plays a connecting role in processes related to the provision and support of services of a computer center. In view of strong integration of IT infrastructure components with the use of virtualization, control of infrastructure becomes even more critical to the support of research projects, which means higher requirements for the Configuration Management system. For every aspect of research projects support, the influence of the Configuration Management system is being reviewed and development of the corresponding elements of the system is being described in the present paper.

It Systems Supporting the Management of Production Capacity

Science.gov (United States)

Milewska, Elżbieta

2017-03-01

The paper presents the problem of manufacturing process flexibility in view of a company's material and information flow stream management. The author of the article has described the functions of a production process control system and presented the characteristics of production capacity intensive and extensive reserves. The MRP II/ERP, MES and APS class IT tools supporting the process of production planning, organization and control have also been discussed.

IT SYSTEMS SUPPORTING THE MANAGEMENT OF PRODUCTION CAPACITY

OpenAIRE

Elżbieta MILEWSKA

2017-01-01

The paper presents the problem of manufacturing process flexibility in view of a company’s material and information flow stream management. The author of the article has described the functions of a production process control system and presented the characteristics of production capacity intensive and extensive reserves. The MRP II/ERP, MES and APS class IT tools supporting the process of production planning, organization and control have also been discussed.

Applications of Satellite Data to Support Improvements in Irrigation and Groundwater Management in California

Science.gov (United States)

Melton, F. S.; Huntington, J. L.; Johnson, L.; Guzman, A.; Morton, C.; Zaragoza, I.; Dexter, J.; Rosevelt, C.; Michaelis, A.; Nemani, R. R.; Cahn, M.; Temesgen, B.; Trezza, R.; Frame, K.; Eching, S.; Grimm, R.; Hall, M.

2017-12-01

In agricultural regions around the world, threats to water supplies from drought and groundwater depletion are driving increased demand for tools to advance agricultural water use efficiency and support sustainable groundwater management. Satellite mapping of evapotranspiration (ET) from irrigated agricultural lands can provide agricultural producers and water resource managers with information that can be used to both optimize ag water use and improve estimates of groundwater withdrawals for irrigation. We describe the development of two remote sensing-based tools for ET mapping in California, including important lessons in terms of system design, partnership development, and transition to operations. For irrigation management, the integration of satellite data and surface sensor networks to provide timely delivery of information on crop water requirements can make irrigation scheduling more practical, convenient, and accurate. Developed through a partnership between NASA and the CA Department of Water Resources, the Satellite Irrigation Management Support (SIMS) framework integrates satellite data with information from agricultural weather networks to map crop canopy development and crop water requirements at the scale of individual fields. Information is distributed to agricultural producers and water managers via a web-based interface and web data services. SIMS also provides an API that facilitates integration with other irrigation decision support tools, such as CropManage and IrriQuest. Field trials using these integrated tools have shown that they can be used to sustain yields while improving water use efficiency and nutrient management. For sustainable groundwater management, the combination of satellite-derived estimates of ET and data on surface water deliveries for irrigation can increase the accuracy of estimates of groundwater pumping. We are developing an OpenET platform to facilitate access to ET data from multiple models and accelerate operational

Development of the decision make supporting system on incident management

International Nuclear Information System (INIS)

Kasamatsu, Mizuki; Hanada, Satoshi; Noda, Eisuke

2017-01-01

Decision Make Supporting System is designed to support appropriate decision made by top management in the nuclear severe conditions. With crisis response in nuclear power plant (NPP), information entanglement between sites and control centers during intense situations interfere with prompt and accurate decision making. This research started with that kind of background. In order to solve the issue of the information entanglement, Mitsubishi Heavy Industries, Inc. (MHI) carried out the development of the Decision Make Supporting System and the system applies the technology combining the human factors engineering (HFE) and information and communication technology (ICT). During the crisis response, various commands, reactions and communications in a human system need to be managed. Therefore, the combined HFE method including detailed task analysis, user experience (UX), graphic user interface (GUI) and related human-system interface (HSI) design method is applied to the design of the system. These design results systematize the functions that prevent interference with decision-making in the headquarters for incident management. This new solution as a system enhances the safety improvement of the NPP and contributes to develop the skills and abilities of the resources in the NPP. The system has three key features for supporting emergency situations: 'understanding the situation', 'planning the next action', and 'managing resources'. The system helps commanders and responders to grasp the whole situation and allows them to share information in real time to get a whole picture, and the system accumulates the data of the past events in the chronological order to understand correctly how they happened and plan the next action by using a knowledge database that MHI has been developed. If the unexpected event happens which are not in the incident scenario, the system provides support to formulate alternative strategies and measures. With this

Review of current status for designing severe accident management support system

Energy Technology Data Exchange (ETDEWEB)

Jeong, Kwang Sub

2000-05-01

The development of operator support system (OSS) is ongoing in many other countries due to the complexity both in design and in operation for nuclear power plant. The computerized operator support system includes monitoring of some critical parameters, early detection of plant transient, monitoring of component status, plant maintenance, and safety parameter display, and the operator support system for these areas are developed and are being used in some plants. Up to now, the most operator support system covers the normal operation, abnormal operation, and emergency operation. Recently, however, the operator support system for severe accident is to be developed in some countries. The study for the phenomena of severe accident is not performed sufficiently, but, based on the result up to now, the operator support system even for severe accident will be developed in this study. To do this, at first, the current status of the operator support system for normal/abnormal/emergency operation is reviewed, and the positive aspects and negative aspects of systems are analyzed by their characteristics. And also, the major items that should be considered in designing the severe accident operator support system are derived from the review. With the survey of domestic and foreign operator support systems, they are reviewed in terms of the safety parameter display system, decision-making support system, and procedure-tracking system. For the severe accident, the severe accident management guideline (SAMG) which is developed by Westinghouse is reviewed; the characteristics, structure, and logical flow of SAMG are studied. In addition, the critical parameters for severe accident, which are the basis for operators decision-making in severe accident management and are supplied to the operators and the technical support center, are reviewed, too.

Review of current status for designing severe accident management support system

International Nuclear Information System (INIS)

Jeong, Kwang Sub

2000-05-01

The development of operator support system (OSS) is ongoing in many other countries due to the complexity both in design and in operation for nuclear power plant. The computerized operator support system includes monitoring of some critical parameters, early detection of plant transient, monitoring of component status, plant maintenance, and safety parameter display, and the operator support system for these areas are developed and are being used in some plants. Up to now, the most operator support system covers the normal operation, abnormal operation, and emergency operation. Recently, however, the operator support system for severe accident is to be developed in some countries. The study for the phenomena of severe accident is not performed sufficiently, but, based on the result up to now, the operator support system even for severe accident will be developed in this study. To do this, at first, the current status of the operator support system for normal/abnormal/emergency operation is reviewed, and the positive aspects and negative aspects of systems are analyzed by their characteristics. And also, the major items that should be considered in designing the severe accident operator support system are derived from the review. With the survey of domestic and foreign operator support systems, they are reviewed in terms of the safety parameter display system, decision-making support system, and procedure-tracking system. For the severe accident, the severe accident management guideline (SAMG) which is developed by Westinghouse is reviewed; the characteristics, structure, and logical flow of SAMG are studied. In addition, the critical parameters for severe accident, which are the basis for operators decision-making in severe accident management and are supplied to the operators and the technical support center, are reviewed, too

Risk and uncertainty in the structure of management decision support

International Nuclear Information System (INIS)

Valeca, Serban Constantin

2002-01-01

The monograph is structured into five chapters addressing the following subject matters: 1 - The risk descriptor implied by the power systems with nuclear injection; 1.1 - Concepts and operators for describing the nuclear power risk; 1.2 - Risk approach in a holistic conception; 2 - Modelling the risk in the frame of re-engineering concept; 2.1 - Defining and interpreting the power re-engineering; 2.2 - Managerial re-engineering of power production systems; 3 - Informatics system of managing the power objectives with nuclear injection; 3.1 - Informatics systems for risk at the level of CANDU - 600 nuclear plant; 3.2. - Expert function structure applicable to the management of power objectives with nuclear injection; 4 - Assisting support in the operation of nuclear facilities; 4.1 - Assisting support system for nuclear plant operation; 4.2 - Program products for dedicated drivers; 5 - The management decision activities at the level of power systems with nuclear injection; 5.1 - Preliminaries in making power decision; 5.2 - Applications of decision models of sustainable power systems with nuclear injection; 5.3 - Re-engineering of power decision in the frame of maximal utility theory. The successful application of re-engineering concept is based on knowledge and managing capacity of design leadership and its ability of dealing the error generating sources. The main stages of implementing successfully the re-engineering are: - Replacing the pollution processes instead of adjusting measures; - Raising the designer responsibility by radical innovation of processes' architecture; - Re-designing the processes by basic changes at the level of the management functions and structures; - Raising the personnel professionalism by motivation as optimal way of improving the workers mentalities; - Accurate definition of objectives in the frame of re-engineering program; - Application of re-engineering in industrial units starting from the management level; - Selecting as general

Experiences of peer support in self-management interventions among people with ischemic heart disease

DEFF Research Database (Denmark)

Enggaard, Helle; Uhrenfeldt, Lisbeth

2016-01-01

Review question/objective: The objective of this review is to identify, appraise and synthesize the best available evidence regarding people with ischemic heart disease and their experiences with peer support in self-management interventions. More specifically, the review question is: How do people...... with ischemic heart disease experience peer support in structured self-management interventions led or co-led by peers?...

Knowledge-Centric Technical Support Organization (TSO) Using Process Oriented Knowledge Management Approach

International Nuclear Information System (INIS)

Mohamad Safuan Sulaiman; Siti Nurbahyah Hamdan; Mohd Dzul Aiman Aslan

2014-01-01

In the United States of America, Process Oriented Knowledge Management (POKM) Model has been successfully implemented in most of Nuclear Power Plants. This approach has been introduced in Nuclear Knowledge Management program by the IAEA since 2011. Malaysia has involved in the IAEA Coordinated Research Project (CRP) focusing the approach started in 2011. The main objective for Malaysian participation of this project is to support readiness in terms of nuclear technical knowledge by Technical Support Organization (TSO) for Nuclear Power Program. This project has focused on several nuclear technical areas which consist of Public Information (PI), Radiological Impact Assessment (RIA), Nuclear Reactor Technology (NRT), Plant and Prototype Development (PDC) and nuclear knowledge management. This paper articulates the detail POKM approach and project experience in implementing the approach at organizational level. (author)

Toward patient-centered, personalized and personal decision support and knowledge management: a survey.

Science.gov (United States)

Leong, T-Y

2012-01-01

This paper summarizes the recent trends and highlights the challenges and opportunities in decision support and knowledge management for patient-centered, personalized, and personal health care. The discussions are based on a broad survey of related references, focusing on the most recent publications. Major advances are examined in the areas of i) shared decision making paradigms, ii) continuity of care infrastructures and architectures, iii) human factors and system design approaches, iv) knowledge management innovations, and v) practical deployment and change considerations. Many important initiatives, projects, and plans with promising results have been identified. The common themes focus on supporting the individual patients who are playing an increasing central role in their own care decision processes. New collaborative decision making paradigms and information infrastructures are required to ensure effective continuity of care. Human factors and usability are crucial for the successful development and deployment of the relevant systems, tools, and aids. Advances in personalized medicine can be achieved through integrating genomic, phenotypic and other biological, individual, and population level information, and gaining useful insights from building and analyzing biological and other models at multiple levels of abstraction. Therefore, new Information and Communication Technologies and evaluation approaches are needed to effectively manage the scale and complexity of biomedical and health information, and adapt to the changing nature of clinical decision support. Recent research in decision support and knowledge management combines heterogeneous information and personal data to provide cost-effective, calibrated, personalized support in shared decision making at the point of care. Current and emerging efforts concentrate on developing or extending conventional paradigms, techniques, systems, and architectures for the new predictive, preemptive, and

Fuselet Authoring, Execution, and Management in Support of Global Strike Operations

National Research Council Canada - National Science Library

Haglich, Peter

2008-01-01

...) report, "Information Management to Support the Warrior." A fuselet is a configurable, reusable transformation component, designed to enable shared business processes across organizational and community of interest boundaries...

PROBLEMS OF INFORMATION AND ANALYTICAL SUPPORT OF CONTEMPORARY STRATEGIC MANAGEMENT

Directory of Open Access Journals (Sweden)

M. A. Rodionov

2014-01-01

Full Text Available The problematic aspects have been considered with regard to the information and analytical support of a strategic decision making in the modern management. The role and place are clarified in relation to a process of elaboration and making a management decision in strategic planning. The existing approaches are analyzed regarding the estimating of regularities in the course and outcome of strategic processes. The strategic forecasting matters have been studied as well as a decision maker`s attitude to the risks.

A Multi-criterial Decision Support System for Forest Management

Science.gov (United States)

Donald Nute; Geneho Kim; Walter D. Potter; Mark J. Twery; H. Michael Rauscher; Scott Thomasma; Deborah Bennett; Peter Kollasch

1999-01-01

We describe a research project that has as its goal development of a full-featured decision support system for managing forested land to satisfy multiple criteria represented as timber, wildlife, water, ecological, and wildlife objectives. The decision process proposed for what was originally conceived of as a Northeast Decision Model (NED) includes data acquisition,...

Value Creation through IT-supported Knowledge Management? The Utilisation of a Knowledge Management System in a Global Consulting Company

Directory of Open Access Journals (Sweden)

Karlheinz Kautz

2003-01-01

Full Text Available Although many consulting companies have introduced IT-supported knowledge-management systems, and proponents of the literature continue to advocate knowledge management as a key to competitive advantage in consultancies, many knowledge management systems have fallen short of expectation in companies that have adopted them. However, empirical studies regarding the performance implications of these systems are missing. This paper reports such an empirical, explorative study identifying the extent as well as impediments of the utilization of an IT-supported knowledge management system in a large, global consulting company. The main findings are that the majority of the IT users are not familiar with the knowledge management framework of the company; still the knowledge management system is used by 3/4 of all respondents, but mainly to search for general information, much less to participate in competence networks to develop shared knowledge assets. The knowledge management system is not used as the primary repository and communication media for knowledge assets. The limited use is explained by the practitioners as being caused by lack of time and their perception of the system as a slow and poorly structured technical infrastructure. These and other findings are discussed with regard to the current understanding of knowledge management as presented by the literature, and important issues with regard to future research integrating individual, organisational, technical and economical perspectives of knowledge management are raised.

Intelligent Decision Support and Big Data for Logistics and Supply Chain Management

DEFF Research Database (Denmark)

Voss, Stefan; Sebastian, Hans-Jürgen; Pahl, Julia

2017-01-01

Intelligent Decision Support and Big Data for Logistics and Supply Chain Management” features theoretical developments, real-world applications and information systems related to solving decision problems in logistics and supply chain management. Methods include optimization, heuristics, metaheur......Intelligent Decision Support and Big Data for Logistics and Supply Chain Management” features theoretical developments, real-world applications and information systems related to solving decision problems in logistics and supply chain management. Methods include optimization, heuristics......, metaheuristics and matheuristics, simulation, agent technologies, and descriptive methods. In a sense, we were and are representing the future of logistics over the years....

How to Support Forest Management in a World of Change: Results of Some Regional Studies

Science.gov (United States)

Fürst, C.; Lorz, C.; Vacik, H.; Potocic, N.; Makeschin, F.

2010-12-01

This article presents results of several studies in Middle, Eastern and Southeastern Europe on needs and application areas, desirable attributes and marketing potentials of forest management support tools. By comparing present and future application areas, a trend from sectoral planning towards landscape planning and integration of multiple stakeholder needs is emerging. In terms of conflicts, where management support tools might provide benefit, no clear tendencies were found, neither on local nor on regional level. In contrast, on national and European levels, support of the implementation of laws, directives, and regulations was found to be of highest importance. Following the user-requirements analysis, electronic tools supporting communication are preferred against paper-based instruments. The users identified most important attributes of optimized management support tools: (i) a broad accessibility for all users at any time should be guaranteed, (ii) the possibility to integrate iteratively experiences from case studies and from regional experts into the knowledge base (learning system) should be given, and (iii) a self-explanatory user interface is demanded, which is also suitable for users rather inexperienced with electronic tools. However, a market potential analysis revealed that the willingness to pay for management tools is very limited, although the participants specified realistic ranges of maximal amounts of money, which would be invested if the products were suitable and payment inevitable. To bridge the discrepancy between unwillingness to pay and the need to use management support tools, optimized financing or cooperation models between practice and science must be found.

Diabetes self-management support for patients with low health literacy: Perceptions of patients and providers

NARCIS (Netherlands)

Fransen, Mirjam P.; Beune, Erik J. A. J.; Baim-Lance, Abigail M.; Bruessing, Raynold C.; Essink-Bot, Marie-Louise

2015-01-01

The aim of the present study was to explore perceptions and strategies of health care providers regarding diabetes self-management support for patients with low health literacy (LHL), and to compare their self-management support with the needs of patients with LHL and type 2 diabetes. This study

Supporting Facility Management Processes through End-Users’ Integration and Coordinated BIM-GIS Technologies

Directory of Open Access Journals (Sweden)

Claudio Mirarchi

2018-05-01

Full Text Available The integration of facility management and building information modelling (BIM is an innovative and critical undertaking process to support facility maintenance and management. Even though recent research has proposed various methods and performed an increasing number of case studies, there are still issues of communication processes to be addressed. This paper presents a theoretical framework for digital systems integration of virtual models and smart technologies. Based on the comprehensive analysis of existing technologies for indoor localization, a new workflow is defined and designed, and it is utilized in a practical case study to test the model performance. In the new workflow, a facility management supporting platform is proposed and characterized, featuring indoor positioning systems to allow end users to send geo-referenced reports to central virtual models. In addition, system requirements, information technology (IT architecture and application procedures are presented. Results show that the integration of end users in the maintenance processes through smart and easy tools can overcome the existing limits of barcode systems and building management systems for failure localization. The proposed framework offers several advantages. First, it allows the identification of every element of an asset including wide physical building elements (walls, floors, etc. without requiring a prior mapping. Second, the entire cycle of maintenance activities is managed through a unique integrated system including the territorial dimension. Third, data are collected in a standard structure for future uses. Furthermore, the integration of the process in a centralized BIM-GIS (geographical information system information management system admit a scalable representation of the information supporting facility management processes in terms of assets and supply chain management and monitoring from a spatial perspective.

Decision Support for Environmental Management of Industrial ...

Science.gov (United States)

Non-hazardous solid materials from industrial processes, once regarded as waste and disposed in landfills, offer numerous environmental and economic advantages when put to beneficial uses (BUs). Proper management of these industrial non-hazardous secondary materials (INSM) requires estimates of their probable environmental impacts among disposal as well as BU options. The U.S. Environmental Protection Agency (EPA) has recently approved new analytical methods (EPA Methods 1313–1316) to assess leachability of constituents of potential concern in these materials. These new methods are more realistic for many disposal and BU options than historical methods, such as the toxicity characteristic leaching protocol. Experimental data from these new methods are used to parameterize a chemical fate and transport (F&T) model to simulate long-term environmental releases from flue gas desulfurization gypsum (FGDG) when disposed of in an industrial landfill or beneficially used as an agricultural soil amendment. The F&T model is also coupled with optimization algorithms, the Beneficial Use Decision Support System (BUDSS), under development by EPA to enhance INSM management. The objective of this paper is to demonstrate the methodologies and encourage similar applications to improve environmental management and BUs of INSM through F&T simulation coupled with optimization, using realistic model parameterization.

Green knowledge management to support environmental sustainability; Green knowledge management zur Unterstuetzung oekologischer Nachhaltigkeit

Energy Technology Data Exchange (ETDEWEB)

Dornhoefer, Mareike-Jessica

2017-01-24

Sustainability, environmental management and green initiatives are topics which gradually developed into trends since the late 1980s, not only in research institutions, but also in public and private organizations. While the usage of energy and other resources are increasing, these organizations search for new possibilities to reduce the economic, ecologic and social burdens and consequences of office and production environments for employees and nature. While certified environmental management systems were established already in the 1990s, green approaches and technologies are only about 10 years old and steadily developing. Decisions about a fitting strategy and the support of suitable measures inside an organization always require knowledge provided for the decision makers. Furthermore it is of importance to record the environmental consequences of the operational business and to not only record data and information, but to create a context and deduce the knowledge for future activities. Based on this situation, the work addresses the main research question of how �classical'' knowledge management might be further developed or transformed into Green Knowledge Management and how it addresses the goals of sustainability, especially ecological sustainability, environmental management and green approaches alike? The definition of Green Knowledge Management consists of five factors, which are discussed systematically, explored conceptually and documented with the help of practical examples. Different knowledge management models and their respective building blocks are analyzed to deduce how knowledge processes might interact with environmental ones as well as green aspects. Also different types of knowledge management systems are analysed for their application possibilities. A planning and decision making tool in form of a three dimensional cube, the ''Green Knowledge Management Cube'' is introduced on a conceptual level and documented

Computerized accident management support system: development for severe accident management

International Nuclear Information System (INIS)

Garcia, V.; Saiz, J.; Gomez, C.

1998-01-01

The activities involved in the international Halden Reactor Project (HRP), sponsored by the OECD, include the development of a Computerized Accident Management Support System (CAMS). The system was initially designed for its operation under normal conditions, operational transients and non severe accidents. Its purpose is to detect the plant status, analyzing the future evolution of the sequence (initially using the APROS simulation code) and the possible recovery and mitigation actions in case of an accident occurs. In order to widen the scope of CAMS to severe accident management issues, the integration of the MAAP code in the system has been proposed, as the contribution of the Spanish Electrical Sector to the project (with the coordination of DTN). To include this new capacity in CAMS is necessary to modify the system structure, including two new modules (Diagnosis and Adjustment). These modules are being developed currently for Pressurized Water Reactors and Boiling Water REactors, by the engineering of UNION FENOSA and IBERDROLA companies (respectively). This motion presents the characteristics of the new structure of the CAMS, as well as the general characteristics of the modules, developed by these companies in the framework of the Halden Reactor Project. (Author)

IT SYSTEMS SUPPORTING THE MANAGEMENT OF PRODUCTION CAPACITY

Directory of Open Access Journals (Sweden)

Elżbieta MILEWSKA

2017-01-01

Full Text Available The paper presents the problem of manufacturing process flexibility in view of a company’s material and information flow stream management. The author of the article has described the functions of a production process control system and presented the characteristics of production capacity intensive and extensive reserves. The MRP II/ERP, MES and APS class IT tools supporting the process of production planning, organization and control have also been discussed.

Knowledge management in support of enterprise risk management

OpenAIRE

Rodriguez, Eduardo; Edwards, John S.

2014-01-01

Risk management and knowledge management have so far been studied almost independently. The evolution of risk management to the holistic view of Enterprise Risk Management requires the destruction of barriers between organizational silos and the exchange and application of knowledge from different risk management areas. However, knowledge management has received little or no attention in risk management. This paper examines possible relationships between knowledge management constructs relate...

Statistical Decision Support Tools for System-Oriented Runway Management, Phase II

Data.gov (United States)

National Aeronautics and Space Administration — The feasibility of developing a statistical decision support system for traffic flow management in the terminal area and runway load balancing was demonstrated in...

[Document management systems to support quality management systems at university hospitals - an interview-based study].

Science.gov (United States)

Holderried, Martin; Bökel, Ann-Catrin; Ochsmann, Elke

2018-05-01

In order to save and control the processes and quality of medical services, a suitable steering system of all relevant documents is essential from the point of view of clinical quality management. Systems supporting an automated steering system of documents are called document management systems (DMS), and they also enter the healthcare sector. The use of DMS in the German healthcare sector has hardly been investigated so far. To close this knowledge gap, interviews were carried out with German university hospitals over a six-month period and subjected to a qualitative content analysis according to Mayring. In total, 25 university hospitals agreed to participate in this study, 19 of which have been working with a digital DMS for about six years on average. There was a great variety among the IT systems used. Document management and usability of the DMS as well as its integration into existing IT structures were key decision-making criteria for the selection of a digital DMS. In general, the long-term usability of the DMS is supported by regular evaluation of one's own requirements for the system, administration and training programs. In addition, DMS have a positive effect on patient safety and the quality of medical care. Copyright © 2018. Published by Elsevier GmbH.

LCA-IWM: A decision support tool for sustainability assessment of waste management systems

International Nuclear Information System (INIS)

Boer, J. den; Boer, E. den; Jager, J.

2007-01-01

The paper outlines the most significant result of the project 'The use of life cycle assessment tools for the development of integrated waste management strategies for cities and regions with rapid growing economies', which was the development of two decision-support tools: a municipal waste prognostic tool and a waste management system assessment tool. The article focuses on the assessment tool, which supports the adequate decision making in the planning of urban waste management systems by allowing the creation and comparison of different scenarios, considering three basic subsystems: (i) temporary storage; (ii) collection and transport and (iii) treatment, disposal and recycling. The design and analysis options, as well as the assumptions made for each subsystem, are shortly introduced, providing an overview of the applied methodologies and technologies. The sustainability assessment methodology used in the project to support the selection of the most adequate scenario is presented with a brief explanation of the procedures, criteria and indicators applied on the evaluation of each of the three sustainability pillars

The importance of good time management in supporting succesful dental practice

Directory of Open Access Journals (Sweden)

Mita Juliawati

2016-06-01

Full Text Available n the globalization and Asean Economic Community (MEA era, especially in the era of  competition and modern dentistry, dentists need increasing services in order to maintain and increase patient visits. Especially in patient’s complain about dental services that caused by unmanaged time, such as late dentist, long queue of patients and time inefficiency in dental practice. The objective of this review is to discuss the importance of good time management ’in supporting successful dental pratice. Time management is the act or process of planning and exercising conscious control over the amount of time spent on specific activities, especially to increase  effectiveness, efficiency or productivity. Implementation in dental practice are as follow: planning, scheduling and time organizing to avoid wasted time. Proper time management resulted in greater efficiency and productivity, professional reputation,reduces stress and improves the image of dental practices. Routine evaluation is needed to increase time management quality. Efficient time management in dental practice requires organizing  individual tasks, analizing daily task, scheduling main projects, establishing deadlines and organizing workflow. The implementation in dental practice like organizing patients, medical and non medical employee daily schedule, managing the patient’s queue to get the minimum waiting time and avoiding doctors being late in giving services to patient. Setting good time management will make the dentist's work 'smarter not harder' to get more results with limited time. In principle all medical and non-medical personnel should support the implementation of service excellence in the health care services especially dental practice. The final objective in realizing good time management in dental clinic is concerning in quality service and aims to achieve patient satisfaction (customer satisfaction that the end goal is a loyal patient, customer loyalty and

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

Science.gov (United States)

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

2017-09-01

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

Can models of self-management support be adapted across cancer types? A comparison of unmet self-management needs for patients with breast or colorectal cancer.

Science.gov (United States)

Mansfield, Elise; Mackenzie, Lisa; Carey, Mariko; Peek, Kerry; Shepherd, Jan; Evans, Tiffany-Jane

2018-03-01

There is an increased focus on supporting patients with cancer to actively participate in their healthcare, an approach commonly termed 'self-management'. Comparing unmet self-management needs across cancer types may reveal opportunities to adapt effective self-management support strategies from one cancer type to another. Given that breast and colorectal cancers are prevalent, and have high survival rates, we compared these patients' recent need for help with self-management. Data on multiple aspects of self-management were collected from 717 patients with breast cancer and 336 patients with colorectal cancer attending one of 13 Australian medical oncology treatment centres. There was no significant difference between the proportion of patients with breast or colorectal cancer who reported a need for help with at least one aspect of self-management. Patients with breast cancer were significantly more likely to report needing help with exercising more, while patients with colorectal cancer were more likely to report needing help with reducing alcohol consumption. When controlling for treatment centre, patients who were younger, experiencing distress or had not received chemotherapy were more likely to report needing help with at least one aspect of self-management. A substantial minority of patients reported an unmet need for self-management support. This indicates that high-quality intervention research is needed to identify effective self-management support strategies, as well as implementation trials to identify approaches to translating these strategies into practice. Future research should continue to explore whether self-management support strategies could be adapted across cancer types.

Self-management support by final year nursing students: A correlational study of performance and person-related associated factors.

Science.gov (United States)

Duprez, Veerle; Beeckman, Dimitri; Verhaeghe, Sofie; Van Hecke, Ann

2017-09-01

Chronic conditions put a heavy burden on healthcare in every country. Supporting persons with a chronic illness to take an active role in the management of their condition is a core component in the Chronic Care Model. It implies confidence and good skills from professionals. To date, there is no evidence on final year nursing students' performance in supporting patients' self-management, nor on factors associated with this performance. To explore self-reported performance of supporting patients' self-management by final year nursing students, and person-related factors associated with this performance. A correlational multi-centre study of final year nursing students (N=256) from eight nursing schools. Students were recruited from a convenience sample of eight nursing schools. All final year students were invited to participate. Data were collected between January 2015 and May 2016 using self-administered validated questionnaires. Theoretical behavioural frameworks were used to select hypothesized associated factors for self-management support: self-efficacy to perform self-management support and socio-structural factors (Social Cognitive Theory); needs for autonomy, competence and relatedness, and patient-invested contingent self-esteem (Self-Determination Theory); and attitudes towards supporting patients' self-management (Theory of Planned Behaviour). Final year nursing students (N=256) reported an overall low level of performance in delivering self-management support during internship. Students lacked mainly competencies in collaborative goal setting and shared decision making. Students reported a significant gap between their confidence and their actual performance in self-management support (pLearning opportunities can be introduced in classroom activities and on internship. Copyright © 2017 Elsevier Ltd. All rights reserved.

EPICS device support module as ATCA system manager for the ITER fast plant system controller

Energy Technology Data Exchange (ETDEWEB)

Carvalho, Paulo F., E-mail: pricardofc@ipfn.ist.utl.pt [Associação EURATOM/IST, Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico – Universidade Técnica de Lisboa, Lisboa (Portugal); Santos, Bruno; Gonçalves, Bruno; Carvalho, Bernardo B.; Sousa, Jorge; Rodrigues, A.P.; Batista, António J.N.; Correia, Miguel; Combo, Álvaro [Associação EURATOM/IST, Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico – Universidade Técnica de Lisboa, Lisboa (Portugal); Correia, Carlos M.B.A. [Centro de Instrumentação, Departamento de Física, Universidade de Coimbra, Coimbra (Portugal); Varandas, Carlos A.F. [Associação EURATOM/IST, Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico – Universidade Técnica de Lisboa, Lisboa (Portugal)

2013-10-15

Highlights: ► In Nuclear Fusion, demanding security and high-availability requirements call for redundancy to be available. ► ATCA based Nuclear Fusion Systems are composed by several electronic and mechanical component. ► Control and monitoring of ATCA electronic systems are recommended. ► ITER Fast Plant System Controller Project CODAC system prototype. ► EPICS device support module as External ATCA system manager solution. -- Abstract: This paper presents an Enhanced Physics and Industrial Control System (EPICS) device support module for the International Thermonuclear Experimental Reactor (ITER) Fast Plant System Controller (FPSC) project based in Advanced Telecommunications Computing Architecture (ATCA) specification. The developed EPICS device support module provides an External System Manager (ESM) solution for monitoring and control the ITER FPSC ATCA shelf system and data acquisition boards in order to take proper action and report problems to a control room operator or high level management unit in case of any system failure occurrence. EPICS device support module acts as a Channel Access (CA) server to report problems and publish ATCA system data information to the control room operator, high level management unit or other CA network clients such as Control System Studio Operator Interfaces (CSS OPIs), Best Ever Alarm System Toolkit (BEAST), Best Ever Archive Utility (BEAUTY) or other CA client applications. EPICS device support module communicates with the ATCA Shelf manager (ShM) using HTTP protocol to send and receive commands through POST method in order to get and set system and shelf components properties such as fan speeds measurements, temperatures readings, module status and ATCA boards acquisition and configuration parameters. All system properties, states, commands and parameters are available through the EPICS device support module CA server in EPICS Process Variables (PV) and signals format. ATCA ShM receives the HTTP protocol

Sustainable Agriculture and Natural Resource Management Collaborative Research Support Program(SANREM CRSP)

OpenAIRE

Moore, Keith M.

2007-01-01

This presentation describes the history and current program of the Sustainable Agriculture and Natural Resource Management Collaborative Research Support Program (SANREM CRSP). SANREM Objectives include increasing stakeholder income generation capacity, empowering stakeholders, particularly women, enhancing decentralized resource management, strengthening local institutions, improving market access for smallholders and communities, and promoting sustainable and environmentally sound developme...

Anesthesia information management system-based near real-time decision support to manage intraoperative hypotension and hypertension.

Science.gov (United States)

Nair, Bala G; Horibe, Mayumi; Newman, Shu-Fang; Wu, Wei-Ying; Peterson, Gene N; Schwid, Howard A

2014-01-01

Intraoperative hypotension and hypertension are associated with adverse clinical outcomes and morbidity. Clinical decision support mediated through an anesthesia information management system (AIMS) has been shown to improve quality of care. We hypothesized that an AIMS-based clinical decision support system could be used to improve management of intraoperative hypotension and hypertension. A near real-time AIMS-based decision support module, Smart Anesthesia Manager (SAM), was used to detect selected scenarios contributing to hypotension and hypertension. Specifically, hypotension (systolic blood pressure 1.25 minimum alveolar concentration [MAC]) of inhaled drug and hypertension (systolic blood pressure >160 mm Hg) with concurrent phenylephrine infusion were detected, and anesthesia providers were notified via "pop-up" computer screen messages. AIMS data were retrospectively analyzed to evaluate the effect of SAM notification messages on hypotensive and hypertensive episodes. For anesthetic cases 12 months before (N = 16913) and after (N = 17132) institution of SAM messages, the median duration of hypotensive episodes with concurrent high MAC decreased with notifications (Mann Whitney rank sum test, P = 0.031). However, the reduction in the median duration of hypertensive episodes with concurrent phenylephrine infusion was not significant (P = 0.47). The frequency of prolonged episodes that lasted >6 minutes (sampling period of SAM), represented in terms of the number of cases with episodes per 100 surgical cases (or percentage occurrence), declined with notifications for both hypotension with >1.25 MAC inhaled drug episodes (δ = -0.26% [confidence interval, -0.38% to -0.11%], P 1.25 MAC inhaled drug episodes. However, since phenylephrine infusion is manually documented in an AIMS, the impact of notification messages was less pronounced in reducing episodes of hypertension with concurrent phenylephrine infusion. Automated data capture and a higher frequency of

Digital Support Interventions for the Self-Management of Low Back Pain

DEFF Research Database (Denmark)

Nicholl, Barbara I; Sandal, Louise Fleng; Stochkendahl, Mette Jensen

2017-01-01

BACKGROUND: Low back pain (LBP) is a common cause of disability and is ranked as the most burdensome health condition globally. Self-management, including components on increased knowledge, monitoring of symptoms, and physical activity, are consistently recommended in clinical guidelines as cost......-effective strategies for LBP management and there is increasing interest in the potential role of digital health. OBJECTIVE: The study aimed to synthesize and critically appraise published evidence concerning the use of interactive digital interventions to support self-management of LBP. The following specific...... questions were examined: (1) What are the key components of digital self-management interventions for LBP, including theoretical underpinnings? (2) What outcome measures have been used in randomized trials of digital self-management interventions in LBP and what effect, if any, did the intervention have...

A multiple decision support metrics method for effective risk-informed asset management

International Nuclear Information System (INIS)

Liming, J.K.; Salter, J.E.

2004-01-01

The objective of this paper is to provide electric utilities with a concept for developing and applying effective decision support metrics via integrated risk-informed asset management (RIAM) programs for power stations and generating companies. RIAM is a process by which analysts review historical performance and develop predictive logic models and data analyses to predict critical decision support figures-of-merit (or metrics) for generating station managers and electric utility company executives. These metrics include, but are not limited to, the following: profitability, net benefit, benefit-to-cost ratio, projected return on investment, projected revenue, projected costs, asset value, safety (catastrophic facility damage frequency and consequences, etc.), power production availability (capacity factor, etc.), efficiency (heat rate), and others. RIAM applies probabilistic safety assessment (PSA) techniques and generates predictions in a probabilistic way so that metrics information can be supplied to managers in terms of probability distributions as well as point estimates. This enables the managers to apply the concept of 'confidence levels' in their critical decision-making processes. (authors)

Manager support for work-family issues and its impact on employee-reported pain in the extended care setting.

Science.gov (United States)

O'Donnell, Emily M; Berkman, Lisa F; Subramanian, S V

2012-09-01

Supervisor-level policies and the presence of a manager engaged in an employee's need to achieve work-family balance, or "supervisory support," may benefit employee health, including self-reported pain. We conducted a census of employees at four selected extended care facilities in the Boston metropolitan region (n = 368). Supervisory support was assessed through interviews with managers and pain was reported by employees. Our multilevel logistic models indicate that employees with managers who report the lowest levels of support for work-family balance experience twice as much overall pain as employees with managers who report high levels of support. Low supervisory support for work-family balance is associated with an increased prevalence of employee-reported pain in extended care facilities. We recommend that manager-level policies and practices receive additional attention as a potential risk factor for poor health in this setting.

Toward consensus on self-management support: the international chronic condition self-management support framework.

Science.gov (United States)

Mills, Susan L; Brady, Teresa J; Jayanthan, Janaki; Ziabakhsh, Shabnam; Sargious, Peter M

2017-12-01

Self-management support (SMS) initiatives have been hampered by insufficient attention to underserved and disadvantaged populations, a lack of integration between health, personal and social domains, over emphasis on individual responsibility and insufficient attention to ethical issues. This paper describes a SMS framework that provides guidance in developing comprehensive and coordinated approaches to SMS that may address these gaps and provides direction for decision makers in developing and implementing SMS initiatives in key areas at local levels. The framework was developed by researchers, policy-makers, practitioners and consumers from 5 English-speaking countries and reviewed by 203 individuals in 16 countries using an e-survey process. While developments in SMS will inevitably reflect local and regional contexts and needs, the strategic framework provides an emerging consensus on how we need to move SMS conceptualization, planning and development forward. The framework provides definitions of self-management (SM) and SMS, a collective vision, eight guiding principles and seven strategic directions. The framework combines important and relevant SM issues into a strategic document that provides potential value to the SMS field by helping decision-makers plan SMS initiatives that reflect local and regional needs and by catalyzing and expanding our thinking about the SMS field in relation to system thinking; shared responsibility; health equity and ethical issues. The framework was developed with the understanding that our knowledge and experience of SMS is continually evolving and that it should be modified and adapted as more evidence is available, and approaches in SMS advance. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Software Support for the Classical, Contemporary and Future Project Management

Directory of Open Access Journals (Sweden)

Jakov Crnkovic

2006-04-01

Full Text Available The volume and complexity of Project Management (PM raises many questions for managers. What exactly are we managing? People? Performance? Efficiency? Effectiveness? Cost? Time? At what levels do projects become challenging and worthy of significant management attention? Can some projects be left on auto-pilot? Must others be managed more aggressively? What metrics are useful in Project Management? How can they be integrated with normal performance metrics in the organization? How can metrics be built into assessment programs that work? How can projects be monitored, re-planned to stay within the original budget and schedule deadlines? How good is the PM software support? Do we really need PM software packages or it should be the integral part of the company's information system (IS? Where is the knowledge about company's previous projects and performance? Are we able to establish company or even industry wide standards for project management? Can we (or should we move from the PMBOK® guidelines and use other approaches? We discussing important questions in PM: software products, responsibilities for concurrently executing several projects (multi-projects with multi objectives and multiple deadlines, introducing a need for initiation, design, execution, and control using a virtual project management and application of the organizational project maturity model.

Decision support for natural resource management; models and evaluation methods

NARCIS (Netherlands)

Wessels, J.; Makowski, M.; Nakayama, H.

2001-01-01

When managing natural resources or agrobusinesses, one always has to deal with autonomous processes. These autonomous processes play a core role in designing model-based decision support systems. This chapter tries to give insight into the question of which types of models might be used in which

Medical Surveillance Monthly Report. Volume 23, Number 1, January 2016

Science.gov (United States)

2016-01-01

exercise and counseling decrease absenteeism due to low back pain in young conscripts: a randomized, population-based primary prevention study. Spine...MD, MPH Leslie L. Clark, PhD, MS Managing/ Production Editor Elizabeth J. Lohr, MA Layout/Design Darrell Olson Data Analysis Stephen B. Taubman, PhD

Bringing the ecosystem services concept into marine management decisions, supporting ecosystems-based management.

Science.gov (United States)

Tweddle, J. F.; Byg, A.; Davies, I.; Gubbins, M.; Irvine, K.; Kafas, A.; Kenter, J.; MacDonald, A.; Murray, R. B. O.; Potts, T.; Slater, A. M.; Wright, K.; Scott, B. E.

2016-12-01

The marine environment is under increasing use, putting pressure on marine ecosystems and increasing competition for space. New activities (e.g. renewable energy developments), evolving marine policies (e.g. implementation of marine protected areas), and climate change may drive changes in biodiversity and resulting ecosystem services (ES) that society and business utilise from coastal and marine systems. A process is needed that integrates ecological assessment of changes with stakeholder perceptions and valuation of ES, whilst balancing ease of application with the ability to deal with complex social-economic-ecological issues. The project "Cooperative participatory assessment of the impact of renewable technology on ecosystem services: CORPORATES" involved natural and social scientists, law and policy experts, and marine managers, with the aim of promoting more integrated decision making using ES concepts in marine management. CORPORATES developed a process to bring ES concepts into stakeholders' awareness. The interactive process, involving 2 workshops, employs interludes of knowledge exchange by experts on ecological processes underpinning ES and on law and policy. These enable mapping of benefits linked to activities, participatory system modelling, and deliberation of policy impacts on different sectors. The workshops were attended by industry representatives, regulatory/advisory partners, and other stakeholders (NGOs, SMEs, recreationalists, local government). Mixed sector groups produced new insights into links between activities and ES, and highlighted cross-sector concerns. Here we present the aspects of the process that successfully built shared understanding between industry and stakeholders of inter-linkages and interactions between ES, benefits, activities, and economic and cultural values. These methods provide an ES-based decision-support model for exchanging societal-ecological knowledge and providing stakeholder interaction in marine planning

The management of social problems talk in a support group

Directory of Open Access Journals (Sweden)

Andrezza Gomes Peretti

2013-01-01

Full Text Available The comprehension of the health-disease process from a multifactorial perspective has allowed important transformations in the healthcare practices. In this article, we discuss the use of the support group as a resource for mental health care, analyzing how conversations about social issues are managed in this context. Based on contributions from the social constructionist movement, we analyzed the transcripts of the conversations developed in meetings of a support group offered to patients of a mental health outpatient clinic. The analysis of the process of meaning making indicates that the discourse of the social influence on mental health is not legitimized, due to a predominant individualistic discourse, which psychologizes care and is centered on the emotional analysis of the problems of the quotidian. We argue that this mode of management brings limits to the construction of the group as a device for promoting autonomy and encouraging the social transformation processes.

Development of a supported self-management intervention for adults with type 2 diabetes and a learning disability.

Science.gov (United States)

House, Allan; Latchford, Gary; Russell, Amy M; Bryant, Louise; Wright, Judy; Graham, Elizabeth; Stansfield, Alison; Ajjan, Ramzi

2018-01-01

Although supported self-management is a well-recognised part of chronic disease management, it has not been routinely used as part of healthcare for adults with a learning disability. We developed an intervention for adults with a mild or moderate learning disability and type 2 diabetes, building on the principles of supported self-management with reasonable adjustments made for the target population. In five steps, we:Clarified the principles of supported self-management as reported in the published literatureIdentified the barriers to effective self-management of type 2 diabetes in adults with a learning disabilityReviewed existing materials that aim to support self-management of diabetes for people with a learning disabilitySynthesised the outputs from the first three phases and identified elements of supported self-management that were (a) most relevant to the needs of our target population and (b) most likely to be acceptable and useful to themImplemented and field tested the intervention. The final intervention had four standardised components: (1) establishing the participant's daily routines and lifestyle, (2) identifying supporters and their roles, (3) using this information to inform setting realistic goals and providing materials to the patient and supporter to help them be achieved and (4) monitoring progress against goals.Of 41 people randomised in a feasibility RCT, thirty five (85%) completed the intervention sessions, with over three quarters of all participants (78%) attending at least three sessions.Twenty-three out of 40 (58%) participants were deemed to be very engaged with the sessions and 12/40 (30%) with the materials; 30 (73%) participants had another person present with them during at least one of their sessions; 15/41 (37%) were reported to have a very engaged main supporter, and 18/41 (44%) had a different person who was not their main supporter but who was engaged in the intervention implementation. The intervention was feasible to

Management accounting in support of strategy - a strategy as practice perspective

OpenAIRE

Pitcher, GS

2014-01-01

The term Strategic Management Accounting (SMA) was coined in the 1980's to both describe and encourage the development of accounting techniques that addressed strategic decision-making. This prompted the production of books and research papers into SMA techniques. However, there is very little research into how management accounting supports strategy making. Adopting the lens of strategy-as-practice and utilising a narrative research \\ud approach this developmental paper addresses the questio...

Supporting the Support System: How Assessment and Communication Can Help Patients and Their Support Systems.

Science.gov (United States)

Harkey, Jane; Young, Jared; Carter, Jolynne Jo; Demoratz, Michael

The benefits of having a support system, such as social relationships with close friends and family, have been well documented for patients with serious health issues. As scientific evidence has shown, individuals who have the lowest level of involvement in social relationships face a greater mortality risk. Support systems, however, are not infallible. Relationship stress can have a negative impact on people-patient and caregiver alike-behaviorally, psychosocially, and physiologically. The purpose of this article is to encourage case managers who take a patient-centered approach to also consider the existence and extent of the support system, as well as any stresses or tensions that are observable within the support system. Although the case manager is ethically obliged to advocate for the individual receiving case management services, that advocacy can be extended to the support system for the good of all. This discussion applies to numerous case management practices and work settings including (but not limited to) hospital-based case management, home health, geriatrics, catastrophic case management, mental health, palliative care, and end of life/hospice. As part of the assessment phase of the case management process, case managers determine the extent of the patient's support system or social support network such as family and close friends. Although their advocacy is primarily for the patient receiving case management services, case managers also become aware of the needs of the support system members as they face their loved one's serious illness, severe injury, geriatric care demands, or end of life. Case managers can use their communication skills, especially motivational interviewing, with patients and their support systems to identify stresses and issues that can impact the pursuit of health goals. In addition, case managers ensure that individuals and their support systems are kept informed such as about the health condition, stage of disease, plan of

Manager support for work/family issues and its impact on employee-reported pain in the extended care setting

Science.gov (United States)

O’Donnell, Emily M.; Berkman, Lisa F.; Subramanian, Sv

2012-01-01

Objective Supervisor-level policies and the presence of a manager engaged in an employee’s need to achieve work/family balance, or “supervisory support,” may benefit employee health, including self-reported pain. Methods We conducted a census of employees at four selected extended-care facilities in the Boston metropolitan region (n= 368). Supervisory support was assessed through interviews with managers and pain was employee-reported. Results Our multilevel logistic models indicate that employees with managers who report the lowest levels of support for work/family balance experience twice as much overall pain as employees with managers who report high levels of support. Conclusions Low supervisory support for work/family balance is associated with an increased prevalence of employee-reported pain in extended-care facilities. We recommend that manager-level policies and practices receive additional attention as a potential risk factor for poor health in this setting. PMID:22892547

Supporting self management of type 2 diabetes: is there a role for the community pharmacist?

Directory of Open Access Journals (Sweden)

Dhippayom T

2015-07-01

Full Text Available Teerapon Dhippayom,1 Ines Krass21Pharmaceutical Care Research Unit, Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand; 2Faculty of Pharmacy, The University of Sydney, Camperdown, NSW, AustraliaBackground: Evidence supports the efficacy of pharmacy services in type 2 diabetes (T2D. However, little is known about consumer perspectives on the role of community pharmacists in diabetes care. The objectives of this study were to identify potential unmet needs and explore preferences for pharmacist-delivered support for T2D.Methods: A qualitative study using focus groups was conducted in Sydney, Australia. Patients with T2D who were members of the Australian Diabetes Council in Sydney, Australia, were recruited through a survey on medication use in T2D. Five focus groups with a total of 32 consumers with T2D were recorded, transcribed, and thematically analyzed.Results: The key themes were 1 the experiences of diabetes services received, 2 the potential to deliver self-management services, and 3 the suggested role of pharmacist in supporting diabetes management. Gaps in understanding and some degree of nonadherence to self-management signaled a potential for self-management support delivered by pharmacists. However, consumers still perceive that the main role of pharmacists in diabetes care centers on drug management services, with some enhancements to support adherence and continuity of supply. Barriers to diabetes care services included time constraints and a perceived lack of interest by pharmacists.Conclusion: Given the unmet needs in diabetes self-management, opportunities exist for pharmacists to be involved in diabetes care. The challenge is for pharmacists to upgrade their diabetes knowledge and skills, organize their workflow, and become proactive in delivering diabetes care support.Keywords: diabetes care, community pharmacy, community pharmacist, self-management, preference

A guideline for interpersonal capabilities enhancement to support sustainable facility management practice

Science.gov (United States)

Sarpin, Norliana; Kasim, Narimah; Zainal, Rozlin; Noh, Hamidun Mohd

2018-04-01

Facility management is the key phase in the development cycle of an assets and spans over a considerable length of time. Therefore, facility managers are in a commanding position to maximise the potential of sustainability through the development phases from construction, operation, maintenance and upgrade leading to decommission and deconstruction. Sustainability endeavours in facility management practices will contribute to reducing energy consumption, waste and running costs. Furthermore, it can also help in improving organisational productivity, financial return and community standing of the organisation. Facility manager should be empowered with the necessary knowledge and capabilities at the forefront facing sustainability challenge. However, literature studies show a gap between the level of awareness, specific knowledge and the necessary skills required to pursue sustainability in the facility management professional. People capability is considered as the key enabler in managing the sustainability agenda as well as being central to the improvement of competency and innovation in an organisation. This paper aims to develop a guidelines for interpersonal capabilities to support sustainability in facility management practice. Starting with a total of 7 critical interpersonal capabilities factors identified from previous questionnaire survey, the authors conducted an interview with 3 experts in facility management to assess the perceived importance of these factors. The findings reveal a set of guidelines for the enhancement of interpersonal capabilities among facility managers by providing what can be done to acquire these factors and how it can support the application of sustainability in their practice. The findings of this paper are expected to form the basis of a mechanism framework developed to equip facility managers with the right knowledge, to continue education and training and to develop new mind-sets to enhance the implementation of sustainability

Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow.

Science.gov (United States)

Effken, Judith A; Brewer, Barbara B; Logue, Melanie D; Gephart, Sheila M; Verran, Joyce A

2011-10-01

To better understand the environmental constraints on nurse managers that impact their need for and use of decision support tools, we conducted a Cognitive Work Analysis (CWA). A complete CWA includes system analyses at five levels: work domain, decision-making procedures, decision-making strategies, social organization/collaboration, and worker skill level. Here we describe the results of the Work Domain Analysis (WDA) portion in detail then integrate the WDA with other portions of the CWA, reported previously, to generate a more complete picture of the nurse manager's work domain. Data for the WDA were obtained from semi-structured interviews with nurse managers, division directors, CNOs, and other managers (n = 20) on 10 patient care units in three Arizona hospitals. The WDA described the nurse manager's environment in terms of the constraints it imposes on the nurse manager's ability to achieve targeted outcomes through organizational goals and priorities, functions, processes, as well as work objects and resources (e.g., people, equipment, technology, and data). Constraints were identified and summarized through qualitative thematic analysis. The results highlight the competing priorities, and external and internal constraints that today's nurse managers must satisfy as they try to improve quality and safety outcomes on their units. Nurse managers receive a great deal of data, much in electronic format. Although dashboards were perceived as helpful because they integrated some data elements, no decision support tools were available to help nurse managers with planning or answering "what if" questions. The results suggest both the need for additional decision support to manage the growing complexity of the environment, and the constraints the environment places on the design of that technology if it is to be effective. Limitations of the study include the small homogeneous sample and the reliance on interview data targeting safety and quality. Copyright © 2011

Planning and management support for NPP personnel SAT-based training programmes

International Nuclear Information System (INIS)

Ziakova, M.

1998-01-01

Planning and management support for NPP personnel SAT-based training programmes is described for the following job positions: reactor operator; turbine operator; reactor maintenance worker; pump maintenance worker; chemistry foreman; health physics foreman; electric maintenance worker

The Platform Architecture and Key Technology of Cloud Service that Support Wisdom City Management

Directory of Open Access Journals (Sweden)

Liang Xiao

2013-05-01

Full Text Available According to the new requirement of constructing “resource sharing and service on demand” wisdom city system, this paper put forward the platform architecture of cloud service for wisdom city management which support IaaS, PaaS and SaaS three types of service model on the basis of researching the operation mode of the wisdom city which under cloud computing environment and through the research of mass storing technology of cloud data, building technology of cloud resource pool, scheduling management methods and monitoring technology of cloud resource, security management and control technology of cloud platform and other key technologies. The platform supports wisdom city system to achieve business or resource scheduling management optimization and the unified and efficient management of large-scale hardware and software, which has the characteristics of cross-domain resource scheduling, cross-domain data sharing, cross-domain facilities integration and cross-domain service integration.

A Tool Supporting Collaborative Data Analytics Workflow Design and Management

Science.gov (United States)

Zhang, J.; Bao, Q.; Lee, T. J.

2016-12-01

Collaborative experiment design could significantly enhance the sharing and adoption of the data analytics algorithms and models emerged in Earth science. Existing data-oriented workflow tools, however, are not suitable to support collaborative design of such a workflow, to name a few, to support real-time co-design; to track how a workflow evolves over time based on changing designs contributed by multiple Earth scientists; and to capture and retrieve collaboration knowledge on workflow design (discussions that lead to a design). To address the aforementioned challenges, we have designed and developed a technique supporting collaborative data-oriented workflow composition and management, as a key component toward supporting big data collaboration through the Internet. Reproducibility and scalability are two major targets demanding fundamental infrastructural support. One outcome of the project os a software tool, supporting an elastic number of groups of Earth scientists to collaboratively design and compose data analytics workflows through the Internet. Instead of recreating the wheel, we have extended an existing workflow tool VisTrails into an online collaborative environment as a proof of concept.

Personalized Medication Management: Towards a Design of Individualized Support for Elderly Citizens at Home

DEFF Research Database (Denmark)

Verdezoto, Nervo; Olsen, Jesper Wolff

2012-01-01

Several technologies have been developed to support people's medication management, including pillboxes, specialized software applications, reminders and paper-based medication lists. Several of these technologies were discovered in older adults' homes during user studies carried out with the main...... purpose to help them to manage their medications and recall challenges. We confirm that a considerable number of older adults integrate their medication treatments into their daily life routines, and that the lack of knowledge, caregiver's support, medicine outside the home, forgetting medication intake...... towards the design of a personalized medication management system. We further describe our initial stage in a participatory design process as part of the ongoing Lev Vel Consortium....

Time to question diabetes self-management support for Arabic-speaking migrants: exploring a new model of care.

Science.gov (United States)

Alzubaidi, H; Mc Namara, K; Browning, C

2017-03-01

The objective of this study was to explore a new model for diabetes self-management support in Arabic-speaking migrants. Two qualitative methods were used: face-to-face semi-structured individual interviews and focus groups. Interviews were audio-taped, transcribed verbatim and coded thematically. Arabic-speaking migrants with Type 2 diabetes were recruited from several primary, secondary and tertiary healthcare settings in metropolitan Melbourne, Australia. These settings were purposefully selected to obtain a diverse group of participants. Data collection continued until saturation was reached. This is the first study that involved members of Arabic-speaking communities in Australia in a formal process of consumer and public involvement to inform research design and recruitment in order to provide evidence for a new model of diabetes self-management for Arabic-speaking migrants. No self-management support was offered to Arabic-speaking migrants beyond the initial diagnosis period. Significant knowledge gaps and skills deficits in all self-management domains were evident. The provision of tailored self-management support was considered crucial. When asked about preferred structure and delivery modalities, a strong preference was reported for face-to-face storytelling interactions over telephone- or internet-based interventions. Gender-specific group education and self-management support sessions delivered by Arabic-speaking diabetes health professionals, lay peers or social workers trained in diabetes self-management were highly regarded. A patient and public involvement approach allows genuine engagement with Arabic-speaking migrants with diabetes. There is urgent need for a new model for self-management support among Arabic-speaking migrants. Findings yielded new recommendations for diabetes health professionals working with these migrant communities to support behaviour change. © 2016 Diabetes UK.

Commercially Available Smartphone Apps to Support Postoperative Pain Self-Management: Scoping Review.

Science.gov (United States)

Lalloo, Chitra; Shah, Ushma; Birnie, Kathryn A; Davies-Chalmers, Cleo; Rivera, Jordan; Stinson, Jennifer; Campbell, Fiona

2017-10-23

Recently, the use of smartphones to deliver health-related content has experienced rapid growth, with more than 165,000 mobile health (mHealth) apps currently available in the digital marketplace. With 3 out of 4 Canadians currently owning a smartphone, mHealth apps offer opportunities to deliver accessible health-related knowledge and support. Many individuals experience pain after surgery, which can negatively impact their health-related quality of life, including sleep, emotional, and social functioning. Smartphone apps that provide remote real-time monitoring and symptom management have the potential to improve self-management skills in patients experiencing postoperative pain. Increased confidence and practice of self-management skills could contribute to decreased postoperative pain and reduce risk of developing persistent pain. Published reviews of general pain self-management apps demonstrate a lack of evidence-based content, theoretical grounding, and health care professional involvement. However, no review to date has focused on the app marketplace specific for individuals with postoperative pain. The aim of this study was to characterize and critically appraise the content and functionality of commercially available postoperative pain self-management apps. An electronic search and extraction was conducted between December 2016 and March 2017 of the official Canadian app stores for the three major smartphone operating systems (iPhone operating system [iOS], Android, and Windows). Stores were searched separately using predetermined search terms. Two authors screened apps based on information provided in the public app description. Metadata from all included apps were abstracted into a standard spreadsheet. Two authors verified the data with reference to the apps and downloaded apps themselves. The content and functionality of each app as it pertained to postoperative pain self-management was rated. A total of 10 apps met the inclusion criteria. All

PREDICTIVE MODELS FOR SUPPORT OF INCIDENT MANAGEMENT PROCESS IN IT SERVICE MANAGEMENT

Directory of Open Access Journals (Sweden)

Martin SARNOVSKY

2018-03-01

Full Text Available ABSTRACT The work presented in this paper is focused on creating of predictive models that help in the process of incident resolution and implementation of IT infrastructure changes to increase the overall support of IT management. Our main objective was to build the predictive models using machine learning algorithms and CRISP-DM methodology. We used the incident and related changes database obtained from the IT environment of the Rabobank Group company, which contained information about the processing of the incidents during the incident management process. We decided to investigate the dependencies between the incident observation on particular infrastructure component and the actual source of the incident as well as the dependency between the incidents and related changes in the infrastructure. We used Random Forests and Gradient Boosting Machine classifiers in the process of identification of incident source as well as in the prediction of possible impact of the observed incident. Both types of models were tested on testing set and evaluated using defined metrics.

A Systematic Review: Family Support Integrated with Diabetes Self-Management among Uncontrolled Type II Diabetes Mellitus Patients.

Science.gov (United States)

Pamungkas, Rian Adi; Chamroonsawasdi, Kanittha; Vatanasomboon, Paranee

2017-09-15

The rate of type-2 diabetes mellitus (T2D) is dramatically increasing worldwide. Continuing diabetes mellitus (DM) care needs effective self-management education and support for both patients and family members. This study aimed to review and describe the impacts of diabetes mellitus self-management education (DSME) that involve family members on patient outcomes related to patient health behaviors and perceived self-efficacy on self-management such as medication adherence, blood glucose monitoring, diet and exercise changes, health outcomes including psychological well-being and self-efficacy, and physiological markers including body mass index, level of blood pressure, cholesterol level and glycemic control. Three databases, PubMed, CINAHL, and Scopus were reviewed for relevant articles. The search terms were "type 2 diabetes," "self-management," "diabetes self-management education (DSME)," "family support," "social support," and "uncontrolled glycaemia." Joanna Briggs Institute (JBI) guidelines were used to determine which studies to include in the review. Details of the family support components of DSME intervention and the impacts of these interventions had on improving the health outcomes patients with uncontrolled glycaemia patients. A total of 22 intervention studies were identified. These studies involved different DSME strategies, different components of family support provided, and different health outcomes to be measured among T2D patients. Overall, family support had a positive impact on healthy diet, increased perceived support, higher self-efficacy, improved psychological well-being and better glycemic control. This systematic review found evidence that DSME with family support improved self-management behaviors and health outcomes among uncontrolled glycaemia T2D patients. The findings suggest DSME models that include family engagement can be a useful direction for improving diabetes care.

Practical application of decision support metrics for power plant risk-informed asset management

International Nuclear Information System (INIS)

Liming, James K.; Johnson, David H.; Kee, Ernest J.; Sun, Alice Y.; Young, Garry G.

2003-01-01

The objective of this paper is to provide electric utilities with a concept for developing and applying effective decision support metrics via integrated risk-informed asset management (RIAM) programs for power stations and generating companies. RIAM is a process by which analysts review historical performance and develop predictive logic models and data analyses to predict critical decision support figures-of-merit (or metrics) for generating station managers and electric utility company executives. These metrics include, but are not limited to, the following; profitability, net benefit, benefit-to-cost ratio, projected return on investment, projected revenue, projected costs, asset value, safety (catastrophic facility damage frequency and consequences, etc.), power production availability (capacity factor, etc.), efficiency (heat rate), and others. RIAM applies probabilistic safety assessment (PSA) techniques and generates predictions probabilistically so that metrics information can be supplied to managers in terms of probability distributions as well as point estimates. This enables the managers to apply the concept of 'confidence levels' in their critical decision-making processes. (author)

Supporting cancer patients in illness management: usability evaluation of a mobile app.

Science.gov (United States)

Mirkovic, Jelena; Kaufman, David R; Ruland, Cornelia M

2014-08-13

Mobile phones and tablets currently represent a significant presence in people's everyday lives. They enable access to different information and services independent of current place and time. Such widespread connectivity offers significant potential in different app areas including health care. Our goal was to evaluate the usability of the Connect Mobile app. The mobile app enables mobile access to the Connect system, an online system that supports cancer patients in managing health-related issues. Along with symptom management, the system promotes better patient-provider communication, collaboration, and shared decision making. The Connect Mobile app enables access to the Connect system over both mobile phones and tablets. The study consisted of usability tests of a high fidelity prototype with 7 cancer patients where the objectives were to identify existing design and functionality issues and to provide patients with a real look-and-feel of the mobile system. In addition, we conducted semistructured interviews to obtain participants' feedback about app usefulness, identify the need for new system features and design requirements, and measure the acceptance of the mobile app and its features within everyday health management. The study revealed a total of 27 design issues (13 for mobile apps and 14 for tablet apps), which were mapped to source events (ie, errors, requests for help, participants' concurrent feedback, and moderator observation). We also applied usability heuristics to identify violations of usability principles. The majority of violations were related to enabling ease of input, screen readability, and glanceability (15 issues), as well as supporting an appropriate match between systems and the real world (7 issues) and consistent mapping of system functions and interactions (4 issues). Feedback from participants also showed the cancer patients' requirements for support systems and how these needs are influenced by different context-related factors

Nutritional support team vs nonteam management of enteral nutritional support in a Veterans Administration Medical Center teaching hospital.

Science.gov (United States)

Powers, D A; Brown, R O; Cowan, G S; Luther, R W; Sutherland, D A; Drexler, P G

1986-01-01

One hundred one patients receiving enteral nutritional support (ENS) by tube feeding during a 5-month period were prospectively studied. Fifty patients were managed by a nutritional support team (T) and 51 patients were managed by the nonteam approach (NT). Demographics, primary diagnosis, chronic diseases, medical service, calculated basal energy expenditure (BEE), duration of ENS, and final patient disposition were recorded. Enteral formula, formula modifications, results of laboratory tests and calories delivered were obtained daily. Results of nitrogen balance studies were obtained when available and each patient was monitored for pulmonary, mechanical, gastrointestinal, and metabolic abnormalities. No significant difference was found between the team and nonteam managed groups in regard to total feeding days, mean feeding days per patient, total laboratory tests, laboratory tests per patient or laboratory tests per day. Significantly more team patients attained 1.2 times BEE (T = 47, NT = 38, p less than 0.05) for a significantly greater period of time (T = 398 days, NT = 281 days, p less than 0.05). Significantly more team patients achieved a measured positive nitrogen balance than nonteam patients (T = 42, NT = 1, p less than 0.05). Formula modifications to correct nutritional or metabolic aberrations were made in 15 (30%) team patients and five (9.8%) nonteam patients (p less than 0.05). The number of individual abnormalities (pulmonary, mechanical, gastrointestinal, and metabolic), as well as total abnormalities occurring in the team-managed group, was significantly lower than in the nonteam managed group (160 vs 695, p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Management information system model supporting the quality assurance of schools in Thailand

Directory of Open Access Journals (Sweden)

Daoprakai Raso

2017-07-01

Full Text Available Management Information Systems are very important tools for Thai Schools in supporting the quality assurance process. This research therefore aimed to develop a Management Information System (MIS model which consisted of two phases. Phase 1 was the design of MIS model used in Thai school quality assurance (QA. Phase 2 was the evaluation of the model which consisted of four parts. There were the MIS circle which consisted of 1 System Investigation, System Analysis, System Design, System Implementation and System Maintenance. 2 The Management Information System, which consisted of data collecting, data processing, information presenting, information saving, and procedure controlling. 3 The factors that support the MIS, which includes information tools and equipment used factor and the information operator’s factor, and 4 the system theory which consisted of input, process, and output. The results showed that the level of opinions in all aspects was at a “high” level.

Adapt! – Agile Project Management Supported by Axiomatic Design

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Weber Jakob

2017-01-01

Full Text Available This paper presents a novel approach for the use of Axiomatic Design Theory in combination with agile project management methods like Scrum for an effective, structured and combined product design and development process. Agile project management methods give a guideline how to manage a project, but there is only minor assistance regarding the actual product development process itself. Axiomatic Design can be used to support these methods in this point. In concrete terms, the results of the decomposition process of this theory can be used to formulate and structure the work packages for the agile project managing process. The Independence Axiom of Axiomatic Design Theory has a substantial contribution by ensuring the independence of the work packages which can be assigned to different project team members and can be processed independently by them. The combination of the different methods not only helps to ensure a good design solution but also helps to work more agile within a project team. The here proposed approach is one part of a holistic product design and development process for changeable production units – called Adapt! – and is described within a use case in the automotive sector.

Clinical Decision Support Knowledge Management: Strategies for Success.

Science.gov (United States)

Khalifa, Mohamed; Alswailem, Osama

2015-01-01

Clinical Decision Support Systems have been shown to increase quality of care, patient safety, improve adherence to guidelines for prevention and treatment, and avoid medication errors. Such systems depend mainly on two types of content; the clinical information related to patients and the medical knowledge related to the specialty that informs the system rules and alerts. At King Faisal Specialist Hospital and Research Center, Saudi Arabia, the Health Information Technology Affairs worked on identifying best strategies and recommendations for successful CDSS knowledge management. A review of literature was conducted to identify main areas of challenges and factors of success. A qualitative survey was used over six months' duration to collect opinions, experiences and suggestions from both IT and healthcare professionals. Recommendations were categorized into ten main topics that should be addressed during the development and implementation of CDSS knowledge management tools in the hospital.

Supporting effective delivery: CSIR research on and advocacy of infrastructure management

CSIR Research Space (South Africa)

Wall, K

2006-02-01

Full Text Available sets out issues of concern that arise when infrastructure management policies and practices do not meet acceptable standards, and it describes the research results. Finally, it summarises the plan and programme necessary to support effective delivery...

Burnout in Nurse Faculty: Relationships with Management Style, Collegial Support, and Work Load in Collegiate Programs.

Science.gov (United States)

Dick, Margaret Jorgensen

1986-01-01

A study of the relationship of management behavior of the dean, collegial support, and workload to burnout among faculty in collegiate nursing programs found that collegial support, positive feedback from the dean, and a participatory management style are more important for protecting faculty against burnout than attention to workload. (MSE)

Peer Support and Psychosocial Pain Management Strategies for Children with Systemic Lupus Erythematosus

Directory of Open Access Journals (Sweden)

Laura Nabors

2015-01-01

Full Text Available This paper reviews information on Systemic Lupus Erythematosus (SLE in children. Children with this chronic illness often experience pain related to their condition. They also can experience social isolation. This paper reviews psychosocial information on peer support and cognitive behavioral pain management strategies. The information presented in this paper provides new insights for health professionals assisting children and families in coping with psychological facets of this disease. Research focusing on ways by which peers and friends can support the child’s use of psychological pain management strategies will provide new information for the literature.

Blogging for Information Management, Learning, and Social Support during Internship

Science.gov (United States)

Chu, Samuel K. W.; Kwan, Alvin C. M.; Warning, Peter

2012-01-01

The functions and possibilities afforded by blogging have been suggested to be relevant to learning and information management. Its increasing use in the business and education sectors is documented, but currently its use in professional education or internship is limited. The social nature of blogging appears to support the applicability of blogs…

Development of a peer-supported, self-management intervention for people following mental health crisis.

Science.gov (United States)

Milton, Alyssa; Lloyd-Evans, Brynmor; Fullarton, Kate; Morant, Nicola; Paterson, Bethan; Hindle, David; Kelly, Kathleen; Mason, Oliver; Lambert, Marissa; Johnson, Sonia

2017-11-09

A documented gap in support exists for service users following discharge from acute mental health services, and structured interventions to reduce relapse are rarely provided. Peer-facilitated self-management interventions have potential to meet this need, but evidence for their effectiveness is limited. This paper describes the development of a peer-provided self-management intervention for mental health service users following discharge from crisis resolution teams (CRTs). A five-stage iterative mixed-methods approach of sequential data collection and intervention development was adopted, following the development and piloting stages of the MRC framework for developing and evaluating complex interventions. Evidence review (stage 1) included systematic reviews of both peer support and self-management literature. Interviews with CRT service users (n = 41) regarding needs and priorities for support following CRT discharge were conducted (stage 2). Focus group consultations (n = 12) were held with CRT service-users, staff and carers to assess the acceptability and feasibility of a proposed intervention, and to refine intervention organisation and content (stage 3). Qualitative evaluation of a refined, peer-provided, self-management intervention involved qualitative interviews with CRT service user participants (n = 9; n = 18) in feasibility testing (stage 4) and a pilot trial (stage 5), and a focus group at each stage with the peer worker providers (n = 4). Existing evidence suggests self-management interventions can reduce relapse and improve recovery. Initial interviews and focus groups indicated support for the overall purpose and planned content of a recovery-focused self-management intervention for people leaving CRT care adapted from an existing resource: The personal recovery plan (developed by Repper and Perkins), and for peer support workers (PSWs) as providers. Participant feedback after feasibility testing was positive regarding facilitation of

Business Intelligence & Knowledge Management - Technological Support for Strategic Management in the Knowledge Based Economy

Directory of Open Access Journals (Sweden)

Dorel PARASCHIV

2008-01-01

Full Text Available The viability and success of modern enterprises are subject to the increasing dynamic of the economic environment, so they need to adjust rapidly their policies and strategies in order to respond to sophistication of competitors, customers and suppliers, globalization of business, international competition. Perhaps the most critical component for success of the modern enterprise is its ability to take advantage of all available information - both internal and external. Making sense of all this information, gaining value and competitive advantage through represents real challenges for the enterprise. The IT solutions designed to address these challenges have been developed in two different approaches: structured data management (Business Intelligence and unstructured content management (Knowledge Management. Integrating Business Intelligence and Knowledge Management in new software applications designated not only to store highly structured data and exploit it in real time but also to interpret the results and communicate them to decision factors provides real technological support for Strategic Management. Integrating Business Intelligence and Knowledge Management in order to respond to the challenges the modern enterprise has to deal with represents not only a "new trend" in IT, but a necessity in the emerging knowledge based economy. These hybrid technologies are already widely known in both scientific and practice communities as Competitive Intelligence. In the end of paper,a competitive datawarehouse design is proposed, in an attempt to apply business intelligence technologies to economic environment analysis making use of romanian public data sources.

A management system integrating radiation protection and safety supporting safety culture in the hospital

International Nuclear Information System (INIS)

Almen, A.; Lundh, C.

2015-01-01

Quality assurance has been identified as an important part of radiation protection and safety for a considerable time period. A rational expansion and improvement of quality assurance is to integrate radiation protection and safety in a management system. The aim of this study was to explore factors influencing the implementing strategy when introducing a management system including radiation protection and safety in hospitals and to outline benefits of such a system. The main experience from developing a management system is that it is possible to create a vast number of common policies and routines for the whole hospital, resulting in a cost-efficient system. One of the key benefits is the involvement of management at all levels, including the hospital director. Furthermore, a transparent system will involve staff throughout the organisation as well. A management system supports a common view on what should be done, who should do it and how the activities are reviewed. An integrated management system for radiation protection and safety includes key elements supporting a safety culture. (authors)

The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes

Directory of Open Access Journals (Sweden)

Dunbar James

2008-10-01

Full Text Available Abstract Background Support for patient self-management is an accepted role for health professionals. Little evidence exists on the appropriate basis for the role of health professionals in achieving optimum self-management outcomes. This study explores the perceptions of people with type 2 diabetes about their self-management strategies and how relationships with health professionals may support this. Methods Four focus groups were conducted with people with type 2 diabetes: two with English-speaking and one each with Turkish and Arabic-speaking. Transcripts from the groups were analysed drawing on grounded hermeneutics and interpretive description. Results We describe three conceptually linked categories of text from the focus groups based on emotional context of self management, dominant approaches to self management and support from health professionals for self management. All groups described important emotional contexts to living with and self-managing diabetes and these linked closely with how they approached their diabetes management and what they looked for from health professionals. Culture seemed an important influence in shaping these linkages. Conclusion Our findings suggest people construct their own individual self-management and self-care program, springing from an important emotional base. This is shaped in part by culture and in turn determines the aims each person has in pursuing self-management strategies and the role they make available to health professionals to support them. While health professionals' support for self-care strategies will be more congruent with patients' expectations if they explore each person's social, emotional and cultural circumstances, pursuit of improved health outcomes may involve a careful balance between supporting as well as helping shift the emotional constructs surrounding a patient life with diabetes.

Decision Making Based On Management Information System and Decision Support System

Directory of Open Access Journals (Sweden)

Şükrü Ada

2015-04-01

Full Text Available Information hasbecome an essentialresource for managing modern organizations. This is so because today’sbusiness environment is volatile, dynamic, turbulent and necessitates the burgeoning demand for accurate, relevant, complete,timely and economical information needed to drive the decision-making process in order to accentuate organizational abilities to manage opportunities and threat. MIS work on online mode with an average processing speed. Generally, it is used by low level management. Decision support system are powerful tool that assist corporate executives, administrators and other senior officials in making decision regarding the problem. Management Information Systems is a useful tool that provided organized and summarized information in a proper time to decision makers and enable making accurate decision for managers in organizations. This paper will discuss the concept, characteristics, types of MIS, the MIS model, and in particular it will highlight the impact and role of MIS on decision making.

Senior management leadership, social support, job design and stressor-to-strain relationships in hospital practice.

Science.gov (United States)

Buttigieg, Sandra C; West, Michael A

2013-01-01

The purpose of this paper is to examine the effect of the quality of senior management leadership on social support and job design, whose main effects on strains, and moderating effects on work stressors-to-strains relationships were assessed. A survey involving distribution of questionnaires was carried out on a random sample of health care employees in acute hospital practice in the UK. The sample comprised 65,142 respondents. The work stressors tested were quantitative overload and hostile environment, whereas strains were measured through job satisfaction and turnover intentions. Structural equation modelling and moderated regression analyses were used in the analysis. Quality of senior management leadership explained 75 per cent and 94 per cent of the variance of social support and job design respectively, whereas work stressors explained 51 per cent of the variance of strains. Social support and job design predicted job satisfaction and turnover intentions, as well as moderated significantly the relationships between quantitative workload/hostility and job satisfaction/turnover intentions. The findings are useful to management and to health employees working in acute/specialist hospitals. Further research could be done in other counties to take into account cultural differences and variations in health systems. The limitations included self-reported data and percept-percept bias due to same source data collection. The quality of senior management leaders in hospitals has an impact on the social environment, the support given to health employees, their job design, as well as work stressors and strains perceived. The study argues in favour of effective senior management leadership of hospitals, as well as ensuring adequate support structures and job design. The findings may be useful to health policy makers and human resources managers.

Longitudinal associations between case management and supportive services use among black and Latina HIV-positive women in New York City.

Science.gov (United States)

Halkitis, Perry N; Kupprat, Sandra A; Mukherjee, Preetika Pandey

2010-01-01

The literature analyzing the relationship between case management and supportive service use longitudinally among African American and Latina HIV-positive women is limited. This retrospective analysis of participant case management, supportive service, and medical charts sought to examine both descriptive and relational data on use of case management and supportive services over a 2-year period from 2002 to 2005 and to analyze moderating person- level or institution-level factors. The analyzed case management, supportive service, and medical charts revealed that participants interacted with their case manager four times and received 3.6 supportive services per month. Transportation, primary healthcare/medical specialists, and support groups were the services most used, with rates ranging from 70% to 80%. Using hierarchical linear modeling (HLM), the unconditional growth models showed that case management and supportive service use patterns remained constant over the 24-month period. Additionally, the multivariate unconditional model suggests a significant positive relationship between case management and supportive services. No moderation was indicated in the association between case management and supportive service use by person-level (e.g., mental illness, substance use) and institution-level (i.e., service delivery model) factors. Participants use supportive and case management services in a similar manner based on individual need. This synergistic relationship suggests that increases in either may result in retaining women in care. Implications for service delivery point to the need for skills building training for case managers, outreach workers, or system navigators to assist with short-term goals of establishing rapport and maintaining the client relationship, as this may lead to HIV-positive women accessing services. Additionally, outreach and engagement strategies need to be developed for those who typically underuse these services.

Decision support systems for transportation system management and operations (TSM&O).

Science.gov (United States)

2015-12-01

There is a need for the development of tools and methods to support off-line and real-time : planning and operation decisions associated with the Transportation System Management and : Operations (TSM&O) program. The goal of this proposed project is ...

Middle Managers in UK Higher Education Conceptualising Experiences in Support of Reflective Practice

Science.gov (United States)

Birds, Rachel

2014-01-01

This paper examines the role of reflexivity in supporting middle managers in understanding and facilitating large-scale change management projects in their organisations. Utilising an example from a UK university, it is argued that the development of a conceptual model to fit local circumstances enables deeper understanding and better informed…

Use of SQL Databases to Support Human Resource Management

OpenAIRE

Zeman, Jan

2011-01-01

Bakalářská práce se zaměřuje na návrh SQL databáze pro podporu Řízení lidských zdrojů a její následné vytvoření v programu MS SQL Server. This thesis focuses on the design of SQL database for support Human resources management and its creation in MS SQL Server. A

IDESSA: An Integrative Decision Support System for Sustainable Rangeland Management in Southern African Savannas

Science.gov (United States)

Meyer, Hanna; Authmann, Christian; Dreber, Niels; Hess, Bastian; Kellner, Klaus; Morgenthal, Theunis; Nauss, Thomas; Seeger, Bernhard; Tsvuura, Zivanai; Wiegand, Kerstin

2017-04-01

Bush encroachment is a syndrome of land degradation that occurs in many savannas including those of southern Africa. The increase in density, cover or biomass of woody vegetation often has negative effects on a range of ecosystem functions and services, which are hardly reversible. However, despite its importance, neither the causes of bush encroachment, nor the consequences of different resource management strategies to combat or mitigate related shifts in savanna states are fully understood. The project "IDESSA" (An Integrative Decision Support System for Sustainable Rangeland Management in Southern African Savannas) aims to improve the understanding of the complex interplays between land use, climate patterns and vegetation dynamics and to implement an integrative monitoring and decision-support system for the sustainable management of different savanna types. For this purpose, IDESSA follows an innovative approach that integrates local knowledge, botanical surveys, remote-sensing and machine-learning based time-series of atmospheric and land-cover dynamics, spatially explicit simulation modeling and analytical database management. The integration of the heterogeneous data will be implemented in a user oriented database infrastructure and scientific workflow system. Accessible via web-based interfaces, this database and analysis system will allow scientists to manage and analyze monitoring data and scenario computations, as well as allow stakeholders (e. g. land users, policy makers) to retrieve current ecosystem information and seasonal outlooks. We present the concept of the project and show preliminary results of the realization steps towards the integrative savanna management and decision-support system.

Decision Support for Software Process Management Teams: An Intelligent Software Agent Approach

National Research Council Canada - National Science Library

Church, Lori

2000-01-01

... to market, eliminate redundancy, and ease job stress. This thesis proposes a conceptual model for software process management decision support in the form of an intelligent software agent network...

A THEORETICAL MODEL OF SOCIO-PSYCHOLOGICAL SUPPORT WORK PROCESSES FOR MANAGEMENT OF PRODUCTION TEAM

Directory of Open Access Journals (Sweden)

Tatyana Gennadevna Pronyushkina

2015-10-01

Full Text Available This article discusses the management of production team, in particular the developed theoretical model of socio-psychological support work processes for management of production team. The author of the research are formulated the purpose and objectives of social-psychological work on management of the production team. Developed in the study a theoretical model aimed at determining the conditions and the identification of features of effective management of the enterprise taking into account the socio-psychological characteristics of its staff. Tasks include: definition of the main characteristics of the production team and their severity, the analysis of these characteristics and identifying opportunities for their transformation, development of recommendations for management of social-psychological work on effects on the characteristics of the collective enterprise.Practical study of the activities of a number of businesses have shown the need to improve socio-psychological support of management processes production team: introducing a social and psychological planning team and develop the practice of sociological research on the state of the team, to ensure the smoothing of relations between workers and management through periodic meetings, creations of conditions for feedback, maintaining healthy competition among team members.

A Systematic Review: Family Support Integrated with Diabetes Self-Management among Uncontrolled Type II Diabetes Mellitus Patients

Directory of Open Access Journals (Sweden)

Rian Adi Pamungkas

2017-09-01

Full Text Available The rate of type-2 diabetes mellitus (T2D is dramatically increasing worldwide. Continuing diabetes mellitus (DM care needs effective self-management education and support for both patients and family members. This study aimed to review and describe the impacts of diabetes mellitus self-management education (DSME that involve family members on patient outcomes related to patient health behaviors and perceived self-efficacy on self-management such as medication adherence, blood glucose monitoring, diet and exercise changes, health outcomes including psychological well-being and self-efficacy, and physiological markers including body mass index, level of blood pressure, cholesterol level and glycemic control. Three databases, PubMed, CINAHL, and Scopus were reviewed for relevant articles. The search terms were “type 2 diabetes,” “self-management,” “diabetes self-management education (DSME,” “family support,” “social support,” and “uncontrolled glycaemia.” Joanna Briggs Institute (JBI guidelines were used to determine which studies to include in the review. Details of the family support components of DSME intervention and the impacts of these interventions had on improving the health outcomes patients with uncontrolled glycaemia patients. A total of 22 intervention studies were identified. These studies involved different DSME strategies, different components of family support provided, and different health outcomes to be measured among T2D patients. Overall, family support had a positive impact on healthy diet, increased perceived support, higher self-efficacy, improved psychological well-being and better glycemic control. This systematic review found evidence that DSME with family support improved self-management behaviors and health outcomes among uncontrolled glycaemia T2D patients. The findings suggest DSME models that include family engagement can be a useful direction for improving diabetes care.

Innovative Tools for Water Quality/Quantity Management: New York City's Operations Support Tool

Science.gov (United States)

Wang, L.; Schaake, J. C.; Day, G. N.; Porter, J.; Sheer, D. P.; Pyke, G.

2011-12-01

The New York City Department of Environmental Protection (DEP) manages New York City's water supply, which is comprised of over 20 reservoirs and supplies more than 1 billion gallons of water per day to over 9 million customers. Recently, DEP has initiated design of an Operations Support Tool (OST), a state-of-the-art decision support system to provide computational and predictive support for water supply operations and planning. This presentation describes the technical structure of OST, including the underlying water supply and water quality models, data sources and database management, reservoir inflow forecasts, and the functionalities required to meet the needs of a diverse group of end users. OST is a major upgrade of DEP's current water supply - water quality model, developed to evaluate alternatives for controlling turbidity in NYC's Catskill reservoirs. While the current model relies on historical hydrologic and meteorological data, OST can be driven by forecasted future conditions. It will receive a variety of near-real-time data from a number of sources. OST will support two major types of simulations: long-term, for evaluating policy or infrastructure changes over an extended period of time; and short-term "position analysis" (PA) simulations, consisting of multiple short simulations, all starting from the same initial conditions. Typically, the starting conditions for a PA run will represent those for the current day and traces of forecasted hydrology will drive the model for the duration of the simulation period. The result of these simulations will be a distribution of future system states based on system operating rules and the range of input ensemble streamflow predictions. DEP managers will analyze the output distributions and make operation decisions using risk-based metrics such as probability of refill. Currently, in the developmental stages of OST, forecasts are based on antecedent hydrologic conditions and are statistical in nature. The

Update on Activities of CEOS Disaster Management Support Group

Science.gov (United States)

Wood, H. M.; Lauritson, L.

The Committee on Earth Observation Satellites (CEOS) Disaster Management Support Group (DMSG) has supported natural and technological disaster management on a worldwide basis by fostering improved utilization of existing and planned Earth Observation (EO) satellite data. The DMSG has focused on developing and refining recommendations for the application of satellite data to selected hazard areas--drought, earthquake, fire, flood, ice, landslide, oil spill, and volcanic hazards. Particular emphasis was placed on working closely with space agencies, international and regional organizations, and commercial organizations on the implementation of these recommendations. The DMSG is in its last year with its primary focus on documenting its work and migrating on going activities to other fora. With over 300 participants from more than 140 organizations, the DMSG has found strong support among CEOS space agencies and the Integrated Global Observing Strategy (IGOS), as well as an enthusiastic reception from numerous international, regional, and national emergency managers, and distinct interest from the commercial sector. In addition, the group has worked to give full support to the work of the United Nations Committee on the Peaceful Uses of Outer Space (COPUOS) in pursuit of decisions taken at UNISPACE III and the United Nations International Strategy on Disaster Reduction (ISDR). In conjunction with the IGOS, several of the DMSG hazards teams (earthquake, landslide, and solid Earth dimensions of volcanoes) are joining in the effort to develop an IGOS Geohazards theme team. Cooperation efforts with organizations such as IGOS, COPUOS, and ISDR will hopefully lead to the pick up of much of the on going DMSG activities. Since the inception of this ad hoc working group and its predecessor project, the DMSG has developed and refined recommendations for the application of satellite data by bringing together experts from eight hazard areas to identify user needs, as well as

The integration of marketing problem-solving modes and marketing management support systems

NARCIS (Netherlands)

B. Wierenga (Berend); G.H. van Bruggen (Gerrit)

1997-01-01

textabstractFocuses on the issue of problem solving in marketing and develops a classification of marketing problem-solving modes (MPSMs). Typology of MPSMs; Relationship among MPSMs; Marketing management support systems.

Towards decision support for waiting lists: an operations management view.

Science.gov (United States)

Vissers, J M; Van Der Bij, J D; Kusters, R J

2001-06-01

This paper considers the phenomenon of waiting lists in a healthcare setting, which is characterised by limitations on the national expenditure, to explore the potentials of an operations management perspective. A reference framework for waiting list management is described, distinguishing different levels of planning in healthcare--national, regional, hospital and process--that each contributes to the existence of waiting lists through managerial decision making. In addition, different underlying mechanisms in demand and supply are distinguished, which together explain the development of waiting lists. It is our contention that within this framework a series of situation specific models should be designed to support communication and decision making. This is illustrated by the modelling of the demand for cataract treatment in a regional setting in the south-eastern part of the Netherlands. An input-output model was developed to support decisions regarding waiting lists. The model projects the demand for treatment at a regional level and makes it possible to evaluate waiting list impacts for different scenarios to meet this demand.

Infrastructure support for a waste management institute. Final project report, September 12, 1994--September 11, 1997

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-11-01

North Carolina A and T State University has completed the development of an infrastructure for the interdisciplinary Waste Management Institute (WMI). The Interdisciplinary Waste Management Institute (WMI) was approved in June, 1994 by the General Administration of the University of North Carolina as an academic support unit with research and public service functions. The mission of the WMI is to enhance awareness and understanding of waste management issues and to provide instructional support including research and outreach. The goals of WMI are as follows: increase the number of minority professionals who will work in waste management fields; develop cooperative and exchange programs involving faculty, students, government, and industry; serve as institutional sponsor of public awareness workshops and lecture series; and support interdisciplinary research programs. The vision of the WMI is to provide continued state-of-the art environmental educational programs, research, and outreach.

Supply Chain Engineering and the Use of a Supporting Knowledge Management Application

Science.gov (United States)

Laakmann, Frank

The future competition in markets will happen between logistics networks and no longer between enterprises. A new approach for supporting the engineering of logistics networks is developed by this research as a part of the Collaborative Research Centre (SFB) 559: "Modeling of Large Networks in Logistics" at the University of Dortmund together with the Fraunhofer-Institute of Material Flow and Logistics founded by Deutsche Forschungsgemeinschaft (DFG). Based on a reference model for logistics processes, the process chain model, a guideline for logistics engineers is developed to manage the different types of design tasks of logistics networks. The technical background of this solution is a collaborative knowledge management application. This paper will introduce how new Internet-based technologies support supply chain design projects.

The value of precision for image-based decision support in weed management

DEFF Research Database (Denmark)

Franco de los Ríos, Camilo; Pedersen, Søren Marcus; Papaharalampos, Haris

2017-01-01

Decision support methodologies in precision agriculture should integrate the different dimensions composing the added complexity of operational decision problems. Special attention has to be given to the adequate knowledge extraction techniques for making sense of the collected data, processing...... the information for assessing decision makers and farmers in the efficient and sustainable management of the field. Focusing on weed management, the integration of operational aspects for weed spraying is an open challenge for modeling the farmers’ decision problem, identifying satisfactory solutions...... for the implementation of automatic weed recognition procedures. The objective of this paper is to develop a decision support methodology for detecting the undesired weed from aerial images, building an image-based viewpoint consisting in relevant operational knowledge for applying precision spraying. In this way...

Popmuusika / Leslie Laasner

Index Scriptorium Estoniae

Laasner, Leslie

2006-01-01

Uutest heliplaatidest "Bossa n' Stones", Anti-Flag "For Blood And Empire", Nightmares On Wax "In A Space Outta Sound", The Futureheads "New And Tributes", Madlib "The Beat Konducta", Live "Songs From Black Mountain"

78 FR 60956 - Self-Regulatory Organizations; Municipal Securities Rulemaking Board; Notice of Filing of...

Science.gov (United States)

2013-10-02

... 19, 2013 (``BDA Letter''); Leslie M. Norwood, Managing Director and Associate General Counsel, SIFMA... orders.\\49\\ \\48\\ See BDA Letter at 2. \\49\\ MSRB Letter at 4. 3. Representations by Dealers Required by... periods where retail orders are given priority over other orders, as described above.\\52\\ \\50\\ See BDA...

Auditing supports the integration of management systems in the nuclear industry

International Nuclear Information System (INIS)

Beckmerhagen, I.A.; Berg, H.P.; Karapetrovic, S.V.; Willborn, W.O.

2004-01-01

Integration of function-specific management systems in organizations is rapidly becoming a topic of interest for managers and auditors alike. This is mainly due to the proliferation of management system standards that foster compliance with the stated criteria for quality, environmental, occupational health and safety, social responsibility and other function-specific aspects of performance. While most of the available literature on this topic focuses on the integration of standards, there is comparatively little information available on how to actually build an integrated system internally. This paper hypothesizes that, besides using audits for the implementation of the available procedures, audits can provide an excellent basis for these integration efforts. Therefore the prerequisites, strategies and resources necessary for an effective audit in support of integrated management systems are discussed. The paper also describes how audits are used to improve a combined quality and safety management system at the repository of radioactive waste in Morsleben (Germany). (authors)

A Decision Support System (DSS for Project Management in the Bio-diesel Industry

Directory of Open Access Journals (Sweden)

Alin Paul OLTEANU

2011-01-01

Full Text Available The European biodiesel industry is currently facing several challenges affecting the profitability of investment projects in the industry. Among these challenges are higher prices for oilseeds, which are the main input for biodiesel production, lower fiscal support by national governments for biodiesel producers and high price volatility of oil markets. Thus identifying all opportunities for optimizing the value chain and lower the production cost of biodiesel is a main requirement for an efficient project management in the biodiesel industry. The paper addresses this topic by developing a decision support system tailored to the needs of Romanian investors in biodiesel production. The system optimizes the main activities of the biodiesel value chain and supports the decision making process at management level. In addition the DSS enables the user to perform sensitivity analysis based on varying various input parameter.

Managing disclosure following recent-onset psychosis: utilizing the individual placement and support model.

Science.gov (United States)

Allott, Kelly A; Turner, Luana R; Chinnery, Gina L; Killackey, Eoin J; Nuechterlein, Keith H

2013-08-01

Individual Placement and Support is the most defined and evidence-based approach to supported employment for severe mental illness, including recent-onset psychosis. However, there is limited evidence or detailed guidelines informing the management of mental illness disclosure to educators or employers when delivering individual placement and support. In this paper, we describe the initial disclosure preferences of young people with recent-onset psychosis enrolled in individual placement and support and provide guidance for managing disclosure when delivering Individual Placement and Support with this population. Drawing from sites in Melbourne, Australia and Los Angeles, USA, clients' initial disclosure preferences were examined. We describe approaches to providing individual placement and support when no disclosure is permitted compared with when disclosure is permitted, including two illustrative case vignettes. No disclosure of mental illness or disability was requested by 54-59% of clients; 41-46% of clients permitted partial or complete disclosure. The 'no disclosure' scenario required the individual placement and support worker to provide support 'behind the scenes', whereas when disclosure was permitted, the individual placement and support worker could have contact with instructors/employers and work 'on the front lines'. The case vignettes illustrate how both approaches can lead to successful vocational outcomes. We found that Individual Placement and Support can be provided in an educative, flexible, creative and collaborative manner according to client disclosure preferences. We suggest that disclosure preferences do not prevent successful vocational outcomes, although this supposition requires empirical investigation. © 2013 Wiley Publishing Asia Pty Ltd.

Exploring the perspectives of clinical professionals and support staff on implementing supported self-management for asthma in UK general practice: an IMP2ART qualitative study.

Science.gov (United States)

Morrow, Susan; Daines, Luke; Wiener-Ogilvie, Sharon; Steed, Liz; McKee, Lorna; Caress, Ann-Louise; Taylor, Stephanie J C; Pinnock, Hilary

2017-07-18

Despite an overwhelming evidence base, supported self-management of asthma is poorly implemented into routine practice. Strategies for implementation must address organisational routines, as well as provide resources for patients and training to improve professionals' skills. We aimed to explore the priority that primary care practices attach to asthma self-management, to describe their existing asthma management routines, and to generate innovative implementation strategies. We recruited 33 participants (23 general practitioners; seven nurses; three administrative staff) from 14 general practices. The 12 interviews and three focus groups were transcribed, coded and analysed thematically. Supported self-management was largely a nurse-led task within clinic-based annual reviews. Barriers included poor attendance at asthma clinics, lack of time, demarcation of roles, limited access to a range of tailored resources, and competing agendas in consultation, often due to multimorbidity. Suggestions for initiatives to improve the provision of supported self-management included emphasising the evidence for benefit (to influence prioritisation), improving teamwork (including team-based education), organisational strategies (including remote consulting) which need to fit within existing practice routines. Technology offers some potential solutions (e.g., improved templates, 'app'-based plans), but must be integrated with the practice information technology systems. Building on these insights, we will now develop a theoretically-based implementation strategy that will address patient, professional, and organisational buy-in, provide team-based education and offer a range of practical options and tools, which can be adapted and integrated within existing routines of individual practices.OVERCOMING THE ORGANISATIONAL BARRIERS TO IMPLEMENTING ASTHMA SELF-MANAGEMENT: Understanding the routines of primary care practices can suggest strategies to implement supported self-management

Ecological user interface for emergency management decision support systems

DEFF Research Database (Denmark)

Andersen, V.

2003-01-01

The user interface for decision support systems is normally structured for presenting relevant data for the skilled user in order to allow fast assessment and action of the hazardous situation, or for more complex situations to present the relevant rules and procedures to be followed in order to ...... of this paper is to discuss the possibility of using the same principles for emergency management with the aim of improved performance in complex and unanticipated situations....

Determinants of public support for threatened and endangered species management: A case study of Cape Lookout National Seashore

Science.gov (United States)

Le, Lena; Bagstad, Kenneth J.; Cook, Philip S.; Leong, Kirsten M.; DiDonato, Eva

2015-01-01

Gaining public support for management actions is important to the success of public land management agencies’ efforts to protect threatened and endangered species. This is especially relevant at national parks, where managers balance two aspects of their conservation mission: to protect resources and to provide for public enjoyment. This study examined variables potentially associated with support for management actions at Cape Lookout National Seashore, a unit of the National Park Service. Two visitor surveys were conducted at the park at different seasons, and a resident survey was conducted for households in Carteret County, North Carolina, where the park is located. The goal of the project was to provide park managers with information that may help with the development of communication strategies concerning the park’s conservation mission. These communication strategies may help to facilitate mutual understanding and garner public support for management actions. Several variables were examined as potential determinants that park managers ought to consider when developing communication strategies. Multinomial logistic regression was applied to examine the relationships between these variables and the likelihood of support for or opposition to management actions. The variables examined included perceived shared values of park resources, general environmental attitudes, level of familiarity with park resources and regulations, knowledge about threatened and endangered species, level of trust in the decision-making process, and perceived shared values with park management. In addition, demographic variables such as income level, respondent age, residency status, and visitor type were also used. The results show that perceived values of threatened and endangered species, trust in park managers and the decision-making process, and perceived share values with park managers were among the strongest indicators of support for management actions. Different user groups

ARCHITECTURE SOFTWARE SOLUTION TO SUPPORT AND DOCUMENT MANAGEMENT QUALITY SYSTEM

Directory of Open Access Journals (Sweden)

Milan Eric

2010-12-01

Full Text Available One of the basis of a series of standards JUS ISO 9000 is quality system documentation. An architecture of the quality system documentation depends on the complexity of business system. An establishment of an efficient management documentation of system of quality is of a great importance for the business system, as well as in the phase of introducing the quality system and in further stages of its improvement. The study describes the architecture and capability of software solutions to support and manage the quality system documentation in accordance with the requirements of standards ISO 9001:2001, ISO 14001:2005 HACCP etc.

[Structure of Relationships Formed by Occupational Health Nurses for Co-operating with Managers to Support Workers with Mental Health Concerns].

Science.gov (United States)

Hatanaka, Junko; Takasaki, Masako; Hatanaka, Michiyo

2018-05-31

Occupational health staff and managers play important roles in supporting workers with mental health concerns and mutual co-operation among them is a necessary element. However, when co-operating with other professionals, several problems arise that often make such co-operation a challenge. Effective mutual actions are needed to promote such co-operation, and relationships must be formed for this purpose. Therefore, in this study, we aimed to clarify how occupational health nurses form relationships for facilitating co-operation with managers to provide support to workers with mental health concerns. Data were collected using semi-structured interviews with 11 occupational health nurses who provide individualized mental health support and who have at least 5 years of experience as occupational health nurses. Analysis of the recorded interviews was performed using a qualitative statistical method (KJ method). Six elements that constitute the formation of relationships were identified. When occupational health nurses form relationships for facilitating co-operation with a manager to provide support to workers, they "form relationships through strategic communication" with them and when co-operation is required, they form a relationship by "acting in a manner that suits the manager," such as his/her character and the situation. To support this relationship, occupational health nurses "provide mental support to the manager" by listening to his/her anxiety or real intention about supporting the subordinate with mental health concerns and provide relief while understanding their burdens during the co-operation. Occupational health nurses even "provide support to the manager in their activities," which assessed the situation at the workplace as the specialist and advised the manager to understand how to concern to the subordinate specifically. In addition, they "indirectly support the manager" which included coordinating with the concerned persons so as to not excessively

Factors of accepting pain management decision support systems by nurse anesthetists

Science.gov (United States)

2013-01-01

Background Pain management is a critical but complex issue for the relief of acute pain, particularly for postoperative pain and severe pain in cancer patients. It also plays important roles in promoting quality of care. The introduction of pain management decision support systems (PM-DSS) is considered a potential solution for addressing the complex problems encountered in pain management. This study aims to investigate factors affecting acceptance of PM-DSS from a nurse anesthetist perspective. Methods A questionnaire survey was conducted to collect data from nurse anesthetists in a case hospital. A total of 113 questionnaires were distributed, and 101 complete copies were returned, indicating a valid response rate of 89.3%. Collected data were analyzed by structure equation modeling using the partial least square tool. Results The results show that perceived information quality (γ=.451, pDSS. Information quality (γ=.267, pDSS ease of use. Furthermore, both perceived ease of use (β=.436, pDSS acceptance (R2=.640). Thus, the critical role of information quality in the development of clinical decision support system is demonstrated. Conclusions The findings of this study enable hospital managers to understand the important considerations for nurse anesthetists in accepting PM-DSS, particularly for the issues related to the improvement of information quality, perceived usefulness and perceived ease of use of the system. In addition, the results also provide useful suggestions for designers and implementers of PM-DSS in improving system development. PMID:23360305

Integrating risk analysis and multi-criteria decision support under uncertainty in electricity distribution system asset management

International Nuclear Information System (INIS)

Catrinu, M.D.; Nordgard, D.E.

2011-01-01

Asset managers in electricity distribution companies generally recognize the need and the challenge of adding structure and a higher degree of formal analysis into the increasingly complex asset management decisions. This implies improving the present asset management practice by making the best use of the available data and expert knowledge and by adopting new methods for risk analysis and decision support and nevertheless better ways to document the decisions made. This paper discusses methods for integrating risk analysis and multi-criteria decision support under uncertainty in electricity distribution system asset management. The focus is on how to include the different company objectives and risk analyses into a structured decision framework when deciding how to handle the physical assets of the electricity distribution network. This paper presents an illustrative example of decision support for maintenance and reinvestment strategies based, using expert knowledge, simplified risk analyses and multi-criteria decision analysis under uncertainty.

Upstream Disaster Management to Support People Experiencing Homelessness.

Science.gov (United States)

Sundareswaran, Madura; Ghazzawi, Andrea; O'Sullivan, Tracey L

2015-08-18

The unique context of day-to-day living for people who are chronically homeless or living with housing insecurity puts them at high risk during community disasters. The impacts of extreme events, such as flooding, storms, riots, and other sources of community disruption, underscore the importance of preparedness efforts and fostering community resilience. This study is part of larger initiative focused on enhancing resilience and preparedness among high risk populations. The purpose of this study was to explore critical issues and strategies to promote resilience and disaster preparedness among people who are homeless in Canada. A sample of interviews (n=21) from key informants across Canada was analyzed to explore existing programs and supports for homeless populations. The data was selected from a larger sample of (n=43) interviews focused on programs and supports for people who are at heightened risk for negative impacts during disasters. Qualitative content analysis was used to extract emergent themes and develop a model of multi-level collaboration to support disaster resilience among people who are homeless. The results indicate there is a need for more upstream continuity planning, collaboration and communication between the emergency management sector and community service organizations that support people who are homeless. Prioritization and investment in the social determinants of health and community supports is necessary to promote resilience among this high-risk population. The findings from this study highlight the importance of acknowledging community support organizations as assets in disaster preparedness. Day-to-day resilience is an ongoing theme for people who are chronically homeless or living with housing insecurity. Upstream investment to build adaptive capacity and collaborate with community organizations is an important strategy to enhance community resilience.

Ecosystem Management Decision Support (EMDS) Applied to Watershed Assessment on California's North Coast

Science.gov (United States)

Rich Walker; Chris Keithley; Russ Henly; Scott Downie; Steve Cannata

2007-01-01

In 2001, the state of California initiated the North Coast Watershed Assessment Program (2003a) to assemble information on the status of coastal watersheds that have historically supported anadromous fish. The five-agency consortium explored the use of Ecosystem Management Decision Support (EMDS) (Reynolds and others 1996) as a means to help assess overall watershed...

Improvment, extension and integration of operational decision support systems for nuclear emergency management (DSSNET)

International Nuclear Information System (INIS)

Ehrhardt, J.

2005-07-01

The DSSNET network was established in October 2000 with the overall objective to create an effective and accepted framework for better communication and understanding between the community of institutions involved in operational off-site emergency management and the many and diverse RTD institutes further developing methods and tools in this area, in particular decision support systems (DSS), for making well informed and consistent judgements with respect to practical improvements of emergency response in Europe. 37 institutions from 21 countries of East and West Europe have been members of the network with about half of them responsible for operational emergency management. The objectives of the network have been numerous and the more important ones include: to ensure that future RTD is more responsive to user needs, to inform the user community of new developments and their potential for improving emergency response, to improve operational decision support systems from feedback of operational experience, to identify how information and data exchange between countries can be improved, to promote greater coherence among operational decision support systems and to encourage shared development of new and improved decision support systems features, and to improve the practicability of operational decision support systems. To stimulate the communication and feedback between the operational and the RTD community, problem-oriented emergency exercises were performed, which covered the various time phases of an accident and which extended from the near range to farther distances with frontier crossing transport of radionuclides. The report describes the objectives of the DSSNET, the five emergency exercises performed and the results of their evaluation. They provided valuable insight and lessons for operators and users of decision support systems, in particular the need for much more intensive training and exercising with decision support systems and their interaction with

An Integrated Information System for Supporting Quality Management Tasks

Science.gov (United States)

Beyer, N.; Helmreich, W.

2004-08-01

In a competitive environment, well defined processes become the strategic advantage of a company. Hence, targeted Quality Management ensures efficiency, trans- parency and, ultimately, customer satisfaction. In the particular context of a Space Test Centre, a num- ber of specific Quality Management standards have to be applied. According to the revision of ISO 9001 dur- ing 2000, and due to the adaptation of ECSS-Q20-07, process orientation and data analysis are key tasks for ensuring and evaluating the efficiency of a company's processes. In line with these requirements, an integrated management system for accessing the necessary infor- mation to support Quality Management and other proc- esses has been established. Some of its test-related fea- tures are presented here. Easy access to the integrated management system from any work place at IABG's Space Test Centre is ensured by means of an intranet portal. It comprises a full set of quality-related process descriptions, information on test facilities, emergency procedures, and other relevant in- formation. The portal's web interface provides direct access to a couple of external applications. Moreover, easy updating of all information and low cost mainte- nance are features of this integrated information system. The timely and transparent management of non- conformances is covered by a dedicated NCR database which incorporates full documentation capability, elec- tronic signature and e-mail notification of concerned staff. A search interface allows for queries across all documented non-conformances. Furthermore, print ver- sions can be generated at any stage in the process, e.g. for distribution to customers. Feedback on customer satisfaction is sought through a web-based questionnaire. The process is initiated by the responsible test manager through submission of an e- mail that contains a hyperlink to a secure website, ask- ing the customer to complete the brief online form, which is directly fed to a database

Perceptions of risk, risk aversion, and barriers to adoption of decision support systems and integrated pest management: an introduction.

Science.gov (United States)

Gent, David H; De Wolf, Erick; Pethybridge, Sarah J

2011-06-01

Rational management of plant diseases, both economically and environmentally, involves assessing risks and the costs associated with both correct and incorrect tactical management decisions to determine when control measures are warranted. Decision support systems can help to inform users of plant disease risk and thus assist in accurately targeting events critical for management. However, in many instances adoption of these systems for use in routine disease management has been perceived as slow. The under-utilization of some decision support systems is likely due to both technical and perception constraints that have not been addressed adequately during development and implementation phases. Growers' perceptions of risk and their aversion to these perceived risks can be reasons for the "slow" uptake of decision support systems and, more broadly, integrated pest management (IPM). Decision theory provides some tools that may assist in quantifying and incorporating subjective and/or measured probabilities of disease occurrence or crop loss into decision support systems. Incorporation of subjective probabilities into IPM recommendations may be one means to reduce grower uncertainty and improve trust of these systems because management recommendations could be explicitly informed by growers' perceptions of risk and economic utility. Ultimately though, we suggest that an appropriate measure of the value and impact of decision support systems is grower education that enables more skillful and informed management decisions independent of consultation of the support tool outputs.

A decision support framework for characterizing and managing dermal exposures to chemicals during Emergency Management and Operations.

Science.gov (United States)

Dotson, G Scott; Hudson, Naomi L; Maier, Andrew

2015-01-01

Emergency Management and Operations (EMO) personnel are in need of resources and tools to assist in understanding the health risks associated with dermal exposures during chemical incidents. This article reviews available resources and presents a conceptual framework for a decision support system (DSS) that assists in characterizing and managing risk during chemical emergencies involving dermal exposures. The framework merges principles of three decision-making techniques: 1) scenario planning, 2) risk analysis, and 3) multicriteria decision analysis (MCDA). This DSS facilitates dynamic decision making during each of the distinct life cycle phases of an emergency incident (ie, preparedness, response, or recovery) and identifies EMO needs. A checklist tool provides key questions intended to guide users through the complexities of conducting a dermal risk assessment. The questions define the scope of the framework for resource identification and application to support decision-making needs. The framework consists of three primary modules: 1) resource compilation, 2) prioritization, and 3) decision. The modules systematically identify, organize, and rank relevant information resources relating to the hazards of dermal exposures to chemicals and risk management strategies. Each module is subdivided into critical elements designed to further delineate the resources based on relevant incident phase and type of information. The DSS framework provides a much needed structure based on contemporary decision analysis principles for 1) documenting key questions for EMO problem formulation and 2) a method for systematically organizing, screening, and prioritizing information resources on dermal hazards, exposures, risk characterization, and management.

FSILP: fuzzy-stochastic-interval linear programming for supporting municipal solid waste management.

Science.gov (United States)

Li, Pu; Chen, Bing

2011-04-01

Although many studies on municipal solid waste management (MSW management) were conducted under uncertain conditions of fuzzy, stochastic, and interval coexistence, the solution to the conventional linear programming problems of integrating fuzzy method with the other two was inefficient. In this study, a fuzzy-stochastic-interval linear programming (FSILP) method is developed by integrating Nguyen's method with conventional linear programming for supporting municipal solid waste management. The Nguyen's method was used to convert the fuzzy and fuzzy-stochastic linear programming problems into the conventional linear programs, by measuring the attainment values of fuzzy numbers and/or fuzzy random variables, as well as superiority and inferiority between triangular fuzzy numbers/triangular fuzzy-stochastic variables. The developed method can effectively tackle uncertainties described in terms of probability density functions, fuzzy membership functions, and discrete intervals. Moreover, the method can also improve upon the conventional interval fuzzy programming and two-stage stochastic programming approaches, with advantageous capabilities that are easily achieved with fewer constraints and significantly reduces consumption time. The developed model was applied to a case study of municipal solid waste management system in a city. The results indicated that reasonable solutions had been generated. The solution can help quantify the relationship between the change of system cost and the uncertainties, which could support further analysis of tradeoffs between the waste management cost and the system failure risk. Copyright © 2010 Elsevier Ltd. All rights reserved.

Characteristics of a self-management support programme applicable in primary health care: a qualitative study of users' and health professionals' perceptions.

Science.gov (United States)

Solberg, Hilde Strøm; Steinsbekk, Aslak; Solbjør, Marit; Granbo, Randi; Garåsen, Helge

2014-11-08

Development of more self-management support programmes in primary health care has been one option used to enhance positive outcomes in chronic disease management. At present, research results provide no consensus on what would be the best way to develop support programmes into new settings. The aim of the present study was therefore to explore users' and health professionals' perceptions of what would be the vital elements in a self - management support programme applicable in primary health care, how to account for them, and why. Four qualitative, semi-structured focus group interviews were conducted in Central Norway. The informants possessed experience in development, provision, or participation in a self-management support programme. Data was analysed by the Systematic Text Condensation method. The results showed an overall positive expectation to the potential benefits of development of a self-management support programme in primary health care. Despite somewhat different arguments and perspectives, the users and the health professionals had a joint agreement on core characteristics; a self-management support programme in primary health care should therefore be generic, not disease specific, and delivered in a group- based format. A special focus should be on the everyday- life of the participants. The most challenging aspect was a present lack of competence and experience among health professionals to moderate self-management support programmes. The development and design of a relevant and applicable self-management support programme in primary health care should balance the interests of the users with the possibilities and constraints within each municipality. It would be vital to benefit from the closeness of the patients' every-day life situations. The user informants' perception of a self-management support programme as a supplement to regular medical treatment represented an expanded understanding of the self-management support concept. An exploring

The effectiveness of interventions to enhance self-management support competencies in the nursing profession: a systematic review.

Science.gov (United States)

Duprez, Veerle; Vandecasteele, Tina; Verhaeghe, Sofie; Beeckman, Dimitri; Van Hecke, Ann

2017-08-01

The aim of this study was to explore the effectiveness and effective components of training interventions to enhance nurses' competencies in self-management support in chronic care. The growing burden of chronic diseases puts an increasing focus on nurses' self-management support of people living with a chronic illness. The most effective method to train nurses' competencies in self-management support remains unclear. Systematic literature review. PubMed, CINAHL, Cochrane CENTRAL, EMBASE, Web of Science, ERIC and PsycARTICLES databases were searched up to August 2015. Eligible studies reported on training interventions to enhance chronic care self-management support competencies in nurses. Outcomes were defined as trainees' reactions to the training (level 1), changes in trainees' competencies (level 2) or changes in trainees' performance in practice (level 3) concerning self-management support. Risk of bias was assessed. Level 1 outcomes were synthesized narratively. Standardized mean differences were calculated per study for level 2 and 3 outcomes. In total, 25 studies were included. Twelve of these studies included level 1 outcomes, eight studies included level 2 outcomes and 10 studies included level 3 outcomes. Effect sizes in favour of training ranged from -0·36 - 1·56 (level 2) and from 0·06 - 5·56 (level 3). Theory-driven training interventions with time to practice, (video) feedback and follow-up generated the most training effects. Caution is needed due to the inconsistent study quality. To date, there is a knowledge gap concerning the most effective method to train nurses' competencies in self-management support. More well-designed, longitudinal studies are needed. © 2016 John Wiley & Sons Ltd.

ERP System Audit a Control Support For Knowledge Management

Directory of Open Access Journals (Sweden)

Traian SURCEL

2008-01-01

Full Text Available The ERP system supports most of the business system that maintains in a single database the data needed for a variety of business functions such as Manufacturing, SCM, Financials, Projects, Human Resources and CRM; the audit of this systems is necessary in order to give reasonable assurance to the company on its core system. Obtained evidence evaluation can ensure whether the organization's IT&C system safeguard assets, maintains data integrity, and is operating effectively and efficiently to achieve the organization's goals or objectives. The audit process respecting the methodology based on: gathering information and plan; obtaining an understanding of internal controls; performing test of controls and substantive tests, develop a control support on quality of flow of information and knowledge from formal perspective, for Knowledge Management in large enterprises.

Development of an allergy management support system in primary care

Directory of Open Access Journals (Sweden)

Flokstra - de Blok BMJ

2017-03-01

Full Text Available Bertine MJ Flokstra - de Blok,1,2 Thys van der Molen,1,2 Wianda A Christoffers,3 Janwillem WH Kocks,1,2 Richard L Oei,4 Joanne NG Oude Elberink,2,4 Emmy M Roerdink,5 Marie Louise Schuttelaar,3 Jantina L van der Velde,1,2 Thecla M Brakel,1,6 Anthony EJ Dubois2,5 1Department of General Practice, 2GRIAC Research Institute, 3Department of Dermatology, 4Department of Allergology, 5Department of Pediatric Pulmonology and Pediatric Allergy, University of Groningen, University Medical Center Groningen, 6Teaching Unit, Department of Social Psychology, University of Groningen, Groningen, The Netherlands Background: Management of allergic patients in the population is becoming more difficult because of increases in both complexity and prevalence. Although general practitioners (GPs are expected to play an important role in the care of allergic patients, they often feel ill-equipped for this task. Therefore, the aim of this study was to develop an allergy management support system (AMSS for primary care. Methods: Through literature review, interviewing and testing in secondary and primary care patients, an allergy history questionnaire was constructed by allergists, dermatologists, GPs and researchers based on primary care and specialists’ allergy guidelines and their clinical knowledge. Patterns of AMSS questionnaire responses and specific immunoglobulin E (sIgE-test outcomes were used to identify diagnostic categories and develop corresponding management recommendations. Validity of the AMSS was investigated by comparing specialist (gold standard and AMSS diagnostic categories. Results: The two-page patient-completed AMSS questionnaire consists of 12 (mainly multiple choice questions on symptoms, triggers, severity and medication. Based on the AMSS questionnaires and sIgE-test outcome of 118 patients, approximately 150 diagnostic categories of allergic rhinitis, asthma, atopic dermatitis, anaphylaxis, food allergy, hymenoptera allergy and other

Blunt injury of the infrarenal inferior vena cava — imaging and ...

African Journals Online (AJOL)

Blunt injury of the infrarenal inferior vena cava — imaging and conservative management. Ian C Duncan, Basil J Sher, Leslie M Fingleson. Abstract. Isolated rupture of the infrarenal segment of the inferior vena cava due to blunt trauma is relatively rare. It may be missed clinically and even diagnostic peritoneal lavage may ...

Text message-based diabetes self-management support (SMS4BG): study protocol for a randomised controlled trial.

Science.gov (United States)

Dobson, Rosie; Whittaker, Robyn; Jiang, Yannan; Shepherd, Matthew; Maddison, Ralph; Carter, Karen; Cutfield, Richard; McNamara, Catherine; Khanolkar, Manish; Murphy, Rinki

2016-04-02

Addressing the increasing prevalence, and associated disease burden, of diabetes is a priority of health services internationally. Interventions to support patients to effectively self-manage their condition have the potential to reduce the risk of costly and debilitating complications. The utilisation of mobile phones to deliver self-management support allows for patient-centred care at the frequency and intensity that patients desire from outside the clinic environment. Self-Management Support for Blood Glucose (SMS4BG) is a novel text message-based intervention for supporting people with diabetes to improve self-management behaviours and achieve better glycaemic control and is tailored to individual patient preferences, demographics, clinical characteristics, and culture. This study aims to assess whether SMS4BG can improve glycaemic control in adults with poorly controlled diabetes. This paper outlines the rationale and methods of the trial. A two-arm, parallel, randomised controlled trial will be conducted across New Zealand health districts. One thousand participants will be randomised at a 1:1 ratio to receive SMS4BG, a theoretically based and individually tailored automated text message-based diabetes self-management support programme (intervention) in addition to usual care, or usual care alone (control). The primary outcome is change in glycaemic control (HbA1c) at 9 months. Secondary outcomes include glycaemic control at 3 and 6 months, self-efficacy, self-care behaviours, diabetes distress, health-related quality of life, perceived social support, and illness perceptions. Cost information and healthcare utilisation will also be collected as well as intervention satisfaction and interaction. This study will provide information on the effectiveness of a text message-based self-management support tool for people with diabetes. If found to be effective it has the potential to provide individualised support to people with diabetes across New Zealand (and

75 FR 26225 - Adequacy Status of the Chicago, Illinois Area Submitted 8-Hour Ozone Redesignation and...

Science.gov (United States)

2010-05-11

... Agency, Region 5, 77 West Jackson Boulevard, Chicago, Illinois 60604 (312) 353-6680, leslie.michael@epa..., 2010. FOR FURTHER INFORMATION CONTACT: Michael Leslie, Environmental Engineer, Criteria Pollutant...

An Evolutionary Complex Systems Decision-Support Tool for the Management of Operations

International Nuclear Information System (INIS)

Baldwin, J S; Allen, P M; Ridgway, K

2011-01-01

This research aimed to add both to the development of complex systems thinking in the subject area of Operations and Production Management and to the limited number of applications of computational models and simulations from the science of complex systems. The latter potentially offer helpful decision-support tools for operations and production managers. A mechanical engineering firm was used as a case study where a combined qualitative and quantitative methodological approach was employed to extract the required data from four senior managers. Company performance measures as well as firm technologies, practices and policies, and their relation and interaction with one another, were elicited. The data were subjected to an evolutionary complex systems model resulting in a series of simulations. The findings included both reassuring and some unexpected results. The simulation based on the CEO's opinions led the most cohesive and synergistic collection of practices describing the firm, closely followed by the Marketing and R and D Managers. The Manufacturing Manager's responses led to the most extreme evolutionary trajectory where the integrity of the entire firm came into question particularly when considering how employees were utilised. By drawing directly from the opinions and views of managers rather than from logical 'if-then' rules and averaged mathematical representations of agents that characterise agent-based and other self-organisational models, this work builds on previous applications by capturing a micro-level description of diversity and a learning effect that has been problematical not only in terms of theory but also in application. This approach can be used as a decision-support tool for operations and other managers providing a forum with which to explore a) the strengths, weaknesses and consequences of different decision-making capacities within the firm; b) the introduction of new manufacturing technologies, practices and policies; and, c) the

An Evolutionary Complex Systems Decision-Support Tool for the Management of Operations

Science.gov (United States)

Baldwin, J. S.; Allen, P. M.; Ridgway, K.

2011-12-01

This research aimed to add both to the development of complex systems thinking in the subject area of Operations and Production Management and to the limited number of applications of computational models and simulations from the science of complex systems. The latter potentially offer helpful decision-support tools for operations and production managers. A mechanical engineering firm was used as a case study where a combined qualitative and quantitative methodological approach was employed to extract the required data from four senior managers. Company performance measures as well as firm technologies, practices and policies, and their relation and interaction with one another, were elicited. The data were subjected to an evolutionary complex systems model resulting in a series of simulations. The findings included both reassuring and some unexpected results. The simulation based on the CEO's opinions led the most cohesive and synergistic collection of practices describing the firm, closely followed by the Marketing and R&D Managers. The Manufacturing Manager's responses led to the most extreme evolutionary trajectory where the integrity of the entire firm came into question particularly when considering how employees were utilised. By drawing directly from the opinions and views of managers rather than from logical 'if-then' rules and averaged mathematical representations of agents that characterise agent-based and other self-organisational models, this work builds on previous applications by capturing a micro-level description of diversity and a learning effect that has been problematical not only in terms of theory but also in application. This approach can be used as a decision-support tool for operations and other managers providing a forum with which to explore a) the strengths, weaknesses and consequences of different decision-making capacities within the firm; b) the introduction of new manufacturing technologies, practices and policies; and, c) the

Information management to enable personalized medicine: stakeholder roles in building clinical decision support.

Science.gov (United States)

Downing, Gregory J; Boyle, Scott N; Brinner, Kristin M; Osheroff, Jerome A

2009-10-08

Advances in technology and the scientific understanding of disease processes are presenting new opportunities to improve health through individualized approaches to patient management referred to as personalized medicine. Future health care strategies that deploy genomic technologies and molecular therapies will bring opportunities to prevent, predict, and pre-empt disease processes but will be dependent on knowledge management capabilities for health care providers that are not currently available. A key cornerstone to the potential application of this knowledge will be effective use of electronic health records. In particular, appropriate clinical use of genomic test results and molecularly-targeted therapies present important challenges in patient management that can be effectively addressed using electronic clinical decision support technologies. Approaches to shaping future health information needs for personalized medicine were undertaken by a work group of the American Health Information Community. A needs assessment for clinical decision support in electronic health record systems to support personalized medical practices was conducted to guide health future development activities. Further, a suggested action plan was developed for government, researchers and research institutions, developers of electronic information tools (including clinical guidelines, and quality measures), and standards development organizations to meet the needs for personalized approaches to medical practice. In this article, we focus these activities on stakeholder organizations as an operational framework to help identify and coordinate needs and opportunities for clinical decision support tools to enable personalized medicine. This perspective addresses conceptual approaches that can be undertaken to develop and apply clinical decision support in electronic health record systems to achieve personalized medical care. In addition, to represent meaningful benefits to personalized

Information management to enable personalized medicine: stakeholder roles in building clinical decision support

Directory of Open Access Journals (Sweden)

Brinner Kristin M

2009-10-01

Full Text Available Abstract Background Advances in technology and the scientific understanding of disease processes are presenting new opportunities to improve health through individualized approaches to patient management referred to as personalized medicine. Future health care strategies that deploy genomic technologies and molecular therapies will bring opportunities to prevent, predict, and pre-empt disease processes but will be dependent on knowledge management capabilities for health care providers that are not currently available. A key cornerstone to the potential application of this knowledge will be effective use of electronic health records. In particular, appropriate clinical use of genomic test results and molecularly-targeted therapies present important challenges in patient management that can be effectively addressed using electronic clinical decision support technologies. Discussion Approaches to shaping future health information needs for personalized medicine were undertaken by a work group of the American Health Information Community. A needs assessment for clinical decision support in electronic health record systems to support personalized medical practices was conducted to guide health future development activities. Further, a suggested action plan was developed for government, researchers and research institutions, developers of electronic information tools (including clinical guidelines, and quality measures, and standards development organizations to meet the needs for personalized approaches to medical practice. In this article, we focus these activities on stakeholder organizations as an operational framework to help identify and coordinate needs and opportunities for clinical decision support tools to enable personalized medicine. Summary This perspective addresses conceptual approaches that can be undertaken to develop and apply clinical decision support in electronic health record systems to achieve personalized medical care. In

Analysis of Disaster Planning in Business and Industry

Science.gov (United States)

1993-04-01

Alternatives, 13 May 1991, 1. 13. Deegan , Joseph, and Jack Jolley. "Selling Crisis Management." Security Management Jun 1985, 50. 14. Atkin, Leslie, ed. "PG... Deegan , Joseph, and Jack Jolley. "Selling Crisis Management." Security Management Jun 1985, 50. 16. Carey, John. "Getting Business to Think About the...1985, 5. 22. Aronoff, Craig E., and John L. Ward. "Why Owners Don’t Plan." Nation’s Business Jun 1990, 59. 23. Phelps, Norman L. "Setting Up a Crisis

When managers and their teams disagree: a longitudinal look at the consequences of differences in perceptions of organizational support.

Science.gov (United States)

Bashshur, Michael R; Hernández, Ana; González-Romá, Vicente

2011-05-01

The authors argue that over time the difference between team members' perception of the organizational support received by the team (or team climate for organizational support) and their manager's perception of the organizational support received by the team has an effect on important outcomes and emergent states, such as team performance and team positive and negative affect above and beyond the main effects of climate perceptions themselves. With a longitudinal sample of 179 teams at Time 1 and 154 teams at Time 2, the authors tested their predictions using a combined polynomial regression and response surface analyses approach. The results supported the authors' predictions. When team managers and team members' perceptions of organizational support were high and in agreement, outcomes were maximized. When team managers and team members disagreed, team negative affect increased and team performance and team positive affect decreased. The negative effects of disagreement were most amplified when managers perceived that the team received higher levels of support than did the team itself.

75 FR 24944 - Adequacy Status of the Milwaukee-Racine, Door County, Manitowoc County, and Sheboygan County...

Science.gov (United States)

2010-05-06

... 5, 77 West Jackson Boulevard, Chicago, Illinois 60604, (312) 353-6680, leslie.michael@epa.gov... FURTHER INFORMATION CONTACT: Michael Leslie, Environmental Engineer, Criteria Pollutant Section (AR-18J...

Watershed Management Optimization Support Tool (WMOST) v1: User Manual and Case Study Examples

Science.gov (United States)

The Watershed Management Optimization Support Tool (WMOST) is intended to be used as a screening tool as part of an integrated watershed management process such as that described in EPA’s watershed planning handbook (EPA 2008).1 The objective of WMOST is to serve as a public-doma...

Towards ethical decision support and knowledge management in neonatal intensive care.

Science.gov (United States)

Yang, L; Frize, M; Eng, P; Walker, R; Catley, C

2004-01-01

Recent studies in neonatal medicine, clinical nursing, and cognitive psychology have indicated the need to augment current decision-making practice in neonatal intensive care units with computerized, intelligent decision support systems. Rapid progress in artificial intelligence and knowledge management facilitates the design of collaborative ethical decision-support tools that allow clinicians to provide better support for parents facing inherently difficult choices, such as when to withdraw aggressive treatment. The appropriateness of using computers to support ethical decision-making is critically analyzed through research and literature review. In ethical dilemmas, multiple diverse participants need to communicate and function as a team to select the best treatment plan. In order to do this, physicians require reliable estimations of prognosis, while parents need a highly useable tool to help them assimilate complex medical issues and address their own value system. Our goal is to improve and structuralize the ethical decision-making that has become an inevitable part of modern neonatal care units. The paper contributes to clinical decision support by outlining the needs and basis for ethical decision support and justifying the proposed development efforts.

GEOGRAPHIC INFORMATION SYSTEM AND REMOTE SENSING BASED DISASTER MANAGEMENT AND DECISION SUPPORT PLATFORM: AYDES

OpenAIRE

Keskin, İ.; Akbaba, N.; Tosun, M.; Tüfekçi, M. K.; Bulut, D.; Avcı, F.; Gökçe, O.

2018-01-01

The accelerated developments in information technology in recent years, increased the amount of usage of Geographic Information Systems (GIS) and Remote Sensing (RS) in disaster management considerably and the access from mobile and web-based platforms to continuous, accurate and sufficient data needed for decision-making became easier accordingly. The Disaster Management and Decision Support System (AYDES) has been developed with the purpose of managing the disaster and emergency manageme...

Project management in mine actions using Multi-Criteria-Analysis-based decision support system

Directory of Open Access Journals (Sweden)

Marko Mladineo

2014-12-01

Full Text Available In this paper, a Web-based Decision Support System (Web DSS, that supports humanitarian demining operations and restoration of mine-contaminated areas, is presented. The financial shortage usually triggers a need for priority setting in Project Management in Mine actions. As part of the FP7 Project TIRAMISU, a specialized Web DSS has been developed to achieve a fully transparent priority setting process. It allows stakeholders and donors to actively join the decision making process using a user-friendly and intuitive Web application. The main advantage of this Web DSS is its unique way of managing a mine action project using Multi-Criteria Analysis (MCA, namely the PROMETHEE method, in order to select priorities for demining actions. The developed Web DSS allows decision makers to use several predefined scenarios (different criteria weights or to develop their own, so it allows project managers to compare different demining possibilities with ease.

The roles of a decision support system in applying forest ecosystem management in Northeast China

Institute of Scientific and Technical Information of China (English)

DAI; Limin; ZHENG; Bofu; Guofan; Shao; ZHOU; Li

2006-01-01

Forest ecosystems provide a variety of services and forest ecosystem management (FEM) is an effective approach to maximize the services. Because of the complexity of forest ecosystems, the applications of FEM can be facilitated with decision support systems (DSS) that recognize and incorporate ecological and socio-economic variables. With the rapid development of computation and information technologies, DSS have been advanced in many ways. Traditional forest management within a forestry unit in China is planned on a yearly basis. The planning itself remains primarily a verbal concept as there are no quantitative decision-support tools available to translate the concept into forest management actions. For the purposes of FEM at the management level, a forest management DFF, FORESTAR(R), has been developed under a framework of geographic information system (GIS) and forest models. The paper explained the intelligent modeling mechanisms and demonstrated how the applications of FEM can be strengthened with the applications of FORESTAR(R).

A Semantic Approach with Decision Support for Safety Service in Smart Home Management.

Science.gov (United States)

Huang, Xiaoci; Yi, Jianjun; Zhu, Xiaomin; Chen, Shaoli

2016-08-03

Research on smart homes (SHs) has increased significantly in recent years because of the convenience provided by having an assisted living environment. The functions of SHs as mentioned in previous studies, particularly safety services, are seldom discussed or mentioned. Thus, this study proposes a semantic approach with decision support for safety service in SH management. The focus of this contribution is to explore a context awareness and reasoning approach for risk recognition in SH that enables the proper decision support for flexible safety service provision. The framework of SH based on a wireless sensor network is described from the perspective of neighbourhood management. This approach is based on the integration of semantic knowledge in which a reasoner can make decisions about risk recognition and safety service. We present a management ontology for a SH and relevant monitoring contextual information, which considers its suitability in a pervasive computing environment and is service-oriented. We also propose a rule-based reasoning method to provide decision support through reasoning techniques and context-awareness. A system prototype is developed to evaluate the feasibility, time response and extendibility of the approach. The evaluation of our approach shows that it is more effective in daily risk event recognition. The decisions for service provision are shown to be accurate.

A Semantic Approach with Decision Support for Safety Service in Smart Home Management

Directory of Open Access Journals (Sweden)

Xiaoci Huang

2016-08-01

Full Text Available Research on smart homes (SHs has increased significantly in recent years because of the convenience provided by having an assisted living environment. The functions of SHs as mentioned in previous studies, particularly safety services, are seldom discussed or mentioned. Thus, this study proposes a semantic approach with decision support for safety service in SH management. The focus of this contribution is to explore a context awareness and reasoning approach for risk recognition in SH that enables the proper decision support for flexible safety service provision. The framework of SH based on a wireless sensor network is described from the perspective of neighbourhood management. This approach is based on the integration of semantic knowledge in which a reasoner can make decisions about risk recognition and safety service. We present a management ontology for a SH and relevant monitoring contextual information, which considers its suitability in a pervasive computing environment and is service-oriented. We also propose a rule-based reasoning method to provide decision support through reasoning techniques and context-awareness. A system prototype is developed to evaluate the feasibility, time response and extendibility of the approach. The evaluation of our approach shows that it is more effective in daily risk event recognition. The decisions for service provision are shown to be accurate.

The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis.

Science.gov (United States)

Galdas, Paul; Fell, Jennifer; Bower, Peter; Kidd, Lisa; Blickem, Christian; McPherson, Kerri; Hunt, Kate; Gilbody, Simon; Richardson, Gerry

2015-03-20

To assess the effectiveness of self-management support interventions in men with long-term conditions. A quantitative systematic review with meta-analysis. The Cochrane Database of Systematic Reviews was searched to identify published reviews of self-management support interventions. Relevant reviews were screened to identify randomised controlled trials (RCTs) of self-management support interventions conducted in men alone, or which analysed the effects of interventions by sex. Data on relevant outcomes, patient populations, intervention type and study quality were extracted. Quality appraisal was conducted using the Cochrane Risk of Bias Tool. Meta-analysis was conducted to compare the effects of interventions in men, women, and mixed-sex sub-groups. 40 RCTs of self-management support interventions in men, and 20 eligible RCTs where an analysis by sex was reported, were included in the review. Meta-analysis suggested that physical activity, education, and peer support-based interventions have a positive impact on quality of life in men. However, there is currently insufficient evidence to make strong statements about whether self-management support interventions show larger, similar or smaller effects in men compared with women and mixed-sex groups. Clinicians may wish to consider whether certain types of self-management support (eg, physical activity, education, peer support) are particularly effective in men, although more research is needed to fully determine and explore this. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Quality assurance management plan (QAPP) special analytical support (SAS)

Energy Technology Data Exchange (ETDEWEB)

LOCKREM, L.L.

1999-05-20

It is the policy of Special Analytical Support (SAS) that the analytical aspects of all environmental data generated and processed in the laboratory, subject to the Environmental Protection Agency (EPA), U.S. Department of Energy or other project specific requirements, be of known and acceptable quality. It is the intention of this QAPP to establish and assure that an effective quality controlled management system is maintained in order to meet the quality requirements of the intended use(s) of the data.

Quality assurance management plan (QAPP) special analytical support (SAS)

International Nuclear Information System (INIS)

LOCKREM, L.L.

1999-01-01

It is the policy of Special Analytical Support (SAS) that the analytical aspects of all environmental data generated and processed in the laboratory, subject to the Environmental Protection Agency (EPA), U.S. Department of Energy or other project specific requirements, be of known and acceptable quality. It is the intention of this QAPP to establish and assure that an effective quality controlled management system is maintained in order to meet the quality requirements of the intended use(s) of the data

WindWizard: A New Tool for Fire Management Decision Support

Science.gov (United States)

Bret W. Butler; Mark Finney; Larry Bradshaw; Jason Forthofer; Chuck McHugh; Rick Stratton; Dan Jimenez

2006-01-01

A new software tool has been developed to simulate surface wind speed and direction at the 100m to 300 m scale. This tool is useful when trying to estimate fire behavior in mountainous terrain. It is based on widely used computational fluid dynamics technology and has been tested against measured wind flows. In recent years it has been used to support fire management...

A study on the development of framework and supporting tools for severe accident management

International Nuclear Information System (INIS)

Chang, Hyun Sop

1996-02-01

Through the extensive research on severe accidents, knowledge on severe accident phenomenology has constantly increased. Based upon such advance, probabilistic risk studies have been performed for some domestic plants to identify plant-specific vulnerabilities to severe accidents. Severe accident management is a program devised to cover such vulnerabilities, and leads to possible resolution of severe accident issues. This study aims at establishing severe accident management framework for domestic nuclear power plants where severe accident management program is not yet established. Emphasis is given to in-vessel and ex-vessel accident management strategies and instrumentation availability for severe accident management. Among the various strategies investigated, primary system depressurization is found to be the most effective means to prevent high pressure core melt scenarios. During low pressure core melt sequences, cooling of in-vessel molten corium through reactor cavity flooding is found to be effective. To prevent containment failure, containment filtered venting is found to be an effective measure to cope with long-term and gradual overpressurization, together with appropriate hydrogen control measure. Investigation of the availability of Yonggwang 3 and 4 instruments shows that most of instruments essential to severe accident management lose their desired functions during the early phase of severe accident progression, primarily due to the environmental condition exceeded ranges of instruments. To prevent instrument failure, a wider range of instruments are recommended to be used for some severe accident management strategies such as reactor cavity flooding. Severe accidents are generally known to accompany a number of complex phenomena and, therefore, it is very beneficial when severe accident management personnel is aided by appropriately designed supporting systems. In this study, a support system for severe accident management personnel is developed

Sisifo-gas a computerised system to support severe accident training and management

International Nuclear Information System (INIS)

Castro, A.; Buedo, J.L.; Borondo, L.; Lopez, N.

2001-01-01

Nuclear Power Plants (NPP) will have to be prepared to face the management of severe accidents, through the development of Severe Accident Guides and sophisticated systems of calculation, as a supporting to the decision-making. SISIFO-GAS is a flexible computerized tool, both for the supporting to accident management and for education and training in severe accident. It is an interactive system, a visual and an easily handle one, and needs no specific knowledge in MAAP code to make complicate simulations in conditions of severe accident. The system is configured and adjusted to work in a BWR/6 technology plant with Mark III Containment, as it is Cofrentes NPP. But it is easily portable to every other kind of reactor, having the level 2 PSA (probabilistic safety analysis) of the plant to be able to establish the categories of the source term and the most important sequences in the progression of the accident. The graphic interface allows following in a very intuitive and formative way the evolution and the most relevant events in the accident, in the both system's way of work, training and management. (authors)

Social support and self-management behaviour among patients with Type 2 diabetes

DEFF Research Database (Denmark)

Schiøtz, M. L.; Bøgelund, M.; Almdal, T.

2012-01-01

Aims To investigate the relationship between structural and functional social support and patient activation, diabetes-related emotional distress, perceived diabetes care, self-management behaviour and HbA 1c levels among patients with Type2 diabetes. Methods Self-administered questionnaires were...... emotional distress, negative assessment of care, less health-promoting eating habits and less frequent foot examinations. Conclusions Good social support is significantly associated with health-promoting behaviours and well-being among patients with Type2 diabetes. However, HbA 1c levels are higher...... for cohabitant persons, indicating barriers for social support. Intervention research is needed to investigate the causal relationship between social networks and health-promoting behaviours. This knowledge should be used in clinical practice when targeting and designing education, support and care for patients...

SUPPORTING MANAGEMENT OF EUROPEAN REFUGEE STREAMS BY EARTH OBSERVATION AND GEOINFORMATION

Directory of Open Access Journals (Sweden)

K.-U. Komp

2016-06-01

Full Text Available The sharp increase in refugee numbers arriving in the European Union has recently caused major and manifold challenges for the member states and their administrative services. Location based situation reports and maps may support the refugee management from local to European level. The first support is mapping of the geographical distribution of migrating people which needs more or less real time data. The actual data sources are location related observations along the routes of refugees, actual satellite observations and data mining results. These tools and data are used to monitor spatial distributions as well as extrapolate the arrival of refugees for the subsequent weeks. The second support is the short term update of the location of initial registration facilities and first reception facilities, their capacities, and their occupancy. The third management level is the systematic inquiry for unoccupied housing facilities and for empty places within build-up areas. Geo-coded data sets of house numbers have to be cross-referenced with city maps and communal inhabitants address data. The legal aspects of data mining and secured access to personal data are strictly controlled by the administration allowing only limited access and distribution of data and results. However, the paper will not disclose scientific progress in Earth Observation and GIS, but will actually demonstrate an urgently needed new combination of existing methods to support actual needs. The societal benefits of EO/GIS are no longer just potential possibilities, but actual results in real political, administrative and humanitarian day to day reality.

Configuration management issues and objectives for a real-time research flight test support facility

Science.gov (United States)

Yergensen, Stephen; Rhea, Donald C.

1988-01-01

Presented are some of the critical issues and objectives pertaining to configuration management for the NASA Western Aeronautical Test Range (WATR) of Ames Research Center. The primary mission of the WATR is to provide a capability for the conduct of aeronautical research flight test through real-time processing and display, tracking, and communications systems. In providing this capability, the WATR must maintain and enforce a configuration management plan which is independent of, but complimentary to, various research flight test project configuration management systems. A primary WATR objective is the continued development of generic research flight test project support capability, wherein the reliability of WATR support provided to all project users is a constant priority. Therefore, the processing of configuration change requests for specific research flight test project requirements must be evaluated within a perspective that maintains this primary objective.

A systematic review of socio-economic assessments in support of coastal zone management (1992-2011).

Science.gov (United States)

Le Gentil, Eric; Mongruel, Rémi

2015-02-01

Cooperation between the social and natural sciences has become essential in order to encompass all the dimensions of coastal zone management. Socio-economic approaches are increasingly recommended to complement integrated assessment in support of these initiatives. A systematic review of the academic literature was carried out in order to analyze the main types of socio-economic assessments used to inform the coastal zone management process as well as their effectiveness. A corpus of 1682 articles published between 1992 and 2011 was identified by means of the representative coverage approach, from which 170 were selected by applying inclusion/exclusion criteria and then classified using a content analysis methodology. The percentage of articles that mention the use of socio-economic assessment in support of coastal zone management initiatives is increasing but remains relatively low. The review examines the links between the issues addressed by integrated assessments and the chosen analytical frameworks as well as the various economic assessment methods which are used in the successive steps of the coastal zone management process. The results show that i) analytical frameworks such as 'risk and vulnerability', 'DPSIR', 'valuation', 'ecosystem services' and 'preferences' are likely to lead to effective integration of social sciences in coastal zone management research while 'integration', 'sustainability' and 'participation' remain difficult to operationalize, ii) risk assessments are insufficiently implemented in developing countries, and iii) indicator systems in support of multi-criteria analyses could be used during more stages of the coastal zone management process. Finally, it is suggested that improved collaboration between science and management would require that scientists currently involved in coastal zone management processes further educate themselves in integrated assessment approaches and participatory methodologies. Copyright © 2014 Elsevier Ltd

[Organization of anesthesia management and advanced life support at military medical evacuation levels].

Science.gov (United States)

Shchegolev, A V; Petrakov, V A; Savchenko, I F

2014-07-01

Anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels in armed conflict (local war) is time-consuming and resource-requiring task. One of the mathematical modeling methods was used to evaluate capabilities of anesthesia and intensive care units at tactical level. Obtained result allows us to tell that there is a need to make several system changes of the existing system of anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels. In addition to increasing number of staff of anesthesiology-critical care during the given period of time another solution should be the creation of an early evacuation to a specialized medical care level by special means while conducting intensive monitoring and treatment.

Simulation and modeling efforts to support decision making in healthcare supply chain management.

Science.gov (United States)

AbuKhousa, Eman; Al-Jaroodi, Jameela; Lazarova-Molnar, Sanja; Mohamed, Nader

2014-01-01

Recently, most healthcare organizations focus their attention on reducing the cost of their supply chain management (SCM) by improving the decision making pertaining processes' efficiencies. The availability of products through healthcare SCM is often a matter of life or death to the patient; therefore, trial and error approaches are not an option in this environment. Simulation and modeling (SM) has been presented as an alternative approach for supply chain managers in healthcare organizations to test solutions and to support decision making processes associated with various SCM problems. This paper presents and analyzes past SM efforts to support decision making in healthcare SCM and identifies the key challenges associated with healthcare SCM modeling. We also present and discuss emerging technologies to meet these challenges.

Simulation and Modeling Efforts to Support Decision Making in Healthcare Supply Chain Management

Directory of Open Access Journals (Sweden)

Eman AbuKhousa

2014-01-01

Full Text Available Recently, most healthcare organizations focus their attention on reducing the cost of their supply chain management (SCM by improving the decision making pertaining processes’ efficiencies. The availability of products through healthcare SCM is often a matter of life or death to the patient; therefore, trial and error approaches are not an option in this environment. Simulation and modeling (SM has been presented as an alternative approach for supply chain managers in healthcare organizations to test solutions and to support decision making processes associated with various SCM problems. This paper presents and analyzes past SM efforts to support decision making in healthcare SCM and identifies the key challenges associated with healthcare SCM modeling. We also present and discuss emerging technologies to meet these challenges.

Physiotherapists supporting self-management through health coaching: a mixed methods program evaluation.

Science.gov (United States)

Dufour, Sinéad Patricia; Graham, Shane; Friesen, Josh; Rosenblat, Michael; Rous, Colin; Richardson, Julie

2015-01-01

To evaluate a program in support of chronic disease self-management (CDSM) that is founded on a health coaching (HC) approach, includes supervised exercise and mindfulness-based stress reduction components and is delivered within a private practice physiotherapy setting. An explanatory mixed method design, framed by theory-based program evaluation, was employed to evaluate an eight-week group-based program. Standardized self-rated and performance measures were evaluated pre- and post intervention. Additionally, participant focus groups were conducted following the intervention period. An inductive thematic approach was undertaken to analyze the qualitative data. Seventeen participants (N = 17) completed the study. Improvements were seen in both self-report and performance outcomes. Participants explained how and why they felt the program was beneficial. Six themes were generated: (1) group dynamic; (2) learning versus doing; (3) holism and comprehensive care; (4) self-efficacy and empowerment; (5) previous solutions versus new management strategies; and (6) healthcare provider support. This study established that a group program in support of CDSM founded on a HC approach demonstrated potential value from participants as well as favorable outcomes. A pragmatic randomized control trial is required to determine efficacy of this intervention.

Knowledge Management Technology for Decision Support: an empirical examination

Directory of Open Access Journals (Sweden)

Meliha Handzic

2001-11-01

Full Text Available This paper reports the results of an empirical examination of the effectiveness of one type of knowledge management technology, namely 'contextual knowledge repository', for supporting individual decision makers in a predictive judgement task context. 31 volunteer subjects participated in the study. The results indicate that a given technology was fairly useful, but insufficient to maximally enhance individual decision making. On one hand, subjects were found to extract more knowledge and make significantly smaller decision errors than their notional naive counterparts. On the other hand, subjects tended to extract less knowledge and make significantly larger decision errors compared to notional optimal counterparts. These findings suggest that individuals could potentially benefit from those knowledge management technologies that would provide additional explicit analytical and procedural knowledge, or those that would facilitate sharing of tacit knowledge through interaction with others. Future research is necessary to address these issues.

Evaluating collaborative planning methods supporting programmebased planning in natural resource management

Czech Academy of Sciences Publication Activity Database

Vacik, H.; Kurttila, M.; Hujala, T.; Khadka, Chiranjeewee; Haara, A.; Pykäläinen, J.; Honkakoski, P.; Wolfslehner, B.

2014-01-01

Roč. 144, NOV 2014 (2014), s. 304-315 ISSN 0301-4797 R&D Projects: GA MŠk(CZ) ED1.1.00/02.0073 Institutional support: RVO:67179843 Keywords : participatory planning * group decision making * problem identification * problem modeling * problem solving * natural resource management Subject RIV: EH - Ecology, Behaviour Impact factor: 2.723, year: 2014

Supporting Telecom Business Processes by means of Workflow Management and Federated Databases

NARCIS (Netherlands)

Nijenhuis, Wim; Jonker, Willem; Grefen, P.W.P.J.

This report addresses the issues related to the use of workflow management systems and federated databases to support business processes that operate on large and heterogeneous collections of autonomous information systems. We discuss how they can enhance the overall IT-architecture. Starting from

Understanding Public Support for Indigenous Natural Resource Management in Northern Australia

Directory of Open Access Journals (Sweden)

Kerstin K. Zander

2013-03-01

Full Text Available Increased interest in indigenous-led natural resource management (NRM on traditionally owned land in northern Australia has raised important questions in relation to policies that compensate indigenous Australians for providing environmental services. A choice experiment survey was mailed out to respondents across the whole of Australia to assess if and to what extent Australian people think that society benefits from these services and how much they would pay for them. More than half the respondents would in principle support indigenous NRM in northern Australia, with a high willingness to pay for carbon, biodiversity, and recreational services. Social aspects of indigenous NRM, however, were not valued by the society, emphasizing the need for awareness raising and clarifications of benefits that indigenous people gain while carrying out land management on their traditional country. Any marketing campaign should take into account preference variation across Australian society, which this research shows is substantial, particularly between people from the north and those from the south. People from the south were more likely to support indigenous NRM, a significant finding for campaigns targeting potential donors.

From words to action: visibility of management in supporting interdisciplinary team working in an acute rehabilitative geriatric hospital.

Science.gov (United States)

Buttigieg, Sandra C; Cassar, Vincent; Scully, Judy W

2013-01-01

The following case study aims to explore management's, health professionals' and patients' experiences on the extent to which there is visibility of management support in achieving effective interdisciplinary team working, which is explicitly declared in the mission statement of a 60-bed acute rehabilitative geriatric hospital in Malta. A total of 21 semi-structured interviews were conducted with the above-mentioned key stakeholders. Three main distinct yet interdependent themes emerged as a result of thematic analysis: "managing a team-friendly hospital", "interdisciplinary team components", and "interdisciplinary team processes". The findings show that visibility of management support and its alignment with the process and content levels of interdisciplinary teamwork are key to integrated care for acute rehabilitative geriatric patients. The emerging phenomena may not be reproducible in a different context; although many of the emerging themes could be comfortably matched with the existing literature. The implications are geared towards raising the consciousness and conscientiousness of good practice in interdisciplinary teamwork in hospitals, as well as in emphasizing organizational and management support as crucial factors for team-based organizations. Interdisciplinary teamwork in acute rehabilitative geriatrics provides optimal quality and integrated health care delivery with the aim that the older persons are successfully discharged back to the community. The authors draw on solid theoretical frameworks--the complexity theory, team effectiveness model and the social identity theory--to support their major finding, namely the alignment of organizational and management support with intra-team factors at the process and content level.

Office of Civilian Radioactive Waste Management: Support for university research and education

International Nuclear Information System (INIS)

Brownstein, A.B.

1990-01-01

The U.S. Department of Energy's (DOE's) Office of Civilian Radioactive Waste Management (OCRWM) currently sponsors two programs that provide funding to universities and graduate students. The OCRWM graduate fellowship program and the OCRWM research program for historically black colleges and universities (HBCU) are designed to enhance the involvement of universities in the nation's high-level radioactive waste program. The specific goals of these programs are to (a) attract talented young scientists and engineers into OCRWM and OCRWM support contractor high-level radioactive waste management programs, (b) improve the quality of graduate education in disciplines directly related to high-level radioactive waste management, and (c) encourage university faculty to become involved in OCRWM mission-related activities

Results of the Medicare Health Support disease-management pilot program.

Science.gov (United States)

McCall, Nancy; Cromwell, Jerry

2011-11-03

In the Medicare Modernization Act of 2003, Congress required the Centers for Medicare and Medicaid Services to test the commercial disease-management model in the Medicare fee-for-service program. The Medicare Health Support Pilot Program was a large, randomized study of eight commercial programs for disease management that used nurse-based call centers. We randomly assigned patients with heart failure, diabetes, or both to the intervention or to usual care (control) and compared them with the use of a difference-in-differences method to evaluate the effects of the commercial programs on the quality of clinical care, acute care utilization, and Medicare expenditures for Medicare fee-for-service beneficiaries. The study included 242,417 patients (163,107 in the intervention group and 79,310 in the control group). The eight commercial disease-management programs did not reduce hospital admissions or emergency room visits, as compared with usual care. We observed only 14 significant improvements in process-of-care measures out of 40 comparisons. These modest improvements came at substantial cost to the Medicare program in fees paid to the disease-management companies ($400 million), with no demonstrable savings in Medicare expenditures. In this large study, commercial disease-management programs using nurse-based call centers achieved only modest improvements in quality-of-care measures, with no demonstrable reduction in the utilization of acute care or the costs of care.

Evolution of CMS Workload Management Towards Multicore Job Support

Energy Technology Data Exchange (ETDEWEB)

Perez-Calero Yzquierdo, A. [Madrid, CIEMAT; Hernández, J. M. [Madrid, CIEMAT; Khan, F. A. [Quaid-i-Azam U.; Letts, J. [UC, San Diego; Majewski, K. [Fermilab; Rodrigues, A. M. [Fermilab; McCrea, A. [UC, San Diego; Vaandering, E. [Fermilab

2015-12-23

The successful exploitation of multicore processor architectures is a key element of the LHC distributed computing system in the coming era of the LHC Run 2. High-pileup complex-collision events represent a challenge for the traditional sequential programming in terms of memory and processing time budget. The CMS data production and processing framework is introducing the parallel execution of the reconstruction and simulation algorithms to overcome these limitations. CMS plans to execute multicore jobs while still supporting singlecore processing for other tasks difficult to parallelize, such as user analysis. The CMS strategy for job management thus aims at integrating single and multicore job scheduling across the Grid. This is accomplished by employing multicore pilots with internal dynamic partitioning of the allocated resources, capable of running payloads of various core counts simultaneously. An extensive test programme has been conducted to enable multicore scheduling with the various local batch systems available at CMS sites, with the focus on the Tier-0 and Tier-1s, responsible during 2015 of the prompt data reconstruction. Scale tests have been run to analyse the performance of this scheduling strategy and ensure an efficient use of the distributed resources. This paper presents the evolution of the CMS job management and resource provisioning systems in order to support this hybrid scheduling model, as well as its deployment and performance tests, which will enable CMS to transition to a multicore production model for the second LHC run.

Assessing the Added Value of information systems supporting facilities management business processes

DEFF Research Database (Denmark)

Ebbesen, Poul; Jensen, Per Anker

2017-01-01

Purpose: To present a method for assessing the added value of Information Systems (IS), which are implemented to support the business processes in Facilities Management (FM). Theory: The method is based on a supply chain management model of FM, general value dimensions such as efficiency...... illustrates that implementing IS includes both organisational and technological changes and demonstrates that the proposed assessment method is applicable to practice. Originality/value: This is the first paper using a supply chain management model of FM, general value dimensions, VAM and Functional...... and effectiveness and the concepts of Value Adding Management (VAM) and Functional Affordances of IS. Design/methodology/approach: From case studies of IS implementation processes in FM in different countries, a general picture of the expressed added value of IS in FM was established. Based on this insight a method...

The case and opportunity for public-supported financial incentives to implement integrated pest management.

Science.gov (United States)

Brewer, Michael J; Hoard, Robert J; Landis, Joy N; Elworth, Lawrence E

2004-12-01

Food, water, and worker protection regulations have driven availability, and loss, of pesticides for use in pest management programs. In response, public-supported research and extension projects have targeted investigation and demonstration of reduced-risk integrated pest management (IPM) techniques. But these new techniques often result in higher financial burden to the grower, which is counter to the IPM principle that economic competitiveness is critical to have IPM adopted. As authorized by the 2002 Farm Bill and administered by the U.S. Department of Agriculture (USDA) Natural Resources Conservation Service (NRCS), conservation programs exist for delivering public-supported financial incentives to growers to increase environmental stewardship on lands in production. NRCS conservation programs are described, and the case for providing financial incentives to growers for implementing IPM is presented. We also explored the opportunity and challenge to use one key program, the Environmental Quality Incentives Program (EQIP), to aid grower adoption of IPM. The EQIP fund distribution to growers from 1997 to 2002 during the last Farm Bill cycle totaled approximately 1.05 billion dollars with a portion of funds supporting an NRCS-designed pest management practice. The average percentage of allocation of EQIP funds to this pest management practice among states was 0.77 +/- 0.009% (mean +/- SD). Using Michigan as an example, vegetable and fruit grower recognition of the program's use to implement IPM was modest (25% of growers surveyed), and their recognition of its use in aiding implementation of IPM was improved after educational efforts (74%). Proposals designed to enhance program usefulness in implementing IPM were delivered through the NRCS advisory process in Michigan. Modifications for using the NRCS pest management practice to address resource concerns were adopted, incentive rates for pest management were adjusted, and an expanded incentive structure for IPM

A Satellite Data-Driven, Client-Server Decision Support Application for Agricultural Water Resources Management

Science.gov (United States)

Johnson, Lee F.; Maneta, Marco P.; Kimball, John S.

2016-01-01

Water cycle extremes such as droughts and floods present a challenge for water managers and for policy makers responsible for the administration of water supplies in agricultural regions. In addition to the inherent uncertainties associated with forecasting extreme weather events, water planners need to anticipate water demands and water user behavior in a typical circumstances. This requires the use decision support systems capable of simulating agricultural water demand with the latest available data. Unfortunately, managers from local and regional agencies often use different datasets of variable quality, which complicates coordinated action. In previous work we have demonstrated novel methodologies to use satellite-based observational technologies, in conjunction with hydro-economic models and state of the art data assimilation methods, to enable robust regional assessment and prediction of drought impacts on agricultural production, water resources, and land allocation. These methods create an opportunity for new, cost-effective analysis tools to support policy and decision-making over large spatial extents. The methods can be driven with information from existing satellite-derived operational products, such as the Satellite Irrigation Management Support system (SIMS) operational over California, the Cropland Data Layer (CDL), and using a modified light-use efficiency algorithm to retrieve crop yield from the synergistic use of MODIS and Landsat imagery. Here we present an integration of this modeling framework in a client-server architecture based on the Hydra platform. Assimilation and processing of resource intensive remote sensing data, as well as hydrologic and other ancillary information occur on the server side. This information is processed and summarized as attributes in water demand nodes that are part of a vector description of the water distribution network. With this architecture, our decision support system becomes a light weight 'app' that

Building Bridges between healthcare professionals, patients and families: A coproduced and integrated approach to self-management support in stroke.

Science.gov (United States)

Jones, Fiona; Pöstges, Heide; Brimicombe, Lucinda

2016-10-14

Programmes providing self-management support for patients and families are gaining attention and have shown promising outcomes with regards to reducing long-term unmet needs post stroke. However, notions of what good self-management support looks like can differ depending on professional opinion, individual preferences, skills and experiences of patients and their families as well as on how care and rehabilitation is organised in a particular healthcare setting. This resonates with the perspective of patient-centred care, according to which the meaning of good care is not universal, but rather jointly shaped between healthcare professionals and patients in everyday interactions. While self-management support is continuously co-produced in care and rehabilitation practices, most self-management programmes are typically provided as an 'add-on' to existing statutory care. This paper aims to deepen the understanding of how self-management support can be made an integral part of everyday care and rehabilitation using Bridges methodology. The authors provide a self-reflective account on 'Bridges' an integrated approach to self-management support, which is used by healthcare professionals within acute and community stroke rehabilitation across the UK, and in some parts of New Zealand and Australia. Bridges is based on self-efficacy principles, but has a central aim of professionals sharing decision-making and expertise with patients and families in every healthcare interaction. Methodologically, the co-production of a Bridges support package with local healthcare professionals and patients is critical. The authors present the values articulated by the support package and how it engages professionals, patients and Bridges training facilitators in a continuous process of adjusting and re-adjusting situated self-management support practices. Our reflections reveal the need to consider development and implementation of self-management support as one and the same on

The Front Office–Back Office Model: Supporting Research Data Management in the Netherlands

Directory of Open Access Journals (Sweden)

Ingrid Dillo

2014-10-01

Full Text Available High quality and timely data management and secure storage of data, both during and after completion of research, are an essential prerequisite for sharing that data. It is therefore crucial that universities and research institutions themselves formulate a clear policy on data management within their organization. For the implementation of this data management policy, high quality support for researchers and an adequate technical infrastructure are indispensable. This practice paper will present an overview of the merging federated data infrastructure in the Netherlands with its front office – back office model, as a use case of an efficient and effective national support infrastructure for researchers. We will elaborate on the stakeholders involved, on the services they offer each other, and on the benefits of this model not only for the front and back offices themselves, but also for the researchers. We will also pay attention to a number of challenges that we are facing, like the implementation of a technical infrastructure for automatic data ingest and integrating access to research data.

Support of the management of climatic risks and chances; Unterstuetzung des Managements von Klimarisiken und -chancen

Energy Technology Data Exchange (ETDEWEB)

Kind, Christian; Mohns, Till [adelphi research gGmbH, Berlin (Germany); Sartorius, Christian [Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung, Karlsruhe (Germany)

2011-03-15

The far-reaching effects of irreversible climatic changes should inform on the expected changes, risks and opportunities. The project 'Support of the management of climate risks and opportunities' contributes to this. As part of this project, an information and decision support system (DSS) is developed which should enable public and private organizations (a) to identify possible risks of climatic change; (b) to avoid possible damages from adjustments; (c) to use possible opportunities of climatic change. The authors of the contribution under consideration develop a profound, scientific basis for the structure and content of the compass-EUS. To this end, various aspects are discussed that are important for the design of such a system.

Support of the management of climatic risks and chances; Unterstuetzung des Managements von Klimarisiken und -chancen

Energy Technology Data Exchange (ETDEWEB)

Kind, Christian; Mohns, Till [adelphi research gGmbH, Berlin (Germany); Sartorius, Christian [Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung, Karlsruhe (Germany)

2011-03-15

The far-reaching effects of irreversible climatic changes should inform on the expected changes, risks and opportunities. The project 'Support of the management of climate risks and opportunities' contributes to this. As part of this project, an information and decision support system (DSS) is developed which should enable public and private organizations (a) to identify possible risks of climatic change; (b) to avoid possible damages from adjustments; (c) to use possible opportunities of climatic change. The authors of the contribution under consideration develop a profound, scientific basis for the structure and content of the compass-EUS. To this end, various aspects are discussed that are important for the design of such a system.

Training Corporate Managers to Adopt a More Autonomy-Supportive Motivating Style toward Employees: An Intervention Study

Science.gov (United States)

Hardre, Patricia L.; Reeve, Johnmarshall

2009-01-01

Management style is treated in a variety of ways across the training and development literature. Yet few studies have tested the training-based malleability of management style in a for-profit, authentic work context. The present research tested whether or not training intervention would help managers adopt a more autonomy-supportive motivating…

Supporting chronic disease self-management: translating policies and principles into clinical practice.

Science.gov (United States)

Higgins, Rosemary; Murphy, Barbara; Worcester, Marian; Daffey, Angela

2012-01-01

To support self-management, health professionals need to adopt a client-centred approach and learn to deliver evidence-based behaviour change interventions. This paper reports on the evaluation of 1- and 2-day training programs developed to improve health professionals' capacity to support chronic disease self-management (CDSM). The 321 participants attended one of eighteen supporting CDSM courses held in urban and rural settings. Participants included nurses, allied health professionals, Aboriginal health workers and general practitioners. Data were collected at three time points: before participation; immediately after the training; and, for a sub-sample of 37 participants, 2 months after the training. Results revealed a significant and sustained increase in CDSM self-efficacy following training regardless of participants' gender, age or qualifications. A thematic analysis of the responses concerning intended practice revealed four main areas of intended practice change, namely: use behavioural strategies; improve communication with clients; adopt a client-centred approach; and improve goal setting. The number of practice changes at 2 months reported by a sub-sample of participants ranged from 1 to 20 with a mean of 14 (s.d.=4). The three most common areas of practice change point to the adoption by health professionals of a collaborative approach with chronic disease patients. Lack of staff trained in CDSM was seen as a major barrier to practice change, with lack of support and finance also named as barriers to practice change. Participants identified that increased training, support and awareness of the principles of supporting CDSM would help to overcome barriers to practice change. These results indicate a readiness among health professionals to adopt a more collaborative approach given the skills and the tools to put this approach into practice.

Understanding Challenges, Strategies, and the Role of Support Networks in Medication Self-management Among Patients With Type 2 Diabetes.

Science.gov (United States)

Bernhard, Gerda; Ose, Dominik; Baudendistel, Ines; Seidling, Hanna M; Stützle, Marion; Szecsenyi, Joachim; Wensing, Michel; Mahler, Cornelia

2017-04-01

Purpose The purpose of this qualitative study was to investigate the challenges and strategies of patients with type 2 diabetes mellitus (T2DM) regarding daily management of their medication regimen focusing on the role of their support networks. Methods A purposeful sample of 25 patients with T2DM was recruited from local self-help groups, general practitioner practices, and a university hospital in southwestern Germany. Four semi-structured focus groups were conducted to identify the challenges patients experienced, the strategies they used, and their collaboration with support networks to assist them in self-managing their medication regimen. Sessions were audio- and video-recorded, fully transcribed, and subjected to computer-aided qualitative content analysis, guided by the Self- and Family Management Framework (SFMF). Results Patients with T2DM experienced numerous challenges affecting medication self-management arising from their personal situation, health status and resources, characteristics of their regimen, and how health care is currently organized. Patients' self-initiated strategies included activating health care, community, social, and online resources; taking ownership of medication-related needs; and integrating medication-taking into daily life. Patients drew on self-help groups, family, and friends to discuss concerns regarding medication safety and receive experience-based information and advice for navigating within the health care system as well as practical hands-on support with daily medication self-management. Conclusions Understanding the challenges and building on strategies patients with T2DM devised help diabetes educators to better address patients' needs and priorities and guide patient-centered interventions to support patients' self-management activities. Community and social support networks operating in patients' lives need to be engaged in the self-management support.

Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status

DEFF Research Database (Denmark)

Van Hecke, Ann; Heinen, Maud; Fernández-Ortega, Paz

2017-01-01

of patients with a low socio-economic status. No differences were found for interventions developed based on health behaviour theoretical models. CONCLUSION: Limited evidence was found for self-management support interventions in chronically ill patients with low socio-economic status. Essential......AIM: To assess the quality of evidence and determine the effect of patient-related and economic outcomes of self-management support interventions in chronically ill patients with a low socio-economic status. BACKGROUND: Integrated evidence on self-management support interventions in chronically ill...... people with low socio-economic status is lacking. DESIGN: Systematic literature review. DATA SOURCES: Cochrane database of trials, PubMed, CINAHL, Web of Science, PsycINFO and Joanna Briggs Institute Library were searched (2000-2013). Randomized controlled trials addressing self-management support...

Ten Ways To Gain Management Support for Key Projects (Or, All I Need To Know To Manipulate Management I Learned as a Teenager).

Science.gov (United States)

Stear, Edward B.

1997-01-01

Presents methods to gain management support for information resource center projects. Topics include: expressing expected results; and understanding the project in terms of business and organizational objectives, competitors' actions, internal needs, external conditions, customer needs, vendor support, and colleagues' experiences. (LRW)

SUPPORT OF QUALITY MANAGEMENT SYSTEM AND BALANCED SCORECARD IN THE INTEGRATION OF NORMATIVE, STRATEGIC AND OPERATIONAL MANAGEMENT

Directory of Open Access Journals (Sweden)

Stevan Živojinović

2012-12-01

Full Text Available Taking into consideration the problems of strategy implementation, as well as problems of external adaptation and internal integration in the enterprise, through the prism of the application of advanced management concepts, primarily - the quality management system (QMS and the balanced scorecard (BSC, leads to the opportunity to increase the integration of organizational levels of decision making and management. Understanding the support of the QMS and BSC in relationship coordination - business strategy, organizational structure and culture, is reflected in the integration and process management dimensions: 1 the existence of a hierarchical order of the strategic actions (from vision and mission, to strategy and objectives, to key success factors and key performance indicators, 2 action of various coordination mechanisms, formalization and standardization of the organizational structure and process and 3 consistent understanding and values of members of the organization, which provides efficient control of behavior, coordination and implementation of policy and company goals. Implementation of concepts of QMS and BSC will provide greater compatibility and coherence of the normative, strategic and operational management, which will lead to more successful business, enterprise development and the satisfaction of all stakeholders.

Establishing an independent mobile health programme for chronic disease self-management support in Bolivia

Directory of Open Access Journals (Sweden)

John D Piette

2014-08-01

Full Text Available Background: Mobile health (m-health work in low and middle-income countries (LMICs mainly consists of pilot programmes with an unclear path to scaling and dissemination. We describe the deployment and testing of an m-health platform for non-communicable disease (NCD self-management support in Bolivia. Methods: 364 primary care patients in La Paz with diabetes or hypertension completed surveys about their use of mobile phones, health and access to care. 165 of those patients then participated in a 12-week demonstration of automated telephone monitoring and self-management support. Weekly Interactive Voice Response (IVR calls were made from a platform established at a university in La Paz, under the direction of the regional health ministry. Results: 37% of survey respondents spoke indigenous languages at home, and 38% had six or fewer years of education. 82% had a mobile phone; half (45% used text messaging with a standard phone, and 9% had a smartphone. Smartphones were least common among patients who were older, spoke indigenous languages, or had less education. IVR programme participants completed 1007 self-management support calls, with an overall response rate of 51%. IVR call completion was lower among older adults, but was not related to patients’ ethnicity, health status or healthcare access. IVR health and self-care reports were consistent with information reported during baseline interviews. Patients’ likelihood of reporting excellent, very good, or good health (versus fair or poor health via IVR increased during programme participation, and was associated with better medication adherence. Patients completing follow-up interviews were satisfied with the programme, with 19/20 (95% reporting that they would recommend it to a friend. Conclusions: By collaborating with LMICs, m-health programmes can be transferred from higher-resource centres to LMICs and implemented in ways that improve access to self-management support among people

Intelligent support of e-management for consumer-focused virtual enterprises

Science.gov (United States)

Chandra, Charu; Smirnov, Alexander V.

2000-10-01

The interest in consumer-focused virtual enterprises (VE) decision-making problem is growing fast. The purpose of this type of enterprise is to transform incomplete information about customer orders and available resources into-co-ordinated plans for production and replenishment of goods and services in the temporal network formed by collaborating units. This implies that information in the consumer-focused VE can be shared via Internet, Intranet, and Extranet for business-to-consumer (B2C), business-to-business service (B2B-S), and business-to-business goods (B2B-G) transactions. One of the goals of Internet-Based Management (e-management) is to facilitate transfer and sharing of data and knowledge in the context of enterprise collaboration. This paper discusses a generic framework of e-management that integrates intelligent information support group-decision making, and agreement modeling for a VE network. It offers the platform for design and modeling of diverse implementation strategies related to the type of agreement, optimization policies, decision-making strategies, organization structures, and information sharing strategies and mechanisms, and business policies for the VE.

Patient-perceived self-management tasks and support needs of people with chronic illness: generic or disease specific?

NARCIS (Netherlands)

Houtum, L. van; Rijken, M.; Heijmans, M.; Groenewegen, P.

2015-01-01

Background: Self-management is widely accepted as an essential component of chronic care. Nevertheless, little is known about patients’ perceptions of self-management. Purpose: This study aims to explore which self-management tasks and support needs people with chronic illness perceive for

The Influence Of Leadership, Talent Management, Organizational Cultureand Organizational Support On Employee Engagement

Directory of Open Access Journals (Sweden)

Jimmy Sadeli

2015-08-01

Full Text Available A leadership driven model was hypothesized to examine the simultaneous influences of three dimensions of leadership behaviors (transformational, transactional, and interaction between transformational and transactional on employee engagement, mediated by three intangible organizational factors: (1 talent management practices, (2 organizational culture, and (3 perceived organizational support (POS. Results of this research show that leadership behaviors (transformational and interaction between transformational and transactional significantly influence mediating variables (talent management practices, organizational culture and POS, whereas transactional leadership must interact with transformational leadership behavior to influence mediating variables. Both talent management practices and organizational culture influence employee engagement, while POS indirectly influences employee engagement.Keywords:Talent management practices, Employee engagement, Transformational and transactional Leadership behaviors, Leadership-driven model on employee engagement

A Knowledge Management Approach to Support Software Process Improvement Implementation Initiatives

Science.gov (United States)

Montoni, Mariano Angel; Cerdeiral, Cristina; Zanetti, David; Cavalcanti da Rocha, Ana Regina

The success of software process improvement (SPI) implementation initiatives depends fundamentally of the strategies adopted to support the execution of such initiatives. Therefore, it is essential to define adequate SPI implementation strategies aiming to facilitate the achievement of organizational business goals and to increase the benefits of process improvements. The objective of this work is to present an approach to support the execution of SPI implementation initiatives. We also describe a methodology applied to capture knowledge related to critical success factors that influence SPI initiatives. This knowledge was used to define effective SPI strategies aiming to increase the success of SPI initiatives coordinated by a specific SPI consultancy organization. This work also presents the functionalities of a set of tools integrated in a process-centered knowledge management environment, named CORE-KM, customized to support the presented approach.

[Coping with chronic illness and multiple medicines in older age: self-management support as an obligation in nursing].

Science.gov (United States)

Müller-Mundt, G; Schaeffer, D

2011-02-01

In later stages of chronic disease and especially in older age, chronically ill people are often dependent on multiple medicines. Coming to terms with complex medication regimes in everyday life is a challenging task. To provide the support actually needed, patient-centered interventions are essential, not only taking into account the patients' needs and preferences, but also promoting their ability to self manage their disease(s) and their medication regime. This paper outlines the results of a research project aimed at developing and evaluating an intervention to integrate self-management support into primary care, based on a qualitative exploration of the patients' and professionals' views. The findings stress that home care nurses should take an active part in self-management support but need to be prepared adequately. Therefore, a two-tier intervention was developed and evaluated in a prospective control study, consisting of a qualified training and guidelines for practice. The intervention serves to expand the nurses' professional competence to provide the needed individually tailored self-management support in home care.

The experiences from implementing decision support technology to address water management plans in an operational environment

Energy Technology Data Exchange (ETDEWEB)

McArdle, S. [4DM Inc., Toronto, ON (Canada); Tonkin, C. [Ontario Power Generation Inc., Toronto, ON (Canada)

2005-07-01

This presentation described Ontario Power Generation's experience in implementing a decision support tool to enable water management plans for its operations through technology solutions. All hydroelectric producers in Ontario are required to make water management plans in order to maintain water levels and flows in their operating regions. This regulation was created in response to environmental concerns as well as to changes in the electricity market and growth of residential and cottage property near water bodies. In order to keep informed and to address compliance issues, operators and managers need situation awareness information to balance operational decisions. The online Adaptive Water Management System (AWMS) decision support tool was recently adopted by Ontario Power Generation to provide information needed to address the requirements of Water Management Plans. The AWMS provides users with information on water levels and flows; the ability to implement, modify, and manage daily instructions at the facilities; track conditions in the watershed; and, provide a status of compliance. The tool was developed by 4DM Inc. in collaboration with Ottawa St. Lawrence Plant Group for the Madawaska River Watershed Management, a model partnership between operator, regulator and Public Advisory Committee to develop a water management plan.

eHealth technologies to support nutrition and physical activity behaviors in diabetes self-management.

Science.gov (United States)

Rollo, Megan E; Aguiar, Elroy J; Williams, Rebecca L; Wynne, Katie; Kriss, Michelle; Callister, Robin; Collins, Clare E

2016-01-01

Diabetes is a chronic, complex condition requiring sound knowledge and self-management skills to optimize glycemic control and health outcomes. Dietary intake and physical activity are key diabetes self-management (DSM) behaviors that require tailored education and support. Electronic health (eHealth) technologies have a demonstrated potential for assisting individuals with DSM behaviors. This review provides examples of technologies used to support nutrition and physical activity behaviors in the context of DSM. Technologies covered include those widely used for DSM, such as web-based programs and mobile phone and smartphone applications. In addition, examples of novel tools such as virtual and augmented reality, video games, computer vision for dietary carbohydrate monitoring, and wearable devices are provided. The challenges to, and facilitators for, the use of eHealth technologies in DSM are discussed. Strategies to support the implementation of eHealth technologies within practice and suggestions for future research to enhance nutrition and physical activity behaviors as a part of broader DSM are provided.

Data Management Supporting the U.S. Extended Continental Shelf Project

Science.gov (United States)

Lim, E.; Henderson, J. F.; Warnken, R.; McLean, S. J.; Varner, J. D.; Mcquinn, E.; LaRocque, J.

2013-12-01

The U.S. Extended Continental Shelf (ECS) Project is a multi-agency collaboration led by the U.S. Department of State whose mission is to establish the full extent of the continental shelf of the United States consistent with international law. Since 2003, the U.S. has been actively collecting bathymetric, seismic, and other geophysical data and geologic samples required to delineate its outer limits in accordance with Article 76 of the UN Convention on the Law of the Sea. In 2007, the U.S. ECS Task Force designated the National Geophysical Data Center (NGDC) to serve as both the Data Management lead and the Data Archive and Integration Center for the U.S. ECS Project. NGDC, one of three National Oceanic and Atmospheric Administration (NOAA) Offices active in the ECS Project, has the primary responsibility to provide a common infrastructure and a means to integrate the data supporting, and products resulting from ECS analysis. One of the key challenges in the ECS project is the requirement to track the provenance of data and derived products. Final ECS analyses may result in hundreds of points that define a new maritime boundary that is our extended continental shelf. These points will be developed in a rigorous process of analysis encompassing potentially thousands of raw datasets and derived products. NGDC has spent the past two years planning, designing, and partially implementing the Information Management System (IMS), a highly functional, interactive software system that serves as the master database for the ECS Project. The purpose of this geospatial database is to archive, access, and manage the primary data, derivative data and products, associated metadata, information and decisions that will form the U.S. submission. The IMS enables team members to manage ECS data in a consistent way while maintaining institutional memory and the rationale behind decisions. The IMS contains two major components: First, a catalog that acts as the interface to the IMS by